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2011 Census
15th General Population Census
5th General Housing Census

National Institute of Statistics - Statistics Portugal

Questionnaire of the National Statistical System (Law 22/2008, of 13 May) of mandatory completion, registered under no. 9990 at Statistics Portugal, valid until 31/12/2011.

Individual questionnaire

To be completed by the enumerator:

DTMNFR _ _ _ _ _ _
Section/Subsection _ _ _-_ _
Building _ _ _
Dwelling _ _ _
Household _ _
Person _ _
SA _
Parish ________

Complete online or on paper - with reference to March 21st

Online

www.censos2011.ine.pt.
Followed by the secret codes and the dwelling identification that is on the (pink) dwelling questionnaire.
Helpline (Free Call) [telephone number is provided].
On paper
Use a black or blue ballpoint pen.
Indicate your answer with a cross X.
Write figures like this [example of answer boxes correctly filled].
Use capital letters [example of answer boxes correctly filled].
To annul an answer [example of answer boxes correctly filled].
To revalidate an annulled answer [example of answer boxes correctly filled].

Cooperate with the 2011 Census

If you reside in this dwelling start by completing:
The dwelling questionnaire
The household questionnaire
The individual questionnaire for each resident
If you do not reside in this dwelling and are only here temporarily, fill in the Address of the dwelling and complete part C of the household questionnaire.

1. Name and Surname ____

2. Sex

[] 1 Male
[] 2 Female

3. Where is your usual residence?

[] 1 At this dwelling and lives here the most of the year
[] 2 At this dwelling but does not lives here the most of the year due to studies, health, work, etc.

4. On 21 March, at 00:00, were you present in the dwelling? Indicate "Yes" if you were not present, at 00:00, on 21 March but returned to the dwelling before 12:00 of the same day.

[] 1 Yes
[] 2 No

5. Date of birth:

Day _ _
Month _ _
Year _ _ _ _

6. What is your legal marital status?

Indicate the legal situation regardless of your marital situation.
[] 1 Single
[] 2 Married (Go to question 8)
[] 3 Separated, but still legally married
[] 4 Widowed
[] 5 Separated
[] 6 Divorced

[Question 7 is asked of persons who did not report being married per Question 6]

7. Do you live with a partner in a consensual union?

A consensual union refers to a situation where two persons of the opposite sex or of the same sex live together as a couple without being legally married to each other.
[] 1 Yes
[] 2 No

8. Nationality (Indicate the place of residence of your mother when you were born)

[] 01 In the parish where you currently reside
[] 02 In another parish of the municipality where you currently reside
[] 03 In another municipality, please specify: ____
Abroad:
Countries must be indicated according to their current designation and borders.
[] 04 Germany
[] 05 Angola
[] 06 Brazil
[] 07 Cape Verde
[] 08 Spain
[] 09 France
[] 10 Guinea-Bissau
[] 11 Mozambique
[] 12 Venezuela
[] 13 In another country, please specify: ____

9. What is your nationality?

[] 1 Portuguese only
[] 2 Foreign, indicate the country ____
[] 3 Double nationality: Portuguese and other
[] 4 Double nationality: Two foreign nationalities, one of which is from a European Union country, indicate the EU country ____
[] 5 Double nationality: Two foreign nationalities, none from a European Union country, indicate a country ____
[] 6 Stateless (no nationality)

10. In the following questions, indicate the degree of difficulty you have, on a daily basis, in doing certain activities due to health or old age problems (ageing).

The difficulty must have existed for more than six months.

