Confidential
Form 2S
(Enumeration form)
Sheet number ____ of ____ sheets for this household
Part I Identification of household
a. Address ____
_ _ Region
_ _ Province
_ _ District
_ _ Subdistrict
b. This house is in
d. Block/Village No. _ _
f. Type of living quarter
[] 02 Town house
Apartment, Flat and others
[] 04 Flat
[] 05 Condominium
[] 06 Others
[] 08 Concrete raw house
[] 09 Office room
[] 10 Mobile
[] 11 Other living quarters
[] 12 Temple (Wat)
[] 13 Jail
[] 14 Welfare lodging
[] 15 Hospital
[] 16 Boarding school
[] 17 Military barrack
[] 18 Hotel
[] 19 Boarding house and others
g. Type of construction materials
[] 1 Concrete or brick
[] 2 Wood, concrete or brick (mixed)
[] 3 Wood
[] 4 Local materials
[] 5 Reused materials
h. Type of household
[] 2 Collective household
j. Number of persons in household
Male persons _ _
Female persons _ _
k. Language usually spoken in this household
[] 2 Thai and other languages; specify other languages____
[] 3 Other languages only; specify other languages____
[Questions S1- S6 were asked of every person.]
S3. What's [respondent's] relationship to head of household?
[] 01 Head
[] 02 Spouse
[] 03 Children
[] 04 Step-children
[] 05 Adopted children
[] 06 Son- or daughter-in-law
[] 07 Grand children
[] 08 Parents, parents-in-law
[] 09 Grandparents
[] 10 Other relatives
[] 11 Non-relatives
[] 12 Servants
S5. What's [respondent's] month and year of birth?
Month _ _
Year _ _ _ _
S6. Age _ _
[Ask only person 5 years and over.]
S7. Highest Level of school attainment
What's [respondent's] highest level of school attainment? ____
[Questions S8- S11 were asked of persons 13 and older or were born before and in the year 1977]
S8. What's [respondent's] marital status? (on April 1,1990)
[] 2 Married
[] 3 Widowed
[] 4 Divorced
[] 5 Separated
[] 6 Married, do not know status
[] 7 Priest, monk, novices
S9. Last year occupation
What job did [respondent] spend most of the time working on during last year? (1 April 1989 to 31 March 1990) ____
[Questions S10-S11 were asked of persons age 13+ who were working, as per question S9.]
S10. Kind of Industry
What kind of industry, business or service job? ____
S11. Work Status
What's [respondent's] work status?
[] 2 Self-employed/own-account worker
Government employee
[] 4 Employee
[] 6 Private employee
[] 7 Unpaid family worker
L12. Mother line number (Private household only) _ _
Does (name)'s mother live in this household?
If mother does not live in this household record 95
L13. Religion
What's (name) religion?
[] 2 Islam
[] 3 Christ
[] 4 Hindu
[] 5 Confucius
[] 6 Others
[] 7 Non-religion
L14. Place of birth
Where was (name) born? ____
If born outside Thailand, record name of country.
L15. Duration of present residence
How many years has (name) been living in this village/municipal area? _ _
Migration Status
Ask only persons who record 0-4 year and less than 5 years in L15.
L16. Previous place of residence
What was the previous Changwat (name) moved from?
For children age 0-4 year living here since birth, record "Did not move".
L17. Did (name) move from village or municipal area?
[] 1 Village
[] 2 Municipality
L18. Reason for moving
Why did (name) move?
[] Moved with spouse
[] Moved with head of household
[] Looking for job
[] Job transfer
[] Return home
[] Vacation
[] Marriage
[] Priesthood, etc.
L19. School Attendance
Is (name) attending a school or any other educational institution (as of January 1990)?
Record level _ _
If never attending school, record 'never'.
L20. Literacy
Can (name) read and write any language?
If can read/write more than one language, record code of language that the person can read/write most.
[] 0 Illiterate
[] 1 Thai
[] 2 Chinese
[] 3 Malaysian, Yawee
[] 4 English
[] 5 Others
Children ever born
(excluding step child and adopted child)
For ever married women (codes codes 2-6 in S8)
L21. Number of children ever born living in this household
How many children ever born does (name) have and live in this household? _ _
L22. Number of children ever born living outside household
How many children still living outside household does (name) have?
L23. Number of children ever born who have died
How many children ever born who have died does (name) have?
L24. Contraception
Does (name) or husband practicing any kind of contraception?
