7989 CENSUS
Sunday 75th October
Household Questionnaire
CAYMAN ISLANDS
TO THE HEAD OF THE HOUSEHOLD OR OTHER PERSON COMPLETING THIS FORM
Piease complete this form and have it ready to be collected by your enumerator on Monday 16th October. I t is your legal
obligation to complete this form forevery person who usually lives in your household and for any other persons present on
Census night.
Ifyou are not sure how to complete any of the questions your enumerator will be glad to help when the form is collected.
Your enumerator will also need to check that you have filled in all the entries. The leaflet headed ‘Census 89” delivered by
your enumerator explains why the Census is necessary and how the information will be used.
Your replies will be CONFIDENTIAL Your name and address will NOT befed into the computer. In addition, NO
Information about identifiable individual8 will be pawed by the Statbtic8 Ottlce to ANY Government department or
any person outaide of the office.
If any member of the household does not wish other members to see his or her personal informationthen your enumerator
will beglad to supply an extra form and an envelope.
Thank you for your cooperation.
PHILIP TURNBULL
GOVERNMENTSTATISTICIAN
PART A: INDIVIDUALS
CONFIDENTIAL
CONFIDENTIAL
}
Other “lative please describe below
CDay
I
(Day
Month
i
Year
I
Month
ml single
II,
Married
0 Separated
117. Divorced
a
Year
ml single
n2
Married
0
Separaed
ul,
Divorced
a
o,Widowed
0
IH
Husband or wife
Son or daughter
Other
}please
describe below
Unrelated
0
0
0
0
Husband or wife
Son or daughter
Other
Unrelated
}please describe h l O W
------------------
CONFIDENTIAL
r
ni YES
01
NO
~ounderone
b
I
'0
Grand Cayman
i
IO BracNltle Cayman
'0 Jamaica
7
O
nouSA
OIO
Untled Kingdom
O t h r ; (pkasewrtte)
0
Ø-
I
IGrand C&man
I
OIO
Unlted Kingdom
0 Other;(p-m)
C O N F I D E NTIAL
t
YES; becsuse person tms one or more
Caymanian parent
0 YES; by some other means (eg.by
2
marriage or because status granted)
n
a
NO
0
O
Always lived In the
Cayman lshnds
Yearofarrival
Li
----
CONFIDENTIAL
0 Unhrsity or edage bachdots degra, or equiMknt.
1
of a hlgher degree.
n
i
NO
2
a YES; part-time (kbding
n
I -------i
NO
0
2
YES; íul-Ume
01r
YES; part-tho (IncMlng
correrpondenco collms)
L
r
L
n
i
NO
ny
YES; hra-tlme
0 YES; part-time(Includhg
J
corraspondenœ counsrr)
-------P
ai NO
0
2
YES; lul-time
0,
YES; part-time(including
correspondence courses)
or other equwahmt post-secodaryquaMicabon.
0a 'O' bwk. GCSEs. CSEs. High School dipkma or
corraspondence coursers)
I
ì
0 'A'bv&.cobge cectlficrrte.two yew assockse degree.
YES; run-ttme
orlher equhkmt qudifimtion.
0
6
N~dtheabovs.
C O N FI D E NTIAL
fm YES; mlsmpkyed not employing mea
0 Permanemty d c k or disabled
0t YES: S O # M @ O Y ~ empkying a(herr~
0 Atschool or a student without a part-time job
0a YES; anpltyed in a Ml-Ume01 patt-thw job 0 Wholty ratired from pald M
0 YES; unpaldwork in a fami@ krslnes
0 Engagedonly in househdd duties In Onrn home
O
I
7
O
4
O I seekingand a v a i i d e tor work
O
DO
Other; (pleasedescribe bebw)
I
L
0 YES; more than
I
one job
0 NO second job
2
0 At school or a student wlthout a part-time job
7
I
0 YES; melamployad employing uhem
2
o
7
A
tschool or aIbrddnf wtthd a put-tlme Job
I
u
II PermanenUy sickor disabbd
0 At rchod OT a student rvtthoul a part-timo Job
0 Whdty rstired trom paid work
0 Engagedonly in houdehdd duties in awn home 0 YES; more than
O
7
O
1
O
D
e
0 t h ~ (;pl-
d-ribs
bekw)
---------------
0 NO second )ob
P
0 Permanentry sickor dkabkd
YES; sel-empbyed not employhg others
0 YES; se#amployed empbying others
0 Alschool or a student whhoul a part-time job
03 YES; employed In a tull-Ume or part-timejob 0 Wholly raked from paid work
0 YES; unpakl work in a family krsiness
0 Engaged only in househddduties in awn home 0 YES; mrne than
O
(
I
O
2
7
O
4
0 ~~eekingandavaita~erorwork
O
ILO
Other; (pleasedescribe bekw)
1
one job
1I NO second p b
CONFIDENTIAL
----------B.
