The Republic of the Union of Myanmar
Ministry of Immigration and Population
2014 Population and Housing Census
Main Questionnaire

Instructions for completion
[figure omitted]

Questionnaire number _ _ of _ _ for this household

Household identification

_ _ State Region
_ _ District
_ _ Township / sub township
_ _ _ Ward / village tract
_ Urban or rural
_ _ _ Enumeration area (Block no.)
_ _ _ Household no.

For all members of the household (1 through 18)
[Question 1 through 18 were asked of all persons living in the household.]

[] 1. Serial number of household member

____ 2. Name

Direct question to persons who spent the census night in the household only. Write names all persons who spent the night of 29 March 2014 in this household. Make sure to include babies, elderly persons, disabled persons and visitors.

3. Relationship to the head of the household

[] 1. Head of household
[] 2. Spouse
[] 3. Son / daughter
[] 4. Son / daughter-in-law
[] 5. Grandchild / great grandchild
[] 6. Parent / parent-in-Law
[] 7. Sibling
[] 8. Grandparent
[] 9. Other relative
[] 10. Adopted child
[] 11. Non relative

4. Sex

[] 1. Male
[] 2. Female

5. Completed age_ _

If age greater than or equal to 98, write "98". If less than one write "00".

6. Marital Status

[] 1. Single (never married)
[] 2. Married
[] 3. Widowed
[] 4. Divorced / separated
[] 5. Renounced

7. Religion

[] 1. Buddhist
[] 2. Christian
[] 3. Islam
[] 4. Hindu
[] 5. Animist
[] 6. Other religion
[] 7. No religion

8. Ethnicity_ _ _ ____

9. Disability: does [the respondent] have any difficulty...?

i. Seeing, even if wearing glasses

[] 1. No - no difficulty
[] 2. Yes - some difficulty
[] 3. Yes a lot of difficulty
[] 4. Cannot do at all

_ ii. Hearing, even if using hearing aid

[] 1. No - no difficulty
[] 2. Yes - some difficulty
[] 3. Yes a lot of difficulty
[] 4. Cannot do at all

_ iii. Walking, climbing steps, carrying items

[] 1. No - no difficulty
[] 2. Yes - some difficulty
[] 3. Yes a lot of difficulty
[] 4. Cannot do at all

_ iv. Remembering or concentrating

[] 1. No - no difficulty
[] 2. Yes - some difficulty
[] 3. Yes a lot of difficulty
[] 4. Cannot do at all

10. Type of identity card

[] 1. Citizenship Scrutiny Card (pink)
[] 2. Associate Scrutiny Citizenship Card (blue)
[] 3. Naturalized Scrutiny Citizenship Card (green)
[] 4. National Registration Card (three fold card, green for men, pink for women)
[] 5. Religious Card
[] 6. Temporary Registration Card (white)
[] 7. Foreign Registration Card (FRC)
[] 8. Foreign Passport
[] 9. None of the documents above
[] 10. Child below 10 years

Migration (11 through 18)

Place of birth

11. Township_ _ _

If born here write "000". If not write township code, enter code from manual.

12. Urban or rural

[] 1. Urban
[] 2. Rural

Place of usual residence

13. Township_ _ _

If born here write "000". If not write township code, enter code from manual.

14. Urban or rural

[] 1. Urban
[] 2. Rural

15. Duration in place of usual residence (in years)_ _

If less than 1 year write "00".

16. Reason for movement to this township (usual residence)

[] 1. Employment / in search for employment
[] 2. Education
[] 3. Marriage
[] 4. Followed family
[] 5. Conflict
[] 6. Did not move
[] 7. Other

Place of previous usual residence

17. Township_ _ _

If born here write "000". If not write township code, enter code from manual.

18. Urban or rural

[] 1. Urban
[] 2. Rural

Age 5 and above (19 through 21)
[Question 19 through 21 were asked of persons age 5 and older.]

Education (19 through 21)

19. Can [the respondent] read and write in any language?

[] 1. Yes
[] 2. No

20. Is [the respondent] currently attending, previously attended or never attended school/college?

[] 1. Currently attending
[] 2. Previously attended
[] 3. Never attended

21. What is the highest education grade/level [the respondent] _ _ completed?

Use the following codes corresponding to the education grade/level:

[] 00 None
[] 01 - 11 Grade
[] 12 College
[] 13 Vocational training
[] 14 Undergraduate diploma
[] 15 Graduate
[] 16 Postgraduate diploma
[] 17 Masters Degree
[] 18 PhD
[] 19 Other, specify

Age 10 and above (22 through 24)
[Questions 22 through 24 were asked only of persons age 10 and older.

Labor force (22 through 24)

Activity status

22. What was [the respondent's] activity status during the last 12 months? (April 2013 - March 2014)

If options 6 to 11 skip to Q25

[] 1. Employee (Government)
[] 2. Employee (Private, Org)
[] 3. Employer
[] 4. Own account worker
[] 5. Contributing family worker
[] 6. Sought work
[] 7. Did not seek work
[] 8. Full time student
[] 9. Household work
[] 10. Pensioner, retired, elderly person
[] 11. Ill, disabled
[] 12. Other

Occupation

23. What work was [the respondent] mainly doing during the last 12 months? ____

Write detailed work descriptions (e.g. Primary teacher, rice farmer, taxi driver)

24. What is the major product or service provided in the organization/enterprise where [the respondent] mainly worked during the last 12 months? ____

Write detailed descriptions (e.g. Hotel service, building construction, garment manufacture)

Ever married women (aged 15 and above) (25 through 31)
[Question 25 through 31 were only asked of ever married women age 15 and older.]

25. Number of children ever born alive

If no children, write "00".

