6. Connection to public services Is this house connected to: a) Running water? [] 1 yes [] 2 no b) Sewer? [] 1 yes [] 2 no c) Electricity? [] 1 yes [] 2 no

5. Water What type of water service is available to this household? By pipe [] 1 Exclusively for this household [] 2 Shared with others [] 3 River or spring [] 4 Well or cistern, reservoir [] 5 Public trough [] 6 Tanked in by car or truck [] 7 Rainwater [] 8 Other

[Questions 10-24 were asked of persons born before December 31, 1999, who consider this living quarter their usual place of residence, according to questions 3 and 9] [Questions 17 to 23 were asked of persons age 15+ who ever attended school at a level higher then pre-primary, and consider this living quarter their usual place of residence, according to questions 3 and 13] 23. Please answer the questions 23.1 to 23.6 if you are employed or looking for a new job. If it is not the case, go to 24. [Questions 23.1-23.6 were asked of persons age 15+ who are employed or looking for a new job, ever attended school at a level higher then pre-primary, and consider this living quarter their usual place of residence, according to questions 3, 13, and 19] 23.4. Indicate the status in employment in the occupation you stated in question 23.1: [] 1 Employer [] 2 Own-account worker [] 3 Employee [] 4 Contributing family worker [] 5 Compulsory military service [] 6 Member of a producers co-operative [] 7 Other situation Question 23.4 - Indicate the status in employment in the occupation you stated in Question 23.1 Boss/Employer - If you are the owner, partner or majority shareholder of a company or agricultural holding in which you practice your main occupation and normally have one or more paid workers in your employ. Own-account worker - If you work for your own account or in partnership and do not normally have paid workers in your employ. Employee - If you work for another person, company, the State, etc., and receive payment for this work. Workers employed on "Collective Farms" tick this box. Contributing family worker - if you work 15 or more hours per week in a household economic activity, without receiving payment, tick this box. Compulsory military service - If you are performing compulsory military service. Member of a producers' co-operative - If you are the member of a cooperative for the production of goods or services and engage in your main occupation there, tick this response. This heading also includes workers in worker-controlled businesses. The employees and salaried workers of a cooperative, who are not its members, tick the box "Employee". Other situation - If you are in a status in employment other ones the previous described. If more than one of the above situations to you during the reference week, indicate the one which occupied the most of your time. If you were unemployed during the reference week, indicate the situation applying to you in the last occupation you held.

[Questions 10-24 were asked of persons born before December 31, 1999, who consider this living quarter their usual place of residence, according to questions 3 and 9] [Questions 17 to 23 were asked of persons age 15+ who ever attended school at a level higher then pre-primary, and consider this living quarter their usual place of residence, according to questions 3 and 13] 23. Please answer the questions 23.1 to 23.6 if you are employed or looking for a new job. If it is not the case, go to 24. [Questions 23.1-23.6 were asked of persons age 15+ who are employed or looking for a new job, ever attended school at a level higher then pre-primary, and consider this living quarter their usual place of residence, according to questions 3, 13, and 19] 23.3. Indicate the usual number of hours you work each week in the occupation you stated in question 23.1: [] 1 1-4 [] 2 5-14 [] 3 15-29 [] 4 30-34 [] 5 35-39 [] 6 40-44 [] 7 45 or more Question 23.3 - Indicate the usual number of hours you work each week in the occupation you stated in Question 23.1: Tick the box whose time size matches the number of weekly working hours in your main occupation. Count the number of hours you usually work each week, including overtime. Include the time spent at the workplace performing such tasks as the preparation of service equipment, the preparation and maintenance of tools, etc. If you were unemployed during the reference week, indicate the number of hours you worked in the last job you had.

[Questions 3.1-21 were asked of persons who consider this living quarter their usual place of residence, according to question 3] [Questions 10-24 were asked of persons born before December 31, 1999, who consider this living quarter their usual place of residence, according to questions 3 and 9] [Questions 17 to 23 were asked of persons age 15+ who ever attended school at a level higher then pre-primary, and consider this living quarter their usual place of residence, according to questions 3 and 13] 17. What is your main source of livelihood? [] 11 Work [] 12 Temporary benefits: Sickness, accident, etc. [] 13 Temporary benefits: Unemployment [] 14 Temporary benefits: Other [] 15 Guaranteed minimal income [] 16 Pensions [] 17 Property or entrepreneurial income [] 18 Social support [] 19 Household support [] 20 Other cases Question 17 - What is your main source of livelihood? Main source of livelihood means the principal source of income, which has provided the individual with the means necessary for his or her subsistence over the past 12 months (food, accommodation, clothing, footwear, etc.). If you have various sources of income, indicate only the principal source. Work - Indicate this response if you live mainly from your work, whether gainful or not (such as when you work for a relative, without pay, but who supports you) or you are performing compulsory military service. Temporary benefit in respect of an accident at work or occupational illness - If you are temporarily prevented from working and receive benefits as a result of an accident at work or occupational illness. Temporary unemployment benefits - Tick this response if you are unemployed and live mainly from your unemployment benefit. If you are unemployed but do not receive an unemployment benefit, indicate the response which best applies to your case. Other temporary benefits - These are benefits granted as a result of accident, illness, birth, etc. and which are not covered by the benefits indicated above. Guaranteed Minimum Income - A monthly benefit from the noncontributory Social Security scheme designed to provide persons entitled and members of their household, in cases of severe economic hardship, with the resources they need to satisfy their basic requirements. Pension (Retirement) - Tick this box if you live mainly from a retirement or old-age pension, military reserve pension, invalidity pension, life annuity resulting from an accident at work or occupational illness, social pension, etc.. Property or entrepreneurial income - If your principal source of income is from property, interest, profits, dividends, royalties, etc., tick this response. Social support - If your principal source of subsistence is from aid provided by the State, Public Bodies, Private Non-Profit Institutions, etc., tick this box. Supported by household - Tick this box if you live supported by your household (for example: housewife who only works at home, minor children or children who do not work, regardless of whether they study, elderly persons who do not receive a pension and do not have another source of income, etc.). Other cases - If your case is not included in the cases already described, tick this box (for example, study grants).

