1
PSU
StructurePartQuestionnaireHouseholdAddress:__________________________________ ___________________Telephone:_____________
REPUBLIC OF COSTA RICA
National Household Survey(ENAHO)
July 2016TheconfidentialityoftheinformationprovidedisprotectedunderSection4oftheNationalStatisticalSystemAct,LawNo.7839of1998.
Region:_________________________________
Province:________________________________
County:_________________________________
District:_________________________________
MG.IstheHouseholdConsumptionExpenditureModuleapplied
inthishousingunit?
Household Questionnaire
FOR THE HOUSING UNIT QUESTIONNAIRE ON PAPER FORM CONTROL
Yes....O1
No....O0
VIV1. How many persons live in this housing unit?
VIV3. Have all members of the household lived in this housing unit for over six months?
VIV5a. Is any member of the household not previously mentioned currently living elsewhere?
VIV6. Does this household have...
VIV5b. Will this person (or persons) be absent for a total period of less than six months?
VIV2. Do all the persons living in this housing unit share the same budget and collectively prepare meals?
Yes.....O1
No.....O0 Inquire how many households live in the housing unit
Transcribed by:___________________________
Date:_________________________________
FOR EACH HOUSEHOLD
Yes.....O1 No.....O0
No.....O0
No.....O0
No.....O0
Yes.....O1
Yes.....O1
Yes No
Yes.....O1
(skip to VIV5a)
How many of them?
How many of them?
VIV4. Does this person (or persons) have another place to live?
How many of them? (Do not include them as member(s) of the household) (Include as member(s) of the household)
(Include as member(s) of the household)
(Do not include them as member(s) of the household)
...housekeeper(s)stayingatthehousingunit? . . . . . . . . . . . . . . . O1O0
...personsrentingaroomwithorwithoutfoodincluded? . . . . . O1O0
Observations:
(Include them in the household listing)
Interviewed by: ___________________
Supervised by: ___________________
Date:
DayMonthYear
End time:
Start time:
16
:
:
2
TheNationalInstituteforStatisticsandCensusisthetechnicalgoverningbodyofnationalstatisticsandcoordinatoroftheNationalStatisticalSystem(SENinSpanish).SaidcapacitywasvestedundertheNationalStatisticalSystemAct(LawNo.7839ofNovember4,1998),whichwasenactedinconsiderationoftheimportanceofhavingappropriateandupdatedstatisticaldataforestablishingeconomicandsocialpolicies.
This law further sets out the obligation to provide any necessary data to produce national statistics and theconfidentialitythereof:
Section4:“...Anydatacollectedinaccordancewiththislawshallbedeemedstrictlyconfidential...Datafromprivatenaturalorlegalpersonsshallnotbedisclosedorpublishedindividually,butratheraspartofoverallfigures,exceptasotherwiseauthorized–inadvance–bythepartywhodisclosedtheinformation.Tothatextent,figurespertainingtothreeormorenaturalorlegalpersonsshallbeconsideredoverallfigures.Moreover,suchinformationshallnotbedisclosedforanytaxpurposesorotherwise...”
Section5:“SENmayrequestinformationfromallnaturalandlegalpersonsbasedinCostaRicathatrelatestotheiractivity...”
OBLIGATION AND CONFIDENTIALITY OF THE INFORMATION
V2a. Is this housing unit...
....ownedbythehouseholdandhasitbeenpaidinfull?.O1
...ownedbythehouseholdandbeingpaidininstallments?. . . . . . O2
...rented?. . . . . . . . . . . . . . O3
...locatedinasquattersettlement?O4
...other(assigned,lent)? . O5
Monthly payment
V4. What is the predominant roof material?
Zincormetalsheets. . . . . . . . . . . . . . . O1
Fibercement . . . . . . . . . . . . . . . . . . . . . O2
Mezzanine. . . . . . . . . . . . . . . . . . . . . . . . O3
Naturalfibers(bamboo,cane,palm).... O4
Other____________________ O5
(specify)
Wastematerial . . . . . . . . . . . . . . . . . . . O0
V1. Type of housing unit
Condominiumhouseorgatedcommunity. . . . . . . . . . . . . . . . . O1
Independenthouse................ O2
Roworadjacenthouses . . . . . . . . . . . O3
Inabuilding(verticalcondominiumor apartment). . . . . . . . . . . . . . . . . . . . . . . O4
Multi-unitdwelling. . . . . . . . . . . . . . . . . O5
Slum. . . . . . . . . . . . . . . . . . . . . . . . . . . . . O6
Other_____________________O7 (specify)
Only use codes 1, 2 and 5 for question V2a
V2b. If monthly rent had to be paid for this housing unit, how much would you pay?
