F O R LI-C I
CONFIDENTIAL
FOR Fv1 -CI
CONFIDENTI A L
1
IDENTIFYING NUMBER
r-7-u-
23
VIORKED
0
2C
--
RELATIONSHIP TO HEAD OF HOUSEHOLD
G
7
AGE
( I N COMPLETED YEARS)
8
MARITALSTATUS (14 YEARS AND OVER)
I (a)
USUAL
R ES1D ENC E
1:::
(b)
LOCAL OR FOREIGN
FOREIGN COUNTRY
&
o
o
3%
0
O
o
CltAT
PJG
0
CALL
0
0
DO;.lESTIC
ELlPL / R E L
OTHER
IIOT
STATED
O
O
O
&
4%
VI I D OVI E D
I.1ARRIED
O
S O F KIP1
DOARDER/
REL
u
FEhlALE
T H I S HOUSEHOLD
KIN
0
OTHER
REL
u
&
O
O
(bl
~
I
----
RACE
12
RE LIG ION
(c)
0
ELSELIIERE 111 CDUllTRY
URI
0
0
o
GEOTII
0
D'DOS
0
GREN
0
OTHER
CARIB
0
0
URI
0
COL
0
GEOTII
0
HO'jE
DUTIES
0
RETIRED
0
DISABLED
0
f:OT
STATED
0
OTHER
0
H A S OVIN ßUSINESS/FARr,l
PRIV
EFITER
0
PRIV
H ' t0
iOLD
UPJPAID
VJORKER
0
1
2-3
0
4-5
0
t
L
1%
2%
3,
3",
0
STUDEflT
0
MITH
P A I DO
HELP
V//OUT
P A I0
D HELP
DID
O
rio KORK
6-7
8-9
10-11
i"u
5,
L llOT AF?LICAGLE
7,
fl.3KOT STATED
9 3
4%
g
0
O
12
I!OT
0
STATED
O
O
IdOTSTATED O
IIOT
STATED
O
ABROAD
COL
0
WA!JTED
\ / O R K AIID
AVAILASLE
0
9%
0%
7 5
LEGALLY
SEP
O
D1
VOR C ED
SG
0
hlARR
ES
USA
0
CHAT
CAPI
0
r.1 G
S O F KIN
0
CALL
0
0
CAPI
0
GRElI
0
USA
0
ST LUC
0
VCPJ
0
JAtl
0
Fl'/ I
0
T L T
0
OTHER
CARIB
0
U'DOS
0
DY1 I
0
AIIT
0
tIEGRO/
ULACK
0
EAST
Ir!DIArJ
0
CtiItIESE
0
AI.lER
IlJDIAIJ
0
PORTU
GUESE
0
SYRlArU
LEU
0
VitilTE
0
DISTRICT LAST LIVED IN
NUMBER OF DISTRICTS EVER LIVED IN
16
O
(a) K I N
0
o
PIOT STATED o
SAFI U A Y
0
PIOT STATED
O
BARR
0
LAY
0
... ..__.
,
--
18
D0',1
12
APIGL
0
J E t i VdlT
ATTENDANCE A T SCHOOL OR UNIVERSITY
(a)
19
HIGHEST LEVEL OF
1")
(bl
TYPE OF SCHOOL/UNIVERSlTY
YEARS OF SCHOOLING
EXAM PASSED
--
O
r!OT STATED
LAY
0
O
UARR
0
0
r+:OYT
0
ALL
OTHER
0
STKRI
0
FiOT
STATED
0
GUY
0
r.lIXED
0
OTHER
RACES
0
SAFI U A Y
0
O L A
KllJ
0
O
IIG
0
S O F KIN
0
CALL
0
l8
19
(a)
19
0
0
O
COL
0
GEOTN
0
SNI B A Y
0
LAY
0
1
2
8
0
5
0
7
0
3
0
c
0
0
0
0
1970-72
1973-74
1975
197G
1977
1970
1979
4
-
IJSRYI
IrJFAPIT
0
F U L L TII.1E
STUDEtJT
O
~
PRl
I.1ARY
0
PART T l l l E
ST U D E I.JT
O
rJOFJE
0
rSRY /
IrJFAPJT
0
A
1-2
PRl-
MARY
0
.
