1
SUSENAS
IV
REPUBLIC OF INDONESIA
1984 NATIONAL SOCIO-ECONOMIC SURVEY
LISTING IV: HOUSEHOLD EXPENDITURES/CONSUMPTION
Confidential
I. LOCATION IDENTIFICATION
01
Province
02
03
04
District/Municipality *)
Sub-district
Village/Village Unit
05
06
Area
Enumeration Area Number
07
08
09
Segment group number
Susenas Sample code number
Sample household serial number
10
11
Number of household members
Name the head of household
Urban
-1 Rural -2
HOUSEHOLD LISTING
II. SOURCE OF HOUSEHOLD INCOME
SOURCE OF INCOME
(1)
01. Agriculture, Husbandry, Forestry, Hunting, and Fishery
02. Mining and Quarrying
03. Manufacturing industry
04. Electricity, Water, and Gas
05. Construction
06. Large trade, retail, and restaurant, hotel
07. Transportation, Storage, and Communication
08. Finance, Insurance, Real Estate, Property, and Services
companies
09. Community, social and individual services
10. Other
11. Income recipient
(Pension, transfers, gift, etc)
WORK STATUS
WORKER/EMPLOYEE
SELFEMPLOYED
(2)
(3)
1
2
1
From all sources of income above, the primary source of income is ………….
2
3
Serial
num
ber
Detail
III. CONSUMPTION OF FOOD, BEVERAGE AND TOBBACO FOR ONE WEEK
Type/ Standard
Purchase
Own production
Share, gifts, etc
unit
quality
(Cash/credit)
Quantity
(0.00)
Value
(Rp)
Quantity
(0.00)
Value
(Rp)
Quantity
(0.00)
Value
(Rp)
Total
consumption
Quantity
Value
(6)+(8)
+(10)
(Rp)
(5)+(7)+
(9)
(0.00)
(1)
001
002
003
004
005
006
007
08
09
010
011
012
013
014
015
016
017
018
019
020
021
022
(2)
A. Cereals
Imported rice
Best quality rice
Local rice
Glutinous rice
Rice products
Wet corn with skin
Dried corn with skin
Dried shelled corn
Corn flour (e.g.
maizena)
Wheat flour
Other
Sub-total (A)
B. Tuber
Cassava
Dried cassava
Cassava flour
Dried-cassava flour
Sweet potato
Potato
Taro
Sago (not made of
cassava, e.g, Ambon
sago)
Other
Sub-total (B)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
4
5
Serial
num
ber
Detail
III. CONSUMPTION OF FOOD, FOOD AND TOBBACO FOR ONE WEEK
Type/ Standard
Purchase
Own production
Share, gifts, etc
unit
quality
(Cash/credit)
Quantity
(0.00)
Value
(Rp)
Quantity
(0.00)
Value
(Rp)
Quantity
(0.00)
Value
(Rp)
Total
consumption
Quantity
Value
(6)+(8)
+(10)
(Rp)
(5)+(7)+
(9)
(0.00)
(1)
(2)
(3)
(4)
023
024
025
026
027
028
029
B. Fish
1) Fresh saltwater
fish
Bandeng/milfish
Yellow tail
Tongkol/Tuna
Cakalang/skipjack
Selar/mackerel
Teri
Other
030
031
032
033
2) Fresh water fish
'Gabus'
Tillapia
Gold
Other
034
035
036
037
038
039
3) Salted dried fish
Peda
Teri
'Selar'
Shrimp
Squid
Other
Ounce
Ounce
Ounce
Ounce
Ounce
Ounce
040
4) Canned fish
Canned fish
Kg
041
042
043
5) Shrimp
Shrimp
Squid
Crab
Kg
Kg
Kg
044
045
6) Other
Other
Sub-total C
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
6
7
Serial
num
ber
Detail
III. CONSUMPTION OF FOOD, BEVERAGE AND TOBBACO FOR ONE WEEK
Type/ Standard
