Republic of Honduras
Presidential Commission on the Modernization of the State
XVI Population Census and V Dwelling Census
The requested information is strictly confidential. Legislative decree number 86-2000, July 8, 2000.
_ Additional form. Fill out the geographical location, go to section D and continue with section F.
_ Form for another household. Full out the geographical, go to section C and continue with the interview.
2. Municipality _ _
3. Area _
4. Zone _ _
5. Segment _ _ _
6. Sector _ _
7. Village _ _
8. City or town _ _ _
9. Neighborhood or subdivision _ _ _
10. Block _ _ _
11. Number of dwelling in route _ _ _
12. Number of household _ _
Section B. Information about the Dwelling
Individual Dwelling
[] 02 Apartment
[] 03 Room in house or boarding house
[] 04 Retail space not build for habitation
[] 05 Temporary shelter
[] 06 Improvised house
[] 07 Other
Collective Dwelling
[] 09 Hospital, sanitarium, or clinic
[] 10 Orphanage or home for the elderly
[] 11 Barracks, battalion, or police station
[] 12 Prison or reformatory
[] 13 Other
(Continue to Section F if any of these answers are selected)
Construction materials of the dwelling:
2. What is the predominant material of the exterior walls of the dwelling?
[] 2 Stone or quarry stone
[] 3 Cement block or concrete
[] 4 Adobe
[] 5 Wood
[] 6 Cane with earth (bahareque)
[] 7 Palm or cane
[] 8 Discarded materials
[] 9 Other
3. What is the predominant material of the roof?
[] 2 Asbestos Sheeting
[] 3 Zinc Sheeting
[] 4 Concrete
[] 5 Straw, palm, or similar
[] 6 Discarded materials
[] 7 Other
Occupied dwelling
[] 2 Dwelling with persons absent
Unoccupied dwelling
[] 4 Temporary use
[] 5 Being repaired
[] 6 Under construction
[] 7 Other
(End the form here if any of these answers are selected)
Only for individual dwellings that are occupied with persons present
[Questions 5- 12 were asked of individual, occupied dwellings.]
5. What is the predominant material of the floors of the dwelling?
[] 2 Cement slab
[] 3 Wood
[] 4 Cement brick
[] 5 Granite or stone tile
[] 6 Clay brick
[] 7 Ceramic
[] 8 Other
Basic services of the dwelling
6. Where does the water supply for the dwelling come from?
[] 2 From a well with a rotating mechanism
[] 3 From a well with a pump
[] 4 From a fall, river, or spring
[] 5 From a lake or lagoon
[] 6 From a vendor or delivery system
[] 7 Other
7. Does the dwelling have a piped system for water service?
[] 2 Outside the dwelling, but inside the property
[] 3 None
8. What is the principal form of lighting used by the dwelling?
[] 2 Electricity from a private system
[] 3 Electricity with a private generator
[] 4 Flashlight or kerosene gas lamp
[] 5 Candle
[] 6 Pine fire
[] 7 Solar panel
[] 8 Other
9. What is the principal form of trash removal?
[] 2 It is picked up by a trash collector
[] 3 They take it to a deposit or collection site
[] 4 They burn it or bury it
[] 5 They pay individuals to dispose of it
[] 6 Other
10. Without counting bathrooms and corridors, how many total rooms are there in the dwelling?
11. In this dwelling, does some person, group, or household buy and consume their food separately?
[] 2 No (Continue to section C)
12. Including yours, how many groups or households are there in all?
Starting with the second household, use another form and mark the box for "Form for other household."
[p. 2]
Section C. Household information
1. How many rooms are used by this household for sleeping? _ _
2. Does this household have a room for cooking?
[] 2 No (Continue to question 4)
3. Is the room that is used for cooking only used by this household?
[] 2 No
4. What is the principal source of energy used for cooking?
[] 2 Gas (kerosene)
[] 3 Natural gas
[] 4 Electricity
[] 5 Other
[] 6 Do not cook
[] 2 Toilet connected to a septic tank
[] 3 Toilet that drains into a river, ditch, lagoon, sea, or lake
[] 4 Latrine with a simple well
[] 5 None (Continue to question 7)
6. The sanitary service, is it for the exclusive use of the household?
[] 2 No
7. Does this household own an automobile for the exclusive use of the household?
[] 2 More than one
[] 3 No
8. Does this household have any of the following appliances or equipment?
[] 2 No
[] 2 No
C. Radio, radio/tape recorder, or stereo equipment
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
9. The dwelling occupied by this household is:
[] 2 Owned, mortgaged and paying monthly
[] 3 Rented
[] 4 Loaned or given without payment
10. In this household, does any person have?
[] 2 No
[] 2 No
[] 2 No
D. Loss or incapacity of a leg or arm
[] 2 No
[] 2 No
Section D. Household composition
1. Including the newborns, girls, boys, elderly (female and male), and domestic employees (male and female), how many people usually make up this household in total?
_ _ Men
_ _ Women
2. What is the name and last name of each of the person that are usually part of this household? [The original document includes a table below.]
