Attachment 3
SUSENAS VSEN98.MPP
REPUBLIC OF INDONESIA CENTRAL BUREAU OF STATISTICS 1998. NATIONAL SOCIO ECONOMIC SURVEY LISTING OF EDUCATION, HOUSING AND SETTLEMENT Confidential
IDENTIFICATION 1 Province
2 Regency/Municipality *) 3 District
4 Village/ Kelurahan *)
5 Area Urban 1 Rural 2
6 Enumeration area number 7 Segment group number 8 Segment number 9 Sample code number
10 Serial number of Sample household
11. Village classification Least developed village 1 Fill in by Developed village 2 Editor II. HOUSEHOLD CHARACTERISTICS
01 The name of household head
03 Number of household members aged 3 – 7 years and participated in Kindergarten School
02 Number of household members
04 Number of household member aged 5-39 years and in schooling
III. ENUMERATING CHARACTERISTICS
01 Name and NIP/NMS of enumerator 05 Name and NIP/NMS of supervisor 02 Position of enumerator:
Staff of KS province 1 Mantis 3 Staff of KS regency 2 Partner 4
06 Position of supervisor
Staff of KS province 1 Mantis 3 Staff of KS regency 2 Partner 4 03 Date of enumeration 07 Date of supervision
IV. HOUSEHOLD MEMBERS CHARACTERISTICS Relation to the head of household Kindergarten school School participated The head of household 1 Parent/In-law 6 Participated In schooling Wife/husband 2 Other relative 7 Yes 1 No schooling
Children 3 House maid 8 No 2
Son/daughter in-law 4 Others 9
Grandchildren 5 BA= Bustanul Athfal
RA= Raidatul Athfal
The objection of question Mother Tongue, is to see the variation of culture/ethnic which linked to variety of other population characteristics
Description:
V. EDUCATION AND THE ACTIVITY OF HOUSEHOLD MEMBERS AGED 5 – 39 YEARS
7. Average expenses per monthly for all types of current courses. Rp. …………. (000 Rp) Name: ………..Serial number:
1. School participation: (Check Core Block V Q.14) No schooling 1 (skip to Q. 5.a)
In school 2
Drop put 3
8. In the morning, what usually eat and drink? Rice/Noodle/Bread/ 1 Fruits 8
Cassava Other 16
Egg/side dishes 2 None 00
Milk 3
9. If Q. 1 = 2 and Q. 2.b k3 = 00, do they have supplement food (PMTAS) at school of week ago?
Yes, how many times (in a week) ……… No 0
SPESIFIC FOR CHILDREN AGED 5–9 YEARS 2. Educational record: (if Q.1 = 2, filling in 00 code on k.3)
10.a. Did you do an activity during previous week as mention follows:
1. Working for living 2. In School
3. Housekeeper 4. Seeking a job 5. Others
b. From Q.10.a. activity of 1 to 5 coded 1, which activity the most took your time during previous week?
1 (skip to Q.13.a) 2 3 4 5
11. Did you working for living at least 1 hour during previous week
(if Q.10.a = 1, circle code 1) Yes 1 (skip to Q. 13.a) No 2
12. Did you have a job/business, but not working temporary during previous week?
Yes 1 No 2 (skip to B.VI) 13.a. Number of work hours: ………days
b. Number of work hours of daily total worked during previous week:
Mon Tue Wen Thur Fri Sat Sun Total ….. … ….. ….. … … ….. hours 5. a. Why haven’t you gone to school?
b. Why did you drop out?
c. Why don’t you continue to higher level?
a b c
1. Due to the age - - -
2. Unintelligent/Refused/Unqualified - - - 3. Work as a family worker - - -
14. Type of main work during previous week: (Write down completely) Filled in
………. By editor
6. a Courses participation
Has been attended 1 Ongoing 2 No 3 (go to Q.8.a)
15. Main business field (work) during previous week:
Agriculture 1 Services 4
Industry 2 Others 5
Trade 3
6. b Type of course has been/being attending:
Yes 1 No 0
Has On Has On
Been going been going
Language House-life
Computer Services
Technique Specific
Offices Others
VI. EDUCATION EXPENSES OF HOUSEHOLD MEMBERS AGED 5 – 39 YEARS (WHO ARE IN SCHOOLING)
Name: Serial number: 9.a. Place of study outside school hours
Inside the house 1 Outside the house 2 b. Average duration study of outside school hours
of daily in a week: ………. hours 1. Registered and active in the school:
Primary School 01 ‘Aliyah’ 08 ‘Ibtidayah’ 02 Vocational senior 09
A Packet 03 high school
Vocational/ 04 Diploma I/II 10 Junior high school/ Dipl. III/bachelor 11 ‘Tsanawiyah’ 05 Dipl. IV/under grad 12
B Packet 06 Master 13
Senior high school 07 PhD 14 (If Q.1 = 01 to 06, skip to Q.3)
10. Availability of compulsory book in current quarter:
Have 1 Not have 2
a. PMP d. Science g. Physics b. Indonesia e. Social h. Chemistry Language f. English i. Biology c. Mathematics language
2. If Q. 1 = 07 to 14, subject of education: ………
Household Members Education Expenses 3. a. The nearest distance usually passed from
house to school ………….. km b. Duration of the trip ………..minute
Type of expenditure The last Month
4. Transportation facility for going to school Motor vehicle possessed by household 1 Non-motor vehicle possessed by household 2 Motor vehicle of public transportation 3 Non motor vehicle of public transportation 4 Other people’s vehicle (free) 5
Walking 6
5. Responsible for living & eating expenses:
Parent 1 Other person 4 Brother/sister of 2 Individually 5 Same mother/father Government 6 Relative 3 Foundation/Inst. 7
11.Registration (enroll 6. Responsible for school expenses:
Parent 1 Other person 4 Brother/sister of 2 Individually 5 Same mother/father Government 6 Relative 3 Foundation/Inst. 7 Question 7 to 10, Only for Primary School, Junior High School and Senior High School
14.Supporting material of subject study
15. School /sport uniform 16. Books, stationers, and
school supply (a+b) a. Text book b. Stationary, etc 7.a. Did you have tutorial (study outside of school
hours) during the last quarter?
