Repetition Quarter Year

Palestinian Central Bureau of Statistics 1 1 2 3 4 ____

2 1 2 3 4 ____
Data Confidential in Accordance to General Statistical Law 2000 3 1 2 3 4 ____
4 1 2 3 4 ____
Interviewee Week _________ Constant No
Mark (x) in the box of the Repetition in which the household is interviewed first second third forth Round No.
Part I : Identification Information
IDNUM REP IDSAM

ID1 Locality code ID4 Number of HU in the Building ID7 Type of locality
ID2 Enumeration Area ID5 Number of household in HU ID8 No. of HH in Enumeration Area
ID3 Building no ID6 District code ID9 Name of head of HH
District Locality Street/Route
Part II: Quality Control
Repetition Date of interviewing Final result No. of visits Name of interviewer No. of interviewer Editor code Coder code Data entry operator code
QC1 QC2 QC3 QC4 QC5 QC6 QC7
day month year (1-9) (1-3)
1
2
3
4

QC2 Final result 1. Complete (Household not changed) 2. Complete (Household was changed) 3. Household traveled 4. Unit Not Found 5. Nobody at Home 6. Refused
7. Not inhabited unit 8. No information 9. Others/ Select……….
Interviewer: Read all names of household members listed in the Repetition
previous Repetition and ask the following questions First Second Third Fourth
RD1: Number of new household members If the number is more than one, add the new names to the household roster
RD2: Number of household members who left the If the number is more than one update the roster and delete the names of the
household due to death, migration or any other reason leaving members
RD3: Number of household members less than 10 years
RD4: Number of household members 10 years and over
RD5: Number of residence rooms
 Repetition Quarter Year
Palestinian Central Bureau of Statistics 1 1 2 3 4 ____
2 1 2 3 4 ____
Data Confidential in Accordance to General Statistical Law 2000 3 1 2 3 4 ____
4 1 2 3 4 ____
Interviewee Week _________ Constant No
Mark (x) in the box of the Repetition in which the household is interviewed first second third forth Round No.
Part I : Identification Information
IDNUM REP IDSAM

ID1 Locality code ID4 Number of HU in the Building ID7 Type of locality
ID2 Enumeration Area ID5 Number of household in HU ID8 No. of HH in Enumeration Area
ID3 Building no ID6 District code ID9 Name of head of HH
District Locality Street/Route
Part II: Quality Control
Repetition Date of interviewing Final result No. of visits Name of interviewer No. of interviewer Editor code Coder code Data entry operator code
QC1 QC2 QC3 QC4 QC5 QC6 QC7
day month year (1-9) (1-3)
1
2
3
4

QC2 Final result 1. Complete (Household not changed) 2. Complete (Household was changed) 3. Household traveled 4. Unit Not Found 5. Nobody at Home 6. Refused
7. Not inhabited unit 8. No information 9. Others/ Select……….
Interviewer: Read all names of household members listed in the Repetition
previous Repetition and ask the following questions First Second Third Fourth
RD1: Number of new household members If the number is more than one, add the new names to the household roster
RD2: Number of household members who left the If the number is more than one update the roster and delete the names of the
household due to death, migration or any other reason leaving members
RD3: Number of household members less than 10 years
RD4: Number of household members 10 years and over
RD5: Number of residence rooms
 HR0 HR0A HR1 HR2 HR3 HR4 HR5 HR6 HR7
Office Use Only Number Name Sex Date of Birth Relationship to the Head Refugee Status Interviewer: When was the
of Person of Household Write down Person Registered
Person Change answering 1.Male 1. head changes of For the first time
Status Code by Round 2.Female 2. spouse 1.Registered residency Status in the HH by the
3. son\daughter 2.Not 1. Work Repetition
4. father\mother Registered 2. Studying
5. brother\ sister 3.Not Refugee 3. Marriage
6. Grand Father\ Mother 4. Accompanying
7. grand child 5. Emigration
8. Son Wife\ Daughter 6. Death
Husband 7. Newborn
9. Other relative 8. Others
10. Others 9. Nothing

