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Romania Population and Housing Census 2002

PL Form: Persons and Dwelling

The personal information recorded on this form is strictly confidential and will be used only for statistical purposes.

Citizens are obliged to supply complete and correct information to the enumerator.

The enumerator is prohibited from asking for information other than that included in the census.

___ County
___ Town/City/Village
___ Locality/Village
___ Street
___ Number
___ Block house
___ Stairs (Entrances)
___ Floor
___ Flat
___ Sector

_ _ _ _ _ _ Number of the file
_ _ _ The order number of the building in the file
_ _ _ The order number of the dwelling within the building
___ _ _ _ The PL form's number within the file
_ The order number of the household

Chapter I: The List of Persons Registered in the Household

[Table with 12 rows with the following headers]

___ Surname and first name (including the father's initial letter)


Sex
[] M
[] F


_ _ _ _ Birth year
If there are children in the household who are under the care of an alternative family, a PCS-Annex form will be completed for these children.

Chapter II: Dwellings data
To be completed only by the first household of dwelling.


[] 1. The number of households in the dwelling

2. Type of dwelling

[] 1 Permanent/primary
[] 2 Seasonal/secondary
[] 3 Marginal housing unit: in spaces with other use designation in the building, in household structures isolated from the building
[] 4 Marginal housing unit: improvised construction, mobile units


3. Occupancy status
[] 1 Occupied dwelling
[] 2 Unoccupied dwelling



4. Type of ownership

[] 1 Private
[] 2 State
[] 3 Private group ownership (cooperative/association)
[] 4 Religious denominations



5. Floor level of the dwelling

[] 30 Basement
[] 40 Semi-basement
[] 50 Ground
[] 60 Mezzanine
_ _ Floor number
[] 70 Attic



6. Occupied rooms

_ _ 6.1 Number
_ _ _ 6.2 Floor space (in sq. meters without decimal)



7. Out of which: Rooms designated for only professional purposes, commercial activities

_ _ 7.1 Number
_ _ _ 7.2 Floor space (in sq. meters without decimal)



8. The kitchen/kitchenette

[] 1 8.1 Situated - inside the dwelling
[] 2 8.1 Situated - outside the dwelling
[] 3 8.1 None

_ _ 8.2 Amount of floor space in sq. meters (without decimals)



9. Bathroom (bath tub and/or shower)

[] 1 Inside the dwelling
[] 2 Outside the dwelling
[] 3 None



10. Flush toilet

[] 1 Inside the dwelling
[] 2 Outside the dwelling
[] 3 None



11. Water supply system

[] 1 Water supply installation inside the housing unit: from a public network
[] 2 Water supply installation inside the housing unit: from own system
[] 3 Water supply installation outside the dwelling- inside the building: from a public network
[] 4 Water supply installation outside the dwelling- inside the building: from own system
[] 5 Water supply installation outside the dwelling- outside the building: from a public network
[] 6 Water supply installation outside the dwelling- outside the building: from a public network or from own system (pit, well fountain)
[] 7 No water supply installation



12. Hot water supply installation

[] 1 Inside the housing unit: from a public network
[] 2 Inside the housing unit: from own supply system
[] 3 Hot water available outside the dwelling but within the building
[] 4 No hot water available



13. Sewer installation in the dwelling

[] 1 Waste water empties into a piped system connected to a public sewage disposal
[] 2 Own system
[] 3 Other situation
[] 4 No sewer system available



14. Electricity

[] 1 Electricity available in the housing unit
[] 2 No electricity available in the housing unit



15. Cooking fuel

[] 1 Gas: piped gas from a public network
[] 2 Gas: liquefied gas (gas cylinder)
[] 3 Solid fuel
[] 4 Electricity
[] 5 Other fuel



16. Main type of heating

[] 1 16.1 The heating center (public community heating network or local system)
[] 2 16.1 Own domestic heating system using: natural gas
[] 3 16.1 Own domestic heating system using: solid fuel
[] 4 16.1 Own domestic heating system using: liquid fuel
[] 5 16.1 Stoves using as fuels: Natural gas
[] 6 16.1 Stoves using as fuels: Solid fuel
[] 7 16.1 Stoves using as fuels: Liquid fuel
[] 8 16.1 Other types of heating



16.2 Air conditioning in dwelling

[] 1 Yes
[] 2 No



Chapter III: Characteristics of the Building Where the Dwelling is Located
(Completed only for the first dwelling recorded on the form for the building.)


