Questionnaire Text

Questionnaire form view entire document:  text  image
Part C: Anyone 15 years and older is requested to fill-in both pages


[Questions 14-38 were asked of people 15 years or older.]

Income not derived from work

[Questions 37-38 were asked of persons age 15+.]


38. Did you, during September 1995, have income from the following sources?

Joint income (such as property revenues) should be reported by one of the couple only. Please answer all questions.

A. Pension from a place of work or a Kupat Tagmulim in Israel.

[] 1. Yes. The sum in NIS _ _ _ _ _
[] 2. No

B. Pension or reparation from abroad.

[] 1. Yes. The sum in NIS _ _ _ _ _
[] 2. No

C. Other regular income, from sources other than work such as: pension from the Ministry of Defense, income from renting property, immigration absorption payments, grants, income from the army for compulsory service.

[] 1. Yes. The sum in NIS _ _ _ _ _
[] 2. No

Questionnaire instructions view entire document:  text  image
35. Question 38

38. Did you have income, in September 1995, from the following sources?
Joint income (like income from property) is to be written in a questionnaire of one person only.
Please answer all the parts.

A. Pension from a place of work in Israel or from Kupat Tagmulim [compensation fund]
[] 1 Yes: Sum in IS _ _ _ _ _
[] 2 No
B. Pension or reparation from abroad
[] 1 Yes: Sum in IS _ _ _ _ _
[] 2 No
C. Other regular income from sources other than work
Like: Allowance from the Defense Ministry,
apartment rent, absorption basket [for new immigrants]
scholarships, income of a soldier in a compulsory service.

[] 1 Yes: Sum in IS _ _ _ _ _
[] 2 No

A. A person who received an income [annuity] for the month of September will mark an X under YES and will write the amount next to it, from right to left. A person, who did not get an income for September, will mark an X under NO.

B. If the income is regular and received each month, but accidentally it was not paid for September -- write the amount paid for August 1995.

A joint income for several people in the household (like property income), should be written in the questionnaire of one person only.

35.1 Pension in Israel

It means a regular pay a person gets from the workplace he has worked in, in the past, or from a compensation fund he has saved in.

35.2 Pension and rent from abroad

Pension from abroad: like an old age pension from the USA.
Rent from abroad: It is usually people who migrated from Germany and other countries who receive a monthly allowance from the government of Germany.

35.3 Other income

It means a regular income like an allowance from the Defense Ministry, apartment rent, absorption basket [for new immigrants], scholarships, and income of a soldier in a compulsory service.

Do not include income received only once, like: reparation, heritage, sweepstake etc.