Fill in 1 questionnaire per person First name and surname Male Female Sex At this dwelling and living here most of the year At this dwelling but not living here most of the year due to studies, health, work,… Where is your usual residence? Date of birth Day Month Year Which is your marital legal status? Single Married Divorced Widowed Do you live with a partner in a consensual union? Yes No A consensual union refers to a situation where two persons of the opposite sex or of the same sex live together as a couple without being legally married to each other. Where is your birthplace? In the parish where you currently live In another municipality (Please, specify) In another parish of the municipality where you currently live Abroad (Please, specify) Countries must be indicated according to their current designation and borders. Which is your citizenship? Portuguese by birth Portuguese by aquisition (naturalization, marriage…) Foreign (Please, specify) Stateless (person who is not considered as national by any state) Double nationality: If Portuguese and another one, mark Portuguese; If two foreign nationalities, one of which from an European Union country, mark the EU country. Questionnaire of the National Statistical System (Law 22/2008, of 13 May), of mandatory completion, registered under no. 10398 at Statistics Portugal, valid until 31/12/2021. INDIVIDUAL questionnaire PARISH To be completed by the Enumerator DTMNFR SECTION / SUBSECTION DWELLING BUILDING PERSON censos2021.ine.pt COMPLETE ONLINE THE COMPLETION IS MANDATORY AND CONFIDENTIAL Pursuant to Law 22/2008 of May 13, Decree-Law 136/2012 of July 2 and Decree-Law 54/2019 of April 18, the response to this inquiry is mandatory, beeing guaranteed the statistical confidentiality of all information. When completing, mind the 19th of April APRIL 19 1 Call 210 54 20 21 Have the envelope sent by INE with you 2 Provide accurate information 3 Need help? 210 54 20 21
Have you lived outside of Portugal for a continuous period of one year or more? Yes No If you marked YES, write: 9.1 The country where you lived Consider the last country you lived in. Countries must be indicated according to their current designation and borders. 9.2 The year of entrance in Portugal Consider the year you have last entered Portugal 9.3 If you entered Portugal after 2010, please mark the main reason for that entry Return after a period of emigration Health or medical treatment Work Housing Family reunification or family formation Other reason Education and training Violence or human right violation situations in the country of origin Where was your residence on December 31, 2019? Not born yet In the same residence In another residence In the parish where you currently live In another parish of the municipality where you currently live Indicate the parish: In another municipality Indicate the municipality: Indicate the parish: Abroad Indicate the country: Can you read and write? Yes No If you can only write numbers or your own name, or only read and write memorised sentences, please indicate “No”. Are you attending or have you ever attended the education system? In the case of children attending pre-school, please indicate “Attending”. Professional training courses and others with certification recognized by the Ministry of Education, are considered whithin official education system. Attending Attended, but no longer Never attended Children that have not entered the National Education System yet, have finished completing the questionnaire Which is the highest level of education you have completed? Completing a level of education means having successfully concluded the last grade of that educational level. For example, in order to indicate secondary education, the 12th grade or equivalent must have been completed. If you concluded or are still attending the 11th grade, the highest level of education you have completed corresponds to the 3rd stage of basic education (9th grade). None 1st stage of basic education (current 4th grade/former primary education/grade 4) 2nd stage of basic education (current 6th grade/former preparatory degree) 3rd stage of basic education (current 9th grade/former 5th grade - lyceum programme) Secondary education (current 12th grade /former 7th grade-lyceum programme/pre-university year) Post-secondary education (Technological specialisation courses, level IV) Professional higher technical course Bachelor (includes former middle-level courses) Licentiate Masters PhD 13.1 If you have a licentiate degree, please indicate the duration of the course: 3 years More than 3 years 13.2 Write the name of your graduation course If you have more than one course,write the one with the highest degree, or, if both are of the same level,write which is most related to your work. 10 Go to question End of this questionnaire 14 Go to question 14 Got to question 13.2 Got to question 13.2 Got to question
Where is your place of work or study?
Consider the place where you usually work or study, even if you are
absent due to vacation, illness or other reasons, such as those related to
the Covid-19 pandemic.
If you do not have a fixed place of work, but you must be present at a
fixed address at the beginning of your work period, indicate that place (eg:
bus driver, airline crew ...); if this is not your case, then indicate “without a
fixed place of work or study”.
At home
In the parish where you live
Same municipality, but in a different parish
In another municipality. (Please, specify):
Abroad
Without a fixed place of work or study
Not applicable (not working or studying)
How long does it take you (on average) to get to your
place of work or study (one way only)?
