Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698839198798.pdf (Saint Kitts and Nevis)
55180 Parish Number ED Number IMPORTANT!!!

Transfer Parish, ED and Household Numbers to the top of EACH individual questionnaire From Household questionnaire Household Number INTERVIEWER: Whenever a dotted line (...) appears in a question, call the name of the person to whom the information relates, if it is not the respondent himself/herself.

Else say "You"/"Your".

Fill the appropriate box.


Please do not write over the responses: Remember to mark multiple choice boxes like this SECTION 4 - CHARACTERISTICS - FOR ALL PERSONS PLEASE FILL IN THIS PERSON'S ASSIGNED NUMBER 39.

What is your/ .....'s relationship to the head of household?
1 Head 2 Spouse of Head (Husband/Wife) 3 Partner of Head 4 Child of Head and Spouse/Partner 5 Child of Head only 6 Child of Spouse/Partner only 7 Spouse/Partner of child of head/Spouse/Partner 8 Grandchild of Head/Spouse/Partner 9 Parents of Head/Spouse/Partner 10 Other relative of Head/Spouse/Partner(Specify...........................) 11 Domestic Employee 12 Other Non-Relative 40.

INTERVIEWER: Put an 'X' in the appropriate box.

FOR PERSONS NOT SEEN ASK: 43.


What is your/....'s religious affiliation/denomination?

1 Anglican 2 Baptist 3 Bahai 4 Brethren 11 Muslim 12 Pentecostal 13 Presbyterian 14 Rastafarian 5 Church of God 15 Roman Catholic 6 Evangelical 16 Salvation Army 7 Hindu 17 Seventh Day Adventist 8 Jehovah Witnesses 18 Wesleyan Holiness 9 Methodist 10 Moravian 19 None 20 Other (Specify......................) SECTION 5 - MIGRATION (BIRTH PLACE AND RESIDENCE) - FOR ALL PERSONS Is....male or female?

1 Male 2 Female 44.
1 Male 2 Female 44.

Where do you/does (N) usually live?

41.

What is your/.......'s date of birth?

DAY MONTH YEAR / / If not known, ask: How old was..........on his/her last birthday?

Age If age is not stated please estimate age if you see the person.Otherwise ask the respondent to estimate the person's age.

If age is not known use code 999.

If estimated please put an X in the box.

42.

To which ethnic, racial or national group do you/does (N) belong?
1 African Descent/Black 6 Mixed 2 Chinese 3 East Indian 4 Hispanic 7 Portuguese 8 Syrian/Lebanese 9 White/Caucasian 5 Indigenous People 10 Other (Specify...........................) 1 At this address Village 2 In another village Village 3 Abroad Name of Country Parish Parish 45.

Where were you/was (N) born?

1 In St Kitts and Nevis Village Parish 2 Foreign/Abroad Name of Country INTERVIEWER: For persons born in St. Kitts and Nevis what is required is the mother's usual residence at the time of birth.

46.
46.

In what year did you/(N) last come to live in St. Kitts and Nevis?

For foreign born persons only.

Year Page 1 of 7 Remember to mark multiple choice boxes like this 55180 Remember to mark multiple choice boxes like this 47.

In which Parish/Village did you/ (N) last live?

1 Never Moved 2 Parish ______________ (GO TO Q.49) Village 48.

In what year did you/(N) last come to live in this Parish?
Year Foreign Born Go to Q53 SECTION 6 - DISABILITY - FOR ALL PERSONS DISABILITY STATUS : Respond only if you have a permanent disability or where the disability has been continuous for six months or more.

57.

Do you/does (N) have difficulty with any of the following?

Q49 to Q52 are for local born only 49.

Have you/has (N) ever lived in another country?

2 No 1 Yes (GO TO Q.53) Rate responses as follows: 1 No - No Difficulty 3 Yes - Lots of Difficulty 2 Yes - Some Difficulty 4 Cannot do (it) at all 50.
In which country did you/ (N) last live?

For local born only.

1.

Seeing (even with glasses)?

Name of Country Questions 51 and 52 are for local born who answered YES in Q49 2.

Hearing (even using hearing aid)?

3.

Walking or climbing stairs?

51.

In what year did you/ (N) return to live in St. Kitts and Nevis?

4.

Remembering or concentrating?

Year 5.

Self care (washing, dressing, feeding)?

52.

What is the MAIN reason for your return to St. Kitts and Nevis?

(SINGLE RESPONSE) 6.


Upper body function?

1 Regard it as home 5 Employment/Work 7.

Lower body function (legs, etc)?

