+------------------------------------+ ¦ S U R V E Y I N F O R M A T I O N ¦ +------------------------------------+

+--------+ +----------+ +----------++-----VERIFICATION OF THE QUESTIONNAIRE, FIRST VISIT--------------------+ ¦ ¦ ¦ ¦ ¦ / ¦¦ +---+ +-----------+¦CLUSTER:____________________ +--------+ +----------+ +----------+¦SUPERVISOR:___________________________________ ¦ ¦ DATE:¦ ¦ ¦ ¦¦HEAD OF HOUSEHOLD ROSTER ¦ +---+ +-----------+¦HOUSEHOLD:_______________________________________________________________¦REMARKS:_______________________________________________________________¦ ¦ +---+¦ADDRESS (OR DESCRIPTION):________________________________________________¦________________________________________ REINTERVIEW YES..1¦ ¦¦ ¦ BY SUPERVISOR? NO...2+---+¦_________________________________________________________________________¦_____________________________________________ ¦ ¦ REASON: ¦_________________________________________________________________________¦THIS HOUSEHOLD+---+ THIS HOUSEHOD+---+ DWELLING NOT FOUND/VACANT.1+---+¦ ¦REPLACES ¦ ¦ WILL BE RE- ¦ ¦ OCCUPANT NOT AT HOME......2¦ ¦¦_________________________________________________________________________¦HOUSEHOLD NO: +---+ PLACED BY NO:+---+ REFUSAL...................3+---+¦ ¦ ¦ +-----------------------------------------------------------------------++-----FIRST VISIT-------------------------------------------------------++---SECOND VISIT-------------------------------------------------+¦ +----+ +-----------+¦¦ +---+ +-----------+¦¦ ¦ ¦ DATE:¦ ¦ ¦ ¦¦¦INTERVIEWER:____________________________¦ ¦ DATE:¦ ¦ ¦ ¦¦¦INTERVIEWER:--------------------------------- +----+ +-----------+¦¦ +---+ +-----------+¦¦ +---+ ¦¦REMARKS:________________________________________________________¦¦DWELLING YES 1 ¦ ¦ IS THE HEAD YES.1 +---+¦¦ ¦¦FOUND? NO..2(>>SUPERVISOR)+---+ OF HOUSEHOLD NO..2(>>SUPERVISOR)¦ ¦¦¦________________________________________________________________¦¦ THE SAME? +---+¦¦ ¦¦ ¦+----------------------------------------------------------------+¦NAME OF NEW HEAD:_____________________________________________________ ¦ ¦ +---+¦+---VERIFICATION OF QUESTIONNAIRE, SECOND VISIT------------------+¦RELIGION MUSLIM....1 PROTESTANT.........3 ANIMIST/TRADITIONAL...5¦ ¦¦¦ +---+ +-----------+¦¦OF HEAD: CATHOLIC..2 OTHER CHRISTIAN....4 OTHER.................6+---+¦¦SUPERVISOR:____________________________ ¦ ¦ DATE:¦ ¦ ¦ ¦¦¦ ¦¦ +---+ +-----------+¦¦PRIMARY +---+¦¦REMARKS:________________________________________________________¦¦LANGUAGE AKAN......1 GA-ADANGBE...3 HAUSA...6 OTHER (SPECIFY)...8¦ ¦¦¦ ¦¦OF HEAD: EWE.......2 DAGBANI......4 NZEMA...7 +---+¦¦______________________________________ +---+¦¦ +---+ +---+¦¦ REINTERVIEW YES..1¦ ¦¦¦LANGUAGE ENGLISH.1(END)GA-ADAGBE.4 NZEMA...7¦ ¦ INTER- YES.1¦ ¦¦¦ BY SUPERVISOR? NO...2+---+¦¦USED BY THE AKAN....2 DAGBANI...5 OTHER...8+---+ PRETER? NO..2+---+¦+----------------------------------------------------------------+¦RESPONDENT: EWE.....3 HAUSA.....6 (SPECIFY) ¦ ¦ ¦+---THIRD VISIT--------------------------------------------------+¦REMARKS:_______________________________________________________________¦¦ +---+ +-----------+¦¦ ¦¦INTERVIEWER:____________________________¦ ¦ DATE:¦ ¦ ¦ ¦¦¦_______________________________________________________________________¦¦ +---+ +-----------+¦¦ ¦¦REMARKS:________________________________________________________¦¦_______________________________________________________________________¦¦ ¦¦ ¦¦________________________________________________________________¦¦_______________________________________________________________________¦¦ ¦¦ ¦+----------------------------------------------------------------+¦ ¦ +-----------------------------------------------------------------------++---VERIFICATION OF QUESTIONNAIRE, THIRD VISIT-------------------+ ¦ +---+ +-----------+¦+-----FIRST VISIT-------------------------------------------------------+¦SUPERVISOR:_____________________________¦ ¦ DATE:¦ ¦ ¦ ¦¦¦ +---+ +-----------+¦¦ +---+ +-----------+¦¦INTERVIEWER:___________________________________¦ ¦ DATE:¦ ¦ ¦ ¦¦¦REMARKS:________________________________________________________¦¦ +---+ +-----------+¦¦ ¦¦REMARKS:_______________________________________________________________¦¦______________________________________ +---+¦¦ ¦¦ REINTERVIEW YES..1¦ ¦¦¦_______________________________________________________________________¦¦ BY SUPERVISOR? NO...2+---+¦¦ ¦¦ ¦+-----------------------------------------------------------------------++----------------------------------------------------------------+ 01

+---FOURTH VISIT-------------------------------------------------+ +---SEVENTH VISIT------------------------------------------------+¦ +---+ +-----------+¦ ¦ +---+ +-----------+¦¦INTERVIEW:______________________________¦ ¦ DATE:¦ ¦ ¦ ¦¦ ¦INTERVIEWER:____________________________¦ ¦ DATE:¦ ¦ ¦ ¦¦¦ +---+ +-----------+¦ ¦ +---+ +-----------+¦¦REMARKS:________________________________________________________¦ ¦REMARKS:________________________________________________________¦¦ ¦ ¦ ¦¦----------------------------------------------------------------¦ ¦----------------------------------------------------------------¦+----------------------------------------------------------------+ +----------------------------------------------------------------+ +---VERIFICATION OF QUESTIONNAIRE, FOURTH VISIT------------------+ +---VERIFICATION OF QUESTIONNAIRE, SEVENTH VISIT-----------------+¦ +---+ +-----------+¦ ¦ +---+ +-----------+¦¦SUPERVISOR:_____________________________¦ ¦ DATE:¦ ¦ ¦ ¦¦ ¦SUPERVISOR:_____________________________¦ ¦ DATE:¦ ¦ ¦ ¦¦¦ +---+ +-----------+¦ ¦ +---+ +-----------+¦¦REMARKS:________________________________________________________¦ ¦REMARKS:________________________________________________________¦¦ +---+¦ ¦ +---+¦¦______________________________________REINTERVIEW YES..1¦ ¦¦ ¦______________________________________REINTERVIEW YES..1¦ ¦¦¦ BY SUPERVISOR? NO...2+---+¦ ¦ BY SUPERVISOR? NO...2+---+¦+----------------------------------------------------------------+ +----------------------------------------------------------------+ +---FIFTH VISIT--------------------------------------------------+ +---EIGHTH VISIT-------------------------------------------------+¦ +---+ +-----------+¦ ¦ +---+ +-----------+¦¦INTERVIEW:______________________________¦ ¦ DATE:¦ ¦ ¦ ¦¦ ¦INTERVIEWER:____________________________¦ ¦ DATE:¦ ¦ ¦ ¦¦¦ +---+ +-----------+¦ ¦ +---+ +-----------+¦¦REMARKS:________________________________________________________¦ ¦REMARKS:________________________________________________________¦¦ ¦ ¦ ¦¦----------------------------------------------------------------¦ ¦----------------------------------------------------------------¦+----------------------------------------------------------------+ +----------------------------------------------------------------+ +---VERIFICATION OF QUESTIONNAIRE, FIFTH VISIT-------------------+ +---VERIFICATION OF QUESTIONNAIRE, EIGHTH VISIT------------------+¦ +---+ +-----------+¦ ¦ +---+ +-----------+¦¦SUPERVISOR:_____________________________¦ ¦ DATE:¦ ¦ ¦ ¦¦ ¦SUPERVISOR:_____________________________¦ ¦ DATE:¦ ¦ ¦ ¦¦¦ +---+ +-----------+¦ ¦ +---+ +-----------+¦¦REMARKS:________________________________________________________¦ ¦REMARKS:________________________________________________________¦¦ +---+¦ ¦ +---+¦¦REMARKS:______________________________REINTERVIEW YES..1¦ ¦¦ ¦______________________________________REINTERVIEW YES..1¦ ¦¦¦ BY SUPERVISOR? NO...2+---+¦ ¦ BY SUPERVISOR? NO...2+---+¦+----------------------------------------------------------------+ +----------------------------------------------------------------+ +---SIXTH VISIT--------------------------------------------------+ +---NINETH VISIT-------------------------------------------------+¦ +---+ +-----------+¦ ¦ +---+ +-----------+¦¦INTERVIEWER:____________________________¦ ¦ DATE:¦ ¦ ¦ ¦¦ ¦INTERVIEWER:____________________________¦ ¦ DATE:¦ ¦ ¦ ¦¦¦ +---+ +-----------+¦ ¦ +---+ +-----------+¦¦REMARKS:________________________________________________________¦ ¦ REMARKS:______________________________________________________ ¦¦ ¦ ¦ ¦¦----------------------------------------------------------------¦ ¦----------------------------------------------------------------¦+----------------------------------------------------------------+ +----------------------------------------------------------------+ +---VERIFICATION OF QUESTIONNAIRE, SIXTH VISIT ------------------+ +---VERIFICATION OF QUESTIONNAIRE, NINETH VISIT -----------------+¦ +---+ +-----------+¦ ¦ +---+ +-----------+¦¦SUPERVISOR:____________________________ ¦ ¦ DATE:¦ ¦ ¦ ¦¦ ¦SUPERVISOR:____________________________ ¦ ¦ DATE:¦ ¦ ¦ ¦¦¦ +---+ +-----------+¦ ¦ +---+ +-----------+¦¦REMARKS:________________________________________________________¦ ¦REMARKS:________________________________________________________¦¦ +---+¦ ¦ +---+¦¦______________________________________REINTERVIEW YES..1¦ ¦¦ ¦______________________________________REINTERVIEW YES..1¦ ¦¦¦ BY SUPERVISOR? NO...2+---+¦ ¦ BY SUPERVISOR? NO...2+---+¦+----------------------------------------------------------------+ +----------------------------------------------------------------+ 02

+---TENTH VISIT--------------------------------------------------+ +---DATA ENTRY, END OF CYCLE-------------------------------------+¦ +---+ +-----------+¦ ¦ +---+ +-----------+¦¦INTERVIEW:______________________________¦ ¦ DATE:¦ ¦ ¦ ¦¦ ¦OPERATOR:_______________________________¦ ¦ DATE:¦ ¦ ¦ ¦¦¦ +---+ +-----------+¦ ¦ +---+ +-----------+¦¦REMARKS:________________________________________________________¦ ¦REMARKS:________________________________________________________¦¦ ¦ ¦ ¦¦________________________________________________________________¦ ¦________________________________________________________________¦¦ ¦ ¦ ¦+----------------------------------------------------------------+ ¦________________________________________________________________¦ ¦ ¦+---VERIFICATION OF QUESTIONNAIRE, TENTH VISIT ----------------+ ¦________________________________________________________________¦¦ +---+ +-----------+¦ ¦ ¦¦SUPERVISOR:_____________________________¦ ¦ DATE:¦ ¦ ¦ ¦¦ ¦________________________________________________________________¦¦ +---+ +-----------+¦ ¦ ¦¦REMARKS:________________________________________________________¦ ¦________________________________________________________________¦¦ ¦ ¦ ¦¦REMARKS:_____________________________ +---+¦ ¦________________________________________________________________¦¦ REINTERVIEW YES..1¦ ¦¦ ¦ ¦¦ BY SUPERVISOR? NO...2+---+¦ ¦----------------------------------------------------------------¦¦ ¦ ¦ ¦+----------------------------------------------------------------+ ¦---EDITING OF PRINTOUTS, END OF CYCLE---------------------------¦ ¦ +---+ +-----------+¦+---ELEVENTH VISIT-----------------------------------------------+ ¦SUPERVISOR:_____________________________¦ ¦ DATE:¦ ¦ ¦ ¦¦¦ +---+ +-----------+¦ ¦ +---+ +-----------+¦¦INTERVIEWER:____________________________¦ ¦ DATE:¦ ¦ ¦ ¦¦ ¦REMARKS:________________________________________________________¦¦ +---+ +-----------+¦ ¦ ¦¦REMARKS:________________________________________________________¦ ¦________________________________________________________________¦¦ ¦ ¦ ¦¦________________________________________________________________¦ ¦________________________________________________________________¦¦ ¦ ¦ ¦+----------------------------------------------------------------+ ¦________________________________________________________________¦+---VERIFICATION OF QUESTIONNAIRE, ELEVENTH VISIT----------------+ ¦ ¦¦ +---+ +-----------+¦ ¦________________________________________________________________¦¦SUPERVISOR:_____________________________¦ ¦ DATE:¦ ¦ ¦ ¦¦ ¦ ¦¦ +---+ +-----------+¦ ¦________________________________________________________________¦¦REMARKS:________________________________________________________¦ ¦ ¦¦ ¦ ¦________________________________________________________________¦¦REMARKS:_____________________________ +---+¦ ¦ ¦¦ REINTERVIEW YES..1¦ ¦¦ ¦________________________________________________________________¦¦ BY SUPERVISOR? NO...2+---+¦ ¦ ¦¦ ¦ ¦ ¦+----------------------------------------------------------------+ +----------------------------------------------------------------+

03

+-----------------------------------------------------------------+ +-----------------------------------------------------------------+ ¦ ¦ ¦ ¦ ¦ S U M M A R Y O F S U R V E Y S R E S U L T S (URBAN EAS) ¦ ¦ S U M M A R Y O F S U R V E Y S R E S U L T S (RURAL EAS) ¦ ¦ ¦ ¦ ¦ +-----------------------------------------------------------------+ +-----------------------------------------------------------------+

+----------------------++---------------------I N T E R V I E W E R---------------++--------S U P E R V I S O R-----++---------------+ +--------------------++--------------------I N T E R V I E W E R---------------++--------S U P E R V I S O R-----++---------------+¦ ¦ ¦¦ V I S I T S ¦ C H E C K-UP V I S I T ¦¦ ¦ ¦¦CORRECTED; ¦ ¦ ¦ ¦¦ V I S I T S ¦ C H E C K-UP V I S I T ¦¦ ¦ ¦¦CORRECTED; ¦¦ ¦ ¦¦-----------------------------¦---------------------------¦¦ INTERVIEWER ¦ DATA ENTRY ¦¦ IN OFFICE....1¦ ¦ ¦ ¦¦----------------------------¦---------------------------¦¦ INTERVIEWER ¦ DATA ENTRY ¦¦ IN OFFICE....1¦¦ ¦ ¦¦ D A T E ¦R E S U L T ¦ D A T E ¦R E S U L T¦¦ ¦ OPERATOR ¦¦ DURING NEXT ¦ ¦ ¦ ¦¦ D A T E ¦R E S U L T ¦ D A T E ¦R E S U L T¦¦ ¦ OPERATOR ¦¦ DURING NEXT ¦¦ VISIT ¦S E C T I O N¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ VISIT........2¦ ¦VISIT ¦S E C T I O N¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ VISIT........2¦¦ ¦ ¦¦ ¦COMPLETE....1¦ ¦COMPLETE..1¦¦SATISFACTORY....1¦SATISFACTORY.1¦¦ DURING CHECK ¦ ¦ ¦ ¦¦ ¦COMPLETE...1¦ ¦COMPLETE..1¦¦SATISFACTORY....1¦SATISFACTORY.1¦¦ DURING CHECK ¦¦ ¦ ¦¦ ¦PARTIAL.....2¦ ¦PARTIAL...2¦¦TO BE COMPLETED.2¦CORRECTIONS..2¦¦ UP VISIT.....3¦ ¦ ¦ ¦¦ ¦PARTIAL....2¦ ¦PARTIAL...2¦¦TO BE COMPLETED.2¦CORRECTIONS..2¦¦ UP VISIT.....3¦¦ ¦ ¦¦DAY MONTH YEAR¦NOT APPLIC..3¦DAY MONTH YEAR¦ ¦¦TO BE REDONE....3¦ ¦¦NOT CORRECTED.4¦ ¦ ¦ ¦¦DAY MONTH YEAR¦NOT APPLIC.3¦DAY MONTH YEAR¦ ¦¦TO BE REDONE....3¦ ¦¦NOT CORRECTED.4¦+----------------------++---------------------------------------------------------++--------------------------------++---------------+ +--------------------++--------------------------------------------------------++--------------------------------++---------------++----------------------++---------------------------------------------------------++--------------------------------++---------------+ +--------------------++--------------------------------------------------------++--------------------------------++---------------+¦FIRST ¦1,2,6,7 ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦ ¦FIRST ¦1,2,6,7 ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦¦--------+-------------¦¦----+-----+----+-------------¦----+-----+----+-----------¦¦-----------------+--------------++---------------¦ ¦------+-------------¦¦----+-----+----+------------¦----+-----+----+-----------¦¦-----------------+--------------++---------------¦¦SECOND ¦8H,9A2,9B ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦ ¦SECOND¦8H,9A2,9B ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦¦--------+-------------¦¦----+-----+----+-------------¦----+-----+----+-----------¦¦-----------------+--------------¦¦---------------¦ ¦------+-------------¦¦----+-----+----+------------¦----+-----+----+-----------¦¦-----------------+--------------¦¦---------------¦¦THIRD ¦3,8H,9A2,9B ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦ ¦THIRD ¦3,8H,9A2,9B ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦¦--------+-------------¦¦----+-----+----+-------------¦----+-----+----+-----------¦¦-----------------+--------------¦¦---------------¦ ¦------+-------------¦¦----+-----+----+------------¦----+-----+----+-----------¦¦-----------------+--------------¦¦---------------¦¦FOURTH ¦4,8H,9A2,9B ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦ ¦FOURTH¦4,8H,9A2,9B ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦¦--------+-------------++----+-----+----+-------------¦----+-----+----+-----------++-----------------+--------------++---------------¦ ¦------+-------------++----+-----+----+------------¦----+-----+----+-----------++-----------------+--------------++---------------¦¦FIFTH ¦5,8H,9A2,9B ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦ ¦FIFTH ¦5,8H,9A2,9B, ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦ ¦ ¦10 ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦¦--------+-------------++----+-----+----+-------------¦----+-----+----+-----------++-----------------+--------------++---------------¦ ¦------+-------------++----+-----+----+------------¦----+-----+----+-----------++-----------------+--------------++---------------¦¦SIXTH ¦8A-G,8H,9A2, ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦ ¦SIXTH ¦8A-G,8H,9A2, ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦¦ ¦9B ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦ ¦ ¦9B,9C ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦¦--------+-------------++----+-----+----+-------------¦----+-----+----+-----------++-----------------+--------------++---------------¦ ¦------+-------------++----+-----+----+------------¦----+-----+----+-----------++-----------------+--------------++---------------¦¦SEVENTH ¦8H,9A2,9B,9C ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦ ¦SEVEN-¦8H,9A2,9B,11,¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦ ¦TH ¦12 ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦¦--------+-------------++----+-----+----+-------------¦----+-----+----+-----------++-----------------+--------------++---------------¦ ¦------+-------------++----+-----+----+------------¦----+-----+----+-----------++-----------------+--------------++---------------¦¦EIGHTH ¦8H,9A2,9B,10 ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦ ¦EIGHTH¦8H,9A1,9A2,9B¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦¦--------+-------------++----+-----+----+-------------¦----+-----+----+-----------++-----------------+--------------++---------------¦ +--------------------++--------------------------------------------------------++--------------------------------++---------------+¦NINTH ¦8H,9A2,9B,11 ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦¦--------+-------------++----+-----+----+-------------¦----+-----+----+-----------++-----------------+--------------++---------------¦¦TENTH ¦8H,9A2,9B,12 ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦¦--------+-------------++----+-----+----+-------------¦----+-----+----+-----------++-----------------+--------------++---------------¦¦ELEVENTH¦8H,9A1,9A2,9B¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦¦ ¦+------------------------------------------------------------------------------------------------------------------------------------+ 04

+----------------------------------------------------------+ +----------------------------------------------------------+ ¦ O B S E R V A T I O N S A N D C O M M E N T S ¦ ¦ O B S E R V A T I O N S A N D C O M M E N T S ¦ +----------------------------------------------------------+ +----------------------------------------------------------+