10.2 Do you have difficulty hearing, even if using a hearing aid?

[] 1 No difficulty or little difficulty
[] 2 A lot of difficulty
[] 3 Unable to hear
10.3 Do you have difficulty walking or climbing stairs?
[] 1 No difficulty or little difficulty
[] 2 A lot of difficulty
[] 3 Unable to walk or climb stairs
10.4 Do you have difficulty remembering or concentrating?
[] 1 No difficulty or little difficulty
[] 2 A lot of difficulty
[] 3 Unable to remember or concentrate
10.5 Do you have difficulty having a bath or getting dressed on your own?
[] 1 No difficulty or little difficulty
[] 2 A lot of difficulty
[] 3 Unable to take a bath or get dressed on your own
10.6 Do you have difficulty understanding others or being understood by others?
[] 1 No difficulty or little difficulty
[] 2 A lot of difficulty
[] 3 Unable to understand others or to be understood by others

11. Have you ever lived outside of Portugal for a continuous period of at least one year?

If you were abroad on diplomatic or military missions, indicate "No".
[] 1 Yes
[] 2 No
If yes, please indicate:
If you have lived abroad more than once, please answer taking into consideration the last country you lived in and the year of the last entrance in Portugal.
Countries must be indicated according to their current designation and borders
11.1 The country where you lived ____
11.2 The year of entrance in Portugal _ _ _ _

12. Where was your place of usual residence on December 31, 2009?

[] 01 Not yet born (End of questionnaire)
[] 02 In the same residence
In another residence:
[] 03 In the parish where you live
[] 04 In another parish of the municipality where you live
[] 05 In another municipality, please specify ____
[] 06 In another country, please specify ____

13. Where was your place of usual residence on December 31, 2005?

[] 01 Not yet born (End of questionnaire)
[] 02 In the same residence
In another residence:
[] 03 In the parish where you live
[] 04 In another parish of the municipality where you live
[] 05 In another municipality, please specify ____
[] 06 In another country, please specify ____

14. Literacy:

If you can only write numbers or your own name, or only read but do not write, or only read and write memorized sentences, please indicate "Not able to read and write""
[] 1 Able to read and write
[] 3 Not able to read and write

15. Are you attending or have you ever attended school?

In the case of children attending pre-school, please indicate "Attending".

Vocational training courses and other training systems certified by the Ministry of Education (such as the Recognition, Validation and Certification of Competences (RVCC) system under the New Opportunities Programme) are considered as attending the educational system.

[] 1 Attending
[] 2 Attended, but no longer
[] 3 No, never attended (Go to question 19)

Children that have not entered the formal education system yet have finished completing the questionnaire

[Questions 16 to 36 are only asked of persons who have entered the formal education system]

16. What is the level of education you are currently attending, or the highest level you have attended, even if not complete?

[] 01 Pre-school from the age of 3 years old (Go to question 19)
[] 02 1st, 2nd, 3rd or 4th year (former primary education)
[] 03 5th or 6th year (former preparatory degree)
[] 04 7th, 8th or 9th year (former 3rd, 4th and 5th year of the lyceum programme) [] 05 10th, 11th or 12th year (former 6th and 7th year of the lyceum programme / pre-university year)
[] 06 Post-secondary education (Technological specialisation courses, level IV)
[] 07 Bachelor (includes former middle-level courses)
[] 08 Licentiate
[] 09 Master's
[] 10 PhD

If you indicated pre-primary (code 11) and are under 6 years of age you have finished completion [skip the rest of this form]

[Questions 17 and 18 are asked of persons who attended/are attending primary school and over]

17. What is the highest level of education you have completed?

Completing a level of education means having successfully concluded the last year of that educational level. For example, in order to indicate secondary education, the 12th year or equivalent must have been completed. If you concluded or are still attending the 11th year, the highest level of education you have completed corresponds to the 3rd stage of basic education (9th year).

[] 01 None
[] 02 1st stage of basic education (current 4th year/former primary education/grade 4)
[] 03 2nd stage of basic education (current 6th year/former preparatory degree)
[] 04 3rd stage of basic education (current 9th year/former 5th year of the lyceum
programme)
[] 05 Secondary education (current 12th year /former 7th year of the lyceum
Programme/pre p university year)
[] 06 Post-secondary education (Technological specialisation courses, level IV)
[] 07 Bachelor (includes former middle-level courses)
[] 08 Licentiate
[] 09 Master's
[] 10 PhD

18. If you are a tertiary level graduate (bachelor, licentiate, masters or PhD), indicate the name of your course

If you have completed more than one tertiary level degree, indicate the highest level attained.
________

19. Where is your place of work or study?

If you are a student worker, answer regarding the place of work in questions 19 to 22.
If you work in your own home or if you are self-employed in an establishment that is part of your residence, please choose the option "At home".
If you do not have a usual place of work, please answer regarding the location of the company you work for; if you are self-employed and do not have a usual place of work, please answer with regards to the last travel undertaken.

