DDI_PLW_2006_HIES_v01_M Muriell Sinsak Accelerated Data Program 2012-07-16 NADA Version 1.1 (July 2012). First documentation using IHSN Toolkit.This is the edited version of the documentation produced during the July 2012 workshop in Guam. Household Income and Expenditure Survey 2006 HIES 2006 PLW_2006_HIES_v01_M Office of Planning & Statistics, Bureau of Budget and Planning

Ms. Josephine Ulengchong

Ms. Kim Robertson Mr. Gregory Keeble Mr. Chris Ryan NADA Republic of Palau Government Asian Development Bank US Department of Interior Bureau of Budget and Planning Income/Expenditure/Household Survey [hh/ies] The Ministry of Finance, Bureau of Budget and Planning saw the need of conducting a Household Income and Expenditure Survey (HIES) and combining its outputs with the 2005 Census of Population and Housing data to provide information to assist the leaders of Palau address some of these issues. Although a HIES was carried out in 2004, outputs were incomplete and were not published, thus it was necessary to conduct another survey in order to obtain complete up-to-date information. Version 01: Edited data not anonymized. Access to Finance Health Systems & Financing Payment Systems Education The purpose of this survey is to obtain information on the income, consumption pattern, incidence of poverty, and saving propensities for different groups of people in the Republic of Palau. This information will be used to guide policy makers in framing socio-economic developmental policies and in initiating financial measures for improving economic conditions of the people. Some more specific outputs from the survey are listed below: a) To obtain expenditure weights and other useful data for the revision of consumer price indices. b) To supplement the data available for use in compiling official estimates of household accounts in the systems of national accounts. c) To supply basic data needed for policy making in connection with social and economic planning d) To provide data for assessing the impact on household living conditions of existing or proposed economic and social measures, particularly changes in the structure of household expenditures and in household consumption e) To gather information on poverty lines and incidence of poverty throughout Palau. Palau National - Household - Individual All private households. Households that had not been residing in Palau for the last 12 months and did not intend to stay in Palau for the next 12 months at the time of the survey, were still selected in the survey, but treated as out-of-scope. Sample survey data [ssd] Household Control Form: Collects basic demographic information from each member of the household such as, age, sex, marital status, ethnicity, etc. Expenditure Questionnaire: Covers basic details about the dwelling structure and its access to things like water and sanitation. It was also used as a vehicle to collect expenditure on major and infrequent expenditures incurred by the household. Income Questionnaire: Covers each of the main types of household income generated by the household such as wages and salaries, business income and income from subsistence activities. Diary: Covers all daily expenditures incurred by the household, consumption of items produced by the household such as fish and crops, and gifts both received and given by the household. Office of Planning & Statistics, Bureau of Budget and Planning A sample of 20 per cent was considered more than sufficient for Palau. An additional 10 per cent of sample was selected to allow for sample loss. As a result, a sample size of 1,041 households (20 per cent of 4,684, with a 10 per cent top-up) was considered suitable for the survey. Six target areas were identified as sub-populations for which estimates would be desirable. These six areas, which also can be considered stratum were: 1) Koror 2) Airai 3) East Babeldaob 4) West Babeldaob 5) Peleliu 6) Kayangel/Angaur To accommodate this requirement, the sample of 1,041 households needed to be distributed amongst each of these six strata in such a manner that the level of accuracy derived from each stratum would be roughly equal. The manner in which this is achieved is to over-sample (proportion wise) from the smaller strata to ensure they still have sufficient sample. To make workloads even and manageable in the field for interviewers and supervisors, the final sample size was adjusted such that it was divisible by 15 within each stratum. The number 15 was chosen as it was considered a suitable number of dwellings for an interviewer to enumerate over a three week period. Another modification to the sample was with Kayangel/ Angaur. Given the required sample for this area was derived to be 60 dwellings, and there are only 73 dwellings in these areas, it was decided to completely enumerate this stratum. Although it would be desirable to cover all of Palau for this survey, due to cost and time constraints a couple of areas were excluded from the frame before the selections were made. The two areas removed from scope were: 1) Sonsorol 2) Tobi The impact on final estimates is considered to be very small given the small populations on these two islands; 18 households on Sonsorol, and 10 households on Tobi. This accounts for less than 0.5 per cent of the population of Palau. The sample of dwellings was selected independently within each stratum. A complete list of all dwellings identified during the recent census was used as a frame. The first task was to sort the dwellings within each stratum by two variables: 1) Hamlet (on Koror) and State (rest of Palau) 2) Household Size (number of persons) Once the list had been sorted, systematic sampling was used to produce the sample of dwellings. A skip was produced by dividing the population size for each stratum by the required sample size (N/n). Having produced the skip, a random start was then generated between 0 and the skip to determine the starting point for the systematic sample. For details please refer to the attached document entitled Documentation for Sample Selection. Face-to-face [f2f] The survey schedules adopted for the HIES included the following: • Household Control Form • Expenditure Questionnaire • Income Questionnaire • Diary (x2) Information collected in the four schedules covered the following: a) Household Control Form: This form includes the following information: 1. Name 2. Sex 3. Date of Birth 4. Ethnicity 5. Marital Status 6. Educational Attainment 7. Activity Status 8. Literacy Status 9. Internet Usage b) Income questionnaire: This questionnaire has 8 sections and includes the following information: 1. Working for Wage and / or Salary 2. Agriculture, livestock, fishing and other sales 3. Other Self Employed & Business Operations 4. Previous Jobs held in the last 12 months 5. Services Provided to Other Private Households 6. Receipts from Custom Occasions 7. Welfare Benefits/Allowances 8. Other Income, including Remittances c) Expenditure Questionnaire: This questionnaire has 16 sections and includes the following information: 1. Dwelling characteristics 2. Dwelling tenure 3. Mortgages and loans for purchase of dwellings 4. Insurance policies 5. Construction of new dwellings 6. Major home improvements 7. Household operation 8. Transportation 9. Travel – Domestic & Overseas 10. Education, recreation, sport and culture 11. Loans 12. Credit Cards/ Charge accounts 13. Contribution to benefit schemes 14. Medical and health services 15. Customs Occasions 16. Miscellaneous payments 17. Agricultural Assets d) Weekly Diary: This questionnaire has 4 sections and includes the following information: 1. Items Bought 2. Consumption of Items Produced by the Household 3. Gifts 4. Winnings from Betting, Raffles and Lotteries For the household control form, expenditure questionnaire and income questionnaire, a face-to-face interview was conducted with the household to capture the information. For the two diaries, the first diary was left with the household for the first week, for the household to fill out. After the first week, the diary is picked up and the second week diary is dropped off to be filled out and picked up at the end of second week. Interviewers were required to contact each household every two to three days to make sure households were filling out their diaries appropriately. Field Work The field activities are the most important stage of the survey. The identification of the households and the arrangement of the visiting periods are important to ensure that the objectives of the survey are met and that errors which occur in the field, can be corrected and handled without further cost. Each household will be observed for a period of 2 weeks and questions will be asked of their expenditure and income for the last 12 months. Interviewing households on Sundays are discouraged and also Saturdays if the household members are Seventh Day Adventists. A calendar of activity has been included in the two field books. Identifying Selected Dwellings The first task an interviewer needs to undertake for each workload is to familiarise themselves with the dwellings selected in the workload. Quite often the interviewer will know the dwelling in advance, before even visiting the location, so these dwellings will be straight forward. For the remaining dwellings, of which there will be few, the interviewer may be required to ask assistance from people in the area to help assist finding the right dwelling. It is very important to go to the dwellings that have been selected in the survey for you to enumerate, and thus not change any of these selections. If you are having trouble locating any dwelling, you can always call on the assistance of both your supervisor and the NSO. This should be done as early as possible in the process to give time to the supervisor/NSO to provide the required assistance. The 3 Week Cycle Each interviewer will be responsible for interviewing 30-45 dwellings during the 9 week period. This will comprise of 2-3 workloads of 15 dwellings each. Addressing each workload will take 3 weeks in total. The procedure an interviewer should follow during this 3 week period is as follows: Day 1-4: Travel around the selected area and identify the location of the 15 dwellings for that workload. Visit all 15 dwellings and introduce the survey, fill in the Household Control Form and drop off the first diary. Day 5-18: Visit every selected dwelling each day if possible and assist with filling out the diary. Conduct the expenditure and income questionnaires for each selected household at any stage throughout the 2 week period. Day 19-21: Go through all expenditure and income questionnaires and make sure everything looks OK. Collect all Diaries from all selected dwellings. Make sure all forms are accounted for, and passed on to the supervisor. Depending on the interviewer, this process should occur 2-3 times over the 9 week period. The Initial Visit All 15 dwellings for each workload need to be visited in the first 4 days. It is important that the following activities take place during this period: i) Introduce the survey to the household, courtesy of the Primary Approach Letter (PAL). ii) Fill in the Household Control Form (HCF) for the household. iii) Drop off the first diary for the household, which should commence being filled in on the following Monday (see timetable for when this is). Visits During the Middle Two Weeks During the middle 2 weeks of the 3 week cycle, households are required to fill in the two 1-week diaries they are provided with. It is also during this period that each of the main questionnaires needs to be filled in: i) Expenditure questionnaire ii) Income questionnaire These are quite long questionnaires, so don’t leave this work until the end of this two week period, as it won’t get completed on time. Also during the two week period, the interviewer must visit each selected household as many times as possible to check on the progress of the diary. The Final Visit During the last week, the interviewer must make their final visit to the household to collect the last diary and any other survey material still with the household. It is during this visit that the interviewer must ensure that all survey material for that household has been completed correctly. This includes: i) Household Control Form ii) Expenditure Questionnaire iii) Income Questionnaire iv) Diary (x 2) v) Envelope covers (back and front) It will be more difficult to go back and visit households after the fieldwork is complete, so it is very important that checking of final materials is done either before or during this final visit to resolve any problems. The staff involved in the fieldwork comprised of the following: • Staff from the Office of Planning and Statistics (6) • Field Supervisors (6) • Field Enumerators (27) The staff from the Office of Planning and Statistics were responsible for overseeing the survey fieldwork, as well as supervising the enumerators in Kayangel and Angaur. Each of the remaining strata had one supervisor each, with the exception of Koror which required 2 supervisors. The enumerators were each given between 2-3 workloads spread over a three week period each, in which they were required to enumerate 15 households per workload. As a result, each enumerator was responsible for enumerating between 30 and 45 households each. For details please refer to section 3.4 FIELD STRATEGY in the attached report entitled Republic of Palau Household Income and Expenditure Survey 2006. In order to produce survey weights to produce more meaningful estimates of both population totals and means, weights were derived at the stratum level. The computation of the stratum level weight was a simple process where the estimated number of occupied private households at the time of the survey, was divided by the responding sample for that stratum. For details please refer to section 3.5 ESTIMATION USING SURVEY WEIGHTS in the attached report entitled Republic of Palau Household Income and Expenditure Survey 2006. The overall response rate for Palau was 73%, which was a lower response rate than what was expected. The final response status for the 1,063 households selected in the HIES, 760 households fully responded to the survey, 28 partially responded (of which 16 could be included in the analysis) and 275 didn’t respond at all for various reasons. For details please refer to section 4.2.1 NON-RESPONSE BIAS in the attached report entitled Republic of Palau Household Income and Expenditure Survey 2006. To determine the impact of sampling error on the survey results, relative standard errors (RSEs) for key estimates were produced. The estimates for Total Income and Total Expenditure from the HIES can be considered to be very good, from a sampling error perspective. The same can also be said for the Wage and Salary estimate in income and the Food estimate in expenditure, which make up a high proportion of each respective group. Some of the other estimates should be used with caution, depending on the magnitude of their RSE. Some of these high RSEs are to be expected, due to the expected degree of variability for how households would report for these items. For example, with Business Income (RSE 30.1%), most households would report no business income as no household members undertook this activity, whereas other households would report large business incomes as it’s their main source of income. Relative Standard Errors for key estimates at the region level can be found in Appendix 2 of the survey report. Non-response Bias In was seen that 760 households fully responded to the survey, 28 partially responded (of which 16 could be included in the analysis) and 275 didn’t respond at all for various reasons. Despite the table indicating that the vast majority of nonresponses were “vacant/out-of-scope”, this was unlikely as the dwellings were occupied at the time of the census, only one year prior to the HIES. The assumption was therefore made that these households were more than likely mis-coded during the HIES collection, and would more likely have been a refusal or non-contact. As contained in the Letter of the Minister of Finance to the respondent household: "All information collected in this survey will be used only for Statistical purposes and shall be held in strict confidentiality. All enumerators, supervisors, Office of Statistics staff and all personnel that will be involved in the survey shall be required to take an oath of confidentiality/ secrecy to ensure survey information are kept confidential and used for the purpose explained above and nothing else. The ownership of the data belongs to the people of the Republic of Palau, data security, confidentiality and institutional ownership will be held with the Office of Statistics, Bureau of Budget and Planning, Ministry of Finance and will be made available to partner development organizations and other institutions/individuals provided the confidentiality issue is upheld." Director, Bureau of Budget & Planning Use of the dataset must be acknowledged using a citation which would include: - the Identification of the Primary Investigator - the title of the survey (including country, acronym and year of implementation) - the survey reference number - the source and date of download Example: Office of Planning & Statistics, Bureau of Budget and Planning, Palau. Household Income and Expenditure Survey 2006. Ref. PLW_2006_HIES_v01_M. Dataset downloaded from [source] on [date]. BENEFITS - The file contains data related to section 7 of the household income questionnaire (Welfare benefits/allowances). 0 21 CASH GIVEN - The file contains data related to Section 3 A, Item 3.1 of the Diary. 0 20 CASH RECEIVED - The file contains data related to Section 3 B, Item 3.3 of the Diary. 0 20 DIARY - The file contains data related to Sections 1 and 2 of the Diary. 0 22 EXPENDITURE - The file contains data collected using the Expenditure questionnaire. 0 235 GOODS GIVEN - The file contains data related to Section 3 A, Item 3.2 of the Diary. 0 24 GOODS RECEIVED - The file contains data related to Section 3 B, Item 3.4 of the Diary. 0 24 HCF - The file contains data from the Household Control Sheet. 0 21 OTHER INCOME - The file contains data related to section 8 of the household income questionnaire (Other income). 0 12 PREVIOUS_JOB - The file contains data related to section 4 of the household income questionnaire (Previous jobs in the last 12 months). 0 12 RECEIPTS - The file contains data related to section 6 of the household income questionnaire (Receipts from Custom Occasions). 0 11 SELF_EMPLOYED - The file contains data related to section 3 of the household income questionnaire (Other Self Employed & Business Operations). 0 12 SERVICES - The file contains data related to section 5 of the household income questionnaire (Services provided to other private households). 0 11 SUBSISTENCE - The file contains data related to section 2 of the household income questionnaire (Agriculture, Livestock, Fishing and Other Sales). 0 42 WAGES - The file contains data related to section 1 of the household income questionnaire (Agriculture, Livestock, Fishing and Other Sales). 0 50 WINNINGS - The file contains data related to Section 4 of the Diary (WINNINGS FROM BETTING (cock fighting) AND LOTTERIES (power ball) etc.) 0 13 State State State State State State: 1 Kayangel 2 Ngerchelong 3 Ngaraard 4 Ngiwal 5 Melekeok 6 Ngchesar 7 Airai 8 Aimeliik 9 Ngatpang 10 Ngardmau 11 Ngeremlengui 12 Angaur 13 Peleliu 14 Koror Hamlet Hamlet Hamlet Hamlet Hamlet Hamlet: 1 Dngeronger 2 Eang 3 Idid 4 Iyebukel 5 Ikelau 6 Madalaii 7 Meketii 8 Meyuns 9 Ngerbeched 10 Ngerchemai 11 Ngerkebesang 12 Ngerkesoal 13 Ngermid 14 Kayangle 15 Iebukel (Ngerchelong) 16 Mengellang 17 Ngebei 18 Ngerbau 19 Ngriil 20 Ollei 21 Chelab 22 Chol 23 Ngebuked 24 Ngkeklau 25 Ulimang 26 Ngelau 27 Ngercheluuk 28 Ngermechau 29 Melekeok 30 Ngeburch 31 Ngerang 32 Ngermelech 33 Ngerubesang 34 Ngeruliang 35 Ngchesar 36 Ngeraus 37 Ngerngesang 38 Ngerkesou 39 Ngersuul 40 Ngeruikl 41 Shimizu 42 Airai-Ordomel 43 Ked 44 Ngerduais 45 Ngerikiil 46 Ngetkib 47 Ngeruluobel 48 Ngerusar 49 Oikull 50 Ngerutoi 51 Ngetbong 52 Urdmau 53 Imeong 54 Ngchemsed 55 Ngermetengel 56 Ibobang 57 Mechebechubel 58 Nekken 59 Chelechui 60 Imelsubech 61 Imull 62 Medorm 63 Mongami 64 Imelchol 65 North Kloulklubed 66 South Kloulklubed 67 Uosech 68 Ngerchol 69 Ngerdelolk 70 Angaur 71 Ngermetuker 72 Ngerungel 73 Ngchesechang 74 Ngesias 75 Ngerkeiukel 76 Sonsorol 77 Fanna 78 Pulo Ana 79 Merir 80 Hatohobei 81 Helen Reef 82 Rock Islands Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area: 1 Airai 4 Kayangel 5 Melekeok 6 Ngiwal 7 Ngchesar 10 Aimeliik 11 Ngerchelong 12 Ngardmau 13 Ngatpang 14 Angaur 15 Ngeremlengui 20 Ngaraard 21 Jail 22 Meyuns 22 23 Meyuns 23 24 Meyuns 24 25 Madalaii 25 26 Madalaii 26 27 Ngerbeched 27 28 Ngerbeched 28 29 Ngerbeched 29 30 Madalaii 30 31 Madalaii 31 32 Dngeronger 33 Meketii 34 Iyebukel 37 Ngerchemai 38 Ikelau 39 Idid 40 Ngerkeswaol, Kor 41 Ngermid, Koror 44 Sonsorol 45 Peleliu 46 Hatohobei Household Number Household Number Household Number Household Number Household Number Hhold # Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name HH Population HH Population HH Population HH Population HH Population Total persons in hh: Unoccupied housing unit Person number Person number Person number Person number Person number Per # Relationship Relationship Relationship Relationship Relationship R'ship to Hhold Head 1 Household Head 2 Spouse of Head 3 Son/ Daughter to Head 4 Stepson/ Stepdaughter 5 Brother/ Sister to Head 6 Father/ Mother of Head 7 Grandchild of Head 8 Other Relatives 9 Roomer/ Boarder 10 Domestic Worker 11 Unmarried partner 12 Other non-relatives Sex Sex Sex Sex Sex Sex 1 Male 2 Female Date of Birth Date of Birth Date of Birth Date of Birth Date of Birth Date of Birth Birth Month Birth Month Birth Month Birth Month Birth Month Date of Birth mm 1 Jan 2 Feb 3 Mar 4 Apr 5 May 6 Jun 7 Jul 8 Aug 9 Sep 10 Oct 11 Nov 12 Dec Birth Day Birth Day Birth Day Birth Day Birth Day Date of Birth dd Birth Year Birth Year Birth Year Birth Year Birth Year Date of Birth yy Age Age Age Age Age Age last Birthday Ethnicity Ethnicity Ethnicity Ethnicity Ethnicity Ethnicity Code 1 Palauan 2 Carolinian 3 Other Micronesian 4 Filipino 5 Chinese 6 Taiwanese 7 Korean 8 Vietnamese 9 American 10 European 11 Other Marital Status Marital Status Marital Status Marital Status Marital Status Marital Status Code Persons aged 15 and over 1 Now Married 2 Consensually Married 3 Widowed 4 Divorced 5 Seperated 6 Never Married Educational Attainment Educational Attainment Educational Attainment Educational Attainment Educational Attainment Educ Attain Persons aged 15 and over 1 No School Completed 2 Primary School Completed 3 Secondary School 4 High School Graduate 5 Some college, but not completed 6 College completed 7 Bachelor's degree 8 Master's degree 9 Professional degree 10 Doctorate degree Activity Status Activity Status Activity Status Activity Status Activity Status Activity Status Persons aged 15 and over 1 Working full time - wages and salary 2 Working part time - wages and salary 3 Own business 4 Sell product 5 Own household consumption 6 Unemployed 7 Domestic duties 8 Full time education 9 Others Literacty Status Literacty Status Literacty Status Literacty Status Literacty Status Literacy Status Persons aged 15 and over 1 Can read and write English & Palauan 2 Can read and write English only 3 Can read and write Palauan only 4 Can't read and write English or Palauan 5 Literacy Rate 6 Illiteracy Rate Internet Usage Internet Usage Internet Usage Internet Usage Internet Usage Internet Usage Persons aged 15 and over 1 Don't use the internet 2 Use internet at home 3 Use internet at work 4 Use internet at educational institution 5 Use internet at Public Library 6 Use internet at Internet Cafe 7 Use internet at Friends and Relatives 8 Use internet elsewhere Weights Weights Weights Weights Weights Weights State State State State State State: 1 Kayangel 2 Ngerchelong 3 Ngaraard 4 Ngiwal 5 Melekeok 6 Ngchesar 7 Airai 8 Aimeliik 9 Ngatpang 10 Ngardmau 11 Ngeremlengui 12 Angaur 13 Peleliu 14 Koror Hamlet Hamlet Hamlet Hamlet Hamlet Hamlet: 1 Dngeronger 2 Eang 3 Idid 4 Iyebukel 5 Ikelau 6 Madalaii 7 Meketii 8 Meyuns 9 Ngerbeched 10 Ngerchemai 11 Ngerkebesang 12 Ngerkesoal 13 Ngermid 14 Kayangle 15 Iebukel (Ngerchelong) 16 Mengellang 17 Ngebei 18 Ngerbau 19 Ngriil 20 Ollei 21 Chelab 22 Chol 23 Ngebuked 24 Ngkeklau 25 Ulimang 26 Ngelau 27 Ngercheluuk 28 Ngermechau 29 Melekeok 30 Ngeburch 31 Ngerang 32 Ngermelech 33 Ngerubesang 34 Ngeruliang 35 Ngchesar 36 Ngeraus 37 Ngerngesang 38 Ngerkesou 39 Ngersuul 40 Ngeruikl 41 Shimizu 42 Airai-Ordomel 43 Ked 44 Ngerduais 45 Ngerikiil 46 Ngetkib 47 Ngeruluobel 48 Ngerusar 49 Oikull 50 Ngerutoi 51 Ngetbong 52 Urdmau 53 Imeong 54 Ngchemsed 55 Ngermetengel 56 Ibobang 57 Mechebechubel 58 Nekken 59 Chelechui 60 Imelsubech 61 Imull 62 Medorm 63 Mongami 64 Imelchol 65 North Kloulklubed 66 South Kloulklubed 67 Uosech 68 Ngerchol 69 Ngerdelolk 70 Angaur 71 Ngermetuker 72 Ngerungel 73 Ngchesechang 74 Ngesias 75 Ngerkeiukel 76 Sonsorol 77 Fanna 78 Pulo Ana 79 Merir 80 Hatohobei 81 Helen Reef 82 Rock Islands Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area: 1 Airai 4 Kayangel 5 Melekeok 6 Ngiwal 7 Ngchesar 10 Aimeliik 11 Ngerchelong 12 Ngardmau 13 Ngatpang 14 Angaur 15 Ngeremlengui 20 Ngaraard 21 Jail 22 Meyuns 22 23 Meyuns 23 24 Meyuns 24 25 Madalaii 25 26 Madalaii 26 27 Ngerbeched 27 28 Ngerbeched 28 29 Ngerbeched 29 30 Madalaii 30 31 Madalaii 31 32 Dngeronger 33 Meketii 34 Iyebukel 37 Ngerchemai 38 Ikelau 39 Idid 40 Ngerkeswaol, Kor 41 Ngermid, Koror 44 Sonsorol 45 Peleliu 46 Hatohobei Household Number Household Number Household Number Household Number Household Number Household # Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name HH Population HH Population HH Population HH Population HH Population Total persons in hh: From the Household Control Sheet Work Work Work Work Work 1.1 Is anyone in this household currently working for a pay in a job, business or profession? If yes, provide details below. If "No" go to Q2.1. persons 15 years and over 1 Yes 2 No 'Currently' means at the date of the interview. Records should be for the job that the person is doing now. Person number Person number Person number Person number Person number Person number persons 15 years and over Occupation Occupation Occupation Occupation Occupation Main Occupation persons 15 years and over 110 Armed Force 1110 Legislators 1120 Senior Government Officials 1130 Traditional Chiefs and Heads of villages 1141 Senior Officials of Political-Party Organizations; Revolutionaries 1142 Senior Officials of Employers', Workers and Other Economic-Interest Org. 1143 Senior Officials of Humanitarian and Other Special Interest Org. 1210 Directors and Chief Executives 1221 Production and Operations Dept. Managers in Agriculture, Hunting, Forestry and Fishing 1222 Production and Operations Dept. Managers in Manufacturing 1223 Production and Operations Dept. Managers in Construction 1224 Production and Operations Dept. Managers in Wholesale and Retail Trade 1225 Production and Operations Dept. Managers in Restaurant and Hotels 1226 Production and Operations Dept. Managers in Transport, Storage and Communications 1227 Production and Operations Dept. Managers in Business Service 1228 Production and Operations Dept. Managers in Personal Care, Cleaning and Related Services 1229 Production and Operations Dept. Managers not elsewhere classified 1231 Finance and Administration Dept. Managers 1232 Personnel and Industrial Relations Dept. Managers 1233 Sales and Marketing Dept. Managers 1234 Advertising and Public Relations Dept. Managers 1235 Supply and Distribution Department Managers 1236 Computing Service Dept. Managers 1237 Research and Development Dept. Managers 1239 Other Dept. Managers not elsewhere Classified 1299 Landowners; Gentry (Pomeshchik) 1311 General Managers in Agriculture, Hunting, Forestry and Fishing 1312 General Managers in Manufacturing 1313 General Managers in Construction 1314 General Managers in Wholesale and Retail Trade 1315 Commandments (not Military); Administrator with higher or specialized secondary educ. 1316 General Managers in Transport, Storage and Communications 1317 General Managers of Business Services 1318 General Managers in Personal Care, Cleaning and Related Services 1319 General Managers not elsewhere classified 1510 Master with higher education; Steward; Bailiff 1520 Landowner; Khozian; Edinolichnik; Building owner 1530 Coop Owner 1540 Dvorianin; Noblemen; Shliakhta; Prince; Statskii Covetnik 1550 Small Business Owner 1590 Other 2000 "Intelligentsia", Scientific worker, NEC 2111 Physicists and astronomer 2112 Metereorologist 2113 Chemist 2114 Geologist and geophysicists 2121 Mathmeticians and related professionals 2122 Statisticians 2131 Computer Systems designers and analysts 2132 Computer Programmers 2139 Computing Professionals not elsewhere classified 2141 Architects, town and traffic planners 2142 Civil Engineers 2143 Electrical Engineers 2144 Electronics and Telecommunications Engineers 2145 Mechanical Engineers 2146 Chemical Engineers 2147 Mining Engineers, Metallurgists and Related Professionals 2148 Cartographers and Surveyors 2149 Architects, Engineers and related Professionals not elsewher specified 2211 Biologist, Botanists, Zoologists and Related Professionals 2212 Pharmacologists, Pathologists and Related Professionals 2213 Agronomists and Related Professionals 2221 Medical Doctors 2222 Dentists 2223 Veterinarians 2224 Pharmacists 2229 Health Professionals (except nursing) not elsewhere classified 2230 Nursing and Midwifery Professionals 2300 Teachers with Higher Education 2310 College, University and Higher Educ. Teaching Professionals 2320 Secondary Education Teaching Professionals 2331 Primary Education Teaching Professionals 2332 Pre-Primary Education Teaching Professionals 2340 Special Education Teaching Professionals 2351 Education Method Specialist 2352 School Inspectors 2359 Other Teaching Professionals not elsewhere classified 2400 Art Critics 2411 Accountants 2412 Personnel and careers professionals 2419 Business Professionals not elsewhere classified 2421 Lawyers 2422 Judges 2429 Legal Professionals not elsewhere classified 2431 Archivists and Curators 2432 Librarians and Related Information Professionals 2441 Economists 2442 Sociologist, Anthropologists and Related professionals 2443 Philosophers, Historians and Political Scientist 2444 Philologists, Translators and Interpretes 2445 Psychologists 2446 Social Work Professions 2451 Authors, Journalists and Other Writers 2452 Sculptor, Painters and Related Artists 2453 Composers, Musicians and Singers 2454 Choreographers and Dancers 2455 Film, Stage and Related Actors and Directors 2460 Religious Professionals 3111 Chemical, Physical and Science Technicians 3112 Civil Engineering Technicians 3113 Electrical Engineering Techinicians 3114 Electronics and Telecommunications Engineering Technicians 3115 Mechanical Engineering Technicians 3116 Chemical Engineering Technicians 3117 Mining and Metallurgic Technicians 3118 Draughtspersons 3119 Physical Engineering Science not elsewhere classified 3121 Computer Assistants 3122 Computer Equipment Operators 3123 Industrial Robot Controllers 3131 Photographers and Image and Sound Recording Equipment Operators 3132 Broadcasting and Telecommunications Eqipment Operators 3133 Medical Equipment Operators 3139 Optical and Electronic Equipment Operators not Elsewhere classified 3141 Ship's Engineers 3142 Ship's Deck Officers and Pilots 3143 Aircraft Pilots and Related Associate Professionals 3144 Air Traffic Controllers 3145 Air Traffic Safety Technicians 3151 Building and Fire Inspectors 3152 Safety, Health and Quality Inspectors 3211 Life Science Technicians 3212 Agronomy and Forestry Technicians 3213 Farming and Forestry Advisors 3221 Medical Assistants 3222 Sanitarians 3223 Dieticians and Nutritionists 3224 Optometrists and Opticians 3225 Dental Assistants 3226 Physiotherapists and Related Associates Professionals 3227 Veterinary Assistants 3228 Pharmaceuticals Assistants 3229 Modern Health Associates Professionals (except Nursing) not elsewhere classified 3231 Nursing Associates Professionals; Nurse without higher educ., NEC 3232 Midwifery Associates Professionals 3241 Traditional Medecine Practicioners 3242 Faith Healers 3310 Teachers with less than higher educ. 3320 Pre-primary educ. teaching associates professionals 3330 Special Ed Teaching associates professionals 3340 Other teaching associates professionals; vocational educ masters 3411 Securities and Finance Dealers and Brokers 3412 Insurance Representatives 3413 Estate Agents 3414 Travel Consultants and Organizers 3415 Technical and Commercial Sales Representatives 3416 Buyers; Purchasing Agents 3417 Appraisers; Valuers and Auctioners 3419 Finance and Sales Associate Professionals not elsewhere classified 3421 Trade Brokers 3422 Clearing and Forwarding Agents 3423 Employment Agents and Labor Contractors 3429 Business Services Agents and Trade Brokers not elsewhere classified 3431 Administrative Secretaries and Related Associates Professionals 3432 Legal and Related Business Associate Professionals 3433 Bookkeepers 3434 Statistical, Mathmematical and related associates professionals 3439 Administrative associates professionals not elsewhere classified 3441 Customs and Border Inspectors 3442 Government Tax and Excise Officials 3443 Government Social Benefits Officials 3444 Government Licensing Officials 3449 Customs, Tax and Related Gov't Associates professionals not elsewhere classified 3450 Police Inspectors and Detectives 3460 Social Work Associate Professionals 3471 Decorators and Professional Designers 3472 Radio, Television and Other Announcer 3473 Street, Night-club and related musicians, singers and dancers 3474 Clowns, Magicians, Acrobats and Related Associates Professionals 3475 Athletes, Sports persons and related associates professionals 3479 Artists Directors; Cultural-Educational Workers 3480 Religious Associates Professionals 4000 Non-Manual Workers (Often Implies Specialized Education) 4111 Stenographers and Typists 4112 Word-Processor and Related Operators 4113 Data Entry Operators 4114 Calculating Machine Operators 4115 Secretaries 4121 Accounting and Bookkeeping clerks 4122 Statistical and Finance Clerks 4131 Stock Clerks 4132 Production Clerks 4133 Transport Clerks 4141 Library and Filing Clerks 4142 Mail carriers and sorting clerks 4143 Coding, Proof-reading and related clerks 4144 Scribes and elated workers 4190 Other Office Clerks 4211 Cashiers and ticket clerks 4212 Tellers and other counter clerks 4213 Bookmakers and croupiers 4214 Pawnbrokers and money-lenders 4215 Debt-collectors and related workers 4221 Travel Agency and related clerks 4222 Receptionists and information clerks 4223 Telephone switchboard operators 5100 Servants 5111 Travel attendants and travel stewards 5112 Transport conductors 5113 Travel guides 5121 Housekeepers and related workers 5122 Cooks 5123 Waiters, waitresses and bartenders 5131 Child-care workers 5132 Institution-based personal care workers 5133 Home-based personal care workers 5139 Personal care and related workers not elsewhere classified 5141 Haidresser, barbers, beauticians and related workers 5142 Companions and valets 5143 Undertakers and embalmers 5149 Other personal services and workers not elsewhere classified 5151 Astrologers and related workers 5152 Fortune-tellers, palmists and related workers 5161 Fire-fighters 5162 Police Officers 5163 Prison guards 5169 Protective services workers not elsewhere classified 5210 Fashion and other models 5220 Shop salespersons and demonstrators 5230 Stall and market salespersons 6111 Field crop and vegetable growers 6112 Tree and shrub crop growers 6113 Gardeners, horticultural and nursery growers 6114 Mixed-crop growers 6121 Dairy and livestock producers 6122 Poultry producers 6123 Apiarists and sericulturists 6124 Mixed-animal producers 6129 Market-oriented animal producers and related workers not elsewhere classified 6130 Market-oriented crop and animal producers 6141 Forestry workers and loggers 6142 Charcoal burners and related workers 6151 Aquatic-life cultivation workers 6152 Inland and coastal waters fishery workers 6153 Deep-sea fishery workers 6154 Hunters and trappers 6210 Subsistence agricultural and fishery workers 7000 Masters; brigadiers (NEC) not in agriculture 7100 Construction workers NECX 7111 Miners and Quarry workers 7112 Shot firers and blasters 7113 Stone-splitters, cutters and carvers 7121 Builders, traditional materials 7122 Bricklayers and stonemasons 7123 Concrete placers, concrete finishers and related workers 7124 Carpenters and joiners 7129 Building frame and related trades workers not elsewhere classified 7131 Roofers 7132 Floor layers and tile setters 7133 Plasterers 7134 Insulation workers 7135 Glaziers 7136 Plumbers and pipe fitters 7137 Building and related electricians 7139 Germetchik and other workers in teh final stages of construction 7141 Painters and related workers 7142 Varnishers and related painters 7143 Building structure cleaners 7211 Metal molders and coremakers 7212 Welders and flame cutters 7213 Sheet-metal workers 7214 Structural-metal preparers and erectors 7215 Riggers and cable splicers 7216 Underwater workers 7221 Blacksmiths, hammer-smiths and forging-press workers 7222 Tool-makers and related workers 7223 Tokar (7213, lathe operator) 7224 Grinder/ Polisher 7231 Mechanic 7232 Aircraft engine mechanics and fitters 7233 Agricultural- or industrial-machinery mechanics and fitters 7241 Locksmith 7242 Electronics fitters 7243 Electronics mechanics and servicers 7244 Telegraph and telephone installers and servicers 7245 Electrical line installers, repairer and cable jointers 7311 Precision-instrument makers and repairers 7312 Musical-instrument makers and tuners 7313 Jewelry and precious-metal workers 7321 Abrasive wheel formers, potters and related workers 7322 Glass makers, cutters, grinders and finishers 7323 Glass engravers and etchers 7324 Glass, ceramics and related decorative painters 7331 Handicraft workers in wood and related materials 7332 Handicraft workers in textile, leather and related materials 7341 Compositors, typesetters and related workers 7342 Stereotypers and electrotypers 7343 Printing engravers and etchers 7344 Photographic and related workers 7345 Bookbinders and related workers 7346 Silk-screen, block and textile printers 7411 Butchers, fishmongers and related food preparers 7412 Bakers, pastry-cooks and confectionary makers 7413 Dairy products makers 7414 Fruit, vegetables and related preservers 7415 Food and beverage tasters and graders 7416 Tobacco preparers and tobacco products makers 7421 Wood treaters; coopers (cask makers) 7422 Cabiner makers and related workers 7423 Woodworking-machine setters and setter operators 7424 Basketary weavers, brush makers adn related workers 7431 Fibre-preparers 7432 Weavers, knitters and related workers 7433 Tailors, dressmakers adn hatters 7434 Furriers and related workers 7435 Textile, leather and related pattern-makers and cutters 7436 Sewers, embroiderers and related workers 7437 Upholsterers and related workers 7441 Pelt dressers, tanners and fellmongers 7442 Shoe-makers and related workers 8000 Masters; brigadiers in plants and factories; skilled factory workers NEC 8111 Mining-plant operators 8112 Mineral-ore- and stone-processing-plant operators 8113 Well drillers and borers and related works 8121 Ore and Metal furnace opertors 8122 Metal melters, casters, and rolling-mill operators 8123 Metal heat treating plant operators 8124 Metal drawers and extruders 8131 Glass and ceramics klin and related machine operators 8139 Glass, ceramics and related plant operators not elsewhere classified 8141 Wood processing plant operators 8142 Paper-pulp plant operators 8143 Paper making plant operators 8151 Crushing, grinding and chemical mixing machinery operators 8152 Chemical heat treating plant operators 8153 Chemical Filtering and separating equipment operators 8154 Chemical still and reactor operators (except petroleum and natural gas) 8155 Petroleum and natural gas refining plant operators 8159 Chemical processing plant operators not elsewhere classified 8161 Power production plant operators 8162 Steam engine and boiler operators 8163 Incinerator, water treatment and related plant operators 8171 Automated-assembly line operators 8172 Industrial robot operators 8211 Machine tool operators (rotary milling) 8212 Cement and other mineral products machine operators 8221 Pharmaceutical and toiletry products machine operators 8222 Ammunition and explosive products machine operators 8223 Metal finishing, plating and coating machine operators 8224 Photographic products machine operators 8229 Chemical products machine operators not elsewhere classified 8231 Rubber products machine operators 8232 Plastic products machine operators 8240 Wood products machine operators 8251 Printing machine operators 8252 Bookbinding machine operators 8253 Paper products machine operators 8261 Fibre preparing, spinning and winding machine operators 8262 Weaving and knitting machine operators 8263 Sewing machine operators 8264 Bleaching, dyeing and cleaning machine operators 8265 Fur and leather preparing machine operators 8266 Shoemaking and related machine operators 8269 Textile, fur and leather products machine operators not elsewhere classified 8271 Meat and fish processing machine operators 8272 Dairy products machine operators 8273 Grain and spice milling machine operators 8274 Baked goods, cereal and chocolate products machine operators 8275 Fruit, vegetables and nut processing machine operators 8276 Sugar production machine operators 8277 Tea, coffee and cocoa processing machine operators 8278 Brewers, wine and other beverage machine operators 8279 Tobacco production machine operators 8281 Mechanical machinery assemblers 8282 Electrical equipment assemblers 8283 Electronic equipment assemblers 8284 Metal, rubber, and plastic products assemblers 8285 Wood and related products assemblers 8286 Paperboard, textile and related products assemblers 8290 Othe machine operators and assemblers 8311 Locomotive engine drivers 8312 Railway brakers, signalers and shunters 8320 Drivers not specified 8321 Motor-cycle drivers 8322 Car, Taxi and Van Drivers 8323 Bus and tram drivers 8324 Heavy truck and lorry drivers 8331 Motorized farm and forestry plant operators 8332 Earth moving and related plant operators 8333 Crane, hoist and related plant operators 8334 Lifting truck operators 8340 Ships' deck crews and related workers 9111 Street food vendors 9112 Street vendors, non-food products 9113 Door-to-door and telephone salespersons 9120 Shoe cleaning and other street services elementary occupations 9131 Domestic helpers and cleaners 9132 Helpers and cleaners in offices, hotels and other establishments 9133 Hand launderers and pressers 9141 Building caretakers 9142 Vehicle, window and related cleaners 9151 Messengers, package and luggage porters and deliverers 9152 Doorkeepers, watchpersons and related workers 9153 Vending machine money collectors, meter readers and related workers 9161 Garbage collectors 9162 Sweepers and related laborers 9211 Farm hands and laborers 9212 Forestry laborers 9213 Fishery, hunting and trapping laborers 9311 Mining and quarrying laborers 9312 Construction and maintenance laborers: roads, dams and similar construction 9313 Building construction laborers 9321 Assembling laborers 9322 Hand packers and other manufacturing laborers 9329 Unskilled workers NEC 9331 Hand and Pedal vehicle drivers 9332 Drivers of animal drawn vehicles and machinery 9333 Freight Handlers 9999 Housewives; students; pupils; enemployed 'Main Occupation' is the main job a person is engaged in, such as a taro grower, poultry farmer, truck driver, dental nurse, etc. Sector Sector Sector Sector Sector What sector are you working in? persons 15 years and over 1 Public sector 2 Private sector 3 Religious organisation 4 Other 'Type of Sector' is the sector for which a person is working in. The Public Sector includes all government departments and bodies; the Private Sector; Religious Organisations and Other Organisations. Industry Industry Industry Industry Industry Main activity at your place of work persons 15 years and over 1 Agriculture, hunting and related service activities 2 Forestry, logging, and related service activities 5 Fishing, aquaculture and service activities 10 Mining of coal and Lignite 11 Extraction of crude petroleum and natural gas 12 Mining of uranium and thorium ores 13 Mining of metal ores 14 Othr mining and quarrying 15 Manufacture of food products and beverages 16 Manufacture of tobacco products 17 Manufacture of textiles 18 Manufacture of wearing apparel 19 Tanning and dressing of leather 20 Manufacture of wood and products of wood and cork 21 Manufacture of paper and paper products 22 Publishing, printing, and reproduction of recorded media 23 Manufacture of coke, refined petrol products and nuclear fuel 24 Manufacture of chemicals and chemicals products 25 Manufactur of rubber and plastic products 26 Manufacture other non-metallic mineral products 27 Manufacture of basic metals 28 Manufacture of fabricated metal products 29 Manufacture of machinery and equip 30 Manufacture of office machinery 31 Manufacture of electrical machinery 32 Manufacture of radio, tv, and comm equip 33 Manufacture of medical, precision and optical instruments, watches and clocks 34 Manufacture of motor vehicles, trailers, and semi trailers 35 Manufacture of other transport equips 36 Manufacture of furniture 37 Recycling 38 Electricity, gas, steam and hot water supply 39 Collection, purification and distribution of water 45 Construction 50 Sale, maintenance and repair of motor vehicles and motorcycles 51 Wholesale trade and commission trade 52 Retail trade, except for motor vehicles and motorcycles; repair of personal and household goods 55 Hotels and restaurant 60 Land transport; transport via pipelines 61 Water transport 62 Air transport 63 Supporting and auxiliary transport activities; activities of travel agencies 64 Post and telecommunications 65 Financial intermediation, except insurance and pension funding 66 Insurance and pension funding, except compulsory social security 67 Activities auxiliary to financial intermediation 70 Real estate activities 71 Renting of machinery and equipment w/o operator 72 Computer and related activities 73 Research and development 74 Other business activities 75 Public administration and defence 80 Education 85 Health and social work 90 Sewage and refuse disposal 91 Activities of membership organisation 92 Recreational, cultural and sporting activities 93 Other service activities 95 Activities of private households as employers of domestic staff 96 Undifferentiated goods producing activities of private households for own use 97 Undifferentiated service producing activities of private household for own use 99 Extraterritorial organization and bodies 'Main Activity at Place of Work' is the main type of industry for which a person is engaged in, such as agriculture, fishing, manufacturing, printing, public administration, teaching, health services, etc. Hours worked Hours worked Hours worked Hours worked Hours worked Number of hours worked a week (usual, including overtime) persons 15 years and over 'Hours worked' is the number of hours usually spent on the job (including overtime). Job years Job years Job years Job years Job years How long have you been working at this job (years)? persons 15 years and over Gross pay Gross pay Gross pay Gross pay Gross pay 1.2 How much did you earn from this job in the last 12 months? a) Gross cash pay for this job REFER TO PAYSLIPS IF POSSIBLE 'Gross Pay' means before any deductions from pay such as PAYE tax, loan payments, superannuation, union fees, rent, mortgage repayments, insurance premiums, provident fund, etc. Commission Commission Commission Commission Commission 1.2 How much did you earn from this job in the last 12 months? b) Commission / bonus REFER TO PAYSLIPS IF POSSIBLE Tips Tips Tips Tips Tips 1.2 How much did you earn from this job in the last 12 months? c) Tips REFER TO PAYSLIPS IF POSSIBLE In kind - rent In kind - rent In kind - rent In kind - rent In kind - rent 1.2 How much did you earn from this job in the last 12 months? d) Payment in kind - rent REFER TO PAYSLIPS IF POSSIBLE In kind - food In kind - food In kind - food In kind - food In kind - food 1.2 How much did you earn from this job in the last 12 months? e) Payment in kind - food REFER TO PAYSLIPS IF POSSIBLE In kind - utilities In kind - utilities In kind - utilities In kind - utilities In kind - utilities 1.2 How much did you earn from this job in the last 12 months? f) Payment in kind - utilities REFER TO PAYSLIPS IF POSSIBLE In kind - other In kind - other In kind - other In kind - other In kind - other 1.2 How much did you earn from this job in the last 12 months? g) Payment in kind - other REFER TO PAYSLIPS IF POSSIBLE Total income Total income Total income Total income Total income 1.2 How much did you earn from this job in the last 12 months? TOTAL (a + b + c + d + e + f + g) REFER TO PAYSLIPS IF POSSIBLE Deductions Deductions Deductions Deductions Deductions 1.2 How much did you earn from this job in the last 12 months? Less deductions (tax, pension, social security) REFER TO PAYSLIPS IF POSSIBLE Net Earnings Net Earnings Net Earnings Net Earnings Net Earnings 1.2 How much did you earn from this job in the last 12 months? NET EARNINGS REFER TO PAYSLIPS IF POSSIBLE Allotment - telephone Allotment - telephone Allotment - telephone Allotment - telephone Allotment - telephone 1.2 How much did you earn from this job in the last 12 months? Less Allotments - telephone REFER TO PAYSLIPS IF POSSIBLE Allotment - electricity Allotment - electricity Allotment - electricity Allotment - electricity Allotment - electricity 1.2 How much did you earn from this job in the last 12 months? Allotment - electricity REFER TO PAYSLIPS IF POSSIBLE Allotment - water Allotment - water Allotment - water Allotment - water Allotment - water 1.2 How much did you earn from this job in the last 12 months? Allotment - water REFER TO PAYSLIPS IF POSSIBLE Allotment - cable tv Allotment - cable tv Allotment - cable tv Allotment - cable tv Allotment - cable tv 1.2 How much did you earn from this job in the last 12 months? Allotment - cable tv REFER TO PAYSLIPS IF POSSIBLE Allotment - loan repayment Allotment - loan repayment Allotment - loan repayment Allotment - loan repayment Allotment - loan repayment 1.2 How much did you earn from this job in the last 12 months? Allotment - loan repayment REFER TO PAYSLIPS IF POSSIBLE Allotment - other Allotment - other Allotment - other Allotment - other Allotment - other 1.2 How much did you earn from this job in the last 12 months? Allotment - other REFER TO PAYSLIPS IF POSSIBLE Take home earnings Take home earnings Take home earnings Take home earnings Take home earnings 1.2 How much did you earn from this job in the last 12 months? TAKE HOME EARNINGS REFER TO PAYSLIPS IF POSSIBLE Second job Second job Second job Second job Second job 1.3 Does any member of this household currently have a second wage & salary job? If yes provide details below. 