Republic of Venezuela
Ministry of Development
Head Office of National Statistics and Census
Protected Under Statistical Secrecy
XI General Population and Housing Census
General Enumeration Questionnaire
Section I - Dwelling identification
1. ____ Municipality
2. ____ District
3. ____ Federal entity
4. ____ Sector number
A. Urban area
[] 1 Urbanized
[] 2 Shantytown
____ Block number
____ City or town
____ Suburb / Neighborhood (Urbanización)
B. [] 3 Rural area
Very important warning:
Before going on to Section II ask the following questions:
I. How many families live in this dwelling?
[] Two or more [arrow points to question II]
[] Collective dwelling -- Fill in one questionnaire
II. Do these families make their lives together, or with separate arrangements?
[] With separate arrangements (various census households)
For office use only:
[Table with fill-in ovals numbered 0 - 9 below each of the following headings:]
Entity [2 digits] _ _
Region [1 digit] _
Sub-region [2 digits] _ _
Sector
Segment [1 digit] _
Block [2digits] _ _
Locality [3 digits] _ _ _
Dwelling order number [3 digits] _ _ _
A. Family dwelling
[] Apartment in a building, house or quinta
[] Room in a house, quinta, or apartment
[] Room in a townhouse (Casa de vecindad)
[] Peasant hut (rural type) (Rancho campesino)
[] Urban hut/improvised dwelling (Rancho urbano improvisado)
[] Other type
B) Collective dwelling
____ Name
2. Occupancy
A. Occupied
[] Occasional use -- Go on to question 3
B. Unoccupied
[] For sale -- End the interview here
[] Rent or sale -- End the interview here
[] Occasional use -- End the interview here
[] Other -- End the interview here
C. [] Under construction -- End the interview here
3. Number of rooms
____ Total number of rooms
____ How many are used for sleeping?
[Fill-in numbered ovals appear here.]
4. Tenure of the dwelling
A. Owned
[] Still in payment
B. Rented
C. [] Other form
5. In the exterior walls
[] Unfinished cement block or brick
[] Concrete
[] Sawed wood
[] Finished adobe, adobe or mud wall (tapia) or bamboo-and-mud wall (bahareque)
[] Unfinished adobe, mud wall or bamboo-and-mud wall
[] Others (cane, palm leaves, planks, tin, straw, cardboard, or similar)
6. In the roof
[] Tile
[] Asbestos and similar
[] Metal sheet (zinc and similar)
[] Others (cane, palm leaves, planks, tin, straw, cardboard, or similar)
7. In the floor
[] Cement
[] Earth
8. Where is the piped running water supply?
[] Outside the dwelling
[] Doesn't have
9. How is water normally obtained?
[] Public cistern (pila)
[] Tanker truck
[] Other means
10. How many bathrooms with shower or tub does this dwelling have?
[] Two
[] Three or more
[] None
11. Does this dwelling have?
[] Toilet (w.c.) connected to a septic tank
[] Pit toilet or latrine
[] Doesn't have a toilet
12. What type of lighting is used?
[] Own electric generator
[] Other type
13. What fuel is used for cooking?
[] Kerosene or gasoline
[] Electricity
[] Other type (wood, charcoal, etc.)
[] No cooking
14. Household equipment (mark all that apply)
[] Two
[] Three
[] Four or more
[] Refrigerator or freezer
[] Washing machine
[] Clothes dryer
[] Hot water heater
[] Television
[] Telephone
[] Air conditioning
[] Doesn't have any of the above
Only for habitual residents, members of this household
Important: Include all the members of this household who habitually live in this dwelling, whether present or not present at the moment of the census. Be sure to include children, newborns, and elderly persons. Do not include on this questionnaire any person who habitually resides elsewhere and is part of another census household, even when present here at the moment of the census.
Begin the interview by filling in columns 1 through 4 for each person, and proceed with the control question.
Write the surname and name of each person who habitually resides in this dwelling in the following order:
2. Spouse or companion
3. Single children from oldest to youngest
4. Married children and their families
5. Other relatives of the head (parents, grandparents, grandchildren, siblings, nephews or nieces, parents-in-law, etc.)
6. Other people not related to the head of the household (guests, employees, etc.) who habitually sleep in the dwelling.
____ Last name
____ First name
Write the relationship to the head of the household (for members of collective dwellings write "C").
Mark whether the resident is present or absent
[] Absent
[Lines for responses of up to 16 people]
____ Total [applies to columns 3 and 4]
(Only for census household)
1. Apart from the members of this household, is there any person residing here temporarily and who forms part of another household located outside of this locality?
2. In addition to the following people (read aloud the names of the people noted in column 1), is there any other person who habitually lives here, but who is temporarily absent (for reasons of vacation, work or business, illness, etc.)?