[] 1 At home (Go to question 23)
[] 2 In the parish where you live
[] 3 In another parish of the municipality where you live
[] 4 In another municipality, please specify ____
[] 5 Abroad
[] 6 Not applicable (Go to question 23)

If you work or study and live in this dwelling most of the year answer questions 20, 21, and 22. If this is not the case go to question 23

20. How long does it take you, on average, to get to your place of work or study?

Indicate the average travel time only one-way (going to work or study)
[] 1 Up to 15 minutes
[] 2 16 - 30 minutes
[] 3 31 - 60 minutes
[] 4 61 - 90 minutes
[] 5 More than 90 minutes

21. What is the main mode of transport you use to travel between home and work or home and place of study?

If you use several modes of transport, please indicate which one you use for most of the itinerary.
[] 01 On foot
[] 02 Car: as driver
[] 03 Car: as passenger
[] 04 Bus
[] 05 Company or school collective transport
[] 06 Underground
[] 07 Train
[] 08 Motorcycle
[] 09 Bicycle
[] 10 Boat
[] 11 Other (tram, taxi, …)

22. Do you use any other mode of transport to travel between home and work or home and place of study in addition to that indicated in the previous question?

[] 1 Yes
[] 2 No

If you are less than 15 years of age you have finished completing the questionnaire.

23. In the last 12 months, what was your main source of income?

[] 01 Work
[] 02 Retirement / Pension
[] 03 Unemployment benefit
[] 04 Benefit in respect of an accident at work or occupational disease
[] 05 Social integration income
[] 06 Other temporary benefits (illness, maternity leave, ...)
[] 07 Property or entrepreneurial income
[] 08 Social support
[] 09 Support by household
[] 10 Other cases

24. In the week of March 14-20, did you work?

Indicate "yes" If you worked for at least one hour and received payment in cash or in kind.
Indicate "yes" if you worked as an unpaid family member for a minimum of 15 hours in the reference week.
[] 1 Yes (Go to question 29)
[] 2 No

25. Indicate the reason(s) why you were unable to work in the week of 14 - 20 March

[] 1 On holiday, sick, on leave, on lay-off or other situations of temporary work interruption but maintain the contractual relationship with the company (Go to question 29)
[] 2 Permanently unable to work (Go to question 36)
[] 3 Unemployed
[] 4 Retired
[] 5 Student
[] 6 Doing housework
[] 7 Any other reason

26. Have you ever worked?

Indicate "Yes", even if you worked only one hour and received payment in cash or in kind.
[] 1 Yes
[] 2 No

27. Are you or have you been looking for a job?

If Yes, indicate when was the last active effort you made to find a job.

Active efforts to find a job involve contacting the employment centre, staff placement companies or employers, placing and replying to job advertisements, taking part in recruitment tests and selection interviews, looking for real estate, equipment or requesting permits with a view to creating your own company.
[] 1 In the last month
[] 2 For more than 1 month and less than 4 months
[] 3 For more than 4 months and less than 11 months
[] 4 For more than 12 months
[] 5 Not looking for a job

28. If you found or were offered a job would you be available to start work in the week of 14-20 March or in the two following weeks?

[] 1 Yes
[] 2 No (Go to question 36)

Answer the questions 29 to 35 if you are employed, if you are unemployed and have already worked (use as reference the last occupation held. If you are not in one of the previous situations, go to question 36.

