Data Cart

Your data extract

0 variables
0 samples
View Cart


Steering Committee of the Population and Housing Census


Questionnaire of the population and housing census 2019

Timepoint 0:00 am 01/04/2019
(Complete survey form)
The information collected in this survey is kept strictly confidential

Sample digits to fill into box _ _ _ _ _ _ _ _ _ _
Place x into the small box to indicate the respective answer _

Identification

Province/city: ____ _ _
District/quarter/town/provincial city: ____ _ _ _
Commune/ward/district town: ____ _ _ _ _ _
Village/hamlet/group: ____ _ _ _
Enumeration area number: _ _ _
Urban/rural (urban=1, rural=2): _
Household number: _ _ _
Full name of the household head: ____
Address of the household: ____

Results

_ _ Number of usual residents in the household
_ _ Number of males
_ _ Number of females

This is set _ in _ sets of the household

Certification

____ (Full name) ____ (Signature) ____ (Date month) Respondent
____ (Full name) ____ (Signature) ____ (Date month) Enumerator
____ (Full name) ____ (Signature) ____ (Date month) Team leader

Define actual usual residents in households

Q1. Please let me know full name of each Vietnamese person usually residing (eating and sleeping) in the household for 6 months and more as of 0 hour 1 April 2019 regardless having or not the usual residence in the household (excluding students who are members of the household but going for study far from home)

(Provide full name of each person)

____ 1.
____ 2.
____ 3.
____ 4.
____ 5.
____ 6.
____ 7.
____ 8.
____ 9.
____ 10.
____ 11.
____ 12.
____ 13.
____ 14.
____ 15.
____ 16.
____ 17.
____ 18.
____ 19.
____ 20.
____ 21.
____ 22.
____ 23.
____ 24.
____ 25.
____ 26.

Q2. In your household, is there anyone a newcomer for less than 6 months as a 0 hour 1 April 2019 but intend to stay for a long-term in the household and does not have any other permanent residence (including newborn baby before 1 April 2019)?

Note: Including migrants who move the whole household
[] 1 Yes
[] 2 No
If Yes, ask full name to record in Q1, then move to Q3

Q3. Among all persons listed above, who is

(Persons having names in Q1)

a. Person who is regular staff in public security or army sector (excluding the person under contractors)
[] 1 Yes
[] 2 No
b. Secondary school students residing for study
[] 1 Yes
[] 2 No
c. Person who lives less than 1 year for purposes: visiting, summer vacation, holiday, health treatment, business, short-term training, etc.?
[] 1 Yes
[] 2 No
d. Foreigner who has not applied for Vietnamese citizenship, Vietnamese living abroad coming back to visit his/her family
[] 1 Yes
[] 2 No
If yes, ask their name and cross their name in Q1

Q4a. In your household, is there anyone who is usual resident in your household but temporarily absent at 0 hours on 1 April 2019 for the following reasons?

(Not counting persons in public security or army sector)

a. Going for work for less than 6 months and without labor contract or recruitment decision?
[] 1 Yes
[] 2 No
b. Inpatient treatment at health facilities?
[] 1 Yes
[] 2 No
c. Going out/visiting, vacation/holidays, travel, work, short-term training less than 1 year?
[] 1 Yes
[] 2 No
d. Staying for secondary school study/wholesale, taking a cruise, seafood catching?
[] 1 Yes
[] 2 No
e. Going abroad but within permitted time (not counting persons working in representative offices of Viet Nam in foreign countries, their dependents and all other accompanied persons)?
[] 1 Yes
[] 2 No
f. Being temporarily detained by the army or public security?
[] 1 Yes
[] 2 No
If nobody belongs to above-mentioned type, move to Q5a

Q4b. Please provide full-name of those people?

