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Thailand
The 1980 Population and Housing Census

Confidential
Form 2
(Enumeration form)

Sheet number ____ of ____ sheets for this household

Part I Identification of household

a. Address
_ _ Province
_ _ District
_ _ Sub district

b. E.D. No. _

c. Block number _

d. Village No. _

Name of village ____

e. This house is in

[] 1 Municipal Area
Name of M.A. ____
[] 2 Sanitary District
Name of S.D. ____
[] 3 Outside M.A. or S.D.

f. Household No. _ _ _

g. Type of household

[] 1 Private household
Institution household
[] 2 Temple
[] 3 Jail
[] 4 Welfare Lodging
[] 5 Hospital
[] 6 Boarding School/dormitory
[] 7 Military
Other collective household
[] 8 Hotel
[] 9 Boarding house and others

h. Number of persons in a household

Total persons _ _
Male persons _ _
Female persons _ _

L0. Language usually spoken in this household _ _

For Every Person
[Questions L1- L7 were asked of every person.]

L1. Line number _ _ _ _

L2. Name and surname ____

[List in the following order.]

Head
Spouse
Unmarried children
Grandchildren
Parents
Other relatives
Non-relatives

L3. Relationship to head of household

[] 1 Head
[] 2 Spouse
[] 3 Unmarried children
[] 4 Grand children
[] 5 Parents
[] 6 Other relatives
[] 7 Non-relatives

L4. Month and year of birth

Month ____
Year ____

L5. Age at last birthday _ _

For infants less than 1 year of age, record "00"

L6. Residence status

[] 1 Permanent resident
[] 2 Temporarily away from home
[] 3 Temporarily abroad

L7. Sex

[] 1 Male
[] 2 Female

L8. Highest grade of school completed (as of January 1980) ____

For persons 5 years and older.

For Persons born before and in 1968
[Questions L9-12 were asked of persons 12 and older.]

L9. Marital status

[] 1 Never married
[] 2 Widowed
[] 3 Divorced
[] 4 Separated
[] 5 Priest

L10. Occupation last year (April 1979 to March 1980): What were you doing most of the time last year? ____

Record kind of work. If did not work, record "did not work"

If working in L10
[Questions L11-12 were asked of persons who are working, per question L10.]

L11. Industry last year (April 1979 to March 1980) ____

Example: Education Section, Farming, Aerated Water Factory, Government school

L12. Work status

[] 1 Employer
[] 2 Self-employed
[] 3 Government employee
[] 4 Government enterprise employee
[] 5 Private employee
[] 6 Unpaid household worker

For Every Person
[Questions L13-L15 were asked of every person.]

L13. Is [respondent's] mother living in this household? _ _

Line number of mother (For private households only). If yes, enter line number of mother. If not, record "95".

L14. What is [respondent's] religion? ____

L15. Place of birth (Enter Changwat or country if born in other country) ____

For person 5 years and older or those who were born before and in the year 1974 (tiger year)
[Questions L16-L20 were asked of persons age 5 and over.]

L16. Grade of school attended (as of January 1, 1980 for those 5-30 years old) _ _

L17. Can read and write in any language?

[] 1 Yes
[] 2 No

L18. How long has [respondent] been living in this village or municipality consecutively? ____

If less than 5 years in L18
[Questions L19-L21 were asked of person who had been living in the present village or municipality for less than 5 years, per question L18.]

L19. Previous province of residence ____

Enter province. If moved within the same province, enter district

L20. For those who moved within Thailand from village or municipality

[] 1 Village
[] 2 Municipality

L21. Reason for moving

[] 1 To study
[] 2 Move with spouse
[] 3 Moved with head of household
[] 4 Looking for job
[] 5 Job transfer
[] 6 Return home
[] 7 Marriage
[] 8 Enter priesthood etc.

For person 11 years and older or those who were born before and in the year 1968.
For ever-married women.
[Questions L22-L25 were asked of women age 11 and over who have ever been married.]

L22. Age at first marriage _ _

L23. Number of children who have ever been born living in this household_ _

L24. Number of children who have ever been born living elsewhere _ _

L25. Number of children who had been born who have died _ _

L26. Do you or your husband practice contraception?

For currently married women in L9 and 50 years or age and lower.

[] 1 Yes
[] 2 No

L27. If yes in L26, what method is used?

[Question L27 was only asked to currently married women per L9 who are age 50 and lower and who practices or whose husband practices contraception, per L26.]

