General Census of Population and Housing, 2004
Household and dwelling questionnaire
Morocco 2004

Act No: 001-71 of June 16, 1976 (22 Rabia II 1391) related to the General Census of Population and Housing of the Kingdom.

Article No 2: Any person who participates in any way to the conducting and the processing of the Census shall fulfill the obligations of confidentiality (professional secrecy); trespassing will be punished by appropriate legal sanctions. The individual information written on the Census questionnaires, which deals with personal and family life, and more generally with private facts and behaviors, shall not be communicated in any way by the services in charge of keeping the data. This information cannot be used in any way for legal pursuits, nor for tax purposes, nor for economic repression.

Article No 3: Any person who refuses to answer the census, or who will on purpose make false declarations will be punished according to article 609-11 of the criminal law [code penal].

[Page 1]

E1. Region ____

E2. Province / Préfecture ____

E3. Cercle ____

E4. Municipality / Commune rurale ____

E5. Centre ____

E6. Census track ____

E7. Fraction ____

E8. Douar ____

E9. Dwelling unit number, in Census track ____

E10. Number of households in the dwelling ____

E11. Household number, in the dwelling ____

E12. Number of questionnaires filled for this household ____

E13. Questionnaire number filled for this household ____

E14. Total number of household members, of which:

E15 Moroccans ____
E16 Foreigners ____
E17 Handicapped / disabled persons ____
E18 Visiting persons ____

Precise address of the dwelling unit: ________
Date of interview: ____
Name of the census enumerator: ____
Name of the supervisor: ____
Date of the supervision: ____
Observations: ________

[Page 2]

Individual form / population structure

1. Line number ____

2. First name and last name _________________

Write in this column the list of household members resident present and resident temporarily absent, as determined in Table 1, which determines the residence status and the specific order as specified in the Manual of Instructions.

3. Residence status

[] 1 Resident present
[] 2 Resident temporarily absent

4. Country of citizenship (nationality)

[] 01 Morocco
[] 02 Algeria
[] 03 Tunisia
[] 10 Libya
[] 40 France
[] 41 Spain
[] Other nationality: specify ____

5. Relationship to the head of household

[] 0 Head of household
[] 1 Spouse of the household head
[] 2 Child (son, daughter)
[] 3 Grandchildren (grandson, granddaughter)
[] 4 Parents (father, mother)
[] 5 Brother, sister
[] 6 In-law children (son/daughter-in-law)
[] 7 Other relatives
[] 8 Servants
[] 9 Not related by blood

6. Sex

[] 1 Male
[] 2 Female

7. Date of birth or age

Specify the date of birth, the year of birth, or the age of the enumerated person, depending on the declaration

____

Q07a. Date of birth / year of birth

Examples:
If the date is June 9, 1953, write down "June 9, 1953", and code: 0 6 / 1 9 5 3
If the year is 1953, write down "1953", and code: _ _ / 1 9 5 3

MM in months _ _
YYYY in years _ _ _ _

Q07b. Age

Example:
If the age is 49 years, write down "49" and code: 4 9

_ _ _

8. Marital status

[] 1 Single
[] 2 Married
[] 3 Widowed
[] 4 Divorced

[Page 3]

Fertility
[For resident women, married, widowed, or divorced, specify the total number of live births]

Life time fertility

9A. Number of children living in the household _____

9B. Number of children living outside the household (living elsewhere) ______

9C. Number of children who died _______

Fertility in the past 12 months

10A. Number of children still alive _______
10B. Number of children who died _______

Literacy and education

11. Literacy: languages read and written

[For persons age 10 or older]

[] 0 None
[] 1 Arabic only
[] 2 Arabic and French only
[] 3 Arabic, French and other languages
[] 4 Arabic and languages other than French, specify ____
[] 5 Other cases, specify _____________

12. Level of education

12a. Highest grade completed in school:

[] 00 None
[] 03 Koranic school
[] 10 Basic education, first grade (1st primaire)
[] 11 Basic education, second grade (2nd primaire)
[] 12 Basic education, third grade (3rd primaire)
[] 13 Basic education, fourth grade (4th primaire)
[] 14 Basic education, fifth grade (5th primaire)
[] 15 Basic education, sixth grade (6th fondamental)
[] Other, specify _______________

12b. Type of school

[] 1 Public
[] 2 Private

13. Local language used (dialect)

[] 1 Arabic (colloquial)
[] 2 Tachalhit
[] 3 Tamazight
[] 4 Tarifite
[] 5 Hassania

Handicap
[All household members]

14. Type of handicap

[] 1 Mobility (limbs)
[] 2 Visual (blind)
[] 3 Hearing (deaf)
[] 4 Vocal (mute)
[] 5 Mental
[] 6 Chronic disease

Economic activity

15. Activity status

[] 0 AO -- Active, employed
[] 1 CH1 -- Jobless, never worked
[] 2 CH2 -- Jobless, has worked before
[] 3 FF -- Housewife, girls at home
[] 4 EC -- Student, pupil
[] 5 REN -- Living on private means
[] 6 RET -- Retired, pensioned
[] 7 MAL -- Disabled, handicapped, sick person
[] 8 JEU -- Too young to work
[] 9 AUT -- Other cases, specify ____

16. Employment status

[] 1 Employer
[] 2 Self-employed, on premises
[] 3 Self-employed, at home
[] 4 Self-employed, traveling or without premises
[] 5 Salaried, public sector
[] 6 Salaried, private sector
[] 7 Family aid
[] 8 Apprentice

[Page 4]

Housing characteristics (living conditions of the household)

L1. Mode of occupancy of the dwelling unit

[] 1 Dwelling occupied by a household present at time of the census
[] 2 Dwelling occupied by a household temporarily absent at time of the census
[] 3 Dwelling empty / vacant
[] 4 Secondary or seasonal dwelling
[] 5 Dwelling under construction
[] 6 Other

L2. Type of construction

[] 0 Villa, or flat in a villa
[] 1 Apartment, flat in a building
[] 2 Moroccan traditional house
[] 3 Moroccan modern house
[] 4 Room in an institution
[] 5 Informal construction, slum
[] 6 Construction not designed for housing
[] 7 Rural house
[] 8 Other cases, specify ____

L3. Tenant status of the dwelling

[] 1 Landlord, owner or condominium
[] 2 In process of becoming landlord
[] 3 Tenant (renter)
[] 4 Housing provided by employer
[] 5 Free lodging
[] 6 Other cases

L4. Age of the dwelling

[] 1 Fewer than 10 years
[] 2 10-19 years
[] 3 20-49 years
[] 4 50+ years

L5. Number of rooms occupied by the household _______

Equipment of the housing unit (mode of utilization of housing amenities)

L6a. Kitchen