Questionnaire Text

Questionnaire form view entire document:  text  image

Part IV: Questions on personal characteristics


Employment status in the last week
(Ask persons age 12 or older)
[Questions 34-42 were asked of persons age 12 or older]


Ask those who answer "Didn't work" to question 34
[Questions 39-41 were asked of those who did not work last week, per question 34]


39. Reason for not working, if you didn't work or discontinue working

(Put an "X" in the box "Other" for persons disabled or in prison.)

[] 3 Retired
[] 4 Student
[] 5 Housewife
[] 6 Income recipient
[] 7 Other
[] 8 Unemployed

Questionnaire instructions view entire document:  text  image

Section IV: Questions regarding individual characteristics (11-42)
This section includes questions (questions 11-42) about the population's social and economic characteristics. In this section, only write the characteristics of those people present at the time and place where the census is being conducted.
Whether or not the household head is at home, be absolutely sure to begin by first writing his/her name and surname on the first line of Section IV, together with all of his/her characteristics (from question 11 to question 42). Take care that the household head's name and surname entered in this section is identical to the one written in in the first line of Section III.
After writing down all of the characteristics of the household head, whether he/she is at home or not, also write down all the characteristics of the other household members at home, beginning from the oldest and proceeding in order of age, from oldest to youngest. After the household members, write onto the dotted line in printed letters, in order of their ages, the names surnames and all the characteristics of those, who, while being present at home, are not household members. Answer questions with a box, by placing an "X" into it.


(Questions 29-42 are for persons age 12 or older)


Employment status within the last week (34-41)
(Persons age 12 and older)


Question 39: If you did not work or are not maintaining your involvement with your job, what is your reason for not working?

(The "Other" box is to be marked for those unable to work and in jail)

If the reason that the person being administered the census did not work at a job during the last week in return for money or goods, or why he/she did not maintain a connection to the job, is being retired, place an "X" in the 3 "Retired" box; if it is being a student, [place it into] the 4 "Student" box; if it is being a housewife, into the 5 "Housewife" box; if it is being a rentier [income recipient], into the 6 "Rentier" box; if it is for another reason, into the 7 "Other" box; and if it is being unemployed, into the 8 "Unemployed" box. If more than one of the situations specified in the question apply to a person's circumstance (such as "Retired - student; student - housewife; retired - housewife; housewife - unemployed; student - unemployed), accept the circumstance that is the initially specified [as the first one] in the question.