1
SP90-S
Make one copy
For CBS
REPUBLIC OF INDONESIA
CENTRAL BUREAU OF STATISTI CS
1990 POPULATION CENSUS
SAMPLE CENSUS
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
1.
2.
3.
4.
Confidential
I. LOCATION IDENTIFICATION
Province
District/Municipality*)
Sub-District
Village/Village Unit
Area
Urban
-1
Rural
-2
Enumeration Area Number
Sample Code Number
Sample Serial Number
Physical Building Number
Census Building Number
Selected Household Number
Household
Ordinary -1
Particular
-2
Number of Household Members **)
Total Number of All Household Members
in Particular Households
Total of Number of Households in
Ordinary
Enumeration Area
Particular
II. ENUMERATION PARTICULARS
24
Detail
Enumerator
Supervisor
(1)
(2)
(3)
Name
NIP/NMS
Date of enumeration/
s.d
s.d
supervision
Signature
CODE
1
3
5
6
9
12
13
15
19
22
*) cross out category not used
**) For particular households, please fill in the number of household members in selected households
2
3
No
(1)
01.
02.
03.
04.
05.
06.
07.
08.
09.
10.
11.
12.
13.
14.
15.
HOUSEHOLD COMPOSITION
III. LIST OF HOUSEHOLD MEMBERS
Relationship
OTHER THAN THE PERSONS WHO HAVE BEEN
Name of Household
with the Head
LISTED
Members
of the
(Record those who usually
Household
1. Are there any babies or children who are not yet
live and eat in this
registered?
household, whether adults,
Yes, please write in the list
No
children, or babies)
Name:………………….
(2)
(3)
2. Are there other people who may not be a family
Head of
member, such as servants, lodgers, or friends but
household
who usually live here?
Yes, please write in the list
No
Name:………………….
3. Are there any guests who are staying here for 6
months or more?
Yes, please write in the list
No
Name:………………….
4. Are there any persons who usually live here but are
currently away for less than 6 months?
Yes, please write in the list
No
Name:………………….
5. Are there any persons who have been listed but are
currently away for 6 months or more?
Yes, cross out from the list
No
Name:………………….
PROVINCE CODE FOR QUESTIONS 8, 10, AND 14 BLOCK VIA AND BLOCK VIB
DI Aceh
North Sumatra
West Sumatra
Riau
Jambi
South Sumatra
Bengkulu
Lampung
DKI Jakarta
-11
-12
-13
-14
-15
-16
-17
-18
-31
West Java
Central Java
DI Yogyakarta
East Java
Bali
West Nusa Tenggara
East Nusa Tenggara
East Timor
West Kalimantan
-32
-33
-34
-35
-51
-52
-53
-54
.61
Central Kalimantan
South Kalimantan
East Kalimantan
North Sulaeasi
Central Sulawesi
South Sulawesi
South East Sulawesi
Maluku
Irian Jaya
Abroad
-62
-63
-64
-71
-72
-73
-74
-81
-82
-98
4
5
ASK HOUSEHOLD HEAD
43
11.Source of drinking water:
IV. DWELLING CONSTRUCTION
27
Piped water
-1 River
-5
1. Type of physical structure
28
Pump
-2 Rain water -6
Independent structure with single living quarter -1
Well
-3 Other
-7
Independent structure with two living quarters-2
Spring
-4 (………….)
Independent structure over two living quarters -3
44
12. Source of water for bathing and
Multi-Storied -1
29
washing
Single storied -2
Piped water
-1 River
-5
Pump
-2 Rain water -6
2. Number of census buildings in this
30
Well
-3 Other
-7
physical structure……….Census buildings
Spring
-4
(………….)
3. Number of households in this census
32
building………………household
45
13.Bathing facility:
Private
bathroom
-1
4. Dwelling ownership status:
34
Shared bathroom
-2
Own property
-1 Rent
-4
Public bathroom
-3
Installment
-2 Official Dwelling-5
Other (………………)
-4
Lease
-3 Other……..
