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[Beginning of household form]

In strict confidence
Republic of Mauritius
Ministry of Finance and Economic Development
Central Statistics Office


2011 Housing Census

Household Form

I. Location

C00. Questionnaire number _ _ _ of _ _ _
C01. Geographical district _ _
C02. Municipal ward / village council area _ _
C03. Enumeration area _ _
C04. Block no. _ _
C05. Building enumeration number _ _
C06. Number of housing units in building _ _ _
C07. Number of establishments in building _ _ _

II. Type of building

C08. Type of building

A. Under construction and not inhabited
[] 01 (A) Under construction and not inhabited [Skip to section 4]
B. Wholly residential
[] (i) Building used wholly as one housing unit
(ii) Building containing more than one housing unit
[] 03 (a) Semi - detached houses
[] 04 (b) Block of flats
[] 05 (c) Building intended to be used as one housing unit but crudely subdivided into smaller housing units
[] 06 (d) Other wholly residential - specify, ____
[] 07 (iii) Detached room intended for use by part of a household
[] 08 (iv) Building or structure occupied as improvised housing unit (e.g. longère, garage, tent)
[] 09 (v) Homeless [Skip to section 4]
C. Partly residential
[] 10 (vi) Building used partly for residential and partly for other purposes (e.g. shop dwelling)
D. Hotels and institutions
[] 11 (vii) Tourist residence [Skip to section 4]
[] 12 (viii) Guest house [Skip to section 4]
[] 13 (ix) Hotel [Skip to section 4]
[] 14 (x) Institution (e.g. convent, infirmary, hospital, barracks) [Skip to section 4]
E. Non-residential
[] 15 (xi) Public building [Stop here]
[] 16 (xii) Commercial [Skip to section 4]
[] 17 (xiii) Industrial [Skip to section 4]
[] 18 (xiv) Commercial and industrial [Skip to section 4]
[] 19 (xv) Warehouse [Skip to section 4]
[] 20 (xvi) Other non residential - specify, ____ [Skip to section 4]

III. Characteristics of buildings
Coded 02 - 08, 10 in section II

C09. Storeys above ground floor

Number of storeys above ground floor. If none, write 00. _ _

C10. Year of completion

[] 1 (i) Before 1970
[] 2 (ii) 1970-1984
[] 3 (iii) 1985-1989
[] 4 (iv) 1990-1994
[] 5 (v) 1995-1999
[] 6 (vi) 2000-2004
[] 7 (vii) 2005-2009
[] 8 (viii) 2010-2011
[] 9 (ix) Not known
[] 0 (x) Not completed but inhabited

Principal material of construction used

C11. Roof

[] 1 (i) Concrete slab
[] 2 (ii) Iron or tin sheets
[] 3 (iii) Shingles
[] 4 (iv) Other - specify, ____

C12. Walls

[] 1 (i) Stone, concrete, concrete blocks, bricks
[] 2 (ii) Iron or tin sheets
[] 3 (iii) Wood
[] 4 (iv) Other - specify, ____

IV. Address
(Coded 01 -14 and 16 - 20 of section II)

C13. Address

________ Apartment / flat number
________ Number and street / road / lane
________ Locality / town / village

V. For all housing units
(Coded 02 - 06, 08, 10 of section II)

CHU1. Serial no. of housing unit _ _ _

CHU2. Number of households in housing unit _ _

HU1. Ownership

(i) Private, Owner-occupied
[] 1 Mortgaged
[] 3 Non mortgaged
[] 5 Not known
(ii) Private, Non owner-occupied
[] 2 Mortgaged
[] 4 Non mortgaged
[] 6 Not known
(iii) Public
[] 7 Not known

HU2. Occupancy

[] 1 Occupied, principal residence
[] 2 Occupied, secondary residence
[] 3 Vacant, for rent
[] 4 Vacant, for sale
[] 5 Vacant, provided by employer
[] 6 Vacant, under repairs
[] 7 Vacant, other specify ____

HU3. Water supply (Main only)

[] 1 Piped water, inside housing unit
[] 2 Piped water, outside, on premises
[] 3 Piped water, outside, public fountain
[] 4 Tank-wagon (camion-citerne)
[] 5 Well / river
[] 6 Other, ____

HU4. Domestic water tank/reservoir (Main only)