1 2 3 4 Number Day Month Year 1 2 3 4

01 1 2 3 4
02 1 2 3 4
03 1 2 3 4
04 1 2 3 4
05 1 2 3 4
06 1 2 3 4
07 1 2 3 4
08 1 2 3 4
09 1 2 3 4
10 1 2 3 4
11 1 2 3 4
12 1 2 3 4
13 1 2 3 4
14 1 2 3 4
15 1 2 3 4
16 1 2 3 4
17 1 2 3 4
18 1 2 3 4
19 1 2 3 4
20 1 2 3 4
Ο Interviewer: Mark (x) in the circle if an extra questionnaire was completed for the household
Part 4: Population 10 years and over ROUND: ____________
District:_________ Locality:_________ Name of head of HH:_____________ IDSAM:
Serial No: Name: _____________________________ Pr1: The Age:
Pr2: School Attendance: Pr3 Years of school: Pr4 Educational Attainment( higher Qualification )
1. yes 2. no
1. Illiterate 6.Associatte Diploma
Pr4a Specialization of education: 2.Can Read and Write 7.BA\ BSc
Pr4b Country of graduates
Pr5 Marital Status: ask for Persons 12 years and above, Persons 3. Elementary 8. Higher Diploma
10-11 years record for them (--) 4.Preparatory 9.Master Degree
1.Never Married 2. Engaged 3.Married 4. Divorced 5.Secondary 10.Ph.D
5. Widowed 6. Separated
Pr6 Training course attendance (such as training course that 1. Currently Attending 2. Attended and left 3. Attended
managed by ministry of labour, Qalandia institute ) must and graduated 4. Never attended (Skip to PW01)
present certificate at the end of the training course
Pr7 Training Institution name
Pr8 Specialization of training course

PW01 Did....... work for wage in any kind of job including 1 yes Skip to PW05
casual activities even for one hour? 2 No-Disable\abroad Skip to PW17
3 abroad
4 Detained
5 No PW02
PW02 Although......did not work last week, did he\she assist in any 1 Yes Skip to PW05
work including casual activities ? 2 No
PW03 Does ..... have any work or enterprise for which 1 Yes
he\she was absent last week? 2 No Skip to PW11
PW04 Why was...... absent from his\her job last week? 1 Ill Skip to
2 Vacation
3 Strike, closure, curfew
4 Closure(Permit with payment)
5 Temporary stoppage
6 Others PW08
PW05 Does...... have any other jobs? 1.Yes 2. No
PW05a What is the economic activity in the second job
PW06 How many hours did ...... work in all jobs last week? IF the hours 35 or more Skip to PW08
a. Main Job
b. Second Job
PW07 Why was the number of hours worked last week less 1 Personal reasons (Illness, vacation,,,)
than 35 hours? 2 No desire to work more
3 Nature of work
4 Strike
5 Closure
6 Could not find additional work
7 Others
PW08 Did... want to change his\her job or to get 1 Yes
additional work last week? 2 No Skip to PW10
PW09 Why did... want to change his\her job or 1 Insufficient income Skip to
to get additional work? 2 Occupation is not suitable
3 Bad work conditions
4 Place of work is far
5 Seasonal / casual, occasional
6 Others PW18
PW10 Why did not .... want to change his\job or to 1 Good work Skip to
get additional job? 2 Studying, training
3 Home duties
4 Old, Illness
5 Others PW18
PW11 Was .... available for work last week? 1 Yes
2 No - Old, Illness Skip to
3 No, student
4 No- home duties
5 No- Others PW17
PW12 Was there any reason that prevented ..... from 1 No
getting a job if he was offered on last week? 2 Yes, student Skip to
3 Yes- home duties
4 Yes-Old, Illness
5 Yes- Others PW17
PW13 For How long is.... available and able to work? Months
PW14 Did... seek for a job last week or last Four weeks? a. last week 1. Yes
The Skip available only for (a) b. last Four weeks 2. No Skip to PW16
PW15 What were the steps taken to get a job? 1 Asked friends Skip to
2 Declared\ Read newspaper
3 Application to employers
4 Labour exchange PW17
5 Others
6 Did nothing PW16
PW16 Why did not .... seek for a job last week? 1 Studying, training
2 Home duties
3 Old, Illness
4 Found\established a job which starts later
5 Waiting results form previous job\applications 6. Waiting
clients 7. Closure/ curfew
8 Still trying to have permit to wok in Israel and settlements
9 Vacation / official vacation during the reference period
10 Do not have any qualification or occupation
11 Didn’t seek job due low wages
12 Find a job doesn’t fit with qualifications
13 Discouraged to find job
14 Not interested in job Finding due to other income sources
15 The household do nor permit to work (only for women)
16 Others
PW17 Did....ever work in the past for at least 1 Yes- in the last 12 months Skip to PW18
two weeks regularly? 2 Yes- less than 5 years ago End
3 Yes- more than 5 years ago
4 No
PW18 Where did... work in the main 1. In Same District in West Bank
currents\previous job? 2. In other District in West Bank
3. In same District in Gaza Strip
4. In other District in Gaza Strip
5 Israel and Settlements
6. Abroad
X18a Does…work with permit or has any document to get to 1 Work with permit
Israel or settlements 2 Work without permit
3 Israel identity\foreign passport\Jerusalem identity

