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

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

22. Total residents of the household _ _ Residents of the home are the persons who meet the following criteria: -Those who live in the home and are present at the time of the census: for example, relatives, employees, and their families, domestic servants and their children if they have any, etc. -Those who live in the home, but at the time of the census were absent in or outside of the country and who do not have a separate residence. This is the case for traveling workers, persons who are on vacation, in the hospital, or merchant marines. -In general, all of the persons who belong to the home, such as domestic employees, renters, relatives, etc., who do not have a separate residence in another place. -Remember that the persons who on the census of the prison, enlisted in military service in the Army, Air Force, or Navy, boarding school, asylums, convents, monasteries, or work camps should not be registered in this form. These persons are enumerated in their institutions.

Only for private, occupied dwellings with people present [applies to questions 3 to 16] 3. The dwelling you occupy is: [] 1 Owned (completely paid for) [] 2 Owned (paying in installments) [] 3 Rented [] 4 Ceded in return for work or services [] 5 Free

For all individuals 15 years of age and older 30. In this job, are (or were) you. [] 1 A salaried worker (white-collar, manual laborer or day laborer, etc.) [] 2 Worker in domestic service [] 3 Own-account worker [] 4 Employer, business owner or boss [] 5 Unpaid family worker