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Republic of Uruguay
National Institute of Statistics
VII General Census of Population
III of Homes and V of Dwellings
Census Questionnaire 1996

[p. 1]

The confidentiality of the information is guaranteed by Art 17 of Law No. 16.616 of 10/20/1994. This Law also establishes that all people are obligated to supply the information. (Article 14 of the same Law)

A. Geographic Identification
Department: ____ _ _
Section: ____ _ _
Segment: ____ _ _ _
Zone: ____ _ _ _
Enumerator: ____ _ _
Border: ____ _ _

2. Order number of the dwelling:

Mark 01, 02, …23 etc. according to what corresponds.

____

3. Home number within the dwelling

Mark "00" if there are no homes. In other cases, 01, 02, ...14 etc. according to what corresponds.

____

Address of the dwelling: ________

Urban

Street: ____
Number: _ _ _ _ _ _ _
Block: _ _
Floor: _ _
Apartment:_ _ _ _

Rural

Direction/route to the dwelling ________

4. Is the dwelling land used for agriculture or livestock production?

[] 1 Yes
[] 2 No

5. Does the land occupy one hectare or more?

[] 1 Yes
[] 2 No
B. Type of dwelling and occupation

6. Indicate the type of dwelling, mark only one box

Private dwelling:
[] 1 House
[] 2 Apartment
[] 3 Apartment or room in a school, factory, etc.
[] 4 Place not built for habitation
[] 5 Mobile dwelling (tent, rolling house, etc.)
[] 6 Other
Collective dwelling:
[] 7 Hotel, time share, "parador", motel
[] 8 Hospital, sanatorium
[] 9 Home for the elderly
[] 10 Student residence
[] 11 Worker house
[] 12 Asylum
[] 13 Other

7. Indicate if the dwelling is:

Occupied:
[] 1 With inhabitants present
[] 2 With inhabitants absent
Unoccupied:
[] 3 Used seasonally or on weekends
[] 4 Finishing being under construction or repair
[] 5 For sale or rent
[] 6 Other reason

If a dwelling is unoccupied or occupied with inhabitants absent, stop here.

If a dwelling is occupied with inhabitants present, continue with Section C: Information of the occupied private dwelling.

If it is a collective dwelling, go to Section F: People who make up the home (page 2)


C. Information about the occupied private dwelling with inhabitants present (only for the 1st home and single home)

[Questions 8-15.]

8. What is the predominant material of the exterior walls?

[] 1 Masonry: bricks, concrete blocks, ticholo, stones, etc.
[] 2 Wood and sheets of zinc, fibrocemento
[] 3 Mud (terron, adobe, fagina)
[] 4 Tin or waste material
[] 5 Other

9. What is the predominant material of the roof?

[] 1 Sheets of cement, bovedilla (type of vault) with or without tiles
[] 2 Sheets of zinc, fibrocement, aluminum, asphalt tiles, tiles over framework, with a flat roof
[] 3 Sheets of zinc, fibrocement, aluminum, asphalt tiles, tiles over framework, without a flat roof
[] 4 Straw
[] 5 Tin or waste material
[] 6 Other

10. What is the predominant material of the floor?

[] 1 Earth, mud, or rubble earth
[] 2 Concrete, portland concrete, stones or bricks
[] 3 Wood, floor tile, parquet, linoleum
[] 4 Other

11. What is the origin of water of the dwelling, used for drinking and eating?

[] 1 General network
[] 2 Well
[] 3 Tank [aljibe]
[] 4 Other (stream, river, etc.)

12. What is the source of water in the dwelling?

[] 1 Piped within the dwelling
[] 2 Pipes from outside the dwelling
[] 3 Other means

13. Does this dwelling have any of the following services of electrical lighting?

Mark all that apply.

[] 1 From the U.T.E. [public electricity company]
[] 2 Battery charger
[] 3 Generator
[] 4 Other electric

Without considering bathrooms or rooms used exclusively for cooking and storing, how many rooms does this home have in total for:

14. Residential purposes: ____
15. Non-residential purposes: ____

D. Homes of the occupied private dwelling with inhabitants present

16. In this dwelling, how many households (groups of people) have separate budgets, at least for meals ([each household] shares a common pot): ____

For single or first household, continue on the back.

For each other type of household, use an additional questionnaire.

- In it, repeat the information of geographic identification, the order number of the dwelling and write down the number of the following home.

- Leave the information about the dwelling (parts B, C and D on this page) blank.