1.3 Second job - This question is aimed at persons with formal regular secondary jobs. - The instruction for questions 1.1 and 1.2 can be applied here also 1 Yes 2 No Person number (2nd Job) Person number (2nd Job) Person number (2nd Job) Person number (2nd Job) Person number (2nd Job) 1.3 Does any member of this household currently have a second wage & salary job? Person Number Hours worked (2nd Job) Hours worked (2nd Job) Hours worked (2nd Job) Hours worked (2nd Job) Hours worked (2nd Job) 1.3 Does any member of this household currently have a second wage & salary job? Number of hours worked a week (usual, including overtime) in second job Gross pay (2nd Job) Gross pay (2nd Job) Gross pay (2nd Job) Gross pay (2nd Job) Gross pay (2nd Job) 1.3 Does any member of this household currently have a second wage & salary job? a) Gross cash pay for this job Commission (2nd Job) Commission (2nd Job) Commission (2nd Job) Commission (2nd Job) Commission (2nd Job) 1.3 Does any member of this household currently have a second wage & salary job? a) Gross cash pay for this job Tips (2nd Job) Tips (2nd Job) Tips (2nd Job) Tips (2nd Job) Tips (2nd Job) 1.3 Does any member of this household currently have a second wage & salary job? c) Tips In-kind - rent (2nd) In-kind - rent (2nd) In-kind - rent (2nd) In-kind - rent (2nd) In-kind - rent (2nd) 1.3 Does any member of this household currently have a second wage & salary job? d) Payment in kind - rent In-kind - food (2nd Job) In-kind - food (2nd Job) In-kind - food (2nd Job) In-kind - food (2nd Job) In-kind - food (2nd Job) 1.3 Does any member of this household currently have a second wage & salary job? e) Payment in kind - food In-kind -utilities (2nd Job) In-kind -utilities (2nd Job) In-kind -utilities (2nd Job) In-kind -utilities (2nd Job) In-kind -utilities (2nd Job) 1.3 Does any member of this household currently have a second wage & salary job? f) Payment in kind - utilities In-kind - other (2nd Job) In-kind - other (2nd Job) In-kind - other (2nd Job) In-kind - other (2nd Job) In-kind - other (2nd Job) 1.3 Does any member of this household currently have a second wage & salary job? g) Payment in kind - rent Total Income (2nd Job) Total Income (2nd Job) Total Income (2nd Job) Total Income (2nd Job) Total Income (2nd Job) 1.3 Does any member of this household currently have a second wage & salary job? TOTAL (a + b + c + d + e + f + g) Less deductions (2nd Job) Less deductions (2nd Job) Less deductions (2nd Job) Less deductions (2nd Job) Less deductions (2nd Job) 1.3 Does any member of this household currently have a second wage & salary job? Less deductions (tax, pension, social security) Net earnings (2nd Job) Net earnings (2nd Job) Net earnings (2nd Job) Net earnings (2nd Job) Net earnings (2nd Job) 1.3 Does any member of this household currently have a second wage & salary job? NET EARNINGS Allotment - telephone (2nd Job) Allotment - telephone (2nd Job) Allotment - telephone (2nd Job) Allotment - telephone (2nd Job) Allotment - telephone (2nd Job) 1.3 Does any member of this household currently have a second wage & salary job? Allotment - telephone Allotment - electricity (2nd Job) Allotment - electricity (2nd Job) Allotment - electricity (2nd Job) Allotment - electricity (2nd Job) Allotment - electricity (2nd Job) 1.3 Does any member of this household currently have a second wage & salary job? Allotment - electricity Allotment - water (2nd Job) Allotment - water (2nd Job) Allotment - water (2nd Job) Allotment - water (2nd Job) Allotment - water (2nd Job) 1.3 Does any member of this household currently have a second wage & salary job? Allotment - water Allotment -cable tv (2nd Job) Allotment -cable tv (2nd Job) Allotment -cable tv (2nd Job) Allotment -cable tv (2nd Job) Allotment -cable tv (2nd Job) 1.3 Does any member of this household currently have a second wage & salary job? Allotment - cable tv Allotment - loan repayment (2nd Job) Allotment - loan repayment (2nd Job) Allotment - loan repayment (2nd Job) Allotment - loan repayment (2nd Job) Allotment - loan repayment (2nd Job) 1.3 Does any member of this household currently have a second wage & salary job? Allotment - loan repayment Allotment - other (2nd Job) Allotment - other (2nd Job) Allotment - other (2nd Job) Allotment - other (2nd Job) Allotment - other (2nd Job) 1.3 Does any member of this household currently have a second wage & salary job? Allotment - other Take Home Earning (2nd Job) Take Home Earning (2nd Job) Take Home Earning (2nd Job) Take Home Earning (2nd Job) Take Home Earning (2nd Job) 1.3 Does any member of this household currently have a second wage & salary job? TAKE HOME EARNINGS State State State State State State: 1 Kayangel 2 Ngerchelong 3 Ngaraard 4 Ngiwal 5 Melekeok 6 Ngchesar 7 Airai 8 Aimeliik 9 Ngatpang 10 Ngardmau 11 Ngeremlengui 12 Angaur 13 Peleliu 14 Koror Hamlet Hamlet Hamlet Hamlet Hamlet Hamlet: 1 Dngeronger 2 Eang 3 Idid 4 Iyebukel 5 Ikelau 6 Madalaii 7 Meketii 8 Meyuns 9 Ngerbeched 10 Ngerchemai 11 Ngerkebesang 12 Ngerkesoal 13 Ngermid 14 Kayangle 15 Iebukel (Ngerchelong) 16 Mengellang 17 Ngebei 18 Ngerbau 19 Ngriil 20 Ollei 21 Chelab 22 Chol 23 Ngebuked 24 Ngkeklau 25 Ulimang 26 Ngelau 27 Ngercheluuk 28 Ngermechau 29 Melekeok 30 Ngeburch 31 Ngerang 32 Ngermelech 33 Ngerubesang 34 Ngeruliang 35 Ngchesar 36 Ngeraus 37 Ngerngesang 38 Ngerkesou 39 Ngersuul 40 Ngeruikl 41 Shimizu 42 Airai-Ordomel 43 Ked 44 Ngerduais 45 Ngerikiil 46 Ngetkib 47 Ngeruluobel 48 Ngerusar 49 Oikull 50 Ngerutoi 51 Ngetbong 52 Urdmau 53 Imeong 54 Ngchemsed 55 Ngermetengel 56 Ibobang 57 Mechebechubel 58 Nekken 59 Chelechui 60 Imelsubech 61 Imull 62 Medorm 63 Mongami 64 Imelchol 65 North Kloulklubed 66 South Kloulklubed 67 Uosech 68 Ngerchol 69 Ngerdelolk 70 Angaur 71 Ngermetuker 72 Ngerungel 73 Ngchesechang 74 Ngesias 75 Ngerkeiukel 76 Sonsorol 77 Fanna 78 Pulo Ana 79 Merir 80 Hatohobei 81 Helen Reef 82 Rock Islands Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area: 1 Airai 4 Kayangel 5 Melekeok 6 Ngiwal 7 Ngchesar 10 Aimeliik 11 Ngerchelong 12 Ngardmau 13 Ngatpang 14 Angaur 15 Ngeremlengui 20 Ngaraard 21 Jail 22 Meyuns 22 23 Meyuns 23 24 Meyuns 24 25 Madalaii 25 26 Madalaii 26 27 Ngerbeched 27 28 Ngerbeched 28 29 Ngerbeched 29 30 Madalaii 30 31 Madalaii 31 32 Dngeronger 33 Meketii 34 Iyebukel 37 Ngerchemai 38 Ikelau 39 Idid 40 Ngerkeswaol, Kor 41 Ngermid, Koror 44 Sonsorol 45 Peleliu 46 Hatohobei Household Number Household Number Household Number Household Number Household Number Household # Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name HH Population HH Population HH Population HH Population HH Population Total persons in hh: From the Household Control Sheet Any crop sales Any crop sales Any crop sales Any crop sales Any crop sales 2.1 Has any member of your household sold any of the following cash or root crops in the last 30 days? If No, GO TO 2.2 2.1 & 2.2 Agriculture: For estimated sales, provide a best guess estimate as to what the sales would have been for each item over the last 30 days. For estimated expenses, provide the expenses incurred over the last 30 days only, to assist with the production of these crops which were sold - examples may be for fertilizer or tools (used mostly for the crops sold), or payment (including "in-kind") for labour to a person outside the household. If expenses are incurred for crops grown which are home consumed as well as sold, try to determine what proportion of the expenses would have been on just the crops sold. 1 Yes 2 No Any veggie/ fruit sales Any veggie/ fruit sales Any veggie/ fruit sales Any veggie/ fruit sales Any veggie/ fruit sales 2.2. Has any member of your household sold any of the following fruit and vegetables in the last 30 days? If yes, give details below If NO, GO TO 2.3 2.1 & 2.2 Agriculture: For estimated sales, provide a best guess estimate as to what the sales would have been for each item over the last 30 days. For estimated expenses, provide the expenses incurred over the last 30 days only, to assist with the production of these crops which were sold - examples may be for fertilizer or tools (used mostly for the crops sold), or payment (including "in-kind") for labour to a person outside the household. If expenses are incurred for crops grown which are home consumed as well as sold, try to determine what proportion of the expenses would have been on just the crops sold. 1 Yes 2 No Any livestock sales Any livestock sales Any livestock sales Any livestock sales Any livestock sales 2.3 Has any member of your household sold any of the following livestock in the last 30 days? If Yes, give details below If NO, GO TO Q2.4 2.3 Livestock For estimated sales, provide the best guess estimate as to the value of sales for the last 30 days only. Estimated expenses may include expenses such as feed for the animals or the costs associated with constructing an enclosure for the animals. Make sure the expenses occurred in the last 30 days. Where home consumption occurs for livestock which is also sold, provide a best guess estimate as to the proportion of expenses associated with the livestock sold. 1 Yes 2 No Any seafood sales Any seafood sales Any seafood sales Any seafood sales Any seafood sales 2.4 Has any member of your household sold any seafood in the last 30 days? If Yes, give details below If NO, GO TO Q2.5 2.4 Seafood For estimated sales, provide the best guess estimate as to the value of sales for the last 30 days only. Estimated expenses may include expenses such as petrol for the boat, nets or or the purchase of other fishing equipment. Make sure the expenses occurred in the last 30 days. Where home consumption occurs for seafood which is also sold, provide a best guess estimate as to the proportion of expenses associated with the seafood sold. 1 Yes 2 No Any homemade produce sales Any homemade produce sales Any homemade produce sales Any homemade produce sales Any homemade produce sales 2.5 Has any member of your household sold any of the following home made produce in the last 30 days? If Yes, give details below If NO, GO TO Q2.6 2.5 Homemade produce For estimated sales, provide the best guess estimate as to the value of sales for the last 30 days only. Estimated expenses may include expenses such as the purchase of ingredients or the hire of labour (including payments in-kind) to assist with the production. Make sure the expenses occurred in the last 30 days. Where home consumption occurs for homemade produce which is also sold, provide a best guess estimate as to the proportion of expenses associated with the homemade produce sold. 1 Yes 2 No Any handicrafts sales Any handicrafts sales Any handicrafts sales Any handicrafts sales Any handicrafts sales 2.6 Has any member of your household sold any of the following handicrafts in the last 30 days? If Yes, give details below If NO, GO TO Q3.1 2.6 Handicrafts For estimated sales, provide the best guess estimate as to the value of sales for the last 30 days only. Estimated expenses may include expenses such as the purchase of materials or the hire of labour (including payments in-kind) to assist with the production. Make sure the expenses occurred in the last 30 days. 1 Yes 2 No Crops detail Crops detail Crops detail Crops detail Crops detail 2.1 & 2.2 Agriculture: For estimated sales, provide a best guess estimate as to what the sales would have been for each item over the last 30 days. For estimated expenses, provide the expenses incurred over the last 30 days only, to assist with the production of these crops which were sold - examples may be for fertilizer or tools (used mostly for the crops sold), or payment (including "in-kind") for labour to a person outside the household. If expenses are incurred for crops grown which are home consumed as well as sold, try to determine what proportion of the expenses would have been on just the crops sold. Type of crop Type of crop Type of crop Type of crop Type of crop Type of crop: Tapioca Taro Sweet Potato Ginger Yam Other 2.1 & 2.2 Agriculture: For estimated sales, provide a best guess estimate as to what the sales would have been for each item over the last 30 days. For estimated expenses, provide the expenses incurred over the last 30 days only, to assist with the production of these crops which were sold - examples may be for fertilizer or tools (used mostly for the crops sold), or payment (including "in-kind") for labour to a person outside the household. If expenses are incurred for crops grown which are home consumed as well as sold, try to determine what proportion of the expenses would have been on just the crops sold. 200 Other 201 Tapioca 202 Taro 203 Sweet Potato 204 Ginger (Sionga) 205 Yam Sales - crops Sales - crops Sales - crops Sales - crops Sales - crops Sales (a) 2.1 & 2.2 Agriculture: For estimated sales, provide a best guess estimate as to what the sales would have been for each item over the last 30 days. For estimated expenses, provide the expenses incurred over the last 30 days only, to assist with the production of these crops which were sold - examples may be for fertilizer or tools (used mostly for the crops sold), or payment (including "in-kind") for labour to a person outside the household. If expenses are incurred for crops grown which are home consumed as well as sold, try to determine what proportion of the expenses would have been on just the crops sold. Expenses - crops Expenses - crops Expenses - crops Expenses - crops Expenses - crops Expense (b) 2.1 & 2.2 Agriculture: For estimated sales, provide a best guess estimate as to what the sales would have been for each item over the last 30 days. For estimated expenses, provide the expenses incurred over the last 30 days only, to assist with the production of these crops which were sold - examples may be for fertilizer or tools (used mostly for the crops sold), or payment (including "in-kind") for labour to a person outside the household. If expenses are incurred for crops grown which are home consumed as well as sold, try to determine what proportion of the expenses would have been on just the crops sold. Net - crops Net - crops Net - crops Net - crops Net - crops Net (a-b) 2.1 & 2.2 Agriculture: For estimated sales, provide a best guess estimate as to what the sales would have been for each item over the last 30 days. For estimated expenses, provide the expenses incurred over the last 30 days only, to assist with the production of these crops which were sold - examples may be for fertilizer or tools (used mostly for the crops sold), or payment (including "in-kind") for labour to a person outside the household. If expenses are incurred for crops grown which are home consumed as well as sold, try to determine what proportion of the expenses would have been on just the crops sold. Veggie/ fruit details Veggie/ fruit details Veggie/ fruit details Veggie/ fruit details Veggie/ fruit details 2.1 & 2.2 Agriculture: For estimated sales, provide a best guess estimate as to what the sales would have been for each item over the last 30 days. For estimated expenses, provide the expenses incurred over the last 30 days only, to assist with the production of these crops which were sold - examples may be for fertilizer or tools (used mostly for the crops sold), or payment (including "in-kind") for labour to a person outside the household. If expenses are incurred for crops grown which are home consumed as well as sold, try to determine what proportion of the expenses would have been on just the crops sold. Type of vegies/fruits Type of vegies/fruits Type of vegies/fruits Type of vegies/fruits Type of vegies/fruits Type of crop: Betelnut Banana Lemon/Lime Pineapple Water Melon Mango Papaya Nappa Noni Beans Peppermint (Kebui0 Kangkum Okra Green/Dry Coconut (Lius0 Other 2.1 & 2.2 Agriculture: For estimated sales, provide a best guess estimate as to what the sales would have been for each item over the last 30 days. For estimated expenses, provide the expenses incurred over the last 30 days only, to assist with the production of these crops which were sold - examples may be for fertilizer or tools (used mostly for the crops sold), or payment (including "in-kind") for labour to a person outside the household. If expenses are incurred for crops grown which are home consumed as well as sold, try to determine what proportion of the expenses would have been on just the crops sold. 206 Betelnut (Buuch) 207 Banana 208 Lemon/ Lime 209 Pineapple 210 Water Melon 211 Mango 212 Papaya 213 Nappa 214 Noni 215 Beans 216 Peppermint (Kebui) 217 Kangkum 218 Okra 219 Green/ Dry Coconut (Lius) 255 Other Sales - vegies/fruits Sales - vegies/fruits Sales - vegies/fruits Sales - vegies/fruits Sales - vegies/fruits Sales (a) 2.1 & 2.2 Agriculture: For estimated sales, provide a best guess estimate as to what the sales would have been for each item over the last 30 days. For estimated expenses, provide the expenses incurred over the last 30 days only, to assist with the production of these crops which were sold - examples may be for fertilizer or tools (used mostly for the crops sold), or payment (including "in-kind") for labour to a person outside the household. If expenses are incurred for crops grown which are home consumed as well as sold, try to determine what proportion of the expenses would have been on just the crops sold. Expenses - vegies/fruits Expenses - vegies/fruits Expenses - vegies/fruits Expenses - vegies/fruits Expenses - vegies/fruits Expenses (b) 2.1 & 2.2 Agriculture: For estimated sales, provide a best guess estimate as to what the sales would have been for each item over the last 30 days. For estimated expenses, provide the expenses incurred over the last 30 days only, to assist with the production of these crops which were sold - examples may be for fertilizer or tools (used mostly for the crops sold), or payment (including "in-kind") for labour to a person outside the household. If expenses are incurred for crops grown which are home consumed as well as sold, try to determine what proportion of the expenses would have been on just the crops sold. Net - vegies/fruits Net - vegies/fruits Net - vegies/fruits Net - vegies/fruits Net - vegies/fruits Net (a-b) 2.1 & 2.2 Agriculture: For estimated sales, provide a best guess estimate as to what the sales would have been for each item over the last 30 days. For estimated expenses, provide the expenses incurred over the last 30 days only, to assist with the production of these crops which were sold - examples may be for fertilizer or tools (used mostly for the crops sold), or payment (including "in-kind") for labour to a person outside the household. If expenses are incurred for crops grown which are home consumed as well as sold, try to determine what proportion of the expenses would have been on just the crops sold. Livestock details Livestock details Livestock details Livestock details Livestock details Type of livestock Type of livestock Type of livestock Type of livestock Type of livestock Type of livestock: Pig Cattle Chicken Other 2.3 Livestock For estimated sales, provide the best guess estimate as to the value of sales for the last 30 days only. Estimated expenses may include expenses such as feed for the animals or the costs associated with constructing an enclosure for the animals. Make sure the expenses occurred in the last 30 days. Where home consumption occurs for livestock which is also sold, provide a best guess estimate as to the proportion of expenses associated with the livestock sold. 220 Pig 221 Cattle 222 Chicken 256 Other Sales - livestock Sales - livestock Sales - livestock Sales - livestock Sales - livestock Sales (a) 2.3 Livestock For estimated sales, provide the best guess estimate as to the value of sales for the last 30 days only. Estimated expenses may include expenses such as feed for the animals or the costs associated with constructing an enclosure for the animals. Make sure the expenses occurred in the last 30 days. Where home consumption occurs for livestock which is also sold, provide a best guess estimate as to the proportion of expenses associated with the livestock sold. Expenses - livestock Expenses - livestock Expenses - livestock Expenses - livestock Expenses - livestock Expenses (b) 2.3 Livestock For estimated sales, provide the best guess estimate as to the value of sales for the last 30 days only. Estimated expenses may include expenses such as feed for the animals or the costs associated with constructing an enclosure for the animals. Make sure the expenses occurred in the last 30 days. Where home consumption occurs for livestock which is also sold, provide a best guess estimate as to the proportion of expenses associated with the livestock sold. Net - livestock Net - livestock Net - livestock Net - livestock Net - livestock Net (a-b) 2.3 Livestock For estimated sales, provide the best guess estimate as to the value of sales for the last 30 days only. Estimated expenses may include expenses such as feed for the animals or the costs associated with constructing an enclosure for the animals. Make sure the expenses occurred in the last 30 days. Where home consumption occurs for livestock which is also sold, provide a best guess estimate as to the proportion of expenses associated with the livestock sold. Seafood details Seafood details Seafood details Seafood details Seafood details 2.4 Seafood For estimated sales, provide the best guess estimate as to the value of sales for the last 30 days only. Estimated expenses may include expenses such as petrol for the boat, nets or or the purchase of other fishing equipment. Make sure the expenses occurred in the last 30 days. Where home consumption occurs for seafood which is also sold, provide a best guess estimate as to the proportion of expenses associated with the seafood sold. Type of seafood Type of seafood Type of seafood Type of seafood Type of seafood Type of seafood: Fish Crab (Coconut) Crab (Mangrove) Lobster Green Snail Trochus Ngimes Eremrum Ngduul Kim Oruer Molech Irimd Turtle Other 2.4 Seafood For estimated sales, provide the best guess estimate as to the value of sales for the last 30 days only. Estimated expenses may include expenses such as petrol for the boat, nets or or the purchase of other fishing equipment. Make sure the expenses occurred in the last 30 days. Where home consumption occurs for seafood which is also sold, provide a best guess estimate as to the proportion of expenses associated with the seafood sold. 223 Fish 224 Crab (Coconut) 225 Crab (Mangrove) 226 Lobster 227 Green Snail 228 Trochus 229 Ngimes 230 Eremrum 231 Ngduul 232 Kim 233 Oruer 234 Molech 235 Irimd 236 Turtle 257 Other Sales - seafood Sales - seafood Sales - seafood Sales - seafood Sales - seafood Sales (a) 2.4 Seafood For estimated sales, provide the best guess estimate as to the value of sales for the last 30 days only. Estimated expenses may include expenses such as petrol for the boat, nets or or the purchase of other fishing equipment. Make sure the expenses occurred in the last 30 days. Where home consumption occurs for seafood which is also sold, provide a best guess estimate as to the proportion of expenses associated with the seafood sold. Expenses - seafood Expenses - seafood Expenses - seafood Expenses - seafood Expenses - seafood Expenses (b) 2.4 Seafood For estimated sales, provide the best guess estimate as to the value of sales for the last 30 days only. Estimated expenses may include expenses such as petrol for the boat, nets or or the purchase of other fishing equipment. Make sure the expenses occurred in the last 30 days. Where home consumption occurs for seafood which is also sold, provide a best guess estimate as to the proportion of expenses associated with the seafood sold. Net - seafood Net - seafood Net - seafood Net - seafood Net - seafood Net (a-b) 2.4 Seafood For estimated sales, provide the best guess estimate as to the value of sales for the last 30 days only. Estimated expenses may include expenses such as petrol for the boat, nets or or the purchase of other fishing equipment. Make sure the expenses occurred in the last 30 days. Where home consumption occurs for seafood which is also sold, provide a best guess estimate as to the proportion of expenses associated with the seafood sold. Homemade produce details Homemade produce details Homemade produce details Homemade produce details Homemade produce details 2.5 Homemade produce For estimated sales, provide the best guess estimate as to the value of sales for the last 30 days only. Estimated expenses may include expenses such as the purchase of ingredients or the hire of labour (including payments in-kind) to assist with the production. Make sure the expenses occurred in the last 30 days. Where home consumption occurs for homemade produce which is also sold, provide a best guess estimate as to the proportion of expenses associated with the homemade produce sold. Type of Homemade produce Type of Homemade produce Type of Homemade produce Type of Homemade produce Type of Homemade produce Type of Homemade produce: Process Tapioca Local Bread Cake (Pie, Abrabang, etc.) Bento Coconut oil Other 2.5 Homemade produce For estimated sales, provide the best guess estimate as to the value of sales for the last 30 days only. Estimated expenses may include expenses such as the purchase of ingredients or the hire of labour (including payments in-kind) to assist with the production. Make sure the expenses occurred in the last 30 days. Where home consumption occurs for homemade produce which is also sold, provide a best guess estimate as to the proportion of expenses associated with the homemade produce sold. 237 Process Tapioca 238 Local Bread 239 Cake (Pie, Abrabang, etc.) 240 Bento 241 Coconut oil 258 Other Sales - homemade produce Sales - homemade produce Sales - homemade produce Sales - homemade produce Sales - homemade produce Sales (a) 2.5 Homemade produce For estimated sales, provide the best guess estimate as to the value of sales for the last 30 days only. Estimated expenses may include expenses such as the purchase of ingredients or the hire of labour (including payments in-kind) to assist with the production. Make sure the expenses occurred in the last 30 days. Where home consumption occurs for homemade produce which is also sold, provide a best guess estimate as to the proportion of expenses associated with the homemade produce sold. Expenses - homemade produce Expenses - homemade produce Expenses - homemade produce Expenses - homemade produce Expenses - homemade produce Expenses (b) 2.5 Homemade produce For estimated sales, provide the best guess estimate as to the value of sales for the last 30 days only. Estimated expenses may include expenses such as the purchase of ingredients or the hire of labour (including payments in-kind) to assist with the production. Make sure the expenses occurred in the last 30 days. Where home consumption occurs for homemade produce which is also sold, provide a best guess estimate as to the proportion of expenses associated with the homemade produce sold. Net - homemade produce Net - homemade produce Net - homemade produce Net - homemade produce Net - homemade produce Net (a-b) 2.5 Homemade produce For estimated sales, provide the best guess estimate as to the value of sales for the last 30 days only. Estimated expenses may include expenses such as the purchase of ingredients or the hire of labour (including payments in-kind) to assist with the production. Make sure the expenses occurred in the last 30 days. Where home consumption occurs for homemade produce which is also sold, provide a best guess estimate as to the proportion of expenses associated with the homemade produce sold. Handicrafts details Handicrafts details Handicrafts details Handicrafts details Handicrafts details 2.6 Handicrafts For estimated sales, provide the best guess estimate as to the value of sales for the last 30 days only. Estimated expenses may include expenses such as the purchase of materials or the hire of labour (including payments in-kind) to assist with the production. Make sure the expenses occurred in the last 30 days. Type of handicrafts Type of handicrafts Type of handicrafts Type of handicrafts Type of handicrafts Types of Handicraft: Mat Basket Hand held fan Wood carving (storyboard) Necklaces, earrings, rings Grass skirt Pig tusk Painting Fish lures Spears Spear gun Fish nets Pandanus purses Other 2.6 Handicrafts For estimated sales, provide the best guess estimate as to the value of sales for the last 30 days only. Estimated expenses may include expenses such as the purchase of materials or the hire of labour (including payments in-kind) to assist with the production. Make sure the expenses occurred in the last 30 days. 242 Mat 243 Basket 244 Hand held Fan 245 Wood carving (storyboard) 246 Necklaces, earings, rings 247 Grass skirt 248 Pig tusk 249 Painting 250 Fish lures 251 Spears 252 Spear gun 253 Fish nets 254 Pandanus purses 259 Other Sales - handicraft Sales - handicraft Sales - handicraft Sales - handicraft Sales - handicraft Sales (a) 2.6 Handicrafts For estimated sales, provide the best guess estimate as to the value of sales for the last 30 days only. Estimated expenses may include expenses such as the purchase of materials or the hire of labour (including payments in-kind) to assist with the production. Make sure the expenses occurred in the last 30 days. Expenses - handicraft Expenses - handicraft Expenses - handicraft Expenses - handicraft Expenses - handicraft Expenses (b) 2.6 Handicrafts For estimated sales, provide the best guess estimate as to the value of sales for the last 30 days only. Estimated expenses may include expenses such as the purchase of materials or the hire of labour (including payments in-kind) to assist with the production. Make sure the expenses occurred in the last 30 days. Net - handicraft Net - handicraft Net - handicraft Net - handicraft Net - handicraft Net (a-b) 2.6 Handicrafts For estimated sales, provide the best guess estimate as to the value of sales for the last 30 days only. Estimated expenses may include expenses such as the purchase of materials or the hire of labour (including payments in-kind) to assist with the production. Make sure the expenses occurred in the last 30 days. State State State State State State: 1 Kayangel 2 Ngerchelong 3 Ngaraard 4 Ngiwal 5 Melekeok 6 Ngchesar 7 Airai 8 Aimeliik 9 Ngatpang 10 Ngardmau 11 Ngeremlengui 12 Angaur 13 Peleliu 14 Koror Hamlet Hamlet Hamlet Hamlet Hamlet Hamlet: 1 Dngeronger 2 Eang 3 Idid 4 Iyebukel 5 Ikelau 6 Madalaii 7 Meketii 8 Meyuns 9 Ngerbeched 10 Ngerchemai 11 Ngerkebesang 12 Ngerkesoal 13 Ngermid 14 Kayangle 15 Iebukel (Ngerchelong) 16 Mengellang 17 Ngebei 18 Ngerbau 19 Ngriil 20 Ollei 21 Chelab 22 Chol 23 Ngebuked 24 Ngkeklau 25 Ulimang 26 Ngelau 27 Ngercheluuk 28 Ngermechau 29 Melekeok 30 Ngeburch 31 Ngerang 32 Ngermelech 33 Ngerubesang 34 Ngeruliang 35 Ngchesar 36 Ngeraus 37 Ngerngesang 38 Ngerkesou 39 Ngersuul 40 Ngeruikl 41 Shimizu 42 Airai-Ordomel 43 Ked 44 Ngerduais 45 Ngerikiil 46 Ngetkib 47 Ngeruluobel 48 Ngerusar 49 Oikull 50 Ngerutoi 51 Ngetbong 52 Urdmau 53 Imeong 54 Ngchemsed 55 Ngermetengel 56 Ibobang 57 Mechebechubel 58 Nekken 59 Chelechui 60 Imelsubech 61 Imull 62 Medorm 63 Mongami 64 Imelchol 65 North Kloulklubed 66 South Kloulklubed 67 Uosech 68 Ngerchol 69 Ngerdelolk 70 Angaur 71 Ngermetuker 72 Ngerungel 73 Ngchesechang 74 Ngesias 75 Ngerkeiukel 76 Sonsorol 77 Fanna 78 Pulo Ana 79 Merir 80 Hatohobei 81 Helen Reef 82 Rock Islands Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area: 1 Airai 4 Kayangel 5 Melekeok 6 Ngiwal 7 Ngchesar 10 Aimeliik 11 Ngerchelong 12 Ngardmau 13 Ngatpang 14 Angaur 15 Ngeremlengui 20 Ngaraard 21 Jail 22 Meyuns 22 23 Meyuns 23 24 Meyuns 24 25 Madalaii 25 26 Madalaii 26 27 Ngerbeched 27 28 Ngerbeched 28 29 Ngerbeched 29 30 Madalaii 30 31 Madalaii 31 32 Dngeronger 33 Meketii 34 Iyebukel 37 Ngerchemai 38 Ikelau 39 Idid 40 Ngerkeswaol, Kor 41 Ngermid, Koror 44 Sonsorol 45 Peleliu 46 Hatohobei Household Number Household Number Household Number Household Number Household Number Household # Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name HH Population HH Population HH Population HH Population HH Population Total persons in hh: From the Household Control Sheet Any commercial activities Any commercial activities Any commercial activities Any commercial activities Any commercial activities 3.1 Did any member of the household receive regular income from any other commercial activities during the last 12 months, which weren't covered in the previous question? Examples include: a) Operation of a transport business b) Operation of a retail store c) Operation of a trade business (e.g., electrician, mechanic, plumber, etc) d) Tourism business If No, GO TO Q4.1 1 Yes 2 No Industry Industry Industry Industry Industry Please give details of the income earned from the above commercial activities: Answer below for the total for all persons involved in the activity in the household Type of Industry 1 Agriculture, hunting and related service activities 2 Forestry, logging, and related service activities 5 Fishing, aquaculture and service activities 10 Mining of coal and Lignite 11 Extraction of crude petroleum and natural gas 12 Mining of uranium and thorium ores 13 Mining of metal ores 14 Othr mining and quarrying 15 Manufacture of food products and beverages 16 Manufacture of tobacco products 17 Manufacture of textiles 18 Manufacture of wearing apparel 19 Tanning and dressing of leather 20 Manufacture of wood and products of wood and cork 21 Manufacture of paper and paper products 22 Publishing, printing, and reproduction of recorded media 23 Manufacture of coke, refined petrol products and nuclear fuel 24 Manufacture of chemicals and chemicals products 25 Manufactur of rubber and plastic products 26 Manufacture other non-metallic mineral products 27 Manufacture of basic metals 28 Manufacture of fabricated metal products 29 Manufacture of machinery and equip 30 Manufacture of office machinery 31 Manufacture of electrical machinery 32 Manufacture of radio, tv, and comm equip 33 Manufacture of medical, precision and optical instruments, watches and clocks 34 Manufacture of motor vehicles, trailers, and semi trailers 35 Manufacture of other transport equips 36 Manufacture of furniture 37 Recycling 38 Electricity, gas, steam and hot water supply 39 Collection, purification and distribution of water 45 Construction 50 Sale, maintenance and repair of motor vehicles and motorcycles 51 Wholesale trade and commission trade 52 Retail trade, except for motor vehicles and motorcycles; repair of personal and household goods 55 Hotels and restaurant 60 Land transport; transport via pipelines 61 Water transport 62 Air transport 63 Supporting and auxiliary transport activities; activities of travel agencies 64 Post and telecommunications 65 Financial intermediation, except insurance and pension funding 66 Insurance and pension funding, except compulsory social security 67 Activities auxiliary to financial intermediation 70 Real estate activities 71 Renting of machinery and equipment w/o operator 72 Computer and related activities 73 Research and development 74 Other business activities 75 Public administration and defence 80 Education 85 Health and social work 90 Sewage and refuse disposal 91 Activities of membership organisation 92 Recreational, cultural and sporting activities 93 Other service activities 95 Activities of private households as employers of domestic staff 96 Undifferentiated goods producing activities of private households for own use 97 Undifferentiated service producing activities of private household for own use 99 Extraterritorial organization and bodies Persons involved Persons involved Persons involved Persons involved Persons involved Please give details of the income earned from the above commercial activities: Answer below for the total for all persons involved in the activity in the household Gross sales Gross sales Gross sales Gross sales Gross sales Please give details of the income earned from the above commercial activities: Answer below for the total for all persons involved in the activity in the household Total sales or gross earnings Total expenses Total expenses Total expenses Total expenses Total expenses Please give details of the income earned from the above commercial activities: Answer below for the total for all persons involved in the activity in the household Total expenses (incl. labour, material, transport etc.) Estimated drawings Estimated drawings Estimated drawings Estimated drawings Estimated drawings Please give details of the income earned from the above commercial activities: Answer below for the total for all persons involved in the activity in the household Estimated value of drawings from business (include items used for consumption at home) State State State State State State: 1 Kayangel 2 Ngerchelong 3 Ngaraard 4 Ngiwal 5 Melekeok 6 Ngchesar 7 Airai 8 Aimeliik 9 Ngatpang 10 Ngardmau 11 Ngeremlengui 12 Angaur 13 Peleliu 14 Koror Hamlet Hamlet Hamlet Hamlet Hamlet Hamlet: 1 Dngeronger 2 Eang 3 Idid 4 Iyebukel 5 Ikelau 6 Madalaii 7 Meketii 8 Meyuns 9 Ngerbeched 10 Ngerchemai 11 Ngerkebesang 12 Ngerkesoal 13 Ngermid 14 Kayangle 15 Iebukel (Ngerchelong) 16 Mengellang 17 Ngebei 18 Ngerbau 19 Ngriil 20 Ollei 21 Chelab 22 Chol 23 Ngebuked 24 Ngkeklau 25 Ulimang 26 Ngelau 27 Ngercheluuk 28 Ngermechau 29 Melekeok 30 Ngeburch 31 Ngerang 32 Ngermelech 33 Ngerubesang 34 Ngeruliang 35 Ngchesar 36 Ngeraus 37 Ngerngesang 38 Ngerkesou 39 Ngersuul 40 Ngeruikl 41 Shimizu 42 Airai-Ordomel 43 Ked 44 Ngerduais 45 Ngerikiil 46 Ngetkib 47 Ngeruluobel 48 Ngerusar 49 Oikull 50 Ngerutoi 51 Ngetbong 52 Urdmau 53 Imeong 54 Ngchemsed 55 Ngermetengel 56 Ibobang 57 Mechebechubel 58 Nekken 59 Chelechui 60 Imelsubech 61 Imull 62 Medorm 63 Mongami 64 Imelchol 65 North Kloulklubed 66 South Kloulklubed 67 Uosech 68 Ngerchol 69 Ngerdelolk 70 Angaur 71 Ngermetuker 72 Ngerungel 73 Ngchesechang 74 Ngesias 75 Ngerkeiukel 76 Sonsorol 77 Fanna 78 Pulo Ana 79 Merir 80 Hatohobei 81 Helen Reef 82 Rock Islands Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area: 1 Airai 4 Kayangel 5 Melekeok 6 Ngiwal 7 Ngchesar 10 Aimeliik 11 Ngerchelong 12 Ngardmau 13 Ngatpang 14 Angaur 15 Ngeremlengui 20 Ngaraard 21 Jail 22 Meyuns 22 23 Meyuns 23 24 Meyuns 24 25 Madalaii 25 26 Madalaii 26 27 Ngerbeched 27 28 Ngerbeched 28 29 Ngerbeched 29 30 Madalaii 30 31 Madalaii 31 32 Dngeronger 33 Meketii 34 Iyebukel 37 Ngerchemai 38 Ikelau 39 Idid 40 Ngerkeswaol, Kor 41 Ngermid, Koror 44 Sonsorol 45 Peleliu 46 Hatohobei Household Number Household Number Household Number Household Number Household Number Household # Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name HH Population HH Population HH Population HH Population HH Population Total persons in hh: From the Household Control Sheet Any other job Any other job Any other job Any other job Any other job 4.1 Apart from the jobs you have already mentioned, are there any jobs that household members held during the last 12 months which they do not hold at the moment? Yes, If YES Go To 4.2 For each job please provide the following information about the income: No, If NO Go To 5.1 1 Yes 2 No Person number Person number Person number Person number Person number Person No. Job number Job number Job number Job number Job number Job No. Gross amount Gross amount Gross amount Gross amount Gross amount Gross amount received (include bonuses and commission) Other amount Other amount Other amount Other amount Other amount Other (e.g. redundancy payment) Job code Job code Job code Job code Job code Office Use Only State State State State State State: 1 Kayangel 2 Ngerchelong 3 Ngaraard 4 Ngiwal 5 Melekeok 6 Ngchesar 7 Airai 8 Aimeliik 9 Ngatpang 10 Ngardmau 11 Ngeremlengui 12 Angaur 13 Peleliu 14 Koror Hamlet Hamlet Hamlet Hamlet Hamlet Hamlet: 1 Dngeronger 2 Eang 3 Idid 4 Iyebukel 5 Ikelau 6 Madalaii 7 Meketii 8 Meyuns 9 Ngerbeched 10 Ngerchemai 11 Ngerkebesang 12 Ngerkesoal 13 Ngermid 14 Kayangle 15 Iebukel (Ngerchelong) 16 Mengellang 17 Ngebei 18 Ngerbau 19 Ngriil 20 Ollei 21 Chelab 22 Chol 23 Ngebuked 24 Ngkeklau 25 Ulimang 26 Ngelau 27 Ngercheluuk 28 Ngermechau 29 Melekeok 30 Ngeburch 31 Ngerang 32 Ngermelech 33 Ngerubesang 34 Ngeruliang 35 Ngchesar 36 Ngeraus 37 Ngerngesang 38 Ngerkesou 39 Ngersuul 40 Ngeruikl 41 Shimizu 42 Airai-Ordomel 43 Ked 44 Ngerduais 45 Ngerikiil 46 Ngetkib 47 Ngeruluobel 48 Ngerusar 49 Oikull 50 Ngerutoi 51 Ngetbong 52 Urdmau 53 Imeong 54 Ngchemsed 55 Ngermetengel 56 Ibobang 57 Mechebechubel 58 Nekken 59 Chelechui 60 Imelsubech 61 Imull 62 Medorm 63 Mongami 64 Imelchol 65 North Kloulklubed 66 South Kloulklubed 67 Uosech 68 Ngerchol 69 Ngerdelolk 70 Angaur 71 Ngermetuker 72 Ngerungel 73 Ngchesechang 74 Ngesias 75 Ngerkeiukel 76 Sonsorol 77 Fanna 78 Pulo Ana 79 Merir 80 Hatohobei 81 Helen Reef 82 Rock Islands Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area: 1 Airai 4 Kayangel 5 Melekeok 6 Ngiwal 7 Ngchesar 10 Aimeliik 11 Ngerchelong 12 Ngardmau 13 Ngatpang 14 Angaur 15 Ngeremlengui 20 Ngaraard 21 Jail 22 Meyuns 22 23 Meyuns 23 24 Meyuns 24 25 Madalaii 25 26 Madalaii 26 27 Ngerbeched 27 28 Ngerbeched 28 29 Ngerbeched 29 30 Madalaii 30 31 Madalaii 31 32 Dngeronger 33 Meketii 34 Iyebukel 37 Ngerchemai 38 Ikelau 39 Idid 40 Ngerkeswaol, Kor 41 Ngermid, Koror 44 Sonsorol 45 Peleliu 46 Hatohobei Household Number Household Number Household Number Household Number Household Number Household # Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name HH Population HH Population HH Population HH Population HH Population Total persons in hh: From the Household Control Sheet Any services provided Any services provided Any services provided Any services provided Any services provided 5.1 In the last 12 months, did any member of this household receive any money from casual jobs for other households or non-profit organisations? 'Casual jobs' include casual work such as lawn mowing, baby-sitting etc. done for other households. Yes If YES Go To 5.2 For each job please provide the following information about the income: No If NO Go To 6.1 1 Yes 2 No Services detail Services detail Services detail Services detail Services detail Services detail Cash pay Cash pay Cash pay Cash pay Cash pay 5.2 For each job please provide the following information about the income: Gross Pay in last 12 months - Cash In kind (value) In kind (value) In kind (value) In kind (value) In kind (value) 5.2 For each job please provide the following information about the income: Gross Pay in last 12 months - In Kind estimate the value of any items provided according to how much they would have cost to buy Job code Job code Job code Job code Job code 5.2 For each job please provide the following information about the income: Type of Job (e.g. lawn mowing, baby sitting, work in taro patch) 94201 Lawn mowing 94202 Baby sitting 94203 Work in food garden 94204 Repair work 94205 Adhoc Labour 94206 Fishing/ Hunting assistance 94207 House cleaner/ Domestic 94208 Other State State State State State State: 1 Kayangel 2 Ngerchelong 3 Ngaraard 4 Ngiwal 5 Melekeok 6 Ngchesar 7 Airai 8 Aimeliik 9 Ngatpang 10 Ngardmau 11 Ngeremlengui 12 Angaur 13 Peleliu 14 Koror Hamlet Hamlet Hamlet Hamlet Hamlet Hamlet: 1 Dngeronger 2 Eang 3 Idid 4 Iyebukel 5 Ikelau 6 Madalaii 7 Meketii 8 Meyuns 9 Ngerbeched 10 Ngerchemai 11 Ngerkebesang 12 Ngerkesoal 13 Ngermid 14 Kayangle 15 Iebukel (Ngerchelong) 16 Mengellang 17 Ngebei 18 Ngerbau 19 Ngriil 20 Ollei 21 Chelab 22 Chol 23 Ngebuked 24 Ngkeklau 25 Ulimang 26 Ngelau 27 Ngercheluuk 28 Ngermechau 29 Melekeok 30 Ngeburch 31 Ngerang 32 Ngermelech 33 Ngerubesang 34 Ngeruliang 35 Ngchesar 36 Ngeraus 37 Ngerngesang 38 Ngerkesou 39 Ngersuul 40 Ngeruikl 41 Shimizu 42 Airai-Ordomel 43 Ked 44 Ngerduais 45 Ngerikiil 46 Ngetkib 47 Ngeruluobel 48 Ngerusar 49 Oikull 50 Ngerutoi 51 Ngetbong 52 Urdmau 53 Imeong 54 Ngchemsed 55 Ngermetengel 56 Ibobang 57 Mechebechubel 58 Nekken 59 Chelechui 60 Imelsubech 61 Imull 62 Medorm 63 Mongami 64 Imelchol 65 North Kloulklubed 66 South Kloulklubed 67 Uosech 68 Ngerchol 69 Ngerdelolk 70 Angaur 71 Ngermetuker 72 Ngerungel 73 Ngchesechang 74 Ngesias 75 Ngerkeiukel 76 Sonsorol 77 Fanna 78 Pulo Ana 79 Merir 80 Hatohobei 81 Helen Reef 82 Rock Islands Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area: 1 Airai 4 Kayangel 5 Melekeok 6 Ngiwal 7 Ngchesar 10 Aimeliik 11 Ngerchelong 12 Ngardmau 13 Ngatpang 14 Angaur 15 Ngeremlengui 20 Ngaraard 21 Jail 22 Meyuns 22 23 Meyuns 23 24 Meyuns 24 25 Madalaii 25 26 Madalaii 26 27 Ngerbeched 27 28 Ngerbeched 28 29 Ngerbeched 29 30 Madalaii 30 31 Madalaii 31 32 Dngeronger 33 Meketii 34 Iyebukel 37 Ngerchemai 38 Ikelau 39 Idid 40 Ngerkeswaol, Kor 41 Ngermid, Koror 44 Sonsorol 45 Peleliu 46 Hatohobei Household Number Household Number Household Number Household Number Household Number Household # Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name HH Population HH Population HH Population HH Population HH Population Total persons in hh: From the Household Control Sheet Any money received for custom Any money received for custom Any money received for custom Any money received for custom Any money received for custom 6.1 In the last 12 months, did any member receive any money for a custom occasion? 