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Papua New Guinea
National Statistical Office
1990 National Population Census

Every person is bound by the Statistical Services Act 1980 to furnish this information which is treated confidential and will be used only for statistical purposes.
[The rural and urban census forms are identical questions 1-17. Questions 1-17 are provided here in detail under the rural census form, and omitted in the urban census form.]

Rural Census form

Province _ _
District _ _
Census Division _ _
Census Unit _ _ _
Household Number _ _ _
Enumerated _
Vacant house _ _
Total Persons _ _

1. Name____

Write the name of all persons who stayed here last night. Start with the household head with full name and others with given names only. If a child has not been named yet, enter as "baby".

2. Relationship to Head of Household

Circle one code only

[] 1 Head
[] 2 Wife/ Husband
[] 3 Own son/daughter
[] 4 Adopted son/daughter
[] 5 Other relative
[] 6 Non-relative

3. Sex

Circle one code only

[] 1 Male
[] 2 Female

4. Date of birth or age

If date of birth is unknown, write age in completed years. If a child is less than one (1) year, enter "00"

_ _ Day
_ _ Month
_ _ Year
_ _ Age in years

5. Marital Status

Circle one code only

[] 1 Never married
[] 2 Married
[] 3 Separated/ Divorced
[] 4 Widowed

6. Own mother still alive

Circle one code only

[] 1 Yes
[] 2 No

If code 1 is circles and mother is in this household, give her person number or enter "00" if not in this household.
Mother's person no. _ _

7. Citizenship

Circle one code only

[] 1 Papua New Guinea
[] 2 Not Papua New Guinea

If "Not Papua New Guinea", give name of country of citizenship
Citizenship _ _

8. Ever lived outside of this district

Circle one code only

[] 1 Yes
[] 2 No
If "No", go to question 12.

Only for persons answering "Yes" in question 8.

9. Duration of residence since last returned here

Give complete years, enter months is less than 1 year.

____ Months
____ Years

10. Place of usual residence at 1987 National Elections

If in Papua New Guinea, given province and district. E.g. ESP, Lumi; EHP, Lufa; NIP, Kavieng; etc. If outside Papua New Guinea, give name of country of residence, e.g. AUT, USA, NZ, FIJI, JAPAN etc.
____Province
____District
____Country

11. Place of birth

If born in Papua New Guinea, give the province and district of birth, e.g. EHP, Lufa, NIP, Kavieng, WSP, Lumi, etc. If born outside Papua New Guinea, give name of country of birth, e.g.: AUST, USA, NZ, FIJI, JAPAN, etc.

____Province
____District
____Country

For all persons

12. Full Time student

Circle one code only

[] 1 Yes
[] 2 No

13. Highest formal educational level completed

Enter the highest grade of educational level completed. Enter "00" for no education in the boxes

Education _ _

14. Physical infirmity

Circle one code only
If not disabled, circle code 1. If totally blind, mute, or disabled in some part of the body, circle appropriate code.

[] 1 Not disabled
[] 2 Blind
[] 3 Deaf/Mute
[] 4 Crippled
[] 5 Others

15. Belong to a church

Circle one code only

[] 1 Yes
[] 2 No

If "yes", give name of church (religion).
Religion _ _

For all persons 10 years of age and older (born before July, 1980)

16. Literacy

Circle 1- yes or 2 -no for each language. Indicate the language the person can read and write with understanding.
English
[] 1 Yes
[] 2 No
Pidgin
[] 1 Yes
[] 2 No
Motu
[] 1 Yes
[] 2 No
Other
[] 1 Yes
[] 2 No

17. Principle economic activity during the last 7 days

Circle one code only

[] 01 Worked at wage job (including on leave and temporarily absent)
[] 02 Business with paid help
[] 03 Self employed including unpaid help
[] 04 Farming/ fishing for food and money
[] 05 Farming/fishing subsistence only
[] 06 Student
[] 07 Housework
[] 08 Too old/young or handicapped/ sick
[] 09 Looking for work
[] 10 Available for work

