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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 ________