Commonwealth Caribbean Population and Housing Census
Saint Lucia
Census day -- May 12, 1991
1991 Population and Housing Census
Instructions:
Use a number 2 pencil only (do not use ink or ballpoint pen.)
Completely fill in the oval response.
Erase cleanly any changes you make.
Make no stray marks on this form.
E.D. Number _ _ _ _
Household number _ _ _
Address of household ________
Town/village/district ________
Interviewer:
I am the Census Interviewer assigned to this area and I should like to get some information about the household and its members. Here is my identification card. (Show precept)
Record of visits
Interviewer calls: _____
Date: _____
Time started: _____
Time ended: _____
Duration: _____
Result
[] 2 Partially completed, call back
[] 3 Dwelling vacant
[] 4 Address not a dwelling
[] 5 Address not found or non-existent
[] 6 No suitable respondent at home
[] 7 Other (please specify) ____
Supervisor
Date ____
Editor
Date ____
Interviewer
Date ____
Coder
Date ____
Field editor
Date ____
Interviewer says:
Please give me the names of all the persons who usually live and share one daily meal with your household.
First name ______
Comments ________
1.1 a. Has anybody from this household gone to live abroad in the past year?
[] No -- Skip to 1.2
[] 1
[] 2
[] 3
[] 4
[] 5
[] 6
c. Please give me the sex and age of each.
1.
[] Male
[] Female
Age _ _
2.
[] Male
[] Female
Age _ _
3.
[] Male
[] Female
Age _ _
4.
[] Male
[] Female
Age _ _
5.
[] Male
[] Female
Age _ _
6.
[] Male
[] Female
Age _ _
Interviewer: Ask this question only if the answer is not obvious. Else, mark the appropriate oval.
1.2. What type of dwelling does this household occupy?
[] Part of a private house
[] Flat/apartment/condominium
[] Townhouse
[] Double house/duplex
[] Combined business and dwelling
[] Barracks
[] Other
1.3 Does this household own, rent or lease this dwelling?
[] Squatted
[] Rented-private -- Skip to 1.5
[] Rented- government -- Skip to 1.5
[] Lease -- Skip to 1.5
[] Rent-free -- Skip to 1.5
[] Other -- Skip to 1.5
[] Don't know / not stated -- Skip to 1.5
1.4 What about the land -- is it freehold, leasehold, or some other type of occupancy?
[] Freehold
[] Leasehold
[] Rented
[] Permission to work land
[] Sharecropping
[] Squatted
[] Other
[] Don't know / not stated
1.5 What is the construction material of the outer walls?
[] Concrete
[] Wood and concrete
[] Stone
[] Brick
[] Adobe
[] Makeshift
[] Other / don't know
1.6 What is the material used for roofing?
[] Shingle (asphalt)
[] Shingle (wood)
[] Shingle (other)
[] Tile
[] Concrete
[] Makeshift
[] Other / don't know
1.7 In which year was this dwelling built?
[] 1960-1969
[] 1970-1979
[] 1980 or later
[] Don't know
1.8 What is the main source of your water supply?
[] Private catchment, not piped
[] Public, piped into dwelling
[] Public, piped into yard
[] Public standpipe
[] Public well or tank
[] Other
1.9 What type of toilet facilities does this household have?
[] W.C. cesspit or septic tank
[] Pit latrine
[] Other
[] None -- Skip to 1.11
1.10 Are these toilet facilities shared with another person not of this household or another household?
[] Yes
[] No
1.11 What type of lighting does this household use most?
[] Kerosene
[] Electricity
[] Other
1.12 What type of fuel does this household use most for cooking?
[] Wood
[] Gas
[] Kerosene
[] Electricity
[] Other
1.13 Is your kitchen indoors or outdoors?
[] Outdoors
1.14 Is the kitchen shared with another person not of this household or another household?
[] Not shared
1.15 How many rooms does your household occupy?
1.16 How many bedrooms are there in this dwelling unit?
Count all bedrooms including spares not occupied.
1.17 Now I would like some information on the ownership or rental of such facilities as television sets, videos and radios by members of the household.
