Census Questionnaires of the All-Russian Census 2010
Census questionnaire form L (Side L1)
A. No. on the list of the household in the dwelling
B. No. of the person who is interviewed on the list in the household
1. For the first person on the list of residents mark "person No. 1"; for the rest of the household members indicate how they are related to the person No. 1
[] Wife, husband
[] Daughter, son
[] Mother, father
[] Sister, brother
[] Mother-in-law, father-in-law
[] Sister-in-law, brother-in-law
[] Grandmother, grandfather
[] Granddaughter, grandson
[] Other relatives or in-law relatives
[] Non-relative
If the mother (or father) of the person No. 1 lives with her/him, write down the number from the list of household residents (area B), which is assigned to the mother (or father) of the interviewed.
Supplementary table for kinship assessment
Father-in-law (wife's father)
Mother-in-law (wife's mother)
Brother-in-law (sister's or daughter's husband)
Sister-in-law (married woman in relation towards the relatives of her husband)
Brother-in-law (wife's brother)
Brother-in-law (husband's brother)
Sister-in-law (husband's sister)
Sister-in-law (wife's sister)
In-law relatives (e.g. sister-in-law's husband)
[] Female
____ Day
____ Month
____ Year
____ Number of complete years
For persons aged 16 and over and for married persons under the age of 16.
[] No
[] Separated
[] Widowed
[] Never married
[] For citizens of a foreign state and for those with double citizenship, write down the state's name ____
[] Without citizenship
7. National identity (ethnic affiliation)
[] Refused to answer
8. Education and training
[For persons aged 10 and over.]
[] Primary (elementary)
[] Basic general (incomplete secondary)
[] Secondary general (complete)
[] Primary vocational (vocational high school)
[] Secondary vocational (vocational college)
[] Incomplete higher vocational (incomplete higher)
[] Higher vocational (higher)
[] Specialist
[] Master
[] No education
[] Yes
[] No
8.2 Do you hold the degree of the Candidate or Doctor of Science (PhD)?
[] Candidate of Science
[] Doctor of Science (PhD)
[] No
8.3 Are you studying at an educational institution?
[] Yes
[] No
8.4 Does the child go to a pre-school educational facility?
[] Yes
[] No
[] No
9.2What other languages do you speak? ____
10. Sources of subsistence (income)
10.1 Declare all available sources of subsistence
[] 1 Work, including the second job
[] 2 Work at one's own / private plot
[] 3 Scholarship (stipend)
[] 4 Pension (except disability pension)
[] 5 Disability pension
[] 6 Welfare benefits (except unemployment)
[] 7 Unemployment benefits
[] 8 Other type of state social welfare (state assistance or care)
[] 9 Savings, dividends, banking interest
[] 10 Income from ownership, rent, patents or copyrights
[] 11 Support by parents or other persons, alimony
[] 12 Other source, specify ____
10.2 If you have several sources of income, please, specify the main source _
Questions 11.1-11.5 are for the persons aged 15 to 72. Others go to question 12.1
11. Employment and unemployment
11.1 Have you had any work that provided income, wage or salary during the period October 7-13, 2010?
[] No
[If no, go to Question 11.5]
Questions 11.2-11.4 are for the respondents, who had work during the period of October 7-13, 2010
11.2 What is your status at the place of your main occupation?
[] Employer (on one's own enterprise or organization, in one's own business)
[] Without permanent use of employees' labor
[] Other
11.3 Is your working place located in the territory of the same settlement (locality) where you live?
[] No
[] No
[If no] Specify the name of the territory of the Russian Federation (republic, region, autonomous region or area, Moscow, St. Petersburg) or the name of the foreign state where you worked ____
11.4 Did you have another work during this period?
[] No
11.5 Have you been looking for work during the last month?
[] Yes
[] No
[] I found work and will start working within the next two weeks
[] I applied for work and am waiting for an answer
[] I am waiting for the start of seasonal work
[] I am engaged in housekeeping
[] Other reason, specify ____
12.1 Since what year have you permanently resided at this settlement (locality)?
12.2 Where did you reside in October 2009?
Specify the name of the territory of the Russian Federation or the name of the foreign state. ____
In what type of the settlement (locality) did you reside?
