Embed Size (px)
Citation preview
342 THAILAND • HOUSELIST
C o n f i d e n t i a l
The 1980 Population and Housing Census
Form ?
(Enumeration form)
Sheet number of sheets f o r t h i s household
P a r t I I d e n t i f i c a t i o n of household Changwat Amphur Tambon
— - 1 1 1 1 1
a. Address
b. E.D. No. c . B l o c k number
d. V i l l a g e No Name of v i l l a g e
e. T h i s house i s i n M u n i c i p a l Area Q Name of M.A,
S a n i t a r y D i s t r i c t Q Name of S.D
Out s i d e M.A. or S.D D
f. Household No
g. Type of household
P r i v a t e household
I n s t i t u t i o n household
Wat J a i l W e l fare Lodging H o s p i t a l 5 Boarding School 6
M i l i t a r y 7
Other c o l l e c t i v e household
H o t e l 8 Boarding house and o t h e r s
7 8
9 10
• 11
J L
12 14 • 15
h. Number of persons i n household T o t a l persons
Male persons
Female persons
16 19
THAILAND • SAMPLE QUESTIONNAIRE 343
Language u s u a l l y s peaking In t h i s household , L(0)
FOR EVERY PERSON FOR PERSON
YEARS AND OLDER
L i n e numbed
LCD
Name and surname)
-Head -Spouse -Unmarried c h i l d r e n
- M a r r i e d c h i l d r e n w ith! spouse
-Grand c h i l d r e f r - P a r e n t s -Other r e l a t i v e s
- N o n - r e l a t i v e s
R e l a t i o n s h i p t o head of Household
L(2)
Age a t l a s t , b i r t h day; f o ^ e s i d e n c e
Month |year
L(3)
Month and year of b i r t h
i n f an'
le&s t h a n j y e a r
s t a t u s [-1 perma
nent r e s i d e n t s
! f . a ? ! f 2 tempo-r a r i l y r e c o r d
"00
L(A) L(5)
away from home tempor a r i l y abroad
Sex - 1 f o r
male - 2 f o r
female!
L(6) L(7)
f o r person 5 y e a r s an<*| o l d e r H i ghest grade of s c h o o l completed (as c f January
1980)
H a r i t a l ] s t a t u s never marr i e d widowed d i v o r - | ced
L(8)
FOR PERSON 11 BORN 3EF0RE AND IV.
separ a t e d p r i e s t
L(9)
O c c u p a t i o n l a s t y e a r ( A p r i l 1979 t o M a r c h
1980) "What, were y o u d o i n g most c r t h e t i m e l a s t y e a r " R e c o r d k i n d o f work I f d i d n e t work r e c o r d
I " d i d n o t work"
L(10)
• • n • • • • • • • • • • • • • • •
• •
344 THAILAND • SAMPLE QUESTIONNAIRE
YEARS AND OLDER OR THOSE WHO WERE THE YEAR 2511 (Monkey year)
1968
IF WORKING r
IN L(10)
I n d u s t r y l a s t y e a r ( A p r i l 1979 to March 1980)
Example :-
- E d u c a t i o n S e c t i o n
- F a r m i n g - A e r a t e d Water F a c t o r y
-Government s c h o o l
L l l )
Work s t a t u a
-Employer -Own account worker
-Government employee
-Government e n t e r p r i s e employee
- P r i v a t e employee
-Unpaid househ o l d worker
FOR EVERY PERSON
L(12)
95'
L(13)
L i n e number R e l i g i o n P l a c e of o f mother b i r t h ( F o r p r i v a t e 'What i s h o u s e h o l d s f a Enter o n l y ) r e l i g i o n ? Changwat
R e c o r d or " I s mother r e l i g i o n c o u n t r y l i v i n g i n
r e l i g i o n i f born
t h i s h o u s e i n o t h e r h o l d »" country I f yet,, e n t e r l i n e number o f mother I f n o t r e c o r d
•
•
L ( 1 4 ) L(15)
THAILAND • SAMPLE QUESTIONNAIRE
FOR PERSON 5 YEARS AND OLDER OR THOSE WHO WERE BORN BEFOR AND IN THE YEAR 2517 (TIGER YEAR)
1974
Grade o f s c h o o l a t t e n d e d (as c f J a n u a r y 1, 1980 f o r t h o s e 5-30 y e a r s o l d )
E n t e r g r a d e a t t e n d e d as o f J a n u a r y
1980
Can r e a d and w r i t e i n any la n g u a g e ?
E n t e r i n 1 1
L ( 1 6 )
yes
No
L(17)
•
• • • • • • • • •
FOR PERSON 5 YEARS AND OLDER OR THOSE WHO WERE BORN BEFORE AND IN THE YEAR 2517 (TIGER YEAR) 1974
How Long has
. been l i v i n g
j i n j t h i s ! v i l l a g e ) I o r
! M u n i c i j p a l i t y ) j consec ! t i v e l y j
P r e v i o u s jChangwat
of [residence
Enter phangwat
I f moved w i t h i n the same changwat e n t e r Amphur
TYPE OF MIGRATION
IF LESS THAN 5 YEARS IN L(18)
F o r t h o s e who moved wi t h i n m h a i l a n d , moved from v i l l a g e o r m u n i c i p a l i t y ? -1 v i l l a g t -2 munici
p a l i t y
[Reason f o r moving| -To study -Move:'with spouse
hMove^with head of household Looking f o r j ob Job t r a n s f e r Return home
[-Marriage -Enter p r i e j -sthood e t c .
