22
IMPORTANT!!! Shade the circle where applicable. For optimum accuracy, please print carefully and avoid contact with the edges of the box. The following will serve as an example: CONFIDENTIAL Address of Household: Telephone number - SAMPLE # RESULT 1 Fully completed 2 Partially completed 3 Refusal 4 Unable to find address 5 Vacant - not occupied 6 Under construction/Derelict 7 Demolished 8 Temporary second home 9 Temporary short-term rental 10 Verified No contact 11 No Contact 12 Out of Scope * S A M P L E * Page 1 of 22 USE ONLY 2B PENCIL I hereby certify that the information contained on this form has been completed to the best of my ability. District EA Number Block Number of extra households found Female Male Total Number of persons in household Book # of Parcel Enumerator's Signature: Enumerator # CAYMAN ISLANDS Labour Force Survey Conducted in October 2013 Field Supervisor's Signature: Field Supervisor # Editor's Signature Editor # Coder's Signature Coder # * S A M P L E * 41133 Sample Only

Labour Force Survey Conducted in October 2013 Sample Only · 8 Temporary second home ... CAYMAN ISLANDS Labour Force Survey Conducted in October 2013 ... Non-Caymanian with NO work

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Page 1 of 22

IMPORTANT!!! Shade the circle where applicable.

For optimum accuracy, please print carefully and avoid contact withthe edges of the box. The following will serve as an example:

C O N F I D E N T I A L

Address ofHousehold:

Telephone number

-

SAMPLE #

RESULT

1 Fully completed

2 Partially completed

3 Refusal

4 Unable to find address

5 Vacant - not occupied

6 Under construction/Derelict

7 Demolished

8 Temporary second home

9 Temporary short-term rental

10 Verified No contact

11 No Contact

12 Out of Scope

* S A M P L E *

Page 1 of 22

USE ONLY 2B PENCIL

I hereby certify that the information contained on this form has been completed to the best of my ability.

District EA Number Block

Number of extrahouseholds foundFemaleMale Total

Number of persons in household Book #

of

Parcel

Enumerator'sSignature:

Enumerator #

CAYMAN ISLANDSLabour Force Survey

Conducted in October 2013

Field Supervisor'sSignature: Field Supervisor #

Editor's Signature Editor #

Coder's Signature Coder #

* S A M P L E *41133

Sam

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nly

Page 2 of 22

RECORD OF VISITS

CommentsDate of Visit

1.0 Please give the names of all members of this household.

INCLUDE: - All persons staying or intending to stay in the Cayman Islands for at least six (6) months- Newborn babies. If baby has not been named write BABY of Person.....- Elderly persons- Resident students abroad

DO NOT INCLUDE - Visitors who reside elsewhere in the Cayman Islands or abroad.

Probe for anyone who might be away butwho usually lives in this household

Start Time12 hr

End Time12 hr

/ /D D M M Y Y

/ /D D M M Y Y

/ /D D M M Y Y

/ /D D M M Y Y

/ /D D M M Y Y

/ /D D M M Y Y

LISTING OF HOUSEHOLD MEMBERS

Surname (optional)(optional)

First Name First Name Surname (optional)(optional)

18

17

16

15

14

13

12

11

101

2

3

4

5

6

7

8

9

The head of the household should be the firstperson listed

* S A M P L E *41133

Sam

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Page 3 of 22

1.2What is ...'s relationship tohead of the household?

1.....Head2.....Spouse/partner3.....Child4.....Son/daughter-in-law5.....Grandchild6.....Parent/parent-in-law7.....Grandparent8.....Brother/sister9.....Other relative10....Live-in domestic11....Non-relative99...DK/NS

1.3What is ...'ssex?

1.....Male2.....Female

1.4What is ...'s date of birth?Please give the month andyear.

1.5What was ...'s age asat the week endingOct. 5, 2013?

Use 97 for age over 96.

If less than one yearwrite 00.

1.1Has ... been in theCayman Islands forat least six (6)months or intendsto stay for at leastsix (6) months?

1 .... Yes2 .... No99....DK/NS

PE

RS

ON

#

1

2

99

1234

5678

9101199

1

2

1

2

99

1234

5678

9101199

1

2

1

2

99

1234

5678

9101199

1

2

1

2

99

1234

5678

9101199

1

2

1

2

99

1234

5678

9101199

1

2M M Y Y Y Y

/

1

2

99

1234

5678

9101199

1

2M M Y Y Y Y

/

M M Y Y Y Y

/

M M Y Y Y Y

/

M M Y Y Y Y

/

M M Y Y Y Y

/

1

2

3

4

5

6

Section 1 - Demographic Characteristics

To be completed for ALL persons

If 2 or 99, ENDINTERVIEW

* S A M P L E *41133

Sam

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nly

Page 4 of 22

1.6Which one of the following best describes ...'sstatus in the Cayman Islands?

