[Individual questionnaire is not contained in the original language form]
Individual questionnaire -- 1991
[Question 1-28]
Question number and Code
_ _ _ Section _ _ subsection
_ _ _ Building number
_ _ Dwelling number
_ _ Family number
_ _ Individual number
1.
____ Parish
____ Name
3. Where is your usual residence?
[] 1 Resident in the housing unit: present at this living quarter
[] 3 Resident in the housing unit: absent
[] 5 Is not a resident in the housing unit but is present here
[Questions 4-28 were asked only of residents present at the time of the census.]
4. Date of birth
5. Marital status
[] 2 Married: with register
[] 3 Married: without register
[] 4 Widowed
[] 5 Separated
[] 6 Divorced
6. Place of birth
[] 11 In the municipality where you live
[] 22 In other municipality, please write in: ____
[] 33 Macau
[] 35 Timor
[] 40 Angola
[] 42 Mozambique
[] 44 Cape Verde
[] 55 Brazil
[] 63 Spain
[] 66 France
[] 69 Germany
[] 77 Any other country, please write in: ____
7. What is your citizenship?
[] 3 Stateless
More than one citizenship
[] 7 Other cases
[] 9 Foreign, from another country, please write in ____
8. Literacy
[] 3 Unable to read and write
9. School attendance
[] 4 Attending
[] 6 Attended, but no more
10. Level of education
[] 2 Basic -- 1st degree
[] 3 Basic -- 2nd degree
[] 4 Secondary -- 1st degree
[] 5 Secondary -- 2nd degree
[] 7 Post-secondary
[] 8 Tertiary -- 1st and 2nd degree
[] 9 Tertiary -- 3rd and 4th degree
11. Did you complete the education level indicated in the previous question?
[] 3 No
12. If you are a tertiary level graduate, please write in the name of your field of education: ____
[Question 12 was asked of individuals who completed higher -- tertiary -- education]
13. Where was your place of usual residence on December 31, 1985?
[] 11 In the municipality where you live
[] 22 In other municipality, please write in: ____
[] 33 Macau
[] 35 Timor
[] 40 Angola
[] 42 Mozambique
[] 44 Cape Verde
[] 55 Brazil
[] 63 Spain
[] 66 France
[] 69 Germany
[] 77 Any other country, please write in: ____
14. Where was your place of usual residence on December 31, 1989?
[] 11 In the municipality where you live
[] 22 In other municipality, please write in: ____
[] 33 Macau
[] 35 Timor
[] 40 Angola
[] 42 Mozambique
[] 44 Cape Verde
[] 55 Brazil
[] 63 Spain
[] 66 France
[] 69 Germany
[] 77 Any other country, please write in: ____
[Questions 15-17 were asked of individuals who study or have job]
15. Place of work or study
[] 4 In other parish of the municipality where you live
[] 6 In other municipality, please write in: ____
[] 8 In Spain
16. How long does it take you on average to travel to your place of work or study?
[] 3 15 minutes or less
[] 5 16 -- 30 minutes
[] 7 31 -- 60 minutes
[] 9 More than 1 hour
17. Main mode of transport
[] 1 None, walk
[] 2 Bus, light train or underground
[] 3 Train
[] 4 Company or School collective transport
Car or van:
[] 5 as driver
[] 6 as passenger
[] 7 Motorcycle or bicycle
[] 8 Other
[Questions 18-28 were asked of individuals of age 12+]
18. Source of livelihood:
Temporary benefits:
[] 3 Sickness, accident, etc.
