PILOT
37. Industry (for persons who work or have worked)
Pilot Census of Population, Households and Dwellings, 2010
Bosnia and Herzegovina
Census 2010
FILL IN
LATIN
FORM
CYRILLIC
Data will be used for
statistical purposes only
PERSONAL QUESTIONNAIRE (P-1)
ENTITY
ENUMERATION AREA
MUNICIPALITY
HOUSEHOLD
DWELLING
PERSON
1
Activity code
NAME OF ENTERPRISE/SHOP
Name
Father's name
Mother's name
38. Place of work / study:
In other settlement
within BiH
Question 40
In the place of usual residence
SETTLEMENT
Surname
In another country
Male
Female
Sex:
MUNICIPALITY / FOREIGN COUNTRY
Day
Date of birth and UPN
(unique personal number)
Month
Yes
Is the official address same as the address of usual residence?
Year
Question1
Other 6 digits of the UPN
No
SETTLEMENT
At least once
a week
39. Frequency of returning to the place of residence
Daily
from the place of work/study:
40. The main source of livelihood throughout the year (not more than two answers):
Less than once
a week
MUNICIPALITY
a) BiH
STREET
Salary or other income based on any kind of
employment except in agriculture
Social welfare payment
Income from agriculture
House number
Other benefits or income
(scholarships, student loans, alimony etc.)
Income from renting dwellings, land, stores, or
other property or income from royalties
Question 44
Question 44
b) Foreign country
Loans or savings spending
Compensation for sick leave or maternity leave
Other sources
1. Is the person enumerated providing the information itself?
Financial assistance for people who have lost their jobs
(due to bankruptcy, technical redundancy, etc.)
Dependent
2. The reason why the person is not providing the information personally?
Yes
42.
The ordinal number of the household member who supports the enumerated person:
43.
The supporter of the dependent being enumerated is a person who:
Code for absence in other
place in BiH
Question 43
No
works abroad
generates income from agriculture
generates income from renting dwellings, land, stores,
or other assets or income from royalties
MONTH(S)
Absent from housing unit when the Census interviewer came
Physical or mental inability to provide the data personally
Code of absence
abroad
If the code is one of the following
Question 6
18, 19, 20, 21, 22 or 23
The person is underaged
Other reasons
Does the person have any difficulties in performing everyday activities at home, at work, at school, for longer than 6 months (possible multiple answers)
c) Cause of difficulty (the answer is given for each difficulty of the person):
b) Grade of difficulty:
Yes, some
YEAR(S)
Duration of the absence abroad:
generates other sources of income
No
No
MUNICIPALITY
Absent abroad
receives compensation for sick leave or maternity leave
a) The type of difficulty:
Question 3
FOREIGN COUNTRY
spends loans or savings
is pensioner
Yes
Question 44
receives financial assistance because the person has lost
its job (due to bankruptcy, technical redundancy etc.)
receives social welfare
generates income from other transfers
(scholarships, student or pupil loans,alimony etc.)
works in BiH
Door
number
SETTLEMENT
Absent (in other
place in BiH)
Is the supporter of the dependent a member of the same household?
Building entrance
number
FOREIGN COUNTRY
Pension
41. For the dependent:
44.
Supplement to
the house number
Yes, a lot
Cannot do
it at all
Congenital
Injury during
Illness
delivery
Injury at
work
Traffic Consequence
of war
accident
1. Do you have difficulty seeing even
if wearing glasses?
2. Do you have difficulty hearing,
even when using a hearing aid?
3. Do you have difficulty walking
or climbing steps?
4. Do you have difficulty
remembering or concentrating?
5 .Do you have difficulty with self-care such as
washing all over or dressing?
6. Using your usual (customary) language,
do you have difficulty communicating,
(for example understanding)
Other
3. Does the person have a usual residence in the place where the Census is taking place?
Question 6 No, the person has its usual residence
Question 4 6 The person is a foreign citizen
in another settlement in BiH
with a residence permit
4. To be filled in for persons whose place of usual residence is in another settlement in BiH,but
are present on the reference date at the location where the Census is taking place
