Republic of Rwanda
National Census Commission
General Population and Housing Census August 16-30, 2012
Census Questionnaire (Private Household)
1. Section L: Localization and identification of Household
1. Province/ Kigali City _
2. District _
3. Sector _ _
4. Cell _ _
5. Village _ _
6. Enumeration area (Number EA) _ _
7. Area of residence (Urban = 1, Rural = 2) _
8. Building Number _ _ _
9. Household Number _ _ _
10. Type of Household: 100
11. Number of questionnaires filled in this household _ / _
II. Section S- Household Summary
_ _ Female
_ _ Total
Absent residents
_ _ Female
_ _ Total
Total residents
_ _ Female
_ _ Total
Visitors
_ _ Female
_ _ Total
Total enumerated
_ _ Female
_ _ Total
Residents above 18 years old
_ _ Female
_ _ Total
[Field staff information omitted.]
1. Resident household members ____
2. Unmarried resident children of the head of the household whose mothers/fathers are not residing in the same household beginning with the eldest;
3. The first Spouse, followed by her unmarried children resident [residing] in the household beginning with the eldest;
4. The second, third, etc. Spouses, followed by their unmarried children resident [residing] in the household beginning with the eldest child;
5. Married resident [residing] children of the head of the household followed by their resident spouses and children;
6. Children unrelated to the head being brought up within the household;
7. Other resident persons who are related either to the head of the household or to his spouse or spouses;
8. Other resident persons who are unrelated either to the head of the household or to his spouse or spouses;
9. Names of all other residents who did not spend the census night within the household.
2. What is the respondent's relationship to the head of the household?
[] 2 Spouse
[] 3 Son/daughter
[] 4 Unrelated child
[] 5 Father/mother
[] 6 Brother/sister
[] 7 Grandchild
[] 8 Other relative
[] 9 Non relative
3. What is the respondent's sex?
[] 2 Female
5. How old was the respondent at his/her last birthday?
Age _ _ _
Section P: Characteristics of population
[Questions 1-6 were asked of all members of the household.]
1. Serial number of the person _ _
Name ____
2. What is the respondent's relationship to the head of household?
[] 2 Spouse
[] 3 Son/daughter
[] 4 Unrelated child
[] 5 Father/mother
[] 6 Brother/sister
[] 7 Grandchild
[] 8 Other relative
[] 9 Non relative
3. Is the respondent male or female?
[] 2 Female
4. In what month and year was the respondent born?
Year _ _ _ _
5. How old was the respondent at his/her last birthday?
Age _ _ _
6. What is resident status of the respondent?
[] 2 Absent resident
[] 3 Visitor
[Questions 7-13 were asked of all usual residents.]
District ____
Foreign Country ____
8. What is the respondent's nationality?
1st nationality ____
2nd nationality ____
Foreigner ____
9. Where was the respondent residing previously?
District ____
Foreign Country ____
10. How long has the respondent been living continuously in this district?
Years_ _ _
11. What is the respondent's religion?
[] 2 Protestant
[] 3 Adventist
[] 4 Muslim
[] 5 Jehovah Witness
[] 6 Traditional/ Animist
[] 7 No Religion
[] 8 Other ____
12. Does the respondent have any difficulty or problem as listed below? If yes, what were the causes?
Type of disability _
Cause of disability _
If none, write 0 in "Types of disability" and go to Question 13.
2. Hearing
3. Speaking
4. Walking/ Climbing
5. Learning/ Concentrating
6. Other____
2. Disease/ Illness
3. Injury/ Accident
4. War/ Mines
5. Genocide
6. Now known
7. Other ____
[Table omitted.]
13. What is the respondent's medical insurance?
[] 2 RAMA (Rwanda Health Insurance)
[] 3 MMI (Military Medical Insurance)
[] 4 FARG (Genocide Survivors Support and Assistance Fund)
[] 5 Insurance Company
[] 6 School
[] 7 NGO
[] 8 Employer
[] 9 None
[] 10 Other ____
[Questions 14-15 were asked of residents less than 18 years old.]
14. Parental survival and residence
14a. Is the respondent's natural mother alive?
[] 2 No
[] 3 Don't know
14b. If yes (from 14a), does the respondent's natural mother live in this household?
[] 2 No
14c. Is the respondent's natural father alive?
[] 2 No
[] 3 Don't know
14d. If yes (from 14c), does the respondent's natural father live in this household?
[] 2 No
15. Was the respondent's birth registered?
[] 2 No
[] 3 Don't know
[Questions 16-19 were asked for residents aged 3 years or older.]
16. Can the respondent read and write with understating in the following languages?
[] 1 Kinyarwanda
[] 2 French
[] 4 English
[] 8 Other
[] 0 None
17. Has the respondent ever attended school?
[] 2 Has ever attended
[] 3 Is currently attending school
[Questions 18- 19 were asked only to respondents who have attended or are currently attending school.]
18a. What is the highest level of education the respondent attended?
[] 1 Primary
[] 2 Post Primary
[] 3 Secondary
[] 4 University
18b. How many years of school did the respondent complete successfully at the highest level?
