Republic of Trinidad and Tobago
Central Statistical Office
Population and Housing Census
16th May, 2010
2. Make no stray marks on this form.
3. Answer all applicable questions.
For optimum accuracy, please print in capital letters and avoid contact with the edge of the box.
[Some examples are shown to illustrate how to fill in the boxes and shade the circles]
_ _ Municipality ID
_ _ _ _ Community Code
_ _ _ _ _ E.D. Number
_ _ _ Building Number
_ _ _ Dwelling Unit Number
_ _ _ Household Number
_ _ of _ _ Questionnaire Number
____ Respondent's name
Address of household
_ _ Street name
_ _ Community
_ _ Region
____ Email
____ Municipality/Region/Parish
_ _ _ - _ _ _ _Telephone number 1
_ _ _ - _ _ _ _Telephone number 2
_ _ Number of persons in household
Visit
[] 1
Date: _ _ DD _ _ MM _ _ _ _ YYYY
Time arrived: _ _ : _ _
Time left: _ _ : _ _
Result code:
[] 2 Partially completed
[] 3 Not at home
[] 4 Refused
[] 5 Vacant dwelling
[] 6 Closed dwelling
[] 7 Other (specify) ______
[The same set of questions is asked during visits 2, 3, and 4]
____ Supervisor's name ____ Signature ____ Date
____ Interviewer's Name ____ Signature ____ Date
____ Field editor's name ____ Signature ____ Date
Section 1: Characteristics - For all persons
Circles are precoded, please shade the appropriate circle.
____ Surname
____ First name [N]
i. A household member is a person who sleeps at this residence most nights of the week and shares at least one daily meal.
ii. Remember to probe for elderly, infants, new born babies, students, temporary residents and persons who have died but were members of the household at midnight on the 16th May 2010 (Census Day).
2. Relationship to head of household
[] 01 Head (H)
[] 02 Spouse of head (SH)
[] 03 Partner of the head (PH)
[] 04 Child of head and spouse/partner (CHS/P)
[] 05 Child of head only (CHO)
[] 06 Child of spouse/partner only (CS/PO)
[] 07 Adopted child of head and spouse/partner (ACHS/P)
[] 08 Spouse/partner of child (S/PC)
[] 09 Grandchild of head/spouse/partner (GH/S/P)
[] 10 Parent of head/spouse/partner (PH/S/P)
[] 11 Other relative of head/spouse/partner (ORH/S/P)
[] 12 Domestic employee (DE)
[] 13 Other non-relative (ONR)
[] 99 Not stated (NS)
[] 1 Male
[] 2 Female
(a) What is (N's) [the respondent's] date of birth?
(b) What was (N's) [the respondent's] age at last birthday?
[] 01 African (A)
[] 02 Caucasian (Ca)
[] 03 Chinese (Ch)
[] 04 East Indian (EI)
[] 05 Indigenous (I)
[] 06 Mixed - African and East Indian (M-A and EI)
[] 07 Mixed - Other (MO)
[] 08 Portuguese (P)
[] 09 Syrian/Lebanese (S/L)
[] 77 Other ethnic group (OEG)
[] 99 Not stated (NS)
[] 010 Anglican
[] 025 Baptist - Spiritual Shouter
[] ____ Baptist - other (specify)
[] ____ Hinduism (specify)
[] ____ Islam (specify)
[] 040 Jehovah Witness
[] 050 Methodist
[] 038 Moravian
[] 470 Orisha
[] ____ Pentecostal/Evangelical/Full Gospel (Specify)
[] 800 Presbyterian
[] 960 Rastafarian
[] 090 Roman Catholic
[] 100 Seventh Day Adventist
[] 098 None
[] 999 Not stated (NS)
Section 2: Migration (Birthplace and Residence) - For all Persons
[] 01 Trinidad and Tobago (T and T)
Trinidad and Tobago born only
[Question 7(b) is asked only to people born in Trinidad and Tobago]
____ No. Street name
____ Community
_ _ _ _ Region
[] 09 Not stated (NS). Skip to Q.8(a)
Foreign born only
[Questions 7(c) and 7(d) are asked only to foreign born]
[] 052 Barbados
[] 192 Cuba
[] 308 Grenada
[] 328 Guyana
[] 388 Jamaica
[] 662 St Lucia
[] 670 St Vincent
[] 124 Canada
[] 156 China
[] 280 Germany
[] 356 India
[] 566 Nigeria
[] 826 UK
[] 840 USA
[] 862 Venezuela
[] 608 Philippines
[] ____ Other (specify)
[] 999 Not stated
7(d). Duration of residence in Trinidad and Tobago
_ _ _ _ Year
[Question 8(a) is asked to both local and foreign people]
8(a). Usual residence. For both local and foreign born
[] 01 At this address (ATA)
[] 09 Not stated (NS)
Interviewer: For persons who select option 03 "Abroad", interview ends here.