SECO:!D
OR COLlP
0
LIULTI
HIGH
0
~
OTHER
SECOFJD
0
,
U?JIV
0
1XO
~
0
I.;ULTI
HIGH
0
9 OR
r'ORE
0
r:OT
STATED
.-
OTHER
0
OTHER
S E C O ~ J D UrJiv
0
0
0::';JED
~ 22 ~
o_,
0
PUB
PIPED
IPITO DLIEL
STATED
O
P!OT
STATED
O
I:OT
STATED
O
OTHER
0
7
8
o
10
11t
0
GCE(O)5/
SCI
GCE(A)I
0
0
0
0
0
t!OT
STATED
0
GCE(A)
2+
0
DIP
0
DEG
0
OTtiER
0
IIOT
STATED
0
U
O
39(a)
22 PERIOD OF TRAINING
(FOR PERSONSCVHOSETRAIPJING HAS BEEN COMPLETED)
B
æ
-
22
UNDER
'
0
_c____
%-1
YEAR
0
1-1%
YE
0
ARS
1%-2
Y0
RS
2-2%
0
2 x 4
34%
3x4
4-4%
YRS
0
YRS
0
0
0
4%YRS
'OVER
0
RErJT
FREE
SQUATTED
HP
0
0
0
0
~
PU3
PIPED
IrlTO Y D
0
0
1920
1979
1970
0
-
PRIV
CATCHV
f:OT PIPED
O
~
0
PIT
0
1970-77
O
0
CALL
0
(b)
OTHER
GAS
o l o
ELSEYIHERE IFJ COUPJTRY
O
SG
0
hlARR
URI
0
0
OTHER
~
puB
TANK
0
LINKED
TO SEVIER
0
~
OTHER
COL
0
COOKING
ELEC
o
o
O
0
\'I C I I O T
LllJKED
TO SEVIER
f:OT
STATED
O
f:OT
STATED
OTHER
lOC0 OR
EARLIER
lDSl-C[f
LIG H T l NG
KEROSENE
ELEC
O
O
THIS HOUSEHOLO
O
CHAT
N G
S O F KlrJ
0
0
PU3
STArID
PIPE
CD
63(a)
GOVT
RENTED
V/C
I:ONE
O
*
PRIV
PIPED
IIJTO DWEL
SHARED
(4(a)
B
PRIVATE
RErJTED
0
I:OT
SHARED
KIN
0
METHOD BY WHICH VOCATIONAL TRAINING
ACQUIRED
LEASED
JI
t! OT
PIOT
APPLI CABLE
O
SECOrdD
ORCO".:P
UARR
0
24(b)
21
O
O
F:OT STATED
URI
3-4
5-6
0
0
0
PCE/
CP/
19
SCHOOL C H S D I P I GCE(o)
( c ) IjOTJE L E A V l r J G
SSpE
1-4
0
0
0
0
CXC(U)1-3
CXC(G) 1-3
(b)
,o
ADVTST
0
0
r:O:JE IIOTSTATEC
UEFORE
IJONE
0
e,
32
$:;
RO:.lArI
CATH
SG
0
IslARR
15
17
F:OT
STATED
0
L ; ) 3 3 , b k 3 L 7 3 b ? 3
CtlAT
u
I
STATED
FIOT
CHURCH
PRESBY/
OF
UAPTIST
tllrdDU
GOD
I.lETHDST I*!ORAVIJ
PElJT
COIJGR
0
0
0
0
0
0
0
URETH SAL A R ' l Y
A r.1 E (21Ot1) I,lUSLlr+l I.lErdr;ONITE
OTHER
o,
-~
-
0
I,lARR
OTttER
COUPIT
0
11
1970
TYPE OF SCHOOL OR UNIVERSITY
NOW BEING ATTENDED
0
T G T
0
SG
10
(b)
lG
YEAR OF IMMIGRATION
__ap____-
-
U 1:
0
10
14
14
E DUCAT1ON A L
ATTAINMENT (INCLUDING PERSONS
STILL A T SCHOOL)
o
IJEVER
I.lARRlED
,
11
15
SPOUSE/
PARTIJER
0
DTHELS
SEEKI:IG
\:'ORK
0
9
DISTRICT IN ST. VINCENT
j(b)
7,
9(a)
DISTRICT IN ST. VINCENT
CHILD
OF
HD/S?
S I A L E 0
9
FOREIGN COUNTRY
BIRTH
PLACE
HEAO
0
u
SEX
9
25
5
JOE
V/ORKED F O R OTHERS
O
GOVT
5
SEEKIfiC
FIKT
f'OT
STATED
OTttER/
V,,OODI
CHAR
o
KERO
o
P:ONE
o
AUHOAO
O
NOT STATED
O
GEOTrJ
0
SArJ U A Y
0
LAY
0
BARR
0
P
-
23
P
A
S
T
Y
I
I
I
-
Y
U
I
Y
Y
Y
Y
_
A
_
*
.