Up to 15 minutes
16 - 30 minutes
31 - 60 minutes
61 - 90 minutes
More than 90 minutes
Which is the main mode of transport used in your dailyjourney
between home and work or home and place of study?
If you use more than one mode of transport, please indicate which one
you use for the most part of the itinerary.
Walk
Car as a driver
Car as a passenger
Bus
Company or school transportation
Metro
Train
Motorcycle
Bicycle
Boat
Other (táxi, tram…)
Do you use any other mode of transport in your daily journey
between home and work or home and place of study in
addition to the one indicated in the previous question?
Yes
No
In the last 12 months, which was your main source
of income?
Work
Retirement (pension)
Unemployment benefit
Social integration income
Other temporary allowance ( illness, maternity leave…)
Property and other investments income
Supported by household
Other situation
Have you ever worked?
Yes
No
Mark “YES” if you worked for at least 1 hour and received a payment,
in cash or in kind.
In the last 4 weeks have you been looking actively for a job?
Yes
No
Active efforts to find a job involve contacting the Public Employment
Agency, staff placement companies, employers, placing and replying
to job advertisements, taking part in recruitment tests and selection
interviews, looking for real estate, equipment or requesting permits to start
your own entreprise.
If you are resident in this household but you do not live here most of the
year due to health , study or working reasons, then, go to question 18.
If you are under 5 years old, you have finished this questionnaire
completion. If you are between 5 and 15 years old, proceed to question 29.
18
Go to question
18
Go to question
18
Go to question
In the week of April,12 to 18 did you work?
Mark “YES” if you worked for at least 1 hour and received a payment, in
cash or in kind.
Mark “YES” if, in this week, you worked for a family member for, at least,
15 hours without receiving any payment.
Yes
No
24
Go to question
You didn´t work in the week of April,12 to 18 due to:
Vacation, sick leave, lay-off or other
situations of temporary work interruption,
but still keepping a link to the company or
to the organisation.
Permanently unable to work
Unemployed
Retired
Student
Household duties
Other reasons
24
Go to question
29
Go to question
What is your main occupation?
If you are engaged in more than one occupation, write the one which took
up most of your time during the week of April, 12 to 18, or, if the same
amount of time was spent, write the one which provided more income.
Describe the main tasks carried out in the occupation
indicated in the previous question
Which is your occupation status?
Employer with less then 10 employees
Self-employed
Employer with 10 or more employees
Employee
Other situation
What is the main activity of the company or organisation
where you practise the mencioned occupation?
If you work to a company that has several establishments, please write
the economic activity of the establishment where you work at. If you work
to this company, but you are currently assigned to work in another one,
please write the economic activity of your employer.
If you are self-employed,write the economic activity related to your
accupation.
27.1 Write the company´s or organisation´s name where you
practice your occupation.
What are the main goods produced or main services
provided by the company or organisation where you work?
For example:
shoes, health care, secondary education, women´s clothing, cleaning…
The next questions are about difficulties you may have
doing certain activities due to a health problem.
29.1 Do you have difficulty seeing, even if wearing glasses or
contact lenses?
No, no difficulty
Yes, a lot of difficulty
Yes, some difficulty
Cannot see
29.2 Do you have difficulty hearing, even if wearing
a hearing aid?
No, no difficulty
Yes, a lot of difficulty
Yes, some difficulty
Cannot hear
29.3 Do you have difficulty walking or climbing steps?
No, no difficulty
Yes, a lot of difficulty
Yes, some difficulty
Cannot walk or climb steps
29.4 Do you have difficulty in remembering or concentrating?
No, no difficulty
Yes, a lot of difficulty
Yes, some difficulty
Cannot memorize
or concentrate
29.5 Do you have difficulty with self-care such as washing
or dressing ?
No, no difficulty
Yes, a lot of difficulty
Yes, some difficulty
Cannot wash all over
or dress by myself
29.6 Using your usual language, do you have difficulty by
communicating (for example, understanding or being
understood by others)?
No, no difficulty
Yes, a lot of difficulty
Yes, some difficulty
Cannot understand
or beeing understood
Mark your religion
Catholic
Protestant/Evangelical
Orthodox
Jehovah´s Witnesses
Other cristhian
Hinduism
Judaism
Muslim
Other not cristhian
Buddhism
No religion
Optional questions
Thank you for the colaboration
Thank you for the colaboration
If you found or were offered a job would you be available to
start working in the week of April, 12 to 18, or in the
two following weeks?
Yes
No
If you are working, answer questions 24 to 28;
If you are unemployed or not working, go to question 29.
If you are aged under 15 you have completed your questionnaire