APPENDIX 1
EWHERATOR - PLEASE ASK TO SEE THE HEAD O f T/fE HUUSLHULD AIVV 7tIEN SAY:
I am t h e Census E n u m e r a t o r a s s i g n e d t o t h i s a r e a and I w o u l d l i k e t o a s k you some q u e s t i o n s
t o e n a b l e me t o c o m p l e t e t h e c e n s u s f o r m f o r y o u r h o u s e h o l d .
H e r e is my i d e n t i f i c a t i o n
(SHOU CARD).
l h e i n f o r m a t i o n you g i v e w i l l be CONFIDENTIAL and w i l l be p a s s e d on o n l y t o a u t h o r i s e d c e n s u s
I t w i l l NOT be p a s s e d i n an i d e n t i f i a b l e f o r m
p e r s o n n e l and t h e G o v e r n m e n t S t a t i s t i c s U n i t .
t o any o t h e r G o v e r n m e n t D e p a r t m e n t or t o any o t h e r h t h o r i t y o r p e r s o n i n t h e s e I s l a n d s .
I f t h e r e i s more t h a n o n e h o u s e h o l d i n t h i s b u i l d i n g p l e a s e a n s w e r f o r y o u r h o u s e h o l d o n l y .
B y HOUSEHOLD I mean a g r o u p o f p e r s o n s who s h a r e a t l e a s t one meal a day o r s h a r e a l i v i n g
be.
room. They do n o t h a v e t o be r e l a t e d a l t h o u g h o f t e n t h e y w i l l
EWHERATOR - PLEASE EMURE THAT THE PERSON YO11 &RE SPEhKIMì 7 Q UNDERSTAMDS UHAT YOU HAVE SAID
ABOUT C O K I D E N T I A L I T Y AMO TH€ DEFINI TION OP HOUSEHOLD RNO 7H€N CONTIWE.
CUHPLETE THIS BOX O N Y AFTER THE HUUSEHOLD LMJ"ERATX0N HAS B€€N COHPLETED
I
/ E 4 . NUHBER IN HOUSEHOLD
IEl. ED/EWH WHBER
EZ. LOCATION
i_-7
- != '
l.--_)
b l o t l i a ) number
DUELLIEIGSTATUS
/EL
ryyt
i l d r t s r aumbtr
-__
DEGLOROTION
no
~
i
I
F?
j
L--J
,
1
El S i n g l e h o u s e h o l d
2
0
M u l t i p l e households
i-
htweboid
-
jE4.
-__---I
___I_
Con tinuatiron sheet?
1 !J Yes
2 0 No
continued
from....
T h i s form is c o r r e c t l y completed t o t l w t w ~ to f æy t r i o u l e d q ~and belief,
jL
Siqneti -
- __
--_______
Da tP
-
-
-
-_
1
EWffERATOR - PLE45E SAY:
P l e a s e answer t h e f o l l o w i n g q u e s t i o n s f o r evpr y member of y o u ' Iiousehold. T h i s i n c l u d e s
-EVERY PERSON WHO WAS PRESENT or1 Census n i q h t , Thursday 3 1 M a y , i n z l u d i n q OVERNIGHT VISITORS
-ANY PERSON WHO U S U A L L Y L I V E S W I T H YOU BUT WAS ABSENT on Census n ! g h t even i f you know t h a t
they have been I N C L U D E D U N ANOTHEP CENSUS F O R M ELSEWHERE.
-NEW BURN B A B I E S E V E N I F S T I L L I N H O S P I T A L .
FILL I N THE M U E S Of ALL HOUSEHOLD HEHBERS FIRST, THEN CONPLETE W E REST OF THE fORH
PART A:
INDIVIDUALS
3rd PERSON
HEAD OF HOUSEHOLD
Al:
_
F i r s t Nane
_
_
I
_
_
_
_
_
_
_
_
_
I
~
n
A2r P e r s o n Number
- i e 1 f o r t h e f i r s t person
enumerated, 2 f o r t h e
second and so on
1O Halt
2 CI frrale
A3: Sex
A4: R e s i d e n c e S t a t u s on Census
Night
- r e s i d e n t means t h a t t h i s
address i s where t h e y
usually l i v e
- v i s i t o r can be e i t h e r a
person f r o m o v e r s e a s o r
a person who u s u a l l y l i v e s
elsewhere i n the I s l a n d s
Any household member who has
been i n a h o s p i t a l o r a n c t h e r
i n s t i t u t i o n f o r more than 6
manths s h o u l d n o t be i n c l u d e d on
t h i s form.