}
V3. What is the predominant exterior wall material?
Blockorbricks . . . . . . . . . . . . . . . . . . . . O1
Plinth(wooden,zincorfibercement) . . . . O2
Wood . . . . . . . . . . . . . . . . . . . . . . . . . . . .O3
Prefabricated . . . . . . . . . . . . . . . . . . . . . O4
Zinc. . . . . . . . . . . . . . . . . . . . . . . . . . . . .O5
Fibercement(Fibrolit, Ricalit)... . . . . . . . O6
Naturalfibers(bamboo,cane,palm)....O7
Other____________________O8
(specify)
Wastematerial . . . . . . . . . . . . . . . . . . . O0
HOUSING AND SERVICES
V5. Does this housing unit have a ceiling?
Yes . . . . . . .O1No.......O0
V7. What is the condition of the... BADFAIRGOOD
...externalmaterial?.........O1 O2 O3
...roof?............O1 O2 O3
...floor?.............O1 O2 O3
V8. How many bedrooms does the housing unit have?
Numberofbedrooms
V6a. Is the housing unit built on stilts?
Yes....O1No.......O0
V6. What is the predominant floor material?
Tiles,ceramic,terrazzo.......O1
Cement(polishedornot).......O2
Wood.......................O3
Naturalfibers(bamboo,cane,palm)..O4
Other_________________O5
(specify)
Nofloor(groundfloor)..........O0
(Includes coffered ceiling)
V9. Not including toilets, laundry room, hallways, garage, how many rooms (total) does this housing unit have (including number of bedrooms)?
Numberofrooms . . . . .
V10. Approximately, what is the grass floor area in square meters of this housing unit?
Under30m2 . ..................O1
Between30and40m2. . . . . . . . . . . O2
Between41and60m2. . . . . . . . . . . O3
Between61and100m2. . . . . . . . . . . O4
Between101and150m2 . . . . . . . . . O5
Between151and200m2 . . . . . . . . . O6
Morethan200m2. . . . . . . . . . . . . . . . O7
V11. Does this housing unit’s water supply come from...
...internalpiping?................O1
...externalpiping,however, withinthelotorbuilding? . . . . . . . . O2
...pipingoutsidethelotorbuilding? O3
Nosupplythroughpipes. . . . . . . . . . O0
V12. Does the water that you consume come from...
...AnA y Aaqueduct?...............O1
...aruralaqueduct? . . . . . . . . . . . . . . . O2
...amunicipalaqueduct? . . . . . . . . . . . O3
...acompanyorcooperative?. . . . . . . O4
...awaterwell? . . . . . . . . . . . . . . . . . . . O5
...ariver,creekorwaterspring? . . . . O6
...rainwaterorother?O7(specify)
2016
3
V22. Has a housing bond been applied for?
No. . . . . O0(skip to V22b)
Yes . . . . O1
a. Why has the allowance not been received?
Understudyorpending....O1
Rejected.................O2
OtherO3
V22b. Has it not been requested because....
…itisnotneededordoesnotqualify?. . . . . . . . . . . . . . . . . . . . . . . .O1
…he/shehasnoknowledgeoftheprogramordoesnotknowhowtoapplyforit?. . . . . . . . . . . . . . . . . .O2
...theproceduresarecomplicated? . .O3
…he/shehasnopapers(noresidency)?. . . . . . . . . . . . . . . . . .O4
…theprogramisnotavailablewherehe/shelives?. . . . . . . . . . . . . .O5
OtherO6
(skip to Section R)
V21. Has this household received a housing bond?
Yes. . . O1
b. In what year?
a. Of what kind?
Purchaseofexistinghousingunit.....................O1
Lotpurchaseandconstruction..............O2
Lotpurchase.............O3
Housingunitconstructioninownproperty...........O4
Expansionorcompletion....O5
Nohousingbondhasbeenreceived . . . . . . . . . . . . . . . . . . . . . . . . O0
V14a. Does this housing unit have a bathroom?
