Form Living Quarter + Type of living quarter: 1 6 How did this living quarter become your property? Bought, existing living quarter Normal living quarter Yes Determining the condition of the living quarter 0 a. The rainwater tank 1 2 3 4 5+ 30 b. The rainwater well (groundwater) 23 c. Cesspool/septic tank Another way Go to 31 Homeless How many functioning cars do members of this household possess? No Inherited, gift, won Institutional collective living quarter 2 22 Built it myself / had it built Go to 2 Collective living quarter (Non-institutional) Do you use water from: (for e.g. to water plants) 14 + d. Synthetic/plastic tank Go to 8 7 Kind of living quarter: Type of owner of the living quarter: Private person Bank Government(al) (organization) House Trailer / container Foundation Apartment (1-5) Cuarto Company (excl. banks) Apartment (6+) Condominium Separate room in a house Other 8 Specify Fill in '9999' if unknown. a. Dust (excavation, roads) c. Floor b. Air pollution (stench, exhaust fumes, soot) d. Ceiling c. Noise (airplane, traffic, neighborhood nuisance) e. Windows, doors, frames d. Traffic (unsafety, busyness) m2 Include: bathroom, toilet, hall, garage, enclosed patio/veranda/ porch The living quarter was built in: Period 1950-1959 Poor Very poor Definitions e. Flooding after heavy rainfall f. Crime Exclude: rooms exclusively used for practicing a profession, open g. Litter and accompanying stench patio/veranda/porch (dumped litter, activities in the neighborhood,...) 2 Total area in m of the land on which the living quarter is 16 built? h. Wrecks Period before 1950 Moderate b. Walls Total area in m2 of the living quarters? 15 Good a. Roof Do you or more members of the household, have any inconvenience in your immediate environment from: Yes No e. Dam End of Form Component Good No defects Moderate The component shows some defects, that can be fixed via normal and regular maintenance Poor The component has important defects, that can not just be fixed via normal maintenance (is deteriorating) Very poor The component shows so much defects that replacement is actually necessary Period 1960-1969 i. Stray dogs 3 DRAFT Period 1970-1979 The living quarter is (*): Fill in '99999' if unknown. 2 m 24 Period 1980-1989 Owned, on property land Are the following kitchen facilities present in the living 17 quarter? No Yes a. Sink Period 1990-1999 Owned, on leasehold land Go to 6 Period 2000-2004 Owned, on leased land (huurgrond) Yes, on all windows Yes, but not on all windows Period 2005 up to the present No b. Stove Lived in for free by members of the household Go to 7 9 How many rooms are there in the living quarter? 1 2 6 Go to 4 Rented, semi-furnished 7 Rented, not furnished Sublet (onderhuur) (*) Mortgage and hire-purchase to be considered ownership 4 What is the monthly rent of this living quarter in Aruban florins? 5 4 8 9 25 Does the living quarter have the following facilities? Yes 10+ b. Own water meter Exclude: bathroom, toilet, hall, garage, open patio/ veranda/ porch and rooms exclusively used for practicing a profession d. Cable TV connection (Cable) 10 How many bedrooms are there in the living quarter? (Only rooms that are actually used as bedrooms) 1 2 3 5 4 19 Fill in '99999' if unknown. 7 8 9 Yes No 11 b. Electricity, specifically for air conditioning Two stories 12 27 Go to 20 c. Specificy the type of connection via computer Yes No 1. DSL/Cablenet How many toilets are there in the living quarter? (Both in bathrooms and outside bathroom) d. Gas Go to 14 No toilets e. Internet 1 2 3 4 5+ f. Cable TV (Cable) 13 g. Other Specify How does the draining work? Via sewer 31 Kind of institutional living quarter: Children’s home Prison No No Institutional collective living quarter: Three or more stories 28 What is the most used material on the outer walls of the building? Stone, concrete, bricks Metal sheets Wood Other material 3. Dial-up Synthetic sheets many of the following functioning devices are there 20 How in the living quarter? 5+ 1 0 3 4 2 a. Computer(s)(incl. laptops) Home for the elderly Specify Other What is the most used material on the roof of the building? Corrugated metal (zinc or aluminum) Corrugated sheets (cement/asbestos) 2. Mobile Broadband c. Water Number of stories in the building: One story Yes How many bathrooms/shower areas belong to the living quarter? No bathrooms/shower areas 1 3 4 5+ 2 a. Electricity, excluding air conditioning 26 10+ b. Via computer Are the following facilities included in the rent? No + Yes a. Via cellular END OF FORM LIVING QUARTER continue with Person Forms Yes, in part Does 1 or more member(s) of this household use the following connections to the internet in this living quarter? (incl. wireless) (Check mail, pin, chat, …) 6 No c. Fixed telephone connection Is there a fence (from any material) around the land of the building housing the living quarter? Yes, completely a. Own electricity connection Include: bedrooms, dining