French population census Caractéristiques et confort du logement Dwelling characteristics and amenities Dwelling questionnaire for French overseas départements (DOMs) 1 Type of dwelling : • House . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • Flat (apartment) . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 No Box to be completed by enumerator 2 3 4 • Makeshift accomodation. . . . . . . . . . . . . . . . . . . . . • Self-contained room (with separate entrance) .. . . . Yes 2 • Communal establishment . . .. . . . . . . . . . . . . . . . . . . . • Hotel room . . . … … . . . . . . . . . . . . . . . . . . . . . 7 Does this dwelling belong to a public-housing agency ? 5 6 Your answers are important 88 In what year did you move into this dwelling ? Population-census surveys are conducted every year among a part of the population. This year, the survey concerns you. Economic and social stakeholders now have access, every year, to recent information on the population and on dwellings. Because a better knowledge of changes in French society is useful to all, your participation is essential. Thank you. If all the current occupants of the dwelling did not arrive at the same time, please give the move-in date for the first occupant arrived. If this person has always lived in the dwelling, please give his/her year of birth. 2 In what year was the house or building completed ? If the different parts of the building were not completed at the same date, please indicate the year of achievement of the most important inhabited part. • Before 1919 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • Between 1919 and 1945 . . . . . . . . . . . . . . . . . . . 1 2 • Between 1946 and 1970 . . . . . . . . . . . . . . . . . . . . . . . . • Between 1971 and 1990 . . . . . . . . … . . . . . . . . . • 2006 or after … . . . . . . . . . . . . . . . . . . . . . . . . . . . • Cold water only. . . . . . … . . . . . . . . . . . … . . . .. . . . . . . 5 6 • Hot and cold water…………… . . . . . . . . . . . . . . Your answers will serve to prepare statistics in which neither your name nor your address will appear. However, we need your name and address to make sure that dwellings and people are counted once and only once, and to ensure the good quality of the statistics produced. 1 2 • No outlet……….. . . . ……..……..……..……..………… If (6), p l e a s e g i v e t h e y e a r 3 10 How is wastewater disposed of ? 4 1 No No How many rooms in the dwelling are available for use by the household ? Count living quarters such as dining rooms, living rooms, • intro a septic tank… … … … … … … … … … . . . . 2 • intro a sump ( deep well …………….……. 3 Lounges, bedrooms, etc, whatever their surface aera. Count the kitchen only if it exceeds 12 square meters. Doesisthis dwelling have : tick 1111What the main heating fuel ? yes or no for each line Towninside gas orthe gas network • a• toilet house ? . . .…….. . . . . ... ......... . ......... .. . . . 2 5 What is the surface area of this dwelling ? • Less than 30 s q . m.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . • From 30 t o l e s s t h a n 40 s q . m.. . . . . . . . . . . • From 60 t o l e s s t h a n 80 s q . m.. . . . . . . . . . . 4 1 • •a solar heater ? . geothermal, Otherwater (wood, solar, . . . . . . . . . . ..etc.) . . . .….. . . . .. . . . 6 5 7 6 What is your tenure status ? Vacant dwelling Type of building Residential building containing a single dwelling Detached Semi-detached, row housing, or any other type of housing cluster Residential building containing two or more dwellings Building for non-residential use (communal establishment, factory, railway station, stadium, office building, etc.) Temporary structure, mobile home Caravan, mobile swelling 12 How many two-wheeled motor vehicles are available for use by occupants of this dwelling. Concrete house or building SAINT-MALO Do not cross out the other boxes, even if the question does not concern you. Name of main occupant Location of dwelling • None. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 1 Number Bis, Ter… Street, Av, Bd… Name of street (or locality) 2 3 Residence, hamlet, development… Building 1 • Tenant or subtenant of the dwelling, let unfurnished… Number of individual forms collected Begin here Do not include vehicles only for business use • 3 or more . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Wooden house or building 0 4 • write very legibly Traditional hut 6 7 • 2 ............................................ Continue on pages 2,3, and 4 2 • Tenant or subtenant of the dwellings or room, let furnished……………………………………………………………………………… Seondary residence Do not fold the questionnaires. 6 • 1 ....................................... • Owner of this dwelling (including as buyer, joint owner, or beneficiary of right of occupancy) ……………………………… 55 6 • 120 sq.m. and larger. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Occasional residence or 33 4 • a heating device ? 3 or 11 2 • least Gas in cylinders or tanks ………….. • at one air- conditioned room ? . . . . .. .. .. ........ .. ....... .. . ..... . 4 • From 80 t o l e s s t h a n 100 s q . m.. . . . . . . . . . . . . . • From 100 t o l e s s t h a n 120 sq.m.. . . . . . . . . • a• kitchen inside . . . .the . . .house, . . . . . . with . . . . .a. sink . . . . .? .. .. .... . . Electricity 2 • From 40 t o l e s s t h a n 60 s q . m.. . . . . . . . . . . . . . . . Main residence 5 X • tick the appropriate box 125 606 Include all rooms, including hall, kitchen, bathroom, toilet, etc. Do not include balconies, terraces, cellars, attics, parking lots, and rooms used exclusively for business purposes. Rank L Makeshift dwelling • enter one digit per box • a• bathtud or shower Oil (heating oil).? . . . . . . .. . . . . .. .. . ..... . . .. .. .. .. .. . .. .. .. .. . .. .. ... . Rank A FIL Dwelling category To answer the questions : • District heating... • electricity ? . . . . . . . . . . . . . .. . . . .. .. .. . . . .. .. . . .. .. .. . . .. .. .. . . . CIL Construction type • directly intro the ground……………………..