Population Census Questionnaire (5-6 Dec., 2005)
Type of Household or Public House
1-National
5- Internal Residence
2-Non-national
6- Hospital
3- Collective
7- Others
4- Worker’s Gathering
Personal Computers and Internet
No. of Personal Computers in Household
Connection to Internet
1- Yes
No. of Internet Users in Household
2-No
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Name
Father's Name
2
Family Name
1-Male
1-Head of Household
2-Female
2-Husband/Wife
3-Son/Daughter
4-Father/Mother
5-Son, Daughter-in-Law
6-Grandson/Granddaughter
7-Brother/Sister
8-Granfather/Grandmother
9-Other Relationship
10-No Relationship
11- Employee
3
4
5
Without Authorized
Documents
Nationality
Emirate
101
Jordan
Sudan
Syria
Palestine
Egypt
Iran
Pakistan
Bangladesh
Sri Lanka
Philippines
India
Others ( to be stated)
107
112
113
116
119
206
207
209
217
220
235
6
Previous
Nationality
7
For Non Nationals
Individual Serial No.
of Household
Gender
Duration of Current
Stay in Years
Relationship to Head
Age on Dec ,5, 2005
Name
in Complete Years
For All Persons
8
For Persons Aged
10 years or Over
Educational Status
-Illiterate
-Read & Write
-Primary
-Preparatory
-Secondary
HighestCertificate
Obtained
00
01
02
03
04
9
For Persons Aged 15 Years or Over
Individual Serial No.
Status
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
1- Never Married
2- Married
3- Divorced
4- Widowed
10
Data on Establishment Where the Individual Works or Worked
Relationship to
Labor Force
1- Employed
2- Unemployed Ever Worked in UAE
3- Unemployed Never Worked in UAE
4- Housewife
5- Full Time Student
6- Unwilling to Work
7- Unable to Work
8- Over 65 & Not Working
11
(For Unemployed Nationals) Duration of
Unemployment in Complete Months
Marital
12
Sector
1- Federal Gov.
2- Local Gov.
Main Current Occupation
(In Details)
3- Combined
Name of
Main Economic Activity
(In Details)
Establishment
4-Private
Chronic Diseases
Type of Disability ( if any)
1- Seeing functions
Employment 01- Arthritis
Status
1- Employer
2- Own Account
3- Employed
4-Unpaid Worker
5- Foreign
6- Diplomatic Body
7- Without Est.
8-Private Household
9- Others
13
14
15
16
17
02- Asthma
2- Hearing Functions
03- Cancer
04- Diabetes
05- Epilepsy
06- Hypertension
07- Cholesterol
08- Angina pectoris
09- Heart failure
10- Renal failure
11- Migraine
12- Sickle-cell
disorder
13- Intracerebral
hemorrhage
14- Thalassaemia
3- Voice Functions
4- Mobility and movement
functions
5- Walking and moving
6- Carrying, moving and
handling
objects
7- Learning
and applying
knowledge
8- Self-care
9- Other functions
18
19
Introductory Data on Household or Public House
Name of Hamlet:
Building Coordinate Number:
Serial No. of Census Entrance
No. of Households in Unit
No. of Hamlet:
Name of Building Owner:
Serial No. of Unit in Census Entrance
Serial No. of Household in Unit
Building Census Number :
Number of Census Entrances
Type of Unit
Name of Public House
Building Arrangement Number:
Location of Unit in The Entrance:
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Population Census Questionnaire (5-6 Dec., 2005)
( 3 )
Page No.:
Page Summary
No. of Individuals
Nationals
Male
Female
Non-nationals
Male
Female
Labor Force
Total
Nationals
Non-nationals
Employed Unemployed Employed Unemployed
Total
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