Republic of El Salvador, Central America
Ministry of Economics
General Directorate of Statistics and Censuses
V Population and IV Housing
National Censuses
Census Form
10. ____ Address of the house, street, number, passage
The National Statistical Service Law establishes that: Art. 18 "The information collected by the Dirección General de EstadÃstica y Censos is strictly reserved. It cannot be used for purposes of taxation or judicial investigations".
1. Dwelling type
[] 2 Apartment
[] 3 Room in a house
[] 4 Room in a boarding house (pieza de meson)
[] 5 Rustic shack or hut (rancho or choza)
[] 6 Improvised dwelling
[] 7 Place not designed for human habitation
[] 8 Other (mobile home, tent, settlement (refugio), etc.)
[] 9 Homeless
[] 11 Hospital or clinic
[] 12 Contract housing for students (pupilaje)
[] 13 Home for elderly
[] 14 Guesthouse
[] 15 Prison
[] 16 Barracks
[] 17 Convent or monastery
[] 18 Other (specify) ____
Comments [5 blank lines]
____ Date
[This is a table where a response for each item can be written for each form number, 1-5, in the case of multiple forms for a dwelling]
____ Females
____ Total
____ Sector head's name
____ Enumerator's name
2. Characteristics of the dwelling
[Section 2 was asked of non-homeless private households, per Section 1]
[] 2 Wattle and daub (bahareque)
[] 3 Adobe
[] 4 Wood
[] 5 Metal sheet
[] 6 Straw, palm, or other plant material
[] 7 Waste materials
[] 8 Other (specify) ____
[] 2 Asbestos sheet
[] 3 Clay tile
[] 4 Metal sheet
[] 5 Straw, palm or other plant material
[] 6 Waste materials
[] 7 Other (specify) ____
[] 2 With people absent - return
[] 4 Occasional use
[] 5 Under repair or construction
[] 6 Other reason
For responses 3 - 6, end the interview here.
[] 2 Cement blocks
[] 3 Clay brick
[] 4 Wood
[] 5 Earth
[] 6 Other ____
[] 2 For shared use
[] 4 For shared use
d) [] 6 None
[] 2 Septic tank
[] 3 Ground outside the dwelling
[] 4 River, stream or lake
[] 5 None
Well:
[] 3 Private
[] 5 Spring
[] 6 Other (specify) ____
[] 2 Outside of the dwelling but within the property
[] 3 Public tap
[] 4 None
[] 2 Propane gas
[] 3 Kerosene (gas)
[] 4 Wood
[] 5 Charcoal
[] 6 Other (specify) ____
[] 7 None
[] 2 Kerosene (gas)
[] 3 Other (specify) ____
[] 2 No
[] 2 Owned, paying in installments
[] 3 Rented
[] 4 Other tenure
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 Private service
[] 3 Incinerated
[] 4 Buried
[] 5 Thrown anywhere
[] 2 No
1. Who habitually lives in this household?
Write the name and surname of each person who lives in the dwelling, including children, elderly people, newborns, disabled people, and those members of the family who habitually live in this dwelling but are absent due to vacation, work, business or illness and those domestic employees (male or female) who sleep here.
Column 1
Person number [1 - 8]
Column 2
Follow this order closely when listing the habitual residents
- Head of the family (list on the first line)
- Husband/wife, companion of the head
- Single children (list in order of age)
- Married children
- Husband/wife, companion of the children
- Grandchild or great-grandchild
- Parents or parents- in-law
- Other relatives (cousin, uncle, etc.)
- Brother/sister
- Domestic employee who sleeps here
- Other non-related person
Also list married children who habitually live here, in order, along with their wives and children
Column 3
Write the relationship or link to the head of the family
____ - Person numbers 2-8
[] Female
____ Total people listed on this form (*)
Check to make sure you listed: children, elderly persons, newborns, disabled persons and members of the family who habitually live here but who are absent due to vacation, business or illness and those domestic employees (male or female) who sleep here.
(*) Transfer these totals to the table "Total population resident in this dwelling" on the first page, and when using more than one form, transfer them to that same table on the first form.