- Begin the interview on page 2 (E. Information of the private dwelling)

[p. 2]

[Details on how to write were removed]

E. Information about the private home

Hygienic services

1. Does the household in this dwelling have any hygienic service (e.g. W.C., latrine, etc.)?

[] 1 Yes, with instantaneous discharge of water
[] 2 Yes, but without discharge
[] 3 Does not have hygienic service.

2. The use of hygienic service is:

[] 1 Private of this home
[] 2 Shared with other homes

3. The disposal of hygienic waste is done by:

[] 1 General [public] system
[] 2 Septic tank, cesspool
[] 3 Other (hole in the ground, surface, etc.)

Cooking facilities

4. In this home, is there any appropriate place for cooking, with kitchen sink and faucet?

[] 1 Yes, private to this home.
[] 2 Yes, shared with other homes.
[] 3 None

5. What is the principal source of energy used for cooking?

Mark only the main source:

[] 1 Electricity
[] 2 Supergas [LPG]
[] 3 Kerosene
[] 4 Piped gas
[] 5 Wood
[] 6 Other
[] 7 None, does not cook

Heating

6. Which source does your household use for heat?

Mark only the main source:

[] 1 Stove, heating panel, or similar
[] 2 Air conditioner
[] 3 Central heating
[] 4 Other
[] 5 None (go to question 8)

7. What is the principal source of energy for heating rooms?

[Question 7 was asked of households that heat their dwelling, as per question 6.]

[] 1 Electricity
[] 2 Supergas [LPG]
[] 3 Kerosene
[] 4 Wood
[] 5 Gas oil
[] 6 Fuel oil
[] 7 Piped gas
[] 8 Other

Tenancy
8. With respect to this dwelling, this household is:

[] 1 Owner of the dwelling and land
[] 2 Owner of the dwelling only
[] 3 Member of living cooperative
[] 4 Tenant or renter
[] 5 Occupant by a relation of dependence (work)
[] 6 Occupied by loan, cede or permission
[] 7 Occupied without permission
[] 8 Other

Rooms for sleeping
9. How many rooms are used for sleeping in this home? ____

Comfort and equipment of the home

10. Does this home have its own vehicle (car or truck) for its own personal use?

[] 1 Does not have
[] 2 Yes, one
[] 3 Yes, more than one

11. Does the home have any of the following appliances?

[] Water heater [gas]
[] Instant heater [electric]
[] Simple refrigerator
[] Refrigerator with freezer
[] Freezer
[] Color TV
[] Black and white TV
[] Telephone
[] Microwave oven
[] Video cassette player
[] Common washer
[] Programmed washer
[] Computer

F. People who make up the home

12. What is the name and surname of every person who lodged here last night, beginning with the head?

Enumerator: Write down the names and surnames of each person in the following order of relation or relationship to the head of household.

Do not forget babies and the elderly. If the home has more than six people, continue this list on additional questionnaires.

[] Head of household
[] Spouse or companion
[] Single children or stepchildren from oldest to youngest
[] Married children and stepchildren and their spouses and companions
[] Grandchildren
[] Parents or mother/father-in-laws, siblings, aunts/uncles, etc.
[] Other people not related (guests, domestic servants, etc.)

13. Now, how many people in total were lodged here last night?

Write and mark the number only in the initial questionnaire of the home.

Total number of people: ____

14. Of this total, how many are men and how many are women?

Write and mark the number only in the initial questionnaire of the home.

Men: ____
Women: ____

Enumerator: Once you have finished the enumeration of the members of this home, count the pages of people who you have completed, and verify this number.

If there are more than six people in a home, use an additional questionnaire, repeating the Order Number of the dwelling, Order Number of the home within the dwelling and the geographic identification.

Do not forget to mark the rectangle "Continued" of the first part of the census questionnaire (question 1 in the top right corner of page 1).

[p. 3]

Do not shorten words

[Next to the text are boxes with the alphabet in capital letters.]

G. People in the home

1. What relation or relationship do you have with the head of household?

[] 1 Head
[] 2 Spouse or companion
[] 3 Child
[] 4 Child of spouse [stepchild]
[] 5 Son/daughter in-law
[] 6 Grandchild
[] 7 Parent or mother/father in-law
[] 8 Other relative
[] 9 Domestic servant and children
[] 10 Not related
[] 11 Collective dwelling resident

2. Are you a man or a woman?

[] 1 Man
[] 2 Woman

3. How old are you (in completed years)?

Write down the number and mark:

For those younger than 1 year: "00"
For those younger than 10 years: "01", "02", "03", etc. as necessary.
For those older than 99 years, "99"

