Republic of Venezuela
Census '90
Head Office of National Statistics and Census
XII General Population and Housing Census
Expanded Questionnaire
Protected under statistical secrecy
L-2
Section I -- Dwelling identification
1. ____ Federal entity
2. ____ Municipality or parish
3. ____ Locality
4. ____ Segment number
5. ____ Section number
6. ____ Subsection number
7. ____ Block number
8. ____ Sector number
9. ____ Dwelling order number
[] Continuation of another questionnaire
Section II -- Dwelling information
1. Access to the dwelling
[] Gravel or dirt street
[] Route or way
[] Public Stairs or walkways
[] Others
2. Dwelling type
[] House
[] Apartment in a building
[] Apartment in a house (quinta, casa-quinta )
[] Tenement (Casa de vecindad)
[] Shack or hut (Rancho)
[] Peasant hut (rural type) (Rancho campesino)
[] Other type
3. The occupancy status of the dwelling is:
[] Occasional use (End the interview here)
[] Unoccupied (End the interview here)
[] Under construction (End the interview here)
4. The predominant material in the exterior walls is:
[] Unfinished cement block or brick
[] Concrete
[] Sawed wood, Formica, fiberglass and similar
[] Finished adobe, adobe or mud wall (tapia), bamboo-and-mud (bahareque)
[] Unfinished adobe, mud wall, bamboo-and-mud
5. The predominant material in the roof is:
[] Tile
[] Asbestos or similar
[] Metal sheet (zinc or similar)
[] Others (cane, palm, planks or similar)
6. The predominant material in the floor is:
[] Cement
[] Earth
[] Others (planks, tablon board, and similar)
7. How many rooms does the dwelling have in total, including living room, dining room, sleeping rooms and other rooms?
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 8 or more
8. The kitchen in located in:
[] Another place
9. The fuel normally used for cooking is:
[] Electricity
[] kerosene or gasoline
[] Others (wood, charcoal, etc.)
10. Water arrives at this dwelling via:
[] Public cistern (pila)
[] Tanker truck
[] Other means
11. This dwelling has:
How many?
[] 2
[] 3 or more
How many?
[] 2
[] 3 or more
[] Doesn't have a toilet or latrine
12. How many bathrooms with shower or tub does this dwelling have?
[] Two
[] Three or more
[] None
13. Does the dwelling have any of the following public services?
[] No
[] No
[] No
[] No
Section III -- Number of households
1. How many people habitually live in this dwelling?
[] One family
2. Do these families or groups of people keep separate budgets for food?
[] Yes
3. How many families or groups of people keep separate budgets for food?
Each family or group forms a Census Household.
Follow these instructions:
Continue the interview for the first household on this same questionnaire.
For the rest of the households do the following:
- Copy the information from Section I, "Dwelling Identification" (Points 1 to 9)
- Leave blank Section II, "Dwelling Information," and Section III, "Number of Households"
- Begin the interview with Section IV, "Composition of the Household"
Section IV, Composition of the household
(Only for habitual residents of this household)
Mark the number of the Census Household that you are enumerating
[] 1
[] 2
[] 3
[] 4
[] 5 or more
1. How many people habitually live in this dwelling, whether present or not at this moment?
Important:
- Do not include people who habitually live in another place
____ Total number of people
Ask and write down the surname of each of the members of this household in the following order:
- Spouse or partner
- Single sons or daughters without children (from oldest to youngest)
- Single, divorced, separated or widowed children, with their respective children noted after each
- Married or partnered children and their families
- Other relatives of the head (parents, in-laws, siblings, etc.) and their families
- People not related to the head (friends, etc.) and their families
- Domestic employees and their families (write "S.D." under relationship to head of household)
[There is a table with 10 rows to fill the following information]
____ Names and surnames
____ Relationship to head of household
Mark the sex
[] Female
[The following line is the last row of the table]
____ Female
If there are more than 10 people, use another questionnaire for the rest of the people.
2. I have written down the following individuals: (Read their names aloud) Do any of these people not live habitually in this dwelling?
[] No
3. Is there anyone I haven't written down who habitually lives here but who is not here at the moment due to vacation, work, illness, or any other reason?
