QUESTIONNAIRE OF POPULATION AND HOUSING … OF POPULATION AND HOUSING CENSUS 2011 ... 06 Mother/Father 07 Brother/Sister ... Sex 1 Male 2 Female

Institute of StatisticsBul.”Zhan D’ark”, Nr. 3, Tirana, ALBANIA, Tel: +355 (4) 222411 / 2233356 / 2233357 / Fax: + 355 (4) 2228300

www.instat.gov.al

1

QUESTIONNAIRE OF

POPULATION AND HOUSING CENSUS 2011

CONFIDENTIALITY

In accordance with the Law No. 9180, date 5.2.2004, article 15, “On Confidentiality”, the information collected will be used only for statistical purposes. These data are confidential and are also subject to the Law 9887 dated 10.03.2008 “On the protection of personal data”, article 9, and will be held, processed and stored securely throughout the census processes. The collection, controlling, processing and analysis of the results will be in compliance with the Law on Statistics and the Law on the Population and Housing Census.

Population and Housing Census is the biggest statistical investment of a country. Your contribution to this process iscrucial, so actively participate , and thus completing our own future

Thank you for your collaboration

Ph.D Ines NURJA

DIRECTOR GENERAL

From 1 till 21 October 2011, 12.000 enumerators throughout Albania will be knocking on your doors in order to carry out the Population and Housing Census. The Census is a complete count of all people, households and dwellings in Albania. The data to be collected by this questionnaire will provide valuable statistical information on the demographic and socio-economic reality of the country which will help in the planning of the needs and resources available for public services such as education, healthcare, transportation, housing, employment, etc.

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Completed by the enumerator:

IDENTIFICATION PAGE

District code

Mun./Comm. code

EA code Building code

Dwelling code

HH code

Town/Village

Name

Surname

01 Berat

02 Bulqizë

03 Delvinë

04 Devoll

05 Dibër

06 Durrës

07 Elbasan

08 Fier

09 Gramsh

10 Gjirokastër

11 Has

12 Kavajë

13 Kolonjë

14 Korçë

15 Krujë

16 Kuçovë

17 Kukës

18 Kurbin

19 Lezhë

20 Librazhd

21 Lushnje

22 Malësi e Madhe

23 Mallakastër

24 Mat

25 Mirditë

26 Peqin

27 Përmet

28 Pogradec

29 Pukë

30 Sarandë

31 Skrapar

32 Shkodër

33 Tepelenë

34 Tiranë

35 Tropojë

36 Vlorë

Fully

Partially

No contact

Refused

Questionnaire is completed:

1

2

4

3

Questionnaire usedof

Calendar day of questionnaire completion

Total number of household members:

Day

Day Month

Checked by the controller:

Building no. Entrance no. Apartment no.

Name of Street/Quarter

Checked by the supervisor:

Supervisor code

Day and month of questionnairecheck M M D D

D D

Controller code

Name

Surname

DISTRICT CODES

In compliance with article 4 of the Law No. 8669, date 26.10.2000 amended, all the questions in this questionnaire are mandatory except questions 39 and 40

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BUILDING QUESTIONNAIRE

What type of water supply system is available? 3

Piped water in the dwelling

Piped water outside the dwelling, but in the building

Piped water available outside the building

Other system of water supply

No water supply system available

1

2

4

3

5

DWELLING QUESTIONNAIRE

What is the type of dwelling?1

GO TO 3

What type of toilet is in use?

Flush toilet inside the dwelling

Flush toilet outside the dwelling, but inside the building

Flush toilet available outside the building

Toilet of other type

No toilet available

4

1

2

4

3

5

6 What is the total number of rooms used for living in this dwelling?

Do not include verandas, balconies, bathrooms, toilets, corridors, warehouses or rooms smaller than 4 m2

Number of rooms used for living

Separate central heating in the dwelling

Stove

Fireplace

Electric heater

Air conditioner

Other type of heating

No heating at all GO TO LIST 1

Common heating in the building

8 What is the main type of heating?

6

7

8

1

2

4

3

5

9 What is the main type of energy used for heating?

Wood

Coal

Oil

Electricity from the grid

Gaseous fuel

Solar panel

Other type of energy

6

7

1

2

4

3

5

Does this dwelling have a fixed bath or shower?5

YES1

NO2

m2

7 What is the total surface of these rooms?

Conventional dwelling

Non-conventional dwelling

1

2

What is the occupancy status of the dwelling?2 Conventional dwelling inhabited by one or more persons, usually resident Conventional dwelling inhabited only by persons that are not object of the census (diplomatic corps, etc.)