-6
46
14.Toilet Facility:
Private, with septic tank
-1
35
5. Primary construction material of roof
Private, without septic tank
-2
Concrete
-1
Corrugated iron
Share
-3
Wood/Shingle -2
sheeting-5
Public
-4
Terracotta tiles -3
Palm fiber
-6
Other
(………….)
-5
Asbestos
-4
Leaves
-7
15.This household owns:
6. Primary construction material of outer wall 39
Concrete
-1
Bamboo
-3
47
a. Sideboard/Buffet
1. Yes
2. No
Wood
-2
Other
-4
48
b. Stove
1. Yes
2. No
37
7. Primary construction material of floor
49
c. Bicycle/boat
1. Yes
2. No
Ceramic/marble/granite
-1
50
d. Radio/cassette recorder1. Yes 2. No
Floor tiles/terrazzo
-2
51
e. TV
1. Yes
2. No
Cement/brick
-3
52
f. Motor cycle/speed
1. Yes
2. No
Wood
-4
boat
Bamboo
-5
g. Automobile/motor
1. Yes
2. No
53
Earth
-6
boat
Other
-7
8. Floor area ………..M2
38
V. AGRICULTURAL LAND PROPERTY
STATUS
9. Type of lighting:
41
16.Own property ………….Ha
54
Electric
-1 Kerosene
-4
17.From others:
58
Gas
-2 Other
-5
(rented,
pawned,
sharecropping,
and
Kerosene Pressure
(…………)
worked on behalf of others)
Lamp
-3
10.Type of cooking fuel:
Electric
-1 Wood
Gas
-2 Charcoal
Kerosene
-3 Other
42
-4
-5
-6
18.Being used by others
………….. Ha
19.Total agricultural land controlled by
household (Q.16 + Q.17 – Q. 18)
…………. Ha
62
66
6
7
VI. CHARATERISTICS OF INDIVIDUAL HOUSEHOLD MEMBERS
VIA. ALL AGES
27
13.Name of biological mother: …………
Serial number of biological mother: …...
Name: …………. H.H Member No:...
28
VIB. ONLY FOR 5 YEARS AND OLDER
30
1. Relation to the head of household:
14.Place of residence of 5 years ago:
Head of HH
-1 Other relative -7
Province: ………………..
Wife/Husband -2 Servant
-8
15.School attendance
Children
-3 Other
-9
No school (skip to Q.20)
-1
Son/daughter
-4
Attending school
-2
In-law
No longer in school
Grandchildren -5
16.Highest education attended/attending
Parent/In-law
-6
Primary school -1 Diploma I/II -6
2. Gender:
31
Junior H. school -2 Academy/
-7
Male
-1
Female
-2
Senior H. school -3 Diploma III
Vocational junior -4 University/ -8
3. Date, month and year of birth:
Vocational senior -5 Diploma IV
32
Date: ……………..
17. Highest grade ever attended
34
Month: ……………
1 2 3 4 5 6 7 8 (completed)
35
Year: ………………
4. Age: …………years
5. Marital status:
Single
-1
Divorced
-3
Married
-2
Widowed
-4
6. Religion:
Islam
-1
Catholic
-2
Protestant/
-3
other Christian
Other……-6
Hindu
-4
…………
Buddhist
-5
7. Citizenship:
IndonesianChinese (China, Taiwan, Stateless
Other Foreigner
38
40
41
42
-1
-2
-3
8. Place of birth:
Province: …………
9. Have you ever lived in another province?
Yes
-1
No
-2 (skip to Q.12)
43
10.Previous place of residence before moving
to this province Province: …………….
45
11.Duration of residence in this province:
……….. year
12. Biological mother lives in this household?
Yes….-1 (skip to Q.13) No -2 (to Q.14)
46
44
50
18.Highest level of education ever completed:
Not completed
-1 Vocational
-5
Primary school
junior school
Primary School
-2 Vocational
-6
Junior high school -3 senior school
Senior high school -4 Diploma I/II -7
Acad./Dipl.III -8
Univ./Dipl.IV -9
19.Field of study (Specify):
……………………………………….
