National Institute of Geography and Statistics
2015 Intercensal Interview
Household and Population Survey
1. Geographical identification
Municipality or delegation_ _ _
Locality_ _ _ _
AGEB (Basic Geostatistical Area) code _ _ _ _
Block _ _ _
Segment ____
2. Household and questionnaire control
Questionnaire number in the household ____
Total household questionnaires ____
________ Exterior number
________ Interior number
________ Neighborhood, division, borough, residential unit
4. Name and code of fieldworkers
________ Supervisor
_ _ Month
_ _ Month
_ _ Month
7. Type of private dwelling
[Circle one code]
[] 2 Home on shared land
[] 3 Duplex, triplex, or quadruplex home
[] 4 Apartment building
[] 5 Dwelling in a cluster or rooming-house
[] 6 Room on the roof of a building
[] 7 Place not designed for living [skip to section II, List of People]
[] 8 Mobile home [skip to section II, List of People]
[] 9 Hut [skip to section II, List of People]
Questionnaire consecutive in the package _ _
[p. 2]
I. Dwelling Characteristics
1. Walls
What is the type of material that comprises the majority of the walls of this dwelling?
[Circle one code]
[] 2 Cardboard sheet
[] 3 Metal sheet or asbestos sheet
[] 4 Bamboo, reed, or palm fronds
[] 5 Mud
[] 6 Wood
[] 7 Adobe
[] 8 Ceramic partition, brick, cement block, stone, stone veneer, cement, or concrete
2. Roof
What is the type of material used in the majority of the roof?
[Circle one code]
[] 2 Cardboard sheet
[] 3 Metal sheet
[] 4 Corrugated asbestos cement sheet
[] 5 Corrugated fiber cement sheet
[] 6 Palm frond or grass
[] 7 Wood or wooden-tile
[] 8 Flat roof with beams
[] 9 Tile
[] 10 Reinforced concrete or beams and concrete block
3. Flooring
What material is used in the majority of the flooring in this dwelling?
[Circle one code]
[] 2 Cement or asphalt
[] 3 Tile mosaic, wood or other covering
4. Bedrooms
How many rooms are used for sleeping, not counting hallways?
5. Rooms
How many total rooms are there in this dwelling, including the kitchen? (Do not count hallways or bathrooms)
6. Kitchen
Does this dwelling have a room for cooking?
[Circle one code]
[] 3 No
7. Place used for cooking
In that case, do you cook food...?
[Read the options and circle one code]
[] 2 Under an awning or roofed shelter
[] 3 In the open air
[] 4 They don?t cook in this dwelling? 4 [skip to question 10]
8. Fuel
The fuel typically used for cooking is:
[Read the options and circle one code]
[] 2 Gas [skip to question 10]
[] 3 Electricity [skip to question 10]
[] 4 Other type of fuel [skip to question 10]
[] 5 They do not cook? [skip to question 10]
9. Stove or wood-burning stove
Do you have a stove or wood-burning stove:
[Read the options and circle one code]
[] 3 Without a chimney
10. Electricity
Is there electric current in the dwelling?
[Circle one code]
[] 7 No [skip to question 12]
11. Lightbulbs
How many lightbulbs are there in this dwelling?
How many lightbulbs are energy-saving?
[p. 3]
12. Piped water
Do you get water from faucets or hoses that are:
[Read the options and circle one code]
[] 2 Only in the patio or terrace
[] 3 There is no piped in water [skip to question 14]
13. Water storage
The piped-in water in your house comes from:
[Read the options and circle one code]
[] 2 A communal well [skip to question 15]
[] 3 A private well [skip to question 15]
[] 4 A water pipe [skip to question 15]
[] 5 Another dwelling [skip to question 15]
[] 6 Some other place [skip to question 15]
14. Not piped-in water
So, do you get your water from:
[Read the options and circle one code]
[] 2 A communal tap
[] 3 Another dwelling
[] 4 A river, stream, or lake
[] 5 It is piped in
[] 6 It is collected from rainwater
15. Equipment
In this dwelling, do you have:
[Read the options and circle one code for each one]
[] 2 No
[] 4 No
[] 6 No
[] 8 No
[] 2 No
[] 4 No
[] 6 No
[] 8 No
16. Bathroom
Do you have:
[Read the options and circle one code]
[] 2 Latrine (pit or hole)
[] 3 There is no toilet or latrine [skip to question 19]
17. Water disposal
For the toilet (latrine):
[Read the options and circle one code]
[] 2 Do you flush it with a bucket of water
[] 3 Water cannot be flushed
18. Toilet use
Is the toilet (latrine) shared with another dwelling?
