CPH FORM 3 3A

Republic of the Philippines

Approval Number : PSA-1962-03
Expiry Date : 31 December 2020 Philippine Statistics Authority
OBLIGATION TO PROVIDE INFORMATION: CONFIDENTIALITY:
Section 25 of Republic Act 10625 The PSA adheres and commits to the
(Obligation to Provide Information) confidentiality of information as stipulated
stipulates that all respondents whether in Section 26 of RA 10625 (Confidentiality
natural or legal persons are required to of Information) and Section 8 of RA 10173
provide truthful and complete information (Confidentiality). All data obtained herein
to all statistical inquiries or surveys
conducted by the Philippine Statistics
SAMPLE HOUSEHOLD shall be held strictly confidential, and
will not be used for taxation, investigation
Authority (PSA). QUESTIONNAIRE or law enforcement purposes.

Dear Sir/Madam:
The Philippine Statistics Authority (PSA) is conducting the 2020 Census of Population and Housing (2020 CPH)
to gather data on the demographic, socioeconomic, and housing characteristics of all persons, households, and institutional living
quarters (ILQ) in all barangays nationwide. These data will be used by government planners, policy makers, and administrators
in formulating their social and economic development plans, policies, and programs.
The conduct of the 2020 CPH is in accordance with Republic Act (RA) No. 10625 (Philippine Statistical Act of 2013), which authorizes the PSA
to prepare and conduct periodic censuses on population, housing, and other sectors of economy. Batas Pambansa Blg. 72
and Executive Order No. 352 also stipulate the conduct of a census of population and housing every ten (10) years.
Section 25 of RA 10625, states that all respondents whether natural or legal persons are obliged to provide TRUTHFUL AND
COMPLETE ANSWERS to the 2020 CPH. Hence, we are requesting you to please answer all the questions that will be asked by our
census interviewer. Rest assured that the data that you will furnish in this census shall be considered PRIVILEGED COMMUNICATION
and as such shall be inadmissible as evidence in any proceeding. Provisions on CONFIDENTIALITY OF INFORMATION are
stipulated in Section 26 of RA 10625 and Section 4 of Commonwealth Act No. 591.
Moreover, please be informed that Section 4(e) of RA 10173 (Data Privacy Act of 2012) states that data privacy does not apply to
“information necessary in order to carry out the functions of public authority which includes the processing of personal data for the
performance by the independent agencies of their constitutionally and statutorily mandated functions.”
We appreciate your utmost cooperation and support for the success of the 2020 CPH.
Thank you very much.

CLAIRE DENNIS S. MAPA, Ph.D.

Undersecretary
National Statistician and Civil Registrar General

CERTIFICATION GEOGRAPHIC IDENTIFICATION

I hereby certify that the data set forth
herein were personally obtained/reviewed BOOKLET OF BOOKLETS
by me and in accordance with the
instructions given by the PSA.
PROVINCE

CITY/MUNICIPALITY
ENUMERATOR
SIGNATURE OVER PRINTED NAME

DATE ACCOMPLISHED BARANGAY

(mm/dd)

ENUMERATION AREA NUMBER

TEAM SUPERVISOR
SIGNATURE OVER PRINTED NAME
BUILDING SERIAL NUMBER
DATE REVIEWED
(mm/dd)
HOUSING UNIT SERIAL NUMBER

CAS/ACAS
SIGNATURE OVER PRINTED NAME HOUSEHOLD SERIAL NUMBER

DATE REVIEWED LINE NUMBER

(mm/dd) OF THE RESPONDENT

NAME OF THE
CO/RSSO/PSO SUPERVISOR HOUSEHOLD HEAD
SIGNATURE OVER PRINTED NAME LAST NAME FIRST NAME
ADDRESS
DATE REVIEWED
(mm/dd) HOUSE/BUILDING NUMBER AND STREET OR SITIO/PUROK NAME

INTERVIEW RECORD
VISIT NUMBER 1 2 3 SUMMARY OF VISIT
DATE
MONTH/DAY (mm/dd) (mm/dd) (mm/dd) NUMBER OF VISIT/S MADE
TIME BEGAN
HOUR:MINUTE AM/PM AM/PM AM/PM
RESULT OF FINAL VISIT *
TIME ENDED
HOUR:MINUTE AM/PM AM/PM AM/PM
NUMBER OF HOUSEHOLD MEMBERS
RESULT
OF VISIT
CODES FOR THE RESULT OF VISIT NUMBER OF MALES
1 COMPLETED * 4 REFUSED
2 NOT YET COMPLETED 5 OTHERS,SPECIFY * NUMBER OF FEMALES
(FOR CALLBACK)
3 ENTIRE HOUSEHOLD
IS ABSENT/AWAY DURING ENUMERATOR’S CODE
THE ENUMERATION PERIOD *

