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State of Palestine
Palestinian Central Bureau of Statistics
Population, Housing and Establishment
Census 2017
Census Data are Confidential in Accordance with the General Statistics Law No. (4) for Year 2000
Household and Housing Conditions Questionnaire
Governorate ____
Locality name ____
Locality code _ _ _ _ _ _
Enumeration area number _ _ _
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Population, Housing and Establishment Census 2017
Part one: Housing and housing conditions
02. Building number in enumeration area _ _ _
[] 2. For habitation and work
[] 3. For work only
[] 4. Closed
[] 5. Vacant
[] 6. Deserted
[] 7. Under preparation
03. Housing unit number in the building _ _ _
[] 2. For habitation and work
[] 3. For occupied by students or workers who have families in Palestine
[] 4. For work only
[] 5. Closed / vacant / deserted
[] 6. Under preparation
03b. Household number in the building _ _ _
04. Household number in enumeration area _ _ _
[] 2. Collective (institutional households)
[] 3. Hotel
[] 2. House
[] 3. Apartment
[] 4. Independent room
[] 5. Tent
[] 6. Marginal / caravan / barracks
[] 7. Other
07. Tenure of the housing unit
[] 2. Rented unfurnished
[] 3. Rented furnished
[] 4. Without payment
[] 5. For work
[] 6. Other
08. Housing unit area (meters squared) _ _ _
09. Number of housing unit rooms _ _
11. What is the main source of drinking water
[] 2. Protected well / protected spring
[] 3. Unprotected well / unprotected spring
[] 4. Rainwater
[] 5. Tanker- truck / cart
[] 6. Bottled water
[] 7. A public tap
[] 8. Other, specify ____
12. Main source of electricity (most used)
[] 2. Private generator
[] 3. No electricity
13. What kind of toilet facility do members of your household usually use
[] 2. Flush to septic tank
[] 3. Flush to pit (latrine)
[] 4. Flush to open drain
[] 5. No facility / bush / field
[] 6. Other, specify ____
14. Methods of solid waste disposal
[] 2. Burned
[] 3. Throwing randomly
[] 4. Other
[] 2. Kerosene
[] 3. Electricity
[] 4. Wood
[] 5. Other
16. Heating
[] 1. Gas
[] 2. Kerosene
[] 3. Electricity
[] 4. Wood
[] 5. Coal
[] 6. Diesel
[] 7. Other
Number of facilities and durable goods
[Questions 17 to 40]
_ 36. Central air conditioning
Information technology for household (number)
[Question 41 to 49]
_ 41. Palestinian internet line
_ 43. Palestinian mobile phone line
_ 44. Israeli mobile phone line
_ 49. Number of household members using computer
Part two: Household members data
For all members of the household
[Questions 50 to 62 are asked of all persons]
____ Father
____ Grandfather
____ Family
52. 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 in law
[] 9. Other relatives
[] 10. Others
[] 2. Female
Month _ _
Year_ _ _ _
55. Age in complete years (for individuals less than a year put 00) _ _
____ Nationality
____ Code
57. Residency of mother at date of birth
____ Name
____ Code
58. Current place of usual residence
____ Name
____ Code
59. Duration of usual residence in complete years ____
60. Previous place of usual residence (if any)
____ Name
____ Code
61. Reasons for changing previous place of residency
[] 2. Study
[] 3. Marriage
[] 4. Accompany
[] 5. Deportation
[] 6. Return
[] 7. The Wall
[] 8. Maintain the Jerusalem identity card
[] 9. Israeli measurements
[] 10. Other
[] 2. Christian
[] 3. Other
For Palestinians only
[Question 63 to 67 are asked of only Palestinians]
[] 2. Non registered refugee
[] 3. Non refugee
64a. Visual difficulty: As a result of a health condition, does [the respondent] suffer a difficulty in ...
[] 1. Yes, some difficulty
[] 2. Yes, major difficulty
[] 3. Not at all
65a. Visual difficulty: Reason
[] 1. Congenital / genetic
[] 2. During pregnancy / delivery
[] 3. Illness
[] 4. Psychological / physical abuse
[] 5. Aging
[] 6. Work injury
[] 7. Traffic accident
[] 8. Other accident
[] 9. Israeli measurements
[] 10. War
[] 11. Stress
[] 12. Other
64b. Hearing difficulty: As a result of a health condition, does [the respondent] suffer a difficulty in ...
