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Population, Housing and Establishment Census 2007

Part One: Housing and housing conditions

Identification data

1. Booklet number in enumeration area _
2. Building number in enumeration area _ _ _
3. Housing unit number in the building _ _ _
4. Household number in housing unit _ _ _

5. Occupancy type

[] 1 Family (private)
[] 2 Hostel

6. Number of nuclear household in the housing unit _

7. Type of housing unit

[] 1 Villa
[] 2 House
[] 3 Apartment
[] 4 Independent room
[] 5 Tent
[] 6 Marginal
[] 7 Other

8. Tenure of the housing unit

[] 1 Owned
[] 2 Rented unfurnished
[] 3 Rented furnished
[] 4 Without payment
[] 5 For work
[] 6 Other

9. Number of rooms in the housing unit _ _

10. Number of rooms for sleeping _ _

11. Main source of water supply

[] 1 Public local network
[] 2 Israeli network (Mekorot)
[] 3 Wells (to gather rain water)
[] 4 Springs
[] 5 Water tanks
[] 6 Other

Connection to public network

12. Electricity
[] 1 Public network
[] 2 Private generator
[] 3 No electricity

13. Sewage system
[] 1 Public sewage system
[] 2 Porous cesspit
[] 3 Tight cesspit
[] 4 No sewage system

14. Kitchen availability

[] 1 Connected to water
[] 2 Not connected to water
[] 3 No kitchen

15. Bathroom availability

[] 1 Connected to water
[] 2 Not connected to water
[] 3 No bathroom

16. Toilet availability

[] 1 Connected to water
[] 2 Not connected to water
[] 3 No toilet

17. Methods of solid waste disposal

[] 1 Throwing it in the nearest container
[] 2 Burning
[] 3 Throwing into a dumping site
[] 4 Thrown randomly
[] 5 Other

Main source of energy used in

18. Cooking
[] 1 Gas
[] 2 Kerosene
[] 3 Electricity
[] 4 Wood
[] 5 Other

19. Heating
[] 0 No heating
[] 1 Gas
[] 2 Kerosene
[] 3 Electricity
[] 4 Wood
[] 5 Coal
[] 6 Diesel
[] 7 Other

Availability of durable household items

20. Private car
[] 1 Yes
[] 2 No

21. Refrigerator
[] 1 Yes
[] 2 No

22. Solar boiler
[] 1 Yes
[] 2 No

23. Central heating
[] 1 Yes
[] 2 No

24. Vacuum cleaner
[] 1 Yes
[] 2 No

25. Gas cooker/electricity
[] 1 Yes
[] 2 No

26. Microwave
[] 1 Yes
[] 2 No

27. Washing machine
[] 1 Yes
[] 2 No

28. Home library
[] 1 Yes
[] 2 No

29. Radio/recorder
[] 1 Yes
[] 2 No

30. T.V.
[] 1 Yes
[] 2 No

31. Video/DVD
[] 1 Yes
[] 2 No

32. Satellite/dish
[] 1 Yes
[] 2 No

33. Phone line
[] 1 Yes
[] 2 No

Information technology for household

34. Palestinian internet line
Number _

35. Israeli internet line
Number _

36. Palestinian mobile phone line
Number _

37. Israeli mobile phone line
Number _

38. Computers
Number _

39. Number of household numbers using internet
Number _

Part Two: Household individuals data

For all individuals of the household
[Questions 40-53]

40. Individual number: _ _

41. Full name

First ____
Father ____
Grandfather ____
Family ____

42. Relation to the head of household

[] 1 Head of household
[] 2 Spouse
[] 3 Son / daughter
[] 4 Father / mother
[] 5 Brother / sister
[] 6 Grandfather / mother
[] 7 Grandson / daughter
[] 8 Son / daughter-in-law
[] 9 Other relations
[] 10 Other

43. Sex

[] 1 Male
[] 2 Female

44 Date of birth

Day _ _
Month _ _
Year _ _ _ _

45. Age in years (for individuals less than a year, please put "0") _ _

46. Nationality (Palestinian who has another nationality, write Palestinian)

Nationality ____
Code _ _ _

47. Number of identity card (for Palestinian only) _ _ _ _ _ _ _ _ _

48. Residency of mother at date of birth

Locality name / governorate or country
Name ____
Code _ _ _

49. Current place of usual residence

Locality name / governorate or country
Name ____
Code _ _ _

50. Duration of residence in complete years _ _

51. Previous usual place of residence (if any)

Locality name / governorate or country
Name ____
Code _ _ _

52. Reasons for changing previous place of residency

[] 1 Job / work
[] 2 Study
[] 3 Marriage
[] 4 Accompany
[] 5 Deportation
[] 6 Return
[] 7 The Wall
[] 8 Maintain the Jerusalem Identity Card
[] 9 Israeli measurements
[] 10 Other