1.....Caymanian2.....Non-Caymanian with work permit3.....Non-Caymanian with NO work permit (e.g. spouses

and children of permit holders)4.....Non-Caymanian with government contract work5.....Non-Caymanian permanent resident with rights to

work6.....Non-Caymanian permanent resident WITHOUT

rights to work7.....Non-Caymanian with Student Visa8.....Non-Caymanian - Asylum holder/seekers9.....Non-Caymanian - Other99...DK/NS

1.7In what country was ... born?

1.....Cayman Islands 11.....Guyana2.....Jamaica 12.....Costa Rica3.....USA 13.....Republic of Ireland4.....UK 14.....Columbia5.....Honduras 15.....Phillippines6......Canada 16.....India7.....Nicaragua 17.....Australia8.....Barbados 18.....South Africa9.....Cuba 19.....Other Caribbean10....Trinidad & Tobago 20....Rest of the World

99...DK/NS

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

99

1

2

3

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5

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7

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9

10

11

12

13

14

15

16

17

18

19

20

99

1

2

3

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7

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9

10

11

12

13

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15

16

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18

19

20

99

1

2

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11

12

13

14

15

16

17

18

19

20

99

1

2

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5

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7

8

9

10

11

12

13

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15

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17

18

19

20

99

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

99

PE

RS

ON

#

1

2

3

4

5

6

Section 1 - Demographic Characteristics (cont'd)

To be completed for ALL persons

1

2

3

4

5

6

7

8

9

99

1

2

3

4

5

6

7

8

9

99

1

2

3

4

5

6

7

8

9

99

1

2

3

4

5

6

7

8

9

99

1

2

3

4

5

6

7

8

9

99

1

2

3

4

5

6

7

8

9

99

If 1, GO TO 1.9

* S A M P L E *41133

Sam

ple O

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Page 5 of 22

PE

RS

ON

#

6

5

4

3

2

1

Section 1 - Demographic Characteristics (cont'd)

1.9At the time ... was born, what was the country of usual residence of...'s mother?

1.....Cayman Islands 11.....Guyana2.....Jamaica 12.....Costa Rica3.....USA 13.....Republic of Ireland4.....UK 14.....Columbia5.....Honduras 15.....Phillippines6......Canada 16.....India7.....Nicaragua 17.....Australia8.....Barbados 18.....South Africa9.....Cuba 19.....Other Caribbean10....Trinidad & Tobago 20....Rest of the World

99...DK/NS

1234

5678

9101112

13141516

17181920

99

1234

5678

9101112

13141516

17181920

99

1234

5678

9101112

13141516

17181920

99

1234

5678

9101112

13141516

17181920

99

1234

5678

9101112

13141516

17181920

99

1234

5678

9101112

13141516

17181920

99

1.8In what year did ... last come TO LIVE in theCayman Islands?

If LESS THAN 15 years old, GO TO 7.1

Y Y Y Y

Y Y Y Y

Y Y Y Y

Y Y Y Y

Y Y Y Y

Y Y Y Y

To be completed for ALL persons

If DK/NS, WRITE 9999.

* S A M P L E *41133

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Page 6 of 22

2.1What is the HIGHEST GRADE that ... COMPLETED?

1.....None 16....Vocational2.....Day Care/Nursery/Pre-School 17....Community College3.....Special Education 18....College/University4.....Primary Yr 1 19....Other, please specify5.....Primary Yr 2 99....DK/NS6.....Primary Yr 37.....Primary Yr 48.....Primary Yr 59.....Primary Yr 610....Middle Yr 711....Middle Yr 812....Middle yr 913....High School Yr 1014....High School Yr 1115....High School Yr 12

2.2What is the HIGHEST EXAMINATION that ... ever passed?