[] 1. Yes, some difficulty
[] 2. Yes, major difficulty
[] 3. Not at all
65b. Hearing difficulty: Reason
[] 1. Congenital / genetic
[] 2. During pregnancy / delivery
[] 3. Illness
[] 4. Psychological / physical abuse
[] 5. Aging
[] 6. Work injury
[] 7. Traffic accident
[] 8. Other accident
[] 9. Israeli measurements
[] 10. War
[] 11. Stress
[] 12. Other
64c. Moving and using hands difficulty: As a result of a health condition, does [the respondent] suffer a difficulty in ...
[] 1. Yes, some difficulty
[] 2. Yes, major difficulty
[] 3. Not at all
65c. Moving and using hands difficulty: Reason
[] 1. Congenital / genetic
[] 2. During pregnancy / delivery
[] 3. Illness
[] 4. Psychological / physical abuse
[] 5. Aging
[] 6. Work injury
[] 7. Traffic accident
[] 8. Other accident
[] 9. Israeli measurements
[] 10. War
[] 11. Stress
[] 12. Other
64d. Remembering or concentrating difficulty: As a result of a health condition, does [the respondent] suffer a difficulty in ...
[] 1. Yes, some difficulty
[] 2. Yes, major difficulty
[] 3. Not at all
65d. Remembering or concentrating difficulty: Reason
[] 1. Congenital / genetic
[] 2. During pregnancy / delivery
[] 3. Illness
[] 4. Psychological / physical abuse
[] 5. Aging
[] 6. Work injury
[] 7. Traffic accident
[] 8. Other accident
[] 9. Israeli measurements
[] 10. War
[] 11. Stress
[] 12. Other
64e. Communication difficulty: As a result of a health condition, does [the respondent] suffer a difficulty in ...
[] 1. Yes, some difficulty
[] 2. Yes, major difficulty
[] 3. Not at all
65e. Communication difficulty: Reason
[] 1. Congenital / genetic
[] 2. During pregnancy / delivery
[] 3. Illness
[] 4. Psychological / physical abuse
[] 5. Aging
[] 6. Work injury
[] 7. Traffic accident
[] 8. Other accident
[] 9. Israeli measurements
[] 10. War
[] 11. Stress
[] 12. Other
[] 1. Governmental only
[] 2. UNRWA [United Nations Relief and Works Agency for Palestine Refugees in the Near East] only
[] 3. Private only
[] 4. Governmental and UNRWA
[] 5. Governmental and private
[] 6. UNRWA and private
[] 7. Israeli
[] 8. Others
67. Does [the respondent] suffer from any chronic disease, according to a medical diagnosis, and receives treatment continuously?
[] 2. No
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Part two (cont.): Household members data
[] 0. Currently enrolled in kindergartens
[] 1. Currently enrolled
[] 2. Enrolled and left
[] 3. Enrolled and graduated
[] 4. Never enrolled
69. Number of schooling years successfully completed _ _
For persons (10 years and over)
[Question 70 to 73 are asked of persons who were older than 10 years old]
Educational attainment and specialization
[Question 70 to 71]
[] 2. Can read and write
[] 3. Elementary
[] 4. Preparatory
[] 5. Secondary
[] 6. Intermediate diploma
[] 7. Bachelor
[] 8. Higher diploma
[] 9. Master
[] 10. PhD
____ Specialization
____ Code
72. Place the highest degree obtained
[] 2. Jordan
[] 3. Egypt
[] 4. Other Arab countries
[] 5. Russia
[] 6. Other non-Arab Asian countries
[] 7. Non-Arab African countries
[] 8. Eastern Europe
[] 9. Western Europe
[] 10. North America
[] 11. South America
[] 12. Australia
[] 13. Other
73. Technical / professional qualification obtained
[] 1. Vocational training / short technical at place of work
[] 2. Vocational training less than 6 months
[] 3. Vocational training from 6 -- less than 12 months
[] 4. Vocational training 1--2 years (without experience)
[] 5. Joining a vocational / industrial school (without experience)
[] 6. Vocational training 1--2 years (with experience)
[] 7. Enrolling a vocational / industrial school (with experience)
Labor force status in the past week previous to the reference night (18--24/11/2017) (persons 7 years and over)
[Questions 74 to 82 asked to persons aged 7 years and older]
74. Type of labor force status
[] 2. Worker 15 -- 34 hour
[] 3. Worker 35 -- 45 hours
[] 4. Worker 46 hours and more
[] 5. Sought work during the last 4 weeks (doesn't work but want to work -- worked before)
[] 6. Sought work during the last 4 weeks (doesn't work but want to work -- not worked before or doesn't work and not want to work)
[] 7. Studying/training
[] 8. Housekeeping
[] 9. Disability/aging/illness
[] 10. Having another source of income
[] 11. Retirement
[] 12. Other
[If answered response 6 through 12, go to question 83.]
