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Approved by the State Planning and Economic Committee, 1988. 60


People's Republic of Mongolia
Population and Housing Census 1989

Questionnaire

PHC-1

_____ Census Questionnaire

The answers in the questionnaire will be used only for results of census according to program that is confirmed.

Aimag (province) _____

ID _ _ - _ _ _ _ _ _ - _ _

Census:
_____ Commission
_____ EA

_____ Surname
_____ First name

Household

The address in city

_____ City, village name
_____ District (khoroo) name
_____ Street number
_____ Street name

The address in aimag (province)
Soum (bag) name _____

[] 1 Soum (bag) center
[] 2 Brigade, farm center
[] 3 Countryside

House ___
Apartment ___
Fence ___

1. Relationship to household head:

[] 01 Household head
[] 02 Wife/husband
[] 03 Daughter/son
[] 04 Parents
[] 05 Sister/brother
[] 07 Daughter/son-in-law
[] 08 Grandparents
[] 09 Grandchild
[] 10 Other relatives
[] 11 Single
[] 12 Separated from household

2. [Residency status]

[] 1 Resident
[] 2 Temporary absent
[] 3 Visitor

The usual address for visitors:

Aimag (province) _____
Soum (district) _____

3. Sex:

[] 1 Male
[] 2 Female

4. Date of birth:

Year ____
Month ____
Day ____
Age _ _

Aimag (province) _____

Soum (district) _____

5. Ethnicity _____

6. Citizenship _____

7. Place of work and place of studying _____

8. Occupation _____

9. Social origin:

[] 1 Employee
[] 2 Civil servant (intellectual)
[] 3 Herder
[] 4 Member of cooperatives
[] 5 Member of craftsman
[] 6 Other

10. Social group:

[] 1 Employee
[] 2 Civil servant (intellectual)
[] 3 Member of cooperatives
[] 4 Other

11. Income source:

[] 1 Industry, enterprise, official organization
[] 2 Agricultural cooperative
[] 3 Pension
[] 4 Student stipend
[] 5 Other kind of pension, benefits
[] 6 Under care of others
[] 7 Own farm, private labor
[] 8 Society for labor, work (cooperative)
[] 9 Other

12. Education:

[] 1 Completed high
[] 2 Non completed high
[] 3 Technical vocational
[] 4 General education Grade 9-10
[] 5 General education Grade 4-8
[] 6 Primary
[] 7 Literate
[] 8 Illiterate

13. Profession _____

14. Marital status:

[] 1 Married
[] 2 Widowed
[] 3 Divorced
[] 4 Never married

[Question 15 was asked only of women.]
15. Number of children ever born _ _
Of which: number of living children _ _

Questionnaire PHC-2

Household questionnaire

Household size _ _

Of which: number of people working _ _
Of which: number of children age 0 to16 _ _

Aimag (province) _____

Soum (khoroo)(district) _____

Census:
Commission _____
EA _____

[] 1 Capital city
[] 2 Village
[] 3 Soum (bag) center
[] 4 Brigade, farm center
[] 5 Countryside

A. Household head

Surname, first name _____

Age _ _ _

Sex:

[] 1 Male
[] 2 Female

Status:

[] 1 Resident
[] 2 Temporary resident

Social group:

[] 1 Employee
[] 2 Staff (intellectual)
[] 3 Member of cooperative
[] 4 Other

Marital status:

[] 1 Married
[] 2 Widowed
[] 3 Divorced
[] 4 Never married

Type of activities at place of work:

Name _____
Code _ _ _

Source of household income _________

B. Other members of household who are enumerated

Surname, first name _____

Age _ _ _

Sex:

[] 1 Male
[] 2 Female

Status:

[] 1 Resident
[] 2 Temporary resident
[] 3 Visitor

Relationship to household head:

Relationship __________
Code _ _

Type of activities at place of work:

Name _____
Code _ _

Source of household income __________

Enumerator:

Name _____
Surname _____

_____th _____, 1989

Housing

A. House

Number of households in same house _ _

1. Type of living quarters:

[] 1 House, apartment
[] 2 Some part of house, apartment
[] 3 Public dormitory
[] 4 Students dormitory

2. Type of property:

[] 1 Government
[] 2 Agricultural cooperative
[] 3 Joint venture
[] 4 Cooperative
[] 5 Private, had built with own money
[] 6 Private, had built with a loan

3.

Number of rooms _____
Useful living area (m2) _____
Total living area (m2) _____
Number of households _____
Number of residents _____

4. Equipped conditions

Type of heating:

[] 01 Centralized
[] 02 Non-centralized
[] 03 Normal

Water supply:

[] 04 Hot and cold water pipe
[] 05 Cold water pipe
[] 06 Public inside of house
[] 07 Outside of house

Sewage pipe for dirty water:

[] 08 Inside of house
[] 09 Public inside of house
[] 10 Outside of house

Kitchen:

[] 11 Yes
[] 12 No
[] 13 Public

Bathroom/Shower room:

[] 14 Yes
[] 15 No
[] 16 Public

Disposal of household waste:

[] 17 Through tube
[] 18 No tube

Electricity:

[] 19 Yes
[] 20 No

Stove:

[] 21 Has stove
[] 22 No stove

Stairs:

[] 23 Has stairs
[] 24 No stairs

B. Ger

Order of household in ger _

[] 1 Government
Number of Gers _____
Number of walls of ger _____
Number of households _____
Number of residents _____
Has electricity _____

[] 2 Agricultural cooperative
Number of Gers _____
Number of walls of ger _____
Number of households _____
Number of residents _____
Has electricity _____

[] 3 Private
Number of Gers _____
Number of walls of ger _____
Number of households _____
Number of residents _____
Has electricity _____

[] 4 Otriin Ger
Number of Gers _____
Number of walls of ger _____
Number of households _____
Number of residents _____
Has electricity _____

C. Summer house

Number of summer house _____
Useful living area (i2) _____
Number of households _____