____

4. Are you retired or pensioned?

[] 1 Yes
[] 2 No

5. Do you have any valid rights in any institution for attending to health?
In services of total coverage:

[] 1 Ministry of Public Health valid card
[] 2 Mutual, cooperative, medical, etc.
[] 3 Military health
[] 4 Police health
[] 5 Others of total coverage
[] 6 Does not have

6. And in services of partial coverage

[] 1 Family benefits
[] 2 Mobile emergency units
[] 3 Other partial insurance
[] 4 Does not have

7. In what locality or place do you live habitually?

[] 1 Here
[] In another place, (write down the department or country and locality)
Department or country: ____
Locality in Uruguay: ____

8. In what locality or place did you live habitually five years ago on this date?

[] 1 Younger than age 5
[] 2 Here
Department or country: ____
Locality in Uruguay: ____

9. In what locality or place did you begin living when you were born?

[] 1 Here
[] In another place, write down the department or country and locality: ____
Department or country: ____
Locality in Uruguay: ____

10. If you reside in Uruguay and were born abroad, what year did you come to Uruguay to live?

19 _ _

For all people age 3 or older
[Questions 11-15 were asked of persons age 3 or older]

11. Do you know how to both read and write?

If they only read or only write, mark "No".

[] 1 Yes
[] 2 No

12. Of the following levels of education, what is the highest that you attended?

A.
[] 1 Never attended (go to 16)
[] 2 Preschool
[] 3 Primary
[] 4 High school or secondary basic cycle
B.
[] 5 Preparatory or secondary 2nd cycle
[] 6 University
[] 7 Teacher training
[] 8 Military or police career

13. With respect to this education level, do you currently

[Question 13 was asked of persons age 3 or older who have attended school, as per question 12.]

[] 1 Attend a public establishment
[] 2 Attend a private establishment
[] 3 Abandoned your studies
[] 4 Finished the level

14. How many years did you spend at this level?

[Question 14 was asked of persons age 3 or older who have attended school, as per question 12.]

____

15. What is the specialization or major area of study?

[Question 16 was asked of persons age 3 or older who have attended secondary second cycle, university, teacher training or military/police schools, per question 12.]

If you marked group "A" in question 12, go to question 16 if necessary.

Only for those in group "B" of question 12

____

For all people age 12 or older
[Questions 16-28 were asked of persons age 12 or older]

16. Do you currently attend or did you attend technical or commercial studies of 6 months or more?

Mark only the principal.

[] Yes
[] 1 In U.T.U.
[] 2 In another public institute
[] 3 In a private institute
[] 4 No (go to question 20)

17. With respect to this course, currently you...

[Question 17 was asked of persons age 12 or older who have ever attended technical or commercial studies lasting 6 months or more, as per question 16.]

[] 1 Attend
[] 2 Abandoned your studies
[] 3 Finished your studies

18. How many years did you study in this course?

[Question 17 was asked of persons age 12 or older who have ever attended technical or commercial studies lasting 6 months or more, as per question 16.]

____

19. What is the technical or commercial study attended?

[Question 17 was asked of persons age 12 or older who have ever attended technical or commercial studies lasting 6 months or more, as per question 16.]

____

20. What is your de facto current marital state?

[] 1 Consensual union
[] 2 Married
[] 3 Divorced
[] 4 Separated from union or marriage
[] 5 Widowed from union or marriage
[] 6 Single

21. During the past week, did you work at least one hour?

[] 1 Yes
[] 2 No

22. Last week, did you do something outside your house for work or did you help someone in a business, small farm or job, even though you did not receive a regular payment?

[] 1 Yes
[] 2 No

23. Last week, were you on leave for sickness, vacation, suspended, etc. although you still have a job?

[] 1 Yes
[] 2 No

24. During the last four weeks, were you looking for work?

[] 1 Yes
[] 2 No

25. Have you ever worked?

[] 1 Yes
[] 2 No

26. What is the occupation, profession or office that provides (or provided) you the largest income? ________

27. What does the place or establishment where you work (or worked) principally do? ________

28. Of the following, what is (was) your category in the occupation you indicated?

[] 1 Employer, with workers or employees in their charge
[] 2 Public worker or employee
[] 3 Private worker or employee
[] 4 Worker for their own account
[] 5 Non-remunerated family worker
[] 6 Member of production cooperative
[] 7 Other

For all women age 15 or older
[Questions 29-31 were asked of women age 15 or older]

29. How many children born alive have you had altogether?

____
[] Do not know

30. Of those children, how many are currently alive?

____
[] Do not know

31. How many were born in the last twelve months?

[] 1 One
[] 2 Two or more
[] 3 None