[] 1 Available, roof
[] 2 Available, ground / underground
[] 3 Available, other: ____
[] 4 Not available

HU5. Availability of electricity
From CEB

[] 1 Yes
[] 5 No

Photovoltaic

[] 2 Yes
[] 6 No

Wind turbine / Eolienne

[] 3 Yes
[] 7 No

Other ____

[] 4 Yes
[] 8 No

HU6. Toilet facilities (Main only)
(i) Flush toilet connected to sewerage system

[] 1 Not shared
[] 2 Shared

(ii) Flush toilet connected to absorption pit

[] 3 Not shared
[] 4 Shared

(iii) Flush toilet connected to septic tank

[] 5 Not shared
[] 6 Shared

(iv) Pit latrine - water seal

[] 7 Not shared
[] 8 Shared

(v) Pit latrine - other

[] 9 Not shared
[] 10 Shared

(vi) Other

[] 11 Not shared

(vii) None

[] 12 Not shared

HU7. Bathing facilities (Main only)
(i) Bathroom inside with running water

[] 1 Not shared
[] 2 Shared

(ii) Bathroom inside without running water

[] 3 Not shared
[] 4 Shared

(iii) Bathroom outside with running water

[] 5 Not shared
[] 6 Shared

(iv) Bathroom outside without running water

[] 7 Not shared
[] 8 Shared

(v) None

[] 0 Not shared

HU8. Availability of kitchen (Main only)
(i) Kitchen inside housing unit

[] 1 Not shared
[] 2 Shared

(ii) Kitchen outside housing unit

[] 3 Not shared
[] 4 Shared

(iii) None

[] 0 Not shared

HU9. Refuse disposal (Main only)

[] 1 (i) Regular collection by authorized collector
[] 2 (ii) Irregular collection by authorized collector
[] 3 (iii) Ash pit on premises
[] 4 (iv) Dumped on premises
[] 5 (v) Dumped on the roadside
[] 6 (vi) Refuse used for compost
[] 7 (vii) Other: ____

HU10. Availability of other amenities

(i) Solar Water Heater

[] 1 Yes
[] 5 No

(ii) Water Pump

[] 2 Yes
[] 6 No

(iii) Air conditioner

[] 3 Yes
[] 7 No

(iv) Residual Current Device (RECD or disjoncteur)

[] 4 Yes
[] 8 No

HU11. Is there a kitchen garden?

[] Yes
[] No
If 'Yes' state area

[] 1 (i) Less than 1 perche
[] 2 (ii) 1 perche and less than 2 perches
[] 3 (iii) 2 perches and less than 3 perches
[] 4 (iv) 3 perches and less than 4 perches
[] 5 (v) 4 perches and less than 5 perches
[] 6 (vi) 5 perches or more

HU12. Fruit trees

Is there a fruit tree of bearing age on your premises?

[] Yes
[] No
If 'Yes', state number of fruit trees of bearing age on premises

(i) Lemon _ _
(ii) Mandarin _ _
(iii) Orange _ _
(iv) Other citrus _ _
(v) Guava _ _
(vi) Mango _ _
(vii) Pawpaw _ _
(viii) Coconut _ _
(ix) Longane _ _
(x) Avocado _ _
(xi) Litchi _ _
(xii) Bilimbi _ _
(xiii) Atte _ _
(xiv) Coeur de Boeuf _ _
(xv) Grenadine _ _
(xvi) Grapes _ _
(xvii) Banana _ _
(xviii) Jackfruit _ _
(xix) Fruit de Citère _ _
(xx) Corrosol _ _
(xxi) Fruit à pain _ _
(xxii) Olive _ _
(xxiii) Tamarind _ _
(xxiv) Others _ _

VI. Households (coded 02-14 of section II)

HH01. Household number. _ _

HH02. Household type

[] 1 Single
[] 2 Combined
[] 3 Part of household
[] 4 Institutional
[] 5 Hotel population
[] 6 Collective quarters
[] 7 Homeless

HH03. Name of head of household

____ Title (e.g. MR, MS, DR, HON, etc.)
____ Surname of head of household
____ Other names

HH04. Number of persons

_ _ _ Total
_ _ _ Male
_ _ _ Female

HH05. Number of rooms

_ _ For living purposes
_ _ For business or professional purposes

HH06. Tenure

[] 1 Owner
[] 2 Tenant
[] 3 Sub-tenant
[] 4 Free
[] 5 Other

HH07. Monthly expenditure (Rs)