Question
5
18
Yes
SETTLEMENT
MUNICIPALITY
STREET
Supplement to
the house number
House number
45. Is the person with mentioned difficulties being helped by another person?
Yes
Building entrance
number
Door
number
Code of presence
5. To be filled in if the person is a foreign citizen with a residence permit in BiH:
Country in which the person lived before coming to BiH
No
Duration of stay in BIH:
YEAR(S)
MONTH(S)
TO BE FILLED IN BY THE MUNICIPALITY INSTRUCTOR
Ordinal number
of the person
Relationship to the reference
person
Signature of enumerated person
Ordinal number
of the family
Status of the member
in the family
Signature of enumerator
Reason for stay
in BiH:
Work
Family member
works in BiH
Study
Family member
studies in BiH
Marriage
Other
Code of presence in BiH
6. Place of usual residence of mother at the time the person was born:
BiH
BiH and other
country
Never married
Married
18. Citizenship:
SETTLEMENT
a
In BiH:
Place of
enumeration
19. Legal marital status:
Other
place
Divorced
Widowed
MUNICIPALITY
20. Does the person live in a consensual union? Yes
FOREIGN COUNTRY
b
Without citizenship
Foreign citizen
No
22. Years of birth of live-born children
21. Number of live-born children, including
For more than 2 live-born children fill in the
year of birth of the youngest child
those who are not alive any more (answered only by women aged 14 and more)
Other country
7. Has the person lived continuously in the place of usual residence since birth? Yes
Question 18
No
GODINA
YEAR
first one
second one
According to Article 2. of the Constitution, citizens are not obliged to declare themselves in the following two questions
8. The person moved to the address of the place of usual residence from:
SETTLEMENT
Other address within
the same settlement
23. Ethnicity/nationality:
MUNICIPALITY
Other settlement
YEAR
(Only if question 21 is answered
proceed with question 22)
Croat
Bosniak
Not declared
Serb
Other
24. Religion:
FOREIGN COUNTRY
Other country
Islam
Year of migration
Orthodoxy not declared
Catholicism
other
25. Mother tongue:
9. If the person (ever) moved to BiH from abroad where he was longer than one year:
Year of immigration
Country from which the person immigrated
Bosnian
Croatian
Other
Serbian
26. Literacy (answered only by persons aged 10 and more):
Main immigration
reason:
Family member
Family member
Study
works in BiH
studies in BiH
10. Place of usual residence one year prior to the reference date (except for persons born after 31.03.2010)
Another address within
The same address where the person usually resides today
the same settlement
Work
Attends primary school
Specialization after secondary school
Without formal schooling
High schools and college
Bachelor’s degree
(first cycle of studies)
Graduate
Incomplete basic education
Higher education/faculty/academy/university
Master’s degree (second cycle)
Specialist
Doctoral degree (third cycle)
Master of Science
secondary art school
Doctor of Science
Duration in years:
Primary school
MUNICIPALITY
Type of
secondary school:
FOREIGN COUNTRY
Other country
29. School's attendance
11. Place of usual residence at the time of the Census 1991 (except for persons born after 31.03.1991):
Another address within
The same address where the person today usually resides today
the same settlement
Does not attend school
SETTLEMENT
Mandatory pre-elementary
school education
2
30.
FOREIGN COUNTRY
4 or 5
secondary vocational
school
secondary religious
school
gymnasium
secondary
technical school
Primary school
High school
Secondary school
Basic academic studiesold program
Specialist studiesold program
Specialization after
secondary school
Old program
(e.g. balet, music)
teacher-training school
Master studiesold program
Doctoral studiesold program
First cycle (Bologna process)
Second cycle (Bologna process)
Third cycle (Bologna process)
Has the person worked at least one hour for income or as an unpaid supporting member in the week from the 25th until the 31st of March?
No, but has a
No
Question 35
Yes
Question 35
job to return to
32. Might the person start to work during the period of 1-15th April,
following the reference week, should they be offered
employment now?
Question 33
Question 34
Yes
No
31. Has the person looked for a job in the period between the 4th and 31st of March?
12. Did the enumerated person have the status of refugee from BiH after 1991?
13. The enumerated person returned from refuge:
Yes
To the place the
person refuged from
14. Does the person still have the formal legal status of refugee in BiH?
Yes
No
Has not returned
to BiH
To some other
place in BiH
Yes
Question 15
No, has found a job and
will start soon
33. What is the person’s
non-active status?
No
No
Pupil (aged 15 and more) or student
Recipient of capital income(from property
or investments. interests, rents or royalties)
THE SETTLEMENT FROM WHICH THE PERSON HAS BEEN DISPLACED:
34. Has the person worked before?
35. What is the person’s status
in employment?
MUNICIPALITY
Yes
Employee (work for employer)
Employer (employs others)
Question 18.
36. Occupation (persons who work or have worked before):
Fill in
16. Has the enumerated person returned to the place from which he was displaced?
Yes
No
17. Does the person still have the legal and actual status of a displaced person in BiH?
Yes
No
Question 38
Pensioner
15. Did the enumerated person have the status of a displaced person after year 1991?
No
3
Bologna-compliant program
Economic activity (30 - 37 answered only by persons aged 15 and more)
MUNICIPALITY
Other country
Yes
28. Title achieved (only if answer “higher education/faculty/academy/
university” is marked at question 27)
Other
Secondary school
Other settlement
within BiH
No
27. Highest level of completed education (answered only by persons aged 14 and more):
Forced
displacement
SETTLEMENT
Other settlement in BiH
Yes
No
Question 40
Homemaker
Question 40
Incapable for work
Other economically non-active persons
Question 40
Self-employed worker
(does not employ others)
Farmer on its own property
with employees
Farmer on its own property
without employees
Unpaid contributing family worker