Dwelling for secondary purposes or seasonal use

Vacant dwelling

1

2

4

3

1 What is the type of building?

Detached house

Semi-detached house

Row (or terraced) house (with at least three linked dwellings, each with separate entrance)

Other residential housing unit

Building designed for non-residential purposes

7

1

2

5

3

4

6 GO TO DWELLING QUESTIONNAIRE

Tent

Shack

Caravan

Other structure

Shetler1

2

4

3

5

GO TO DWELLING QUESTIONNAIRE

3 Is there any lift in the building?

2 What is the construction year of the building?

Construction year1

DON’T KNOW2

Collective living quarters

YES1

NO2

Y Y Y Y

Apartment building (flat)

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LIST 1: HOUSEHOLD MEMBERS

Who are the members of this household?Household members: persons that lived in this dwelling for 12 months or more before Census moment or persons that lived here less than 12 months but have the intention to stay at least 1 year.

Relationship to the Reference person

01 Reference person of the household02 Husband or Wife03 Partner in cohabitation 04 Son/Daughter05 Grandchild

06 Mother/Father 07 Brother/Sister 08 Nephew/Niece 09 Brother/Sister in law 10 Stepmother/Stepfather

11 Grandparent12 Son/Daughter in law13 Father/Mother in law14 Uncle/Aunt 15 Other relatives16 Unrelated

Father nameName

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

17

18

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Note: Persons that are usual resident in the dwelling, but are not present on Census night, the night of Friday 30 September to Saturday 1 October should be included in this list.

For each person on List 1 an Individual questionnaire should be completed

Mother name Surname

Rel

atio

nshi

p to

th

e R

efer

ence

pe

rson

Fam

ily

nucl

eus

Total number of household members

• Couple (even in cohabitation) with one or more children that live in the same household and have no family of their own in the same household

• Couple (even in cohabitation) without children in the same household

• Mother with one or more children that live in the same household and have no family of their own in the same household• Father with one or more children that live in the same household and have no family of their own in the same household

0 1

Options where a group of persons constitute a family nucleus

Family nucleus

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LIST 2: PERSONS THAT LIVE ABROAD

Is any previous member of this household living abroad for 12 months or more? Do not include children born abroad who have not lived in this household.

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No.

1

2

3

4

5

6

7

Name / surname Age Sex Country Reason for absence

1

2

1

2

1

2

1

2

1

2

1

2

1

2 F

M

F

M

F

M

F

M

F

M

F

M

F

M

Reason for absence

1

2

3

4

Employment

Study

Family reasons

Other reasons

LIST 3: VISITORS (TEMPORARILY PRESENT PERSONS)

How many visitors stayed in this household in the night of Friday 30 September to Saturday 1 October?

1

2 1 to 4

NONE

3 More than 4

GO TO HOUSEHOLD QUESTIONNAIRE

COMPLETE LIST 3 (VISITORS)

COMPLETE LIST 3 (VISITORS), FOR FIRST 4 VISITORS

YES1

NO2 GO TO LIST 3

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LIST 3: VISITORS

Surname

Name

What is your place of usual residence?