29. What is your main occupation?

If you are engaged in more than one occupation, indicate the one which took up most of your time during the week of 14 - 20 March, or if the same amount of time was spent, indicate the one which generated more income.
Be clear and precise (avoid using "of the", "of", "and")
For example: instead of manager, teacher, textile employee or civil construction worker, be more precise and indicate shop manager, secondary education teacher, sewing-machine operator or brick-layer.
____

30. Describe the main tasks carried out in the occupation indicated in the previous question
________

31. Indicate the number of hours you usually work per week in the occupation indicated

[] 1 1-4
[] 2 5-14
[] 3 15-29
[] 4 30-34
[] 5 35-39
[] 6 40-44
[] 7 45 or more

32. Indicate your professional status in the occupation indicated

[] 1 Employer
[] 2 Self-employed
[] 3 Employee
[] 4 Family worker
[] 5 Active member of a producers' co-operative
[] 7 Other situation

33. What is the main activity of the company or organization where you practise the occupation indicated?

If you work in a company with several establishments, please indicate the economic activity of the establishment where you work.
If you work for a company, but are currently assigned to work in another company, please indicate the economic activity of your employer

Be clear and precise
(avoid using "of the", "of", "and")
For example: instead of trade, education or textile industry, be more precise and indicate footwear retail trade, secondary school or clothing manufacture factory.

________

34. What are the main goods produced or services provided by the company or organisation where you work?

For example: Shoes, secondary education, women's clothing, ...
________

35. Indicate the number of persons regularly working in the company or organisation where you practise the occupation indicated?

If you work in a company with several establishments, you should indicate the total number of the company's workers. For example, if you work in a bank agency you should indicate the total number of the bank's employees and not only those working at the bank agency.
If you work in a public institution, you should indicate the total number of workers of the Directorate-General, or equivalent body.

[] 1 1
[] 2 2-4
[] 3 5-9
[] 4 10-19
[] 5 20-49
[] 6 50-99
[] 7 100-249
[] 8 250-499
[] 9 500 or more

Optional Question (Decree-Law no. 226/2009 of September 14)
Answering this question implies authorisation to process personal data.

36. What is your religion?

[] 1 Catholic
[] 2 Orthodox
[] 3 Protestant
[] 4 Other Christian
[] 5 Jewish
[] 6 Muslim
[] 7 Other non-Christian
[] 8 No religion

[Repeated header - omitted]

Household questionnaire

[Introductory text - omitted]

Instructions on how to complete the household questionnaire

The Household Questionnaire is primarily intended to collect information on the persons who reside in the dwelling and their family relationships. It consists of 3 parts.

PART A. You should include in this question the number of persons of the family that reside in the dwelling.

What is a family?

The group of persons who reside in the same dwelling and have legal or de facto relationship with each other, or the independent person that occupies a part of or the entire dwelling.

Do not consider as a family the persons who reside in the dwelling that do not have a family relationship and do not live in common household (sharing a dwelling, food and income). Each of these persons constitutes a family.
Who should be included in A
All the persons of the family that reside in the dwelling, even if they are temporarily absent due to work, studies, health or other reasons.

Children born before 21 March 2011.

Children that in spite of living between two dwellings (for example, after their parents' divorce) spend the majority of their time here.

Students in Portugal that do not live with their family but usually return home

People temporarily in hospitals, clinics or other institutions, provided their absence is for less than 12 months.
Who shouldn't be included in A
People who do not reside in this dwelling even if they are temporarily present.

Students who attend a higher education establishment abroad provided they are or expect to be absent for more than 12 months.

People that live in institutions and whose actual or expected absence is for more than 12 months.

Residents abroad that are in Portugal temporarily on business, on holiday, etc.
PART B. The same persons indicated in A should be included in B.
For each person indicated in A you should answer the respective questions of part B of the questionnaire.

In question 1, indicate the full name of Person 1 and the name and surname of the other persons.

By entering the persons in the columns of part B, please note that each person becomes associated with a reference number. That number helps to identify the persons of the family and should be used to answer questions 3, 4 and 5.

In question 2 indicate with a cross (X) the relationship of each family element with Person 1 (reference person). If the relationship that you consider to be adequate is not indicated, choose the option "other relative" or "other non-relative" as appropriate. Examples of other relatives: cousin, brother-in-law, stepmother, stepfather, etc.