(Provide full-name of each person)

____ 1.
____ 2.
____ 3.
____ 4.
____ 5.
____ 6.

Q5a. Is there anyone in your household a regular resident but died after 0 hour 1 April 2019 and not listed on the above

[] 1 Yes
[] 2 No (skip to Q6)

Q5b. Please provide full-name of these people?

(Provide full-name of each person)

____ 1.
____ 2.
____ 3.
____ 4.

Q6. Persons who are actual usual residents are: ____

Call names of persons who are not underlined in Q1 and persons having names in Q4b and Q5b

Q7. Please let us know who is the head of the household?
(Provide full-name)

____

Q8. Please let us know among actual usual residents in your household, how many people having permanent registration in this commune/ward/town?

_ _ persons

Part 1. Information on household members

Number _ _

Questions 1, 2, and 3 are interviewed and recorded horizontally

1. Full name of each person usually residing in the household, starting from the head of the household

(Persons whose names not crossed in Q1 and persons having names in Q4b and Q5b)
____

2. What is [the respondent]'s relationship with the household head?

[] 1 Household head
[] 2 Spouse
[] 3 Natural child
[] 4 Maternal or paternal grandchild
[] 5 Parents
[] 6 Other family relation
[] 7 No family relation

3. Is [the respondent] male or female?

[] 1 Male
[] 2 Female

Ask and record for each person from question 4 onwards (by column)

4. In what solar calendar month and year was [the respondent] born?

Month _ _
Year _ _ _ _ (skip to Q6)

[] Not stated year 9998

5. At present, what is solar calendar age of [the respondent]?

Completed age _ _

6. To what ethnic group does [the respondent] belong?

[] 1 Kinh
[] 2 Other ethnic group
____ Name of ethnic group

7. Does [the respondent] follow any faith or religion? If yes, what is [the respondent]'s faith/religion?

[] 1 Yes
____ Name of the religion
[] 2 No

KT1. Check question 4 or question 5: under 5 years old (born after March 2014) then go to question 8; otherwise go to question 9

8. At present does [the respondent] have birth certificate registered?

[] 1 Registered
[] 2 Not registered (skip to next person)

9. Where did [the respondent] usually reside 5 years ago (on 1 April 2014)?

[] 1 Abroad (skip to Q13)
[] 2 Same commune or ward (skip to Q13)
[] 3 Other commune or ward in same district (skip to Q11)
[] 4 Other district

10. Which district and city or province did [the respondent] move from?

Name of city or province ____ _ _
Name of district ____ _ _ _

11. Was the above-mentioned place of usual residence of [the respondent] a ward, a district town or a commune five years ago?

[] 1 Ward or district town
[] 2 Commune

12. What was the main reason that [the respondent] moved to this household?

[] 1 To find work or to start a new job
[] 2 Came back homeland due to lost job, ended job, or could not find job
[] 3 Follow family
[] 4 Marriage
[] 5 Schooling
[] 6 Other
Specify ____

The next questions are about difficulties a person faces when performing certain activities due to health reasons.

13. Does [the respondent] have any difficulty with:

(If yes: How difficult is it? difficult, very difficult or completely unable)

a) Seeing (even if wearing glasses)?
[] 1 Not difficult
[] 2 Difficult
[] 3 Very difficult
[] 4 Unable

b) Hearing (even if wearing hearing aid)?
[] 1 Not difficult
[] 2 Difficult
[] 3 Very difficult
[] 4 Unable

c) Walking on the ground? (even if there is someone to support or aid equipment used)
[] 1 Not difficult
[] 2 Difficult
[] 3 Very difficult
[] 4 Unable

d) Remembering or paying attention?
[] 1 Not difficult
[] 2 Difficult
[] 3 Very difficult
[] 4 Unable

e) Self-care (bathing, changing clothes, eating, going to the bathroom, etc)?
[] 1 Not difficult
[] 2 Difficult
[] 3 Very difficult
[] 4 Unable

f) Communicating? (using normal language)
[] 1 Not difficult
[] 2 Difficult
[] 3 Very difficult
[] 4 Unable

