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Vietnam
Population Census Household Schedule
At 0 hour 1 April, 1989
Central census steering Committee

Formatted and issued according to

Decision of the Council of Ministers

No. 122/HDBT 17 August 1987

____ Province, City____ Commune, Country
____ ED number
____ Household number

[] 1 Family household
[] 2 Collective household

____ Total persons in household
____ Total females in household

____ Name of the head of household
____ Address
There are ____ forms of the household

CONFIDENTIAL

[There is a table with columns for 4 people per page, 2 pages in total. Question 15 is at the end of page 2]

[Rows]

____ 1.Full name of each usual resident in this household

2. Relationship to the head of household

[] 1 Head of household
[] 2 Husband/Wife
[] 3 Child
[] 4 Father/Mother
[] 5 Grand child
[] 6 Other family relative
[] 7 Non family relation

3. Sex

[] 1 Male
[] 2 Female

4. Month and year of birth

_ _ Month
1_ _ _ Year

5. Ethnic group

[] 1 Kinh
[] 2 Other than Kinh
_ _ Specify

For persons born on or before 1-4-1984 (aged 5 and over) answer following questions [applies to questions 6 to 8]

[Answer questions 6-8]

6. Place where usually lived on 1-4-1984 (i.e. 5 years ago)

[] 1 The same district
[] 2 Another district of the same province
_ _ Name of the district
[] 3 Another province
_ _ Name of the province
[] 4 Abroad

7. Literacy

[] 1 Yes
[] 2 No

8.a/School attendance or equivalent

[] 1 Attending now
[] 2 Attended in the past
[] 3 Never attended

8. b/ Highest grade completed

_ _ Grade

For persons born on or before 1-4-1984 [it should say 1976] (aged 13 and over) answer following questions [applies to questions 9 to 13]

9. a/ Highest qualification or trade

[] 1 None
[] 2 Technical worker with certificate
[] 3 Technical worker no certificate
[] 4 Middle vocational education
[] 5 College/ university degree
[] 6 Post-graduate

9.b/ Field of study

____
_ _ _

10. Marital status

[] 1 Single
[] 2 Married
[] 3 Widowed
[] 4 Divorced
[] 5 Separated

11. Usual activity in the last 12 months

[] 1 Worked 6 months and over
[] 2 Worked permanently less than 6 months
[] 3 Worked temporarily less than 6 months
[] 4 Unemployed
[] 5 Student
[] 6 Household duties
[] 7 Invalid
[] 8 Other

12. Main occupation

____
_ _ _

13. a. Name of establishment where person works

____

13. b. Function, product of establishment

____

_ _ _ _

13. c. Sector of industry

____
_

14 All women born 1-4-1939 to 31-3-1974 (aged 15-49) answer the following questions [applies to questions a to g]

____ a. How many of your children live with you

____ b. How many of your children live elsewhere

c. How many of your children are not living

____
_ _

d. Total number of children ever born

____
_ _

e. What month and year did your last birth occur

_ _ Month
19 _ _ Year

f. Was that a boy or a girl?

[] 1 Boy
[] 2 Girl

g. Is that child living now?

[] 3 Yes, still living
[] 4 No, died

Ask the head of household if there was any death in the household between Tet holiday and 3-31-1989?

[] Yes
[] No

If yes, answer question 15

15. a. Full name of dead person

____

b. Sex

[] 1 Male
[] 2 Female

c. Month and year of death

_ _ Month
198 _ Year

d. Date of birth

_ _ Month
1 _ _ _ Year

Signature of enumerator
Date: April 1989
Signature of head of household

Housing Census Form

Province

____
_ _

District

____
_ _

Commune

____
_ _

____ Name of head's household

____ Address

E.D. number

____
_ _ _

Household number

____
_ _ _

Total persons in household

____
_ _

Total females in household

____
_ _

1.Type of Housing

[] 1 a. Permanent (villa, many-storied house, plan roof)
[] 2 b. Semi permanent (a brick house, a house roofed with tiles)
[] 3 c. Other (thatch house including other types)

2. Living Areas (square meters)

_ _ _ (Bedroom, dining room, waiting room etc)

3. Housing conveniences

a. Water supply:
[] 1 Piped inside of house
[] 2 Piped outside of house
[] 3 Well
[] 4 Other

b. Electricity for lighting:
[] 1 Yes
[] 2 No

c. Toilet facilities:
[] 1 Yes
[] 2 No
[] 3 *Toilet with flushing facilities
[] 4 *Double tank
[] 5 *Other

4. Type of ownership:

[] 1 State sector
[] 2 Private sector
[] 3 Collective and religion sector
[] 4 Others

5. Year and period of construction:

[] 1 Before 1954
[] 2 From 1954-1960
[] 3 1961-1975
[] 4 1976-1980
[] 5 1981-1985
[] 6 1986
[] 7 1987
[] 8 1988
[] 9 1989

Signature of Enumerator
Date, Month, 1989
Signature of household head