Yes 1 No 2 (skip to Q. 10) 18. Courses which relation
VII. HOUSING AND SETTLEMENT A. PHYSICAL CONSTRUCTION 9. Legal Status of land:
Property right 1 Others 4 Right to build 2 Don’t know 5 Right to use 3
10 Age of construction:
0 - 4 years 1 ³ 15 years
5 - 9 years 2 Don’t know 4 10-14 years 3 5
C. UTILITY/EQUIPMENT’S 1.a. Type of physical construction:
Single, not storied 1 Single, storied 2
Duplex, not storied 3 Duplex, storied 4
Multiplex, not storied 5 Multiplex, storied 6 b. Utilization of rooms/space
Private 1 Shared 2 None 3 1. Bed room Dining room
2. Living room Family room 3. Type of main foundation
Concrete 1 Wood/bamboo 4
Coral 2 Others 5
Brick 3
4. Main material of pillars/columns:
Concrete 1 Bamboo 4
12.a. IF having separate bed room (R.11.b.1 = 1), number of bedrooms, ………..rooms b. Number of bed rooms has:
1. Window rooms 2. Ventilation rooms
3. Air condition rooms 4. Exhaust fan rooms 6. Building condition
Good 1 Damaged 3
Mediocre 2 Severely damaged 4 DWELLING OWNERSHIP
13.a. Was the drinking water is clear, colorless, odorless, tasteless, no bubbles?
Yes 1 No 2
b. Distance to the place to get drinking water:
In the yard 1 7. a. Dwelling ownership status:
Own property 1 Official house 5 you come into possession?
Build on own account 1 Purchased from developer 2 (Perumnas, Real-estate, etc)
Purchased first hand from individual 3 Purchased second hand 4 Administrative allocation 5 (official house, etc)
Others(inheritance, gift, etc) 6 8. How did the land come into possession? Purchase 1 Squatter 4 Inheritance 2 Other 5
Lease 3
14.a. Source of bathing water:
24. Do you have a yard?
Yes 1 No 2 (skip to Q.26.a) 15.a. Do you subscriber PLN electricity?
Yes 1 No 2 (skip to Q.16.a)
16.a. Do you have kitchen?
Yes 1 No 2 (skip to Q.18) b. If Yes (Q.16.a = 1), where is the location?
Separate room 1
Together with other rooms 2 Outside of the building 3 17.a.Gasoline material for cooking:
Electricity 1 Firewood 4 Gas/LPG 2 Charcoal/coal 5
Kerosene 3 Others 6
26. a. Do you raise livestock/poultry?
Yes 1 No 2 (skip to Q.27) b. Place of raising livestock/poultry:
Inside the house 1 In the yard 3 Under the house 2 In other place 4
No cage 5
27. Where do you dispose your bath, kitchen, and wash wastewater?
Covered hole in yard 1 Uncovered hole in yard 2 In yard without the hole 3
Outside yard 4
18. Goods possessed by this household: (Filling in 1 code if yes, 0 code if Not) a. Buffet/long cupboard f. Refrigerator b. Stove g. Telephone c. Bicycle/boat h. motorcycle/ d. Radio/tape motorboat
e. TV i. Car/motor ship 28. How do you dispose your bath, kitchen, and wash wastewater?
Through covered channel 1 Through uncovered channel 2
Without channel 3
29. What is the gutter condition around the house? Water is stuck 1 Fast 3 Water flows very 2 No gutter 4 slowly
19. Did this household used: (during previous month):
a. Air freshener f. Cloth stain remover b. Hair spray/ g. Shoe polish deodorant spray h. Car battery c. Liquid disinfectant i. Iron/wood/ wall d. Floor cleaner paint
e. Window/car/wood j. Insecticide cleaner
D. ENVIRONMENT CONDITION 20. House/dwelling location:
Side of road/alley/corridor 1
Other 2 (q.20=1) the wide of road/lane/isle: …………m 22. Type of pavement:
31. Does any of the household member feel offended by:
a. Factory smoke/odor/noise b. Garage smoke/odor/noise c. Continues sound of neighbor d. Noise of motor vehicle
32. Access to housing and settlement facility
Type facility Distance from home (Km)
Transportation used: Motor vehicle 1 Non motor vehicle 2
Walking 3 Time spent
(minute
(1) (2) (3) (4)
a. Public road
b. Public transportation c. Hospital
d. Puskesmas
e. Market/shopping area f. Bank
g. Post office h. Worship place
i. Cinema/amusement/recreation park j. Police station
k. Fire extinguisher station l. Public hydrant/Fire hydrant m. Public telephone
n. Primary School o. Junior High School p. Senior High School q. Public cemetery
