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1970 Population and Housing Census of Malaysia

Form 2

8 L/Qs No. _ _ _

Form 2

Living quarters

1. State _ _
________

2. Admin. District _ _
________

2a. ____ Census district
________

3. Circle number _ _

4. Enumeration block number _ _

5. Address
________

6. Number of households in this living quarters.
See column 6 of the house-listing book.
____

7. Number of persons in this living quarters.
See column 8 of the house-listing book.

_ _ _ Males
_ _ _ Females
_ _ _ Total persons

Living quarters

9.

[] Build or converted for living/sleeping (Skip to 11)
[] Not intended for l/s but used for these purposes at time of census

10.

[] 1 In a permanent building, e.g. office, school, shop, mosque
[] 2 A living space, e.g. court year, open verandah
[] 3 A natural shelter (Finish)

11. Are the living quarters:

[Question 11 was asked of dwellings that are not natural shelters]

[] Private
[] Non-private (Skip to 13)
[] Mobile (finish)

12. House/Bungalow:

[Question 12 was asked if the living quarters were either private.]

[] 4 Detached
[] 5 Semi-detached
[] 6 Terrace, row flat or room
[] 7 In/attached to house
[] 8 In Shophouse
[] 9 In housing block
[] 10 Other
[] 11 Labor line
[] 12 Makeshift, improvised hut, etc.

(Skip to 14)

13.

[Question 13 was asked only if the living quarters were non-private.]

[] 13 Non-private, hotel, lodging house, rest house, etc.
[] 14 Hospital
[] 15 Educational, charitable or religious institution
[] 16 Temporary labor camp
[] 17 Other

(Finish)

[Questions 14 to 43 were asked if the living quarters were private, non-mobile.]

Foundation

14. Raised off the ground?

[] Yes
[] No (Skip to 16)

15. Supports of:

[Question 15 was asked if the dwellings was raised off the ground]

[] Wood
[] Brick/concrete
[] Iron/steel
[] Other

16. Walls:

[Question 16 was asked if the dwellings was not raised off the ground]

[] Brick
[] Concrete
[] Brick and plank
[] Plank only
[] Attap etc.
[] Zinc, corrugated iron
[] Other

17. Roof:

[] Tiles
[] Attap, bamboo, etc.
[] Zinc/corrugated iron sheets
[] Concrete
[] Other

18. Condition:

[] Sound
[] Deteriorating
[] Dilapidated

Occupancy

19.

[] Occupied (Skip to 21)
[] Vacant

20. Reason for being vacant:

[Question 20 was asked if the dwelling was vacant.]

[] Seasonal wk. qt.
[] Temporary absence
[] Holiday house
[] Sale/rent
[] Unfit for living
[] Other (including not known)

(Finish)

[Questions 21-43 were asked if the dwelling was private and occupied.]

21. Period of construction:

[] 0-4
[] 5-9
[] 10-29
[] 30+
[] Not known

22. Ownership

[] Government
[] Not Government

Water supply

23. Piped water?

[] Yes
[] No (skip to 26)

[Questions 24-25 were asked if the dwelling had piped water.]

24.

[] Inside living quarter (Skip to 27)
[] Outside living quarter

25.

[Question 25 was asked if the dwelling had piped water outside the living quarters.]

[] Within 100 yards
[] Beyond 100 yards (Skip to 27)

26.

[Question 26 was asked if the dwelling had no piped water.]

[] Well or pump
[] River
[] Parit, drain, canal
[] Other

27. Is water supply exclusive to this living quarter?

[] Yes
[] No

Lighting

28. [Does the household have electricity?]

[] Electricity
[] No Electricity (Skip to 30)

29.

[Question 29 was asked if dwelling had electricity.]

[] Public supply
[] Private Gen. Plant

30. [What is the source of lighting?]

[Question 30 was asked if dwelling had no electricity.]

[] Pressure / gas lamp
[] Oil lamp
[] Other

Number of rooms: _ _

Toilet facilities

32. [Type of toilet]

[] Flush
[] Bucket
[] Pit
[] Over river/sea
[] None (Skip to 35)

[Questions 33-34 were asked if dwelling had toilet facilities.]

33. Exclusive to this living quarter?

[] Yes
[] No (Skip to 35)

34. Units [number of toilets]:

[Question 34 was asked if the dwelling had exclusive toilet facilities.]

[] 1
[] 2
[] 3
[] 4
[] 5+

Bathing facilities

35. Separate bathroom or enclosed bathing space?

[] Yes
[] No (Skip to 38)

[Question 36 - 37 were asked if the dwelling had a separate bathroom or enclosed bathing space.]

36. Piped water to bathroom?

[] Yes
[] No

37. Built-in?

[] Long bath
[] Tank
[] Shower
[] Hand basin
[] Moveable jar, container
[] Pipe only

(Skip to 39)

38.

[Question 38 was asked if the dwelling did not have a separate bathroom or enclosed bathing space.]