1.....None2.....COEA, Entry Level3.....CSE, CXC Basic4.....GCE/GCSE/IGCSE 'O Level/Gen/Tech Prof (1 or 2 subjects)5.....GCE/GCSE/IGCSE 'O Level/Gen/Tech Prof (3 or 4 subjects)6.....GCE/GCSE/IGCSE 'O Level/Gen/Tech Prof (5 or more subjects)7.....High School Diploma or Equivalent Certificate (American/Canadian)8.....GCE 'A' Level/CAPE/HSC/HND (1 or 2 subjects)9.....GCE 'A' Level/CAPE/HSC/HND (3 or more subjects)10....IB Diploma11....Other Secondary/High School Qualification12....Vocational/Trade Certificate or Diploma13....Associate Degree14....Bachelor Degree15....Professional Qualification (eg. Computer, Accounting)16....Postgraduate Certificate or Diploma17....Postgraduate Degree (eg. Masters, Degree in Medicine, Dentistry,

Veterinary, Law)18....Earned Doctorate (Ph.D.)19....Other, please specify 99......DK/NS

1234

5678

9101112

13141516

171819

991234

5678

9101112

13141516

171819

99

1234

5678

9101112

13141516

171819

991234

5678

9101112

13141516

171819

99

1234

5678

9101112

13141516

171819

991234

5678

9101112

13141516

171819

99

1234

5678

9101112

13141516

171819

991234

5678

9101112

13141516

171819

99

1234

5678

9101112

13141516

171819

991234

5678

9101112

13141516

171819

99

1234

5678

9101112

13141516

171819

991234

5678

9101112

13141516

171819

99

PE

RS

ON

#

6

5

4

3

2

1

Section 2- Education and Training

To be completed for those age 15 or older

* S A M P L E *41133

Sam

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Page 7 of 22

2.3Did .... ever receive training for anyoccupation?

1.....Yes2.....No99....DK/NS

2.4For which occupation was .... LAST trained?

Probe, get details.

1

2

99

1

2

99

1

2

99

1

2

99

1

2

99

1

2

99

PE

RS

ON

#

1

2

3

4

5

6

Section 2- Education and Training (cont'd)

To be completed for those age 15 or older

If 2 or 99, GO TO 3.1

* S A M P L E *41133

Sam

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Page 8 of 22

2.5Where did .... receive this training?

1.....Local Institution2.....Foreign Institution/Organization3.....Correspondence4.....On the job5.....Apprentice/Job Internship6.....Other99...DK/NS

2.6When did .... COMPLETE this training?

1.....Ongoing2.....This year3.....20124.....20115.....20106.....20097.....Before 20098.....Did not complete99...DK/NS

1

2

3

4

5

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8

99

1

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99

1

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1

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99

1

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99

1

2

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8

99

PE

RS

ON

#

1

2

3

4

5

6

99

1

2

3

4

5

6

99

1

2

3

4

5

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99

1

2

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4

5

6

99

1

2

3

4

5

6

99

1

2

3

4

5

6

99

1

2

3

4

5

6

Section 2- Education and Training (cont'd)

To be completed for those age 15 or older

* S A M P L E *41133

Sam

ple O

nly

Page 9 of 22

PE

RS

ON

#

6

5

4

3

2

1

Section 3 - Economic StatusTo be completed for those age 15 or older

1

2

99

1

2

99

1

2

99

1

2

99

1

2

99

1

2

99

a b c

a b c

a b c

a b c

a b c

a b c

1

2

3

4

5

6

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99

1

2

3

4

5

6

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99

1

2

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5

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99

1

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5

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99

1

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99

1

2

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4

5

6

7

99

If 1, GO TO 4.1

3.3Did .... do any work in the CaymanIslands for pay, profit or familygain for at least one hour during theweek ending Oct 5, 2013?

1.....Yes2.....No99..DK/NS

Exclude work around or in ownhouse & volunteer work.

3.2What did .... do most when ... was/were not working?

Read choices

1.....Student/in training2.....Home/family duties3.....Retired/Elderly4.....Infirmed/Disabled, unable to work5.....Waiting for work permit/permanent residence

approval6.....Did not want to work7.....Other, please specify99..DK/NS

3.1During the past 12 months,how many weeks were ...

a...Working, or with jobalthough not at work(employed)?

b...Without work, seekingand available for work(unemployed)?

c...Not working, not seekingand not available for work(out of the labourforce)?

If c is more than 26weeks continue ELSE, GOTO 3.3.

* S A M P L E *41133

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Page 10 of 22

3.4Did .... have a job at whichyou/he/she did not work during theweek ending Oct 5, 2013?

1.....Yes2.....No99..DK/NS

3.5What was the MAIN reason why ...was absent from work during the weekending Oct 5, 2013.