1 Yes 2 No Custom details Custom details Custom details Custom details Custom details Person number Person number Person number Person number Person number Person No. Amount Amount Amount Amount Amount Amount Received in the last 12 months Custom code Custom code Custom code Custom code Custom code Type of custom occasions: 93103 Funeral 93104 Ocheraol 93105 Omengat/ Ngasech 93106 House Party 93107 Other State State State State State State: 1 Kayangel 2 Ngerchelong 3 Ngaraard 4 Ngiwal 5 Melekeok 6 Ngchesar 7 Airai 8 Aimeliik 9 Ngatpang 10 Ngardmau 11 Ngeremlengui 12 Angaur 13 Peleliu 14 Koror Hamlet Hamlet Hamlet Hamlet Hamlet Hamlet: 1 Dngeronger 2 Eang 3 Idid 4 Iyebukel 5 Ikelau 6 Madalaii 7 Meketii 8 Meyuns 9 Ngerbeched 10 Ngerchemai 11 Ngerkebesang 12 Ngerkesoal 13 Ngermid 14 Kayangle 15 Iebukel (Ngerchelong) 16 Mengellang 17 Ngebei 18 Ngerbau 19 Ngriil 20 Ollei 21 Chelab 22 Chol 23 Ngebuked 24 Ngkeklau 25 Ulimang 26 Ngelau 27 Ngercheluuk 28 Ngermechau 29 Melekeok 30 Ngeburch 31 Ngerang 32 Ngermelech 33 Ngerubesang 34 Ngeruliang 35 Ngchesar 36 Ngeraus 37 Ngerngesang 38 Ngerkesou 39 Ngersuul 40 Ngeruikl 41 Shimizu 42 Airai-Ordomel 43 Ked 44 Ngerduais 45 Ngerikiil 46 Ngetkib 47 Ngeruluobel 48 Ngerusar 49 Oikull 50 Ngerutoi 51 Ngetbong 52 Urdmau 53 Imeong 54 Ngchemsed 55 Ngermetengel 56 Ibobang 57 Mechebechubel 58 Nekken 59 Chelechui 60 Imelsubech 61 Imull 62 Medorm 63 Mongami 64 Imelchol 65 North Kloulklubed 66 South Kloulklubed 67 Uosech 68 Ngerchol 69 Ngerdelolk 70 Angaur 71 Ngermetuker 72 Ngerungel 73 Ngchesechang 74 Ngesias 75 Ngerkeiukel 76 Sonsorol 77 Fanna 78 Pulo Ana 79 Merir 80 Hatohobei 81 Helen Reef 82 Rock Islands Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area: 1 Airai 4 Kayangel 5 Melekeok 6 Ngiwal 7 Ngchesar 10 Aimeliik 11 Ngerchelong 12 Ngardmau 13 Ngatpang 14 Angaur 15 Ngeremlengui 20 Ngaraard 21 Jail 22 Meyuns 22 23 Meyuns 23 24 Meyuns 24 25 Madalaii 25 26 Madalaii 26 27 Ngerbeched 27 28 Ngerbeched 28 29 Ngerbeched 29 30 Madalaii 30 31 Madalaii 31 32 Dngeronger 33 Meketii 34 Iyebukel 37 Ngerchemai 38 Ikelau 39 Idid 40 Ngerkeswaol, Kor 41 Ngermid, Koror 44 Sonsorol 45 Peleliu 46 Hatohobei Household Number Household Number Household Number Household Number Household Number Household # Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name HH Population HH Population HH Population HH Population HH Population Total persons in hh: From the Household Control Sheet Any social welfare benefit Any social welfare benefit Any social welfare benefit Any social welfare benefit Any social welfare benefit 7.1 In the last 12 months, did any member of this household receive any social welfare benefit payments from the government/ other non profit agency or any other regular benefit payments? If YES What was the gross amount received for these benefit payments in the last 12 months? If NO Go To 7.2a This section includes all income received by members of the household as a form of benefit provided by the Department of Home Affairs or any other source. Record the gross receipts for the year (include value of goods received for payment in kind). Welfare benefits If a social welfare benefit is paid to more than one person in the household, record the total amount received for the last 12 months as separate amounts for each person. Note: This section covers both benefits paid by any government or non government agency as well as any other regular benefit payment (social security, pension). Include: Maintenance received for child custody (child support). Include: Welfare benefits from overseas. 1 Yes 2 No Any social security/ pension payments Any social security/ pension payments Any social security/ pension payments Any social security/ pension payments Any social security/ pension payments 7.2a In the last 12 months, did any member of this household receive any regular social security and pension plan payments? If YES, What was the gross amount received for these regular superannuation payments? No If NO Go To 7.2b This section includes all income received by members of the household as a form of benefit provided by the Department of Home Affairs or any other source. Record the gross receipts for the year (include value of goods received for payment in kind). Social Security and Pension Plan payments received Include payments received from local and from overseas sources 7.2a includes regular social security and pension plan payments 7.2b includes lump sum social security and pension plan payments Note: If a 'lump sum' payment has been received, indicate the reason for the payment (withdrawal) e.g., house repairs, travel, living expenses etc. Also if possible include the period covered by these lump sum payments. 1 Yes 2 No Lump sum social security/ pension Lump sum social security/ pension Lump sum social security/ pension Lump sum social security/ pension Lump sum social security/ pension 7.2b In the last 12 months, did any member of this household receive any lump sum social security or pension plan payments? Yes, If Yes Please fill in the table below No If NO Go to 8.1 This section includes all income received by members of the household as a form of benefit provided by the Department of Home Affairs or any other source. Record the gross receipts for the year (include value of goods received for payment in kind). Social Security and Pension Plan payments received Include payments received from local and from overseas sources 7.2a includes regular social security and pension plan payments 7.2b includes lump sum social security and pension plan payments Note: If a 'lump sum' payment has been received, indicate the reason for the payment (withdrawal) e.g., house repairs, travel, living expenses etc. Also if possible include the period covered by these lump sum payments. 1 Yes 2 No Benefit payment details Benefit payment details Benefit payment details Benefit payment details Benefit payment details What was the gross amount received for these benefit payments in the last 12 months? Questionnaire entry sequence identifier Person number - welfare benefit Person number - welfare benefit Person number - welfare benefit Person number - welfare benefit Person number - welfare benefit What was the gross amount received for these benefit payments in the last 12 months? Person Number Amount - welfare benefit Amount - welfare benefit Amount - welfare benefit Amount - welfare benefit Amount - welfare benefit What was the gross amount received for these benefit payments in the last 12 months? $ Benefit code Benefit code Benefit code Benefit code Benefit code 1 Disability Fund (Gov) 2 Non-Gov 3 Other Social Security/ Pension details Social Security/ Pension details Social Security/ Pension details Social Security/ Pension details Social Security/ Pension details What was the gross amount received for these regular superannuation payments? Questionnaire entry sequence identifier Person number - social security Person number - social security Person number - social security Person number - social security Person number - social security What was the gross amount received for these regular superannuation payments? Person Number Amount - social security Amount - social security Amount - social security Amount - social security Amount - social security What was the gross amount received for these regular superannuation payments? $ Social Security/ Pension Code Social Security/ Pension Code Social Security/ Pension Code Social Security/ Pension Code Social Security/ Pension Code What was the gross amount received for these regular superannuation payments? Source of social security or pension plan/retirement 95201 ROP SS 95202 ROP Pension 95203 Other ROP SS 95204 Overseas SS Lump sum details Lump sum details Lump sum details Lump sum details Lump sum details Yes, If Yes Please fill in the table below Questionnaire entry sequence identifier Person number - lump sum Person number - lump sum Person number - lump sum Person number - lump sum Person number - lump sum Yes, If Yes Please fill in the table below Person Number Amount - lump sum Amount - lump sum Amount - lump sum Amount - lump sum Amount - lump sum Yes, If Yes Please fill in the table below $ Code Code Code Code Code Yes, If Yes Please fill in the table below Source Please Circle (see 7.2a for Abbreviation) 95201 ROP SS 95202 ROP Pension 95203 Other ROP SS 95204 Overseas SS State State State State State State: 1 Kayangel 2 Ngerchelong 3 Ngaraard 4 Ngiwal 5 Melekeok 6 Ngchesar 7 Airai 8 Aimeliik 9 Ngatpang 10 Ngardmau 11 Ngeremlengui 12 Angaur 13 Peleliu 14 Koror Hamlet Hamlet Hamlet Hamlet Hamlet Hamlet: 1 Dngeronger 2 Eang 3 Idid 4 Iyebukel 5 Ikelau 6 Madalaii 7 Meketii 8 Meyuns 9 Ngerbeched 10 Ngerchemai 11 Ngerkebesang 12 Ngerkesoal 13 Ngermid 14 Kayangle 15 Iebukel (Ngerchelong) 16 Mengellang 17 Ngebei 18 Ngerbau 19 Ngriil 20 Ollei 21 Chelab 22 Chol 23 Ngebuked 24 Ngkeklau 25 Ulimang 26 Ngelau 27 Ngercheluuk 28 Ngermechau 29 Melekeok 30 Ngeburch 31 Ngerang 32 Ngermelech 33 Ngerubesang 34 Ngeruliang 35 Ngchesar 36 Ngeraus 37 Ngerngesang 38 Ngerkesou 39 Ngersuul 40 Ngeruikl 41 Shimizu 42 Airai-Ordomel 43 Ked 44 Ngerduais 45 Ngerikiil 46 Ngetkib 47 Ngeruluobel 48 Ngerusar 49 Oikull 50 Ngerutoi 51 Ngetbong 52 Urdmau 53 Imeong 54 Ngchemsed 55 Ngermetengel 56 Ibobang 57 Mechebechubel 58 Nekken 59 Chelechui 60 Imelsubech 61 Imull 62 Medorm 63 Mongami 64 Imelchol 65 North Kloulklubed 66 South Kloulklubed 67 Uosech 68 Ngerchol 69 Ngerdelolk 70 Angaur 71 Ngermetuker 72 Ngerungel 73 Ngchesechang 74 Ngesias 75 Ngerkeiukel 76 Sonsorol 77 Fanna 78 Pulo Ana 79 Merir 80 Hatohobei 81 Helen Reef 82 Rock Islands Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area: 1 Airai 4 Kayangel 5 Melekeok 6 Ngiwal 7 Ngchesar 10 Aimeliik 11 Ngerchelong 12 Ngardmau 13 Ngatpang 14 Angaur 15 Ngeremlengui 20 Ngaraard 21 Jail 22 Meyuns 22 23 Meyuns 23 24 Meyuns 24 25 Madalaii 25 26 Madalaii 26 27 Ngerbeched 27 28 Ngerbeched 28 29 Ngerbeched 29 30 Madalaii 30 31 Madalaii 31 32 Dngeronger 33 Meketii 34 Iyebukel 37 Ngerchemai 38 Ikelau 39 Idid 40 Ngerkeswaol, Kor 41 Ngermid, Koror 44 Sonsorol 45 Peleliu 46 Hatohobei Household Number Household Number Household Number Household Number Household Number Household # Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name HH Population HH Population HH Population HH Population HH Population Total persons in hh: From the Household Control Sheet Any other income Any other income Any other income Any other income Any other income 8.1 In the last 12 months, did any member of this household receive any income from the following sources? 1 Yes 2 No Other income details Other income details Other income details Other income details Other income details 8.1 In the last 12 months, did any member of this household receive any income from the following sources? Person number Person number Person number Person number Person number 8.1 In the last 12 months, did any member of this household receive any income from the following sources? Person No. Gross amount received Gross amount received Gross amount received Gross amount received Gross amount received 8.1 In the last 12 months, did any member of this household receive any income from the following sources? Gross amount received in the last 12 months Source Source Source Source Source 8.1 In the last 12 months, did any member of this household receive any income from the following sources? From: 1 ROP 2 Overseas 3 Both Income source code Income source code Income source code Income source code Income source code 8.1 In the last 12 months, did any member of this household receive any income from the following sources? Income Source 93117 Remit: Cash 93118 Remit: Goods 94104 Interest 94105 Rent - House 94106 Directors fees, honoraria, remuneration for committees and boards 94107 Income from partnership as non-working shareholder 94108 Income as non-working proprietor 94109 Royalties 94112 Life insurance 94113 Sale of motor vehicle 94114 Inheritance 94115 Matrimonial property settlement 94116 Irregular child support for dependent child 94121 Sale of other assets 94122 Rent - Lease for land 95000 Other State State State State State State: 1 Kayangel 2 Ngerchelong 3 Ngaraard 4 Ngiwal 5 Melekeok 6 Ngchesar 7 Airai 8 Aimeliik 9 Ngatpang 10 Ngardmau 11 Ngeremlengui 12 Angaur 13 Peleliu 14 Koror Hamlet Hamlet Hamlet Hamlet Hamlet Hamlet: 1 Dngeronger 2 Eang 3 Idid 4 Iyebukel 5 Ikelau 6 Madalaii 7 Meketii 8 Meyuns 9 Ngerbeched 10 Ngerchemai 11 Ngerkebesang 12 Ngerkesoal 13 Ngermid 14 Kayangle 15 Iebukel (Ngerchelong) 16 Mengellang 17 Ngebei 18 Ngerbau 19 Ngriil 20 Ollei 21 Chelab 22 Chol 23 Ngebuked 24 Ngkeklau 25 Ulimang 26 Ngelau 27 Ngercheluuk 28 Ngermechau 29 Melekeok 30 Ngeburch 31 Ngerang 32 Ngermelech 33 Ngerubesang 34 Ngeruliang 35 Ngchesar 36 Ngeraus 37 Ngerngesang 38 Ngerkesou 39 Ngersuul 40 Ngeruikl 41 Shimizu 42 Airai-Ordomel 43 Ked 44 Ngerduais 45 Ngerikiil 46 Ngetkib 47 Ngeruluobel 48 Ngerusar 49 Oikull 50 Ngerutoi 51 Ngetbong 52 Urdmau 53 Imeong 54 Ngchemsed 55 Ngermetengel 56 Ibobang 57 Mechebechubel 58 Nekken 59 Chelechui 60 Imelsubech 61 Imull 62 Medorm 63 Mongami 64 Imelchol 65 North Kloulklubed 66 South Kloulklubed 67 Uosech 68 Ngerchol 69 Ngerdelolk 70 Angaur 71 Ngermetuker 72 Ngerungel 73 Ngchesechang 74 Ngesias 75 Ngerkeiukel 76 Sonsorol 77 Fanna 78 Pulo Ana 79 Merir 80 Hatohobei 81 Helen Reef 82 Rock Islands Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area: 1 Airai 4 Kayangel 5 Melekeok 6 Ngiwal 7 Ngchesar 10 Aimeliik 11 Ngerchelong 12 Ngardmau 13 Ngatpang 14 Angaur 15 Ngeremlengui 20 Ngaraard 21 Jail 22 Meyuns 22 23 Meyuns 23 24 Meyuns 24 25 Madalaii 25 26 Madalaii 26 27 Ngerbeched 27 28 Ngerbeched 28 29 Ngerbeched 29 30 Madalaii 30 31 Madalaii 31 32 Dngeronger 33 Meketii 34 Iyebukel 37 Ngerchemai 38 Ikelau 39 Idid 40 Ngerkeswaol, Kor 41 Ngermid, Koror 44 Sonsorol 45 Peleliu 46 Hatohobei Household Number Household Number Household Number Household Number Household Number Household # Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name HH Population HH Population HH Population HH Population HH Population Total persons in hh: From the Household Control Sheet Main material used for the roof Main material used for the roof Main material used for the roof Main material used for the roof Main material used for the roof 1.1 What is the main material used for the roof? (tick one box only) Some of these questions can be completed by observing the house and thus may not need to be asked. This in particular applies for questions 1.1 - 1.4. 1.1 Roof material If the roof is made of a combination of materials, tick the material that is most used. 1 Corrugated iron with guttering 2 Corrugated iron without guttering 3 Concrete roofing 4 Thatched/ traditional 5 Other, describe Main material used for outer walls Main material used for outer walls Main material used for outer walls Main material used for outer walls Main material used for outer walls 1.2 What is the main material used for the outer walls? (tick one box only) Some of these questions can be completed by observing the house and thus may not need to be asked. This in particular applies for questions 1.1 - 1.4. 1.2 Wall material If the walls are made of a combination of materials, tick the material that is most used. 1 Permanent-timber/plywood 2 Permanent-concrete 3 Permanent-timber/plywood/concrete 4 Thatched/traditional 5 Corrugated iron/ improvised 6 Other, describe Main material used for floors Main material used for floors Main material used for floors Main material used for floors Main material used for floors 1.3 What is the main material used for the floors? (tick one box only) Some of these questions can be completed by observing the house and thus may not need to be asked. This in particular applies for questions 1.1 - 1.4. 1 Concrete 2 Timber/ plywood 3 Bamboo 4 Other, describe Type of house (Main house) Type of house (Main house) Type of house (Main house) Type of house (Main house) Type of house (Main house) 1.4 What type of house (main house) is this? (tick one box only) Some of these questions can be completed by observing the house and thus may not need to be asked. This in particular applies for questions 1.1 - 1.4. 1 Permanent-single housing unit 2 Permanent-more than one housing unit 3 Building with two or more apartments 4 Dwelling attached to a shop or other non-resident building 5 Lodging house 6 Traditional 7 Other, describe Number of rooms Number of rooms Number of rooms Number of rooms Number of rooms 1.5 How many seperate rooms does your house occupy, including kitchen? No. of rooms (bedroom, lounge, dining) Year building constructed Year building constructed Year building constructed Year building constructed Year building constructed 1.6 When was this building constructed? Please provide best guess if possible 1.6 Year building constructed If the building was constructed a long time ago, we only need a rough estimate as to when the building was constructed. 9999 Don't Know Separate Kitchen Separate Kitchen Separate Kitchen Separate Kitchen Separate Kitchen 1.7 Do you have a separate kitchen or kitchenette? 1 Yes, inside & outside dwelling 2 Yes, inside dwelling only 3 Yes, outside dwelling only 4 No Cooking facility Cooking facility Cooking facility Cooking facility Cooking facility 1.8 How do you usually do your cooking? (tick one box only) 1.8 Cooking fuel If the household uses more than one type of cooking technique, tick the main one only. 1 Electric-plate without oven 2 Electric-stove with oven 3 Gas burner with oven 4 Gas burner without oven 5 Kerosene burner, stove 6 Wood stove (including coconut shell) 7 Sawdust stove 8 Open fire 9 Other, describe Type of lighting Type of lighting Type of lighting Type of lighting Type of lighting 1.9 What type of lighting do you usually have? (tick one box only) 1.9 Lighting If the household uses more than one type of lighting, then tick the type used the most often. 1 Electric, main electricity supply 2 Electric, own generator 3 Kerosene or spirit lamp 4 Oil lamp (including coconut or fat) 5 Solar powered 6 Other light (specify fuel) 7 No lighting regularly available Main source of drinking and cooking water Main source of drinking and cooking water Main source of drinking and cooking water Main source of drinking and cooking water Main source of drinking and cooking water 1.10 What is the main source of drinking & cooking water you household uses? (tick one box only) 1.10 Drinking water This question targets the main source of drinking & cooking water for the household. If a household obtains its water from more than one source then tick the source that is used the most often. 1 Piped into household/ yard 2 Piped into neighborhood 3 Piped supply outside neighborhood 4 Well in yard 5 Public well 6 Rain water tank 7 River/lake/creek 8 Tanker truck 9 Other, describe Do you have to travel for water Do you have to travel for water Do you have to travel for water Do you have to travel for water Do you have to travel for water 1.11 Do you have to travel for water? If NO, Go to Q1.12 1.11 Travel for water This question should only be asked of households who have to travel a significant distance for its main source of water. If a boat is used to get to the water source than record how long it takes to get there by boat. If a trip is made every second day on average, then record the answer as ½. 1 Yes 2 No If travel for water, how long does it take to water source If travel for water, how long does it take to water source If travel for water, how long does it take to water source If travel for water, how long does it take to water source If travel for water, how long does it take to water source a) how long does it take to the water source? Minutes How many trips usually made per day How many trips usually made per day How many trips usually made per day How many trips usually made per day How many trips usually made per day b) how many trips are usually made per day? No. trips Type of toilet Type of toilet Type of toilet Type of toilet Type of toilet 1.12 What is the main type of toilet facility your household usually use? (tick one box only) 1 Public sewage system 2 Own flush septic tank 3 Shared flush toilet 4 Household pit 5 Closet over sea or water (long drop) 6 Other, specify 7 None Internet access Internet access Internet access Internet access Internet access 1.13 Do the members of this household have access to the internet at home? 1 Yes 2 No Year moved into this house Year moved into this house Year moved into this house Year moved into this house Year moved into this house 2.1 In what year did you move into this house? Households who did not always live here 9999 Don't Know Always lived here Always lived here Always lived here Always lived here Always lived here Always live here? (tick if relevant) 1 Yes 2 No Tenure Tenure Tenure Tenure Tenure 2.2 Does your household - Rent - and pay rent for this dwelling? - Rent - paid by employer - Rent - but occupy free of charge? - Occupy the dwelling with mortgage/loan repayments? - Own the dwelling outright? If 1, Go to 2.3 If 2 or 3, Go to 2.6 If 4 or 5, Go to 2.8 2.2 Type of tenure - A rented dwelling is one that is not owned by the household, and for which regular payments are made by the household to the owner. - A rent-free dwelling is one that is owned by friends or relatives and that the household does not pay for. - A dwelling with a loan repayment or mortgage is one purchased by the household with a loan or mortgage which is being paid off. - A dwelling that is owned outright is one free of loan or mortgage and is lived in by the household. 1 Rent-and pay rent for this dwelling 2 Rent-paid by employer 3 Rent-but occupy free of charge 4 Occupy the dwelling with mortgage/ loan repayments 5 Own the dwelling outright Latest amount of rent paid Latest amount of rent paid Latest amount of rent paid Latest amount of rent paid Latest amount of rent paid 2.3 What was the latest amount of rent paid for this dwelling (and any other dwellings rented by the household). Includ land lease if as a tenant you are required to pay in addition to rent but not bod payments: Amount Paid 2.3 Rent paid - Record the amount of rent paid for the property, even if paid from a business account. Rent period - full rent Rent period - full rent Rent period - full rent Rent period - full rent Rent period - full rent 2.3 What was the latest amount of rent paid for this dwelling (and any other dwellings rented by the household). Includ land lease if as a tenant you are required to pay in addition to rent but not bod payments: Period Covered e.g. monthly 2.3 Rent paid - Period covered - record "2 weeks", "1 month", "quarterly" or "annually". 1 Weekly 2 Bi-weekly 3 Quarterly 4 Semi-annual 5 Annual 6 Monthly Rent payment charged to a your business or refunded by employer Rent payment charged to a your business or refunded by employer Rent payment charged to a your business or refunded by employer Rent payment charged to a your business or refunded by employer Rent payment charged to a your business or refunded by employer 2.4 Was any of this rent payment charged to a business owned by you or refunded to you by your employer? If No, Go to Q2.7 1 Yes 2 No How much charged to business or refunded by your employer How much charged to business or refunded by your employer How much charged to business or refunded by your employer How much charged to business or refunded by your employer How much charged to business or refunded by your employer 2.5 How much was charged to a business or refunded by your employer? Amount Paid Rent Period - charged to business Rent Period - charged to business Rent Period - charged to business Rent Period - charged to business Rent Period - charged to business 2.5 How much was charged to a business or refunded by your employer? Period Covered (e.g. 2 weeks) GO TO Q2.7 1 Weekly 2 Bi-weekly 3 Quarterly 4 Semi-annual 5 Annual 6 Monthly Occupied without payment of cash rent, what is the estimated value for rent Occupied without payment of cash rent, what is the estimated value for rent Occupied without payment of cash rent, what is the estimated value for rent Occupied without payment of cash rent, what is the estimated value for rent Occupied without payment of cash rent, what is the estimated value for rent 2.6 For this house you are renting free of charge, what is the estimated value of the rent? Who are you renting this household from? Who are you renting this household from? Who are you renting this household from? Who are you renting this household from? Who are you renting this household from? 2.7 Who are you renting this household from? Go To Q2.10 1 Private owner 2 Employer 3 National Government Organization 4 Church 5 Relatives 6 Other House value House value House value House value House value 2.8 If you were to sell this house now what would be your asking pricing ? 2.8 Value of owned house In situations where the household doesn?t know a good estimate for the value of the house, provide a best guess estimate Lot (land if private) Lot (land if private) Lot (land if private) Lot (land if private) Lot (land if private) 2.8 If you were to sell this house now what would be your asking pricing ? If rent, how much would you charge per month? If rent, how much would you charge per month? If rent, how much would you charge per month? If rent, how much would you charge per month? If rent, how much would you charge per month? 2.9 If you were to rent this house, how much would you charge per month? 2.9 Estimate Value of Rent In situations where the household doesn?t know a good estimate for the value of the rent, provide a best guess estimate Any payments made in connection with dwelling Any payments made in connection with dwelling Any payments made in connection with dwelling Any payments made in connection with dwelling Any payments made in connection with dwelling 2.10 In the last 12 months, were any of the payments below made in connection with your dwelling (or any other dwelling owned or rented by the household)? If NO Go To 3.1 2.10 Other payments for properties Record any bond, administration charge or other lump sum payment in the last 12 months in connection with this property or any other property paid for by a member of the household 1 Yes 2 No Any mortgage/ loan to purchase dwelling Any mortgage/ loan to purchase dwelling Any mortgage/ loan to purchase dwelling Any mortgage/ loan to purchase dwelling Any mortgage/ loan to purchase dwelling 3.1 In the last 12 months, were there any mortgage or loan repayments for this (or any other dwelling owned by the household) for any of the following? a) Purchase of a dwelling? b) Construction of a new dwelling? c) Major improvements to a dwelling If NO Go To 4.1 3.1 Mortgages and loans - Include: all kinds of loans for the purpose of purchasing the property provided that they are still to be paid off. - Include: all loans for the construction of a new dwelling provided they are still to be paid off. - Include: all loans for major improvements to a dwelling. - Include: loans on the security of other assets, loans against insurance policies, lease with option to purchase, unregistered loans and bridging finance provided that they were made to pay for the purchase of this dwelling and are still to be paid off. 1 Yes 2 No How many mortgage or loans paid How many mortgage or loans paid How many mortgage or loans paid How many mortgage or loans paid How many mortgage or loans paid 3.2 How many mortgage or loans are being paid? Number First Mortgage (Original amount) First Mortgage (Original amount) First Mortgage (Original amount) First Mortgage (Original amount) First Mortgage (Original amount) 3.3 Please provide the following information for each mortgage or loan: Amount originally borrowed 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. First Mortgage (Borrowed from) First Mortgage (Borrowed from) First Mortgage (Borrowed from) First Mortgage (Borrowed from) First Mortgage (Borrowed from) 3.3 Please provide the following information for each mortgage or loan: Who borrowed from 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. 1 Bank of Hawaii 2 Bank of Guam 3 NDBP 4 Palau Construction Bank 5 First Commercial Bank 6 SPACO 7 Asia Pacific Commercial Bank 8 Bank Pacific 9 Pacific Savings Bank 10 First Fidelity Bank Corp. 11 Sunra Int'l. Bank & Trust 12 Palau Housing Authority 13 Other Financial Institution First Mortgage (Year) First Mortgage (Year) First Mortgage (Year) First Mortgage (Year) First Mortgage (Year) 3.3 Please provide the following information for each mortgage or loan: Year 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. First Mortgage (borrower's contribution) First Mortgage (borrower's contribution) First Mortgage (borrower's contribution) First Mortgage (borrower's contribution) First Mortgage (borrower's contribution) 3.3 Please provide the following information for each mortgage or loan: Borrower's cash contribution 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. First Mortgage (term of loan) First Mortgage (term of loan) First Mortgage (term of loan) First Mortgage (term of loan) First Mortgage (term of loan) 3.3 Please provide the following information for each mortgage or loan: Term of mortgage loan 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. First Mortgage (Latest cash pmt) First Mortgage (Latest cash pmt) First Mortgage (Latest cash pmt) First Mortgage (Latest cash pmt) First Mortgage (Latest cash pmt) 3.3 Please provide the following information for each mortgage or loan: Amount of latest payment - cash 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. First Mortgage (Latest allotment) First Mortgage (Latest allotment) First Mortgage (Latest allotment) First Mortgage (Latest allotment) First Mortgage (Latest allotment) 3.3 Please provide the following information for each mortgage or loan: Amount of latest payment - allotment 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. First Mortgage (Period covered) First Mortgage (Period covered) First Mortgage (Period covered) First Mortgage (Period covered) First Mortgage (Period covered) 3.3 Please provide the following information for each mortgage or loan: Period covered by latest payment 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. 1 Weekly 2 Bi-weekly 3 Quarterly 4 Semi-annual 5 Annual 6 Monthly First Mortgage (Interest rate) First Mortgage (Interest rate) First Mortgage (Interest rate) First Mortgage (Interest rate) First Mortgage (Interest rate) 3.3 Please provide the following information for each mortgage or loan: Interest rate (current) 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. Second Mortgage (Original amount) Second Mortgage (Original amount) Second Mortgage (Original amount) Second Mortgage (Original amount) Second Mortgage (Original amount) 3.3 Please provide the following information for each mortgage or loan: Amount originally borrowed 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. Second Mortgage (Borrowed from) Second Mortgage (Borrowed from) Second Mortgage (Borrowed from) Second Mortgage (Borrowed from) Second Mortgage (Borrowed from) 3.3 Please provide the following information for each mortgage or loan: Who borrowed from 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. 1 Bank of Hawaii 2 Bank of Guam 3 NDBP 4 Palau Construction Bank 5 First Commercial Bank 6 SPACO 7 Asia Pacific Commercial Bank 8 Bank Pacific 9 Pacific Savings Bank 10 First Fidelity Bank Corp. 11 Sunra Int'l. Bank & Trust 12 Palau Housing Authority 13 Other Financial Institution Second Mortgage (Year) Second Mortgage (Year) Second Mortgage (Year) Second Mortgage (Year) Second Mortgage (Year) 3.3 Please provide the following information for each mortgage or loan: Year 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. Second Mortgage (borrower's contribution) Second Mortgage (borrower's contribution) Second Mortgage (borrower's contribution) Second Mortgage (borrower's contribution) Second Mortgage (borrower's contribution) 3.3 Please provide the following information for each mortgage or loan: Borrower's cash contribution 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. Second Mortgage (term of loan) Second Mortgage (term of loan) Second Mortgage (term of loan) Second Mortgage (term of loan) Second Mortgage (term of loan) 3.3 Please provide the following information for each mortgage or loan: Term of mortgage loan 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. Second Mortgage (Latest cash pmt) Second Mortgage (Latest cash pmt) Second Mortgage (Latest cash pmt) Second Mortgage (Latest cash pmt) Second Mortgage (Latest cash pmt) 3.3 Please provide the following information for each mortgage or loan: Amount of latest payment - cash 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. Second Mortgage (Latest allotment) Second Mortgage (Latest allotment) Second Mortgage (Latest allotment) Second Mortgage (Latest allotment) Second Mortgage (Latest allotment) 3.3 Please provide the following information for each mortgage or loan: Amount of latest payment - allotment 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. Second Mortgage (Period covered) Second Mortgage (Period covered) Second Mortgage (Period covered) Second Mortgage (Period covered) Second Mortgage (Period covered) 3.3 Please provide the following information for each mortgage or loan: Period covered by latest payment 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. 1 Weekly 2 Bi-weekly 3 Quarterly 4 Semi-annual 5 Annual 6 Monthly Second Mortgage (Interest rate) Second Mortgage (Interest rate) Second Mortgage (Interest rate) Second Mortgage (Interest rate) Second Mortgage (Interest rate) 3.3 Please provide the following information for each mortgage or loan: Interest rate (current) 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. Third Mortgage (Original amount) Third Mortgage (Original amount) Third Mortgage (Original amount) Third Mortgage (Original amount) Third Mortgage (Original amount) 3.3 Please provide the following information for each mortgage or loan: Amount originally borrowed 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. Third Mortgage (Borrowed from) Third Mortgage (Borrowed from) Third Mortgage (Borrowed from) Third Mortgage (Borrowed from) Third Mortgage (Borrowed from) 3.3 Please provide the following information for each mortgage or loan: Who borrowed from 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. 1 Bank of Hawaii 2 Bank of Guam 3 NDBP 4 Palau Construction Bank 5 First Commercial Bank 6 SPACO 7 Asia Pacific Commercial Bank 8 Bank Pacific 9 Pacific Savings Bank 10 First Fidelity Bank Corp. 11 Sunra Int'l. Bank & Trust 12 Palau Housing Authority 13 Other Financial Institution Third Mortgage (Year) Third Mortgage (Year) Third Mortgage (Year) Third Mortgage (Year) Third Mortgage (Year) 3.3 Please provide the following information for each mortgage or loan: Year 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. Third Mortgage (borrower's contribution) Third Mortgage (borrower's contribution) Third Mortgage (borrower's contribution) Third Mortgage (borrower's contribution) Third Mortgage (borrower's contribution) 3.3 Please provide the following information for each mortgage or loan: Borrower's cash contribution 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. Third Mortgage (term of loan) Third Mortgage (term of loan) Third Mortgage (term of loan) Third Mortgage (term of loan) Third Mortgage (term of loan) 3.3 Please provide the following information for each mortgage or loan: Term of mortgage loan 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. Third Mortgage (Latest cash pmt) Third Mortgage (Latest cash pmt) Third Mortgage (Latest cash pmt) Third Mortgage (Latest cash pmt) Third Mortgage (Latest cash pmt) 3.3 Please provide the following information for each mortgage or loan: Amount of latest payment - cash 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. Third Mortgage (Latest allotment) Third Mortgage (Latest allotment) Third Mortgage (Latest allotment) Third Mortgage (Latest allotment) Third Mortgage (Latest allotment) 3.3 Please provide the following information for each mortgage or loan: Amount of latest payment - allotment 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. Third Mortgage (Period covered) Third Mortgage (Period covered) Third Mortgage (Period covered) Third Mortgage (Period covered) Third Mortgage (Period covered) 3.3 Please provide the following information for each mortgage or loan: Period covered by latest payment 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. 1 Weekly 2 Bi-weekly 3 Quarterly 4 Semi-annual 5 Annual 6 Monthly Third Mortgage (Interest rate) Third Mortgage (Interest rate) Third Mortgage (Interest rate) Third Mortgage (Interest rate) Third Mortgage (Interest rate) 3.3 Please provide the following information for each mortgage or loan: Interest rate (current) 3.3 Mortgages and loans details - Amount borrowed - include the original amount borrowed for the purchase of this dwelling (and any other dwelling owned by this household). - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Year borrowed - the year that the mortgage or loan was initially made. - Borrower?s cash contribution - the amount of the deposit made to secure the mortgage. - Term of mortgage or loan - record the full term as the number of years over which the loan is spread (including any extension to the original term), not the remaining term. - Amount of latest payment - record details from the latest payment made for the mortgage or loan. Allotments include the amount paid by an employer to the loan. - Period covered by that payment - if „one month? then record as „4 weeks? or „calendar month? as appropriate. Any dwelling insurance paid Any dwelling insurance paid Any dwelling insurance paid Any dwelling insurance paid Any dwelling insurance paid 4.1 In the last 12 months, were any payments made for insurance policies on the dwelling or its contents (or any other dwelling owned by the household)? If NO Go To 5.1 4. Insurance policies for dwelling and contents Record details from the latest account received. The per annum amount may be recorded from premiums paid by instalment if it is more readily available than the latest instalment paid 1 Yes 2 No Any payment in connection to construction Any payment in connection to construction Any payment in connection to construction Any payment in connection to construction Any payment in connection to construction 5.1 In the last 12 months, did any member of this household make a payment in connection to the construction of a new dwelling? If NO Go To 6.1 5.1 New dwellings - Do not include: payments made in connection with the construction of dwellings used (or intended to use) mainly for business or investment purposes or payments made for a dwelling which will be rented out to others for more than one month a year. 1 Yes 2 No Any money obtained from a loan Any money obtained from a loan Any money obtained from a loan Any money obtained from a loan Any money obtained from a loan 5.3 Was any money obtained from a loan? Yes ==> Check that loan has been included in question 3 No ==> Go to question 6.1 5.3 Money obtained from loan - Yes: this loan should be included in question 3 as it relates directly to housing expenditure 1 Yes 2 No Any dwelling improvements paid Any dwelling improvements paid Any dwelling improvements paid Any dwelling improvements paid Any dwelling improvements paid 6.1 In the last 12 months, did any member of this household pay a person or a business to do any improvements to any private dwelling? If NO Go To 6.2 NOTE: For each section in Question 6, check with the respondent if any of the payments made were from loans. If so, this information should be recorded in Question 3. 6.1 Payments to contractors - Labour costs only. Please note if the payments include materials. - Amount paid: Record payments made in the last 12 months. If payment was made in the form of goods or services record the estimated value of the goods or services. Do not record the full contract price unless the contract was paid in full. - Include: expenditure by household members on dwellings not owned or rented by them, for example expenditure by a household member on his or her parent?s house) unless the household was reimbursed for the expenditure. - Do not include: expenditure on properties used mainly for business or investment purposes, or expenditure on properties owned by household members that are rented out by them for more than one month a year. 1 Yes 2 No Purchase items for home improvement Purchase items for home improvement Purchase items for home improvement Purchase items for home improvement Purchase items for home improvement 6.2 In the last 12 months, did any member of this household purchase any of the items below for major home improvements? If NO Go To 6.3 NOTE: For each section in Question 6, check with the respondent if any of the payments made were from loans. If so, this information should be recorded in Question 3. 6.2 Purchase of materials - Include: materials purchased by household members even if it is for other properties, such as for parent's house. - Items bought: separate the cost of combined purchases of materials into single items, using the respondent?s best estimate if necessary. 1 Yes 2 No Any home-maintenance plant or equipment Any home-maintenance plant or equipment Any home-maintenance plant or equipment Any home-maintenance plant or equipment Any home-maintenance plant or equipment 6.3 In the last 12 months, did any member of this household pay for the hire of home-maintenance plant or equipment? If NO Go to question 6.4 NOTE: For each section in Question 6, check with the respondent if any of the payments made were from loans. If so, this information should be recorded in Question 3. 6.3 Hiring of equipment Include: total payment made by household members for the hire of home maintenance equipment such as water blaster, cement mixer. 1 Yes 2 No Loan for major home improvement Loan for major home improvement Loan for major home improvement Loan for major home improvement Loan for major home improvement 6.4 Was any money for major home improvements obtained from a loan? Yes ==> Check that loan has been included in question 3.1 No ==> Go to question 7.1 NOTE: For each section in Question 6, check with the respondent if any of the payments made were from loans. If so, this information should be recorded in Question 3. 6.4 Loans for Major Home Improvements Yes: this loan should be included in question 3 as it relates directly to housing expenditure 1 Yes 2 No Purchase any furniture Purchase any furniture Purchase any furniture Purchase any furniture Purchase any furniture 7.1 In the last 12 months, did any member of this household purchase any of the items below for household furniture and fittings? (Include items purchased via a loan - loan details will be included in Q11 ) If NO Go To 7.2 7.1 & 7.2 Household furniture, fittings, appliances, white-goods etc - Do not include: items bought for properties used mainly for business or investment purposes or items bought for properties which are rented for more than one month a year. - Include: items purchased from overseas. - If more than one item was purchased: such as 2 mattresses, write in the combined total. 1 Yes 2 No Appliances bought Appliances bought Appliances bought Appliances bought Appliances bought 7.2 In the last 12 months, did any member of this household purchase any of the items below for household appliances (e.g., fridge, TV, etc)? (Include items purchased via a loan - loan details will be included in Q11) No Go to 7.3 7.1 & 7.2 Household furniture, fittings, appliances, white-goods etc - Do not include: items bought for properties used mainly for business or investment purposes or items bought for properties which are rented for more than one month a year. - Include: items purchased from overseas. - If more than one item was purchased: such as 2 mattresses, write in the combined total. 1 Yes 2 No Paid any household bills Paid any household bills Paid any household bills Paid any household bills Paid any household bills 7.3 In the last 12 months, did any member of this household pay any of the following household bills? This includes payments deducted from a household members pay to cover these expenses (allotments). If NO Go To 7.4 7.3 Household accounts - Do not include: any expenses paid by a business. - Include: allotment payments removed from pay in advance - Include: Rental and toll charges for telephone. - Period covered: ensure period covered is recorded, usually '1 month' - do not record dates. - Amount of latest payment: record details from the latest account received. If records are not available then 'best estimates' will do. 1 Yes 2 No Repair any hh appliances Repair any hh appliances Repair any hh appliances Repair any hh appliances Repair any hh appliances 7.4 In the last 12 months, did any member of this household pay for repairs to any household appliances, etc? If NO Go To 7.5 7.4 Payments for repairs to household effects - Include: payments made by household members for the repair of items recorded under question 7.1 or 7.2, e.g. video player repairs. - If the same item was repaired more than once, include the cost of each repair 1 Yes 2 No Hire or rent home-operation item Hire or rent home-operation item Hire or rent home-operation item Hire or rent home-operation item Hire or rent home-operation item 7.5 In the last 12 months, did any member of this household pay for the hire/rent of home-operation items below: If NO Go To 7.6 7.5 Payments for Hiring of Household Operation Equipments - Include: total payment made by household members for the hire of home operation equipment such as lawn mower, weed eater. - Exclude: equipment used for construction, if already covered in question 5 or 6 1 Yes 2 No Paid domestic helper/ baby sitter Paid domestic helper/ baby sitter Paid domestic helper/ baby sitter Paid domestic helper/ baby sitter Paid domestic helper/ baby sitter 7.6 In the last 12 months, did any member of this household pay for a domestic helper/ baby sitter or temporary worker not already indicated in this survey: If NO Go To 8.1 7.6 Payments for Domestic Helpers/ Housekeepers/ Baby Sitters - Include: total payment made to domestic helper or baby sitter or other hired help 1 Yes 2 No Purchase any items for hh vehicles Purchase any items for hh vehicles Purchase any items for hh vehicles Purchase any items for hh vehicles Purchase any items for hh vehicles 8.1 In the last 12 months, did any member of this household purchase any of the items below for household vehicles? If NO Go To 8.3 8.1 Transport - purchases - Include: vehicles purchased and used partly for business purposes but mostly for private use and vehicles used purely for private purposes. - Include: Vehicles, even if they aren?t road worthy. - Do not include: vehicles purchased and used mainly for business; taxis, rental cars and other vehicles hired during the year - Total cost of the vehicle: exclude registration and other fees. 1 Yes 2 No Any loan to purchase vehicle Any loan to purchase vehicle Any loan to purchase vehicle Any loan to purchase vehicle Any loan to purchase vehicle 8.2 When the household purchased the above vehicle(s) was any money obtained from a loan? 8.2 Transport - purchases, loans - Who borrowed from: state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - Include: loans taken out in the last 12 months (do not include these in question 11). - Borrower's contribution: include only the cash deposit and do not include the trade-in amount (if used). - Insurance: include the annual premium. 