Part I: Address
____Name or number of road, street or ward
____Number of building
____Inner door or apartment number
Part II: Type of place
[] 1 Apartment
[] 2 Squatter's house
[] 3 Tent, hollow, hut, cave, etc.
[] 5 School, hostel, hospital, prison, etc.
[] 6 Military quarters, garrison, officer's club, etc.
[] 7 Train, ship, bus, terminal, etc.
[] 8 Others (factory, government office, etc.)
Part III: Household questions
[Questions 1-10 were asked of private dwellings, per Part II]
1. Name and surname of the household head
____
2. Is the household head at home?
[] 2 No
3. How many persons are there in the house now including guests? ____
4. How many guests are there in the house now?
____
5. How many household members are absent now?
Abroad ____
6. Number of household members who were previously abroad but are permanently back now.____
7. Does the household pay any rent for the dwelling unit? If it pays, [what is] the net monthly rent [in] TL? (Excluding overhead such as fuel expenditure and janitor's salary etc.)
8. Number of rooms that the household uses.____
9. Heating system utilized by the household.
[] 6 Stove
[] 7 Fireplace
[] 8 Other (indicate) ____
10. What kind of fuel is used by the household for heating?
[] 2 Fuel oil
[] 3 Wood
[] 4 Dried dung
[] 5 Other
For the enumerator's attention
1. Enter name and surname and all other characteristics of the household head in the first line of part IV, in places where there are households, without considering the household head is at home or not.
If the household head is not at home get the information on his/her characteristics from one of the household members who may reply for him/her.
Get the information on other persons personally from the as far as possible and in cases it is not possible to get the information personally from them, ask the household head or one of the household members who may reply for them.
2. Write in block letters
3. Put an "X" in the appropriate box in case the questions are with multiple boxes.
4. Do not enter anything in places reserved for coding.
Part IV: Questions on personal characteristics
Serial number
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 8
[] 9
____
13. Age completed
____
14. Place of birth
____
15. Relationship to the household head
____
16. Citizenship
[] 1 T. C.
If not T. C., specify ____
17. Language customarily spoken in the household
If not Turkish, specify ____
18. Language spoken best, other than this language
If any, specify____
[] 1 Catholic
[] 2 Orthodox
[] 3 Protestant
[] 4 Gregorian, etc.
For Muslims, Jews and others, enter name of the religion only
[] 1 Muslim
If not Muslim, specify ____
20. Visible physical disability, mental disorder or psychological defect, if any
[] 2 No
Ask those who answer "Yes" to question 20.
[Questions 21-22 were asked of those who had physical disability, as per question 20.]
21. Nature of disability
____
22. Cause of disability
[] 2 Traffic accident
[] 3 Work accident
[] 4 Illness
[] 5 Other
Permanent residence
23. Name of province of your permanent residence
____
24. Is your place of permanent residence in a province or district center, sub-district or village?
[] 1 Province
[] 2 District center
[] 3 Sub-district, village
Permanent residence on the census day in 1980
(Ask persons age 5 or older)
[Questions 25-26 were asked of persons age 5 or older]
25. Name of province of your permanent residence on the census day in 1980
____
26. Was your place of residence in province or district center, sub-district or village?
[] 1 Province
[] 2 District center
[] 3 Sub-district, village
27. Can you read and write?
[] 4 Yes
[] 5 No
28. Last school completed
(Primary, secondary, high school, commercial high school, medical college, teacher training schools, etc.)
____
29. Marital status
[] 1 Never married
[] 2 Married
[] 3 Divorced
[] 4 Widowed
Fertility
(Ask married, widowed and divorced females age 12 or older)
[Questions 30-33 were asked of ever married females age 12 or older]
30. Number of children alive or dead you have given birth to whether male or female ____
31. How many of the children to whom you gave birth are alive now? ____
[Questions 32-33 were asked of ever married females ages 12-49 who ever gave birth.]
32. Number of children alive or dead, male or female, to whom you gave birth in the preceding year?
____
33. Did you have children who died before reaching 1 year of age in the preceding year? If any, how many?
_____
Employment status in the last week
(Ask persons age 12 or older)
[Questions 34-42 were asked of persons age 12 or older]
34. Did you work in any job last week for cash or income in kind; if you didn't, do you continue having a job?
[] 6 Didn't work but has a job
[] 7 Didn't work
Ask those who answer question 34 as "Worked" or "Didn't work but has a job"
[Questions 35-38 were asked of persons age 12 or older who worked or didn't work but had a job last week, as per question 34]
35. Kind of work you did last week or the job you continue to have?
____
36. Kind of work place where you worked last week or you continue to work
____
37. Nature of work done at the work place where you worked last week or you continue to work
____
38. Employment status in the job you worked last week or where you continue to work.
[] 1 Employer
[] 2 Own account
[] 3 Unpaid family worker
Ask those who answer "Didn't work" to question 34
[Questions 39-41 were asked of those who did not work last week, per question 34]
39. Reason for not working, if you didn't work or discontinue working
[] 3 Retired
[] 4 Student
[] 5 Housewife
[] 6 Income recipient
[] 7 Other
[] 8 Unemployed
40. Are you looking for a job?
[] 2 No
41. How long have you been looking for a job?
[] 3 Less than one month
[] 4 1 to 6 months
[] 5 7 to 12 months
[] 6 Over 12 months
42. What is your main occupation?
[] 0 None
If you have one, specify____