1.....Student/in training2.....Home/family duties3.....Vacation/Holiday4.....Illness/Injury5.....Maternity/Paternity Leave6.....Seasonal inactivity7.....Other99...DK/NS

3.6During the week ending Oct. 5 2013did .... have a job to start in four(4) weeks or less?

1.....Yes2.....No99..DK/NS

1

2

99

1

2

3

4

5

6

7

99

1

2

99

1

2

99

1

2

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99

1

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1

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99

1

2

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99

1

2

99

1

2

99

1

2

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99

1

2

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1

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99

1

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99

1

2

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1

2

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1

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5

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99

1

2

99

PE

RS

ON

#

6

5

4

3

2

1

Section 3 - Economic Status (cont'd)

GO TO 5.1

GO TO 4.1

To be completed for those age 15 or older

If 2 or 99, GOTO 3.6

* S A M P L E *41133

Sam

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Page 11 of 22

4.1How many hours did ... workin his/her job(s) during theweek ending Oct 5, 2013?

4.2What was the MAIN reasonwhy ... WORKED LESS THAN30 HOURS in his/her job(s)during the week ending Oct 5,2013?

1.....Home/Family duties2.....Student/In Training3.....Vacation/Holiday4.....Illness/Injury5.....Maternity/Paternity Leave6.....Seasonal inactivity7.....Only hours available8.....Job ended in ref. week9.....No work available10...Other99...DK/NS

4.3Did ... seek ANDwas he/she availableto work additionalhours during theweek ending Oct. 5,2013?

1.....Yes2.....No99..DK/NS

4.4What category ofworker is ... inhis/her MAINjob?

1..... Employee(work for someone)

2.....Self-employedwith NO employees

3.....Self-employedwith employees

4.....Unpaid familybusiness worker

99...DK/NS

4.5How manypersons areemployed at.... place ofwork?

1....1 - 102....11 - 243....25 - 494....50 +99..DK/NS

1

2

3

4

5

6

7

8

9

10

99

1

2

99

1

2

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99

1

2

3

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99

Main Job Other Job(s) Total

1

2

3

4

5

6

7

8

9

10

99

1

2

99

Main Job Other Job(s) Total

1

2

3

4

5

6

7

8

9

10

99

1

2

99

Main Job Other Job(s) Total

1

2

3

4

5

6

7

8

9

10

99

1

2

99

Main Job Other Job(s) Total

1

2

3

4

5

6

7

8

9

10

99

1

2

99

Main Job Other Job(s) Total

1

2

3

4

5

6

7

8

9

10

99

1

2

99

Main Job Other Job(s) Total

PE

RS

ON

#

6

5

4

3

2

1

Section 4 - Employment

1

2

3

4

99

1

2

3

4

99

1

2

3

4

99

1

2

3

4

99

1

2

3

4

99

1

2

3

4

99

1

2

3

4

99

1

2

3

4

99

1

2

3

4

99

1

2

3

4

99

If Total is 30 hoursor more, GO TO 4.4

If DK/NS use 99 inTotal and GO TO 4.4

For persons employed during the week ending Oct.5, 2013

* S A M P L E *41133

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Page 12 of 22

4.6What is ....'s occupation in his/her MAIN job?

Probe, get details.

4.7What is the name of the business where ...'s MAIN work iscarried out?

If not obvious from the name of the business orgovernment department add the main activity ofthe business.

PE

RS

ON

#

6

5

4

3

2

1

Section 4 - Employment (cont'd)

For persons employed during the week ending Oct. 5 2013

* S A M P L E *41133

Sam

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Page 13 of 22

4.8How long has ... been working inthis business?

4.9How much was ....'s earnings from theMAIN job he/she was doing in the weekending Oct. 5, 2013.

Refer to FLASH CARD for earningsrange.

4.10How much was ....'s earnings from theOTHER job(s) he/she was doing in theweek ending Oct. 5, 2013.

Refer to FLASH CARD for earningsrange.

