Part I – A.

Identification of the Household

B. Other Information:
Identification and 1. Particulars about the Head of the Family
a) Sex
Other Information b) Age as of Last Birthday
c) Martial Status
d) Highest Grade Completed
e) Employment Status
f) Occupation
g) Kind of Indutry / Business
h) Class of Worker
2. Other information about the Household
a) Type of Household
b) Number of Family Members
Enumerated
c) Number of boarders, helpers and
other non-relatives
d) Number of Family Members who are
Employed for Pay or Profit
Part II - A. Food, Alcoholic Beverages and Tobacco

Expenditures and 1. Particulars about the Head of the Family

a) Cereals and Cereal Preparations
Other b) Roots and Tubers
c) Fruits and Vegetables
Disbursements d) Meat and Meat Preparations
e) Dairy Products and Eggs
f) Fish and Marine Products
g) Coffee, Cocoa and Tea
h) Non-Alcoholic Beverages
i) Food Not Elsewhere Classified
2. Food Regularly Consumed Outside the
Home
3. Alcoholic Beverages
4. Tobacco
5. Food Items, Alcoholic Beverages and
Tobacco Received as Gifts
B. Fuel, Light and Water, Transportation and
Communication and Household Operation
C. Personal Care and Effects, Clothing, Foot-
wear and Other Wear
D. Education, Recreation and Medical Care
E. Furnishings and Equipment
F. Taxes
G. Housing, House Maintenance and Minor
Repairs
H. Miscellaneous Expenditures
I. Other Disbursements
Part III – Income and A. Salaries and Wages from Employment
B. Net Share of Crops, Fruits and Vegetables
Other Receipts
Producedor Livestock and Poultry Raised
by Other Households