2 Family is here 6 Involuntary return/deported 3 Retired 4 Homesick 7 To start a business 8.

Communicating and speaking?

8 Other (specify..........................) 9.

Behavioral (psychological, emotional)?

 Q53 to Q56 are for persons five years and over If No Difficulty for all options, SKIP TO Q60.

53.
53.

Did you/ (N) live at this address five years ago?

58.

What is the origin of disability?

1 Yes (GO TO Q.55) 2 No 54.

If 'NO' Where did you/ (N) live five years ago?

Village Parish Country Rate responses as follows: 1.

From Birth 2.

Illness 3.

Accident 4.

Other (Specify) 1.

Seeing (even with glasses)?

Specify For Ten years and over 2.

Hearing (even using hearing aid)?

55.

Did you/ (N) live at this address in 2001?

1 Yes (Go to Q.57) 56.

If 'NO' where did you/ (N) live in 2001?


Village Country Parish 2 No 3.

Walking or climbing stairs?

4.

Remembering or concentrating?

5.

Self care (washing, dressing, feeding)?

6.

Upper body function (arms, neck)?

7.

Lower body function (legs, etc)?

8.

Communicating and speaking?

9.

Behavioral (psychological, emotional)?

Remember to mark multiple choice boxes like this Page 2 of 7 55180 Remember to mark multiple choice boxes like this 59.
Are you/ is (N) required to use any of the following aids?

(SELECT ALL THAT APPLY).

1 Wheelchair 7 Prosthesis/artificial body part 2 Walker 3 Crutches 4 Brailler 8 Orthopedic Shoes 9 Hearing Aid 10 Other (specify.............................) 5 Adapted Car 11 None 6 Cane SECTION 7 - HEALTH - FOR ALL PERSONS 60.

Do you have any of the following illnesses?

(SELECT ALL THAT APPLY) 1 Aids 2 Allergies 3 Anaemia 4 Arthritis 5 Asthma 6 Cancer 10 HIV 11 Heart Disease 12 Hypertension/High blood press.
13 Kidney Disease 14 Lupus 15 Sickle Cell 7 Carpal Tunnel Syndrome 16 Stroke 8 Diabetes 9 Glaucoma 17 None 18 Other (specify....................) 61.

When was the last time that you used a medical facility?

(hospital, clinic, doctor, etc) 1 Less than a month 4 Over one year 2 1-6 months 3 7-12 months 5 Never 62.

What was the MAIN medical facility used in the past 12 months?
(SINGLE RESPONSE) 1 Local Hospital 2 Private Local Doctor 3 Public Health Center 4 Overseas Hospital or Clinic 5 Overseas Doctor 6 Other (specify........................) 63.

Are you covered by health/life insurance?

1 Yes 2 NO 3 Don't Know (IF NO GO TO Q.65) SECTION 8 - EDUCATION - FOR ALL PERSONS 65.

Are you / (N) currently attending an Educational Institution?

1 Yes (Full time) 3 No (GO TO Q.68) 2 Yes (Part time) 66.

What type of school or institution are you/ (N) attending?
1 Daycare/Nursery 7 Sixth Form 2 Preschool 8 Prof/Tech/Voc 3 Infant/Kindergarden 9 Tertiary (Univ/college) 4 Primary (grade 1-6) 10 Adult continuing Edu.

5 Special Education 11 Other (specify.......................) 6 Secondary 67.

Please give the name and address of the school or institution.

Name Address 68.

What is the HIGHEST level of education that you have/ .... has completed?
(SINGLE RESPONSE) 1 Daycare/Nursery 2 Pre-school 3 Infant/Kindergarten 4 Primary (grade 1-3) 5 Primary (4-6) 6 Standard 7 7 Secondary (1-3) 8 Secondary (4-5) 9 Sixth Form 10 12th Grade (US) 11 Post secondary/college 12 University 64.

Which of the following insurance do you have?


(SELECT ALL THAT APPLY) 13 Other (Specify...........................) 1 Social Security 6 Endowment only 14 None 2 Life with Health 7 Endowment with Health 3 Life only 8 Other (specify................) 4 Group Health 9 None 5 Individual Health Remember to mark multiple choice boxes like this Page 3 of 7 55180 Remember to mark multiple choice boxes like this 69.

What is the HIGHEST examination that you have/...passed?

(SINGLE RESPONSE) 74.


What was the MAIN method used by you/ (N) to train in this field?

(SINGLE RESPONSE) 1 School leaving (e.g.

