Form No. (4 P.C.)
The Planning Council - Secretariat General
Statistics Department
Buildings, Dwellings, Households and Establishments Census
And Sample Population Characteristics Survey
2003/2004
Register of Qatari Characteristics
1
Municipality: --------------------------------------------------------------
Municipality No.:
2
3
Zone No.:
Register No. in Zone:
Total No. of Registers in Zone:
No. of Persons
Summary of Register's
pages
No. of
Households
Qataris
Male
Female
Non-Qataris
Total
Male
Female
Total
No. of filled questionnaires in register:
Tel. No.: Office
Researcher's name: -------------------------------------------------------------------------------------------------------------------------------------------------
Residence: ----------------------------Mobile : ---------------------------------
------------------------------------------
Place of Work: ------------------------------------------------------------------------------------------------------------------------------------------------- Researcher's Signature:
-----------------------------------------------------------------------------------------------------------------------------------------
Name of Group Leader: ------------------------------------------------------------------------------------------------------------------------------------------------Signature of Group Leader: -------------------------------------------------------------------------------------------------------------------------------------------------
Questionnaire of Qatari Characteristics
12
7
9
8
Census
No.
Entran
ce No.
10
Street
No.
: ----------------------------------------‫@رع‬AB‫ ا‬DE‫ا‬
11
12
All Individuals
Household members 3
years & more (Born before
March 2001)
Place of Previous
Residence
Place of Birth
1 Head of HH
1 Male
1 Present
2 Spouse
1 Muslim
Kind of
disability
Nationality
Or Place of Residence Abroad
2 Temporarily
Absent
3 Other
3 Visitor
4 Father/ Mother
5 Brother/Sister
4 Abroad
(Full Years)
S. No.
Full Name
(In addition to Last Name)
(No. of ID Card)
6 Relative
7 Relative's
8
Grandson/daughter
Persons 15 years and over regarding status during the week ending on 16/3/2004 (Born before March 1989)
Educational Status & Specialty
Place of Usual
Residence in 1997
2 Female 2 Christian
3 Son/ Daughter
Persons 10 years & more
(Born before March 1994)
Persons with
special needs
Age
Religion
Form No.
Reason
of
disabilit
y
Status
Relation
to work
force
Highest Grade & Stage
obtained by the
enrolled, & who quit &
did not graduate
For
Unemployed
1 Employed
1Blind
Grade
1Congenital
1Government Administration
2 Unemployed with
previous job
2 Deaf
2 Accident
3 Deaf & Mute
3
Pathological
1 First
1 Enrolled
2 Second
1 Unsuitable
work
1 Kindergarten
Illiterate - Reads & writes or write the highest level of
education obtained and
specialty
2 Primary
2 Enrolled & did
Name of Fereej
Or Name of Country if Abroad
Name of Fereej
Or Name of Country if
Abroad
Name of Fereej
Or Name of Country if
Abroad
not graduate
3 Third
4 Lost an organ 4 Other
5 Mentally
disabled
3
Prep
arat
ory
2 Did not find
work
3 Unemployed
without previous job
3 Termination
4 Fourth
4 Secondary
4 Paid Trainee
4 Retired
seeking job
5 Fifth
5 Below Univ.
5 Student
5 Other
6 Sixth
6 Univ.
6 Housewife
7 Higher
Education
7 Disabled
3 Enrolled &
graduated
9 No relation
6 Paralyzed
7 Other
0 Workers & servants
4 Did nor enroll
8 More than
disability
Sector
1 Employer
Reason of
Unemploymen
t
Stage
Main
Employme
nt Status
2 Own Account
Worker
3 Employee
Main Occupation
Occupation in details for
individual
During the week ending on
16/3/2004
2 Governmental
Establishment /
Name of establishment
Main Economic Activity
Company
3 Mixed
5 Other
1 Never
Married
1 Yes
1 Yes
2 No
2 No
1 ‫وج‬Y#Z [&
4 Private
4 Unpaid
Family Worker
Persons 4 +
years, Does
he/she uses
(in home,
work or
school)
Internet
Gender
14
Electricity
No.
Form
No.
Computer
Presence
13
Family
Composition*
14
Electricit
y No.
Place of Residence of Husband who is
married to another
Relation to
head of HH
13
Household
Composition
*
Residential
Unit No.
Municipality
Building No.
Marital Status
6
Househol
d No. in
sample
list
No. of Wives
5
Household No. in
residential units
register
Duration of Unemployment in full years
4
Block
No.
5 Diplomatic /
International /
Regional
6 Household
‫اﺏـــ)ًا‬
2 Married
2 ‫وج‬Y‫ـ‬#‫ﻡ‬
3 Divorced
3 PQR‫ﻡ‬
4 Widower
7 University &
above
8 Not working or
4 _‫أرﻡ‬
seeking for job
2
1
*
3
4
5
6
7
8
]
10
11
12
13
14
15
16
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10
4
1
2
4
3
4
S.
31
Duratio
n of
Marria
ge in
Full
years
32
No. of Live
Births
No. of
Survivors
No. of Household Members
No. of Live
Births
Males
Females
Males
Females
Males
33
34
35
36
37
Female
s
38
Males
39
Non-Qataris
Males
Females
Total
Males
1
2
3
4
No. of
Survivors
Female
s
40
!"#$%&‫*)ام ا‬#+,& *‫ك‬.#/
19
20
21
22
23
24
25
26
2
4
Qataris
Live Births in
2003
18
1
Living
Abroad
Ever Married Qatari Women
Live Births during Marital
Span
17
*
1
Females
5
15
Number of Ever
Married Women
Total
Total
Males
Females
Total
6
7
8
9
10
Type of Residential Unit
16
Type of ownership
17
No. of rooms & utilities
Appliances & vehicles owned by HH
18
19
Monthly income groups
1 Palace
1 Owned
2 Villa
2 Rent
1 TV
10 Computer
1 Less than 1000 Riyals
3 House
3 Govt. Housing
2 Video
11 Internet line
2 1000 to less than 2000
4 Popular House
4 Co./Est. Housing
3 Cable
12 Tel. line
3 2000 to less than 3000
5 Disabled House
5 Free
4 Sat. Dish
13 Mobile
4 3000 to less than 4000
6 Additional Building
6 Other
5 4000 + Riyals
Rooms
Type
Bathrooms Kitchens
No.
Type
5 Range
14 Private car
7 Apartment
6 Microwave
15 Transport car
8 Separate room
7 Frig./Freezer
16 Central AC
9
8 Washing machine
17 Split AC
9 Dish washer
18 Window type AC
Beach House / Other
0 Part of est.
No.
Name of Respondent:
Relation to HH:
Signature:
Tel. No.: Office
Residence:
Mobile
27
28
29
30
Summary of Register Pages
No. of Household members
Grand Total
Zone No.
Block No.
Questionnaire No.
Qataris
Males
Females
Non-Qataris
Total
Males
Females
Total
Males
Females
Total
Data Processing
Operation
Office revision
Coding
Codes revision
Data entry
Error corrections
Corrections entry
Error corrections
Corrections entry
Error corrections
Corrections entry
Error corrections
Corrections entry
Name of
employee
Signature
Name of
Supervisor
Signature
Date of
completion