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Department of Finance and Economic Affairs
Haitian Institute of Statistics
Port-au-Prince, Haiti
General Census 1971
Republic of Haiti
Census of the Population, Dwelling and Agriculture (1971)

This census is ordered by the decree of 1970. It is required of all people residing normally in the territory of the Haiti Republic.
Questions should be directed to the head of the household or, as the case may be, all other members of the household capable of being able to answer correctly.
The answers gathered are confidential.


I. Location

1. ____ Department [d├ępartement]

2. ____ District [arrondissement]

3. ____ Municipality [commune]

4. Address

____ City
____ Street
____ Number
or
____ Rural section

5. ____ Jurisdiction ____ Number of section

6. ____ Residence (in the rural zone only)

7. ____ Order of the visit in the building

8. ____ Order of the visit of the household in the dwelling

9. ____ Total number of households in the dwelling

10. ____ Household number

II. Dwellings

A. Characteristics of the building

1. Main material of the walls

[] 1 Masonry or cement
[] 2 Wood
[] 3 Wood slats (clissage) and mud mortar
[] 4 Wood slats (clissage) without mud mortar
[] 5 Wood from boxes
[] 6 Other (specify) ________

2. Main material of the roofs

[] 1 Cement
[] 2 Tiles
[] 3 Sheet metal
[] 4 Wood
[] 5 Thatch
[] 6 Other (specify) ________

B. Characteristics and installation of the dwelling

3. Type of dwelling

[] 1 Regular dwelling
[] 2 Dwelling in a non-residential building
[] 3 Hotel or boarding house
[] 4 Institution (hospital, military barracks, prison, etc.)
[] 5 Other (specify) ________

4. Occupation status of the dwelling

[] 1 Occupied
[] 2 Vacant

5. Composition of the dwelling

_ _ Number of rooms
_ _ Number of persons

6. Main material of the floors

[] 1 Cement
[] 2 Wood
[] 3 Tamped dirt
[] 4 Other (specify) ________

7. Lighting

[] 1 Electricity
[] 2 Kerosene
[] 3 Other (specify) ________

8. Water supply

[] 1 Running water in the dwelling
[] 2 Running water in the yard
[] 3 Well in the yard
[] 4 Public tap or fountain
[] 5 Spring or river
[] 6 Supplied through purchase
[] 7 Other (specify) _____

9. Toilet facilities

[] 1 Hydraulic toilet
[] 2 Pit latrine in the yard
[] 3 Pit latrine outside of the yard
[] 4 Other

10. Type of tenure

[] 1 Owner
[] 2 Lodged for free
[] 3 Tenant
[] 4 Tenant paying rent for another specific time period fermier
[] 5 Other (specify) ______

11. Rent

Rent (per month) _ _ _ _ _
Rent (non-regular basis or fermage)
a) Total _ _ _ _ _
b) Period ______ _ _
Note: This section is only to be filled out by households without any farmland, but having livestock. In the opposite situation, fill out a form for farms.
Number of livestock

_ _ Bovine
_ _ Pigs
_ _ Goats
_ _ Sheep
_ _ Horses
_ _ Donkeys
_ _ Mules
_ _ Chickens
_ _ Turkey
_ _ Ducks
_ _ Guinea fowls

________ Name of the census taker
________ Date of the survey
________ Supervisor
________ Check date

Advice to census agents
1. The work must be carried out with the greatest care while avoiding corrections and deletions. Write legibly and preferably the last names of people in upper case letters as well as places. Write in ball-point pen.
2. Except for special orders, all questions should be asked line by line, column by column, in the order that they appear on the questionnaire. Do not skip a column.
3. Answer each question. Use a dash to indicate "nothing" or "no" or when the question has nothing to do the situation. Do not use any sign which is not specified in the instructions for the corresponding question.
4. The census taker will fill out the questionnaire:

a) either by simply marking a "x" in the box which is provided for him, (ex. [X] son
Only check one square for each question.
b) or writing the complete answer in the place reserved for this purpose. (ex. Age; Profession: mechanic)

5. The census taker will not mark in any of the boxes which will be filled out exclusively in the office of the specialized personnel.
6. Avoid vague answers. Do not be satisfied with insufficient names for a profession such as correspondent or government employee, or write market vendor, grocer, and pharmacist, and not merchant.
7. Be sure that all buildings and households in the census section (or residence) which have been assigned to you are counted. Do not forget anyone. Carefully check at the end of the interview if all the answers have been correctly recorded. Mark down the date of the interview and sign the questionnaire.

Reminder of some definitions
Household: In its most usual form, the household is a group of people, generally, but not necessarily tied to kinship, living in the same dwelling place, and usually eating meals together. A person living alone constitutes a household by himself or herself.
To simplify the counting, we have accepted a concept of the household not requiring the sharing of meals or living on a shared budget but only resting on the requirement of sharing the dwelling space. Thus, in a house, the number of apartments will be equal to the number of households, except if some apartments are not inhabited.
Usual Residence: All people who are part of a household whether they are present or absent at the time of the census are to be recorded on the housing form. Always be careful not to forget mentioning those who are absent (traveling government employee), person being hospitalized temporarily, or visiting parents, student in a boarding school. We will ask for all the same information for those absents as well as those present.
A person who has left who has no intention to return is no longer considered a member of the household.
Room: We call all space in a dwelling unit surrounded by four walls, except for the bathroom (if it includes a sanitary installation), a "room".

