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THE REPUBLIC OF THE UNION OF MYANMAR MINISTRY OF IMMIGRATION AND POPULATION 2014 POPULATION AND

THE REPUBLIC OF THE UNION OF MYANMAR

MINISTRY OF IMMIGRATION AND POPULATION

2014 POPULATION AND HOUSING CENSUS Main Questionnaire

Questionnaire number

of

for this household

HOUSEHOLD IDENTIFICATION

State/Region 0 0 1 1 2 2 3 3 4 4 8 9 9
State/Region
0
0
1
1
2
2
3
3
4
4
8
9
9

5

6

5

District

0

1

2

3

4

5

6

7

8

9

0

1

2

3

4

5

6

7

8

9

Township/ SubTownship 0 0 1 1 2 2 3 3 4 4 5 5 6
Township/
SubTownship
0 0
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9

Ward/Village

Tract

0

0 0

1

1 1

2

2 2

3

3 3

4

4 4

5

6

6

6

7

5

5

7 7

8

8 8

9

9 9

Urban or

Rural

Urban

1

Rural

2

Enumeration Area

(Block No.)

0

1

2

3

4

5

6

7

8

9

0 0

1 1

2 2

3 3

4 4

5 5

6 6

7 7

8 8

9 9

0 1 2 3 4 5 6 7 8 9 0 0 1 1 2 2

Household No.

0

1

2

3

4

5

6

7

8

9

0 0

1 1

2 2

3 3

4 4

5 5

6 6

7 7

8 8

9 9

INSTRUCTIONS FOR COMPLETION

USE 2B BLACK PENCIL ONLY. Write then shade like this:

or this:

Write numbers like this:

4

12341

2

3

5

6

7

8

9

10

0

1

0

1 6

2 7

2 7

3 8

FOR ALL MEMBERS OF THE HOUSEHOLD 1. 2. Name (Write all persons who spent the
FOR ALL MEMBERS OF THE HOUSEHOLD
1.
2. Name
(Write all persons who spent the night of 29
March 2014 in this household. Make sure to
include babies, elderly persons, disabled
persons and visitors)
3. Relationship to the head of the
household
4. Sex
5.
Completed Age
6. Marital status
7. Religion
8. Ethnicity
DISABILITY
If age greater than or
equal to 98, write
“98”. If less than one
write “00”.
9.
Does (Name) have any difficulty
?
Codes
i. Seeing, even if wearing glasses
No - no difficulty = 1
ii. Hearing, even if using hearing aid
Yes - some difficulty = 2
iii. Walking, climbing steps, carrying items
iv. Remembering or concentrating
ONLY PERSONS WHO SPENT THE
CENSUS NIGHT IN THIS HOUSEHOLD
Yes a lot of difficulty = 3
Cannot do at all = 4
Seeing
Hearing
Walking
Remembering
In Years
1
12341234
5
6
7
8
9
10 11
1122
12312345
1234123456
7
2
12341
2
3
4
5
6
7
8
9
10 11
1122
12312345
1234123456
7
3
12341
2
3
4
5
6
7
8
9
10 11
1122
12312345
1234123456
7
4
12341
2
3
4
5
6
7
8
9
10 11
1122
12312345
1234123456
7
5
12341
2
3
4
5
6
7
8
9
10 11
1122
12312345
1234123456
7
6
12341
2
3
4
5
6
7
8
9
10 11
1122
12312345
1234123456
7
7
12341
2
3
4
5
6
7
8
9
10 11
1122
12312345
1234123456
7
8
12341234567
8
9
10 11
1122
12312345
1234123456
7
CONFIDENTIALITY:
© DRS Data Services Limited [2013]/O03120813/ASDZ
We assure that the personal information collected in this interview is confidential and will not be
disclosed in any way.
12345678(90)
Serial number
of
household
member
Head of Household
Spouse
Son/Daughter
Son/Daughter-in-law
Grandchild/Great grandchild
Parent/Parent-in-Law
Sibling
Grandparent
Other Relative
Adopted Child
Non Relative
Male
Female
Single (Never married)
Married
Widowed
Divorced/Separated
Renounced
Buddhist
Christian
Islam
Hindu
Animist
Other Religion
No Religion

© DRS Data Services Limited [2013]/O03130813/IFQO

© DRS Data Services Limited [2013]/O03130813/IFQO 12345678(90)   FOR ALL MEMBERS OF THE HOUSEHOLD    

12345678(90)

 

FOR ALL MEMBERS OF THE HOUSEHOLD

   

AGE 5 AND ABOVE

   

AGE 10 AND ABOVE

 
   

IDENTITY CARD

   

MIGRATION

   

EDUCATION

   

LABOUR FORCE

 

10.