14. At present, has [the respondent] been attending, stopped schooling or never attended schools?

[] 1 Attending
[] 2 Stopped schooling (skip to Q16)
[] 3 Never attended (skip to Q19)

15. What is the level of education/training that [the respondent] is currently attending?

[] 1 Pre-school below 5 years old (skip to Q19)
[] 2 Pre-school at 5 years old (skip to Q19)
[] 3 Primary
[] 4 Lower secondary
[] 5 Higher secondary
[] 6 Pre-intermediate
[] 7 Intermediate
[] 8 College
[] 9 University
[] 10 Master
[] 11 PhD (Doctor)

16. What is the highest level of education/training that [the respondent] has completed or graduated?

[] 1 Under primary
[] 2 Primary
[] 3 Lower secondary
[] 4 Higher secondary
[] 5 Short term training
[] 6 Voc. school
[] 7 College
[] 8 University
[] 9 Master
[] 10 Ph.D. (Doctor)

17. What is the highest grade of general education that [the respondent] has completed?

Grade is converted into 12-year general education level

General grade _ _

18. How many total years did [the respondent] spend attending all forms of vocational training, professional training, and university, master and PhD (doctorate) education, if any?

Number of years _ _

KT2. Check Q16: Q16 = 1 (below primary) to Q19, otherwise to KT3

19. At present, can [the respondent] read and write?

[] 1 Yes
[] 2 No

KT3. Check Q4 or Q5: from 15 years old and over (born before April 2004) then go to Q20, otherwise go to KT6

20. What is the currently marital status of [the respondent]?

[] 1 Never married
[] 2 Currently married
[] 3 Widowed
[] 4 Divorced
[] 5 Separated

KT4. Check Q4 or Q5: from 15 to 39 years old (born since April 1979 to March 2004) then go to Q21; otherwise go to Q23.

21. In what solar calendar month and year did [the respondent] get married the first time?

Month _ _
Year _ _ _ _ (skip to Q23)

[] Not stated year (9998)

22. What was solar calendar age of [the respondent] when he/she got married the first time?

Completed age _ _

23. In the last 7 days, did [the respondent] work for at least one hour as part of earning income for him/her-self or family?

[] 1 Yes (skip to Q26)
[] 2 No
[] 3 Abroad (skip to KT6)

24. Although [the respondent] did not work, was he/she paid or did he/she receive any benefits from a production or business activity?

[] 1 Yes (skip to Q26)
[] 2 No

25. Does [the respondent] have a job he/she will return to in the next 30 days?

[] 1 Yes
[] 2 No (skip to Q31)

26. What is the main job/ task that [the respondent] has done for the last 7 days or did previously?

Example 1:
- Describe main job: assembly manager for electricity and electrical equipment
- Title: factory manager

Example 2:
- Describe main job: building houses
- Title: build manager

________ Main tasks
________ Title (if any)
Occupational code _ _ _ _

27. What is the main activity/ product of the place/facility where [the respondent] worked for the last 7 days/ did previously?

Example 1:
- Name of the facility: garment factory, Viet Tien garment corporation
- Main product/service: clothing

Example 2:
- Name of the facility: Hoa Lan restaurant
- Main product/ service: food and drink service

Name of the facility (if any) ________
Main product/ service ________
Sectoral code _ _ _ _

KT5. Check (Q23=1 or Q24=1 or Q25=1) and Q16 coded from 1 to 4 or from Q14=3 then go to Q28, otherwise go to Q30.

28. Did [the respondent] receive any training or obtain any vocational certificates?

[] 1 Yes (skip to Q30)
[] 2 No

29. Did [the respondent] perform a task:

a. For 3 or more years?
[] 1 Yes
[] 2 No
b. That uses machines, equipment or traditional crafts?
[] 1 Yes
[] 2 No

30. With the above-mentioned job, what was [the respondent]'s role?

(Read multiple choice)

[] 1 Owner of the facility (can hire regular leaders)
[] 2 Self-employed
[] 3 Family labor
[] 4 Cooperative member
[] 5 Salary earner

(If any is selected, skip to KT6)

31. For the last 30 days, has [the respondent] proactively found job or prepared to start a production or business activity?

