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National Census, 1995
VII of Population and III of Dwelling

I. Geographic localization and location of the dwelling

1. Department ____ _ _

2. Municipality ____ _ _

3. Locality ____ _ _

4. Supervision area _ _ _

5. Census section _ _ _ _ _

6. Dwelling number within the section _ _

7. Neighborhood or village ____

8. Exact address ____

II. Information about the dwelling
Type of dwelling
1. Private or collective dwellings

If you marked one of the boxes for collective dwelling, continue to Section III.
[Collective dwelling is defined as choices 08-13]

[] 01 House
[] 02 Country house (Quinta)
[] 03 Room in a tenement
[] 04 Hut or shack
[] 05 Improvised dwelling (rubble, discarded materials, etc.)
[] 06 Apartment or flat in a house or building
[] 07 Premise used as a dwelling (warehouse, garages, etc.)
[] 08 Hotels, hostels and guest houses
[] 09 Jails and juvenile detention centers
[] 10 Hospitals and sanitariums
[] 11 Asylums and orphanages
[] 12 Convents and boarding schools
[] 13 Other type of collective dwelling

Condition of occupancy
[End of the interview if a choice between 3 and 6 is marked]

2. This dwelling is found:

[] 1 Occupied with inhabitants present
[] 2 Occupied with inhabitants absent
Unoccupied dwelling:
[] 3 For sale or rent
[] 4 For temporary / seasonal use
[] 5 Under construction
[] 6 For another reason

[Page 2]

Characteristics of the dwelling

Material of the external walls
3. What is the predominant material of the exterior walls?

[] 01 Clay brick or blocks
[] 02 Cement blocks or concrete
[] 03 Adobe or taquezal [wooden columns and beams provide structural support for the adobe]
[] 04 Quarried stone
[] 05 Barul, cane, or palm leaves
[] 06 Wood
[] 07 Wood/concrete (mini-skirting)
[] 08 Plywood or corrugated sheeting (Plycem or Nicalit panel)
[] 09 Rubble or discarded materials
[] 10 Other

Roofing material
4. What is the predominant material used for roofing?

[] 1 Zinc
[] 2 Clay or cement tiles
[] 3 Plywood or corrugated sheeting (Plycem or Nicalit panel)
[] 4 Straw, palm leaves and similar materials
[] 5 Rubble or discarded materials
[] 6 Other

Flooring material
5. What is the predominant material used for flooring?

[] 1 Wood, tambo [wood planks], etc.
[] 2 Floor tiles
[] 3 Clay block
[] 4 Cement block or stone / mosaic / ceramic tile (terrazzo)
[] 5 Dirt
[] 6 Other

Number of rooms
6. How many rooms does this dwelling have altogether? (Do not include bathrooms, kitchen, corridors, or garages)
Total: _ _

Of this total number of rooms, how many are always used for sleeping, even though they may have other uses during the day?
Total: _ _

Kitchen
7. Does this dwelling have a room only for cooking?

[] 1 Yes
[] 2 No (go to question 8)

Is the cooking room also used for sleeping?
[] 1 Yes
[] 2 No

Water service
8. How is the dwelling supplied with water?

[] 1 Piped inside the dwelling
[] 2 Piped outside the dwelling but inside the property
[] 3 River, spring, or stream
[] 4 Public faucet
[] 5 Public or private well
[] 6 Other

Toilet facilities
9. What type of toilet facility does this dwelling have?

[] 1 Outhouse or latrine
[] 2 Toilet - connected to sewerage system
[] 3 Toilet - connected to sump or septic tank
[] 4 Toilet - discharged into river or stream
[] 5 None

Lighting service
10. What type of lighting does this dwelling have?

[] 1 Electric lighting
[] 2 Gas (kerosene)
[] 3 Other

Type of tenure
11. This dwelling is:

[] 1 Owned with legal contract
[] 2 Owned without legal contract
[] 3 Rented
[] 4 Other

Workshop or industry in home
12. In this dwelling:

A. Is some product or article made for sale, such as: shoes, furniture, clothing, hammocks, ceramic objects, tortillas, bread, nacatamales [prepared food], others?
[] 1 Yes
[] 2 No

B. Is a product or article sold there that is not manufactured or made there, such as: basic cereals, carbonated drinks, clothing, shoes, others?
[] 1 Yes
[] 2 No

C. Is a service provided there, such as: radio, TV, or refrigerator repairs; medical services, beauty parlors, barbers, others?
[] 1 Yes
[] 2 No

Health
13A. How far away is the nearest health center?

[] There is none
_ _ Blocks
_ _ Km

13B. How long does it take to get to it?

_ _ Hours
_ _ Minutes

13C. Which means of transport is used to get there?

[] 1 On foot
[] 2 Animal
[] 3 Vehicle
[] 4 Other

[Page 3]

III. List of persons who inhabit the dwelling
1. How many persons live most of the time in this dwelling?
Total _ _
Men _ _
Women _ _

2. What are the names and surnames of each of the persons who live most of the time in this dwelling? Start with the head of household (do not forget to include children, newborn babies and old people).

Number of the person: _ _

Names and surnames: ____ ____

Sex:

[] 1 Male
[] 2 Female

Age: _ _

Remember: Include newborn babies, old people and family members who live most of the time in this dwelling but are absent because of vacation, work, business or illness; also include domestic employees who sleep in the dwelling. Transcribe the name and number for each of these persons in Section V: Persons in the dwelling.

IV. Mortality
1. From January 1993 until the day before the start of the census, has anyone who was living with you died?

