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Republic of Nicaragua, Central America
Ministry of Economics, Industry and Commerce
Nicaragua Central Bank

Executive Census Office

National Housing and Population Census 1971

Confidential nature of census data: As provided in the Ley de Estadística y Censos, the personal information submitted in the census is strictly confidential and may not be used for financial or other non-statistical purposes. Every citizen and person present in the country on the data of the census is obligated to supply census information.

____ _ Form number
For office use

Form number ____ of ____
For enumerator use

A. Geographic location
[Questions 1-14]

Name

____ 1 Department
____ 2 Municipality
____ 3 Sector number
____ 4 Segment number
5. Category:
[] Urban
[] Rural
____ 6 Locality (name)
____ 7 Demographic importance of the locality

[A column labeled "Office use: codes" with 8 blank spaces sits in the middle of these two groups of items]

Urban area

____ 8 Neighborhood
____ 9 Street or avenue
____ 10 Building number
____ 11 Dwelling number
Rural area
____ 12 Region (comarca) (name)
____ 13 Route or highway
____ 14 Dwelling number

B. Dwelling information
[Questions 1-16]

1. Dwelling type

Private dwelling:
[] 1 Family house
[] 2 Hut, shack (rancho)
[] 3 Improvised (construction waste (ripios), waste material, tent)
[] 4 Apartment
[] 5 Room in a tenement
[] 6 Place not intended for habitation but used as a dwelling
Collective dwelling:
[] 7 Hotels, hostels and guesthouses
[] 8 Other type of collective dwelling

2. Occupancy of a private dwelling

[] 1 Occupied
[] 2 Occupied but inhabitants absent

Unoccupied (family house, rancho, apartment, room in a tenement)
[] 3 For rent
[] 4 For sale
[] 5 Summer home
[] 6 Other reason

For an occupied dwelling classified in one of the boxes 1 through 5 "Dwelling type", ask questions 3 through 15

3. Number of rooms and bedrooms

____ Total number of rooms
____ Of these, how many are bedrooms?

4. Tenure and monthly rent

[] 1 Owned
[] 2 Rented
____ Monthly rent
[] 3 Other form of tenure

Predominant construction material

5. In the exterior walls

[] 1 Brick, cement block or concrete
[] 2 Wood
[] 3 Adobe
[] 4 Quarry stone
[] 5 Taquezal (wattle)
[] 6 Barul (type of wooden cane), cane, or palm
[] 7 Other

6. In the roof of the building

[] 1 Metal sheet (zinc, etc.)
[] 2 Clay tile
[] 3 Asbestos-cement
[] 4 Concrete tile
[] 5 Straw, palm
[] 6 Other

7. In the floor of the dwelling

[] 1 Cement or paving stone
[] 2 Clay tile
[] 3 Floor tile
[] 4 Wood
[] 5 Earth
[] 6 Other

8. Water

Via pipe inside the dwelling:
[] 1 a) Connected to the public system
[] 2 b) Connected a private system
[] 3 Via pipe outside the dwelling but inside the building
[] 4 Via pipe outside the building (Public tap)
Carried in:
[] 5 a) From a well
[] 6 b) From a river, spring, lake, lagoon
[] 7 c) Other

9. Toilet facilities

Toilet connected to sewer system
[] 1 Exclusive use
[] 2 Shared use
Toilet connected to a septic tank or sump
[] 3 Exclusive use
[] 4 Shared use
Pit toilet or latrine
[] 5 Exclusive use
[] 6 Shared use
[] 7 None

10. Bath

Bath connected to sewer system, irrigation channel or septic tank
[] 1 Exclusive use
[] 2 Shared use
Bath with no wastewater connection
[] 3 Exclusive use
[] 4 Shared use
[] 5 None

11. Lighting

Electric:
[] 1 From public system
[] 2 From a private generator
[] 3 From another source
Other type of lighting:
[] 4 Gas (kerosene)
[] 5 Other

12. Kitchen

[] 1 Has a separate room for kitchen
[] 2 Without a separate room for kitchen but with a space designated for cooking
[] 3 With no space designated for cooking

13. Fuel used for cooking

[] 1 Electricity
[] 2 Propane or butane gas
[] 3 Gas (kerosene)
[] 4 Charcoal
[] 5 Wood
[] 6 No cooking

14. Household appliances

Radio
[] 1 Yes
[] 2 No
Television
[] 1 Yes
[] 2 No
Electric iron
[] 1 Yes
[] 2 No
Refrigerator
[] 1 Yes
[] 2 No

15. Year of construction

When was the construction of the building completed?

