Questionnaire Text

Questionnaire form view entire document:  text  image

a) Mr. (Mrs.): Do the people who live in this dwelling eat from a common cooking pot?
[] 1 Yes
[] 2 No

Questionnaire instructions view entire document:  text  image

Question 11. Determination of the number of households.

Ask question a) and mark an X in the corresponding box.

If the answer is yes, go on to question 12. If the answer is no, ask question b) and write down the number of households that occupy the dwelling. Remember that you should use a different census form for each household.

[A depiction of question 11a and b to the right of the preceding text is omitted here.]

Remember that:

Census home: a group of people, relatives or not, who occupy all or part of a dwelling, eat from a common pot, and together provide other vital, basic necessities.

All the characteristics for the dwelling and the available services should be written on the form for the first household (question 1 thru 10). On the 2nd or 3rd household forms, depending to the case, only register the first part, "geographic Location," copying this information from the form for the 1st home. Make a diagonal line through question 1 thru 10 and go on to question 11 and those that follow it.