S t u d e n t s and seamen t e m p o r a r i l y
away from home s h o u l d be t i c k e d
a s 2 o r 3 a5 a p p r o p r i a t e
I
rl
1r-I
Rrsident and
presen t
2
2 [I Resident b u t
Age
present
C 1 Resident b u t
visit-
absent v i s i 1-
absrat
i n i another
in
anolbcr
boisehold in
3 Cl Rrsilrnt but
3 EJ Resident L u t
tbe ICI
1 Cl R e s i l t n t b a t
absent ovtr-
absent over-
absent aver-
seas
4 U Visitor fron
seds
V i s i t o r fron
LorseLoll
absent v i s i t -
ini aiotber
household i n
ini
the ICI
the TCI
4 LI
<CIS
4 O Visitor f r r i
another borse
ano t Ler horse
Loll i n the
amo t htr house
Loll in t b r
boll i n the
TCI
5 0 Visitor fron
ICI
5 CI V i s i t o r fron
ICI
5 El Visitor frw
overseas
overseas
ovtrseas
V I S 1 TORS S T O P HERE 4444444444444444444
b b b W W b b W b b bbbkbb V I S I TDRS STOP HERE
A5:
1 CI Rerilent a n i
presta t
2 E
l Resident brt
Reridpnt and
[--TI
n
Years
h4: M a r i t a l S t a t u s
1U
2 CI
3 U
4 O
5 CI
1 U Sinille
2 CI l i r r i d
3 U Srraratel
I I:[
hverred
5 u Yiiowel
--
h 7 : R e l a t i o n s h i p t o Head of
Household
1 E! Heal
.-
2 II
3 Il
t P
I
1
Siqle
lurid
Separalel
livarcel
!ilorel
2 O Hrrbanlluifr
I Kl S o n / h q h t e f
I O Sonlhrqbter
ic
A8: Does t h i s p e r s a n have a n y
serious d i s a b i l i t y ?
- d e f i n e d a s a permanent
p h y s i c a l o r m e n t a l problem
which s e r i o u s l y r e s t r i c t s
t h e persons a b i l i t y t o
l e a d a normal l i f e
Do n o t i n c l u d e temporary
problems such a s a broken leq
Itu
I ! I
L I I
5
6
7 1 1
B[I
punt i n Itu ,
7 0 other r t l a t i r r
D fl otbtr n w
r e l at i v r
Il
CI
[J
Grandcbild
j a r e i t or
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
1
c
h9: Uhat is t h i s p e r s o n ' s
religion?
Anplicdo
Oaptist
Church of 6od
Ilethodi st
Rorir, C a t bol i c
Seven tb bay
Advm t i st
Yindu!Burlir
110 ~ 1 i q i q n
Olher
ili i
ii
3 II Grand l u r k
1 CI S a l t Cay
5 !.I SoMth C i l c o s
6 I Hiddle Cairo;
? Cl N o r t h Caicos
8 r., ProviEencia!o
I/jt
il
il
il
li
If t h e p e r s o n is a c h i l d born
less t h a n one y e a r a g o t i c k box
numbnr 2
ji
RPgeb? i c
USA
VSA
13r I Canada
14: I UK/lrel a n d
Canada
151 I
Other
( s p i fy)
I I I
EAhaais
boninican
RspuEl i c
thiti
Yaiti
usn
11?9
Cdnada
Ullllrelrnd
Othpr: specify
Canada
Va/lrelaad
0tLsr: specify
I
!'
--
- --
-------___I____
a . y e s or
1 C I les
2 I I Wo
ricl?
'1 . .. . " .. .. . ...
L
.
.
..
