STATE STATISTICAL AGENCY
TO THE GOVERNMENT OF
THE REPUBLIC OF TAJIKISTAN
National population census 2000
No of
census
division
No of
instructor
district
No of
enumeration
district
No of
list of
residents
in
dwelling
FORM 2
Approved by order # 36 of the State
Statistical Agency of 7 May 1999
No of
person
within
dwelling
No of
form
within
portfolio
Attention! Records on the enumeration questionnaire are
to be only used for obtaining aggregated data on the
number, composition and housing conditions of the
population in accordance with the program established.
Enumerators are forbidden to disclose the content of
answers to anybody.
ENUMERATION QUESTIONNAIRE
Circle one or several codes of answers proposed: O
Name
No
1. Relationship to the reference person in household.
reference person (recorded as No 1) of household…………………………...1
wife, husband…………………...…………………………………………….2
daughter, son………………………………………………………………….3
mother, father…………………………………………………………………4
sister, brother………………………………………………………………….5
mother-in-law, father-in-law……………………………………………….....6
daughter-in-law, son-in-law……………………………...……………………7
grandmother, grandfather………………………..………………….…………8
granddaughter, grandson……………………………………………………….9
other relative
……………………………………………….…………10
non-relative………………………………………………….………………..11
No of mother (father)
11
2. Sex
male……………………….1
female……………………..2
3. Temporarily
resident…………………...1
absent…………………….2
4. Date of birth
day 1 1
month 1 1
year 1 11 1
completed years 1 11
5. Place of birth (region, republic, country)
1 11
6. Nationality
1 11
7. Mother tongue
______________________
1 11
(specify other languages you speak fluently)
second___________________
1 11
third_____________________
1 11
8. Citizenship
Republic of Tajikistan………………...1
without citizenship……………………2
other country (name)_______________3
(Code of the other country)
1 11
9. Have you permanently lived in this settlement since birth?
yes…………………….1 no………………………2
If “no”, specify for the period from 1990 through 1999:
a) the year, since which you have lived here 1 11 1
b) previous place of residence (region, republic, country)
_______________________________________ 1 11
c) which settlement have you come from?
urban……………………3 rural……………………4
d) are you a refugee or a forced migrant?
yes……………………..5 no………………………6
10. Sources of livelihood
(if you have more than one source, specify each)
Paid employment
for enterprise, organization, institution…………………1
for dehkhan farming holding……………………………2
for individuals…………………………………………..3
Self-employment
at own dehkhan farming holding……………………….4
at own enterprise……………………………………….5
own account worker..…..………………………………6
at family enterprise, as unpaid worker at dehkhan farming holding….7
in personal subsidiary plot……………………………..8
______________________________________________
scholarship……………………………………………..9
pension…………………………………………………10
unemployment benefit………………………………….11
benefits (other than unemployment benefit)……….…..12
other government support…………………………...…13
property income…………...……………………………14
dependent……………………………………………….15
other source……………………………………………..16
11. Education
illiterate……………………………………………….…1
do not have primary education, but can read and write…2
primary general………………………………………….3
secondary incomplete…………………………………...4
secondary (complete) general……………………………5
primary vocational………………………………………6
secondary specialized……………………………………7
higher incomplete………………………………………..8
higher…………………………………………………….9
candidate of science…………………………………….10
doctor of science………………………………………...11
12. Type of educational institution you attend
general educational institution………………………….1
secondary specialized educational institution…………..2
higher educational institution…………………………...3
primary vocational institution…………………………..4
other school (course)……………………………………5
do not study……………………………………………..6
13. Marital status
never married…………..………………………………..1
in registered marriage……………………………..…….2
in unregistered.marriage........................…………………3
widowed…………………………………………………4
divorced………………………………………………….5
separated…………………………………………………6
No of spouse
11
14. Place of employment by main activity (full name of enterprise, institution, organization, economic
activity)________________________________________________________________ 11
15. Main activity (detailed description of activity, post, duties)
__________________________________________________________________________1111
16. Status in employment
employee…………………………………………..1
member of production cooperative………………..2
employer…………………………………………..3
own-account worker…………..…………………..4
unpaid family worker……………………………...5
17. For those aged 15 and over who do not have job or profitable business specify:
a) are you looking for a job?
yes………….1
no…………………2
If “yes”, could you start working in the next 2 weeks?
yes………….3
no…………………4
If “no”, specify the reason:
have got a job and will start working in the next 2 weeks………….5
have found a job and am waiting for a response………………………6
other reason……………………………………………………………7
b) do you run the house (housekeeping, caring for children, etc.) ?
yes………….8
no…………………9
c) how many months has it been since you worked?
less than 1 month………………………….10
from 1 to 12 months……………………….11
more than 1 year…………………………..12
never worked………………………………13
18. For a woman aged 15 and over specify:
a) children ever born alive ………11
b) children surviving ………….…11
II. HOUSING CONDITIONS
Circle one or several codes of answers proposed: O
Questions 1п-3п to be completed for the dwelling
1п. Type of dwelling
detached house……………. …...1
part of detached house………….2
separate flat……………………..3
shared (communal)
flat……………………………...4
hostel…………………………...5
hotel…………………………….6
boarding house for aged and
invalids, children’s home, etc…...7
other institutions………………...8
other dwelling……………………9
homeless………………………..10
lodger…..……………………….11
2п. Period of construction of
dwelling:
3п. Availability of essential
facilities
electricity………………………1
floor electric cooker……………2
piped gas……………………….3
bottled condensed gas………….4
central or district heating……….5
heating from individual installation
or boiler…………………………6
stove heating…………………….7
piped water……………………...8
flush toilet……………………….9
fixed bath or shower…………….10
central hot water supply………..11
hot water from individual boiler..12
telephone……………………….13
no specified facilities…………...14
before 1940…………………..1
1941-1960……………………2
1961-1980……………………3
1981-1990……………………4
1991-1999……………………5
Questions 4п-6п to be completed for each household residing in the dwelling
No of the reference person
(No 1) of household
1
1
within the dwelling
private ownership……..1
4п. Type of ownership of private ownership……..1
state ownership………..2
state ownership………..2
dwelling
other ownership………..3 other ownership………..3
5п. Number of rooms
1
1
occupied
part of room ………….99 part of room ………….99
6п. Floor space of
occupied dwelling (m2)
a) usable
b) living
a) usable
b) living
1
1
1
1
Questions 4п-6п (continued)
No of the reference person
(No 1) of household
1
within the dwelling
4п. Type of ownership of private ownership……..1
state ownership………..2
dwelling
other ownership………..3
5п. Number of rooms
1
occupied
part of room ………….99
6п. Floor space of
occupied dwelling (m2)
a) usable
b) living
1
1
1
private ownership……..1
state ownership………..2
other ownership………..3
1
part of room ………….99
a) usable
b) living
1
1
1
1
private ownership……..1
state ownership………..2
other ownership………..3
private ownership……..1
state ownership………..2
other ownership………..3
1
part of room ………….99
a) usable
b) living
1
part of room ………….99
a) usable
b) living
1 University of Minnesota
1 Population1Center, IPUMS-International,
1
National Science Foundation Grant SBR-9908380.
Translation by Inna Popova, Minsk, Belarus, December, 2002