room, living room, kitchen and enclosed patio/veranda/porch ,0 0 Afl. 5 3 c. Refrigerator 18 Rented, furnished Are there bars placed on windows of this living quarter? Shingles END OF FORM LIVING QUARTER continue with Person Forms Concrete Other material Roof tiles (clayware) 29 Is any part of the building being used for business purposes? (e.g. a shop, commercial undertaking, beauty parlor, crèche,…) b. Mobile telephone(s) Yes c. Air conditioner(s) No Via cesspool/ septic tank Via combination of sewer and cesspool + Go to 7 Other (chemical toilet, etc.) 21 Does the living quarter have a swimming pool? Yes No (Include only permanent, built-in swimming pools) + E + + Form Household Composition Teldistrict Telblok Volgnr. hh Censo 2010 First fill out the given names of all members of the household and then fill out questions 2 through 11 for every person 1 What is the person’s given name? 2 Sex 3 Age 4 Country of birth 1= Aruba 2= Colombia 3= USA 4= Dominican Rep. 5 Persoonsnummer Female Male 5= Venezuela 6= Curaçao 7= Netherlands 8= Other 00 11 Persoonsnummer Male 00 12 Female Other, specify Other, specify 5= American 6= Surinamese 7= Haitian 8= Other Other, specify Other, specify Is the person related (also by marriage) to everyone in this household? Yes No Yes No 7 a. Does the father of this person live in this household? Yes No Yes No b. If yes, what is the ‘persoonsnummer’ of the father? 8 Persoonsnummer father a. Does the mother of this person live in this household? No Yes Go to question 8 Persoonsnummer father Yes Go to question 9 b. If yes, what is the ‘persoonsnummer’ of the mother? 9 What is the marital status of this person? 14+ Take note: the questions in the dark blue section are strictly for persons 14 years and older! 10 a. Is this person 14+ currently living on a durable basis with a partner (married or not)? b. If yes, what is the ‘persoonsnummer’ of this person? Male 00 13 Female No Go to question 9 Persoonsnummer 00 14 Male Female Persoonsnummer 00 15 Male Female Other, specify Other, specify Other, specify Other, specify Other, specify Other, specify Female 10 10 Male Female Other, specify Other, specify Other, specify Other, specify Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Go to question 8 Persoonsnummer father Yes No Go to question 8 Persoonsnummer father Yes Go to question 9 No Persoonsnummer father Yes No Married Married Legally divorced Legally divorced Legally divorced Legally divorced Legally separated from bed and board Legally separated from bed and board Legally separated from bed and board Widow(er) Yes Next person No Persoonsnummer mother Yes Persoonsnummer mother No Persoonsnummer father Yes Persoonsnummer father Yes Persoonsnummer mother No Persoonsnummer father Yes Go to question 9 Go to question 9 Go to question 9 Persoonsnummer mother No Go to question 8 Go to question 8 Go to question 8 Persoonsnummer mother No Go to question 8 Persoonsnummer father Yes No Go to question 9 Persoonsnummer mother Go to question 9 Persoonsnummer mother Never married Never married Never married Never married Never married Married Married Married Married Married Legally divorced Legally divorced Legally divorced Legally divorced Legally divorced Legally divorced Legally separated from bed and board Legally separated from bed and board Legally separated from bed and board Legally separated from bed and board Legally separated from bed and board Legally separated from bed and board Legally separated from bed and board Widow(er) Widow(er) Widow(er) Widow(er) Widow(er) Widow(er) Widow(er) Yes Next person Persoonsnummer partner Persoonsnummer father Go to question 9 Go to question 9 Married Persoonsnummer mother Go to question 8 Go to question 8 Married Persoonsnummer partner Other, specify Other, specify Male Persoonsnummer No Married Persoonsnummer partner Female 00 1 9 Yes Never married Next person Male Persoonsnummer No Never married No Female 00 18 Yes Never married Yes Male Persoonsnummer No Never married No Female 00 17 Persoonsnummer Yes Never married Yes Male Other, specify Persoonsnummer mother Widow(er) 00 16 Other, specify Persoonsnummer mother Widow(er) Persoonsnummer DRAFT Other, specify 6 Go to question 8 Persoonsnummer Other, specify Nationality 1= Dutch 2= Colombian 3= Dominican 4= Venezuelan Note: If more than 10 persons in the household, check and fill out additional Form Household Total number of persons in the household No Yes Next person Persoonsnummer partner + No Yes Next person Persoonsnummer partner No Yes Yes Next person Next person Persoonsnummer partner No Persoonsnummer partner No Yes Yes Next person Next person Persoonsnummer partner No Persoonsnummer partner No Next person Persoonsnummer partner + + 11 If living together, is person married to this partner? 14+ Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes End of Household Composition – Continue with Form Living Quarter - No
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