1 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 Block IV Characteristics of Household Members 4 5 Block V Health Characteristics of Household Member during the previous month 6 7 Block VIA Educational Characteristics of Household Member aged 5 years and older 8 9 Block VIB Educational characteristics of Household Member currently in school 10 11 12 13 Block VII Health and Nutrition of children under five years 14 15 VIII. HOUSING AND ENVIRONMENT A. Physical Construction B. Location/Housing Condition 10. House/dwelling location: 1. Type of physical construction: By the street, width > 6 m -1 Single, not storied -1 By the street, width (3-6) m -2 Single, storied -2 By the street, width < 3 m -3 Duplex, not storied -3 By alley/corridor, width (0.9-1.5) m -4 Duplex, storied -4 Others -5 Multiplex, not storied -5 go to Q. 13 Multiplex, storied -6 11. If the house is by an alley/corridor, type of 2. If the construction storied (Q.1 = 2, 4, 6) pavement: type of building: Asphalt -1 Wood -4 Maisonette -1 Public flat -3 Cement/Concrete -2 Soil -5 Two storied regular -2 Gravel/hardened -3 Others -6 House 3. Utilization of building: 12. Road/alley/corridor condition: Housing/dwelling -1 Multi purposes -2 Good -1 Damaged -3 Average -2 Severely damaged -4 13. Nearest distance from house to these facilities: 4. Number of census building in the physical a. Public transportation: ……………. km building: ………………. Census building b. Health facility: …………… km 5. Number of Household in this census building: c. Market/ shopping mall: ………….. km …………………… household d. Cinema/theater: …………… km 6. Building Possession status: e. Amusement/recreation park ……… km Own property -1 Official house -5 f. Primary School: …………… km Lease -2 Free rent -6 g. Junior High School: …………… km Rent -3 Other -7 h. Senior High School …………… km Installment purchase -4 7. If the dwelling is your own property (Q.6=1), how did you obtain it? Build on own account Purchased from developer (real estate, etc) First hand purchased from individual Second hand purchase Administrative allocation (official house) Others (inheritance, gift, etc) 8. Land Legal Status: Property right -1 Others Right to build -2 Don’t know Right to use -3 9. Land Possession status: Own property -1 Others Lease -2 Don’t know Lodging -3 -1 -2 -3 -4 -5 -6 14. Conditions of dwelling/house/building: Good -1 Damaged Average -2 Several damaged -3 -4 15. 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 -6 -1 -2 -4 -5 16. Yard and construction area: ………….. m2 16 17 VIII. HOUSING AND ENVIRONMENT (CONTINUED) B. Location/Housing condition (continued) C. Facility and Housing utensils 17.Floor area (ground floor for storied building): 26. Cooking fuel …………. m2 Electricity -1 Wood Gas/Elpiji -2 Charcoal 18.Type of building foundation: Kerosene -3 Others Concrete -1 Wood/Bamboo -4 Stone pair -2 Others -5 27. Distance to the source of drinking water: Bricks pair -3 In the yard -0 19. Type of main roof frame: Outside the yard: Iron -1 Bamboo -4 ≤9m -1 100 - 499 m Concrete -2 Others -5 10 – 49 m -2 ≥ 500 m Wood -3 50 – 99 m -3 20. Type of main pillars/columns: Iron/Steel -1 Wood/Bamboo -4 28. Source of bathing water / washing water: Concrete -2 others -5 Pipe -1 Protected spring Bricks -3 Pump -2 Unprotected spring 21. Number of rooms: …………. Rooms Protected well -3 River 22. If the room more than one, do you have: Unprotected well -4 Rain water Private bedroom Yes -1 No -2 Others Private living room Yes -1 No -2 Dining /family room Yes -1 No -2 29. Bathing /clothes washing place: Kitchen room Yes -1 No -2 Private -1 Public Storage room Yes -1 No -2 Shared -2 Others Garage Yes -1 No -2 30. Source of dish /glass / spoon/ hands washing water: Pipe -1 Protected spring 23. If the rooms more than one, the material of room Pump -2 Unprotected spring divider made of: Protected well -3 River Concrete -1 Bamboo -3 Unprotected well -4 Rain water Wood -2 Others -4 Others 24. 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 b. Ventilation have -1 not have c. Air Condition have -1 not have d. Exhaust fan have -1 not have -2 -2 -2 -2 31. This household owns: a. Buffet/sideboard Yes -1 b. Stove Yes c. Bicycle/boat Yes d. Radio/ tape player Yes e. TV Yes f. Motor cycle/ Yes motor boat g. Car/ motor ship Yes No -4 -5 -6 -4 -5 -5 -6 -7 -8 -9 -3 -4 -5 -6 -7 -8 -9 -1 -1 -1 -1 -1 -2 No No No No No -2 -2 -2 -2 -2 -1 No -2 18 19 VIII. HOUSING AND ENVIRONMENT (CONTINUED) D. Housing Environment 41. Trash disposal: Collected/burned by self -1 32. Does this household have a yard? Collected/burned in a group -2 Yes -1 No -2 → {go to Q. 36} Taken away by workers -3 Thrown to the river/gutter -4 33. If ‘Yes’ (Q. 32=1), yard area: Thrown anywhere -5 ……….m2 Others -6 42. Are there any household member feel affected by: Smoke/smell/factory machine’s Yes -1 No -2 34. Does the yard have plants? Continuous noise from Yes -1 No -2 Yes -1 No -2 neighbor’s radio Noise from motor vehicle Yes -1 No -2 35. If it has plants (Q. 34=1), what kind of plants Unpleasant garbage smell or Yes -1 No -2 Vegetables -1 Medicinal -8 stagnant water Fruits -2 plants Others (…………………) Yes -1 No -2 Ornamental plants -3 Others -16 43. Do you need a house? 36. Place to dry clothes: Yes -1 No -2 → {finished interview) In the house /inside a room -1 In the house/ open air -2 44. If ‘ yes’ (Q. 43=1), type of the house: In the yard -3 Perumnas low-cost housing -1 Others -4 A house of BTN/KPR category -2 Real estate house -3 37. Place of bathing water disposal: Others -4 Out side the yard, with covered gutter -1 Out side the yard, with open gutter -2 45. The reason need a house presently: In the yard area, with covered cesspool -3 Leased/rent/official house In the yard area, uncovered cesspool -4 Living in other person’s/relative’s house In the yard area, without cesspool -5 Flooded area Unhealthy environment 38. Gutter condition around the house No electricity/water facility The water is stagnant-1 Fast flow -3 46. Desired location: Water flows very -2 No gutter -4 In town -1 Out of town -3 Slowly Suburb -2 47. Desired type of the house: T. 18 -1 T. 45 -5 T. 120 -9 39. Raising livestock? T. 21 -2 T. 51 -6 T. 150 -10 Yes -1 No -2 → {go to Q. 41} T. 27 -3 T. 70 -7 T. 250 -11 T. 36 -4 T. 90 -8 ≥ T. 300m2 -12 40. Location of livestock/poultry cage/barn: Maisonnette -13 In the house -1 Out side the house -3 Under the house -2 No cage -4 20