APPOINTMENT FOR NEXT VISIT MODE OF DATA COLLECTION

VISIT NUMBER 1 2 3 1 PAPER AND PENCIL PERSONAL INTERVIEW (PAPI)
DATE 2 SELF-ADMINISTERED QUESTIONNAIRE (SAQ)
MONTH/DAY (mm/dd) (mm/dd) (mm/dd) 3 COMPUTER-ASSISTED PERSONAL INTERVIEW (CAPI)
TIME
HOUR:MINUTE AM/PM AM/PM AM/PM
 3B POPULATION CENSUS QUESTIONS
GENERAL INSTRUCTIONS: 1. WRITE THE DETAILED ANSWER/DESCRIPTION ON THE LINES PROVIDED.
2. WRITE THE NUMBER OR CODE CORRESPONDING TO THE ANSWER IN THE BOX/ES.
3. REFER TO THE CODES FOR ITEM P2 AT THE BOTTOM OF THIS PAGE.

FOR ALL PERSONS

Relationship
to the
L Name Household Sex Date of Birth Age Birth Registration Marital Status
I Head
N
E P1 P2 P3 P4 P5 P6 P7 P8
Who is the head of this What Is ____ In what What Was Has ____ Is ____
N household? Who are is ____’s male month is ____’s ____’s ever had single, married,
U the persons usually relationship or and year age birth a copy common law/
M residing here to the head female? was ____ as of registered of his/her live-in, widowed,
B as of May 1, 2020? of this born? his/her with the birth or divorced/
E household? last Local certificate? separated/annulled?
R ORDER OF LISTING: 1 Male Month (MM) birthday? Civil
2 Female Year (YYYY) 1 Single
• Head Registry 1 Yes
2 Married
• Spouse of the head Office? 2 No
3 Don’t 3 Common-law/Live-in
• Never-married children 4 Widowed
of the head/spouse, from know
1 Yes 5 Divorced/Separated/
the oldest to the youngest
2 No Annulled
• Ever-married children 3 Don’t 6 Unknown
of the head/spouse and
their families, from the know
oldest to the youngest FOR CHILDREN
• Other relatives of the head “0” TO “9” YEARS OLD,
• Nonrelatives of the head WRITE CODE “1” (SINGLE)
IN THE BOX.

MM
1 LAST NAME SPECIFY

FIRST NAME YYYY

MM
2 LAST NAME SPECIFY

FIRST NAME YYYY

MM
3 LAST NAME SPECIFY

FIRST NAME YYYY

MM
4 LAST NAME SPECIFY

FIRST NAME YYYY

MM
5 LAST NAME SPECIFY

FIRST NAME YYYY

MM
6 LAST NAME SPECIFY

FIRST NAME YYYY

CHECK FOR PERSONS INDICATOR FOR

CODES FOR ITEM P2 - RELATIONSHIP TO THE HOUSEHOLD HEAD
NOT YET LISTED ADDITIONAL BOOKLET
Are there other persons in this ARE THERE MORE THAN 01 Head 09 Grandson 15 Brother 21 Nephew
household who were not yet SIX (6) MEMBERS IN THIS 02 Spouse 10 Granddaughter 16 Sister 22 Niece
listed, such as infants, small HOUSEHOLD? 03 Son 11 Father 17 Brother-in-law 23 Boarder
children, elderly persons, and
04 Daughter 12 Mother 18 Sister-in-law 24 Domestic helper
overseas workers?
05 Stepson 13 Father-in-law 19 Uncle 25 Other relative
06 Stepdaughter 14 Mother-in-law 20 Aunt 26 Nonrelative
1 Yes, ADD 1 Yes, USE
07 Son-in-law
TO THE LIST. ADDITIONAL
2 None 08 Daughter-in-law
BOOKLET.
2 No
 POPULATION CENSUS QUESTIONS 3C
GENERAL INSTRUCTIONS: 1. WRITE THE ANSWER/DETAILED DESCRIPTION ON THE LINES PROVIDED.
2. WRITE THE NUMBER OR CODE CORRESPONDING TO THE ANSWER IN THE BOX/ES.
3. REFER TO THE CODE BOOK FOR THE CODES IN ITEMS P9, P11, AND P12.

