PERSONAL QUESTIONNAIRE st. (as on 31 March at midnight) Date of birth. married. widowed. family member of a person working abroad

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1 R E P U B L I C O F C R O A T I A CROATIAN BUREAU OF STATISTICS PERSONAL QUESTIONNAIRE st (s on 31 Mrch t midnight) Form P-1 All dt in this questionnire re protected by lw nd will be used for sttisticl purposes only. 1. Surnme Nme. Sex mle femle Identifiction number Number of children born live (including those longer living) Is the person resident of the plce of census? Plce of bsence/ residence 11. Reson of bsence/ presence 14. Plce of birth ) in the plce of census b) in other plce in the Republic of Croti c) brod c) brod 1 PERSONAL IDENTIFICATION NUMBER (PIN) or IDENTITY CARD NUMBER Republic of Croti foreign country STREET ) in the country b) brod work school ttendnce fmily resons other resons Plce of residence of the 15. mother t the time of the person's birth ) in the plce of census b) in other plce in the Republic of Croti Dte of birth 5. Legl mritl sttus 6. Type of prtnership single mrried widowed 1. Time nd intention of bsence/ presence ) durtion of UP TO 1 MONTH MONTHS YEARS bsence/ presence 13. Frequency of returning to the plce of residence weekly rrely ENUMERATION AREA DWELLING HOUSEHOLD PERSON DAY MONTH mrrige consensul union sme sex prtnership divorced t in mrrige/ consensul union/ sme-sex prtnership four nd more one two three ne (stte the number) 9 10 Is the person present in the plce of census on the census dy? work fmily member of person working brod employed by diplomtic services, representtive bodies etc. YEAR HOUSE NUMBER b) durtion of intended bsence/ presence SUPPLEMENT TO THE HOUSE NO. fmily member of person employed by diplomtic services, representtive bodies etc. third-level study (only for persons whose household members reside in the country) other resons UP TO 1 MONTH MONTHS ONE YEAR OR MORE ENGLESKI 173

2 16. Hs the person lived continuously since birth in the plce of census? 18 (to be nswered by persons who nswered "" to question 8.) ) where did the person immigrte from from other plce within the Republic of Croti from brod b) yer of immigrtion c) reson of immigrtion 17. Hs the person ever continuously resided outside the Republic of Croti for one yer or longer? ) lst foreign country in which the person resided b) yer of rrivl/ return to the Republic of Croti - for 010 stte the month 18 Still resides 18 c) reson for residence brod work (number of yers) other reson 18. Citizenship Crotin Crotin nd other foreign STATE WHICH 19. Ethnicity Crot other 0. Mother tongue Crotin 1. Religion. Ctholic theist t declred schooling litercy other other bsic school (8 grdes) t declred uncompleted bsic school STATE WHICH STATE WHICH Eduction ttinment (t to be nswered by preschool children) ) highest level of completed eduction 1. highest grde the person s completed 5.. STATE WHICH without citizenship industril nd crfts voctionl schools, voctionl schools lsting 1-3 yers nd schools for skilled nd highly skilled workers technicl nd relted voctionl schools nd schools for professions lsting 4 yers or more grmmr school n-university colleges, I. (VI.) fculty level nd professionl studies lsting less tn 3 yers professionl studies lsting 3-4 yers specilist professionl grdute studies undergrdute university studies b) title of the highest completed school/ institution of higher eduction TYPE AND TITLE work school ttendnce fmily reson forced migrtion other reson 4. fculties, rt cdemies, university studies, grdute university studies nd integrted undergrdute nd grdute university studies postgrdute specilist studies Mster's degree in science, professionl studies nd rt Doctorte VOCATION/ FIELD OF EDUCATION 174 ENGLESKI