Yes.....O1Howmany?
No.....O0
V15. Is this housing unit’s electric light...
...suppliedbyICE? . . . . . . . . . . . . . . . . O1
...suppliedbyCNFL? . . . . . . . . . . . . . . O2
...suppliedbyESPH/JASEC?. . . . . . . . O3
...suppliedbyacooperative?. . . . . . . O4
...suppliedbyaprivateplant?. . . . . . O5...suppliedbyadifferentsource? O6
Noelectriclight. . . . . . . . . . . . . . . . . . O0
V19. Does this housing unit have internet?
Yes.....O1No.....O0
V19b. Is the type of connection used to access the internet...
...bylandline(KOLBI-HOGAR)? . . . . . . . . O1
...bycable?. . . . . . . . . . . . . . . . . . . . . . . .O2
...bymobiledevices? . . . . . . . . . . . . . . . .O3
...Othertypeofconnection?O4
skip to V21
V17a. Is garbage primarily disposed of...
...byagarbagetruck?. . . . . . . . . . O1
...bythrowingitinaholeorburyingit?. . . . . . . . . . . . . . . . . . O2
...byburningit? . . . . . . . . . . . . . . . O3
...bythrowingitinanemptylot? O4
...bythrowingitinariver,creekorocean?. . . . . . . . . . . . . . . . . . . . . . O5
...other?O6(specify)
V16. What is the main source of power used for cooking?
Electricpower . . . . . . . . . . . . . . . . . O1 Gas . . . . . . . . . . . . . . . . . . . . . . . . . . O2 Firewoodorcharcoal . . . . . . . . . . . O3 OtherO4
(specify)
None(doesnotcook). . . . . . . . . . . O0
V17b. Is garbage separated into... Yes No
...organicwaste(foodleftovers,peels,bones)? . . . . . . . . . . . O1 O2
...plastic? . . . . . . . . . . . . . . . . . O3 O4
...glass? . . ...............O5 O6
...aluminum?. . . . . . . . . . . . . . O7 O8
...paperorcardboard?. . . . . . O1O2
...other?O3 O4
(specify)
V13a. Does this housing unit have a toilet...
...connectedtoasewer? . . . . . . . . . . . . . O1
...connectedtoaseptictank?.......... O2
...connectedtoaseptictankwithwatertreatment(biologicalpit)? . . . . O3
...pit,outhouseorlatrine?. . . . . . . . . . . . . . . . . . . . . . . .O4
...connectedtoothertypeofsystem?O5
Hasnotoilet . . . . . . . . . . . O0
V13b. Is the toilet...
...exclusivetothishousingunit? . O1
...sharedamongthisandotherhousingunits? . . . . . . .........O2
V14b. Is the use of the bathroom...
...exclusivetothishousingunit? . O1
...sharedamongthisandotherhousingunits? . . . . . . ........O2
skip to V14a
skip to V15
(specify)
(specify)
V19c. Do you have a wireless router?
Yes. . O1
V19a. Whatcompanyprovidestheinternetservice?_____________________
No. . . O0
HOUSING AND SERVICES 2016
(specify)
(specify)
For each household (Housing bond)
Comments:
WhoistheTVserviceprovider?________________________
How many?V18.Do persons in this housing unit have...
Yes No
...mobilephone?...........O1 O2
...alandline?. . . . . . . . . . . . . . .O3 O4
...arefrigerator? . . . . . . . . . . .O5 O6...waterheatingsystemfortheentirehouse?......O7O8
...waterstoragetank? . . . . . . .O1 O2
...alaptop? . . . . . . . . . . . . . . . .O3 O4
...adesktopcomputer? . . . . . .O5 O6
...atablet?. . . . . . . . . . . . . . . . .O1 O2
...afaxmachine(computer-independent)? . .O7 O8
...radioorstereosystem? . . .O1 O2
...avehicle(notprovidedbyemployer)?. . . . . . . . . . . .O3 O4
...amotorcycle(notprovidedbyemployer)?. . . . . . . . . . . .O5 O6
...aplasma,LCDorLEDtelevision? . . . . . . . . . . .O7 O8
...aconventionaltelevision?. .O1 O2
...cabletelevision? . . . . . . . . . .O3 O4
...satellitetelevision? . . . . . . . .O5 O6
...othertypeofsubscriptiontelevisionservice? . . . . . . . .O7 O8
(specify)
(specify)
(specify)
(skip to section
R)
(skip to section
R)
4
10
Name(s) (R1a) (R1b) (R1c)
R. RESIDENCY STATUS OF HOUSEHOLD N°.
02
04
Line
N°.