[Circle one code]
[] 3 No
19. Drainage
Does this dwelling have drainage or sewage connected to:
[Read the options and circle one code]
[] 2 A septic tank or septic system (biodigester)
[] 3 A pipe that ends in a ditch or ravine
[] 4 A pipe that goes to a river, lake or sea
[] 5 There is no drainage
20. Trash destination
Trash from this dwelling:
[Read the options and circle one code]
[] 2 Is left in a container or deposit
[] 3 Is burned [skip to question 22]
[] 4 Is buried [skip to question 22]
[] 5 Is taken to the public waste collection [skip to question 22]
[] 6 Is thrown in some other place? (street, barren land, river) [skip to question 22]
21. Separation
Are you accustomed to separate your trash into organic and inorganic before you leave it for collection or in a container?
[Circle one code]
[] 3 No
22. Separation and reuse
Additionally, are you accustomed to:
[Read all the options and circle one code for each one]
[] 2 No
[] 4 No
[] 6 No
23. Appliances, and information and communication technology (ICT)
In this dwelling, do you have:
[Read all the options and circle one code for each one]
[] 2 No
[] 4 No
[] 6 No
[] 8 No
[] 2 No
[] 4 No
[] 6 No
[] 8 No
[] 2 No
[] 4 No
[] 6 No
[] 8 No
[p. 4]
24. Possession
In this dwelling:
[Read the options and circle one code for each one]
[] 2 Do you pay rent? [skip to section II, list of people]
[] 3 Is it a family member?s or do they let you use it? [skip to section II, list of people]
[] 4 They are living here by some other means? [skip to section II, list of people]
25. Owner?s name
Among the people who live here, who is the owner?
[Record the name and copy the number from the list of people]
Owner?s name ________ Person's identification number _ _
26. Title or deed
Is the deed (property title) for this dwelling under the name of [the respondent's]?
[Circle one code]
[] 2 No
[] 3 There is no deed/title
[] 8 Does not know
27. Acquisition
Did the owner of this dwelling:
[Read the options and circle one code]
[] 2 Have it built
[] 3 Build it him/herself or with relatives
[] 4 Inherit it [skip to section II, list of people]
[] 5 Receive it as a form of government assistance [skip to section II, list of people]
[] 6 Obtained it in some other way [skip to section II, list of people]
28. Financing
In order to pay for or build this dwelling, did the owner get credit from:
[Read the options and circle one code]
[] 2 FONHAPO
[] 3 A bank
[] 4 Another institution
[] 5 A loan from a relative, friend, or moneylender
[] 6 Used his/her own funds [skip to section II, list of people]
29. Debt
For this dwelling:
[Read the options and circle one code]
[] 2 Is it being paid for
[] 3 Did they stop making payments
[] 8 Does not know
1. List of people
Please, tell me the names of all the people that usually live in this dwelling, including young children and old people. Also, include any domestic worker that sleep here.
Begin with the head of household.
[Record the name of all persons in the line]
[] 2 Person 2 ____
[] 3 Person 3 ____
[] 4 Person 4 ____
[] 5 Person 5 ____
[] 6 Person 6 ____
2. Informant
[Circle the number corresponding to the informant]
[] 2
[] 3
[] 4
[] 5
[] 6
3. Verification
So, there are _ _ persons living in this household?
[Circle one code]
[] 3 No [correct the number in the list of people]
[If the household has more than 6 persons, use another questionnaire and in the list of people of this new questionnaire change the numbers to 7, 8, 9, etcetera, according to their names].
[Return to question 25. Records the owner?s name and his/her person?s identification number].
[In section III, person?s characteristics, record the name of each resident of the household according to the order in which you recorded it on the list, then inquire the information].
[p. 5]
III. Person?s Characteristics
Now I will ask you about [the respondent]:
1. Sex
[The respondent] is:
[Circle one code]
[] 3 Woman
2. Age
How many years old is [the respondent]?
[If less than one year, record "000"]
3. Relationship
What is [the respondent?s] relation to the head of the household?