[] 4 Others
[] 6 Social support
[] 7 Household support
[] 8 Property or entrepreneurial income
[] 9 Other cases
19. Condition regarding work in the week of 7-13 of April 1991
[] 2 You were temporarily absent from the work place
[] 3 Unemployed
[] 4 Permanently unable to work
[] 5 Retired
[] 6 Student
[] 7 Homemaker
[] 8 Other reason
[Questions 20.1 and 20.2 were asked of persons who were not working at the time of the census]
[] 3 No
[] 1 In the last 30 days, or are you enrolled in a job centre
[] 3 More than 1 month and until 4 months
[] 5 More than 4 months and until 7 months
[] 7 7 or more months
[] 8 Yes, but did not seek job
[] 9 Did not want you work
[Questions 21-24 were asked of individuals who currently have a job (answers 1 and 2 in question 19) and to those not having a job at the moment, but express the desire to work (answers 1 to 8 from question 20.2)]
21. What is your main occupation? ____
22.1. Indicate the usual number of hours you work each week in the occupation you stated in question 21:
[] 2 5-14
[] 3 15-29
[] 4 30-34
[] 6 35-39
[] 7 40-44
[] 9 45 or more
22.2. Indicate the status in employment regarding the occupation you stated in question 21.
[] 2 Own-account worker
[] 3 Employee
[] 4 Contributing family worker
[] 6 Compulsory military service
[] 7 Member of a producer's co-operative
[] 9 Other situation
23. What is the main activity of the company or entity where you practice the occupation you stated in question 21? ____
24. Number of workers
[] 1 1
[] 3 2-9
[] 5 10-99
[] 7 100-499
[] 9 500 or more
25. Religion
(Answering this question implies data processing authorization)
[] 1 Catholic
[] 2 Orthodox
[] 3 Protestant
[] 4 Other Christian
[] 5 Jewish
[] 6 Muslim
[] 7 Other non Christian
[] 8 Without religion
If you are of male gender the questionnaire is over.
[Applies to questions 26-28]
26. Date of first or unique wedding (with or without register)
27. Date of last wedding (with or without registry)
_ _ Month ____ Year
28. Children: number of live born children you had ____
Private household (family) -- 1991
[Questions 1-5]
To be completed by the enumerator
1.
____ Parish
____ Place
2. Subsection number _ _ _ - _ _
3. Building number _ _ _
4. Dwelling number _ _
5. Family number _ _
Very important
In the questions in which the answers are words or numbers, use the following writing:
[numbers and letters shown, on character per space provided]
Complete with capital letters, without prefixes, writing one letter in each space, leaving a blank one between each word.
Example: M A R I A _ S I L V A _ M A T A _
In column 3, use the following codes:
[] 02 Spouse
[] 03 Son/daughter single
[] 04 Son/daughter not single
[] 05 Stepson/stepdaughter single
[] 06 Stepson/stepdaughter not single
[] 07 Daughter-in-law or son-in-law
[] 08 Father or mother
[] 09 Father-in-law or mother-in-law
[] 10 Brother or sister
[] 11 Grandfather or grandmother / Great-grandfather or great-grandmother
[] 12 Grandson or granddaughter/great-grandson or great-granddaughter
[] 13 Other relative (cousin, uncle, etc.)
[] 14 Domestic servant (sleeping in the dwelling)
[] 15 Other
[Table with 6 columns (questions) and 40 rows to fill the following information]
1. Order number _ _ [numbered from 01 to 12]
2. Person's complete name ____ [row 01 devoted to head of the household]
3. Relationship to household's reference person [head of the household] _ _
4. For married people: spouse/partner's order number _ _
For single persons:
[Applies to questions 5 and 6]
Living quarter (dwelling) questionnaire 1991
[Census presentation was not translated]
To be completed by the enumerator during the distribution of the questionnaires
1.
____ Parish
____ Place
____ Street name
____ Door number
2. Subsection number _ _ _ -_ _
3. Building number _ _ _
4. Dwelling number _ _
5.
