[p. 1]

The Hashemite Kingdom of Jordan
Department of Statistics
Population and Housing Census
2004

Building and housing register

1. Identification Information
101. Governorate _ _
102. District _ _
103. Sub-district _
104. Locality _ _ _
105. Area _ _
106. Neighborhood _ _
107. Block Number _ _ _

108. Register Number _ / _
109. Archive Number _ / _
Date of block data collection from _ _ /_ _/2004 - _ _ /_ _/2004
[Skipped enumeration stage.]
[p. 2]

2. Housing unit information

Line number _ _

110. Name of street and number (if available) _ _ _ _ _

111. Building permanent number (if available) _ _ _

112. Serial number of building in the block _ _ _

113. Owner or lessee name of housing unit / establishment ____

114. Housing unit number in the building _ _

115. Type of housing unit

[] 1 Dar
[] 2 Apartment
[] 3 Villa
[] 4 Barracks
[] 5 Hair tent / tent
[] 6 Establishment / work place
[] 7 Under construction
[] 8 Other (specify) ____

116. Type of occupancy

[] 1 Occupied by private household
[] 2 Occupied by collective household
[] 3 Hotel (skip to Q 129)
[] 4 Public housing unit (skip to Q 129)
[] 5 Vacant (skip to Q 131)
[] 6 Closed (skip to Q 131)
[] 7 Under construction (skip to Q 131)
[] 8 Other (specify) ____ (skip to Q 131)

117. Type of tenure

[Question 117 was asked of persons who lived in occupied private or collective household, per Question 116.]
[] 1 Owned by the household or one of its members (skip to Q 119)
[] 2 Rented unfurnished
[] 3 Rented furnished
[] 4 Owned by a relative (skip to Q 119)
[] 5 For work (skip to Q 119)
[] 6 Free (skip to Q 119)
[] 7 Other (specify) ____ (skip to Q 119)

118. Monthly rent of the housing unit (in JD) _ _ _
[Question 118 was asked of renters who lived in occupied private or collective household, per Questions 116 and 117.]

119. Duration of occupancy of housing unit (in years) _ _
[Question 119 was asked of persons who lived in occupied private or collective household, per Question 116.]

120. Type of heating

[Question 120 was asked of persons who lived in occupied private or collective household, per Question 116.]
[] 1 Central heating
[] 2 Kerosene/ diesel heater
[] 3 Electricity
[] 4 Gas heater
[] 5 Coal / wood
[] 6 Other (specify) ____
[] 7 None

121. Main source of drinking water

[Question 121 was asked of persons who lived in occupied private or collective household, per Question 116.]
[] 1 Public network
[] 2 Public tap
[] 3 Tanker
[] 4 Well / rain water
[] 5 Bottled water
[] 6 Artesian well
[] 7 Spring
[] 8 Other (specify) ____

122. Source of Lighting

[Question 122 was asked of persons who lived in occupied private or collective household, per Question 116.]
[] 1 Public network
[] 2 Private generator
[] 3 Gas
[] 4 Kerosene
[] 5 Other (specify) ____

123. Housing unit area (in square meters) _ _ _
[Question 123 was asked of persons who lived in occupied private or collective household, per Question 116.]

[p. 3]
124. Type of sewage system

[Question 124 was asked of persons who lived in occupied private or collective household, per Question 116.]
[] 1 Public network
[] 2 Cess pool
[] 3 Other (specify) ____
[] 4 None

125. Availability of toilet in the housing unit

[Question 125 was asked of persons who lived in occupied private or collective household, per Question 116.]
[] 1 Yes
[] 2 No

126. Availability of independent kitchen in the housing unit

[Question 126 was asked of persons who lived in occupied private or collective household, per Question 116.]
[] 1 Yes
[] 2 No

Total No. of rooms in the housing unit
[Questions 127 and 128 were asked of persons who lived in occupied private or collective household, per Question 116.]
127. Total _ _
128. Bed rooms _

129. Number of households in the housing unit _
[Question 129 was asked of persons who lived in occupied private household, occupied collective household, hotel, or public housing unit, per Question 116.]

130. Number of persons in the housing unit _ _ _
[Question 130 was asked of persons who lived in occupied private household, occupied collective household, hotel, or public housing unit, per Question 116.]