2

1

District code

Abroad

In Albania

Town/Village

Country

1D D M M

Sex Male1 Female2

Y Y Y Y

2 Surname

Name


2

1

District code

Abroad

In Albania

Town/Village

Country

Date of birth

D D M M

Sex Male1 Female2

Y Y Y Y

3 Surname

Name


2

1

District code

Abroad

In Albania

Town/Village

Country

Date of birth

D D M M

Sex Male1 Female2

Y Y Y Y

4 Surname

Name


2

1

District code

Abroad

In Albania

Town/Village

Country

Date of birth

D D M M

Sex Male1 Female2

Y Y Y Y

Date of birth

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16

4 Are any cars or minivans owned by this household?

Property or other investments (income from rent, savings account, stock options, etc.)

Pensions of any type

Social assistance and benefits (other transfers)

Remittances

Support by another person (excluding remittances)

Other sources

Multi - tick question

5 What were the sources of income of this household in the last 12 months?

6

7

Paid work or self-employment1

2

4

3

5

2 Who is the owner of this dwelling?

State

Private company

Private person

Ex-owner (before 1945)

Other

1

2

4

3

5

2


3 Does the household have any of these?

1

2

4

3

5

6

9

12

7

10

13

8

11

14

15

Refrigerator

Deep freezer

Washing machine

Dress dryer

Dish washer

Boiler

Microwave oven

TV

TV decoder

Fixed telephone

Any mobile telephone

Computer

Internet connection

Solar panel

Air conditioner

None of these

What is the tenure status of this household?

Owner with legal act of ownership, no mortgage or loanOwner with legal act of ownership, paying mortgage or loan

In process of acquiring legal act

Tenant (paying rent)

1

Occupant (free of rent)

1

2

4

3

5

1

GO TO 3

YES, write the number1

NO2

Land rented out or given to other people is not to be taken into consideration

7 Does the household use any other agricultural land in Albania?

8 Does the household have livestock or bees?

6 Does the household have kitchen garden larger than 200 m2?

GO TO INDIVIDUAL QUESTIONNAIRE YES1

NO2

GO TO INDIVIDUAL QUESTIONNAIRE YES1

NO2

YES1

NO2

The agriculture questions 6 to 8 should be asked to all households, irrespective of whether they live in villages or towns

HOUSEHOLD QUESTIONNAIRE

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INDIVIDUAL QUESTIONNAIREPerson number

1 Name

2 Sex Male1 Female2

4 What is your current legal marital status ?

Never married

Married

Separated, but still legally married

Divorced

Widow/widower

1

2

4

3

5

5 What is your place of birth?

In Albania1

District code

Town/Village

Abroad2

Country

Italy

Greece

USA

Canada

Turkey

Other (specify)6

1

2

4

3

5

6 What is your country of citizenship?

Albanian

Other

1

2

NONE3

Specify

Greece2

District code

Country

Town/Village

8 What was the main reason for the absence from the place of usual residence?

7 Where did you stay on the night of Friday 30 September to Saturday 1 October?

The same town/village

Elsewhere in Albania

1

2

GO TO 9

Abroad3

Italy

Kosovo

Macedonia

Turkey

Other (specify)6

1

4

3

5

Employment

Study

Family reasons

Other reasons

1

2

4

3

3 When were you born?

D D M M Y Y Y Y

9 What was your place of usual residence at the time of the Census in April 2001?

In Albania1

Abroad2

District code

Town/Village

Country

For persons born after 1 April 2001 GO TO 10


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17 What was the main reason for coming to live in Albania?

19 Are you currently attending formal education?

Yes1

No, but I have attended in the past

No, I never attended

2

3 GO TO 22

21 What is the number of completed years of education?

20 What is your highest completed level of education?

Without diploma

Primary education

Lower secondary (obligatory education)

Lower secondary vocational (2-3 years)

Upper secondary (general)

Upper secondary technical (4-5 years)

Tertiary (BA)

Tertiary (BAMA)

Tertiary (old system before Bologna)

Post-graduate/Master

Doctorate/PhD

1

2

4

3

5

6

9

7

10

8

11

For persons less than 6 years (born after 30 September 2005)

18 Do you know how to read and write?

YES

NO

1

2

GO TO 35

For persons less than 10 years (born after 30 September 2001) GO TO 35

16 What was the year of last arrival to come to live in Albania?

District code

Town/Village

11

Elsewhere in Albania1

GO TO 15Abroad2

14 Have you ever lived abroad for a continuous period of one year or more?

YES1

NO2 GO TO 18

15 What was the country of last usual residence before coming to live in Albania?

Italy

Greece

USA

Canada

Turkey

Other (specify)6

1

2

4

3

5

Country

What was the main reason for changing the usual residence?