of
Type business
(tor CMIsewants. wrlte the
---------B.
done:
Type of w k
0 Not cunmtty employed
0a George Town 0 North Side
0a Webt e a ~ 0 Bracme cayman
BoddenTown
D District unknown
0 Eest End
(pkase mite bekw)
O
7
0
department).
4
I
---- 10
-0
--------- I
\
Newhadakb
'A. Company, or empbyer's nane
----------Lo
Never had a job
r
--------
O
A. Company, or empkyer's m e
I
A. Company, or empkyer's næne
B. Typedbusiness
(for cM1 senram. wr&eUæ dept).
0 Not cunsntly empkyed
A. Company. or employer's name
-----------
B. Typedbusiness
(tor civil servank, write the dept).
o
0a G e o r g e Town
----------
B. Type of work done:
0a West Bay
0
0
North Side
7
Bracme Cayman
0 Bodden Town 0 D ~ s t r k unknown
t
0 Eest End
(pkase wrae bekw)
4
I
CONFIDENTIAL
0
In Als)
O
,hou~w~ly
O
Not currently employed
1
Fare-payhg
0
YES; tor some other /ob
(wrlt0the occupation)
O
or minlbus
Car. van, pick up truck or
any
.O.P
9
t a x t . bus
mr
vshkle
c]
0
0
4
Bcycle
8
On toot
0
Work m t y at home
rouro
0 U l e r : (give deww
7
'
C O N FIDE NTIAL
CONFIDENTIAL
PART B: HOUSING
0
1
Cormete. blocks. brick or phstsr/stucco.
incruding Umber chd
DO NOT COUNT rooms used mainly for
Mher acttvUies (e.g. a living room).
DO NOT COUNT:
--
--
i
0
GaragesoccarportS
Endosedp~rchss,
Wandab O1
Rooms U
ONLY tor buspUpsS
DO COUNT spare bedrooms.
None
DO COUNT:
0
1
-
1
1
2
3
1
4
-
0
Bafhroocrwandtdlsbs
Rooms 6ft WIDE OR LESS
uvkrg, d M q w,snd bdroomS
Any othsr rooms OVER 6R WIDE. lncludlng
kltchensandutllltyroom
2
I
a
l
1
1
I
0
6
1
1
7
0 8
0
4
0
0
9
n1Oormore
4
0 Sormore
5
YES; for lb^ miy by this ~OU&WM
YES; shared wtth amther houbshdd
a NO kitchen wlth sink permanently COMdctd
0
1
2
a
YES; for use mly by this household
YES; shared wtth another household
NO flush toilet
Ul ~ ~ d r - ~ ~ ~ ~ l t m l n g
0 YES; separate room units
2
0
3
YES; centrai airconditioning
You may Include veheles. Including trucks,
provlded by employers. 8s bng as they are
normally available for use and are NOT used
only fu Carrylng goods.
UNone 1
1
0
2
0
1
3 lotm more
HOUSEHOLDER
Plea80 complete the panek below M o r e algning the declaratlon
PANEL A:
PANEL8:
Was there anyone else (such as a visitor)
here on the night of Sunday 15th October
who is not included because there was no
room on this form?
Before you 8lgn th18 form, plea80 chock:
0NO
0YES; please ask your Enumerator for
that you have completed the housing
section inside this back page - this must
be completed by jail households, even
those visiting for a short holiday.
another form
Have you left anyone out because you were
not sure whether they should be included on
this form? If so, please give their names and
the reason why you were not sure about
including them.
that all questions which should have been
answered have been answered for every
member of the household.
that you have included everyone who
spent the night of Sunday15th October in
the household, and everyone who usually
lives here but was away from home on
that night.
that no visitors, lodgers or new bom
children (even if still in hospital) have
been missed.
DECLARATION
This form is correctly completedto the best of my knowledge and belief
Signed
I---oLIIIII.lI--.II
Telephone Number: Home,
-- -
o o
Date
..---..------
Work
--------
"We're counting on you? "
Statistia Offce, Government Adm¡n¡stration Building
97900 Exteosion 2216,2230