Purchase
Own production
Share, gifts, etc
unit
quality
(Cash/credit)
Quantity
(0.00)
Value
(Rp)
Quantity
(0.00)
Value
(Rp)
Quantity
(0.00)
Value
(Rp)
Total
consumption
Quantity
Value
(6)+(8)
+(10)
(Rp)
(5)+(7)+
(9)
(0.00)
(1)
046
047
048
049
050
051
052
053
054
055
056
057
058
059
060
061
062
063
064
065
066
067
068
069
070
071
(2)
D. Meat
Beef
Buffalo
Goat
Pork
Horse
Dried meat
Canned corned beef
Dried shredded
meat
Liver
Innards
Bones
Other meat
Chicken meat
Other poultry meat
Sub-Total (D)
E. Egg and Milk
Chicken egg
Duck egg
Salted egg
Other egg
Pure milk
Factory liquid milk
Sweetened
condensed milk
Canned powdered
milk
Powdered milk (per
kg)
Dairy products
Sub-Total (E)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Unit
Piece
Piece
Piece
Piece
Liter
Liter
Kg
Kg
Kg
8
9
Serial
num
ber
Detail
III. CONSUMPTION OF FOOD, BEVERAGE AND TOBBACO FOR ONE WEEK
Type/ Standard
Purchase
Own production
Share, gift, etc
unit
quality
(Cash/credit)
Quantity
(0.00)
Value
(Rp)
Quantity
(0.00)
Value
(Rp)
Quantity
(0.00)
Value
(Rp)
Total
consumption
Quantity
(5)+(7)+
(9)
(0.00)
(1)
072
073
074
075
076
077
078
079
080
081
082
083
084
085
086
087
088
089
090
091
092
093
094
095
096
097
098
099
(2)
F. Vegetables
Spinach
Water spinach
Cabbage
Mustard green
String beans
Green beans
Tomato
Carrot
Cucumber
Cassava leaf
Eggplant
Soya bean sprouts
Squash
Radish
Complete vegetable
soup
Complete sour soup
Jack fruit, unripe
Papaya, unripe
Petai/pungent beans
"Jengkol"
Shallots
Garlic
Red chili
Small chili
Green chili
Vegetable in a can
Other
Sub-Total (F)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
Value
(6)+(8)
+(10)
(0.00)
(12)
Kg
Kg
Kg
Kg
Kg
Kg
Ounce
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Package
Package
Kg
Kg
Kg
Kg
Ounce
Ounce
Ounce
Ounce
Ounce
Kg
10
11
Serial
num
ber
Detail
III. CONSUMPTION OF FOOD, BEVERAGE AND TOBBACO FOR ONE WEEK
Type/ Standard
Purchase
Own production
Share, gifts, etc
unit
quality
(Cash/credit)
Quantity
(0.00)
Value
(Rp)
Quantity
(0.00)
Value
(Rp)
Quantity
(0.00)
Value
(Rp)
Total
consumption
Quantity
(5)+(7)+
(9)
(0.00)
(1)
(2)
108
109
110
111
112
G. Pulses
Peanut
Mung bean
Kidney bean
Soybean
Lima bean
Tofu
Tempe
Fermented soybean
sauce
Oncom
Saridele/soya milk
Cashew nut
Other
Sub-Total (G)
113
114
115
116
117
118
119
120
121
122
123
124
125
H. Fruits
Orange
Mango
Apple
Avocado
Rambutan
Lanzon
Durian
Snake fruit
Pineapple
'Ambon' banana
Raja banana
Other banana
Papaya
100
101
102
103
104
105
106
107
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
Value
(6)+(8)
+(10)
(Rp)
(12)
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
ounce
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
12
13
Serial
num
ber
Detail
III. CONSUMPTION OF FOOD, BEVERAGE AND TOBBACO FOR ONE WEEK
Type/ Standard
Purchase
Own production
Share, gifts, etc
unit