Household agricultural activities during last 12 months
Ask head of household only

18. Has this household grown/raisedÂ…for money?

Circle one code only for each crop

1. Coffee
[] 1 Yes
[] 2 No

2. Tea
[] 1 Yes
[] 2 No

3. Cocoa
[] 1 Yes
[] 2 No

4. Rubber
[] 1 Yes
[] 2 No

5. Coconut
[] 1 Yes
[] 2 No

6. Oil Palm
[] 1 Yes
[] 2 No

7. Spices
[] 1 Yes
[] 2 No

8. Pigs
[] 1 Yes
[] 2 No

9. Cattle
[] 1 Yes
[] 2 No

10. Poultry
[] 1 Yes
[] 2 No

11. Fruits and Vegetables
[] 1 Yes
[] 2 No

12. Other ____

Urban Census form

[Questions 1-17 are omitted here on the urban census form as they are identical to the rural form, provided above.]

If code 01, 02, 03, or 04 is circled in Question 17, ask question 18 and 19. Otherwise, skip to question 20 for females only.

18. Kind of Work (Occupation)

Describe the principal activity - e.g. shop attendant, nurse, taxi driver, coffee crower, crocodile hunter, etc.

Occupation _ _

19. Kind of Industry

State clearly the kind of industry, nature of the business, or services carried out at the workplace, e.g. grocery shop, health department, transportation, etc.

Industry _ _

Ask for all females 15 years of age and older (born before July, 1975)

20 (a). How many of her children ever born are living in this household?

____Males
____Females

20(b). How many of her children ever born are now living elsewhere?

____Males
____Females

20 (c). How many of her children ever born are now dead?

____Males
____Females

20 (d). Total number of children ever born

____Males
____Females

21 (a). Date of birth of her last live born child?

____Day
____Month
____Year

21 (b). Sex of the child

Circle one code only

[] 1 Male
[] 2 Female

21(c). Is this child still alive now?

Circle one code only

[] 1 Alive
[] 2 Dead

Household agricultural activity during last 12 month

22. Has this household grown/raisedÂ…for money?

Circle one code only for each crop

1. Coffee
[] 1 Yes
[] 2 No

2. Tea
[] 1 Yes
[] 2 No

3. Cocoa
[] 1 Yes
[] 2 No

4. Rubber
[] 1 Yes
[] 2 No

5. Coconut
[] 1 Yes
[] 2 No

6. Oil Palm
[] 1 Yes
[] 2 No

7. Spices
[] 1 Yes
[] 2 No

8. Pigs
[] 1 Yes
[] 2 No

9. Cattle
[] 1 Yes
[] 2 No

10. Poultry
[] 1 Yes
[] 2 No

11. Other____

Household Facilities

23. House ownership

Circle one code only

Rent or own this house
[] 1 Rented
[] 2 Owned

If rented, rented from:
Circle one code only
[] 1 Housing commission
[] 2 Semi- government (E.G. PNGBC)
[] 3 Other government (Province or local)
[] 4 Others (Private, e.g. BP's)

24. Number of rooms in this house

Exclude kitchens, bathrooms, storerooms

Rooms _ _

25. Source of drinking water

Circle one code only

[] 1 Piped to household
[] 2 Piped to CU
[] 3 Piped to another CU
[] 4 Rainwater tank
[] 5 Stream/Creek
[] 6 Well
[] 7 Other, describe ____

26. Kind of fuel used for cooking

Circle one code only

[] 1 Electricity
[] 2 Gas
[] 3 Kerosene
[] 4 Charcoal
[] 5 Firewood
[] 6 Other, describe ____

27. Source of lighting

Circle one code only

[] 1 Electricity
[] 2 Kerosene and spirit light
[] 3 Improvised lamp
[] 4 Candles
[] 5 Other, describe ____