+------REMARKS BY THE INTERVIEWER ON THE FIRST VISIT--------------------------------------------------------+ +--REMARKS BY THE SUPERVISOR ON THE SIXTH VISIT ------------------------------------------------------------+¦ ¦ ¦ ¦¦-----------------------------------------------------------------------------------------------------------¦ ¦-----------------------------------------------------------------------------------------------------------¦¦ ¦ ¦ ¦¦-----------------------------------------------------------------------------------------------------------¦ ¦-----------------------------------------------------------------------------------------------------------¦¦REMARKS BY THE SUPERVISOR ON THE FIRST VISIT---------------------------------------------------------------¦ ¦REMARKS BY THE INTERVIEWER ON THE SEVENTH VISIT------------------------------------------------------------¦¦ ¦ ¦ ¦¦-----------------------------------------------------------------------------------------------------------¦ ¦-----------------------------------------------------------------------------------------------------------¦¦ ¦ ¦ ¦¦-----------------------------------------------------------------------------------------------------------¦ ¦-----------------------------------------------------------------------------------------------------------¦¦REMARKS BY THE INTERVIEWER ON THE SECOND VISIT-------------------------------------------------------------¦ ¦REMARKS BY THE SUPERVISOR ON THE SEVENTH VISIT-------------------------------------------------------------¦¦ ¦ ¦ ¦¦-----------------------------------------------------------------------------------------------------------¦ ¦-----------------------------------------------------------------------------------------------------------¦¦ ¦ ¦ ¦¦-----------------------------------------------------------------------------------------------------------¦ ¦-----------------------------------------------------------------------------------------------------------¦¦REMARKS BY THE SUPERVISOR ON THE SECOND VISIT--------------------------------------------------------------¦ ¦REMARKS BY THE INTERVIEWER ON THE EIGHTH VISIT-------------------------------------------------------------¦¦ ¦ ¦ ¦¦-----------------------------------------------------------------------------------------------------------¦ ¦-----------------------------------------------------------------------------------------------------------¦¦ ¦ ¦ ¦¦-----------------------------------------------------------------------------------------------------------¦ ¦-----------------------------------------------------------------------------------------------------------¦¦REMARKS BY THE INTERVIEWER ON THE THIRD VISIT--------------------------------------------------------------¦ ¦REMARKS BY THE SUPERVISOR ON THE EIGHTH VISIT--------------------------------------------------------------¦¦ ¦ ¦ ¦¦-----------------------------------------------------------------------------------------------------------¦ ¦-----------------------------------------------------------------------------------------------------------¦¦ ¦ ¦ ¦¦-----------------------------------------------------------------------------------------------------------¦ ¦-----------------------------------------------------------------------------------------------------------¦¦REMARKS BY THE SUPERVISOR ON THE THIRD VISIT---------------------------------------------------------------¦ ¦REMARKS BY THE INTERVIEWER ON THE NINETH VISIT-------------------------------------------------------------¦¦ ¦ ¦ ¦¦-----------------------------------------------------------------------------------------------------------¦ ¦-----------------------------------------------------------------------------------------------------------¦¦ ¦ ¦ ¦¦-----------------------------------------------------------------------------------------------------------¦ ¦-----------------------------------------------------------------------------------------------------------¦¦REMARKS BY THE INTERVIEWER ON THE FOURTH VISIT-------------------------------------------------------------¦ ¦REMARKS BY THE SUPERVISOR ON THE NINETH VISIT--------------------------------------------------------------¦¦ ¦ ¦ ¦¦-----------------------------------------------------------------------------------------------------------¦ ¦-----------------------------------------------------------------------------------------------------------¦¦ ¦ ¦ ¦¦-----------------------------------------------------------------------------------------------------------¦ ¦-----------------------------------------------------------------------------------------------------------¦¦REMARKS BY THE SUPERVISOR ON THE FOURTH VISIT--------------------------------------------------------------¦ ¦REMARKS BY THE INTERVIEWER ON THE TENTH VISIT--------------------------------------------------------------¦¦ ¦ ¦ ¦¦-----------------------------------------------------------------------------------------------------------¦ ¦-----------------------------------------------------------------------------------------------------------¦¦ ¦ ¦ ¦¦-----------------------------------------------------------------------------------------------------------¦ ¦-----------------------------------------------------------------------------------------------------------¦¦REMARKS BY THE INTERVIEWER ON THE FIFTH VISIT--------------------------------------------------------------¦ ¦REMARKS BY THE SUPERVISOR ON THE TENTH VISIT---------------------------------------------------------------¦¦ ¦ ¦ ¦¦-----------------------------------------------------------------------------------------------------------¦ ¦-----------------------------------------------------------------------------------------------------------¦¦ ¦ ¦ ¦¦-----------------------------------------------------------------------------------------------------------¦ ¦-----------------------------------------------------------------------------------------------------------¦¦REMARKS BY THE SUPERVISOR ON THE FIFTH VISIT---------------------------------------------------------------¦ ¦REMARKS BY THE INTERVIEWER ON THE ELEVENTH VISIT-----------------------------------------------------------¦¦ ¦ ¦ ¦¦-----------------------------------------------------------------------------------------------------------¦ ¦-----------------------------------------------------------------------------------------------------------¦¦ ¦ ¦ ¦¦-----------------------------------------------------------------------------------------------------------¦ ¦-----------------------------------------------------------------------------------------------------------¦¦REMARKS BY THE INTERVIEWER ON THE SIXTH VISIT--------------------------------------------------------------¦ ¦REMARKS BY THE SUPERVISOR ON THE ELEVENTH VISIT------------------------------------------------------------¦¦ ¦ ¦ ¦¦-----------------------------------------------------------------------------------------------------------¦ ¦-----------------------------------------------------------------------------------------------------------¦¦ ¦ ¦ ¦+-----------------------------------------------------------------------------------------------------------+ +-----------------------------------------------------------------------------------------------------------+ 05

HOUSEHOLD ROSTER+---------------------------------------------------------------------------+¦ ¦ ¦ ¦ ¦ ¦¦ I ¦ A ¦ B ¦ N A M E S ¦ I ¦¦ D ¦ ¦ ¦ ¦ D ¦+---+---+---+-----------------------------------------------------------+---¦¦ N ¦ M ¦ A ¦ ¦ N ¦¦ ¦ ¦ ¦ ¦ ¦¦ U ¦ E ¦ G ¦ ¦ U ¦¦ ¦ ¦ ¦ ¦ ¦¦ M ¦ M ¦ E ¦ ¦ M ¦¦ ¦ ¦ ¦ ¦ ¦¦ B ¦ B ¦ ¦ ¦ B ¦¦ ¦ ¦ ¦ ¦ ¦¦ E ¦ E ¦ ¦ ¦ E ¦¦ ¦ ¦ ¦ ¦ ¦¦ R ¦ R ¦ ¦ ¦ R ¦¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------++---------------------------------------------------------------------------+¦01 ¦ ¦ ¦ ¦01 ¦+---+---+---+-----------------------------------------------------------+---¦¦02 ¦ ¦ ¦ ¦02 ¦+---+---+---+-----------------------------------------------------------+---¦¦03 ¦ ¦ ¦ ¦03 ¦+---------------------------------------------------------------------------++---------------------------------------------------------------------------+¦04 ¦ ¦ ¦ ¦04 ¦+---+---+---+-----------------------------------------------------------+---¦¦05 ¦ ¦ ¦ ¦05 ¦+---+---+---+-----------------------------------------------------------+---¦¦06 ¦ ¦ ¦ ¦06 ¦+---------------------------------------------------------------------------++---------------------------------------------------------------------------+¦07 ¦ ¦ ¦ ¦07 ¦+---+---+---+-----------------------------------------------------------+---¦¦08 ¦ ¦ ¦ ¦08 ¦+---+---+---+-----------------------------------------------------------+---¦¦09 ¦ ¦ ¦ ¦09 ¦+---------------------------------------------------------------------------++---------------------------------------------------------------------------+¦10 ¦ ¦ ¦ ¦10 ¦+---+---+---+-----------------------------------------------------------+---¦¦11 ¦ ¦ ¦ ¦11 ¦+---+---+---+-----------------------------------------------------------+---¦¦12 ¦ ¦ ¦ ¦12 ¦+---------------------------------------------------------------------------++---------------------------------------------------------------------------+¦13 ¦ ¦ ¦ ¦13 ¦+---+---+---+-----------------------------------------------------------+---¦¦14 ¦ ¦ ¦ ¦14 ¦+---+---+---+-----------------------------------------------------------+---¦¦15 ¦ ¦ ¦ ¦15 ¦+---------------------------------------------------------------------------+

HOUSEHOLD ROSTER

+-------------+ ¦ ¦ ¦ V I S I T 1¦ +-------------+

PERSON INTERVIEWED: Preferably the head of household. If not available, any WRITE DOWN THE NAME, SEX AND RELATIONSHIP TO HEAD OF HOUSEHOLD. adult member of the household who is able to give information on the other household members. 4. Now I would like to have some information about each of the

persons on the list. ---------------------------------------------------------------------------- INTERVIEWER WRITE IF THE RESPONDENT HAS ANY DIFFICULTY WITH AGE OR DATE OF BIRTH (questions 5 - 6), USE THE CALENDAR OF EVENTS TO MAKE AN ESTIMATE. Respondent Name:_________________________ ------------------------------------------------------------------ ID Code:______________________ 5. CLASSIFY EACH PERSON ACCORDING TO THE FOLLOWING CRITERIA. ---------------------------------------------------------------------------- ------------------------------------------------------------------ I would like to make a complete list of all the people present or absent who usually live and eat together in this dwelling. LOOK AT THE ANSWER TO QUESTION 12.

1. First, I would like to have the names of all the members of your (or the . ALL THE PERSONS FOR WHOM THE ANSWER IS 3 MONTHS OR LESS ARE CLASSIFIED head of household's ) immediate family. Include the head of household, his AS HOUSEHOLD MEMBERS. wife(s) or husband and their children. . IF THE ANSWER IS MORE THAN 3 MONTHS ONLY, THE FOLLOWING ARE ALWAYS WRITE DOWN THE HEAD OF THE HOUSEHOLD FIRST, FOLLOWED BY THE HEAD'S SPOUSE. HOUSEHOLD MEMBERS: IN CASE OF MORE THAN ONE WIFE, LIST THE WIVES ACCORDING TO THEIR RANK, EACH ONE FOLLOWED BY HER CHILDREN. - THE HEAD OF HOUSEHOLD - CHILDREN UNDER 9 MONTHS OLD WRITE DOWN THE NAME, SEX AND RELATIONSHIP TO THE HEAD OF HOUSEHOLD FOR EACH - THOSE WHO ANSWER NO TO QUESTION 14 PERSON. ENTER PROPER CODE IN QUESTION 15. 2. Please give me the names of any other persons related to the head of household or to his wife/her husband, together with their children, who usually live and eat together here. COLUMN A. PUT A CROSS IN COLUMN A NEXT TO THE NAME OF ALL PERSONS WITH CODE 1 IN QUESTION 15. WRITE DOWN THE NAME, SEX AND RELATIONSHIP TO THE HEAD OF THE HOUSEHOLD. COLUMN B. ENTER THE AGE IN YEARS (QUESTION 6) OF ALL PERSONS WITH A 3. Please give me the names of any other persons not related to the head of CROSS IN COLUMN A. household or to his/her spouse who usually live and eat together here. For instance, servants, tenants, lodgers, or any other person who is not a relative.

WRITE DOWN THE NAME, SEX AND RELATIONSHIP TO THE HEAD OF THE HOUSEHOLD.

Are there any other persons not now present but who normally live and eat here, i.e. persons who are temporarily away for schooling, marriage, seasonal work, vacation, illness, giving birth, etc...?

1.1

SECTION 1: HOUSEHOLD ROSTER FOR EACH PERSON LISTED

+---------------------------------+ ¦ 15 AND MORE YEARS OLD ¦+--------------------------------------------------------------------+---------------------------------+------------------------------------------------------------------------------------+¦ ¦2. ¦3. ¦4. ¦5. ¦6. ¦7. ¦8. ¦9. ¦10. ¦11. ¦12. ¦13. ¦14. ¦15. ¦¦I ¦SEX ¦Relationship to Head ¦Does he¦ASK PERSON ¦How old ¦What is his / ¦Does ¦COPY THE ¦In what region/¦What is his/her ¦For how ¦What is/was ¦While ¦HOUSEHOLD¦¦ ¦ ¦of Household ¦/she ¦TO GET ¦is he/ ¦her present ¦his/her¦ID CODE ¦country was ¦nationality? ¦many ¦the main rea-¦absent, ¦MEMBER ¦¦D ¦Male.1¦ ¦have a ¦BIRTH ¦she? ¦marital status?¦spouse ¦OF THE ¦this person ¦ ¦months ¦son for his/ ¦is/was ¦ ¦¦ ¦ ¦Head.....................1¦birth ¦CERTIFICATE¦ ¦ ¦live in¦SPOUSE ¦born? ¦ ¦during ¦her absence? ¦he/she ¦ ¦¦ ¦Fe- ¦Wife/husband.............2¦certi- ¦AND COPY ¦YEARS AND ¦Married.......1¦this ¦ ¦ ¦ ¦the past ¦ ¦living in ¦ ¦¦ ¦male.2¦Son/daughter.............3¦ficate ¦DATE OF ¦MONTHS IF ¦Informal/Loose ¦house- ¦(IF MORE ¦ ¦ ¦12 months ¦School......1¦another ¦ ¦¦ ¦ ¦Grandchild...............4¦or bap-¦BIRTH OR IF¦5 OR UNDER,¦union.........2¦hold? ¦THAN ONE ¦Western ......1¦Ghana...............1¦has ¦Fosterage...2¦household? ¦ ¦¦ ¦ ¦Father/mother............5¦tismal ¦NOT ¦OTHERWISE ¦Divorced/ ¦ ¦SPOUSE, ¦Central ......2¦B/Faso..............2¦he/she ¦Marriage....3¦(Including ¦ ¦¦ ¦ ¦Relative of head ¦certi- ¦AVAILABLE ¦YEARS ONLY ¦Separated.....3¦ ¦THE FIRST¦Greater ......3¦Mali................3¦been away ¦Seasonal ¦single ¦ ¦¦ ¦ ¦or head's spouse.........6¦ficate?¦CODE...999 ¦ ¦ (>>10) ¦ ¦ONE) ¦Eastern ......4¦Nigeria.............4¦from this ¦work........4¦person ¦CHECK THE¦¦ ¦ ¦Servant and his/her ¦ ¦ ¦ ¦Widowed.......4¦ ¦ ¦Volta.........5¦Ivory Coast.........5¦household?¦Other work..5¦household) ¦CRITERIA ¦¦ ¦ ¦relative.................7¦ ¦ ¦(IF LESS ¦ (>>10) ¦ ¦ ¦Ashanti.......6¦Togo................6¦ ¦Other.......6¦ ¦ABOVE ¦¦ ¦ ¦Tenant and his/her ¦ ¦ ¦THAN 15 ¦Never ¦ ¦ ¦Brong-Ahafo...7¦Other African.......7¦ ¦(SPECIFY) ¦ ¦ ¦¦ ¦ ¦relative.................8¦ ¦ ¦YEARS OLD ¦married.......5¦ ¦ ¦Northern......8¦Other ..............8¦ ¦ ¦ Yes..1 ¦ Yes..1 ¦¦ ¦ ¦Other not related to ¦ ¦ ¦ >> 10) ¦ (>>10) ¦ ¦ ¦U/West........9¦(SPECIFY) ¦ (IF 3 ¦ ¦ No...2 ¦ No...2 ¦¦ ¦ ¦head or head's spouse....9¦Yes..1 ¦ ¦ ¦ ¦Yes..1 ¦ ¦U/East.......10¦ ¦ MONTHS ¦ ¦ ¦ ¦¦ ¦ ¦ ¦No...2 ¦ ¦ ¦ ¦No...2 ¦ ¦Foreign ¦ ¦ OR LESS ¦ ¦ ¦(>> NEXT ¦¦ ¦ ¦ ¦(>>6) ¦ ¦ ¦ ¦(>>10) ¦ ¦Country......11¦ ¦ >> 15) ¦ ¦ ¦ PERSON)¦¦ ¦ ¦ ¦ +-----------+-----------¦ ¦ +---------¦ ¦ +----------¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦DAY¦MO.¦YR.¦YRS.¦ MOS. ¦ ¦ ¦ ID ¦ ¦ ¦ MONTHS ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦01¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------+--------------------------+-------+---+---+---+----+------+---------------+-------+---------+---------------+---------------------+----------+-------------+-----------+---------¦¦02¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------+--------------------------+-------+---+---+---+----+------+---------------+-------+---------+---------------+---------------------+----------+-------------+-----------+---------¦¦03¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦04¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------+--------------------------+-------+---+---+---+----+------+---------------+-------+---------+---------------+---------------------+----------+-------------+-----------+---------¦¦05¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------+--------------------------+-------+---+---+---+----+------+---------------+-------+---------+---------------+---------------------+----------+-------------+-----------+---------¦¦06¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦07¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------+--------------------------+-------+---+---+---+----+------+---------------+-------+---------+---------------+---------------------+----------+-------------+-----------+---------¦¦08¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------+--------------------------+-------+---+---+---+----+------+---------------+-------+---------+---------------+---------------------+----------+-------------+-----------+---------¦¦09¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦10¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------+--------------------------+-------+---+---+---+----+------+---------------+-------+---------+---------------+---------------------+----------+-------------+-----------+---------¦¦11¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------+--------------------------+-------+---+---+---+----+------+---------------+-------+---------+---------------+---------------------+----------+-------------+-----------+---------¦¦12¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦13¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------+--------------------------+-------+---+---+---+----+------+---------------+-------+---------+---------------+---------------------+----------+-------------+-----------+---------¦¦14¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------+--------------------------+-------+---+---+---+----+------+---------------+-------+---------+---------------+---------------------+----------+-------------+-----------+---------¦¦15¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ 1.2

SECTION 1: HOUSEHOLD ROSTER-CONTINUED

+---------------------------------------------------------------------------------------------------------------------------------------------+¦ ¦16. ¦17. ¦18. ¦19. ¦20. ¦21. ¦22. ¦23. ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦Does NAME'S ¦ID OF FATHER ¦What was his/her ¦What kind of work ¦Does NAME'S ¦ID OF MOTHER ¦What was his/her ¦What kind of work ¦¦ ¦father ¦ ¦father's highest ¦has his/her father¦mother live ¦ ¦mother's highest ¦has his/her mother¦¦ ¦live in ¦ ¦educational level ¦done for most of ¦in this ¦ ¦education level ¦done for most of ¦¦ ¦this household?¦ ¦completed? ¦his life? ¦household? ¦ ¦completed? ¦her life? ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦None..............0¦Farming..........1¦ ¦ ¦None..............0¦Farming..........1¦¦ ¦ ¦ ¦Primary...........1¦Trading..........2¦ ¦ ¦Primary...........1¦Trading..........2¦¦ ¦ ¦ ¦Middle/JSS........2¦Clerical.........3¦ ¦ ¦Middle/JSS........2¦Clerical.........3¦¦ ¦ ¦ ¦Training college..3¦Construction.....4¦ ¦ ¦Training College..3¦Construction.....4¦¦ ¦ ¦ ¦O'Level...........4¦Professional/ ¦ ¦ ¦O'Level...........4¦Professional/ ¦¦ ¦ ¦ ¦A'Level...........5¦Managerial.......5¦ ¦ ¦A'Level...........5¦Managerial.......5¦¦ ¦ ¦ ¦Voc/Technical.....6¦Other ...........6¦ ¦ ¦Voc/Technical.....6¦Housework........6¦¦ ¦ ¦ ¦Tertiary..........7¦(SPECIFY) ¦ ¦ ¦Tertiary..........7¦Other service....7¦¦ ¦ Yes..1 ¦ ¦Koranic...........8¦Don't know.......7¦ Yes..1 ¦ ¦Koranic...........8¦Don't know.......8¦¦ ¦ No...2 ¦ +-------+ ¦Don't know........9¦ ¦ No...2 ¦+----------+ ¦Don't know........9¦Other............9¦¦ ¦ (>>18) ¦ ¦(>> 20)¦ ¦ ¦ ¦ (>>22) ¦¦(>> NEXT ¦ ¦ ¦(SPECIFY) ¦¦ ¦ ¦ +-------+ ¦ ¦ ¦ ¦¦ PERSON) ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------------------------------------+¦01¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+-----------------+-------------------+------------------+------------+-------------+-------------------+------------------¦¦02¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+-----------------+-------------------+------------------+------------+-------------+-------------------+------------------¦¦03¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------------------------------------+¦04¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+-----------------+-------------------+------------------+------------+-------------+-------------------+------------------¦¦05¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+-----------------+-------------------+------------------+------------+-------------+-------------------+------------------¦¦06¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------------------------------------+¦07¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+-----------------+-------------------+------------------+------------+-------------+-------------------+------------------¦¦08¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+-----------------+-------------------+------------------+------------+-------------+-------------------+------------------¦¦09¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------------------------------------+¦10¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+-----------------+-------------------+------------------+------------+-------------+-------------------+------------------¦¦11¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+-----------------+-------------------+------------------+------------+-------------+-------------------+------------------¦¦12¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------------------------------------+¦13¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+-----------------+-------------------+------------------+------------+-------------+-------------------+------------------¦¦14¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+-----------------+-------------------+------------------+------------+-------------+-------------------+------------------¦¦15¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------------+1.3

SECTION 2: EDUCATION PART A: GENERAL EDUCATION RESPONDENTS: ALL HOUSEHOLD MEMBERS 5 YEARS OR OLDER Now I will like to ask you some questions about your education.

I want to ask you about the educational expenses for (NAME) during the past 12 months.

How much did you spend on:

6.

How much time DOyou spend going toand from schooldaily?

IF IN A BOARDINGCODE 00

17.

Whatwas theamountof thescholar-shipreceivedfor thepast 12months?

ID OFPERSONINTER-VIEWED

1.

Have youeverattendedschool?

Yes..1No ….2

2.

What was thehighest class orform completed?

Non………….. 0P1 thou P6M1 throu M1S1 throu S5A1 A2 PS1, PS2,PS3, T1 throu T4U1 throu U8K (Koranic)JSS1 throu JSS3

3.

What was thehighest educationallevel attained?

None …………………..0MSLC/BECE ….. 1Conn/Voc ……...2T/T Cert A…...3T/T Cert B…...4O’level ………...5A’Level … ……..6Tec/Prof Cert .7Tec/Prof Cert .8Bachelor …………..9Master …….. ….10Doctorate ……..11Other …. ……...12

4.

Did youattendschool/college atany timeduring thepast 12months?

Yes …1No ….2

5.

How manyhours ofclass didyou misslast week?

IF LASTWEEK WAS AHOLIDAY 88

IF LEFTSCHOOL 98

HOURS MINUTES

7.

School andregistration fee?

8.Contribu-tions toparent/Teachersassocia-tions?

9.Uniformsand Sportclothes

10.Books andschoolsuppliers

11.Transpo-rtation toand fromschool

12.Food,board andlodging atschool

13.Otherexpenses(clubsextraclasses)

14.Otherin-kindexpenses

15.

Who paid formost of theeducationalexpenses?

Father …… .1Mother ……. 2Both ……….. 3Other householdmember …...4Other relative..5Other non-relative ..6Myself ….. 7Other -----8(SPECIFY)

16.

Did you havea scholar-ship duringthe past 12months?

Yes …1No ..2

AMOUNT

18.

Have youleftschoolnow?