………………………………………
………………………………………
51
53
55
56
57
58
59
Fill
in
by
CBS
20.Mother tongue:
Indonesian language
-1
Regional language
-2
(………………………..)
Foreign language
-3
21.Language used at home on daily basis:
Indonesian language
-1 (to Q. 23)
Regional language
-2
(………………………..)
Foreign language
-3
22.Able to speak Indonesian
Yes
-1
No
-2
61
23.Able to write and read:
Latin
-1
Other alphabets -2
Can not
-3
68
64
67
8
9
HOUSEHOLD MEMBERS AGED 10 YEARS AND ABOVE
VII. ACTIVITIES OF PERSONS AGED 10 YEARS 35. Did you look for a job during previous week
Yes -1 (to Q.37) No -2
AND OLDER
24. Primary activity in the previous week
Employed -1
Attending school -2
Housekeeping -3
Other (……..) -4
25. In addition to 2,3,4 did you also work
at least 1 hour during previous week
Yes -1 (to Q.28)
No -2
26. Have a job/business but temporarily did
not work during previous week
Yes -1 (to Q.30)
No -2
27. Have you ever worked before?
Yes -1
No
-2
(go to Q. 35)
28. Number of hours worked daily at all
jobs/activities in the previous week
69
70
71
36. Primary reason for not seeking work:
Do not need work
-1
Futile
-2
School
-3
Housekeeping
-4
Unable to work
-5
Other (…………………)
-6
37. Did you work during the previous year
Yes -1
No -2 (go to Block VIII)
91
38. Line of business during previous year
(Specify)
93
95
92
VIII. MARRIED, DIVORCED, WIDOWED
WOMEN
72
73
Day to
74
1 2 3 4 5 6 7 Total
…. … …. … …. …. ….. ……hours
29. Number of hours worked at primary activity
76
during previous week:…… hours
30. Type of activities in primary activity
78
during previous week
Filled by
(specify)
CBS
…………………………………
81
31. Primary activity’s line of business
83
during previous week
Fill in by
(write down completely)
CBS
………………………….
85
32. Status of primary activity during previous
week
Self-employed without any -1
workers
Self-employed assisted by -2
family members/temporary workers
Employer with permanent workers
-3
Worker/employee
-4
Family worker
-5
33. Did you have an additional job in the previous
week?
Yes -1
No
-2
34. Additional job’s line of business during
previous week:
Agriculture
-1 Trading and
-6
Mining &
-2 Transportation
Quarrying
Communi
-7
Industry
-3 cation
Electricity, gas
-4 Finance
-8
And water
Service
-9
Construction
-5 Other……
-0
90
87
88
89
39. Month and year of first marriage
Month: ………………..
Year: ……………….
40. Age at first marriage …………… year
41. Number of marriages
…………. times
42. Number of children born
104
alive: ……..
M
43. Number of children still alive
a. Total: …………..
b. In the household:……..
c. Outside household; …..
44. Number of children who
have passed away ……
97
99
101
103
F
108 M
112 M
116 M
F
F
F
120 M
F
45. Month and year of birth of the last child
born alive
Month: …………
Year: 19…….
124
126
46. Is the last child born alive still living?
Yes
-1
No
-2
128
10
11
INSTRUCTIONS
A.
1. Circling a code
Circle the code properly
Example:
Filling in the listing
Correct
Incorrect
3. Filling in numbers
Numbers should be written clearly
and be easy to read
example: Correct
Incorrect
2. Filling in Data
Letters should be clearly written and easy to read
Example:
Correct
Incorrect
B. How to fill in this listing.
1. The enumerator should first the Location Identification space on the first page of this listing. Data
should be as per data filled on the S90-DSRT listing
2. The enumerator has to ask questions starting from Block III and so forth according to the block
serial number.
3. For Blocks IV to VIII, the enumerator has to ask questions according to their serial number and
follow the arrow signs or follow the “Go to” instructions
4. The enumerator has to check the connection/relevance of one answer to the other. If the connection
seems odd, the enumerator has to ask these questions once more and correct the answers
NOTE
12