. .

CENSUS DAY IS 5 JULY 2000 LlYlNG QUARTERS {LQ), HaUSEHCLD (?!di

AND PERSON PARTICULARS

..............................................

(1) STATE .......................................................................... ( Name and Code )

(2) ADMINISTRATIVE DISTRICT I JAJAHAN ..................................... ( Name and Code )

(3) CENSUS DISTRICT NUMBER

(4) CENSUS CIRCLE NUMBER

For Household 02

cancel K3 and K4 DS LIVE IN THIS

LIVING QUARTERS? J (5) ENUMERATION BLOCK NUMBER Household is a group ofpersons who : - Usually live together and - Make common provisions for food and other essentials of living

TYPE OF LIVING QUARTERS ( OBSERVATION QUESTION)

BUILT OR CONVERTED FOR LIVING Housinq Unit

House

i)

O 1 Detached

O2 Semi-deiached

03

O4

Terrace. Row or Link, Townhouse

Longhouse ( Sabah & Sarawak only.)

t

Flat lAparfmentl Condominium / Shophouse

F,, I-t I Apartment I Condominium 05

e5 [7 ~hc;hcuse I office

Room (with direct access)

07 c] In Shophouse, Office; In I Attached to House. Factory, Mill etc.

lmprovised / Temporary Hut

08

O 9 a lmprovised I Temporary Hut, etc.

Others ( e.g. mobile unit ) (Specify) .................................................................

Others

Collective Living Quarters

10 0 Hotel, Lodging House, Rest House, etc. - 11 0 Medical Institutuion ( e.g. Hospital, etc.) -

12 0 Educatjonal Institution (e.g. Hostel) -

13 fll Charitable or Social Welfare Institution -

14 0 Religious Home -

15 u Prison, Detention Centre etc. G O T O -+ 16 u Labour Camp

(Specify) .......................................

PART 5 (Questions

onryl

-.

BI - 56, 5f 1 -

(ii) NO1 INTENDED FOR LIVING BUT USED AS SUCH ON CENSUS DAY

18 u 1 In a permanent building (e.g. ofice, school, shop, mosque, etc.) - I

( OBSERVATION QUESTION)

1 0 Brick

2 0 Plank

3 0 Brickand Plank

I -- OCCUPIED OR VACANT LIVING QUARTERS

Occupied

Vacant 1 0 Occupied

2 Newly completed I for rent or sale

3 For repair I renovation

4 u Holiday Resort

5 0 Seasonalworkers Quarters

(END INTERVIEW FOR THIS LQ 1

6 0 Dilapidated

7 O ~ e r s (Specify) ..................................

OWNER OF THIS LIVING QUARTERS

I 0 Individual Owner

2

3 Private

Government I Statutory Body

NUMBER OF BEDROOMS

1 0 Treated Diped water

2 0 Othersources (Spec/&/)

-I

ELECTRICITY SUPPLY FACILI 7 I Y

I I i

1 1 24 hoursaday

2 Less than 24 hours a day

Not Supplied

3 c] Self-owned generator

4 0 None

TYPE OF TOILET FACILIT'I

I 0 Flush System

2 Pourflush

3 Pit

4 u Enclosed space over water

5 u None

--- _-̂-

DOE§ THE GARSAGE COLLECTION FACILITY REACH YOUR LIVING QUARTERS 1 AREA?

1 [,I 2 1_7

Yes, tc tilis living quarters

Ye.- D, to this area

8 Households ta

- A Household consists of related and / or unrelated persons who usually live together and make common provisions for food and other essentials of living.

- The Head of Household is any one of the household members who USUALLY LIVES in the Living Quarters and is regarded as head by the other household members.

Head of Household

;ive the names of persons who usually ¡we together as members of this iousehold on CENSUS DAY.

j any member of th is ,ousehold handicapped?

9re the following items available o r use by the members of this iousehold.

s the names of persons ned in Question BI ,

id you miss out I are unsure f including any other lerson who eats and lives 3gether i n this Household?

- baby, young children - old People - student@) in pnmary I

- servant - tenant, boarder - usual household member

who is ternporanly away

secondav school hostel

yes (Please Iist their names /n 81 and complete columns 83 until 86)

( Do not include persons who live in separate living quarters and who return to this living quarters during weekends I holidays only. ) P yes

Mark X in the relevant boxes

Type of handicap

2 - Hearing 3 - Speech 4 - Limbs 5 - Mental 6 - Others

1 - Sight PLEASE REFER TO NOTE PROVIDED BELOW ON THIS PAGE. ( Mulfiple answers accepfed)

Start with Head of Household followed by : - S p m e of Head - Unmarried children - Married children and their families - Father I mother of Head or spouse of Head - Brother I sisters of Head or srnuse of Head - Other relatives - Others ( e g. servant, tenant, boarder )