……4 Do not count rooms such as bathrooms, laundry rooms, toilets, etc., or rooms used exclusively for business purposes (workshop, doctor’s surgery (office), etc.) municipality IRIS or district Start with this document. Then complete an individual form for each permanent occupant of the dwelling. To make the questionnaires easier to read automatically, please write in black or blue ballpoint pen. Do not use a pencil or white corrector fluid. • into the sewerage system………… …… 1 2 Département How to complete the questionnaires ? 3 Is the dwelling served by a lift (elevator) ? Yes Yes municipality Your answers are confidential the dwelling ? 3 4 • Between 1991 and 2005 . . .. . . . . . . . . . . . . . . . . . . . . . 9 Is there a drinking water outlet (tap) in Identification number 13 Do you have a parking space for your exclusive personal use ? Staircase Level Number of door or position relative to staircase (example : right hallway, first door on left) 3 • Living here rent-free, for example because the dwelling Yes 1 No . 2 The space may consist of a garage, an indoor car park, or an outdoor or underground parking space belongs to your relatives, friends or employer (this category includes people occupying a dwelling that they have sold for a life annuity)………………………………………………………………………. 4 Do not forget to complete an individual form for each person in list A and to sign it. Thank you for your participation. Post code Municipality (and arrondissement (district) for Paris, Lyon and Marseille) 1 People usually living here Include in list A, list B o r list C the name of each Then, complete an individual form for each person Do not include people who are staying over in the dwelling at the time person who usually lives in the dwelling. recorded or counted in list A. Do no t forget to list you rself ! Do not complete individual forms for any persons included in list B or list C. of the census and who usually live elsewhere (for example : people visiting or on holiday). List A Permanent occupants of the dwelling Include the following people in list A : . Relationship with person listed on first line Given name (first name) Surname (last name) People who live in the dwelling most of Example Complete an individual form for each (example : MAURIN, born DUPAS) (examples : husband, wife, partner, son, daughter ,mother, father, subtenant, etc.) the year including : – people temporarily absent, (holiday, business trip, hospital stay of less than a month, etc.) ; – infants, even if they are still in a maternity ward ; – subtenants and roommates occupying a part of the dwelling. Also include in list A : . . .. . Mr and Mrs Maurin live in Saint-Malo. They have three children : – Christophe lives in this dwelling all year round ; – Grégoire, age 16, is a boarder in a high school in Rennes ; – Julie, a g e 21, is a student in Paris where she is renting a room ; she returns to her parents' home every weekend. Mrs Maurin is hosting her nephew Thomas Galard, age15. His parents live in Dax and he is a student in Saint-Malo. Jean Dupas, Mrs Maurin's father, is staying with his daughter for four months ; the rest of the year, he lives in the Jura. List A : permanent occupants of the dwelling under-age children living elsewhere for their studies and for whom this dwelling is the family home ; spouses who have another residence for work reasons and who return to live in this dwelling on weekends, during holidays, etc. ; adults living in this dwelling for their studies ; Michel MAURIN born DUPAS Françoise Wife MAURIN Christophe Son MAURIN Grégoire Son Four individual forms people who are present in this dwelling and do not usually live elsewhere ; domestics workers, employees, and au-pair girls who live in this dwelling. Do not include the persons who should be recorded in list B or list C. MAURIN List B : adult children residing elsewhere for their studies MAURIN Julie daughter 1992 3, rue Cauchy Paris 15e 75 No individual form If there are more than 8 people, give the number of additional people and complete an individual form for each List C : other occupants of the dwelling C1 GALARD Thomas C2 DUPAS Jean Nephew Father-in-law 1998 1936 No individual form List B Adult children living elsewhere for their studies Include in list B : Adult children living elsewhere for their studies (room in town, self contained dwelling, university residence, boarding institution, etc.) and who return to live in this dwelling on weekends, during holidays, etc. List C Surname (last name) Another occupants of the dwelling Given name (first name) Do not complete individual forms Relationship with person listed on first line of list A Year of birth Adress Where person is living for his or her studies House number and street name Municipality (and arrondissement for Paris, Lyon, Marseille) dépt n° DOM DOM House number and street name Municipality (and arrondissement for Paris, Lyon, Marseille) dépt n° House number and street name Municipality (and arrondissement for Paris, Lyon, Marseille) dépt n° DOM Do not complete individual forms Surname (Example MAURIN, born DUPAS) Include in list C1 : under-age children living in this dwelling for their studies and whose parents reside in another municipality in France. C1 Relationship with person listed on first line of list A (If that line has been filled in) Year of birth 1 2 Include in list C2: children in the custody of another parent (owing to separation or divorce) or who, if under joint custody, live with the other parent most of the time ; people who live in this dwelling for work reasons and return to their family dwelling on weekends ; people who personally reside in this dwelling and are accomodated in an institution (retirement home or hospice, hospital stay of over one month, center for the disabled, workers' hostel, members of the Armed forces living in barracks or stationed abroad, prison, etc.) ; people who are living in this dwelling at the time of the census but reside in another dwelling most of the year. Given name (first name) C2 1 2 3
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