1.18 Is there a telephone service in this home?
[] No
For all persons
2.1 Please fill in this person's assigned number.
Number: _ _
2.2 What is ____'s relationship to the head of household?
[] Spouse/partner
[] Child
[] Son/daughter-in-law
[] Grandchild
[] Parent/parent-in-law
[] Other relative
[] Non-relative
2.3 Interviewer: Mark the appropriate oval. For persons not seen ask: Is ____ male or female?
[] Female
2.4 What is ____'s date of birth?
Month _ _
Year _ _
If not known, ask:
How old was ____ on his/her last birthday?
2.5 To what ethnic, racial or national group do you think ____ belongs?
[] American Indian/Caribbean
[] East Indian
[] Chinese
[] Portuguese
[] Syrian/Lebanese
[] White
[] Mixed
[] Other (please specify) ____
[] Don't know / not stated
2.6 What is ____'s religion?
[] Baptist (Spiritual)
[] Brethren
[] Church of God
[] Jehovah Witness
[] Methodist
[] Moravian
[] Pentecostal
[] Presbyterian / Congregational
[] Roman Catholic
[] Salvation Army
[] Seventh Day Adventist
[] Hindu
[] Muslim
[] Rastafarian
[] Other (please specify) ____
[] None
[] Not stated
Section 3. Disability
For all persons
3.1 Does ____ suffer from any long-standing illness, disability or infirmity?
[] No (skip to q. 4.1)
3.2 What type of disability or impairment does ____ have?
[Question 3.2 is asked of persons who have long-standing illness, disability or infirmity, per question 3.1]
[] Sight
[] Hearing
[] Speech
[] Upper limb (arm)
[] Lower limb (legs)
[] Neck and spine
[] Slowness at learning or understanding
[] Mental retardation
[] Other (please specify) ____
3.3 In which of the following ways are ____'s activities limited compared with most people your/his/her age?
[Question 3.3 is asked of persons who have long-standing illness, disability or infirmity, per question 3.1]
[] Self-care
[] Mobility
[] Communication
[] Schooling
[] Employment
[] Other
[] None
Section 4: Birthplace and residence
For all persons
4.1 Where was ____ born?
Interviewer: Remember what is required is the mother's normal residence at the time of birth, and not the hospital or place where the birth took place.
[] Abroad -- Skip to 4.3
[] Not stated -- Skip to 4.5
[] Don't known -- Skip to 4.5
4.2a In what part of the country is that? ____
[] Don't know
4.2b Have you/has ____ ever lived in another country?
[] Yes -- Skip to 4.5
[] No/ don't know -- Skip to 4.6
4.3 In what country was that? ___
[] Don't know
4.4 In what year did ____ last come to live in this country?
19 _ _
[] Don't know
4.5 In what country did ____ last live?
______
[] Don't know
Section 4. Birthplace and residence
For all persons
4.6 In what town, village or district in ____ did he/she last live?
[] Don't known
[] Never moved -- Skip to 5.1
4.7 In what year did ____ come to live in this town, village or district?
[] 19_ _
[] Don't know
4.8 Where does ____ usually live?
[] At this address -- Skip to 5.1
[] Elsewhere in this country
[] Abroad -- Skip to 5.1
[] Don't know -- Skip to 5.1
4.9 In what part of the country is that?
______
[] Don't know
Section 5. Education and training
For all persons
5.1 Is ____ attending any school or educational institution now, whether full-time or part-time?
[] No -- Skip to 5.6
[] Don't know -- Skip to 5.6
5.2 Are you/is/he/she attending full-time or part-time?
[] Full-time
[] Part-time
[] Don't know
5.3 What type of school or institution are you/is/he/she attending?
[] Nursery/infant/kindergarten/pre-school
[] Primary
[] Senior school or secondary dept. of primary school
[] Junior secondary
[] Senior secondary, general secondary, high school comprehensive or composite school
[] Trade/vocational school
[] Technical institute
[] Community college/sixth form college
[] University
[] Other (please specify) ____
[] Not stated
5.4 Please give the name and address of the school or institution. ________
5.5 What is your/his/her main mode of travel to the school or institution?
[] Walk
[] Bicycle
[] Private car or vehicle
[] Public vehicle (bus, etc.)