Motorcar u I unit

0 2 units

0 3 units or more

' Fill in the respective handicap :ode for tbe relevant member mlv; transfer the codehl to 2uestion C30 for the .especfive person } [7 No {Ask Question 83 and

thereafter) Motorcycle I Scooter 0 I unit

2 units or more

Bicycle a Bicycle

Others

0 Ar-Conditioner

0 Washing Machine

Refrigerator

0 Microwave

0 Radio I Hi-fi

Television

Video I VCD I OVO

Fixed Telephone Line

0 Mobile phone

0 Personal Computer (PC)

Internet Subscription

( Multiple answers accepted )

HEAD

I- L

None of the items mentioned above

0 I l

Is th is household paying rent for this 1 l iv ing quarters? SUMMARY I I ( No. of usual household members )

low much is the current nonthly rental payment?

a) Does any member of this HOUSEHOLD own this living quarters?

1 u Y e s 4 ( G o t o E l l )

2 0 No 1 0 Y e s , furnished

2 0 Yes, not furnished

Less than RM 100 u RM 100-249 ( From Question E l and E 4 )

'g b) Does any member of this household own any

other living quarters in Malaysia?

1 U Y e S

2 0 No --

NOTE FOR QUESTION BI Q Do not forget t o include :

u RM 250-499 0 RM 500-749 c] RM 750-999 0 RM 1000 and more

Male Female Total mmm 3 0 None --+ ( G o - t o B 1 1 )

(i) Babies bom on or before Census Day and still living on Census Day. (ii) Boarders, lodgers, visitors, maids, elderly persons, relatives who usually live in this household. (iii) Usual rnernben who are temporarity away because of work, study, on leave, on vacation ( in and outside Malaysia) etc. (iv) Students ( primary and secondary schools ) not living with parents but in hostels ( in Malaysia ) afthouah for more than 6 months in the year 2000. (v) Any person staying I will be staying in hospital for less than 6 months in the year 2000. (vi) Those who passed away e r Census Day.

0 Do not include : (i) Babies bom after Census Day. (ii) Those who passed awaybefore Census Day. (iii) Malaysian students who have been I will be living overseas for 6 months or more in the year 2000. (Iv) Students ( college I university ) in Malaysia who donot live with parents for a period of 6 months or more in the year 2000. (v) Malaysians working overseas for a nsriod of 6 mnnthu nr mArp in +ha *I-*- ~ n n

housshold memben - member from a total of

PERSON NUMBER ( Obtain from column 85

I NAME ( Corresponding to CI )

......................................................................................................

RELATIONSHIP TO HEAD OF HOUSEHOLD I Obtain from column 83 1

O1 0 Head of Household

02 SpouseofHead

03 0 04 0 MarnedchildofHead

05 0 06 0 Grandchild of Head

07 0 08 0 O9

10

Unmarned child of Head

Dauqhter-in-law / Son-in-law of Head

Father / Mother of Head or spouse of Head

Brother / sister of Head or spouse of Head

Other relatives af Head ar spouse of Head

Others who are not related to Head or spouse of Head

SEX ( Obtain from column E4 1

1 0 Male

2 0 Female

1 I I I I I Date Month Year

- (If no information for C5, ask C6 )

&

HOW OLD ARE YOU? (In comDleted vears) ( If age is less than 1 year wnfe "00" If age is 99 years or more write "99" )

n I W

WHAT IS YOUR MARITAL STATUS? (For person aged 10 years and above 1

1 0 Never Married

2 u Married

3 Widowed

4 0 Divorced / Permanently separated

LECT

..............................................................................

WHAT IS YOUR RELIGION?

Islam

Christianity

Hinduism

Buddhism

Confucionism / Taoism, Other Traditional Chinese Religion

Tnbal / Folk Religion

L

ahers (StWfvJ ...............................................

No Religion

BIRTHPLACE

(a) Where were you bom?

I Malaysia [ G o t o C l O ( b ) ]

2 0 Outside Malaysia I Go to C f O (cJ 1

(b) State of bitth? ( Refer to code card - Document 4 )

( G o t o GI ....................................................... C12) (Specify State)

' (c) Country of birth? (Refer to code card - Document 4 )

n w ....................................................... (Specify Country)

FOR NON-MALAYSIAN CITIZEN, PLEASE SPECIFY COUNTRY ( Refer to code card - Document 4 1 n w ...................... ........ (Wnte .,..... Country) .......................................

I

WHERE WAS YOUR USUAL PLACE OF RESIDENCE 5 YEARS AGO ( ¡.e IN 1995)? I For children aaed less than 5 Years (i.e. bom affer 1995) record mother's usual residence at time of hislher birth

1 u 2

This house as in Question K1

Different house ( Give fuil address 1

(a) Name Of Street / Housing Estate

YEAR OF FIRST ARRIVAL IN MALAYSIA (For those born outside Malaysia )

I

CITIZENSHIP I RESIDENCE STATUS

Malaysian Citizen

1 0 Malaysian Citizen . 4 ( G o to C f 4 )

Non-Malaysian Citizen

2 u Permanent Resident

3 0 Expatriate

4 Foreign Visitor

5 Foreign Student

6 Foreign Worker

7 u . Others (specify) ...............................................