Yes ..1No … .2

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

2.1

SECTION 2: EDUCATION PART B: EDUCATIONAL CAREER PRIMARY MIDDLE/JSS/SSS/T.COLLEGE+------------------------------------------------------------------------------------------------------------+ +------------------------------------------------------------+¦ ¦19. ¦20. ¦21. ¦22. ¦23. ¦24. ¦25. ¦ ¦26. ¦27. ¦28. ¦29. ¦¦ ¦What was the ¦Did you have an¦For how long ¦What was the¦Did you ever¦How many times ¦Was the ¦ ¦Have you ever¦What was the ¦Did you ever ¦How many times¦¦ ¦highest class ¦interruption ¦was the ¦reason for ¦repeat any ¦altogether did you¦primary ¦ ¦attended a ¦highest form ¦repeat a ¦altogether ¦¦ ¦of primary ¦for a term or ¦interruption?¦the inter- ¦class of ¦repeat classes in ¦school you ¦ ¦middle school¦completed? ¦form? ¦did you ¦¦ ¦education you ¦more during ¦ ¦ruption? ¦primary ¦your primary ¦last attended ¦ ¦or secondary ¦ ¦ ¦repeat forms? ¦¦ ¦completed? ¦your primary ¦ ¦ ¦schooling? ¦schooling? ¦public or ¦ ¦school? ¦None..........0 ¦ ¦ ¦¦ ¦ ¦studies? ¦ ¦Financial..1¦ ¦ ¦private? ¦ ¦ ¦M1/JSS1.......1 ¦ ¦ ¦¦ ¦ None.......0 ¦ ¦ ¦Ill Health.2¦ ¦ ¦ ¦ ¦ ¦M2/JSS2.......2 ¦ ¦ ¦¦ ¦ P1.........1 ¦ ¦ ¦Dismissal..3¦ ¦ ¦Public......1 ¦ ¦ ¦M3/JSS3.......3 ¦ ¦ ¦¦ ¦ P2.........2 ¦ ¦ ¦Other......4¦ ¦ ¦Private.....2 ¦ ¦ ¦M4............4 ¦ ¦ ¦¦ ¦ P3.........3 ¦ Yes..1 ¦ ¦(SPECIFY) ¦ Yes..1 ¦ ¦ ¦ ¦ Yes..1 ¦S1............5 ¦ Yes..1 ¦ ¦¦ ¦ P4.........4 ¦ No...2 ¦ ¦ ¦ No...2 ¦ ¦ ¦ ¦ No...2 ¦S2............6 ¦ No...2 ¦ ¦¦ ¦ P5.........5 ¦ (>>23) ¦ ¦ ¦ (>>25) ¦ ¦ ¦ ¦ (>>32) ¦S3............7 ¦ (>>30) ¦ ¦¦ ¦ P6.........6 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦S4............8 ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦S5............9 ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦LS...........10 ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦US...........11 ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦T/T1.........12 ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦T/T2.........13 ¦ ¦ ¦¦ ¦ ¦ +-------------¦ ¦ +------------------¦ ¦ ¦ ¦T/T3.........14 ¦ +--------------¦¦ ¦ ¦ ¦YEARS¦ MONTHS¦ ¦ ¦NUMBER OF TIMES ¦ ¦ ¦ ¦T/T4.........15 ¦ ¦NO. OF TIMES ¦+------------------------------------------------------------------------------------------------------------+ +------------------------------------------------------------++------------------------------------------------------------------------------------------------------------+ +------------------------------------------------------------+¦01 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+--------------+---------------+-----+-------+------------+------------+------------------+--------------¦ +-------------+----------------+--------------+--------------¦¦02 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+--------------+---------------+-----+-------+------------+------------+------------------+--------------¦ +-------------+----------------+--------------+--------------¦¦03 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+------------------------------------------------------------------------------------------------------------+ +------------------------------------------------------------++------------------------------------------------------------------------------------------------------------+ +------------------------------------------------------------+¦04 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+--------------+---------------+-----+-------+------------+------------+------------------+--------------¦ +-------------+----------------+--------------+--------------¦¦05 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+--------------+---------------+-----+-------+------------+------------+------------------+--------------¦ +-------------+----------------+--------------+--------------¦¦06 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+------------------------------------------------------------------------------------------------------------+ +------------------------------------------------------------++------------------------------------------------------------------------------------------------------------+ +------------------------------------------------------------+¦07 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+--------------+---------------+-----+-------+------------+------------+------------------+--------------¦ +-------------+----------------+--------------+--------------¦¦08 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+--------------+---------------+-----+-------+------------+------------+------------------+--------------¦ +-------------+----------------+--------------+--------------¦¦09 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+------------------------------------------------------------------------------------------------------------+ +------------------------------------------------------------++------------------------------------------------------------------------------------------------------------+ +------------------------------------------------------------+¦10 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+--------------+---------------+-----+-------+------------+------------+------------------+--------------¦ +-------------+----------------+--------------+--------------¦¦11 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+--------------+---------------+-----+-------+------------+------------+------------------+--------------¦ +-------------+----------------+--------------+--------------¦¦12 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+------------------------------------------------------------------------------------------------------------+ +------------------------------------------------------------++------------------------------------------------------------------------------------------------------------+ +------------------------------------------------------------+¦13 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+--------------+---------------+-----+-------+------------+------------+------------------+--------------¦ +-------------+----------------+--------------+--------------¦¦14 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+--------------+---------------+-----+-------+------------+------------+------------------+--------------¦ +-------------+----------------+--------------+--------------¦¦15 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+------------------------------------------------------------------------------------------------------------+ +------------------------------------------------------------+ 2.2

SECTION 2: EDUCATION PART B: EDUCATIONAL CAREER - CONTINUED - MIDDLE/JSS, SECONDARY AND TRAINING COLLEGES TECHNICAL/VOCATIONAL TERTIARY+--------------------------------------++---------------------------------------------------------------------++----------------------------------------------------+¦ ¦30. ¦31. ¦¦32. ¦33. ¦34. ¦35. ¦¦36. ¦37. ¦38. ¦39. ¦¦ ¦What was the ¦Was the school ¦¦Have you ever ¦How many course - ¦What was the ¦Was the ¦¦Have you ¦How many ¦What was the ¦What was the¦¦ ¦highest ¦you last attended¦¦attended ¦years did you ¦highest ¦technical or ¦¦ever ¦years did¦last institution ¦highest ¦¦ ¦certificate you ¦public or ¦¦technical and/or¦complete? ¦qualification you ¦Vocational ¦¦attended a¦you ¦attended? ¦qualifica- ¦¦ ¦obtained? ¦private? ¦¦vocational ¦ ¦achieved? ¦school you ¦¦tertiary ¦attend? ¦ ¦tion you ¦¦ ¦ ¦ ¦¦school? ¦ ¦ ¦last attended¦¦educatio- ¦ ¦ ¦achieved? ¦¦ ¦None...........0¦ ¦¦ ¦None.............0 ¦None............0 ¦public or ¦¦nal insti-¦ ¦Advanced/Specia- ¦ ¦¦ ¦MSLC/JSS.......1¦Public..........1¦¦ ¦Course 1.........1 ¦NVTI............1 ¦private? ¦¦tution ¦ ¦list Teacher ¦Specia- ¦¦ ¦O'Level........2¦Private.........2¦¦ ¦Course 2.........2 ¦City & Guilds...2 ¦ ¦¦that is a ¦ ¦training.........1¦ list.....1 ¦¦ ¦A'Level........3¦ ¦¦ ¦Course 3.........3 ¦Other...........3 ¦Public......1¦¦University¦ ¦Polytechnic......2¦Diploma...2 ¦¦ ¦T/T Cert B.....4¦ ¦¦ ¦Course 4.........4 ¦(SPECIFY) ¦Private.....2¦¦or ¦ ¦University.......3¦Bachelor..3 ¦¦ ¦T/T Cert A.....5¦ ¦¦ ¦ ¦ ¦ ¦¦College? ¦ ¦Other............4¦Masters...4 ¦¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦(SPECIFY) ¦Doctrate..5 ¦¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦Other.......¦¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦(SPECIFY) ¦¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦¦ Yes...1 ¦ ¦ ¦ ¦¦ Yes...1 ¦ ¦ ¦+-------+ ¦¦ ¦ ¦ ¦¦ No....2 ¦ ¦ ¦ ¦¦ No....2 +---------¦ ¦¦(>> 48)¦ ¦¦ ¦ ¦ ¦¦ (>> 36) ¦ ¦ ¦ ¦¦ (>> 48) ¦ YEARS ¦ ¦+-------+ ¦+--------------------------------------++---------------------------------------------------------------------++----------------------------------------------------++--------------------------------------++---------------------------------------------------------------------++----------------------------------------------------+¦01 ¦ ¦ ¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦+---+----------------+-----------------¦+----------------+-------------------+------------------+-------------¦+----------+---------+------------------+------------¦¦02 ¦ ¦ ¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦+---+----------------+-----------------¦+----------------+-------------------+------------------+-------------¦+----------+---------+------------------+------------¦¦03 ¦ ¦ ¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦+--------------------------------------++---------------------------------------------------------------------++----------------------------------------------------++--------------------------------------++---------------------------------------------------------------------++----------------------------------------------------+¦04 ¦ ¦ ¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦+---+----------------+-----------------¦+----------------+-------------------+------------------+-------------¦+----------+---------+------------------+------------¦¦05 ¦ ¦ ¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦+---+----------------+-----------------¦+----------------+-------------------+------------------+-------------¦+----------+---------+------------------+------------¦¦06 ¦ ¦ ¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦+--------------------------------------++---------------------------------------------------------------------++----------------------------------------------------++--------------------------------------++---------------------------------------------------------------------++----------------------------------------------------+¦07 ¦ ¦ ¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦+---+----------------+-----------------¦+----------------+-------------------+------------------+-------------¦+----------+---------+------------------+------------¦¦08 ¦ ¦ ¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦+---+----------------+-----------------¦+----------------+-------------------+------------------+-------------¦+----------+---------+------------------+------------¦¦09 ¦ ¦ ¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦+--------------------------------------++---------------------------------------------------------------------++----------------------------------------------------++--------------------------------------++---------------------------------------------------------------------++----------------------------------------------------+¦10 ¦ ¦ ¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦+---+----------------+-----------------¦+----------------+-------------------+------------------+-------------¦+----------+---------+------------------+------------¦¦11 ¦ ¦ ¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦+---+----------------+-----------------¦+----------------+-------------------+------------------+-------------¦+----------+---------+------------------+------------¦¦12 ¦ ¦ ¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦+--------------------------------------++---------------------------------------------------------------------++----------------------------------------------------++--------------------------------------++---------------------------------------------------------------------++----------------------------------------------------+¦13 ¦ ¦ ¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦+---+----------------+-----------------¦+----------------+-------------------+------------------+-------------¦+----------+---------+------------------+------------¦¦14 ¦ ¦ ¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦+---+----------------+-----------------¦+----------------+-------------------+------------------+-------------¦+----------+---------+------------------+------------¦¦15 ¦ ¦ ¦¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦+--------------------------------------++---------------------------------------------------------------------++----------------------------------------------------+

2.3

SECTION 2: EDUCATION PART C: LITERACY/APRENTICESHIP LITERACY APPRENTICESHIP TRAINING COURSES+-----------------------------------------------------------------------------------------------++-----------------------------------------------------------++------------------------------------------------+¦ ¦40. ¦41. ¦42. ¦43. ¦44. ¦45. ¦46. ¦47. ¦¦48. ¦49. ¦50. ¦51. ¦52. ¦¦53. ¦54. ¦55. ¦¦ ¦Can you¦In what Ghana-¦Can you¦In what Ghana-¦Can you ¦Have you¦For how long¦Why haven't ¦¦Are you or ¦How long were ¦What is the ¦Did you ¦Did you¦¦Have you ever ¦What is the total¦What was the ¦¦ ¦read a ¦ian language ¦write a¦ian language ¦do ¦attended¦have you ¦you attended ¦¦have you ¦you an appren- ¦main trade ¦pay a ¦receive¦¦attended other ¦number of months ¦main subject ¦¦ ¦simple ¦can you read a¦letter ¦can you write ¦written ¦a ¦attended ¦any literacy ¦¦been an ¦tice? ¦you learnt? ¦fee for ¦free ¦¦short training ¦you ever attended¦of the most ¦¦ ¦lettter¦letter? ¦in Eng-¦a letter? ¦calcu- ¦literacy¦this course?¦course? ¦¦apprentice?¦ ¦ ¦this ¦room or¦¦courses lasting ¦such courses in ¦recent ¦¦ ¦in ¦ ¦lish? ¦ ¦lations?¦course? ¦ ¦ ¦¦ ¦ ¦ ¦training? ¦board? ¦¦not more than 6 ¦the last 7 years?¦training? ¦¦ ¦Eng- ¦STATE THE ONE ¦ ¦STATE THE ONE ¦ ¦ ¦ ¦None avail- ¦¦ ¦ ¦Carpentry..1¦ ¦ ¦¦months? ¦ ¦ ¦¦ ¦lish? ¦IN WHICH YOU ¦ ¦IN WHICH YOU ¦ ¦ ¦ ¦able.........1¦¦ ¦ ¦Masonry....2¦ ¦ ¦¦ ¦ ¦Clerical....1¦¦ ¦ ¦ARE MOST ¦ ¦ARE MOST ¦ ¦ ¦ ¦Unsuitable- ¦¦ ¦ ¦Tailoring..3¦ ¦ ¦¦ ¦ [SINCE 1983] ¦Prof/ ¦¦ ¦ ¦PROFICIENT ¦ ¦PROFICIENT ¦ ¦ ¦ ¦time.........2¦¦ ¦ ¦Black- ¦ ¦ ¦¦ ¦ ¦Managerial..2¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦No child's ¦¦ ¦ ¦smithing...4¦ ¦ ¦¦ ¦ ¦Computer....3¦¦ ¦ ¦None.........0¦ ¦None.........0¦ ¦ ¦ ¦caretaker....3¦¦Yes, ¦ ¦Mechanical.5¦ ¦ ¦¦ ¦ ¦Marketing...4¦¦ ¦ ¦Akan.........1¦ ¦Akan.........1¦ ¦ ¦ ¦No household ¦¦currently.1¦ ¦Electronics/¦Yes, ¦ ¦¦ ¦ ¦Teaching....5¦¦ ¦ ¦Ewe..........2¦ ¦Ewe..........2¦ ¦ ¦ ¦chores care- ¦¦Yes, ¦ ¦Electricals.¦in kind..1¦ ¦¦ ¦ ¦Leadership..6¦¦ ¦ ¦Ga Adangbe...3¦ ¦Ga Adangbe...3¦ ¦ ¦ ¦taker........4¦¦in past...2¦ ¦...........6¦Yes, ¦ ¦¦ ¦ ¦Medicine....7¦¦ ¦ Yes..1¦Dagbani......4¦Yes..1 ¦Dagbani......4¦ Yes..1 ¦ Yes..1 ¦ +-----+ ¦No business ¦¦No........3¦ ¦Painting/ ¦in cash..2¦ ¦¦ ¦ ¦Other.......8¦¦ ¦ No...2¦Hausa........5¦No...2 ¦Hausa........5¦ No...2 ¦ No...2 ¦ ¦>> 48¦ ¦caretaker....5¦¦ (>> 53) ¦ ¦Spraying...7¦Both.....3¦ Yes..1¦¦ Yes..1 ¦ ¦(SPECIFY) ¦¦ ¦ ¦Nzema........6¦ ¦Nzema........6¦ ¦ (>> 47)¦ +-----+ ¦Other........6¦¦ ¦ ¦Other......8¦No.......4¦ No...2¦¦ No...2 ¦ ¦ ¦¦ ¦ ¦Other........7¦ ¦Other........7¦ ¦ +------------¦(SPECIFY) ¦¦ +---------------¦(SPECIFY) ¦ ¦ ¦¦(>> NEXT MEMBER)+-----------------¦ ¦¦ ¦ ¦(SPECIFY) ¦ ¦(SPECIFY) ¦ ¦ ¦YEARS¦MONTHS¦ ¦¦ ¦YEARS ¦ MONTHS ¦ ¦ ¦ ¦¦ ¦ MONTHS ¦ ¦+-----------------------------------------------------------------------------------------------++-----------------------------------------------------------++------------------------------------------------++-----------------------------------------------------------------------------------------------++-----------------------------------------------------------++------------------------------------------------+¦01 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦+---+-------+--------------+-------+--------------+--------+--------+-----+------+--------------¦+-----------+------+--------+------------+----------+-------¦+----------------+-----------------+-------------¦¦02 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦+---+-------+--------------+-------+--------------+--------+--------+-----+------+--------------¦+-----------+------+--------+------------+----------+-------¦+----------------+-----------------+-------------¦¦03 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦+-----------------------------------------------------------------------------------------------++-----------------------------------------------------------++------------------------------------------------++-----------------------------------------------------------------------------------------------++-----------------------------------------------------------++------------------------------------------------+¦04 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦+---+-------+--------------+-------+--------------+--------+--------+-----+------+--------------¦+-----------+------+--------+------------+----------+-------¦+----------------+-----------------+-------------¦¦05 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦+---+-------+--------------+-------+--------------+--------+--------+-----+------+--------------¦+-----------+------+--------+------------+----------+-------¦+----------------+-----------------+-------------¦¦06 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦+-----------------------------------------------------------------------------------------------++-----------------------------------------------------------++------------------------------------------------++-----------------------------------------------------------------------------------------------++-----------------------------------------------------------++------------------------------------------------+¦07 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦+---+-------+--------------+-------+--------------+--------+--------+-----+------+--------------¦+-----------+------+--------+------------+----------+-------¦+----------------+-----------------+-------------¦¦08 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦+---+-------+--------------+-------+--------------+--------+--------+-----+------+--------------¦+-----------+------+--------+------------+----------+-------¦+----------------+-----------------+-------------¦¦09 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦+-----------------------------------------------------------------------------------------------++-----------------------------------------------------------++------------------------------------------------++-----------------------------------------------------------------------------------------------++-----------------------------------------------------------++------------------------------------------------+¦10 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦+---+-------+--------------+-------+--------------+--------+--------+-----+------+--------------¦+-----------+------+--------+------------+----------+-------¦+----------------+-----------------+-------------¦¦11 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦+---+-------+--------------+-------+--------------+--------+--------+-----+------+--------------¦+-----------+------+--------+------------+----------+-------¦+----------------+-----------------+-------------¦¦12 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦+-----------------------------------------------------------------------------------------------++-----------------------------------------------------------++------------------------------------------------++-----------------------------------------------------------------------------------------------++-----------------------------------------------------------++------------------------------------------------+¦13 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦+---+-------+--------------+-------+--------------+--------+--------+-----+------+--------------¦+-----------+------+--------+------------+----------+-------¦+----------------+-----------------+-------------¦¦14 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦+---+-------+--------------+-------+--------------+--------+--------+-----+------+--------------¦+-----------+------+--------+------------+----------+-------¦+----------------+-----------------+-------------¦¦15 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦+-----------------------------------------------------------------------------------------------++-----------------------------------------------------------++------------------------------------------------+ 2.4

SECTION 3: HEALTH PART A: HEALTH CONDITION IN THE PAST TWO WEEKS RESPONDENTS: ALL HOUSEHOLD MEMBERS. +-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦ ¦ ¦1. ¦2. ¦3. ¦4. ¦5. ¦6. ¦7. ¦8. ¦9. ¦10. ¦11. ¦¦ ¦ID OF ¦During the past 2 ¦How long ago did ¦For how many ¦During the past¦For ¦During the ¦What was the ¦In the past 2 ¦Where did the¦Is this a ¦How much did you ¦¦ ¦PERSON¦weeks have you ¦this illness/injury¦days during the¦2 weeks, did ¦how ¦past 2 weeks have ¦reason for that ¦weeks, whom did ¦consultation ¦public or ¦pay for the first ¦¦ ¦INTER-¦suffered from ¦start? ¦past 2 weeks ¦you have to ¦many ¦you consulted a ¦visit? ¦you consult? ¦take place? ¦private esta- ¦consultation? ¦¦ ¦VIEWED¦either an illness ¦ ¦have you ¦stop your usual¦days?¦health practition-¦ ¦ ¦ ¦blishment? ¦ ¦¦ ¦ ¦or an injury? ¦THE MOST SERIOUS IF¦suffered from ¦activities ¦ ¦er, or dentist or ¦ THE MOST RECENT ¦IF MORE THAN 1 ¦Hospital....1¦ ¦ ¦¦ ¦ ¦ ¦MORE THAN 1 ¦this condition?¦because of this¦ ¦visited a health ¦ IF MORE THAN 1 ¦CONSULTATION ¦Dispensary..2¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦condition? ¦ ¦centre or con- ¦ ¦RECORD 1ST THREE ¦Pharmacy....3¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦sulted a tradi- ¦ ¦ ¦Clinic......4¦ ¦ ¦¦ ¦ ¦Neither..........1¦In last 2 weeks...1¦ ¦ ¦ ¦tional healer? ¦Check up.........1¦Trad. Healer.....1¦Maternity ¦ ¦ ¦¦ ¦ ¦(>> 6) ¦2-4 weeks ago.....2¦ ¦ ¦ ¦ ¦Illness..........2¦Doctor...........2¦Home........5¦Public.......1 ¦ ¦¦ ¦ ¦IIlness..........2¦1-6 months ago....3¦ ¦ ¦ ¦ ¦Injury...........3¦Dentist..........3¦MCH.........6¦Private......2 ¦ ¦¦ ¦ ¦Injury...........3¦6-12 months.......4¦ ¦ ¦ ¦ ¦Vaccination......4¦Nurse............4¦Consultant's ¦ ¦ ¦¦ ¦ ¦Both.............4¦More than a year ¦ ¦ ¦ ¦ ¦Prenatal care....5¦Medical Asst.....5¦Home........7¦ ¦ ¦¦ ¦ ¦ ¦ago...............5¦ ¦ Yes..1 ¦ ¦ Yes..1 ¦Postnatal care...6¦Midwife..........6¦Patient's ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ No...2 ¦ ¦ No...2 ¦ ¦Pharmacist.......7¦Home........8¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ (>> 6) ¦ ¦ (>> Part B) ¦ ¦Trad. Birth ¦Other.......9¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦Attendant........8¦(SPECIFY) ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦Spiritualist.....9¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦Other(SPECIFY)..10¦ ¦ ¦ ¦¦ ¦ ¦ ¦ +---------------¦ ¦ ¦ ¦ +------------------¦ ¦ +------------------¦¦ ¦ ¦ ¦ ¦ DAYS ¦ ¦ ¦ ¦ ¦ 1 ¦ 2 ¦ 3 ¦ ¦ ¦ AMOUNT ¦+-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦01 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------------+-------------------+---------------+---------------+-----+------------------+------------------+------+-----+-----+-------------+---------------+------------------¦¦02 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------------+-------------------+---------------+---------------+-----+------------------+------------------+------+-----+-----+-------------+---------------+------------------¦¦03 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦04 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------------+-------------------+---------------+---------------+-----+------------------+------------------+------+-----+-----+-------------+---------------+------------------¦¦05 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------------+-------------------+---------------+---------------+-----+------------------+------------------+------+-----+-----+-------------+---------------+------------------¦¦06 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦07 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------------+-------------------+---------------+---------------+-----+------------------+------------------+------+-----+-----+-------------+---------------+------------------¦¦08 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------------+-------------------+---------------+---------------+-----+------------------+------------------+------+-----+-----+-------------+---------------+------------------¦¦09 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦10 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------------+-------------------+---------------+---------------+-----+------------------+------------------+------+-----+-----+-------------+---------------+------------------¦¦11 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------------+-------------------+---------------+---------------+-----+------------------+------------------+------+-----+-----+-------------+---------------+------------------¦¦12 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦13 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------------+-------------------+---------------+---------------+-----+------------------+------------------+------+-----+-----+-------------+---------------+------------------¦¦14 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------------+-------------------+---------------+---------------+-----+------------------+------------------+------+-----+-----+-------------+---------------+------------------¦¦15 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+