Advice on determining age:
Age should be indicated in years passed. If the person in question does not know his/her age exactly, using the historic calendar as indicated in the instructions.

It often happens that the head of household forgets to declare young children. When the census taker writes down the youngest child declared by the head of household, she will thus insist that the head of household answer these questions particularly:

Is this the youngest child? and also
Are there young children? Which ones?

In the same way, he will spontaneously ask the question:

Are there children less than one year old present or absent?

III. Population

1. First and last name
Write down all members of the household in the following order:

Head of household
Spouse or partner
Children (not married) beginning with the oldest and adopted
Parents and grandparents
Brothers, sisters, uncles, aunts, nephews, nieces, and cousins.
Children whose parents are not living in the household
Married children (each one followed by partner and his/her children)
Other people: friends, boarders, servants living in the household

2. Relationship to the head of household
There are six boxes. Check the box which corresponds to the relationship with the head of household.

[] 1 Head of household
[] 2 Spouse or partner
[] 3 Daughter or Son
[] 4 Grandson, granddaughter
[] 5 Other relative
[] 6 Friend
[] 7 Domestic employee

3. Marital status
Single having never been married or been in an arranged marriage, married in legitimate civil or religious union,
[Rest of this line is illegible]

[] 1 Single
[] 2 Married
[] 3 Long-term domestic partner
[] 4 Widow(er)
[] 5 Divorced

4. Sex

[] Male
[] Female

5. Age
For children less than 1 year old, write the age in months from 0 to 11

_ _ Years
_ _ Months

6. Place of birth
If the person in question was not born in Haiti, write down in capital letters the name of the foreign country.
________ Municipality [commune]

[] 1 City _ _ _ _ _
[] 2 Rural section

________ Foreign country

7. Length of time living in this Municipality [commune]
The length of time living is the period up to the time of the census and expressed in years passed, during which each person has lived in this county which is his usual residence.

[] 1 1 year
[] 2 1-4 years
[] 3 5-9 years
[] 4 10-14 years
[] 5 15-19 years
[] 6 20-24 years
[] 7 25-29 years
[] 8 30-34 years
[] 9 35-39 years
[] 10 40-44 years
[] 11 45+ years
[] 12 Born in the same Municipality [commune]

8. Previous area of residence
Write here in capital letters the last place where the person in question resided prior to living in the location where he/she is being enumerated.
________ Municipality [commune]

[] 1 City _ _ _ _ _
[] 2 Rural section

________ Foreign country

9. Nationality
Note: A Haitian cannot be born abroad. A foreigner cannot be naturalized as a Haitian.

[] 1 Haitian
[] 2 Foreigner

10. Religion
The answers Jewish, Muslim, Jehovah's Witness, are to be counted under "Other"

[] 1 Catholic
[] 2 Protestant
[] 3 Other
[] 4 None

11. Children born alive in the last 12 months
[Question 11 is asked to women 15 to 49 years old]
Write down for each woman age 15 to 49 the number of children in the corresponding box as well as the sex whether or not the child is still living in the household.

[] 0
[] 1 Male
[] 2 Male
[] 3 Male
[] 1 Female
[] 2 Female
[] 3 Female

[Questions 12 to 14 are asked to persons 5 years old and over]

12. Do you know how to read and write?

[] 0 No
[] 1 Only read
[] 2 Read and write

13. Highest level of schooling completed
Write here the level of education: None, Literacy classes, Primary school, Secondary school, Technical, University, Teacher-training school

[] 0 None
[] 1 Literacy classes
[] 2 Primary
[] 3 Secondary
[] 4 Technical
[] 5 Higher education
[] 6 University


Indicate if the education level is complete or incomplete. Choose the highest class achieved within the education level

[] 0 Complete
[] 1 Incomplete
[] 0
[] 1
[] 2
[] 3
[] 4
[] 5
[] 6

14. School attended this year
This means the school attended during the 1970-1971 academic year.

[] 0 None
[] 1 State school
[] 2 Private school

[Questions 15 to 21 are asked to persons 5 years old and over]

15. Main activity during the last six months
By main activity we mean the activity in which the person in question spent the greatest part of his/her time.

[] 1 Worker
[] 2 Unemployed
[] 3 Housewife
[] 4 Student
[] 5 Retired
[] 6 Other

16. Time spent working in the last six months
Indicate approximately how much the person in question worked during the last six months.

[] 1 Not at all
[] 2 Less than a month
[] 3 From 1 to 3 months
[] 4 More than 3 months

17. Profession
This means the main profession of the person in question even if he/she is temporarily unemployed. Specify as much as possible:

Chief accountant
Auto mechanic
Chemical engineer
Factory custodian
Bellboy
Bricklayer

________ _ _ _

18. Activity of the company
Specifically write down the institution or business where the person in question works.
Example:

Minister of Finance
Shoe factory
Garage

For agriculture, indicate:

Private Farmer
Cooperative

________ _ _ _ _

19. Status in the profession
The category "Other" is reserved for those who are not able to be classified according to the situation in the profession: workers feeling that the situation is badly defined or unemployed having never worked.

[] 1 Employer
[] 2 Self-employed
[] 3 Salaried worker
[] 4 Family assistant
[] 5 Other

20. Number of days of work last week

_

21. Are you a farmer?

[] 1 Yes
[] 2 No