[] 1
[] 2
[] 3
[] 1
[] 2
[] 3
[] 4
[] 5
[] 6
[] 1
[] 2
[] 3
[] 1
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 1
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7+
19. What is the highest certificate/degree the respondent obtained?
[] 1 CE/FM
[] 2 EMA/ENTA
[] 3 A3/ D4/ D5
[] 4 A2/ D6/ D7
[] 5 A1: Bacc/ Diploma
[] 6 A0: Bachelor
[] 7 MA: Master
[] 8 PhD: Doctorate
[Questions 20-28 were asked of residents aged 5 years or older.]
20. Aside from his/her own housework, did the respondent work at least 1 hour during the last 7 days preceding the census night (August 8-14, 2012)?
[] 2 No
21. Why did the respondent not work during the last 7 days (August 8-14, 2012)?
[] 0 Home worker
[] 1 Non-worker (never worked)
[] 2 Non-worker (ever worked)
[] 3 On leave, but has job [Go to Question 25.]
[] 4 Retired [Go to Question 23.]
[] 5 Old age [Go to Question 23.]
[] 6 Student [Go to Question 23.]
[] 7 Other ____
22. Did the respondent do one of the following activities during the last 7 days (August 8-14, 2012)?
[] 1 Farming/ rearing animals/ fishing [Go to Question 25.]
[] 2 Production [Go to Question 25.]
[] 3 Service/selling [Go to Question 25.]
[] 4 House work at someone's house [Go to Question 25.]
[] 5 Home worker at own home
[] 6 None
[Questions 23- 24 were asked of residents aged 5 years or older who did not work least 1 hour during the last 7 days preceding the census night because due to being retire, old age, or being a student.]
23. Is the respondent available to work?
[] 2 No [Go to Question 29.]
24. Has the respondent been seeking work during the last 7 days (August 8-14, 2012)?
[] 1 Yes, first job
[] 2 yes, new job
[Questions 25-28 were asked for residents aged 5 and over who are currently working or have ever worked (as indicated in questions 20-22 above).]
25. What was the respondent's main occupation (type of work) during the last 7 days preceding the census night or during the last time he/she worked?
26. What is the respondent's status in employment?
[] 2 Employer
[] 3 Self-employed
[] 4 contributing family worker
[] 5 Producers' cooperative member
[] 6 Other
27. What is the main product, service, or activity of the respondent's place of work?
28. What is the respondent's institutional sector of employment?
[] 2 Private
[] 3 Non-profit institution
[] 4 Household
[Questions 29-32 were asked of residents aged 12 years or older.]
29. What is the respondent's marital status?
If widowed or divorced, go to Question 32.
If never married and male, end survey.
[] 1 Never married
[] 2 Married
[] 3 Separated
[] 4 Widowed
[] 5 Divorced
30. How many spouses does the respondent have?
Current number of spouses _
31. What is the rank of the respondent to the spouse?
Current rank as spouse _
32. How old was the respondent when he/she first got married or lived together with partner?
Age at first marriage _ _
[Questions 33-36 were asked of resident women aged 12 years or older.]
33. How many live births has the respondent ever had?
Male _ _
Female _ _
34. Among those children, how many are still alive?
Female _ _
35. How many live births has the respondent had during the last 12 months (from August 15, 2011 to August 15, 2012)?
Female _
36. Among those children born during the last 12 months (from August 15, 2011 to August 15, 2012), how many are still alive?
