A. Data on population

The data are required according to the Law No. 263/2008 Coll. On the 2011 census of population, housing, and apartments. Registered by the Statistic Office of the Slovak Republic under No. Vk 82/10 of 23.8.2010.

The data on population should be completed by all persons, other than foreign citizens enjoying diplomatic privileges and immunity. The form will be completed on behalf of a minor child and a person who is unable to provide the data by their statutory representative, family relative or a person living with them in the common household. Within the individual questions, please tick the appropriate circle by making a cross (x) or write your reply in capital letters in the relevant field or if required, please both tick and write your reply.

A foreigner whose residence on the territory of the Slovak Republic is shorter than 90 days shall complete only items 2, 3, and 6.

1. Place of permanent residence or usual residence

2. Sex

3. Date of birth ____

4. Marital status

5. Country and place of birth (mother's residence at the time of your birth)

6. Citizenship

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7. Previous place of residence, date, and reason of arrival in the current place of residence

8. Relationships between household members

9. Current activity status

10. Occupation (current or last performed) ____

11. Status in employment (current or last performed)

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12. Industry

13. Location of place of work

14. Educational attainment

15. Major (to be completed by a graduate from the secondary school/university) ____

16. Place of school, college or university

17. Transport means to your work, to school

18. Number of live-born children (to be completed by females only; childless females will write zero) ____

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19. Year of your current marriage (Those who are divorced and widowed will write the year of their last marriage) _ _ _ _

20. Nationality

21. Mother tongue

22. Most frequently used language

23. Religion

24. Computer skill

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B. Data on apartment

The data are required according to the Law No. 263/2008 Coll. On the 2011 census of population, housing, and apartments. Registered by the Statistic Office of the Slovak Republic under No. Vk 82/10 of 23.8.2010.

The data on the apartment should be completed for each apartment. The data on the apartment shall be completed by the apartment owner or apartment manager or tenant or sub-tenant or the census commissary, if any. Within the individual questions, please tick the appropriate circle by making a cross (x) or write your reply in capital letters in the relevant field or if required, please both tick and write your reply.

1. Type of ownership of apartment

2. Occupancy status of the dwelling

3. Floor area of apartment

4. Useful floor area of apartment

5. Number of living rooms in the apartment _

6. Position of apartment in the building

7. Water supply

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8. Hot water

9. Toilet

10. Bathroom

11. Type of heating

12. Energy sources used for heating

13. Air-conditioning

14. Kitchen

15. Telephone and internet connection

16. Equipment of the household (mobile phone, computer, car)

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C. Data on housing

The data are required according to the Law No. 263/2008 Coll. On the 2011 census of population, housing, and apartments. Registered by the Statistic Office of the Slovak Republic under No. Vk 82/10 of 23.8.2010.

The data on housing should be completed for each building determined for dwelling (including any empty buildings) identified by a serial number and for some other objects where somebody lives (e.g. any non-approved occupied houses) or which are occupied by a person on the data of census. The data on housing should be completed by the owner of the house or the manager of the house or the tenant in the house or the census commissary. Within the individual questions, please tick the appropriate circle by making a cross (x) or write your reply in capital letters in the relevant field or if required, please both tick and write your reply.

1. Type of housing

3. Type of ownership of the house

4. Period of construction

5. Period of reconstruction

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6. Number of storeys (floors) in the building ____

7. Number of apartments in the building ____

8. Material of the supporting structure of the building

9. Type of water connection

10. Type of sewage system

11. Thermal insulation of the building

12. Gas connection