Circle the line number of the infor-mant.
What is the name of the person considered to be the head of the household?(Write his/her name in line 01)
Then write the name of the other family members including their kinship and age.
Do you have any other perma-nent place to live?
Yes...1
Write code and trace a
line from
question A3 to
question A 23
No...0
03
01
05
06
07
08
09
Has (name) been liv-ing here for over 6 months?
Yes...1
Write code
continue with the
next person
No...0
Do you plan to continue living here?
Yes...1
Write code
continue with the
next person
No...0
(Write thecode)
(Write thecode)
(Write thecode)
(Write code and continue with the
next person)
Usualresident
Usualresident
Usualresident
Non-usualresident
(Panel line)
(Line)
LAST
YEA
R
LINE
2016
Interviewer:
R4a. Did the informer indicate the head of
the household is shared?
Yes.........O1
No........O0
R4b Line No. of the other head of household
Kinship Relationship
What is the kinship relationship between (name) and the head of household?
Headofhousehold. . . . . . . . . . . 01
Spouseorsignificantother.. . . . . . . . . . . 02
Sonordaughter . . . . . . . . . . . . 03
Stepsonorstepdaughter . . . . 04
Son-in-lawordaughter-in-law . . . . . . . . . . . . 05
Grandsonorgranddaughter . . 06
Father,mother. . . . . . . . . . . . . . 07
Father-in-lawormother-in-law. . . . . . . . . . . . . . 08
Brotherorsister. . . . . . . . . . . . 09
Brother-in-lawordaughter-in-law . . . . . . . . . . . . 10
Otherrelative . . . . . . . . . . . . . . 11
Othernon-relative . . . . . . . . . . 12
Personproviding
housekeepingservicesortheirrelative. . . . . . . . . . . . . 13
Lodgerortheirrelative(tenant). . . . . . . . . . . . . . . . . . . . 14
(Write the code)
(A3)
5
Sex
Male or female?
Male.....1
Female...2
(Write thecode)
10
Maritalstatus
Is (name)...
livinginacommon-lawmarriage. . . . .1
Married . . . . . .2
Divorced . . . . .3
Separated. . . .4
Widowed. . . . .5
Single. . . . . . 6
Under10yearsofage . . . . . . 0
(Write the code)
(A4) (A5) (A7a) (A7b)
SECTION A. SOCIODEMOGRAPHIC CHARACTERISTICS
02
04
Place of birth
When (name) was born, where did his/her mother lived?
Inthiscounty.........0
(Write 0 in the code box)
Inanothercounty......1
(Write 1 in the code box, the name of the county and the
province in the adjacent space)
Inanothercountry.....2
(Write 2 in the code box and the name of the country in the
adjacent space)
Place of residence two years ago
Where did (name) reside on July 2014?
Inthiscounty.........0
(Write 0 in the code box)
Inanothercounty......1
(Write 1 in the code box, the name of the county and the
province in the adjacent space)
Inanothercountry.....2
(Write 2 in the code box and the name of the country in the
adjacent space)
03
01
05
06
07
08
09
Age
What is the age of (name) in completed years?
Ifunder1yearold....00
Age,under12yearsold....98
Age,over12yearsold...99
(Write the number
of completed years)
Line N°
INTE
RVIE W
GUIDE
Name of the other county and province, or country
Name of the other county and province, or countryCo
de
Code
(Write) (Write)
2016
(A7c) (A7d) (A6)
6
a. During this year has any member of the household received aid from IMAS such as...
...Avancemos program? 1
...monetaryaid?. . . . . . . 2
...ChildCareNetwork(CECUDIorCommunityHome)? . . . 3
...otheraids? . . . . . . . . . 4
Noaidhasbeenreceived. . . . . . . . . . . . 0
(Applies only for codes 1 and 2)
b. What is the amount received or currently being received?
(Write the amount in colones)
c. How often is it received?
d. Has assistance from IMAS been requested?
No . . . . . . . . . 0
Yes. . . . . . . . . 1
e. Why has assistance not been received?