[Circle one code]
[] 2 Spouse or partner
[] 3 Son or daughter
[] 4 Grandchild
[] 5 Son/daughter-in-law
[] 6 Mother or father
[] 7 Mother/father-in-law
[] Other ____ [write in]
4. Mother?s identification
Where does [the respondent's] mother live?
[Copy the mother?s identification number from the list or circle a code]
[] 96 In another household
[] 97 Died
[] 98 Does not know
5. Father?s identification
Where does [the respondent's] father live?
[Copy the father?s identification number from the list or circle a code]
[] 96 In another household
[] 97 Died
[] 98 Does not know
6. Use of health services
When [the respondent] has health issues, where does [the respondent] go for help?
[] 2 ISSSTE
[] 3 State ISSSTE
[] 4 Pemex, Army, or Navy
[] 5 Health Center or SSA Hospital (Seguro Popular) (Public health insurance)
[] 6 Private doctor?s office, clinic, or hospital
[] 7 Clinic in a pharmacy
[] 8 Other place
[] 9 Does not go to doctor
7. Afro-descendants
According to your culture, history and traditions, does [the respondent] consider himself/herself black, in other words, Afro-Mexican, or of African descent?
[Circle one code]
[] 2 Yes, partially
[] 3 No
[] 8 Does not know
8. Birth certificate
Does [the respondent] have a birth certificate or is [the respondent] registered in the civil registry?
[Circle one code]
[] 2 No
[] 3 Registered in another country
9. Health service affiliation
Is [the respondent] affiliated with or has access to medical services in:
[Read the options and circle up to two codes]
[] 2 IMSS (Public health care)
[] 3 ISSSTE
[] 4 State ISSSTE
[] 5 Pemex, Army or Navy
[] 6 Private health care
[] 7 Another institution
[] 8 So, s/he is not affiliated to any health service provider
10. Indigenous background
According to your culture, does [the respondent] consider him/herself indigenous?
[Circle one code]
[] 2 Yes, partially
[] 3 No
[] 8 Does not know
11. Place or country of birth
In which state of the Mexican republic or in which country was [the respondent] born?
[Circle one code]
[] In another state ________ [write the state] [skip to question 13]
[] 3 In the United States of America
[] In another country ________ [write the country]
12. Nationality
Is [the respondent] Mexican by nationality?
[Circle one code]
[] 7 No
[p. 6]
[Person 1]
[Continue if the person is 3 years or older]
13. Speaks indigenous language
Does [the respondent] speak an indigenous dialect or language?
[Circle one code]
[] 3 No [skip to question 16]
14. Name of indigenous language
What indigenous dialect or language does [the respondent] speak?
15. Speaks Spanish
Does [the respondent] also speak Spanish?
[Circle one code]
[] 7 No [skip to question 17]
16. Understands indigenous language
Does [the respondent] understand an indigenous dialect or language?
[Circle one code]
[] 3 No
17. School attendance
Does [the respondent] currently attend school?
[Circle one code]
[] 7 No [skip to question 22]
18. Municipality of school attended
In what municipality or township is the school that [the respondent] attends?
[Circle one code or write in]
[] In another municipality or township in this country ________ [record the municipality or township]
[] 3 In another country
19. Place or country of school attended
In which state or country is the school that [the respondent] attended?
[Circle one code or write in]
[] In another state ________ [record the state]
[] 3 In the United States of America
[] In another country ________ [record the country]
20. Time to commute to school
How long does it take [the respondent] to get from here to school?
[Circle one code]
[] 2 16 to 30 minutes
[] 3 31 minutes to 1 hour
[] 4 Between 1 and 2 hours
[] 5 More than 2 hours
[] 6 Does not commute [Skip to question 22]
21. Mode of transport to school
How does [the respondent] usually get from here to school?
[Circle up to three codes]
[] 2 Subway, electric bus, or light rail
[] 3 Private vehicle (car, truck, or motorcycle)
[] 4 School bus
[] 5 Bicycle
[] 6 Walking
[] 7 Other
22. Level of schooling
What was the last year or grade in school completed by [the respondent]?
