1992 Socio-Economic Survey HOUSEHOLD CHARACTERISTICS ON HOUSING AND ENVIRONMENT, INDIVIDUAL CAHRACTERISTICS ON HEALTH, BUTRITION AND EDUCAITON Block
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2 1992 Socio-Economic Survey HOUSEHOLD CHARACTERISTICS ON HOUSING AND ENVIRONMENT, INDIVIDUAL CAHRACTERISTICS ON HEALTH, BUTRITION AND EDUCAITON Block I Identificaion Block II Household Characteristics Block III Field Workers and Fieldwork Data 2
3 3
4 Block IV Characteristics of Household Members 4
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6 Block V Health Characteristics of Household Member during the previous month 6
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8 Block VIA Educational Characteristics of Household Member aged 5 years and older 8
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10 Block VIB Educational characteristics of Household Member currently in school 10
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14 Block VII Health and Nutrition of children under five years 14
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16 VIII. HOUSING AND ENVIRONMENT A. Physical Construction B. Location/Housing Condition 1. Type of physical construction: Single, not storied -1 Single, storied -2 Duplex, not storied -3 Duplex, storied -4 Multiplex, not storied -5 Multiplex, storied If the construction storied (Q.1 = 2, 4, 6) type of building: Maisonette -1 Public flat -3 Two storied regular -2 House 3. Utilization of building: Housing/dwelling -1 Multi purposes Number of census building in the physical building:. Census building 5. Number of Household in this census building: household 6. Building Possession status: Own property -1 Official house -5 Lease -2 Free rent -6 Rent -3 Other -7 Installment purchase House/dwelling location: By the street, width > 6 m -1 By the street, width (3-6) m -2 By the street, width < 3 m -3 By alley/corridor, width ( ) m -4 Others -5 go to Q If the house is by an alley/corridor, type of pavement: Asphalt -1 Wood -4 Cement/Concrete -2 Soil -5 Gravel/hardened -3 Others Road/alley/corridor condition: Good -1 Damaged -3 Average -2 Severely damaged Nearest distance from house to these facilities: a. Public transportation:. km b. Health facility: km c. Market/ shopping mall:.. km d. Cinema/theater: km e. Amusement/recreation park km f. Primary School: km g. Junior High School: km h. Senior High School km 7. If the dwelling is your own property (Q.6=1), how did you obtain it? Build on own account -1 Purchased from developer (real estate, etc) -2 First hand purchased from individual -3 Second hand purchase -4 Administrative allocation (official house) -5 Others (inheritance, gift, etc) Land Legal Status: Property right -1 Others -1 Right to build -2 Don t know -2 Right to use Land Possession status: Own property -1 Others -4 Lease -2 Don t know -5 Lodging Conditions of dwelling/house/building: Good -1 Damaged -3 Average -2 Several damaged Age of housing construction: (0 4) years -1 (15 19) years -4 (5 9) years -2 > 20 yrs and above -5 (10 14) years -3 Don t know Yard and construction area:.. m2 16
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18 VIII. HOUSING AND ENVIRONMENT (CONTINUED) B. Location/Housing condition (continued) C. Facility and Housing utensils 17.Floor area (ground floor for storied building):. m2 18.Type of building foundation: Concrete -1 Wood/Bamboo -4 Stone pair -2 Others -5 Bricks pair Type of main roof frame: Iron -1 Bamboo -4 Concrete -2 Others -5 Wood Type of main pillars/columns: Iron/Steel -1 Wood/Bamboo -4 Concrete -2 others -5 Bricks Number of rooms:. Rooms 22. If the room more than one, do you have: Private bedroom Yes -1 No -2 Private living room Yes -1 No -2 Dining /family room Yes -1 No -2 Kitchen room Yes -1 No -2 Storage room Yes -1 No -2 Garage Yes -1 No If the rooms more than one, the material of room divider made of: Concrete -1 Bamboo -3 Wood -2 Others Cooking fuel Electricity -1 Wood -4 Gas/Elpiji -2 Charcoal -5 Kerosene -3 Others Distance to the source of drinking water: In the yard -0 Outside the yard: 9 m m m m m Source of bathing water / washing water: Pipe -1 Protected spring -5 Pump -2 Unprotected spring -6 Protected well -3 River -7 Unprotected well -4 Rain water -8 Others Bathing /clothes washing place: Private -1 Public -3 Shared -2 Others Source of dish /glass / spoon/ hands washing water: Pipe -1 Protected spring -5 Pump -2 Unprotected spring -6 Protected well -3 River -7 Unprotected well -4 Rain water -8 Others If you have private bed room, number of bedrooms: rooms 25. Type of ventilation in the bed room is: a. Window have -1 not have -2 b. Ventilation have -1 not have -2 c. Air Condition have -1 not have -2 d. Exhaust fan have -1 not have This household owns: a. Buffet/sideboard Yes -1 No -2 b. Stove Yes -1 No -2 c. Bicycle/boat Yes -1 No -2 d. Radio/ tape player Yes -1 No -2 e. TV Yes -1 No -2 f. Motor cycle/ Yes -1 No -2 motor boat g. Car/ motor ship Yes -1 No -2 18
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20 D. Housing Environment 32. Does this household have a yard? Yes -1 No -2 {go to Q. 36} 33. If Yes (Q. 32=1), yard area:.m2 34. Does the yard have plants? Yes -1 No -2 VIII. HOUSING AND ENVIRONMENT (CONTINUED) 35. If it has plants (Q. 34=1), what kind of plants Vegetables -1 Medicinal -8 Fruits -2 plants Ornamental plants -3 Others Place to dry clothes: In the house /inside a room -1 In the house/ open air -2 In the yard -3 Others Place of bathing water disposal: Out side the yard, with covered gutter -1 Out side the yard, with open gutter -2 In the yard area, with covered cesspool -3 In the yard area, uncovered cesspool -4 In the yard area, without cesspool Gutter condition around the house The water is stagnant-1 Fast flow -3 Water flows very -2 No gutter -4 Slowly 39. Raising livestock? Yes -1 No -2 {go to Q. 41} 40. Location of livestock/poultry cage/barn: In the house -1 Out side the house -3 Under the house -2 No cage Trash disposal: Collected/burned by self -1 Collected/burned in a group -2 Taken away by workers -3 Thrown to the river/gutter -4 Thrown anywhere -5 Others Are there any household member feel affected by: Smoke/smell/factory machine s Yes -1 No -2 Continuous noise from Yes -1 No -2 neighbor s radio Noise from motor vehicle Yes -1 No -2 Unpleasant garbage smell or Yes -1 No -2 stagnant water Others ( ) Yes -1 No Do you need a house? Yes -1 No -2 {finished interview) 44. If yes (Q. 43=1), type of the house: Perumnas low-cost housing -1 A house of BTN/KPR category -2 Real estate house -3 Others The reason need a house presently: Leased/rent/official house Living in other person s/relative s house Flooded area Unhealthy environment No electricity/water facility 46. Desired location: In town -1 Out of town -3 Suburb Desired type of the house: T T T T T T T T T T T T. 300m2-12 Maisonnette
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