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 EstadÃstica 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
[] Rural
[A column labeled "Office use: codes" with 8 blank spaces sits in the middle of these two groups of items]
____ 9 Street or avenue
____ 10 Building number
____ 11 Dwelling number
____ 13 Route or highway
____ 14 Dwelling number
B. Dwelling information
[Questions 1-16]
[] 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
[] 8 Other type of collective dwelling
2. Occupancy of a private dwelling
[] 2 Occupied but inhabitants absent
Unoccupied (family house, rancho, apartment, room in a tenement)
[] 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
____ Of these, how many are bedrooms?
[] 2 Rented
Predominant construction material
[] 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
[] 2 Clay tile
[] 3 Asbestos-cement
[] 4 Concrete tile
[] 5 Straw, palm
[] 6 Other
7. In the floor of the dwelling
[] 2 Clay tile
[] 3 Floor tile
[] 4 Wood
[] 5 Earth
[] 6 Other
[] 2 b) Connected a private system
[] 4 Via pipe outside the building (Public tap)
Carried in:
[] 6 b) From a river, spring, lake, lagoon
[] 7 c) Other
[] 2 Shared use
[] 4 Shared use
[] 6 Shared use
[] 2 Shared use
[] 4 Shared use
[] 2 From a private generator
[] 3 From another source
[] 5 Other
[] 2 Without a separate room for kitchen but with a space designated for cooking
[] 3 With no space designated for cooking
[] 2 Propane or butane gas
[] 3 Gas (kerosene)
[] 4 Charcoal
[] 5 Wood
[] 6 No cooking
[] 2 No
[] 2 No
[] 2 No
[] 2 No
When was the construction of the building completed?
____ If more than one year ago (from the date of the census) fill in the year
____ 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?
What is the relationship to the head of the household?
Person number 01:
Person number 02 and subsequent:
[] 2 Child
[] 3 Parents or parents-in-law
[] 4 Grandchild
[] 5 Other relative
[] 6 Domestic employee
[] 7 Other non-relative
[] 9 Unknown
Are you male or female?
[] 2 Female
How old are you in years completed?
For those younger than one year, write "00"
Are you single, married, in a consensual union, widowed or divorced?
[] 2 Married
[] 3 Consensual union
[] 4 Widowed
[] 5 Divorced
[] 9 Unknown
Is your mother alive?
[] 2 No
[] 9 Unknown
For all individuals
[Applies to section B]
B. Geographic characteristics
____ Municipality
____ Department or country
[2 blank boxes also appear at the edge of this item]
8. Year of arrival in the country
In what year did you arrive to live in Nicaragua?
19 ____ Year
[] 9 Native-born
9. Current place of habitual residence
____ Municipality
____ Department or country
[2 blank boxes also appear at the edge of this item]
10. Habitual residence in April, 1966:
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
Are you able to read and write?
[] 2 No
[] 9 Unknown
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.
[] 1 Primary ____
[] 2 Secondary ____
[] 3 Post-secondary ____
[] 99 Unknown
Do you currently attend an institution of primary, secondary, or post-secondary education?
[] 2 No
[] 9 Unknown
For those 10 years of age or older
[Applies to section D]
D. Economic characteristics
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.
[] 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
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]
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]
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:
____ Number
[] 99 Unknown
19. How many children are currently alive?
Total children surviving:
____ 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?
[] 00 None
____ Number
[] 99 Unknown
21. Of these, how many died in 1970?
[] 00 None
____ Number
[] 99 Unknown