131. First housing unit in the building

[] 1 Yes
[] 2 No (skip to next housing unit)
[] 3 No housing unit

3. Building information

132. Name of owner of the building or name of the building _____

133. Type of building

[] 1 Amara
[] 2 Dar
[] 3 Villa
[] 4 Barracks
[] 5 Hair tent / tent
[] 6 Establishment
[] 7 Under construction
[] 8 Other (specify) ____

134. Year of laying fundaments of the building _ _ _ _

135. Type of occupancy

[] 1 Residential only
[] 2 Business only
[] 3 Worship
[] 4 Recreation / culture
[] 5 Multi-purpose
[] 6 Closed
[] 7 Vacant
[] 8 Under construction

136. Type of dominant materials of outside walls of the building

[] 1 Cut stone
[] 2 Cut stone and concrete
[] 3 Concrete
[] 4 Cement bricks
[] 5 Mud bricks and stone
[] 6 Asbestos, wood zinc
[] 7 Hair, wool, cloth
[] 8 Other (specify) ____

137. Number of floors _ _

138. Availability of elevator

[] 1 Yes
[] 2 No

139. Number of housing units in the building _ _

140. Number of households in the building _ _

141. Number of persons in the building _ _ _

[p. 4]

4. Total information of the page

142. Number of buildings _ _

Number of housing units in the page
[Questions 143 to 146]
143. Not-occupied _ _
144. Occupied by private household _ _
145. Occupied by collective household _ _
146. Total housing units _ _

Number of households in the page
[Questions 147 to 150]
147. Private households _ _
148. Collective households _ _
149. Hotel households _ _
150. Total households _ _

Number of persons in the page
[Questions 151 to 154]
151. Private households _ _ _
152. Collective households _ _ _
153. Hotels household _ _ _
154. Total persons _ _ _

[p. 5]

Household members' information

[Section 1]

202. Population category

[] 1 Inside Jordan
[] 2 Jordanians abroad

203. Serial number of person

[] 1
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 8
[] 9
[] 10

204. Name (four parts) ____

205. Relation to Head of Household

[] 1 Husband / wife
[] 2 Son / daughter
[] 3 Father / mother
[] 4 Grandson / granddaughter
[] 5 Brother / sister
[] 6 Other relatives
[] 7 Maid
[] 8 Others
[] 0 Household head

206. Sex

[] 1 Male
[] 2 Female

207. Religion

[] 1 Muslim
[] 2 Christian
[] 3 Other

208. Date of birth
Month _ _
Year _ _ _ _

209. Age (in completed years) _ _

210. Is [name of person] medically insured?

[] 1 Yes
[] 2 No (skip to 212)
[] 3 Don't know (skip to 212)

211. Types of health insurance

[Question 211 was asked of persons who were medically insured, per Question 210.]
[] 1 Civilian
[] 2 Military
[] 4 Official universities
[] 8 Private

Total _ _

212. Nationality _ _ _

213. Has the person discrete national number?

For Jordanians.
[] 1 Yes
[] 2 No

214. Reason of residence abroad (for Jordanians) and reason of incoming to Jordan (for non-Jordanians)

[] 1 Work
[] 2 Study
[] 3 Accompaniment
[] 4 Tourism
[] 5 Treatment
[] 6 Other (specify) ____

215. Place of residence of mother at the birth of person (name of locality and governorate or name of country) _ _ _

216. Current place of usual residence (name of locality and governorate or name of country) _ _ _

217. Duration of residence in current place (for Jordanians) and in Jordan (for non-Jordanians) in years _ _

218. Previous place of usual residence (name of locality and governorate or name of country) _ _ _

[p. 6]

Section 2

Questions 219 to 221: For person 5 years of age and over

219. Has [name] ever been to school?

For persons 5 years of age and over.
[] 1 Yes currently enrolled
[] 2 Yes ever enrolled (skip to 222)
[] 3 No (skip to 222)

220. Grade _ _
[Question 220 was asked of persons age 5+ who were enrolled in school at the time of interview, per Question 219.]

221. Stage

[Question 221 was asked of persons age 5+ who were enrolled in school at the time of interview, per Question 219.]
[] 1 Basic education
[] 2 Vocational apprenticeship
[] 3 Secondary
[] 4 Intermediate diploma
[] 5 B.A, B. Sc
[] 6 Higher diploma
[] 7 M.A, M.Sc
[] 8 Ph.D

Questions 222 to 234: For person 15 years of age and over

222. Educational status _ _

[Question 222 was asked of persons age 15+.]
[] 01 Illiterate (skip to 224)
[] 02 Read and write (skip to 224)
[] 03 Elementary (skip to 224)
[] 04 Preparatory (skip to 224)
[] 05 Basic education (skip to 224)
[] 06 Vocational apprenticeship (skip to 224)
[] 07 Secondary
[] 08 Intermediate diploma
[] 09 B.A
[] 10 Higher diploma
[] 11 M.A
[] 12 Ph.D

223. Field of study _ _ _ _ _
[Question 223 was asked of persons age 15+ who had obtained secondary education or higher, per Question 222.]