Understudyorpending. . . 1
Rejected . . . . . 2
Other3
(skip to A10a)
(write code)
f. Has assistance not beenrequested because...
...itisnotneededordoesnotqualify? . . . 1
...He/shehasnoknowledgeoftheprogramordoesnotknowhowtoapplyforit?. . . . . . . . 2
...Theproceduresarecomplicated?.3
...He/shehasnopapers(noresidency)?..4
...Theprogramisnotavailableintheareawherehe/shelives? . . . . . . 5
Other6
(write code)
c. During this year has the National Rehabilitation Council provided you with any service or monetary aid?
Yes. . . . . . . . . . . 1
No . . . . . . . . . . . 0
d. Has assistance been requested?
No . . . . . . . . . . . 0(skip to A8f)
Yes. . . . . . . . . . . 1
e. Why has assistance not been received?
Understudyorpending. . . . . 1
Rejected . . . . . . . 2
Other3
(skip to A9a)
(write code)
IMASDisability (permanent)
SECTION A. SOCIODEMOGRAPHIC CHARACTERISTICS
10
02
04
03
01
05
06
07
08
09
2016
(A8a) (A8b) (A8c) (A8d) (A8e) (A8f) (A9a) (A9d)(A9b) (A9e)(A9c) (A9f)
Line N°
INTERVIE
W
GUIDE
Does (name) have any limitation that permanently hinders or impairs him/her to...
...seeevenwhenwearinglensesoreyeglasses? . . .1
...hear?. . . . . . . . .2
...talk? . . . . . . . . . . 3
...walkorclimbstairs? . . . . . . . . 4
...usehis/herarmsandhands?. . . . . . . . 5
...ofintellectualnature?(Retardation,DownSyndrome,other) . . . . . . . . .6
...mentalillness?(bipolar,schizophrenia,other) . . . . . . . . . 7
None. . . . . . . . . . . . 0
(Write a code in each box, you can
write a maximum of 2 limitations.
All the boxes must have a valid code from
0 to 7)
Disabled person Persons not receiving aid from IMASPersons with any
disability that have NOT applied for assistance
f. Has assistance not been requested because...
...itisnotneededordoesnotqualify? . . . . . . 1
…He/shehasnoknowledgeoftheprogramordoesnotknowhowtoapplyforit? . . 2
...Theproceduresarecomplicated? . . 3
...He/shehasnopapers(noresidency)? . . . 4...theprogramisnotavailableneartheareawherehe/shelives? . . . . . . . . . 5
Other6
(write code)
(skip to A9a)
(specify)
(specify)
(specify)
(specify)
(Write the corresponding code, amount and period)
a. Receives
b. Amount
c. Period
(skip to A10)
(skip to A9f)
7
a. During this year has (name) received care from any day-care center or adult care network?
Yes. . . . . . . . . . . 1 (skip to A11)
No. . . . . . . . . . . 0
b. Has any care been requested?
No. . . . . . . . . . . .0 (skip to A25d)
Yes. . . . . . . . . . . .1
c. Why has it not been received? Understudyorpending. . . . . . . . . . . . 1
Rejected . . . . . . . . . . . . . . 2
Other3
(skip to A11)
(Write the code)
(A10d) (A25a)(A10e) (A25b) (A25c)(A10f)(A10)
SECTION A. SOCIODEMOGRAPHIC CHARACTERISTICS
10
02
04
03
01
05
06
07
08
09
2016
CEN - CINAI Senior Citizens (65 years old and older)
(A25d)
During this year has any member of the household received services from the CEN-CINAI such as...
...whole-daycareatthechildren’s
center? ........ 1
...servedmeals?........ 2 ...food
package?...... 3
...milk? . . . . . . . . . . 4
Hasnoaidbeenreceived?........0
(Write the code)
d. Have you requested any service from CEN - CINAI?No. . . . . . . . . . . . . . .0
Yes. . . . . . . . . . . . . . .1
e. Why has it not been received?
Understudyorpending. . . . . . . 1
Rejected . . . . . . . . . 2
Other3
(skip to A11)
(Write the code)
f. Has assistance not been requested because...
...itisnotneededordoesnotqualify? . . . . . . . 1
...He/shehasnoknowledgeoftheprogramordoesnotknowhowtoapplyforit?. . . . 2
...Theproceduresarecomplicated?...3
...He/shehasnopapers(noresidency)?....4
...Theprogramisnotavailableintheareawherehe/shelives? . . . . . . . . . . 5
Other6
(Write the code)
d. Has assistance not been requested because...