In questions 3, 4 and 5 indicate with a cross the existence of a spouse or partner, father or mother that resides in the household. If you answered yes, indicate the number associated to that person which is immediately above the name.
PART C You should include the persons that, in spite of not residing in the dwelling, were temporarily present.

Who should be included in C

The people who do not reside in this dwelling but that were present on 21 March, visiting relatives or friends for example

The people who are present in dwellings for secondary or seasonal use.

These people should be registered as residents in the dwellings where they usually reside.

OTHER SITUATIONS:

If more than one family lives in this dwelling, each one should complete a household questionnaire

If your household is made up of more than 6 elements residing in this dwelling, complete the necessary supplementary household questionnaires

If there were more than 5 visitors in the dwelling, complete the necessary supplementary household questionnaires

Whenever necessary, request more household questionnaires or supplementary household questionnaires from your Enumerator or at your Parish Council

[Repeated header - omitted]

To be completed by the enumerator.

DTMNFR _ _ _ _ _ _
Section/Subsection _ _ _-_ _
Building _ _ _
Dwelling _ _ _
Household _ _
Parish ________

A. Indicate the number of people of this household who usually reside in this dwelling, including yourself

Include all the persons of the household that reside in this dwelling and that have a de facto or legal relationship between them. _ _

B. Write the name of everyone in the household who resides in this dwelling and answer questions 2, 3, 4 and 5

For person 1, indicate the full name and for the other persons, the name and surname.

By writing the name of the persons in the columns, please note that each person becomes associated to a reference number. This number helps to identify the persons and should be used to answer questions 3, 4 and 5.

[Questions appear in columns, answers for up to 6 individuals can be recorded in the rows below.]

Person 1 (reference person)

1. Full name ____

2. Person 1 is the household reference person

3. Does person 1 live with his/her spouse or partner?

1 [] Yes. Indicate the reference number attributed to the spouse/partner _ _
2 [] No/Not applicable

4. Does person 1 live with his/her father?

1 [] Yes. Indicate the reference number attributed to the father _ _
2 [] No/Not applicable

5. Does person 1 live with his/her mother?

1 [] Yes. Indicate the reference number attributed to the mother _ _
2 [] No/Not applicable

Person 2
[Questions 1 to 5 below are also asked of persons 3 to 6]

1. Name and surname ____

2. What is the relationship of person 2 to person 1 (reference person)

[] 02 Spouse
[] 03 Partner in an opposite-sex consensual union
[] 04 Partner in a same-sex consensual union
[] 05 Son/Daughter
[] 06 Stepson/stepdaughter
[] 07 Father or Mother
[] 08 Father-in-law or mother-in-law
[] 09 Daughter-in-law or son-in-law
[] 10 Brother or sister
[] 11 Grandson or granddaughter/great-grandson or great-granddaughter
[] 12 Grandfather or grandmother/great-grandfather or great-grandmother
[] 13 Another relative
[] 14 Another non-relative

3. Does person 2 live with his/her spouse or partner?

1 [] Yes. Indicate the reference number attributed to the spouse/partner _ _
2 [] No/Not applicable

4. Does person 2 live with his/her father?

1 [] Yes. Indicate the reference number attributed to the father _ _
2 [] No/Not applicable

5. Does person 2 live with his/her mother?

1 [] Yes. Indicate the reference number attributed to the mother _ _
2 [] No/Not applicable

C. Indicate the name and sex of everyone who does not reside in this dwelling but was present on March 21

Consider the persons who do not reside in this dwelling, were present at 00:00 on March 21, and did not return to their usual residence until 12:00 of the same day.

Visitor 1
Name and Surname ____
[] 1 Male
[] 2 Female

Visitor 2
Name and Surname ____
[] 1 Male
[] 2 Female

[These questions are also asked of visitors 3 to 5]

[Repeated header - omitted]

Dwelling questionnaire


To be completed by enumerator.

