I. Geographic localization and location of the dwelling
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
[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:
[] 2 Occupied with inhabitants absent
Unoccupied dwelling:
[] 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?
[] 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?
[] 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?
[] 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: _ _
Total: _ _
Kitchen
7. Does this dwelling have a room only for cooking?
[] 2 No (go to question 8)
[] 2 No
Water service
8. How is the dwelling supplied with water?
[] 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?
[] 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?
[] 2 Gas (kerosene)
[] 3 Other
Type of tenure
11. This dwelling is:
[] 2 Owned without legal contract
[] 3 Rented
[] 4 Other
Workshop or industry in home
12. In this dwelling:
[] 2 No
[] 2 No
[] 2 No
Health
13A. How far away is the nearest health center?
_ _ Blocks
_ _ Km
13B. How long does it take to get to it?
_ _ Minutes
13C. Which means of transport is used to get there?
[] 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: ____ ____
[] 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?
[] 2 No (go to Section V)
Number of the person _
Names and surnames of deceased persons ____
Date of death (day/month/year) _ _ / _ _ / _ _
Sex:
[] 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:
[] 2 No
Person no. 2:
[] 2 No
Person no. 3:
[] 2 No
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?
[] 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:
[] 2 Female
Age
3. How many years old is the person? (If less than one year old put "00", if over 98 put "98") _ _
Place of birth
4. In what municipality was the person born?
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?
[] 2 Miskito
[] 3 Sumo or Sumu
[] 4 English
[] 5 Other
Religion
6. What is the person's religion?
[] 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)
Elsewhere in Nicaragua?
Municipality: ____
Department: ____
In another country?
Country: ____
Literacy
8. This person:
[] 2 Can read only
[] 3 Cannot read or write
School attendance
9. Is the person currently attending primary, middle, or secondary school?
[] 2 No
Schooling
10. What is the highest school year or grade completed?
[] 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:
[] 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?
[] 2 Cohabiting/partnered
[] 3 Married
[] 4 Separated
[] 5 Divorced
[] 6 Widowed
[] 7 Single
Working status
13. Last week this person:
[] 01 Worked
Did not work because he/she was:
[] 03 Sick/receiving subsidy
[] 05 For replies from an employer
[] 06 For a new job
[] 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:
[] 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:
[] 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?
[] 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?
[] 2 Deceased
24. If the woman's last child was born in the last five years, was a birth certificate obtained from MINSA?
[] 2 No
25. If the woman's last child died within the last five years, was a death certificate obtained from MINSA?
[] 2 No