The Central Agency for Public Mobilization and Statistics
(Model No. 1/6 Pop. Census 06)
1306012006009
Household & Housing Characteristics
Questionnaire
Egypt 2006
General Census for Population, Housing and Establishments 2006
Third Pre-test Trial
Male
Record Serial in the Shiakha/City/Village:
Governorate:
______________
Division/District/Markaz
No. of Supervisor’s
Zone:
______________
No. of Detector’s
Zone
Block No.:
Shiakha/District/Village:
______________
No. of Acolyte’s
Zone
Name of the building Owner
_________
Road Name & No.:
Total
Quest. No.
Serial Registration in the Enumerated Zone
No. of Counter’s
Zone:
No. of Households
Female
___________
Follow:
Household
Serial:
No. of Building:
Table (1) Family Characteristics:
6 years Age or more
(1)
Individual
code & his
full name
(2) Relation to Household Head
(4) Gender
(5) Religion
(6) Nationality
(7) Educational Status/ or the highest
education certificate (10 years age or more)
(8) Joining or dropping out
of school
(9) Work Status
1.
2.
3.
4.
1. Male
2. Female
1.
2.
3.
4.
1. Egyptian
2. Foreigner
(specify the
nationality)
1. Below Age
2. Illiterate
3. Read & Write
without
certificate
4. Primary
5. Preparatory
6. Intermediate
degree
1. Underage
2. Never been to school
3. Graduated/finished
school
4. Dropped out
5. Currently in school (for
4,5 = specify stage &
year)
1. Underage
2. Employer
3. Self
Employed
4. Waged
Worker
5. Unpaid
working
for family
6. Work for
outsider
without
wage
7. Currently
unemploye
d
Household Head
husband/Wife
Son/Daughter
Daughter in law/
Son in law
5. Grandson/Grandda
ughter
6. Father/Mother
7. Brother/Sister
8. Other
relatives
9. No relation
10. Servants
11. Visitor
(3) Age in
years
Muslim
Christian
Jewish
Other
7. Above intermediate
degree
8. University Degree
9. Above University
Degree
(Specify the highest
degree &
specialization)
Stage
(1-4)
Year
(1-6)
8. Recently
unemploye
d
9. Full-time
student
10. House
Wife
11. Retired
12. Oldster &
does not
work
13. Disabled
14. Does not
want to
work
15. Others
(10)
Establishment
Name
1. Underage
2. Inside (--)
3. Outside
establish
ment
4. Not
affiliated
Table (2) Housing Characteristics
Several Answers are accepted
Dwelling
Type
1. Apartment
2. More then
apartment
3. Villa/
House
4. Rural
House
5. One room
or more in
unit
6. Free
Standing
room
7. Tent or hut
8. Cemetery
9. Others
Ownership
Ststua
1. Rent (old
law)
2. Rent (new
Law)
3. Furnished
rent
4. Owned,
totally paid
for
5. Owned,
paying
installments
6. Grant
7. Fringe
Benefit
8. Others
Source of
Water
1. Public
Network
2. Pump
3. Well
4. Other
Home
connection to
Water Utility
1. Tap inside
home
2. Tap inside
the building
3. No
connection
with the utility
Home
connection to
Sewage
Authority
1. Connected
to public
network
2. Private
Network
3. ‫ﺗﺮﻧﺶ‬
4. Not
connected
Main lighting
System
No. of
rooms
including
living
room
Monthly rent in L.E.
Used Fuel & Energy
1. Electricity
2. Kerosene
3. Gasoline
4. Other
Stove
Colored
TV
Deep
Freezer
Water
Heater
Internet
connect
ion
Private Car
Natural
Gas
Black &
White
TV
Manual
Washing
Machine
Vacuum
Cleaner
Fan
Motorcycle
Kerosene
Video
Automati
c
Washing
Machine
Aircondition
Teleph
one
Bicycle
Separa
te
Bathro
om
Electricit
y
Satellite
Dish
Dish
Washer
Compute
r
Mobile
Phone
Others
Separa
te
Toilet
Other
Refrigera
tor
Stove
Iron
Nothin
g
Nothing
The Utilities
1.
