NATIONAL STATISTICAL SERVICE OF RA
Approved by State Council on Statistics, Decision N 59,dated 26.07.2001
The Census of RA conducted on October 10-19, 2001 in RA according to RA Law
on «Census» is the first in the history of our country, coming into
realization in independent conditions.
The purpose of the census is not only clarification of population number and
structure by the RA administrative- territorial division, but also through
census summary indicators assist to society and political decision of making
authorities in making better decisions, clarifying estimates toward our
development imaginations. The Law on «Census» of RA has determined that
through provision of unconstrained and reliable answering to questionnaire
questions, the census final results can be used and published only in
summarized and group way. The individual data are confidential and not
subject to publication, and even can not be used as proof by juridical,
investigation and other authorities (Articles 12 and 13).The census is
compulsory ( Article 10) and our responsibility to Armenia. We are asking for
Your assistance in conducting Census of 2001 through Your unconstrained and
reliable answers, these are very important for clarifying future features of
our country.
Thanks for co-operation
Stepan Mnatsakanyan
Chairman of State Council on Statistics of RA,
Chairman of RA National Statistical Service
Questionnaire
Census area
Supervisor area
Enumerator area
Dwelling Unit
Marz
Region
Community
Settlement
Avenue, street, lane
House/building number or owner surname
Apartment number-Telephone number
Organization name
Enumerator Signature
completion date
Supervisor
Signature
checking date
Q1 Please, count first, second and last names of Your household members (
present and absent) as well as temporary presents at the time of enumeration
TOTAL
Q2 Have You been at the time of enumeration?
Present:
Permanently ………1Administrator Page 49 12/8/2005
Temporarily ………2
Absent ………3
In the case of absence or temporary presence
28
Q3 Duration (by months)
Q4 Reason, purpose
Work…………1
Family…………2
Study……………3
Visit……………4
Business trip…………5
Tourist…………6
Other…………7
For absents
Q5 Where have You been at the time of enumeration?
(October 9 at night 10 in the morning)
Marz in the case of Armenia, country in other cases
For temporary presents
Q6 Where do You usually live?
Marz and settlement in the case of Armenia, country in other cases
Q7 Your kin relationship with the person written first?
7a
Person written first in the household…………01
Spouse…………02
Child……………03
Parent…………04
Sister, brother…………05
Parent-in-law…………06
Child-in-law……………07
Grandparents……………08
Grandsons………………09
Other relatives……………10
Non relative……………11
Co-roomer…………………12
(Only for institutional households)
7b Mother (father) sequential number
Q8 Your sex?
M=1 F=2
Q9
9a
9b
9c
9d
Your birth date
Day
Month
Year
Age by completed years
TO BE COMPLETED FOR ALL THE AGES
TO BE COMPLETED FOR PERSONS OF ALL CATEGORIES
Q10 Place of birth?
Marz and settlement in the case to Armenia, country in other cases
Q11 Country of Your citizenship?
Q12 Your ethnicity?
Q13 Your Native language and other language You fluently speak?
Q14 Are you living in this settlement since
Yes=1 No=2
29
birth?
Is not completed for temporary presents
If “not”, then
Q15 For those of changed their residence since 1988: were You forced to
change
If “Yes”
Because of war from bordering territories of RA…………1
Because of earthquake from RA territories…………………………2
Forcely removed from Azerbaidjan…………………………………………………3
Compulsory removed from Nagorniy Karabagh…………………………4
Compulsory removed from Other countries………………………………5
No…………………………………………………………………………………………………………………………………6
Q16 Your former residence?
Marz and settlement in the case of Armenia, country in other cases
Q17 The date since You continuously live here?