(b) Name of Town / Villaqe

(c) Mukim / District ( Kelantan ) I SubDistrict ( Sarawak)

(d) Administrative District / Jaiahan ( Kelantan )

(e) State /Country

HAVE YOU EVER E~EEN TO SCHOOL COLLEGE / POLYTECHNIC I UNIVERSITY? ( Including Preschool )

I 0 2 0 3 0 Completed schooling

Yes, currently schooling ( full time )

Yes, currently schooling ( part time )

5 0 Neverattendedschool * (Go foCi7)

WHAT IS THE HIGHEST LEVEL OF EDUCATION ATTAINED 1 CURRENTLY STUDYING?

1 Pre-school

2 0 Primary School ( Standard I Year 1 till 6 )

3 a Lower Secondary ( Remove / Form 1 till 3 )

4 0 Upper Secondary ( Form 4 till 5 , GCE O Level

5 0 Vocational I Technical ( Form 4 till 5 )

6 0 Trade & Technical Skills Institution

7 0 Post Secondary ( Form 6, GCE A Level, Matriculation )

8 Tz] Tertiary. ( Polytechnic / College / University

i

. . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . .. ̂ .., ".,- ..... .,..*..Y ,.,:;~ . . . . .., . , . .

WHAT 1s THE HIGHEST CERTIFICATE I DIPLOMA I DEGREE YOU HAVE ATTAINED?

O1 None

02 h-̂ ] PMRiSRPlLCi

03 SPMIMCEISCI (GotoC20)

O4 17 GCE O level

STPM / ttSC i STA / 4 Thanawi / GCE A Level

05 SPVM/SPM(V)IMCVE - (Go to C l 9 )

06

07 0 08 0 O9 0 10

Il Pcst Graaua!e D e p e

Certificate / Diploma in trade or technical skills

Certificate ( Polytechnic I Colleqe )

Diploma ( Polytechnic / Colleqe )

Degree / Advanced Didorna

Post Graduate Certificate i Diploma

DO YOU HAVE ANY WORK TO RETURN TO?

(a) What are the Activities I Services I Products of your place of work? ( Describe in a few words 1

DID YOU LOOK FOR WORK DURING THE LAST 7 DAYS? (b) What is the Namo and Address of the your

Company I Employer? ( If relevant only)

* I Yes (END INTERVIEW - FOR THlS PERSON)

2 u No (i) Name of Company I Employer : ............

(ii) Address of Company I Employer : .......... WHAT IS THE MAIN REASON FOR NOT SEEKING WORK?

O 1 0 Believe no suitable job \ available I bad weather i sick / confinement i will start new lob / waitinq for answers to lob applications i no aualifkation

O2 1 Housewife

03 0 Stillschcoling FROM WHERE DID YOU OBTAIN YOUR CERTIFICATE I DIPLOMA I DEGREE?

Within Malaysia

1 0 Public Institution

2 0 Pnvate Institution

Overseas

3 Gvmeas Institution

WHAT IS YOUR EMPLOYMENT STATUS? * (END

INTERVIE'IV FOR THIS

PERSON)

04 Going for further studies

O5 Handicapped i disabled

06 Not interested

1 Employer

2 0 Employee

3 0 Self-employed

* (END

INTERVIEW FOR THlS PERSON)

07 Retired / tco cid

08 0 T'GO ycunq

O9 p? Cthers

4 IA Unpaid family worker

c%ecm .......................................................

WHAT WAS YOUR MAIPI FIELD OF STUDY?

...............................................................................................................

...............................................................................................................

OCCUPATION

(a) What is your occupation?

HAVE YOUR EVER GIVEN BIRTH?

( Go to C29 I I 0 Yes

2 0 No 4 (ENDlNTERVlEW FOR THIS PERSON)

I I

(al Number of children ever born alive?

Q (b) Please describe your duties I nature of work

CAN YOU READ AND WRITE IN ANY LANGUAGE? i (b) Number of children currently still living?

( If none, record "00" )

G1 (c) In which sector is your occupation :-

I o Government

2 0 Private DID YOU ':YORK FOR AT LEAST 1 HOUR DURING THE LAST 7 DAYS? ( Work nieans doing a job for salary/ wsges or profit or farni/>, yain

I Yes ( G O to C25)

HANDICAPPED : Copy code(s) f rom Question 86 into the box@) given below ( if relevant ). 3 Own business

_II_- [ * In Sabah, W.P. Labuan and Sarawak, go to Question C28 fo r ever married woman.

@ REMINDER : If a Household has more than 7 members, please use the Continuation Person Form. --