+
s. -
Appendix 11.3 Questionnaire: Housing, Economic and Demographic Survey, Pakistan, 1973
GOVERNMENT OF PAKISTAN
CENSUS O R G A N I Z A T I O N
./I
-,
1
s
$ : G d f ~ $ >2 ~
21d
l kl#ki
HOUSING. E C O N O M I C A N D D E M O G R A P H I C S U R V E Y
-.
~rc,~
Date. .
of
enurneraion
P O P U L A T I O N CENSUS O F P A K I S T A N . 1972
I
/ 3'io/~**
I
/
I
]
/GP
Sample area code
-3
[LU
~ e i p o n d e n f ' r name
~ # ~ ~ J ! , ~ L $ ~- r ,GR e,a t~
o n rX
h p ro
.'
HOUSING CHARACTERISTICS A N D HOUSEHOLD
ci~ai,i&ip(i
head o f household
&fjJjf@+;)~&jfi&,>l&
F A C I L I T I E S FOR B O T H U R B A N A N D R U R A L A R E A S
-1
.
~
~
+
I
~
1 ~ 8 t baked
h
bricks or stoner1
L
~
+'$L/Jk
24,3iriL$;k/J.L/~
-?ii
c~nltJ
Coal or charcoal
0p.,0""
- d < ~ ? L d > ' 63
S u n d r ~ e dbricks or m u d w a r
PART 1
a1
-
1 % there a k i c h e n i n thihou;.ng
%cg
J ~
!ai?
~ , if_]
I J ~
2 NO
-7
~ Citaredl
4 L;P"+!<$!,~~L~ G ~ ~SD I P or
. ,
Other m a t e r l a I S ~ e c l f Y l
- 'd2>>)
dui.i";
a
CJ Jz-;,~~
NO
D ~t
-1
.(&??I
a,%,
+l?
What r r e the p r h a r y m a t e r a l r o f the roof o f !he h o v r , ~ i ~ n i t
occupied b y t h l i hourehold?
2 > ~ . -
x~LI:&&U$
Flush n r d e the h o u r n g u n l i iSept8c t a n k i ,
(concrete, baked b i c k i , r r a n e i
hon flush n r d e The h o u r n g u n t . >l+,d,&
M u d f n s h e d i w l t h baked b r c k i / i t a n e i l
M u d fsnirhed I w t h s u n d r e d b r c k i i
&>
A n y l a c l t y o v t r d e the houring u n i t
-&i.c&
platf~c.&~,~&~<'ji.~ ji.J [4j
- /LA-'
one
G I l C 1 aibei%os
Thatch/waod/bamboo
J~'L-<
Other marersal iSpec8fyi
Vvhen n a r t h i h o u r n g u n t coniirusted,
ij
(*/;fir,,
/C.;.aJ/LI&L
5
t o 10
M o r e than 10 years ago
b u t i f t e r Independence
rears ago
J)
-3
..:
p
J
.J b J ; C ~ ~ 3 .
Rent free
~d/2L$,<ipf+~,
-1 1
Electrcty
-.
J
-
P U C Clmetalledi
~
c L
w h a t doer r h l i h w r e h o d use m a n y for ~ r g h t l n g ~
Other ( S p e c ~ f y l ..
- . .- .,
El
I
srois
a
a
.j ' ~ L
-&419wb?;,
141
Kurcha road
N o regular street a t a
j, )I ) , ' - , , -
R u n n n g water l o l p r d , outride
the h o u i l n g unlr
J/
(I)
& a
-
I
,
:
:
c_::'L'~*
3
(J,/jj
Hand p u m p inrlde the houring v n l l
. .
W
w.1
m
-3
J
I
Pond, lank, i w e r , ipilnp etc. i S ~ e c f y 1
d&+(q
It
r the
4
PI
of
isad pel
bv : h i h o u d h o d ?
R r.
4,). . . - - - - iw~,+,Lcdii~fo4~r,;<~:iflJ
re!?< paid what
drnour)I
re!?,
-9%
1,X)
( L k r
~ e r n r p u c c al i t o n e or b r i c ~ l
A n y orher t v w i S p p < v !
v,
.&,LJ',;:
m_
fm
~ $ 7a
What I S the p r m d r y ioldrce o f d r n k n g w a p r for i h l r household?
R u n n n g water
the h oi pu #~ ~n egunsf
dnrd&
,:l
?.
- ,LrJ<yJ+~..
,.dI,
Before Iqdependence
..
9,<2L4/iy/kyf'.
a
~,d;i:,
WIb&
~ , ~ ~ - i d f > : ,
Lerr rhan 5 years ago
a
l a p e n courltryi .
=.*p
.
-~L?'-~'fi(r;
12
from-the h 4 ; n g unt,rtructure
- . . - . . ,;r'i;r~>,$>
&J+
.,A:
cementf n r h e d
'$.J'(&-~'P/<L$~
la
Electr~cty
Other lSuec8fvi
the garbage o f ihsr hourehold d8rpored of,
81
- o j:jGbirjli+
,$l.<:
Yes
Cow d u n g
i
~ q u l a rrn u n l ~ p a l
- i);/*
I S there a bathroom In thtr h o u i n g unn'
2
How
.~ > ' d ~ ) ; ; ~ 2
Kerosene 0 1
Shared
If
- 1 Faiher,r/hurband.i name
What 8s the main fuel u w d b y t h l r household for c o o k n g ?
f
i
;I
- I Name o f head o f hourehold
fc6$.!419
I-
( D o no! count
i o w many l o o m i are %cup#ed by t h i household,
M~~ f n r h e d .
Structure number
Rent n d d
rnonrb
Page number
.. .
. . . . .y>
Appendix 11.3 (continued)
[ T I
snmp1e area cud?
~CLLF
Structure number
H.l"rehold number
Appendix 11.1 Cover of enumeration book: Census of Pakistan, 1972
CONFIDENTIAL
GOVERNMENT OF PAKISTAN
POPULATION CENSUS 1971
ENUMERATION BOOK
Province
District
................................ !
..................................
Sub-division (East Pakistan). ...............
TehsilITaluka (West Pakistan). .............
Area Code
District
-
Description of Block boundaries
Thana (East Pakistan). .....................
Qanungo/Supervisory Tapedar Circle (West
Pakistan) ................................
-
City/Town/Village.........................
In case of City/Town, give street name, etc.. .
..........................................
SUMMARY
With this Book
1
Supplementary Booklets have been attached.
In this Block
1
Males and
I
have been enumerated.
j
I
I
Total
There are
-
I
I
Females
Persons
Households in this Block
COMPLETION CERTIFICATE
Certified that I have completed the enumeration to the best of my knowledge and belief and
I assume responsibility as per section 9 (2) of the Census Ordinance, 1959.
..............................
Enumerator's Name
..............................
.........................
signature
e.........................
Circle Supervisor's Name
Signature
DO NOT WRITE HERE (The following space is for use in Data Preparation Centre only.)
CENSUS 71 P. NO. 7
Appendix 11.2 Enumeration form: Census of Pakistan, 1972
CONFIDENTIAL
FORM 12
POPULATION CENSUS 1971
ENUMERATION FORM
Area Code
CO,~,
r
11 -
id,
c.,.~, SO. 4
Male
Female
PaL' h..
1 otal
r j