[Questions 10-24 were asked of persons born before December 31, 1999, who consider this living quarter their usual place of residence, according to questions 3 and 9] [Questions 17 to 23 were asked of persons age 15+ who ever attended school at a level higher then pre-primary, and consider this living quarter their usual place of residence, according to questions 3 and 13] 23. Please answer the questions 23.1 to 23.6 if you are employed or looking for a new job. If it is not the case, go to 24. [Questions 23.1-23.6 were asked of persons age 15+ who are employed or looking for a new job, ever attended school at a level higher then pre-primary, and consider this living quarter their usual place of residence, according to questions 3, 13, and 19] 23.6. Number of persons regularly working in the company where you practice the occupation indicated in question 23.1: [] 1 1 [] 2 2-4 [] 3 5-9 [] 4 10-99 [] 5 100-499 [] 6 500 or more Question 23.6 - Indicate the number of persons who usually work in the company or entity where you engage or engaged in the occupation stated in Question 23.1: 1. If you are own-account worker and work alone, indicate that here is one worker. 2. If you are own-account worker and work with one or more persons, you should indicate the size representing the total number of workers, including yourself. 3. If you work in a private company/organization or in a public company or institution, indicate the respective size representing the total number of workers in that company or institution. 4. If you are a civil servant, indicate the size representing the number of workers in the body where you engage in your occupation. 5. If you are performing Compulsory Military Service, indicate the size representing the total number of military personnel in the unit here you are serving. 6. If you were unemployed during the reference week, indicate the umber of persons usually working for the entity where you held our last occupation.

11. What is the condition of ownership of the home? 1. Your own (paid completely or making payments) ____ 2. Rented ____ 3. Received for services ____ 4. Free ____ 5. Other (specify) ____

For all those age 15 and older 12. In this work you are or were ____ 1. An employee 2. Laborer 3. Employer or Boss 4. Self-employed 5. Unpaid family member 6. Employed in domestic service in the home

For all those age 15 and older 10. How did you spend the majority of your time in the past week? A. 1. You worked at your job where you were paid 2. You worked for a family member without pay in the form of money 3. You had a job, but did not work (because of sickness, vacation, leave, etc.) 4. Unemployed (having worked before) If you selected one of these alternatives (1-4), continue on to question 11 and those questions following it. B. 5. Looking for work for the first time C. 6. Working in the home (When it is not considered domestic service) 7. Student 8. As a renter or living only on your pension 9. Permanently incapacitated and unable to work. 10. Another situation If you selected one of these alternatives (5-10) and are a woman, pass on to question 14, if you are a man, pass on to question 18.

18. What type of sanitary service is available to the household? [] 1 Toilet connected to a sewage system (continue with number 19) [] 3 Toilet connected to septic tank (continue with number 19) [] 5 Latrine (continue with number 19) [] 7 Not available (continue with number 20)

Only for private, occupied dwellings with people present (applies to questions 3 through 16) 3. The dwelling that you live in is: [] 1 Owned (completely paid for) [] 2 Owned (paying in installments) [] 3 Rented [] 4 Ceded in return for services [] 5 Free [] 6 ____ Other condition (specify)

II. Information about the dwelling (Only for household number one) 10. How is trash eliminated? [] 1 Thrown in river, ridge, or lagoon [] 2 Thrown in yard, field, ditch, or empty lot [] 3 Incineration, burial [] 4 Picked up by public or private garbage service

II. Information about the dwelling (Only for household number one) 11. Does the dwelling have? (Read all of the options and mark all of the services that they have) [] 1 Has electricity [] 2 Has piped water [] 3 Has sewer connection [] 4 Has a telephone [] 5 None

II. Information about the dwelling (Only for household number one) 11. Does the dwelling have? (Read all of the options and mark all of the services that they have) [] 1 Has electricity [] 2 Has piped water [] 3 Has sewer connection [] 4 Has a telephone [] 5 None

II. Information about the dwelling (Only for household number one) 11. Does the dwelling have? (Read all of the options and mark all of the services that they have) [] 1 Has electricity [] 2 Has piped water [] 3 Has sewer connection [] 4 Has a telephone [] 5 None