Government of Pakistan
Population Census Organization
Housing and Population Census 1998
Household serial number ________
Census districts _ _ _
Charge _ _
Circle _ _
Block _ _
________
2. Relationship with the head of household
[] 2 Spouse
[] 3 Son/daughter
[] 4 Other relative
[] 5 Non-relative
3. Residential status
[] 2 Temporarily absent
[] 3 Guest/visitor
5. Age
(Enter "00" for age less than one year)
_ _
6. Marital status
[] 1 Never married
[] 2 Married
[] 3 Widowed
[] 4 Divorced
7. Nationality
[] 2 Other
8. Religion
[] 2 Christian
[] 3 Hindu
[] 4 Qadiani (Ahmadi)
[] 5 Scheduled caste
[] 6 Others
9. Mother tongue
[] 2 Punjabi
[] 3 Sindhi
[] 4 Pushto
[] 5 Balochi
[] 6 Others
For five years and above
[Questions 10-11.]
11. Level of education completed/passed
[] 1 Under primary
[] 2 Primary
[] 3 Middle
[] 4 Matric
[] 5 Intermediate
[] 6 B.A./B.Sc. or equal
[] 7 M.A./M.Sc. equal or above
[] 8 Diploma/certificate
[] 9 Others
For persons 18 years and above
12. N.I.C. [National Identity Card]
[] 2 No
Number of rooms
[] 2 Two
[] 3 Three
[] 4 Four
[] 5 Five
[] 6 Six and above
Tenure
[] 2 Rent free
[] 3 Owned
Period of construction
[] 2 Less than five years
[] 3 5-10 years
[] 4 Above 10 years
[] 2 Unbaked brick/mud
[] 3 Wood/bamboo
[] 4 Others
[] 2 Cement/iron sheet
[] 3 Wood/bamboo
[] 4 Others
Source of drinking water
[] 2 Hand pump
[] 3 Well
[] 2 Hand pump
[] 3 Well
[] 4 Pond
[] 5 Others
Source of light
[] 2 Kerosene
[] 3 Others
[Cooking] Fuel
[] 2 Kerosene oil
[] 3 Gas
[] 4 Others
Kitchen
[] 2 Shared
[] 3 None
Bathroom
[] 2 Shared
[] 3 None
Latrine
[] 2 Shared
[] 3 None
Does any member of this household
Household serial number ________
Block code _ _
Present address of head of household ________
Enter age under name.
________
2. Relationship to head of household
[] 2 Spouse
[] 3 Son/daughter
[] 4 Daughter-in-law
[] 5 Grandson/granddaughter
[] 6 Father/mother
[] 7 Brother/sister
[] 8 Brother's wife
[] 9 Other relatives
[] 0 Non-relatives
[] 2 Household member temporarily absent
[] 3 Guest/visitor living with household
[] 2 Female
[] 1 Never married
[] 2 Married
[] 3 Widow
[] 4 Divorced
[] 2 Other
[] 2 Christian
[] 3 Hindu
[] 4 Qadiani (Ahmadi)
[] 5 Scheduled castes
[] 6 Others
[] 2 Punjabi
[] 3 Sindhi
[] 4 Pushto
[] 5 Balochi
[] 6 Saraiki
[] 7 Darri
[] 8 Gujrati
[] 9 Others
[This form has been used for 8% population]
9. Write name of relevant district in case of birth in Pakistan. If born outside Pakistan, name the country.
10. Period of continuous residence here:
[] 2 1 year to less than 5
[] 3 5 years to less than 10
[] 4 10 years and above
[] 5 Since birth (skip to col. 17)
11. District of last residence
Write name of district of last residence in Pakistan, if last residence outside Pakistan, name the country.
____
12. Reason for migration from last place of residence recorded in column 13.
[] 1 Study
[] 2 Marriage
[] 3 Moved with head of household
[] 4 Job/business
[] 5 Transfer
[] 6 Return home
[] 7 Health
[] 8 Others
[] 1 Yes
[] 2 No
Literacy
14. Can ____ read a newspaper and write a simple letter in any language
[] 2 No
For persons 5 years and above
[Questions 15-17.]
15. School/college/university attendance
[] 2 Attended earlier
[] 3 Never attended
[] 2 Primary (Skip to column 20)
[] 3 Middle (Skip to column 20)
[] 4 Matric
[] 5 Intermediate
[] 6 B.A./B.Sc.
[] 7 M.A./M.Sc. and equivalent
[] 8 Professional/certificates
[] 9 Diploma/certificate
[] 0 Others
[] 1 General education
[] 2 Engineering
[] 3 Medicine/health
[] 4 Law
[] 5 Agriculture/forestry
[] 6 Business/commerce
[] 7 Teaching/education
[] 8 Religious
[] 9 Others
For persons 5 years and above
[Questions 18-22.]
18. Did he/she do any work other than household work in the last year?
[] 2 Never worked but looking for work (skip to column 24)
[] 3 Had a job but looking for work (skip to column 24)
[] 4 Unpaid family helper
[] 5 Student
[] 6 Engaged in household activities only
[] 7 Landlord/property owner (non actually worked/supervised)
[] 8 Retired
[] 9 Disabled (not economically active)
[] 10 Others
19. Kind of work did (he/she) usually do during the last one year: ________
20. Nature of activity of organization/establishment/business in which (he/she) worked: ________
[] 1 Self-employed
[] 2 Government employee
[] 3 Autonomous bodies employee
[] 4 Employee (private)
[] 5 Employer
[] 6 Unpaid family helper (skip to col. 25 for women and 33 for men
[] 2 Just completed education
[] 3 Laid off by the employer
[] 4 Going to run own business
[] 5 Others
For ever married women (15 to 50 years)
[Questions 23-30.]
24. Female _ _
26. Female _ _
Number of children born since 1st March, 1990.
Born alive
28. Female _ _
30. Female _ _
Disability
31. God forbid, is there any disabled person in the household, if so, state the nature of disability.
[] 2 Deaf/dumb
[] 3 Physical handicapped
[] 4 Mentally retarded
[] 5 Multiple disabled
[] 6 Insane
[] 7 Others
32. Did this boy/girl immunize?
[] 1 Yes
[] 2 No
[] 3 Don't know
[] 1 Yes
[] 2 No
[] 2 Two
[] 3 Three
[] 4 Four
[] 5 Five
[] 6 Six or more
[] 2 Hired
[] 3 Not hired
[] 2 Less than five years
[] 3 Five to ten years
[] 4 More than ten years
[] 2 Unbaked brick/mud
[] 3 Wood/bamboo
[] 4 Others
[] 2 Cement/iron sheet
[] 3 Wood/bamboo
[] 4 Others
[] 2 Hand pump
[] 3 Well
[] 2 Hand pump
[] 3 Well
[] 4 Pond
[] 5 Others
[] 2 Kerosene
[] 3 Others
[] 2 Kerosene oil
[] 3 Gas
[] 4 Others
[] 2 Combined
[] 3 No
[] 2 Combined
[] 3 No
[] 2 Combined
[] 3 No
Does any member of this household
[] 2 No
[] 2 No
[] 2 No
Total number of persons in this household
Male _ _