Q18 Source of Your livelihood
Job (exept at own household)…………01
Job at own household………………………………02
Income from ownership……………………………03
Scholarship………………………………………………………04
Pension…………………………………………………………………05
Allowance(exept unemployement)……06
Unemployement allowance………………………07
Under state security (care)……………08
Other money assistance(state sources)……09
Monetary assistance (non state sources)…10
Under care………………………………………………………………………………11
Other sources………………………………………………………………………12
18a
primary
18b
secondary
Completed for 7 years and older
Is not completed for temporary presents
Q19 Your scientific degree or education
Doctor of science............01
PhD..........................02
Postgraduate prof............03
Higher prof..................04
Incomplete higher............05
Secondary prof...............06
Primary prof.................07
Secondary general............08
General basic................09
Primary ......... ........ ..10
No primary...................11
Q20 For those of without primary education, are literate?
Yes=1
No=2
Q21 Do You study at any educational institution?
If «yes»
Postgraduate prof..........1
Higher prof................2
Secondary prof.............3
Secondary basic............4
Additional educational ....5
No.........................6
30
Completed for 15 years and older
Is not completed for temporary presents
For Female
Q22 How many children have you ever born?
Q 23 How many of them are alive?
Completed for 15 years and older
Not completed for temporary presents
Q24 Your marital status?
24a
Never married....................1
Married (registered).............2
Married living separately........3
Widowed..........................4
Divorced (registered)............5
Divorced (not registered)........6
24b Husband(wife) sequentilla number
Q25 Since October 3-9 did You have job or income-producing business?
Yes=1
No=2
Q26 What is the type of Your main job: organization, institution(or its
branch)?
Q27 Your occupation at main working place
(Type of main working place)
Q28 Status of main occupation
Employee....................1
Employer....................2
Co-operative(industrial) member..3
Individual entrepreneur.....4
Self- employed..............5
Family member: relative assisting to
Enterpreneurship activity....6
Member of farm economy ......7
Other status.................8
For those of without job or other income produsing work
Q29 Are You looking for a job?
Yes=1
No=2
If «Yes»
Q30 Are You ready to work within coming 2 weeks
Yes=1
No=2
Q 31 Is it first time You are looking for a job?
Yes=1
No=2
If «No»
Q32 What is the reason?
Applied for a work and will start working soon.....1
Applied for a job and waits for the answer.........2
Householder .......................................3
No hope to find a job..............................4
No need to work....................................5
Studies............................................6
31
Age, health........................................7
Other reason.......................................8
Housing conditions of households
H.1.Provision with dwelling unit
Yes=1
No=2 3=homeless
H.2.Type of dwelling unit
1.
2.
3.
4.
5.
6.
7.
8.
Individual house
Part of individual house
Separate apartment
Common(communal)
Cottage temporal shelter
Dormitory
Organization of joint residence(institutional)
other dwelling unit
H.3.When was
built?
1.Before1941
2.1941-1960
3.1961-1980
4.1981-1990.
5.1991- 2000.
H.4. Construction material of
external walls
1.
2.
3.
4.
5.
building
Stone, brick
Iron-concrete, block
Wood
Mixed material
Other
H.5. Main heating source
1.Central heating
2. Gas
3. Electricity
4.Coal
5.Wood
6. Animal dung
7.Oil,petroleum
8. Other
H.6. Main fuel for cooking
1.Elctricity
2. Gas
3.Oil
4.Wood
5. Other
H.7. Main source of water supply
1.
2.
3.
Water supply in the dwelling unit
Water supply in the building, but not in the
dwelling unit
Public water supply
32
4.
5.
6.
7.
Individual tank for water collection
Rivers, springs
Well
other
H.8.Is there any bathroom or shower?
1. Yes, in the dwelling unit
2. Yes in the building, but not in the dwelling unit
3. Yes, outside of the building
4. Other
H.9 Is there a toilet ?
flushing
1.In the dwelling unit
2. Out of the dwelling unit, only for that household
3. Out of the dwelling unit, for common use
non flushing
4.Only for that household
5.For common use
6.Other
H.10. How is done the garbage removal?
Through building garbage pipe
1.Regularly removing
2. Irregularly removing
Other ways
3. Thrown in regularly removing garbage bin
4. Thrown in irregularly removing garbage bin
5. Thrown anywhere
6.Other
H.11. What is the main source of lighting?
1.Electricity
2.Other
H.12.