1 Yes 2 No First loan (Borrowed from) First loan (Borrowed from) First loan (Borrowed from) First loan (Borrowed from) First loan (Borrowed from) Loan Details Who borrowed from If NO Go To 8.3 1 Bank of Hawaii 2 Bank of Guam 3 NDBP 4 Palau Construction Bank 5 First Commercial Bank 6 SPACO 7 Asia Pacific Commercial Bank 8 Bank Pacific 9 Pacific Savings Bank 10 First Fidelity Bank Corp. 11 Sunra Int'l. Bank & Trust 12 Palau Housing Authority 13 Other Financial Institution First loan (Amount borrowed) First loan (Amount borrowed) First loan (Amount borrowed) First loan (Amount borrowed) First loan (Amount borrowed) Loan Details Amount borrowed First loan (Borrower's cash contribution) First loan (Borrower's cash contribution) First loan (Borrower's cash contribution) First loan (Borrower's cash contribution) First loan (Borrower's cash contribution) Loan Details Borrower's cash contribution First loan (Term of loan) First loan (Term of loan) First loan (Term of loan) First loan (Term of loan) First loan (Term of loan) Loan Details Term of loan First loan (Frequency of re-pmt) First loan (Frequency of re-pmt) First loan (Frequency of re-pmt) First loan (Frequency of re-pmt) First loan (Frequency of re-pmt) Loan Details Frequency of repayments 1 Weekly 2 Bi-weekly 3 Monthly 4 Quarterly 5 Semi-annual 6 Annual First loan (latest cash pmt) First loan (latest cash pmt) First loan (latest cash pmt) First loan (latest cash pmt) First loan (latest cash pmt) Loan Details Latest payment - cash First loan (allotment pmt) First loan (allotment pmt) First loan (allotment pmt) First loan (allotment pmt) First loan (allotment pmt) Loan Details Lates payment - allotment First loan (interest rate) First loan (interest rate) First loan (interest rate) First loan (interest rate) First loan (interest rate) Loan Details Interest rate Second loan (Borrowed from) Second loan (Borrowed from) Second loan (Borrowed from) Second loan (Borrowed from) Second loan (Borrowed from) Loan Details Who borrowed from 1 Bank of Hawaii 2 Bank of Guam 3 NDBP 4 Palau Construction Bank 5 First Commercial Bank 6 SPACO 7 Asia Pacific Commercial Bank 8 Bank Pacific 9 Pacific Savings Bank 10 First Fidelity Bank Corp. 11 Sunra Int'l. Bank & Trust 12 Palau Housing Authority 13 Other Financial Institution Second loan (Amount borrowed) Second loan (Amount borrowed) Second loan (Amount borrowed) Second loan (Amount borrowed) Second loan (Amount borrowed) Loan Details Amount borrowed Second loan (Borrower's cash contribution) Second loan (Borrower's cash contribution) Second loan (Borrower's cash contribution) Second loan (Borrower's cash contribution) Second loan (Borrower's cash contribution) Loan Details Borrower's cash contribution Second loan (Term of loan) Second loan (Term of loan) Second loan (Term of loan) Second loan (Term of loan) Second loan (Term of loan) Loan Details Term of loan Second loan (Frequency of re-pmt) Second loan (Frequency of re-pmt) Second loan (Frequency of re-pmt) Second loan (Frequency of re-pmt) Second loan (Frequency of re-pmt) Loan Details Frequency of repayments 1 Weekly 2 Bi-weekly 3 Monthly 4 Quarterly 5 Semi-annual 6 Annual Second loan (latest cash pmt) Second loan (latest cash pmt) Second loan (latest cash pmt) Second loan (latest cash pmt) Second loan (latest cash pmt) Loan Details Latest payment - cash Second loan (allotment pmt) Second loan (allotment pmt) Second loan (allotment pmt) Second loan (allotment pmt) Second loan (allotment pmt) Loan Details Lates payment - allotment Second loan (interest rate) Second loan (interest rate) Second loan (interest rate) Second loan (interest rate) Second loan (interest rate) Loan Details Interest rate Any repair or maintenance of vehicle Any repair or maintenance of vehicle Any repair or maintenance of vehicle Any repair or maintenance of vehicle Any repair or maintenance of vehicle 8.3 In the last 12 months, did any member of this household pay for the repair or maintenance of a vehicle or purchase parts or accessories? If NO Go To 8.4 8.3 Transport - repairs and maintenance - Repairs: separate the combined purchase of parts and/or accessories into single items (e.g. water pump) using the respondent?s best guess if necessary. 1 Yes 2 No Hire motor vehicle Hire motor vehicle Hire motor vehicle Hire motor vehicle Hire motor vehicle 8.4 In the last 12 months, did any member of this household pay for the hire of a motor vehicle? If NO Go To 8.5 8.4 Transport - hiring - Include: all payments made by household members for hiring vehicles over the last 12 months, e.g. van from Solomon Islands Rentals. 1 Yes 2 No Any vehicle registration/ insurance Any vehicle registration/ insurance Any vehicle registration/ insurance Any vehicle registration/ insurance Any vehicle registration/ insurance 8.5 In the last 12 months, did any member of this household pay for any registration and/or insurance of a vehicle (includes, boats, canoes, OBM, etc) If NO Go To 9.1 8.5 Transport - vehicle registration and insurance - Include: all vehicle registrations and insurance separately for the last 12 months - Include: payments made by members of this household for vehicles owned by another household 1 Yes 2 No Any domestic travel expenses Any domestic travel expenses Any domestic travel expenses Any domestic travel expenses Any domestic travel expenses 9.1 Did any member of this household have any travel expenses for domestic trips (within the Republic of Palau, i.e. Southwest, Angaur etc.) taken in the last 12 months? Include expenses made by members of this household for persons outside the household. If NO Go To 9.2 9.1 & 9.2 Travel expenses NOTE: For each household member who has had an overseas or domestic trip in the last 12 months, expenditure amounts (or estimates) are required for expenses paid by the household. - Domestic travel: This refers to any travel from one state to another, as well as any significant travel within a state which involves a flight or boat trip - Include: - amounts paid for trips taken in the last 12 months; - private expenditure abroad including any trips paid for by family overseas. - Include: Payments made by household members for relatives overseas to travel to the Republic of Palau and visit them. - Do not include: Overseas trips paid for by the Government of the Republic of Palau or other regional or international organisations. If, however „private? expenditure occurred during any such trip then record that expenditure. - Transport costs: If possible ask respondents to record separately expenditure on different types of public transport (e.g. airfares, car hire), using the respondent?s best estimates if necessary. - Other expenses: Include expenses by the respondent on clothing, medical goods and services, household items, even though these should also be recorded in the appropriate sections of the expenditure questionnaire. 1 Yes 2 No Any overseas travel Any overseas travel Any overseas travel Any overseas travel Any overseas travel 9.2 Did any member of this household have any travel expenses for trips to other countries taken in the last 12 months? Include expenses made by members of this household for persons outside the household. If NO Go To 10.1 9.1 & 9.2 Travel expenses NOTE: For each household member who has had an overseas or domestic trip in the last 12 months, expenditure amounts (or estimates) are required for expenses paid by the household. - Domestic travel: This refers to any travel from one state to another, as well as any significant travel within a state which involves a flight or boat trip - Include: - amounts paid for trips taken in the last 12 months; - private expenditure abroad including any trips paid for by family overseas. - Include: Payments made by household members for relatives overseas to travel to the Republic of Palau and visit them. - Do not include: Overseas trips paid for by the Government of the Republic of Palau or other regional or international organisations. If, however „private? expenditure occurred during any such trip then record that expenditure. - Transport costs: If possible ask respondents to record separately expenditure on different types of public transport (e.g. airfares, car hire), using the respondent?s best estimates if necessary. - Other expenses: Include expenses by the respondent on clothing, medical goods and services, household items, even though these should also be recorded in the appropriate sections of the expenditure questionnaire. 1 Yes 2 No Any educational, recreation, sport or culture pmts Any educational, recreation, sport or culture pmts Any educational, recreation, sport or culture pmts Any educational, recreation, sport or culture pmts Any educational, recreation, sport or culture pmts 10.1 In the last 12 months, did any member of this household make any regular payments associated with education, recreation, sport and culture? If NO Go To 11.1 10.1 Fees and subscriptions - Include: fees and subscriptions which are of a fixed amount and which are paid either annually, or at a fixed interval such as per term, month etc., or for a specific course of lessons. Examples include golf club subs, music lessons, exam fees, social club sub etc. - Subscriptions levied by sports / leisure clubs or societies: include all subscriptions by clubs or leisure groups or societies such as associations, institutes and welfare groups. - Education fees: do not include fees (or parts of fees) that were paid directly to the education provider as part of a bursary or scholarship. Include expenditures made by household members only. - School fees: if fees were paid on a term or semester basis, make sure the expenditure amount entered is for the last 12 months. - Regular contributions to religious and other organisations: include regular payments only, not expenditures like weekly church donations. - Regular child care: include set fees charged by care providers, crèches, kindergartens, pre-schools or play centres for child care undertaken on a regular basis. - Bingo, housie, raffles, and lotto: do not discount winnings. 1 Yes 2 No Any housing loans or mortgages Any housing loans or mortgages Any housing loans or mortgages Any housing loans or mortgages Any housing loans or mortgages 11.1 In the last 12 months, did any member of this household borrow any amount of money for purposes other than housing loans or mortgages or for the purchase of vehicles? If NO Go To 12.1 NOTE: This question covers all non-property and non-vehicle loans of over $100 or more obtained in the last 12 months, regardless of whether or not the money obtained has been spent. 11.1 Loans - Do not include: loans for the purchase, construction or home improvement of dwellings which should be recorded in Question 3. - Do not include: loans made for the purchase of transport as these should have been recorded in Question 8. - Include: all relevant loans which have since been paid off, loans from a credit card company. All types of loans whether or not secured against property. Loans covering personal expenses, household expenses, repayment of debt etc. - Include: loans made for household operations noted in Question 7. Include: loans made for overseas travel and expenses noted in Question 9. 1 Yes 2 No Any Credit Card Any Credit Card Any Credit Card Any Credit Card Any Credit Card 12.1 In the last 12 months, did any member of this household have a credit card even if it had not been use If NO Go To 12.3 12.1 Access to credit card - Does any member of the household have credit cards even if they have not been used in the last 12 months? 1 Yes 2 No Any Charge Account Any Charge Account Any Charge Account Any Charge Account Any Charge Account 12.3 In the last 12 months, did any member of this household use a charge account (not including accounts arranged with small shops)? Items charged to small shop charge account should be recorded in daily expenditure diary. This survey is only interested in other expenses as a result of the charge account such as interest as a result of the charge account. If NO Go To 13 12.3 Access to charge account - Does any member of the household have charge accounts even if they have not been used in the last 12 months? 1 Yes 2 No Any contribution to benefit schemes Any contribution to benefit schemes Any contribution to benefit schemes Any contribution to benefit schemes Any contribution to benefit schemes 13.1 In the last 12 months, did any member of this household make a contribution to a life insurance, social security or pension plan/retirement? If NO Go To 14.1 13.1 Types of benefit schemes - Include: the value of the latest payment made by household members and those made on behalf of persons outside the household. - Include: the term that this payment covered (e.g. monthly, annual, quarterly). 1 Yes 2 No Any services or medication paid Any services or medication paid Any services or medication paid Any services or medication paid Any services or medication paid 14.1 In the last 12 months, did any member of this household pay for the services or medications from health practitioners and service providers? ( ) Yes If NO Go To 15.1 14.1 Payments for medical services - Include: payments made by household members and those made on behalf of persons outside the household in the last 12 months. Include the value of payment in kind in the case of traditional medical practitioners. - Include: expenditure paid by household members while overseas for medical and health services such as prescription charges, doctors visit charges etc as „other? costs and note that these were incurred overseas. Note that if these expenses were reimbursed by insurance or another agency do not record the expenditure, unless the expenses were only partially reimbursed in which case record the expense less the reimbursement. - Do not include: the cost of overseas travel for medical purposes as the expenditure of household members should be included in Question 9 on Overseas Travel. 1 Yes 2 No Any contributions to customs Any contributions to customs Any contributions to customs Any contributions to customs Any contributions to customs 15.1 In the last 12 months, did any member of this household contribute to any customs? If NO Go to 16.1 15.1 Custom Occasions - If a member of the household contributed to more than one funeral in the last 12 months then add the contributions for both together. This applies for each of the other categories of custom occasions (ocheraol, omengat/ngasech, house party). - Whenever possible get the household to refer to their records before providing details 1 Yes 2 No Miscellaneous services payments Miscellaneous services payments Miscellaneous services payments Miscellaneous services payments Miscellaneous services payments 16.1 In the last 12 months, did any member of this household pay for personal services or any of the other expenditure types listed below? 16.1 Payments made for personal services - Include: payments made by household members in the last 12 months for services such as hairdressing, exercise fees, legal fees, catering and fines etc. - Include: in this section any unusual payments made for services or payments for services made which have been noted but do not fit in any other categories of this questionnaire. 1 Yes 2 No Miscellaneous good paid Miscellaneous good paid Miscellaneous good paid Miscellaneous good paid Miscellaneous good paid 16.2 In the last 12 months, did any member of this household pay for personal goods or any of the other expenditure types listed below? 16.2 Payments made for personal goods - Include: payments made by household members in the last 12 months for goods such as jewellery and other items for personal use. - Include: in this section any unusual payments made for goods or payments for goods made which have been noted but do not fit in any other categories of this questionnaire. - Include: any other unusual payments which have not been recorded elsewhere. 1 Yes 2 No Does any member of hh grow any crops Does any member of hh grow any crops Does any member of hh grow any crops Does any member of hh grow any crops Does any member of hh grow any crops 17.1 Does any member of your household grow any crops or raise any livestock? NO ==> End of questionnaire 1 Yes 2 No Any crops grown Any crops grown Any crops grown Any crops grown Any crops grown 17.3 What types of crops are grown by the members of this household? (Tick if yes) 1 Yes 2 No Tapioca Tapioca Tapioca Tapioca Tapioca 17.3 What types of crops are grown by the members of this household? (Tick if yes) 1 Yes 2 No Taro Taro Taro Taro Taro 17.3 What types of crops are grown by the members of this household? (Tick if yes) 1 Yes 2 No Potatoes Potatoes Potatoes Potatoes Potatoes 17.3 What types of crops are grown by the members of this household? (Tick if yes) 1 Yes 2 No Coconut Coconut Coconut Coconut Coconut 17.3 What types of crops are grown by the members of this household? (Tick if yes) 1 Yes 2 No Melon Melon Melon Melon Melon 17.3 What types of crops are grown by the members of this household? (Tick if yes) 1 Yes 2 No Noni Noni Noni Noni Noni 17.3 What types of crops are grown by the members of this household? (Tick if yes) 1 Yes 2 No Teak tree Teak tree Teak tree Teak tree Teak tree 17.3 What types of crops are grown by the members of this household? (Tick if yes) 1 Yes 2 No Others Others Others Others Others 17.3 What types of crops are grown by the members of this household? (Tick if yes) 1 Yes 2 No Payment Payment Payment Payment Payment 2.10 In the last 12 months, were any of the payments below made in connection with your dwelling (or any other dwelling owned or rented by the household)? For each payment, would you please provide the amount paid for: 2.10 Other payments for properties - Record any bond, administration charge or other lump sum payment in the last 12 months in connection with this property or any other property paid for by a member of the household Type of Payment Type of Payment Type of Payment Type of Payment Type of Payment 2.10 In the last 12 months, were any of the payments below made in connection with your dwelling (or any other dwelling owned or rented by the household)? For each payment, would you please provide the amount paid for: Type of Payment 2.10 Other payments for properties - Record any bond, administration charge or other lump sum payment in the last 12 months in connection with this property or any other property paid for by a member of the household 21101 Lease rental 21102 Security Deposit (bond) 21103 Electricity Connection Fees 21104 Telephone Connection Fees 21108 Other payments 21113 Water Connection Fees Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid 2.10 In the last 12 months, were any of the payments below made in connection with your dwelling (or any other dwelling owned or rented by the household)? For each payment, would you please provide the amount paid for: Amount Paid 2.10 Other payments for properties - Record any bond, administration charge or other lump sum payment in the last 12 months in connection with this property or any other property paid for by a member of the household Latest premium pmt Latest premium pmt Latest premium pmt Latest premium pmt Latest premium pmt 4.2 What was the amount of the latest premium (payment) for the policies? Type of insurance policy Type of insurance policy Type of insurance policy Type of insurance policy Type of insurance policy 4.2 What was the amount of the latest premium (payment) for the policies? Type of insurance policy 21106 House insurance 21107 Contents insurance 21108 Fire insurance 21109 Other Amount of latest premium Amount of latest premium Amount of latest premium Amount of latest premium Amount of latest premium 4.2 What was the amount of the latest premium (payment) for the policies? Amount of latest premium Claims made against policy Claims made against policy Claims made against policy Claims made against policy Claims made against policy 4.2 What was the amount of the latest premium (payment) for the policies? Claims made against policy Period covered Period covered Period covered Period covered Period covered 4.2 What was the amount of the latest premium (payment) for the policies? Period covered by this premium 1 Weekly 2 Bi-weekly 3 Quarterly 4 Semi-annual 5 Annual 6 Monthly Any new dwelling construction pmts Any new dwelling construction pmts Any new dwelling construction pmts Any new dwelling construction pmts Any new dwelling construction pmts 5.2 Payments for construction items 5.2 Payments for construction - Include: payments made by the household directly to a second party such as a local builder, contractor, plumber etc. - Site preparation: include work such as excavating, rock and shrub removal, tree felling, access road, installation of utilities. If the work was done on a contract basis (i.e. part of the overall cost) include in payments to builders and trades people. - Contract payments to builder: record all contract payments made. - Materials: materials purchased by the household to be used in the basic construction of the building. Traditional materials include things such as thatch roof materials, local woods, bamboo etc. - etc. Non-traditional materials include concrete, timber, corrugated iron, etc. - Other: record only the costs (if any) which related to the basic construction of the dwelling rather than to the fitting out and decoration of the dwelling which should be entered in question 6.1. Type of payment Type of payment Type of payment Type of payment Type of payment 5.2 Payments for construction items Types of payments for construction of new dwelling 5.2 Payments for construction - Include: payments made by the household directly to a second party such as a local builder, contractor, plumber etc. - Site preparation: include work such as excavating, rock and shrub removal, tree felling, access road, installation of utilities. If the work was done on a contract basis (i.e. part of the overall cost) include in payments to builders and trades people. - Contract payments to builder: record all contract payments made. - Materials: materials purchased by the household to be used in the basic construction of the building. Traditional materials include things such as thatch roof materials, local woods, bamboo etc. - etc. Non-traditional materials include concrete, timber, corrugated iron, etc. - Other: record only the costs (if any) which related to the basic construction of the dwelling rather than to the fitting out and decoration of the dwelling which should be entered in question 6.1. 24101 Site preparation 24102 Surveying fees 24103 Architectural or design fees 24104 Building permit fees 24106 Registration fees 24107 Contract payments to builders 24108 Contract payments to other trades people 24109 Materials used in the basic construction -non traditional 24110 Materials used in the basic construction - traditional 24111 Transport of materials 24112 Other costs of constructions Amount paid Amount paid Amount paid Amount paid Amount paid 5.2 Payments for construction items Amount Paid 5.2 Payments for construction - Include: payments made by the household directly to a second party such as a local builder, contractor, plumber etc. - Site preparation: include work such as excavating, rock and shrub removal, tree felling, access road, installation of utilities. If the work was done on a contract basis (i.e. part of the overall cost) include in payments to builders and trades people. - Contract payments to builder: record all contract payments made. - Materials: materials purchased by the household to be used in the basic construction of the building. Traditional materials include things such as thatch roof materials, local woods, bamboo etc. - etc. Non-traditional materials include concrete, timber, corrugated iron, etc. - Other: record only the costs (if any) which related to the basic construction of the dwelling rather than to the fitting out and decoration of the dwelling which should be entered in question 6.1. Contractor payments Contractor payments Contractor payments Contractor payments Contractor payments Payments to contractors 6.1 Payments to contractors - Labour costs only. Please note if the payments include materials. - Amount paid: Record payments made in the last 12 months. If payment was made in the form of goods or services record the estimated value of the goods or services. Do not record the full contract price unless the contract was paid in full. - Include: expenditure by household members on dwellings not owned or rented by them, for example expenditure by a household member on his or her parent?s house) unless the household was reimbursed for the expenditure. - Do not include: expenditure on properties used mainly for business or investment purposes, or expenditure on properties owned by household members that are rented out by them for more than one month a year. Type of contractor payment Type of contractor payment Type of contractor payment Type of contractor payment Type of contractor payment Payments to contractors Type of payment 6.1 Payments to contractors - Labour costs only. Please note if the payments include materials. - Amount paid: Record payments made in the last 12 months. If payment was made in the form of goods or services record the estimated value of the goods or services. Do not record the full contract price unless the contract was paid in full. - Include: expenditure by household members on dwellings not owned or rented by them, for example expenditure by a household member on his or her parent?s house) unless the household was reimbursed for the expenditure. - Do not include: expenditure on properties used mainly for business or investment purposes, or expenditure on properties owned by household members that are rented out by them for more than one month a year. 22100 Other payments to contractor 22101 Carry out repairs, renovations or improvements 22102 Carry out structural additions or alterations 22103 Build garage or other building 22150 Landscape premise Contractor amount Contractor amount Contractor amount Contractor amount Contractor amount Payments to contractors Amount Paid 6.1 Payments to contractors - Labour costs only. Please note if the payments include materials. - Amount paid: Record payments made in the last 12 months. If payment was made in the form of goods or services record the estimated value of the goods or services. Do not record the full contract price unless the contract was paid in full. - Include: expenditure by household members on dwellings not owned or rented by them, for example expenditure by a household member on his or her parent?s house) unless the household was reimbursed for the expenditure. - Do not include: expenditure on properties used mainly for business or investment purposes, or expenditure on properties owned by household members that are rented out by them for more than one month a year. Purchase materials Purchase materials Purchase materials Purchase materials Purchase materials Purchase of materials 6.2 Purchase of materials - Include: materials purchased by household members even if it is for other properties, such as for parent?s house. - Items bought: separate the cost of combined purchases of materials into single items, using the respondent?s best estimate if necessary. Materials Materials Materials Materials Materials Purchase of materials Item 6.2 Purchase of materials - Include: materials purchased by household members even if it is for other properties, such as for parent?s house. - Items bought: separate the cost of combined purchases of materials into single items, using the respondent?s best estimate if necessary. 23000 Other 23101 Paint 23102 Timber 23103 Plywood 23104 Hard board (flooring & wall) 23105 Thin boards (walls) 23106 Cement board, hard glaze 23107 Flooring boards (particle) 23109 Piping 23110 Water supply tanks 23111 Septic tanks 23112 Bathroom fittings 23113 Shower unit 23114 Toilet unit 23115 Nails 23117 Cement 23118 Roofing iron 23119 Spouting (Pipes) 23120 Window frames & glass 23121 Doors 23122 Kitchen fittings 23123 Cupboards 23124 Water heating unit 23152 Concrete blocks 23153 Bricks 23155 Ceramic tiles 31210 Vinyl (lino) Materials amount Materials amount Materials amount Materials amount Materials amount Purchase of materials Amount paid 6.2 Purchase of materials - Include: materials purchased by household members even if it is for other properties, such as for parent?s house. - Items bought: separate the cost of combined purchases of materials into single items, using the respondent?s best estimate if necessary. Hiring of equipment Hiring of equipment Hiring of equipment Hiring of equipment Hiring of equipment Hiring of equipment 6.3 Hiring of equipment - Include: total payment made by household members for the hire of home maintenance equipment such as water blaster, cement mixer. Item hired Item hired Item hired Item hired Item hired Hiring of equipment Item hired 6.3 Hiring of equipment - Include: total payment made by household members for the hire of home maintenance equipment such as water blaster, cement mixer. 25000 Other equipment 25101 Cement mixer 25102 Drain digger/ Back hoe 25103 Water blaster Equip amount Equip amount Equip amount Equip amount Equip amount Hiring of equipment Amount Paid 6.3 Hiring of equipment - Include: total payment made by household members for the hire of home maintenance equipment such as water blaster, cement mixer. Item purchased Item purchased Item purchased Item purchased Item purchased 7.1 In the last 12 months, did any member of this household purchase any of the items below for household furniture and fittings? 7.1 & 7.2 Household furniture, fittings, appliances, white-goods etc - Do not include: items bought for properties used mainly for business or investment purposes or items bought for properties which are rented for more than one month a year. - Include: items purchased from overseas. - If more than one item was purchased: such as 2 mattresses, write in the combined total. Furniture items Furniture items Furniture items Furniture items Furniture items 7.1 In the last 12 months, did any member of this household purchase any of the items below for household furniture and fittings? Item 7.1 & 7.2 Household furniture, fittings, appliances, white-goods etc - Do not include: items bought for properties used mainly for business or investment purposes or items bought for properties which are rented for more than one month a year. - Include: items purchased from overseas. - If more than one item was purchased: such as 2 mattresses, write in the combined total. 31101 Beds 31102 Mattresses 31103 Lounge chair 31104 Sofa, couch, etc 31105 Dining table/ chairs 31106 Dressing table 31107 Chest of drawers 31108 Desk, bureau 31109 Outdoor furniture 31201 Blankets, bedspread 31202 Sheets, bed linen 31203 Pillow cases 31204 Pillow 31205 Light fittings 31206 Standard lamp 31207 Curtains, drapes 31208 Paintings 31209 Carpet, floor rug 31210 Other Furniture amounts Furniture amounts Furniture amounts Furniture amounts Furniture amounts 7.1 In the last 12 months, did any member of this household purchase any of the items below for household furniture and fittings? Amount paid 7.1 & 7.2 Household furniture, fittings, appliances, white-goods etc - Do not include: items bought for properties used mainly for business or investment purposes or items bought for properties which are rented for more than one month a year. - Include: items purchased from overseas. - If more than one item was purchased: such as 2 mattresses, write in the combined total. Appliances purchased Appliances purchased Appliances purchased Appliances purchased Appliances purchased 7.2 In the last 12 months, did any member of this household purchase any of the items below for household appliances (e.g., fridge, TV, etc)? 7.1 & 7.2 Household furniture, fittings, appliances, white-goods etc - Do not include: items bought for properties used mainly for business or investment purposes or items bought for properties which are rented for more than one month a year. - Include: items purchased from overseas. - If more than one item was purchased: such as 2 mattresses, write in the combined total. Appliances Appliances Appliances Appliances Appliances 7.2 In the last 12 months, did any member of this household purchase any of the items below for household appliances (e.g., fridge, TV, etc)? Item 7.1 & 7.2 Household furniture, fittings, appliances, white-goods etc - Do not include: items bought for properties used mainly for business or investment purposes or items bought for properties which are rented for more than one month a year. - Include: items purchased from overseas. - If more than one item was purchased: such as 2 mattresses, write in the combined total. 23000 Other 23125 Lawn mower 23126 Green machine (Grass cutter) 23128 Chainsaw 23130 Power tools 23140 Garden supplies 32101 Washing machine 32102 Refrigerator 32103 Freezer 32104 Electric jug 32105 Food processor 32106 Gas/ electric stove 32107 Gas burner 32108 Television 32109 Radio/ Stereo 32110 Vacuum cleaner 32111 Sewing machine 32112 Home computer/ Printer 32113 Kerosene stove 32114 Electric frying pans 32115 Microwave oven 32116 Blender 32117 Egg beater 32118 Coffee Percolator 32119 Rice cooker 32120 Pressure cooker 32121 Electric toaster 32122 Coolers 32123 Telephone (fixed) 32124 Mobile phone 32125 Video set/ VCD 32126 DVD Player 32127 Play station 32201 Dinner set 32202 Cultery set 32203 Saucepans/ Pots 32204 Barbecue Plate 32205 Knives 32206 Plastic containers (Topper wares) 32207 Glass set Appliances amount Appliances amount Appliances amount Appliances amount Appliances amount 7.2 In the last 12 months, did any member of this household purchase any of the items below for household appliances (e.g., fridge, TV, etc)? Amount paid 7.1 & 7.2 Household furniture, fittings, appliances, white-goods etc - Do not include: items bought for properties used mainly for business or investment purposes or items bought for properties which are rented for more than one month a year. - Include: items purchased from overseas. - If more than one item was purchased: such as 2 mattresses, write in the combined total. Household Bills paid Household Bills paid Household Bills paid Household Bills paid Household Bills paid Household bills 7.3 Household accounts - Do not include: any expenses paid by a business. - Include: allotment payments removed from pay in advance - Include: Rental and toll charges for telephone. - Period covered: ensure period covered is recorded, usually „1 month? - do not record dates. - Amount of latest payment: record details from the latest account received. If records are not available then „best estimates? will do. Type of account Type of account Type of account Type of account Type of account Household bills Type of account 7.3 Household accounts - Do not include: any expenses paid by a business. - Include: allotment payments removed from pay in advance - Include: Rental and toll charges for telephone. - Period covered: ensure period covered is recorded, usually „1 month? - do not record dates. - Amount of latest payment: record details from the latest account received. If records are not available then „best estimates? will do. 33201 Telephone (fixed) including faxes 33202 Mobile phone (cell & air time) 33203 Post office box rental 33204 Electricity 33216 Cable TV Fees 33217 Water 33303 Cooking gas 52000 Other Household Bills 52113 Vehicle Registration Fees (Total) 52118 Driving Licenses Fees Amount of latest cash pmt Amount of latest cash pmt Amount of latest cash pmt Amount of latest cash pmt Amount of latest cash pmt Household bills Amount of latest cash payment 7.3 Household accounts - Do not include: any expenses paid by a business. - Include: allotment payments removed from pay in advance - Include: Rental and toll charges for telephone. - Period covered: ensure period covered is recorded, usually „1 month? - do not record dates. - Amount of latest payment: record details from the latest account received. If records are not available then „best estimates? will do. Amount of latest allotment Amount of latest allotment Amount of latest allotment Amount of latest allotment Amount of latest allotment Household bills Amount of latest allotment payment 7.3 Household accounts - Do not include: any expenses paid by a business. - Include: allotment payments removed from pay in advance - Include: Rental and toll charges for telephone. - Period covered: ensure period covered is recorded, usually „1 month? - do not record dates. - Amount of latest payment: record details from the latest account received. If records are not available then „best estimates? will do. Period covered Period covered Period covered Period covered Period covered Household bills Period covered 7.3 Household accounts - Do not include: any expenses paid by a business. - Include: allotment payments removed from pay in advance - Include: Rental and toll charges for telephone. - Period covered: ensure period covered is recorded, usually „1 month? - do not record dates. - Amount of latest payment: record details from the latest account received. If records are not available then „best estimates? will do. 1 Weekly 2 Bi-weekly 3 Quarterly 4 Semi-annual 5 Annual 6 Monthly 7 Every 5 years Repair hh effects Repair hh effects Repair hh effects Repair hh effects Repair hh effects Repairs to household effects 7.4 Payments for repairs to household effects - Include: payments made by household members for the repair of items recorded under question 7.1 or 7.2, e.g. video player repairs. - If the same item was repaired more than once, include the cost of each repair Item repaired Item repaired Item repaired Item repaired Item repaired Repairs to household effects Item repaired 7.4 Payments for repairs to household effects - Include: payments made by household members for the repair of items recorded under question 7.1 or 7.2, e.g. video player repairs. - If the same item was repaired more than once, include the cost of each repair 23000 Other 23125 Lawn mower 23126 Green machine (Grass cutter) 23128 Chainsaw 23130 Power tools 23140 Garden supplies 32101 Washing machine 32102 Refrigerator 32103 Freezer 32104 Electric jug 32105 Food processor 32106 Gas/ electric stove 32107 Gas burner 32108 Television 32109 Radio/ Stereo 32110 Vacuum cleaner 32111 Sewing machine 32112 Home computer/ Printer 32113 Kerosene stove 32114 Electric frying pans 32115 Microwave oven 32116 Blender 32117 Egg beater 32118 Coffee Percolator 32119 Rice cooker 32120 Pressure cooker 32121 Electric toaster 32122 Coolers 32123 Telephone (fixed) 32124 Mobile phone 32125 Video set/ VCD 32126 DVD Player 32127 Play station 32201 Dinner set 32202 Cultery set 32203 Saucepans/ Pots 32204 Barbecue Plate 32205 Knives 32206 Plastic containers (Topper wares) 32207 Glass set Amount paid for repair Amount paid for repair Amount paid for repair Amount paid for repair Amount paid for repair Repairs to household effects Amount paid 7.4 Payments for repairs to household effects - Include: payments made by household members for the repair of items recorded under question 7.1 or 7.2, e.g. video player repairs. - If the same item was repaired more than once, include the cost of each repair Hiring of equipment Hiring of equipment Hiring of equipment Hiring of equipment Hiring of equipment Hiring of equipment 7.5 Payments for Hiring of Household Operation Equipments - Include: total payment made by household members for the hire of home operation equipment such as lawn mower, weed eater. - Exclude: equipment used for construction, if already covered in question 5 or 6 Item hired Item hired Item hired Item hired Item hired Hiring of equipment Item hired 7.5 Payments for Hiring of Household Operation Equipments - Include: total payment made by household members for the hire of home operation equipment such as lawn mower, weed eater. - Exclude: equipment used for construction, if already covered in question 5 or 6 33000 Other Equip 33208 TV/VCR/DVD 33209 Lawn Mower 33210 Weed Eater/ Grass Cutter Amount of item hired Amount of item hired Amount of item hired Amount of item hired Amount of item hired Hiring of equipment Amount Paid 7.5 Payments for Hiring of Household Operation Equipments - Include: total payment made by household members for the hire of home operation equipment such as lawn mower, weed eater. - Exclude: equipment used for construction, if already covered in question 5 or 6 Hiring of DH/ Baby-sitter Hiring of DH/ Baby-sitter Hiring of DH/ Baby-sitter Hiring of DH/ Baby-sitter Hiring of DH/ Baby-sitter Hiring of Domestic Helper/ Baby Sitter 7.6 Payments for Domestic Helpers/ Housekeepers/ Baby Sitters - Include: total payment made to domestic helper or baby sitter or other hired help Hired help Hired help Hired help Hired help Hired help Hiring of Domestic Helper/ Baby Sitter Hired Help 7.6 Payments for Domestic Helpers/ Housekeepers/ Baby Sitters - Include: total payment made to domestic helper or baby sitter or other hired help 33200 Other 33205 Baby Sitting 33206 Domestic Helper (Housecleaning) 33207 Other Hired Help Amount paid for hired help Amount paid for hired help Amount paid for hired help Amount paid for hired help Amount paid for hired help Hiring of Domestic Helper/ Baby Sitter Amount Paid 7.6 Payments for Domestic Helpers/ Housekeepers/ Baby Sitters - Include: total payment made to domestic helper or baby sitter or other hired help Vehicle purchased Vehicle purchased Vehicle purchased Vehicle purchased Vehicle purchased Vehicle purchases 8.1 Transport - purchases - Include: vehicles purchased and used partly for business purposes but mostly for private use and vehicles used purely for private purposes. - Include: Vehicles, even if they aren?t road worthy. - Do not include: vehicles purchased and used mainly for business; taxis, rental cars and other vehicles hired during the year - Total cost of the vehicle: exclude registration and other fees. Type of vehicle bought Type of vehicle bought Type of vehicle bought Type of vehicle bought Type of vehicle bought Vehicle purchases Type of vehicle bought 8.1 Transport - purchases - Include: vehicles purchased and used partly for business purposes but mostly for private use and vehicles used purely for private purposes. - Include: Vehicles, even if they aren?t road worthy. - Do not include: vehicles purchased and used mainly for business; taxis, rental cars and other vehicles hired during the year - Total cost of the vehicle: exclude registration and other fees. 51100 Other 51101 Private car/Station wagon 51102 Van 51103 Utility, Pick-up, 4-wheel drive 51104 Motorcycle/ Motor Scooter 51105 Truck 51106 Bus 51108 Boat 51109 Bicycle 51110 Canoe 51111 Outboard Motor Total cost of vehicle Total cost of vehicle Total cost of vehicle Total cost of vehicle Total cost of vehicle Vehicle purchases Total Cost 8.1 Transport - purchases - Include: vehicles purchased and used partly for business purposes but mostly for private use and vehicles used purely for private purposes. - Include: Vehicles, even if they aren?t road worthy. - Do not include: vehicles purchased and used mainly for business; taxis, rental cars and other vehicles hired during the year - Total cost of the vehicle: exclude registration and other fees. Vehicle parts, accessories, repairs Vehicle parts, accessories, repairs Vehicle parts, accessories, repairs Vehicle parts, accessories, repairs Vehicle parts, accessories, repairs Vehicle parts, accessories, repairs 8.3 Transport - repairs and maintenance - Repairs: separate the combined purchase of parts and/or accessories into single items (e.g. water pump) using the respondent?s best guess if necessary. Vehicle parts Vehicle parts Vehicle parts Vehicle parts Vehicle parts Vehicle parts, accessories, repairs Vehicle part etc 8.3 Transport - repairs and maintenance - Repairs: separate the combined purchase of parts and/or accessories into single items (e.g. water pump) using the respondent?s best guess if necessary. 51302 New Tires 51306 New engine, outboard 52100 Other 52101 Panel beating 52102 Painting 52104 Windscreen/ Window 52105 Engine repairs Inc. Parts 52109 Repairs (Labour) 52110 Boat/ Canoe repairs 52119 Tires Repairs 52121 Outboard repairs/ parts Vehicle parts amount Vehicle parts amount Vehicle parts amount Vehicle parts amount Vehicle parts amount Vehicle parts, accessories, repairs Amount paid 8.3 Transport - repairs and maintenance - Repairs: separate the combined purchase of parts and/or accessories into single items (e.g. water pump) using the respondent?s best guess if necessary. Vehicle hire details Vehicle hire details Vehicle hire details Vehicle hire details Vehicle hire details Vehicle hire details 8.4 Transport - hiring - Include: all payments made by household members for hiring vehicles over the last 12 months, e.g. van from Solomon Islands Rentals. Hired vehicle Hired vehicle Hired vehicle Hired vehicle Hired vehicle Vehicle hire details Hired vehicles 8.4 Transport - hiring - Include: all payments made by household members for hiring vehicles over the last 12 months, e.g. van from Solomon Islands Rentals. 