quality
(Cash/credit)
Quantity
(0.00)
Value
(Rp)
Quantity
(0.00)
Value
(Rp)
Quantity
(0.00)
Value
(Rp)
Total
consumption
Quantity
(5)+(7)+
(9)
(0.00)
(1)
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
(2)
Sawo/Sapodilla
Star fruit
Kedondong'
Watermelon
Jackfruit
Tomato
Canned fruit
Other
Sub-Total (H)
I. Other
consumables
Salt
Candlenut
Coriander/caraway
seeds
Pepper
Tamarind
Nutmeg
Clove
Vinegar
Fish/shrimp paste
Soy sauce
Coconut
Coconut oil
Cooking oil
Corn oil
Butter
Spices (ginger,
galangale, etc)
Palm sugar
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
Value
(6)+(8)
+(10)
(Rp)
(12)
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Ounce
Ounce
Ounce
Ounce
Ounce
Ounce
Ounce
Cc
Ounce
Cc
Unit
Liter
Liter
Liter
Ounce
Ounce
14
15
Serial
num
ber
Detail
III. CONSUMPTION OF FOOD, BEVERAGE AND TOBBACO DURING A WEEK
Type/ Standard
Purchase
Own production
Share, gift etc
unit
quality
(Cash/credit)
Quantity
(0.00)
Value
(Rp)
Quantity
(0.00)
Value
(Rp)
Quantity
(0.00)
Value
(Rp)
Total
consumption
Quantity
(5)+(7)+
(9)
(0.00)
(1)
(2)
152
153
154
155
156
157
158
159
160
161
162
Granulated sugar
Tea
Coffee
Cocoa powder
Fish/shrimp cracker
Emping crisp
Noodle
Rice noodle
Macaroni
MSG
Syrup
163
164
Other
Sub-Total (I)
165
166
167
168
169
170
171
172
173
J. Prepared food &
beverages
Ice syrup
Soda pop/canned
drinks
Biscuit
White bread
Mung bean porridge
"gado-gado (mix
vegetables)
Rice with side dish
(nasi rames)
Other
Sub-total (J)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
Value
(6)+(8)
+(10)
(Rp)
(12)
Ounce
Ounce
Ounce
Ounce
Ounce
Ounce
Kg
Kg
Ounce
Ounce
Bottle
700 cc
Bottle
350 cc
Ounce
Ounce
16
17
Serial
num
ber
Detail
III. CONSUMPTION OF FOOD, BEVERAGE AND TOBBACO DURING A WEEK
Type/ Standard
Purchase
Own production
Share, gift, etc
unit
quality
(Cash/credit)
Quantity
(0.00)
Value
(Rp)
Quantity
(0.00)
Value
(Rp)
Quantity
(0.00)
Value
(Rp)
Total
consumption
Quantity
(5)+(7)+
(9)
(0.00)
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
K. Alcoholic
beverages
174
175
Beer
Wine
176
Other alcoholic
drink
Sub-Total (K)
177
Bottle
700 cc
Bottle
700 cc
L. Tobacco, betel
178
179
180
181
182
183
184
185
186
187
188
White tobacco
Commodore
cigarette
"Kansas' white
tobacco cigarette
Other white tobacco
cigarette
Clove cigarette
("Gudang Garam")
"Bentoel clove
cigarette
Other clove
cigarette
Cigar
Tobacco
Betel/areca nut
Other
Sub-Total (L)
Value
(6)+(8)
+(10)
(Rp)
20
pieces
20
pieces
20
pieces
Piece
Piece
Piece
Piece
Ounce
18
19
III. 2. EXPENDITURE FOR NON-FOOD GOODS FOR 12 MONTHS AGO/PREVIOUS MONTH
Value in Rupiah
Detail
12 months ago
Last month
(1)
(2)
(3)
(4)
A. Housing, fuel, lighting, and water
This house is:
Own property/free of rent
-1 Rent
-3
189
Lease
-2 Other
-4
190
If the house is own property/free of rent, estimated
monthly rent value: Rp. ………………….