Rent _ _ _ _ _
Average Household expenditure _ _ _ _ _ _

HH08. Principal fuel used
For cooking

[] 1 LPG
[] 2 Electricity
[] 3 Kerosene
[] 4 Charcoal
[] 5 Wood
[] 6 Other

In bathroom

[] 1 LPG
[] 2 Electricity
[] 3 Solar
[] 4 None
[] 5 Other

HH09. Availability of:

(i) Refrigerator

[] Yes
[] No

(ii) Washing machine

[] Yes
[] No

(iii) Radio

[] Yes
[] No

(iv) TV

[] Yes
[] No

(v) Fixed telephone line

[] Yes
[] No

(vi) Mobile phone

[] Yes
[] No

(vii) Computer

[] Yes
[] No

(viii) Internet via ADSL

[] Yes
[] No

(ix) Internet via other devices

[] Yes
[] No

HH10. Land cultivation greater than perches (Mainly for commercial purposes)

[] Yes
[] No

VII. Agriculture
To be filled if any member of the household cultivates any land greater than or equal to 5 perches on own account mainly for commercial purposes (excluding kitchen garden, sugar cane, tea and tobacco)

[Can add up to three members who cultivate land and plant up to three crops on each piece of land.]

Household Number _ _
Household Member _ _
Surname of planter ____
Other names ____
Location of field ____
Area (perches) _ _ _ _

Crop: Please specify [E.g vegetables (tomato, potato, etc), flowers (anthurium, gerbera, rose, etc), fruits (litchi, mango, strawberry, etc)]

Crop 1: Description ____
Type

[] 1 Open Fields
[] 2 Greenhouse - hydroponic
[] 3 Greenhouse - non hydroponic

Crop 2: Description ____
Type

[] 1 Open Fields
[] 2 Greenhouse - hydroponic
[] 3 Greenhouse - non hydroponic

Crop 3: Description ____
Type

[] 1 Open Fields
[] 2 Greenhouse - hydroponic
[] 3 Greenhouse - non hydroponic

VIII. Commercial and industrial establishments, hotel, guesthouse and tourist residence

(To be filled in for every non-agricultural private establishment, including those relating to small crafts)

E00. Serial no. of establishment _ _ _ of _ _ _
E01. Name of establishment or working proprietor / manager ____
E02. Main activity in which the establishment is engaged ____
E03. Business registration number _ _ _ _ _ _ _ _ _
E04. No. of persons engaged at the time of enumeration _ _ _ _

Comments and full details of unusual circumstances ________

[End of household form]

[Beginning of individual form]

Individual form

[p. 1]

In strict confidence
Republic of Mauritius
Ministry of Finance and Economic Development
Central statistics office
Population census (Night 3 - 4 July 2011)

Completion of the Questionnaire

Confidentiality
The census is being carried out under the Statistics Act 2000 which guarantees the confidentiality of personal information.

Who should be counted in this questionnaire?

-All persons present in the household on the census night 3 - 4 July 2011 whether they are members of the household, visitors, guests, boarders or servants.
--All persons who usually live in the household but were away on census night.
-All persons who arrive on the premises and join the household on Monday 4 July 2011 without having been enumerated elsewhere

.

How to complete the questionnaire?

1. Use a black ballpoint pen of 0.7 mm diameter.
2. Shade check boxes like this: [figures omitted]
3. If you make a mistake, cross out the wrongly shaded check box, shade the appropriate box and circle it.
4. Write legibly in capital letters and keep each letter within 1 box; only leave a box to keep a space between words.
5. If you make a mistake, darken totally the wrong entries and continue the entries like this: [figures omitted]

Name, Address and Particulars of Household

Geographical district _ _
Municipal ward / village council area _ _
Enumeration area _ _
Block no. _ _
Building enumeration number _ _
Number of housing units in building _ _ _
Number of establishments in building _ _ _
Household type _

____ Surname
____ Other names
____ Name of apartment / flat
____ Street / road / lane
____ Locality
____ Town / village

i. No. of persons-Housing Census:

_ _ _ Total
_ _ _ Male
_ _ _ Female

ii. No. of Persons-Population Census:

_ _ _ Total
_ _ _ Male
_ _ _ Female

iii. Discrepancies:

[] Yes
[] No
If [Yes], state reason(s):

[] 1 Deceased
[] 2 Marriage
[] 3 Split Households
[] 4 Birth
[] 5 Other

iv. Number of questionnaires completed for this household: _ _

v. Barcode of the first questionnaire for this household: _____
[] Remarks: _____
Name of Enumerator ____
Signature of the Enumerator ____
Enumerator ID: _ _ _ _ _

[p. 2]

Complete a line for every person present on census night (3-4 July 2011) and also for every person who usually lives in the household but was absent on census night.

P01. Person number _ _ _

P02A. (i) Surname and (ii) other names

Write the (i) surname and (ii) other names in the following order:

Head of household
Spouse of head
Unmarried children of head
Married children of head and their families
Other relatives of head
Other persons

P02B. National ID card number

Write the ID number. (Applicable for Mauritian citizens) _ _ _ _ _ _ _

P03. Relationship to head

State if:

[] 1 Head
[] 2 Spouse
[] 3 Son / daughter
[] 4 Son-in-law / daughter-in-law
[] 5 Grand child
[] 6 Father / mother of head
[] 7 Other relative of head
[] 8 Non relative of head

P04. Sex

State if:

[] M: Male
[] F: Female

P05. Age

Write the age in completed years _ _ _

P06. Date of birth

Write the day, month, and year of birth.

DD _ _
MM _ _
YYYY _ _ _ _

[p. 3]

P07A. Citizenship

State if the person's citizenship is:

[] 1 Mauritian, born in Island of Mauritius
[] 2 Mauritian, born in Rodrigues
[] 3 Mauritian, born in Diego Garcia / Chagos
[] 4 Mauritian, born in Agalega / St. Brandon
[] 5 Mauritian by descent
[] 6 Mauritian by registration
[] 7 Mauritian by naturalization
[] 8 Non-Mauritian

P07B. Citizenship (cont.)

If non-Mauritian, specify the country of citizenship ____

P08. Whereabouts on Census night

State if:

[] 1 Here
[] 2 Elsewhere in the Republic of Mauritius
[] 3 Outside the Republic of Mauritius

P09A. Usual address

State if usual address is:

[] 1 Here [If usual address is [Here], go to P10A]
[] 2 Elsewhere in the Republic of Mauritius
[] 3 Outside the Republic of Mauritius

P09B. Usual address (cont.)

For persons whose usual address is not [Here].

____ Write the person's usual address
____ For persons on visit to Mauritius, write the country of residence

[p. 4]

P10A. Place of residence

State if the person lived in the Republic of Mauritius continuously for the past 12 months.

[] Y: Yes [go to P11A]
[] N: No

P10B. Place of residence (cont.)

State if the person intends to live in the Republic of Mauritius continuously for at least 12 months.

[] Y: Yes [go to P11A]
[] N: No

P10C. Reason for living abroad

For Mauritian citizens who replied [No] at both P10A and P10B, state if:

[] 1 Working
[] 2 Studying
[] 3 On medical treatment
[] 4 Other

P10D. Reason for staying in the Republic of Mauritius

For non-Mauritian citizens who replied No at both P10A and P10B, state if:

[] 1 Working
[] 2 Studying
[] 3 On medical treatment [Stop here]
[] 4 Other [Stop here]

P11A. Usual address 5 years ago (on July 3, 2006)

State if:

[] 1 Here
[] 2 Elsewhere in the Republic of Mauritius
[] 3 Outside the Republic of Mauritius
[] 4 Not born

P11B. Usual address 5 years ago (on 03.07.2006) ____

If usual address 5 years ago is elsewhere in the Republic of Mauritius, write the person's address. If usual address 5 years ago is outside the Republic of Mauritius, write the country. If usual address 5 years ago is [Here] or [Not born], leave blank.

[p. 5]

P12A. Disability

State if the person has any difficulty to perform a daily-life activity considered normal for his/her age.