8(b). Address of place of usual residence
____ No. Street name
____ Community
_ _ _ _ Region
For Local Residents Only
[Question 9 is asked only to local residents]
9(a). Did (N) [the respondent] live at this address last census i.e. in 2000?
[] 01 Yes
____ Community
_ _ _ _ Region
For local born only
[Questions 10, 11, 12(a), and 12(b) are asked of local born only]
10. Residence in another country
[] 01Yes
[] 02 No
[] 052 Barbados
[] 192 Cuba
[] 308 Grenada
[] 328 Guyana
[] 388 Jamaica
[] 662 St Lucia
[] 670 St Vincent
[] 124 Canada
[] 156 China
[] 280 Germany
[] 356 India
[] 566 Nigeria
[] 826 UK
[] 840 USA
[] 862 Venezuela
[] 608 Philippines
[] ____ Other (specify)
[] 999 Not stated
_ _ _ _ Year
_ _ _ _ Year
Section 3: Disability - For all persons
13(a). Long standing disability
[] 1 Yes
[Respondents indicate both the activity and its level of difficulty]
[] 01 Seeing even if wearing glasses?
[] 02 Hearing even if using hearing aid?
[] 03 Walking, climbing steps? (Moving/being mobile)
[] 04 Remembering or concentrating? (Learning)
[] 05 Gripping?
[] 06 Speaking and understanding because of a physical, mental or emotional health condition?
Level:
[] a. Yes - some difficulty
[] b. Yes - a lot of difficulty
[] c. Cannot do at all
14. Activities and participation
[] 01 Taking care of himself/herself (TCH)
[] 02 Getting around within the home (GAH)
[] 03 Going outside the home (GOH)
[] 04 Working at a job or business (WB)
[] 05 Undertaking educational activities (UEA)
[] 06 Participating in social activities (PSA)
[] 07 No effect (NE)
Section 4: Health - For all persons
[] 00 None
[] 01 Alzheimer's disease (AD)
[] 02 Arthritis (ART)
[] 03 Asthma (AST)
[] 04 Cancer (C)
[] 05 Clinical mental disease (CMD)
[] 06 Diabetes (DIA)
[] 07 HIV/AIDS
[] 08 Heart Disease (HD)
[] 09 Hypertension (HYP)
[] 10 Kidney Disease (KD)
[] 11 Lupus (L)
[] 12 Parkinson's disease (PD)
[] 13 Sickle Cell Anemia (SCA)
[] 77 Other (O)
[] 99 Not stated (NS)
[] 01 Yes
[] 02 No
[] 08 Don't Know (DK)
[] 09 Not stated (NS)
Section 5: Education - For all persons
16. Attendance at a school/ educational institution
[] 01 Yes
[] 01 Full-time (FT)
[] 02 Part-time (PT)
[] 03 Distance Learning (DL)
[] 09 Not stated (NS)
17. Type of school/educational institution currently attending
[] 01 Early Childhood Care and Education/Nursery School/Kindergarten (ECCE/N/K)
[] 10 Government and Assisted Primary (G/AP)
[] 11 Private Primary (PP)
[] 20 Government and Assisted Secondary (G/AS)
[] 21 Private Secondary (PS)
[] 30 Trade/Vocational/Youth Development and Apprenticeship Centre (T/V/YC)
[] 32 Commercial/Secretarial (C/S)
[] 40 Community College (CC)
[] 41 Adult/Continuing Classes (A/CC)
[] 42 Other Post-Secondary (OPS)
[] 60 Tertiary Education Institutions/Non University (TEI/NU)
[] 61 Tertiary Education Institutions/University (TEI/U)
[] 70 Special School (SS)
[] 71 Home School (HS)
[] 77 Other (O)
[] 99 Not stated (NS)
18(a). Highest level of educational attainment
[] 00 None
[] 02 Primary (P)
[] 03 Secondary (S)
[] 04 Post Secondary (PS)
[] 05 Tertiary/Non University (T/NU)
[] 06 Tertiary/University (T/U)
[] 07 Other
[] 08 Not applicable (NA)
18(b). Years of schooling at highest level
[] 00 Less than 1 year
[] 01 year
[] 02 years
[] 03 years
[] 04 years
[] 05 years
[] 06 years
[] 07 years or more
[] 09 Not stated (NS)
18(c). Highest qualification ever attained
[] 00 None
[] 01 School leaving certificate
[] 02 CXC Basic
[] 03 GCE 'O'/CXC Gen/SC
[] 06 Associate Degree/Higher Diploma
[] 07 Bachelor's Degree
[] 08 Master's Degree
[] 09 Post Graduate Diploma/Professional Qualification
[] 10 Doctorate
[] 77 Other
[] 99 Not Stated (NS)
Section 6: Economic Activity - For all persons fifteen (15) years old and over
This section deals with the economic activity of all persons who are 15 years old and over.