[] Rural
13. For women aged 15 and over
13.1 How many children have you given birth to? ____
13.2 Date of birth of the first child
____ Year
No. of the resident on the list in the household
[] Female
3. Country of your permanent residence ____
4. What is the purpose of your arrival to Russia?
[] Study
[] Official or business trip
[] Medical treatment
[] Tourism, recreation
[] Transit migration
[] Other purpose, specify ____
5 What is the duration of your residence in the territory of Russia?
Months ____
6. What is the country of your birth? ____
Census questionnaire form P (side P1)
Section I. Dwelling (residence)
For apartment houses Section I is filled in only at the first apartment of the house (for each census unit)
[] The individual (one-apartment, detached) house:
[] Private housing
[] State/municipal housing
[] Apartment building
[] Hostel (dormitory)
[] Hotel
[] Other types of residence, specify (e.g. yurt, trailer, cabin, barge etc.) ____
[] Homeless
[If selected "other residence" or "homeless", end interview of Form P.]
2. Time of the house construction (when was the house built?)
[] Before 1957
[] 1957-1970
[] 1971-1995
[] 1996-2002
[] After 2002
3. Material of the outside walls
[] Brick, stone
[] Concrete (reinforced concrete), panels (blocks)
[] Wood
[] Cast concrete
[] Other mixed material
[] Other, specify the wall material ____
4. Essential facilities and amenities
[] Gas:
[] Liquefied (bottled) gas
[] Individual heating installation
[] Stove heating
[] Piped water from an individual installation
[] Water pump outside the residence
[] Water well or other source of water supply
[] Individual heaters
[] No hot water supply
[] Individual unit for sewage system (including a septic tank)
[] Cesspool drainage
[] No drainage (sewerage)
[] Other type toilet (including bio-toilet) in the residence
[] Toilet outside the residence
[] No toilet
[] Bathtub and (or) shower outside the residence
[] Bathhouse, sauna
[] No bathtub, shower, sauna or bathhouse
Household waste (garbage) removal:
[] Waste containers outside
[] Garbage truck (refuse tipper)
[] Trash dump (garbage pit)
[] Kitchen or kitchenette in a separate building
[] No kitchen or kitchenette
Census questionnaire form P (Side P2)
Section II is completed for each separate apartment or one-apartment house
For individual (one-apartment) houses in private ownership question 1 is omitted
1. Type of dwelling (residence)
[] Communal (shared) apartment [To be filled out for a house or an apartment with two or more personal accounts]
2. Floor space in an individual house or apartment (in integer square meters) ____
3. Number of occupied rooms in the apartment or one-apartment house
4. Types of dwelling amenities
Section III is completed for every separate apartment or one-apartment house
If there is only one household in the dwelling, only one table line is filled out, if two or more, a separate line is assigned for each household.
1. No. on the list of households ____
2. Number of persons in the household ____
3. Number of occupied rooms ____
4. Types of dwelling amenities
Persons list, questionnaire form C
____ City (town), urban district, urban settlement (posiolok)
____ Rural settlement, rural administrative district
____ Name of the street, avenue (prospect), square, lane (alley), passage (thoroughfare)
____No. of the house (No. of building, if there are several) or full name of the house owner
____ Apartment (flat) number
____ Name of the institution, organization
List of persons, eligible for the 2010 Russian population census
Table 1. List of persons, permanently (normally) residing in the dwelling
A. No. on the list of households in the dwelling ____
B. No. of the person on the list in the household ____
1. Surname (family name), first name, second name (middle name, patronymic) (full names) ____
Table 2. The list of persons, temporarily residing in the dwelling at the date of the census and permanently residing somewhere else
2. Surname (family name), first name, second name (middle name, patronymic) (full names) ____
3. The place of permanent (normal) residence; length of residence at this dwelling ____