191
If the house leased:
a. Lease agreement: Rp …………………
b. Value of lease: Rp ……………
c. Average monthly lease value: Rp………….
192
If the house is rented, value of monthly rent: Rp ………..
193
If the status is ‘other’ (installment, official house, etc)
average monthly rent value: Rp ……………
194
House maintenance cost (plastering, paint, roof tile
replacement, broken glass, hinge, etc)
195
Electricity:
Fill in
Quantity: 12 months ago…………kwh/watt*)
by CBS
A month ago………… kwh/watt*)
Serial
number
196
197
Value:
Gas:
Quantity: 12 months ago…………kwh/watt*)
A month ago………… kwh/watt*)
198
199
Value:
Elpiji (Liquid Propane Gas):
Quantity: 12 months ago…………kwh/watt*)
A month ago………… kwh/watt*)
200
201
Value:
Kerosene:
Quantity: 12 months ago…………kwh/watt*)
A month ago………… kwh/watt*)
Value:
202
*) Cross out either one
20
21
III. 2. EXPENDITURE OF NON FOOD GOODS FOR 12 MONTHS AGO/PREVIOUS MONTH
Value in Rupiah
Detail
12 months ago
Last month
(1)
(2)
(3)
(4)
203
Generator:
a. Gasoline/Solar *)
Quantity: 12 months ago…………liter
A month ago………… liter
Serial
number
204
205
Value:
b. Lubricant
Quantity: 12 months ago…………liter
A month ago………… liter
206
207
208
Value:
c. Maintenance and repairs
Charcoal:
Quantity: 12 months ago…………kg
A month ago………… kg
209
210
211
212
Value:
Firewood
Water
Other (Battery, storage battery, matches, mosquito
repellent, etc)
Sub-Total (A)
213
B. Goods, services
Toilet soap, toothpaste, and shampoo
Cosmetics goods (pomade, perfume, deodorant, powder,
hairspray, etc)
216
Beauty treatment: skin, face, hair, nails, (cut, perm, etc)
Health:
217
1. Doctor's fees
218
2. Medical treatment cost
219
3. Midwife fees
220
4. Contraceptive/Family Planning costs
221
5. Traditional healer cost
222
6. Medication, with doctor's prescription
223
7. Medication, without doctor's prescription
224
8. Other
*) cross out either one
214
215
22
23
III. 2. EXPENDITURE OF NON-FOOD GOODS FOR 12 MONTHS AGO/PREVIOUS MONTH
Value in Rupiah
Detail
12 months ago
Last month
(1)
(2)
(3)
(4)
School /course costs:
225
1. School fee/ routine contributions
226
2. Other school contribution
227
3. School entrance fee
228
4. Books
229
5. Stationery
230
6. Course fees
231
Newspaper, magazine, books, and stationery (not including
those for school and courses) including rent of
magazine/reading book
232
Postage, telegram, (telephone, stamp, etc)
233
Transportation cost
a. Gasoline/Diesel*)
Quantity: 12 months ago…………liter
A month ago………… liter
Serial
number
234
235
236
237
238
239
240
241
242
Value
a. Lubricant
Quantity: 12 months ago…………liter
A month ago………… liter
Value
Maintenance and repair of vehicle
Other transportation (bus, train, air plane/ sea,
pedicab/becak, parking fee, etc)
Cinema, theatre, sports, and other recreations (not
including transportation and recreational equipments)
Servant (wage/salary only)
Other (toothrush, camphor, photo, photo copy, etc)
Sub-Total (B)
C. Clothing, footwear, and headgear
243
Men’s ready-made clothes (coat, shirt, jacket, sarong,
trousers, T-shirt, under wear, etc)
244
Women’s ready-made clothes (dress, batik cloth, blouse,
house-dress, warm cloth, skirt, long dress, shawl, girdle,
under wear, etc)
245
Children’s ready-made clothes (cloth, pants, warm cloth, Tshirt, etc)
*) cross out either one
24
25
III. 2. EXPENDITURE OF NON FOOD GOODS FOR 12 MONTHS AGO/PREVIOUS MONTH
Value in Rupiah
Detail
12 months ago
Last month
(1)
(2)
(3)
(4)
246