Type of identity card

   

Place of Birth

 

Place of Usual Residence

15.

Duration in

16.

Reason for

 

Place of Previous Usual Residence

 

19. Can (Name) read

and write in

20.

Is (Name)

21.

What is the highest

 

Activity Status

 
 

11. Township

 

12.

 

13. Township

 

14.

 

place of usual

residence (in years)

movement to this township (usual residence)

 

currently

attending,previ

education grade/level (Name) completed?

22.

What was (Name’s) activity

 
 

Urban

 

Urban

17. Township

     

status during the last 12 months? (April 2013 - March 2014)

 

or

or

 

18 .

 

ously attended

 

Serial Number

(green)

card,

fold (blue)

Card

Card

(three

women)

Citizenship

(pink)

pink Citizenship Card

Card

for

green for Registration

Scrutiny

Scrutiny

Scrutiny

men,

Naturalised

Citizenship

Associate

National

Religious Card

(white)

Card

Registration

Temporary

(FRC)

the documents above

Card

Child below 10 years

Registration

of Passport

Foreign

Foreign

None

If born here write “000”, if not write Township code

Enter code from manual

Urban

Rural

Rural

If here write “000”, if not write Township code

Enter code from manual

Urban

Rural

Rural

If less than 1 year write “00”

Employment/in search for employment

Education

Marriage family

Followed

Conflict

Did not move

Other

If here write “000”, if not write Township code

Enter code from manual

Urban

Rural

Urban

or

Rural

Yes

No

any language?

attended

Currently attending

Never attended

Previously

or never

attended

school/

college?

None - 00 Grade - 01-11 College - 12 Vocational training - 13 Undergraduate diploma - 14 Graduate - 15 Postgraduate diploma - 16 Masters Degree - 17 PhD - 18 Other - 19

disabled retired, elderly person

Contributing family worker

(Government)

worker Org)

(Private,

Did not seek work

Full time student

Household work

account

Sought work

Pensioner,

Employee

Employee

Employer

Own

Ill,

If options 6 to 11 skip to Q25

Other

 

1 3

1 2

   

4

5

 

6

 

7

8

9

10

     

1 2

       

1 2

     

1 2

     

3

4

 

5

 

6

 

7

   

1 2

     

1

1

2

2

   

123

123

     

1 2

     

3

 

4

 

5

 

6

 

7

 

8

 

9

 

10

 

11

 

12

 
                 
                 
                 
 
                 
                 
                 
 
                 
                 
 
                 
                 
                 
       
                 
                 
 
 

2 3

1 2

   

4

5

 

6

 

7

8

9

10

     

1 2

       

1 2

     

1 2

     

3

4

 

5

 

6

 

7

   

1 2

     

1

1

2

2

   

123123

     

1 2

     

3

 

4

 

5

 

6

 

7

 

8

 

9

 

10

 

11

 

12

 
                 
                 
                 
 
                 
                 
                 
 
                 
                 
 
                 
                 
                 
       
                 
                 
 
 

3 3

1 2

   

4

5

 

6

 

7

8

9

10

     

1 2

       

1 2

     

1 2

     

3

4

 

5

 

6

 

7

   

1 2

     

1

1

2

2

   

123123

     

1 2

     

3

 

4

 

5

 

6

 

7

 

8

 

9

 

10

 

11

 

12

 
                 
                 
                 
 
                 
                 
                 
 
                 
                 
 
                 
                 
                 
       
                 
                 
 
 

4 3

1 2

   

4

5

 

6

 

7

8

9

10

     

1 2

       

1 2

     

1 2

     

3

4

 

5

 

6

 

7

   

1 2

     

1

1

2

2

   

123123

     

1 2

     

3

 

4

 

5

 

6

 

7

 

8

 

9

 

10

 

11

 

12

 
                 
                 
                 
 
                 
                 
                 
 
                 
                 
 
                 
                 
                 
       
                 
                 
 
 

5 3

1 2

   

4

5

 

6

 

7

8

9

10

     

1 2

       

