Macao Special Administrative Region
According to Administrative Regulation No.15/2011
of 27th June, and Decree Law No.62/96/M of 14th
October, it is compulsory to respond to this
questionnaire.
Registration No. 47.1/2011, valid until 31/12/2011.
Confidential
Statistics and Census Service (DSEC)
Attention
I.
Part 1 is to be completed by anyone who is familiar with the housing unit.
II.
Part 2 and Part 4 are to be completed by the head of the household.
III.
Part 3 relates to personal information which is to be completed by each individual. Information on children, household members on business
trip or studing/travelling abroad and those who need assistance in completing the questionnaire can be provided by the head of the
household or other household members.
IV.
Reporting of information: a) Write your answer on the line provided, e.g. Year of birth 2009
b) Put a dash “ ” in the appropriate box, e.g. 1 3 5
V.
Please use a blue or black ballpoint pen to complete this questionnaire. Do not write in the fields shaded in red.
VI.
Each household is required to complete one questionnaire. For housing units with more than one household or households with more than six
members, please call our Census Hotline: 8809 8809 for more copies of questionnaires.
1. Is there anyone living in this housing unit?
1
Yes
3
No, please specify the end-use of the housing unit
Part 1
(e.g.: clinic, office, vacant unit, unit for lease/sale, etc.)
End of questionnaire. Please call our Census
Hotline 8809 8809 to schedule collection of
questionnaire.
2. How many households are living in this unit?
3. How many bedrooms are there in this unit?
Note: A household refers to individuals who live together and share common provisions of living.
e . g . - a family, including live-in domestic helper or non-relatives;
- an individual living alone;
- friends who live together and share household expenses.
51
Case No.
For official use
*Q1F*
Please turn to back page
52 Total no. of questionnaires
0
0
0
0
1
1
1
1
1
2
2
2
2
2
3
3
3
3
3
4
4
4
4
4
5
5
5
5
5
6
6
6
6
7
7
7
7
8
8
8
8
9
9
9
9
9
Part 2
1
2
55 Type of building
3
Page(s)
1
VR：
3
Temporary
(e.g. house made of wood or iron)
53 Sequence no. of this questionnaire (Qs_No) 56 End-use (can choose more than one)
No.
1
2
2
3
54 No. of persons in this questionnaire
1
2
3
4
5
Residential
4
Industrial &
Commercial /
Institution
8
Others
57 Type of household
6
1
Person(s)
58
Permanent
(e.g. building/brick house)
11
12
13
14
15
16
17
19
Completed
Partially
completed
Total
refusal
Partial
refusal
Language
problem
Non-contact
To be confirmed
Contacted
(not to interview)
21
Domestic living
quarter
22
Secondary
Secondary
housing unit
housing unit
(Macao resident) (Non-Macao resident)
3
Collective living quarter
- Staff quarter
9
Collective living
quarter - Others
23
24
26
28
31
Demolition/
construction in
progress
Commerical
unit
Unable to
locate
Others
Vacant unit
Remarks:
E
S2
Part 2
4. How many members are there in your household?
(Including infants, elderly, live-in domestic helpers and household members who are studying/working/travelling/visiting
relatives abroad.)
5. Besides the above-mentioned members, how many other persons were staying with your household on
12 August 2011 at 3:00 a.m.?
Provide information on all individuals in questions 4 and 5
Part 3
6. Name of household head, household members and
persons staying in this household on 12 August
2011 at 3:00 a.m.
1
Sequence No. of respondent
7. Relationship to household head
3 Spouse
5 Son/daughter
8 Other relative
9 Non-relative
8. Gender
1 Household head
7 Parent/parent-in-law
1 Male
3
5
8
9
7
M
1
3 Female
9. Year and month of birth
2
3
4
5
6
1
Household head
F
3
3
5
8
9
7
M
1
F
3
3
5
8
9
7
M
1
F
3
3
5
8
9
7
M
1
F
3
3
5
8
9
7
M
1
F
3
3
5
8
9
7
M
1
F
3
_______ Yr ___ M _______ Yr ___ M _______ Yr ___ M _______ Yr ___ M _______ Yr ___ M _______ Yr ___ M
19
20
19
20
19
Y
20
Y
20
Y
9
10. Place where you were on 12 August 2011 at 3:00 a.m.
19
19
20
Y
9
19
20
Y
9
Y
9
9
9
20 This unit/workplace/public place in Macao
20
20
20
20
20
20
24 Other housing unit in Macao
(e.g.: elderly home, hospital, etc.)
24
24
24
24
24
24
Macao
25 Mainland China
65 Hong Kong
25
65
25
65
25
65
25
65
25
65
25
65
70 Taiwan, China
75 Portugal
70
75
70
75
70
75
70
75
70
75
70
75
90 Other country, please specify
__________
90
__________
90
__________
90
__________
90
__________
90
__________
90
11. Total length of stay in Macao in the past 6 months
2 More than three months
4 One to three months
6 Less than one month
2
4
1
3
6
2
4
5
1
3
6
2
4
5
1
3
6
2
4
5
1
3
6
2
4
5
1
3
6
2
4
5
1
3
6
12. Intended length of stay in Macao in the next 6
months
1 More than three months
3 One to three months
5 Less than one month
9
13. Place of birth
9
9
9
5
9
9
21 Macao
25 Mainland China
65 Hong Kong
21
25
65
21
25
65
21
25
65
21
25
65
21
25
65
21
25
65
70 Taiwan, China
75 Portugal
80 The Philippines
70
75
80
70
75
80
70
75
80
70
75
80
70
75
80
70
75
80
82 Vietnam
83 Myanmar
84 Indonesia
82
83
84
82
83
84
82
83
84
82
83
84
82
83
84
82
83
84
90 Other country, please specify
90
__________
14. Do you have difficulties in performing daily
activities due to your physical, mental or emotional
conditions?
2 No
4 Yes
Next respondent
a. Have these diff iculties been
lasting, or will expect to last, for
6 months or more?
90
__________
Next respondent
2
90
__________
Next respondent
4
2
4
90
__________
Next respondent
2
4
90
__________
Next respondent
2
4
90
__________
Next respondent
2
4
Next respondent
2
4
1 Yes
1
1
1
1
1
1
3 No
3
3
3
3
3
3
Part 4
b. Do you use any auxiliary equipment?
2 Yes, difficulties still persist after using auxiliary equipment
2
2
2
2
2
2
4 Yes, difficulties disappear after using auxiliary equipment
4
4
4
4
4
4
6 No
6
6
6
6
6
6
15. The residence of your
household is:
1
16. Monthly mortgage/rent payment
Property of
household
member(s)
3
2
Rented
5
Provided by
employer
Mortgage free or rent free
4
7
Other, please specify
Monthly mortgage/
rent payment (MOP)
(Rent payment excludes water, electricity and telephone charges, management fee, etc.)
*Q1B*
T1. Phone number:
(For future follow-up only)
T1
__________________________
__________________________
T2. Most convenient
time to call
1: ______H_____M - _____H_____M
2: ______H_____M - _____H_____M
P___