[] 1 Oral pills
[] 2 IUD
[] 3 Injection
[] 4 Female sterilization
[] 5 Male sterilization
[] 6 Other methods used

L28. What job was [respondent] working in during last week?

Specify kind of work i.e. typist, school teacher, accountant, farmer, etc.

Occupation last week (25-31 March 1980) ____

L29. Reason for not working ____

If 'not work' in column 28.

Example: looking for work, student, aged/disability, waiting for farm season, homemaker, retired official, etc.

For office use only
Line number ____

Part 3. Housing Questions (For Private Household)

[Questions H1-H18 were asked of private households.]

Number H1 and H2 by observation of house

H1. Type of structure

[] 1 Detached
[] 2 Duplex
[] 3 Row house
[] 4 Apartment
[] 5 Room
[] 6 Mobile
[] 7 Other (specify) ____

H2. Type of construction materials

[] 1 Cement or brick
[] 2 Wood, cement or brick (mixed)
[] 3 Wood
[] 4 Local materials
[] 5 Reused materials

H3. Is this house also used for commercial purposes?

[] 1 Yes
[] 2 No

H4. Tenure of household living quarter (excluding land)

[] 1 Owner
[] 2 Buy on installment
[] 3 Rent
[] 4 Rent free for service
[] 5 Rent free others

H5. (If rent in No. H4) Advanced payment

[Question H5 was asked of those who rent, per question H4.]

[] 1 Yes
[] 2 No

H6. Rent per month (Baht) ____

H7. If rent or rent free in No. H4, who is owner of house?

[Question H7 was asked of those who rent or rent free in H4.]

[] 1 Government, government enterprise
[] 2 Private
[] 3 Other (specify) ____

H8. Ownership of land

If owner or buy on installment in H4

[] 1 Owner of land
[] 2 Buy on installment
[] 3 Rent
[] 4 Rent free
[] 5 Other (specify) ____

H9. Owner of land

If rent or rent free in No. H8

[] 1 Government, government enterprise
[] 2 Government property
[] 3 Private
[] 4 Other (specify) ____

H10. Number of rooms used for sleeping

[] 1 Bedrooms _ _
[] 2 Other rooms used for sleeping _ _

H11. Drinking water

[] 1 Piped water, inside
[] 2 Piped water, outside
[] 3 Public well
[] 4 Private well
[] 5 Rain water
[] 6 River, canal, stream, waterfall
[] 7 Other (specify) ____

H12. Water supply system

[] 1 Piped water, inside
[] 2 Piped water, outside
[] 3 Public well
[] 4 Private well
[] 5 Rain water
[] 6 River, canal, stream, waterfall
[] 7 Other (specify) ____

H13. Bathroom

[] 1 Exclusive bathroom
[] 2 Shared bathroom
[] 3 Terrace, veranda
[] 4 Well, river, canal
[] 5 Other (specify) ____

H14. Lighting

[] 1 Electricity
[] 2 Pressure lamp
[] 3 Oil lamp
[] 4 Other (specify) ____

H15. Toilet Facilities

[] 1 Flush toilet, exclusive
[] 2 Flush toilet, shared
[] 3 Moulded bucket latrine, exclusive
[] 4 Moulded bucket latrine, shared
[] 5 Pit
[] 6 Other or none

H16. Place for cooking

[] 1 Kitchen, exclusive
[] 2 Kitchen, shared
[] 3 Terrace, veranda
[] 4 Other (specify) ____

H17. Cooking Fuel

Charcoal
[] 1 1st
[] 2 2nd
Wood
[] 1 1st
[] 2 2nd
Gas
[] 1 1st
[] 2 2nd
Electricity
[] 1 1st
[] 2 2nd
Others or kerosene
None

H18. Household Appliance

Radio
[] 1 Yes
[] 2 No
Television
[] 1 Yes
[] 2 No
Telephone
[] 1 Yes
[] 2 No
Refrigerator
[] 1 Yes
[] 2 No
Electric Fan
[] 1 Yes
[] 2 No
Air-conditioner
[] 1 Yes
[] 2 No
Bicycle
[] 1 Yes
[] 2 No
Motorcycle
[] 1 Yes
[] 2 No
Motorcar
[] 1 Yes
[] 2 No
Motorboat
[] 1 Yes
[] 2 No
Water pump for agriculture use
[] 1 Yes
[] 2 No
Tractor
[] 1 Yes
[] 2 No