Questions 20 and 21 apply only to those answering (30) in question 19.
[] 10 Had a job and worked (HJW)
[] 11 Had a job, but did not work (HJNW)
[] 20 Seeking first job (SFJ)
[] 21 Actively seeking work (ASW)
[] 30 Did not look for work (DNLW)
[] 99 Not stated (NS)
Those shading 30, go to Q.20.
And for persons who shaded 99, skip to Q.21.
[Questions 20 and 21 apply only to those answering (30) in question 19]
20. Reason for not seeking work past week
[] 40 Student (S)
[] 41 Home duties (HD)
[] 42 Retired (R)
[] 43 Disabled (D)
[] 44 Old age pensioner (OAP)
[] 45 Did not want work (DNWW)
[] 46 Discouraged (DISC)
[] 47 Awaiting Results (AR)
[] 48 Knew of no vacancy (KNV)
[] 49 Temporary Illness (TI)
[] 77 Other (O)
[] 99 Not stated (NS)
[] 01 Under 1 month
[] 02 1-3 months
[] 03 4-6 months
[] 04 7-11 months
[] 05 1 year and over
[] 06 Never looked for work (NLW)
[] 09 Not stated (NS)
[] 00 Statutory boards and similar bodies (SB)
[] 01 State owned enterprise (SOE)
[] 02 Central or local government (C/LG)
[] 03 Government, contract work (GCW)
[] 04 Private establishment (PE)
[] 05 Private establishment, contract work (PECW)
[] 06 Paid employee, private home (PEPH)
[] 07 Self-employed with paid employees (SPH)
[] 08 Self-employed with no paid employees (SNPH)
[] 09 Apprentice/Learner (A/L)
[] 10 Unpaid family worker/employee (UFW/E)
[] 11 Other unpaid worker/employee (OUW/E)
[] 77 Other (O)
[] 98 Don't know (DK)
[] 99 Not stated (NS)
23(a). Main kind of occupation/work
__________
23(b). Job title
Occupation: __________
Job title: _ _ _ _ _ _
__________
24(b). Type of business
Industry: ________
Business: _ _ _ _
25. What did (N) [the respondent] do most during the past twelve (12) months?
[] 11 Had a job, did not work (HJNW)
[] 20 Seeking first job (SFJ)
[] 21 Seeking work - not first job (SW)
[] 30 Wanted work and available (WW)
[] 40 Student (S)
[] 41 Home duties (HD)
[] 42 Retired (R)
[] 43 Disabled (D)
[] 44 Old Age Pensioner (OAP)
[] 45 Did not want work (DNWW)
[] 77 Other (O)
[] 99 Not stated (NS)
Section 7: Marital Status - For all persons fourteen (14) years and over
[] 01 Never married (NM)
[] 02 Married (M)
[] 03 Widowed (W)
[] 04 Legally separated (LS)
[] 05 Divorced (D)
[] 09 Not stated (NS)
Section 8 Fertility - For Females Fourteen to fifty-four (14-54) Years
27. Children ever born (live born)
(a) How many live born children has (N) [the respondent] ever had and how many are males and females?
_ _ Female
_ _ Male
[] 09 NS
(b) How many of (N's) [the respondent's] live born children are still alive and how many are males and females?