GO TO 7.1

PE

RS

ON

#

1

2

3

4

5

6

7

99 DK/NS

1

2

3

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5

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7

99 DK/NS

1

2

3

4

5

6

7

99 DK/NS

1

2

3

4

5

6

7

99 DK/NS

1

2

3

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5

6

7

99 DK/NS

1

2

3

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5

6

7

99 DK/NS

1

2

3

4

5

6

7

99 DK/NS

1

2

3

4

5

6

7

99 DK/NS

1

2

3

4

5

6

7

99 DK/NS

1

2

3

4

5

6

7

99 DK/NS

1

2

3

4

5

6

7

99 DK/NS

1

2

3

4

5

6

7

99 DK/NS

6

5

4

3

2

1

Section 4 - Employment (cont'd)

If other job(s) GO TO 4.10.Otherwise GO TO 7.1

monthsyears

&

monthsyears

&

monthsyears

&

monthsyears

&

monthsyears

&

monthsyears

&

For persons employed during the week ending Oct. 5, 2013

* S A M P L E *41133

Sam

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Page 14 of 22

5.1What was the MAIN reason why ... was notworking during the week ending Oct. 5, 2013?

1....Home/family duties2....Student/in training3....Retired /Elderly4....Temporary illness/injury5....Infirmed/Disabled6....Waiting for work permit/permanent

residence approval7....Seasonal inactivity8.....No work availiable9....Did not want to work10..Other99..DK/NS

5.2Has .... been looking forwork in the last four (4)weeks?

1.....Yes2.....No3.....Already found job and

waiting to start99...DK/NS

5.3What kind of work is ... looking for/hasalready found?

Probe, get details

Section 5 - Not Working

1

2

3

4

5

6

7

8

9

10

99

1

2

3

99

PE

RS

ON

#

1

2

3

4

5

6

7

8

9

10

99

1

2

3

99

1

2

3

4

5

6

7

8

9

10

99

1

2

3

99

1

2

3

4

5

6

7

8

9

10

99

1

2

3

99

1

2

3

4

5

6

7

8

9

10

99

1

2

3

99

1

2

3

4

5

6

7

8

9

10

99

1

2

3

99

6

5

4

3

2

1

For persons not working during the week ending Oct. 5, 2013

If 9 or 99, GO TO 5.6

If 2, GO TO 5.7.

If 99 GO TO 5.8.

* S A M P L E *41133

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Page 15 of 22

5.4In what industry is ... looking for/has alreadyfound work?

Either name a business place or describe typeof work done within the business

5.5What steps have ... taken to look for a job?

Read list.Multiple answers allowed.

1.....Contact an employer directly or have a job interview2.....Register with National Workforce Development Agency3.....Ask friends or relatives4.....Send out resumes or fill out applications5.....Place or answer advertisements6.....Check professional registers7.....Check websites8.....Other99...DK/NS

PE

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ON

#

6

5

4

3

2

1

For persons not working during the week ending Oct. 5, 2013

Section 5 - Not Working (cont'd)

1

2

3

4

5

6

7

8

99

1

2

3

4

5

6

7

8

99

1

2

3

4

5

6

7

8

99

1

2

3

4

5

6

7

8

99

1

2

3

4

5

6

7

8

99

1

2

3

4

5

6

7

8

99

If 5.2 is 3, GO TO 5.8

* S A M P L E *41133

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Page 16 of 22

5.6Last week, could ... have starteda job if one were offered?

1.....Yes2.....No99..DK/NS

5.7What was the MAIN reason why ... didnot look for work during the past four (4)weeks?

1....Home/family duties2....Student/in training3....Retired /Elderly4....Temporary illness/injury5....Infirmed/Disabled6....Waiting for work permit/permanent

residence approval7....Seasonal inactivity8.....No work available9....Did not want to work10..Tired of looking11...Other99..DK/NS

5.8What was ...'s MAIN means of financialsupport during the week ending Oct. 5,2013?

1.....Parents2....Spouse/Partner3....Other relatives & friends4....Savings/Investments5....Social Services (Government)6....Pension/Veteran/Seaman7....Other99..DK/NS

PE

RS

ON

#

1

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99

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99

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99

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2

1

Section 5 - Not Working (cont'd)

For persons not working during the week ending Oct. 5, 2013

1

2

99

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99

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99

GO TO 5.8

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Section 6 - Previous Employment

6.1Has ... everhad a job?

1....Yes2....No99..DK/NS

6.2How long has ....been without work?

1....Less than 3 months2...3 to 6 months3...7 to 12 months4...More than 12

months99..DK/NS

6.3What was ...'s last occupation?

Probe, get details

6.4What is the name of the businesswhere ... last worked?

If not obvious from the name of thebusiness or government departmentgiven, add the main activity of thebusiness.

PE

RS

ON

#

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99

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For persons not working during the week ending Oct. 5, 2013

If 2 or 99,GO TO 7.1.