1 2

     

1 2

     

3

4

 

5

 

6

 

7

   

1 2

     

1

1

2

2

   

123123

     

1 2

     

3

 

4

 

5

 

6

 

7

 

8

 

9

 

10

 

11

 

12

 
                 
                 
                 
 
                 
                 
                 
 
                 
                 
 
                 
                 
                 
       
                 
                 
 
 

6 3

1 2

   

4

5

 

6

 

7

8

9

10

     

1 2

       

1 2

     

1 2

     

3

4

 

5

 

6

 

7

   

1 2

     

1

1

2

2

   

123123

     

1 2

     

3

 

4

 

5

 

6

 

7

 

8

 

9

 

10

 

11

 

12

 
                 
                 
                 
 
                 
                 
                 
 
                 
                 
 
                 
                 
                 
       
                 
                 
 
 

7 3

1 2

   

4

5

 

6

 

7

8

9

10

     

1 2

       

1 2

     

1 2

     

3

4

 

5

 

6

 

7

   

1 2

     

1

1

2

2

   

123123

     

1 2

     

3

 

4

 

5

 

6

 

7

 

8

 

9

 

10

 

11

 

12

 
                 
                 
                 
 
                 
                 
                 
 
                 
                 
 
                 
                 
                 
       
                 
                 
 
 

8 3

1 2

   

4

5

 

6

 

7

8

9

10

     

1 2

       

1 2

     

1 2

     

3

4

 

5

 

6

 

7

   

1 2

     

1

1

2

2

   

123123

     

1 2

     

3

 

4

 

5

 

6

 

7

 

8

 

9

 

10

 

11

 

12

 
                 
                 
                 
 
                 
                 
                 
 
                 
                 
 
                 
                 
                 
       
                 
                 