I"
L
I
*-L-yL
23
M A I N ACTIVITY DURING PAST 12 MONTHS
2.:
24 WORKER OR OCCUPATIONAL STATUS
DURING PAST YEAR
25
SE E K I I:G
OTti E TbS
\ :A:l TE 0
FIRST
SEEKI::C
\/ORK AIJO
JOB
\,ORK
AVAILASLE
\.;ORKED
0
0
0
0
\'IORI<ED FOR OTHFRS
PRIV
PRIV
UtIPAID
GOVT
EIJTER
t i ' t i O L D \;ORKER
O
0
25
MONTHS WORKED DURING PAST 12 MONTHS
0
2-3
1
O
1iO::E
OUTIES
0
STUOEIJT
0
RETIRED
0
DISACLED
0
OTHER
0
r.OT
STATED
0
HAS 01'lN RLJSlNESS/FARI<l
VIITti
P A I D HELP
O
0
O
4-5
O
G-7
O
LOOKED
FOR\iK
0
t101AE
DUTIES
0
STUDEIIT
0
8-9
VIIOUT
PAID IiELP
DID
O
12
10-11
O
O
IJOT
STATED
0
rio \:ont:
0
O
rJOTSTATED O
26 M A I N TYPE OF JOB OR OCCUPATION DURING
PAST 12 MONTHS (WRITE AS GIVEN)
(;:c,-í
2;:':!#-8
. - U L L CiK.,')
I
iLL
Y
E
-
l ' I ' -
27 INDUSTRY OR TYPE OF BUSINESS DURING
PAST 12 MONTHS (WRITE AS GIVEN)
R
-
'W28
4E
SE 29
r I(
~
~~~
O,
29
&
4%
!&
OlSAeLEO
0
OTHER
0
6%
!;OT
STATEO
O
8%
7%
n3
u
NUMBER OF LIVEBORN CHILDREN EVER HAD
a,
31
LIVEBORN CHILD
AGE
2&
1%
RETIRED
0
~~~~
31 AGE O F MOTHER A T BIRTH OF FIRST
32
\,ITtI JOß
I:OT\vKC
0
\#ORKED
0
TOTAL NUMBER OF HOURS WORKED
(INCLUDING OVERTIME) DURING PAST WEEK
~~
30
20
ECONOMIC SITUATION DURING PAST WEEK
OF MOTHER A T BIRTH O F LAST
,o
23
&
2&
t
a,
,o
32
L
L
2%
L 63
3, LL
& 4%
3, Q3
& 4%
I:OT AFPLICACLE
O
43
ti,
&
33
7 3 0 . 3
7 3
I:DT STATED
O
l i O T AFPLICACLE
,9
0 3
liOT STATED
O
O
LIVEBORN CHILD
33
34
35
36
NUMBER O F L I V E BIRTHS/STILLBIRTHS
DURING PAST 12 MONTHS
~
34
UNION STATUS-AT PRESENT OR A T AGE 45
LAV/
SEP
HOUSE
FLATI
APTI.1T
0
0
0
0
LEASED
0
PRIVATE
REIJTED
0
RErJT
FREE
0
36
TYPE OF DWELLING
0;';IIED
0
ZD
WATER SUPPLY
PUD
PIPED
IiJTO DVIEL
O
39(4
39
TOI LET FACI LlTlES
41
42
43
~KL~(::D
37
TYPE OF TENURE
40
VISITING
PdO LOIJGER
L l V l l J G VJITH
C L. PARTrJER
PJEVER H A D
HUS3 O R
C L.PARTNER
IjOT
STATED
DURATION OF UNION (COMPLETED YEARS)
37
38
PJO LOrJGER
LIVIPJG V I l T t i
t I US3 A N O
co ?>? 11. o f 1
I.1ARRIED
1:
0
SHARED
I:OT
SHARED
O
0
PT O F
PRIV
PIPED
lfJTO DVJEL
0
0
0
0
SQUATTED
0
HP
0
GOVT
RENTED
0
PRIV.
CATCH:.l
lJOT PIPED
PU3
STAND
PIPE
PUU.
TArJK
O
0
(b)
P:ONE
0
VJ C
LINKED
T O SEVJER
PIT
O
0
0
F I ~ ~ D STATED
l.OT
ADODE
0
O
IiOT
STATEO
OTHER
0
O
LOT
STATEO
O
OTHER
0
\'I C PJOT
LlfJKED
T O SEVIER
0
OTIlER
0
19CO OR
1920
0
1979
0
1970
0
1970-77
0
19Gl-G9
0
ViOOD
COIJCRETE
STOIJE
DRICK
IJOG
51
MATERIAL OF OUTER WALLS
OTHER
GROUP
PRIV. DVIELLIr:G
R00:.1
O
YEAR WHEN DWELLING BUILT
NUMBER
PUD
PIPED
IrlTO Y D
'*IJGEO U T
f:OT
STATEO
O
EARLIER
O
VIATTLE,
VÀONODD
ADODE
ßRIC{(
Vi000
AtJD
CONCRETE
OTHER
IJOT
STATED
OF ROOMS
TYPE OF LIGHTING/FUEL USED FOR COOKING
44
INDIVIDUAL
SPEND CENSUS
NIGHT
[(a)
LOCALLY OR ABROAD
(bl
DISTRICT I N ST. VINCENT
,
43(5)
ELEC
O
LIGHTING
t<E RO S EN E
O
(b)
OTHER
0
GAS
0
C O O K I N G i',OOD1
ELEC
0
CHAR
0
OTtiEW
KERO
0
I:OIJE
0
I N S Ï R UCT I ONS
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completely with a b l a c k marl:, the same 2s shown in the SAMPLE QUESTION.
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EXAMPLE
OF HOW
TO ANSWER
THE QUESTIoNS
LESS THAPJ
hlORE TIIAIJ
Ah:OrJTtIAGO
O
MAKE NO EXTRANEOUS MARKS O F ANY KIND ON THE FORM
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questions 23 through 443.
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Do not malte them too light
0
or too thin
A readable mark
Too light or poorly erased
Mark too short
too short
too long
An ideal mark
-.+
Mark too long
Too thin to read