................................................................................
1 ”
.....................................................
fik(!-
BpJ-
..
. . 4%
:
..* .:..
..
i.‘ i.
::
%$
JEjj’J-
$44
t&fstl-
I
ìz
........................................................................
..
........................................................................................................... ’^.....
.............................................................................................
A
@!
1
Ïl
*
.
.
.
I
7
1
n
1-
1
1
B
i
QUESTIONNAIRE OF THE THIRD NATIONAL POPULATION CENSUS
Household
Address
II. H0;:ehold
1.
2.
Domestic HH.
Collective HH.
11
Province,
Municipality,
Autonomous
Region
II. Serial No.
of
the household
11
County,
Commune,
Production Brigade,
Production Team
City,
Street Committee
Residents' Committee-
Residents' Group (-Street,
I. Name
_-
1. Head of
2. spouse
3. Child
4. Grandchild
5. Parent
6. Grandparent
7. Other rela8.
3;
I
I
Lane -NO.)
I/
Household-
Enumerators must record the answers accurately
-
Persons aged 6 and
above
1
Persons aged 15 and above
X. Status of non-work-
III. Sex
Marital
ing person
'.
1. Student
.
2. Housekeeping .
3. Awaiting school
2. Female
3. Residing
here leSS than 1
school
year, absent from the regis- 4. Junior middle
tration place above 1 year
school
4. Living here with registra5. Primary school
tion unsettled
6. Iliterate or semi5. Used to reside here; is
literate
abroad with no registration
Month
Day -Years
of Age
en-
rollment
4. Awaiting state employment
5. Awaiting job assignment in cityltown
6. Retired or resigned
7. Other
'
I
women of childbearing
age
15 to 49
-
Nos. of children ever
borne and now living
VIII. Bore the following
in 1981
XII.
l
Children borne alive
2.
3.
1
aged 15 to 64
;
Children living at present
Widowed
!
O. No birth
1. First child
2. Second
4. Divorced
3. Third
I
I
4. Fourth
5.
Fifth or more
I
2. spouse
Date of birth
1. Male
3. Child
Year
2
.
Female
4. Grandchild
5. Parent
Month
6. Grandparent
7. Other relaDay ____
tive
I
1. Residing
2. Residing
and registered here 1. College graduate
here over 1 year, 2. Undergraduate
3. Senior middle
but registered elsewhere
school
3. Residing here less than 1
year, absent from the regis- 4. Junior middle
school
tration place above 1 year
4. Living here with registra- 5. Primary school
6. Iliterate or semition unsettled
literate
5. Used to reside here; is
abroad with no registration
-Years
of Age
8. Non-relative
2. Spouse
11. Male I Date of birth
3. Child
4. Grandchild
2. Female Year
5. Parent
Month
6. Grandparent
7. Other relaDay
I
1. Residing and registered here
2. Residing here over 1 year,
but registered elsewhere
Residing here less than 1
year, absent from the registration place above 1 year
4. Living here with registration unsettled
5. Used to
reside here; is
abroad with no registration
~
8.
31
Respondents must provide information honestly
of Persons in
the household.
Total
malefemale-
I
tive
Non-relative
1
Name of Collectiv
III. NO.
Each Person
I.I. Relationship
to head of household
Reference Time: 00:oo a.m. July 1, 1982
i
-
tive
Non-relative
I Ï
2. spouse
3. Child
4. Grandchild
5. Parent
6. Grandparent
7. Other rela-
3.
-Years
of Age
i
Ï
1. Male
2. Female
Date of birth
YearMonth
Day-
tive
8. Non-relative
-Years
of Age
I
I
2. Spouse
3. Child
4. Grandchild
5. Parent
6. Grandparent
7. Other rela8.
Respòndent
tive
Non-relative
1. Male
2. Female
Date of birth
Year
Month
Day
~
Enumerator
1I
1.
Awaiting school enrollment
4. Awaiting
state employment
5. Awaiting job assignment in city/town
6. Retired or resigned
7. Other
1. College graduate
2. Undergraduate
1.
I
month
day
3.
Children borne alive
3.
Third
4.
Fourth
5.
Fifth or more
1.
Widowed
First child
2. Second
3.
Third
4. Fourth
5.
1. Never
j
married
Fifth or more
-
I
]
O. No birth
Children borne alive
2.
3.
,
1. First child
Children living at present
Widowed
2. Second
4. Divorced
3.
Third
4. Fourth
fi.
I-,
. - I
1. Never
Housekeeping
Awaiting school enrollment
4. Awaiting state employment
5. Awaiting job assignment in city/town
6. Retired or resigned
7. Other
-1
First child
O. No birth
,
Children living at present
married
-,
Fiith or more
1
Children borne alive
2.
3.
Head of Household*
I
4. Divorced
1. Student
but registered elsewhere
3. Residing here less than 1
school
year, absent from the regis- 4. Junior middle
tration place above 1 year
school
4. Living here with registra5. Primary school
tion unsettled
6. Iliterae or semi5. Used to reside here; is
literate
abroad with no registration
Date
married
2* Married
1.
1. College graduate
2. Undergraduate
3. Senior middle
1.
2. Second
I
Student
2. Housekeeping
3. Awaiting school enrollment
4. Awaiting state employment
5. Awaiting job assignment in city/town
6. Retired or resigned
7. Other
O. No birth
9
Children living at present
Widowed
1. Never
-1
and registered here 1. College graduate
here over 1 year, 2. Undergraduate
3. Senior middle
but registered elsewhere
3. Residing here less than 1
school
year, absent from the regis- 4. Junior middle
school
tration place above 1 year
5 . Primary school
4. Living here with registra6. Iliterate or semition unsettled
literate
5. Used to reside here; is
abroad with no registration
Children borne alive
I
Student
Awaiting school enrollment
4. Awaiting state employment
5 . Awaiting job assignment in cityltown
6. Retired or resigned
7. Other
married
4. Divorced
3.
Senior middle
school
4. Junior middle
school
5. Primary school
6. Iliterate or semiliterate
I
I. Ï.
3.
2. Housekeeping
3.
1. Never
2. Married
3.
1. Residing
2. Residing
1. Residing and registered here
2. Residing here over 1 year,
'
Student
2. Housekeeping
Children living at present
3.
Widowed,
4. Divorced
I
l
Total Pages
I
1-1
, Page No.
I
2.
Second
3.
Third
4. Fourth
5.
Fifth or more
I Ï 1 l
,
Page in the Booklet