....
b.if
thi.;
e
.
,
.
no,
.
.
.
.
.
r
-
i
i
1
I--___II_
--
____
-
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l
_
_
__I_____
--__
1:
!i a.yes or
il
iiII
.
.
.
.
when d i d
p e r s o n last
corne hPte7
p- - - - - - - -r
- d - - I
-J&
a.yes o r no3
1 r-1 Ve5
i/
2 r-i u0
I
II
,I i
--_I__
I
-_________I_---
I!
b e J o n g e r ' ! \ b . i f no, when d i d
e i t h e r by b i r t h , by p a r e n t t h i s persori l a s t
a g e , by n a t u r a l i s a t i o n or b y I I come t i p r e '
reason o f h a v i n g lived here
i
f o r s o l o n g t h a t they have
jrear
'
become one b y a s s o c i a t i o n
:
1
-1
- a p e r s o n c a n be a
I;
Biharrs
Bon i n i ccn
iltrubl i c
_
_
I
-
!.
jf
[specify)
Turks ind
C l i c 0 5 lsles
11
ii
USA
Canada
UKlIrPland
OthEr
UK/Ir p l and
OthPr
Baharas
Domi n i c ~ n
Qepubl i c
Haiti
USA
Caadda
\IK/1 re 1 and
Other: specify
412: Is t h i s person a l u r k s and
Caicos Islander - a 'belonqFr'3
G. p i bl i r
Hai 11
Haiti
(specify)
ji
Uahnmas
Inrinican
P o m i n ic a n
It
ii
'
3 I i Grand Turk
I! S a l t car
5 i-3 Soolh Caicos
6 TJ lliddle Caicas
7 LI North Caicos
8 C I Pravidcacirle
I
Iaharas
A l l : Idhere u a s t h i s person born?:/ 1 L l Turks d e 4
C4icos isles
!I
-
/iIl
/
'
ii
PLI t)dhamas
1 o c.1 Darifii ran
Republic
Hait i
*!
--
1/
3 LI Grand Turk
4 111 S a l ! c a y
5 CI Soutb Critos
6 i f 3iddle C a i c o s
7 I..!Worth Caicos
8 [ I Providentiale
ii
i!
II
jj
no3
r
I YU
1 CI Ha
1
I........."......
b.if
na, when d i d
t.tiis p e r s o n l a s t
come tiere?
.
L--.L-.i-I-2
I
h
h
h
h
h
I
I
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I
I
I
I
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I
I
l. I Anqlican
t-I B a p t i s t
El CbMrch o f God
CI Rethodirt
CI Rosan Catholic
I
2
3
4
5
6
[-i Serentb hy
Adven tis t
7 C I Hindu/Rrslir
I CI Mo religion
9 I7 O t h e r
6 C.1 Seventh Day
Adventist
7 L-! Hindr/Aaslir
8 LI No religion
9 LA Other
(speti f y )
(specify 1
----
p
p
AnqI!can
Baptist
I . ! Churck o f 601
1-1 flethodist
i I Roaan Catholic
[ I Seventh D 3 y
Adventist
7 f i Hi7du/llrslir
8 L 1 W o r~liqion
9 i l Other
I
2
5
4
5
6
/j
9 CI Other
[I
II
--
fi
!!
I I
i
f
1l" I This address
2 tl) Under on?
3 LI G r a n d Turk
4 Kl Salt Cay
5 Tt South Caicos
6 L'I Riddle Caicos
71
J Worth Caicos
8 ILI Prnvidenciale
3 C I Grand l o r k
1 rJ S a l t Cay
5 LA South Caicos
6 t..¡ liddle Caicos
7 U Worth hicos
8 1.1 Provilenciale
3 I Srand Turk
4 t 1 S a i t Cay
5 1 South Caicos
6 I l fliddir Caicos
I L ! W o r t h Caicos
2 I ! Fravidtvtiale
9 U Baharas
loi 1 Doii~ican
Republic
llLl Haiti
9 L! Brharas
lo!.-I Dorinican
Republic
1lL-I I l a i t 1
lZCl USA
9
I Pah~as
IO!