52300 Other 52320 Car or station wagon 52321 Van 52322 Pick-up, 4 wheel drive 52323 Truck 52324 Motorcycle/ Motor scooter 52325 Boat/ Canoes 52328 Outboard Motors Amount of hired vehicle Amount of hired vehicle Amount of hired vehicle Amount of hired vehicle Amount of hired vehicle Vehicle hire details Amount paid 8.4 Transport - hiring - Include: all payments made by household members for hiring vehicles over the last 12 months, e.g. van from Solomon Islands Rentals. Vehicle regis/ insurance detail Vehicle regis/ insurance detail Vehicle regis/ insurance detail Vehicle regis/ insurance detail Vehicle regis/ insurance detail Vehicle Registration and Insurance 8.5 Transport - vehicle registration and insurance - Include: all vehicle registrations and insurance separately for the last 12 months - Include: payments made by members of this household for vehicles owned by another household Registration/ Insurance Registration/ Insurance Registration/ Insurance Registration/ Insurance Registration/ Insurance Vehicle Registration and Insurance 8.5 Transport - vehicle registration and insurance - Include: all vehicle registrations and insurance separately for the last 12 months - Include: payments made by members of this household for vehicles owned by another household 51203 Vehicle Insurance 51204 Vehicle Registration Amount of regis/ insurance Amount of regis/ insurance Amount of regis/ insurance Amount of regis/ insurance Amount of regis/ insurance Vehicle Registration and Insurance Amount paid for registration / Amount paid for insurance 8.5 Transport - vehicle registration and insurance - Include: all vehicle registrations and insurance separately for the last 12 months - Include: payments made by members of this household for vehicles owned by another household Domestic travel Domestic travel Domestic travel Domestic travel Domestic travel Expenditure by household members for domestic travel 9.1 & 9.2 Travel expenses NOTE: For each household member who has had an overseas or domestic trip in the last 12 months, expenditure amounts (or estimates) are required for expenses paid by the household. - Domestic travel: This refers to any travel from one state to another, as well as any significant travel within a state which involves a flight or boat trip - Include: - amounts paid for trips taken in the last 12 months; - private expenditure abroad including any trips paid for by family overseas. - Include: Payments made by household members for relatives overseas to travel to the Republic of Palau and visit them. - Do not include: Overseas trips paid for by the Government of the Republic of Palau or other regional or international organisations. If, however „private? expenditure occurred during any such trip then record that expenditure. - Transport costs: If possible ask respondents to record separately expenditure on different types of public transport (e.g. airfares, car hire), using the respondent?s best estimates if necessary. - Other expenses: Include expenses by the respondent on clothing, medical goods and services, household items, even though these should also be recorded in the appropriate sections of the expenditure questionnaire. Person number Person number Person number Person number Person number Expenditure by household members for domestic travel Person No. 9.1 & 9.2 Travel expenses NOTE: For each household member who has had an overseas or domestic trip in the last 12 months, expenditure amounts (or estimates) are required for expenses paid by the household. - Domestic travel: This refers to any travel from one state to another, as well as any significant travel within a state which involves a flight or boat trip - Include: - amounts paid for trips taken in the last 12 months; - private expenditure abroad including any trips paid for by family overseas. - Include: Payments made by household members for relatives overseas to travel to the Republic of Palau and visit them. - Do not include: Overseas trips paid for by the Government of the Republic of Palau or other regional or international organisations. If, however „private? expenditure occurred during any such trip then record that expenditure. - Transport costs: If possible ask respondents to record separately expenditure on different types of public transport (e.g. airfares, car hire), using the respondent?s best estimates if necessary. - Other expenses: Include expenses by the respondent on clothing, medical goods and services, household items, even though these should also be recorded in the appropriate sections of the expenditure questionnaire. Domestic travel expense Domestic travel expense Domestic travel expense Domestic travel expense Domestic travel expense Expenditure by household members for domestic travel Travel expense 9.1 & 9.2 Travel expenses NOTE: For each household member who has had an overseas or domestic trip in the last 12 months, expenditure amounts (or estimates) are required for expenses paid by the household. - Domestic travel: This refers to any travel from one state to another, as well as any significant travel within a state which involves a flight or boat trip - Include: - amounts paid for trips taken in the last 12 months; - private expenditure abroad including any trips paid for by family overseas. - Include: Payments made by household members for relatives overseas to travel to the Republic of Palau and visit them. - Do not include: Overseas trips paid for by the Government of the Republic of Palau or other regional or international organisations. If, however „private? expenditure occurred during any such trip then record that expenditure. - Transport costs: If possible ask respondents to record separately expenditure on different types of public transport (e.g. airfares, car hire), using the respondent?s best estimates if necessary. - Other expenses: Include expenses by the respondent on clothing, medical goods and services, household items, even though these should also be recorded in the appropriate sections of the expenditure questionnaire. 53200 Others 53201 Airfare 53202 Sea fare 53204 Accomodation Amount of travel expenses Amount of travel expenses Amount of travel expenses Amount of travel expenses Amount of travel expenses Expenditure by household members for domestic travel 9.1 & 9.2 Travel expenses NOTE: For each household member who has had an overseas or domestic trip in the last 12 months, expenditure amounts (or estimates) are required for expenses paid by the household. - Domestic travel: This refers to any travel from one state to another, as well as any significant travel within a state which involves a flight or boat trip - Include: - amounts paid for trips taken in the last 12 months; - private expenditure abroad including any trips paid for by family overseas. - Include: Payments made by household members for relatives overseas to travel to the Republic of Palau and visit them. - Do not include: Overseas trips paid for by the Government of the Republic of Palau or other regional or international organisations. If, however „private? expenditure occurred during any such trip then record that expenditure. - Transport costs: If possible ask respondents to record separately expenditure on different types of public transport (e.g. airfares, car hire), using the respondent?s best estimates if necessary. - Other expenses: Include expenses by the respondent on clothing, medical goods and services, household items, even though these should also be recorded in the appropriate sections of the expenditure questionnaire. Overseas travel Overseas travel Overseas travel Overseas travel Overseas travel Expenditure by household members for overseas travel 9.1 & 9.2 Travel expenses NOTE: For each household member who has had an overseas or domestic trip in the last 12 months, expenditure amounts (or estimates) are required for expenses paid by the household. - Domestic travel: This refers to any travel from one state to another, as well as any significant travel within a state which involves a flight or boat trip - Include: - amounts paid for trips taken in the last 12 months; - private expenditure abroad including any trips paid for by family overseas. - Include: Payments made by household members for relatives overseas to travel to the Republic of Palau and visit them. - Do not include: Overseas trips paid for by the Government of the Republic of Palau or other regional or international organisations. If, however „private? expenditure occurred during any such trip then record that expenditure. - Transport costs: If possible ask respondents to record separately expenditure on different types of public transport (e.g. airfares, car hire), using the respondent?s best estimates if necessary. - Other expenses: Include expenses by the respondent on clothing, medical goods and services, household items, even though these should also be recorded in the appropriate sections of the expenditure questionnaire. Person number Person number Person number Person number Person number Expenditure by household members for overseas travel Person No. 9.1 & 9.2 Travel expenses NOTE: For each household member who has had an overseas or domestic trip in the last 12 months, expenditure amounts (or estimates) are required for expenses paid by the household. - Domestic travel: This refers to any travel from one state to another, as well as any significant travel within a state which involves a flight or boat trip - Include: - amounts paid for trips taken in the last 12 months; - private expenditure abroad including any trips paid for by family overseas. - Include: Payments made by household members for relatives overseas to travel to the Republic of Palau and visit them. - Do not include: Overseas trips paid for by the Government of the Republic of Palau or other regional or international organisations. If, however „private? expenditure occurred during any such trip then record that expenditure. - Transport costs: If possible ask respondents to record separately expenditure on different types of public transport (e.g. airfares, car hire), using the respondent?s best estimates if necessary. - Other expenses: Include expenses by the respondent on clothing, medical goods and services, household items, even though these should also be recorded in the appropriate sections of the expenditure questionnaire. Overseas travel expenses Overseas travel expenses Overseas travel expenses Overseas travel expenses Overseas travel expenses Expenditure by household members for overseas travel Travel Expense 9.1 & 9.2 Travel expenses NOTE: For each household member who has had an overseas or domestic trip in the last 12 months, expenditure amounts (or estimates) are required for expenses paid by the household. - Domestic travel: This refers to any travel from one state to another, as well as any significant travel within a state which involves a flight or boat trip - Include: - amounts paid for trips taken in the last 12 months; - private expenditure abroad including any trips paid for by family overseas. - Include: Payments made by household members for relatives overseas to travel to the Republic of Palau and visit them. - Do not include: Overseas trips paid for by the Government of the Republic of Palau or other regional or international organisations. If, however „private? expenditure occurred during any such trip then record that expenditure. - Transport costs: If possible ask respondents to record separately expenditure on different types of public transport (e.g. airfares, car hire), using the respondent?s best estimates if necessary. - Other expenses: Include expenses by the respondent on clothing, medical goods and services, household items, even though these should also be recorded in the appropriate sections of the expenditure questionnaire. 53200 Other expenses 53201 Air fare 53202 Sea fare 53203 Departure tax 53204 Accomodation 53205 Meals/ Drinks 53206 Clothing 53207 Household Goods Overseas travel expense amount Overseas travel expense amount Overseas travel expense amount Overseas travel expense amount Overseas travel expense amount Expenditure by household members for overseas travel Expenditure by household members for overseas travel 9.1 & 9.2 Travel expenses NOTE: For each household member who has had an overseas or domestic trip in the last 12 months, expenditure amounts (or estimates) are required for expenses paid by the household. - Domestic travel: This refers to any travel from one state to another, as well as any significant travel within a state which involves a flight or boat trip - Include: - amounts paid for trips taken in the last 12 months; - private expenditure abroad including any trips paid for by family overseas. - Include: Payments made by household members for relatives overseas to travel to the Republic of Palau and visit them. - Do not include: Overseas trips paid for by the Government of the Republic of Palau or other regional or international organisations. If, however „private? expenditure occurred during any such trip then record that expenditure. - Transport costs: If possible ask respondents to record separately expenditure on different types of public transport (e.g. airfares, car hire), using the respondent?s best estimates if necessary. - Other expenses: Include expenses by the respondent on clothing, medical goods and services, household items, even though these should also be recorded in the appropriate sections of the expenditure questionnaire. Fee or subscription details Fee or subscription details Fee or subscription details Fee or subscription details Fee or subscription details Fee or subscription details 10.1 Fees and subscriptions - Include: fees and subscriptions which are of a fixed amount and which are paid either annually, or at a fixed interval such as per term, month etc., or for a specific course of lessons. Examples include golf club subs, music lessons, exam fees, social club sub etc. - Subscriptions levied by sports / leisure clubs or societies: include all subscriptions by clubs or leisure groups or societies such as associations, institutes and welfare groups. - Education fees: do not include fees (or parts of fees) that were paid directly to the education provider as part of a bursary or scholarship. Include expenditures made by household members only. - School fees: if fees were paid on a term or semester basis, make sure the expenditure amount entered is for the last 12 months. - Regular contributions to religious and other organisations: include regular payments only, not expenditures like weekly church donations. - Regular child care: include set fees charged by care providers, crèches, kindergartens, pre-schools or play centres for child care undertaken on a regular basis. - Bingo, housie, raffles, and lotto: do not discount winnings. Type of fee or subscription Type of fee or subscription Type of fee or subscription Type of fee or subscription Type of fee or subscription Fee or subscription details Type of fee or subscription 10.1 Fees and subscriptions - Include: fees and subscriptions which are of a fixed amount and which are paid either annually, or at a fixed interval such as per term, month etc., or for a specific course of lessons. Examples include golf club subs, music lessons, exam fees, social club sub etc. - Subscriptions levied by sports / leisure clubs or societies: include all subscriptions by clubs or leisure groups or societies such as associations, institutes and welfare groups. - Education fees: do not include fees (or parts of fees) that were paid directly to the education provider as part of a bursary or scholarship. Include expenditures made by household members only. - School fees: if fees were paid on a term or semester basis, make sure the expenditure amount entered is for the last 12 months. - Regular contributions to religious and other organisations: include regular payments only, not expenditures like weekly church donations. - Regular child care: include set fees charged by care providers, crèches, kindergartens, pre-schools or play centres for child care undertaken on a regular basis. - Bingo, housie, raffles, and lotto: do not discount winnings. 83200 Others 83202 Extension fees 83203 Private tuition 83205 Examination fees 83206 Fees charged for hobby classes 83207 Regular contribution 83208 Subscription 83209 Daycare 83210 Formal educ fees (Kindergarten) 83211 Formal educ fees (Primary) 83212 Formal educ fees (Secondary) 83213 Formal educ fees (Tertiary) 83214 Boarding/ Lodging fees 83216 Clothing 83217 Books & School supplies 84200 Other 84211 Raffles/ Lotto expenses Amount of fee/ subscription paid Amount of fee/ subscription paid Amount of fee/ subscription paid Amount of fee/ subscription paid Amount of fee/ subscription paid Fee or subscription details Amount paid 10.1 Fees and subscriptions - Include: fees and subscriptions which are of a fixed amount and which are paid either annually, or at a fixed interval such as per term, month etc., or for a specific course of lessons. Examples include golf club subs, music lessons, exam fees, social club sub etc. - Subscriptions levied by sports / leisure clubs or societies: include all subscriptions by clubs or leisure groups or societies such as associations, institutes and welfare groups. - Education fees: do not include fees (or parts of fees) that were paid directly to the education provider as part of a bursary or scholarship. Include expenditures made by household members only. - School fees: if fees were paid on a term or semester basis, make sure the expenditure amount entered is for the last 12 months. - Regular contributions to religious and other organisations: include regular payments only, not expenditures like weekly church donations. - Regular child care: include set fees charged by care providers, crèches, kindergartens, pre-schools or play centres for child care undertaken on a regular basis. - Bingo, housie, raffles, and lotto: do not discount winnings. Housing Loan Details Housing Loan Details Housing Loan Details Housing Loan Details Housing Loan Details 11.2 What was the purpose and details of each loan? 11.2 Purpose of loan - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - If the purpose was holiday or overseas travel specify the main destination. - For each loan write the purpose of the loan - e.g. „home improvements?, „wedding? etc. - Loan repaid yet: if the answer is „yes? and the total amount repaid (including interest) is not known, then give best estimate. Loan Number Loan Number Loan Number Loan Number Loan Number 11.2 What was the purpose and details of each loan? Loan No. 11.2 Purpose of loan - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - If the purpose was holiday or overseas travel specify the main destination. - For each loan write the purpose of the loan - e.g. „home improvements?, „wedding? etc. - Loan repaid yet: if the answer is „yes? and the total amount repaid (including interest) is not known, then give best estimate. Borrowed from Borrowed from Borrowed from Borrowed from Borrowed from 11.2 What was the purpose and details of each loan? Who borrowed from 11.2 Purpose of loan - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - If the purpose was holiday or overseas travel specify the main destination. - For each loan write the purpose of the loan - e.g. „home improvements?, „wedding? etc. - Loan repaid yet: if the answer is „yes? and the total amount repaid (including interest) is not known, then give best estimate. 1 Bank of Hawaii 2 Bank of Guam 3 NDBP 4 Palau Construction Bank 5 First Commercial Bank 6 SPACO 7 Asia Pacific Commercial Bank 8 Bank Pacific 9 Pacific Savings Bank 10 First Fidelity Bank Corp. 11 Sunra Int'l. Bank & Trust 12 Palau Housing Authority 13 Other Financial Institution Purpose of Loan Purpose of Loan Purpose of Loan Purpose of Loan Purpose of Loan 11.2 What was the purpose and details of each loan? Purpose of loan 11.2 Purpose of loan - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - If the purpose was holiday or overseas travel specify the main destination. - For each loan write the purpose of the loan - e.g. „home improvements?, „wedding? etc. - Loan repaid yet: if the answer is „yes? and the total amount repaid (including interest) is not known, then give best estimate. 1 Personal 2 Custom 3 Medical 4 Vacation 5 Other Original amount Original amount Original amount Original amount Original amount 11.2 What was the purpose and details of each loan? Amount originally borrowed 11.2 Purpose of loan - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - If the purpose was holiday or overseas travel specify the main destination. - For each loan write the purpose of the loan - e.g. „home improvements?, „wedding? etc. - Loan repaid yet: if the answer is „yes? and the total amount repaid (including interest) is not known, then give best estimate. Interest rate Interest rate Interest rate Interest rate Interest rate 11.2 What was the purpose and details of each loan? Interest rate (current) 11.2 Purpose of loan - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - If the purpose was holiday or overseas travel specify the main destination. - For each loan write the purpose of the loan - e.g. „home improvements?, „wedding? etc. - Loan repaid yet: if the answer is „yes? and the total amount repaid (including interest) is not known, then give best estimate. Loan repayment Loan repayment Loan repayment Loan repayment Loan repayment 11.2 What was the purpose and details of each loan? Has the loan been repaid yet If NO Got to 11.3 11.2 Purpose of loan - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - If the purpose was holiday or overseas travel specify the main destination. - For each loan write the purpose of the loan - e.g. „home improvements?, „wedding? etc. - Loan repaid yet: if the answer is „yes? and the total amount repaid (including interest) is not known, then give best estimate. 1 Yes 2 No Total amount repaid Total amount repaid Total amount repaid Total amount repaid Total amount repaid 11.2 What was the purpose and details of each loan? What was the total amount repaid, including interest? 11.2 Purpose of loan - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - If the purpose was holiday or overseas travel specify the main destination. - For each loan write the purpose of the loan - e.g. „home improvements?, „wedding? etc. - Loan repaid yet: if the answer is „yes? and the total amount repaid (including interest) is not known, then give best estimate. Loan no. (repaid) Loan no. (repaid) Loan no. (repaid) Loan no. (repaid) Loan no. (repaid) 11.2 What was the purpose and details of each loan? 11.2 Purpose of loan - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - If the purpose was holiday or overseas travel specify the main destination. - For each loan write the purpose of the loan - e.g. „home improvements?, „wedding? etc. - Loan repaid yet: if the answer is „yes? and the total amount repaid (including interest) is not known, then give best estimate. Amount paid (repaid) Amount paid (repaid) Amount paid (repaid) Amount paid (repaid) Amount paid (repaid) 11.2 What was the purpose and details of each loan? What was the total amount repaid, including interest? 11.2 Purpose of loan - Who borrowed from - state whether the money was borrowed from a bank, credit union, NPF, family or friends, etc. - If the purpose was holiday or overseas travel specify the main destination. - For each loan write the purpose of the loan - e.g. „home improvements?, „wedding? etc. - Loan repaid yet: if the answer is „yes? and the total amount repaid (including interest) is not known, then give best estimate. Current loan details Current loan details Current loan details Current loan details Current loan details 11.3 Please provide the details of each current loan? Loan number Loan number Loan number Loan number Loan number 11.3 Please provide the details of each current loan? Loan No. Loan term Loan term Loan term Loan term Loan term 11.3 Please provide the details of each current loan? Loan Term Cash payment Cash payment Cash payment Cash payment Cash payment 11.3 Please provide the details of each current loan? Amount of latest payment - cash Allotment Allotment Allotment Allotment Allotment 11.3 Please provide the details of each current loan? Amount of latest payment - allotment Period covered Period covered Period covered Period covered Period covered 11.3 Please provide the details of each current loan? Period covered by that payment 1 Weekly 2 Bi-weekly 3 Quarterly 4 Semi-annual 5 Annual 6 Monthly Outstanding Outstanding Outstanding Outstanding Outstanding 11.3 Please provide the details of each current loan? Principal outstanding Loan number Loan number Loan number Loan number Loan number 11.3 Please provide the details of each current loan? Principal outstanding Principal outstanding Principal outstanding Principal outstanding Principal outstanding 11.3 Please provide the details of each current loan? Principal outstanding Credit Card Details Credit Card Details Credit Card Details Credit Card Details Credit Card Details 12.2 What were the charges and details on the credit card bill? 12.2 Details of credit card - If any member of household utilizes credit cards, ask the amount of interest and related costs - Ask if the card is strictly personal otherwise distinguish portion for personal from business or simply indicate card is used for both and expenses cannot be separately identified. Credit Card Company Credit Card Company Credit Card Company Credit Card Company Credit Card Company 12.2 What were the charges and details on the credit card bill? 12.2 What were the charges and details on the credit card bill? 12.2 Details of credit card - If any member of household utilizes credit cards, ask the amount of interest and related costs - Ask if the card is strictly personal otherwise distinguish portion for personal from business or simply indicate card is used for both and expenses cannot be separately identified. 1 Visa 2 Mastercard 3 Discover 4 American Express 5 JCV CC Interest Rate CC Interest Rate CC Interest Rate CC Interest Rate CC Interest Rate 12.2 What were the charges and details on the credit card bill? Interest rate (current) 12.2 Details of credit card - If any member of household utilizes credit cards, ask the amount of interest and related costs - Ask if the card is strictly personal otherwise distinguish portion for personal from business or simply indicate card is used for both and expenses cannot be separately identified. CC Other Service Charge CC Other Service Charge CC Other Service Charge CC Other Service Charge CC Other Service Charge 12.2 What were the charges and details on the credit card bill? Other service cost/ charges 12.2 Details of credit card - If any member of household utilizes credit cards, ask the amount of interest and related costs - Ask if the card is strictly personal otherwise distinguish portion for personal from business or simply indicate card is used for both and expenses cannot be separately identified. CC Monthly Service Charge CC Monthly Service Charge CC Monthly Service Charge CC Monthly Service Charge CC Monthly Service Charge 12.2 What were the charges and details on the credit card bill? What is the monthly service charge for the credit card? 12.2 Details of credit card - If any member of household utilizes credit cards, ask the amount of interest and related costs - Ask if the card is strictly personal otherwise distinguish portion for personal from business or simply indicate card is used for both and expenses cannot be separately identified. Charge Account Details Charge Account Details Charge Account Details Charge Account Details Charge Account Details 12.4 What were the charges and details on the charge account? 12.4 Details of charge account - If any member of household utilizes charge accounts, ask the amount of interest and related costs (not including accounts arranged with small shops) - Ask if account is strictly personal otherwise distinguish portion for personal from business or simply indicate checking account is used for both and expenses cannot be separately identified. Name of Creditor Name of Creditor Name of Creditor Name of Creditor Name of Creditor 12.4 What were the charges and details on the charge account? Name of Creditor 12.4 Details of charge account - If any member of household utilizes charge accounts, ask the amount of interest and related costs (not including accounts arranged with small shops) - Ask if account is strictly personal otherwise distinguish portion for personal from business or simply indicate checking account is used for both and expenses cannot be separately identified. Interest Rate Charged Interest Rate Charged Interest Rate Charged Interest Rate Charged Interest Rate Charged 12.4 What were the charges and details on the charge account? Interest rate charged (current) 12.4 Details of charge account - If any member of household utilizes charge accounts, ask the amount of interest and related costs (not including accounts arranged with small shops) - Ask if account is strictly personal otherwise distinguish portion for personal from business or simply indicate checking account is used for both and expenses cannot be separately identified. Other Service Charge cost/ charges Other Service Charge cost/ charges Other Service Charge cost/ charges Other Service Charge cost/ charges Other Service Charge cost/ charges 12.4 What were the charges and details on the charge account? Other service cost/ charges 12.4 Details of charge account - If any member of household utilizes charge accounts, ask the amount of interest and related costs (not including accounts arranged with small shops) - Ask if account is strictly personal otherwise distinguish portion for personal from business or simply indicate checking account is used for both and expenses cannot be separately identified. Annual Service Charge Annual Service Charge Annual Service Charge Annual Service Charge Annual Service Charge 12.4 What were the charges and details on the charge account? What was the total annual service charge paid? 12.4 Details of charge account - If any member of household utilizes charge accounts, ask the amount of interest and related costs (not including accounts arranged with small shops) - Ask if account is strictly personal otherwise distinguish portion for personal from business or simply indicate checking account is used for both and expenses cannot be separately identified. Benefit Scheme details Benefit Scheme details Benefit Scheme details Benefit Scheme details Benefit Scheme details Expenditure by household members for benefit schemes 13.1 Types of benefit schemes - Include: the value of the latest payment made by household members and those made on behalf of persons outside the household. - Include: the term that this payment covered (e.g. monthly, annual, quarterly). Person number Person number Person number Person number Person number Expenditure by household members for benefit schemes Person No. 13.1 Types of benefit schemes - Include: the value of the latest payment made by household members and those made on behalf of persons outside the household. - Include: the term that this payment covered (e.g. monthly, annual, quarterly). Type of scheme Type of scheme Type of scheme Type of scheme Type of scheme Expenditure by household members for benefit schemes Type of scheme 13.1 Types of benefit schemes - Include: the value of the latest payment made by household members and those made on behalf of persons outside the household. - Include: the term that this payment covered (e.g. monthly, annual, quarterly). 73100 Other 73103 Medical Insurance 73106 Social Security 73107 Pension Plan/ Retirement 73108 Credit Union 73109 Life Insurance Benefit scheme amount paid Benefit scheme amount paid Benefit scheme amount paid Benefit scheme amount paid Benefit scheme amount paid Expenditure by household members for benefit schemes Latest Amount Paid 13.1 Types of benefit schemes - Include: the value of the latest payment made by household members and those made on behalf of persons outside the household. - Include: the term that this payment covered (e.g. monthly, annual, quarterly). Period Period Period Period Period Expenditure by household members for benefit schemes Period covered 13.1 Types of benefit schemes - Include: the value of the latest payment made by household members and those made on behalf of persons outside the household. - Include: the term that this payment covered (e.g. monthly, annual, quarterly). 1 Weekly 2 Bi-weekly 3 Quarterly 4 Semi-annual 5 Annual 6 Monthly Service and medication details Service and medication details Service and medication details Service and medication details Service and medication details 14.1 In the last 12 months, did any member of this household pay for the services or medications from health practitioners and service providers? 14.1 Payments for medical services - Include: payments made by household members and those made on behalf of persons outside the household in the last 12 months. Include the value of payment in kind in the case of traditional medical practitioners. - Include: expenditure paid by household members while overseas for medical and health services such as prescription charges, doctors visit charges etc as 'other' costs and note that these were incurred overseas. Note that if these expenses were reimbursed by insurance or another agency do not record the expenditure, unless the expenses were only partially reimbursed in which case record the expense less the reimbursement. - Do not include: the cost of overseas travel for medical purposes as the expenditure of household members should be included in Question 9 on Overseas Travel. Person number Person number Person number Person number Person number 14.1 In the last 12 months, did any member of this household pay for the services or medications from health practitioners and service providers? Person No. 14.1 Payments for medical services - Include: payments made by household members and those made on behalf of persons outside the household in the last 12 months. Include the value of payment in kind in the case of traditional medical practitioners. - Include: expenditure paid by household members while overseas for medical and health services such as prescription charges, doctors visit charges etc as 'other' costs and note that these were incurred overseas. Note that if these expenses were reimbursed by insurance or another agency do not record the expenditure, unless the expenses were only partially reimbursed in which case record the expense less the reimbursement. - Do not include: the cost of overseas travel for medical purposes as the expenditure of household members should be included in Question 9 on Overseas Travel. Type of service Type of service Type of service Type of service Type of service 14.1 In the last 12 months, did any member of this household pay for the services or medications from health practitioners and service providers? Type of service or medication payment for 14.1 Payments for medical services - Include: payments made by household members and those made on behalf of persons outside the household in the last 12 months. Include the value of payment in kind in the case of traditional medical practitioners. - Include: expenditure paid by household members while overseas for medical and health services such as prescription charges, doctors visit charges etc as 'other' costs and note that these were incurred overseas. Note that if these expenses were reimbursed by insurance or another agency do not record the expenditure, unless the expenses were only partially reimbursed in which case record the expense less the reimbursement. - Do not include: the cost of overseas travel for medical purposes as the expenditure of household members should be included in Question 9 on Overseas Travel. 81104 Medecine, Antibiotics or other 82200 Other 82201 Doctor/ Dentist visit 82202 Hospital charges 82203 Traditional medicine 82204 Clinic or OPD visit 82205 Prenatal/Maternal and Antenatal Health amount paid Health amount paid Health amount paid Health amount paid Health amount paid 14.1 In the last 12 months, did any member of this household pay for the services or medications from health practitioners and service providers? Amount Paid in the last 12 months 14.1 Payments for medical services - Include: payments made by household members and those made on behalf of persons outside the household in the last 12 months. Include the value of payment in kind in the case of traditional medical practitioners. - Include: expenditure paid by household members while overseas for medical and health services such as prescription charges, doctors visit charges etc as 'other' costs and note that these were incurred overseas. Note that if these expenses were reimbursed by insurance or another agency do not record the expenditure, unless the expenses were only partially reimbursed in which case record the expense less the reimbursement. - Do not include: the cost of overseas travel for medical purposes as the expenditure of household members should be included in Question 9 on Overseas Travel. Custom details Custom details Custom details Custom details Custom details 15.1 In the last 12 months, did any member of this household contribute to any customs. 15.1 Custom Occasions - If a member of the household contributed to more than one funeral in the last 12 months then add the contributions for both together. This applies for each of the other categories of custom occasions (ocheraol, omengat/ngasech, house party). - Whenever possible get the household to refer to their records before providing details Person number Person number Person number Person number Person number 15.1 In the last 12 months, did any member of this household contribute to any customs. Person No. 15.1 Custom Occasions - If a member of the household contributed to more than one funeral in the last 12 months then add the contributions for both together. This applies for each of the other categories of custom occasions (ocheraol, omengat/ngasech, house party). - Whenever possible get the household to refer to their records before providing details Type of custom Type of custom Type of custom Type of custom Type of custom 15.1 In the last 12 months, did any member of this household contribute to any customs. Type of custom occasions 15.1 Custom Occasions - If a member of the household contributed to more than one funeral in the last 12 months then add the contributions for both together. This applies for each of the other categories of custom occasions (ocheraol, omengat/ngasech, house party). - Whenever possible get the household to refer to their records before providing details 85100 Other 85119 Funeral 85120 Ocheraol 85121 Omengat/ Ngasech 85122 House Party Custom amount Custom amount Custom amount Custom amount Custom amount 15.1 In the last 12 months, did any member of this household contribute to any customs. Amount Contributed in the last 12 months 15.1 Custom Occasions - If a member of the household contributed to more than one funeral in the last 12 months then add the contributions for both together. This applies for each of the other categories of custom occasions (ocheraol, omengat/ngasech, house party). - Whenever possible get the household to refer to their records before providing details Misc services details Misc services details Misc services details Misc services details Misc services details 16.1 In the last 12 months, did any member of this household pay for personal services or any of the other expenditure types listed below? 16.1 Payments made for personal services - Include: payments made by household members in the last 12 months for services such as hairdressing, exercise fees, legal fees, catering and fines etc. - Include: in this section any unusual payments made for services or payments for services made which have been noted but do not fit in any other categories of this questionnaire. Person number Person number Person number Person number Person number 16.1 In the last 12 months, did any member of this household pay for personal services or any of the other expenditure types listed below? Person No. 16.1 Payments made for personal services - Include: payments made by household members in the last 12 months for services such as hairdressing, exercise fees, legal fees, catering and fines etc. - Include: in this section any unusual payments made for services or payments for services made which have been noted but do not fit in any other categories of this questionnaire. Type of misc services Type of misc services Type of misc services Type of misc services Type of misc services 16.1 In the last 12 months, did any member of this household pay for personal services or any of the other expenditure types listed below? Services 16.1 Payments made for personal services - Include: payments made by household members in the last 12 months for services such as hairdressing, exercise fees, legal fees, catering and fines etc. - Include: in this section any unusual payments made for services or payments for services made which have been noted but do not fit in any other categories of this questionnaire. 33214 Lawn mowing, gardening 83207 Contributions to church 84204 Video/ DVD Hire 85000 Other 85103 Other membership fees 85104 Freight of goods charge 85105 Printing (e.g. invitations) 85106 Catering expenses 85107 Money sent overseas (not recorded elsewhere) 85108 Funeral expenses (not customs) 85109 Fines (Court, i.e. ticket for speeding) 85110 Legal expenses 85111 Hiring of premises 85112 Photographers fees 85113 Alimony 85118 Hair dressing charge 85123 Contributions to village/ community Amount of misc services Amount of misc services Amount of misc services Amount of misc services Amount of misc services 16.1 In the last 12 months, did any member of this household pay for personal services or any of the other expenditure types listed below? Amount Paid 16.1 Payments made for personal services - Include: payments made by household members in the last 12 months for services such as hairdressing, exercise fees, legal fees, catering and fines etc. - Include: in this section any unusual payments made for services or payments for services made which have been noted but do not fit in any other categories of this questionnaire. Misc goods details Misc goods details Misc goods details Misc goods details Misc goods details 16.2 In the last 12 months, did any member of this household pay for personal goods or any of the other expenditure types listed below? 16.2 Payments made for personal goods - Include: payments made by household members in the last 12 months for goods such as jewellery and other items for personal use. - Include: in this section any unusual payments made for goods or payments for goods made which have been noted but do not fit in any other categories of this questionnaire. - Include: any other unusual payments which have not been recorded elsewhere. Person number Person number Person number Person number Person number 16.2 In the last 12 months, did any member of this household pay for personal goods or any of the other expenditure types listed below? Person No. 16.2 Payments made for personal goods - Include: payments made by household members in the last 12 months for goods such as jewellery and other items for personal use. - Include: in this section any unusual payments made for goods or payments for goods made which have been noted but do not fit in any other categories of this questionnaire. - Include: any other unusual payments which have not been recorded elsewhere. Type misc goods Type misc goods Type misc goods Type misc goods Type misc goods 16.2 In the last 12 months, did any member of this household pay for personal goods or any of the other expenditure types listed below? Goods 16.2 Payments made for personal goods - Include: payments made by household members in the last 12 months for goods such as jewellery and other items for personal use. - Include: in this section any unusual payments made for goods or payments for goods made which have been noted but do not fit in any other categories of this questionnaire. - Include: any other unusual payments which have not been recorded elsewhere. 85200 Other 85201 Jewelry 85204 Watch 85206 Suitcase/ travel accessories 85207 Floral tributes 85208 Trophy 85209 Donation, cash gifts Amount of misc goods Amount of misc goods Amount of misc goods Amount of misc goods Amount of misc goods 16.2 In the last 12 months, did any member of this household pay for personal goods or any of the other expenditure types listed below? Amount Paid 16.2 Payments made for personal goods - Include: payments made by household members in the last 12 months for goods such as jewellery and other items for personal use. - Include: in this section any unusual payments made for goods or payments for goods made which have been noted but do not fit in any other categories of this questionnaire. - Include: any other unusual payments which have not been recorded elsewhere. Animals details Animals details Animals details Animals details Animals details 17.2 How many (animal name) are owned by the members of this household? 17.2 Number of livestock - If an exact answer cannot be provided, ask the household for a best guess estimate - If the livestock is shared with another household, only include an estimate of livestock owned by this household Type of animal Type of animal Type of animal Type of animal Type of animal 17.2 How many (animal name) are owned by the members of this household? 17.2 Number of livestock - If an exact answer cannot be provided, ask the household for a best guess estimate - If the livestock is shared with another household, only include an estimate of livestock owned by this household 1 Pigs 2 Chickens 3 Cattle 4 Goats 5 Other Number of animals Number of animals Number of animals Number of animals Number of animals 17.2 How many (animal name) are owned by the members of this household? 