...itisnotneededordoesnotqualify? . . . . . . . 1
...He/shehasnoknowledgeoftheprogramordoesnotknowhowtoapplyforit?. . . . 2
...Theproceduresarecomplicated?..3
...He/shehasnopapers(noresidency)?....4
...Theprogramisnotavailableintheareawherehe/shelives? . . . . . . . . . . 5
Other6
(Write the code)
(Write a code in each box, you can
write a maximum of 3 services.
All the boxes must have a valid code
from 0 to 4)
(specify)
(specify)
(specify)
(specify)
Line N°
INTERVIE
W
GUIDE
a b c
(skip to A10f)
Persons aged 7 or younger who do not receive any services from the CEN-CINAI
8
(A11) (A11a) (A12a)(A11b) (A12b) (A12c)(A11c)
10
02
04
03
01
05
06
07
08
09
Insurance Status
What type of Social Security does (name) have?
SalariedEmployee. . . . . . . . . 01
Throughinstitutionalagreements,(Associations,tradeunionscooperatives,etc.). . . . . . . . . 02
Voluntary. . . . . . . . . . . . . . . . . 13
Independentworker. . . . . . . . 14
State-provided(coveringthefamilymemberinsuredbythestate). . . . . . . 04
Relativeofinsuredpersonpayingdirectcontributions(salariedemployee,throughinstitutionalagreement,voluntary) . . . . . . . . . . . . . . . . 05
Retireereceivingnon-contrib-utorystatepensionspecialinsurance(basicamount). . . 06
Retireereceivingnon-contrib-utorystatepensionspecialinsurance(graceorwar) . . . . 07
RetireereceivingIVM(Disability,OldAgeandDeathPensions)oftheCCSS(CostaRicanSocialSecurityAdministration) . . . . 08
RetireeundertheTeacher’s,JudicialBranchandMinistryofFinancepensionschemes,orother...................09
Relativeofretiree . . . . . . . . . 10
Otherformsofinsurance(student,refugeeandother).11
Privateorforeigninsurance..12
Uninsured . . . . . . . . . . . . . . . . 00 (Write the code)
Non-contributory pensionPensionState-provided insurance
(A12)
a. Has State-provided insurance been applied for?
No. . . . . . . . . . . 0
Yes. . . . . . . . . . 1
b. Why has it not been received?
Understudyorpending. . . . 1
Rejected . . . . . 2
Other3
(skip to A12)
(Write the code)
a. Has the Non-Contributory Regime (RNC) pension been requested?
No. . . . . . . . . . . 0(skip to A12c)
Yes. . . . . . . . . . 1
b. Why has it not been received?
Understudyorpending. . . . 1
Rejected . . . . . 2
Other3
(skip to A13)
(Write the code)
C. Has insurance not been requested because...
...itisnotneededordoesnotqualify? . . . . . 1
...He/shehasnoknowledgeoftheprogramordoesnotknowhowtoapplyforit?. . 2
...Theproceduresarecomplicated?.3
...He/shehasnopapers(noresidency)?..4
...Theprogramisnotavailableintheareawherehe/shelives? . . . . . . . . 5
Other6
(Write the code)
c. Has insurance not been requested because...
...itisnotneededordoesnotqualify?. . . . . 1
...He/shehasnoknowledgeoftheprogramordoesnotknowhowtoapplyforit?. 2
...Theproceduresarecomplicated?.3
...He/shehasnopapers(noresidency)?..4
...Theprogramisnotavailableintheareawherehe/shelives? . . . . . . . 5
Other6
(Write the code)
(specify)
(specify)
(specify)
(specify)
(skip to A11c)
Write code 0 in box A11 for persons with no insurance of any type
Compulsory Basic Regime
Codes 01, 02, 13 and 14 only for question A11
Persons aged 65 years old or older with codes 0, 4, 5 or 10
for question A11
SECTION A. SOCIODEMOGRAPHIC CHARACTERISTICS
To what regime does (name) pay contributions?