Is there a telephone?
1.
Yes
2.
No
H.13.Who is the owner?
1.
2.
3.
4.
5.
Member of the household
State
Community
Juridical entity
Other persons
H.14. how many rooms does occupy Your household?
Separately
Jointly with other household
H.15.
The area of Your dwelling household?
sqm
Common
Dwelling-
33
ÍÀÖÈÎÍÀËÜÍÀß ÑÒÀÒÈÑÒÈ×ÅÑÊÀß ÑËÓÆÁÀ ÐÀ
Óòâåðæäåíî ðåøåíèåì 59 îò 26.07.2001ã. Ãîñóäàðñòâåííûì Ñòàòèñòè÷åñêèì Ñîâåòîì ÐÀ
Âîïðîñíèê
Ïðîâîäèìàÿ ñîãëàñíî çàêîíó ÐÀ “Î ïåðåïèñè íàñåëåíèÿ ”ñ 10-19 îêòÿáðÿ
2001ã. ïåðåïèñü íàñåëåíèÿ, ïåðâàÿ â èñòîðèè íàøåé ñòðàíû, êîòîðàÿ ñòàíîâèòñÿ
äåéñòâèòåëüíîñòüþ â óñëîâèÿõ íåçàâèñèìîñòè.
Öåëü ïåðåïèñè íàñåëåíèÿ- ýòî íå òîëüêî âûÿñíåíèå ñîñòàâà è ÷èñëåííîñòè
íàñåëåíèÿ ïî àäìèíèñòðàòèâíî-òåððèòîðèàëüíîìó äåëåíèþ, à òàêæå ïðè ïîìîùè
ïåðåïèñíûõ ïîêàçàòåëåé, ñïîñîáñòâîâàíèå èíñòàíöèÿì, âûíîñÿùèì ïîëèòè÷åñêèå è
ñîöèàëüíûå ðåøåíèÿ, â ïðèíÿòèè áîëåå êà÷åñòâåííûõ ðåøåíèé è óòî÷íåíèÿ
ïðåäâèäåíèé â îáëàñòè íàøåãî ðàçâèòèÿ.
 öåëÿõ îáåñïå÷åíèÿ äîñòîâåðíîñòè è íåïîñðåäñòâåííîñòè âàøèõ îòâåòîâ íà
âîïðîñû îïðîñíîãî ëèñòà çàêîí ÐÀ “Î ïåðåïèñè íàñåëåíèÿ” óñòàíîâèë, ÷òî
îêîí÷àòåëüíûå ðåçóëüòàòû ïåðåïèñè íàñåëåíèÿ ìîãóò áûòü èñïîëüçîâàíû è
îïóáëèêîâàíû òîëüêî â ñâîäíîì è ãðóïïèðîâàííîì âèäå. Äàííûå ëè÷íîãî õàðàêòåðà
êîíôèäåíöèàëüíû è íå ïîäëåæàò ïóáëèêàöèè, è äàæå íå ìîãóò áûòü èñïîëüçîâàíû
êàê äîêàçàòåëüñòâî ñî ñòîðîíû ñóäåáíûõ, ñóäåáíî-ñëåäñòâåííûõ è äðóãèõ îðãàíîâ
(ñò.12 è 13).
Ïåðåïèñü íåñåò îáÿçàòåëüíûé õàðàêòåð (ñòàòüÿ 10) è åñòü íàø äîëã Àðìåíèè.
Ïðîñèì âàñ ñïîñîáñòâîâàòü ïðîâåäåíèþ ïåðåïèñè íàñåëåíèÿ ÐÀ 2001ã. ñâîèìè
äîñòîâåðíûìè è íåïîñðåäñòâåííûìè îòâåòàìè, èáî îíè î÷åíü âàæíû äëÿ óòî÷íåíèÿ
êîíòóðîâ áóäóùåãî íàøåé ñòðàíû.