[] 1 Yes (skip to Q33)
[] 2 No

32. What is the reason why [the respondent] has not found a job?

[] 01 Too old, young, or losing labor capacity
[] 02 Pupil, student, or housewife
[] 03 Believe that they can't find a job or no suitable jobs
[] 04 Don't know where or how to find a job
[] 05 Break due to downsizing or closing business
[] 06 Waiting or waiting for a business to open
[] 07 Seasonal break
[] 08 Bad weather
[] 09 Temporary illness or busy
[] 10 Other
Specify ____

33. Would [the respondent] be ready to begin a job or production activity in the next two weeks?

[] 1 Yes
[] 2 No

KT6. Check Q3, Q4, and Q5 to define women aged from 10 to 49 (born since April 1969 to March 2009) then go to Q34; otherwise next person.

34. Have you ever given birth?

(Given birth: only count on live births)

[] 1 Given birth
[] 2 Not given birth (proceed to next person)

35. Of those you have given birth to, how many sons and daughters are living in your household?

_ _ No. of sons
_ _ No. of daughters

36. Of those you have given birth to, how many sons and daughters are living elsewhere?

_ _ No. of sons
_ _ No. of daughters

37. Were there any instances where you gave birth to a living child but they later died? If yes, what is the number of sons and daughters who died?

_ _ No. of sons
_ _ No. of daughters

38. In what solar calendar month and year did you last give birth?

Month _ _
Year _ _ _ _

39. How many sons and daughters did you have as of your last birth?

_ _ No. of sons
_ _ No. of daughters

KT7. Check Q38: month, year of the last birth since April 2018 to March 2019 then go to Q40; otherwise go to KT8.

40. How many sons and daughters did you give birth to from April 2018 to March 2019?

_ _ No. of sons
_ _ No. of daughters

KT8. Check Q38: month, year of the last birth from 4/2017 to 3/2019 then go to Q41; otherwise go to the next person.

41. Who assisted your last birth delivery?

[] 1 Health staff
[] 2 Village health or midwife
[] 3 Other
Specify ____
[] 4 No one

KT9. Check if there are any other family members to ask, otherwise, continue to part 2

Part 2: Information on the deceased members of the household

42. From the first day of the 2018 Lunar New Year "Mau Tuat" (16 February 2018 on the solar calendar) to the end of 31 March 2019, did any of the usual residents of your household die (including infants)?

[] 1 Yes
[] 2 No (skip to Part 3)

43. Please list the full name of the deceased person? ____

44. Is [the respondent] male or female?

[] 1 Male
[] 2 Female

45. In what solar calendar month and year did [the respondent] die?

Month _ _
Year 201_

46. In what solar calendar month and year was [the respondent] born?

Month _ _
Year _ _ _ _ (skip to Q48)

[] Not stated year (9998)

47. What was [the respondent]'s solar calendar age when he/she died?

Age _ _

48. What was the cause of [the respondent]'s death?

[] 1 Disease
[] 2 Labor accident
[] 3 Traffic accident
[] 4 Other accident
[] 5 Suicide
[] 6 Other
Specify ____

KT10. Check Q44 (code "2"); Q45 and Q46 or Q47 (people died at age 10-54); Q48 (code "1" or "6") Then go to Q49; the remaining go to KT11

49. How did [the respondent] die?

[] 1 Pregnancy
[] 2 Childbirth
[] 3 Within 42 days after giving birth
[] 4 Within 42 days after miscarriage/ abortions/ stillbirth
[] 5 Other
Specify ____

