The information solicited is confidential
Decree-law No. 7, February 25th, 1960
Republic of Panama
Comptroller General
Directorate of Statistics and Census
Form No. ____
Ninth National Census of Population and Fifth of Housing
May 13th, 1990
Census Questionnaire
I. Location of the Dwelling
2. District ____
3. Judicial Precinct (corregimiento) ____
4. Locality or neighborhood ____
5. Street or Avenue (number or name) ____
6. Building or house (number or name) ____
7. Room or apartment number ____
8. Segment number ____
9. Block number ____
For office use:
Questionnaire number
_ _
_ _ _
_ _ _
1. Type of dwelling
[] 02 Private semi-permanent
[] 03 Improvised
[] 04 Apartment
[] 05 Room in a tenement (casa de vecindad)
[] 06 Place not intended for habitation but used as a dwelling
[] 07 Without dwelling
[] 08 Collective (group quarters)
2. Condition of the dwelling (occupancy)
[] 2 With inhabitants absent: Skip to the next dwelling
Unoccupied:
[] 4 Under repair or construction: Skip to the next dwelling
[] 5 Summer home: Skip to the next dwelling
[] 6 Other reason: Skip to the next dwelling
3. Ownership of the dwelling. Is your dwelling
[] 4 Ceded?
[] 5 Condemned?
4. How many rooms does this dwelling have?
_ _
4a. Of these, how many are used only for sleeping? _ _
5. What is the predominant material in the outside walls of the building or house?
[] 2 Fibro-cement, wood (planks, boards)
[] 3 Clay-covered plant fiber (quincha), adobe
[] 4 Straw, palm leaves, cane, sticks
[] 5 Other material or without walls
6. What is the predominant material in the roof of the building or house?
[] 2 Tile
[] 3 Fibro-cement
[] 4 Metal (zinc, aluminum, etc.)
[] 5 Treated [coated] wood
[] 6 Straw or palm
[] 7 Other
7. What is the predominant material in the floor of this dwelling?
[] 2 Wood
[] 3 Earth
[] 4 Other (cane, sticks, waste materials, other)
8. Where is drinking water obtained from?
[] 04 Connected outside of the dwelling
[] 05 Connected outside of the dwelling
[] 06 Connected outside the dwelling
[] 08 Uncovered Spring (brocal no protegido)
[] 09 Rainwater
[] 10 Surface (superficial) well
[] 11 River or stream
[] 12 Tank truck
9. This dwelling has sewer facilities that are
[] 4 Shared use
[] 5 Shared use
[] 6 Shared use
10. What type of lighting does the dwelling have?
[] 2 Electricity from private utility
[] 3 Kerosene
[] 4 Gas
[] 5 Other
11. What fuel is most frequently used for cooking?
[] 2 Wood
[] 3 Charcoal
[] 4 Kerosene
[] 5 Electricity
[] 6 No cooking
12. In this dwelling is there a
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
13. In what year was this dwelling built?
[] 2 Between 1980 and 1985
[] 3 Between 1986 and 1990
[] 4 Doesn't know
14. Has any member of this household left to live permanently in another country during the last 10 years?
[If "yes", fill the following table for up to four individuals]
1. Name of the person ________
2. Left in what year? ____ _ _
3. Went to which country? ____ _ _ _
4. Age at time of departure? _ _
5. Sex (male or female) _ _
[] 2 No (continue with section III, List of Inhabitants)
Tell me the names and surnames of all of the people who slept in this dwelling last night, beginning with the head of the household. (Include, as well, those who did not sleep here and were not housed in another place.)
[Questions 1-5 appear in a table, with space to fill in answers for 8 individuals]
2. Name(s) and surname(s) (the first person in the list should be the head)
3. Sex
[] Female
4. Does someone in this dwelling have a physical or mental disability?
[fill in circle next to name in list]
5. Does any indigenous person live here?
[Fill in circle next to name in list.]
When there are more than 8 people in a dwelling, use an additional questionnaire and continue the list of occupants.
Observations about the dwelling information and the List of Occupants: ________
Verify that all of the individuals in the List of Occupants have been enumerated and proceed to fill in the following boxes:
____ Males
____ Females
[There is one form for each household member. For convenience, we reproduce the form only once, indicating any differences between the form for the head of the household and that for the rest of the dwellers.]
