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Mongolia Population and Housing Census 2000

Approved by the National Statistical Office of Mongolia. 1999.

Questionnaire PHC-1

All census staff should keep responses confidential in accordance with Mongolian legislation on "Confidentiality of private information" and Mongolian legislation on "Statistics" (article 3, chapter 22).

Census commission number _ _ _

Aimag, capital city ____ _ _
Soum, district ____ _ _
Village ____ _ _
Bag, horoo ____

Residence:

[] 1 Capital
[] 2 Aimag center
[] 3 Village
[] 4 Som center
[] 5 Countryside

Enumeration area number _ _

Household number _ _ _

Street name ____ _ _ _
House number _ _ _
Apartment (fence) number _ _ _

[Type of house]

[] 1 Household owns house/ger
[] 2 Shared house
[] 3 Dormitory or other house

Number of persons enumerated _ _

Number of questionnaires completed _ _

All persons should answer.
[Questions 1-9.]

____ Family name
____ First name

1. Relationship to household head

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

2. Sex:

[] 1 Male
[] 2 Female

3. Date of birth:

Year _ _ _ _
Month _ _

4. Age (in completed years) _ _ _

5. Citizenship:

[] 01 Mongolian
[] 88 Non-citizenship
[] Foreign (specify) ____ _ _

6. Ethnicity:

[] 1 Khalkh
[] Other (specify name) ____ _ _

7. Residence:

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

Write usual address for visitors and address at census for temporary absentees.
Aimag, capital city/country ____ _ _
Soum, district/city ____ _ _

8. How long have you been living at usual residence?

[] 1 Since birth [skip to question 11.]
[] 2 Moved in
Aimag, capital city/ country ____ _ _
Year moved in 19 _ _

9. Place of birth ____ _ _

10. Place of usual residence on January 1, 1995? ____ _ _
(persons aged 5 and above should answer)

Persons aged 7 and above should answer.
[Questions 11-13 were asked of persons aged 7 and over.]

11. Education:

[] 1 Less than primary
[] 2 Primary [skip to question 13]
[] 3 Grade 4-8 [skip to question 13]
[] 4 Grade 9-10 [skip to question 13]
[] 5 Technical vocational [skip to question 13]
[] 6 Diploma [skip to question 13]
[] 7 High [skip to question 13]

12. Literacy:

[Answer 12 was asked of persons with less than primary education, per question 11.]

[] 1 Literate
[] 2 Illiterate

13. Are you studying now?

(Persons 7-29 years should answer.)
[] 1 Yes
[] 2 No

Persons aged 15 and over should answer.
[Questions 14-19 were asked of persons 15 and over.]

14. Marital status:

[] 1 Never married
[] 2 Married
[] 3 Living together
[] 4 Separated
[] 5 Divorced
[] 6 Widowed

15. Have you worked during the last week?

[] 1 Yes
[] 2 No [skip to question 19]

[Questions 16-18 were asked of persons age 15+ who worked during last week.]

16. Occupations ____ _ _ _ _

17. Sector name, type of activities at place of work ____ _ _ _

18. Employment status:

[] 1 Employee
[] 2 Employer
[] 3 Self-employed
[] 4 Member of cooperative
[] 5 Household member working without payment in family's business or farm
[] 6 Other

19. Why haven't you been working?

[Question 19 was asked of persons age 15+ who had not worked during last week, per Question 15.]

[] 1 Studying
[] 2 On pension/retired
[] 3 Disabled
[] 4 Home duties
[] 5 No work available
[] 6 Looking for a job
[] 7 Other

Continuation:

[] 1 Yes
[] 2 No

Conditions and types of houses/gers

1. Types of house/ger:

[] 1 House
[] 2 Ger [skip to question 11.]

Houses
[Questions 2-10 were asked of households living in houses not gers.]

2. Type of living quarters

[] 1 House
[] 2 Apartment
[] 3 Students dormitory
[] 4 Public dormitory
[] 5 Other public apartment
[] 6 Non-living quarters
[] 7 Other

3. Number of rooms _ _

4. Living area (square m) _ _ _

5. Type of heating:

[] 1 Centralized
[] 2 Non-centralized
[] 3 Other

6. Source of water supply:

[] 1 Hot and cold water pipe
[] 2 Cold water pipe only
[] 3 Water from outside: well
[] 4 Water from outside: hand well
[] 5 Water from outside: other

7. Disposal of household waste:

[] 1 Though tube
[] 2 Special hollow
[] 3 Outside of house
[] 4 No special place for waste

8. Toilet:

[] 1 Inside of house: separate
[] 2 Inside of house: public
[] 3 Outside of house

9. Kitchen:

[] 1 Kitchen in house - sole use
[] 2 No kitchen in house
[] 3 Kitchen in house - shared

10. Bathroom/shower:

[] 1 Bathroom/shower in house - sole use (skip to question 17)
[] 2 No bathroom/shower in house (skip to question 17)
[] 3 Bathroom/shower in house - shared (skip to question 17)

Conditions of ger
[Questions 11-16 were asked about households living in gers.]

11. Number of gers _

12. Number of walls: _ _

13. Source of water supply:

[] 1 Well
[] 2 Hand well
[] 3 River, spring
[] 4 Lake, pool
[] 5 Other

14. Waste disposal:

[] 1 Yes
[] 2 No

15. Toilet:

[] 1 Yes
[] 2 No

16. Burrowhole for dirty water disposal:

[] 1 Yes
[] 2 No

Will be filled out by all households
[Questions 17-21 were asked of all households.]

17. Type of property:

[] 1 Government
[] 2 Private
[] 3 Mixed

18. Electricity:

[] 1 Yes
[] 2 No

19. Telephone:

[] 1 Yes
[] 2 No

____ Enumerator _ _th of ____, 2000
____ Supervisor _ _th of ____, 2000