3 3. School ttendnce Did the person seek job during Mrch? Is the person vilble to strt working in the next two weeks? Occuption (type of job the person performs or performed) 31. Industry preschool eduction progrm bsic school 1-4 grde bsic school 5-8 grde industry nd crfts voctionl secondry school technicl nd relted voctionl secondry school secondry rt school employed by employer regrdless of ownership sector self-employed in his/her own compny, crft or freelnce occuption, without employees self-employed on his/her own frm without employees grmmr school professionl studies lsting less tn 3 yers professionl studies lsting 3-4 yers specilist professionl grdute studies undergrdute university studies Sttus in employment (to be nswered by employed persons nd persons seeking employment) 30. Which of the following ctivities is the person ble to perform on PC? (to be snwered by persons ge 10 or older) Did the person crry out ny ctivity (t lest one hour) in the period 5-31 Mrch for profit, in csh or in kind? 3. Activity sttus in the period 5 31 Mrch unemployed unemployed, seeking first employment unemployed, seeking new employment 3 3 self-employed in his/her own compny, crft or freelnce occuption, with employees self-employed on his/her own frm with employees works on the bsis of working contrct, n uthorship greement or other contrctul reltionship retired integrted undergrdute nd grdute university studies, grdute university studies postgrdute specilist studies Mster's degree in science, professionl studies nd rt postgrdute university studies - doctorte t ttending school ) 9 b), but s job to return to 9 c) 6 unpid fmily worker in compny, crft or other, owned by household member unpid fmily worker on frm other employed persons (cnt be clssified into the previous stted nswers) homemker pupil or student ) text processing b) spredsheet clcultions c) e-mil usge d) internet usge Questions 5-33 should be nswered by persons ged 15 or older, persons under the ge of 15 go to question 34. Hs the person ever worked before? 9 3 unble to work person is in prison, in custody or imposed eductionl mesure etc. other inctive persons 33. Type of plce of work (to be nswered by persons who nswered question 5 with ) or b)) fixed plce of work outside the home work t home working on his/her own frm fixed plce of work ENGLESKI 175

4 34. The min sources of livelihood ( nswers mximum) 35. Is the person supporter dependnt on others? Sttus of the finncil provider performs n-griculturl occuption performs griculturl occuption 36. Plce of work/school ttendnce on the ddress of living STREET Republic of Croti foreign country bus (intercity) bus (city) school bus trin dily weekly 39 rr ely Does the person ve difficulties in performing ctivities of dily living due to long term illness, disbility or old ge? 45 seeing difficulty hering or speking difficulty trm retired or person with n other income works brod 37. Frequency of returning to the plce of census works/ ttends school t the 37. plce of census 38. Mens of trnsport to work/ school ( nswers mximum) 40. Type of difficulty ( nswers mximum) fully mobile 4. Cuse of disbility income from permnent work income from occsionl work income from griculture old-ge pension since birth Wr of independence nd its consequences 36 cr (the person is the driver) cr (the person is the pssenger) motorcycle difficulties of remembering, concentrting or communicting with other people 41. Physicl mobility of the person permnently limited mobility ided by cne, crutches or wlking frme occuptionl impirment (occuptionl disese/injury t work) other pensions property income socil welfre pyments other income Questions should be nswered by employed persons or persons ttending school Does the person need to be ided by ther person in performing ctivities 43. of dily living? Does the person use the ssistnce of ther person in performing ctivities 44. of dily living? bicycle HOUSE NUMBER ship/ ferry or other type of bot wlk other mens of trnsport mobility difficulties other difficulties illness trffic ccident other legl entity permnently limited mobility ided by wheelcir permnently immobile periodicl support from others without income SUPPLEMENT TO THE HOUSE NO. does t commute other 45. Who provided the dt to the enumertor? the person him/her self household member ther person pre-census questionnire 176 ENGLESKI

5 R E P U B L I C O F C R O A T I A CROATIAN BUREAU OF STATISTICS HOUSEHOLD AND DWELLING QUESTIONNAIRE st (s on 31 Mrch t midnight) Form P- All dt in this questionnire re protected by lw nd will be used for sttisticl purposes only. Surnme nd nme of the reference person ADRESS STREET STREET CODE HOUSEHOLD DATA HOUSE NUMBER SUPPLEMENT TO THE HOUSE NO. Indictor privte household institutionl household temporrily present persons uccupied dwelling Bsis for dwelling usge Does the household own personl computer (desktop or lptop)? 4 5 Does the household use the internet? D Ne Agriculturl lnd used - s on 31 Mrch 011 rble lnd orcrds vineyrds privte property or co-ownership tennt with free-bsed tenncy kinship with owner or tennt tennt with contrct-bsed tenncy Number of livestock nd poultry - s on 31 Mrch 011 cttle sheep NUMBER OF ENUMERATED PERSONS Totl number of enumerted persons ( + 4) olive groves other griculturl lnd (medows, pstures, etc.) gots pigs Household members sub-tenncy other bsis homeless poultry totl ENUMERATION AREA DWELLING HOUSEHOLD FIRST RESULTS FOR THE HOUSEHOLD bsent for yer ore more, returning rrely to the plce of census totl temporrily present persons BUILDING present for yer or more, returning rrely to their plce of residence TO BE FILLED IN BY THE STATISTICS number of households in the dwelling number of persons in the dwelling ENGLESKI 177