17.2 Number of livestock - If an exact answer cannot be provided, ask the household for a best guess estimate - If the livestock is shared with another household, only include an estimate of livestock owned by this household State State State State State State: 1 Kayangel 2 Ngerchelong 3 Ngaraard 4 Ngiwal 5 Melekeok 6 Ngchesar 7 Airai 8 Aimeliik 9 Ngatpang 10 Ngardmau 11 Ngeremlengui 12 Angaur 13 Peleliu 14 Koror Hamlet Hamlet Hamlet Hamlet Hamlet Hamlet: 1 Dngeronger 2 Eang 3 Idid 4 Iyebukel 5 Ikelau 6 Madalaii 7 Meketii 8 Meyuns 9 Ngerbeched 10 Ngerchemai 11 Ngerkebesang 12 Ngerkesoal 13 Ngermid 14 Kayangle 15 Iebukel (Ngerchelong) 16 Mengellang 17 Ngebei 18 Ngerbau 19 Ngriil 20 Ollei 21 Chelab 22 Chol 23 Ngebuked 24 Ngkeklau 25 Ulimang 26 Ngelau 27 Ngercheluuk 28 Ngermechau 29 Melekeok 30 Ngeburch 31 Ngerang 32 Ngermelech 33 Ngerubesang 34 Ngeruliang 35 Ngchesar 36 Ngeraus 37 Ngerngesang 38 Ngerkesou 39 Ngersuul 40 Ngeruikl 41 Shimizu 42 Airai-Ordomel 43 Ked 44 Ngerduais 45 Ngerikiil 46 Ngetkib 47 Ngeruluobel 48 Ngerusar 49 Oikull 50 Ngerutoi 51 Ngetbong 52 Urdmau 53 Imeong 54 Ngchemsed 55 Ngermetengel 56 Ibobang 57 Mechebechubel 58 Nekken 59 Chelechui 60 Imelsubech 61 Imull 62 Medorm 63 Mongami 64 Imelchol 65 North Kloulklubed 66 South Kloulklubed 67 Uosech 68 Ngerchol 69 Ngerdelolk 70 Angaur 71 Ngermetuker 72 Ngerungel 73 Ngchesechang 74 Ngesias 75 Ngerkeiukel 76 Sonsorol 77 Fanna 78 Pulo Ana 79 Merir 80 Hatohobei 81 Helen Reef 82 Rock Islands Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area: 1 Airai 4 Kayangel 5 Melekeok 6 Ngiwal 7 Ngchesar 10 Aimeliik 11 Ngerchelong 12 Ngardmau 13 Ngatpang 14 Angaur 15 Ngeremlengui 20 Ngaraard 21 Jail 22 Meyuns 22 23 Meyuns 23 24 Meyuns 24 25 Madalaii 25 26 Madalaii 26 27 Ngerbeched 27 28 Ngerbeched 28 29 Ngerbeched 29 30 Madalaii 30 31 Madalaii 31 32 Dngeronger 33 Meketii 34 Iyebukel 37 Ngerchemai 38 Ikelau 39 Idid 40 Ngerkeswaol, Kor 41 Ngermid, Koror 44 Sonsorol 45 Peleliu 46 Hatohobei Household Number Household Number Household Number Household Number Household Number Household # Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name HH Population HH Population HH Population HH Population HH Population Total persons in hh: From the Household Control Sheet Week Week Week Week Week 1 First Week 2 Second Week Identifies whether the information comes from the diary of the 1st or 2nd week Day Day Day Day Day Day in Week: 1 Monday 2 Tuesday 3 Wednesday 4 Thursday 5 Friday 6 Saturday 7 Sunday Section Section Section Section Section SECTION 1 Items Bought 2 Home Produce Consumed Quantity Quantity Quantity Quantity Quantity Quantity Weight Weight Weight Weight Weight Weight Unit Unit Unit Unit Unit Weight 1 Milligram (mg) 2 Kilogram (kg) 3 Gram (g) 4 Milliliter (ml) 5 Liter (lt) 6 Ounce (oz) 7 Fluid Ounce (fl oz) 8 Gallons (gal) 9 Pounds (lbs) 10 Packets (pk) 11 Pint (pt) 12 Yard (yd) 13 Inch (in) 14 Quarts (qt) 15 Pieces 16 Dozen 17 Case Item code Item code Item code Item code Item code Office use only 11101 Apples 11102 Avocado 11103 Bananas 11104 Chestnuts 11105 Coconut (drinking nut) 11106 Coconut (dry nut) 11108 Guava 11109 Lemons 11110 Mangoes 11111 Oranges 11112 Pawpaws 11113 Peaches 11114 Pears 11115 Pineapples 11116 Plums 11117 Sugar cane 11118 Watermelon 11119 Tinned Fruit Salad 11120 Tinned Peaches 11121 Tinned Pears 11122 Tinned Pineapples 11123 Dried Fruits 11124 Fruit Juices 11125 Other fresh fruits n.e.c 11126 Custard Apple 11127 Other tinned and bottled fruits n.e.c 11128 Breadfruit 11150 Fruits or fruit products n.e.c 11201 Lu (taro leaves) 11202 Cabbage 11203 Lettuce 11204 Carrots 11205 Courgettes and marrows 11206 Cucumber 11207 Pumpkin 11208 Arrowroot 11209 Kumara 11210 Potatoes 11211 Taro 11212 Taro pulaka 11213 Yam 11214 Onions and chives 11215 Peas and beans 11216 Tomatoes 11217 Other fresh vegetables 11218 Frozen Vegetables 11219 Tinned and bottled vegetables 11220 Dried Vegetables 11221 Vegetable Juices 11222 Tinned Beetroot 11223 Tinned Tomato Savoury 11224 Bowl Salad 11225 Chinese Cabbage 11226 Celery 11227 Vanilla 11228 Capsicum 11229 Mushroom 11230 Broccoli/Cauliflower 11231 Cauliflower 11232 corn 11233 Kebui (Peppermint leaves) 11234 Deadly Knight Shade (Polofua) 11235 Ginger 11236 Asparagus 11237 Sweetcorn 11238 Garlic 11239 Silverbeet 11240 Mushroom 11241 Vegetables n.e.c 12101 Beef fresh 12102 Lamb chops 12103 Meat in brine 12104 Mince 12105 Pork fresh 12106 Sausages 12107 Steak 12108 Other fresh/frozen meat 12109 Tinned Corned Beef 12110 Tinned Lamb Tongue 12111 Tinned Casserole 12112 Tinned Irish Stew 12113 Bacon 12114 Luncheon 12115 goat meat 12116 Ham 12150 Other meat n.e.c 12201 Chicken 12202 Chicken (free range) 12203 Peka (bat) 12204 Lupe 12250 Other birds 12301 Tuna 12302 Flying fish 12303 Frozen fish 12304 Other fresh and frozen fish 12305 Tinned Sardines 12306 Tinned Mackerel 12307 Tinned Tuna 12308 Other Tinned fish 12309 Paua 12310 Mussels 12311 Octopus, Squids 12312 Vga 12313 Seaweed (Rimu) 12314 Loli 12315 Kina 12350 Other shell fish n.e.c 13101 Bread (sliced, loaf, square, rolls, French) 13102 Cabin bread 13103 Coconut Bread 13104 Cream cracker 13105 Biscuits 13106 Doughnuts 13107 Cakes incl. Pastries, buns 13108 Meringue pies and other pies 13109 Puddings incl. Poke 13110 Nane 13150 Other bread and biscuits 13201 Ricies 13202 Cornflakes 13203 Weetbix 13204 Rolled Oats 13205 Vermicelli 13206 Noodles 13207 Rice 13208 Pasta 13209 Flour 13210 Starch (Pia) 13211 cornflour 13250 Other Cereal and cereal Products n.e.c 14101 Milk powder 14102 Condensed milk 14103 Fresh milk 14104 Other milk (flavoured, zap, milk shake) 14105 Cheese/includes cream cheese 14106 Yoghurt/yoplait 14107 Sour cream 14108 Ice cream 14109 Whipped Cream 14110 Tip Top 14111 Reduced Cream 14112 Milk Shake 14150 Other dairy and milk products n.e.c 15101 Salad oil 15102 Butter/margarine 15103 Dripping 15104 Egg 16101 Fizzy drinks (lemonade, coke, fanta) 16102 Mineral water 16150 Other beverages n.e.c 16201 Sugar 16202 Twisties, rashuns, chips 16203 Lollies 16204 Chewing gum 16205 Chocolate bars 16206 Peanuts 16207 Icing Sugar 16250 Other confectionery goods n.e.c 17101 Coffee 17102 Cocoa 17103 Milo 17104 Tea 17105 Jam 17106 Peanut Butter 17107 Aus (Lime powder) 17108 Curry powder 17109 Spices (garlic, ginger, pepper, stock, turmeric etc) 17110 mustard 17111 Soya sauce 17112 Tomato Sauce 17113 Best Food 17114 Chow chow 17115 Baby food 17116 Coconut cream 17117 Spaghetti 17118 Salt 17119 Soup sachets 17120 Drink mix (refresh, vita fresh) 17121 Party ice 17122 Ice cream cones 17123 Mitiore 17124 Pitako(any) 17125 Baked Beans 17126 Golden Syrup 17127 Baking Sod 17128 Vinegar 17129 custard powder 17130 Lea & Perrin 17131 Creamed Rice 17132 Chilli Sauce 17133 chutney 17134 Honey 17135 Jelly 17136 Malt 17137 Yeast 17150 Other Foods n.e.c 18101 Chips 18102 Fish 18103 Burgers 18104 Chicken Pieces(cooked) 18105 Pizza 18106 Hot dogs 18107 Meat pies 18108 Sandwiches 18109 Plate of food 18110 School lunches 18111 Cup of Coffee, tea, milo 18112 Alcoholic drinks consumed at eating places 18113 Non Alcoholic drinks consumed at eating places 18114 snack pack, twin pack 18115 Dinner Out 18116 Sausage roll 18150 Other prepared food ready for takeaway 21101 Rent including ground rent or property rent 21102 Bond for house 21103 Electricity Connection fees 21104 Telephone Connection fees 21105 Administration charges 21106 House insurance 21107 Contents insurance 21108 Fire insurance 21109 Other Insurance n.o.d 21110 Amount of latest mortgage payment “Principal” 21111 Amount of latest mortgage interest paid “Interest” 21112 Amount of original mortgage loan 21113 Water Connection Fees 21150 Other payments n.e.c 22101 Repairs, renovations or improvements 22102 Structural additions or alterations 22103 Build a garage or other building 22104 Amount of latest Premium “Principal” 22105 Amount of latest Interest paid “Interest” 22150 Other home improvement payments n.e.c 23101 Paint 23102 Timber 23103 Plywood(inc. floor ply) 23104 Hardboard 23105 Charcoal 23106 Cement Board, Hardiglaze 23107 Flooring boards(Particle board/Tongue & Groove) 23108 External & internal boards coverings 23109 Piping 23110 Water supply tanks 23111 Septic tanks 23112 Bathroom Fittings 23113 Shower unit 23114 Toilet unit 23115 Nails 23116 Reinforcing steel 23117 Cement 23118 Roofing Iron, tiles, or plastic 23119 Spouting 23120 Window frames & louvers or glass 23121 Doors 23122 Kitchen Fittings 23123 Cupboards 23124 Water heating unit 23125 Lawn mower 23126 Weed eater/brush cutter 23127 Rakes 23128 Chainsaw 23129 Rotary hoe 23130 Power tools 23131 Hammer 23132 Spade 23133 Shovel 23134 Garden fertilisers 23135 Wheelbarrow 23136 Insecticide 23140 Garden supplies 23141 Amount of latest Premium “Principal” Household Operation 23142 Amount of latest Interest paid “Interest” Household Operation 23143 Ropes 23144 line for weedeater 23145 Bolts 23146 Insulating Tape 23147 Hand Saw 23148 Hack Blade 23149 Padlock 23150 Other payments on supplies n.e.c 23151 Polythene 23152 Concrete Blocks 23153 Bricks 23154 Paint Brush 23155 Ceramic tiles 24101 Site preparation prior to construction 24102 Surveying fees 24103 Architectural or draughting fees 24104 Building permit 24106 Registration Fees 24107 Contract payments to builders 24108 Contract payments to tradespeople 24109 Materials used in the basic construction - non-traditional 24110 Materials used in the basic construction - traditional 24111 Transport of Materials 24150 Other cost of construction n.e.c 25101 Cement Mixer 25102 Drain Digger 25103 Water Blaster 25150 Other Equipment on Hire 31101 Beds 31102 Mattresses 31103 Lounge chair 31104 Sofa, couch 31105 Dining table/chairs 31106 Dressing table 31107 Chest of drawers 31108 Desk, bureau 31109 Outdoor furniture 31110 Glory Box 31150 Other items of furniture n.e.c 31201 Blankets/bed spread 31202 Sheets (flora/plain), bed linen 31203 Pillow cases 31204 Pillow 31205 Light fittings 31206 Standard lamp 31207 Curtains, drapes 31208 Painting 31209 Carpet, floor rug 31210 Vinyl (linoleum) 31212 Towels 31213 tea towels 31214 Clothes Airer 31250 Other items of furnishing n.e.c 31301 Amount of latest Premium “Principal” 31302 Amount of latest Interest paid “Interest” 32101 Washing machine 32102 Refrigerator 32103 Freezer 32104 Electric jug 32105 Food processor 32106 Gas & electric stove 32107 Gas Burner 32108 Television 32109 Radio/Stereo 32110 Vacuum cleaner 32111 Sewing machine 32112 Home computer/Printer 32113 Kerosene Stove 32114 Electric Frying Pan 32115 Microwave Oven 32116 Blender 32117 Egg Beater 32118 Coffee Percolator 32119 Rice Cooker 32120 Pressure Cooker 32121 Electric toaster 32122 Chillybin (Cooler) 32123 Tele/Fax 32124 Airtime 32125 Video player / VCD 32126 DVD player 32127 Play Station 32150 Other home appliances n.e.c 32201 Dinner set 32202 Cutlery set 32203 Saucepans 32204 Barbecue plate (open fire/electric) 32205 Knives 32206 Tupperware 32207 Glass Set 32250 Other equipment's and utensils n.e.c 33101 Batteries 33102 Bleaching fluid, dyeing chemicals 33103 Candles 33104 Clothes conditioner 33105 Clothes pins, hangers, pegs 33106 Dish cloth, sponge, scourer 33107 Disinfectants 33108 Dishwashing liquid 33109 Fly spray 33110 Lunch wrappers, foil 33111 Matches 33112 Mosquito coil 33113 Soap cake/liquid, sunlight soap (toilet soap coded 81107) 33114 Soap powder 33115 Toilet paper 33116 Jiff 33117 Harpic (Cleaning disinfectant) 33118 Light bulb 33119 Stove Parts 33120 Fuse 33121 Sandpaper 33122 Torch 33150 Other household supplies n.e.c 33201 Telephone charges (including fax) 33202 Cell phone 33203 Post Office box rental 33204 Electricity 33205 Babysitting 33206 Housecleaning 33207 Other hired help 33208 Hire of TV / VCR / DVD 33209 Hire of Lawn mower 33210 Hire of Weed Eater 33211 Hire of knapsack spray 33212 Hire of tractor 33213 Drainage of Septic Tank 33214 Lawn mowing, gardening 33215 Laundry Services 33216 Cable TV Fees 33217 Water bill 33250 Other household services n.e.c 33301 Electricity 33302 Telephone 33303 Cooking gas 33304 Kerosene 33305 Other fuel and light 33402 Repairs to television 33403 Repairs to video 33404 Repairs to computer 33405 Repairs to telephone 33406 Electrical faults/wiring, etc. 33407 Repairs to Washing Machine 33408 Repairs to stereo 33409 Repairs to Lawn Mower 33410 Repairs to Chainsaw 33411 Repairs to electric iron 33412 Repairs to Rotary Hoe 33450 Other repairs n.e.c 41101 Shirts 41102 T/Shirts 41103 casual shorts 41104 work/school shorts 41105 trousers/jeans 41106 suits/clothes set 41107 casual/formal dress 41108 underwear/lingerie 41109 Blouse 41110 Skirts 41111 Pareu material 41112 Fabric for clothes 41113 Cotton thread 41114 Zipper 41115 Buttons 41116 Nappies (plastic & cloth) 41117 School Uniforms 41118 Jackets 41119 Plastic pants 41120 Rugby Shorts 41121 Socks, Stockings, Pantyhose 41122 Swimming togs 41123 Hankies 41124 Caps 41125 Overalls 41150 Other clothing n.e.c 41201 Tailoring services 41202 Repairs to clothing 41250 Other services n.e.c 42101 Sports shoes 42102 Dress shoes 42103 Jandals, slippers, slip-ons 42104 Children's shoes 42105 Boots (work, casual) 42150 Other shoes n.e.c 42201 Repairs to footwear 42250 Other services n.e.c 43101 Latest payment on Lay-by 43150 Other methods on purchases n.e.c 51101 Car/station wagon 51102 Van 51103 Utility, pickup, 4 wheels drive 51104 Motorcycle, motor scooter 51105 Truck 51106 Bus 51107 Tractor 51108 Boat, Yacht, canoe 51109 Bicycle 51110 Canoe 51111 Outboard motor 51150 Other vehicles n.e.c 51201 Amount of latest Premium “Principal” 51202 Amount of latest Interest paid “Interest” 51203 Insurance on Motor Vehicle 51204 Registration of Motor Vehicle 51212 Shoe Brake 51301 Starter motor 51302 Tyres 51303 Alloy wheels 51304 Shock absorbers 51305 Muffler 51306 Engine, outboard 51307 Radio, Stereo, CD 51308 Number plates 51309 Seat covers 51310 Tow bar 51311 Patches 51312 Ignition 51313 Shoe brake 51314 Air pump 51315 Batteries for cars, trucks etc 51316 Side lights 51317 Kick Starter 51318 Spark plugs 51319 Cable Clutch 51320 Seat for Vehicle 51350 Other vehicle accessories 51401 Petrol 51402 Diesel 51403 Oil 51404 Gas 51405 Other vehicle fuel 52101 Panel beating 52102 Painting 52103 Upholstering 52104 Windscreen 52105 Engine Repairs 52106 Gearbox repairs 52107 Exhaust pipes repairs 52108 Electrical Repairs (wiring) 52109 Repair (Labour) 52110 Repair Boat 52111 Rustproofing 52112 Vehicle customising 52113 Annual vehicle license fees 52114 Warrant of witness 52115 Vehicle insurance 52116 Taxi Services 52117 Bus Services 52118 Drivers License Fees 52119 Tyres Repair 52120 Car service tow 52121 Outboard repairs/parts 52150 Other services n.e.c 52201 Amount of latest Premium “Principal” 52202 Amount of latest Interest paid “Interest” 52320 Car/ stationwagon rental 52321 Van rental 52322 Utility, 4 wheels drive rental 52323 Truck rental 52324 Motorcycle, motor scooter rental 52325 Boat, Yacht, Canoe Hire 52326 Hirage of Loader 52327 Bicycle Hiring 52328 Outboard motor hire 52350 Other transport hirage 53201 Airfare 53202 Seafare 53203 Departure Tax 53204 Accommodation 53205 Meals / Drinks 53206 Clothing 53207 Household Goods 53208 Transport n.e.c (overseas) 53250 Other expenses incurred while overseas 61101 Tobacco 61102 Cigarettes 61150 Other tobacco products 62101 Alcoholic Drinks 62102 Beer 62103 Distilled Spirits 62104 Wine 62105 Homebrew 62150 Other alcoholic drinks 71101 Amount of latest Premium “Principal” 71102 Amount of latest Interest paid “Interest” 72101 Interest charged on charge account 72102 Other charges on charge account 72103 Interest charged on credit card 72104 Other charges on credit card 72105 Interest charged on cheque account 72150 Other charges on cheque account 73101 Endowment 73102 Whole of life 73103 Medical 73104 Travel 73105 Superannuation 73106 Social Security 73107 Pension Plan / Retirement 73108 Credit Union 73109 Life Insurance 73150 Other schemes n.e.c 81101 Cough mixture 81102 Panadol 81103 Vicks 81104 Medicines, antibiotics and other prescribed medication 81105 Deodorant, body spray 81106 Sanitary pads, Tampon 81107 Toilet soap (bar/liquid) 81108 Toothpaste 81109 Talcum Powder 81110 Tigerbalm 81111 Band Aid 81112 Tissue 81113 Tooth brush 81114 Hair accessories (pins, comb, etc) 81115 Hair colour 81116 Hair conditioner 81117 Hair shampoo 81118 Hair spray, mousse, gel 81119 Lipstick 81120 Make up kit 81121 Moisturiser 81122 Nail polish, remover 81123 Razor, blades, tweezers and other hair remover equipment 81124 Paper tissues 81125 Other personal goods n.e.c 81126 Baby bottles 81127 Wet Ones 81150 Other cosmetics and toiletries n.e.c 81201 Haircut 81202 Hair grooming 81203 Manicure 81204 Repair of personal goods 81250 Other personal services 82101 Newspapers 82102 Overseas Newspaper, magazines, journals, etc 82103 Books, novels, etc 82104 School books 82105 Writing materials 82106 Other stationery 82107 Calculator 82109 Other office equipment for private use 82201 Doctor's/dentist fees 82202 Hospital charges 82203 Traditional medicine practitioners 82204 Clinic or OPD visit 82205 Prenatal/Maternal/Antenatal care 82250 Other health services n.e.c 83101 Photographic equipment 83102 Musical equipment 83103 Tennis Racquet 83104 Ping-Pong, Tennis ball, etc. 83105 Sports goods n.e.c 83106 Video tapes 83107 Toys 83108 Records, cassettes, CD's 83109 Films 83110 Playing Cards 83111 Blank cassettes/CDs 83112 Game consoles (Play Station, Nintendo etc) 83113 Hand-held electronic games (Game Boy etc) 83150 Other leisure materials and supplies n.e.c 83201 Formal education fees and related charges 83202 USP extension Centre fees 83203 Fees charged for private tuition 83204 School transports (bus fare) 83205 Examination Fees 83206 Fees Charge for hobby classes 83207 Regular contribution to religious and other organisation 83208 Subscriptions levied by clubs or leisure groups 83209 Fees charge for regular private child care 83210 Educ fees - early childhood 83211 Educ fees - primary education 83212 Educ fees - secondary education 83213 Educ fees - college 83214 Boarding / Lodging Fees 83215 Caution Fees 83216 Clothing (school uniform) 83217 Books and school supplies 83250 Other educational services n.e.c 84102 Fishing equipment and supplies 84103 Birthday presents n.o.d 84104 Wet Suits 84105 Flippers 84106 Diving Gas bottle 84107 Cat Food 84108 Dog Food 84109 Pig Food 84110 Chicken Food 84150 Goods n.e.c 84201 Contributions to religious and other organisations 84203 Television hire 84204 Video hire 84205 Movie/performances admission 84206 VCD Hire 84207 Video Tape Hire 84208 Tennis, Squash racquets 84209 DVD Hire 84210 Game consoles (Play Station, Nintendo etc) CD/Console Hire 84211 Raffles, lotto expenses 84212 Bingo / housie expenses 84213 Locker expenses 84250 Other services n.e.c 85101 Union fees (PSA etc.) 85102 Professional society subscriptions 85103 Professional license fees 85104 Cartage, freight 85105 Printing(e.g. invitations) 85106 Catering expenses 85107 Money sent overseas(not recorded elsewhere) 85108 Funeral expenses 85109 Fines 85110 Legal expenses 85111 Hire of premises 85112 Photographers fees 85113 Maintenance to ex-spouse 85114 Dog registration 85115 Firearm licence 85116 Television License Fees 85117 Church Donation 85118 Hair Dressing charge 85119 Customs - Funeral 85120 Customs - Ocheraol 85121 Customs - Omengat 85122 Customs - House Party 85123 Contribution to village / community 85150 Other Miscellaneous Services 85201 Jewellery 85202 Trees, shrubs 85203 Topsoil 85204 Watch 85205 Pearls 85206 Suitcase/travel accessories 85207 Floral tributes 85208 Trophy 85209 Donation, cash gift (not recorded elsewhere) 85210 Rings 85211 Sunglasses 85212 Kahoa (flower, shell) 85213 Handbags 85214 Wallet 85229 Donations for funeral 85230 Rito made craft 85232 Air freshener 85233 Bangles 85234 Family Functions 85235 Passport 85236 Reading Glasses 85250 Other miscellaneous payments of goods and services n.e.c 86101 Gifts of money to other households within Niue 86102 Gifts of money sent overseas 86103 Pocket money for children 86104 Raffles, Lotto, etc less winnings 86105 Housie costs less winnings 86106 Contributions to religious organisations (tithe) 86107 Contributions to other non profit organisations 86108 Contributions to savings 86109 Other payments n.e.c 91101 Wages/Salaries 91102 Payment in kind 91103 Remuneration from previous employment 91104 Services to other households 91105 Remuneration from other source n.e.c 92201 Sale - Tapioca 92202 Sale - Taro 92203 Sale - Sweet Potato 92204 Sale - Ginger 92205 Sale - Yam 92206 Sale - Betelnut 92207 Sale - Banana 92208 Sale - Lemon/Lime 92209 Sale - Pineapple 92210 Sale - Watermelon 92211 Sale - Mango 92212 Sale - Papaya 92213 Sale - Nappa 92214 Sale - Noni 92215 Sale - Beans 92216 Sale - Peppermint 92217 Sale - Kangkum 92218 Sale - Okra 92219 Sale - Green/Dry Coconut 92220 Sale - Pig 92221 Sale - Cattle 92222 Sale - Chicken 92223 Sale - Fish 92224 Sale - Crab (coconut) 92225 Sale - Crab (mangrove) 92226 Sale - Lobster 92227 Sale - Green Snail 92228 Sale - Trochus 92229 Sale - Ngimes 92230 Sale - Eremrum 92231 Sale - Ngduul 92232 Sale - Kim 92233 Sale - Oruer 92234 Sale - Molech 92235 Sale - Irimd 92236 Sale - Turtle 92237 Sale - Processed tapioca 92238 Sale - Local bread 92239 Sale - Cakes 92240 Sale - Bento 92241 Sale - Coconut Oil 92242 Sale - Mat 92243 Sale - Basket 92244 Sale - Hand held fan 92245 Sale - Wood carving 92246 Sale - Necklaces 92247 Sale - Grass skirts 92248 Sale - Pigs tusks 92249 Sale - Painting 92250 Sale - Fish lures 92251 Sale - Spears 92252 Sale - Spear gun 92253 Sale - Fish nets 92254 Sale - Pandanus purses 93101 Hair cutting & ear piecing 93102 Wedding gifts n.f.d 93103 Custom - Funeral 93104 Custom - Ocheraol 93105 Custom - Omengat/Ngasech 93106 Custom - House Party 93117 Income from Remittances - Cash 93118 Income from Remittances - Goods 94102 Superannuation - income 94103 War pension 94104 Interest 94105 Rent 94106 Directors fees, honoraria, remuneration for board trustees 94107 Income from partnership as a non-working shareholder 94108 Income as a non-working proprietor 94109 Royalties 94110 Irregular income from land 94111 Income from a Trust Account 94112 Life Insurance 94113 Sale of motor vehicle 94114 Inheritance 94115 Matrimonial property settlement 94116 Income for maintenance of dependent child 94120 Winnings from Raffles & Bingo 94121 Irregular Income from sale of goods 94122 Rent - lease of land 94201 Income from lawn mowing 94202 Income from baby sitting 94203 Income from taro patching 94204 Repair work 94205 Adhoc Labour 94206 Fishing/Hunting assistance 94207 House Cleaner / Domestic 95101 Child benefit 95102 Old age pension 95103 Destitute/Infirm benefit 95104 Disadvantaged assistance 95201 Social Security - Govt 95202 Pension Plan - Govt 95203 Social Security - Non-Govt 95204 Social Security/Pension - o'seas 95205 Social Sucurity/Pension - lump sum 95301 Child maintenance Amount Amount Amount Amount Amount Amount paid or charged or Cost of buying the same thing at the local shop/market Week Week Week Week Week 1 First Week 2 Second Week Identifies whether the information comes from the diary of the 1st or 2nd week Day Day Day Day Day Day in Week: 1 Monday 2 Tuesday 3 Wednesday 4 Thursday 5 Friday 6 Saturday 7 Sunday Section Section Section Section Section SECTION 1 Items Bought 2 Home Produce Consumed Quantity Quantity Quantity Quantity Quantity Quantity Weight Weight Weight Weight Weight Weight Unit Unit Unit Unit Unit Weight 1 Milligram (mg) 2 Kilogram (kg) 3 Gram (g) 4 Milliliter (ml) 5 Liter (lt) 6 Ounce (oz) 7 Fluid Ounce (fl oz) 8 Gallons (gal) 9 Pounds (lbs) 10 Packets (pk) 11 Pint (pt) 12 Yard (yd) 13 Inch (in) 14 Quarts (qt) 15 Pieces 16 Dozen 17 Case Item code Item code Item code Item code Item code Office use only 11101 Apples 11102 Avocado 11103 Bananas 11104 Chestnuts 11105 Coconut (drinking nut) 11106 Coconut (dry nut) 11108 Guava 11109 Lemons 11110 Mangoes 11111 Oranges 11112 Pawpaws 11113 Peaches 11114 Pears 11115 Pineapples 11116 Plums 11117 Sugar cane 11118 Watermelon 11119 Tinned Fruit Salad 11120 Tinned Peaches 11121 Tinned Pears 11122 Tinned Pineapples 11123 Dried Fruits 11124 Fruit Juices 11125 Other fresh fruits n.e.c 11126 Custard Apple 11127 Other tinned and bottled fruits n.e.c 11128 Breadfruit 11150 Fruits or fruit products n.e.c 11201 Lu (taro leaves) 11202 Cabbage 11203 Lettuce 11204 Carrots 11205 Courgettes and marrows 11206 Cucumber 11207 Pumpkin 11208 Arrowroot 11209 Kumara 11210 Potatoes 11211 Taro 11212 Taro pulaka 11213 Yam 11214 Onions and chives 11215 Peas and beans 11216 Tomatoes 11217 Other fresh vegetables 11218 Frozen Vegetables 11219 Tinned and bottled vegetables 11220 Dried Vegetables 11221 Vegetable Juices 11222 Tinned Beetroot 11223 Tinned Tomato Savoury 11224 Bowl Salad 11225 Chinese Cabbage 11226 Celery 11227 Vanilla 11228 Capsicum 11229 Mushroom 11230 Broccoli/Cauliflower 11231 Cauliflower 11232 corn 11233 Kebui (Peppermint leaves) 11234 Deadly Knight Shade (Polofua) 11235 Ginger 11236 Asparagus 11237 Sweetcorn 11238 Garlic 11239 Silverbeet 11240 Mushroom 11241 Vegetables n.e.c 12101 Beef fresh 12102 Lamb chops 12103 Meat in brine 12104 Mince 12105 Pork fresh 12106 Sausages 12107 Steak 12108 Other fresh/frozen meat 12109 Tinned Corned Beef 12110 Tinned Lamb Tongue 12111 Tinned Casserole 12112 Tinned Irish Stew 12113 Bacon 12114 Luncheon 12115 goat meat 12116 Ham 12150 Other meat n.e.c 12201 Chicken 12202 Chicken (free range) 12203 Peka (bat) 12204 Lupe 12250 Other birds 12301 Tuna 12302 Flying fish 12303 Frozen fish 12304 Other fresh and frozen fish 12305 Tinned Sardines 12306 Tinned Mackerel 12307 Tinned Tuna 12308 Other Tinned fish 12309 Paua 12310 Mussels 12311 Octopus, Squids 12312 Vga 12313 Seaweed (Rimu) 12314 Loli 12315 Kina 12350 Other shell fish n.e.c 13101 Bread (sliced, loaf, square, rolls, French) 13102 Cabin bread 13103 Coconut Bread 13104 Cream cracker 13105 Biscuits 13106 Doughnuts 13107 Cakes incl. Pastries, buns 13108 Meringue pies and other pies 13109 Puddings incl. Poke 13110 Nane 13150 Other bread and biscuits 13201 Ricies 13202 Cornflakes 13203 Weetbix 13204 Rolled Oats 13205 Vermicelli 13206 Noodles 13207 Rice 13208 Pasta 13209 Flour 13210 Starch (Pia) 13211 cornflour 13250 Other Cereal and cereal Products n.e.c 14101 Milk powder 14102 Condensed milk 14103 Fresh milk 14104 Other milk (flavoured, zap, milk shake) 14105 Cheese/includes cream cheese 14106 Yoghurt/yoplait 14107 Sour cream 14108 Ice cream 14109 Whipped Cream 14110 Tip Top 14111 Reduced Cream 14112 Milk Shake 14150 Other dairy and milk products n.e.c 15101 Salad oil 15102 Butter/margarine 15103 Dripping 15104 Egg 16101 Fizzy drinks (lemonade, coke, fanta) 16102 Mineral water 16150 Other beverages n.e.c 16201 Sugar 16202 Twisties, rashuns, chips 16203 Lollies 16204 Chewing gum 16205 Chocolate bars 16206 Peanuts 16207 Icing Sugar 16250 Other confectionery goods n.e.c 17101 Coffee 17102 Cocoa 17103 Milo 17104 Tea 17105 Jam 17106 Peanut Butter 17107 Aus (Lime powder) 17108 Curry powder 17109 Spices (garlic, ginger, pepper, stock, turmeric etc) 17110 mustard 17111 Soya sauce 17112 Tomato Sauce 17113 Best Food 17114 Chow chow 17115 Baby food 17116 Coconut cream 17117 Spaghetti 17118 Salt 17119 Soup sachets 17120 Drink mix (refresh, vita fresh) 17121 Party ice 17122 Ice cream cones 17123 Mitiore 17124 Pitako(any) 17125 Baked Beans 17126 Golden Syrup 17127 Baking Sod 17128 Vinegar 17129 custard powder 17130 Lea & Perrin 17131 Creamed Rice 17132 Chilli Sauce 17133 chutney 17134 Honey 17135 Jelly 17136 Malt 17137 Yeast 17150 Other Foods n.e.c 18101 Chips 18102 Fish 18103 Burgers 18104 Chicken Pieces(cooked) 18105 Pizza 18106 Hot dogs 18107 Meat pies 18108 Sandwiches 18109 Plate of food 18110 School lunches 18111 Cup of Coffee, tea, milo 18112 Alcoholic drinks consumed at eating places 18113 Non Alcoholic drinks consumed at eating places 18114 snack pack, twin pack 18115 Dinner Out 18116 Sausage roll 18150 Other prepared food ready for takeaway 21101 Rent including ground rent or property rent 21102 Bond for house 21103 Electricity Connection fees 21104 Telephone Connection fees 21105 Administration charges 21106 House insurance 21107 Contents insurance 21108 Fire insurance 21109 Other Insurance n.o.d 21110 Amount of latest mortgage payment “Principal” 21111 Amount of latest mortgage interest paid “Interest” 21112 Amount of original mortgage loan 21113 Water Connection Fees 21150 Other payments n.e.c 22101 Repairs, renovations or improvements 22102 Structural additions or alterations 22103 Build a garage or other building 22104 Amount of latest Premium “Principal” 22105 Amount of latest Interest paid “Interest” 22150 Other home improvement payments n.e.c 23101 Paint 23102 Timber 23103 Plywood(inc. floor ply) 23104 Hardboard 23105 Charcoal 23106 Cement Board, Hardiglaze 23107 Flooring boards(Particle board/Tongue & Groove) 23108 External & internal boards coverings 23109 Piping 23110 Water supply tanks 23111 Septic tanks 23112 Bathroom Fittings 23113 Shower unit 23114 Toilet unit 23115 Nails 23116 Reinforcing steel 23117 Cement 23118 Roofing Iron, tiles, or plastic 23119 Spouting 23120 Window frames & louvers or glass 23121 Doors 23122 Kitchen Fittings 23123 Cupboards 23124 Water heating unit 23125 Lawn mower 23126 Weed eater/brush cutter 23127 Rakes 23128 Chainsaw 23129 Rotary hoe 23130 Power tools 23131 Hammer 23132 Spade 23133 Shovel 23134 Garden fertilisers 23135 Wheelbarrow 23136 Insecticide 23140 Garden supplies 23141 Amount of latest Premium “Principal” Household Operation 23142 Amount of latest Interest paid “Interest” Household Operation 23143 Ropes 23144 line for weedeater 23145 Bolts 23146 Insulating Tape 23147 Hand Saw 23148 Hack Blade 23149 Padlock 23150 Other payments on supplies n.e.c 23151 Polythene 23152 Concrete Blocks 23153 Bricks 23154 Paint Brush 23155 Ceramic tiles 24101 Site preparation prior to construction 24102 Surveying fees 24103 Architectural or draughting fees 24104 Building permit 24106 Registration Fees 24107 Contract payments to builders 24108 Contract payments to tradespeople 24109 Materials used in the basic construction - non-traditional 24110 Materials used in the basic construction - traditional 24111 Transport of Materials 24150 Other cost of construction n.e.c 25101 Cement Mixer 25102 Drain Digger 25103 Water Blaster 25150 Other Equipment on Hire 31101 Beds 31102 Mattresses 31103 Lounge chair 31104 Sofa, couch 31105 Dining table/chairs 31106 Dressing table 31107 Chest of drawers 31108 Desk, bureau 31109 Outdoor furniture 31110 Glory Box 31150 Other items of furniture n.e.c 31201 Blankets/bed spread 31202 Sheets (flora/plain), bed linen 31203 Pillow cases 31204 Pillow 31205 Light fittings 31206 Standard lamp 31207 Curtains, drapes 31208 Painting 31209 Carpet, floor rug 31210 Vinyl (linoleum) 31212 Towels 31213 tea towels 31214 Clothes Airer 31250 Other items of furnishing n.e.c 31301 Amount of latest Premium “Principal” 31302 Amount of latest Interest paid “Interest” 32101 Washing machine 32102 Refrigerator 32103 Freezer 32104 Electric jug 32105 Food processor 32106 Gas & electric stove 32107 Gas Burner 32108 Television 32109 Radio/Stereo 32110 Vacuum cleaner 32111 Sewing machine 32112 Home computer/Printer 32113 Kerosene Stove 32114 Electric Frying Pan 32115 Microwave Oven 32116 Blender 32117 Egg Beater 32118 Coffee Percolator 32119 Rice Cooker 32120 Pressure Cooker 32121 Electric toaster 32122 Chillybin (Cooler) 32123 Tele/Fax 32124 Airtime 32125 Video player / VCD 32126 DVD player 32127 Play Station 32150 Other home appliances n.e.c 32201 Dinner set 32202 Cutlery set 32203 Saucepans 32204 Barbecue plate (open fire/electric) 32205 Knives 32206 Tupperware 32207 Glass Set 32250 Other equipment's and utensils n.e.c 33101 Batteries 33102 Bleaching fluid, dyeing chemicals 33103 Candles 33104 Clothes conditioner 33105 Clothes pins, hangers, pegs 33106 Dish cloth, sponge, scourer 33107 Disinfectants 33108 Dishwashing liquid 33109 Fly spray 33110 Lunch wrappers, foil 33111 Matches 33112 Mosquito coil 33113 Soap cake/liquid, sunlight soap (toilet soap coded 81107) 33114 Soap powder 33115 Toilet paper 33116 Jiff 33117 Harpic (Cleaning disinfectant) 33118 Light bulb 33119 Stove Parts 33120 Fuse 33121 Sandpaper 33122 Torch 33150 Other household supplies n.e.c 33201 Telephone charges (including fax) 33202 Cell phone 33203 Post Office box rental 33204 Electricity 33205 Babysitting 33206 Housecleaning 33207 Other hired help 33208 Hire of TV / VCR / DVD 33209 Hire of Lawn mower 33210 Hire of Weed Eater 33211 Hire of knapsack spray 33212 Hire of tractor 33213 Drainage of Septic Tank 33214 Lawn mowing, gardening 33215 Laundry Services 33216 Cable TV Fees 33217 Water bill 33250 Other household services n.e.c 33301 Electricity 33302 Telephone 33303 Cooking gas 33304 Kerosene 33305 Other fuel and light 33402 Repairs to television 33403 Repairs to video 33404 Repairs to computer 33405 Repairs to telephone 33406 Electrical faults/wiring, etc. 33407 Repairs to Washing Machine 33408 Repairs to stereo 33409 Repairs to Lawn Mower 33410 Repairs to Chainsaw 33411 Repairs to electric iron 33412 Repairs to Rotary Hoe 33450 Other repairs n.e.c 41101 Shirts 41102 T/Shirts 41103 casual shorts 41104 work/school shorts 41105 trousers/jeans 41106 suits/clothes set 41107 casual/formal dress 41108 underwear/lingerie 41109 Blouse 41110 Skirts 41111 Pareu material 41112 Fabric for clothes 41113 Cotton thread 41114 Zipper 41115 Buttons 41116 Nappies (plastic & cloth) 41117 School Uniforms 41118 Jackets 41119 Plastic pants 41120 Rugby Shorts 41121 Socks, Stockings, Pantyhose 41122 Swimming togs 41123 Hankies 41124 Caps 41125 Overalls 41150 Other clothing n.e.c 41201 Tailoring services 41202 Repairs to clothing 41250 Other services n.e.c 42101 Sports shoes 42102 Dress shoes 42103 Jandals, slippers, slip-ons 42104 Children's shoes 42105 Boots (work, casual) 42150 Other shoes n.e.c 42201 Repairs to footwear 42250 Other services n.e.c 43101 Latest payment on Lay-by 43150 Other methods on purchases n.e.c 51101 Car/station wagon 51102 Van 51103 Utility, pickup, 4 wheels drive 51104 Motorcycle, motor scooter 51105 Truck 51106 Bus 51107 Tractor 51108 Boat, Yacht, canoe 51109 Bicycle 51110 Canoe 51111 Outboard motor 51150 Other vehicles n.e.c 51201 Amount of latest Premium “Principal” 51202 Amount of latest Interest paid “Interest” 51203 Insurance on Motor Vehicle 51204 Registration of Motor Vehicle 51212 Shoe Brake 51301 Starter motor 51302 Tyres 51303 Alloy wheels 51304 Shock absorbers 51305 Muffler 51306 Engine, outboard 51307 Radio, Stereo, CD 51308 Number plates 51309 Seat covers 51310 Tow bar 51311 Patches 51312 Ignition 51313 Shoe brake 51314 Air pump 51315 Batteries for cars, trucks etc 51316 Side lights 51317 Kick Starter 51318 Spark plugs 51319 Cable Clutch 51320 Seat for Vehicle 51350 Other vehicle accessories 51401 Petrol 51402 Diesel 51403 Oil 51404 Gas 51405 Other vehicle fuel 52101 Panel beating 52102 Painting 52103 Upholstering 52104 Windscreen 52105 Engine Repairs 52106 Gearbox repairs 52107 Exhaust pipes repairs 52108 Electrical Repairs (wiring) 52109 Repair (Labour) 52110 Repair Boat 52111 Rustproofing 52112 Vehicle customising 52113 Annual vehicle license fees 52114 Warrant of witness 52115 Vehicle insurance 52116 Taxi Services 52117 Bus Services 52118 Drivers License Fees 52119 Tyres Repair 52120 Car service tow 52121 Outboard repairs/parts 52150 Other services n.e.c 52201 Amount of latest Premium “Principal” 52202 Amount of latest Interest paid “Interest” 52320 Car/ stationwagon rental 52321 Van rental 52322 Utility, 4 wheels drive rental 52323 Truck rental 52324 Motorcycle, motor scooter rental 52325 Boat, Yacht, Canoe Hire 52326 Hirage of Loader 52327 Bicycle Hiring 52328 Outboard motor hire 52350 Other transport hirage 53201 Airfare 53202 Seafare 53203 Departure Tax 53204 Accommodation 53205 Meals / Drinks 53206 Clothing 53207 Household Goods 53208 Transport n.e.c (overseas) 53250 Other expenses incurred while overseas 61101 Tobacco 61102 Cigarettes 61150 Other tobacco products 62101 Alcoholic Drinks 62102 Beer 62103 Distilled Spirits 62104 Wine 62105 Homebrew 62150 Other alcoholic drinks 71101 Amount of latest Premium “Principal” 71102 Amount of latest Interest paid “Interest” 72101 Interest charged on charge account 72102 Other charges on charge account 72103 Interest charged on credit card 72104 Other charges on credit card 72105 Interest charged on cheque account 72150 Other charges on cheque account 73101 Endowment 73102 Whole of life 73103 Medical 73104 Travel 73105 Superannuation 73106 Social Security 73107 Pension Plan / Retirement 73108 Credit Union 73109 Life Insurance 73150 Other schemes n.e.c 81101 Cough mixture 81102 Panadol 81103 Vicks 81104 Medicines, antibiotics and other prescribed medication 81105 Deodorant, body spray 81106 Sanitary pads, Tampon 81107 Toilet soap (bar/liquid) 81108 Toothpaste 81109 Talcum Powder 81110 Tigerbalm 81111 Band Aid 81112 Tissue 81113 Tooth brush 81114 Hair accessories (pins, comb, etc) 81115 Hair colour 81116 Hair conditioner 81117 Hair shampoo 81118 Hair spray, mousse, gel 81119 Lipstick 81120 Make up kit 81121 Moisturiser 81122 Nail polish, remover 81123 Razor, blades, tweezers and other hair remover equipment 81124 Paper tissues 81125 Other personal goods n.e.c 81126 Baby bottles 81127 Wet Ones 81150 Other cosmetics and toiletries n.e.c 81201 Haircut 81202 Hair grooming 81203 Manicure 81204 Repair of personal goods 81250 Other personal services 82101 Newspapers 82102 Overseas Newspaper, magazines, journals, etc 82103 Books, novels, etc 82104 School books 82105 Writing materials 82106 Other stationery 82107 Calculator 82109 Other office equipment for private use 82201 Doctor's/dentist fees 82202 Hospital charges 82203 Traditional medicine practitioners 82204 Clinic or OPD visit 82205 Prenatal/Maternal/Antenatal care 82250 Other health services n.e.c 83101 Photographic equipment 83102 Musical equipment 83103 Tennis Racquet 83104 Ping-Pong, Tennis ball, etc. 83105 Sports goods n.e.c 83106 Video tapes 83107 Toys 83108 Records, cassettes, CD's 83109 Films 83110 Playing Cards 83111 Blank cassettes/CDs 83112 Game consoles (Play Station, Nintendo etc) 83113 Hand-held electronic games (Game Boy etc) 83150 Other leisure materials and supplies n.e.c 83201 Formal education fees and related charges 83202 USP extension Centre fees 83203 Fees charged for private tuition 83204 School transports (bus fare) 83205 Examination Fees 83206 Fees Charge for hobby classes 83207 Regular contribution to religious and other organisation 83208 Subscriptions levied by clubs or leisure groups 83209 Fees charge for regular private child care 83210 Educ fees - early childhood 83211 Educ fees - primary education 83212 Educ fees - secondary education 83213 Educ fees - college 83214 Boarding / Lodging Fees 83215 Caution Fees 83216 Clothing (school uniform) 83217 Books and school supplies 83250 Other educational services n.e.c 84102 Fishing equipment and supplies 84103 Birthday presents n.o.d 84104 Wet Suits 84105 Flippers 84106 Diving Gas bottle 84107 Cat Food 84108 Dog Food 84109 Pig Food 84110 Chicken Food 84150 Goods n.e.c 84201 Contributions to religious and other organisations 84203 Television hire 84204 Video hire 84205 Movie/performances admission 84206 VCD Hire 84207 Video Tape Hire 84208 Tennis, Squash racquets 84209 DVD Hire 84210 Game consoles (Play Station, Nintendo etc) CD/Console Hire 84211 Raffles, lotto expenses 84212 Bingo / housie expenses 84213 Locker expenses 84250 Other services n.e.c 85101 Union fees (PSA etc.) 85102 Professional society subscriptions 85103 Professional license fees 85104 Cartage, freight 85105 Printing(e.g. invitations) 85106 Catering expenses 85107 Money sent overseas(not recorded elsewhere) 85108 Funeral expenses 85109 Fines 85110 Legal expenses 85111 Hire of premises 85112 Photographers fees 85113 Maintenance to ex-spouse 85114 Dog registration 85115 Firearm licence 85116 Television License Fees 85117 Church Donation 85118 Hair Dressing charge 85119 Customs - Funeral 85120 Customs - Ocheraol 85121 Customs - Omengat 85122 Customs - House Party 85123 Contribution to village / community 85150 Other Miscellaneous Services 85201 Jewellery 85202 Trees, shrubs 85203 Topsoil 85204 Watch 85205 Pearls 85206 Suitcase/travel accessories 85207 Floral tributes 85208 Trophy 85209 Donation, cash gift (not recorded elsewhere) 85210 Rings 85211 Sunglasses 85212 Kahoa (flower, shell) 85213 Handbags 85214 Wallet 85229 Donations for funeral 85230 Rito made craft 85232 Air freshener 85233 Bangles 85234 Family Functions 85235 Passport 85236 Reading Glasses 85250 Other miscellaneous payments of goods and services n.e.c 86101 Gifts of money to other households within Niue 86102 Gifts of money sent overseas 86103 Pocket money for children 86104 Raffles, Lotto, etc less winnings 86105 Housie costs less winnings 86106 Contributions to religious organisations (tithe) 86107 Contributions to other non profit organisations 86108 Contributions to savings 86109 Other payments n.e.c 91101 Wages/Salaries 91102 Payment in kind 91103 Remuneration from previous employment 91104 Services to other households 91105 Remuneration from other source n.e.c 92201 Sale - Tapioca 92202 Sale - Taro 92203 Sale - Sweet Potato 92204 Sale - Ginger 92205 Sale - Yam 92206 Sale - Betelnut 92207 Sale - Banana 92208 Sale - Lemon/Lime 92209 Sale - Pineapple 92210 Sale - Watermelon 92211 Sale - Mango 92212 Sale - Papaya 92213 Sale - Nappa 92214 Sale - Noni 92215 Sale - Beans 92216 Sale - Peppermint 92217 Sale - Kangkum 92218 Sale - Okra 92219 Sale - Green/Dry Coconut 92220 Sale - Pig 92221 Sale - Cattle 92222 Sale - Chicken 92223 Sale - Fish 92224 Sale - Crab (coconut) 92225 Sale - Crab (mangrove) 92226 Sale - Lobster 92227 Sale - Green Snail 92228 Sale - Trochus 92229 Sale - Ngimes 92230 Sale - Eremrum 92231 Sale - Ngduul 92232 Sale - Kim 92233 Sale - Oruer 92234 Sale - Molech 92235 Sale - Irimd 92236 Sale - Turtle 92237 Sale - Processed tapioca 92238 Sale - Local bread 92239 Sale - Cakes 92240 Sale - Bento 92241 Sale - Coconut Oil 92242 Sale - Mat 92243 Sale - Basket 92244 Sale - Hand held fan 92245 Sale - Wood carving 92246 Sale - Necklaces 92247 Sale - Grass skirts 92248 Sale - Pigs tusks 92249 Sale - Painting 92250 Sale - Fish lures 92251 Sale - Spears 92252 Sale - Spear gun 92253 Sale - Fish nets 92254 Sale - Pandanus purses 93101 Hair cutting & ear piecing 93102 Wedding gifts n.f.d 93103 Custom - Funeral 93104 Custom - Ocheraol 93105 Custom - Omengat/Ngasech 93106 Custom - House Party 93117 Income from Remittances - Cash 93118 Income from Remittances - Goods 94102 Superannuation - income 94103 War pension 94104 Interest 94105 Rent 94106 Directors fees, honoraria, remuneration for board trustees 94107 Income from partnership as a non-working shareholder 94108 Income as a non-working proprietor 94109 Royalties 94110 Irregular income from land 94111 Income from a Trust Account 94112 Life Insurance 94113 Sale of motor vehicle 94114 Inheritance 94115 Matrimonial property settlement 94116 Income for maintenance of dependent child 94120 Winnings from Raffles & Bingo 94121 Irregular Income from sale of goods 94122 Rent - lease of land 94201 Income from lawn mowing 94202 Income from baby sitting 94203 Income from taro patching 94204 Repair work 94205 Adhoc Labour 94206 Fishing/Hunting assistance 94207 House Cleaner / Domestic 95101 Child benefit 95102 Old age pension 95103 Destitute/Infirm benefit 95104 Disadvantaged assistance 95201 Social Security - Govt 95202 Pension Plan - Govt 95203 Social Security - Non-Govt 95204 Social Security/Pension - o'seas 95205 Social Sucurity/Pension - lump sum 95301 Child maintenance Amount Amount Amount Amount Amount Amount paid or charged or Cost of buying the same thing at the local shop/market State State State State State State: 1 Kayangel 2 Ngerchelong 3 Ngaraard 4 Ngiwal 5 Melekeok 6 Ngchesar 7 Airai 8 Aimeliik 9 Ngatpang 10 Ngardmau 11 Ngeremlengui 12 Angaur 13 Peleliu 14 Koror Hamlet Hamlet Hamlet Hamlet Hamlet Hamlet: 1 Dngeronger 2 Eang 3 Idid 4 Iyebukel 5 Ikelau 6 Madalaii 7 Meketii 8 Meyuns 9 Ngerbeched 10 Ngerchemai 11 Ngerkebesang 12 Ngerkesoal 13 Ngermid 14 Kayangle 15 Iebukel (Ngerchelong) 16 Mengellang 17 Ngebei 18 Ngerbau 19 Ngriil 20 Ollei 21 Chelab 22 Chol 23 Ngebuked 24 Ngkeklau 25 Ulimang 26 Ngelau 27 Ngercheluuk 28 Ngermechau 29 Melekeok 30 Ngeburch 31 Ngerang 32 Ngermelech 33 Ngerubesang 34 Ngeruliang 35 Ngchesar 36 Ngeraus 37 Ngerngesang 38 Ngerkesou 39 Ngersuul 40 Ngeruikl 41 Shimizu 42 Airai-Ordomel 43 Ked 44 Ngerduais 45 Ngerikiil 46 Ngetkib 47 Ngeruluobel 48 Ngerusar 49 Oikull 50 Ngerutoi 51 Ngetbong 52 Urdmau 53 Imeong 54 Ngchemsed 55 Ngermetengel 56 Ibobang 57 Mechebechubel 58 Nekken 59 Chelechui 60 Imelsubech 61 Imull 62 Medorm 63 Mongami 64 Imelchol 65 North Kloulklubed 66 South Kloulklubed 67 Uosech 68 Ngerchol 69 Ngerdelolk 70 Angaur 71 Ngermetuker 72 Ngerungel 73 Ngchesechang 74 Ngesias 75 Ngerkeiukel 76 Sonsorol 77 Fanna 78 Pulo Ana 79 Merir 80 Hatohobei 81 Helen Reef 82 Rock Islands Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area: 1 Airai 4 Kayangel 5 Melekeok 6 Ngiwal 7 Ngchesar 10 Aimeliik 11 Ngerchelong 12 Ngardmau 13 Ngatpang 14 Angaur 15 Ngeremlengui 20 Ngaraard 21 Jail 22 Meyuns 22 23 Meyuns 23 24 Meyuns 24 25 Madalaii 25 26 Madalaii 26 27 Ngerbeched 27 28 Ngerbeched 28 29 Ngerbeched 29 30 Madalaii 30 31 Madalaii 31 32 Dngeronger 33 Meketii 34 Iyebukel 37 Ngerchemai 38 Ikelau 39 Idid 40 Ngerkeswaol, Kor 41 Ngermid, Koror 44 Sonsorol 45 Peleliu 46 Hatohobei Household Number Household Number Household Number Household Number Household Number Household # Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name HH Population HH Population HH Population HH Population HH Population Total persons in hh: From the Household Control Sheet Any cash gifts? - week 1 Any cash gifts? - week 1 Any cash gifts? - week 1 Any cash gifts? - week 1 Any cash gifts? - week 1 A. During the 7 days you kept this diary, did you or any member of the household: Give to people outside your household any gifts of cash or goods? (exclude customs) (Tick appropriate circle) (This would include fruit and vegetables your housheold has received; fish you have received, poultry, pigs etc you have received and handicrafts you have received.) If Yes, Go to 3.1 If No, Go to B 1 Yes 2 No Any cash gifts? - week 2 Any cash gifts? - week 2 Any cash gifts? - week 2 Any cash gifts? - week 2 Any cash gifts? - week 2 A. During the 7 days you kept this diary, did you or any member of the household: Give to people outside your household any gifts of cash or goods? (exclude customs) (Tick appropriate circle) (This would include fruit and vegetables your housheold has received; fish you have received, poultry, pigs etc you have received and handicrafts you have received.) If Yes, Go to 3.1 If No, Go to B 1 Yes 2 No Cash gifts details - a Cash gifts details - a Cash gifts details - a Cash gifts details - a Cash gifts details - a 3.1 CASH GIVEN AWAY (Please write code where appropriate) (Give value in US Dollars) Diary entry identifier Week - a Week - a Week - a Week - a Week - a 3.1 CASH GIVEN AWAY (Please write code where appropriate) (Give value in US Dollars) 1 First Week 2 Second Week Identifies whether the information comes from the diary of the 1st or 2nd week Day - a Day - a Day - a Day - a Day - a 3.1 CASH GIVEN AWAY (Please write code where appropriate) (Give value in US Dollars) Day 1 Monday 2 Tuesday 3 Wednesday 4 Thursday 5 Friday 6 Saturday 7 Sunday Amount - a Amount - a Amount - a Amount - a Amount - a 3.1 CASH GIVEN AWAY (Please write code where appropriate) (Give value in US Dollars) Amount $ Recipient - a Recipient - a Recipient - a Recipient - a Recipient - a 3.1 CASH GIVEN AWAY (Please write code where appropriate) (Give value in US Dollars) Recipient? 1 Relative 2 Friend 3 Employer 4 Other Residence - a Residence - a Residence - a Residence - a Residence - a 3.1 CASH GIVEN AWAY (Please write code where appropriate) (Give value in US Dollars) Where do they live? 1 In Republic of Palau 2 Overseas Cash gifts details - b Cash gifts details - b Cash gifts details - b Cash gifts details - b Cash gifts details - b 3.1 CASH GIVEN AWAY (Please write code where appropriate) (Give value in US Dollars) Diary entry identifier Week - b Week - b Week - b Week - b Week - b 3.1 CASH GIVEN AWAY (Please write code where appropriate) (Give value in US Dollars) 1 First Week 2 Second Week Identifies whether the information comes from the diary of the 1st or 2nd week Day - b Day - b Day - b Day - b Day - b 3.1 CASH GIVEN AWAY (Please write code where appropriate) (Give value in US Dollars) Day 1 Monday 2 Tuesday 3 Wednesday 4 Thursday 5 Friday 6 Saturday 7 Sunday Amount - b Amount - b Amount - b Amount - b Amount - b 3.1 CASH GIVEN AWAY (Please write code where appropriate) (Give value in US Dollars) Amount $ Recipient - b Recipient - b Recipient - b Recipient - b Recipient - b 3.1 CASH GIVEN AWAY (Please write code where appropriate) (Give value in US Dollars) Recipient? 1 Relative 2 Friend 3 Employer 4 Other Residence - b Residence - b Residence - b Residence - b Residence - b 3.1 CASH GIVEN AWAY (Please write code where appropriate) (Give value in US Dollars) 1 In Republic of Palau 2 Overseas State State State State State State: 1 Kayangel 2 Ngerchelong 3 Ngaraard 4 Ngiwal 5 Melekeok 6 Ngchesar 7 Airai 8 Aimeliik 9 Ngatpang 10 Ngardmau 11 Ngeremlengui 12 Angaur 13 Peleliu 14 Koror Hamlet Hamlet Hamlet Hamlet Hamlet Hamlet: 1 Dngeronger 2 Eang 3 Idid 4 Iyebukel 5 Ikelau 6 Madalaii 7 Meketii 8 Meyuns 9 Ngerbeched 10 Ngerchemai 11 Ngerkebesang 12 Ngerkesoal 13 Ngermid 14 Kayangle 15 Iebukel (Ngerchelong) 16 Mengellang 17 Ngebei 18 Ngerbau 19 Ngriil 20 Ollei 21 Chelab 22 Chol 23 Ngebuked 24 Ngkeklau 25 Ulimang 26 Ngelau 27 Ngercheluuk 28 Ngermechau 29 Melekeok 30 Ngeburch 31 Ngerang 32 Ngermelech 33 Ngerubesang 34 Ngeruliang 35 Ngchesar 36 Ngeraus 37 Ngerngesang 38 Ngerkesou 39 Ngersuul 40 Ngeruikl 41 Shimizu 42 Airai-Ordomel 43 Ked 44 Ngerduais 45 Ngerikiil 46 Ngetkib 47 Ngeruluobel 48 Ngerusar 49 Oikull 50 Ngerutoi 51 Ngetbong 52 Urdmau 53 Imeong 54 Ngchemsed 55 Ngermetengel 56 Ibobang 57 Mechebechubel 58 Nekken 59 Chelechui 60 Imelsubech 61 Imull 62 Medorm 63 Mongami 64 Imelchol 65 North Kloulklubed 66 South Kloulklubed 67 Uosech 68 Ngerchol 69 Ngerdelolk 70 Angaur 71 Ngermetuker 72 Ngerungel 73 Ngchesechang 74 Ngesias 75 Ngerkeiukel 76 Sonsorol 77 Fanna 78 Pulo Ana 79 Merir 80 Hatohobei 81 Helen Reef 82 Rock Islands Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area: 1 Airai 4 Kayangel 5 Melekeok 6 Ngiwal 7 Ngchesar 10 Aimeliik 11 Ngerchelong 12 Ngardmau 13 Ngatpang 14 Angaur 15 Ngeremlengui 20 Ngaraard 21 Jail 22 Meyuns 22 23 Meyuns 23 24 Meyuns 24 25 Madalaii 25 26 Madalaii 26 27 Ngerbeched 27 28 Ngerbeched 28 29 Ngerbeched 29 30 Madalaii 30 31 Madalaii 31 32 Dngeronger 33 Meketii 34 Iyebukel 37 Ngerchemai 38 Ikelau 39 Idid 40 Ngerkeswaol, Kor 41 Ngermid, Koror 44 Sonsorol 45 Peleliu 46 Hatohobei Household Number Household Number Household Number Household Number Household Number Household # Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name HH Population HH Population HH Population HH Population HH Population Total persons in hh: From the Household Control Sheet Any cash received? - week 1 Any cash received? - week 1 Any cash received? - week 1 Any cash received? - week 1 Any cash received? - week 1 B. During the 7 days you kept this diary did you or any member of your household: Receive from people outside your household any gifts of cash or goods? (exclude customs) (Tick appropriate circle) (This would include fruit and vegetables your housheold has received; fish you have received, poultry, pigs etc you have received and handicrafts you have received.) If Yes, Go to 3.3 If No, Go to Section 4 1 Yes 2 No Any cash received? - week 2 Any cash received? - week 2 Any cash received? - week 2 Any cash received? - week 2 Any cash received? - week 2 B. During the 7 days you kept this diary did you or any member of your household: Receive from people outside your household any gifts of cash or goods? (exclude customs) (Tick appropriate circle) (This would include fruit and vegetables your housheold has received; fish you have received, poultry, pigs etc you have received and handicrafts you have received.) If Yes, Go to 3.3 If No, Go to Section 4 1 Yes 2 No Cash received details - a Cash received details - a Cash received details - a Cash received details - a Cash received details - a Diary entry identifier Week - a Week - a Week - a Week - a Week - a 1 First Week 2 Second Week Identifies whether the information comes from the diary of the 1st or 2nd week Day - a Day - a Day - a Day - a Day - a Day 1 Monday 2 Tuesday 3 Wednesday 4 Thursday 5 Friday 6 Saturday 7 Sunday Amount - a Amount - a Amount - a Amount - a Amount - a Amount $ Recipient - a Recipient - a Recipient - a Recipient - a Recipient - a From whom received? 