IVMregimeoftheCCSS. . . . . . . . . . .1
Otherregime(Teacher’s,JudicialBranch,MinistryofFinancepensionschemes,
etc.) . . . . . . . . . . .2
None. . . . . . . . . . .0
(Write the code)
2016
9
(A13) (A14) (A15a) (A15b) (A16a) (A16b) (A17)
Regular Education
What is the last grade or year completed? Level Year
None . . . . . . . 0 0
Preparatory.0 1
SpecialEducation...0 2
Primaryschool1 X
HighSchool...2 X(Ifinformanthasahighschooldiploma,write26)
TechnicalHighSchool . . . . . . 3 X(Ifinformanthasahighschooldiploma,write37)
Technicalhighereducation . . .4 X
Universityeducation.....5 X
Specialty.....7 X
Master’sdegree,Doctorate....8 X
X: Last year of education completed Which one?
Degree codeLevel Name of program or specialty?
Does (name) attend...
...nurseryschool,interactiveschool,earlychildhoodeducationcenter?......01
...transitioncycleorpreparatory?.02
...primaryschool?......03
...highschool?..04
...technicalhighereducation?. . . 05
...universityeducation?...06
...specialeducation?...07
...openeducationininstitutestotakeMEP(MinistryofPublicEducation)tests?.......08
...non-regulareducation?09
Doesnotreceiveeducation....00 (Write code)
Level 3, 4, 5, 7 and 8 only for question A14
a. What is the name of the program or specialty he/she studied or is currently studying?
(If he/she holds more than one specialty, write the higher ranked or the one that shows more years completed)
b. Has he/she been awarded any degree in that program or specialty?
(If he/she holds more than one specialty, write the higher ranked or the one that shows more years completed)
Yes . . . . . .Whichone?
Technician,non-universityexpert. ......................1
Teachingdegreetechnical degree,orassociate’sdegreefrom university . . . . . . . . . . . . . . . . . .2
Bachelor’s . . . . . . . . . . . . . . . . . . . . .3
Licentiate’s . . . . . . . . . . . . . . . . . . . .4
Specialization. . . . . . . . . . . . . . . . . .5
Master’s,Doctorate . . . . . . . . . . . . .6
Holdsnodegree................0
a. Is (or was) the education center that he/she attends (or attended)...
...public?. . . . . . . 1
...semi-publicorsemi-official?. 2...private?. . . . . .3
...foreign? . . . . . .4
b. If he/she attends (or attended) a public university, ask: which?
UCR . . . . . . . . . . .1
UNA. . . . . . . . . . .2TEC . ...........3
UNED . . . . . . . . . .4
UTN . . . . . . . . . . .5
(Write code)
What is the main reason why (name) does not attend preparatory, primary school, secondary school, or university?
Needstowork. . . . . . . . . . . . . . 01
Preferstowork............. 02
Hastotakecareofchildren,eldersorotherpersons. . . . . . 03
Hastoassistindomesticchores.......... 04
Isunabletopayforhis/herstudies. . . . . . . . . . . . . . . . . . . . 05
Problemswithaccesstotheeducationsystem. . . . . . . 06
Hasdifficultystudying.......07
Notinterestedinformallearning............08
Pregnancyormarriage.....09
Illnessordisability.........10
Notoldenough . . . . . . . . . . . . .11
HasnotpassedMEPtests/admissiontests............12
Other 13
Persons aged between 5 and 24 years old with codes 0, 8, and 9 for question A13
(Write)
SECTION A. SOCIODEMOGRAPHIC CHARACTERISTICS
10
02
03
01
05
06
07
08
09
(Write)
(specify)
2016
(Write code)(specify)
04
10
During this year, has any member of the household received or attended…
...regularlytothestudentcafeteria? . . . . 1
…freetransportationfromMEP? . . . . . . .2
...freetextbooksfromMEP?. . . . . . . . 3
Noincentivehasbeenreceived . . . .0
Why has food not been received from the student cafeteria?
Itdoesnotexistintheeducationcenter . . . . . . . . . . 1
Itdoesexist,how-everhe/shedoesnotqualify . . . . . . . . . . 2
Itdoesexist,how-everhe/shedoesnotisunabletopayforthefee . . . . . . . . . . . . . 3
Itdoesexist,how-everhe/shedoesnotdoesnotneedtheservice . . . . . . . . . 4
Doesnotlikethe
place . . . . . . . . . . 5
Other6
a. Do any of the persons currently studying receive a monetary scholarship from...
