Questionnaire Text

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8. Date of birth _ _-_ _-_ _ _ _

Day-Month-Year
Questionnaire instructions view entire document:  text  image
2. Information on persons registered in/inhabiting the dwelling
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1. Information shall be provided by an adult person, being able to specify the situation of the inhabitants in the most accurate manner, as well as to provide information on the dwelling and the building.

2. Individuals inhabiting the dwelling permanently or staying in it temporarily have been listed under a particular address of residence.

3. Information on persons shall be updated in such a way for them to reflect the factual number of inhabitants during the critical moment of the census that is -- on 31st March 2011 at 12 P.M.

3.1 All individuals registered before the critical moment of the census, who have not been indicated shall be added to the registry and all obligatory fields shall be filled in as well.
Such individuals should have "3 -- permanent residence" or "4 -- temporary stay" status indicated in the status of residence field, according to their residence conditions.

3.2 In particular, children born before the critical moment of the census (before 31st March 2011 at 12 P.M), who have not been indicated shall be added to the registry and all obligatory fields shall be filled in as well. In the case of lacking PESEL (the identification number has not been given yet), the field: "he/she is a child to whom no PESEL has been given" should be selected. Children born after 31st March 2011 should not be taken into consideration.
Moreover, all persons, who are not registered in the dwelling but stay in it should be added to the registry (the status as for 31st March 2011 should be considered) and all obligatory fields should be filled in as well. Such individuals should have "3 -- permanent residence" or "4 -- temporary stay" status indicated in the status of residence field, according to their residence conditions.

If the individual added to the registry is a foreigner, not having the PESEL number, the field: "he/she is a foreigner to whom no PESEL has been given" should be selected. The PESEL number must be specified for all other individuals.

3.3 If a person is listed in the registry but he or she died before or on 31st March 2011, then in the status of residence field, the "permanent residence" or "temporary stay" fields should be changed to "he/she died before 31st March 2011" -- the person will then have the "0" status. For such individuals, the personal form will not be filled in.
If a person, who is listed in the registry died after 31st March 2011 (after 12 P.M), that is after the critical moment of the census, the personal form must be filled in for such an individual.

3.4 If a person is a registered inhabitant of the dwelling (the stay is registered as a permanent residence or a temporal stay), but in fact he or she is not living there and there are no prospects for he or she to return to Poland, for example because he or she has gone abroad or lives in another country -- having a family or working there, etc. and the person does not intend to return or stay in the registered place of residence, the status of residence should be changed from "1 -- residing permanently" or "2 -- residing temporarily" to "5 -- does not reside at this address" and obligatory shall be filled in as well (3 questions).
Module 1 -- Socio-demographic characteristics (questions 1-23)

Questions 1-8
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Name(s), surname, PESEL, sex, and date of birth of a person registered for permanent residence or temporal stay, as well as of a person, who is not registered will be transferred from the "Compilation of persons in a dwelling" table.