1 Relative 2 Friend 3 Employer 4 Other Residence - a Residence - a Residence - a Residence - a Residence - a Where do they live? 1 In Republic of Palau 2 Overseas Cash received details - b Cash received details - b Cash received details - b Cash received details - b Cash received details - b Diary entry identifier Week - b Week - b Week - b Week - b Week - b 1 First Week 2 Second Week Identifies whether the information comes from the diary of the 1st or 2nd week Day - b Day - b Day - b Day - b Day - b Day 1 Monday 2 Tuesday 3 Wednesday 4 Thursday 5 Friday 6 Saturday 7 Sunday Amount - b Amount - b Amount - b Amount - b Amount - b Amount $ Recipient - b Recipient - b Recipient - b Recipient - b Recipient - b From whom received? 1 Relative 2 Friend 3 Employer 4 Other Residence - b Residence - b Residence - b Residence - b Residence - b Where do they live? 1 In Republic of Palau 2 Overseas State State State State State State: 1 Kayangel 2 Ngerchelong 3 Ngaraard 4 Ngiwal 5 Melekeok 6 Ngchesar 7 Airai 8 Aimeliik 9 Ngatpang 10 Ngardmau 11 Ngeremlengui 12 Angaur 13 Peleliu 14 Koror Hamlet Hamlet Hamlet Hamlet Hamlet Hamlet: 1 Dngeronger 2 Eang 3 Idid 4 Iyebukel 5 Ikelau 6 Madalaii 7 Meketii 8 Meyuns 9 Ngerbeched 10 Ngerchemai 11 Ngerkebesang 12 Ngerkesoal 13 Ngermid 14 Kayangle 15 Iebukel (Ngerchelong) 16 Mengellang 17 Ngebei 18 Ngerbau 19 Ngriil 20 Ollei 21 Chelab 22 Chol 23 Ngebuked 24 Ngkeklau 25 Ulimang 26 Ngelau 27 Ngercheluuk 28 Ngermechau 29 Melekeok 30 Ngeburch 31 Ngerang 32 Ngermelech 33 Ngerubesang 34 Ngeruliang 35 Ngchesar 36 Ngeraus 37 Ngerngesang 38 Ngerkesou 39 Ngersuul 40 Ngeruikl 41 Shimizu 42 Airai-Ordomel 43 Ked 44 Ngerduais 45 Ngerikiil 46 Ngetkib 47 Ngeruluobel 48 Ngerusar 49 Oikull 50 Ngerutoi 51 Ngetbong 52 Urdmau 53 Imeong 54 Ngchemsed 55 Ngermetengel 56 Ibobang 57 Mechebechubel 58 Nekken 59 Chelechui 60 Imelsubech 61 Imull 62 Medorm 63 Mongami 64 Imelchol 65 North Kloulklubed 66 South Kloulklubed 67 Uosech 68 Ngerchol 69 Ngerdelolk 70 Angaur 71 Ngermetuker 72 Ngerungel 73 Ngchesechang 74 Ngesias 75 Ngerkeiukel 76 Sonsorol 77 Fanna 78 Pulo Ana 79 Merir 80 Hatohobei 81 Helen Reef 82 Rock Islands Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area: 1 Airai 4 Kayangel 5 Melekeok 6 Ngiwal 7 Ngchesar 10 Aimeliik 11 Ngerchelong 12 Ngardmau 13 Ngatpang 14 Angaur 15 Ngeremlengui 20 Ngaraard 21 Jail 22 Meyuns 22 23 Meyuns 23 24 Meyuns 24 25 Madalaii 25 26 Madalaii 26 27 Ngerbeched 27 28 Ngerbeched 28 29 Ngerbeched 29 30 Madalaii 30 31 Madalaii 31 32 Dngeronger 33 Meketii 34 Iyebukel 37 Ngerchemai 38 Ikelau 39 Idid 40 Ngerkeswaol, Kor 41 Ngermid, Koror 44 Sonsorol 45 Peleliu 46 Hatohobei Household Number Household Number Household Number Household Number Household Number Household # Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name HH Population HH Population HH Population HH Population HH Population Total persons in hh: From the Household Control Sheet Week - a Week - a Week - a Week - a Week - a 1 First Week 2 Second Week Identifies whether the information comes from the diary of the 1st or 2nd week Day - a Day - a Day - a Day - a Day - a Goods Given Away as Gifts Day 1 Monday 2 Tuesday 3 Wednesday 4 Thursday 5 Friday 6 Saturday 7 Sunday Quantity - a Quantity - a Quantity - a Quantity - a Quantity - a Goods Given Away as Gifts Qty Weight - a Weight - a Weight - a Weight - a Weight - a Goods Given Away as Gifts Wt Unit - a Unit - a Unit - a Unit - a Unit - a Goods Given Away as Gifts Wt 1 Milligram (mg) 2 Kilogram (kg) 3 Gram (g) 4 Milliliter (ml) 5 Liter (lt) 6 Ounce (oz) 7 Fluid Ounce (fl oz) 8 Gallons (gal) 9 Pounds (lbs) 10 Packets (pk) 11 Pint (pt) 12 Yard (yd) 13 Inch (in) 14 Quarts (qt) 15 Pieces 16 Dozen 17 Case Description - a Description - a Description - a Description - a Description - a Goods Given Away as Gifts Description of goods given 11101 Apples 11102 Avocado 11103 Bananas 11104 Chestnuts 11105 Coconut (drinking nut) 11106 Coconut (dry nut) 11108 Guava 11109 Lemons 11110 Mangoes 11111 Oranges 11112 Pawpaws 11113 Peaches 11114 Pears 11115 Pineapples 11116 Plums 11117 Sugar cane 11118 Watermelon 11119 Tinned Fruit Salad 11120 Tinned Peaches 11121 Tinned Pears 11122 Tinned Pineapples 11123 Dried Fruits 11124 Fruit Juices 11125 Other fresh fruits n.e.c 11126 Custard Apple 11127 Other tinned and bottled fruits n.e.c 11128 Breadfruit 11150 Fruits or fruit products n.e.c 11201 Lu (taro leaves) 11202 Cabbage 11203 Lettuce 11204 Carrots 11205 Courgettes and marrows 11206 Cucumber 11207 Pumpkin 11208 Arrowroot 11209 Kumara 11210 Potatoes 11211 Taro 11212 Taro pulaka 11213 Yam 11214 Onions and chives 11215 Peas and beans 11216 Tomatoes 11217 Other fresh vegetables 11218 Frozen Vegetables 11219 Tinned and bottled vegetables 11220 Dried Vegetables 11221 Vegetable Juices 11222 Tinned Beetroot 11223 Tinned Tomato Savoury 11224 Bowl Salad 11225 Chinese Cabbage 11226 Celery 11227 Vanilla 11228 Capsicum 11229 Mushroom 11230 Broccoli/Cauliflower 11231 Cauliflower 11232 corn 11233 Kebui (Peppermint leaves) 11234 Deadly Knight Shade (Polofua) 11235 Ginger 11236 Asparagus 11237 Sweetcorn 11238 Garlic 11239 Silverbeet 11240 Mushroom 11241 Vegetables n.e.c 12101 Beef fresh 12102 Lamb chops 12103 Meat in brine 12104 Mince 12105 Pork fresh 12106 Sausages 12107 Steak 12108 Other fresh/frozen meat 12109 Tinned Corned Beef 12110 Tinned Lamb Tongue 12111 Tinned Casserole 12112 Tinned Irish Stew 12113 Bacon 12114 Luncheon 12115 goat meat 12116 Ham 12150 Other meat n.e.c 12201 Chicken 12202 Chicken (free range) 12203 Peka (bat) 12204 Lupe 12250 Other birds 12301 Tuna 12302 Flying fish 12303 Frozen fish 12304 Other fresh and frozen fish 12305 Tinned Sardines 12306 Tinned Mackerel 12307 Tinned Tuna 12308 Other Tinned fish 12309 Paua 12310 Mussels 12311 Octopus, Squids 12312 Vga 12313 Seaweed (Rimu) 12314 Loli 12315 Kina 12350 Other shell fish n.e.c 13101 Bread (sliced, loaf, square, rolls, French) 13102 Cabin bread 13103 Coconut Bread 13104 Cream cracker 13105 Biscuits 13106 Doughnuts 13107 Cakes incl. Pastries, buns 13108 Meringue pies and other pies 13109 Puddings incl. Poke 13110 Nane 13150 Other bread and biscuits 13201 Ricies 13202 Cornflakes 13203 Weetbix 13204 Rolled Oats 13205 Vermicelli 13206 Noodles 13207 Rice 13208 Pasta 13209 Flour 13210 Starch (Pia) 13211 cornflour 13250 Other Cereal and cereal Products n.e.c 14101 Milk powder 14102 Condensed milk 14103 Fresh milk 14104 Other milk (flavoured, zap, milk shake) 14105 Cheese/includes cream cheese 14106 Yoghurt/yoplait 14107 Sour cream 14108 Ice cream 14109 Whipped Cream 14110 Tip Top 14111 Reduced Cream 14112 Milk Shake 14150 Other dairy and milk products n.e.c 15101 Salad oil 15102 Butter/margarine 15103 Dripping 15104 Egg 16101 Fizzy drinks (lemonade, coke, fanta) 16102 Mineral water 16150 Other beverages n.e.c 16201 Sugar 16202 Twisties, rashuns, chips 16203 Lollies 16204 Chewing gum 16205 Chocolate bars 16206 Peanuts 16207 Icing Sugar 16250 Other confectionery goods n.e.c 17101 Coffee 17102 Cocoa 17103 Milo 17104 Tea 17105 Jam 17106 Peanut Butter 17107 Aus (Lime powder) 17108 Curry powder 17109 Spices (garlic, ginger, pepper, stock, turmeric etc) 17110 mustard 17111 Soya sauce 17112 Tomato Sauce 17113 Best Food 17114 Chow chow 17115 Baby food 17116 Coconut cream 17117 Spaghetti 17118 Salt 17119 Soup sachets 17120 Drink mix (refresh, vita fresh) 17121 Party ice 17122 Ice cream cones 17123 Mitiore 17124 Pitako(any) 17125 Baked Beans 17126 Golden Syrup 17127 Baking Sod 17128 Vinegar 17129 custard powder 17130 Lea & Perrin 17131 Creamed Rice 17132 Chilli Sauce 17133 chutney 17134 Honey 17135 Jelly 17136 Malt 17137 Yeast 17150 Other Foods n.e.c 18101 Chips 18102 Fish 18103 Burgers 18104 Chicken Pieces(cooked) 18105 Pizza 18106 Hot dogs 18107 Meat pies 18108 Sandwiches 18109 Plate of food 18110 School lunches 18111 Cup of Coffee, tea, milo 18112 Alcoholic drinks consumed at eating places 18113 Non Alcoholic drinks consumed at eating places 18114 snack pack, twin pack 18115 Dinner Out 18116 Sausage roll 18150 Other prepared food ready for takeaway 21101 Rent including ground rent or property rent 21102 Bond for house 21103 Electricity Connection fees 21104 Telephone Connection fees 21105 Administration charges 21106 House insurance 21107 Contents insurance 21108 Fire insurance 21109 Other Insurance n.o.d 21110 Amount of latest mortgage payment “Principal” 21111 Amount of latest mortgage interest paid “Interest” 21112 Amount of original mortgage loan 21113 Water Connection Fees 21150 Other payments n.e.c 22101 Repairs, renovations or improvements 22102 Structural additions or alterations 22103 Build a garage or other building 22104 Amount of latest Premium “Principal” 22105 Amount of latest Interest paid “Interest” 22150 Other home improvement payments n.e.c 23101 Paint 23102 Timber 23103 Plywood(inc. floor ply) 23104 Hardboard 23105 Charcoal 23106 Cement Board, Hardiglaze 23107 Flooring boards(Particle board/Tongue & Groove) 23108 External & internal boards coverings 23109 Piping 23110 Water supply tanks 23111 Septic tanks 23112 Bathroom Fittings 23113 Shower unit 23114 Toilet unit 23115 Nails 23116 Reinforcing steel 23117 Cement 23118 Roofing Iron, tiles, or plastic 23119 Spouting 23120 Window frames & louvers or glass 23121 Doors 23122 Kitchen Fittings 23123 Cupboards 23124 Water heating unit 23125 Lawn mower 23126 Weed eater/brush cutter 23127 Rakes 23128 Chainsaw 23129 Rotary hoe 23130 Power tools 23131 Hammer 23132 Spade 23133 Shovel 23134 Garden fertilisers 23135 Wheelbarrow 23136 Insecticide 23140 Garden supplies 23141 Amount of latest Premium “Principal” Household Operation 23142 Amount of latest Interest paid “Interest” Household Operation 23143 Ropes 23144 line for weedeater 23145 Bolts 23146 Insulating Tape 23147 Hand Saw 23148 Hack Blade 23149 Padlock 23150 Other payments on supplies n.e.c 23151 Polythene 23152 Concrete Blocks 23153 Bricks 23154 Paint Brush 23155 Ceramic tiles 24101 Site preparation prior to construction 24102 Surveying fees 24103 Architectural or draughting fees 24104 Building permit 24106 Registration Fees 24107 Contract payments to builders 24108 Contract payments to tradespeople 24109 Materials used in the basic construction - non-traditional 24110 Materials used in the basic construction - traditional 24111 Transport of Materials 24150 Other cost of construction n.e.c 25101 Cement Mixer 25102 Drain Digger 25103 Water Blaster 25150 Other Equipment on Hire 31101 Beds 31102 Mattresses 31103 Lounge chair 31104 Sofa, couch 31105 Dining table/chairs 31106 Dressing table 31107 Chest of drawers 31108 Desk, bureau 31109 Outdoor furniture 31110 Glory Box 31150 Other items of furniture n.e.c 31201 Blankets/bed spread 31202 Sheets (flora/plain), bed linen 31203 Pillow cases 31204 Pillow 31205 Light fittings 31206 Standard lamp 31207 Curtains, drapes 31208 Painting 31209 Carpet, floor rug 31210 Vinyl (linoleum) 31212 Towels 31213 tea towels 31214 Clothes Airer 31250 Other items of furnishing n.e.c 31301 Amount of latest Premium “Principal” 31302 Amount of latest Interest paid “Interest” 32101 Washing machine 32102 Refrigerator 32103 Freezer 32104 Electric jug 32105 Food processor 32106 Gas & electric stove 32107 Gas Burner 32108 Television 32109 Radio/Stereo 32110 Vacuum cleaner 32111 Sewing machine 32112 Home computer/Printer 32113 Kerosene Stove 32114 Electric Frying Pan 32115 Microwave Oven 32116 Blender 32117 Egg Beater 32118 Coffee Percolator 32119 Rice Cooker 32120 Pressure Cooker 32121 Electric toaster 32122 Chillybin (Cooler) 32123 Tele/Fax 32124 Airtime 32125 Video player / VCD 32126 DVD player 32127 Play Station 32150 Other home appliances n.e.c 32201 Dinner set 32202 Cutlery set 32203 Saucepans 32204 Barbecue plate (open fire/electric) 32205 Knives 32206 Tupperware 32207 Glass Set 32250 Other equipment's and utensils n.e.c 33101 Batteries 33102 Bleaching fluid, dyeing chemicals 33103 Candles 33104 Clothes conditioner 33105 Clothes pins, hangers, pegs 33106 Dish cloth, sponge, scourer 33107 Disinfectants 33108 Dishwashing liquid 33109 Fly spray 33110 Lunch wrappers, foil 33111 Matches 33112 Mosquito coil 33113 Soap cake/liquid, sunlight soap (toilet soap coded 81107) 33114 Soap powder 33115 Toilet paper 33116 Jiff 33117 Harpic (Cleaning disinfectant) 33118 Light bulb 33119 Stove Parts 33120 Fuse 33121 Sandpaper 33122 Torch 33150 Other household supplies n.e.c 33201 Telephone charges (including fax) 33202 Cell phone 33203 Post Office box rental 33204 Electricity 33205 Babysitting 33206 Housecleaning 33207 Other hired help 33208 Hire of TV / VCR / DVD 33209 Hire of Lawn mower 33210 Hire of Weed Eater 33211 Hire of knapsack spray 33212 Hire of tractor 33213 Drainage of Septic Tank 33214 Lawn mowing, gardening 33215 Laundry Services 33216 Cable TV Fees 33217 Water bill 33250 Other household services n.e.c 33301 Electricity 33302 Telephone 33303 Cooking gas 33304 Kerosene 33305 Other fuel and light 33402 Repairs to television 33403 Repairs to video 33404 Repairs to computer 33405 Repairs to telephone 33406 Electrical faults/wiring, etc. 33407 Repairs to Washing Machine 33408 Repairs to stereo 33409 Repairs to Lawn Mower 33410 Repairs to Chainsaw 33411 Repairs to electric iron 33412 Repairs to Rotary Hoe 33450 Other repairs n.e.c 41101 Shirts 41102 T/Shirts 41103 casual shorts 41104 work/school shorts 41105 trousers/jeans 41106 suits/clothes set 41107 casual/formal dress 41108 underwear/lingerie 41109 Blouse 41110 Skirts 41111 Pareu material 41112 Fabric for clothes 41113 Cotton thread 41114 Zipper 41115 Buttons 41116 Nappies (plastic & cloth) 41117 School Uniforms 41118 Jackets 41119 Plastic pants 41120 Rugby Shorts 41121 Socks, Stockings, Pantyhose 41122 Swimming togs 41123 Hankies 41124 Caps 41125 Overalls 41150 Other clothing n.e.c 41201 Tailoring services 41202 Repairs to clothing 41250 Other services n.e.c 42101 Sports shoes 42102 Dress shoes 42103 Jandals, slippers, slip-ons 42104 Children's shoes 42105 Boots (work, casual) 42150 Other shoes n.e.c 42201 Repairs to footwear 42250 Other services n.e.c 43101 Latest payment on Lay-by 43150 Other methods on purchases n.e.c 51101 Car/station wagon 51102 Van 51103 Utility, pickup, 4 wheels drive 51104 Motorcycle, motor scooter 51105 Truck 51106 Bus 51107 Tractor 51108 Boat, Yacht, canoe 51109 Bicycle 51110 Canoe 51111 Outboard motor 51150 Other vehicles n.e.c 51201 Amount of latest Premium “Principal” 51202 Amount of latest Interest paid “Interest” 51203 Insurance on Motor Vehicle 51204 Registration of Motor Vehicle 51212 Shoe Brake 51301 Starter motor 51302 Tyres 51303 Alloy wheels 51304 Shock absorbers 51305 Muffler 51306 Engine, outboard 51307 Radio, Stereo, CD 51308 Number plates 51309 Seat covers 51310 Tow bar 51311 Patches 51312 Ignition 51313 Shoe brake 51314 Air pump 51315 Batteries for cars, trucks etc 51316 Side lights 51317 Kick Starter 51318 Spark plugs 51319 Cable Clutch 51320 Seat for Vehicle 51350 Other vehicle accessories 51401 Petrol 51402 Diesel 51403 Oil 51404 Gas 51405 Other vehicle fuel 52101 Panel beating 52102 Painting 52103 Upholstering 52104 Windscreen 52105 Engine Repairs 52106 Gearbox repairs 52107 Exhaust pipes repairs 52108 Electrical Repairs (wiring) 52109 Repair (Labour) 52110 Repair Boat 52111 Rustproofing 52112 Vehicle customising 52113 Annual vehicle license fees 52114 Warrant of witness 52115 Vehicle insurance 52116 Taxi Services 52117 Bus Services 52118 Drivers License Fees 52119 Tyres Repair 52120 Car service tow 52121 Outboard repairs/parts 52150 Other services n.e.c 52201 Amount of latest Premium “Principal” 52202 Amount of latest Interest paid “Interest” 52320 Car/ stationwagon rental 52321 Van rental 52322 Utility, 4 wheels drive rental 52323 Truck rental 52324 Motorcycle, motor scooter rental 52325 Boat, Yacht, Canoe Hire 52326 Hirage of Loader 52327 Bicycle Hiring 52328 Outboard motor hire 52350 Other transport hirage 53201 Airfare 53202 Seafare 53203 Departure Tax 53204 Accommodation 53205 Meals / Drinks 53206 Clothing 53207 Household Goods 53208 Transport n.e.c (overseas) 53250 Other expenses incurred while overseas 61101 Tobacco 61102 Cigarettes 61150 Other tobacco products 62101 Alcoholic Drinks 62102 Beer 62103 Distilled Spirits 62104 Wine 62105 Homebrew 62150 Other alcoholic drinks 71101 Amount of latest Premium “Principal” 71102 Amount of latest Interest paid “Interest” 72101 Interest charged on charge account 72102 Other charges on charge account 72103 Interest charged on credit card 72104 Other charges on credit card 72105 Interest charged on cheque account 72150 Other charges on cheque account 73101 Endowment 73102 Whole of life 73103 Medical 73104 Travel 73105 Superannuation 73106 Social Security 73107 Pension Plan / Retirement 73108 Credit Union 73109 Life Insurance 73150 Other schemes n.e.c 81101 Cough mixture 81102 Panadol 81103 Vicks 81104 Medicines, antibiotics and other prescribed medication 81105 Deodorant, body spray 81106 Sanitary pads, Tampon 81107 Toilet soap (bar/liquid) 81108 Toothpaste 81109 Talcum Powder 81110 Tigerbalm 81111 Band Aid 81112 Tissue 81113 Tooth brush 81114 Hair accessories (pins, comb, etc) 81115 Hair colour 81116 Hair conditioner 81117 Hair shampoo 81118 Hair spray, mousse, gel 81119 Lipstick 81120 Make up kit 81121 Moisturiser 81122 Nail polish, remover 81123 Razor, blades, tweezers and other hair remover equipment 81124 Paper tissues 81125 Other personal goods n.e.c 81126 Baby bottles 81127 Wet Ones 81150 Other cosmetics and toiletries n.e.c 81201 Haircut 81202 Hair grooming 81203 Manicure 81204 Repair of personal goods 81250 Other personal services 82101 Newspapers 82102 Overseas Newspaper, magazines, journals, etc 82103 Books, novels, etc 82104 School books 82105 Writing materials 82106 Other stationery 82107 Calculator 82109 Other office equipment for private use 82201 Doctor's/dentist fees 82202 Hospital charges 82203 Traditional medicine practitioners 82204 Clinic or OPD visit 82205 Prenatal/Maternal/Antenatal care 82250 Other health services n.e.c 83101 Photographic equipment 83102 Musical equipment 83103 Tennis Racquet 83104 Ping-Pong, Tennis ball, etc. 83105 Sports goods n.e.c 83106 Video tapes 83107 Toys 83108 Records, cassettes, CD's 83109 Films 83110 Playing Cards 83111 Blank cassettes/CDs 83112 Game consoles (Play Station, Nintendo etc) 83113 Hand-held electronic games (Game Boy etc) 83150 Other leisure materials and supplies n.e.c 83201 Formal education fees and related charges 83202 USP extension Centre fees 83203 Fees charged for private tuition 83204 School transports (bus fare) 83205 Examination Fees 83206 Fees Charge for hobby classes 83207 Regular contribution to religious and other organisation 83208 Subscriptions levied by clubs or leisure groups 83209 Fees charge for regular private child care 83210 Educ fees - early childhood 83211 Educ fees - primary education 83212 Educ fees - secondary education 83213 Educ fees - college 83214 Boarding / Lodging Fees 83215 Caution Fees 83216 Clothing (school uniform) 83217 Books and school supplies 83250 Other educational services n.e.c 84102 Fishing equipment and supplies 84103 Birthday presents n.o.d 84104 Wet Suits 84105 Flippers 84106 Diving Gas bottle 84107 Cat Food 84108 Dog Food 84109 Pig Food 84110 Chicken Food 84150 Goods n.e.c 84201 Contributions to religious and other organisations 84203 Television hire 84204 Video hire 84205 Movie/performances admission 84206 VCD Hire 84207 Video Tape Hire 84208 Tennis, Squash racquets 84209 DVD Hire 84210 Game consoles (Play Station, Nintendo etc) CD/Console Hire 84211 Raffles, lotto expenses 84212 Bingo / housie expenses 84213 Locker expenses 84250 Other services n.e.c 85101 Union fees (PSA etc.) 85102 Professional society subscriptions 85103 Professional license fees 85104 Cartage, freight 85105 Printing(e.g. invitations) 85106 Catering expenses 85107 Money sent overseas(not recorded elsewhere) 85108 Funeral expenses 85109 Fines 85110 Legal expenses 85111 Hire of premises 85112 Photographers fees 85113 Maintenance to ex-spouse 85114 Dog registration 85115 Firearm licence 85116 Television License Fees 85117 Church Donation 85118 Hair Dressing charge 85119 Customs - Funeral 85120 Customs - Ocheraol 85121 Customs - Omengat 85122 Customs - House Party 85123 Contribution to village / community 85150 Other Miscellaneous Services 85201 Jewellery 85202 Trees, shrubs 85203 Topsoil 85204 Watch 85205 Pearls 85206 Suitcase/travel accessories 85207 Floral tributes 85208 Trophy 85209 Donation, cash gift (not recorded elsewhere) 85210 Rings 85211 Sunglasses 85212 Kahoa (flower, shell) 85213 Handbags 85214 Wallet 85229 Donations for funeral 85230 Rito made craft 85232 Air freshener 85233 Bangles 85234 Family Functions 85235 Passport 85236 Reading Glasses 85250 Other miscellaneous payments of goods and services n.e.c 86101 Gifts of money to other households within Niue 86102 Gifts of money sent overseas 86103 Pocket money for children 86104 Raffles, Lotto, etc less winnings 86105 Housie costs less winnings 86106 Contributions to religious organisations (tithe) 86107 Contributions to other non profit organisations 86108 Contributions to savings 86109 Other payments n.e.c 91101 Wages/Salaries 91102 Payment in kind 91103 Remuneration from previous employment 91104 Services to other households 91105 Remuneration from other source n.e.c 92201 Sale - Tapioca 92202 Sale - Taro 92203 Sale - Sweet Potato 92204 Sale - Ginger 92205 Sale - Yam 92206 Sale - Betelnut 92207 Sale - Banana 92208 Sale - Lemon/Lime 92209 Sale - Pineapple 92210 Sale - Watermelon 92211 Sale - Mango 92212 Sale - Papaya 92213 Sale - Nappa 92214 Sale - Noni 92215 Sale - Beans 92216 Sale - Peppermint 92217 Sale - Kangkum 92218 Sale - Okra 92219 Sale - Green/Dry Coconut 92220 Sale - Pig 92221 Sale - Cattle 92222 Sale - Chicken 92223 Sale - Fish 92224 Sale - Crab (coconut) 92225 Sale - Crab (mangrove) 92226 Sale - Lobster 92227 Sale - Green Snail 92228 Sale - Trochus 92229 Sale - Ngimes 92230 Sale - Eremrum 92231 Sale - Ngduul 92232 Sale - Kim 92233 Sale - Oruer 92234 Sale - Molech 92235 Sale - Irimd 92236 Sale - Turtle 92237 Sale - Processed tapioca 92238 Sale - Local bread 92239 Sale - Cakes 92240 Sale - Bento 92241 Sale - Coconut Oil 92242 Sale - Mat 92243 Sale - Basket 92244 Sale - Hand held fan 92245 Sale - Wood carving 92246 Sale - Necklaces 92247 Sale - Grass skirts 92248 Sale - Pigs tusks 92249 Sale - Painting 92250 Sale - Fish lures 92251 Sale - Spears 92252 Sale - Spear gun 92253 Sale - Fish nets 92254 Sale - Pandanus purses 93101 Hair cutting & ear piecing 93102 Wedding gifts n.f.d 93103 Custom - Funeral 93104 Custom - Ocheraol 93105 Custom - Omengat/Ngasech 93106 Custom - House Party 93117 Income from Remittances - Cash 93118 Income from Remittances - Goods 94102 Superannuation - income 94103 War pension 94104 Interest 94105 Rent 94106 Directors fees, honoraria, remuneration for board trustees 94107 Income from partnership as a non-working shareholder 94108 Income as a non-working proprietor 94109 Royalties 94110 Irregular income from land 94111 Income from a Trust Account 94112 Life Insurance 94113 Sale of motor vehicle 94114 Inheritance 94115 Matrimonial property settlement 94116 Income for maintenance of dependent child 94120 Winnings from Raffles & Bingo 94121 Irregular Income from sale of goods 94122 Rent - lease of land 94201 Income from lawn mowing 94202 Income from baby sitting 94203 Income from taro patching 94204 Repair work 94205 Adhoc Labour 94206 Fishing/Hunting assistance 94207 House Cleaner / Domestic 95101 Child benefit 95102 Old age pension 95103 Destitute/Infirm benefit 95104 Disadvantaged assistance 95201 Social Security - Govt 95202 Pension Plan - Govt 95203 Social Security - Non-Govt 95204 Social Security/Pension - o'seas 95205 Social Sucurity/Pension - lump sum 95301 Child maintenance Value - a Value - a Value - a Value - a Value - a Goods Given Away as Gifts Estimated value of goods given Recipient - a Recipient - a Recipient - a Recipient - a Recipient - a Goods Given Away as Gifts Recipient? 1 Relative 2 Friend 3 Employer 4 Other Resdience - a Resdience - a Resdience - a Resdience - a Resdience - a Goods Given Away as Gifts Goods Given Away as Gifts (Where live?) 1 In Republic of Palau 2 Overseas Week - b Week - b Week - b Week - b Week - b Goods Given Away as Gifts 1 First Week 2 Second Week Identifies whether the information comes from the diary of the 1st or 2nd week Day - b Day - b Day - b Day - b Day - b Goods Given Away as Gifts Day 1 Monday 2 Tuesday 3 Wednesday 4 Thursday 5 Friday 6 Saturday 7 Sunday Quantity - b Quantity - b Quantity - b Quantity - b Quantity - b Goods Given Away as Gifts Qty Weight - b Weight - b Weight - b Weight - b Weight - b Goods Given Away as Gifts Wt Unit - b Unit - b Unit - b Unit - b Unit - b Goods Given Away as Gifts Wt 1 Milligram (mg) 2 Kilogram (kg) 3 Gram (g) 4 Milliliter (ml) 5 Liter (lt) 6 Ounce (oz) 7 Fluid Ounce (fl oz) 8 Gallons (gal) 9 Pounds (lbs) 10 Packets (pk) 11 Pint (pt) 12 Yard (yd) 13 Inch (in) 14 Quarts (qt) 15 Pieces 16 Dozen 17 Case Description - b Description - b Description - b Description - b Description - b Goods Given Away as Gifts Description of goods given 11101 Apples 11102 Avocado 11103 Bananas 11104 Chestnuts 11105 Coconut (drinking nut) 11106 Coconut (dry nut) 11108 Guava 11109 Lemons 11110 Mangoes 11111 Oranges 11112 Pawpaws 11113 Peaches 11114 Pears 11115 Pineapples 11116 Plums 11117 Sugar cane 11118 Watermelon 11119 Tinned Fruit Salad 11120 Tinned Peaches 11121 Tinned Pears 11122 Tinned Pineapples 11123 Dried Fruits 11124 Fruit Juices 11125 Other fresh fruits n.e.c 11126 Custard Apple 11127 Other tinned and bottled fruits n.e.c 11128 Breadfruit 11150 Fruits or fruit products n.e.c 11201 Lu (taro leaves) 11202 Cabbage 11203 Lettuce 11204 Carrots 11205 Courgettes and marrows 11206 Cucumber 11207 Pumpkin 11208 Arrowroot 11209 Kumara 11210 Potatoes 11211 Taro 11212 Taro pulaka 11213 Yam 11214 Onions and chives 11215 Peas and beans 11216 Tomatoes 11217 Other fresh vegetables 11218 Frozen Vegetables 11219 Tinned and bottled vegetables 11220 Dried Vegetables 11221 Vegetable Juices 11222 Tinned Beetroot 11223 Tinned Tomato Savoury 11224 Bowl Salad 11225 Chinese Cabbage 11226 Celery 11227 Vanilla 11228 Capsicum 11229 Mushroom 11230 Broccoli/Cauliflower 11231 Cauliflower 11232 corn 11233 Kebui (Peppermint leaves) 11234 Deadly Knight Shade (Polofua) 11235 Ginger 11236 Asparagus 11237 Sweetcorn 11238 Garlic 11239 Silverbeet 11240 Mushroom 11241 Vegetables n.e.c 12101 Beef fresh 12102 Lamb chops 12103 Meat in brine 12104 Mince 12105 Pork fresh 12106 Sausages 12107 Steak 12108 Other fresh/frozen meat 12109 Tinned Corned Beef 12110 Tinned Lamb Tongue 12111 Tinned Casserole 12112 Tinned Irish Stew 12113 Bacon 12114 Luncheon 12115 goat meat 12116 Ham 12150 Other meat n.e.c 12201 Chicken 12202 Chicken (free range) 12203 Peka (bat) 12204 Lupe 12250 Other birds 12301 Tuna 12302 Flying fish 12303 Frozen fish 12304 Other fresh and frozen fish 12305 Tinned Sardines 12306 Tinned Mackerel 12307 Tinned Tuna 12308 Other Tinned fish 12309 Paua 12310 Mussels 12311 Octopus, Squids 12312 Vga 12313 Seaweed (Rimu) 12314 Loli 12315 Kina 12350 Other shell fish n.e.c 13101 Bread (sliced, loaf, square, rolls, French) 13102 Cabin bread 13103 Coconut Bread 13104 Cream cracker 13105 Biscuits 13106 Doughnuts 13107 Cakes incl. Pastries, buns 13108 Meringue pies and other pies 13109 Puddings incl. Poke 13110 Nane 13150 Other bread and biscuits 13201 Ricies 13202 Cornflakes 13203 Weetbix 13204 Rolled Oats 13205 Vermicelli 13206 Noodles 13207 Rice 13208 Pasta 13209 Flour 13210 Starch (Pia) 13211 cornflour 13250 Other Cereal and cereal Products n.e.c 14101 Milk powder 14102 Condensed milk 14103 Fresh milk 14104 Other milk (flavoured, zap, milk shake) 14105 Cheese/includes cream cheese 14106 Yoghurt/yoplait 14107 Sour cream 14108 Ice cream 14109 Whipped Cream 14110 Tip Top 14111 Reduced Cream 14112 Milk Shake 14150 Other dairy and milk products n.e.c 15101 Salad oil 15102 Butter/margarine 15103 Dripping 15104 Egg 16101 Fizzy drinks (lemonade, coke, fanta) 16102 Mineral water 16150 Other beverages n.e.c 16201 Sugar 16202 Twisties, rashuns, chips 16203 Lollies 16204 Chewing gum 16205 Chocolate bars 16206 Peanuts 16207 Icing Sugar 16250 Other confectionery goods n.e.c 17101 Coffee 17102 Cocoa 17103 Milo 17104 Tea 17105 Jam 17106 Peanut Butter 17107 Aus (Lime powder) 17108 Curry powder 17109 Spices (garlic, ginger, pepper, stock, turmeric etc) 17110 mustard 17111 Soya sauce 17112 Tomato Sauce 17113 Best Food 17114 Chow chow 17115 Baby food 17116 Coconut cream 17117 Spaghetti 17118 Salt 17119 Soup sachets 17120 Drink mix (refresh, vita fresh) 17121 Party ice 17122 Ice cream cones 17123 Mitiore 17124 Pitako(any) 17125 Baked Beans 17126 Golden Syrup 17127 Baking Sod 17128 Vinegar 17129 custard powder 17130 Lea & Perrin 17131 Creamed Rice 17132 Chilli Sauce 17133 chutney 17134 Honey 17135 Jelly 17136 Malt 17137 Yeast 17150 Other Foods n.e.c 18101 Chips 18102 Fish 18103 Burgers 18104 Chicken Pieces(cooked) 18105 Pizza 18106 Hot dogs 18107 Meat pies 18108 Sandwiches 18109 Plate of food 18110 School lunches 18111 Cup of Coffee, tea, milo 18112 Alcoholic drinks consumed at eating places 18113 Non Alcoholic drinks consumed at eating places 18114 snack pack, twin pack 18115 Dinner Out 18116 Sausage roll 18150 Other prepared food ready for takeaway 21101 Rent including ground rent or property rent 21102 Bond for house 21103 Electricity Connection fees 21104 Telephone Connection fees 21105 Administration charges 21106 House insurance 21107 Contents insurance 21108 Fire insurance 21109 Other Insurance n.o.d 21110 Amount of latest mortgage payment “Principal” 21111 Amount of latest mortgage interest paid “Interest” 21112 Amount of original mortgage loan 21113 Water Connection Fees 21150 Other payments n.e.c 22101 Repairs, renovations or improvements 22102 Structural additions or alterations 22103 Build a garage or other building 22104 Amount of latest Premium “Principal” 22105 Amount of latest Interest paid “Interest” 22150 Other home improvement payments n.e.c 23101 Paint 23102 Timber 23103 Plywood(inc. floor ply) 23104 Hardboard 23105 Charcoal 23106 Cement Board, Hardiglaze 23107 Flooring boards(Particle board/Tongue & Groove) 23108 External & internal boards coverings 23109 Piping 23110 Water supply tanks 23111 Septic tanks 23112 Bathroom Fittings 23113 Shower unit 23114 Toilet unit 23115 Nails 23116 Reinforcing steel 23117 Cement 23118 Roofing Iron, tiles, or plastic 23119 Spouting 23120 Window frames & louvers or glass 23121 Doors 23122 Kitchen Fittings 23123 Cupboards 23124 Water heating unit 23125 Lawn mower 23126 Weed eater/brush cutter 23127 Rakes 23128 Chainsaw 23129 Rotary hoe 23130 Power tools 23131 Hammer 23132 Spade 23133 Shovel 23134 Garden fertilisers 23135 Wheelbarrow 23136 Insecticide 23140 Garden supplies 23141 Amount of latest Premium “Principal” Household Operation 23142 Amount of latest Interest paid “Interest” Household Operation 23143 Ropes 23144 line for weedeater 23145 Bolts 23146 Insulating Tape 23147 Hand Saw 23148 Hack Blade 23149 Padlock 23150 Other payments on supplies n.e.c 23151 Polythene 23152 Concrete Blocks 23153 Bricks 23154 Paint Brush 23155 Ceramic tiles 24101 Site preparation prior to construction 24102 Surveying fees 24103 Architectural or draughting fees 24104 Building permit 24106 Registration Fees 24107 Contract payments to builders 24108 Contract payments to tradespeople 24109 Materials used in the basic construction - non-traditional 24110 Materials used in the basic construction - traditional 24111 Transport of Materials 24150 Other cost of construction n.e.c 25101 Cement Mixer 25102 Drain Digger 25103 Water Blaster 25150 Other Equipment on Hire 31101 Beds 31102 Mattresses 31103 Lounge chair 31104 Sofa, couch 31105 Dining table/chairs 31106 Dressing table 31107 Chest of drawers 31108 Desk, bureau 31109 Outdoor furniture 31110 Glory Box 31150 Other items of furniture n.e.c 31201 Blankets/bed spread 31202 Sheets (flora/plain), bed linen 31203 Pillow cases 31204 Pillow 31205 Light fittings 31206 Standard lamp 31207 Curtains, drapes 31208 Painting 31209 Carpet, floor rug 31210 Vinyl (linoleum) 31212 Towels 31213 tea towels 31214 Clothes Airer 31250 Other items of furnishing n.e.c 31301 Amount of latest Premium “Principal” 31302 Amount of latest Interest paid “Interest” 32101 Washing machine 32102 Refrigerator 32103 Freezer 32104 Electric jug 32105 Food processor 32106 Gas & electric stove 32107 Gas Burner 32108 Television 32109 Radio/Stereo 32110 Vacuum cleaner 32111 Sewing machine 32112 Home computer/Printer 32113 Kerosene Stove 32114 Electric Frying Pan 32115 Microwave Oven 32116 Blender 32117 Egg Beater 32118 Coffee Percolator 32119 Rice Cooker 32120 Pressure Cooker 32121 Electric toaster 32122 Chillybin (Cooler) 32123 Tele/Fax 32124 Airtime 32125 Video player / VCD 32126 DVD player 32127 Play Station 32150 Other home appliances n.e.c 32201 Dinner set 32202 Cutlery set 32203 Saucepans 32204 Barbecue plate (open fire/electric) 32205 Knives 32206 Tupperware 32207 Glass Set 32250 Other equipment's and utensils n.e.c 33101 Batteries 33102 Bleaching fluid, dyeing chemicals 33103 Candles 33104 Clothes conditioner 33105 Clothes pins, hangers, pegs 33106 Dish cloth, sponge, scourer 33107 Disinfectants 33108 Dishwashing liquid 33109 Fly spray 33110 Lunch wrappers, foil 33111 Matches 33112 Mosquito coil 33113 Soap cake/liquid, sunlight soap (toilet soap coded 81107) 33114 Soap powder 33115 Toilet paper 33116 Jiff 33117 Harpic (Cleaning disinfectant) 33118 Light bulb 33119 Stove Parts 33120 Fuse 33121 Sandpaper 33122 Torch 33150 Other household supplies n.e.c 33201 Telephone charges (including fax) 33202 Cell phone 33203 Post Office box rental 33204 Electricity 33205 Babysitting 33206 Housecleaning 33207 Other hired help 33208 Hire of TV / VCR / DVD 33209 Hire of Lawn mower 33210 Hire of Weed Eater 33211 Hire of knapsack spray 33212 Hire of tractor 33213 Drainage of Septic Tank 33214 Lawn mowing, gardening 33215 Laundry Services 33216 Cable TV Fees 33217 Water bill 33250 Other household services n.e.c 33301 Electricity 33302 Telephone 33303 Cooking gas 33304 Kerosene 33305 Other fuel and light 33402 Repairs to television 33403 Repairs to video 33404 Repairs to computer 33405 Repairs to telephone 33406 Electrical faults/wiring, etc. 33407 Repairs to Washing Machine 33408 Repairs to stereo 33409 Repairs to Lawn Mower 33410 Repairs to Chainsaw 33411 Repairs to electric iron 33412 Repairs to Rotary Hoe 33450 Other repairs n.e.c 41101 Shirts 41102 T/Shirts 41103 casual shorts 41104 work/school shorts 41105 trousers/jeans 41106 suits/clothes set 41107 casual/formal dress 41108 underwear/lingerie 41109 Blouse 41110 Skirts 41111 Pareu material 41112 Fabric for clothes 41113 Cotton thread 41114 Zipper 41115 Buttons 41116 Nappies (plastic & cloth) 41117 School Uniforms 41118 Jackets 41119 Plastic pants 41120 Rugby Shorts 41121 Socks, Stockings, Pantyhose 41122 Swimming togs 41123 Hankies 41124 Caps 41125 Overalls 41150 Other clothing n.e.c 41201 Tailoring services 41202 Repairs to clothing 41250 Other services n.e.c 42101 Sports shoes 42102 Dress shoes 42103 Jandals, slippers, slip-ons 42104 Children's shoes 42105 Boots (work, casual) 42150 Other shoes n.e.c 42201 Repairs to footwear 42250 Other services n.e.c 43101 Latest payment on Lay-by 43150 Other methods on purchases n.e.c 51101 Car/station wagon 51102 Van 51103 Utility, pickup, 4 wheels drive 51104 Motorcycle, motor scooter 51105 Truck 51106 Bus 51107 Tractor 51108 Boat, Yacht, canoe 51109 Bicycle 51110 Canoe 51111 Outboard motor 51150 Other vehicles n.e.c 51201 Amount of latest Premium “Principal” 51202 Amount of latest Interest paid “Interest” 51203 Insurance on Motor Vehicle 51204 Registration of Motor Vehicle 51212 Shoe Brake 51301 Starter motor 51302 Tyres 51303 Alloy wheels 51304 Shock absorbers 51305 Muffler 51306 Engine, outboard 51307 Radio, Stereo, CD 51308 Number plates 51309 Seat covers 51310 Tow bar 51311 Patches 51312 Ignition 51313 Shoe brake 51314 Air pump 51315 Batteries for cars, trucks etc 51316 Side lights 51317 Kick Starter 51318 Spark plugs 51319 Cable Clutch 51320 Seat for Vehicle 51350 Other vehicle accessories 51401 Petrol 51402 Diesel 51403 Oil 51404 Gas 51405 Other vehicle fuel 52101 Panel beating 52102 Painting 52103 Upholstering 52104 Windscreen 52105 Engine Repairs 52106 Gearbox repairs 52107 Exhaust pipes repairs 52108 Electrical Repairs (wiring) 52109 Repair (Labour) 52110 Repair Boat 52111 Rustproofing 52112 Vehicle customising 52113 Annual vehicle license fees 52114 Warrant of witness 52115 Vehicle insurance 52116 Taxi Services 52117 Bus Services 52118 Drivers License Fees 52119 Tyres Repair 52120 Car service tow 52121 Outboard repairs/parts 52150 Other services n.e.c 52201 Amount of latest Premium “Principal” 52202 Amount of latest Interest paid “Interest” 52320 Car/ stationwagon rental 52321 Van rental 52322 Utility, 4 wheels drive rental 52323 Truck rental 52324 Motorcycle, motor scooter rental 52325 Boat, Yacht, Canoe Hire 52326 Hirage of Loader 52327 Bicycle Hiring 52328 Outboard motor hire 52350 Other transport hirage 53201 Airfare 53202 Seafare 53203 Departure Tax 53204 Accommodation 53205 Meals / Drinks 53206 Clothing 53207 Household Goods 53208 Transport n.e.c (overseas) 53250 Other expenses incurred while overseas 61101 Tobacco 61102 Cigarettes 61150 Other tobacco products 62101 Alcoholic Drinks 62102 Beer 62103 Distilled Spirits 62104 Wine 62105 Homebrew 62150 Other alcoholic drinks 71101 Amount of latest Premium “Principal” 71102 Amount of latest Interest paid “Interest” 72101 Interest charged on charge account 72102 Other charges on charge account 72103 Interest charged on credit card 72104 Other charges on credit card 72105 Interest charged on cheque account 72150 Other charges on cheque account 73101 Endowment 73102 Whole of life 73103 Medical 73104 Travel 73105 Superannuation 73106 Social Security 73107 Pension Plan / Retirement 73108 Credit Union 73109 Life Insurance 73150 Other schemes n.e.c 81101 Cough mixture 81102 Panadol 81103 Vicks 81104 Medicines, antibiotics and other prescribed medication 81105 Deodorant, body spray 81106 Sanitary pads, Tampon 81107 Toilet soap (bar/liquid) 81108 Toothpaste 81109 Talcum Powder 81110 Tigerbalm 81111 Band Aid 81112 Tissue 81113 Tooth brush 81114 Hair accessories (pins, comb, etc) 81115 Hair colour 81116 Hair conditioner 81117 Hair shampoo 81118 Hair spray, mousse, gel 81119 Lipstick 81120 Make up kit 81121 Moisturiser 81122 Nail polish, remover 81123 Razor, blades, tweezers and other hair remover equipment 81124 Paper tissues 81125 Other personal goods n.e.c 81126 Baby bottles 81127 Wet Ones 81150 Other cosmetics and toiletries n.e.c 81201 Haircut 81202 Hair grooming 81203 Manicure 81204 Repair of personal goods 81250 Other personal services 82101 Newspapers 82102 Overseas Newspaper, magazines, journals, etc 82103 Books, novels, etc 82104 School books 82105 Writing materials 82106 Other stationery 82107 Calculator 82109 Other office equipment for private use 82201 Doctor's/dentist fees 82202 Hospital charges 82203 Traditional medicine practitioners 82204 Clinic or OPD visit 82205 Prenatal/Maternal/Antenatal care 82250 Other health services n.e.c 83101 Photographic equipment 83102 Musical equipment 83103 Tennis Racquet 83104 Ping-Pong, Tennis ball, etc. 83105 Sports goods n.e.c 83106 Video tapes 83107 Toys 83108 Records, cassettes, CD's 83109 Films 83110 Playing Cards 83111 Blank cassettes/CDs 83112 Game consoles (Play Station, Nintendo etc) 83113 Hand-held electronic games (Game Boy etc) 83150 Other leisure materials and supplies n.e.c 83201 Formal education fees and related charges 83202 USP extension Centre fees 83203 Fees charged for private tuition 83204 School transports (bus fare) 83205 Examination Fees 83206 Fees Charge for hobby classes 83207 Regular contribution to religious and other organisation 83208 Subscriptions levied by clubs or leisure groups 83209 Fees charge for regular private child care 83210 Educ fees - early childhood 83211 Educ fees - primary education 83212 Educ fees - secondary education 83213 Educ fees - college 83214 Boarding / Lodging Fees 83215 Caution Fees 83216 Clothing (school uniform) 83217 Books and school supplies 83250 Other educational services n.e.c 84102 Fishing equipment and supplies 84103 Birthday presents n.o.d 84104 Wet Suits 84105 Flippers 84106 Diving Gas bottle 84107 Cat Food 84108 Dog Food 84109 Pig Food 84110 Chicken Food 84150 Goods n.e.c 84201 Contributions to religious and other organisations 84203 Television hire 84204 Video hire 84205 Movie/performances admission 84206 VCD Hire 84207 Video Tape Hire 84208 Tennis, Squash racquets 84209 DVD Hire 84210 Game consoles (Play Station, Nintendo etc) CD/Console Hire 84211 Raffles, lotto expenses 84212 Bingo / housie expenses 84213 Locker expenses 84250 Other services n.e.c 85101 Union fees (PSA etc.) 85102 Professional society subscriptions 85103 Professional license fees 85104 Cartage, freight 85105 Printing(e.g. invitations) 85106 Catering expenses 85107 Money sent overseas(not recorded elsewhere) 85108 Funeral expenses 85109 Fines 85110 Legal expenses 85111 Hire of premises 85112 Photographers fees 85113 Maintenance to ex-spouse 85114 Dog registration 85115 Firearm licence 85116 Television License Fees 85117 Church Donation 85118 Hair Dressing charge 85119 Customs - Funeral 85120 Customs - Ocheraol 85121 Customs - Omengat 85122 Customs - House Party 85123 Contribution to village / community 85150 Other Miscellaneous Services 85201 Jewellery 85202 Trees, shrubs 85203 Topsoil 85204 Watch 85205 Pearls 85206 Suitcase/travel accessories 85207 Floral tributes 85208 Trophy 85209 Donation, cash gift (not recorded elsewhere) 85210 Rings 85211 Sunglasses 85212 Kahoa (flower, shell) 85213 Handbags 85214 Wallet 85229 Donations for funeral 85230 Rito made craft 85232 Air freshener 85233 Bangles 85234 Family Functions 85235 Passport 85236 Reading Glasses 85250 Other miscellaneous payments of goods and services n.e.c 86101 Gifts of money to other households within Niue 86102 Gifts of money sent overseas 86103 Pocket money for children 86104 Raffles, Lotto, etc less winnings 86105 Housie costs less winnings 86106 Contributions to religious organisations (tithe) 86107 Contributions to other non profit organisations 86108 Contributions to savings 86109 Other payments n.e.c 91101 Wages/Salaries 91102 Payment in kind 91103 Remuneration from previous employment 91104 Services to other households 91105 Remuneration from other source n.e.c 92201 Sale - Tapioca 92202 Sale - Taro 92203 Sale - Sweet Potato 92204 Sale - Ginger 92205 Sale - Yam 92206 Sale - Betelnut 92207 Sale - Banana 92208 Sale - Lemon/Lime 92209 Sale - Pineapple 92210 Sale - Watermelon 92211 Sale - Mango 92212 Sale - Papaya 92213 Sale - Nappa 92214 Sale - Noni 92215 Sale - Beans 92216 Sale - Peppermint 92217 Sale - Kangkum 92218 Sale - Okra 92219 Sale - Green/Dry Coconut 92220 Sale - Pig 92221 Sale - Cattle 92222 Sale - Chicken 92223 Sale - Fish 92224 Sale - Crab (coconut) 92225 Sale - Crab (mangrove) 92226 Sale - Lobster 92227 Sale - Green Snail 92228 Sale - Trochus 92229 Sale - Ngimes 92230 Sale - Eremrum 92231 Sale - Ngduul 92232 Sale - Kim 92233 Sale - Oruer 92234 Sale - Molech 92235 Sale - Irimd 92236 Sale - Turtle 92237 Sale - Processed tapioca 92238 Sale - Local bread 92239 Sale - Cakes 92240 Sale - Bento 92241 Sale - Coconut Oil 92242 Sale - Mat 92243 Sale - Basket 92244 Sale - Hand held fan 92245 Sale - Wood carving 92246 Sale - Necklaces 92247 Sale - Grass skirts 92248 Sale - Pigs tusks 92249 Sale - Painting 92250 Sale - Fish lures 92251 Sale - Spears 92252 Sale - Spear gun 92253 Sale - Fish nets 92254 Sale - Pandanus purses 93101 Hair cutting & ear piecing 93102 Wedding gifts n.f.d 93103 Custom - Funeral 93104 Custom - Ocheraol 93105 Custom - Omengat/Ngasech 93106 Custom - House Party 93117 Income from Remittances - Cash 93118 Income from Remittances - Goods 94102 Superannuation - income 94103 War pension 94104 Interest 94105 Rent 94106 Directors fees, honoraria, remuneration for board trustees 94107 Income from partnership as a non-working shareholder 94108 Income as a non-working proprietor 94109 Royalties 94110 Irregular income from land 94111 Income from a Trust Account 94112 Life Insurance 94113 Sale of motor vehicle 94114 Inheritance 94115 Matrimonial property settlement 94116 Income for maintenance of dependent child 94120 Winnings from Raffles & Bingo 94121 Irregular Income from sale of goods 94122 Rent - lease of land 94201 Income from lawn mowing 94202 Income from baby sitting 94203 Income from taro patching 94204 Repair work 94205 Adhoc Labour 94206 Fishing/Hunting assistance 94207 House Cleaner / Domestic 95101 Child benefit 95102 Old age pension 95103 Destitute/Infirm benefit 95104 Disadvantaged assistance 95201 Social Security - Govt 95202 Pension Plan - Govt 95203 Social Security - Non-Govt 95204 Social Security/Pension - o'seas 95205 Social Sucurity/Pension - lump sum 95301 Child maintenance Value - b Value - b Value - b Value - b Value - b Goods Given Away as Gifts Estimated value of goods given Recipient - b Recipient - b Recipient - b Recipient - b Recipient - b Goods Given Away as Gifts Recipient? 