Papua New Guinea
2000 National Census
2000 Census Form

Household indicative information

Province _ _
District _ _
Local level government _ _
Urban area/rural ward _ _
Census unit _ _ _ _
Household No. _ _ _
House type _ _
Response code _

[Collection Authority and Privacy notices in the original document are not presented here]

Coverage
All persons present on the census night must be counted whether they are family members or not. Check whether persons who spend census night in the household but have since gone away are included.

For all persons
[Questions 1-10 were asked of all persons.]

Person number____ (list 1- 7)

1. What is the name of each person including visitors who slept here on the night of Sunday 9th July?

Start with the head of household.

____

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

[] 1 Head of household
[] 2 Husband/wife
[] 3 Own son/daughter
[] 4 Step/adopted child
[] 5 Other relative
[] 6 Non-relative

3. Is the person male or female?

[] 1 Male
[] 2 Female

4. What is the person's date of birth or age in years?

Write date of birth in the six boxes provided. If not known, write age in completed years.

_ _ Day
_ _ Month
_ _Year
_ _Age in years

5. What is the person's present marital status?

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

6. What church/religion does the person belong to?

____ _ _

7. Is the person's own mother still alive?

If "Yes" and mother is in this house, enter mother's person number in the boxes. Enter "00" if mother is not in this house.

[] 1 Yes
[] 2 No
Mother's person number _ _

8. Where was the person born?

If not Papua New Guinea, write country name.

_ _Province/country
_ _District

9. How long has the person lived in this district/town?

If "other" give number of years lived here. If less than one year enter "00" in the boxes.

[] 1 Continuously since birth
[] 2 Other
Number of years lived here _ _

10. What is the person's citizenship?

_ _

Continue only for persons aged 5 years or more
[Questions 11-12 were asked of persons age 5+.]

11. Is the person attending any formal schooling now?

[] 1 Yes
[] 2 No- attended in the past
[] 3 No- never attended

12. What is the highest formal education grade [the respondent] completed?

_ _

Continue only for persons aged 10 years or more
[Questions 13-19 were asked of persons age 10+.]

13. Has the person completed a certificate, diploma or a university degree, or any other educational qualification since leaving school?

If yes specify level and subject of qualification in the space provided.

[] 1 Yes
[] 2 No
Subject and level _ _

14. Which languages can the person read and write with understanding?

English

[] 1 Yes
[] 2 No

Pidgin

[] 1 Yes
[] 2 No

Motu

[] 1 Yes
[] 2 No

Tokples

[] 1 Yes
[] 2 No

15. In the last seven days, has the person done any of the following?

If more than one answer is given record main activity.

[] 1 Gardening/fishing for money
[] 2 Gardening/fishing for own use only
[] 3 Business (any type) with paid help
[] 4 Business (any type) without paid help
[] 5 Helping in family business without pay
[] 6 Wage job (including temporary absence)
[] 7 None [continue to Question 18.]

16(a). What kind of work did the respondent do in the last seven days?

Describe kind of work or occupation, e.g. plumber, street seller, farmer, car mechanic.

Work ____

16(b). What are the main tasks/duties done in that work?

Describe kind of tasks or duties done in the work stated in Q.16 (a). e.g. mending tap, selling bettlenut, weeding garden, fixing engine.

_ _ _ _

17. What kind of business is done at the place where the person works?

Describe business by activity, e.g. house building, air transport, selling bettlenut.

_ _ _ _ [Continue to Question 20.]

18. Has the person actively sought any kind of work in the last four weeks?

[Asked of persons not active in any work in the last seven days in Question 15]

[] 1 Yes
[] 2 No

19. What was the person doing mostly in the last seven days?

[Asked of persons not active in any work in the last seven days in Question 15]

If other describe in the space provided.

[] 1 Housework
[] 2 Studying
[] 3 Waiting to start a new job
[] 4 looking for work

Not working because:

[] 5 Too young
[] 6 Too old/retired
[] 7 Sick
[] 8 Permanently disabled
[] 9 Other, describe ____

Continue only for all citizen women aged 15 years or more
[Questions 20-23 were asked of females age 15+.]

20. How many children has [the respondent] given birth to?

____Boys
____Girls

21. How many of [the respondent's] own children are living in this house?

____Boys
____Girls

22. How many of [the respondent's] own children are living elsewhere?

____Boys
____Girls

23. How many of [the respondent's] own children are dead?

____Boys
____Girls

For the household ask the following questions
[Questions 24-28 were asked of all households.]

24. Does this household grow/raise any of the following for cash, own use, or none?

1. Cocoa