[The following is an English translation of the population and housing census conducted in Thailand on April 1, 2000]
Sheet number [] of [] sheets for this household
Put a check mark in [] for every sheet of household which used more than one sheet
Part I: Identification of household
a. Address_____
[] CWD [Changwat Province]
[] AMP [Amphoe District]
[] TMB [Tambon Sub-district]
b. House location
c. Enumeration District No. _ _ _
d. Block/Village No. _ _
e. Type of household
[] Private household
[] Special household
[] Institutional household
g. Number of persons in the household _ _ _ _
Total _____ persons
Male _____ persons
Female _____ persons
h. Language usually spoken in the household
[] 2 Thai and other languages
i. [] Sample Private household/ Special household/ Institutional household mark "X"
(If private household other than sample household don't feel anything in this box)
Date of interview ____Month____2000
Signature________
(________)
Enumerator
Inspected by
Signature________
(________)
Supervisor
For all persons
[Questions S1-9 were asked of all individuals.]
S3. Relationship to household head
[] 2 Spouse
Children (include step child and adopted child)
[] 3 Unmarried child
[] 4 Married child
[] 5 Son/Daughter in law
[] 6 Grandchild
[] 7 Parents and grandparents
[] 8 Other relatives
[] 9 Non-resident and servant
[] 0 Special/Institutional household number
S5. Age
00 (If age less than 1 year)
98 (If age over 98 years)
S8. Religion
[] 2 Islam
[] 3 Christianity
[] 4 Hinduism
[] 5 Confucianism
[] 6 Others
[] 7 No-religion
S10. School attendance as of January 1, 2000_ _
If unknown grade, record level (e.g. primary)
If unknown grade and level, write "attending school, unknown grade"
If not attending, write "not attending"
For persons 5 years and over
[Questions S11-12 were asked of all individuals 5 years and older]
S12. _ _ Highest Level of School Attainment as of 1 January 2000
For persons 13 years and over
[Questions S13-L21 were asked of all individuals 13 years and older]
S13. Marital status (on April 1, 2000)
[] 2 Married
[] 3 Widowed
[] 4 Divorced
[] 5 Separated
[] 6 Ever married, current status not known
[] 7 Monk
S14. Last year occupation (April 1, 1999 - March 31, 2000)
Position ____
Examples:
Occupation Market farm
Position________
Occupation Accountant
Position Accountant
If did not work, record "did not work" and skip to L17
If record occupation in S14, answer S15 and S16.
S15. Kind of industry_ _ _ _
Or
Kind of enterprise such as: commercial bank, general secondary school, sugar refinery
S16. Work status
[] 2 Own account worker
[] 3 Government officer
[] 4 Government employee
[] 5 Government enterprise employee
[] 6 Private employee
[] 7 Unpaid family worker
[] 8 Member of producers' cooperative
Last week work (March 25-31, 2000)
[Questions L17-19]
L17. Last week occupation_____
Occupation_____
Position_____
Examples:
Occupation Street food vendor
Position ____
Occupation Accountant
Position Accountant
If did not work, record "did not work" AND ask next column (L18)
L18. Looking for work and availability for work
Not looking for work
[] 2 Available
[] 3 Not available
L19. Reason for not being available
[] 2 Waiting for appropriate season
[] 3 To study
[] 4 House worker
[] 5 Childhood, elderly
[] 6 Illness/disability unable to work
[] 7 Monk
[] 8 Others
For ever married women ages 13 years and over (code 2-6 in S13)
[Questions L20-21 were asked of ever married women ages 13 years and older of their ever born children excluding step and adopted children.]
L20. Number of living children_ _
L21. Number of children ever born who had died_ _
[Question L22 was asked of ever married women from 13 to 50 years old.]
L22. Number of new born babies last year (April 1, 1999 to March 31, 2000) _ _
For ever married women ages less than or equal to 50 years.
For all persons
[Questions L23-27 were asked of all individuals]
L23. Place of birth_ _
L24. Duration of present residence
[] 1 1 year
[] 2 2 years
[] 3 3 years
[] 4 4 years
[] 5 Less than 5 years
[] 6 5 years and over
[] 7 Children age 0-4 year who are living here since birth
If record code "6-7", end interview
Migration
[Questions were asked of respondents with codes 0-5 in L24]
L25. Previous place of residence_ _ _
If moved within province, record district name
If moved from other country, record country name
L26. Only persons who migrated within Thailand, moved from:
[] 2 Municipality
L27. Reason for moving
[] 2 Job transfer
[] 3 To study
[] 4 Following persons in household
[] 5 Return home
[] 6 Moved residence
[] 7 Moved to institutional household
[] 8 Others
For sample private households only
[Questions H1-9 were asked of sample private households only]
H1. Type of living quarter (Determined from appearance of dwelling)
[] 2 Town house
[] 3 Apartment, flat, condominium, and others
[] 4 Row house
[] 5 Concrete row house
[] 6 Room
[] 7 Office room
[] 8 Mobile
[] 9 Others
H2. Type of construction material
[Question was asked of respondents with codes 1-5 in H1]
[] 2 Wood and Cement or brick
[] 3 Wood
[] 4 Local materials
[] 5 Reused materials
H3. Tenure of living quarter (excluding land)
[] 2 Hire purchaser
[] 3 Rent
[] 4 Rent free: part of wage or salary
[] 5 Rent free: allowed to stay without payment
H4. Tenure of land for this household
[Question was asked of respondents with codes 1-2 in H3]
[] 2 Hire purchaser
[] 3 Rent
[] 4 Rent free
[] 5 Others
H5. The major type of cooking fuel used in the household
[] 2 Wood
[] 3 Gas
[] 4 Electricity
[] 5 Kerosene
[] 6 Others
[] 7 No cooking done
H6. Type of toilet facility normally used in the household
[] 2 Moulded bucket latrine
[] 3 Flush and moulded bucket latrine
[] 4 Pits or others
[] 5 None
H7. The major source of drinking water for the household
[] 2 Piped water, outside
[] 3 Public well
[] 4 Private well
[] 5 Rain water
[] 6 River, canal, stream, waterfall
[] 7 Bottled drinking
[] 8 Others
H8. The major water supply to the household
[] 2 Piped water, outside
[] 3 Public well
[] 4 Private well
[] 5 Rain water
[] 6 River, canal, stream, waterfall
[] 7 Bottled drinking
[] 8 Others
H9. Number of household appliances on April 1, 2000 (columns 34-35)
[] Radio
[] Refrigerator
[] Washing machine
[] Telephone
[] Air-conditioner
[] Electric fan
[] Car
[] Motorcycle
[] Bicycle
[] Mechanical plough
[] Local farm truck