KT11. Check if there are any other deceased persons, ask Q43; or move to part 3

Part 3. Information on housing

50. Does your household have housing or not?
(Interviewer observes and sticks in the appropriate answer)

[] 1 Yes
[] 2 No, in building process and staying in temp. shed [skip to Q60]
[] 3 No [skip to Q60]

51. Is your household sharing the dwelling or flat with other household(s)?

[] 1 Yes
[] 2 No (skip to Q53)

52. Is your household the representative household?

[] 1 Yes
[] 2 No
____ Name of representative HH head [go to Q60]

53. Is the dwelling or flat of your household the apartment building, the single detached house?
How many separated bedrooms does this dwelling or flat have?

[] 1 Apartment building
[] 2 Single detached house

_ _ No of separate bedroom

54. How many square meters is that total building floor space of this dwelling or flat?

_ _ _ floor space (squared meters)

55. What is the main construction material of the pier (or the pivot or the load-bearing wall) of this dwelling/flat?

[] 1 Durable material (concrete, brick or stone, steel or iron or durable wood)
[] 2 Undurable materials (wood of low quality or bamboo, soil, other)

56. What is the main construction material of the roof of this dwelling or flat?

[] 1 Durable material (concrete, tile, slab)
[] 2 Undurable materials (roof piece, leaf, straw, soil paper, other)

57. What is the main construction material of the outer walls of this dwelling or flat?

[] 1 Durable material (concrete, brick or stone, metal or wood
[] 2 Non durable material (clay or straw, wattle or plywood, other)

58. What year was this dwelling or flat built?

[] 1 Before 1975
[] 2 From 1975 to 1999
[] 3 From 2000 to 2009
[] 4 From 2010 to now
20_ _
[] 5 Not stated

59. Whose dwelling or flat do you live in?

[] 1 A private dwelling or flat of the household
[] 2 Rented from the state
[] 3 Rented or borrowed from individuals
[] 4 Cooperative or building apartment
[] 5 Other ownership or unclear ownership

60. Does your household plan to buy a dwelling or flat?

[] Yes: in which province or city?
Name of province or city ____ _ _
[] No

61. What is the main kind of fuel (energy) that your household uses for lighting?

[] 1 Electricity
[] 2 Electric generator
[] 3 Kerosene
[] 4 Gas
[] 5 Other
Specify ____

62. What is the main kind of fuel (energy) that your household uses for cooking?

[] 1 Electricity
[] 2 Gas or biogas
[] 3 Coal
[] 4 Wood
[] 5 Other
Specify ____
[] 6 No use

63. What is the main source of cooking or drinking water for your household?

[] 1 Tap water
[] 2 Purchased water (xitec, vase)
[] 3 Drilled well
[] 4 Protected dig well
[] 5 Unprotected dig well
[] 6 Protected slot water
[] 7 Unprotected slot water
[] 8 Rainwater
[] 9 Other
Specify ____

64. What kind of toilet facility does your household use most?

[] 1 Indoor flush or semi-flush toilet
[] 2 Outdoor flush or semi-flush toilet
[] 3 Other
[] 4 No toilet

65. At present, does your household have any of the following appliances:

(Read the name of the appliances in the answer options)

Television
[] 1 Yes
[] 2 No

Radio (radio or radio cassettes)
[] 1 Yes
[] 2 No

Computer
[] 1 Yes
[] 2 No

Landline telephone
[] 1 Yes
[] 2 No

Refrigerator
[] 1 Yes
[] 2 No

Washing machine
[] 1 Yes
[] 2 No

Water heater
[] 1 Yes
[] 2 No

Air conditioner
[] 1 Yes
[] 2 No

Motorcycle, motorbike, or electric bike
[] 1 Yes
[] 2 No

Bicycle
[] 1 Yes
[] 2 No

Boat/ dinghy or junk
[] 1 Yes
[] 2 No

Car
[] 1 Yes
[] 2 No

Please share a landline or mobile phone number of the household ____