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7.1How many PERSONAL TRIPSdid ... make abroad from theCayman Islands in the past12 months?

7.2What is the TOTAL estimated cost in CI$ that... spent abroad on items such as food,accomodation and entertainment during the last12 months?

Also INCLUDE cost of personal items, gifts andtransportation within country.

EXCLUDE cost of airline ticket.

CI$ ,

PE

RS

ON

#

7.3During the past 12 months, did ...SEND money abroad?

1....Yes2....No99..DK/NS

CI$ ,

CI$ ,

CI$ ,

CI$ ,

CI$ ,

1

2

99

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1

Section 7 - Expenses and Remittances

If DK/NS use 99,999

If LESS THAN 15 yearsold, END INTERVIEW

If 2 or 99, and respondentis KEY INFORMANT GOTO 8.1

If 2 or 99, and respondent isNOT KEY INFORMANT ENDINTERVIEW.

To be completed for those age 15 or olderTo be completed for ALL persons

If DK/NS, use 99.

If NONE, use 00.

If 00 or 99 and respondent isLESS THAN 15 years, ENDINTERVIEW.

If 00 or 99 and respondent is15 years or older, GO TO7.3.

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7.7For which of the following wasthe money MAINLY used?

1....Living expenses (eg Food,clothing, household items)

2...Construction/house repairs/land purchase

3...Savings/Invesments (Stocks)4...Business Investment5...Education6...Medical (health)7...Charity/gifts/donations8...Other99.DK/NS

7.5How much is the TOTALestimated amount (in CI$)that ... SENT abroad duringthe past 12 months?

1.....Under $2,0002....$2,000 - $4,9993....$5,000 - $7,9994....$8,000 - $10,9995....$11,000 - $13,9996....$14,000 - $16,9997....$17,000 - $19,9998....$20,000 - $22,9999....$23,000 +99..DK/NS

PE

RS

ON

#

1

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3

4

5

6

Section 7 - Expenses and Remittances

To be completed for those age 15 or older

7.4Over the past 12 months,how many times did ...send money abroad?

7.6How was this money SENTabroad?

1....Banks (Wire transfer/draft/money order/ATM card)

2....Remittance companies(Western Union/Money Gram/Money Express etc.)

3.....Post Office (postal order)4.....Sent via individual5.....Other99...DK/NS

(Multiple answers allowed.)

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99

If respondent is NOT KEYINFORMANT END INTERVIEW.

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99

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1 Owned without mortgage

2 Owned with mortgage

3 Rented - Furnished

4 Rented - Unfurnished

5 Rent-free provided by employer, relative or friend

6 Subsidized rent provided by employer, relative or friend

7 Other (please specify)

99 DK/NS

8.1 The dwelling you occupied during week ending Oct. 5, 2013 was ....

1 Detached house

2 Semi-detached house

3 Duplex

4 Apartment

5 Condominium/townhouse

6 Studio

7 One-room

8 Combined business/dwelling

9 Boat/yacht

10 Other (please specify)

99 DK/NS

8.8 Does this household have the following?

8.4 Is this accommodation ... .

8.5 How much do you think it would have cost to rent (not including utilities) a similar accommodation per month?

CI$ ,

8.7 Does the rent include any of the following utilities? Read List(Multiple answers allowed)

1 Electricity 2 Water 3 Cable 4 No utilities included 99 DK/NS

Section 8 - Dwelling Characteristics

To be answered by the Head of the household or a responsible adult.

END INTERVIEW

8.6 How much rent do you pay for this accommodation?

CI$ ,

8.2 Number of rooms

8.9 How many of the following does this householdown? If NONE, write zero (0).

1. Telephone landlines

2. Cell phones

3. Computers

4. Motor vehicles

8.3 Number of bedrooms

GO TO 8.6

GO TO 8.6

1. Internet at home 1 Yes 2 No

2. Cable/Satellite 1 Yes 2 No

3. Air condition 1 Yes 2 No

4. Housing Insurance 1 Yes 2 No 99 DK/NS

GO TO 8.8If DK/NS use 99,999

If DK/NS use 99,999

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Page 21 of 22

COMMENTS

RECORD OF VISITS (cont'd)

CommentsDate of VisitStart Time

12 hrEnd Time

12 hr

/ /D D M M Y Y

/ /D D M M Y Y

/ /D D M M Y Y

/ /D D M M Y Y

/ /D D M M Y Y

/ /D D M M Y Y

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Page 22 of 22

INSET MAPS

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