[Column headings:]
(A) Order number
(B) First and last name
a. Head of household (male or female)
b. Spouse or partner
c. Son, daughter, stepson, or stepdaughter
d. Son-in-law or daughter-in-law
e. Grandson or granddaughter
f. Father, mother, or parents-in-law
g. Brother, sister, brother-in-law, or sister-in-law
h. Nephew or niece
i. Other relative
j. Domestic servants (male and female) and their family members
k. Other non-relative
Note: Be sure to include the newborns, girls, boys, elderly (female and male), and domestic employees (male and female), who live in the household and are temporarily absent.
Section E. International migration and mortality
1. After hurricane Mitch (October 1998), has a person from this household gone to live in another country?
[] 2 No (Continue to question 3)
2. Of the people who left after Mitch, how many live in:
Women _ _
Women _ _
Women _ _
Women _ _
Women _ _
3. Including newborns and the elderly, did any person that belonged to this household die between January 1 and December 31 in 2000?
[] 2 No (Continue to section F)
4. For the persons who died between January 1 and December 31, 2000, give the following information:
Name ____
2. Sex
[] 2 Female
Month _ _
If the person who died is a woman between 14 and 49 years old, did she die:
2 [] No
2 [] No
5C. In the two months following childbirth
2 [] No
[p. 3]
Section F. Characteristics of the persons
Order number of the person _ _
Name _____
For all persons
[Questions 1- 5 were asked of all persons.]
1. What relationship does the person have to the head of household?
[] 02 Spouse or partner
[] 03 Son, daughter, stepson, or stepdaughter
[] 04 Son-in-law or daughter-in-law
[] 05 Grandson or granddaughter
[] 06 Father, mother, or parents-in-law
[] 07 Brother, sister, brother-in-law, or sister-in-law
[] 08 Nephew or niece
[] 09 Other relatives
[] 10 Domestic servants and their families
[] 11 Other non-relatives
[] 12 Live in a collective dwelling
[] 2 Female
3. How old is the person in completed years?
_ _ _
4. Where was [the person] born?
[] 2 No
2. Department ____ _ _
4. Year of arrival in Honduras _ _ _ _
5. What population group does [the person] belong to?
[] 2 Black English
[] 3 Tolupán
[] 4 Pech (Paya)
[] 5 Misquito
[] 6 Lenca
[] 7 Tawahka (Sumo)
[] 8 Chortí
[] 9 Other
For persons 5 years old or more
[Questions 6-11 were asked of persons aged 5 years or older.]
6. Where did [the person] live in 1996 (five years ago)?
[] 2 No
2. Municipality ____ _ _
3. Department ____ _ _
7. Does [the person] know how to read and write?
[] 2 No
8. Is [the person] currently studying in an educational center like a university, private or public school, or pre-school?
[] 2 No
9. What is the last grade, course, or year that [the person] passed?
[] Grade 2
[] Grade 3
[] Grade 2
[] Grade 3
[] Grade 2
[] Grade 3
[] Grade 4
[] Grade 5
[] Grade 6
[] Grade 7
[] Grade 8
[] Grade 9
[] Grade 2
[] Grade 3
[] Grade 2
[] Grade 3
[] Grade 4
[] Grade 2
[] Grade 3
[] Grade 4
[] Grade 2
[] Grade 3
[] Grade 4
[] Grade 5
[] Grade 6
[] Grade 7
[] Grade 8
[] Grade 2
[] Grade 3
[] Grade 4
[] Grade 5
10. What was [the person's] field, training, or specialty during the past year? ____ _ _ _
11. Did [the person] complete this field, training, or specialty?
[] 2 No
For persons 7 years old or more
[Questions 12-16 were asked of persons aged 7 years or older]
12. Did the person work last week?
[] 2 No
13. Last week, did the person:
[] 01 Worked on agricultural or forestry crops or raised animals that belong to [him or her] or a relative
[] 02 Worked on or assisted in a business or shop that belongs to [him or her] or a relative
[] 03 Prepared food or produced articles for sale
[] 04 Had work, but did not work because of vacations, leave, illness, etc.
[] 05 Looked for work, having worked previously
[Part] B:
[] 06 Looked for work, not having worked previously
[] 07 Lived off retirement or pension
[] 08 Lived off of rental income
[] 09 Only studied
[] 10 Only did housework
[] 11 Is permanently incapacitated to work
[] 12 Other
(For answers 6-12, continue to question 17)
14. What is the name of the principal occupation, job or post that [the person] does or did in this job? For example: corn farmer, furniture carpenter, bus driver, etc.
15. In this job, [the person] works as or worked as:
[] 2 Public employee or worker
[] 3 Owner with employees
[] 4 Self-employed
[] 5 Unpaid family worker
[] 6 Domestic employee
[] 7 Other
16. What is the principal activity of the business, institution, or place where the person last worked or works? For example: corn farming, furniture factory, passenger transportation, etc.
For persons 12 years old or more
[Question 17 was asked of persons aged 12 years or older]
17. What is your current marital status?
[] 2 Married
[] 3 Separated
[] 4 Divorced
[] 5 Widowed
[] 6 Single
For women 12 years old or more
[Questions 18-22 were asked of only females aged 12 years or older]
18. Have you had any children (live-birth)?
[] 2 No (end the interview here for this person)
19. What is the total number of live children that you have given birth to? _ _
20. How many of your daughters or sons are currently alive? _ _
21. On what date was your last son or daughter born alive?
Month _ _
Year _ _ _ _
22. Is your last son or daughter who was born alive still living?
[] 2 No