Household number (within dwelling)

Number of households in dwelling

Number of persons in dwelling

Number of persons in household

Dwelling created by splitting apart a large dwelling or household

1. Geographical information Municipality ____ Parish ____ Section/Subsection _ _ _ - _ _ Building number _ _ _ 2. Address Street __________ Number _ _ _ _ Locality ____ Postcode _ _ _ _ - _ _ _

1. Geographical information Municipality ____ Parish ____ Section/Subsection _ _ _ - _ _ Building number _ _ _ 2. Address Street __________ Number _ _ _ _ Locality ____ Postcode _ _ _ _ - _ _ _

2. Type of living quarter Housing unit [] 1 Conventional dwelling [] 2 Shack [] 3 Rudimentary wooden house [] 4 Mobile housing unit [] 5 In a permanent building not designed for habitation [] 6 Other inhabited Collective living quarter - end questionnaire here [] 7 Hotel or similar Camps or Institutions: [] 8 Social support [] 9 Education [] 10 Health [] 11 Religious [] 12 Military [] 13 Prison [] 14 Work [] 15 Other type Reserved for NSI: [] 16 On board population [] 17 Diplomatic personnel Questions no. 1 to 3, inclusive, are completed by the Census Enumerator.

2. Type of living quarter Housing unit [] 1 Conventional dwelling [] 2 Shack [] 3 Rudimentary wooden house [] 4 Mobile housing unit [] 5 In a permanent building not designed for habitation [] 6 Other inhabited Collective living quarter - end questionnaire here [] 7 Hotel or similar Camps or Institutions: [] 8 Social support [] 9 Education [] 10 Health [] 11 Religious [] 12 Military [] 13 Prison [] 14 Work [] 15 Other type Reserved for NSI: [] 16 On board population [] 17 Diplomatic personnel 3. Type of building [] 1 Conventional building (apartments, houses) [] 2 Other type of inhabited construction - end questionnaire here [] 3 On board population - reserved to INE officers [] 4 Diplomatic personnel - reserved to INE officers Questions no. 1 to 3, inclusive, are completed by the Census Enumerator.

3. Occupation status [Question 3 was asked of persons living in housing units, according to question 2] [] 1 Usual residence [] 2 Seasonal or secondary use - end questionnaire here [] Vacant: end questionnaire here [] 3 For sale [] 4 For rent [] 5 For demolition [] 6 Other cases Questions no. 1 to 3, inclusive, are completed by the Census Enumerator.

3. Occupation status [Question 3 was asked of persons living in housing units, according to question 2] [] 1 Usual residence [] 2 Seasonal or secondary use - end questionnaire here [] Vacant: end questionnaire here [] 3 For sale [] 4 For rent [] 5 For demolition [] 6 Other cases Questions no. 1 to 3, inclusive, are completed by the Census Enumerator.

[Questions 4-18 were asked of persons living in housing units as the place of their usual residence, according to question 3] [Questions 11-18 were asked of persons living in a conventional dwelling as the place of their usual residence, according to questions 2, 3] 15. If you are a tenant, please indicate the form lease: [Question 15 was asked of persons living in a conventional dwelling as the place of their usual residence, but not owning it, according to questions 2, 3.] Rented dwelling with a: [] 1 Contract for 3 or 5 years [] 2 Contract without term [] 3 Social rent contract [] 4 Sub-rented dwelling - go to 17 [] 5 Other situation (granted, etc) - go to 18 Question 15 - If you are a tenant, please indicate the form of lease: This question is only for occupants who are not owners or co-owners of the respective dwellings. 3- or 5-year fixed-term contract - a contract in which at the end of the term (3 or 5 years), the amount of the rent may be renegotiated by the parties. If the parties fail to come to an agreement, the contract lapses and the tenant is required to leave the dwelling. Renewable contract of indefinite duration - a contract which is automatically renewed and only terminates if the tenant wishes to leave the dwelling. Council or subsidized rent contract - a contract in which the tenant is a public body and in which the amount of the rent was reduced in view of the need for social aid by the household. If the dwelling is let to an individual who, in turn, lets it to a third person through payment of a rent, the dwelling is said to be sublet. Cases involving the voluntary conveyance of the dwelling, (for example: a father owns a dwelling and transfers it free of charge to his son), as well as cases in which the occupancy of the dwelling is usually associated with a contract in which consideration is either directly or indirectly assigned to it, subject to the performance of a task (for example: doormen, watchmen, etc.), should be included under other situations.

[Questions 4-18 were asked of persons living in housing units as the place of their usual residence, according to question 3] [Questions 11-18 were asked of persons living in a conventional dwelling as the place of their usual residence, according to questions 2, 3] 18. Dwelling ownership: [Question 18 was asked of persons living in a conventional dwelling as the place of their usual residence, but not owning it, according to questions 2, 3.] [] 1 Ascendants or descendants [] 2 Private owner or private company [] 3 State, public corporations, social security or other non-profit institutions [] 4 Public company [] 5 Local authority [] 6 Housing association Question 18 - Dwelling ownership: If the occupant is the owner or co- owner of the dwelling, do not answer this question. First or second-generation ascendants or descendants - parents, children, grandparents or grandchildren.

[Questions 4-18 were asked of persons living in housing units as the place of their usual residence, according to question 3] [Questions 11-18 were asked of persons living in a conventional dwelling as the place of their usual residence, according to questions 2, 3] Questions 13 and 14 are only for owner-occupied dwellings. If no household member is owner of the dwelling go to question 15. 13. Do you have a mortgage or loan resulting from the purchase of this dwelling: [Question 13 was asked of persons living in a conventional dwelling as the place of their usual residence and owning it, according to questions 2, 3.] [] 1 Yes [] 3 No - end questionnaire here Question 13 - Do you have mortgage or loan resulting from the purchase of this dwelling ? The owner-occupier of the dwelling pays financial charges resulting from the purchase of the dwelling, when: The dwelling is built for purchase and is acquired through a welfare fund or other institution, a situation whereby individuals have the right to occupy the dwelling by virtue of a sum paid over a certain period of time, usually fifteen to twenty years, at the end of which they become the owners of the dwelling; The dwelling is the property of people who occupy it and purchased it through a bank loan or other financial arrangements not completely paid; here the individual immediately becomes the owner of the dwelling, although the dwelling is generally mortgaged as collateral for the loan, with the financial charges consisting of the payment of principal and interest due. Thus, the monthly payment will include the repayment of principal and interest due. Any other type of housing charges, such as charges on home improvement loans should Not be considered. Tick "No" if the dwelling is free from encumbrance or charges, regardless of how the owner acquired it (purchase, inheritance or other). This charge must refer to the month immediately preceding the census moment.

[Questions 4-18 were asked of persons living in housing units as the place of their usual residence, according to question 3] 5. Does the housing unit have electricity? [] 1 Yes [] 3 No Question 5 - Does the dwelling have electricity? Tick Yes if you have electrical power installed in your dwelling, whatever the source.