_ _ Male
_ _ Female

26. How many of those children are living in this household?

_ _ Male
_ _ Female

27. How many of those children are living elsewhere (not in this household)?

_ _ Male
_ _ Female

28. How many of those children are no longer alive (dead)?

_ _ Male
_ _ Female

29. Date of last live birth

_ _ Month
_ _ _ _ Year

30. Sex of last live birth

[] 1. Male
[] 2. Female

31. Is the child still alive?

[] 1. Yes
[] 2. No

Housing characteristics

32. Type of housing unit occupied by this household

[] 1. Condominium
[] 2. Apartment / flat
[] 3. Bungalow / brick house
[] 4. Semi-pacca house [semi-permanent]
[] 5. Wooden house
[] 6. Bamboo
[] 7. Hut 2-3 years
[] 8. Hut 1 year
[] 9. Other

33. Type of ownership of housing unit

[] 1. Owner
[] 2. Renter
[] 3. Provided free (individual)
[] 4. Government quarter
[] 5. Private company quarter
[] 6. Other

34. Main source of lighting in the household

[] 1. Electricity
[] 2. Kerosene
[] 3. Candle
[] 4. Battery
[] 5. Generator (private)
[] 6. Water mill (private)
[] 7. Solar system / energy
[] 8. Other

35. Main source of water for drinking and non-drinking in this household

Drinking

[] 1. Tap water / piped
[] 2. Tube well, borehole
[] 3. Protected well / spring
[] 4. Unprotected well / spring
[] 5. Pool / pond / lake
[] 6. River / stream / canal
[] 7. Waterfall / rain water
[] 8. Bottled water / water from vending machine
[] 9. Tanker / truck
[] 10. Other

Non-drinking

[] 1. Tap water / piped
[] 2. Tube well, borehole
[] 3. Protected well / spring
[] 4. Unprotected well / spring
[] 5. Pool / pond / lake
[] 6. River / stream / canal
[] 7. Waterfall / rain water
[] 8. Bottled water/water from vending machine
[] 9. Tanker / truck
[] 10. Other

36. Main type of cooking fuel used in this household

[] 1. Electricity
[] 2. Liquefied Petroleum Gas (LPG)
[] 3. Kerosene
[] 4. BioGas
[] 5. Firewood
[] 6. Charcoal
[] 7. Coal
[] 8. Straw / grass
[] 9. Other

37. Type of toilet used in this household

[] 1. Flush
[] 2. Water Seal (Improved PL)
[] 3. Pit (Traditional pit latrine)
[] 4. Bucket (Surface latrine)
[] 5. Other
[] 6. No toilet

38. Main construction material of the housing unit

Roof

[] 1. Dhani [nipa palm] / Theke / in leaf
[] 2. Bamboo
[] 3. Earth
[] 4. Wood
[] 5. Corrugated sheet
[] 6. Tile / brick / concrete
[] 7. Other

Wall

[] 1. Dhani [nipa palm] / Theke / in leaf
[] 2. Bamboo
[] 3. Earth
[] 4. Wood
[] 5. Corrugated sheet
[] 6. Tile / brick / concrete
[] 7. Other

Floor

[] 1. Dhani [nipa palm] / Theke / in leaf
[] 2. Bamboo
[] 3. Earth
[] 4. Wood
[] 5. Corrugated sheet
[] 6. Tile / brick / concrete
[] 7. Other

39. Which of the following items does your household have?(mark all that apply)

Radio

[] 1. Yes
[] 2. No

Television

[] 1. Yes
[] 2. No

Landline phone

[] 1. Yes
[] 2. No

Mobile phone

[] 1. Yes
[] 2. No

Computer

[] 1. Yes
[] 2. No

Internet at home

[] 1. Yes
[] 2. No

Car / pick-up / truck / van

[] 1. Yes
[] 2. No

Motorcycle / moped / Tuk Tuk [auto rickshaw]

[] 1. Yes
[] 2. No

Bicycle

[] 1. Yes
[] 2. No

4-wheel tractor

[] 1. Yes
[] 2. No

Canoe / boat

[] 1. Yes
[] 2. No

Motor boat

[] 1. Yes
[] 2. No

Cart (Bullock) [pulled by oxen or cattle]

[] 1. Yes
[] 2. No

List of former household members living abroad

_ _ 40. Number of former household members living abroad

____ Name of former household members living abroad

Relationship to the head of the household

[] 2. Spouse
[] 3. Son / daughter
[] 4. Son / daughter-in-law
[] 5. Grandchild / great grandchild
[] 6. Parent / parent-in-Law
[] 7. Sibling
[] 8. Grandparent
[] 9. Other relative
[] 10. Adopted child
[] 11. Non relative

_ _ Completed age (current)

Sex

[] 1. Yes
[] 2. No

_ _ _ _ Year of departure

Country of residence

[] 1. Thailand
[] 2. Malaysia
[] 3. Singapore
[] 4. China
[] 5. Japan
[] 6. Korea
[] 7. India
[] 8. USA
[] 9. Other

Deaths in the household during the last 12 months

_ 41. Number of deaths in this household in the last 12 months (30-3-2013 to 29-3-2014)

____ Name of the deceased

Was the deceased male or female?

[] 1. Yes
[] 2. No

_ _ Age at death

If age is unknown, estimate age using local historic calendar. Record age in completed years.

Females aged 15-49

Did the death occur during ...?

pregnancy?

[] 1. Yes
[] 2. No

delivery?

[] 1. Yes
[] 2. No

the first 6 weeks after delivery?

[] 1. Yes
[] 2. No

Summary Count

_ _ Male
_ _ Female
_ _ _ Total

Enumerator

____ Signature
____ Name
____ Date

Supervisor

____ Signature
____ Name
____ Date

If more than one questionnaire is used for the household, then summary counts of all members must be filled in on the first questionnaire used.

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