Standard Six or Seven School Leaving exam) 2 Cambridge School Certificate 3 CCSLC 4 High School Certificate (HSC) 9+ 9+ 9+ 5 High School Diploma 6 GCE 'O' Levels or CXC 7 GCE 'A' Level 8 CAPE 9 College Certificate 10 College Diploma 11 Associate Degree 12 Professional Certificate eg RSA, City and Guilds etc.
13 Bachelor's Degree 14 Post Graduate Certificate 15 Post Graduate Diploma 16 Higher Degree (Master's) 17 Higher Degree (Doctoral) 18 Other (Specify..............................................................) 19 None SECTION 9 - INTERNET ACCESS - FOR ALL PERSONS 70.

Have you/ has ....... /had access to the Internet within the past 3 months?

1 Yes (GO TO Q.72) 2 No 71.

Where did you/ (N) use the Internet in the past 3 months?
SELECT ALL THAT APPLY 1 Home 2 Work 3 School 6 Family or Friend's House 7 Community Facility 8 Did not use 1 On the job 2 Private Study 3 Apprenticeship 8 Business/Computer School 9 University (on campus) 10 Distance Learning 4 Correspondence Course 11 On-line/Virtual Learning 5 Secondary School 12 Private 6 Vocational/Technical Inst 13 Other (specify) 7 Commercial/Secretarial School 14 Not Stated 75.

How long was the period of your / (N) HIGHEST level of training?

Months 76.
Months 76.

What type of qualification /certification did you/ (N) receive on completion of the training at the HIGHEST level?

1 None 7 First Degree 2 Certificate with examination 8 Post Graduate Degree 3 Certificate without examination 9 Professional Qualification 4 Diploma 5 Advanced Diploma 6 Associate Degree 10 Other Specify SECTION 11 - ECONOMIC ACTIVITY FOR PERSONS 15 YEARS AND OVER 77.

What did you/ (N) do MOST during the past week?


(This includes work for pay, profit, or family gain during the past month but excludes house work).

1 Worked 7 Retired - did not work 2 Had a job but did not work 8 Disabled, unable to work 3 Looked for work 4 Wanted work and available 5 Home Duties 6 Attended School 9 Other (Specify.............................................................) ( ANSWER TO 3 - 9 GO TO Q85) 78.

What category of worker are you in your MAIN job?


4 Internet Cafe 9 Other (specify..........................) 1 Paid employee, Government 5 Any Place using a Cellular Phone / PDA 2 Paid employee, Statutory Board SECTION 10 - TRAINING - FOR PERSONS 15 YEARS AND OVER 72.

Have you/has.....ever received/attempted any skills training to equip you/ (N) for employment or occupation/profession?

1 Yes 2 No (GO TO Q.77) 73.


What is the field for which the HIGHEST level of training was completed/attempted or is undergoing by you/ (N)?
Field Trained 3 Paid employee, Private Establishment/Business 4 Paid employee, Private home 5 Apprentice/Learner 6 Volunteer Worker 7 Self-employed with paid employees 8 Self-employed without employees 9 Unpaid Worker/employee (GO TO Q81) 10 Contributing Family Member/Worker 11 Other (specify.................................) (GO TO Q81) (GO TO Q81) Remember to mark multiple choice boxes like this Page 4 of 7 . )
1 8 Q o t o G ( 6 - 1 o t r e w s n A 55180 Remember to mark multiple choice boxes like this 79.

What kind of accounts do you keep for this activity/ business?

1 Complete set of records/accounts 2 Informal records of orders, sales, purchases 3 Simplified written accounts 4 No records are kept 80.

Are you registered with Social Security as a self employed person or an employer?

1 Employer 2 Self Employed 3 Not registered 81.

What kind of work do you do in your MAIN job?


Give a brief description of main duties.

82.

What is the MAIN type of business carried out at your/ (N) place of work, industry?

Industry Where is your/ (N) place of work?

1 Work at home 2 No fixed place of work 3 Afixed place of work outside the home 83.

What is the name and address of your/ (N) workplace?

1 Work name and address 2 No present workplace 84.

How many hours did you/ (N) work during the past week?

(MAIN JOBS) Hours (GO TO Q.87) 85.


What steps did you/ (N) take during the past MONTH to look for work?

(X all that applies to this question) 1 Did nothing 2 Direct application (sent out letters) 3 Checking at work sites, factory gates, etc.

4 Seeking assistance from friends 5 Registered at public/private employment exchange 6 Other (specify................................................) 86.