FOR ALL PERSONS FOR ALL PERSONS 5 YEARS OLD AND OVER

Religious
L Citizenship Ethnicity Functional Difficulty
Affiliation
I
N
P9 P10 P11 P12 P13
E
What is Is ____ What What is ____’s The following questions ask about difficulties a person may have
N ____’s a citizen country/ ethnicity doing certain activities because of a HEALTH PROBLEM.
U religious of the other by descent/
M affiliation? Philippines? country blood relation/ Does ____ have any difficulty/problem in…?
B is ____ consanguinity?
E 1 YES, Filipino a citizen of? a b c d e f
R citizen Is he/she Seeing, Hearing, Walking Remembering Self-caring Communicating
2 YES, Filipino a/an ____? even if even or or (such as using his/her
with dual wearing if using climbing concentrating washing usual
citizenship glasses hearing steps all over (customary)
3 NO aid or dressing) language
MENTION THE
PREDOMINANT/
COMMON
INDIGENOUS
PEOPLES (IP) MENTION THESE CATEGORIES:
IF CODE “1”, OR NON-IP
GO TO GROUPS
ITEM P12. 1 – NO, 2 – YES, some 3 – YES, a lot 4 – Cannot
IN THE AREA.
no difficulty difficulty of difficulty do it at all

a b c d e f

SPECIFY SPECIFY SPECIFY

1

2 SPECIFY SPECIFY SPECIFY

3 SPECIFY SPECIFY SPECIFY

4 SPECIFY SPECIFY SPECIFY

5 SPECIFY SPECIFY SPECIFY

6 SPECIFY SPECIFY SPECIFY

REMARKS
 3D POPULATION CENSUS QUESTIONS
GENERAL INSTRUCTIONS: 1. WRITE THE ANSWER/DETAILED DESCRIPTION ON THE LINES PROVIDED.
2. WRITE THE NUMBER OR CODE CORRESPONDING TO THE ANSWER IN THE BOX/ES.
3. REFER TO THE CODE BOOK FOR THE CODES IN ITEMS P14, P15, AND P19.

FOR ALL
FOR ALL PERSONS PERSONS
L FOR ALL PERSONS 5 YEARS OLD AND OVER
5 TO 24 YEARS OLD 15 YEARS OLD
I AND OVER
N
E Residence of Mother Residence
Highest Grade/ School Overseas
at the Time of Birth Five (5) Literacy Place of School
N of the Household Member
Year Completed Attendance Worker
Years Ago
U P14 P15 P16 P17 P18 P19 P20
M
B In what province In what province Can What is the highest Did ____ In what province Is ____
E and city/municipality and city/ ____ grade/year attend school and city/ an overseas
R did ____'s mother reside municipality read completed at anytime municipality worker?
at the time did ____ reside and write by____ ? from did ____ attend
of ____'s birth? on May 1, 2015? a simple June 2019 school? 1 Yes
2 No
message to May 2020?
in any
language
or 1 Yes
dialect? 2 No
REFER TO THE CODES
1 Yes AT THE BOTTOM
2 No OF THIS PAGE, EXCEPT
FOR THE CODES IF NO,
FOR SPECIFIC GO TO
COURSES. ITEM P20.