[] Hired transport (taxi, maxi-taxi, minibus)
[] Don't know/ not stated
[] Other
5.6 What is the highest level of education that ____ has reached?
[] Nursery/kindergarten -- Skip to 5.9
[] Primary
[] Secondary -- Skip to 5.8
[] Pre-university/post-secondary -- Skip to 5.8
[] University -- Skip to 5.8
[] Other (please specify) ______ -- Skip to 5.9
[] Not stated -- Skip to 5.8
5.7 What grade/standard did you/he/she reach?
[] First standard
[] Second standard
[] Third standard
[] Fourth standard
[] Fifth standard
[] Sixth standard
[] Seventh standard or higher
[] Don't know
5.8 What is the highest certificate, diploma or degree that you/he/she earned?
[] None
[] School leaving
[] Cambridge School Certificate
[] GCE 'O' levels or CXC
[] 1
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 8
[] 9 or more
[] Not stated
[] 1
[] 2
[] 3
[] 4 or more
[] Not stated
[] Diploma (post-graduate)
[] Degree
[] Other (please specify) ____
[] Not stated
5.9 Interviewer: Mark the appropriate oval. (See Q. 2.4)
[] 15 years and over
For persons 15 years and over
[Questions 5.10 through 5.12 were asked of persons 15 years and older.]
5.10 Has ____ pursued any course of formal training for at least 3 months?
[] No -- Skip to 6.1
[] Don't know -- Skip to 6.1
5.11 How was this training received?
[] Corresponding course
[] On the job
[] Apprenticeship
[] Institution
[] Other (please specify)
[] Don't know
5.12 For what occupation does this training prepare you/him/her? ________
Section 6. Marital status, union status and fertility
For persons 15 years and over
[Questions 6.1 through 6.14 were asked of persons 15 and older.]
6.1 What is ____'s legal marital status- that is, are you/is he/she married, divorced, legally separated, widowed or never married?
[] 2 Widowed -- Skip to 6.3
[] 3 Divorced -- Skip to 6.3
[] 4 Legally separated -- Skip to 6.3
[] 5 Never married -- Skip to 6.3
[] 6 Not stated -- Skip to 6.3
6.2 Are you/is he/she living with your/his/her husband/wife now?
[] Yes -- Skip to 6.6
[] No
6.3 Are you/is he/she living with a partner now?
[] Yes -- Skip to 6.6
[] No
6.4 Interviewer: If question 6.3 is shaded 2 (No) and q. 6.1 is shaded 2, 3 or 4 then skip to question 6.6.
6.5 Have you/has he/she ever lived together with a partner in a common law relationship?
[] Yes
[] No -- Skip to 6.7
6.6 How old were you/he/ she when you/he/she were/was first married or lived with a partner?
Age _ _
6.7 Interviewer: Mark the appropriate oval. (See questions 2.3, 2.4, 5.1, 5.2, 5.3)
[] 2 Female- 65 years and over -- Skip to 7.1
[] 3 Female under 65 years attending school -- Skip to 7.1
[] 4 Female under 65 years not attending school
6.8 How many live births has ____ ever had?
[Question 6.8 was asked of females between 15 and 65 years not attending school, per question 6.7]
6.9 How old were you/was she when you/she had the first liveborn child?
Age _ _
6.10 How old were you/was she at the birth of your/her last liveborn child?
Age _ _
6.11 How many live births did you/she have in the last 12 months?
[] None -- Skip to 7.1
[] One
[] Two separate births
[] Twins
[] Three or more
6.12 What is/are the sex(es) of this child/these children?
[] 1
[] 2
[] 3
[] 4
[] 5
[] 1
[] 2
[] 3
[] 4
[] 5
6.13 Of these, have any of the babies died?
[] Yes
[] No -- Skip to 7.1
6.14 How many have died?
[] 1
[] 2
[] 3
[] 4
[] 5
Section 7. Economic activity
For persons 15 years and over
[Questions 7.1 through 7.17 were asked of all individuals over the age of 15.]
7.1 What did ____ do most during the past 12 months--for example, did you/he/she work, look for a job, keep house or carry on some other activity?