Information for Person number [01 through 08]
Name(s) and Surname(s) ____
IV. General Characteristics; For all individuals
[Applies to questions 1 - 9]
1. What is the relationship with the head of the household?
[] 1 Head
[For the rest of the household members:]
[] 2 Spouse of the head
[] 3 Son/daughter
[] 4 Son-/daughter-in-law
[] 5 Grand- or great-grandchild
[] 6 Mother or father of the head
[] 7 Mother- or father-in-law of the head
[] 8 Other relative
[] 9 Non-relative
3. What is your age in complete years?
4. What is your current marital status?
[] 2 Separated from a marriage
[] 3 Separated from a consensual union
[] 4 Married
[] 5 Divorced
[] 6 Widowed
[] 7 Single
5. Is your mother alive?
[] 2 No
[] 3 Doesn't know
6. If the person is noted in questions 4 and 5 of the List of Occupants, ask:
What type of physical or mental impediment do you have?
[] 1 Blind
[] 2 Deaf
[] 3 Mental retardation
[] 4 Cerebral paralysis
[] 5 Permanent physical disability
[] 6 Other
[] 7 None
7. Which indigenous group do you belong to?
[] 2 GuaymĂ
[] 3 Teribe
[] 4 Bokota
[] 5 Emberá
[] 6 Waunana
[] 7 None
8. In what locality of this country were you born?
In a different locality: (specify) ____
District that locality belongs to: (specify) ____
[For any of the above,] Go to question 9.
_ _ _
In another country: (specify)____
[Go to question 8a]
8a. In what year did you arrive in Panama?
_ _ _
9. In what locality of this country do you live permanently?
In a different locality: (specify)____
District that locality belongs to: (specify) ____
_ _ _ _
[] 0001 In another country
V. Residence 5 years ago and educational characteristics
For individuals 5 years of age and older
[Questions 10 to 12a were asked of people 5 years and older.]
10. In what locality did you live in this country in May of 1985?
In a different locality: ____ (specify)
District that locality belongs to: ____ (specify)
_ _ _ _
In another country ____ (specify)
11. Do you currently attend school?
[] 2 No
12. What is the highest grade or school year you have completed?
[] 1 Primary
[] 2 Secondary
[] 3 University
[] 4 Post-graduate
[] 5 Vocational
If "no grade" or up to 3rd grade of primary is marked and over 10 years of age, ask:
12a. Are you able to read and write?
[] 1 Yes
[] 2 No
VI. Degree or diploma obtained and economic characteristics.
For individuals 10 years of age and older
[Questions 13 - 21 were asked of people 10 years and older.]
13. What diploma or degree do you possess?
____ _ _ _ _
[] 000 None
14. Principal activity of the individual:
No. If no, ask
No. If no, ask
[] 04 Looked for work before and waiting to hear
[] 05 Impossible to find work
[] 07 Student
[] 08 Retired or pensioner
[] 09 Rentier
[] 10 Other condition
[For responses 06 - 10], (go directly to question 21)
15. What occupation, position or job did you do last week or the last time you were employed?
(If the person has never had any job, write "never worked" and skip to question 21. If the person has more than one job, write the occupation that produces the highest income.)
_ _ _ _
16. Where do you work or where did you work the last time you had a job?
________
17. What is done at the business, establishment, company or institution where you work or worked?
_ _ _ _
18. Do you work or did you work the last time as a . . .
[] 2 Independent or own-account worker?
[] 3 Unpaid family worker?
[] 4 Owner?
[] 5 Member of a production cooperative or settlement (collective agricultural production or asentamientos)?
[For responses 2 - 5,] (go to to question 21)
19. For whom do you or did you work?
[] 2 Government?
[] 3 Cooperative?
[] 4 Family house?
[] 5 Canal Commission?
[] 6 United States Armed Forces?
20. Is or was your job temporary?
[] 2 Temporary
21. What was your income last month from:
b. Income from independent or own-account work? B/. _ _ _ _
c. Agricultural sales? B/. _ _ _ _
d. Retirement, pensions, scholarships, family assistance, rental and rents income, or subsidies? B/. _ _ _ _
e.Without income
VII. Fertility and Mortality Characteristics
For females 15 years of age and older.
[Questions 22 - 23 were asked of women aged 15 and older.]
22. How many sons and daughters born alive have you had?
[] 00 None (go on to the next respondent)
23. Of these, how may are alive?
[Questions 24-25 were asked of women aged 15-49 who have given birth to live children.]
24. Of your sons and daughters born alive, were any born during the period between May 14th 1989 and today?
[] 2 No (go on to the next respondent)