PROVINCE PROVINCE PROVINCE

1
CITY/MUNICIPALITY CITY/MUNICIPALITY SPECIFY CITY/MUNICIPALITY

PROV CITY/MUN PROV CITY/MUN PROV CITY/MUN

PROVINCE PROVINCE PROVINCE

2
CITY/MUNICIPALITY CITY/MUNICIPALITY SPECIFY CITY/MUNICIPALITY

PROV CITY/MUN PROV CITY/MUN PROV CITY/MUN

PROVINCE PROVINCE PROVINCE

3
CITY/MUNICIPALITY CITY/MUNICIPALITY SPECIFY CITY/MUNICIPALITY

PROV CITY/MUN PROV CITY/MUN PROV CITY/MUN

PROVINCE PROVINCE PROVINCE

4
CITY/MUNICIPALITY CITY/MUNICIPALITY SPECIFY CITY/MUNICIPALITY

PROV CITY/MUN PROV CITY/MUN PROV CITY/MUN

PROVINCE PROVINCE PROVINCE

5
CITY/MUNICIPALITY CITY/MUNICIPALITY SPECIFY CITY/MUNICIPALITY

PROV CITY/MUN PROV CITY/MUN PROV CITY/MUN

PROVINCE PROVINCE PROVINCE

6
CITY/MUNICIPALITY CITY/MUNICIPALITY SPECIFY CITY/MUNICIPALITY

PROV CITY/MUN PROV CITY/MUN PROV CITY/MUN

CODES FOR ITEM P17 – HIGHEST GRADE/YEAR COMPLETED

00000 No grade completed INCLUSIVE/SPECIAL NEEDS COLLEGE
EDUCATION PROGRAM 68100 1st Year
K TO 12 PROGRAM K TO 12 PROGRAM OLD CURRICULUM OLD CURRICULUM 10002 Elementary 68200 2nd Year
24002 High School 68300 3rd Year
PRESCHOOL JUNIOR HIGH SCHOOL PRESCHOOL HIGH SCHOOL
68400 4th Year
02000 Preschool 21000 1st Year CONTINUING/SECOND-CHANCE
01000 Kindergarten 24100 Grade 7 68500 5th Year
22000 2nd Year EDUCATION PROGRAM
24200 Grade 8 ELEMENTARY 68600 6th Year
ELEMENTARY 23000 3rd Year 10003 Elementary
24300 Grade 9 11000 Grade 1 IF COLLEGE GRADUATE,
11100 Grade 1 24000 4th Year 24003 High School
12100 Grade 2 24400 Grade 10 graduate 12000 Grade 2 SPECIFY COURSE.
25000 High school graduate POST SECONDARY
13100 Grade 3 13000 Grade 3 POST BACCALAUREATE
SENIOR HIGH SCHOOL
14100 Grade 4 14000 Grade 4 48880 Post secondary undergraduate
IF GRADE 11 COMPLETER 78880 Master’s degree undergraduate
15100 Grade 5 IF GRADUATE OF POST SECONDARY,
16100 Grade 6 graduate OR GRADE 12 GRADUATE, 15000 Grade 5 IF GRADUATE OF MASTER’S DEGREE,
SPECIFY COURSE.
SPECIFY GRADE LEVEL 16000 Grade 6 SPECIFY COURSE.
AND TRACK/STRAND 17000 Grade 6 graduate SHORT-CYCLE TERTIARY
18000 Grade 7 graduate EDUCATION PROGRAM 88880 Doctorate degree undergraduate
58880 Short-cycle tertiary undergraduate IF GRADUATE OF DOCTORAL DEGREE,
IF GRADUATE OF SHORT-CYCLE SPECIFY COURSE
TERTIARY, SPECIFY COURSE.
 POPULATION CENSUS QUESTIONS 3E
GENERAL INSTRUCTIONS: 1. WRITE THE ANSWER/DETAILED DESCRIPTION ON THE LINES PROVIDED.
2. WRITE THE NUMBER OR CODE CORRESPONDING TO THE ANSWER IN THE BOX/ES.
3. REFER TO THE CODE BOOK FOR THE CODES IN ITEM P24.

L FOR ALL PERSONS 15 YEARS OLD AND OVER FOR ALL FEMALE PERSONS 15 TO 49 YEARS OLD
I
N
E
Class
Usual Activity/ Kind of Business
of Place of Work Fertility Indicators
N Occupation or Industry
Worker
U
M P21 P22 P23 P24 P25 P26 P27 P28
B During the past In what kind What In what province How many From among From among What
E 12 months, of business kind and city/ children have the children the children was ____’s
R what was ____’s or industry of worker municipality been born who have who have been age at first
usual activity/ did ____work is ____? did ____ work
occupation? during the past during the past alive been born born alive marriage?
12 months? 12 months? to ____? alive to to ____,
IF THE ANSWER
MENTION
____, how how many
IN ITEM P21
IS STUDENT, THE many are were born
CATE-
HOUSEKEEPER,
GORIES still living? alive from
DEPENDENT
OR ENGAGED AT THE May 1, 2019 IF THE ANSWER
IN OTHER NON- BOTTOM. IN ITEM P8
GAINFUL ACTIVITY,
to April 30, (MARITAL STATUS)
IF NONE,
GO TO ITEM P25. WRITE “00” 2020? IS CODE “1”
(SINGLE),
LEAVE LEAVE AND GO TO LEAVE
THE BOXES BLANK. THE BOXES BLANK. ITEM P28. ITEM P28 BLANK.