[Record the grade and circle the level code]
[] Level 1: Preschool or kindergarten ____
[] Level 2: Elementary ____
[] Level 3: Secondary ____
[] Level 4: Preparatory or High School ____
[] Level 5: Technical High School ____
[] Level 6: Technical or commercial studies with elementary finished ____
[] Level 7: Technical or commercial studies with secondary finished ____
[] Level 8: Technical or commercial studies with high school finished ____
[] Level 9: Teacher Education with elementary or secondary finished ____
[] Level 10: Teacher Education for High School ____
[] Level 11: Bachelor?s degree ____
[] Level 12: Professional degree ____
[] Level 13: Master?s ____
[] Level 14: Doctorate ____
[p. 7]
[Continue if the person is 5 or more years old]
23. Literacy
Does [the respondent] know how to read and write a note?
[Circle one code]
[] 7 No
24. Municipality of residence in 2010
5 years ago, in March 2010, in which municipality or township did [the respondent] live?
[Circle one code or write the name]
[] In another municipality or township ________ [record the name of the municipality or township]
[] 3 In another country
25. State or country of residence in 2010
In which state of the Mexican republic or in which country did [the respondent] live in March, 2010?
[Circle one code or write the name]
[] In another state ________ [record the state]
[] 3 In the United States of America
[] In another country ________ [record the country]
[Continue if the person is 12 or more years old]
26. Marital status
Is [the respondent] currently:
[Read the options and circle one code]
[] 2 Is separated [skip to question 28]
[] 3 Is divorced [skip to question 28]
[] 4 Is widowed [skip to question 28]
[] 5 Is married
[] 6 Is single [skip to 28]
27. Partner?s identification
Where does [the respondent's] partner live?
[Copy from the list the number of partner or circle one code]
[] 96 In another household
[] 98 Do not know
28. Work
Did [the respondent] work last week?
[] 3 No
29. Other activities
So, last week [the respondent]:
[Read the options and circle one code]
[] 2 Help in a business (of family or other people)
[] 3 Raised animals or harvested anything (in their land or house, for own consumption or sale)
[] 4 Offered a service for payment (carried bags, washed cars, took care of children, etcetera)
[] 5 Worked in his/her own business
[] 6 Had a job, but did not work (due to leave of absence, medical leave, or vacations)
[] 7 Looked for a job [skip to 41]
[] 8 Is a student [skip to 41]
[] 9 Is retired or on a pension [skip to 41]
[] 10 Works on household chores [skip to 41]
[] 11 Has a physical or mental limitation that impedes him/her to work [skip to 41]
[] 12 Did not work [skip to 41]
30. Name of occupation
What was [the respondent?s] occupation last week? (Electrical technician, school teacher, fruit seller, construction worker, auto mechanic, etc.)
[Write the occupation]
[p. 8]
[Continue if the person is 12 or more years old]
31. Job duties
What did [the respondent] do as a job duties, last week? (Attended patients, washed other people?s clothes, fixed televisions, bought and sold shoes, etc.)
[Write job duties below]
32. Position at work
In the job was [the respondent] a:
[Read the options and circle one code]
[] 2 Day worker or laborer
[] 3 Helper with pay
[] 4 Owner or employer (has paid employees) [skip to question 34]
[] 5 Self-employed (has no paid employees) [skip to question 34]
[] 6 Worker without payment [skip to question 35]
33. Work benefits
Does [the respondent] has the following from his/her job:
[Read the options and circle one code for each answer]
[] 2 No
[] 4 No
[] 6 No
[] 8 No
[] 2 No
[] 4 No
[] 6 No
34. Income from work
How much does [the respondent] earn in that job? (From selling their harvest, animals, or derivatives, commissions, etc.)
[Record the amount and circle one code for the period]
How often?
[] 2 Biweekly
[] 3 Monthly
[] 4 Yearly
[] 5 Does not get remunerated in money
35. Business, company, or workplace
Where did [the respondent] work last week?
[Circle one code or record the answer]
[] 2 Kinder, elementary school, or secondary school
[] 3 In construction
[] 4 Restaurant, snack bar, or tavern
[] 5 Convenient store
[] 6 In the street or public space
[] 7 From home
[] 8 From another person?s home
[] Other _________ [record the job]
36. Business, company, or workplace activity
What is the activity is performed where [the respondent] works? (Makes wooden furniture, makes brooms, fixes cars, sell clothes, assemble televisions, etc.)
37. Municipality where [the respondent] works
In which municipality or township is the business, company or place in which [the respondent] worked last week?
[Circle one code or record the place]
[] In another municipality or township ________ [record the name of the municipality or township]
[] 3 In another country
38. State or country where [the respondent] works
In this state or country?