Employment

Study

Family reasons

Other reasons

1

2

4

3

13

10 Have you changed your town/village or country of usual residence at least once since the Census of April 2001?

YES1

NO2 GO TO 14

For persons less than 1 year (born after 30 September 2010) GO TO 35

12 In what year did you arrive in the current place of residence?

Y Y Y Y

Y Y Y Y

Finished job abroad2

Study opportunities in Albania3

Employment opportunities in Albania1

Family reasons5

Other reasons6

Finished study abroad4

What was your town/village or country of your last place of usual residence before coming to the current place of residence?

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For example; Shop selling shoes; Primary school education; Farm growing vegetables; Market sale of fruits; Car repair; Selling grocery products, etc.

30 What is the main activity of the organisation/enter-prise where you worked or you were self-employed in the week of 24 to 30 September?

What is the full name of the organisation/enterprise where you work in your main job?31

For self-employed: What is the name of your business?

29 What is your occupation in the current main job?

Job title ( A short description of your duties)

Examples: Teacher teaching English at lower secondary school; Manager managing coffee bar; Director managing local bank branch, etc.

22 During the week of Saturday 24 to Friday 30 September, did you perform one or more hours of work for payment or profit, or did you contribute to family business at least for one hour?

Yes, in paid employment

Yes, in own business, as freelancer or in other independent activity

Yes, working on a farm for sale or self-consumption

Yes, in a casual paid/profit job

No, did not work, not even for one hour

1

2

4

3

5

What is the total number of hours you worked during the week of 24 to 30 September?

GO TO 28

GO TO 24

23

Even if you haven’t worked during the week of 24 to 30 September, did you then have a job from which you were temporarily absent?

YES

NO

1

2

GO TO 28

24

25 Did you search for work or try to start a business during the month of September?

YES

NO

1

2

GO TO 27

Including applications to employers, enlisting at employers agency, checking at work sites, newspapers, applying for permits, etc.

26 What was the main reason you did not search for work or try to start a business? Because you were:

Student/pupil

Homemaker

Retired/old age

Unable to work

Seasonal worker

Doesn’t want to work

No work available

Other (living on social assistance, etc.)

1

2

4

3

5

6

7

8

27If a job had been available in the week of 24 to 30 September, could you have started it within two weeks?

YES

NO

1

2GO TO 35

For persons less then 15 years (born after 30 September 1996) GO TO 35 28 In your main job, are you:

Employee

Self-employed with employees

Self-employed without employees

Contributing family worker

1

2

4

3

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12

33

34

32 Where is your place of work?

How frequently do you travel from this residence to your place of work ?

What means of transport do you use most to travel to work?

35 Do you have any difficulties in:

District code

Town/Village

In Albania1

Abroad 2

Daily1

1-4 times a week2

Less than once a week3

Fixed work place, away from home1

No fixed place of work

Work mainly at home2

3

Greece

Kosovo

Macedonia

Montenegro4

Other (specify)5

2

1

3

Seeing

Hearing

Walking or climbing stairs

Remembering, concentrating or making decisions

Daily self-care (wearing, eating, washing, etc.)