53. Religion

[] 1 Muslim
[] 2 Christian
[] 3 Other

[Questions 54-65: For Palestinians only]

54. Refugee status

[] 1 Registered refugee
[] 2 Non registered refugee
[] 3 Non refugee

Does the individual suffer difficulty in

Visual
55. Difficulty
[] 0 No difficulty
[] 1 Some difficulty
[] 2 Major difficulty
[] 3 Completely unable
56. Reason
[] 1 Congenital
[] 2 During delivery
[] 3 Illness
[] 4 Psychological / physical abuse
[] 5 Aging
[] 6 Work injury
[] 7 Traffic accident
[] 8 Other accident
[] 9 Israeli measurements
[] 10 War
[] 11 Other
Hearing
57. Difficulty
[] 0 No difficulty
[] 1 Some difficulty
[] 2 Major difficulty
[] 3 Completely unable
58. Reason
[] 1 Congenital
[] 2 During delivery
[] 3 Illness
[] 4 Psychological / physical abuse
[] 5 Aging
[] 6 Work injury
[] 7 Traffic accident
[] 8 Other accident
[] 9 Israeli measurements
[] 10 War
[] 11 Other
Moving
59. Difficulty
[] 0 No difficulty
[] 1 Some difficulty
[] 2 Major difficulty
[] 3 Completely unable
60. Reason
[] 1 Congenital
[] 2 During delivery
[] 3 Illness
[] 4 Psychological / physical abuse
[] 5 Aging
[] 6 Work injury
[] 7 Traffic accident
[] 8 Other accident
[] 9 Israeli measurements
[] 10 War
[] 11 Other
Comprehension
61. Difficulty
[] 0 No difficulty
[] 1 Some difficulty
[] 2 Major difficulty
[] 3 Completely unable
62. Reason
[] 1 Congenital
[] 2 During delivery
[] 3 Illness
[] 4 Psychological / physical abuse
[] 5 Aging
[] 6 Work injury
[] 7 Traffic accident
[] 8 Other accident
[] 9 Israeli measurements
[] 10 War
[] 11 Other
Communication
63. Difficulty
[] 0 No difficulty
[] 1 Some difficulty
[] 2 Major difficulty
[] 3 Completely unable
64. Reason
[] 1 Congenital
[] 2 During delivery
[] 3 Illness
[] 4 Psychological / physical abuse
[] 5 Aging
[] 6 Work injury
[] 7 Traffic accident
[] 8 Other accident
[] 9 Israeli measurements
[] 10 War
[] 11 Other

65. Health insurance availability

[] 0 No
[] 1 Governmental only
[] 2 UNRWA only
[] 3 Private only
[] 4 Governmental and UNRWA
[] 5 Governmental and private
[] 6 UNRWA and private
[] 7 Israeli
[] 8 Others

[Questions 66-68: Persons age 5 or older]

66. Use of computer

[] 1 Yes inside the house
[] 2 Yes, outside the house
[] 3 Yes, both
[] 4 None

67. Enrollment in education

[] 1 Currently enrolled
[] 2 Enrolled and left
[] 3 Enrolled and graduated
[] 4 Never enrolled

68. Number of years of schooling successfully completed _ _

[Questions 69-72: Persons age 10 or older]

Educational level and specialization

69. Education level
[] 1 Illiterate
[] 2 Can read and write
[] 3 Elementary
[] 4 Preparatory
[] 5 Secondary
[] 6 Intermediate diploma
[] 7 Bachelor
[] 8 Higher diploma
[] 9 Master
[] 10 Ph.D.