i
us1
12í..J
13L1 Casada
11CI UK/ I re 1 rad
1511 Other
1C I This address
2 I I Ufider one
1 L1 Ibis address
2 LI Undtr one
I l i ! Haiti
12' 1 USA
131 I Canada
14r i UC/Ireland
1511 Other
14C! Ul(/Irtlard
1
5
U
Other
-----
I
-
( specif y l
(speri f y )
1 U l u r k s and
Caicos Isles
1 Kt Turks and
Caicos Isles
-
2 t-l l a h a r a s
3 C J Dorinicsn
R epubl : c
4 t7 Haiti
5 L
I USA
6
[LI
2
f
4 t I
5 I
6 II
? il
Cmda
2 ' i Baharas
3 f i DorinicaQ
Repkbl i c
4 I Haiti
5 ' USA
6 1 : Canada
7 L I UK/lreland
8 I ; Other: specify
Bahanas
1
3 i
Bosinican
RPpblic
Haiti
USA
Izaida
UK/lreland
A 1-1 Other: specify
7 1. I Ul(/Ireland
Other: specify
8 tll
a.yes or no3
a.yes o r no3
1 1 Ies
z r l
....
1
WO
......... ".......
".......I....
b.if n o , when d i d
this p e r s o n l a s t
come h e r e 7
---!J-_
hainican
Repbbl i c
Canada
130
II
.
__.___.___--.._.__A!
I
I:
il
(sgeci f y 1
(spcify)
1 [Il T h i s address
2 O Under one
!!
/j
;I
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...
j :
yes
2 F ' wo
"
.
,
.
,
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il
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..
.. . ..
.-
.
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_.__._
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.__---li
leadinq to a f o r m a l
qua 1 i fi c a t i on7
r'wrse
I
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----___--__--I
~
0 1 4 : Uhat i s the h i q h e s t l e v e l
nf d u c a t i o n t h i s person tras
r e c e i v e d s o far')
1
,;
f
Iick f i r s t a p p l i c a b l e b o x .
Box 2 s t i o t i l d be u s e d f o r a l l
p o s t - s ~ c o n d a r yq u a l i f i c a t i o n s
,~
shot t o f a f u l l U n i v e r s i t y
li
Bachelor ' 5 Degree.
a c t i v ï ty l a s t week?
3
Ii H t q h
School
7 Univorsity
degree
2 C: II levels,
or qatvaleni
3 2 'O levels.
CIC 5 , or
equivalent
4 Z: Hane of th?
above
I
L
None
2 :L Primary
3 ::High School
4 '2C O I I P ~ P
5 Q University
1
i - Priaary
015: Mllat are the h i q h e s t
e d r i c a t i o n a l qualifications h e l d
hy this person7
i?!bz Uhat b e s t describes this
person ' 5 main employment
1 None
1
I
li
I
t p m p o r a r i l y absent f r o m work,
~q on h o l i d a y o r sick.
Use box 4 if t h e p r r s o r i w a n t e d
w o r k b u t was n o t a c t i v e l y
r,ecking i t a
2 ÏJ A levels,
3 L O' levels,
4
-; Wune
of the
1'
II
4bOCP
11
ii
li
ij
il
II
:I
1;
il
ji
ansuer i s i n b o x 5 t o box 8
11
s k i p q u e s t i o n s A17 t o A22 a n d
il
mcve d i r e c t l y t o question 423.
!i
il
O t h e r w i s e c o n t i n u e w i t h q u e s t i o n Ii
11
I
F-nr p e r s o n s not c u r r e n t l y i n
wor-k 9 i v e d e t a i l s of t h e i r LAST
job,.
ii
il
;i
il
j/
For person's n e v e r e m p l o y e d t i c k j j
box 5
!f
!i
above
5 :i A t school
6 Cl Perrstmtly
5 1 t k/d sabled
7 0 Iktired lr21
il
ii
equt.ra/wit
W o n e af tba
dGllFS Only
ii
;i
i,'
work; prograr
3 U Unemployed
but uante8
work and
avai lable
1 i) t!ousehold
l
i!