3. I have listed ____ people who habitually live here as members of this household. Has any member of this household been left out?
Now, in column 5, assign a number in consecutive order to all of the people listed as members of this household. Then go on to question 4.
4. Number of people listed in this household.
____ Males
____ Females
Only for zones pre-determined by the office:
5. Does any person among those listed speak from childhood (or used to speak from childhood) an indigenous language?
[] No
Comments: [4 blank lines] ________
Section IV - Individual characteristics
[The following questions are translated as 2nd person, but it is understood that they really refer to the person whose name was given above.]
1. What is the relationship to the head of the household?
[] Spouse or partner
[] Son or daughter
[] Father, mother, parent-in-law
[] Grandchild
[] Son- or daughter-in-law
[] Brother or sister
[] Other relative
[] Domestic servant
[] Not related
[] Person in a collective dwelling
3. What is your date of birth (or age attained?)
____ Month
____ Year
____ Years (one year or more)
____ Months (under one year)
4. What is your current marital status?
[] Married
[] Separated
[] Widowed
[] Single
[] Divorced
5. Where were you born?
____ Municipality -- Go on to question 8
6. What is your current legal nationality?
[] Born abroad to Venezuelan parents
[] Foreigner
7. How long have you lived in this country?
A year or more. How many? ____
8. How long have you lived in this populated area?
[] Less than a year
[] 1 Year
[] 2 to 4 years
[] 5 to 9 years
[] 10 to 14 years
[] 15 to 19 years
[] 20 years or more
9. Where did you live before residing in this locality?
____ Populated area
B. Educational characteristics
(Only for those 5 years of age or older)
10. Are you able to read and write?
[] No
11. What was the highest grade, year or semester completed, and at what level of schooling?
[] Primary
____ Semester
____ Semester
12. Are you currently studying in preschool, primary, middle or superior schooling?
[] No
13. If between 5 and 24 years old, why are you not currently studying?
[] There is no school, high school, etc.
[] School is very far away
[] There are no places open in the school(s)
[] Without economic resources
[] Working
[] Finished studies
[] Other reason
14. If studying at the superior level, have you obtained any higher education degree or title?
(Only for women 12 years of age and older.)
15. How many children born alive have you had in total?
[] None
16. Of the total children born alive, how many are currently alive?
[] None
17. Between October 1st, 1980 and September 30th, 1981, did you give birth to any child born alive?
How many?
[] Two
[] Three or more
(Only for people 12 years of age and older.)
18. In which of the following situations did you find yourself last week? (Mark only one response)
[] Not working but employed -- Go on to question 24
[] Looking for work
[] Household duties
[] Studying
[] Living from investment income
[] As a pensioner or retiree
[] In another situation
[] Permanently disabled for purposes of work
19. Did you receive or will you receive payment in money for any work done in or outside of your home during the last week (such as selling or making a product, sewing, washing and ironing for someone outside of your household, washing cars)?
[] No
20. During the last week, did you work without receiving payment in money, in your house or in any business, industry, workshop, farm activity, etc., that belongs to a member of your family?
[] No
21. Did you engage in any diligence during the last 30 days to find work?
[] No
22. Have you previously done any work, part-time or full-time, for payment in money?
[] No (End of interview)
23. How long have you been without full-time or part-time employment for payment in money?
[] More than 6 up to 12 months
[] More than 1 year (End of interview)
24. How many hours did you work last week (or regularly work per week) in all of your jobs (or how many hours did you regularly work per week in your last job)?
25. What does the organization, company, establishment or business where you work (or worked) produce or do, or what service does it render?
26. What is the occupation, position or class of work you perform in the organization, company, establishment or business for which you work (or worked)?
27. In this job, are (or were) you a?
[] Private sector professional employee -- Go on to question 28
[] Public sector manual laborer (obrero) -- Go on to question 28
[] Private sector manual laborer (obrero) -- Go on to question 28
[] Domestic servant -- Go on to question 29
[] Owner -- Go on to question 29
[] Own-account worker -- Go on to question 29
[] Member of a cooperative -- Go on to question 29
[] Unpaid family worker -- Go on to question 30
Did you look for work? [Unpaid family worker]
[] No
28. What is the name of the organization, institution, company or business for which you work (or worked in your last job)?
29. How much did you earn total by way of salaries, wages, commissions, tips, or bonuses, during the last month (or during the last month that you worked)?
____ Bs/Week (if paid weekly)
____ Bs/Day (if paid daily)
30. How many weeks did you work, full-time or part-time, between October 1980 and September 1981? (Include weeks of vacation and leave.)
[] Did not work