70. For those who obtained secondary or above (codes 5-10 in question 69)
Specialization: ____
Code: ____

71. Place the highest degree obtained

[] 1 Palestine
[] 2 Jordan
[] 3 Egypt
[] 4 Other Arab countries
[] 5 Former Soviet Union
[] 6 Other Asian countries
[] 7 Africa, non-Arab countries
[] 8 Eastern Europe
[] 9 Western Europe
[] 10 Western Europe
[] 11 South America
[] 12 Australia
[] 13 Other

72. Technical/professional qualification obtained

[] 1 None
[] 2 Short technical / professional training at place of work
[] 2 Less than 6 months training
[] 3 From 6 to less than 12 months training
[] 4 1-2 professional training (without experience)
[] 5 Joining a professional industrial school (without experience)
[] 6 1-2 professional training (with experience)
[] 7 Enrolling a professional industrial school (with experience)

Relation to labor force last week
[Questions 73-78: Persons age 7 or older]

73. Relation to labor force

[] 1 Worked 1-14 hours
[] 2 Worked 15-34 hours
[] 3 Worked 35 years or more
(Doesn't work but wants to work/worked before)
[] 4 Sought work last week
[] 5 Did not seek work because of desperation
(Does not work but wants to work/never worked before)
[] 6 Sought work last week
[] 7 Did not seek work because of desperation
(Does not work and does not want to work because)
[] 8 Studying / training
[] 9 Housekeeping
[] 10 Disability / aging / illness
[] 11 Having another source of income/retire
[] 12 Other

For employed individuals and unemployed ones where were employed in the past week (who answered 1 to 5 in question 73; put (-) for those who answered 6-12
[Questions 74-78 were asked of persons age 7 or older who have ever worked, as per question 73]

74. Main occupation (detailed type of employee work)

Profession ________
Code _ _ _

75. Main economic activity (detailed employer type of work)

Activity ________
Code _ _ _

76. Sector

[] 1 National private (indoor)
[] 2 National private (outdoor)
[] 3 Foreign private (indoor)
[] 4 Foreign private (outdoor)
[] 5 National government
[] 6 Foreign government
[] 7 Non-profit organization
[] 8 UNRWA
[] 9 International organization

77. Main employment status

[] 1 Employer
[] 2 Self employed
[] 3 Regular wage
[] 4 Irregular wage
[] 5 Unpaid family work

78. Place of work

[] 1 Home
[] 2 In the same locality
[] 3 In the same governorate
[] 4 In other governorate
[] 5 In Israel
[] 6 In settlement
[] 7 Abroad

Marital status
[Questions 79-80: Persons age 12 or older]

79. Marital status

[] 1 Never married
[] 2 Legally engaged
[] 3 Married
[] 4 Divorced
[] 5 Widow
[] 6 Separated

80. Age at first marriage in full years _ _

[Questions 81-89: Married or ever married women]

81. Duration of marriage in years _ _

Births during marriage

Number of live births
For women 12 years and over

82. Male _ _
83. Female _ _

Number of still alive
For women 12 years and over

84. Male _ _
85. Female _ _

Births during the last 12 months

Number of live births
For women 12-59 years

86. Male _ _
87. Female _ _

Number of still alive
For women 12-59 years

88. Male _ _
89. Female _ _

Part three: Summary of household members

90. Number of males _ _
91. Number of females _ _
92. Total _ _

Part Four: Overseas tourism and kindergartens

Overseas tourism
Did the family or one of its members travel in/outside the country for recreation even once during the year 2007?

93. Domestic tourism
Number of male members _ _
Number of female members _ _
94. Outbound tourism
Number of male members _ _
Number of female members _ _

Kindergartens
Number of children in the family ages 3-5 currently enrolled in kindergarten

Number of children
95. Male _ _
96. Female _ _

Part Five: Agriculture holding

97. Does the family or one of its members own any agricultural holding?

[] 1 Yes
[] 2 No

98. Number of individuals in the household questionnaire _ _

For families who own agriculture holding

Number of agricultural holding
99. Plant only _ _
100. Animal only _ _
101. Both holding _ _

Part Six: Death in household during the past 12 months

102. God forbid, did any death happened to any one of the family members during the past 12 months (1 Dec., 2006 - 30 Nov., 2007)

[] No

103. The number of the deceased member _

104. Full name of the deceased member

First ____
Father ____
Family ____

105. Relation to the head of household

[] 2 Spouse
[] 3 Son / daughter
[] 4 Father / mother
[] 5 Brother / sister
[] 6 Grandfather / mother
[] 7 Grandson / daughter
[] 8 Son / daughter
[] 9 Other relations
[] 10 Other

106. Sex

[] 1 Male
[] 2 Female

107. Age at the time of death (individuals less than a year please put 00) _ _

108. If the deceased was a female at age of pregnancy, was the death during the pregnancy, during delivery, or during 6 months after delivery?

[] 1 Yes
[] 2 No

General notes ________