Questionnaire of Population Census
At 0 hour 1 April, 1999
[There is a table with columns for 3 people in this page and 5 in the next]
If he/she was present in other province, record the name of that province
 2 Different province
_ _ _
Person with no place of usual residence on 31/3/1994 record the place where she/he was present on 31/3/1994
 2 Different Commune in the same district
 3 Different District in the same province
_ _ _
School: Only record persons currently attending/attended general schools (or equivalent) and institutions of higher education.
 2 Attended in the past
 3 Never attended [Go on to question 12]
For persons who have completed/ are attending secondary vocational schools or lower, record his/her general education grades
 3 Graduate
 4 Post-Graduate
If one of the codes from "4" to "8" is circled in Q. 13, Q.11 must be circled with "2" or "3" or "4".
 2 Technical worker with certificate
 3 Secondary Vocational
 4 Undergraduate
 5 Graduate/Diploma
 6 Master
 7 Candidate
 8 Ph.D.
 2 Household work [Go on to question 19]
 3 Student [Go on to question 19]
 4 Invalid [Go on to question 19]
 5 Wanted to work [Go on to question 19]
 6 Did not want to work [Go on to question 19]
Record the name of the office/enterprise where (Name) works and the name of its higher management institution
____ b. No. of children living elsewhere
_ _ c. No. of children died
_ _ d. Total number of children ever born
 2 No [go to Part II: Housing Census]
If do not remember year of birth: (Go on to question 6)
If share a house with other household (hh), then record the whole house/flat for a representative household.
 2 Sharing house with hh
_ _ _ Rep. household number
Include the area of bedroom, dining room, guestroom, study room. For garret used for living count 50% only.
5. Who is the holder of this (main) house/flat?
 2 Hired from government
 3 Hired/borrowed from private party
 4 Collective/religion
 5 Joint state and individual
 9 Not clear about ownership
 2 Not having
A hygienic well should ensure: no color, no smell, no taste and far away from pollution source at least 7 meters.
 2 Raining water
 3 Other source having filter system or hygienic well
 4 Other water source
[End of the form]