Ñïàñèáî çà ñîòðóäíè÷åñòâî
Ñòåïàí Ìíàöàêàíÿí
Ïðåäñåäàòåëü Ãîñóäàðñòâåííîãî ñòàòèñòè÷åñêîãî ñîâåòà ÐÀ,
Ïðåäñåäàòåëü Íàöèîíàëüíîé Ñòàòèñòè÷åñêîé Ñëóæáû ÐÀ
Ïåðåïèñíîé îòäåë
Èíñòðóêòîðñêèé ó÷àñòîê
Ñ÷¿òíûé ó÷àñòîê
Æèëèùíàÿ åäèíèöà
Ìàðç
Ðåãèîí
Îáùèíà
Íàñåë¿ííûé ïóíêò
Ïðîñïåêò, óëèöà, ïåðåóëîê
34
Äîìà, çäàíèÿ èëè ôàìèëèÿ äîìîâëàäåëüöà
êâàðòèðû
òåëåôîíà
Íàçâàíèå îðãàíèçàöèè
Ñ÷¿ò÷èê, ïîäïèñü, äàòà çàïîëíåíèÿ
Èíñòðóêòîð-êîíòðîë¿ð, ïîäïèñü, äàòà çàïîëíåíèÿ
Ñòîëá À-Ïîðÿäêîâûé íîìåð Âñåãî
Âîïðîñ 1 Ïåðå÷èñëèòå ïîæàëóéñòà ÷ëåíîâ Âàøåãî äîìàøíåãî õîçÿéñòâà íà ìîìåíò
ïåðåïèñè (ïðèñóòñòâóþùèõ è îòñóòñòâóþùèõ) à òàêæå âðåìåííî ïðèñóòñòâóþùèõ ëèö.
Ô.È.Î
Âñåãî
Â.2 Â ìîìåíò ïåðåïèñè áûëè ⇒ Ïðèñóòñòâîâàëè
ïîñòîÿííî --------1.
âðåìåííî ---------2.
îòñóòñòâîâàëè--- 3.
Ïðè îòñóòñòâèè èëè âðåìåííîì ïðèñóòñòâèè
Â.3 Ïðîäîëæèòåëüíîñòü (ìåñÿöàìè)
Â.4 Ïðè÷èíà, öåëü
Ðàáîòà------------1.
Ñåìåéíà----------2.
Ó÷¿áà-------------3.
 ãîñòè---------- 4.
Êîìàíäèðîâêà--5.
Òóðèñò----------- 6.
Äðóãîå-------------7.
Äëÿ îòñóòñòâóþùåãî
Â.5 Ãäå íàõîäèëñÿ â ìîìåíò ïåðåïèñè (00 ÷àñîâ â íî÷ü ñ 9-îãî íà 10-îå îêòÿáðÿ)
 ñëó÷àå Àðìåíèè- ìàðç, â äðóãîì ñëó÷àå-ñòðàíà
Äëÿ âðåìåííî ïðèñóòñâóþùåãî
Â.6 Ãäå âû îáû÷íî ïðîæèâàéòå
 ñëó÷àå Àðìåíèè- ìàðç è íàñåëåííûé ïóíêò, â äðóãîì ñëó÷àå- ñòðàíà
Ñ âîïðîñà 7à ïî 18á çàïîëíÿåòñÿ äëÿ ëèö âñåõ âîçðàñòîâ
Ñ âîïðîñà 7à ïî 13 çàïîëíÿåòñÿ äëÿ ëèö âñåõ êàòåãîðèé
Â.7à Âàøå ðîäñòâåííîå îòíîøåíèå ê ëèöó çàïèñàííîìó ïåðâûì
×ëåí äîìàøíåãî õîçÿéñòâà çàïèñàííûé ïåðâûì 01
35
Æåíà, ìóæ ---------------------------------------------02
Äî÷ü, ñûí------------------------------------------------03
Ìàòü, îòåö-----------------------------------------------04
Ñåñòðà, áðàò---------------------------------------------05
Ñâåêðîâü, ñâ¿êð, ò¿ùà, òåñòü------------------------06
Íåâåñòêà, çÿòü-------------------------------------------07
Áàáóøêà, äåäóøêà-------------------------------------08
Âíóê------------------------------------------------------09
Äðóãîé ðîäñòâåííèê-------------------------------------10
Íå ðîäñòâåííèê-------------------------------------------11
Ñîñåä ïî êîìíàòå---------------------------------------12
(òîëüêî äëÿ ãðóïïîâûõ õîîçÿéñòâ )
