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Tonga Statistics Department HIES -02: Part 2
PO Box 149 STRICTLY CONFIDENTIAL
Nuku’alofa
TONGA
Phone: (676) 23300
Fax: (676) 24303
KINGDOM OF TONGA
INDIVIDUAL QUESTIONNAIRE
Household Income and Expenditure Survey
QUARTER :
Division Name: _____________________________________
Village Name: ______________________________________
CB Number:
Household Number:
Person Number:
Person Name:
Name of Interviewer:
Confidentiality of Information Supplied All data supplied in this questionnaire will remain strictly CONFIDENTIAL in accordance with the Tonga Statistics Act, 1978
The information you give will be combined with information from other households to produce accurate and up to date statistics on the income and expenditure patterns of households.
The information will be used solely for statistical purposes ONLY.
Who must complete this questionnaire?
This questionnaire must be completed for all persons 15 and above and have lived with the household for 3 months or more.
Survey period
The reference period for this questionnaire differs for each question. Please make sure the correct reference period is applied.
Recording Dollar Amounts
Record whole dollar amounts in Tonga Pa’anga. Do not record seniti. If a purchase was made overseas with a different currency, then record the amount and the currency used. The office will convert the amount to Tongan Pa’anga.
Person questionnaire
This questionnaire has 7 sections. You will be asked to provide the following information:
- Wages & Salary
- Self-Employed & Other Business Activities
- Previous Jobs
- Services provided to other private households
- Pensions/Welfare Benefits
- Other Income
- Loan Information
- Contributions to Benefit Schemes
Section 2. Self-Employed and Other Business Activities
2.1 Did you receive any income from any other commercial activities during the last 12 months, excluding the subsistence activities covered in the household questionnaire? (Please encircle appropriate code and write in the box) 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
1. Yes 2. No If No GO To 3.
2.2 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
BUSINESS Business 1 Business 2 Business 3
- Nature of Activity
- Type of industry (ISIC Code)
- Estimated value of drawings from business – cash
only $^ $^ $
- Estimated value of drawings from business – non cash
items used for consumption at home $^ $^ $
5. TOTAL (3 + 4) $^ $^ $
The estimated value of drawings from a business means the value of profits brought home to this household as a result of the business activities. The drawings from the business can include either cash withdrawn from the business activities or items taken from the business and consumed at home.
Section 3. Previous Jobs
3.1 Apart from the jobs you have already mentioned, are there any jobs that you held during the last 12 months which you do not hold at the moment? (Please encircle appropriate code and write in the box)
1- Yes 2 - No If NO Go To 4.
3.2 For each job please provide the following information about the income:
Job No. Name of Employer
Number of months worked
Gross amount received (include bonuses and commission)
Other (e.g. redundancy payment)
4. Services provided to other private households
4.1 In the last 12 months, did you 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. (Please encircle appropriate code and write in the box)
1- Yes 2 - No If NO Go To 5.
4.2 For each job, please provide the following information about the income: Type of Job (eg lawn mowing, baby sitting, work in taro patch)
Gross Pay in last 12 months Cash In Kind (*)
- Lawn mowing $ $
- Baby sitting / Child minding $ $
- Work in food garden $ $
- Repair work $ $
- Fishing assistance $ $
- House Cleaner/Domestic $ $
- Other (specify) $ $ $ $ (*) estimate the value of any items provided according to how much they would have cost to buy
Section 6. Other Income
6.1 In the last 12 months, did you receive any income from the following sources? (Please encircle appropriate code and write in the box)
1 - Yes 2 - No If NO Go To 7.
Income Source Amount
- Interest $
- Rent – House $
- Rent – Lease for land $
- Income from partnership as a non-working shareholder $
- Income as a non-working proprietor $
- Directors fees, remuneration for committees and boards $
- Life Insurance $
- Sale of motor vehicle $
- Sale of other assets (such as land) $
- Inheritance $
- Matrimonial property settlement $
- Child support for dependent child $
- Royalties $
- Other (please specify) a. $ b. $ c. $
Section 7. Loan Information
7.1 In the last 12 months, have you been paying a loan for one of the following: a) Purchase of land and/or dwelling b) Purchase of a vehicle c) Hosting of a Cultural/Religious Event d) Any other type of loan (Please encircle appropriate code and write in the box)
1 – Yes Provide relevant details below 2 – No IF No Go to 8.
Loans for the purchase of land and/or dwelling
7.2 Please provide the following information for each mortgage or loan:
Mortgage/ Loan 1 Mortgage/ Loan 2^ Mortgage/ Loan 3
7.21 Amount originally borrowed $ $ $ 7.22 Who borrowed from 7.23 Year 7.24 Borrower’s cash contribution $ $ $ 7.25 Term of mortgage or loan Years Years Years 7.26 Amount of latest payment $ $ $ 7.27 Period covered by latest payment 7.28 Interest rate (current) % % %
Section 8. Contributions to benefit schemes
8.1 In the last 12 months, did you make a contribution to a life insurance, social security or pension plan/retirement? (Please encircle appropriate code and write in the box)
1 – Yes Provide relevant details below 2 – No If NO, END QUESTIONNAIRE
Expenditure for benefit scheme(s ): Type of scheme Latest Amount Paid Period covered
8.11 Credit Union $ $ $ 8.12 Medical Insurance $ $ $ 8.13 Life Insurance $ $ $ 8.14 Other schemes (specify) a. $ $ $ b. $ $ $
END OF QUESTIONNAIRE