_ _ _ [17.] Number of dwellings in the building


18. Actual designation of the building

[] 1 For living
[] 2 Other use designation but having dwellings
[] 3 Collective housing units (hostel, hotel) where dwellings are found
[] 4 Building under construction, partially occupied



_ _ _ _ 19. Year of construction of the building


20. Materials used for outer walls construction

[] 1 Reinforced concrete, pre-cast concrete panels, or skeleton framed concrete
[] 2 Brick masonry, stone masonry or panel substitutes made from concrete reinforced with steel beams
[] 3 Brick masonry, stone masonry or panel substitutes made from wood
[] 4 Wood (beams, logs, etc.)
[] 5 Saplings plastered with wet clay, adobe, other material (wood pressed panels, rolled mud bricks, etc.)


Chapter IV: Data Regarding Persons Recorded in the Household
Person [1: head of the household. 2: others]

[Only asked for person 1]


_ _ Total number of persons recorded in the household


Tenure status of the household in the dwelling

Tenure arrangements:
[] 1 Owner
[] 2 Tenant in a state-owned facility
[] 3 Tenant of an individual private owner
[] 4 Tenant of a private company
[] 5 Other situation



Rent
The monthly rent paid for the dwelling by the household is:

[] 1 Below 500 thousand lei
[] 2 500 thousand lei and below 1 million lei
[] 3 1 million lei and below 2 million lei
[] 4 2 million lei and below 3 million lei
[] 5 3 million lei and over


[Asked to all persons]

___ Surname and first name (including the father's initial letter)


1. Relationship to the head of household

[] 01 Head of household
[] 02 Husband (wife)
[] 03 Partner
[] 04 Son (daughter)
[] 05 Son-in-law (daughter-in-law)
[] 06 Grandson (granddaughter)
[] 07 Father (mother)
[] 08 Grandfather (grandmother)
[] 09 Brother (sister)
[] 10 Brother-in-law (sister-in-law)
[] 11 Father-in-law (mother-in-law)
[] 12 Other relative
[] 13 Non-relative person



2. Order number of relatives of the enumerated person (top left side) recorded in Chapter IV:

_ _ The father
_ _ The mother
_ _ The husband/wife (the partner)



3. Situation at the census reference point
At "0" hour on March 18, 2002, the person was:

[] 1 Present
[] 2 Absent, a person who left the household for another locality in the country
[] 3 Absent, a person who left the household to go abroad



4. Duration and the reason of absence from the residence (for absent persons only)

4.1 Duration:
[] 1 Less than 6 months
[] 2 6 - 12 months
[] 3 More than 12 months

4.2 Reason for leaving:
[] 4 At work
[] 5 At school
[] 6 For business
[] 7 For other reason



5. Legal residence (as written on the identification card)

[] 9 In the locality where the person is enumerated

___ In another locality in the country
_ _ _ _ _ _ Municipality/town/commune
Has this person permanently left the household which is listed as their legal residence on theirs identification card:
[] 1 Yes
[] 2 No

_ _ In another country



6. Previous legal residence (for those who had a legal residence in another place)

_ _ In the country
[] 1 Municipality/town
[] 2 Commune

_ _ In another country



_ _ _ _ 7. Year legal residence was established


8. Place of birth

[] 90 In the same place as the enumeration locality
_ _ In another locality in the country
[] 1 Municipality/town
[] 2 Commune

_ _ In another country



9. Sex

[] 1 Male
[] 2 Female



10. Date of birth

_ _ _ _ Year
_ _ Month
_ _ Day



11. Marital status

11.1 Legal marital status:
[] 1 Single (unmarried)
[] 2 Married
[] 3 Divorced
[] 4 Widowed

11.2 De facto marital status: Is this person living in a consensual union?
[] 1 Yes
[] 2 No



12. Year of marriage

_ _ _ _ Only for women in their first marriage



_ _ 13. Total number of children born alive (only for women)


14. Citizenship

[] 10 14.1 Romanian
_ _ 14.1 Other citizenship

_ _ 14.2 If dual citizenship, identify the country



15. Ethnicity

[] 10 Romanian
_ _ Other ethnicity



16. Mother tongue

[] 10 Romanian
_ _ Other mother tongue



17. Religion

[] 10 Orthodox
_ _ Other religion (belief)



18. Educational attainment

___ _ _ 18.1 Name of the institution and field of study of the highest level of school completed (for persons born before September 15, 1991)

18.2 Type of ownership of the educational institution completed by the person
[] 1 Public (state ownership)
[] 2 Private ownership

___ _ _ 18.3 Name of institution and field of study of school attending (for persons born before September 15, 1995)

18.4 Type of ownership of educational institution attended by the person
[] 1 Public
[] 2 Private



19. Economic status of the enumerated person at the reference period, the week of March 11 - 17, 2002 (only one code will be marked)

[] 1 Employed
[] 2 Unemployed: Seeking another job
[] 3 Unemployed: First-time job-seeker
[] 4 Pupil/student
[] 5 Pensioner
[] 6 Homemaker
[] 7 Dependent of a supporter
[] 8 Dependent on public aid or private organization support
[] 9 Other economic status (income from rent, interest, leasing, other sources)