Â.7á Ïîðÿäêîâûé íîìåð ìàòåðè (îòöà)
 8. Âàø ïîë
Ìóæ –1
Æåí.- 2
Â.9 Äàòà âàøåãî ðîæäåíèÿ
9à Äåíü
9á Ìåñÿö
9ã Ãîä
9ä ×èñëî èñïîëíèâøèõñÿ ëåò
Â.10 Ìåñòî âàøåãî ðîæäåíèÿ
 ñëó÷àå Àðìåíèè- ìàðç è íàñåë¿ííûé ïóíêò, â äðóãîì ñëó÷àå- ñòðàíà
Â. 11 Ñòðàíà âàøåãî ãðàæäàíñòâà
Â. 12 Âàøà íàöèîíàëüíîñòü
Â. 13 Âàø ðîäíîé ÿçûê è äðóãîé ÿçûê, êîòîðûì ñâîáîäíî âëàäååòå
Ñ âîïðîñû 14 ïî 32-ãî íå çàïîëíÿåòñÿ äëÿ âðåìåííî ïðèñóòñòâóþùèõ
Â.14 Âû ñî äíÿ ðîæäåíèÿ ïðîæèâàåòå â äàííîì íàñåëåííîì ïóíêòå ⇒ Äà-1
Íåò-2
Åñëè ″íåò″ çàïîëíÿåòñÿ ñ15 ïî17 âîïðîñ.
Â.15 Äëÿ ëèö ïîìåíÿâøèå ìåñòî æèòåëüñâà, íà÷èíàÿ ñ 1988ãîäà , óêàæèòå
âûíóæäåííî ëè åå ïîìåíÿëè
ÅÑËÈ "ÄÀ″
Èç ïðèãðîíè÷íûõ ðîéîíîâ ÐÀ èç-çà áîåâûõ äåéñòâèé------1
Èç çîíû çåìëåòðÿñåíèÿ ÐÀ --------------------------------------2
36
Èç Àçåðáàéäæàíà íàñèëüñòâåííî ïåðåñåë¿ííûé-------------3
Èç Íàãîðíîãî- Êàðàáàõà íàñèëüñòâåííî ïåðåñåë¿ííûé ----4
Âûíóæäåííî ïåðåñåë¿ííûé èç äðóãèõ ñòðàí -----------------5
Íåò--------------------------------------------------------------------6
Â. 16 Âàøå ïðåæíåå ìåñòî æèòåëüòâî
 ñëó÷àå Àðìåíèè- ìàðç è íàñåë¿ííûé ïóíêò, â äðóãîì ñëó÷àå- ñòðàíà
Â. 17 Ñ êîêîãî ãîäà íåïðåðûâíî ïðîæèâàåòå çäåñü
Â.18 Èñòî÷íèêè ñðåäñòâ Âàøåãå ñóùåñòâîâàíèÿ
18à
18á
îñíîâíîé âòîðîñòåïåííûé
Ðàáîòà (êðîìå ëè÷íîãî õîçÿéñòâà) ------------------01
Ðàáîòà â ëè÷íîì õîçÿéñòâå ---------------------------02
Äîõîä îò ñîáñòâåííîñòè-------------------------------03
Ñòèïåíäèÿ------------------------------------------------04
Ïåíñèÿ----------------------------------------------------05
Ïîñîáèå (êðîìå áåçðàáîòèöû) -----------------------06
Ïîñîáèå ïî áåçðàáîòèöå-------------------------------07
Ãîñîáåñïå÷åíèå-----------------------------------------08
Äðóãàÿ äåíåæíàÿ ïîìîùü (èç ãîñ. èñòî÷íèêîâ)---09
Äåíåæíàÿ ïîìîùü(íå èç ãîñ. èñòî÷íèêîâ)---------10
Íà èæäèâåíèè ------------------------------------------11
Èíîé èñòî÷íèê------------------------------------------12
Ñ âîïðîñà 19- îãî ïî 21-ûé çàïîëíÿåòñÿ äëÿ ëèö 7 è ñòàðøå ëåò
Â. 19 Âàøà ó÷¿ííàÿ ñòåïåíü èëè îáðàçîâàíèå
Äîêòîð íàóê----------------------------------------------01
Êàíäèäàò íàóê-------------------------------------------02