3.1

SECTION 3: HEALTH PART A: HEALTH CONDITION IN THE PAST TWO WEEKS - CONTINUED - +-------------------------------------------------------------------------------------------------------------------------------------+¦ ¦12. ¦13. ¦14. ¦15. ¦16. ¦17. ¦18. ¦19. ¦¦ ¦How much did ¦How much time ¦During the past ¦How many nights ¦How much did you ¦During the past¦How much did ¦Who paid for ¦¦ ¦you pay for ¦did the first ¦two weeks, were ¦did you stay in ¦(or will you) pay ¦2 weeks did you¦you pay alto-¦most of these ¦¦ ¦the first ¦consultation ¦you admitted to ¦hospital/health ¦for staying in a ¦buy any ¦gether for ¦health ¦¦ ¦time to ¦take, including¦a hospital or ¦centre during the¦hospital/health ¦medicines or ¦these ¦expenses inclu-¦¦ ¦travel there ¦travel time? ¦health centre? ¦past two weeks? ¦centre during the ¦medical ¦medicines and¦ding consulta- ¦¦ ¦and to ¦ ¦ ¦ ¦past two weeks? ¦supplies? ¦medical ¦tions and ¦¦ ¦return? ¦ ¦ ¦ ¦ ¦ ¦supplies? ¦hospital stays ¦¦ ¦ ¦ ¦[Include Tradi- ¦ ¦ ¦ ¦ ¦(if any)? ¦¦ ¦ ¦ ¦tional Healing ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦Centres] ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦Household ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦Member......ID ¦¦ ¦ ¦ ¦ Yes......1 ¦ ¦ ¦ Yes......1 ¦ ¦Other ¦¦ ¦ ¦ ¦ No.......2 ¦ ¦ ¦ No.......2 ¦ ¦Relative....80 ¦¦ ¦ ¦ ¦ (>>17) ¦ ¦ ¦ (>>Part B) ¦ ¦Government..81 ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦Employer....82 ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦Other.......83 ¦¦ +-------------+---------------¦ +-----------------+------------------¦ +-------------¦(SPECIFY) ¦¦ ¦ AMOUNT ¦ HOURS ¦ ¦ NIGHTS ¦ AMOUNT ¦ ¦ AMOUNT ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------------------------------------------------------------------------+¦01 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-------------+---------------+----------------+-----------------+------------------+---------------+-------------+---------------¦¦02 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-------------+---------------+----------------+-----------------+------------------+---------------+-------------+---------------¦¦03 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------------------------------------------------------------------------+¦04 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-------------+---------------+----------------+-----------------+------------------+---------------+-------------+---------------¦¦05 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-------------+---------------+----------------+-----------------+------------------+---------------+-------------+---------------¦¦06 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------------------------------------------------------------------------+¦07 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-------------+---------------+----------------+-----------------+------------------+---------------+-------------+---------------¦¦08 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-------------+---------------+----------------+-----------------+------------------+---------------+-------------+---------------¦¦09 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------------------------------------------------------------------------+¦10 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-------------+---------------+----------------+-----------------+------------------+---------------+-------------+---------------¦¦11 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-------------+---------------+----------------+-----------------+------------------+---------------+-------------+---------------¦¦12 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------------------------------------------------------------------------+¦13 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-------------+---------------+----------------+-----------------+------------------+---------------+-------------+---------------¦¦14 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-------------+---------------+----------------+-----------------+------------------+---------------+-------------+---------------¦¦15 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------+

3.2

SECTION 3: HEALTH PART B: PREVENTIVE HEALTH, VACCINATION, IN PAST 12 MONTHS. THIS PART COVERS ALL CHILDREN 7 YEARS AND UNDER - PERSON TO BE INTERVIEWED IS CHILD'S MOTHER OR ADULT HOUSEHOLD MEMBER IN CHARGE.+--------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦ ¦ ¦1. ¦2. ¦3. COPY FROM BOOK ¦4. ¦5. ¦6. ¦7. ¦8. ¦¦ ¦ID OF ¦Has (NAME) ¦Is there any ¦ ¦Were any of these vaccina- ¦Where was the ¦Did you have ¦How much did you¦Why was (NAME) ¦¦ ¦PERSON¦ever been ¦vaccination ¦ CODES: ¦tions given to (NAME) during¦vaccination ¦to pay any ¦have to pay for ¦not vaccinated? ¦¦ ¦INTER-¦vaccinated? ¦book or card ¦ ¦the past 12 months? ¦given? ¦fee for this ¦the last ¦ ¦¦ ¦VIEWED¦ ¦for (NAME)? ¦ Yes, Complete......1¦ ¦ ¦vaccination? ¦vaccination? ¦ ¦¦ ¦ ¦ ¦ ¦ Yes, Incomplete....2¦CODES: ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ None...............3¦ ¦ ¦ ¦ ¦Too young......1¦¦ ¦ ¦ ¦ ¦ N/A................4¦Yes, complete set..........1¦Health centre.1¦ ¦ ¦Did not know he ¦¦ ¦ ¦ ¦ ¦ ¦Yes, incomplete............2¦Hospital......2¦ ¦ ¦had to.........2¦¦ ¦ ¦ ¦ ¦ +------+ ¦None.......................3¦Private clinic.¦ ¦ ¦Health centre ¦¦ ¦ ¦ ¦ ¦ ¦ >>5 ¦ ¦Do not know................4¦..............3¦ ¦ ¦too far........3¦¦ ¦ ¦ ¦ ¦ +------+ ¦Not Applicable.............5¦Mobile unit...4¦ ¦ ¦Shortage of ¦¦ ¦ ¦ ¦ ¦ Type of vaccination ¦ Type of vaccination ¦School........5¦ ¦ ¦supply.........4¦¦ ¦ ¦ ¦ +----------------------------+----------------------------¦ ¦ ¦ ¦Other..........5¦¦ ¦ ¦ ¦ ¦ DPT ¦POLIO ¦MEASLES¦ BCG ¦ DPT ¦POLIO ¦MEASLES¦ BCG ¦ ¦ ¦ ¦(SPECIFY) ¦¦ ¦ ¦ Yes..1 ¦ Yes..1 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Yes..1 ¦+-------------+ ¦ ¦¦ ¦ ¦ No...2 ¦ No...2 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ No...2 ¦¦>>NEXT PERSON¦ ¦ ¦¦ ¦ ¦ (>>8) ¦ (>>4) ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ (>>Next ¦+-------------+ ¦(>>NEXT PERSON) ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Person) +----------------¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ AMOUNT ¦ ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------++--------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦01 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+-------------+-----------------+------+------+-------+------+------+------+-------+------+---------------+-------------+----------------+----------------¦¦02 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+-------------+-----------------+------+------+-------+------+------+------+-------+------+---------------+-------------+----------------+----------------¦¦03 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------++--------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦04 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+-------------+-----------------+------+------+-------+------+------+------+-------+------+---------------+-------------+----------------+----------------¦¦05 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+-------------+-----------------+------+------+-------+------+------+------+-------+------+---------------+-------------+----------------+----------------¦¦06 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------++--------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦07 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+-------------+-----------------+------+------+-------+------+------+------+-------+------+---------------+-------------+----------------+----------------¦¦08 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+-------------+-----------------+------+------+-------+------+------+------+-------+------+---------------+-------------+----------------+----------------¦¦09 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------++--------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦10 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+-------------+-----------------+------+------+-------+------+------+------+-------+------+---------------+-------------+----------------+----------------¦¦11 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+-------------+-----------------+------+------+-------+------+------+------+-------+------+---------------+-------------+----------------+----------------¦¦12 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------++--------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦13 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+-------------+-----------------+------+------+-------+------+------+------+-------+------+---------------+-------------+----------------+----------------¦¦14 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+-------------+-----------------+------+------+-------+------+------+------+-------+------+---------------+-------------+----------------+----------------¦¦15 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------+

3.3

SECTION 3: HEALTH PART C: POSTNATAL CARE COVERS ALL CHILDREN 5 YEARS AND BELOW - PERSON INTERVIEWED SHOULD BE THE CHILD'S MOTHER OR ADULT HOUSEHOLD MEMBER IN CHARGE+--------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦ ¦ ¦1. ¦2. ¦3. ¦4. ¦5. ¦6. ¦7. ¦8. ¦9. ¦¦ ¦ID OF ¦Did you or someone¦How many times ¦Did you have ¦How much did ¦Does (or did) ¦At what age did ¦At what age did ¦Does (NAME) ¦Who usually looks ¦¦ ¦PERSON¦else take (NAME) ¦did (NAME) go ¦to pay for ¦you usually pay¦the mother ¦you wean (NAME)?¦(NAME) receive ¦participate in a¦after (NAME) ¦¦ ¦INTER-¦to a health centre¦there for ¦consultations? ¦for one ¦breastfeed ¦ ¦any liquid ¦community feed- ¦during daytime? ¦¦ ¦VIEWED¦for post-natal ¦consultations ¦ ¦consultation? ¦(NAME)? ¦REPORT IN MONTHS ¦(except pure ¦ing program? ¦ ¦¦ ¦ ¦care in the last ¦in the last ¦ ¦ ¦ ¦ ¦water) or food ¦ ¦WRITE ID OF ¦¦ ¦ ¦12 months? ¦12 months? ¦ ¦ ¦ ¦ ¦other than ¦ ¦HOUSEHOLD MEMBER ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦breastmilk? ¦ ¦OR WRITE 98 IF NOT¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦A HOUSEHOLD MEMBER¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦Still ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦breastfeeding..87¦Not yet.......87¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ Yes...1 ¦ ¦ Yes..1 ¦ ¦ Yes..1 ¦ ¦ ¦ Yes..1 ¦ ¦¦ ¦ ¦ No....2 ¦ ¦ No...2 ¦ ¦ No...2 ¦ ¦ ¦ No...2 ¦ ¦¦ ¦ ¦ (>>5) ¦ ¦ (>>5) ¦ ¦ (>>8) ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ +---------------¦ +-----------------+----------------¦ +------------------¦¦ ¦ ¦ ¦ ¦ ¦ AMOUNT ¦ ¦ MONTHS ¦ MONTHS ¦ ¦ ID ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------++--------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦01 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------------+---------------+---------------+---------------+---------------+-----------------+----------------+----------------+------------------¦¦02 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------------+---------------+---------------+---------------+---------------+-----------------+----------------+----------------+------------------¦¦03 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------++--------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦04 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------------+---------------+---------------+---------------+---------------+-----------------+----------------+----------------+------------------¦¦05 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------------+---------------+---------------+---------------+---------------+-----------------+----------------+----------------+------------------¦¦06 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------++--------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦07 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------------+---------------+---------------+---------------+---------------+-----------------+----------------+----------------+------------------¦¦08 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------------+---------------+---------------+---------------+---------------+-----------------+----------------+----------------+------------------¦¦09 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------++--------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦10 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------------+---------------+---------------+---------------+---------------+-----------------+----------------+----------------+------------------¦¦11 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------------+---------------+---------------+---------------+---------------+-----------------+----------------+----------------+------------------¦¦12 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------++--------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦13 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------------+---------------+---------------+---------------+---------------+-----------------+----------------+----------------+------------------¦¦14 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------------+---------------+---------------+---------------+---------------+-----------------+----------------+----------------+------------------¦¦15 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------+

3.4

SECTION 3: HEALTH PART D: FERTILITY - PRENATAL CARE - CONTRACEPTIVE USE RESPONDENTS: WOMEN 15 TO 49 YEARS OLD. INDIVIDUALS SHOULD EACH ANSWER FOR THEMSELVES.+---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦ ¦ ¦1. ¦2. ¦3. ¦4. ¦5. ¦6. ¦7. ¦8. ¦9. ¦10. ¦11. ¦12. ¦13. ¦14. ¦15. ¦16. ¦¦ ¦ID OF ¦Have you ¦Have you ¦How ¦How ¦I would ¦How many ¦How ¦Did you have ¦How many of ¦Are you ¦During the past¦How did this ¦Is that¦Are you ¦During this ¦From whom did you ¦¦ ¦PERSON¦ever been ¦ever given ¦many ¦many ¦like to ¦girls are¦many ¦any pregnancy¦those pregnan- ¦pregnant ¦12 months have ¦pregnancy end? ¦child ¦now ¦pregnancy did¦receive that ¦¦ ¦INTER-¦pregnant? ¦birth to any¦girls ¦boys ¦make sure ¦still ¦boys ¦which did not¦cies did you ¦now? ¦you been ¦ ¦still ¦breast- ¦you receive ¦care? ¦¦ ¦VIEWED¦ ¦child? ¦have ¦have ¦you have ¦alive? ¦are ¦end in a live¦have? ¦ ¦pregnant? ¦ ¦alive? ¦feeding? ¦any pre-natal¦ ¦¦ ¦ ¦ ¦ ¦you ¦you ¦given ¦ ¦still ¦birth? ¦ ¦ ¦ ¦ ¦ ¦ ¦care? ¦ ¦¦ ¦ ¦ ¦ ¦given ¦given ¦birth to..¦ ¦alive? ¦ ¦ ¦ ¦ ¦Live birth.....1¦ ¦ ¦ ¦Prenatal clinic/ ¦¦ ¦ ¦ ¦ ¦birth ¦birth ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦Still birth....2¦ ¦ ¦ ¦private..........1¦¦ ¦ ¦ ¦IF NO PROBE ¦to? ¦to? ¦TOTAL ¦ ¦ ¦ ¦ ¦ ¦ ¦(7+months,>>15) ¦ ¦ ¦ ¦Prenatal clinic/ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦NUMBER OF ¦ ¦ ¦ ¦ ¦ ¦ ¦Miscarriage....3¦ ¦ ¦ ¦public...........2¦¦ ¦ ¦ ¦Even one who¦ ¦ ¦CHILDREN ¦ ¦ ¦ ¦ ¦ ¦ ¦ (>>15) ¦ ¦ ¦ ¦Doctor...........3¦¦ ¦ ¦ ¦lived only ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦Other..........4¦ ¦ Yes...1 ¦ ¦Traditional birth ¦¦ ¦ ¦ ¦a few hours ¦ ¦ ¦(Q.3+Q.4) ¦ ¦ ¦ ¦ ¦ ¦ ¦(SPECIFY) ¦ ¦ No....2 ¦ ¦attendant........4¦¦ ¦ ¦ ¦or less. ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦Other............5¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦(SPECIFY) ¦¦ ¦ ¦ Yes..1 ¦ Yes..1 ¦ ¦ ¦ ¦ ¦ ¦ Yes..1 ¦ ¦ Yes..1 ¦ Yes..1 ¦ ¦Yes..1 ¦ CHECK ¦ Yes..1 ¦ ¦¦ ¦ ¦ No...2 ¦ No...2 ¦ ¦ ¦ ¦ ¦ ¦ No...2 ¦ ¦ (>> 15) ¦ No...2 ¦ ¦No...2 ¦ PART C ¦ No...2 ¦LIST 2 MOST ¦¦ ¦ ¦ (>> 20) ¦ (>> 8) ¦ ¦ ¦ ¦ ¦ ¦ (>> 10) ¦ ¦ No...2 ¦ (>> 20) ¦ ¦(>> 15)¦ Q.6 ¦ (>> 19) ¦IMPORTANT SOURCES ¦¦ ¦ ¦ ¦ +-------+------+----------+---------+-------¦ +---------------¦ ¦ ¦ ¦ ¦ ¦ +------------------¦¦ ¦ ¦ ¦ ¦ GIRLS ¦ BOYS ¦ TOTAL ¦ GIRLS ¦ BOYS ¦ ¦NON-LIVE BIRTHS¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦01 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------+------------+-------+------+----------+---------+-------+-------------+---------------+------------+---------------+----------------+-------+---------+-------------+---------+--------¦¦02 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------+------------+-------+------+----------+---------+-------+-------------+---------------+------------+---------------+----------------+-------+---------+-------------+---------+--------¦¦03 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦04 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------+------------+-------+------+----------+---------+-------+-------------+---------------+------------+---------------+----------------+-------+---------+-------------+---------+--------¦¦05 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------+------------+-------+------+----------+---------+-------+-------------+---------------+------------+---------------+----------------+-------+---------+-------------+---------+--------¦¦06 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦07 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------+------------+-------+------+----------+---------+-------+-------------+---------------+------------+---------------+----------------+-------+---------+-------------+---------+--------¦¦08 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------+------------+-------+------+----------+---------+-------+-------------+---------------+------------+---------------+----------------+-------+---------+-------------+---------+--------¦¦09 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦10 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------+------------+-------+------+----------+---------+-------+-------------+---------------+------------+---------------+----------------+-------+---------+-------------+---------+--------¦¦11 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------+------------+-------+------+----------+---------+-------+-------------+---------------+------------+---------------+----------------+-------+---------+-------------+---------+--------¦¦12 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦13 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------+------------+-------+------+----------+---------+-------+-------------+---------------+------------+---------------+----------------+-------+---------+-------------+---------+--------¦¦14 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+------------+------------+-------+------+----------+---------+-------+-------------+---------------+------------+---------------+----------------+-------+---------+-------------+---------+--------¦¦15 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+

3.5

SECTION 3: HEALTH PART D: FERTILITY - PRENATAL CARE - CONTRACEPTIVE USE - CONTINUED - +---------------------------------------------------------------------------------------------------------------------------------------+¦ ¦17. ¦18. ¦19. ¦20. ¦21. ¦22. ¦23. ¦¦ ¦How many ¦How much did ¦Why didn't ¦Are you or your ¦What method are ¦FOR Q.21 = 1,2,3,4,5,6,¦IF Q.21 = 1 TO 6 ¦¦ ¦times did ¦you pay for ¦you go for ¦partner using any ¦you using? ¦10,11 ASK: ¦ASK: ¦¦ ¦you go there?¦the first ¦pre-natal care? ¦method to prevent ¦ ¦ ¦ ¦¦ ¦ ¦pre-natal ¦ ¦or delay pregnancy?¦ ¦Where did you get that?¦How much did you ¦¦ ¦ ¦consultation? ¦ ¦ ¦ ¦ ¦pay for that ¦¦ ¦ ¦ ¦Can't afford....1¦ ¦Pill................1¦ Pre-natal clinic / ¦during the last ¦¦ ¦ ¦ ¦No health care ¦ ¦Condom..............2¦ Private..........1¦month? ¦¦ ¦ ¦ ¦available.......2¦ ¦IUD.................3¦ Pre-natal clinic / ¦ ¦¦ ¦ ¦ ¦Health centre ¦ ¦Injection...........4¦ Public...........2¦ ¦¦ ¦ ¦ ¦too far.........3¦ ¦Douche..............5¦ Doctor...............3¦ ¦¦ ¦ ¦ ¦Not necessary...4¦ ¦Other scientific....6¦ Family Planning ¦ ¦¦ ¦ ¦ ¦Other...........5¦ ¦Rhythm..............7¦ Centre............4¦ ¦¦ ¦ ¦ ¦(SPECIFY) ¦ ¦Withdrawal..........8¦ Chemist..............5¦ ¦¦ ¦ ¦ ¦ ¦ ¦Abstinence..........9¦ Other................6¦ ¦¦ ¦ ¦ ¦ ¦ ¦Female ¦ (SPECIFY) ¦ ¦¦ ¦ ¦ +-----+ ¦ ¦ ¦sterilization......10¦ ¦ ¦¦ +-------------¦ ¦>> 20¦ ¦ ¦ Yes...1 ¦Male sterilization.11¦ IF Q.21 =10 or 11 ¦ ¦¦ ¦ Source ¦ +-----+ ¦ ¦ No....2 ¦Other specify......12¦ (>>NEXT PERSON) ¦ ¦¦ +-------------+--------------¦ ¦ (IF NO ¦ IF 7, 8, 9, or 12 ¦ +------------------¦¦ ¦ 1st ¦ 2nd ¦ AMOUNT ¦ ¦ >> NEXT PERSON)¦ (>>NEXT PERSON) ¦ ¦ AMOUNT ¦+---------------------------------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------------------------------+¦01 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-----+-------+--------------+-----------------+-------------------+---------------------+-----------------------+------------------¦¦02 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-----+-------+--------------+-----------------+-------------------+---------------------+-----------------------+------------------¦¦03 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------------------------------+¦04 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-----+-------+--------------+-----------------+-------------------+---------------------+-----------------------+------------------¦¦05 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-----+-------+--------------+-----------------+-------------------+---------------------+-----------------------+------------------¦¦06 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------------------------------+¦07 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-----+-------+--------------+-----------------+-------------------+---------------------+-----------------------+------------------¦¦08 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-----+-------+--------------+-----------------+-------------------+---------------------+-----------------------+------------------¦¦09 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------------------------------+¦10 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-----+-------+--------------+-----------------+-------------------+---------------------+-----------------------+------------------¦¦11 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-----+-------+--------------+-----------------+-------------------+---------------------+-----------------------+------------------¦¦12 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------------------------------+¦13 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-----+-------+--------------+-----------------+-------------------+---------------------+-----------------------+------------------¦¦14 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-----+-------+--------------+-----------------+-------------------+---------------------+-----------------------+------------------¦¦15 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------+