[] 0 Not practice
[] 1 Oral pills
[] 2 IUD
[] 3 Injection
[] 4 Female sterilization
[] 5 Male sterilization
[] 6 Condom
[] 7 Norplant
[] 8 Others and unknown method
L25. Last week occupation
During March 25-31 1990, what job did (name) spend most of the time working on?
Example; typist, accountant, teacher, farmer, etc. and skip to L27.
If did not work, enter 'not work'.
L26. Reason for not working
Why (name) did not work?
Example: looking for work, waiting for farm season, study, home worker, aged, young, ill, disable, pensioner, millionaire, priest, etc.
L27. Disability
Is (name) disable?
[] 1 Blind
[] 2 Deaf
[] 3 Dumb
[] 4 Armless, legless
[] 5 Mentally retarded
[] 6 Insanity
[] 7 Paralyzed
[] 8 Others (specify) ____
Part III Housing questions (for private household)
H1. Type of living quarter
[] 02 Town house
[] Apartment, flat and others
[] 03 Apartment
[] 04 Flat
[] 05 Condominium
[] 06 Others
[] 07 Row house
[] 08 Concrete row house
[] 09 Room
[] 10 Office room
[] 11 Mobile
[] 12 Others
H2. Is this living quarter
[] 2 Do not use for business or commercial purpose
H3. Tenure of living quarter (excluding land)
[] 2 Hire purchaser (skip to H7)
[] 3 Rent (Ask H4, H5, H6 respectively)
[] Rent free because
[] 4 Part of salary (skip to H6)
[] 5 In-kind (skip to H6)
H4. (If rent or record code 3 in H3)
How much is monthly rent (in baht)? _ _ _ _ _
H5. (If rent or record code 3 in H3)
Is there any advance payment?
[] 2 No
H6. (If rent or rent free, record code 3,4,5 in H3)
Who is the owner of this house?
[] 2 Religious organization
[] 3 Government, government enterprise
[] 4 Private
[] 5 Others
H7. (If owner or hire purchaser, record code 1,2 in H3)
Who owns the land for this household?
[] 2 Hire purchaser
[] 3 Rent
[] 4 Rent free
[] 5 Others
H8. (If rent or rent free, record 3,4,5 in H7)
Who's the owner of the land?
[] 2 Religious organization
[] 3 Government, government enterprise
[] 4 Private
[] 5 Others
H9. Numbers of rooms used for sleeping
Number of other rooms used for sleeping _ _
H10. What kind of drinking water is used in this household?
[] 2 Piped water, outside
[] 3 Public well
[] 4 Private well
[] 5 Rain water
[] 6 River, canal, stream, waterfall
[] 7 Bottled drinking
[] 8 Others
H11. What kind of water is used in this household? If use only one source, recode 'code' in the first and '0' in the second)
[] 2 Piped water, outside
[] 3 Public well
[] 4 Private well
[] 5 Rain water
[] 6 River, canal, stream, waterfall
[] 7 Others
[] 2 Piped water, outside
[] 3 Public well
[] 4 Private well
[] 5 Rain water
[] 6 River, canal, stream, waterfall
[] 7 Others
H12. What kind of light is used in this household?
[] 2 Pressure lamp
[] 3 Oil lamp
[] 4 Others
H13. What kind of toilet is used in this household?
[] 2 Shared
[] 4 Shared
[] 6 Shared
[] 8 None
H14. Where [place] does the household cook?
[] 2 Shared
[] 4 Others
[] 5 Not cooking (skip to H16)
H15. What kind of cooking fuel is used in this household?
Major use
[] 2 Wood
[] 3 Gas
[] 4 Electricity
[] 5 Kerosene
[] 6 Others
[] 2 Wood
[] 3 Gas
[] 4 Electricity
[] 5 Kerosene
[] 6 Others
H16. Household appliance (on April 1, 1990)
Does this household have any of these appliances?
[] Radio _ _
[] Color-television _ _
[] Black and white television _ _
[] Video-tape _ _
[] Electric iron _ _
[] Electric rice cooking _ _
[] Electric-fan _ _
[] Sewing machine _ _
[] Vacuum cleaner _ _
[] Refrigerator _ _
[] Washing machine _ _
[] Air-conditioner _ _
[] Telephone _ _
[] Bicycle _ _
[] Motorcycle _ _
[] Car _ _
[] Engine operated boats _ _
[] Water pumps _ _
[] Plough machine _ _
[] Local farm truck _ _