[] Pipe inside living quarters
[] Pipe outside living quarters
[] Well or pump
[] River
[] Parit, drain, canal
[] Other

39. Exclusive to this living quarter?

[Question 39 was asked if the dwelling had a separate bathroom or enclosed bathing space]

[] Yes
[] No

Cooking facilities

40. Separate kitchen?

[] Yes (skip to 42)
[] No

41. Area set aside for cooking?

[Question 41 was asked if the dwelling did not have a separate kitchen]

[] Yes
[] No (Skip to 43)

42. Exclusive to this living quarter?

[Question 42 was asked if the dwelling had an area set aside for cooking facilities.]

[] Yes
[] No

43. Vehicles/scooters

[a. Number of vehicles:]
[] 0
[] 1
[] 2
[] 3
[] 4+
[b. Number of scooters:]
[] 0
[] 1
[] 2
[] 3
[] 4+

Form 4

Households

Note: A household is a group of people who live and eat together. You may therefore find there is more than one household in this living quarters. Fill in one of these form 4's for each household in this living quarter.

1.

____ State
____ Admin. District
____ Census district
____ Circle number
____ Enumeration block number
____ Address

2. Address: ________

3. Start Interview here

[] 1st Sheet _ _ _
[] 2+ Sheet: _

4. L/Qs No. _ _ _

5. H/H No. ________

[Questions 6-10 are repeated for each household member.]
6. List the names of the people who belong to this household (see below for listing order.)
Listing order: head of household, wife of head, unmarried children of head, mother and father (and/or grandmother/father) of head or heads spouse, brother, sister, other married couples and their children, married couples with no children present, other relatives of head, servants, boarders.
________

7. Relationship to H/H: ____

8. Sex: ____

9. Here on C/Night (tick): ____

10. Person No. ____

[Questions 11-13 are repeated for each friends or other visitors who slept here on Census Night.]
11. List the name of any friends or other visitors who slept here on Census Night: ____

12. Sex: ____

13. Person No.: ____

14. Total males in this household on Census Night (i.e. all household members and friends or other visitors who slept here on Census Night): _ _ _

15. Total females in this household on Census Night (i.e. all household members and friends or other visitors who slept here on Census Night): _ _ _

16. Total persons in this household on Census Night (i.e. all household members and friends or other visitors who slept here on Census Night): _ _ _

17. [Ownership status of the household]

[] Own/occup. (skip to 23)
[] Tenant (go to 18)
[] Other (skip to 23)

[Questions 18 - 22 were asked of tenants]

18. Renting from:

[] Another H.H. in L.Q.'s (go to 19)
[] Individual outside L.Q.'s. (skip to 20)
[] Government or Public Authority (skip to 20)
[] Firm/company (skip to 20)
[] Other (skip to 20)

19. H.H. number:

[] [1 - 10]

20. Is the landlord your employer?

[] Yes
[] No

21. Rent: _ _ _ _

22. [Condition of the dwelling]

[] Furnished
[] Unfurnished

23. Main cooking fuel:

[] Electricity
[] Gas
[] Kerosene/oil
[] Char/wood
[] Other

24. Household equipment:

[] M/car
[] M/cycle
[] Bicycle
[] Air conditioner
[] Telephone
[] Refrigerator
[] Elect. Fan
[] Radio
[] Sew mach.
[] T.V.
[] Boat with motor
[] Boat without motor

25. L.Q.'s code:

[] 1
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 8
[] 9
[] 10
[] 11
[] 12
[] 13
[] 14
[] 15
[] 16
[] 17

Form 5

Appendix 10.6 Individual form for Sabah and Sarawak: Census of Malaysia, 1970

1970 Population and Housing Census East Malaysia

Persons: _ _

____ State
____ Admin, District
____ Census District
____ Circle
____ Enumeration Block

Living quarters No.: _ _ _
Household Number: _
Person Number: _ _

1. Name: ____
2. Sex:

[] Male
[] Female

3. Relationship to Head of Household: ____

4. How old are you?

Completed years: _ _
Months from last Birthday to C. Day: _ _

5. Age (from I/C Birth Certificate, etc.): _ _

Day of birth: _ _
Month of birth: _ _
Year of birth: _ _ _ _

6. Chinese date of birth:

Day: _ _
Moon month: _ _
Animal Year: ____

7. To what community do you belong? _ _

8. During the last 12 months what did you do most of the time?

[] Employer/Self-employed
[] Wages
[] Family worker
[] Look after household
[] Student
[] Child not at school
[] Other
[If any of the first three choices was chosen, indicate the type:]

[] Padi
[] Logging timber
[] Fishing
[] Rubber
[] Other Agriculture
[] Manufacture/building
[] Commerce
[] Transport comm.
[] Services
[] Other

9. What is your religion?

[] Islam
[] Hindu
[] Christian
[] Buddhist
[] No religion
[] Other

10. Are you going to school? (excluding adult education and kindergarten)

[] Yes (skip to 12)
[] No

11. Have you ever been to school?

[Question 11 was asked if the person was not going to school.]

[] Yes
[] No

[Questions12-13 were asked if the person had ever been to school.]