[] Y: Yes
[] N: No [Go to P13]

P12B. If [Yes] at P12A, state the severity of all applicable difficulties as follows:

A. Seeing even if wearing glasses

[] 1 Some difficulty
[] 2 A lot of difficulty
[] 3 Cannot do at all

B. Hearing even if using a hearing aid

[] 1 Some difficulty
[] 2 A lot of difficulty
[] 3 Cannot do at all

C. Walking or climbing stairs

[] 1 Some difficulty
[] 2 A lot of difficulty
[] 3 Cannot do at all

D. Remembering, concentrating or acquiring education and learning

[] 1 Some difficulty
[] 2 A lot of difficulty
[] 3 Cannot do at all

E. Looking after oneself with regard to feeding, personal care and hygiene

[] 1 Some difficulty
[] 2 A lot of difficulty
[] 3 Cannot do at all

F. Speaking and talking

[] 1 Some difficulty
[] 2 A lot of difficulty
[] 3 Cannot do at all

G. Manual activities such as gripping and holding

[] 1 Some difficulty
[] 2 A lot of difficulty
[] 3 Cannot do at all

H. Disturbances of behavior, including antisocial behavior, maladjustment and liability to self-injury

[] 1 Some difficulty
[] 2 A lot of difficulty
[] 3 Cannot do at all

I. Other difficulties, specify ____

[] 1 Some difficulty
[] 2 A lot of difficulty
[] 3 Cannot do at all

[p. 6]

P13. Marital status

State if:

[] 0 Widowed (not remarried)
[] 1 Divorced (not remarried)
[] 2 Separated
[] 3 Married religiously and civilly
[] 4 Married religiously only
[] 5 Married civilly only
[] 6 In a union but not married religiously or civilly
[] 7 Single (never married)
[] 8 Unmarried parent
[] 9 Other - specify____

[Questions P14 through P16 were asked of persons who were not single at P13]

P14. Age at first marriage _ _

Write the age in completed years _ _

P15. Whether married more than once

State if:

[] Y: Yes
[] N: No

P16. Number of children ever born _ _

For women not "single" at P13, write the number of children ever born (excluding still births) _ _

P17. Religion ____

Write the religion as reported by the person. If the person has no religion, write [No religion] ____

[p. 7]

P18. Languages of forefathers

Write the language(s) spoken by the person's ancestors. Up to two answers are possible. For census purposes, consider Creole and Bhojpuri as languages.

_____ (i)
_____ (ii)

P19. Language usually spoken

Write the language usually or most often spoken at home. For children not yet able to speak, write the language spoken by the mother ____

[Question P20 to P22 were asked of persons aged 2 years and over]

P20. Languages read and written

State the language(s) in which the person can, with understanding, both read and write a simple statement in his/her everyday life.

[] 0 None
[] 1 Creole
Oriental Languages:
[] 2 Bhojpuri
[] 3 Indian languages
[] 4 Chinese languages
[] 5 Other Oriental languages
European languages:
[] 6 English
[] 7 French
[] 8 Other European languages
[] 9 Other languages - specify _____

[p. 8]

P21. School attendance

State if the person is now attending / has attended / has never attended an educational institution:

[] 1 Now-Full time
[] 2 Now-Part time
[] 3 Past
[] 4 Never
[] 5 Child not yet at school

P22. Primary and secondary education

If "now" attending school, write the standard or form being attended as listed below:
If attended school in the past, write the highest level completed as listed below:
If "Never" or "child not in school", write [0] for "None".

[] 0 None
[] 1 Pre-primary
[] 11 Standard I
[] 12 Standard II
[] 13 Standard III
[] 14 Standard IV
[] 15 Standard V
[] 16 Standard VI or equivalent - not passed
[] 17 Standard VI or equivalent - passed
[] 19 Primary, not known
[] 21 Form I
[] 22 Form II
[] 23 Form III
[] 24 Form IV
[] 25 Form V or equivalent - not passed
[] 26 Form V or equivalent - passed
[] 27 Form VI or equivalent - not passed
[] 28 Form VI or equivalent - passed
[] 29 Secondary, not known
[] 31 Form I prevocational
[] 32 Form II prevocational
[] 33 Form III prevocational
[] 98 Specialized schools for the handicapped
[] 99 Unknown

[Question P23 to P34 for persons aged 12 years and over]

P23A.Education other than those of the primary and secondary levels - Now

Write the (i) course and (ii) field of study if the person is "Now" following a course (other than those of the Primary and Secondary levels) from a university, vocational/technical school, professional body, etc. (E.g (i) Certificate; (ii) Marketing. (i) Diploma; (ii) Land surveying. (i) BSC (ii) Biology.)