[Section IV was asked of occupied private households, per question 3 and Section 1.]
1. Did any member of this household die during the last year or this year?
(Do not forget to ask about children and elderly persons)
[] 2 No - skip to migration
[] 3 Unknown - skip to migration
Name and surnames ____
Date of death:
Month____
Year ____
Sex
[] 2 Female
____ Age at death (put "00" for those younger than 1 and "98" for those 98 or older)
1. Does any member of this household live in another country?
[] 2 No
2. How many live in another country?
____ Females
[There are two versions of part V: one for the head of the household and one for other members. The only question that is different is question 1 in part 1. This English translation does not replicate both versions entirely, but only question 1]
Person ____ of the list
____ Write the names and surnames
1. [] 0 Head
(Do not use on continuation forms nor for people in a collective dwelling)
[Version 2: Other members of the household - starts on page 6 of the original language document]
1. What is your relationship with the head of the household?
[] 2 Son or daughter
[] 3 Son or daughter in-law
[] 4 Grandchild or great grandchild
[] 5 Parent or parent in-law
[] 6 Other relative
[] 7 Domestic worker
[] 8 Other non-relative
[] 9 Person in collective dwelling
[] 2 Female
(write "00" for those younger than 1, and "98" for those 98 or older)
____ Month
____ Year
[] 2 Consensual union
[] 3 Married
[] 4 Widowed
[] 5 Separated
[] 6 Divorced
[] 7 Single
[] 2 No
[] 3 Unknown
(You may mark more than one)
[] 2 Deafness
[] 3 Muteness
[] 4 Mental retardation
[] 5 Paralysis or loss of use of an upper extremity
[] 6 Paralysis or loss of use of a lower extremity
[] 7 No disability
[] 2 In another part of the country:
Municipality _ _
Department _ _
Year of arrival in El Salvador _ _ _ _
[] Since _ _ _ _ (year)
Municipality _ _
Department _ _
Other country:
[Questions 10-13 were asked of persons age 5 or older]
[] 2 No
[] 2 Not currently attending but did attend
[] 3 Never attended - skip to question 13
[] 4 Unknown - skip to question 13
[] 2 Primary or basic
[] 3 Vocational course (carrera corta) following sixth grade
[] 4 Secondary education
[] 5 Post-secondary, non-university
[] 6 Technical college
[] 7 Post-secondary, university
[] 8 Unknown
12b. What was the highest year completed at this level?
[] 2 No
[Questions 14-21 were asked of persons age 10 or older]
[] 2 Worked for somebody else without receiving a wage
[] 3 Had a job, business, enterprise, owned a farm, but did not work (due to sickness, strike, vacation, bad weather, etc.)
(If 1, 2, or 3 are selected, continue with question 16)
[] 4 Looked for a job and had previously worked
[] 5 Looked for a job for the first time (i.e., had not worked previously)
[] 6 Did not look for a job because you though none were available
[] 7 Was a "housewife" exclusively
[] 8 Studied exclusively
[] 9 Were a retiree, pensioned, or renter
[] 10 Were institutionalized [imprisoned]
[] 11 Were permanently unable to work [disabled]
[] 12 Other (specify) ____
(For options 4-12, continue with question 15)
[] 1 Washed, ironed, sewed, or provided any other domestic services
[] 2 Made or baked bread, tortillas, food, or other items to sell
[] 3 Sold items such as cloths, flowers, lottery tickets, food, craftsmanship, newspaper, candy, etc.
[] 4 Collaborated in agricultural activities
[] 5 Other (specify) ____
(Continue with question 16)
[] 6 No activity (continue with question 21)
16. Where do you work or worked?
For example: in the fields, in a factory, a mechanical workshop, a private or public office, on the street, etc.
_ _ _ _
_ _ _ _
[] 2 Private sector employee or worker
[] 3 Owner or employer
[] 4 Unpaid family worker
[] 5 Independent worker (own-account worker)
[] 6 Domestic worker
[] 7 Worker in a production cooperative
[] 8 Unknown
[] 2 No
[Questions 22-28 were asked of women age 12 or older]
[] 2 No (end the interview)