6 LIST OF PERSONS (s of Mrch 31, 011 t midnight) Person's ordinl number Surnme nd nme: Yer of birth Nme of prent Nme of spouse/ prtner in consensul union INSTRUCTIONS TO FILL IN THE LIST OF PERSONS Household members re the first to be entered into the list, followed by the temporrily present persons. Household members re entered in the following order: the reference person first, followed by the members of his/her fmily (spouse/ prtner in consensul union, nd lstly children, if there re ny). If severl fmilies live in the household, the first to be entered re the members of the first fmily, followed by the members of the second fmily, etc. Finlly, the reltives nd n-reltives considered to be household members re entered, nd the temporrily present persons re the lst to be listed. Temporrily present persons re persons temporrily residing in the plce of census due to work, school ttendnce, fmily, helth or other resons, nd re residents of ther settlement of the Republic of Croti or foreign country. 178 ENGLESKI

7 Reltion to the reference person modlity Reference person Spous Prtner in consensul union Sme-sex prtner Son/ dughter or stepson/ stepdughter Son/ dughter in lw Fther/ mother Fther-in-lw/ mother-in-lw (wife's side) Fther-in-lw/ mother-in-lw (husbnd's side) Grndfther/ grndmother Brother/ sister Grndson/ grnddughter Other reltive t relted t household member code DEFINITIONS OF A HOUSEHOLD AND FAMILY HOUSEHOLD is every fmily or some other kind of community of persons who live together nd spend their income on bsic existentil needs (housing, food nd the like), tt is, persons living lone in the plce of the census nd t ving household in other plces in the Republic of Croti or brod (single household) Sttus in household household member temporrily present person Household member bsent for yer or more, returning to the plce of census weekly FAMILY is fmily nucleus of persons living in the sme household, consisting of: - prents (both or one) nd their children or - mn nd womn (mrried or in consensul union) without children. Temporrily present for yer or more, returning to the plce of residence rrely weekly rrely FAMILY ORDINAL NUMBER STATUS IN A FAMILY Fmily ordinl number Sttus in fmily Members of the first fmily... 1 Members of the second fmily... Members of the third fmily etc.... etc. The person is t fmily member... 0 Husbnd/ wife or prtner in consensul union..1 Son/ dughter; stepson/ stepdughter... The person is t fmily member... 0 ENGLESKI 179

8 DWELLING DATA 1. Type of housing unit dwelling other housing units collective living qurters (students' or retirement homes, convents, etc.) Usge of housing unit Ownership residence only residence nd business ctivity temporrily uccupied dwelling bndoned dwelling during sesonl griculturl ctivities Surfce re of the dwelling, m Number of rooms in the dwelling Surfce re of the kitchen, m Bthing fcilities in the dwelling (bthtub or shower) Toilet fcilities in the dwelling Instlltions in the dwelling Type of heting (only for inbitted dwellings) Type of energy used for heting (only for inbited dwellings) Type of building in which the dwelling is situted Position of the dwelling in the building privte ) centrl heting from community heting centre Air-conditioning (only for inbited dwellings) flush toilet ) wter supply b) sewer c) electricity d) gs for vction nd recretion: in holidy house in fmily house 9 other (stte, town/municiplity, religious community, compny nd other legl entities) toilet without flusher public supply system public sewer system b) centrl heting from n instlltion in the building or dwelling wood col mzut fuel oil in other type of building ) exclusively or prevlently residentil building b) prevlently n-residentil building c) stove, etc. d) heting with 1 dwelling with dwellings cellr 1 c) dwelling in students' or retirement home, convent, etc. bsement toilet fcilities in the dwelling hydrophore pump, etc. septic tnk, etc. ground floor floor for business ctivity only: for tourist renting for other ctivities discrges into the environment gs other fuels electricity solr energy with 3 or more dwellings dwelling on two or more floors Construction yer (for buildings built in 1900 or erlier, enter "1900") 180 ENGLESKI

The 1999 Population Census in the Republic of Kazakhstan CENSUS QUESTIONNAIRE 3C

1111111111 samples of letters and numbers 1111111111111 Approved by the Committee Of Statistics and Analysis No 20 of 29.06.98 The 1999 Population Census in the Republic of Kazakhstan Enumerators and other