1 Relative 2 Friend 3 Employer 4 Other Residence - b Residence - b Residence - b Residence - b Residence - b Goods Given Away as Gifts Where do they live? 1 In Republic of Palau 2 Overseas State State State State State State: 1 Kayangel 2 Ngerchelong 3 Ngaraard 4 Ngiwal 5 Melekeok 6 Ngchesar 7 Airai 8 Aimeliik 9 Ngatpang 10 Ngardmau 11 Ngeremlengui 12 Angaur 13 Peleliu 14 Koror Hamlet Hamlet Hamlet Hamlet Hamlet Hamlet: 1 Dngeronger 2 Eang 3 Idid 4 Iyebukel 5 Ikelau 6 Madalaii 7 Meketii 8 Meyuns 9 Ngerbeched 10 Ngerchemai 11 Ngerkebesang 12 Ngerkesoal 13 Ngermid 14 Kayangle 15 Iebukel (Ngerchelong) 16 Mengellang 17 Ngebei 18 Ngerbau 19 Ngriil 20 Ollei 21 Chelab 22 Chol 23 Ngebuked 24 Ngkeklau 25 Ulimang 26 Ngelau 27 Ngercheluuk 28 Ngermechau 29 Melekeok 30 Ngeburch 31 Ngerang 32 Ngermelech 33 Ngerubesang 34 Ngeruliang 35 Ngchesar 36 Ngeraus 37 Ngerngesang 38 Ngerkesou 39 Ngersuul 40 Ngeruikl 41 Shimizu 42 Airai-Ordomel 43 Ked 44 Ngerduais 45 Ngerikiil 46 Ngetkib 47 Ngeruluobel 48 Ngerusar 49 Oikull 50 Ngerutoi 51 Ngetbong 52 Urdmau 53 Imeong 54 Ngchemsed 55 Ngermetengel 56 Ibobang 57 Mechebechubel 58 Nekken 59 Chelechui 60 Imelsubech 61 Imull 62 Medorm 63 Mongami 64 Imelchol 65 North Kloulklubed 66 South Kloulklubed 67 Uosech 68 Ngerchol 69 Ngerdelolk 70 Angaur 71 Ngermetuker 72 Ngerungel 73 Ngchesechang 74 Ngesias 75 Ngerkeiukel 76 Sonsorol 77 Fanna 78 Pulo Ana 79 Merir 80 Hatohobei 81 Helen Reef 82 Rock Islands Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area: 1 Airai 4 Kayangel 5 Melekeok 6 Ngiwal 7 Ngchesar 10 Aimeliik 11 Ngerchelong 12 Ngardmau 13 Ngatpang 14 Angaur 15 Ngeremlengui 20 Ngaraard 21 Jail 22 Meyuns 22 23 Meyuns 23 24 Meyuns 24 25 Madalaii 25 26 Madalaii 26 27 Ngerbeched 27 28 Ngerbeched 28 29 Ngerbeched 29 30 Madalaii 30 31 Madalaii 31 32 Dngeronger 33 Meketii 34 Iyebukel 37 Ngerchemai 38 Ikelau 39 Idid 40 Ngerkeswaol, Kor 41 Ngermid, Koror 44 Sonsorol 45 Peleliu 46 Hatohobei Household Number Household Number Household Number Household Number Household Number Household # Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name HH Population HH Population HH Population HH Population HH Population Total persons in hh: From the Household Control Sheet Week - a Week - a Week - a Week - a Week - a GOODS RECEIVED AS GIFTS 1 First Week 2 Second Week Identifies whether the information comes from the diary of the 1st or 2nd week Day - a Day - a Day - a Day - a Day - a GOODS RECEIVED AS GIFTS Day 1 Monday 2 Tuesday 3 Wednesday 4 Thursday 5 Friday 6 Saturday 7 Sunday Quantity - a Quantity - a Quantity - a Quantity - a Quantity - a GOODS RECEIVED AS GIFTS Qty Weight - a Weight - a Weight - a Weight - a Weight - a GOODS RECEIVED AS GIFTS Goods Received from Outside of Household (Weight) Unit - a Unit - a Unit - a Unit - a Unit - a GOODS RECEIVED AS GIFTS Wt 1 Milligram (mg) 2 Kilogram (kg) 3 Gram (g) 4 Milliliter (ml) 5 Liter (lt) 6 Ounce (oz) 7 Fluid Ounce (fl oz) 8 Gallons (gal) 9 Pounds (lbs) 10 Packets (pk) 11 Pint (pt) 12 Yard (yd) 13 Inch (in) 14 Quarts (qt) 15 Pieces 16 Dozen 17 Case Description - a Description - a Description - a Description - a Description - a GOODS RECEIVED AS GIFTS Description of goods received. 11101 Apples 11102 Avocado 11103 Bananas 11104 Chestnuts 11105 Coconut (drinking nut) 11106 Coconut (dry nut) 11108 Guava 11109 Lemons 11110 Mangoes 11111 Oranges 11112 Pawpaws 11113 Peaches 11114 Pears 11115 Pineapples 11116 Plums 11117 Sugar cane 11118 Watermelon 11119 Tinned Fruit Salad 11120 Tinned Peaches 11121 Tinned Pears 11122 Tinned Pineapples 11123 Dried Fruits 11124 Fruit Juices 11125 Other fresh fruits n.e.c 11126 Custard Apple 11127 Other tinned and bottled fruits n.e.c 11128 Breadfruit 11150 Fruits or fruit products n.e.c 11201 Lu (taro leaves) 11202 Cabbage 11203 Lettuce 11204 Carrots 11205 Courgettes and marrows 11206 Cucumber 11207 Pumpkin 11208 Arrowroot 11209 Kumara 11210 Potatoes 11211 Taro 11212 Taro pulaka 11213 Yam 11214 Onions and chives 11215 Peas and beans 11216 Tomatoes 11217 Other fresh vegetables 11218 Frozen Vegetables 11219 Tinned and bottled vegetables 11220 Dried Vegetables 11221 Vegetable Juices 11222 Tinned Beetroot 11223 Tinned Tomato Savoury 11224 Bowl Salad 11225 Chinese Cabbage 11226 Celery 11227 Vanilla 11228 Capsicum 11229 Mushroom 11230 Broccoli/Cauliflower 11231 Cauliflower 11232 corn 11233 Kebui (Peppermint leaves) 11234 Deadly Knight Shade (Polofua) 11235 Ginger 11236 Asparagus 11237 Sweetcorn 11238 Garlic 11239 Silverbeet 11240 Mushroom 11241 Vegetables n.e.c 12101 Beef fresh 12102 Lamb chops 12103 Meat in brine 12104 Mince 12105 Pork fresh 12106 Sausages 12107 Steak 12108 Other fresh/frozen meat 12109 Tinned Corned Beef 12110 Tinned Lamb Tongue 12111 Tinned Casserole 12112 Tinned Irish Stew 12113 Bacon 12114 Luncheon 12115 goat meat 12116 Ham 12150 Other meat n.e.c 12201 Chicken 12202 Chicken (free range) 12203 Peka (bat) 12204 Lupe 12250 Other birds 12301 Tuna 12302 Flying fish 12303 Frozen fish 12304 Other fresh and frozen fish 12305 Tinned Sardines 12306 Tinned Mackerel 12307 Tinned Tuna 12308 Other Tinned fish 12309 Paua 12310 Mussels 12311 Octopus, Squids 12312 Vga 12313 Seaweed (Rimu) 12314 Loli 12315 Kina 12350 Other shell fish n.e.c 13101 Bread (sliced, loaf, square, rolls, French) 13102 Cabin bread 13103 Coconut Bread 13104 Cream cracker 13105 Biscuits 13106 Doughnuts 13107 Cakes incl. Pastries, buns 13108 Meringue pies and other pies 13109 Puddings incl. Poke 13110 Nane 13150 Other bread and biscuits 13201 Ricies 13202 Cornflakes 13203 Weetbix 13204 Rolled Oats 13205 Vermicelli 13206 Noodles 13207 Rice 13208 Pasta 13209 Flour 13210 Starch (Pia) 13211 cornflour 13250 Other Cereal and cereal Products n.e.c 14101 Milk powder 14102 Condensed milk 14103 Fresh milk 14104 Other milk (flavoured, zap, milk shake) 14105 Cheese/includes cream cheese 14106 Yoghurt/yoplait 14107 Sour cream 14108 Ice cream 14109 Whipped Cream 14110 Tip Top 14111 Reduced Cream 14112 Milk Shake 14150 Other dairy and milk products n.e.c 15101 Salad oil 15102 Butter/margarine 15103 Dripping 15104 Egg 16101 Fizzy drinks (lemonade, coke, fanta) 16102 Mineral water 16150 Other beverages n.e.c 16201 Sugar 16202 Twisties, rashuns, chips 16203 Lollies 16204 Chewing gum 16205 Chocolate bars 16206 Peanuts 16207 Icing Sugar 16250 Other confectionery goods n.e.c 17101 Coffee 17102 Cocoa 17103 Milo 17104 Tea 17105 Jam 17106 Peanut Butter 17107 Aus (Lime powder) 17108 Curry powder 17109 Spices (garlic, ginger, pepper, stock, turmeric etc) 17110 mustard 17111 Soya sauce 17112 Tomato Sauce 17113 Best Food 17114 Chow chow 17115 Baby food 17116 Coconut cream 17117 Spaghetti 17118 Salt 17119 Soup sachets 17120 Drink mix (refresh, vita fresh) 17121 Party ice 17122 Ice cream cones 17123 Mitiore 17124 Pitako(any) 17125 Baked Beans 17126 Golden Syrup 17127 Baking Sod 17128 Vinegar 17129 custard powder 17130 Lea & Perrin 17131 Creamed Rice 17132 Chilli Sauce 17133 chutney 17134 Honey 17135 Jelly 17136 Malt 17137 Yeast 17150 Other Foods n.e.c 18101 Chips 18102 Fish 18103 Burgers 18104 Chicken Pieces(cooked) 18105 Pizza 18106 Hot dogs 18107 Meat pies 18108 Sandwiches 18109 Plate of food 18110 School lunches 18111 Cup of Coffee, tea, milo 18112 Alcoholic drinks consumed at eating places 18113 Non Alcoholic drinks consumed at eating places 18114 snack pack, twin pack 18115 Dinner Out 18116 Sausage roll 18150 Other prepared food ready for takeaway 21101 Rent including ground rent or property rent 21102 Bond for house 21103 Electricity Connection fees 21104 Telephone Connection fees 21105 Administration charges 21106 House insurance 21107 Contents insurance 21108 Fire insurance 21109 Other Insurance n.o.d 21110 Amount of latest mortgage payment “Principal” 21111 Amount of latest mortgage interest paid “Interest” 21112 Amount of original mortgage loan 21113 Water Connection Fees 21150 Other payments n.e.c 22101 Repairs, renovations or improvements 22102 Structural additions or alterations 22103 Build a garage or other building 22104 Amount of latest Premium “Principal” 22105 Amount of latest Interest paid “Interest” 22150 Other home improvement payments n.e.c 23101 Paint 23102 Timber 23103 Plywood(inc. floor ply) 23104 Hardboard 23105 Charcoal 23106 Cement Board, Hardiglaze 23107 Flooring boards(Particle board/Tongue & Groove) 23108 External & internal boards coverings 23109 Piping 23110 Water supply tanks 23111 Septic tanks 23112 Bathroom Fittings 23113 Shower unit 23114 Toilet unit 23115 Nails 23116 Reinforcing steel 23117 Cement 23118 Roofing Iron, tiles, or plastic 23119 Spouting 23120 Window frames & louvers or glass 23121 Doors 23122 Kitchen Fittings 23123 Cupboards 23124 Water heating unit 23125 Lawn mower 23126 Weed eater/brush cutter 23127 Rakes 23128 Chainsaw 23129 Rotary hoe 23130 Power tools 23131 Hammer 23132 Spade 23133 Shovel 23134 Garden fertilisers 23135 Wheelbarrow 23136 Insecticide 23140 Garden supplies 23141 Amount of latest Premium “Principal” Household Operation 23142 Amount of latest Interest paid “Interest” Household Operation 23143 Ropes 23144 line for weedeater 23145 Bolts 23146 Insulating Tape 23147 Hand Saw 23148 Hack Blade 23149 Padlock 23150 Other payments on supplies n.e.c 23151 Polythene 23152 Concrete Blocks 23153 Bricks 23154 Paint Brush 23155 Ceramic tiles 24101 Site preparation prior to construction 24102 Surveying fees 24103 Architectural or draughting fees 24104 Building permit 24106 Registration Fees 24107 Contract payments to builders 24108 Contract payments to tradespeople 24109 Materials used in the basic construction - non-traditional 24110 Materials used in the basic construction - traditional 24111 Transport of Materials 24150 Other cost of construction n.e.c 25101 Cement Mixer 25102 Drain Digger 25103 Water Blaster 25150 Other Equipment on Hire 31101 Beds 31102 Mattresses 31103 Lounge chair 31104 Sofa, couch 31105 Dining table/chairs 31106 Dressing table 31107 Chest of drawers 31108 Desk, bureau 31109 Outdoor furniture 31110 Glory Box 31150 Other items of furniture n.e.c 31201 Blankets/bed spread 31202 Sheets (flora/plain), bed linen 31203 Pillow cases 31204 Pillow 31205 Light fittings 31206 Standard lamp 31207 Curtains, drapes 31208 Painting 31209 Carpet, floor rug 31210 Vinyl (linoleum) 31212 Towels 31213 tea towels 31214 Clothes Airer 31250 Other items of furnishing n.e.c 31301 Amount of latest Premium “Principal” 31302 Amount of latest Interest paid “Interest” 32101 Washing machine 32102 Refrigerator 32103 Freezer 32104 Electric jug 32105 Food processor 32106 Gas & electric stove 32107 Gas Burner 32108 Television 32109 Radio/Stereo 32110 Vacuum cleaner 32111 Sewing machine 32112 Home computer/Printer 32113 Kerosene Stove 32114 Electric Frying Pan 32115 Microwave Oven 32116 Blender 32117 Egg Beater 32118 Coffee Percolator 32119 Rice Cooker 32120 Pressure Cooker 32121 Electric toaster 32122 Chillybin (Cooler) 32123 Tele/Fax 32124 Airtime 32125 Video player / VCD 32126 DVD player 32127 Play Station 32150 Other home appliances n.e.c 32201 Dinner set 32202 Cutlery set 32203 Saucepans 32204 Barbecue plate (open fire/electric) 32205 Knives 32206 Tupperware 32207 Glass Set 32250 Other equipment's and utensils n.e.c 33101 Batteries 33102 Bleaching fluid, dyeing chemicals 33103 Candles 33104 Clothes conditioner 33105 Clothes pins, hangers, pegs 33106 Dish cloth, sponge, scourer 33107 Disinfectants 33108 Dishwashing liquid 33109 Fly spray 33110 Lunch wrappers, foil 33111 Matches 33112 Mosquito coil 33113 Soap cake/liquid, sunlight soap (toilet soap coded 81107) 33114 Soap powder 33115 Toilet paper 33116 Jiff 33117 Harpic (Cleaning disinfectant) 33118 Light bulb 33119 Stove Parts 33120 Fuse 33121 Sandpaper 33122 Torch 33150 Other household supplies n.e.c 33201 Telephone charges (including fax) 33202 Cell phone 33203 Post Office box rental 33204 Electricity 33205 Babysitting 33206 Housecleaning 33207 Other hired help 33208 Hire of TV / VCR / DVD 33209 Hire of Lawn mower 33210 Hire of Weed Eater 33211 Hire of knapsack spray 33212 Hire of tractor 33213 Drainage of Septic Tank 33214 Lawn mowing, gardening 33215 Laundry Services 33216 Cable TV Fees 33217 Water bill 33250 Other household services n.e.c 33301 Electricity 33302 Telephone 33303 Cooking gas 33304 Kerosene 33305 Other fuel and light 33402 Repairs to television 33403 Repairs to video 33404 Repairs to computer 33405 Repairs to telephone 33406 Electrical faults/wiring, etc. 33407 Repairs to Washing Machine 33408 Repairs to stereo 33409 Repairs to Lawn Mower 33410 Repairs to Chainsaw 33411 Repairs to electric iron 33412 Repairs to Rotary Hoe 33450 Other repairs n.e.c 41101 Shirts 41102 T/Shirts 41103 casual shorts 41104 work/school shorts 41105 trousers/jeans 41106 suits/clothes set 41107 casual/formal dress 41108 underwear/lingerie 41109 Blouse 41110 Skirts 41111 Pareu material 41112 Fabric for clothes 41113 Cotton thread 41114 Zipper 41115 Buttons 41116 Nappies (plastic & cloth) 41117 School Uniforms 41118 Jackets 41119 Plastic pants 41120 Rugby Shorts 41121 Socks, Stockings, Pantyhose 41122 Swimming togs 41123 Hankies 41124 Caps 41125 Overalls 41150 Other clothing n.e.c 41201 Tailoring services 41202 Repairs to clothing 41250 Other services n.e.c 42101 Sports shoes 42102 Dress shoes 42103 Jandals, slippers, slip-ons 42104 Children's shoes 42105 Boots (work, casual) 42150 Other shoes n.e.c 42201 Repairs to footwear 42250 Other services n.e.c 43101 Latest payment on Lay-by 43150 Other methods on purchases n.e.c 51101 Car/station wagon 51102 Van 51103 Utility, pickup, 4 wheels drive 51104 Motorcycle, motor scooter 51105 Truck 51106 Bus 51107 Tractor 51108 Boat, Yacht, canoe 51109 Bicycle 51110 Canoe 51111 Outboard motor 51150 Other vehicles n.e.c 51201 Amount of latest Premium “Principal” 51202 Amount of latest Interest paid “Interest” 51203 Insurance on Motor Vehicle 51204 Registration of Motor Vehicle 51212 Shoe Brake 51301 Starter motor 51302 Tyres 51303 Alloy wheels 51304 Shock absorbers 51305 Muffler 51306 Engine, outboard 51307 Radio, Stereo, CD 51308 Number plates 51309 Seat covers 51310 Tow bar 51311 Patches 51312 Ignition 51313 Shoe brake 51314 Air pump 51315 Batteries for cars, trucks etc 51316 Side lights 51317 Kick Starter 51318 Spark plugs 51319 Cable Clutch 51320 Seat for Vehicle 51350 Other vehicle accessories 51401 Petrol 51402 Diesel 51403 Oil 51404 Gas 51405 Other vehicle fuel 52101 Panel beating 52102 Painting 52103 Upholstering 52104 Windscreen 52105 Engine Repairs 52106 Gearbox repairs 52107 Exhaust pipes repairs 52108 Electrical Repairs (wiring) 52109 Repair (Labour) 52110 Repair Boat 52111 Rustproofing 52112 Vehicle customising 52113 Annual vehicle license fees 52114 Warrant of witness 52115 Vehicle insurance 52116 Taxi Services 52117 Bus Services 52118 Drivers License Fees 52119 Tyres Repair 52120 Car service tow 52121 Outboard repairs/parts 52150 Other services n.e.c 52201 Amount of latest Premium “Principal” 52202 Amount of latest Interest paid “Interest” 52320 Car/ stationwagon rental 52321 Van rental 52322 Utility, 4 wheels drive rental 52323 Truck rental 52324 Motorcycle, motor scooter rental 52325 Boat, Yacht, Canoe Hire 52326 Hirage of Loader 52327 Bicycle Hiring 52328 Outboard motor hire 52350 Other transport hirage 53201 Airfare 53202 Seafare 53203 Departure Tax 53204 Accommodation 53205 Meals / Drinks 53206 Clothing 53207 Household Goods 53208 Transport n.e.c (overseas) 53250 Other expenses incurred while overseas 61101 Tobacco 61102 Cigarettes 61150 Other tobacco products 62101 Alcoholic Drinks 62102 Beer 62103 Distilled Spirits 62104 Wine 62105 Homebrew 62150 Other alcoholic drinks 71101 Amount of latest Premium “Principal” 71102 Amount of latest Interest paid “Interest” 72101 Interest charged on charge account 72102 Other charges on charge account 72103 Interest charged on credit card 72104 Other charges on credit card 72105 Interest charged on cheque account 72150 Other charges on cheque account 73101 Endowment 73102 Whole of life 73103 Medical 73104 Travel 73105 Superannuation 73106 Social Security 73107 Pension Plan / Retirement 73108 Credit Union 73109 Life Insurance 73150 Other schemes n.e.c 81101 Cough mixture 81102 Panadol 81103 Vicks 81104 Medicines, antibiotics and other prescribed medication 81105 Deodorant, body spray 81106 Sanitary pads, Tampon 81107 Toilet soap (bar/liquid) 81108 Toothpaste 81109 Talcum Powder 81110 Tigerbalm 81111 Band Aid 81112 Tissue 81113 Tooth brush 81114 Hair accessories (pins, comb, etc) 81115 Hair colour 81116 Hair conditioner 81117 Hair shampoo 81118 Hair spray, mousse, gel 81119 Lipstick 81120 Make up kit 81121 Moisturiser 81122 Nail polish, remover 81123 Razor, blades, tweezers and other hair remover equipment 81124 Paper tissues 81125 Other personal goods n.e.c 81126 Baby bottles 81127 Wet Ones 81150 Other cosmetics and toiletries n.e.c 81201 Haircut 81202 Hair grooming 81203 Manicure 81204 Repair of personal goods 81250 Other personal services 82101 Newspapers 82102 Overseas Newspaper, magazines, journals, etc 82103 Books, novels, etc 82104 School books 82105 Writing materials 82106 Other stationery 82107 Calculator 82109 Other office equipment for private use 82201 Doctor's/dentist fees 82202 Hospital charges 82203 Traditional medicine practitioners 82204 Clinic or OPD visit 82205 Prenatal/Maternal/Antenatal care 82250 Other health services n.e.c 83101 Photographic equipment 83102 Musical equipment 83103 Tennis Racquet 83104 Ping-Pong, Tennis ball, etc. 83105 Sports goods n.e.c 83106 Video tapes 83107 Toys 83108 Records, cassettes, CD's 83109 Films 83110 Playing Cards 83111 Blank cassettes/CDs 83112 Game consoles (Play Station, Nintendo etc) 83113 Hand-held electronic games (Game Boy etc) 83150 Other leisure materials and supplies n.e.c 83201 Formal education fees and related charges 83202 USP extension Centre fees 83203 Fees charged for private tuition 83204 School transports (bus fare) 83205 Examination Fees 83206 Fees Charge for hobby classes 83207 Regular contribution to religious and other organisation 83208 Subscriptions levied by clubs or leisure groups 83209 Fees charge for regular private child care 83210 Educ fees - early childhood 83211 Educ fees - primary education 83212 Educ fees - secondary education 83213 Educ fees - college 83214 Boarding / Lodging Fees 83215 Caution Fees 83216 Clothing (school uniform) 83217 Books and school supplies 83250 Other educational services n.e.c 84102 Fishing equipment and supplies 84103 Birthday presents n.o.d 84104 Wet Suits 84105 Flippers 84106 Diving Gas bottle 84107 Cat Food 84108 Dog Food 84109 Pig Food 84110 Chicken Food 84150 Goods n.e.c 84201 Contributions to religious and other organisations 84203 Television hire 84204 Video hire 84205 Movie/performances admission 84206 VCD Hire 84207 Video Tape Hire 84208 Tennis, Squash racquets 84209 DVD Hire 84210 Game consoles (Play Station, Nintendo etc) CD/Console Hire 84211 Raffles, lotto expenses 84212 Bingo / housie expenses 84213 Locker expenses 84250 Other services n.e.c 85101 Union fees (PSA etc.) 85102 Professional society subscriptions 85103 Professional license fees 85104 Cartage, freight 85105 Printing(e.g. invitations) 85106 Catering expenses 85107 Money sent overseas(not recorded elsewhere) 85108 Funeral expenses 85109 Fines 85110 Legal expenses 85111 Hire of premises 85112 Photographers fees 85113 Maintenance to ex-spouse 85114 Dog registration 85115 Firearm licence 85116 Television License Fees 85117 Church Donation 85118 Hair Dressing charge 85119 Customs - Funeral 85120 Customs - Ocheraol 85121 Customs - Omengat 85122 Customs - House Party 85123 Contribution to village / community 85150 Other Miscellaneous Services 85201 Jewellery 85202 Trees, shrubs 85203 Topsoil 85204 Watch 85205 Pearls 85206 Suitcase/travel accessories 85207 Floral tributes 85208 Trophy 85209 Donation, cash gift (not recorded elsewhere) 85210 Rings 85211 Sunglasses 85212 Kahoa (flower, shell) 85213 Handbags 85214 Wallet 85229 Donations for funeral 85230 Rito made craft 85232 Air freshener 85233 Bangles 85234 Family Functions 85235 Passport 85236 Reading Glasses 85250 Other miscellaneous payments of goods and services n.e.c 86101 Gifts of money to other households within Niue 86102 Gifts of money sent overseas 86103 Pocket money for children 86104 Raffles, Lotto, etc less winnings 86105 Housie costs less winnings 86106 Contributions to religious organisations (tithe) 86107 Contributions to other non profit organisations 86108 Contributions to savings 86109 Other payments n.e.c 91101 Wages/Salaries 91102 Payment in kind 91103 Remuneration from previous employment 91104 Services to other households 91105 Remuneration from other source n.e.c 92201 Sale - Tapioca 92202 Sale - Taro 92203 Sale - Sweet Potato 92204 Sale - Ginger 92205 Sale - Yam 92206 Sale - Betelnut 92207 Sale - Banana 92208 Sale - Lemon/Lime 92209 Sale - Pineapple 92210 Sale - Watermelon 92211 Sale - Mango 92212 Sale - Papaya 92213 Sale - Nappa 92214 Sale - Noni 92215 Sale - Beans 92216 Sale - Peppermint 92217 Sale - Kangkum 92218 Sale - Okra 92219 Sale - Green/Dry Coconut 92220 Sale - Pig 92221 Sale - Cattle 92222 Sale - Chicken 92223 Sale - Fish 92224 Sale - Crab (coconut) 92225 Sale - Crab (mangrove) 92226 Sale - Lobster 92227 Sale - Green Snail 92228 Sale - Trochus 92229 Sale - Ngimes 92230 Sale - Eremrum 92231 Sale - Ngduul 92232 Sale - Kim 92233 Sale - Oruer 92234 Sale - Molech 92235 Sale - Irimd 92236 Sale - Turtle 92237 Sale - Processed tapioca 92238 Sale - Local bread 92239 Sale - Cakes 92240 Sale - Bento 92241 Sale - Coconut Oil 92242 Sale - Mat 92243 Sale - Basket 92244 Sale - Hand held fan 92245 Sale - Wood carving 92246 Sale - Necklaces 92247 Sale - Grass skirts 92248 Sale - Pigs tusks 92249 Sale - Painting 92250 Sale - Fish lures 92251 Sale - Spears 92252 Sale - Spear gun 92253 Sale - Fish nets 92254 Sale - Pandanus purses 93101 Hair cutting & ear piecing 93102 Wedding gifts n.f.d 93103 Custom - Funeral 93104 Custom - Ocheraol 93105 Custom - Omengat/Ngasech 93106 Custom - House Party 93117 Income from Remittances - Cash 93118 Income from Remittances - Goods 94102 Superannuation - income 94103 War pension 94104 Interest 94105 Rent 94106 Directors fees, honoraria, remuneration for board trustees 94107 Income from partnership as a non-working shareholder 94108 Income as a non-working proprietor 94109 Royalties 94110 Irregular income from land 94111 Income from a Trust Account 94112 Life Insurance 94113 Sale of motor vehicle 94114 Inheritance 94115 Matrimonial property settlement 94116 Income for maintenance of dependent child 94120 Winnings from Raffles & Bingo 94121 Irregular Income from sale of goods 94122 Rent - lease of land 94201 Income from lawn mowing 94202 Income from baby sitting 94203 Income from taro patching 94204 Repair work 94205 Adhoc Labour 94206 Fishing/Hunting assistance 94207 House Cleaner / Domestic 95101 Child benefit 95102 Old age pension 95103 Destitute/Infirm benefit 95104 Disadvantaged assistance 95201 Social Security - Govt 95202 Pension Plan - Govt 95203 Social Security - Non-Govt 95204 Social Security/Pension - o'seas 95205 Social Sucurity/Pension - lump sum 95301 Child maintenance Value - a Value - a Value - a Value - a Value - a GOODS RECEIVED AS GIFTS Estimated value of goods received Recipient - a Recipient - a Recipient - a Recipient - a Recipient - a GOODS RECEIVED AS GIFTS Recipient? 1 Relative 2 Friend 3 Employer 4 Other Residence - a Residence - a Residence - a Residence - a Residence - a GOODS RECEIVED AS GIFTS Where do they live? 1 In Republic of Palau 2 Overseas Week - b Week - b Week - b Week - b Week - b GOODS RECEIVED AS GIFTS 1 First Week 2 Second Week Identifies whether the information comes from the diary of the 1st or 2nd week Day - b Day - b Day - b Day - b Day - b GOODS RECEIVED AS GIFTS Day 1 Monday 2 Tuesday 3 Wednesday 4 Thursday 5 Friday 6 Saturday 7 Sunday Quantity - b Quantity - b Quantity - b Quantity - b Quantity - b GOODS RECEIVED AS GIFTS Qty Weight - b Weight - b Weight - b Weight - b Weight - b GOODS RECEIVED AS GIFTS Wt Unit - b Unit - b Unit - b Unit - b Unit - b GOODS RECEIVED AS GIFTS Wt 1 Milligram (mg) 2 Kilogram (kg) 3 Gram (g) 4 Milliliter (ml) 5 Liter (lt) 6 Ounce (oz) 7 Fluid Ounce (fl oz) 8 Gallons (gal) 9 Pounds (lbs) 10 Packets (pk) 11 Pint (pt) 12 Yard (yd) 13 Inch (in) 14 Quarts (qt) 15 Pieces 16 Dozen 17 Case Description - b Description - b Description - b Description - b Description - b GOODS RECEIVED AS GIFTS Description of goods received. 11101 Apples 11102 Avocado 11103 Bananas 11104 Chestnuts 11105 Coconut (drinking nut) 11106 Coconut (dry nut) 11108 Guava 11109 Lemons 11110 Mangoes 11111 Oranges 11112 Pawpaws 11113 Peaches 11114 Pears 11115 Pineapples 11116 Plums 11117 Sugar cane 11118 Watermelon 11119 Tinned Fruit Salad 11120 Tinned Peaches 11121 Tinned Pears 11122 Tinned Pineapples 11123 Dried Fruits 11124 Fruit Juices 11125 Other fresh fruits n.e.c 11126 Custard Apple 11127 Other tinned and bottled fruits n.e.c 11128 Breadfruit 11150 Fruits or fruit products n.e.c 11201 Lu (taro leaves) 11202 Cabbage 11203 Lettuce 11204 Carrots 11205 Courgettes and marrows 11206 Cucumber 11207 Pumpkin 11208 Arrowroot 11209 Kumara 11210 Potatoes 11211 Taro 11212 Taro pulaka 11213 Yam 11214 Onions and chives 11215 Peas and beans 11216 Tomatoes 11217 Other fresh vegetables 11218 Frozen Vegetables 11219 Tinned and bottled vegetables 11220 Dried Vegetables 11221 Vegetable Juices 11222 Tinned Beetroot 11223 Tinned Tomato Savoury 11224 Bowl Salad 11225 Chinese Cabbage 11226 Celery 11227 Vanilla 11228 Capsicum 11229 Mushroom 11230 Broccoli/Cauliflower 11231 Cauliflower 11232 corn 11233 Kebui (Peppermint leaves) 11234 Deadly Knight Shade (Polofua) 11235 Ginger 11236 Asparagus 11237 Sweetcorn 11238 Garlic 11239 Silverbeet 11240 Mushroom 11241 Vegetables n.e.c 12101 Beef fresh 12102 Lamb chops 12103 Meat in brine 12104 Mince 12105 Pork fresh 12106 Sausages 12107 Steak 12108 Other fresh/frozen meat 12109 Tinned Corned Beef 12110 Tinned Lamb Tongue 12111 Tinned Casserole 12112 Tinned Irish Stew 12113 Bacon 12114 Luncheon 12115 goat meat 12116 Ham 12150 Other meat n.e.c 12201 Chicken 12202 Chicken (free range) 12203 Peka (bat) 12204 Lupe 12250 Other birds 12301 Tuna 12302 Flying fish 12303 Frozen fish 12304 Other fresh and frozen fish 12305 Tinned Sardines 12306 Tinned Mackerel 12307 Tinned Tuna 12308 Other Tinned fish 12309 Paua 12310 Mussels 12311 Octopus, Squids 12312 Vga 12313 Seaweed (Rimu) 12314 Loli 12315 Kina 12350 Other shell fish n.e.c 13101 Bread (sliced, loaf, square, rolls, French) 13102 Cabin bread 13103 Coconut Bread 13104 Cream cracker 13105 Biscuits 13106 Doughnuts 13107 Cakes incl. Pastries, buns 13108 Meringue pies and other pies 13109 Puddings incl. Poke 13110 Nane 13150 Other bread and biscuits 13201 Ricies 13202 Cornflakes 13203 Weetbix 13204 Rolled Oats 13205 Vermicelli 13206 Noodles 13207 Rice 13208 Pasta 13209 Flour 13210 Starch (Pia) 13211 cornflour 13250 Other Cereal and cereal Products n.e.c 14101 Milk powder 14102 Condensed milk 14103 Fresh milk 14104 Other milk (flavoured, zap, milk shake) 14105 Cheese/includes cream cheese 14106 Yoghurt/yoplait 14107 Sour cream 14108 Ice cream 14109 Whipped Cream 14110 Tip Top 14111 Reduced Cream 14112 Milk Shake 14150 Other dairy and milk products n.e.c 15101 Salad oil 15102 Butter/margarine 15103 Dripping 15104 Egg 16101 Fizzy drinks (lemonade, coke, fanta) 16102 Mineral water 16150 Other beverages n.e.c 16201 Sugar 16202 Twisties, rashuns, chips 16203 Lollies 16204 Chewing gum 16205 Chocolate bars 16206 Peanuts 16207 Icing Sugar 16250 Other confectionery goods n.e.c 17101 Coffee 17102 Cocoa 17103 Milo 17104 Tea 17105 Jam 17106 Peanut Butter 17107 Aus (Lime powder) 17108 Curry powder 17109 Spices (garlic, ginger, pepper, stock, turmeric etc) 17110 mustard 17111 Soya sauce 17112 Tomato Sauce 17113 Best Food 17114 Chow chow 17115 Baby food 17116 Coconut cream 17117 Spaghetti 17118 Salt 17119 Soup sachets 17120 Drink mix (refresh, vita fresh) 17121 Party ice 17122 Ice cream cones 17123 Mitiore 17124 Pitako(any) 17125 Baked Beans 17126 Golden Syrup 17127 Baking Sod 17128 Vinegar 17129 custard powder 17130 Lea & Perrin 17131 Creamed Rice 17132 Chilli Sauce 17133 chutney 17134 Honey 17135 Jelly 17136 Malt 17137 Yeast 17150 Other Foods n.e.c 18101 Chips 18102 Fish 18103 Burgers 18104 Chicken Pieces(cooked) 18105 Pizza 18106 Hot dogs 18107 Meat pies 18108 Sandwiches 18109 Plate of food 18110 School lunches 18111 Cup of Coffee, tea, milo 18112 Alcoholic drinks consumed at eating places 18113 Non Alcoholic drinks consumed at eating places 18114 snack pack, twin pack 18115 Dinner Out 18116 Sausage roll 18150 Other prepared food ready for takeaway 21101 Rent including ground rent or property rent 21102 Bond for house 21103 Electricity Connection fees 21104 Telephone Connection fees 21105 Administration charges 21106 House insurance 21107 Contents insurance 21108 Fire insurance 21109 Other Insurance n.o.d 21110 Amount of latest mortgage payment “Principal” 21111 Amount of latest mortgage interest paid “Interest” 21112 Amount of original mortgage loan 21113 Water Connection Fees 21150 Other payments n.e.c 22101 Repairs, renovations or improvements 22102 Structural additions or alterations 22103 Build a garage or other building 22104 Amount of latest Premium “Principal” 22105 Amount of latest Interest paid “Interest” 22150 Other home improvement payments n.e.c 23101 Paint 23102 Timber 23103 Plywood(inc. floor ply) 23104 Hardboard 23105 Charcoal 23106 Cement Board, Hardiglaze 23107 Flooring boards(Particle board/Tongue & Groove) 23108 External & internal boards coverings 23109 Piping 23110 Water supply tanks 23111 Septic tanks 23112 Bathroom Fittings 23113 Shower unit 23114 Toilet unit 23115 Nails 23116 Reinforcing steel 23117 Cement 23118 Roofing Iron, tiles, or plastic 23119 Spouting 23120 Window frames & louvers or glass 23121 Doors 23122 Kitchen Fittings 23123 Cupboards 23124 Water heating unit 23125 Lawn mower 23126 Weed eater/brush cutter 23127 Rakes 23128 Chainsaw 23129 Rotary hoe 23130 Power tools 23131 Hammer 23132 Spade 23133 Shovel 23134 Garden fertilisers 23135 Wheelbarrow 23136 Insecticide 23140 Garden supplies 23141 Amount of latest Premium “Principal” Household Operation 23142 Amount of latest Interest paid “Interest” Household Operation 23143 Ropes 23144 line for weedeater 23145 Bolts 23146 Insulating Tape 23147 Hand Saw 23148 Hack Blade 23149 Padlock 23150 Other payments on supplies n.e.c 23151 Polythene 23152 Concrete Blocks 23153 Bricks 23154 Paint Brush 23155 Ceramic tiles 24101 Site preparation prior to construction 24102 Surveying fees 24103 Architectural or draughting fees 24104 Building permit 24106 Registration Fees 24107 Contract payments to builders 24108 Contract payments to tradespeople 24109 Materials used in the basic construction - non-traditional 24110 Materials used in the basic construction - traditional 24111 Transport of Materials 24150 Other cost of construction n.e.c 25101 Cement Mixer 25102 Drain Digger 25103 Water Blaster 25150 Other Equipment on Hire 31101 Beds 31102 Mattresses 31103 Lounge chair 31104 Sofa, couch 31105 Dining table/chairs 31106 Dressing table 31107 Chest of drawers 31108 Desk, bureau 31109 Outdoor furniture 31110 Glory Box 31150 Other items of furniture n.e.c 31201 Blankets/bed spread 31202 Sheets (flora/plain), bed linen 31203 Pillow cases 31204 Pillow 31205 Light fittings 31206 Standard lamp 31207 Curtains, drapes 31208 Painting 31209 Carpet, floor rug 31210 Vinyl (linoleum) 31212 Towels 31213 tea towels 31214 Clothes Airer 31250 Other items of furnishing n.e.c 31301 Amount of latest Premium “Principal” 31302 Amount of latest Interest paid “Interest” 32101 Washing machine 32102 Refrigerator 32103 Freezer 32104 Electric jug 32105 Food processor 32106 Gas & electric stove 32107 Gas Burner 32108 Television 32109 Radio/Stereo 32110 Vacuum cleaner 32111 Sewing machine 32112 Home computer/Printer 32113 Kerosene Stove 32114 Electric Frying Pan 32115 Microwave Oven 32116 Blender 32117 Egg Beater 32118 Coffee Percolator 32119 Rice Cooker 32120 Pressure Cooker 32121 Electric toaster 32122 Chillybin (Cooler) 32123 Tele/Fax 32124 Airtime 32125 Video player / VCD 32126 DVD player 32127 Play Station 32150 Other home appliances n.e.c 32201 Dinner set 32202 Cutlery set 32203 Saucepans 32204 Barbecue plate (open fire/electric) 32205 Knives 32206 Tupperware 32207 Glass Set 32250 Other equipment's and utensils n.e.c 33101 Batteries 33102 Bleaching fluid, dyeing chemicals 33103 Candles 33104 Clothes conditioner 33105 Clothes pins, hangers, pegs 33106 Dish cloth, sponge, scourer 33107 Disinfectants 33108 Dishwashing liquid 33109 Fly spray 33110 Lunch wrappers, foil 33111 Matches 33112 Mosquito coil 33113 Soap cake/liquid, sunlight soap (toilet soap coded 81107) 33114 Soap powder 33115 Toilet paper 33116 Jiff 33117 Harpic (Cleaning disinfectant) 33118 Light bulb 33119 Stove Parts 33120 Fuse 33121 Sandpaper 33122 Torch 33150 Other household supplies n.e.c 33201 Telephone charges (including fax) 33202 Cell phone 33203 Post Office box rental 33204 Electricity 33205 Babysitting 33206 Housecleaning 33207 Other hired help 33208 Hire of TV / VCR / DVD 33209 Hire of Lawn mower 33210 Hire of Weed Eater 33211 Hire of knapsack spray 33212 Hire of tractor 33213 Drainage of Septic Tank 33214 Lawn mowing, gardening 33215 Laundry Services 33216 Cable TV Fees 33217 Water bill 33250 Other household services n.e.c 33301 Electricity 33302 Telephone 33303 Cooking gas 33304 Kerosene 33305 Other fuel and light 33402 Repairs to television 33403 Repairs to video 33404 Repairs to computer 33405 Repairs to telephone 33406 Electrical faults/wiring, etc. 33407 Repairs to Washing Machine 33408 Repairs to stereo 33409 Repairs to Lawn Mower 33410 Repairs to Chainsaw 33411 Repairs to electric iron 33412 Repairs to Rotary Hoe 33450 Other repairs n.e.c 41101 Shirts 41102 T/Shirts 41103 casual shorts 41104 work/school shorts 41105 trousers/jeans 41106 suits/clothes set 41107 casual/formal dress 41108 underwear/lingerie 41109 Blouse 41110 Skirts 41111 Pareu material 41112 Fabric for clothes 41113 Cotton thread 41114 Zipper 41115 Buttons 41116 Nappies (plastic & cloth) 41117 School Uniforms 41118 Jackets 41119 Plastic pants 41120 Rugby Shorts 41121 Socks, Stockings, Pantyhose 41122 Swimming togs 41123 Hankies 41124 Caps 41125 Overalls 41150 Other clothing n.e.c 41201 Tailoring services 41202 Repairs to clothing 41250 Other services n.e.c 42101 Sports shoes 42102 Dress shoes 42103 Jandals, slippers, slip-ons 42104 Children's shoes 42105 Boots (work, casual) 42150 Other shoes n.e.c 42201 Repairs to footwear 42250 Other services n.e.c 43101 Latest payment on Lay-by 43150 Other methods on purchases n.e.c 51101 Car/station wagon 51102 Van 51103 Utility, pickup, 4 wheels drive 51104 Motorcycle, motor scooter 51105 Truck 51106 Bus 51107 Tractor 51108 Boat, Yacht, canoe 51109 Bicycle 51110 Canoe 51111 Outboard motor 51150 Other vehicles n.e.c 51201 Amount of latest Premium “Principal” 51202 Amount of latest Interest paid “Interest” 51203 Insurance on Motor Vehicle 51204 Registration of Motor Vehicle 51212 Shoe Brake 51301 Starter motor 51302 Tyres 51303 Alloy wheels 51304 Shock absorbers 51305 Muffler 51306 Engine, outboard 51307 Radio, Stereo, CD 51308 Number plates 51309 Seat covers 51310 Tow bar 51311 Patches 51312 Ignition 51313 Shoe brake 51314 Air pump 51315 Batteries for cars, trucks etc 51316 Side lights 51317 Kick Starter 51318 Spark plugs 51319 Cable Clutch 51320 Seat for Vehicle 51350 Other vehicle accessories 51401 Petrol 51402 Diesel 51403 Oil 51404 Gas 51405 Other vehicle fuel 52101 Panel beating 52102 Painting 52103 Upholstering 52104 Windscreen 52105 Engine Repairs 52106 Gearbox repairs 52107 Exhaust pipes repairs 52108 Electrical Repairs (wiring) 52109 Repair (Labour) 52110 Repair Boat 52111 Rustproofing 52112 Vehicle customising 52113 Annual vehicle license fees 52114 Warrant of witness 52115 Vehicle insurance 52116 Taxi Services 52117 Bus Services 52118 Drivers License Fees 52119 Tyres Repair 52120 Car service tow 52121 Outboard repairs/parts 52150 Other services n.e.c 52201 Amount of latest Premium “Principal” 52202 Amount of latest Interest paid “Interest” 52320 Car/ stationwagon rental 52321 Van rental 52322 Utility, 4 wheels drive rental 52323 Truck rental 52324 Motorcycle, motor scooter rental 52325 Boat, Yacht, Canoe Hire 52326 Hirage of Loader 52327 Bicycle Hiring 52328 Outboard motor hire 52350 Other transport hirage 53201 Airfare 53202 Seafare 53203 Departure Tax 53204 Accommodation 53205 Meals / Drinks 53206 Clothing 53207 Household Goods 53208 Transport n.e.c (overseas) 53250 Other expenses incurred while overseas 61101 Tobacco 61102 Cigarettes 61150 Other tobacco products 62101 Alcoholic Drinks 62102 Beer 62103 Distilled Spirits 62104 Wine 62105 Homebrew 62150 Other alcoholic drinks 71101 Amount of latest Premium “Principal” 71102 Amount of latest Interest paid “Interest” 72101 Interest charged on charge account 72102 Other charges on charge account 72103 Interest charged on credit card 72104 Other charges on credit card 72105 Interest charged on cheque account 72150 Other charges on cheque account 73101 Endowment 73102 Whole of life 73103 Medical 73104 Travel 73105 Superannuation 73106 Social Security 73107 Pension Plan / Retirement 73108 Credit Union 73109 Life Insurance 73150 Other schemes n.e.c 81101 Cough mixture 81102 Panadol 81103 Vicks 81104 Medicines, antibiotics and other prescribed medication 81105 Deodorant, body spray 81106 Sanitary pads, Tampon 81107 Toilet soap (bar/liquid) 81108 Toothpaste 81109 Talcum Powder 81110 Tigerbalm 81111 Band Aid 81112 Tissue 81113 Tooth brush 81114 Hair accessories (pins, comb, etc) 81115 Hair colour 81116 Hair conditioner 81117 Hair shampoo 81118 Hair spray, mousse, gel 81119 Lipstick 81120 Make up kit 81121 Moisturiser 81122 Nail polish, remover 81123 Razor, blades, tweezers and other hair remover equipment 81124 Paper tissues 81125 Other personal goods n.e.c 81126 Baby bottles 81127 Wet Ones 81150 Other cosmetics and toiletries n.e.c 81201 Haircut 81202 Hair grooming 81203 Manicure 81204 Repair of personal goods 81250 Other personal services 82101 Newspapers 82102 Overseas Newspaper, magazines, journals, etc 82103 Books, novels, etc 82104 School books 82105 Writing materials 82106 Other stationery 82107 Calculator 82109 Other office equipment for private use 82201 Doctor's/dentist fees 82202 Hospital charges 82203 Traditional medicine practitioners 82204 Clinic or OPD visit 82205 Prenatal/Maternal/Antenatal care 82250 Other health services n.e.c 83101 Photographic equipment 83102 Musical equipment 83103 Tennis Racquet 83104 Ping-Pong, Tennis ball, etc. 83105 Sports goods n.e.c 83106 Video tapes 83107 Toys 83108 Records, cassettes, CD's 83109 Films 83110 Playing Cards 83111 Blank cassettes/CDs 83112 Game consoles (Play Station, Nintendo etc) 83113 Hand-held electronic games (Game Boy etc) 83150 Other leisure materials and supplies n.e.c 83201 Formal education fees and related charges 83202 USP extension Centre fees 83203 Fees charged for private tuition 83204 School transports (bus fare) 83205 Examination Fees 83206 Fees Charge for hobby classes 83207 Regular contribution to religious and other organisation 83208 Subscriptions levied by clubs or leisure groups 83209 Fees charge for regular private child care 83210 Educ fees - early childhood 83211 Educ fees - primary education 83212 Educ fees - secondary education 83213 Educ fees - college 83214 Boarding / Lodging Fees 83215 Caution Fees 83216 Clothing (school uniform) 83217 Books and school supplies 83250 Other educational services n.e.c 84102 Fishing equipment and supplies 84103 Birthday presents n.o.d 84104 Wet Suits 84105 Flippers 84106 Diving Gas bottle 84107 Cat Food 84108 Dog Food 84109 Pig Food 84110 Chicken Food 84150 Goods n.e.c 84201 Contributions to religious and other organisations 84203 Television hire 84204 Video hire 84205 Movie/performances admission 84206 VCD Hire 84207 Video Tape Hire 84208 Tennis, Squash racquets 84209 DVD Hire 84210 Game consoles (Play Station, Nintendo etc) CD/Console Hire 84211 Raffles, lotto expenses 84212 Bingo / housie expenses 84213 Locker expenses 84250 Other services n.e.c 85101 Union fees (PSA etc.) 85102 Professional society subscriptions 85103 Professional license fees 85104 Cartage, freight 85105 Printing(e.g. invitations) 85106 Catering expenses 85107 Money sent overseas(not recorded elsewhere) 85108 Funeral expenses 85109 Fines 85110 Legal expenses 85111 Hire of premises 85112 Photographers fees 85113 Maintenance to ex-spouse 85114 Dog registration 85115 Firearm licence 85116 Television License Fees 85117 Church Donation 85118 Hair Dressing charge 85119 Customs - Funeral 85120 Customs - Ocheraol 85121 Customs - Omengat 85122 Customs - House Party 85123 Contribution to village / community 85150 Other Miscellaneous Services 85201 Jewellery 85202 Trees, shrubs 85203 Topsoil 85204 Watch 85205 Pearls 85206 Suitcase/travel accessories 85207 Floral tributes 85208 Trophy 85209 Donation, cash gift (not recorded elsewhere) 85210 Rings 85211 Sunglasses 85212 Kahoa (flower, shell) 85213 Handbags 85214 Wallet 85229 Donations for funeral 85230 Rito made craft 85232 Air freshener 85233 Bangles 85234 Family Functions 85235 Passport 85236 Reading Glasses 85250 Other miscellaneous payments of goods and services n.e.c 86101 Gifts of money to other households within Niue 86102 Gifts of money sent overseas 86103 Pocket money for children 86104 Raffles, Lotto, etc less winnings 86105 Housie costs less winnings 86106 Contributions to religious organisations (tithe) 86107 Contributions to other non profit organisations 86108 Contributions to savings 86109 Other payments n.e.c 91101 Wages/Salaries 91102 Payment in kind 91103 Remuneration from previous employment 91104 Services to other households 91105 Remuneration from other source n.e.c 92201 Sale - Tapioca 92202 Sale - Taro 92203 Sale - Sweet Potato 92204 Sale - Ginger 92205 Sale - Yam 92206 Sale - Betelnut 92207 Sale - Banana 92208 Sale - Lemon/Lime 92209 Sale - Pineapple 92210 Sale - Watermelon 92211 Sale - Mango 92212 Sale - Papaya 92213 Sale - Nappa 92214 Sale - Noni 92215 Sale - Beans 92216 Sale - Peppermint 92217 Sale - Kangkum 92218 Sale - Okra 92219 Sale - Green/Dry Coconut 92220 Sale - Pig 92221 Sale - Cattle 92222 Sale - Chicken 92223 Sale - Fish 92224 Sale - Crab (coconut) 92225 Sale - Crab (mangrove) 92226 Sale - Lobster 92227 Sale - Green Snail 92228 Sale - Trochus 92229 Sale - Ngimes 92230 Sale - Eremrum 92231 Sale - Ngduul 92232 Sale - Kim 92233 Sale - Oruer 92234 Sale - Molech 92235 Sale - Irimd 92236 Sale - Turtle 92237 Sale - Processed tapioca 92238 Sale - Local bread 92239 Sale - Cakes 92240 Sale - Bento 92241 Sale - Coconut Oil 92242 Sale - Mat 92243 Sale - Basket 92244 Sale - Hand held fan 92245 Sale - Wood carving 92246 Sale - Necklaces 92247 Sale - Grass skirts 92248 Sale - Pigs tusks 92249 Sale - Painting 92250 Sale - Fish lures 92251 Sale - Spears 92252 Sale - Spear gun 92253 Sale - Fish nets 92254 Sale - Pandanus purses 93101 Hair cutting & ear piecing 93102 Wedding gifts n.f.d 93103 Custom - Funeral 93104 Custom - Ocheraol 93105 Custom - Omengat/Ngasech 93106 Custom - House Party 93117 Income from Remittances - Cash 93118 Income from Remittances - Goods 94102 Superannuation - income 94103 War pension 94104 Interest 94105 Rent 94106 Directors fees, honoraria, remuneration for board trustees 94107 Income from partnership as a non-working shareholder 94108 Income as a non-working proprietor 94109 Royalties 94110 Irregular income from land 94111 Income from a Trust Account 94112 Life Insurance 94113 Sale of motor vehicle 94114 Inheritance 94115 Matrimonial property settlement 94116 Income for maintenance of dependent child 94120 Winnings from Raffles & Bingo 94121 Irregular Income from sale of goods 94122 Rent - lease of land 94201 Income from lawn mowing 94202 Income from baby sitting 94203 Income from taro patching 94204 Repair work 94205 Adhoc Labour 94206 Fishing/Hunting assistance 94207 House Cleaner / Domestic 95101 Child benefit 95102 Old age pension 95103 Destitute/Infirm benefit 95104 Disadvantaged assistance 95201 Social Security - Govt 95202 Pension Plan - Govt 95203 Social Security - Non-Govt 95204 Social Security/Pension - o'seas 95205 Social Sucurity/Pension - lump sum 95301 Child maintenance Value - b Value - b Value - b Value - b Value - b GOODS RECEIVED AS GIFTS Estimated value of goods received Recipient - b Recipient - b Recipient - b Recipient - b Recipient - b GOODS RECEIVED AS GIFTS Recipient? 1 Relative 2 Friend 3 Employer 4 Other Residence - b Residence - b Residence - b Residence - b Residence - b GOODS RECEIVED AS GIFTS Where do they live? 1 In Republic of Palau 2 Overseas State State State State State State: 1 Kayangel 2 Ngerchelong 3 Ngaraard 4 Ngiwal 5 Melekeok 6 Ngchesar 7 Airai 8 Aimeliik 9 Ngatpang 10 Ngardmau 11 Ngeremlengui 12 Angaur 13 Peleliu 14 Koror Hamlet Hamlet Hamlet Hamlet Hamlet Hamlet: 1 Dngeronger 2 Eang 3 Idid 4 Iyebukel 5 Ikelau 6 Madalaii 7 Meketii 8 Meyuns 9 Ngerbeched 10 Ngerchemai 11 Ngerkebesang 12 Ngerkesoal 13 Ngermid 14 Kayangle 15 Iebukel (Ngerchelong) 16 Mengellang 17 Ngebei 18 Ngerbau 19 Ngriil 20 Ollei 21 Chelab 22 Chol 23 Ngebuked 24 Ngkeklau 25 Ulimang 26 Ngelau 27 Ngercheluuk 28 Ngermechau 29 Melekeok 30 Ngeburch 31 Ngerang 32 Ngermelech 33 Ngerubesang 34 Ngeruliang 35 Ngchesar 36 Ngeraus 37 Ngerngesang 38 Ngerkesou 39 Ngersuul 40 Ngeruikl 41 Shimizu 42 Airai-Ordomel 43 Ked 44 Ngerduais 45 Ngerikiil 46 Ngetkib 47 Ngeruluobel 48 Ngerusar 49 Oikull 50 Ngerutoi 51 Ngetbong 52 Urdmau 53 Imeong 54 Ngchemsed 55 Ngermetengel 56 Ibobang 57 Mechebechubel 58 Nekken 59 Chelechui 60 Imelsubech 61 Imull 62 Medorm 63 Mongami 64 Imelchol 65 North Kloulklubed 66 South Kloulklubed 67 Uosech 68 Ngerchol 69 Ngerdelolk 70 Angaur 71 Ngermetuker 72 Ngerungel 73 Ngchesechang 74 Ngesias 75 Ngerkeiukel 76 Sonsorol 77 Fanna 78 Pulo Ana 79 Merir 80 Hatohobei 81 Helen Reef 82 Rock Islands Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area Enumeration Area: 1 Airai 4 Kayangel 5 Melekeok 6 Ngiwal 7 Ngchesar 10 Aimeliik 11 Ngerchelong 12 Ngardmau 13 Ngatpang 14 Angaur 15 Ngeremlengui 20 Ngaraard 21 Jail 22 Meyuns 22 23 Meyuns 23 24 Meyuns 24 25 Madalaii 25 26 Madalaii 26 27 Ngerbeched 27 28 Ngerbeched 28 29 Ngerbeched 29 30 Madalaii 30 31 Madalaii 31 32 Dngeronger 33 Meketii 34 Iyebukel 37 Ngerchemai 38 Ikelau 39 Idid 40 Ngerkeswaol, Kor 41 Ngermid, Koror 44 Sonsorol 45 Peleliu 46 Hatohobei Household Number Household Number Household Number Household Number Household Number Household # Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name Household Head Name HH Population HH Population HH Population HH Population HH Population Total persons in hh: From the Household Control Sheet Winings from betting - week 1 Winings from betting - week 1 Winings from betting - week 1 Winings from betting - week 1 Winings from betting - week 1 If at any time during the 7 days covered by this diary, you or members of your household receive any money from any form of gambling, please record below the TOTAL AMOUNT received. Any expenditure on betting or gambling (e.g., Price of lottery tickets) made during the last 7 days covered by this diary should already have been recorded in the main part of the diary (Section 1 on the day the expenditure was made). 1 Yes 2 No Winings from betting - week 2 Winings from betting - week 2 Winings from betting - week 2 Winings from betting - week 2 Winings from betting - week 2 If at any time during the 7 days covered by this diary, you or members of your household receive any money from any form of gambling, please record below the TOTAL AMOUNT received. Any expenditure on betting or gambling (e.g., Price of lottery tickets) made during the last 7 days covered by this diary should already have been recorded in the main part of the diary (Section 1 on the day the expenditure was made). 1 Yes 2 No Winnings details Winnings details Winnings details Winnings details Winnings details Week Week Week Week Week 1 First Week 2 Second Week Identifies whether the information comes from the diary of the 1st or 2nd week Day Day Day Day Day Day 1 Monday 2 Tuesday 3 Wednesday 4 Thursday 5 Friday 6 Saturday 7 Sunday Type of Betting Type of Betting Type of Betting Type of Betting Type of Betting Type of Betting 1 Cock Fighting 2 Power Ball 3 All others Amount Amount Amount Amount Amount Amount won