PROVINCE

1
SPECIFY SPECIFY SPECIFY CITY/MUNICIPALITY

PROVINCE

2
SPECIFY SPECIFY SPECIFY CITY/MUNICIPALITY

PROVINCE
3
SPECIFY SPECIFY SPECIFY CITY/MUNICIPALITY

PROVINCE
4
SPECIFY SPECIFY SPECIFY CITY/MUNICIPALITY

PROVINCE
5
SPECIFY SPECIFY SPECIFY CITY/MUNICIPALITY

PROVINCE
6
SPECIFY SPECIFY SPECIFY CITY/MUNICIPALITY

CODES FOR ITEM P23 – CLASS OF WORKER REMARKS

1 Worked for private household 5 Employer in own farm
(domestic services) – PHH or business – EMP
2 Worked for private 6 Worked with pay in own
business/enterprise/farm – PVT family-operated farm
3 Worked for government/ or business – PAID
government corporation – GOV 7 Worked without pay in own
4 Self-employed without family-operated farm
any paid employee – SELF or business – UNPAID
3F HOUSING/HOUSEHOLD CENSUS QUESTIONS
GENERAL INSTRUCTIONS: 1. WRITE THE NUMBER OR CODE CORRESPONDING TO THE ANSWER IN THE BOX/ES.
2. WRITE THE ANSWER/DETAILED DESCRIPTION ON THE LINE PROVIDED FOR “OTHERS, SPECIFY”
IN ITEMS B1 AND B3 TO B6 AND H2.

ITEMS B1 TO B4 AND B7 ARE TO BE ANSWERED THROUGH OBSERVATION. IF DOUBTFUL, ASK THE RESPONDENT. CODE
B1 Type of building
1 Single house 6 Commercial/industrial/agricultural (e.g. office, factory, barn)
2 Duplex 7 Institutional living quarter (e.g. hotel, hospital, convent, jail)
3 Apartment/accessoria/rowhouse 8 Other types of building (e.g. bus/trailer, boat, tent),
4 Condominium/condotel SPECIFY ________________________GO TO ITEM H5.
5 Other multi-unit residential 9 None (e.g. homeless, cart), END INTERVIEW.

B2 Number of floors of the building

1 One floor (e.g. bungalow, including basement/ 4 Four floors
mezzanine floor) 5 Five to 10 floors
2 Two floors 6 11 floors or more
3 Three floors

B3 Construction materials of the roof

1 Galvanized iron/aluminum 5 Cogon/nipa/anahaw
2 Concrete/clay tile 6 Asbestos
3 Half galvanized iron and half concrete 7 Makeshift/salvaged/improvised materials
4 Wood/bamboo 8 Others, SPECIFY_______________________________

B4 Construction materials of the outer walls

01 Concrete/brick/stone 06 Asbestos
02 Wood 07 Glass
03 Half concrete/brick/stone and half wood 08 Makeshift/salvaged/improvised materials
04 Galvanized iron/aluminum 09 Others, SPECIFY _______________________________
05 Bamboo/sawali/cogon/nipa 10 None

B5 Finishing materials of the floor of the housing unit

1 Ceramic tile/marble/granite 5 Vinyl/carpet tile
2 Cement/brick/stone 6 Linoleum
3 Wood plank 7 Others, SPECIFY _______________________________
4 Wood tile/parquet 8 None

B6 Construction materials of the floor of the housing unit

1 Concrete 5 Earth/sand/mud
2 Wood 6 Makeshift/salvaged/improvised materials
3 Coconut lumber 7 Others, SPECIFY _______________________________
4 Bamboo
B7 State of repair of the building
1 Needs no repair/needs minor repair 4 Under renovation/being repaired
2 Needs major repair 5 Under construction (ongoing)
3 Dilapidated/condemned 6 Unfinished construction

B8 Year building was built

When was this building built?
01 2020 07 2001 – 2010
02 2019 08 1991 – 2000
03 2018 09 1981 – 1990
04 2017 10 1980 or earlier
05 2016 11 Don’t know
06 2011 – 2015

D1 Floor area of the housing unit

What is the estimated floor area of this housing unit?
01 Less than 5 sq.m. or Less than 54 sq.ft. 07 70 – 89 sq.m. or 749 – 963 sq.ft.
02 5 – 9 sq.m. or 54 – 107 sq.ft. 08 90 – 119 sq.m. or 964 – 1,286 sq.ft.
03 10 – 19 sq.m. or 108 – 209 sq.ft. 09 120 – 149 sq.m. or 1, 287 – 1,609 sq.ft.
04 20 – 29 sq.m. or 210 – 317 sq.ft. 10 150 – 199 sq.m. or 1, 610 – 2,147 sq.ft.
05 30 – 49 sq.m. or 318 – 532 sq.ft. 11 200 sq.m. and over or 2,148 sq.ft. and over
06 50 – 69 sq.m. or 533 – 748 sq.ft.