X18b For the interviewer: Write detailed description to …the work a. Major work place
place
b.ٍSecond work place
PW19 For whom did ... work in the main current\previous work?
PW20 What type of Industry (economic activity) does this
company\ establishment work in?
PW21 What are the main duties and activities that... does At this
work?
PW22 What is\was his\her main occupation at this work?
PW23 What is\was his\her employment status 1.Employer(employed others) 2.Self Employed
3.Unpaidfamily member 4.Employee\National
5.Employee\Foreign Government 6.Employee\ UNRWA
a. Main Job a. 7.Employee\Internati 8.Employee\ Nonprofit Organization
b. 9.Regular employee\ 10.Irregular employee\ private sector
11.Other (specify)
b. Second Job (IF the answer in PW05 is 1) (4-11 skip to PW23d)
pw23a What is the legal status/organization of the 1. Sole proprietor 2. defecto company
enterprise where you work ? 3. General partnership part. 4. Limited part 5. Share holding
company 6. Public share holding 7. Limited shares 8.
a. Main Job a. Limited Liability 9. Unlimited Liability 10. Cooperative 11.
b. Second Job b. Assoc. and charities 12. Foreign Co. branch
pw23b What kind of accounts do you keep for this 1.Complet assets of written accounts
activity a. 2.Simplified written accounts
a. Main Job b. 3.Only through informal records of orders, sales, purchases
b. Second Job 4. No record are kept
pw23c Product destination a. 1. Market
a. Main Job b. 2. Household use
b. Second Job 3. Mixed (Market and household)
pw23d Is the enterprise in which you work registered in 1. Yes
tax administration a. 2. No
a. Main Job b. 3. In process of being registered
b. Second Job 4. Don't know
pw23e How many persons (including your self) usually 1. Only one
work your enterprise/ the enterprise where you 2. 2--4
are employed? a. 3. 5--9
a. Main job b. 4. 10--19
b. Second job 5. 20++
pw23f How many of them are paid employees 1. 4 or less
a. Main Job a. 2. 5 or more
b. Second Job b.
For wage employees only (the answer in pw23 from 4-11)
pw23h Are you employed permanently or 1. Full time/ regular 2. part time 3.Seasonal / casual,
temporarily/ seasonal / casual job? a. occasional
a. Main job b.
b. Second job
pw23g Are you employed on the business in a written 1. Yes- written for limited period
contract ? 2. Yes- written for unlimited period
a. Main job a. 3. Yes- collective agreement
b. Second job b. 4. Yes- Verbal agreement
5. No
pw23i Do you benefit from any of the following: Main Second
1. Yes 2.No 3. Not applicable Job Job 1.Annual paid leave or from compensation instead of it
2. Contributions to the pension fund for you
3.Paid sick leave
4. In case of birth of a child Would you be given the
opportunity to benefit from maternity leave (for women
only)
Only for those who answered PW23 4-10, and did not answer PW17
PW24 How long is he\she at this work? Months
PW25 How many days did ..work for wage last month Days
PW26 Since he\she worked for wage what was the amount for it
- Period: 1. Daily 2. Weekly 3. Monthly

-amount he\she received:

-Currency: 1. Shiekeel 2. Jordanian Dinar 3. Dollar

 HR0 HR0A HR1 HR2 HR3 HR4 HR5 HR6 HR7
Office Use Only Number Name Sex Date of Birth Relationship to the Head Refugee Status Interviewer: When was the
of Person of Household Write down Person Registered
Person Change answering 1.Male 1. head changes of For the first time
Status Code by Round 2.Female 2. spouse 1.Registered residency Status in the HH by the
3. son\daughter 2.Not 1. Work Repetition
4. father\mother Registered 2. Studying
5. brother\ sister 3.Not Refugee 3. Marriage
6. Grand Father\ Mother 4. Accompanying
7. grand child 5. Emigration
8. Son Wife\ Daughter 6. Death
Husband 7. Newborn
9. Other relative 8. Others
10. Others 9. Nothing

1 2 3 4 Number Day Month Year 1 2 3 4

01 1 2 3 4
02 1 2 3 4
03 1 2 3 4
04 1 2 3 4
05 1 2 3 4
06 1 2 3 4
07 1 2 3 4
08 1 2 3 4
09 1 2 3 4
10 1 2 3 4
11 1 2 3 4
12 1 2 3 4
13 1 2 3 4
14 1 2 3 4
15 1 2 3 4
16 1 2 3 4
17 1 2 3 4
18 1 2 3 4
19 1 2 3 4
20 1 2 3 4
Ο Interviewer: Mark (x) in the circle if an extra questionnaire was completed for the household
Part 4: Population 10 years and over ROUND: ____________
District:_________ Locality:_________ Name of head of HH:_____________ IDSAM:
Serial No: Name: _____________________________ Pr1: The Age:
Pr2: School Attendance: Pr3 Years of school: Pr4 Educational Attainment( higher Qualification )
1. yes 2. no
1. Illiterate 6.Associatte Diploma
Pr4a Specialization of education: 2.Can Read and Write 7.BA\ BSc
Pr5: Marital Status: ask for Persons 12 years and above, Persons 10-11 3. Elementary 8. Higher Diploma
years record for them (--) 4.Preparatory 9.Master Degree
1.Never Married 2. Engaged 3.Married 4. Divorced 5.Secondary 10.Ph.D
5. Widowed
PW01 Did....... work for wage in any kind of job including 1 yes Skip to PW05
casual activities even for one hour? 2 No-Disable\abroad Skip to PW17
3 Detained
4 No PW02
PW02 Although......did not work last week, did he\she assist in any 1 Yes Skip to PW05
work including casual activities ? 2 No