Communicating (to understand others or vice-versa give and take information)

Completely unable None Some A lot

By foot

Bus

Motorcycle

Car, as a driver4

Car, as a passenger5

Bicycle6

2

1

3

Minibus

Taxi

Train

Tractor10

Animal11

Other12

8

7

9

Country

GO TO 35

36 Have you ever had any live-born children?

YES, write the number 1

NONE2 GO TO 38

37 How many of them are still alive?

38 What is your mother tongue?

Albanian1

Other2Specify

All males and females less then 15 years (born after 30 September 1996) GO TO 38

39 To which ethno-cultural group do you belong?

Self-declaration, not obligatory

Specify

Prefer not to answer2

40 Do you belong to any religion?


Copy from List 1 the person number of the person who provided the answers to this Individual questionnaire

I belong to ethno-cultural group:1

I don’t belong to any religion, but I am a believer2

I don’t belong to any religion and I am not a believer3


SpecifyI belong to:1D

o Not C

opy

13


1 Name

2 Sex Male1 Female2


Never married

Married


Divorced

Widow/widower

1

2

4

3

5


In Albania1

District code

Town/Village

Abroad2

Country

Italy

Greece

USA

Canada

Turkey

Other (specify)6

1

2

4

3

5


Albanian

Other

1

2

NONE3

Specify

Greece2

District code

Country

Town/Village





1

2

GO TO 9

Abroad3

Italy

Kosovo

Macedonia

Turkey

Other (specify)6

1

4

3

5

Employment

Study

Family reasons

Other reasons

1

2

4

3


D D M M Y Y Y Y


In Albania1

Abroad2

District code

Town/Village

Country



Do N

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14



Yes1



2

3 GO TO 22



Without diploma

Primary education





Tertiary (BA)

Tertiary (BAMA)



Doctorate/PhD

1

2

4

3

5

6

9

7

10

8

11



YES

NO

1

2

GO TO 35



District code

Town/Village

11


GO TO 15Abroad2


YES1

NO2 GO TO 18


Italy

Greece

USA

Canada

Turkey

Other (specify)6

1

2

4

3

5

Country


Employment

Study

Family reasons

Other reasons

1

2

4

3

13


YES1

NO2 GO TO 14



Y Y Y Y

Y Y Y Y




Family reasons5

Other reasons6



Do N

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15














1

2

4

3

5


GO TO 28

GO TO 24

23


YES

NO

1

2

GO TO 28

24


YES

NO

1

2

GO TO 27



Student/pupil

Homemaker

Retired/old age

Unable to work

Seasonal worker


No work available


1

2

4

3

5

6

7

8


YES

NO

1

2GO TO 35


Employee




1

2

4

3

Do N

ot Copy

16

33

34





District code

Town/Village

In Albania1

Abroad 2

Daily1

1-4 times a week2





3

Greece

Kosovo

Macedonia

Montenegro4

Other (specify)5

2

1

3

Seeing

Hearing






By foot

Bus

Motorcycle

Car, as a driver4


Bicycle6

2

1

3

Minibus

Taxi

Train

Tractor10

Animal11

Other12

8

7

9

Country

GO TO 35



NONE2 GO TO 38



Albanian1

Other2Specify


39 To what ethno-cultural group do you belong?


Specify










o Not C

opy

17


1 Name

2 Sex Male1 Female2


Never married

Married


Divorced

Widow/widower

1

2

4

3

5


In Albania1

District code

Town/Village

Abroad2

Country

Italy

Greece

USA

Canada

Turkey

Other (specify)6

1

2

4

3

5


Albanian

Other

1

2

NONE3

Specify

Greece2

District code

Country

Town/Village





1

2

GO TO 9

Abroad3

Italy

Kosovo

Macedonia

Turkey

Other (specify)6

1

4

3

5

Employment

Study

Family reasons

Other reasons

1

2

4

3


D D M M Y Y Y Y


In Albania1

Abroad2

District code

Town/Village

Country



Do N

ot Copy

18



Yes1



2

3 GO TO 22



Without diploma

Primary education





Tertiary (BA)

Tertiary (BAMA)