Female _
Section H: Housing Units Characteristics
[] 2 Old settlement
[] 3 Dispersed/ isolated housing
[] 4 Planned urban housing
[] 5 Spontaneous/ squatter housing
[] 6 Other type of housing
[] 2 House occupied by several households
[] 3 Storey [apartment] building occupied by one or more households
[] 4 Several buildings in a compound occupied by several households
[] 5 Other type of building
[] 2 Tenant
[] 3 Hire purchase
[] 4 Free lodging
[] 5 Staff housing
[] 6 Refuge/ temporary camp settlement
[] 7 Other ____
4. What is the main material used for the roof?
[] 1 Iron Sheets
[] 2 Local tiles
[] 3 Industrial tiles
[] 4 Asbestos
[] 5 Concrete
[] 6 Cartoons/ sheathing
[] 7 Grass
[] 8 Other material
5. What is the main material used for the walls?
[] 2 Wood/cemented mud
[] 3 Sundried bricks
[] 4 Plastic sheathing/cardboard
[] 5 Cement blocks/concrete
[] 6 Stone
[] 7 Timber
[] 8 Burnt bricks
[] 9 Other
6. What is the main material used for the floor?
[] 2 Concrete
[] 3 Stone
[] 4 Burn bricks
[] 5 Timber
[] 6 Other
7. How many rooms do the housing units have, including bathroom, toilet, kitchen, store rooms?
8. How many of those rooms are used for sleeping?
9. How many persons usually sleep in the housing unit?
10. What is the main source of water supply for members of the household?
[] 2 Pipe-born water in the compound
[] 3 Public tap out of the compound
[] 4 Protected spring/well
[] 5 Unprotected spring/ well
[] 6 Rain water
[] 7 River
[] 8 Lake/stream/pond/surface water
[] 9 Other
11. What is the main type of toilet facility used by the members of the household?
[] 2 Private pit latrine
[] 3 Public pit latrine
[] 4 Bush
[] 5 Other
12. What is the main source of energy the household uses for lighting?
[] 2 Hydro-electric or other private source
[] 3 Solar power
[] 4 Generator
[] 5 Kerosene lamp
[] 6 Paraffin
[] 7 Biogas
[] 8 Candle
[] 9 Firewood
[] 10 Other
13. What is the main source of energy the household uses for cooking?
[] 2 Gas
[] 3 Biogas
[] 4 Kerosene
[] 5 Firewood
[] 6 Charcoal
[] 7 Grass/leaves
[] 8 Other
14. Do you have an energy saving stove in this house?
[] 2 Yes, but it is not used
[] 3 No
15. What is the main mode of household waste disposal used?
[] 2 Private dust bins
[] 3 Public refuse dumps
[] 4 In the bush
[] 5 On the farm
[] 6 In a river/stream/drain/gutter
[] 7 Other
16. What is the main mode of sewage disposal used by the household?
[] 2 In the courtyard
[] 3 Rivulet/trench/channels
[] 4 In the street
[] 5 Main sewer
[] 6 Cesspool
[] 7 Bush
[] 8 Other
Questions 17-25. How many does the household have of the following assets in functioning condition?
26. Does any member of this household have access to the Internet?
[] 2 No [Go to Question 28-34.]
27. Where do you access Internet?
[] 1 From home
[] 2 From office/ school
[] 4 From Cyber cafe
[] 8 Other
28-34: How many cattle, goats, sheep, pigs, poultry/fowl and rabbits do you have in this household?
35 During the last 12 months (August 15, 2011 to August 15, 2012), has any member of this household done agriculture activity or rented his land?
[] 2 Yes, in land he rented
[] 3 No, he/she had rented it out
[] 4 No, he/she has not rented it
[] 5 No, without land
Please record information on deaths that occurred in the household during the last 12 months. Do not forget the children.
1. Is there any member of the household who died during the last 12 months (August 15, 2011- August 15, 2012)?
[] 2 No [End of the interview.]
2. Specify the sex, age, and cause of death.
[] 2 Female
[] 1 Accident
[] 2 Murder
[] 3 Violence
[] 4 Suicide
[] 5 Injury
[] 6 Illness
[] 1 Yes
[] 2 No
[] 1 Yes
[] 2 No
[] 1 Yes
[] 2 No
Census Questionnaire (Institutional Household)
1. Section L - Localization and identification of Household
1. Province/ Kigali City _
2. District _
3. Sector _ _
4. Cell _ _
5. Village _ _
6. Enumeration area (N EA) _ _
7. Area of residence (Urban = 1, Rural = 2) _
8. Building Humber _ _ _
9. Household Number _ _ _
10. Type of Household _ _ _
[Filled in code 2]
11. Number of questionnaires filled in this household _ / _
II. Section S- Household Summary Table to be filled in after
_ _ Female
_ _ Total
Absent residents
_ _ Female
_ _ Total
Total residents
_ _ Female
_ _ Total
Visitors
_ _ Female
_ _ Total
Total enumerated
_ _ Female
_ _ Total
Residents above 18 years old
_ _ Female
_ _ Total
[Field staff information omitted.]
Section P: Characteristics of Population
3. Is the respondent male or female?
[] 2 Female
4. In what month and year was the respondent born?
Year _ _ _ _
5. How old was the respondent at his/her last birthday?
6. What is residence status of the respondent?
[] 2 Absent resident
[] Visitor
7. Where was the respondent born?
____ District
____ Foreign Country
8. What is the respondent's nationality?
9. Where was the resident residing previously?
____ District
____ Foreign Country
12. Does the respondent have any difficulty or problem as listed below? If yes, what were the causes?
Type of disability _
Cause of disability _
If none, write 0 in the type of disability and go to Question 13.
2. Hearing
3. Speaking
4. Walking / climbing
5. Learning / concentrating
6. Other____
2. Disease / illness
3. Injury / accident
4. War / mines
5. Genocide
6. Now known
7. Other
[Table omitted.]
[Questions 17-18 were asked of members aged 3 years or above.]
17. Has the respondent ever attended preschool, school or literacy program?
[] 2 Has ever attended
[] 3 Is currently attending school
[Question 18 was asked only to respondents who have attended or are currently attending school.]
18a. What is the highest level of school or literacy program the respondent attended?
[] 1 Primary
[] 2 Post Primary
[] 3 Secondary
[] 4 University
18b. How many years of school did the respondent complete at the highest level?
[] 1
[] 2
[] 3
[] 1
[] 2
[] 3
[] 4
[] 5
[] 6
[] 1
[] 2
[] 3
[] 1
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 1
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7+
29. What is the respondent's marital status?
[] 1 Never married
[] 2 Married
[] 3 Separated
[] 4 Widowed
[] 5 Divorced