75. For persons answered question 74 answers (1--2)
Are the individual willing and ready to work overtime?
[] 2. No
For employed persons and unemployed ones who ever worked (who answers items (1--5) of question 74, and if the answers (6--12) go to question 83
[Questions 79 through 82 asked of persons aged 7 or older who were employed or unemployed as indicated in questions 74 responses 1 through 5.]
76. Main occupation current/previous (detailed type of employee work)
____ Code
77. Main economic activity current/previous (detailed employer type of work)
____ Code
[] 2. National private outside establishment
[] 3. Foreign private inside establishment
[] 4. Foreign private outside establishment
[] 5. National government
[] 6. Local authority
[] 7. Foreign government
[] 8. Non-profit organization
[] 9. Cooperative association
[] 10. UNRWA [United Nations Relief and Works Agency for Palestine Refugees in the Near East]
[] 11. International organization
[] 2. In the same locality
[] 3. In the same governorate
[] 4. In other governorate
[] 5. In Israel
[] 6. In settlement
[] 7. Abroad
[] 2. Self employed
[] 3. Regular wage employee
[] 4. Irregular wage employee
[] 5. Unpaid family member
Wage employee question 80 answers (3--4)
[Question 81 and 82 were asked to respondents who answered they were wage earning employees in question 80]
81. What is the nature of individual contract (current/previous job)
[] 2. Written contract for unlimited period
[] 3. Verbal agreement
[] 4. No
82. Does the employer contribute to
[] 2. No
[] 2. No
[] 2. No
[] 2. No
Marital status
[Question 83 and 84 are asked of persons who were over 14 years old]
[] 2. Legally engaged
[] 3. Married
[] 4. Divorced
[] 5. Widow
[] 6. Separated
84. Age at first marriage in completed years _ _
For married or ever married women
[Questions 85 through 93 asked of married or ever married women.]
85. Duration of marriage in completed years _ _
Births during marriage (for women 14 years and over)
[Question 86 through 89 asked of married or ever married women aged 14 years and older.]
____ 87. Females
____ 89. Females
Births during the last 12 months (for women 14--54 years)
[Questions 90 through 93 asked of married or ever married women aged 14 to 54 years.]
Number of alive birth
____ 91. Females
____ 93. Females
Part three: Summary of household members
_ _ 94. Total
_ _ 95. Number of males
_ _ 96. Number of females
97. Is any of household members engaged in any form of own-account agriculture production during the agriculture year 2016/2017?
[] 2. No
1. Does your household have cultivated land with protected temporary crops during agriculture year 2016/2017?
[] 2. 0.2 dunum small than 0.5 dunum
[] 3. 0.5 dunum and more
[] 4. Nil [None]
2.a. Does your household have cultivated land with open temporary crops during the agriculture year 2016/2017?
[] 2. 0.5 dunum small then 0.1 dunum
[] 3. 1.0 dunum and more
[] 4. Nil [None]
2.b. Does your household have permanent crops (horticulture trees) as on 01/12/2017?
[] 2. 0.5 dunum small then 0.1 dunum
[] 3. 1.0 dunum and more
[] 4. Nil [None]
3. Does your household have one cattle / camel as on 01/12/2017?
[] 2. No
4. Does your household have sheep and/or goats as on 01/12/2017?
[] 2. 5 heads and more
[] 3. Nil [None]
5. Does your household have poultry as on 01/12/2017?
[] 2. 50 and more
[] 3. Nil [None]
6. Does your household have one beehives as on 01/12/2017?
[] 2. 3 and more beehives
[] 3. Nil [None]
Part five: Death in household during the past 12 months
[Question 98 to 109]
98. God forbids ... did any death happened to one of the family members during the past 12 months (01/12/2016 -- 30/11/2017)
[] No
100. Full name of the deceased member
____ Father
____ Family
101. Relation to the head of household (see codes 2-10 of question 52) _ _
[] 2. Female
103. Age at the time of death_ _
104. A death certificate was obtained
[] 2. No
For women aged (14 -- 54) years at the time of death
[Questions 105 to 109 are asked of women age 14 to 54 who died]
105. Marital status
[] 2. Legally engaged
[] 3. Married
[] 4. Divorced
[] 5. Widowed
[] 6. Separated
For married or ever married women, at the time of death, was she:
[Questions 106 to 109 are asked of ever married women age 14 to 54 who died]
[] 2. No
[] 2. No
108. Within 42 days of the end of a pregnancy or childbirth?
[] 2. No
109. Because of accident (a traffic accident or a fall or fire etc ...)
[] 2. No