Doctorate/PhD

1

2

4

3

5

6

9

7

10

8

11



YES

NO

1

2

GO TO 35



District code

Town/Village

11


GO TO 15Abroad2


YES1

NO2 GO TO 18


Italy

Greece

USA

Canada

Turkey

Other (specify)6

1

2

4

3

5

Country


Employment

Study

Family reasons

Other reasons

1

2

4

3

13


YES1

NO2 GO TO 14



Y Y Y Y

Y Y Y Y




Family reasons5

Other reasons6



Do N

ot Copy

19














1

2

4

3

5


GO TO 28

GO TO 24

23


YES

NO

1

2

GO TO 28

24


YES

NO

1

2

GO TO 27



Student/pupil

Homemaker

Retired/old age

Unable to work

Seasonal worker


No work available


1

2

4

3

5

6

7

8


YES

NO

1

2GO TO 35


Employee




1

2

4

3

Do N

ot Copy

20

33

34





District code

Town/Village

In Albania1

Abroad 2

Daily1

1-4 times a week2





3

Greece

Kosovo

Macedonia

Montenegro4

Other (specify)5

2

1

3

Seeing

Hearing






By foot

Bus

Motorcycle

Car, as a driver4


Bicycle6

2

1

3

Minibus

Taxi

Train

Tractor10

Animal11

Other12

8

7

9

Country

GO TO 35



NONE2 GO TO 38



Albanian1

Other2Specify




Specify










o Not C

opy

21


1 Name

2 Sex Male1 Female2


Never married

Married


Divorced

Widow/widower

1

2

4

3

5


In Albania1

District code

Town/Village

Abroad2

Country

Italy

Greece

USA

Canada

Turkey

Other (specify)6

1

2

4

3

5


Albanian

Other

1

2

NONE3

Specify

Greece2

District code

Country

Town/Village





1

2

GO TO 9

Abroad3

Italy

Kosovo

Macedonia

Turkey

Other (specify)6

1

4

3

5

Employment

Study

Family reasons

Other reasons

1

2

4

3


D D M M Y Y Y Y


In Albania1

Abroad2

District code

Town/Village

Country



Do N

ot Copy

22



Yes1



2

3 GO TO 22



Without diploma

Primary education





Tertiary (BA)

Tertiary (BAMA)



Doctorate/PhD

1

2

4

3

5

6

9

7

10

8

11



YES

NO

1

2

GO TO 35



District code

Town/Village

11


GO TO 15Abroad2


YES1

NO2 GO TO 18


Italy

Greece

USA

Canada

Turkey

Other (specify)6

1

2

4

3

5

Country


Employment

Study

Family reasons

Other reasons

1

2

4

3

13


YES1

NO2 GO TO 14



Y Y Y Y

Y Y Y Y




Family reasons5

Other reasons6



Do N

ot Copy

23














1

2

4

3

5


GO TO 28

GO TO 24

23


YES

NO

1

2

GO TO 28

24


YES

NO

1

2

GO TO 27



Student/pupil

Homemaker

Retired/old age

Unable to work

Seasonal worker


No work available


1

2

4

3

5

6

7

8


YES

NO

1

2GO TO 35


Employee




1

2

4

3

Do N

ot Copy

24

33

34





District code

Town/Village

In Albania1

Abroad 2

Daily1

1-4 times a week2





3

Greece

Kosovo

Macedonia

Montenegro4

Other (specify)5

2

1

3

Seeing

Hearing






By foot

Bus

Motorcycle

Car, as a driver4


Bicycle6

2

1

3

Minibus

Taxi

Train

Tractor10

Animal11

Other12

8

7

9

Country

GO TO 35



NONE2 GO TO 38



Albanian1

Other2Specify




Specify










o Not C

opy

25


1 Name

2 Sex Male1 Female2


Never married

Married


Divorced

Widow/widower

1

2

4

3

5


In Albania1

District code

Town/Village

Abroad2

Country

Italy

Greece

USA

Canada

Turkey

Other (specify)6

1

2

4

3

5


Albanian

Other

1

2

NONE3

Specify

Greece2

District code

Country

Town/Village





1

2

GO TO 9

Abroad3

Italy

Kosovo

Macedonia

Turkey

Other (specify)6

1

4

3

5

Employment

Study

Family reasons

Other reasons

1

2

4

3


D D M M Y Y Y Y


In Albania1

Abroad2

District code

Town/Village

Country



Do N

ot Copy

26



Yes1



2

3 GO TO 22



Without diploma

Primary education





Tertiary (BA)

