Professional Documents
Culture Documents
GENERAL INFORMATION
1
Addressed to the most knowledgeable member of the household
Household Composition and Characteristics of All Household Members
Section I:
Person’s Can you please provide full names of all persons who Which What is (NAME)’s What is the How old Indicate What is (NAME)’s
serial are part of this household, beginning with the Head household relationship to head of the sex of each was With “1” marital status (for For all household members
number of the Household? member household of these (NAME) if person is persons 12 years or
in house- provided 1. Household Head individual at between 5- above)
hold (A Household is defined as a person or group of persons information 2. Spouse household (his/her) 17 years Please indicate (NAME)`s serial number .
who live together in the same house or compound, share on the 3. Son / Daughter members? last old, “0” 1. Single or never (Write 99 if absent or not applicable)
the same housekeeping arrangements and are catered individual 4. Brother / Sister birthday? otherwise married
for as one unit. Members of a household are not (write serial 5. Daughter-in-law / son-in-law 2. Married Spouse Natural Natural
necessarily related (by blood or marriage) and not all number 6. Grandchild 1. Male (In civil/religious (if applicable Mother Father
those related in the same house or compound are from Q1) 7. Niece / Nephew 2. Female completed 3. Married but and s/he is (if she is (if he is
necessarily of the same household) 8.Step child years) separated among the among the among the
9.Aged parent / parent-in-law 4. Polygamous household household household
10.Servant (live-in) marriage members) members) members)
11. Other relative 5. Living together
12.Non-relative as married
partners
6. Divorced
7. Widowed
Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10 Q11
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SECTION II Educational Attainment of All Household Members aged 5 and above
Serial No in Q1 Skip
|___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| To
Question
Name of household member
3
Serial No in Q1 Skip
|___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| To
Question
Name of household member
1. Yes………………… 1 1 1 1 1 1 1 1 → Q18
2. No…………………. 2 2 2 2 2 2 2 2 → Q17
Other (Specify)
7. Don’t Know……...... 7 |___| 7 |___| 7 |___| 7 |___| 7 |___| 7 |___| 7 |___| 7 |___|
Q20. At what age did (NAME) leave school?
(Age in completed years)....... |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| → Q21
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Section III: Current Activity Status of All Household Members (5 and above) during the reference week
A. Economic Activity
Serial No in Q1 Skip
|___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| To
Question
Name of household member
Q21. Did (NAME) engage in any work at least one
hour during the past week?
(As employee, self employed, employer or unpaid family
worker) →Q24
1. Yes……………………. 1 1 1 1 1 1 1 1 →Q22
2. No……………………… 2 2 2 2 2 2 2 2
Q22. During the past week, did (NAME) do any of the Y= YES Y= YES Y= YES Y= YES Y= YES Y= YES Y= YES Y= YES
following activities, even for only one hour? N=NO N=NO N=NO N=NO N=NO N=NO N=NO N=NO
(Read each of the following questions until the first
affirmative response is obtained.)
(c) Do any work as a domestic worker for a wage, |___| |___| |___| |___| |___| |___| |___| |___|
salary or any payment in kind?
Otherwise →Q23
(d) Help unpaid in a household business of any kind?
(Don't count normal housework.)
Examples: Help to sell things, make things for sale or |___| |___| |___| |___| |___| |___| |___| |___|
exchange, doing the accounts, cleaning up for the business,
etc.
(g) Catch any fish, prawns, shells, wild animals or other |___| |___| |___| |___| |___| |___| |___| |___|
food for sale or household food?
(h) Fetch water or collect firewood for household use? |___| |___| |___| |___| |___| |___| |___| |___|
(i) Produce any other good for this household use?
Examples: clothing, furniture, clay pots, etc. |___| |___| |___| |___| |___| |___| |___| |___|
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Serial No in Q1 Skip
|___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| To
Question
Name of household member
Q23. Even though (NAME) did not do any of these
activities in the past week, does he/she have a job,
business, or other economic or farming activity that
he/she will definitely return to?
(For agricultural activities, the off season in agriculture is
not a temporary absence.)
1. Yes………………………………… 1 1 1 1 1 1 1 1 →Q24
2. No………………………………… 2 2 2 2 2 2 2 2 →Q33
Q24. Describe the main job/task (NAME) was performing e.g. carrying bricks; mixing baking flour; harvesting maize; etc.