Ïîñëå âóçîâ, ñïåöèàëüíîå-----------------------------03
Îáøåå ñïåö. îáðàçîâàíèå------------------------------04
Íåïîëíîå âûñøåå-----------------------------------05
Ñðåäíåå ñïåöèàëüíîå------------------------------------06
Ñðåäíåå ïðîôåññèîíàëüíîå----------------------------07
Îáøåå ñðåäíåå-------------------------------------------08
Îáøåå îñíîâíîå-----------------------------------------09
Íà÷àëüíîå------------------------------------------------10
Íå èìååò íà÷àëüíîãî-----------------------------------11
Â.20 Íå èìåþùèì íà÷àëüíîãî îáðàçîâàíèÿ- ãðàìîòíû ⇒ Äà -1
Íåò-2
Â.21 Ó÷èòåñü ëè â êàêîì-íèáóäü ó÷åáíîì çàâåäåíèè
37
ÅÑËÈ "ÄÀ″
Ïîñëå âóçîâñêîå ---------------1
Âûñøåå -----------------------------2
Ñðåäíåå -----------------------------3
Îáùåîáðàçîâàòåëüíîå ---------------------------4
Äîïîëíèòåëüíîå îáðàçîâàíèå-------------------5
Íåò---------------------------------------------------6
Ñ âîïðîñà 22- îãî ïî 23-èé çàïîëíÿåòñÿ äëÿ ëèö 15 ëåò è ñòàðøå
Äëÿ æåíùèí
Â. 22 Ñêîëüêî äåòåé âû ðîäèëè
Â. 23 Èç íèõ ñêîëüêî æèâû
Ñ âîïðîñà 24 à-îãî ïî 32-îé çàïîëíÿåòñÿ äëÿ ëèö 15 ëåò è ñòàðøå
Íå çàïîëíÿåòñÿ äëÿ âðåìåííî ïðèñóòñòâóþùèõ
Â.24à Ñîñòîÿíèå â áðàêå
Íèêîãäà íå ñîñòîÿë â áðàêå-------------------------------------------1
Ñîñòîèò â áðàêå (çàðåãèñòðèðîâàííûé)-----------------------------2
Ñîñòîèò â áðàêå ôàêòè÷åñêè (íå çàðåãèñòðèðîâàííûé)----------3
Ñîñòîèò â áðàêå, íî æèâåò îòäåëüíî--------------------------------4
Âäîâà, âäîâåö------------------------------------------------------------5
Ðàçâåäåí(à) (çàðåãèñòðèðîâàííûé)-------------------------------------6
Ðàçâåäåí(à) ôàêòè÷åñêè ( áåç ðåãèñòðàöèè)--------------------------7
Â. 24á Ïîðÿäêîâûé íîìåð ñóïðóãà (ñóïðóãè)
Â.25 Èìåëè ñ 3-åãî ïî 9-îå îêòÿáðÿ ðàáîòó èëè äîõîäíîå çàíÿòèå
Äà-1
Íåò-2
Â. 26 Êàêîé âèä äåÿòåëüíîñòè îðãàíèçàöèè, ó÷ðåæäåíèÿ (èëè åå ôèëèàëîâ) ïî
îñíîâíîìó ìåñòó âàøåé ðàáîòû
Â.27 Âàøå çàíÿòèå ïî îñíîâíîìó ìåñòó ðàáîòû
( ñóùíîñòü âûïîëíÿåìîé ðàáîòû)
Â.28 Ñòàòóñ îñíîâíîé çàíÿòîñòè
38
Ðàáîòà ïî íàéìó-------------------------------------------------------------------------------1
Ðàáîòîäàòåëü-----------------------------------------------------------------------------------2