Men’s clothing fabric('famatex', wool, 'tetoron', etc)
247
Women’s clothing fabric("yersi', "paris', 'poplin', 'tetoron',
etc)
248
Children’s clothing fabric
249
Costs for tailoring and repair of clothes
250
Men’s footwear (shoes, sandal, socks, etc)
251
Women’s footwear
252
Children’s footwear
253
Headgear for man, women, and children (hat, peci, etc)
254
Thread and other sewing needs
255
Laundry soap bar ("cap tangan", "B29", etc)
256
Detergent/powder ("Rinso", "Dino", etc), Cream soap
("B29", "Ekonomi", etc)
257
Other ( towel, belt, shoe polish, laundry, etc)
258
Sub-Total (C)
259
D. Durable goods
Household furniture (table, chair, bed, sideboard, cupboard,
sewing machine, refrigerator, fan, etc)
260
Household equipment (mattress, pillow, tablecloth, bed
sheet, pillow case, blanket, curtain, rug, etc)
261
Household utensils (iron, broom, scissors, electric tools,
knife, saw, etc)
262
Cooking and dining utensils (plate rack, stove, frying pan,
pan, pail, wok, spoon, thermos, plate, glass, and other
breakable utensils
263
Repairs of household furniture, equipment and utensils
264
Watch, clock, camera, glasses, and its repair
265
Umbrella, bag, trunk, and its repair
266
Gold, diamond, pearl, etc (expensive jewelry)
267
Children's toy and cheap jewelry
268
Entertainment equipment (TV, radio, cassette player, guitar,
piano, etc) and its repair
Serial
number
26
27
III. 2. EXPENDITURE OF NON FOOD GOODS FOR 12 MONTHS AGO/PREVIOUS MONTH
Value in Rupiah
Detail
12 months ago
Last month
(1)
(2)
(3)
(4)
269
Sports equipment (chess, Chinese checkers, racket, ball,
net, etc) and its repairs
270
Vehicle (bicycle, motor cycle, car) and its repairs
271
Other durable goods (wall decoration, aquarium, electricity
installation, telephone, pipe, and its repair)
272
Sub-Total (D)
273
E. Taxes and insurance
"Ipeda" (Land or crop tax for regional development)
"Ireda" (a tax for commercial properties for regional
rehabilitation)
274
TV and Radio tax
275
Non motor and motor vehicle tax
276
Other levies (contribution, etc)
277
Accident, health insurance
278
Sub-Total (E)
F. Festivities and ceremonies
Serial
number
279
280
281
282
283
284
Wedding
Circumcision, birthday
Religious festival (Lebaran, Christmas/New-year,
Galungan)
Other traditional ceremony ('selametan' offering, etc)
Burial
Sub-Total (F)
28
29
Serial
number
(1)
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
III. 3. SUMMARY OF HOUSEHOLD EXPENDITURE
For one
Type of expenditure
week
(Rp)
(2)
(3)
Cereals (III. 1A)
Tuber (III. 1B)
Fish (III. 1C)
Meat (III. 1D)
Egg and milk (III. 1E)
Vegetables (III. 1F)
Pulses (III. 1G)
Fruits (III. 1H)
Other consumables (III. 1I)
Prepared foods (III. 1J)
Alcoholic beverages (III. 1K)
Tobacco, betel (III. 1L)
Sub-Total (1 to 12)
Sub-Total (13) x 30
7
Expenses for housing, fuel, lighting, and water (III. 2 A)
Expenses for goods and service (III. 2 B)
Expenses for clothing, footwear, headgear (III. 2 C)
Expenses for durable goods (III. 2 D)
Taxes and insurance (III. 2 E)
Expenses for festivities and ceremonies (III. 2 F)
Total expenses (14 to 20)
For 12
months
(Rp)
(4)
For one
month
(Rp)
(5)
30
31
IV. MONTHLY HOUSEHOLD INCOME/REVENUE
A. Income from wage/salary received in kind or in cash during the previous month
Serial number Name of H.H
Wage/salary
Overtime,
Monetary
of H.H
members who
honorarium etc
value of
members as
Primary
Other jobs
are workers/
wage/ salary
per col. (1)
job
employees
received inblock III, Df.