H1 Tenure status of the housing unit/lot

What is the tenure status of the housing unit and lot occupied by this household?
1 Own or owner-like possession of the house and lot
2 Own house, rent lot
3 Own house, rent-free lot with consent of owner
4 Own house, rent-free lot without consent of owner
5 Rent house/room, including lot, GO TO ITEM H4
6 Rent-free house and lot with consent of owner, GO TO ITEM H5
7 Rent-free house and lot without consent of owner, GO TO ITEM H5

H2 Acquisition of the housing unit

How did this household acquire this housing unit?
1 Inherited, GO TO ITEM H5
2 Gift, GO TO ITEM H5
3 Company benefit, GO TO ITEM H5
4 Purchased
5 Others, SPECIFY ______________________________, GO TO ITEM H5
 HOUSING/HOUSEHOLD CENSUS QUESTIONS 3G
GENERAL INSTRUCTIONS: 1. WRITE THE NUMBER OR CODE CORRESPONDING TO THE ANSWER IN THE BOX/ES.
2. WRITE THE ANSWER/DETAILED DESCRIPTION ON THE LINE PROVIDED FOR “OTHERS, SPECIFY”
IN ITEMS H3 AND H5 TO H11.

CODE
H3 Source of financing of the housing unit
Did this household avail of the following sources of financing in the construction/purchase of this housing unit?
WRITE CODE “1” IF THE ANSWER IS “YES”; OTHERWISE, WRITE CODE “2” IF THE ANSWER IS “NO”.
THEN GO TO ITEM H5.
a) Own resources/interest-free loans from relatives/friends
b) Government assistance, PAG-IBIG, GSIS, SSS, LBP, and others
c) Private bank/foundation/cooperative
d) Employer assistance
e) Private persons
f) Others, SPECIFY _________________________________________________________________________

H4 Monthly rental of the housing unit

How much is the monthly rental of this housing unit?
1 PhP 500 or less 4 PhP 1,501 – 2,000 7 PhP 6,001 – 7,500
2 PhP 501 – 1,000 5 PhP 2,001 – 4,000 8 PhP 7,501 – 10,000
3 PhP 1,001 – 1,500 6 PhP 4,001 – 6,000 9 PhP 10,001 and over

H5 Usual manner of kitchen garbage disposal

How does this household usually dispose kitchen garbage such as leftover food,
peeling of fruits and vegetables, fish and chicken entrails, and others?

1 Picked up by garbage truck 4 Composting 7 Others, SPECIFY

2 Dumping in individual pit 5 Burying
(not burned) 6 Feeding to animals _____________________
3 Burning

H6 Kind of toilet facility

What type of toilet facility does this household use?
01 Flush to piped sewer system 06 Ventilated improved latrine 11 Hanging toilet/hanging latrine
02 Flush to septic tank 07 Pit latrine with slab 12 No facility/bush/field
03 Flush to pit latrine 08 Pit latrine without slab/open pit 13 Others, SPECIFY
04 Flush to open drain 09 Composting toilet
05 Flush to unknown depository/place 10 Bucket/pail system ______________________

H7 Fuel for lighting

What type of fuel does this household use for lighting?
1 Electricity 5 Solar panel/solar lamp
2 Kerosene (gaas) 6 Others, SPECIFY______________________________________
3 Liquefied petroleum gas (LPG) 7 None
4 Oil (vegetable, animal, and others)