224. Marital status

[Question 224 was asked of persons age 15+.]
[] 1 Never married
[] 2 Married
[] 3 Divorced
[] 4 Widowed
[] 5 Separated

Questions 225 to 234: 2004/9/25-10/1

225. Did [name] work during the week that ended in October 1st 2004 even for one hour?
- In any paid work
- In a business completely or partially owned
- In a business owned by the household without payment
- In any other business

[Question 225 was asked of persons age 15+ about their employment during the week ended in October 1st 2004.]
[] 1 Yes (skip to 227)
[] 2 No

226. Had [name] any job, but he did not practice it (was temporarily absent) due to illness, vacation, holiday, travel, reduction in economic activity, temporary breakdown in the establishment during the week ended in October 1st 2004?

[Question 226 was asked of persons age 15+ who did not work during the week ended in October 1st 2004, per Question 225.]
[] 1 Yes [skip to 228]
[] 2 No [skip to 232]

227. Total number of hours worked by [name] in all jobs during the week ended in October 1st 2004 _ _
[Question 227 was asked of persons age 15+ who worked or were temporarily absent from work during the week ended in October 1st 2004, per Questions 225 and 226.]

228. Name of establishment in which the person works ____
[Question 228 was asked of persons age 15+ who worked or were temporarily absent from work during the week ended in October 1st 2004, per Questions 225 and 226.]

229. Major current economic activity of the establishment _ _ _ _
[Question 229 was asked of persons age 15+ who worked or were temporarily absent from work during the week ended in October 1st 2004, per Questions 225 and 226.]

230. Major current occupation _ _ _ _
[Question 230 was asked of persons age 15+ who worked or were temporarily absent from work during the week ended in October 1st 2004, per Questions 225 and 226.]

231. Employment status

[Question 231 was asked of persons age 15+ who worked or were temporarily absent from work during the week ended in October 1st 2004, per Questions 225 and 226.]
[] 1 Paid employee (skip to next person)
[] 2 Employer (skip to next person)
[] 3 Own-account worker (skip to next person)
[] 4 Unpaid family worker (skip to next person)
[] 5 Unpaid worker (skip to next person)

232. If a job was offered during the 7 days ended in October 1st or in the next 15 days, would [name] be prepared to start the job?

[Question 232 was asked of persons age 15+ who did not work and were also not temporarily absent from work during the week ended in October 1st 2004, per Questions 225 and 226.]
[] 1 Yes
[] 2 No [skip to 234]

233. Did [name] actively search for work during the 4 weeks ended in October 1st 2004?

[Question 233 was asked of persons age 15+ who did not work and were also not temporarily absent from work, but were prepared to start a job if offered one during the 7 days ended in October 1st 2004 or in the next 15 days, per Questions 225, 226 and 232.]
[] 1 Yes [next person]
[] 2 No

234. The relationship of [name] with major economic activity during the 7 days ended in October 1st 2004

[Question 233 was asked of persons age 15+ who did not work, were also not temporarily absent from work, were not actively searching for work and were not prepared to start a job if offered one during the 7 days ended in October 1st 2004 or in the next 15 days, per Questions 225, 226, 232 and 233.]
[] 1 Student
[] 2 Housemaker
[] 3 With means
[] 4 Disabled
[] 5 Other (specify) ____

Section 3

235. Does any member of the household suffer from any handicap?

[] 1 Yes
[] 2 No (skip to section 4)
[] 3 Don't know (skip to section 4)
[] 4 No answer (skip to section 4)

236. Number of handicapped persons _ _
[Question 236 was asked of persons who were handicapped household member, per Question 235.]
237. Line number from 203 _
[Question 237 was asked of persons who had handicapped household member, per Question 235.]
238. Name from 204 ____
[Question 238 was asked of persons who had handicapped household member, per Question 235.]

239. Kind of handicap

[Question 239 was asked of persons who were handicapped, per Question 235.]
[] 1 Deaf or dumb
[] 2 Physical
[] 3 Cerebral palsy
[] 4 Mental
[] 5 Visual
[] 6 Multiple handicap
[] 7 Other (specify) ____

[p. 7]
Section 4. Does the household have any of the following appliances or services? If available ask for the number
[Questions 240 to 252]

Appliances:

240. Radio / tape recorder

[] 1 Yes

Number _

[] 2 No

241. Television

[] 1 Yes

Number _

[] 2 No

242. Satellite

[] 1 Yes

Number _

[] 2 No

243. Refrigerator

[] 1 Yes

Number _

[] 2 No

244. Washing machine

[] 1 Yes

Number _

[] 2 No

[Questions 245 to 252] If the number is 8 or more enter 8.

Appliances:

245. Solar heater

[] 1 Yes