kind
III
(1)
(2)
(3)
(4)
(5)
(6)
Total
(7)
TOTAL
B. Income from agriculture activities during the previous year (Rp)
Type of activity
(1)
a. Agriculture
1. Food crops
Product
ion
Sol
d
Own
consump
tion
(2)
(3)
(4)
Given
to
others
(5)
Remainder
Total
column
(3) to (6)
Product
-ion
cost
Income
Column
(7) - (8)
Average
monthly
income
Col. (9) : 12
(6)
(7)
(8)
(9)
(10)
2. Non-food
crops
Total (a1+a2)
b. Husbandry
- Livestock
- Side product
milk,
fertilizer)
Total b
c. Poultry
breeding
- Poultry
- Side product
(egg, feather,
etc)
Total c
d. Miscellaneous
livestock
(rabbit, quail,
etc)
e. Fishery
f. Forestry/
hunting
Total (A+b+c+d+e+f)
32
33
C. Income from non-agriculture activities during the past three months (Rp)
Type of activity
(1)
a.Manufacturin/
handicraft
b. Trade
c. Transportation
d. Services
e. Other (construction,
quarrying)
Total (a+b+c+d+e)
Product
ion
Sol
d
Own
consump
tion
(2)
(3)
(4)
Given
to
others
(5)
Remainder
Total
column
(3) to (6)
Product
-ion
cost
Income
Column
(7) - (8)
(6)
(7)
(8)
(9)
Average
monthly
income
Col. (9) : 3
(10)
Type of income
(1)
1. Interest
2. Rent/lease (land, building, etc)
3. Profits made from shares/stocks
4. Pension
5. Other income from;
a. Agricultural sector which are not from business activities
b. Other sector, which are not business activities
6. Monthly house rent estimation
7. Other
Total
E. Revenue and transferred payment during previous month
Revenue
Rp
Payment
(2)
(3)
1. Sent money transfers
1. Received money transfers
2. Scholarships, duty-binding
scholarships
3. Inheritance
2. Gave donation, gifts,
4. Receive donation, gift, contributions
contributions, and aid
and aid
Total:
Total:
Rp
(2)
Rp
(4)
34
35
F. Other income and expenditure during previous month
Rp
Expenditure
(1)
(2)
(3)
1. Sale of bonds/gold/jewelry
1. Purchase bonds
2. Purchase immovable goods
2. Sale of immovable goods (building,
includes large repairs/land
land
bury (building, land)
3. Sale of second hand goods
4. Savings withdrawal
3. Payment of insurance premium
5. Insurance claims
4. Savings
6. Loans/received loan repayment
5. To lend/ to repay loans
7. From pawned goods
6. Redeemed pawned goods
8. Received 'arisan'
7. To pay 'arisan'
9. Other
8. Other
Total
Total
Income
Rp
(4)
G. Household income and expenditure during previous month
Expenditure
(1)
1. Household consumption expenses
Block III. 3 detail 21 column (5)
2. Payments made through transfers
total column (4) Block IV. E
3. Other expenditures
total column (4) block IV F
Rp
Income
(2)
(3)
1. Income from wage/salary, total
column (7); block IV.A
2. Income from agriculture
activities, total column (10)
block IV. B
3. Income from non-agriculture
activities, total column (10)
block IV. C
4. Other income, total column (2)
block IV D
5. Received transfers total column
(2) block IV E
Rp
(4)
6. Other income total column (2)
block IV F
Total
Total
Note: Total purchase of second hand goods: a. During previous month Rp…………………
b. During previous year Rp……………………
36
37
NOTE
38