3.6

SECTION 4: EMPLOYMENT AND TIME USE. PART A: SCREENING QUESTIONS AND LIST OF OCCUPATIONS IN PAST 12 MONTHS. RESPONDENTS: ALL HOUSEHOLD MEMBERS AGE 7 AND ABOVE. +-----+ +-----------+ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ I would now like to ask you about your activities of the past 12 months, that is since Month +-----+ Year +-----------++---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦ ¦CODE OF ¦1. ¦2. ¦3. ¦4. ¦5. ¦6. ¦7. ¦8. ¦9. ¦¦ ¦PERSON ¦During ¦During the past ¦During the ¦During the ¦During the past 12 months, what kind of ¦During the ¦What kind of work? ¦Did you ¦Which occupations were ¦¦ ¦INTERVIEWED¦the past ¦12 months have ¦past 12 ¦past 12 months, ¦work did you spend most of your time on?¦past 12 ¦ ¦undertake ¦done at the same time ¦¦ ¦ ¦12 months¦you made money ¦months have¦have you worked ¦ ¦months, did ¦ ¦any of ¦as your main occupation¦¦ ¦ ¦have you ¦including ¦you worked ¦unpaid for an ¦ WRITE OCCUPATION NAME ¦you do ¦ WRITE NAME FROM OCCUPATION ¦these occu-¦ ¦¦ ¦ ¦done work¦payment in kind ¦on a farm, ¦enterprise ¦ ¦any other ¦ LIST. WRITE UP TO 4 ¦pations ¦WRITE OCCUPATION ¦¦ ¦ ¦for which¦through self- ¦in a field ¦belonging to a ¦ ¦kind of work ¦ OCCUPATIONS IN ORDER OF ¦over the ¦NUMBER FROM QUESTION 7 ¦¦ ¦ ¦you ¦employment (for ¦or by ¦member of your ¦ ¦apart from ¦ AMOUNT OF TIME SPENT ON ¦same time ¦ ¦¦ ¦ ¦received ¦example trading?)¦herding? ¦household? ¦ ¦(MAIN ¦ THEM. ¦period as ¦ ¦¦ ¦ ¦a wage or¦ ¦ ¦ ¦ ¦OCCUPATION)? ¦ ¦your main ¦ ¦¦ ¦ ¦any other¦ ¦ ¦ ¦ ¦ ¦ ¦occupation?¦ ¦¦ ¦ ¦payment? ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ Yes..1 ¦ Yes...1 ¦ Yes...1 ¦ Yes...1 ¦ ¦ Yes..1 ¦ ¦ Yes..1 ¦ ¦¦ ¦ ¦ (>> 5) ¦ (>> 5) ¦ (>> 5) ¦ No....2 ¦ ¦ No...2 ¦ ¦ No...2 ¦ ¦¦ ¦ ¦ No...2 ¦ No....2 ¦ No....2 ¦ (>> Part G,Q.5)¦ ¦(>> Part B) ¦ ¦ (>> PartB)¦ ¦¦ ¦ ¦ ¦ ¦ ¦ +----------------------------------------¦ +--------------------------------------------------------------------------------¦ +-----------------------¦¦ ¦ ¦ ¦ ¦ ¦ ¦ MAIN OCCUPATION ¦ CODE ¦ ¦ OCC. 2 ¦CODE¦ 0CC. 3 ¦CODE¦ OCC. 4 ¦CODE¦ OCC. 5 ¦CODE¦ ¦ OCCUPATION NUMBER ¦+---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ +---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦01¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-----------+---------+-----------------+-----------+----------------+--------------------------------+-------+-------------+---------------+----+--------------+----+--------------+----+--------------+----+-----------+-------+-------+-------¦¦02¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-----------+---------+-----------------+-----------+----------------+--------------------------------+-------+-------------+---------------+----+--------------+----+--------------+----+--------------+----+-----------+-------+-------+-------¦¦03¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦04¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-----------+---------+-----------------+-----------+----------------+--------------------------------+-------+-------------+---------------+----+--------------+----+--------------+----+--------------+----+-----------+-------+-------+-------¦¦05¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-----------+---------+-----------------+-----------+----------------+--------------------------------+-------+-------------+---------------+----+--------------+----+--------------+----+--------------+----+-----------+-------+-------+-------¦¦06¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦07¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-----------+---------+-----------------+-----------+----------------+--------------------------------+-------+-------------+---------------+----+--------------+----+--------------+----+--------------+----+-----------+-------+-------+-------¦¦08¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-----------+---------+-----------------+-----------+----------------+--------------------------------+-------+-------------+---------------+----+--------------+----+--------------+----+--------------+----+-----------+-------+-------+-------¦¦09¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦10¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-----------+---------+-----------------+-----------+----------------+--------------------------------+-------+-------------+---------------+----+--------------+----+--------------+----+--------------+----+-----------+-------+-------+-------¦¦11¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-----------+---------+-----------------+-----------+----------------+--------------------------------+-------+-------------+---------------+----+--------------+----+--------------+----+--------------+----+-----------+-------+-------+-------¦¦12¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦13¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-----------+---------+-----------------+-----------+----------------+--------------------------------+-------+-------------+---------------+----+--------------+----+--------------+----+--------------+----+-----------+-------+-------+-------¦¦14¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-----------+---------+-----------------+-----------+----------------+--------------------------------+-------+-------------+---------------+----+--------------+----+--------------+----+--------------+----+-----------+-------+-------+-------¦¦15¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+

4.1

SECTION 4: EMPLOYMENT AND TIME USE PART B: CHARACTERISTICS OF THE MAIN OCCUPATION I would now like to ask you about your main occupation in the past 12 months. You said, this was... INTERVIEWER: SEE PART A, QUESTION 5.

1.What kind of trade,service or industryis this workconnected to?

WRITE DOWN NAMEFROM INDUSTRY LIST

2.How long have youbeen doing thiswork altogether?

3.Are you stilldoing the samework?

Yes ..1(>> 5)No ..2

4.Why are you notdoing the samework?

Sacked from Job. ……………………1Job ompleted..2Seasonal work .3Firm closed ….4Found/preferredother work …..5Other …… …. ….6(SPECIFY)

5.Did your fatheror mother do thesame kind ofwork?

Yes 1No …..2

3.During thepast 12months, forhow many weeksdid you dothis work?

INCLUDE WEEKSOF PAIDVOCATION

7.During thsesweeks how manyhours per weekdid younormally dothis work?

8.How many hours didyou normally spendper week going to andfrom work?

WRITE 99 IFRESPONDENT DOES NOTRETURN HOME AT LEASTONCE PER WEEK

9.Have youreceived or willyou receivemoney for thiswork?

Yes ..1No …2(>> 12)

10.What is the amount?

11.The last time youreceived this moneyhow many hours didyou actually work inearning it?

ANSWER MUST BE INSAME TIME UNIT AS Q10

12.In this work wereyou self employedor a worker on afarm or enterprisebelonging to youor your household?

Yes….1(PART C)No ..2

13.For whom did you work?

Government ……...1State-owned company………………..2Private companyor business …...3Other …………………….…4(SPECIFY)

P

I

D

NAME CODE YEARS MONTHS WEEKS HOURS HOURS AMOUNTTIMEUNIT AMOUNT TIME

UNIT

010103

040506

070809

101112

131415

4.2

SECTION 4: EMPLOYMENT AND TIME USE PART B: CHARACTERISTICS OF THE MAIN OCCUPATION-CONTINUED

+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦ ¦14. ¦15. ¦16. ¦17. ¦18. ¦19. ¦20. ¦21. ¦22. ¦23. ¦24. ¦25. ¦26. ¦27. ¦28. ¦¦ ¦Are taxes ¦Do you ¦What is the value ¦Did you ¦Do you receive ¦What is the value ¦Does your ¦How much rent would¦Does your ¦How much do you ¦Do you ¦What is the value ¦Is your ¦How far¦How often do¦¦ ¦already ¦receive ¦of these? ¦include these ¦any payment ¦of these goods? ¦employer give ¦you have to pay for¦employer ¦gain from this ¦receive any¦of this form of ¦place of¦away is¦you go ¦¦ ¦deducted ¦any bonuses,¦ ¦when you said ¦for this work ¦ ¦you accomoda- ¦this place without ¦give you ¦arrangement? ¦payment for¦payment? ¦work in ¦it? ¦between your¦¦ ¦from your ¦commissions,¦ ¦you received ¦in the form of ¦ ¦tion that is ¦this help? ¦free trans- ¦ ¦this work ¦ ¦this ¦ ¦house and ¦¦ ¦pay? ¦tips, or ¦ ¦(ANSWER TO ¦food, crops or ¦ ¦free or at a ¦ ¦port or ¦ ¦in any ¦ ¦village/¦ ¦your place ¦¦ ¦ ¦allowances ¦ ¦QUESTION 10)? ¦animals? ¦ ¦reduced price? ¦ ¦reduced ¦ ¦other form?¦ ¦town? ¦ ¦of work? ¦¦ ¦ ¦for this ¦ ¦ ¦ ¦ ¦ ¦ ¦fares? ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦work? ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ Yes..1 ¦ Yes..1 ¦ ¦ Yes..1 ¦ Yes..1 ¦ ¦ Yes..1 ¦ ¦ Yes..1 ¦ ¦ Yes..1 ¦ ¦ Yes..1 ¦ ¦ ¦¦ ¦ No...2 ¦ No...2 +--------------------¦ No...2 ¦ No...2 +--------------------¦ No...2 +-------------------¦ No...2 +-------------------¦ No...2 ¦ ¦ (>> 29)¦ ¦ ¦¦ ¦ ¦ (>> 18) ¦ VALUE ¦TIME¦ ¦ (>> 20) ¦ VALUE ¦TIME¦ (>> 22) ¦ VALUE ¦TIME¦ (>> 24) ¦ VALUE ¦TIME¦ (>> 26) +-------------------¦ No...2 +-------+------------¦¦ ¦ ¦ ¦ ¦UNIT¦ ¦ ¦ ¦UNIT¦ ¦ ¦UNIT¦ ¦ ¦UNIT¦ ¦ VALUE ¦TIME¦ ¦ ¦NUMBER ¦TIME¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦UNIT¦ ¦ KMS ¦OF TRIP¦UNIT¦+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ TIME UNIT ¦01¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------+------------+---------------+----+---------------+---------------+---------------+----+---------------+--------------+----+------------+--------------+----+-----------+--------------+----+--------+-------+-------+----¦ Daily.........1¦02¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Weekly........2+--+------------+------------+---------------+----+---------------+---------------+---------------+----+---------------+--------------+----+------------+--------------+----+-----------+--------------+----+--------+-------+-------+----¦ Fortnightly...3¦03¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Monthly.......4+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ Quarterly.....5+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ Yearly........6¦04¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------+------------+---------------+----+---------------+---------------+---------------+----+---------------+--------------+----+------------+--------------+----+-----------+--------------+----+--------+-------+-------+----¦¦05¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------+------------+---------------+----+---------------+---------------+---------------+----+---------------+--------------+----+------------+--------------+----+-----------+--------------+----+--------+-------+-------+----¦¦06¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦07¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------+------------+---------------+----+---------------+---------------+---------------+----+---------------+--------------+----+------------+--------------+----+-----------+--------------+----+--------+-------+-------+----¦¦08¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------+------------+---------------+----+---------------+---------------+---------------+----+---------------+--------------+----+------------+--------------+----+-----------+--------------+----+--------+-------+-------+----¦¦09¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦10¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------+------------+---------------+----+---------------+---------------+---------------+----+---------------+--------------+----+------------+--------------+----+-----------+--------------+----+--------+-------+-------+----¦¦11¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------+------------+---------------+----+---------------+---------------+---------------+----+---------------+--------------+----+------------+--------------+----+-----------+--------------+----+--------+-------+-------+----¦¦12¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦13¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------+------------+---------------+----+---------------+---------------+---------------+----+---------------+--------------+----+------------+--------------+----+-----------+--------------+----+--------+-------+-------+----¦¦14¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------+------------+---------------+----+---------------+---------------+---------------+----+---------------+--------------+----+------------+--------------+----+-----------+--------------+----+--------+-------+-------+----¦¦15¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ 4.3

SECTION 4: EMPLOYMENT AND TIME USE PART B: CHARACTERISTICS OF THE MAIN OCCUPATION-CONTINUED +-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦ ¦29. ¦30. ¦31. ¦32. ¦33. ¦34. ¦35. ¦36. ¦37. ¦38. ¦39. ¦40. ¦41. ¦42. ¦¦ ¦How many ¦When you ¦Is there a ¦In this job ¦Are you ¦Will you ¦Are you ¦Are you ¦Since you ¦How long did ¦How many hours¦Who paid ¦Was/is your ¦By how much was/is ¦¦ ¦people ¦started this¦trade union ¦are you ¦entitled to ¦receive a ¦entitled to ¦entitled to any¦started this ¦the training ¦a week did ¦for the ¦salary lower¦it lower? ¦¦ ¦altogether¦work did you¦at the place¦entitled to ¦paid sick leave¦retirement ¦free or ¦other social ¦job, have you¦last? ¦you receive ¦training? ¦during ¦ ¦¦ ¦work in ¦sign a ¦where you ¦paid ¦in this job? ¦pension? ¦subsidized ¦security ¦received any ¦ ¦this training?¦ ¦training? ¦ ¦¦ ¦the same ¦written ¦work? ¦holidays? ¦ ¦ ¦medical care ¦benefits in ¦training ¦ ¦ ¦ ¦ ¦ ¦¦ ¦organiza- ¦contract? ¦ ¦ ¦ ¦ ¦in this job? ¦this job? ¦related to ¦ ¦ ¦ ¦ ¦ ¦¦ ¦tion where¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦your work? ¦ ¦ ¦ ¦ ¦ WRITE DIFFERENCE ¦¦ ¦you do ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦Myself ¦ ¦ BETWEEN NORMAL ¦¦ ¦this work?¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦entirely....1¦ ¦ SALARY AND SALARY¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦Employer ¦ ¦ WHILE TRAINING ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦entirely....2¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦Both cost ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦was shared..3¦ +-------------------¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦It was free.4¦ ¦ AMOUNT ¦TIME¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦Internation- ¦ ¦ ¦UNIT¦¦ ¦ ¦ Yes...1 ¦ Yes..1 ¦ Yes..1 ¦ Yes..1 ¦ Yes..1 ¦ Yes..1 ¦ Yes..1 ¦ Yes..1 ¦ ¦ ¦al agency...5¦ Yes..1 ¦ ¦ ¦¦ ¦ ¦ No....2 ¦ No...2 ¦ No...2 ¦ No...2 ¦ No...2 ¦ No...2 ¦ No...2 ¦ No...2 ¦ ¦ ¦Other.......6¦ No...2 ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦(>> Part C) ¦ ¦ ¦ (SPECIFY) ¦(>> Part C) ¦ ¦ ¦¦ +----------¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ +-------------+--------------¦ ¦ ¦ ¦ ¦¦ ¦ NUMBER ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦MONTHS ¦WEEKS¦ HOURS ¦ ¦ ¦ ¦ ¦+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ TIME UNIT¦01¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Daily........1+--+----------+------------+------------+-------------+---------------+------------+--------------+---------------+-------------+-------+-----+--------------+-------------+------------+--------------+----¦ Weekly.......2¦02¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Fortnightly..3+--+----------+------------+------------+-------------+---------------+------------+--------------+---------------+-------------+-------+-----+--------------+-------------+------------+--------------+----¦ Monthly......4¦03¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Quarterly....5+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ Yearly.......6+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦04¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+----------+------------+------------+-------------+---------------+------------+--------------+---------------+-------------+-------+-----+--------------+-------------+------------+--------------+----¦¦05¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+----------+------------+------------+-------------+---------------+------------+--------------+---------------+-------------+-------+-----+--------------+-------------+------------+--------------+----¦¦06¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦07¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+----------+------------+------------+-------------+---------------+------------+--------------+---------------+-------------+-------+-----+--------------+-------------+------------+--------------+----¦¦08¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+----------+------------+------------+-------------+---------------+------------+--------------+---------------+-------------+-------+-----+--------------+-------------+------------+--------------+----¦¦09¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦10¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+----------+------------+------------+-------------+---------------+------------+--------------+---------------+-------------+-------+-----+--------------+-------------+------------+--------------+----¦¦11¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+----------+------------+------------+-------------+---------------+------------+--------------+---------------+-------------+-------+-----+--------------+-------------+------------+--------------+----¦¦12¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦13¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+----------+------------+------------+-------------+---------------+------------+--------------+---------------+-------------+-------+-----+--------------+-------------+------------+--------------+----¦¦14¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+----------+------------+------------+-------------+---------------+------------+--------------+---------------+-------------+-------+-----+--------------+-------------+------------+--------------+----¦¦15¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦

+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ 4.4

SECTION 4: EMPLOYMENT AND TIME USE PART C: SECONDARY OCCUPATION DURING THE PAST 12 MONTHS (CHECK IF QUESTION 6 IN PART A = 1. IF YES PROCEED WITH THIS SECTION. IF NO, GO TO PART G.) Now, I would like to ask you about your second most important occupation during the past 12 months. This job was (OCCUPATION 2 FROM Q.A7). Is this correct?+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦ ¦1. ¦2. ¦3. ¦4. ¦5. ¦6. ¦7. ¦8. ¦9. ¦10. ¦11. ¦12. ¦13. ¦14. ¦¦ ¦What kind of trade, service or ¦How long have ¦Are you ¦Why are you not ¦Did your father¦During the ¦During these ¦Did you ¦Have you ¦What is the amount? ¦The last time ¦In this work, ¦For whom did ¦Are taxes ¦¦ ¦industry is this work connected ¦you been doing¦still ¦doing the same ¦or mother do ¦past 12 ¦weeks, how many¦work on ¦received ¦(Include any bonuses¦you received ¦were you self- ¦you work? ¦already ¦¦ ¦with? ¦this work ¦doing the¦work? ¦the same kind ¦months, for¦hours per week ¦this job ¦or will ¦commissions, ¦this money, how ¦employed or a ¦ ¦deducted ¦¦ ¦ ¦altogether? ¦same ¦ ¦of work? ¦how many ¦did you ¦at the ¦you ¦allowances, or tips ¦many hours did ¦worker on a ¦ ¦from your ¦¦ ¦ ¦ ¦work? ¦ ¦ ¦weeks did ¦normally work? ¦same time¦receive ¦received ) ¦you actually ¦farm or ¦ ¦pay? ¦¦ ¦ ¦ ¦ ¦ ¦ ¦you do this¦ ¦as your ¦money ¦ ¦work in earning ¦enterprise ¦ ¦ ¦¦ ¦ WRITE NAME OF INDUSTRY. ¦ ¦ ¦ ¦ ¦work? ¦ ¦main job?¦for this ¦ ¦it? ¦belonging to ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦work? ¦ ¦ ¦you or to your ¦ ¦ ¦¦ ¦ ¦ ¦ ¦Sacked from ¦ ¦ ¦ ¦IF YES ¦ ¦ ¦ANSWER MUST BE ¦household? ¦Government....1¦ ¦¦ ¦ ¦ ¦ ¦job............1¦ ¦ ¦ ¦How long ¦ ¦ ¦IN THE SAME TIME¦ ¦State-owned ¦ ¦¦ ¦ ¦ ¦ ¦Completed job..2¦ ¦ ¦ ¦did you ¦ ¦ ¦UNIT AS Q.10 ¦ ¦company.......2¦ ¦¦ ¦ ¦ ¦ ¦Seasonal work..3¦ ¦ ¦ ¦do both ¦ ¦ ¦ ¦ ¦Private ¦ ¦¦ ¦ ¦ ¦ ¦Firm closed....4¦ ¦ ¦ ¦together?¦ +--------------------¦ ¦ ¦company or ¦ ¦¦ ¦ ¦ ¦ ¦Found/preferred ¦ ¦ ¦ ¦ ¦ ¦ AMOUNT ¦TIME ¦ ¦ ¦business......3¦ ¦¦ ¦ ¦ ¦ ¦other work.....5¦ ¦ ¦ ¦ IF NO ¦ ¦ ¦UNIT ¦ ¦ ¦Other.........4¦ ¦¦ ¦ ¦ ¦ Yes..1 ¦Other..........6¦ Yes..1 ¦ ¦ ¦ WRITE 00¦ Yes...1 ¦ ¦ ¦ ¦ Yes..1 ¦(SPECIFY) ¦ Yes..1 ¦¦ +------------------------------------+--------------¦ (>> 5) ¦(SPECIFY) ¦ No...2 +-----------+---------------+---------¦ No....2 ¦ ¦ +----------------¦ (>>Part D) ¦ ¦ No...2 ¦¦ ¦ NAME OF INDUSTRY ¦ CODE ¦YEARS ¦MONTHS ¦ No...2 ¦ ¦ ¦ WEEKS ¦ HOURS ¦ WEEKS ¦ (>> 12) ¦ ¦ ¦ HOURS ¦ No...2 ¦ ¦ ¦+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ TIME UNIT¦01¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Daily..........1+--+-----------------------------+------+------+-------+---------+----------------+---------------+-----------+---------------+---------+----------+--------------+-----+----------------+---------------+---------------+----------¦ Weekly.........2¦02¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Fortnightly....3+--+-----------------------------+------+------+-------+---------+----------------+---------------+-----------+---------------+---------+----------+--------------+-----+----------------+---------------+---------------+----------¦ Monthly........4¦03¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Quarterly......5+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ Yearly.........6+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦04¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-----------------------------+------+------+-------+---------+----------------+---------------+-----------+---------------+---------+----------+--------------+-----+----------------+---------------+---------------+----------¦¦05¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-----------------------------+------+------+-------+---------+----------------+---------------+-----------+---------------+---------+----------+--------------+-----+----------------+---------------+---------------+----------¦¦06¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦07¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-----------------------------+------+------+-------+---------+----------------+---------------+-----------+---------------+---------+----------+--------------+-----+----------------+---------------+---------------+----------¦¦08¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-----------------------------+------+------+-------+---------+----------------+---------------+-----------+---------------+---------+----------+--------------+-----+----------------+---------------+---------------+----------¦¦09¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦10¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-----------------------------+------+------+-------+---------+----------------+---------------+-----------+---------------+---------+----------+--------------+-----+----------------+---------------+---------------+----------¦¦11¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-----------------------------+------+------+-------+---------+----------------+---------------+-----------+---------------+---------+----------+--------------+-----+----------------+---------------+---------------+----------¦¦12¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦13¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-----------------------------+------+------+-------+---------+----------------+---------------+-----------+---------------+---------+----------+--------------+-----+----------------+---------------+---------------+----------¦¦14¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-----------------------------+------+------+-------+---------+----------------+---------------+-----------+---------------+---------+----------+--------------+-----+----------------+---------------+---------------+----------¦¦15¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ 4.5