Why did you not seek work during the past MONTH?
1 Own illness, disability, injury, pregnancy 2 Home duties, Personal, family responsibilities 3 In school, training 4 Retirement/old age 5 Already found work to start later 6 Already made arrangements for self employment 7 Awaiting recall to former job 8 Awaiting replies from employers 9 Awaiting busy season 10 Believe no suitable work available 11 Not ready to seek work 12 Do not know how or where to seek work 13 Discouraged 14 Other (Specify.........................................................) 87.
What did you/ (N) do MOST during the past 12 months?

1 Had a job and worked (GO TO Q.90) 2 Had a job, but did not work (GO TO Q.90) 3 Looked for work 4 Wanted work and was available 5 Did home duties 6 Attended school 7 Retired, did not work 8 Disabled, unable to work 9 Other (specify.............................................) 88.

Did you do any work at all in the past 12 months?


(This includes work for pay, profit, or family gain during the past month but excludes house work) 1 Yes (Go to Q.90) 2 No 3 Don't know 89.

Have you/he/she ever worked or had a job?

1 Yes 2 No (GO TO Q.95) 90.

How many months did you/ (N) work in the past 12 months?

Number of months 4 2 0 1 3 91.

Have you/ has (N) ever been laid off permanently or made redundant during the past 2 years?

1 Yes 2 No 3 Not Stated 92.


In which Industry were you working at the time of layoff or redundancy?

Industry 1 Not Stated Remember to mark multiple choice boxes like this Page 5 of 7 55180 Remember to mark multiple choice boxes like this SECTION 12 - INCOME AND LIVELIHOOD 98.

What is your / (N) current union status?

1 Never had a spouse or common-law partner (Skip to Q.100) 93.

How often do you/ does (N) get paid from your MAIN job?
2 Married and living with spouse 1 Weekly 2 Fortnightly 3 Monthly 4 Quarterly 5 Annually 6 Other Specify 7 Not applicable 3 Married and not living with spouse 4 Common Law 5 Visiting Partner 6 Not in union 94.

What was your/ (N) gross pay/income during the last pay period, from your current job, that is before income tax or other deductions?

(PRESENT FLASH CARD) 99.

How old were you/ was (N) when you were/ (N) was first married or in a union for the first time?
Income group Age in years ALL MALES Go to Q107 95.

What are your/ (N's) sources of livelihood?

(indicate as many) 1 Paid Employment 2 Self Employment 3 Pension (local) 4 Pension (overseas) 5 Investment 6 Dividends/Savings/interest on savings 7 Disability benefits 8 Social Security benefits 9 Other public assistance 10 Local contributions from friends/ relatives (cash/kind) 11 Overseas contributions from friends/relatives (cash/kind) 12 Other money income, (specify...........................) 96.
Approximately how much money did you/ (N) receive last year (2010) from family and/or friends abroad in cash or in kind e.g.

barrels containing food, clothing, electronics.

$ SECTION 13 - MARITAL AND UNION STATUS FOR ALL PERSONS 15 YEARS AND OVER 97.

What is your/ (N) marital status?

1 Never Married 2 Married 3 Divorced (and not remarried) 4 Widowed (and not remarried) 5 Legally Separated 6 Not Stated SECTION 14 - FERTILITY - WOMEN 15 YEARS AND OVER 100.
(a) How many live born children have you/ has (N) ever had and how many are males and females?

Total Male Female Number (b) How many of your live born children are still a live?

Total Male Female Number 101.

How old were you/was (N) when you/ (N) had your/ her first live born child?

Age 102.

How old were you/ (N) when you/ (N) had your/ (N) last live born child?

Age 103.

What is the date of birth of the last child born alive?
DD MM YYYY / / Remember to mark multiple choice boxes like this Page 6 of 7 55180 Remember to mark multiple choice boxes like this 104.

How many live births did you/ (N) have in the past 12 months?

0 Number (IF ZERO GO TO Q.107) What was the sex of the babies born in the last 12 months?

A.

Number of Boys B.

Number of Girls QUESTION 104 TO 106 APPLY TO FEMALES UNDER 50 YEARS, OTHERWISE GO TO Q.107 105.

How many of the children who were born in the past 12 months have died?
Total Number 106.

Of what sex and age in months were the children (in months) who died in the past 12 months?

Child Number Sex Age in Months 1.

2.

3.

4.

1 M 2 F 1 M 2 F 1 M 2 F 1 M 2 F SECTION 14 - CENSUS NIGHT 107.

Where did you spend census night?

1 At this Address 2 Elsewhere in the country (Specify........................................) 3 Institution 4 Abroad Remember to mark multiple choice boxes like this END OF QUESTIONNAIRE Page 7 of 7