 
8   9   10   11   12              
8   9   10   11   12              
8   9   10   11   12              
8   9   10   11   12              
AGE 10 AND ABOVE AND EMPLOYED EVER MARRIED WOMEN (AGED 15 AND ABOVE) LABOUR FORCE
AGE 10 AND ABOVE AND EMPLOYED
EVER MARRIED WOMEN (AGED 15 AND ABOVE)
LABOUR FORCE
Number of children ever born alive
Particulars of last live birth
Occupation
Industry
25.
Number of children ever
26.
How many of
27.
How many of
28.
How many of
29.
Date of last live birth
30. Sex
31.
Is
of last
the
23. What work was (Name) mainly doing during the last 12
24.
What is the major product or service provided in the
born alive
(If no children, write “00”)
those children are
living in this
household?
those children are
living elsewhere
(not in this
household)?
those children are
no longer alive
(dead)?
live
child
months? Write detailed work descriptions (for example,
Primary teacher, Rice farmer, Taxi driver)
organisation/enterprise where (Name) mainly worked during
the last 12 months? Write detailed descriptions (e.g. Hotel
service, Building construction, Garment manufacture)
birth
still
alive?
Male
Female
Male
Female
Male
Female
Male
Female
Month
Year
1
1 2
1 2
2
1 2
1 2
3
1 2
1 2
4
1 2
1 2
5
1 2
1 2
6
1 2
1 2
7
1 2
1 2
8
1 2
1 2
HOUSING CHARACTERISTICS
35.
Main source of water for drinking and
32. Type of housing
unit occupied by this
household
33.
Type of ownership of
34.
Main source of
36.
Main type of cooking fuel
housing unit
lighting in the household
non-drinking in this household
used in this household
37. Type of toilet used
in this household
38. Main construction material of the
housing unit
39. Which of the following items does your household have?
(mark all that apply)
Non-
Drinking
Drinking
Condominium
1
Owner
1
Tap water/Piped
1 1
Yes
No
Yes
No
Roof
Wall
Floor
Apartment/Flat
2
Renter
2
Tube well, borehole
2 2
Flush
1
Radio
1 2
Motorcycle/
Electricity
1 Protected well/Spring
3 3
Electricity
1
Dhani/Theke/In leaf
1
1
1
Television
1 2
Bungalow/
Provided free
Moped/
Water Seal
Brick house
3
(individual)
3
Kerosene
2 Unprotected well/Spring
4 4
Liquefied Petroleum Gas (LPG)
2
(Improved PL)
2
Bamboo
2
2
2
Land line phone
1 2
Tuk Tuk
1 2
Semi-pacca house
4
Government Quarter
4
Candle
3 Pool/Pond/Lake
5 5
Kerosene
3
Earth
Mobile phone
Bicycle
Pit (Traditional pit latrine)
3
3
3
3
1 2
1 2
Private Company Quarter
5
Battery
4 River/Stream/Canal
6 6
BioGas
4
Bucket (Surface latrine)
4
Wood
4
4
4
Computer
1 2
4 wheel tractor
1 2
Wooden House
5
Other
6
Generator (Private)
5 Waterfall/Rain water
7 7
Firewood
5
Other
5
Corrugated Sheet
5
5
5
Canoe/Boat
1 2
Bamboo
6
Water mill (Private)
Charcoal
6
No toilet
6
Tile/Brick/Concrete
6
6
6
Motor Boat
1 2
Internet
Hut 2-3 years
7
6 Bottled water/water from
vending machine
8 8
Coal
7
Other
7
7
7
at home
1 2
Solar System/
Hut 1 year
8
energy
7 Tanker/Truck
9 9
Straw/Grass
8
Cart (Bullock)
1 2
Car/Pick-up/
Other
9
Other
8 Other
10 10
Other
9
Truck/Van
1 2
© DRS Data Services Limited [2013]/O03140813/RLCJ
Serial Number
Male
Female
Yes
No
LIST OF FORMER HOUSEHOLD MEMBERS LIVING ABROAD SUMMARY COUNT MALE FEMALE TOTAL 40. Number of
LIST OF FORMER HOUSEHOLD MEMBERS LIVING ABROAD
SUMMARY COUNT
MALE
FEMALE
TOTAL
40.
Number of former household members living abroad
Name of former household member living abroad
Relationship to head of household
Completed age
Sex
Year of Departure
Country of residence
0 0
0 0
0 0
0
(current)
1 1
1 1
1 1
1
2 2
2 2
2 2
2
3 3
3 3
3 3
3
4 4
4 4
4 4
4
5 5
5 5
5 5
5
6 6
6 6
6 6
6
7 7
7 7
7 7
7
1
2
3
4
5
6
7
8
9
10
11
1 2
1
2
3
4
5
6
7
8
9
8 8
8 8
8 8
8
9 9
9 9
9 9
9
2
2
3
4
5
6
7
8
9
10
11
1 2
1
2
3
4
5
6
7
8
9
3
2
3
4
5
6
7
8
9
10
11
1 2
1
23456789
ENUMERATOR
4
2
3
4
5
6
7
8
9
10
11
1 2
1
23456789
Signature
5
2
3
4
5
6
7
8
9
10
11
1 2
1
23456789
Name
Date
6
23456789
10
11
1 2
1
23456789
SUPERVISOR
DEATHS IN THE HOUSEHOLD DURING THE LAST 12 MONTHS
Signature
41.
Number of deaths in this household in the last 12 months (30-3-2013 to 29-3-2014)
Name
Date
Name of the deceased
Was the
Age at death
FEMALES AGED 15-49
deceased
Male or
Did the death occur during
?
Female?
If age is unknown, estimate age using
local historic calendar. Record age in
completed years.
pregnancy?
delivery?
the first 6 weeks
after delivery?
IF MORE THAN ONE QUESTIONNAIRE IS
1
Male
1
Yes
1 Yes
1 Yes
1 2 USED IN THE HOUSEHOLD, THEN SUMMARY
Female
2
No
2 No
2 No
2
Male
1
Yes
1
1
Yes
1
1
Yes
1
1
COUNTS OF ALL MEMBERS MUST BE FILLED
Female
2
No
2
2
No
2
2
No
2
2
3
Male
1
Yes
1
1
Yes
1
1
Yes
1
1
IN ON THE FIRST QUESTIONNAIRE USED
Female
2
No
2
2
No
2
2
No
2
2
4
Male
1
Yes
1
1
Yes
1
1
Yes
1
1
Female
2
No
2
2
No
2
2
No
2
2
© DRS Data Services Limited [2013]/O03150813/YSGH
Serial numberSerial
number
Spouse
Son/Daughter
Son/Daughter-in-law
Grandchild
Parent/Parent-in-Law
Sibling
Grandparent
Other
Relative
Adopted Child
Non Relative
Male
Female
Thailand
Malaysia
Singapore
China
Japan
Korea
India
USA
Other