SECTION 4: EMPLOYMENT AND TIME USE PART C: SECONDARY JOB DURING THE PAST 12 MONTHS - CONTINUED +--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦ ¦15. ¦16. ¦17. ¦18. ¦19. ¦20. ¦21. ¦22. ¦23. ¦24. ¦25. ¦26. ¦27. ¦28. ¦¦ ¦Do you receive ¦What is the value of ¦Do you receive ¦How much do you gain ¦Is your place ¦How far ¦How often do ¦How many people ¦When you ¦Is there ¦Are you ¦Are you ¦Since you ¦How long did¦¦ ¦any payment ¦these goods? ¦any payment ¦from this? ¦of work in ¦away is ¦you go between ¦altogether work ¦started ¦a trade ¦entitled to¦entitled to¦started this¦the training¦¦ ¦for this work ¦ ¦for this work ¦ ¦this village/ ¦it? ¦this house and ¦in the same ¦work, did ¦union at ¦paid ¦any social ¦job, have ¦last? ¦¦ ¦in the form of ¦ ¦in any other ¦ ¦town? ¦ ¦your place of ¦organization? ¦you sign a¦the place ¦holidays or¦security ¦you received¦ ¦¦ ¦food, crops or ¦ ¦form such as ¦ ¦ ¦ ¦work? ¦ ¦written ¦where you ¦paid sick ¦benefits in¦any training¦ ¦¦ ¦animals? ¦ ¦free or subsi- ¦ ¦ ¦ ¦ ¦ ¦contract? ¦work? ¦leave in ¦this job? ¦related to ¦ ¦¦ ¦ ¦ ¦dized housing, ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦this work? ¦ ¦this work? ¦ ¦¦ ¦ ¦ ¦transportation,¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦or other goods ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦or services? ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ Yes..1 +-----------------------¦ Yes..1 +-----------------------¦ Yes..1 ¦ ¦ ¦ ¦ Yes...1 ¦ Yes..1 ¦ Yes..1 ¦ Yes..1 ¦ Yes..1 ¦ ¦¦ ¦ No...2 ¦ VALUE ¦ TIME ¦ No...2 ¦ VALUE ¦ TIME ¦ (>>22) ¦ ¦ ¦ ¦ No....2 ¦ No...2 ¦ No...2 ¦ No...2 ¦ No...2 ¦ ¦¦ ¦ (>>17) ¦ ¦ UNIT ¦ (>>19) ¦ ¦ UNIT ¦ No...2 ¦ +----------------¦ ¦ ¦ ¦ ¦ ¦ (>>Part D)¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ +--------¦NUMBER ¦ TIME ¦ ¦ ¦ ¦ ¦ ¦ +------------¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ KMS ¦OF TRIPS¦ UNIT ¦ ¦ ¦ ¦ ¦ ¦ ¦MONTHS¦WEEKS¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ TIME UNIT¦01¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Daily...........1+--+---------------+--------------+--------+---------------+--------------+--------+--------------+--------+--------+-------+----------------+----------+----------+-----------+-----------+------------+------+-----¦ Weekly..........2¦02¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Fortnightly.....3+--+---------------+--------------+--------+---------------+--------------+--------+--------------+--------+--------+-------+----------------+----------+----------+-----------+-----------+------------+------+-----¦ Monthly.........4¦03¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Quarterly.......5+--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ Yearly..........6+--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦04¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+--------------+--------+---------------+--------------+--------+--------------+--------+--------+-------+----------------+----------+----------+-----------+-----------+------------+------+-----¦¦05¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+--------------+--------+---------------+--------------+--------+--------------+--------+--------+-------+----------------+----------+----------+-----------+-----------+------------+------+-----¦¦06¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦07¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+--------------+--------+---------------+--------------+--------+--------------+--------+--------+-------+----------------+----------+----------+-----------+-----------+------------+------+-----¦¦08¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+--------------+--------+---------------+--------------+--------+--------------+--------+--------+-------+----------------+----------+----------+-----------+-----------+------------+------+-----¦¦09¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦10¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+--------------+--------+---------------+--------------+--------+--------------+--------+--------+-------+----------------+----------+----------+-----------+-----------+------------+------+-----¦¦11¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+--------------+--------+---------------+--------------+--------+--------------+--------+--------+-------+----------------+----------+----------+-----------+-----------+------------+------+-----¦¦12¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦13¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+--------------+--------+---------------+--------------+--------+--------------+--------+--------+-------+----------------+----------+----------+-----------+-----------+------------+------+-----¦¦14¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+--------------+--------+---------------+--------------+--------+--------------+--------+--------+-------+----------------+----------+----------+-----------+-----------+------------+------+-----¦¦15¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ 4.6

SECTION 4: EMPLOYMENT AND TIME USE PART D: THIRD OCCUPATION DURING THE PAST 12 MONTHS (CHECK IF RESPONDENT LISTED THIRD OCCUPATION IN PART A - QUESTION 7. IF YES,PROCEED WITH THIS PART. IF NO, GO TO PART G.) Now, I would like to ask you about your third most important occupation during the past 12 months. This was (OCCUPATION FROM Q. A7). Is this correct? +-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦ ¦1. ¦ 2. ¦3. ¦4. ¦5. ¦6. ¦7. ¦8. ¦9. ¦10. ¦11. ¦12. ¦13. ¦14. ¦¦ ¦What kind of trade, service or ¦How long ¦Are you ¦Why are you not ¦During ¦During these ¦Did you ¦Have you ¦What is the amount? ¦The last ¦In this work, ¦For whom did ¦Do you ¦What is the value ¦¦ ¦industry is this work connected with? ¦have you ¦still doing¦doing the same ¦the past ¦weeks, how ¦work on ¦received ¦(Include any bonuses¦time you ¦were you self ¦you work? ¦receive any ¦of the goods or ¦¦ ¦ ¦been doing ¦the same ¦work? ¦12 months,¦many hours per¦this job ¦or will ¦commissions,allow- ¦received ¦employed or a ¦ ¦payment for ¦services provided?¦¦ ¦WRITE NAME OF INDUSTRY ¦this work ¦ work? ¦ ¦for how ¦week did you ¦at the ¦you ¦ances, or tips, ¦this money,¦worker on a farm¦ ¦this work in ¦ ¦¦ ¦ ¦altogether? ¦ ¦ ¦many weeks¦normally work?¦same time ¦receive ¦received.) ¦how many ¦or enterprise ¦ ¦the form of ¦ ¦¦ ¦ ¦ ¦ ¦ ¦did you do¦ ¦as your ¦money for ¦ ¦hours did ¦belonging to you¦ ¦goods or ¦ ¦¦ ¦ ¦ ¦ ¦ ¦this work?¦ ¦secondary ¦this work?¦ ¦you ¦or your house- ¦ ¦services? ¦ ¦¦ ¦ ¦ ¦ ¦Sacked from ¦ ¦ ¦job? ¦ ¦ ¦actually ¦hold? ¦Government...1¦ ¦ ¦¦ ¦ ¦ ¦ ¦job............1¦ ¦ ¦ ¦ ¦ ¦work in ¦ ¦State-owned ¦ ¦ ¦¦ ¦ ¦ ¦ ¦Completed job..2¦ ¦ ¦ IF YES ¦ ¦ ¦earning it?¦ ¦company......2¦ ¦ ¦¦ ¦ ¦ ¦ ¦Seasonal work..3¦ ¦ ¦How long ¦ ¦ ¦ ¦ ¦Private ¦ ¦ ¦¦ ¦ ¦ ¦ ¦Firm closed....4¦ ¦ ¦did you do¦ +--------------------¦ANSWER MUST¦ ¦company or ¦ ¦ ¦¦ ¦ ¦ ¦ ¦Found/ ¦ ¦ ¦both toge-¦ ¦ AMOUNT ¦TIME ¦BE IN SAME ¦ ¦business.....3¦ +------------------¦¦ ¦ ¦ ¦ ¦preferred other ¦ ¦ ¦ther? ¦ ¦ ¦UNIT ¦TIME UNIT ¦ ¦Other........4¦ ¦ VALUE ¦TIME¦¦ ¦ ¦ ¦ ¦work...........5¦ ¦ ¦ ¦ ¦ ¦ ¦AS Q.9 ¦ Yes......1 ¦(SPECIFY) ¦ ¦ ¦UNIT¦¦ ¦ ¦ ¦ Yes..1 ¦Other..........6¦ ¦ ¦ IF NO ¦ Yes....1 ¦ ¦ ¦ ¦ (>>Part E) ¦ ¦ Yes....1 ¦ ¦ ¦¦ ¦ ¦ ¦ (>>5) ¦ (SPECIFY) ¦ ¦ ¦WRITE 00 ¦ No.....2 ¦ ¦ ¦ ¦ No.......2 ¦ ¦ No.....2 ¦ ¦ ¦¦ +--------------------------------------+------------¦ No...2 ¦ +----------+--------------+----------¦ (>> 11) ¦ ¦ +-----------¦ ¦ ¦ (>>Part E) ¦ ¦ ¦¦ ¦ NAME ¦ CODE ¦YEARS¦MONTHS¦ ¦ ¦ WEEKS ¦ HOURS ¦ WEEKS ¦ ¦ ¦ ¦ HOURS ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ TIME UNIT¦01¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Daily...........1+--+-------------------------------+------+-----+------+-----------+----------------+----------+--------------+----------+----------+--------------+-----+-----------+----------------+--------------+-------------+-------------+----¦ Weekly..........2¦02¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Fortnightly.....3+--+-------------------------------+------+-----+------+-----------+----------------+----------+--------------+----------+----------+--------------+-----+-----------+----------------+--------------+-------------+-------------+----¦ Monthly.........4¦03¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Quarterly.......5+-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ Yearly..........6+-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦04¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-------------------------------+------+-----+------+-----------+----------------+----------+--------------+----------+----------+--------------+-----+-----------+----------------+--------------+-------------+-------------+----¦¦05¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-------------------------------+------+-----+------+-----------+----------------+----------+--------------+----------+----------+--------------+-----+-----------+----------------+--------------+-------------+-------------+----¦¦06¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦07¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-------------------------------+------+-----+------+-----------+----------------+----------+--------------+----------+----------+--------------+-----+-----------+----------------+--------------+-------------+-------------+----¦¦08¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-------------------------------+------+-----+------+-----------+----------------+----------+--------------+----------+----------+--------------+-----+-----------+----------------+--------------+-------------+-------------+----¦¦09¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦10¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-------------------------------+------+-----+------+-----------+----------------+----------+--------------+----------+----------+--------------+-----+-----------+----------------+--------------+-------------+-------------+----¦¦11¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-------------------------------+------+-----+------+-----------+----------------+----------+--------------+----------+----------+--------------+-----+-----------+----------------+--------------+-------------+-------------+----¦¦12¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦13¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-------------------------------+------+-----+------+-----------+----------------+----------+--------------+----------+----------+--------------+-----+-----------+----------------+--------------+-------------+-------------+----¦¦14¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-------------------------------+------+-----+------+-----------+----------------+----------+--------------+----------+----------+--------------+-----+-----------+----------------+--------------+-------------+-------------+----¦¦15¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ 4.7

SECTION 4: EMPLOYMENT AND TIME USE PART E: FOURTH OCCUPATION DURING THE PAST 12 MONTHS (CHECK IF RESPONDENT LISTED FOURTH OCCUPATION IN PART A - QUESTION 7. IF YES,PROCEED WITH THIS PART. IF NO, GO TO PART G.) Now, I would like to ask you about your fourth most important occupation during the past 12 months. This was (OCCUPATION 4 IN Q. A7). Is this correct? +--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦ ¦1. ¦ 2. ¦3. ¦4. ¦5. ¦6. ¦7. ¦8. ¦9. ¦10. ¦11. ¦12. ¦13. ¦14. ¦¦ ¦What kind of trade, service or ¦How long ¦Are you ¦Why are you not ¦During ¦During these ¦Did you ¦Have you ¦What is the amount? ¦The last time ¦In this work, ¦For whom did ¦Do you ¦What is the value ¦¦ ¦industry is this work connected with? ¦have you ¦still doing¦doing the same ¦the past ¦weeks, how ¦work on ¦received ¦(Include any ¦you received ¦were you self-¦you work? ¦receive any ¦of the goods or ¦¦ ¦ ¦been doing ¦the same ¦work? ¦12 months,¦many hours per¦this job ¦or will ¦bonuses, ¦this money, how ¦employed or a ¦ ¦payment for ¦services provided?¦¦ ¦WRITE NAME OF INDUSTRY ¦this work ¦ work? ¦ ¦for how ¦week did you ¦at the ¦you ¦commissions, ¦many hours did ¦worker on a ¦ ¦this work in¦ ¦¦ ¦ ¦altogether? ¦ ¦ ¦many weeks¦normally work?¦same time ¦receive ¦allowances, or tips ¦you actually ¦farm or ¦ ¦the form of ¦ ¦¦ ¦ ¦ ¦ ¦ ¦did you do¦ ¦as your ¦money for ¦received.) ¦work in earning ¦enterprise ¦ ¦goods or ¦ ¦¦ ¦ ¦ ¦ ¦ ¦this work?¦ ¦other ¦this work?¦ ¦it? ¦belonging to ¦ ¦services? ¦ ¦¦ ¦ ¦ ¦ ¦Sacked from ¦ ¦ ¦jobs? ¦ ¦ ¦ ¦you or to your¦Government..1¦ ¦ ¦¦ ¦ ¦ ¦ ¦job............1¦ ¦ ¦ ¦ ¦ ¦ANSWER MUST BE ¦household? ¦State-owned ¦ ¦ ¦¦ ¦ ¦ ¦ ¦Completed job..2¦ ¦ ¦ IF YES ¦ ¦ ¦IN SAME TIME ¦ ¦company.....2¦ ¦ ¦¦ ¦ ¦ ¦ ¦Seasonal work..3¦ ¦ ¦How long ¦ ¦ ¦UNIT AS Q.9 ¦ ¦Private ¦ ¦ ¦¦ ¦ ¦ ¦ ¦Firm closed....4¦ ¦ ¦did you do¦ ¦ ¦ ¦ ¦company or ¦ ¦ ¦¦ ¦ ¦ ¦ ¦Found/ ¦ ¦ ¦both toge-¦ +--------------------¦ ¦ ¦business....3¦ +------------------¦¦ ¦ ¦ ¦ ¦preferred other ¦ ¦ ¦ther? ¦ ¦ AMOUNT ¦TIME¦ ¦ ¦Other.......4¦ ¦ VALUE ¦TIME¦¦ ¦ ¦ ¦ ¦work...........5¦ ¦ ¦ ¦ ¦ ¦UNIT¦ ¦ ¦(SPECIFY) ¦ ¦ ¦UNIT¦¦ ¦ ¦ ¦ Yes..1 ¦Other..........6¦ ¦ ¦ IF NO ¦ Yes...1 ¦ ¦ ¦ ¦ Yes..1 ¦ ¦ Yes..1 ¦ ¦ ¦¦ ¦ ¦ ¦ (>>5) ¦(SPECIFY) ¦ ¦ ¦WRITE 00 ¦ No....2 ¦ ¦ ¦ ¦ (>>Part F) ¦ ¦ No...2 ¦ ¦ ¦¦ +--------------------------------------+------------¦ No...2 ¦ +----------+--------------¦ ¦ (>>11) ¦ ¦ +----------------¦ No...2 ¦ ¦ (>>Part F) ¦ ¦ ¦¦ ¦ NAME ¦ CODE ¦YEARS¦MONTHS¦ ¦ ¦ WEEKS ¦ HOURS ¦ ¦ ¦ ¦ ¦ HOURS ¦ ¦ ¦ ¦ ¦ ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ TIME UNIT¦01¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Daily............1+--+------------------------------+-------+-----+------+-----------+----------------+----------+--------------+----------+----------+---------------+----+----------------+--------------+-------------+------------+-------------+----¦ Weekly...........2¦02¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Fortnightly......3+--+------------------------------+-------+-----+------+-----------+----------------+----------+--------------+----------+----------+---------------+----+----------------+--------------+-------------+------------+-------------+----¦ Monthly..........4¦03¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Quarterly........5+--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ Yearly...........6+--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦04¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------------------------+-------+-----+------+-----------+----------------+----------+--------------+----------+----------+---------------+----+----------------+--------------+-------------+------------+-------------+----¦¦05¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------------------------+-------+-----+------+-----------+----------------+----------+--------------+----------+----------+---------------+----+----------------+--------------+-------------+------------+-------------+----¦¦06¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦07¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------------------------+-------+-----+------+-----------+----------------+----------+--------------+----------+----------+---------------+----+----------------+--------------+-------------+------------+-------------+----¦¦08¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------------------------+-------+-----+------+-----------+----------------+----------+--------------+----------+----------+---------------+----+----------------+--------------+-------------+------------+-------------+----¦¦09¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦10¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------------------------+-------+-----+------+-----------+----------------+----------+--------------+----------+----------+---------------+----+----------------+--------------+-------------+------------+-------------+----¦¦11¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------------------------+-------+-----+------+-----------+----------------+----------+--------------+----------+----------+---------------+----+----------------+--------------+-------------+------------+-------------+----¦¦12¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦13¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------------------------+-------+-----+------+-----------+----------------+----------+--------------+----------+----------+---------------+----+----------------+--------------+-------------+------------+-------------+----¦¦14¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------------------------+-------+-----+------+-----------+----------------+----------+--------------+----------+----------+---------------+----+----------------+--------------+-------------+------------+-------------+----¦¦15¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ 4.8

SECTION 4: EMPLOYMENT AND TIME USE PART F: FIFTH OCCUPATION DURING THE PAST 12 MONTHS (CHECK IF RESPONDENT LISTED FIFTH OCCUPATION IN PART A - QUESTION 7. IF YES,PROCEED WITH THIS PART. IF NO, GO TO PART G.) Now, I would like to ask you about your fifth most important occupation during the past 12 months. This was (OCCUPATION 5 IN Q. A7). Is this correct?+--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦ ¦1. ¦ 2. ¦3. ¦4. ¦5. ¦6. ¦7. ¦8. ¦9. ¦10. ¦11. ¦12. ¦13. ¦14. ¦¦ ¦What kind of trade, service or ¦How long ¦Are you ¦Why are you not ¦During ¦During these ¦Did you ¦Have you ¦What is the amount? ¦The last time ¦In this work, ¦For whom did ¦Do you ¦What is the value ¦¦ ¦industry is this work connected with? ¦have you ¦still doing¦doing the same ¦the past ¦weeks, how ¦work on ¦received ¦(Include any ¦you received ¦were you self-¦you work? ¦receive any ¦of the goods or ¦¦ ¦ ¦been doing ¦the same ¦work? ¦12 months,¦many hours per¦this job ¦or will ¦bonuses, ¦this money, how ¦employed or a ¦ ¦payment for ¦services provided?¦¦ ¦ ¦this work ¦ work? ¦ ¦for how ¦week did you ¦at the ¦you ¦commissions, ¦many hours did ¦worker on a ¦ ¦this work in¦ ¦¦ ¦WRITE NAME OF INDUSTRY ¦altogether? ¦ ¦ ¦many weeks¦normally work?¦same time ¦receive ¦allowances, or tips ¦you actually ¦farm or ¦ ¦the form of ¦ ¦¦ ¦ ¦ ¦ ¦ ¦did you do¦ ¦as your ¦money for ¦received.) ¦work in earning ¦enterprise ¦ ¦goods or ¦ ¦¦ ¦ ¦ ¦ ¦ ¦this work?¦ ¦other ¦this work?¦ ¦it? ¦belonging to ¦ ¦services? ¦ ¦¦ ¦ ¦ ¦ ¦Sacked from ¦ ¦ ¦jobs? ¦ ¦ ¦ ¦you or to your¦Government..1¦ ¦ ¦¦ ¦ ¦ ¦ ¦job............1¦ ¦ ¦ ¦ ¦ ¦ANSWER MUST BE ¦household? ¦State-owned ¦ ¦ ¦¦ ¦ ¦ ¦ ¦Completed job..2¦ ¦ ¦ IF YES ¦ ¦ ¦IN SAME TIME ¦ ¦company.....2¦ ¦ ¦¦ ¦ ¦ ¦ ¦Seasonal work..3¦ ¦ ¦How long ¦ ¦ ¦UNIT AS Q.9 ¦ ¦Private ¦ ¦ ¦¦ ¦ ¦ ¦ ¦Firm closed....4¦ ¦ ¦did you do¦ ¦ ¦ ¦ ¦company or ¦ ¦ ¦¦ ¦ ¦ ¦ ¦Found/ ¦ ¦ ¦both toge-¦ +--------------------¦ ¦ ¦business....3¦ +------------------¦¦ ¦ ¦ ¦ ¦preferred other ¦ ¦ ¦ther? ¦ ¦ AMOUNT ¦TIME ¦ ¦ ¦Other.......4¦ ¦ VALUE ¦TIME ¦¦ ¦ ¦ ¦ ¦work...........5¦ ¦ ¦ ¦ ¦ ¦UNIT ¦ ¦ ¦(SPECIFY) ¦ ¦ ¦UNIT ¦¦ ¦ ¦ ¦ Yes..1 ¦Other..........6¦ ¦ ¦ IF NO ¦ Yes...1 ¦ ¦ ¦ ¦ Yes..1 ¦ ¦ Yes..1 ¦ ¦ ¦¦ ¦ ¦ ¦ (>>5) ¦(SPECIFY) ¦ ¦ ¦WRITE 00 ¦ No....2 ¦ ¦ ¦ ¦ (>>Part G) ¦ ¦ No...2 ¦ ¦ ¦¦ +--------------------------------------+------------¦ No...2 ¦ +----------+--------------¦ ¦ (>> 11) ¦ ¦ +----------------¦ No...2 ¦ ¦ (>>Part G) ¦ ¦ ¦¦ ¦ NAME ¦ CODE ¦YEARS¦MONTHS¦ ¦ ¦ WEEKS ¦ HOURS ¦ ¦ ¦ ¦ ¦ HOURS ¦ ¦ ¦ ¦ ¦ ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ TIME UNIT¦01¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Daily........1+--+-------------------------------+------+-----+------+-----------+----------------+----------+--------------+----------+----------+--------------+-----+----------------+--------------+-------------+------------+------------+-----¦ Weekly.......2¦02¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Fortnightly..3+--+-------------------------------+------+-----+------+-----------+----------------+----------+--------------+----------+----------+--------------+-----+----------------+--------------+-------------+------------+------------+-----¦ Monthly......4¦03¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Quarterly....5+--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ Yearly.......6+--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦04¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-------------------------------+------+-----+------+-----------+----------------+----------+--------------+----------+----------+--------------+-----+----------------+--------------+-------------+------------+------------+-----¦¦05¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-------------------------------+------+-----+------+-----------+----------------+----------+--------------+----------+----------+--------------+-----+----------------+--------------+-------------+------------+------------+-----¦¦06¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦07¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-------------------------------+------+-----+------+-----------+----------------+----------+--------------+----------+----------+--------------+-----+----------------+--------------+-------------+------------+------------+-----¦¦08¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-------------------------------+------+-----+------+-----------+----------------+----------+--------------+----------+----------+--------------+-----+----------------+--------------+-------------+------------+------------+-----¦¦09¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦10¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-------------------------------+------+-----+------+-----------+----------------+----------+--------------+----------+----------+--------------+-----+----------------+--------------+-------------+------------+------------+-----¦¦11¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-------------------------------+------+-----+------+-----------+----------------+----------+--------------+----------+----------+--------------+-----+----------------+--------------+-------------+------------+------------+-----¦¦12¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦13¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-------------------------------+------+-----+------+-----------+----------------+----------+--------------+----------+----------+--------------+-----+----------------+--------------+-------------+------------+------------+-----¦¦14¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+-------------------------------+------+-----+------+-----------+----------------+----------+--------------+----------+----------+--------------+-----+----------------+--------------+-------------+------------+------------+-----¦¦15¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ 4.9