H8 Fuel for cooking

What type of fuel does this household use most of the time for cooking?
1 Electricity 5 Wood
2 Kerosene (gaas) 6 Others, SPECIFY _____________________________________
3 Liquefied petroleum gas (LPG) 7 None
4 Charcoal
H9 Source of water supply for drinking
What is this household’s main source of water supply for drinking?
01 Own use faucet, community water system 09 Unprotected spring
02 Shared faucet, community water system 10 Rainwater
03 Own use tubed/piped deep well 11 Surface water (river, dam, lake, pond, stream, canal,
04 Shared tubed/piped deep well irrigation channel)
05 Tubed/piped shallow well 12 Peddler (includes tanker-truck and cart with small tank)
06 Protected well 13 Water refilling station
07 Unprotected well 14 Bottled water
08 Protected spring 15 Others, SPECIFY________________________________

H10 Source of water supply for cooking

What is this household’s main source of water supply for cooking?
01 Own use faucet, community water system 09 Unprotected spring
02 Shared faucet, community water system 10 Rainwater
03 Own use tubed/piped deep well 11 Surface water (river, dam, lake, pond, stream, canal,
04 Shared tubed/piped deep well irrigation channel)
05 Tubed/piped shallow well 12 Peddler (includes tanker-truck and cart with small tank)
06 Protected well 13 Water refilling station
07 Unprotected well 14 Bottled water
08 Protected spring 15 Others, SPECIFY________________________________

H11 Land ownership

Does any member of this household own the following…?
WRITE CODE “1” IF THE ANSWER IS “YES”; OTHERWISE, WRITE CODE “2” IF THE ANSWER IS “NO”.
a) Other residential land/s

b) Agricultural land/s

c) Agricultural land/s acquired through Comprehensive Agrarian Reform Program,

as an agrarian reform beneficiary
d) Other land/s, SPECIFY ____________________________________________________________________
3H HOUSING CENSUS QUESTIONS
GENERAL INSTRUCTIONS: 1. WRITE THE ANSWER/DETAILED DESCRIPTION ON THE LINE PROVIDED FOR “OTHERS, SPECIFY”
IN ITEM H12 AND SPECIFIC ANSWER ON ITEMS H13 AND H14.
2. WRITE CODE “1” IF THE ANSWER IS “YES”; OTHERWISE, WRITE CODE “2” IF THE ANSWER IS “NO”
FOR ITEMS H15, H16, AND H17.

CODE

H12 Presence of operator in crop farming, livestock and/or poultry raising, aquaculture, fishing,
and other farm/activity
In 2019, is there any member of this household who operated a/an…?
a) Crop farm
b) Livestock and/or poultry farm
c) Aquafarm
d) Fishing activity
e) Other farm/activity, SPECIFY _______________________________________________________________

H13 Language/dialect generally spoken at home

What is the language/dialect generally spoken at home by members of this household?

SPECIFY LANGUAGE/DIALECT ________________________________________________________________________

H14 Residence five (5) years from now

In what province and city/municipality does this household intend to reside
five (5) years from now, that is, by May 1, 2025?
_____________________________________________ ___________________________________________
PROVINCE CITY/MUNICIPALITY PROV CITY/MUN

H15 Presence of household conveniences/information and communication technology

(ICT) devices/vehicles
Does this household have the following household conveniences/devices/vehicles in working condition?
Household conveniences

a) Refrigerator/freezer
b) Stove with oven/gas range
c) Microwave oven
d) Washing machine
e) Air conditioner
f) Electric fan and other cooling equipment
ICT devices
g) Radio/radio cassette (AM, FM, and transistor)
h) Television
i) CD/DVD/VCD player
j) Audio component/stereo set/karaoke/videoke
k) Landline/wireless telephone
l) Mobile phone
m) Tablet
n) Personal computer (desktop, laptop, notebook, netbook, and others)
Vehicles
o) Car/van/jeep/truck
p) Motorcycle/motor scooter/tricycle
q) Bicycle/pedicab
r) Motorized boat/banca
s) Nonmotorized boat/banca

H16 Internet access

What type/s of Internet access is/are available at home?

a) Fixed (wired) narrowband/broadband network [e.g. via Digital Subscriber Line (DSL), cable modem,
high speed leased line, fiber-to-the-home/building, powerline, and other fixed (wired) broadband]
b) Fixed (wireless) broadband network [e.g. via WiMAX and fixed Code Division Multiple Access (CDMA)]
c) Satellite broadband network
d) Mobile broadband network [e.g. via handset, card (e.g. integrated Subscriber
Identity Module or SIM card) or USB modem]

H17 Internet use

Where did this household member/s use the Internet in the last three (3) months?
a) Home
b) Work
c) School
d) Another person’s home
e) Public place
f) Private establishment
g) Internet café/computer shop
h) In mobility