[] 1 One year ago or less (from the date of the census)
____ If more than one year ago (from the date of the census) fill in the year

16. Occupants

____ Number of households

Office use:

____ Number of family nuclei
____ Number of occupants

Comments: [3 blank lines]

Date: ____ April, 1971
____ Enumerator's name
____ Enumerator's signature
____ Supervisor's signature

____ Household type
____ Number of people
____ Number of nuclei
____ Family type

[The following is a table with space for the responses of multiple people. Except for question 2, the response options for all people are the same.]

[Table column headings:]
Questions
Number
First person 01
Second person 02

For all individuals
[Applies to section A]

A. Personal characteristics

1. Name and surname

What is the name and surname of each person who slept here the night of the 19th to the 20th of April?

____ [2 blank lines]
2. Relationship

What is the relationship to the head of the household?

Person number 01:

[] 0 Head

Person number 02 and subsequent:

[] 1 Spouse, partner
[] 2 Child
[] 3 Parents or parents-in-law
[] 4 Grandchild
[] 5 Other relative
[] 6 Domestic employee
[] 7 Other non-relative
[] 9 Unknown

3. Sex

Are you male or female?

[] 1 Male
[] 2 Female

4. Age

How old are you in years completed?
For those younger than one year, write "00"

____ Years

5. Marital status

Are you single, married, in a consensual union, widowed or divorced?

[] 1 Single
[] 2 Married
[] 3 Consensual union
[] 4 Widowed
[] 5 Divorced
[] 9 Unknown

6. Orphanhood

Is your mother alive?

[] 1 Yes
[] 2 No
[] 9 Unknown

For all individuals
[Applies to section B]

B. Geographic characteristics

7. Place of birth

In what municipality were you born? If born in Nicaragua write the names of the municipality and department. If born abroad, write the name of the country.

____ Municipality
____ Department or country

[2 blank boxes also appear at the edge of this item]

8. Year of arrival in the country

Only for those individuals born abroad

In what year did you arrive to live in Nicaragua?

19 ____ Year
[] 9 Native-born

9. Current place of habitual residence

In what municipality do you currently live? If residing in Nicaragua, write the name of the municipality and department. If residing abroad, write the name of the country.

____ Municipality
____ Department or country

[2 blank boxes also appear at the edge of this item]

10. Habitual residence in April, 1966:

Only for those 5 years of age or older

In what municipality did you live in April of 1966? If residing in Nicaragua, write the name of the municipality and department. If residing abroad, write the name of the country.

____ Municipality
____ Department or country

[2 blank boxes also appear at the edge of this item]

For those 6 years of age or older
[Applies to Section C]

C. Educational characteristics

11. Literacy

Are you able to read and write?

[] 1 Yes
[] 2 No
[] 9 Unknown

12. Level of schooling

What is the highest grade or year of studies you completed in primary, secondary or post-secondary education?

Write the grade or year following the type of schooling indicated.

[] 00 None
[] 1 Primary ____
[] 2 Secondary ____
[] 3 Post-secondary ____
[] 99 Unknown

13. School attendance

Do you currently attend an institution of primary, secondary, or post-secondary education?

[] 1 Yes
[] 2 No
[] 9 Unknown

For those 10 years of age or older
[Applies to section D]

D. Economic characteristics

14. Type of economic activity

What did you do during the greater part of the week of April 12th to the 17th?

Ask each question indicated until receiving positive responses.

[] 1 Worked
[] 2 Didn't work, but had a job
[] 3 Had worked before and looked for a job
[] 4 Looked for a job for the first time
[] 5 Lived off of investments or retirement
[] 6 Studied
[] 7 Took care of your own home
[] 8 Other
[] 9 Unknown

15. Principal occupation

Only for those who answered 1, 2 or 3 in question 14.

What occupation, position or type of work did you perform during the week of April 12th to the 17th, or in the last job you had?

____ Principal occupation

[A blank box appears to the side of this item]

16. Industry

Only for those who declared an occupation in question 15.

What kind of activity does the enterprise, establishment, factory, workshop, service, etc., where you work - or worked for the last time - do?

____ Industry

[A blank box also appears to the side of this item]

17. Occupational category

Only for those who declared an occupation in question 15.

Which category or position did you hold in the principal occupation indicated (question number 15)?

[] 1 Owner or employer
[] 2 Own-account
[] 3 Salaried or waged employee
[] 4 Unpaid family worker
[] 9 Unknown

For women 15 years of age or older
[Applies to Section E]

E. Fertility characteristics

18. How many children born alive did you have?

Total children born alive:

[] 00 None
____ Number
[] 99 Unknown

19. How many children are currently alive?

Total children surviving:

[] 00 None
____ Number
[] 99 Unknown

[Sidebar across questions 20 and 21] Children born alive in 1970

20. How many children did you have born alive between January and December of 1970?

Only for women age 15 to 49

[] 00 None
____ Number
[] 99 Unknown

21. Of these, how many died in 1970?

Only for women age 15 to 49

[] 00 None
____ Number
[] 99 Unknown