L
O' Iccels,
5 , or
I ilf t l s r k r d
2 '_I Employed an
I(
ii
fi
I
li
ij
___
il
017: P l e a s e s t a t e whether t t w
j\
pc?rrc,ons C M 3 N j o b l a s t week was
ii:i
f u l l nr p a s t timt?, s e l f w a p l a y e d : !
o r salaried e t c ,
IJ
CIC
ij
417.
None
4 j College
5 f Univprsity
j
jj
If
3
1 y: UnivPrsitr
deqre~
2 '2'A levels,
or equ1vrlant
I
box 1 f o r persQnc,
t
2 l j Prionry
3 ;1 Hiqh Scbool
--
- lrniwisity
I;
Use
_
I
__
c__-I-
11
r.]
p r t d uork
Other
(specify)
.-
1
2
0 Paid ~rployee
c3 Self-erfloyed
a i t h p a i d help
3 3 Self-rrgloyel
no belp
9
Unpaid rork
5 0 Never rorked
a
h
c
t
R
e
h
h
h
r
h
-
II
-
))
PERSONS OGED 1 6 FINI) OVER ONLY
no help
4 @ Ungaid work
li
i!
i!
'I
-.-il
---
no help
4 0 Unpaid vork
PERSUNS QGED 16 /1ND OVER ONLY 4411
1
Il
4
no helg
0 Unpaid vork
il:I
11
4
no hel!
Unpaid vork
i
Please g i v e me d e t a i l s of
r.Job T i t l e
the HAIN job done by t h i s persan
and describe the type o f w o r k
that they do.
A19:
a.Job Title
a.Job f i t l e
For persons n o t c u r r e n t l y i n
work g i v e d e t a i l s o f t h e i r L-ASI'
..r
job.
For persons employed a s d o m e s t i c
h e l p e r s i n PRIVATE h o m e s w r i t e
DOMESTIC HELPER a t 'a'.
---,officr
fure
. only
I
A20: Uhat sort of business does
t h i s person's employer ( o r the
person themscrlves i f s e l f
employed) have - what d a they
rake or do?
]Of
I
i
fitr
Im
-7
I--.-
anly
u
l g w o
2 1,1 l e s , present
job
,. I: fias t h i ç person ever
ret2ived formal t r a i n i n g of
three months or more f o r any
622: Can you t e l l re what t h i s
person earned fror their main
job l a s t week approximately?
Was i t : 1 . no earnings
2, up to $30
3, over $30 but n o t more
than $ 1 0 0
4 , over $100 but not more
than $300
5, over $300
kp))))
no tarainps
1
i @ up to $30
3 U over $30 and
up to $100
4 0 over $100 and
up to $390
I 13over $300
FEMALES QGED 16 CSMD OVER ONLY
Three
0 Four
D five
11
E
Jen or i a r e
fl
Hone
One
Two or m r e
ii
i/li
If
jl
i;
ii
Twins count a s two live b i r t h s
624: How many l i v e b i r t h s has
t h i s person had i n the past
twelve months?
luin'
count a s two live b i r t h s
__I______
il
3
4
5
6
7
8
9
10
ii
Ij
'I
O
!i
1
Ij
2
tiIl
IJ
ii
I!
ii
Ir
il
-
I U no earnings
2 IJ ag to $JO
1 0 no earnings
2 0 I) to $30
3 0 over $30 a n 1
3 0 over $30 and
up to $100
4 [I over $ 1 0 0 and
up to $300
5
over $300
c]
5
r] over $300
$300
i/
II
O 0 None
1 0 One
2 fl Tro
3 0 Three
4 E four
5 il F i v e
-
li
8
[i
9
10
ii
-
11
ij
O c! None
11
2 One
2 11Tra
3 3 Three
4 0 four
5 fi f i v e
6 tf Six
7 IJ Seven
8 tj Eight
9
Nine
10 0 len or :ore
11
O
11
!i
11
/j
,
1'
il
O
I
iiil
E Eight
1
2
ÍJ
:I
Nine
Ten or :ore
p3 None
1 :[ T Y O or
/\
!I
2 One
norp
r
r
r
OND OVER ONLY 4443.144
Ij
!J E i g h t
C: Mine
-
job (specify)
to $ 1 0 0
over $100 and
4
0 Seven
_
_
_
~I
_
!:r
U$
Sir
il
.'I
2 0 Yes, present
job
3
YPS, o f b v
ag to
1ii
ii
iute onlr
2 0 res, present
job
3 IJ Ves, other
job ( s p e c i f y )
FEMOLES Q E D 16
A23: How many l i v e b i r t h s has
t h i s person ever had?