(“Main” refers to the work on which (NAME) spent the most time during the week.)
Job/Task
OCCUPATION CODE
For official use |___|___|___| |___|___|___| |___|___|___| |___|___|___| |___|___|___| |___|___|___| |___|___|___| |___|___|___|
Q25. Describe briefly the main activity i.e. goods produced and services rendered where (NAME) is working.
Activity/Type
INDUSTRY CODE
For official use |__|__|__|__| |__|__|__|__| |__|__|__|__| |__|__|__|__| |__|__|__|__| |__|__|__|__| |__|__|__|__| |__|__|__|__|
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Serial No in Q1 Skip
|___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| To
Question
Name of household member
1. Employee………. 1 1 1 1 1 1 1 1
2. Own account worker (His/her own business
without employees) …….. 2 2 2 2 2 2 2 2
Q28
3. Employer (His/her own business with
employees)……………… 3 3 3 3 3 3 3 3
4. Member of producers` cooperative…… 4 4 4 4 4 4 4 4
5. Unpaid family worker…… 5 5 5 5 5 5 5 5 →Q30
1. Yes…………………………….. 1 1 1 1 1 1 1 1
2. No……………………………… 2 2 2 2 2 2 2 2
7
Serial No in Q1 Skip
|___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| To
Question
Name of household member
1. Monday…………………… |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__|
2. Tuesday……………………. |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__|
3. Wednesday………………. |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__|
4. Thursday…………………. |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__|
5. Friday…………………….. |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__|
6. Saturday………………….. |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__|
7. Sunday…………………. |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__| |__|__| |__|
B. JOB SEARCH
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Section IV: Household Tasks of All Children (5-17) during the reference week
Serial No in Q1
|___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___|
Name of Household Member Skip to question
Q34. During the past week did (NAME) do any of Y= YES Y= YES Y= YES Y= YES Y= YES Y= YES Y= YES Y= YES
the tasks indicated below for this household? N=NO N=NO N=NO N=NO N=NO N=NO N=NO N=NO
(Read each of the following options and mark “YES” If any ”YES”
or “NO” for all options) →Q35
1. Shopping for household.... 1|___| 1|___| 1|___| 1|___| 1|___| 1|___| 1|___| 1|___|
2. Repairing any household equipment 2|___| 2|___| 2|___| 2|___| 2|___| 2|___| 2|___| 2|___| Otherwise END
3. Cooking........................................... 3|___| 3|___| 3|___| 3|___| 3|___| 3|___| 3|___| 3|___| for this HH member.
4. Cleaning utensils/house.................. 4|___| 4|___| 4|___| 4|___| 4|___| 4|___| 4|___| 4|___| Go to the next HH
5. Washing clothes........................... 5|___| 5|___| 5|___| 5|___| 5|___| 5|___| 5|___| 5|___| member in Section II.
6. Caring for children/old/sick.......... 6|___| 6|___| 6|___| 6|___| 6|___| 6|___| 6|___| 6|___|
7. Other household tasks..... 7|___| 7|___| 7|___| 7|___| 7|___| 7|___| 7|___| 7|___|
Other (Specify)
Q35. During each day of the past week how many
hours did (Name) do this household tasks?
(Record for each day separately)
1. Monday…………………………
2. Tuesday……………………. |__|__| |__|__| |__|__| |__|__| |__|__| |__|__| |__|__| |__|__| END
3. Wednesday…………………. |__|__| |__|__| |__|__| |__|__| |__|__| |__|__| |__|__| |__|__| for this household
4. Thursday……………………. |__|__| |__|__| |__|__| |__|__| |__|__| |__|__| |__|__| |__|__| member. Go to the
5. Friday……………………….. |__|__| |__|__| |__|__| |__|__| |__|__| |__|__| |__|__| |__|__|
next HH member in
6. Saturday…………………….. |__|__| |__|__| |__|__| |__|__| |__|__| |__|__| |__|__| |__|__|
7. Sunday………………………. |__|__| |__|__| |__|__| |__|__| |__|__| |__|__| |__|__| |__|__| Section II.
|__|__| |__|__| |__|__| |__|__| |__|__| |__|__| |__|__| |__|__|
END OF INTERVIEW