[] 1 Yes

How many? _ _

[] 2 No (go to Section V)

Number of the person _

Names and surnames of deceased persons ____

Date of death (day/month/year) _ _ / _ _ / _ _

Sex:

[] 1 Male
[] 2 Female

Age at death (years, months, days) _ _/ _ _/ _ _

2. Was a death certificate obtained from MINSA in regards to the deceased person(s)?
Person no. 1:

[] 1 Yes
[] 2 No

Person no. 2:

[] 1 Yes
[] 2 No

Person no. 3:

[] 1 Yes
[] 2 No
[Page 4]

V. Persons in the dwelling
For all persons
[Questions 1-4 were asked of all persons]

Relationship
1. What is the person's relationship to the head of household?

[] 1 Head of household
[] 2 Spouse/partner
[] 3 Son/daughter, stepson/stepdaughter
[] 4 Son/daughter-in-law
[] 5 Grandchild or great-grandchild
[] 6 Parents or parents-in-law
[] 7 Other relative
[] 8 Domestic employee
[] 9 Unrelated

Sex
2. This person is:

[] 1 Male
[] 2 Female

Age
3. How many years old is the person? (If less than one year old put "00", if over 98 put "98") _ _

What is the person's birthdate (day/month/year)? _ _ / _ _ / _ _

Place of birth
4. In what municipality was the person born?

[] 1 Here, in this municipality

Elsewhere in Nicaragua?
Municipality: ____
Department: ____

In another country?
Country: ____
Year of arrival in Nicaragua: ____

For persons age 5 or older
[Questions 5-11 were asked of persons age 5 or older]

Mother tongue
5. Which language does the person speak from childhood at home?

[] 1 Spanish
[] 2 Miskito
[] 3 Sumo or Sumu
[] 4 English
[] 5 Other

Religion
6. What is the person's religion?

[] 1 Catholic
[] 2 Evangelical
[] 3 Moravian
[] 4 Episcopalian
[] 5 Other
[] 6 None

Previous place of residence
7. In what municipality was the person living five years ago (in 1990)

[] 1 Here, in this municipality

Elsewhere in Nicaragua?
Municipality: ____
Department: ____

In another country?
Country: ____

Literacy
8. This person:

[] 1 Can read and write
[] 2 Can read only
[] 3 Cannot read or write

School attendance
9. Is the person currently attending primary, middle, or secondary school?

[] 1 Yes
[] 2 No

Schooling
10. What is the highest school year or grade completed?

[Check the] level / [Fill in the] grade or year

[] 0 None / "00"
[] 1 Literacy / _
[] 2 Preschool / _
[] 3 Primary / _
[] 4 Secondary / _
[] 5 Basic technical / _
[] 6 Middle level technical / _
[] 7 Higher technical / _
[] 8 University / _

Degree obtained
11. In the case of persons who have completed studies ranging from basic technical to university, ask:

What did you study? Specify: ____

[] 1 Obtained a diploma
[] 2 Left without a diploma

[Page 5]

For persons age 10 or older
[Questions 12-18 were asked of persons age 10 or older]

Marital status
12. What is this person's current marital status?

[] 1 Under 12 years of age
[] 2 Cohabiting/partnered
[] 3 Married
[] 4 Separated
[] 5 Divorced
[] 6 Widowed
[] 7 Single

Working status
13. Last week this person:

[For answers "01"-"07", go to question 15]

[] 01 Worked

Did not work because he/she was:
[] 02 On vacation/leave
[] 03 Sick/receiving subsidy
Did not work because he/she was waiting:
[] 04 To continue agricultural work
[] 05 For replies from an employer
[] 06 For a new job
[] 07 Looked for work having worked before
[] 08 Looked for work for the first time
[] 09 Lives from a pension, is retired or has private means
[] 10 Does housework
[] 11 Is a student
[] 12 Is permanently disabled
[] 13 Other

14. Last week the person worked in:

If answer 7: If this is a woman age 14 or older, go to question 19. If this is a man, continue to the next person.

[] 1 Selling from a fixed or mobile sales point
[] 2 Washing, ironing, sewing clothes for others or similar tasks
[] 3 Making and selling bread, tortillas, pastries, handicrafts or other items
[] 4 Helper or apprentice
[] 5 Agricultural tasks (cultivating and harvesting, livestock breeding, milking cows, and other similar tasks)
[] 6 Other activity
[] 7 No activity

Main occupation
15. What did/does the person do in their main job? ____

Status in occupation
16. In this occupation, the person works/worked as:

[] 1 Employee / manual worker
[] 2 Day laborer
[] 3 Self-employed
[] 4 Employer / business owner
[] 5 Unpaid worker
[] 6 Member of a production cooperative
[] 7 Other

Branch of activity
17. Indicate the products made, cultivated, sold, or the services provided by the place where this person works or used to work. ____

Hours worked
18. How many hours does/did the person work last week? _ _

For women age 14 or older
[Questions 19-25 were asked of women age 14 or older]

19. Has the woman had any live-born children?

[] 1 Yes
[] 2 No (Continue to the next person.)

20. How many live-born children has the woman had in total?
Total _ _
Male _ _
Female _ _

21. Of these children, how many are still living?
Total _ _
Male _ _
Female _ _

22. What is the date of birth of the woman's last live-born child (day/month/year)? _ _ / _ _ / _ _

23. Is the woman's last live-born child still alive?

[] 1 Alive
[] 2 Deceased

24. If the woman's last child was born in the last five years, was a birth certificate obtained from MINSA?

[] 1 Yes
[] 2 No

25. If the woman's last child died within the last five years, was a death certificate obtained from MINSA?

[] 1 Yes
[] 2 No