12. What was the highest level you completed?

a. Primary:
[] Some years
[] Completed all years
b. Secondary:
[] 1-2
[] 3
[] 4
[] 5
[] 6 lower
[] 6 upper

13. Did you pass any of these exams?

[] L.C.E.
[] S.C.
[] H.S.C.
[] None

14. Do you have a Malaysian citizenship?

[] Yes
[] No (Skip to 16)
[] Under 12 (Skip to 18)

15. Color of Identify Card (I.C.)

[Question 15 was asked if the person had a Malaysian citizenship.]

[] Blue (Skip to 17)
[] Other
[] No I.C.

16. What citizenship do you have?

[Question 16 was asked if the person age 12+ was not a Malaysian citizen or did not have a blue I.C..]

[] Singapore
[] Other foreign
[] Stateless/applied/N.S.

17. Do you have a Singapore I/C?

[] Yes
[] No

18. Born in Malaysia?

[] Yes
[] No (Skip to 20)
[] Unknown (Skip to 22)

19. State of birth?

[Question 19 was asked if the person was born in Malaysia.]

[] Johore
[] Kedah
[] Kelantan
[] Malacca
[] N.Sembilan
[] Pahang
[] Penang
[] Perak
[] Perlis
[] Selangor
[] Trengg.
[] Sabah
[] Sarawak
[] Unknown

20. Country of birth?

[Question 20 was asked if the person was not born in Malaysia.]

[] Singapore
[] Thailand
[] India/Ceylon Pakistan
[] Indonesia
[] N. Sembilan
[] Philippines
[] China
[] Other Asian
[] n/s America Oceania
[] Europe
[] Other

21. How long in total have you lived in Malaysia? (in years)

[] Less than 1
[] 1
[] 2
[] 3
[] 4
[] 5
[] 6-10
[] 11-20
[] Over 20

22. How long in total have you lived in this kampong, town, etc.? (in years)

[] Less than 1
[] 1
[] 2
[] 3
[] 4
[] 5
[] 6-10
[] 11-20
[] Over 20

23. Where did you last live?

[] In this Kampong, town, etc. since birth (Skip to 25)
[] Some other place in Malaysia:
[] Town
[] Other
[] Outside Malaysia (Skip to 25)

24. What was the name of the place where you lived before?

[Question 24 was asked if the person lived some other place in Malaysia before.]

Kampong, Town: ________
Mukim: ________
District: ________
State: _______

For persons 10 years and over
[Questions 25-44 were asked of persons age 10+.]

Before asking questions 25-34 explain that the questions are for the previous 7 day period only

25. Did you have a regular job or business?

[] Yes (Skip to 30)
[] No

[Questions 26-29 were asked if the person did not have a regular job or business during the previous 7 days.]

26. Did you help in a family business or farm?

[] Yes
[] No (Skip to 28)

27. About how many hours per day did you work?

[Question 27 was asked if the person helped in a family businesses or farm during the previous 7 days.]

[] 3 or less
[] More than 3

28. Did you earn any money by working or by selling home made goods?

[] Yes
[] No

29. Did you look for work?

[] Yes
[] No

Note: If the answers to Questions 25-29 are all "No" skip to 35

[Questions 30-34 were asked if the answers to Questions 25-29 are not all "No".]

30. Employment status:

[] Employer
[] Self employed
[] Salary and wage
[] Family worker
[] Looking for the 1st job (skip to 35)

[Questions 31-34 were asked for those who did not choose looking for the first job in Question 30.]

31 Main occupation (use two or more words if possible): ____

32. Main industry (use two or more words if possible): ____

33. Work at home?

[] Yes
[] No

34. Name and address of establishment at which working: ________

35. Degrees, diplomas, certificates, papers
Name of qualification and institution from which obtained: ________
Field of study: ____

36. Everyday conversation?

[] Fl. Malay
[] El. Malay
[] Mandarin
[] English
[] Tamil
[] Other languages
[] Dumb

37. Read a newspaper/letter

[] Yes
[] No
[] Blind

38. Write a letter?

[] Yes
[] No (Skip to 40)

39. What languages can you write?

[Question 39 was asked if the person can write a letter.]

[] Malay
[] Chinese
[] English
[] Tamil
[] Other

40. Ever been married?

[] Yes (go to 41)
[] No (Finish)

[Questions 41-43 were asked if the person ever been married.]

41. How many times?

[] 1
[] 2
[] 3
[] 4+

42. Present marital status:

[] Married
[] Widowed
[] Div/p.s.

43. Number of years married:

Total: _ _
Present marriages: _ _
Previous marriages: _ _

For ever-married women
[Question 44 was asked of ever-married women.]

44. How many children have you ever given birth to? (Excluding adoptions): _ _

a. Living here: _ _
b. Living somewhere else: _ _
c. Dead: _ _
d. Born dead: _ _
Total living (a plus b): _ _
Total born alive (a plus b plus c): _ _

[Questions for "Office Use Only" and on agriculture and fisheries have been omitted.]