Private
Kitche
n
Bathro
om
with
Toilet
Owned Transportation
Tools
Consumer Durable Goods
2.
Shared
3. Not
Available
Summary Info:
No. of household
members
Male
Female
Total
Religion
Muslim
Christian
Jewish
Nationality
Other
Egyptian
Foreigner
Age Group
Less
then
6
years
From
6-
From
10-
Educational Status (10 years or more)
65+
Below
Age
Illiterate
Read &
Write
without
certificate
Primary
Preparatory
Intermediate
Degree
Intermediate
middle
degree
University
Degree
Above
University
Degree
The Central Agency for Public Mobilization And Statistics
General Census for Population, Housing and Establishments 2006
Third Pre-test Trial
Record Serial in the Enumerated Zone:
No. Shiakha/City/Village:
(Model No. 1/6 Pop. Census 06)
1306012006009
Household and Housing
Characteristics Questionnaire
Egypt 2006
Record Serial in the Shiakha/City/Village:
No. of Reviewer
Zone Code:
No. of Supervisor Zone Code
No. of
Enumerator Zone:
No. of Acolyte’s Zone
Questionnaire No. :
____________________________
Location of the housing unit in the building
6 years of age or more
(12) Main Economic Activity
(13) Main occupation for
(in details)
persons (in details)
(11) Sector
1. Government
2. Public
3. Private
4. Investment
5. Cooperative
6. Mixture of
both
7. Other
8. Not working
9. Underage
Follow:
Household Serial No.:
For those who changed their residency location
(14)Job Stability
1.
2.
3.
4.
5.
6.
Underage
Permanent
Temporary
Seasonal
Casual
Not working
(15) Marital
Status
18 years or more
for males
16 years or more
for females
1. Below Age
2. Never
Married
3. Contractually
married
4. Married
5. Divorced
6. Widow(er)
(17) Physical
Status*
(16) No. of
current wives
1. Normal
2. Disabled
(go to Table 3)
(18) Residence address for
guests and/or visitors
City/
District/
/Markaz
Governorate
(21) Previous residence
address
(19) Place of Birth
City/
District/
/Markaz
Governorate
(20)
Duration
in years
of
residing
at the
current
address
City/
District/
/Markaz
Governorate
(22) Reason for
changing the
residence
address
1.
2.
3.
4.
Work
Studying
Marriage
Divorced
(widow)
5. Accompany
6. Others
Table (3) Info on household members with disabilities (Answer no. 2 for Quest. 17 in Table 1)
Table (4) Data on Individuals Outside the Country
Handicapped
Individual
Code
1
1.
2.
3.
4.
5.
Blind
Blind in 1 eye
Deaf
Mute
Deaf & Mute
Type of Disability
6. Mentally Disabled
7. Lost 1 hand or both
8. Lost 1 leg or both
9. Polio
10. Partial or Full
Paralysis
11. Other Disabilities
(specify)
1.
2.
3.
4.
5.
Reason of Disability
6. Injury/Accident
Born with
7. Aging
Birth defect
8. Others
Epidemic
9. Does not know
Other diseases
Mental/Physical
abuse
2
3.
Question
Is there any member of this
household staying outside
the country temporarily for
a any other reason?
No. of members staying
abroad, and countries where
they are staying
Is there a neighboring
household entirely residing
abroad?
1. Yes
2. No
If (Yes) how many by gender
Female
Male
No.
Country _______________
No.
Country _______________
No.
Country _______________
No.
Country _______________
No. of
its
members
Country _______________
Total
Summary Info:
6 Years or more
Individual status towards work
Underage
Works
Unemployed
worked
before
Recently
unemployed
Connection to Public Utilities
Nature of work
Outside
Labor
Force
Underage
Permanent
Temporary
Seasonal
Marital Status
Casual
Job
Stability
Underage
Never
Married
Contractually
married
Married
Water Utility
Divorced
Widow
(er)
Connected
Not
connected
* Has any household member been suffering from a physical, medical, or mobility problem for a long period (6 months or more) that prevents from independently performing daily life activities easily?
Electricity
Connected
Not
connected
Sewage
Authority
Connected
Not
connected