[] Had a job but did not work -- Skip to 7.4
[] Looked for work
[] Wanted work and available
[] Home duties
[] Attended school
[] Retired
[] Disabled, unable to work
[] Other (please specify) ____
[] Not stated
7.2 Did you/he/she do any work at all in the past 12 months? Include work at home, for example, piece work, smocking, etc.
[] Yes -- Skip to 7.4
[] No
[] Don't know
7.3 Have you/he/she ever worked or had a job?
1 Yes
2 No -- Skip to 7.5
7.4 How many months did you/he/she work in the past 12 months?
Number of months
[] 1
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 8
[] 9
[] 10
[] 11
[] 12
7.5 What did ____ do most during the past week -- for example, did you/he/she work, look for a job, keep house or carry on some other activity?
[] 2 Had a job but did not work -- Skip to 7.8
[] 3 Looked for work
[] 4 Wanted work and available
[] 5 Home duties -- Skip to 7.7
[] 6 Attended school -- Skip to 7.7
[] 7 Retired -- Skip to 7.7
[] 8 Disabled, unable to work -- Skip to 7.7
[] 9 Other (please specify) ____ -- Skip to 7.7
[] 10 Not stated -- Skip to 7.7
7.6 What sort of work did you/he/she look for or want? ________
7.7 Did you/he/she do any work at all last week for any length of time, including helping in a family business/farm, street vending or work at home?
1 Yes
2 No -- Skip to 7.9
7.8 How many hours did you/he/she work last week?
Hours _ _
[] Don't know
7.9 What sort of work did you/he/she, do you, does he/she do in your/his/her main occupation?
[] Never worked -- Skip to 7.18
7.10 Would you consider this job to be completely dependent, partially dependent or not dependent on tourism?
[] 1 Completely dependent
[] 2 Partially dependent
[] 3 Not dependent at all
[] 4 Don't know / not stated
7.11 What type of business is/was carried on at your/his/her workplace? Please specify in detail.
________
7.12 What is the name and address of you/his/her present workplace?
________
[] No present workplace -- Skip to 7.18
7.13 How do you/does he/she travel to work?
[] Work at home
[] Walk
[] Bicycle
[] Private car or vehicle
[] Public vehicle (bus, etc.)
[] Hired transport (taxi, minibus, maxi taxi, etc.)
[] Other
[] Don't know/not stated
7.14 Did you/he/she carry on your/his/her own business, work for a wage or salary or as an unpaid worker in a family business?
[] Paid employee- government -- Skip to 7.16
[] Paid employee- private -- Skip to 7.16
[] Unpaid worker -- Skip to 7.18
[] Own business with paid help (employer) -- Skip to 7.16
[] Own business without paid help (own account)
[] Don't know / not stated -- Skip to 7.18
7.15 Do you/does he/she move all your/his/her goods every night; e.g., fruits, nuts, lottery tickets, clothing/shoes, etc.?
[] Yes (informal trader)
[] No
7.16 What was _____'s last pay/income period?
[] 1 Weekly
[] 2 Fortnightly
[] 3 Monthly
[] 4 Quarterly
[] 5 Annually
[] 6 Other (please specify) ____
[] 7 None
[] 8 Not stated
7.17 What was ____'s gross pay/income during the last pay period; that is, before income tax or other deductions?
[Question 7.17 was asked of persons 15 and older who are paid, per question 7.14]
_____
Interview: For self-employed persons obtain "net income," i.e., receipts less business expenses.
Don't know
7.18 Do you/does he/she receive any money from family and/or friends abroad?
[] No -- Skip to 8.1
7.19 Approximately how much money did you/he/she receive last year (1990) from family and/or friends abroad? (present flash card)
Income group _ _
Don't know
Important
Interviewer: If interview conducted before census day, ask on return visit immediately after Census day: if interview conducted after Census day, ask as part of the full interview:
Section 8. Where spent census night
For all persons
8.1 Where did ____ spend Census night?
[] Elsewhere in this country
[] Abroad (end interview)
8.2 What part of the country was that? If known, please specify. __________________
Interviewer: Write as full an address as possible.