_ _ Side ID
6. Type of living quarter
[] 13 Shack
[] 14 Rudimentary wooden house
[] 15 Mobile housing unit
[] 17 In a permanent building not designed for habitation
[] 19 Other inhabited
[] 22 On-board population
[] 25 Diplomatic personnel
[] 33 Hotel or similar
[] 42 Education
[] 44 Health
[] 47 Religious
[] 49 Military
[] 51 Prison
[] 53 Work
[] 55 Other type
[Questions 7-18 were asked of private dwellings only]
7. Occupancy status
[] 2 Seasonal use
[] 3 Emigrant occupant
[] 4 Absent occupant
[] 6 For rent
[] 7 For demolition
[] 8 Other cases
[Questions 8-18 were asked of usual-residence dwellings only]
Beginning here, the questionnaire must be completed by one of the persons preset in the dwelling
8. Electricity
[] 1 Yes
[] 3 No
9. Water supply system:
[] 4 Inside the dwelling, from a private source
[] 6 Piped water available within the building but outside the housing unit
[] 3 Private well or hole
[] 5 Public well with pump
[] 7 Public well without pump or surface water fountain
[] 9 Other way
10. Toilet facilities:
[] 3 No flush toilet
[] 7 No flush toilet
11. Bath or shower
[] 1 Yes
[] 3 No
12. Sewage disposal system:
[] 4 Connected to a private sewage disposal plant (septic tank, etc)
[] 6 Other arrangements (open pit, ditch)
If your dwelling is a tent, rudimentary timber house, mobile home, temporary or improvised home, end this questionnaire.
[Questions 13-18 were asked of convention dwellings only]
13. Availability of kitchen:
[] 3 Four (4) square meters or more
[] 7 Without kitchen or kitchenette
14. Number of rooms in the dwelling _ _
Not including kitchen, corridors, halls, bathrooms, verandas, store rooms, or any other room exclusively used for a professional activity.
Questions only for owners of occupied conventional dwellings.
If you are not the owner or co-owner of the dwelling, go to question 16.
[Applies to questions 15 and 15.1]
15. Owner
[] 1 Yes -- go to question 15.1
[] 3 No
15.1. If you chose Yes in question 15, indicate the amount which corresponds to the monthly mortgage charge:
[] 2 $4 000 -- $7 999
[] 3 $8 000 -- $11 999
[] 4 $12 000 -- $19 999
[] 5 $20 000 -- $29 999
[] 6 $30 000 -- $39 999
[] 7 $40 000 -- $49 999
[] 8 $50 000 -- $69 999
[] 9 $70 000 or more
If you answered question 15, end the questionnaire.
Questions only for tenants of conventional dwellings.
[Applies to questions 16-18]
16. Form of lease
[] 3 Rented dwelling, not furnished by the owner
[] 5 Sub-leased
[] 7 Other situation (granted, superintendent, etc.)
[] 1 Less than $1 000
[] 2 $1 000 -- $2 999
[] 3 $3 000 -- $6 999
[] 4 $7 000 -- $11 999
[] 5 $12 000 -- $19 999
[] 6 $20 000 -- $29 999
[] 7 $30 000 -- $44 999
[] 8 $45 000 -- $69 999
[] 9 $70 000 or more
18. Housing unit owner:
[] 3 State, public corporations
[] 5 Public companies
[] 6 Local authorities
[] 7 Social security or other non-profit institutions
[] 8 Housing associations, housing cooperatives
[The page with General Instructions and Special Instructions was not translated]
Building Questionnaire -- 1991
To be completed by the enumerator during the distribution of the questionnaires
1.
____ Parish
____ Place
2. Subsection number _ _ _ -_ _
3. Building number _ _ _
4.
____ Lot Number
____ Door Number
_ _ _ _ -- ____ Postcode
5. Type of building and period of construction
[] 1 Before 1919
[] 2 1919 -- 45
[] 3 1946 -- 60
[] 4 1961 -- 70
[] 5 1971 -- 80
[] 6 1981 -- 85
[] 7 1986 -- 91
[] 9 Other type
If option 9 was selected, end this questionnaire
[] 3 Mostly residential building (greater or equal to 50 percent and less than 100 percent)
[] 5 Mostly non residential building (less than 50 percent)
9. Main materials used in the construction
[] 3 Mortared masonry walls without concrete slabs
[] 5 Stone
[] 7 Timber
[] 9 Others
[] 3 Mortared masonry walls with concrete slabs
[] 4 Uncut Stone
[] 6 Timber
[] 8 Other
[] 4 Inclined roof -- covered with other materials
[] 6 Terrace -- Flat roof
[] 8 Mixed (flat and inclined)