×ëåí ïðîèçâîäñòâåííîãî êîîïîðàòèâà—-------------------------------------------------3
×àñòíûé ïðåäïðèíèìàòåëü------------------------------------------------------------------4
Ñàìîçàíÿòûé----------------------------------------------------------------------------------5
×ëåí ñåìüè-ðîäñòâåííèê ñîäåéñòâóþùèé ïðåäïðèíèìàòåëüñêîé äåÿòåëüíîñòè--6
×ëåí êðåñòüÿíñêîãî õîçÿéñòâà-------------------------------------------------------------7
Äðóãîé ñòàòóñ---------------------------------------------------------------------------------8
Íå èìåþùèì ðàáîòó èëè äîõîäíîå çàíÿòèå çàïîëíÿåòñÿ ñ âîïðîñà 29-îãî ïî 32- îé
Â.29 Èùåòå ðàáîòó
äà= 1
íåò = 2
Åñëè ”äà „ çàïîëíÿåòñÿ ñ âîïðîñà 30-31, åñëè ”íåò „ çàïîëíÿåòñÿ âîïðîñ 32
Â.30 Ãîòîâû ïðèñòóïèòü ê ðàáîòå â áëèæàéøèå 2 íåäåëè
äà= 1
íåò = 2
Â. 31 Âïåðâûå èùåòå ðàáîòó
äà= 1
íåò = 2
Â.32 Åñëè ”íåò „ óêàæèòå ïðè÷èíó
Îáðàòèëñÿ ñ ïðîñüáîé î ïðèíÿòèè íà ðàáîòó è ïðèñòóïèò ê ðàáîòå
â áëèæàéøåå âðåìÿ-------------------------------------------------------------------1
Îáðàòèëñÿ ñ ïðîñüáîé î ïðèíÿòèè íà ðàáîòó è æäåò îòâåòà-------------------2
Âåäåò äîìàøíåå õîçÿéñòâî----------------------------------------------------------3
Ïîòåðÿë íàäåæäó íàéòè ðàáîòó-----------------------------------------------------4
Íåò íåîáõîäèìîñòè ðàáîòàòü--------------------------------------------------------5
Ó÷èòñÿ-----------------------------------------------------------------------------------6
Âîçðàñòíîå, ïî ñîñòàÿíèþ çäîðîâüÿ----------------------------------------------7
Äðóãàÿ ïðè÷èíà------------------------------------------------------------------------8
39
Æèëèùíûå óñëîâèÿ äîìàøíèõ õîçÿéñòâ
Á.1 Îáåñïå÷åííîñòü æèëèùíîé åäèíèöåé
1 Èìååò 2 Íå èìååò 3 Áåçäîìíûé
Á.2 Òèï æèëîãî ïîìåùåíèÿ
1. Èíäèâèäóàëüíûé äîì
2. ×àñòü èíäèâèäóàëüíîãî äîìà
3. Îòäåëüíàÿ êâàðòèðà
4. Îáùàÿ (êîììóíàëüíàÿ) êâàðòèðà
5. Äîìèê, âðåìåííîå æèëèùå
6. Îáùåæèòèå
7. Ó÷ðåæäåíèå ñîâìåñòíîãî (èíñòèòóöèîíàëüíîãî) ïðîæèâàíèÿ
8. Äðóãîå æèëîå ñòðîåíèå
Á.3 Ïåðèîä ïîñòðîéêè äîìà
1.
2.
3.
4.
5.
Äî 1941ã.
1941-1960ãã.
1961-1980ãã.
1981-1990ãã.
1991-2001ãã.
Á.4 Ìàòåðèàë íàðóæíûõ ñòåí äîìà
1.
2.
3.
4.
5.