...FONABE? . . . . . . . . . . . . . . . . . . 1
...INA?. . . . . . . . . . . . . . . . . . . . . . . 2
...Municipality?. . . . . . . . . . . . . . . 3
...Publicuniversity?. . . . . . . . . . . 4
...Privateuniversity?..........5
...Privatecompany?. . . . . . . . . . . 6
...Empleateprogram?. . . . . . . . . 7
Other8
Doesnotreceiveanyscholarship. . . . . . . . . . . . . . . . . . 0
(Only for codes 1 to 8)
b. What is the amount received or cur-
rently being received?
(Write the amount in colones)
c. How often is it received?
(Write code) (Write code)
(specify)
SECTION A. SOCIODEMOGRAPHIC CHARACTERISTICS 2016
(A19a)(A18)
a. Receives
(A19b) (A19d) (A19e) (A19f)(A18d)
b. Amount
(A19c)
c. Period
(Write the corresponding code, amount and period)
(Write a code in each box.
All the boxes must have a valid code from
0 to 3)
Line N°
INTERVIE
W
GUIDE
a b c
(specify)
d. Has a FONABE scholarship been requested?
No. . . . . . . . . . . . 0
(skip to A19f)
Yes. . . . . . . . . . . 1
e. Why has assistance not been received?
Understudyorpending. . . . . 1
Rejected . . . . . . 2
Other3
(skip to A20)
(Write the code)
f. Has assistance not been requested because...
...itisnotneededordoesnotqualify?. . . . . 1
...He/shehasnoknowledgeoftheprogramordoesnotknowhowtoapplyforit?. 2
...Theproceduresarecomplicated?.3
...He/shehasnopapers(noresidency)?..4
...He/shereceivesaidfromthe Avancemosprogram? . . . 5
Other6
(Write the code)
(specify)
(specify)
Education Incentives
ScholarshipsOnly if he/she attends a public education center
Students not receiving a scholarship
10
02
04
03
01
05
06
07
08
09
11
a. In addition to regular education, has (name) studied any other course or received any other training for which he/she was awarded a degree or certificate?
Yes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
b. What is the name of the course?
(In case of multiple courses, please write the most relevant and that for which a certificate or degree was awarded. E.g. computer science, auto mechanics, etc.)
Nonewerereceived . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 (skip to A24)
Non-regular education
SECTION A. SOCIODEMOGRAPHIC CHARACTERISTICS
10
02
04
03
01
05
06
07
08
09
Which institution provided the course?
INA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .01
Privateinstitute(Jiménez,Bostonetc.). . . . . . . . . . . . . . . . . . . . . . . . . . .02
Communitycollege(CUNA,CUC). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 03
Publicuniversity...............................04
Privateuniversity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .05
Publicinstitution. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 06
Privatecompany..............................07Foreign. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .08
Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .09
(Write the code)
2016
For persons aged 10 years old or older
(A20b)(A20a) (A21)
Name of course or training Code
(Write)
1212
SECTION A. SOCIODEMOGRAPHIC CHARACTERISTICS
During the past three months, has (name)used...
...amobilephone? . . . . . . . . . . . . 1
...alaptop?. . . . . . . . . . . . . . . . . . . . 2
...atablet?. . . . . . . . . . . . . . . . . . . . 3
...adesktopcomputer? . . . . . . . . . 4
...theinternet? . . . . . . . . . . . . . . . .5
...Noneoftheabove. . . . . . . . . . . .0
Who is the breadwinner of the household? (Please remember that the support must be
indispensable)
Entercode1inthecorrespondinglineorlines.
Aninstitutionorapersonnotlivinginthehouseholdbutbasedinthecountry. . . . . . . . . . 7
Apersonnotlivinginthehouseholdbutlivingabroad. . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
(If code 7 or 8 applies, enter the same solely in line 01)
LanguagesUse of technology Breadwinner
Persons aged 5 years old or older Persons aged 10 years old or older
10
02
03
01
05
06
07
08
09
(A23)
2016
a. Does (name) fluidly speak, read and write any other language different than his/her native language...
b. What language...
...English?. . . . . . . . . . 1
...French? . . . . . . . . . . 2
...Spanish? . . . . . . . . . 3
Otherlanguage?
4
(Write)
(specify)
Yes...1No...0 (skip to A23)
Speaks... Language
(A22b)(A22a)(A24)
(Enter code(s)) (Write code)
04