Parish ________
Dwelling identification
Use this codification online when the dwelling identification is requested

DTMNFR _ _ _ _ _ _
Section / Subsection _ _ _-_ _
Building _ _ _
Dwelling _ _ _

I. Type of dwelling

[] 1 Conventional dwelling
[] 2 Shack/ Rudimentary wooden house
[] 3 Mobile housing unit
[] 4 Improvised within a building
[] 5 Other inhabited place
[] 6 SA [acronym in Portuguese for homeless]
[] 7 CD (Reserved for Statistics Portugal -NSI)
[] 8 PE (Reserved for Statistics Portugal - NSI)

II. Occupancy status

[] 1 Usual residence
[] 2 Seasonal or secondary use - Only fill in the Address of the dwelling
[] Vacant: Only fill in the Address of the dwelling
[] 3 For sale
[] 4 To let
[] 5 For demolition
[] 6 Other cases

[Instructions on how to complete the census online or on paper are omitted.]

If you do not reside in this dwelling and are only here temporarily, fill in the Address of the dwelling and complete part C of the household questionnaire.

[Questions 1 through 17 were asked of persons living in housing units as the place of their usual residence, according to question II]

1. Address of the dwelling

Street, Avenue, etc.: _ _ _ _ _ _ _ _ _
Door number: _ _ _ _ _ _ _ _ _
Floor: _ _ _ _ _
Side: _ _ _ _ _ _
Place: _ _ _ _ _ _ _ _ _
Postcode: _ _ _ _ - _ _ _
City: _ _ _ _ _ _ _ _ _
Contact:
Telephone: _ _ _ _ _ _ _ _ _
Email: _________________

2. Does the dwelling have running water?

When the dwelling has running water in the kitchen or bathroom outside, in the yard for example, you should indicate Yes.

[] 1 Yes, connected to the public water supply system
[] 2 Yes, connected to a private water supply system
[] 3 No, but there is running water in the building
[] 4 No running water is available

3. Does the dwelling have a toilet?

A discharge mechanism is considered to be a flushing cistern, flow metering device or other mechanism to discharge water inside the toilet.

[] 1 Yes, connected to the public water supply system
[] 2 Yes, connected to a private water supply system
[] 3 No, but there is running water in the building
[] 4 No running water is available

4. Does the dwelling have bathing or shower facilities?

Do not consider the mere existence of a washbasin, or makeshift installations in suspended recipients which, when filled manually, are used as a shower, as constituting bathing or shower facilities.
[] 1 Yes
[] 2 No

5. Does the dwelling have a sewage disposal system?:

Only the permanent installation enabling the evacuation of waste water to the exterior of the dwelling is considered as a sewage disposal system.
[] 1 Yes, connected to the public sewage system
[] 2 Yes, connected to a private sewage system (septic tank,...)
[] 3 Yes, other type (open septic tank, ditch,...)
[] 4 No sewage disposal system available

6. Does the dwelling have air conditioning?

[] 1 Yes
[] 2 No

7. What is the main type of heating available in this dwelling?:

[] 1 Central heating
Non-central heating:
[] 2 Open fireplace
[] 3 Heat recuperator (recuperador de calor)
[] 4 Mobile devices (electric heaters, gas heaters, etc.)
[] 5 Fixed equipment (salamander stove, wall heaters, etc.)
[] 6 None (Go to question 9)

[Question 8 is asked of households with any source of heating available to them.]

8. What is the main source of energy used for heating this dwelling?

Indicate only one - the one used most frequently.
[] 1 Electricity
[] 2 Wood, coal or other solid fuels
[] 3 Petrol, diesel or other liquid fuels
[] 4 Natural gas, propane, butane or other gaseous fuels
[] 5 Other (solar energy, geothermal,...)

9. Indicate the useful floor space

The useful floor space corresponds to the sum of the areas of all the compartments of the dwelling including the circulation areas. Do not include balconies and terraces even if they have been closed.