[] No
Comments: [7 blank lines] ________
Section V -- Household information
1. For this household, the dwelling is:
[] Paying
2. How many rooms do the people in this household use for sleeping?
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 8 or more
3. Does the household have any of the following appliances?
4. Does the household have a car for family use?
[] 2
[] 3 or more
5. Does the household have a motorcycle/motor scooter (moto)?
[] 2
[] 3 or more
Go on to fill in Section VI, "Individual Characteristics," for each of the people in this household.
Follow the same order in which you wrote them down in Section IV, "Household Composition."
Section VI - Individual characteristics
Person number ____ of ____
____ Name
For all individuals:
[Questions 1-10 -- are for all person]
1. Relationship to the head of household
[] Spouse or partner
[] Son/daughter
[] Grandchild
[] Father, mother, parent-in-law
[] Brother/sister, brother/sister-in-law
[] Nephew/niece
[] Other relative
[] Non- relative
[] Domestic employees and their families
3. What is your date or birth and age?
____ Month
____ Year
____ Age
____ Under one year (months)
4. What is your current marital status?
[] Married
[] Separate
[] Widowed
[] Single
[] Divorced
5. Born in:
[] Another state
6. What is your legal nationality?
____ Born abroad to Venezuelan parents
[] Foreign
7. How long have you lived in the country?
[] 1 to 4 years
[] 5 to 9 years
[] 10 years or more
8. How long have you lived in this city or town?
[] Less than 1 year
[] 1 to 4 years
[] 5 to 9 years
[] 10 years or more
9. The city or town where you lived before is in:
[] Another state
10. Do you have any of the following disabilities?
[] Total deafness
[] Muteness
[] Mental retardation
[] Loss or disability of upper extremities
[] Loss or disability of lower extremities
[] None of the above
Questions 11-14 are only for those over the age of 3 years
11. Are you able to read and write?
[] No
12. What was the highest grade, year or semester completed and at what educational level?
____ Year
____ Semester
[] None -- Go on to question 14
[] Preschool -- Go on to question 14
[] Primary or Basic (1-6) -- Go on to question 14
[] Middle (1-3) or Basic (7-9) -- Go on to question 14
[] Diversified Middle -- Go on to question 14
[] Superior
13. Have you obtained any higher education title or degree?
14. Are you currently attending preschool, basic, diversified or superior schooling?
[] No
Questions 15-17 are only for women 12 years of age and older
15. How children born alive have you had in total?
[] None -- Go on to question 18
16. Of the total children born alive, how many are currently alive?
[] None
17. Have you given birth to any child born alive in the last 12 months?
[] 2
[] 3 or more
Questions 18-26 are only for people 12 years of age and older
18. In which of these situations do you currently find yourself?
[] Not working but employed -- Go on to question 20
[] Looking for work having worked before -- Go on to question 19
[] Looking for work for the first time -- Go on to question 26
[] Doing household duties without also working -- Go on to question 26
[] Studying without also working -- Go on to question 26
[] Living from pension or retirement without also working -- Go on to question 26
[] Permanently disabled for purposes of work -- Go on to question 26
[] Other situation -- Go on to question 26
19. How long have you been unemployed?
[] 4 to 6 months
[] 7 to 12 months
[] More than 1 year
20. What is your occupation in the company, organization or business where you work (or worked)? Examples: driver, lathe operator, farmer, teacher, etc.
____
21. What does the company, organization or business where you work (or work) do? Examples: passenger transportation, furniture making, coffee-growing, education, etc.
____
22. Do 5 or more people work in this company, organization or business?
[] No
23. What is the name of the company, organization or business where you work (or worked)?
24. In this job, are (or were) you a:
[] Private sector professional employee
[] Domestic servant
[] Member of a cooperative
[] Employer or owner
[] Own-account worker (who doesn't have employees or workers)
[] Unpaid family worker
25. How much did you earn total by way of salaries, wages, tips, bonuses, (primas), or commissions during the last month (or during the last month that you worked), in all of your jobs?
____ Bs/Week
____ Bs./Day
[] Did not receive income
26. Did you receive income during the last month from any of the following sources, and approximately how much?