• • • • • • • • •
346 THAILAND • SAMPLE QUESTIONNAIRE
FOR PERSON 11 TEARS AND OLDER OR THOSE WHO WERE BORN BEFORE AND IN THE YEAR 2511 (MONKEY YEAR)
1968
FOR FVFR-MARRIFD WOMEN
Number of
Age at f i r s t •arriag#t
kverboraeverbom Jchidren Ivlng
Hn this household
CHILDREN EVER ALIVE
BORN
Number of
chidren l i v i n g elsewhere
Number of
everbori chidren who had died
FOR CURRENTLY MARRIED WOMEN IN L ( 9 ) AND 50 YEARS OF AGE AND LOWER
you or your husband practice contracap-j tion"
1 yes 2 no
If yes i n col . 26 "What method i s used" 1 oral p i l l s ) 2 IUD 3 Injection 4 female
s t e r i l i z e tion
5 male sterU l i z a t i o n
6 other methods used.
Occupation l a s t week (25-31 March 1980) "What was workin g d u r i n g l a s t week ?" S p e c i f y k i n d of work i . e .
- t y p i s t - s c h o o l
teacher - accountant - farmer
e t c ,
I f "not work' i n c o l . 28 Reason f o r not working
Example :--Look i n g f o r work
-Student -Aged, d i s a b i l i t >
- W a i t i n g f o r farm season
-homeworker - R e t i r e d O f f i ' c i n l
e t c .
For o f f i c e
use o n l y
j L i n e Number
L£221 L(23) Li24J_ Li25) M 2 6 ) L(27) L(28) L(29)
• • • • • • • • • • • • • • • • • • • •
THAILAND • SAMPLE QUESTIONNAIRE 347
PART 3. HOUSING QUESTIONS (FOR PRIVATE HOUSEHOLD)
NUMBER H 1. AND H 2. OBSERVATION OF HOUSE
BY -CIRCLE ONLY ONE CODE NUMBER IN EACH QUESTION
H I. Type of s t r u c t u r e Detached 1 Duplex 2 Row house 3 Apartment 4 Room 5 M o b i l e 6 Others ( s p e c i f y )
H 2. Type of c o n s t r u c t i o n m a t e r i a l s
Cement or b r i c k 1 Wood, cement or b r i c k
(mixed) 2 Wood 3 L o c a l m a t e r i a l s 4 Reused m a t e r i a l s 5
H 3. I s t h i s house a l s o used f o r commercial purposed?
Yes 1 No 2
H 4. Tenure of household l i v i n g q u a r t e r ( e x c l u d i n g land)
Owner 1 Buy on i n s t a l l m e n t 2 Rent. 3 Rent f r e e
f o r s e r v i c e 4 o t h e r s 5
H 5. ( I f r e n t i n No H.4) Advance payment
Yes, No. ,
H 6. Rent per month
Baht
H 7. I f r e n t or r e n t f r e e i n No. H.4 who i s owner of
house Government, government
e n t e r p r i s e 1 P r i v a t e 2 Other ( s p e c i f y ) 3
H 8. Ownership of land I f owner or buy on i n s t a l l m e n t i n H.4
Owner of l a n d 1 Buy on i n s t a l l m e n t . . . 2 Rent 3 Rent f r e e 4 Other ( s p e c i f y )
H 14. L i g h t i n g E l e c t r i c i t y 1 Pressure lamp 2 O i l lamp 3 Other ( s p e c i f y )
H 9. Owner of l a n d I f r e n t or r e n t f r e e i n No. H.8
Government, government e n t e r p r i s e 1
Government p r o p e r t y 2 P r i v a t e 3 Other ( s p e c i f y )
H 10. Number of rooms used f o r s l e e p i n g
Bedrooms 1 Other rooms used f o r
s l e e p i n g 2
H 11. D r i n k i n g water Piper/water, i n s i d e 1 P i p e ^ w a t e r , o u t s i d e 2 P u b l i c w e l l 3 P r i v a t e w e l l 4 R a i n water 5 R i v e r , c a n a l , stream,
w a t e r f a l l 6 Other ( s p e c i f y )
H 12. Water supply system Pipedwater, i n s i d e 1 Pipe^'water, o u t s i d e 2 P u b l i c w e l l 3 P r i v a t e w e l l * Rain water 5 R i v e r , c a n a l , stream,
w a t e r f a l l 6 Other ( s p e c i f y )
H 13. Bathroom E x c l u s i v e bathroom 1 Shared bathroom 2 T e r r a c e , veranda 3 V e i l , r i v e r , c a n a l 4 Other ( s p e c i f y )
H 15. T o i l e t F a c i l i t i e s F l u s h t o i l e t
E x c l u s i v e 1 Shared 2
Moulded bucket l a t r i n e E x c l u s i v e 3 Shared 4
P i t 5 Other or none 6
H 16. P l a c e f o r cooking K i t c h e n
E x c l u s i v e 1 Shared 2
T e r r a c e , veranda 3 Other ( s p e c i f y )
H 17 Cooking f u e l S t
1 nd
2 Ch a r c o a l 1 2
1 2 1 2
E l e c t r i c i t y . . . 1 2 None
H 18. Household a p p l i a n c e
Radio T e l e v i s i o n Telephone R e f r i g e r a t o r E l e c t r i c f a n A i r - c o n d i t i o n e r B i c y c l e M o t o r c y c l e Motorcar Motorboat Water pump f o r a g r i c u l t u r e use T r a c t o r
Yes No. 1 2 I 2 1 2 1 2 1 2 I 2 l 2
2 1 2 1 2 j 2
I
THAILAND • SAMPLE QUESTIONNAIRE