Êèðïè÷, êàìåíü
Áåòîí, æåëåçîáåòîí
Äåðåâî
Ñìåøàííûå ìàòåðèàëû
Äðóãîé
Á.5 Îñíîâíîé èñòî÷íèê îòîïëåíèÿ
1.
2.
3.
4.
5.
6.
7.
8.
Öåíòðàëüíîå îòîïëåíèå
Ãàç
Ýëåêòðè÷åñòâî
Óãîëü
Äðîâà
Êèçÿê
Êåðîñèí, íåôòåïðîäóêòû
Äðóãîé
40
Á.6 Îñíîâíîå òîïëèâî äëÿ ïðèãîòîâëåíèÿ ïèùè
1.
2.
3.
4.
5.
Ýëåêòðè÷åñòâî
Óãîëü
Êåðîñèí
Äðîâà
Äðóãîå
Á.7 Îñíîâíîé èñòî÷íèê âîäîñíàáæåíèÿ
1.
2.
3.
4.
5.
6.
7.
Âîäîïðîâîä â æèëèùíîé åäèíèöå
Âîäîïðîâîä â äîìå, íî íå â æèëèùíîé åäèíèöå
Îáùåñòâåííûé âîäîïðîâîä
Èíäèâèäóàëüíûé áàê äëÿ ñáîðà âîäû
Ðåêè, ðîäíèêè
Êîëîäåö
Äðóãîé
Á.8 Èìååòñÿ âàííàÿ èëè äóø
1.
2.
3.
4.
Äà, â æèëèùíîé åäèíèöå
Äà, íî íå â æèëèùíîé åäèíèöå
Äà, âíå äîìà
Äðóãîå
Á.9 Òóàëåò èìååòñÿ?
Ñìûâàåìûé
1. Â æèëèùíîé åäèíèöå
2. Âíå æèëèùíîé åäèíèöû, òîëüêî äëÿ äàííîãî äîìàøíåãî õîçÿéñòâà
3. Âíå æèëèùíîé åäèíèöû, äëÿ îáùåãî ïîëüçîâàíèÿ
Íå ñìûâàåìûé
4. Òîëüêî äëÿ äàííîãî äîìàøíåãî õîçÿéñòâà
5. Äëÿ îáùåãî ïîëüçîâàíèÿ
6. Äðóãîé
Á.10 Êàê îñóùåñòâëÿåòñÿ âûâîç ìóñîðà
1.
2.
3.
4.
5.
6.
Ðåãóëÿðíî âûâîçÿò
Íåðåãóëÿðíî âûâîçÿò
Âûáðàñûâàåòñÿ â ðåãóëÿðíî âûâîçèìûé ìóñîðíûé ÿùèê
Âûáðàñûâàåòñÿ â íåðåãóëÿðíî âûâîçèìûé ìóñîðíûé ÿùèê
Âûáðàñûâàåòñÿ â ñëó÷àéíîå ìåñòî
Äðóãîé
41
Á.11 Îñíîâíîé èñòî÷íèê îñâåùåíèÿ
1. Ýëåêòðè÷åñòâî
2. Äðóãîé
Á.12 Èìååòñÿ ëè òåëåôîí?
1. Äà
2. Íåò
Á.13 ×üÿ ñîáñòâåííîñòü?
1.
2.
3.
4.
5.
×ëåíà äàííîãî äîìàøíåãî õîçÿéñòâà
Ãîñóäàðñòâà
Îáùèíû
Þðèäè÷åñêîãî ëèöà
Äðóãîãî ëèöà
Á.14 Ñêîëüêî êîìíàò çàíèìàåò âàøå äîìàøíåå õîçÿéñòâî?
1. Îòäåëüíî___________________________
2. Ñîâìåñòíî ñ äðóãèì äîìàøíèì õîçÿéñòâîì__________________
Á.15 Êàêîâà ïëîùàäü âàøåé æèëèùíîé åäèíèöû (êâ. ìåòð)?
1. Îáùàÿ_______________________
2. Æèëàÿ_______________________
42