20. Time usually worked for current main activity during the reference period, the week of March 11 - 17, 2002:

_ _ Number of hours worked



_ _ _ _ 21. Occupation on current activity (type of work or craft, or qualified task done in a job at work place)


22. Employment status

[] 1 Employee (engaged)
[] 2 Employer, private enterprise owner
[] 3 Working on own account
[] 4 Member of an agricultural company/co-operative
[] 5 Contributing family worker in own household
[] 6 Other employment status



23. Place of work

___ 23.1 Full name of the unit (company, autonomous enterprise, institution, organization, etc.) and of the sub-unit (section, workshop, factory, store) where the person is working

___ _ _ 23.2 Main activity of the unit/sub-unit where the person works:

23.3 Location of the place of work:
[] Urban area
[] Rural area
[] 1 in the same locality
[] 2 other place the same county
[] 3 other county
[] 4 other country



24. Ownership structure of enumerated person's place of work

[] 1 State (public)
[] 2 Private
[] 3 Mixed structure (state and private)
[] 4 Own household
[] 5 Household other than own household



25. Duration of unemployment (only for persons who in item 19 declared "seeking another job" code 2 or 3).

25.1 Duration

[] 1 Less than six months
[] 2 Between 6-9 months
[] 3 Between 9-27 months
[] 4 Above 27 months
Record only for unemployed persons who are receiving, or who did receive, unemployment benefits.

25.2 Benefits received:
[] 5 Unemployment benefits
[] 6 Benefits related from a professional association
[] 7 Support allowance
[] 8 Not receiving any benefits



26. Usual economic situation of the enumerated person in the year preceding the census (March 2001- March 2002):

26.1 During the major part of the year, the enumerated person had the same economic status as at the census reference point?
[] 1 Yes
[] 2 No

26.2 If no, what was their usual economic status:
[] 1 Employed
[] 2 Unemployed: seeking another job
[] 3 Unemployed: first-time job-seeker
[] 4 Pupil/student
[] 5 Pensioner
[] 6 Homemaker
[] 7 Dependent of a supporter
[] 8 Persons receiving public aid or private organization support
[] 9 Other economic status (incomes from rent, interest, leasing, other sources)


27. Usual activity status during the year preceding the census (for persons recorded as employed for the preceding year - code 1, or unemployed seeking another job - code 2)
[] 1 Employee (engaged)
[] 2 Employer, private enterprise owner
[] 3 Working on own account
[] 4 Member of an agricultural association/co-operative
[] 5 Contributing family worker to one's own household
[] 6 Other employment status


Chapter V: Persons Temporarily Present in the Household
[There are 5 rows, line numbers 1-5, to fill out the following questions.]

___ Surname and first name (including the father's first initial letter)

How long have they been in this place
___ Months
___ Days

Sex
[] M
[] F

_ _ _ _ Year of birth

Chapter VI: Foreign Citizens
[There are 5 rows, line numbers 1-5, to fill out the following questions.]

___ Surname and first name

Sex
[] M
[] F

_ _ _ _ Year of birth

___ Country of citizenship

_ _ Country code

Arrival date in Romania
_ _ Month
_ _ _ _ Year

___ Purpose for settling in Romania:
1. For business
2. For studies
3. Family reasons
4. Others (tourist)

Recapitulation of the enumerated persons on the PL form

Number of persons in the household (recorded in Chapter IV)
_ M 1
_ F 2
Number of persons present in the household (item 3, code 1)
_ M 3
_ F 4
Number of persons staying for an extended period of time (Chapter IV, item 5)
_ M 5
_ F 6
Number of persons temporarily present (recorded in Chapter V)
_ M 7
_ F 8
Number of foreign citizens who arrived in Romania before March 18, 2002 (recorded in Chapter IV)
Before March 18, 2001
_ M 9
_ F 10
After March 18, 2001
_ M 11
_ F 12
Persons absent from the household (recorded in Chapter IV)
Persons temporarily absent
Persons who left for another place within the country (Chapter IV: item 3, code 2 + item 4, code 1)
_ M 13
_ F 14
Persons who left for abroad (item 3, code 3 + item 4, codes 1 or 2)
_ M 15
_ F 16
Persons who left for an extended period of time
Persons who left for another place within the country (item 3, code 2 + item 4, codes 2 or 3)
_ M 17
_ F 18
Persons who left for abroad (item 3, code 3 + item 4, code 3)
_ M 19
_ F 20
Resident population
col. 3 + col.13 + col.15
_ M 21
col. 4 + col.14 + col.16
_ F 22

___ Date of registration , March 2002

Completat,
___ Numele si prenumele recenzorului
___ Semnatura

Verificat,
___ Numele si prenumele recenzorului sef
___ Semnatura