SECTION 4: EMPLOYMENT AND TIME USE PART G: EMPLOYMENT SEARCH IN THE PAST 12 MONTHS FROM PART A, Q.4+------------------------------------------------------------------+ +-------------------------------------------------------------------------------+¦ ¦1. ¦2. ¦3. ¦4. ¦ ¦5. ¦6. ¦7. ¦8. ¦9. ¦¦ ¦During the past¦Out of the ¦Why did you not¦Were you mainly¦ ¦Did you want to¦During the past¦During the past¦Why did you not¦Were you mainly¦¦ ¦12 months, for ¦weeks when you ¦look for work ¦looking for ¦ ¦work during the¦12 months, how ¦12 months, how ¦look for work ¦looking for ¦¦ ¦how many weeks ¦were not ¦throughout the ¦wage/salary ¦ ¦last 12 months?¦many weeks were¦many weeks did ¦throughout the ¦wage/salary ¦¦ ¦altogether were¦working for how¦period you were¦work, self ¦ ¦ ¦you available ¦you actively ¦period you ¦work, self ¦¦ ¦you without any¦many weeks were¦available for ¦employment, or ¦ ¦ ¦for work? ¦look for work? ¦were available ¦employment, or ¦¦ ¦work? ¦you actively ¦work? ¦either one? ¦ ¦ ¦ ¦ ¦for work? ¦either one? ¦¦ ¦ ¦looking for ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ IF ZERO, ¦work? ¦No ¦ ¦ ¦ ¦ ¦ IF ANSWER IS ¦ ¦ ¦¦ ¦ (>>Part H) ¦ ¦suitable work ¦ ¦ ¦ ¦ ¦ SAME AS Q.6, ¦ ¦ ¦¦ ¦ ¦ ¦available.....1¦ ¦ ¦ ¦ ¦ (>>Q.9) ¦ ¦ ¦¦ ¦ ¦ IF ANSWER IS ¦Personal or ¦Wage work.....1¦ ¦ ¦ ¦ ¦No ¦Wage work.....1¦¦ ¦ ¦ SAME AS Q.1 ¦family ¦Self- ¦ ¦ ¦ ¦ ¦suitable work ¦Self- ¦¦ ¦ ¦ (>>Part H) ¦reasons.......2¦employment....2¦ ¦ ¦ ¦ ¦available.....1¦employment....2¦¦ ¦ ¦ ¦Other.........3¦Either........3¦ ¦ Yes..1 ¦ ¦ ¦Personal or ¦Either........3¦¦ ¦ ¦ ¦(SPECIFY) ¦ ¦ ¦ No...2 ¦ ¦ ¦family ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦(>>Part H, Q.5)¦ ¦ ¦reasons.......2¦ ¦¦ ¦ ¦ ¦IF ANSWER IS ¦ ¦ ¦ ¦ ¦ ¦Other.........3¦ ¦¦ ¦ ¦ ¦ZERO TO Q.2 ¦ +----------+ ¦ ¦ ¦ ¦ ¦(SPECIFY) ¦+-------------+¦¦ +---------------+---------------¦ (>>PART H) ¦ ¦ >>Part H ¦ ¦ ¦ +---------------+---------------¦ ¦¦>>Part H, Q.5¦¦¦ ¦ WEEKS ¦ WEEKS ¦ ¦ +----------+ ¦ ¦ ¦ WEEKS ¦ WEEKS ¦ ¦+-------------+¦+------------------------------------------------------------------+ +-------------------------------------------------------------------------------++------------------------------------------------------------------+ +-------------------------------------------------------------------------------+¦01¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+---------------+---------------+---------------¦ +---------------+---------------+---------------+---------------+---------------¦¦02¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+---------------+---------------+---------------¦ +---------------+---------------+---------------+---------------+---------------¦¦03¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+------------------------------------------------------------------+ +-------------------------------------------------------------------------------++------------------------------------------------------------------+ +-------------------------------------------------------------------------------+¦04¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+---------------+---------------+---------------¦ +---------------+---------------+---------------+---------------+---------------¦¦05¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+---------------+---------------+---------------¦ +---------------+---------------+---------------+---------------+---------------¦¦06¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+------------------------------------------------------------------+ +-------------------------------------------------------------------------------++------------------------------------------------------------------+ +-------------------------------------------------------------------------------+¦07¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+---------------+---------------+---------------¦ +---------------+---------------+---------------+---------------+---------------¦¦08¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+---------------+---------------+---------------¦ +---------------+---------------+---------------+---------------+---------------¦¦09¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+------------------------------------------------------------------+ +-------------------------------------------------------------------------------++------------------------------------------------------------------+ +-------------------------------------------------------------------------------+¦10¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+---------------+---------------+---------------¦ +---------------+---------------+---------------+---------------+---------------¦¦11¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+---------------+---------------+---------------¦ +---------------+---------------+---------------+---------------+---------------¦¦12¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+------------------------------------------------------------------+ +-------------------------------------------------------------------------------++------------------------------------------------------------------+ +-------------------------------------------------------------------------------+¦13¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+---------------+---------------+---------------¦ +---------------+---------------+---------------+---------------+---------------¦¦14¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+---------------+---------------+---------------¦ +---------------+---------------+---------------+---------------+---------------¦¦15¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+------------------------------------------------------------------+ +-------------------------------------------------------------------------------+

4.10

SECTION 4: EMPLOYMENT AND TIME USE PART H: ACTIVITY STATUS AND EMPLOYMENT SEARCH IN THE LAST 7 DAYS +-------------------------------------------------------------------+ +------------------------------------------------------------------------------------------------------------------------------------------------+¦ ¦1. ¦2. ¦3. ¦4. ¦ ¦5. ¦6. ¦7. ¦8. ¦9. ¦10. ¦11. ¦12. ¦13. ¦¦ ¦In the past 7 ¦In the past 7 ¦During the past¦In the past 7 ¦ ¦In the past 7 ¦In the past 7 ¦In the past 7 ¦In the past 7 ¦In the past 7 ¦In the past 7 ¦In the past 7 ¦What was the ¦What is the ¦¦ ¦days, which of ¦days, how many ¦7 days, did you¦days, did you ¦ ¦days, did you ¦days, have you ¦days, were you ¦days, did you ¦days, did you ¦days, did you ¦days, did you ¦main reason for¦lowest wage for ¦¦ ¦the previous ¦hours did you ¦want to work ¦look for ¦ ¦want to work? ¦been actively ¦mainly looking ¦actively seek ¦actively seek ¦actively seek ¦actively seek ¦not looking for¦which you will be¦¦ ¦occupations we ¦spend on this ¦more hours? ¦replacement ¦ ¦ ¦looking for ¦for wage/salary¦to work ¦to work ¦to work ¦to obtain work¦work? ¦willing to work ¦¦ ¦discussed was ¦occupation? ¦ ¦work? ¦ ¦ ¦work? ¦employment, ¦for the ¦in a large ¦in a small ¦in another ¦ ¦for someone? ¦¦ ¦your main ¦ ¦ ¦ ¦ ¦ ¦ ¦self-employment¦Government or a¦private firm? ¦private firm? ¦type of ¦Illness or ¦ ¦¦ ¦activity? ¦ IF GREATER ¦ ¦ ¦ ¦ ¦ ¦or either one? ¦State ¦ ¦ ¦institution? ¦injury........1¦ ¦¦ ¦ ¦ THAN 40, ¦ ¦ ¦ ¦ ¦ ¦ ¦enterprise? ¦ ¦ ¦ ¦On vacation...2¦ ¦¦ ¦WRITE ¦ (>>4) ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦No suitable ¦ ¦¦ ¦OCCUPATION ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦jobs ¦ ¦¦ ¦NUMBER ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦available.....3¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦Waiting for ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦Wage ¦ ¦ ¦ ¦ ¦the start of +-----------------¦¦ ¦Other occ. ...6¦ ¦ ¦ ¦ ¦ ¦ ¦employment....1¦ ¦ ¦ ¦ ¦a job.........4¦ AMOUNT ¦TIME ¦¦ ¦Not working...7¦ ¦ ¦ ¦ ¦ ¦ ¦Self- ¦ ¦ ¦ ¦ ¦Trying to ¦ ¦UNIT ¦¦ ¦(>>5) ¦ ¦ Yes..1 ¦Yes...1 >> 7 ¦ ¦ Yes..1 ¦ Yes..1 ¦employment....2¦ Yes..1 ¦ Yes..1 ¦ Yes..1 ¦ Yes..1 ¦set up a new ¦ ¦ ¦¦ ¦IF ANSWER=6, ¦ ¦ No...2 ¦No....2 ¦ ¦ No...2 ¦ No...2 ¦Either........3¦ No...2 ¦ No...2 ¦ No...2 ¦ No...2 ¦business......5¦ ¦ ¦¦ ¦CHECK THAT ¦ ¦ ¦ (>>Part J) ¦ ¦ (>>Part J) ¦ (>>12) ¦ ¦ ¦ ¦ ¦ +-------+ ¦Other.........6¦ ¦ ¦¦ ¦PARTS B-F ARE +---------------¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ >> 13 ¦ ¦(SPECIFY) ¦ ¦ ¦¦ ¦FILLED OUT. ¦ HOURS ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ +-------+ ¦ ¦ ¦ ¦+-------------------------------------------------------------------+ +------------------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------+ +------------------------------------------------------------------------------------------------------------------------------------------------+ TIME UNIT¦01¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Daily...........1+--+---------------+---------------+---------------+----------------¦ +---------------+---------------+---------------+---------------+---------------+---------------+--------------+---------------+-----------+-----¦ Weekly..........2¦02¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Fortnightly.....3+--+---------------+---------------+---------------+----------------¦ +---------------+---------------+---------------+---------------+---------------+---------------+--------------+---------------+-----------+-----¦ Monthly.........4¦03¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Quarterly.......5+-------------------------------------------------------------------+ +------------------------------------------------------------------------------------------------------------------------------------------------+ Yearly..........6+-------------------------------------------------------------------+ +------------------------------------------------------------------------------------------------------------------------------------------------+¦04¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+---------------+---------------+----------------¦ +---------------+---------------+---------------+---------------+---------------+---------------+--------------+---------------+-----------+-----¦¦05¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+---------------+---------------+----------------¦ +---------------+---------------+---------------+---------------+---------------+---------------+--------------+---------------+-----------+-----¦¦06¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------+ +------------------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------+ +------------------------------------------------------------------------------------------------------------------------------------------------+¦07¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+---------------+---------------+----------------¦ +---------------+---------------+---------------+---------------+---------------+---------------+--------------+---------------+-----------+-----¦¦08¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+---------------+---------------+----------------¦ +---------------+---------------+---------------+---------------+---------------+---------------+--------------+---------------+-----------+-----¦¦09¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------+ +------------------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------+ +------------------------------------------------------------------------------------------------------------------------------------------------+¦10¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+---------------+---------------+----------------¦ +---------------+---------------+---------------+---------------+---------------+---------------+--------------+---------------+-----------+-----¦¦11¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+---------------+---------------+----------------¦ +---------------+---------------+---------------+---------------+---------------+---------------+--------------+---------------+-----------+-----¦¦12¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------+ +------------------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------+ +------------------------------------------------------------------------------------------------------------------------------------------------+¦13¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+---------------+---------------+----------------¦ +---------------+---------------+---------------+---------------+---------------+---------------+--------------+---------------+-----------+-----¦¦14¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+---------------+---------------+---------------+----------------¦ +---------------+---------------+---------------+---------------+---------------+---------------+--------------+---------------+-----------+-----¦¦15¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------+ +------------------------------------------------------------------------------------------------------------------------------------------------+ 4.11

SECTION 4: EMPLOYMENT AND TIME USE PART J: EMPLOYMENT HISTORY +-----------+ +---------------+ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ Now, I would like to ask you about the jobs you did prior to the last 12 months, that is before Month +-----------+ Year+---------------+ +-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦ ¦1. ¦2. ¦3. ¦4. ¦5. ¦6. ¦7. ¦8. ¦9. ¦¦ ¦CHECK IF RESPONDENT ¦Have you ever ¦How many years ¦What was that work? ¦What was your main occupa-¦What kind of trade or industry was ¦In that ¦Who were you ¦How long did ¦¦ ¦REPORTED A MAIN ¦worked? ¦ago did you last ¦ ¦tion before you were ¦that work connected to? ¦occupation, ¦working for? ¦you work in that¦¦ ¦OCCUPATION IN PART B. ¦ ¦work? ¦ ¦employed in... (MAIN OCCU-¦ ¦were you ¦ ¦occupation? ¦¦ ¦IF YES, WRITE ¦ ¦ ¦WRITE OCCUPATION NAME ¦PATION IN LAST 12 MONTHS)?¦ ¦mainly working ¦ ¦ ¦¦ ¦OCCUPATION NAME ¦ ¦ ¦ ¦ ¦ ¦for regular ¦ ¦ ¦¦ ¦ (>> 5) ¦ ¦ ¦ (>>6) ¦WRITE NAME OF OCCUPATION, ¦WRITE INDUSTRY NAME ¦pay? ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦OR IF ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦Government...1¦ ¦¦ ¦IF NO (>> 2) ¦ ¦ ¦ ¦Full time education.....96¦ ¦ ¦State-owned ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ (>> Part K) ¦ ¦ ¦company......2¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦Private ¦ ¦¦ ¦ ¦ ¦ ¦ ¦Looking for work........97¦ ¦ ¦company or ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ (>> Part K) ¦ ¦ ¦business.....3¦ ¦¦ ¦ ¦ Yes..1 ¦ ¦ ¦ ¦ ¦ Yes..1 ¦Other........4¦ ¦¦ ¦ ¦ No...2 ¦ ¦ ¦Other activity..........98¦ ¦ No...2 ¦(SPECIFY) ¦ ¦¦ ¦ ¦ (>>Part K) ¦ ¦ ¦ (>> Part K) ¦ ¦ (>>9) ¦ ¦ ¦¦ +------------------------¦ +-----------------+------------------------+--------------------------+-------------------------------------¦ ¦ +----------------¦¦ ¦ OCCUPATION ¦CODE ¦ ¦ YEARS ¦ OCCUPATION ¦CODE ¦ OCCUPATION ¦CODE ¦ NAME ¦CODE ¦ ¦ ¦ YEARS ¦+-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦01¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------------+-----+----------------+----------------+------------------+-----+--------------------+-----+-------------------------------+-----+---------------+--------------+----------------¦¦02¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------------+-----+----------------+----------------+------------------+-----+--------------------+-----+-------------------------------+-----+---------------+--------------+----------------¦¦03¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦04¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------------+-----+----------------+----------------+------------------+-----+--------------------+-----+-------------------------------+-----+---------------+--------------+----------------¦¦05¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------------+-----+----------------+----------------+------------------+-----+--------------------+-----+-------------------------------+-----+---------------+--------------+----------------¦¦06¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦07¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------------+-----+----------------+----------------+------------------+-----+--------------------+-----+-------------------------------+-----+---------------+--------------+----------------¦¦08¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------------+-----+----------------+----------------+------------------+-----+--------------------+-----+-------------------------------+-----+---------------+--------------+----------------¦¦09¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦10¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------------+-----+----------------+----------------+------------------+-----+--------------------+-----+-------------------------------+-----+---------------+--------------+----------------¦¦11¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------------+-----+----------------+----------------+------------------+-----+--------------------+-----+-------------------------------+-----+---------------+--------------+----------------¦¦12¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦13¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------------+-----+----------------+----------------+------------------+-----+--------------------+-----+-------------------------------+-----+---------------+--------------+----------------¦¦14¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+--+------------------+-----+----------------+----------------+------------------+-----+--------------------+-----+-------------------------------+-----+---------------+--------------+----------------¦¦15¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+

4.12

SECTION 4: EMPLOYMENT AND TIME USE PART K: HOUSEKEEPING RESPONDENT: ALL HOUSEHOLD MEMBERS 7 YEARS AND OLDER

Now, I would like to ask you about time spent on housekeeping activities in the household.+---------------------------------------------------------------------------------------------------------------+¦ ¦1. ¦2. ¦3. ¦4. ¦5. ¦6. ¦¦ ¦Have you spent ¦How many hours in¦Have you spent ¦How many hours in¦Have you spent ¦How many hours in¦¦ ¦any time in the ¦the last 7 days ¦any time in the ¦the last 7 days ¦any time in the ¦the last 7 days ¦¦ ¦last 7 days ¦did you spend ¦last 7 days ¦did you spend ¦last 7 days doing¦have you spent ¦¦ ¦fetching wood for¦fetching wood ¦fetching water ¦fetching water ¦other house- ¦on these ¦¦ ¦the household? ¦including travel ¦for the ¦including travel ¦keeping ¦housekeeping ¦¦ ¦ ¦time? ¦household? ¦time? ¦activities, such ¦activities? ¦¦ ¦ ¦ ¦ ¦ ¦as cooking, ¦ ¦¦ ¦ ¦ ¦ ¦ ¦cleaning, ¦ ¦¦ ¦ ¦ ¦ ¦ ¦laundry, ¦ ¦¦ ¦ ¦ ¦ ¦ ¦shopping, child ¦ ¦¦ ¦ ¦ ¦ ¦ ¦care? ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦¦ ¦ Yes..1 ¦ ¦ Yes..1 ¦ ¦ Yes..1 ¦ (>>Next person) ¦¦ ¦ No...2 ¦ ¦ No...2 ¦ ¦ No...2 ¦ ¦¦ ¦ (>>3) +-----------------¦ (>>5) +-----------------¦ (>>Next person) +-----------------¦¦ ¦ ¦ HOURS ¦ ¦ HOURS ¦ ¦ HOURS ¦+---------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------+¦01 ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-----------------+-----------------+-----------------+-----------------+-----------------+-----------------¦¦02 ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-----------------+-----------------+-----------------+-----------------+-----------------+-----------------¦¦03 ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------+¦04 ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-----------------+-----------------+-----------------+-----------------+-----------------+-----------------¦¦05 ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-----------------+-----------------+-----------------+-----------------+-----------------+-----------------¦¦06 ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------+¦07 ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-----------------+-----------------+-----------------+-----------------+-----------------+-----------------¦¦08 ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-----------------+-----------------+-----------------+-----------------+-----------------+-----------------¦¦09 ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------+¦10 ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-----------------+-----------------+-----------------+-----------------+-----------------+-----------------¦¦11 ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-----------------+-----------------+-----------------+-----------------+-----------------+-----------------¦¦12 ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------+¦13 ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-----------------+-----------------+-----------------+-----------------+-----------------+-----------------¦¦14 ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+-----------------+-----------------+-----------------+-----------------+-----------------+-----------------¦¦15 ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------+