Tertiary (BAMA)



Doctorate/PhD

1

2

4

3

5

6

9

7

10

8

11



YES

NO

1

2

GO TO 35



District code

Town/Village

11


GO TO 15Abroad2


YES1

NO2 GO TO 18


Italy

Greece

USA

Canada

Turkey

Other (specify)6

1

2

4

3

5

Country


Employment

Study

Family reasons

Other reasons

1

2

4

3

13


YES1

NO2 GO TO 14



Y Y Y Y

Y Y Y Y




Family reasons5

Other reasons6



Do N

ot Copy

27














1

2

4

3

5


GO TO 28

GO TO 24

23


YES

NO

1

2

GO TO 28

24


YES

NO

1

2

GO TO 27



Student/pupil

Homemaker

Retired/old age

Unable to work

Seasonal worker


No work available


1

2

4

3

5

6

7

8


YES

NO

1

2GO TO 35


Employee




1

2

4

3

Do N

ot Copy

28

33

34





District code

Town/Village

In Albania1

Abroad 2

Daily1

1-4 times a week2





3

Greece

Kosovo

Macedonia

Montenegro4

Other (specify)5

2

1

3

Seeing

Hearing






By foot

Bus

Motorcycle

Car, as a driver4


Bicycle6

2

1

3

Minibus

Taxi

Train

Tractor10

Animal11

Other12

8

7

9

Country

GO TO 35



NONE2 GO TO 38



Albanian1

Other2Specify




Specify










o Not C

opy

29


1 Name

2 Sex Male1 Female2


Never married

Married


Divorced

Widow/widower

1

2

4

3

5


In Albania1

District code

Town/Village

Abroad2

Country

Italy

Greece

USA

Canada

Turkey

Other (specify)6

1

2

4

3

5


Albanian

Other

1

2

NONE3

Specify

Greece2

District code

Country

Town/Village





1

2

GO TO 9

Abroad3

Italy

Kosovo

Macedonia

Turkey

Other (specify)6

1

4

3

5

Employment

Study

Family reasons

Other reasons

1

2

4

3


D D M M Y Y Y Y


In Albania1

Abroad2

District code

Town/Village

Country



Do N

ot Copy

30



Yes1



2

3 GO TO 22



Without diploma

Primary education





Tertiary (BA)

Tertiary (BAMA)



Doctorate/PhD

1

2

4

3

5

6

9

7

10

8

11



YES

NO

1

2

GO TO 35



District code

Town/Village

11


GO TO 15Abroad2


YES1

NO2 GO TO 18


Italy

Greece

USA

Canada

Turkey

Other (specify)6

1

2

4

3

5

Country


Employment

Study

Family reasons

Other reasons

1

2

4

3

13


YES1

NO2 GO TO 14



Y Y Y Y

Y Y Y Y




Family reasons5

Other reasons6



Do N

ot Copy

31














1

2

4

3

5


GO TO 28

GO TO 24

23


YES

NO

1

2

GO TO 28

24


YES

NO

1

2

GO TO 27



Student/pupil

Homemaker

Retired/old age

Unable to work

Seasonal worker


No work available


1

2

4

3

5

6

7

8


YES

NO

1

2GO TO 35


Employee




1

2

4

3

Do N

ot Copy

32

33

34





District code

Town/Village

In Albania1

Abroad 2

Daily1

1-4 times a week2





3

Greece

Kosovo

Macedonia

Montenegro4

Other (specify)5

2

1

3

Seeing

Hearing






By foot

Bus

Motorcycle

Car, as a driver4


Bicycle6

2

1

3

Minibus

Taxi

Train

Tractor10

Animal11

Other12

8

7

9

Country

GO TO 35



NONE2 GO TO 38



Albanian1

Other2Specify




Specify










o Not C

opy

Documents

QUESTIONNAIRE OF POPULATION AND HOUSING … OF POPULATION AND HOUSING CENSUS 2011 ... 06 Mother/Father 07 Brother/Sister ... Sex 1 Male 2 Female