[Circle one code or write the name]
[] In another state ________ [record the state]
[] 3 In the United States of America
[] In another country ________ [record the country]
39. Commute time to work
How long does [the respondent] take to get to his/her work?
[Circle one code]
[] 2 Between 16 and 30 minutes
[] 3 Between 31 minutes and 1 hour
[] 4 More than an hour to two hours
[] 5 More than 2 hours
[] 6 It is not possible to tell how long
[] 7 Does not commute [skip to question 41]
[p. 9]
[Continue if the person is 12 or more years old]
40. Mode of transportation to work
How does [the respondent] usually get to work?
[Circle up to three codes]
[] 2 Subway, electric bus, or light rail
[] 3 Private vehicle (car, truck or motorcycle)
[] 4 School bus
[] 5 Bicycle
[] 6 Walking
[] 7 Other
41. Unpaid activities
Last week, without being paid, how many hours did [the respondent] spend:
[Read all the options and record the hours for each one. Record "000" if it was not done]
[Number of hours]
[] Assisting sick people who need special care (help to eat or move, give medication, etc.) _ _ _
[] Assisting healthy children younger than 6 years old (son(s)/daughter(s), grandchildren, nephew(s)/niece(s); to feed, take them to school, get dressed, etc.) _ _ _
[] Assisting healthy children between 6 and 14 years old? (son(s)/daughter(s), grandchildren, nephew(s)/niece(s); to feed, take them to school, get dressed, etc.) _ _ _
[] Assisting someone who is 60 years of older and requires constant care (fathers, mothers, grandmothers/fathers; to feed them, take them to the doctor, get them dressed, etc.) _ _ _
[] Prepare or serve food for the family _ _ _
[] Clean the house, wash or iron clothes for the family _ _ _
[] Go shopping for food or cleaning supplies _ _ _
[Continue if the person is a woman and is 12 or more years old]
42. Children born alive
In total, how many sons or daughters has [the respondent] had?
[If none record "00" and go to the next person on section IV]
43. Deceased children
Of children born alive by [the respondent], how many have died?
[If none record "00"]
44. Children alive
Currently, how many sons or daughters does [the respondent] have?
[If none record "00"]
45. Date of birth
In which month and year was the last son or daughter born alive by [the respondent]?
[] Year _ _ _ _
[Record the month and year]
46. Survival
This last son or daughter of [the respondent] is still alive?
[Circle one code]
[] 3 No
47. Age at death
How old was this child when he/she died?
[Record only one answer in days, months or years]
[Record "00" in days if the child lived less than a day]
[] Months _ _
[] Years _ _
[p. 10]
1. Other income
Any person that lives in this dwelling receives money from:
[Read all the options and circle one code for each one]
[] 2 No
[] 4 No
[] 6 No
[] 8 No
2. Land of agricultural use
Any person of this dwelling has land:
[Read all the options and circle one code for each one]
[] 2 No
[] 4 No
Interviewer: in question 2, "Land of agricultural use", any response was "yes"?
[] No [skip to section V, Feeding]
3. Owner of the land of agricultural use
Of the people who live in the dwelling, who is the owner of this land?
[Write the complete name and copy the person's identification number]
[] Father's last name ________
[] Mother's last name ________
[] Person's identification number _ _
1. Adult's eating
Since December, any adult living in this dwelling:
[Read all the options and circle one code for each one]
[] 2 No
[] 4 No
[] 6 No
2. Food intake of adults
Since December, any adult living in this dwelling:
[Read all the options and circle one code for each one]
[] 2 No
[] 4 No
[] 6 No
3. Eating habits of people younger than 18 years old
Since December, any child living in this dwelling:
[Read all the options and circle one code for each one]
[] 2 No
[] 4 No
[] 6 No
4. Food intake of people younger than 18 years old
Since December, any child living in this dwelling:
[Read all the options and circle one code for each one]
[] 2 No
[] 4 No
[] 6 No
[p. 11]
According to the existing provisions of Article 37, first paragraph, of the Law of the National Statistical and Geographical Information System: "The data that is collected for statistical use by Informants of the System for Units under the terms of the existing Law, will be kept strictly confidential and under no circumstance can be used for any purpose other than statistical use".
According to the existing provisions of Article 45, first paragraph, of the Law of the National Statistical and Geographical Information System: "The System Informants will be obliged to provide, truthful and timely information and data, solicited by relevant authorities for statistical, censal and geographical purposes, and will provide full support for the same".