_____ (i)
_____ (ii)

[p. 9]

P23B. Education other than those of the primary and secondary levels - Past

Highest qualification
Write the duration of course in months _ _

Write the (i) qualification received; (ii) the major field of study. E.g. (i) MSC; (ii) Statistics. (i) Diploma; (ii) Hospitality management, etc.

_____ (i)
_____ (ii)
Second highest qualification
Write the duration of course in months _ _

Write the (i) qualification received, (ii) the major field of study. E.g. (i) BSC (ii) economics (i) certificate (ii) communication, etc.

_____ (i)
_____ (ii)
Third highest qualification
Write the duration of course in months _ _

Write the (i) qualification received; (ii) the major field of study. E.g. (i) Diploma; (ii) Humanities. (i) Certificate; (ii) Town and country planning, etc.

_____ (i)
_____ (ii)

[p. 10]

P24. Number of hours worked during reference week _ _

Write the total number of hours, the person worked for pay, profit or family gain during the week from Monday 27 June to Sunday 3 July 2011. (If worked for 1 hour or more, go to P29) _ _

P25. Whether temporarily away from work

State whether there was a job, business, family enterprise or agricultural holding or farm, at which the person did not work because of illness, injury, holiday, industrial dispute, off-season inactivity, temporary disorganization, etc.

[] Y: Yes
[] N: No

If [Yes] go to P29

P26. Job search

State if, during the past 4 weeks, the person took any active steps to look for work or set up a business of his/her own

[] Y: Yes
[] N: No

P27. Availability for work

State if, during the past 4 weeks, the person was available for work.

[] Y: Yes
[] N: No
If [No], give reason as follows:
[] 1 Household Duties
[] 2 Studies
[] 3 Disability, illness, injury
[] 4 Wholly retired
[] 5 Other - specify____

P28. When last worked _ _ _

How many months ago did the person work for the last time, even for a few days? Write the number of completed months. _ _ _

If person never worked, write [998] and stop here. Else, continue with P29

[p. 11]

The following questions [questions 29 through 34] refer to the person's work during the reference week Monday 27 June to Sunday 3 July 2011. If the person is retired or had no job during that week, answer for his/her last job. If the person has more than one job, answer for the job at which he/she worked the most hours. [For persons aged 12 years and older]

P29. Name of establishment ______

Write the name of the establishment, firm, government institution, etc., for which the person worked. If establishment has no name, give name of employer. If self-employed, write the name of business shop, agency, etc., or write the person's own name. If working for a private household (e.g. cook, gardener, etc.), write ["private household"].

P30. Kind of business, industry or service ____

Write fully the kind of business, industry or service activities carried out at the person's place of work. Use precise terms such as sugar cane cultivation, sugar manufacturing, car repairs, primary education, etc.

P31A. Place of work

State if:

[] 1 Fixed place of work outside home
[] 2 No fixed place of work
[] 3 Worked at home
[] 4 Worked outside Mauritius

P31B. Place of work (cont.) ________

If P31A=1, write full address including municipal ward / village council area / locality.
If P31A=2, write address where the person reported for work or the place where he / she worked the most.
If P31A=3, write ["home"]
If P31A=4, write the country.

[p. 12]

P32. Occupation ____

Write the kind of work/business the person did most of the time. Use precise terms such as accounts clerk, school clerk, taxi car driver, lorry driver, statistician, pre-primary teacher, etc.

P33. Employment status

State if the person's employment status is:

[] 1 Self-employed with employees
[] 2 Self-employed without employees
[] 3 Working without pay for spouse or other relative in his/her farm or business
[] 4 Apprentice / trainee with or without pay
[] 5 Employee paid by the month
[] 6 Employee paid by the day, week, fortnight, job
[] 7 Member of producers' cooperative
[] 8 Other - specify ____

P34. Length of service with employer _ _

Write the number of years the person worked/has worked for his/her present or most recent employer. For self-employed persons, write the number of years the person has been in the present business. If worked for less than 1 year, write [0].

[End of individual form]