4.13

BSECTION 5: MIGRATION RESPONDENTS ARE ALL HOUSEHOLD MEMBERS 15 YEARS OR OLDER+---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦ ¦ ¦1. ¦2. ¦3. ¦4. ¦5. ¦6. ¦7. ¦8. ¦9. ¦10. ¦11. ¦12. ¦ REG���¦ ¦ID OF¦Were you born ¦Have you¦Have you ¦How many years¦How long have¦How long have ¦In which region ¦Where was that place ¦How long would it take to get from¦What is¦What was your main work in (NAME OF ¦In what trade or industry was this ¦¦ ¦PERSON¦here? ¦always ¦ever moved¦ago did you ¦you lived in ¦you lived in ¦or country were ¦you were living ¦here to (NAME OF PLACE)? ¦the ¦PLACE)? ¦work? ¦ Wes���”ô����¦ ¦INTER-¦ ¦lived in¦away from ¦first move ¦this village/¦this village/ ¦you living before¦before? ¦ ¦dist- ¦ ¦ ¦ Cen���”ô����¦ ¦VIEWED¦(PRESENT PLACE ¦this ¦this ¦away? ¦town since ¦town? ¦you came to this ¦ ¦ ¦ance? ¦WRITE NAME OF OCCUPATION ¦ ¦ Gt.���”ô����¦ ¦ ¦ OF RESIDENCE) ¦village/¦village / ¦ ¦you last ¦ ¦village/town? ¦ ¦ ¦ ¦ ¦WRITE NAME OF TRADE ¦ Eas���”ô����¦ ¦ ¦ ¦town? ¦town for ¦ ¦returned? ¦ ¦ ¦ ¦ ¦ ¦Full time education.........96 ¦ ¦ Vol���”ô����¦ ¦ ¦ ¦ ¦more than ¦ ¦ ¦ ¦SEE CODE LIST IN ¦Accra...............1¦ ¦ ¦ (>>15) ¦ ¦ Ash���”ô����¦ ¦ ¦ ¦ ¦a year and¦ ¦ ¦ ¦RIGHT MARGIN ¦Kumasi..............2¦ ¦ ¦Looking for work............97 ¦ ¦ B/A���”ô����¦ ¦ ¦ ¦ ¦returned ¦ ¦ ¦ ¦ ¦S'edi/T'adi.........3¦ ¦ ¦ (>>15) ¦ ¦ Nor���”ô����¦ ¦ ¦ ¦ ¦here? ¦ ¦ ¦ ¦ ¦Tamale..............4¦ ¦ ¦Other activity..............98 ¦ ¦ U/W���”ô����¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦(IF COUNTRY, ¦Other urban area....5¦ ¦ ¦(SPECIFY) ¦ ¦ U/E���”ô����¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦WRITE COUNTRY ¦Rural area..........6+----------------------------------¦ ¦ (>>15) ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦CODE AND >>11) ¦ ¦ TRAVEL TIME ¦ MAIN TRANSPORT ¦ ¦No activity.................99 ¦ ¦ COU����¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ MODE ¦ ¦ (>>15) ¦ ¦¦ ¦ ¦ ¦ ¦ ¦ ¦ +---+ ¦ ¦ ¦ ¦ RECORD IN ¦Walking...........1¦ ¦ ¦ ¦ B/F���”ô����¦ ¦ ¦ Yes..1 ¦ Yes..1 ¦ Yes..1 ¦ ¦ ¦>>7¦ ¦ ¦ ¦ ¦ HOURS OR ¦Bus...............2¦ ¦ ¦ ¦ C/I���”ô����¦ ¦ ¦ No...2 ¦(>>NEXT ¦ No...2 ¦ ¦ +---+ ¦ ¦ ¦ ¦ DAYS ¦Train.............3¦ ¦ ¦ ¦ Mal���”ô����¦ ¦ ¦ (>> 3) ¦ PERSON)¦ (>>6) ¦ ¦ ¦ ¦ ¦ ¦ ¦Car...............4¦ ¦ ¦ ¦ Nig���”ô����¦ ¦ ¦ ¦ No...2 ¦ +--------------+-------------+--------------¦ +---------------------+--------------¦Other.............5+-------+------------------------------------+--------------------------------------¦ Tog���”ô����¦ ¦ ¦ ¦ ¦ ¦ YEARS ¦YEARS ¦MONTHS¦ YEARS ¦MONTHS¦ ¦ ¦ HOURS ¦ DAYS ¦(SPECIFY) ¦ KMS ¦ OCCUPATION ¦ CODE ¦ TRADE ¦ CODE ¦ Oth���”ô����+---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ (SP����”ô+---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦01 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+---------------+--------+----------+--------------+------+------+-------+------+-----------------+---------------------+-------+------+-------------------+-------+-----------------------------+------+------------------------------+-------¦¦02 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+---------------+--------+----------+--------------+------+------+-------+------+-----------------+---------------------+-------+------+-------------------+-------+-----------------------------+------+------------------------------+-------¦¦03 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦04 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+---------------+--------+----------+--------------+------+------+-------+------+-----------------+---------------------+-------+------+-------------------+-------+-----------------------------+------+------------------------------+-------¦¦05 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+---------------+--------+----------+--------------+------+------+-------+------+-----------------+---------------------+-------+------+-------------------+-------+-----------------------------+------+------------------------------+-------¦¦06 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦07 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+---------------+--------+----------+--------------+------+------+-------+------+-----------------+---------------------+-------+------+-------------------+-------+-----------------------------+------+------------------------------+-------¦¦08 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+---------------+--------+----------+--------------+------+------+-------+------+-----------------+---------------------+-------+------+-------------------+-------+-----------------------------+------+------------------------------+-------¦¦09 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦10 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+---------------+--------+----------+--------------+------+------+-------+------+-----------------+---------------------+-------+------+-------------------+-------+-----------------------------+------+------------------------------+-------¦¦11 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+---------------+--------+----------+--------------+------+------+-------+------+-----------------+---------------------+-------+------+-------------------+-------+-----------------------------+------+------------------------------+-------¦¦12 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------++---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+¦13 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+---------------+--------+----------+--------------+------+------+-------+------+-----------------+---------------------+-------+------+-------------------+-------+-----------------------------+------+------------------------------+-------¦¦14 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+------+---------------+--------+----------+--------------+------+------+-------+------+-----------------+---------------------+-------+------+-------------------+-------+-----------------------------+------+------------------------------+-------¦¦15 ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦+---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+ 5.1

SECTION 5: MIGRATION - CONTINUED -+-----------------------------------------------------------------------------------------+¦ ¦13. ¦14. ¦15. ¦16. ¦17. ¦¦ ¦In that job ¦Whom were ¦What was the main¦Did you move ¦How long did you¦¦ ¦were you mainly¦you working ¦reason for ¦because you lost ¦live in (NAME OF¦¦ ¦working for ¦for? ¦moving from (NAME¦a job or your ¦PLACE, Q.7)? ¦¦ ¦regular pay? ¦ ¦OF PLACE, Q.7)? ¦business was not ¦ ¦¦ ¦ ¦ ¦ ¦profitable? ¦ ¦¦ ¦ ¦ ¦Own Employment..1¦ ¦ ¦¦ ¦ ¦Government...1¦Spouse's ¦Yes, lost job.....1¦ ¦¦ ¦ ¦State owned ¦Employment......2¦Yes, business ¦ ¦¦ ¦ ¦company......2¦ (>>17) ¦unprofitable......2¦ ¦¦ ¦ ¦Private ¦Marriage........3¦Yes, both.........3¦ ¦¦ ¦ ¦company or ¦ (>>17) ¦No................4¦ ¦¦ ¦ ¦business.....3¦Other family ¦ ¦ ¦¦ ¦ ¦Other........4¦Reasons.........4¦ ¦ ¦¦ ¦ Yes..1 ¦(SPECIFY) ¦ (>>17) ¦ ¦ ¦¦ ¦ No...2 ¦ ¦School..........5¦ ¦ ¦¦ ¦ (>>15) ¦ ¦ (>>17) ¦ ¦ ¦¦ ¦ ¦ ¦Drought/War.....6¦ ¦ ¦¦ ¦ ¦ ¦ (>>17) ¦ ¦ ¦¦ ¦ ¦ ¦Other...........7¦ +----------------¦¦ ¦ ¦ ¦(SPECIFY) (>>17)¦ ¦ YEARS ¦ MONTHS ¦+-----------------------------------------------------------------------------------------++-----------------------------------------------------------------------------------------+¦01 ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+---------------+--------------+-----------------+-------------------+-------+--------¦¦02 ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+---------------+--------------+-----------------+-------------------+-------+--------¦¦03 ¦ ¦ ¦ ¦ ¦ ¦ ¦+-----------------------------------------------------------------------------------------++-----------------------------------------------------------------------------------------+¦04 ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+---------------+--------------+-----------------+-------------------+-------+--------¦¦05 ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+---------------+--------------+-----------------+-------------------+-------+--------¦¦06 ¦ ¦ ¦ ¦ ¦ ¦ ¦+-----------------------------------------------------------------------------------------++-----------------------------------------------------------------------------------------+¦07 ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+---------------+--------------+-----------------+-------------------+-------+--------¦¦08 ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+---------------+--------------+-----------------+-------------------+-------+--------¦¦09 ¦ ¦ ¦ ¦ ¦ ¦ ¦+-----------------------------------------------------------------------------------------++-----------------------------------------------------------------------------------------+¦10 ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+---------------+--------------+-----------------+-------------------+-------+--------¦¦11 ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+---------------+--------------+-----------------+-------------------+-------+--------¦¦12 ¦ ¦ ¦ ¦ ¦ ¦ ¦+-----------------------------------------------------------------------------------------++-----------------------------------------------------------------------------------------+¦13 ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+---------------+--------------+-----------------+-------------------+-------+--------¦¦14 ¦ ¦ ¦ ¦ ¦ ¦ ¦+---+---------------+--------------+-----------------+-------------------+-------+--------¦¦15 ¦ ¦ ¦ ¦ ¦ ¦ ¦+-----------------------------------------------------------------------------------------+

5.2

SECTION 6: IDENTIFICATION OF RESPONDENTS FOR SECTIONS 8, 9 AND 10 QUESTIONS TO BE ASKED TO THE HEAD OF HOUSEHOLD 1. Does any member of the household own or operate a farm or keep livestock? 6. Who are mainly responsible for making the household purchases? Yes..1 +---------+ +--------------------------------------------------------+ No...2 (>>3) ¦ ¦ ¦ NAME ¦ ID ¦ +---------+ +------------------------------------+-------------------¦ TRANSFER THESE NAMES ¦ ¦ ¦ TO THE EXPENDITURE 2. Which household members are responsible for a farm or livestock? +------------------------------------+-------------------¦ SECTION 9. +--------------------------------------------------------+ ¦ ¦ ¦ THESE PEOPLE MUST BE ¦ NAME ¦ ID ¦ +------------------------------------+-------------------¦ AVAILABLE FOR EVERY +------------------------------------+-------------------¦ TRANSFER THESE ¦ ¦ ¦ VISIT. ¦ ¦ ¦ NAMES TO THE +------------------------------------+-------------------¦ +------------------------------------+-------------------¦ AGRICULTURE ¦ ¦ ¦ ¦ ¦ ¦ SECTION 8 +------------------------------------+-------------------¦ +------------------------------------+-------------------¦ PART A. ¦ ¦ ¦ ¦ ¦ ¦ +--------------------------------------------------------+ +------------------------------------+-------------------¦ ¦ ¦ ¦ 7. During the past 12 months, has any member of the household worked for himself, other than on a farm or raising animals. +------------------------------------+-------------------¦ (e.g. has anyone operated his/her own business, trade, worked as a self-employed professional or craftman or fisherman?) ¦ ¦ ¦ Yes...1 +-------+ +--------------------------------------------------------+ No....2 >>SECTION 7 ¦ ¦ 8. Please tell me all such trades, businesses, services and professions, together with the name of the +-------+ 3. Are any crops or fish caught and processed for sale or use by the household. household member who would know most about each one. (e.g. cassava flour, maize flour, cassava chips, shelled groundnuts)? +-------------------------------------------------------------------------------------------------------+ +---------+ ¦ENTERPRISE/ACTIVITY NAME ¦ INDUSTRY CODE ¦ PERSON RESPONSIBLE ¦ ID ¦ Yes..1 ¦ ¦ +-------------------------------------+---------------+------------------------------+------------------¦ No...2 +---------+ ¦ ¦ ¦ ¦ ¦ IF Q1.= 1 AND Q3.= 2 >>5 +-------------------------------------+---------------+------------------------------+------------------¦ IF Q1.= 2 AND Q3.= 2 >>6 ¦ ¦ ¦ ¦ ¦ +-------------------------------------+---------------+------------------------------+------------------¦ 4. Which household members are mainly responsible for this processing? ¦ ¦ ¦ ¦ ¦ +----------------------------------------------------------------------------+ +-------------------------------------+---------------+------------------------------+------------------¦ ¦ NAME ¦ ID ¦ PROCESSING ACTIVITY ¦ ¦ ¦ ¦ ¦ ¦ +----------------------------------+--------+--------------------------------¦ +-------------------------------------+---------------+------------------------------+------------------¦ ¦ ¦ ¦ ¦ TRANSFER THESE ¦ ¦ ¦ ¦ ¦ +----------------------------------+--------+--------------------------------¦ NAMES TO THE +-------------------------------------+---------------+------------------------------+------------------¦ ¦ ¦ ¦ ¦ AGRICULTURE ¦ ¦ ¦ ¦ ¦ +----------------------------------+--------+--------------------------------¦ SECTION 8 +-------------------------------------+---------------+------------------------------+------------------¦ ¦ ¦ ¦ ¦ PART G. ¦ ¦ ¦ ¦ ¦ +----------------------------------+--------+--------------------------------¦ +-------------------------------------+---------------+------------------------------+------------------¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ +----------------------------------+--------+--------------------------------¦ +-------------------------------------+---------------+------------------------------+------------------¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ +----------------------------------------------------------------------------+ +-------------------------------------+---------------+------------------------------+------------------¦ ¦ ¦ ¦ ¦ ¦ 5. Who are mainly responsible for preparing food in the household? +-------------------------------------------------------------------------------------------------------+ +--------------------------------------------------------+ ¦ NAME ¦ ID ¦ +------------------------------------+-------------------¦ TRANSFER THESE NAMES 9. Which of these bring most money? (UP TO 3 IN ORDER) ¦ ¦ ¦ TO THE AGRICULTURE +------------------------------------------------+ +-------------------------------------------+ +------------------------------------+-------------------¦ SECTION 8 PART H. ¦ENTERPRISE/ACTIVITY NAME ¦INDUSTRY¦ID OF PERSON¦ ¦ ¦ ¦ ¦ ¦ THESE PEOPLE MUST BE ¦ ¦ CODE ¦RESPONSIBLE ¦ ¦ INTERVIEWER: REMEMBER TO MAKE AN ¦ +------------------------------------+-------------------¦ AVAILABLE FOR EVERY +---+--------------------------+--------+------------¦ ¦ APPOINTMENT WITH ALL PERSONS¦ ¦ ¦ ¦ VISIT. ¦ 1 ¦ ¦ ¦ ¦TRANSFER THESE ¦ IDENTIFIED IN QUESTIONS 2,4,¦ +------------------------------------+-------------------¦ +---+--------------------------+--------+------------¦NAMES TO THE ¦ 5,6, AND 8, FOR THEM TO BE ¦ ¦ ¦ ¦ ¦ 2 ¦ ¦ ¦ ¦NON-FARM ¦ PRESENT AT THE APPROPRIATE ¦ +------------------------------------+-------------------¦ +---+--------------------------+--------+------------¦ENTERPRISES ¦ VISIT. ¦ ¦ ¦ ¦ ¦ 3 ¦ ¦ ¦ ¦SECTION 10 ¦ ¦ +--------------------------------------------------------+ +----------------------------------------------------+ +-------------------------------------------+ 6.1

SECTION 7: HOUSING THE RESPONDENT: THE HEAD OF THE HOUSEHOLD

Now I would like to ask you about your dwelling.

PART A: TYPE OF DWELLING: (CURRENT AND FORMER) PART B: OCCUPANCY STATUS OF THE DWELLING:(CURRENT AND FORMER) PART C: HOUSING EXPENDITURE 1) TYPE OF DWELLING (CURRENT) 7) What was your previous occupancy status 13) How much does the household pay in cash +-----------+ for the rent? [IF RENT FREE, PUT ZERO] Single Family House............1 Owning.......................1 ¦ ¦ +-----------+ +----------+ Apartment/Flat.................2 Renting......................2 +-----------+ AMOUNT ¦ ¦ TIME UNIT ¦ ¦ Room(s) [Compoung House].......3 Dwelling provided rent free..3 +-----------+ +----------+ Room(s) [Other Type]...........4 Perching.....................4 +------------------------------------------------+ Several Huts/Bldgs [same Cpds].5 +-----------+ ¦Time Unit: Daily...1 Monthly...3 Half yearly...5¦ Several Huts/Bldgs [diff Cpds].6 ¦ ¦ 8) What was the main reason for moving ¦ Weekly..2 Quarterly.4 Yearly........6¦ Other..........................7 +-----------+ from previous dwelling to this one? +------------------------------------------------+ (SPECIFY) +-----------+ Family reasons...........1 ¦ ¦ Cost reasons.............2 +-----------+ 2) How many rooms does this household +-----------+ Job reasons..............3 14) Does your household also supply goods or occupy? (DO NOT INCLUDE BATHROOMS, TOILETS, ¦ ¦ Ejected..................4 services in exchange for this dwelling? +------------+ KITCHEN) +-----------+ Other....................5 [IF RENT FREE, PUT ZERO] ¦ ¦ (SPECIFY) +------------+ 3) Do other household share this dwelling +-----------+ Yes.......1 with you? ¦ ¦ 9) Do you expect to move in the next 2 years? No........2(>>16) Yes...1 +-----------+ +------------+ No....2 Yes...............1 ¦ ¦ No................2 +------------+ 15) What is the appropriate value of these (>>11) goods and services provided by your household? [IF RENT FREE, PUT ZERO] 4) How long has your household been living 10) For what main reason? +-----------+ +-----------+ in this dwelling? AMOUNT ¦ ¦ TIME UNIT ¦ ¦ +--------+ +--------+ Family reasons...1 +------------+ +-----------+ +-----------+ YEARS ¦ ¦ MONTH ¦ ¦ Cost reasons.....2 ¦ ¦ +--------+ +--------+ Job reasons......3 +------------+ Other............4 (SPECIFY) 5) In what type of dwelling were you before? 11) What is your present occupancy status? +------------+ None (Always Lived Here).........1---->9 Owning.....................1 (>>18) ¦ ¦ Single Family House..............2 +-----------+ Renting....................2 +------------+ Apartment/Flat...................3 ¦ ¦ House provided rent-free...3 Room(s) [Compound House].........4 +-----------+ Perching...................4 (>>22) Room(s) [Other Type].............5 Several Huts/Bldgs [Same Cpds]...6 12) From whom do you rent this dwelling? Several Huts/Bldgs [Diff Cpds]...7 +-----------+ Others...........................8 Relative....................1 ¦ ¦ (SPECIFY) Private employer............2 +-----------+ Government..................3 6) How many rooms were occupied by the Private individual/agency...4 household? +-----------+ Other.......................5 DO NOT INCLUDE TOILETS, BATHROOMS ¦ ¦ (SPECIFY) AND KITCHEN. +-----------+

7.1

SECTION 7: HOUSING -continued- PART C: HOUSING EXPENDITURES (Contd.) 16) Is part or all of the rent paid by 23) How far is this....[SOURCE OF WATER] 31) What is the main fuel used by the someone who is not a member of your from your dwelling? household for cooking? household? +------------+ +------------+ Wood.....................1 Yes.............1 +------------+ DISTANCE ¦ ¦ DISTANCE CODE ¦ ¦ Charcoal.................2 +------------+ No..............2 (>> 21) ¦ ¦ +------------+ +-----+ +------------+ Gas......................3 ¦ ¦ +------------+ ¦>> 29¦ Electricity..............4 +------------+ 17) Who pays? +-----+ Kerosene.................5 Relative...................1 +------------+ +------------------------------------------+ Other....................6 Private employer...........2 ¦ ¦ ¦ DISTANCE CODE: Yard.........1 Metre...2 ¦ (SPECIFY) Government.................3 +------------+ ¦ Kilometre....3 Mile....4 ¦ Private individual/agency..4 +------------------------------------------+ 32) How does your household get rid of Other......................5 rubbish? (SPECIFY) 24) Do you pay or share a regular bill from the water Collected...........................1 +----+ company? +------------+ Dumped by household.................2(>>34) +-----------+ ¦>>21¦ Yes.....1 ¦ ¦ Burned by household.................3(>>34) ¦ ¦ +----+ No......2 (>> 26) +------------+ Buried by household.................4(>>34) +-----------+ 18) Do you or any household member make mortgage payments on this dwelling? 25) How much was your last bill? (only your +---------------------------------------------------+ part if joint meter or shared bill) ¦ TIME UNIT: Daily...1 Monthly...3 Half yearly...5 ¦ Yes....1 +------------+ +--------------+ +------------+ ¦ Weekly..2 Quarterly.4 Yearly........6 ¦ No.....2 (>> 21) ¦ ¦ AMOUNT: ¦ ¦ TIME UNIT: ¦ ¦ +---------------------------------------------------+ +------------+ +--------------+ +------------+ 19) How much was your last payment? +------------+ AMOUNT ¦ ¦ 26) How much have you paid to a private water +------------+ vendor, neighbour, or standpipe in the +------------+ 20) How often do you make these payments? last 2 weeks? AMOUNT: ¦ ¦ +------------+ +------------+ +------------+ 27) Did you sell any water to someone else? NO. OF TIMES ¦ ¦ TIME UNIT ¦ ¦ Yes.....1 +------------+ +------------+ +------------+ No......2 (>>29) ¦ ¦ +------------+ 21) How much did you spend for construction 28) How much money did you receive for the or repair costs and painting in the last water sold in the last 2 weeks? 12 months? +------------+ +------------+ AMOUNT ¦ ¦ AMOUNT: ¦ ¦ +------------+ +------------+ 29) What is the main source of lighting for PART D: UTILITIES AND AMENITIES your dwelling? Electricity (mains)...........1 +------------+ 22) What is the source of drinking water Generator.....................2>>31 ¦ ¦ for your household? Kerosene, gas lamp............3>>31 +------------+ Indoor plumbing...............1 (>>24) Candles/torches(flashlights)..4>>31 Inside standpipe..............2 (>>24) Water vendor..................3 (>>26) 30) How much was your last bill? Water truck/tanker service....4 (>>24) (only your part if you have a joint Neighbouring household........5 (>>26) meter or a shared bill) Private outside standpipe/tap.6 (>>26) +--------------+ +------------+ Public standpipe..............7 (>>26) AMOUNT: ¦ ¦ TIME UNIT: ¦ ¦ Well with pump................8 +--------------+ +------------+ Well without pump.............9 River, lake, spring, pond....10 +------------+ Rainwater....................11 (>>29)¦ ¦ Other........................12 +------------+ (SPECIFY) 7.2

SECTION 7 - CONTINUED

PART D: UTILITIES AND AMENITIES (Contd.)

33) How much did your household pay for 37) MAIN ROOF MATERIAL: rubbish disposal? +--------------+ +------------+ Thatch (grass, straw)...............1 AMOUNT ¦ ¦ TIME UNIT ¦ ¦ Wood................................2 TIME UNIT +--------------+ +------------+ Corrugated iron.....................3 +--------------+ Daily..........1 Cement/Concrete.....................4 ¦ ¦ Weekly.........2 Asbestos............................5 +--------------+ Monthly........3 34) What type of toilet is used by your Other (SPECIFY).....................6 Quarterly......4 household? Half yearly....5 38) DETAILED SKETCH OF THE DWELLING Yearly.........6 Flush toilet...................1 Pit latrine....................2 +-------------+ +-------------------------------------------------------------------------------------------------+ Pan/bucket.....................3 ¦ ¦ ¦ ¦ KVIP...........................4 +-------------+ ¦ ¦ No toilet......................5 ¦ ¦ Other..........................6 ¦ ¦ (SPECIFY) ¦ ¦ ¦ ¦ ¦ ¦ PART E: PHYSICAL CHARACTERISTICS OF THE DWELLING ¦ ¦ ¦ ¦ 35) MAIN CONSTRUCTION MATERIAL OF OUTSIDE WALLS: ¦ ¦ ¦ ¦ Mud/Mud bricks.................1 ¦ ¦ Wood...........................2 +-----------+ ¦ ¦ Corrugated iron................3 ¦ ¦ ¦ ¦ Stone/Burnt bricks.............4 +-----------+ +-------------------------------------------------------------------------------------------------+ Cement/Sandcrete...............5 Other..........................6 (SPECIFY) 39) MEASURES TAKEN: +--------------+ 36) MAIN FLOORING MATERIAL: Inside.............1 ¦ ¦ Outside............2 +--------------+ Earth/Mud.....................1 Wood..........................2 +-----------+ 40) CALCULATE AREA IN SQ. METRES. Stone/Brick...................3 ¦ ¦ +--------------+ Fibre-glass...................4 +-----------+ AREA: ¦ ¦ Cement/Concrete...............5 +--------------+ Other.........................6 (SPECIFY)

7.3