[] 01 Less than 30 sq. m
[] 02 30 sq. m - 39 sq. m
[] 03 40 sq. m - 49 sq. m
[] 04 50 sq. m - 59 sq. m
[] 05 60 sq. m - 79 sq. m
[] 06 80 sq. m - 99 sq. m
[] 07 100 sq. m - 119 sq. m
[] 08 120 sq. m - 149 sq. m
[] 09 150 sq. m - 199 sq. m
[] 10 200 sq. m or more

10. Indicate the number of rooms of the dwelling

Do not include the kitchen, bathrooms, corridors, pantries, marquees, balconies with less than 4 m2 and rooms dedicated exclusively to an economic activity.

Number of rooms _ _

If your dwelling is improvised, a shack or a mobile housing unit (a motor caravan, for example), you have finished completing this questionnaire.

If this is not your case, proceed to Question 11.

[Questions 11 and 17 are asked of conventional dwellings per Question 1.]

11. Does the dwelling have a parking space or garage?

[] 1 Yes, for 1 motor vehicle
[] 2 Yes, for 2 motor vehicles
[] 3 Yes, for 3 or more motor vehicles
[] 4 No

12. What is your occupancy status concerning this dwelling?

[] 1 Owner or co-owner
[] 2 Owner under a collective property regime of a housing cooperative
[] 3 Tenant or sub-tenant (Go to question 14)
[] 4 Other situation - granted free of charge, caretaker, etc. (Go to question 17)

13. Do you pay financial charges resulting from the purchase of this dwelling?:

You have financial expenses if you purchased this dwelling through a bank loan or other loan that has not been fully paid, or leasehold. Other monthly expenses with this dwelling, such as the condominium for example, are not considered purchasing costs.

If yes, indicate the group corresponding to the monthly amount in Euros

[] 1 Less than EUR 75
[] 2 EUR 75 - EUR 99,99
[] 3 EUR 100 - EUR 149,99
[] 4 EUR 150 - EUR 199,99
[] 5 EUR 200 - EUR 249,99
[] 6 EUR 250 - EUR 299,99
[] 7 EUR 300 - EUR 349,99
[] 8 EUR 350 - EUR 399,99
[] 9 EUR 400 - EUR 499,99
[] 10 EUR 500 - EUR 649,99
[] 11 EUR 650 - EUR 799,99
[] 12 800 Euros or more
[] 13 No

If you answered question 13 you have finished completing this questionnaire. Complete the household and individual questionnaires.

[Questions 14 to 17 are asked of households that do not pay any financial charges resulting from the purchase of the dwelling]

14. What type of lease contract is associated with this dwelling?

[] 1 Fixed-term contract
[] 2 Contract of indefinite duration
[] 3 Social rent contract
[] 4 Sublet (Go to question 16)

[Question 15 is asked of households that have a lease contract other than sublet]

15. When was the lease contract for this dwelling celebrated?

Indicate the date of the contract in force. The initial date must be indicated regardless of subsequent updates to the value of the rent.

[] 1 Before 1975
[] 2 1975 -1986
[] 3 1987 -1990
[] 4 1991-2000
[] 5 2001-2005
[] 6 2006-2011

16. Which group corresponds to the monthly rental value of this dwelling?

If the rent is not paid on a monthly basis, convert it to the corresponding monthly amount.

[] 1 Less than EUR 20
[] 2 EUR 20 - EUR 34,99
[] 3 EUR 35 - EUR 49,99
[] 4 EUR 50 - EUR 74,99
[] 5 EUR 75 - EUR 99,99
[] 6 EUR 100 - EUR 149,99
[] 7 EUR 150 - EUR 199,99
[] 8 EUR 200 - EUR 299,99
[] 9 EUR 300 - EUR 399,99
[] 10 EUR 400 - EUR 499,99
[] 11 EUR 500 - EUR 649,99
[] 12 650 Euros or more

17. Who is the owner of the dwelling?

[] 1 Private individuals or private companies
[] 2 Ascendants or descendants (parents, grandparents, sons,…)
[] 3 State, autonomous public institutes or other non-profit institutes
[] 4 Local authorities (municipal councils and parish councils)
[] 5 State-owned companies
[] 6 Housing cooperatives