_ _ Female
_ _ Male
[] 09 NS
_ _ Age
_ _ Age
30(a). Number of live births in the past 12 months
[] 00 None
[] 01 One
[] 02 Two separate births
[] 03 Twin (TW)
[] 04 Three and over (3+)
[] 09 Not stated (NS)
30(b). Children born in the past 12 months who have died
_ _ Total
_ _ Female
_ _ Male
[] 09 NS
31. Number of still births in the past 12 months
[] 00 None
[] 01 One
[] 02 Two and over (2+)
[] 09 Not Stated (NS)
[] 01 Married and living with spouse (M)
[] 02 Common-law and living with partner (CL)
[] 03 Visiting partner (VP)
[] 04 No longer living with spouse (NLS)
[] 05 No longer with common-law partner (NLCP)
[] 06 Never had a spouse nor common-law partner (NS/P)
[] 09 Not stated (NS)
Section 9: Census Night - For all persons
[] 01 This household (TH)
[] 02 Elsewhere in Trinidad and Tobago (E)
[] 03 Institution (I)
[] 04 Abroad (A)
[] 07 Other (O)
[] 09 Not stated (NS)
Section 10: Individual Use of Information and Communication Technology - For persons three (3) years and over
[] 01 Yes
[] 02 No
[] 09 NS
[] 01 Yes
[] 02 No
[] 09 NS
[] 01 Yes
[] 02 No
[] 09 NS
Section 11: Housing - Head of household
A. Characteristics of Building
[] 02 Residential/ Commercial
[] 03 Residential/Professional (Office)
[] 04 Residential/Industrial
[] 05 Community Service - Private/Government
[] 07 Other (specify) ______
[] 09 Not stated
[] 01 Wood
[] 02 Wood and brick
[] 03 Wood and concrete
[] 04 Wood and galvanize
[] 05 Concrete
[] 06 Concrete and brick
[] 07 Stone
[] 08 Stone and brick
[] 09 Wattle/Adobe/Tapia
[] 77 Other (specify) ____
[] 99 Not stated
[] 01 Sheet metal (zinc, aluminum, galvanize)
[] 02 Shingle (asphalt)
[] 03 Shingle (wood)
[] 04 Concrete
[] 05 Tile
[] 06 Thatch/Makeshift
[] 07 Other (specify) ____
[] 09 Not stated
[] 01 Before 1980
[] 02 1980-1989
[] 03 1990-1999
[] 04 2000-2005
[] 05 2006
[] 06 2007
[] 07 2008
[] 08 2009
[] 09 2010
[] 98 Don't know
[] 99 Not Stated
B. Characteristics of Occupied Dwelling Unit and Land Tenancy
How would you describe the type of dwelling unit that your household occupies?
[] 01 Separate house
[] 02 Flat/apartment/cond.
[] 03 Townhouse
[] 04 Double house/duplex
[] 05 Part of Com./Ind. building
[] 06 Barracks
[] 07 Out-room
[] 08 Other Pr./dwelling
[] 09 Group dwelling
[] 10 WAFDA
[] 77 Other
[] 99 Not stated
(a) Is the dwelling unit:
[] 02 Owned with mortgage/loan
[] 03 Rent to own
[] 04 Rented private
[] 05 Rent free
[] 06 Rented government
[] 07 Leased private
[] 08 Leased government
[] 09 Squatted
[] 77 Other (specify) ____
[] 99 Not stated
Applicable only to those households which own their dwelling unit:
[Question 42(b) is asked of households which own their dwelling units]
(b) Is the land on which the dwelling unit stands:
[] 02 Rented private
[] 03 Rented government
[] 04 Leased private
[] 05 Leased government
[] 06 Rent free
[] 07 Squatted
[] 77 Other (specify) ____
[] 98 Don't know
[] 99 Not stated
43(a). For renters only: What is the monthly rent paid for this dwelling unit?
[] 08 Don't know
43(b). For owner-occupied only: If you were to rent this dwelling unit how much would it fetch monthly?
[] 08 Don't know
44. Single or multiple occupancy of dwelling unit
44(a). Is any part of the dwelling unit in which you live occupied by any other household either for a rent, for free or by some other arrangement?
44(b). How many other households occupy this dwelling unit with your household?
[] 2
[] 3
[] 4 and over
[] 9 Not stated
[] 1
[] 2
[] 3
[] 4
[] 5 and more
[] 9 Not stated
46(a). How many bedrooms are there in this dwelling unit? (Count all bedrooms including spares not occupied. Bedrooms are used mainly for sleeping and exclude makeshift and temporary sleeping quarters)
[] 1
[] 2
[] 3
[] 4
[] 5 and more
[] 9 Not stated
[Question 46(b) was asked of households living in dwelling units occupied by more than one household.]
46(b). How many bedrooms are occupied/available for use by your household?
[] 1
[] 2
[] 3
[] 4
[] 5 and more
[] 9 Not stated
[] 01 Public piped into dwelling
[] 02 Public piped into yard
[] 03 Public standpipe
[] 04 Private piped into dwelling
[] 05 Private catchment not piped
[] 06 Truck borne (and not piped into dwelling)
[] 07 Spring/River/Well/Pond
[] 77 Other (specify)
[] 99 Not stated
48. How often in a week does this household obtain water from a public supply?
[] 02 Three (3) or more times weekly
[] 03 Once or twice weekly
[] 04 Once every two to three weeks
[] 05 Not at all
[] 07 Other
[] 09 Not stated
49(a). What type of toilet facilities does this household have?