PW03 Does ..... have any work or enterprise for which 1 Yes
he\she was absent last week? 2 No Skip to PW11
PW04 Why was...... absent from his\her job last week? 1 Ill Skip to
2 Vacation
3 Strike, closure, curfew
4 Closure(Permit with payment)
5 Temporary stoppage
6 Others PW08
PW05 Does...... have any other jobs? 1 Yes
2 No
PW06 How many hours did ...... work in all jobs last week? IF the hours 35 or more Skip to PW08
PW07 Why was the number of hours worked last week less 1 Personal reasons (Illness vacation )
than 35 hours? 2 No desire to work more
3 Nature of work
4 Strike
5 Closure
6 Could not find additional work
7 Others
PW08 Did... want to change his\her job or to get 1 Yes
additional work last week? 2 No Skip to PW10
PW09 Why did... want to change his\her job or 1 Insufficient income Skip to
to get additional work? 2 Occupation is not suitable
3 Bad work conditions
4 Place of work is far
5 Others PW18
PW10 Why did not .... want to change his\job or to 1 Good work Skip to
get additional job? 2 Studying, training
3 Home duties
4 Old, Illness
5 Others PW18
PW11 Was .... available for work last week? 1 Yes
2 No - Old, Illness Skip to
3 No, student
4 No- home duties
5 No- Others PW17
PW12 Was there any reason that prevented ..... from 1 No
getting a job if he was offered on last week? 2 Yes, student Skip to
3 Yes- home duties
4 Yes-Old, Illness
5 Yes- Others PW17
PW13 For How long is.... available and able to work? Months
PW14 Did... seek for a job last week? 1 Yes
2 No Skip to PW16
PW15 What were the steps taken to get a job? 1 Asked friends Skip to
2 Declared\ Read newspaper
3 Application to employers
4 Labour exchange PW17
5 Others
6 Did nothing PW16
PW16 Why did not .... seek for a job last week? 1 Studying, training
2 Home duties
3 Old, Illness
4 Found\established a job which starts later
5 Waiting results form previous job\applications
6 Closure\with permit
7 No permit\ possibility to find work
8 Discouraged to find job
9 Find a job doesn’t fit with qualifications
10 Didn’t seek job due low wages
11 Not interested in job Finding due to other income sources
12 Others
PW17 Did....ever work in the past for at least 1 Yes- in the last 12 months Skip to PW18
two weeks regularly? 2 Yes- less than 5 years ago End
3 Yes- more than 5 years ago
4 No
PW18 Where did... work in the main 1. At Home 6.Israel
currents\previous job? 2. In Same Governorate in the West Bank 7.Settlements
3. In other Governorate in the West Bank 8.Border Industrial
4. In same Governorate in Gaza Strip 9.Abroad\ Arab Country
5. In other Governorate in Gaza Strip 10.Abroad\ Foreign Country
X18a Does…work with permit or has any document to get to 1 Work with permit
Israel or settlements 2 Work without permit
3 Israel identity\foreign passport\Jerusalem
identity
X18b
For the interviewer: Write a detailed description to …the major work place
PW19 For whom did ... work in the main current\previous work?
PW20 What type of Industry (economic activity) does this
company\ establishment work in?
PW21 What are the main duties and activities that... does At this work?
PW22 What is\was his\her main occupation at this work?
PW23 What is\was his\her employment status 1. Employer(employ others) 2.Self Employed
3. Unpaid family member 4.Employee\ National Government
5. Employee\Foreign Government 6.Employee\ UNRWA
7. Employee\International 8.Employee\ Nonprofit Organization
9. Regular employee\ private sector 10.Irregular employee\ private sector
11. Others
Only for those who answered PW23 4-10, and did not answer PW17
PW24 How long is he\she at this work? Months
PW25 How many days did ..work for wage last month Days
PW26 Since he\she worked for wage what was the amount for it
- Period: 1. Daily 2. Weekly 3. Monthly

-amount he\she received:

-Currency: 1. Shiekeel 2. Jordanian Dinar 3. Dollar