I
usei only
e
1 !JWO
3 0 Yes, othar
job ( s p e r i f r !
jab?
---loffice
,---
c
Mane
11
I *? flne
I:
2 Jï Imo or :ore
I:
ii
L
I
I
I
I
I
4 t h PERSON
5 t h PERSON
7 t h PERSON
6 t h PERSON
--.Job l i t l e
r.Job Title
.Job l i t l e
----------------.lyce of
rork
done
1.1y)r of work lone
l
l
office
use
office
u s e only
i a Mo
2 Cl I e s ,
office
use o n i l
10 Ik
2 U Ve5, present
prerenl
job
3121
job
3 U Ves, olber
I e s , olkrr
job ( s l e r i f y )
job ( s y e t i f y l
-
I
l
l
1 U no edrainqs
2 CI I) l o $30
3 0 aver $30 and
I p to $100
I Cl over 1100 u l
5 0
))
u ) to 1 3 0 0
over 1 3 0 0
1 LI no errnings
2 LI l p to 136
3 i.1 over 1 3 0 and
rp to $100
over $100 and
r) trJ $300
5 CI over 1300
4 [:I
FEMOLES AGED 16 OND OVER ONLY
- --.
- ____
1 I I R O earnings
2 f I u p 17 130
3 I 1 o w $30 a R d
a p t o (180
1 [ I ovrr $100 r i l
I
5
1
r y l c 1300
over $500
1 U no e a r n i n l r
2 u I) to 430
3 fl over 130 and
u) to
4100
I U over (100 rnl
I) tu 1 3 0 0
5 C l over W O
FEMALES AGED 16 AND OVER ONLY
O Cl None
1 C : I One
t III
3 CJ
lbree
4 CI
Four
5
6
7
U
El
O
CI
El
? U
Five
1017
len or
Ir0
Sir
Seven
Eighl
Nine
Bore
O Kl Woie
1 Cl One
t Kl h o or Bore
only
101.1 T e a or Bore
100
len or Dore
44
IMINERATOR - F'L€AS€ 5 h Y :
t h w I would l i k e t o a s k a fow qc:nr,tionc, a b o u ?
hnusehold 1 i v p .
PORT
ßt
HOlJSIW
-
.
.-. ..
................
.
.
-.
.
.
.
-. ... -. ...
-
--_-_
--_-._
l-l
ßP: noes t h i s d w e l l i n g have a
p ~ r ra n m t f i x r d wil ter s t o r a q e
tank?
a . Yes rJr n o 3
c
910: R r w s t h i ç househnld have
y u t t e r - i n q i n s t a l l e d around
most o f tite r o o f :
-
-
-
- --
.
_-
-
- - -.
__
8 5 : Hor many roomç does your
house tin1d or cupy7
a.1n t o t a l 7
-euclude bathrooms, t o i l e t c .
k i t c h e n s , cnclosed p o r c h p s
p a s s a q c s arid d o v room t i s e d
OEJl Y f o r b u s i n e s ç p u r p o s e s
-int-!crc'r> l i v i r ~ qa r i d d l r i i r i q
room;, h ~ d r o ~ ) f l1 i1 ~
t i, l i t y
r o o m s and a n y o t t w r r o o m
I
I
L
c
TURKS 63ND CCIICOS ISLCSNDS GOVERNMENT
APPENDIX 2
A b b r e v i a t e d Census Questionnaire
Blockrrap number:....
i
f Span i s h/Creole imale
j i
.........
I
Ijfemale ti1 . . .
Paqe:
......
i
l .................................................................
I
l
I
6
I
i
i