[] 02 WC linked to septic tank/soak away
[] 03 Pit/latrine
[] 04 Other
[] 05 None
[] 09 Not stated
49(b). Are these toilet facilities shared with any other household?
[] 02 No
[] 08 Not applicable
[] 09 Not stated
[] 01 Electricity
[] 02 Gas
[] 03 Kerosene
[] 04 Solar energy
[] 07 Other (specify)
[] 09 Not stated
[] 00 None
[] 01 Electricity
[] 02 LPG/Cooking gas
[] 03 Kerosene
[] 04 Wood/Charcoal
[] 05 Solar energy
[] 07 Other (specify)
[] 09 Not stated
51. Household access to the internet
[] 00 None
[] 01 Analogue (Dial-up)
[] 02 Other narrowband
[] 03 Digital subscriber line (DSL) (e.g. Blink, Greendot)
[] 04 Cable modem (e.g. Flow)
[] 05 Other fixed broadband
[] 06 Mobile broadband (e.g. Blink on the Go)
[] 08 Don't know
52. Household facilities available
[] 01 Air-conditioner
[] 02 Cable TV/Satellite
[] 03 Television
[] 04 DVD/MP3
[] 05 Radio/Stereo
[] 06 Washing machine
[] 07 Clothes dryer
[] 08 Microwave
[] 09 Refrigerator/Freezer
[] 10 Leisure boat/Yacht
[] 11 Swimming pool
[] 12 Vehicle (for private use)
Section 12: Environment - Head of Household
53. Disposal of household garbage
Use the following options to answer this question.
b) Dumping (land)
c) Burning
d) Dumping river/sea/pond/drain
e) Burying
f) Compost
g) Other
[] b
[] c
[] d
[] e
[] f
[] g (specify) ____
[] b
[] c
[] d
[] e
[] f
[] g (specify) ____
[] b
[] c
[] d
[] e
[] f
[] g (specify) ____
[] b
[] c
[] d
[] e
[] f
[] g (specify) ____
[] b
[] c
[] d
[] e
[] f
[] g (specify) ____
[] b
[] c
[] d
[] e
[] f
[] g (specify) ____
[] b
[] c
[] d
[] e
[] f
[] g (specify) ____
[] b
[] c
[] d
[] e
[] f
[] g (specify) ____
[] 00 None
[] 01 Solid Waste disposal
[] 02 Water contamination
[] 03 Drainage
[] 04 Air pollution
[] 05 Use of pesticide
[] 06 Deforestation
[] 07 Destruction of mangrove
[] 08 Soil erosion
[] 09 Flooding
[] 10 Cell tower
[] 11 Sewerage discharge
[] 12 Waste water discharge
[] 13 Excessive noise
[] 77 Other (specify)
[] 98 Don't know
[] 99 Not stated
Section 13: International Migration (Emigration) - Head of Household
In this section we wish to know how many persons have left the country to live abroad since last census.
55. Did any member of this household leave to live abroad (and still lives abroad) since the last census in 2000?
[] 02 No
57. In what year did (P) [the emigrant] last move to live abroad? (2000-2010)
_ _ _ _ Year
[] 08 Don't know
[] 01 Male
[] 02 Female
58(b). Age
_ _ _ Age
[] 08 Don't know
59. What was (P's) [the emigrant's] educational level when moved?
[] 00 None (N)
[] 01 Early Childhood Care and Education/Nursery School/Kindergarten (ECCE/N/K)
[] 02 Primary (P)
[] 03 Secondary (S)
[] 04 Post Secondary (PS)
[] 05 Tertiary/Non University (T/NU)
[] 06 Tertiary/University (T/U)
[] 07 Other (O)
[] 08 Don't know (DK)
[] 09 Not stated (NS)
60. What was (P's) [the emigrant's] occupation? (For persons fifteen (15) years and over)
______
_ _ _ _ _ _
[] 08 Don't know (DK)
61. To which country did (P) [the emigrant] migrate?
______
_ _ _
[] 840 USA
[] 124 Canada
[] 826 UK
[] _____ Caribbean (specify)
[] _____Other (specify)
[] 008 Don't know (DK)
General Comments of enumerator/supervisor ________
____ Enumerator's signature
____ Supervisor's signature
Specific comments related to individual members of household ________