Republic of Botswana
Central Statistics Office
Ministry of Finance and Development Planning

1991 Population and housing census

Appendix XV

____ District
____ Enumeration area

Enumeration check control (to be completed by the enumerator)

____ Page number
____ Village code
____ Locality code
____ Lolwapa number
____ Number of enumerated household
____ Number of enumerated person present (part A)
____ Number of enumerated person(s) outside Botswana (part B)

____ Enumerator
____ Date

____ Supervisor
____ Date

____ District census officer
____ Date

____ Census officer storekeeper
____ Date

For office use only

Census book check control

____ EA book number
____ Enumerated households
____ Enumerated person presents
____ Enumerated person outside Botswana
____ Enumerated persons disabled
____ Reported births
____ Reported deaths

Census data processing control

____ Date started of data editing and coding
____ Date finished of data editing and coding

____ Date started of data entry and certification
____ Date finished of data entry and certification

____ Date started of computer editing
____ Date finished of computer editing

____ Comments

Section A

Appendix XV

____ District
____ Village
____ Enumeration Area
____ CD
____ Locality
____ Lolwapa/house number
____ Household number

(All persons)

1. What are the names of all persons who spent last night here? Be sure to include babies, elderly persons, visitors and those who normally spend the night here but were away on night duty, at prayer meeting, etc.

____

2. Serial number

____

3. Relationship

What is [the respondent's] relationship to the head of this household?

[] 0 Head
[] 1 Spouse
[] 2 Son/daughter
[] 3 Grandchild
[] 4 Parent
[] 5 Brother/sister
[] 6 Nephew/niece
[] 7 In--law
[] 8 Other relative/not related

4. Sex

[] 1 Male
[] 2 Female

5. Age

How old is [the respondent]? (Age at last birthday. If under 1 year enter 00) ____

6. Citizenship

What is the country of [the respondent's] citizenship?

[] 01 Botswana
[] 02 Angola
[] 03 Lesotho
[] 04 Malawi
[] 05 Mozambique
[] 06 Namibia
[] 07 South Africa
[] 08 Swaziland
[] 09 Zambia
[] 10 Zimbabwe
[] Other -- see list

Place of usual living

7. Now

Where does [the respondent] usually live?

[] 0001 In this housing unit
[] 0002 Elsewhere in this locality
[] _ _ _ _ Elsewhere in Botswana (see list)
[] 77XX Other country (see list)

8. A year ago

Where did [the respondent] live this time last year?

[] 0000 Not born
[] 0001 In this housing unit
[] 0002 Elsewhere in this locality
[] _ _ _ _ Elsewhere in Botswana (see list)
[] 77XX Other country (see list)

(All persons 5 years and over)

9. Has [the respondent] ever attended school?

[] 1 Never attended (Go to Q. 11)
[] 2 Still at school (Go to Q. 10)
[] 3 Left school (Go to Q. 10)

10. What is the highest grade that [the respondent] passed/completed?

Primary

[] 10
[] 11
[] 12
[] 13
[] 14
[] 15
[] 16
[] 17

Secondary

[] 21
[] 22
[] 23
[] 24
[] 25
[] 26

Tertiary

[] 31
[] 32
[] 33
[] 34
[] 35

(12 years and over)

11. Marital status

Is [the respondent] currently married?

[] 1 Married
[] 2 Living together
[] 3 Never married
[] 4 Separated
[] 5 Divorced
[] 6 Widowed

Type of activity during the past 30 days

12. During the past 30 days did [the respondent] work for cash?

[] 1 Yes for someone else (Go to Q. 14)
[] 2 Yes, for self (Go to Q. 14)
[] 3 No (Go to Q. 13)

13. Then what did [the person] do during the last 30 days?

[] 1 Family business
[] 2 Work at lands/farms/cattle post

[For responses 1 or 2,] go to Q.14

[] 3 Actively seeking work
[] 4 Housework
[] 5 Student
[] 6 Retired
[] 7 Other (specify)

[For responses 3 to 6,] go to Q.16 if female, else go to next person

14. Occupation

What type of work did [the person] do? (Probe as necessary) ____

15. Industry

What was the main product, service or activity of [the person's] place of work? (Probe as necessary) ____

(Fertility--females, 12 years and over)

16. How many children have been born alive by [the respondent]?

____

17. How many of these children are living with the mother?

____

18. How many of these children are living elsewhere?

____

19. How many of these children have died?

____

(Fertility--females, 12--50 years)

20. How many children have been born alive by [the respondent] since Independence Day 1990?

____ Male

21. How many children have been born alive by [the respondent] since Independence Day 1990?

____ Female

Section B
[Persons outside Botswana]

List all members of this household --Botswana citizens only-- now outside Botswana

1. Name

____

2. Serial number

____

3. Relationship

4. Sex

[] 1 Male
[] 2 Female

5. Age

How old is [the respondent]? (Age at last birthday. If under 1 year, enter 00) ____

6. Marital status

Is [the respondent] currently married?

[] 1 Married
[] 2 Living together
[] 3 Never married
[] 4 Separated
[] 5 Divorced
[] 6 Widowed

7. In what country is [the respondent] now?

[] 01 Botswana
[] 02 Angola
[] 03 Lesotho
[] 04 Malawi
[] 05 Mozambique
[] 06 Namibia
[] 07 South Africa
[] 08 Swaziland
[] 09 Zambia
[] 10 Zimbabwe
[] Other (see list)

8. How long ago did [the respondent] last visit?

____ Years

9. How long ago did [the respondent] last visit?

____ Months

10. What is the main reason for [the respondent's] absence?

[] 01 Working in mines
[] 02 Working in farms
[] 03 Working as domestic
[] 04 Other employment
[] 05 Student
[] 06 Visiting
[] 07 Official business
[] 08 Other business
[] 09 Accompanying
[] 10 Medical
[] Other (specify) ____

Section C
[Disability]

1. List all members of this household (from section A-question 1, or section B-question 1)

____

2. Serial number (from section A--question 2, or section B--question 3)

____

3. Does any person(s) listed in from section A-question 2, or section B-question 3 suffer from any of the following disabilities?

[] 11 Defect of seeing in 1 eye
[] 12 Defect of seeing in 2 eyes
[] 13 Blindness in 1 eye
[] 14 Blindness in 2 eyes
[] 21 Defect of hearing in 1 ear
[] 22 Defect of hearing in 2 ears
[] 23 Deafness in 1 ear
[] 24 Deafness in 2 ears
[] 31 Defect of speech
[] 32 Inability to speak
[] 41 Inability to use 1 leg
[] 42 Inability to use 2 legs
[] 51 Inability to use 1 arm
[] 52 Inability to use 2 arms
[] 61 Moderate retardation
[] 62 Severe retardation

Section D
[Deaths]

Since Independence Day 1990, has any member of this household died? (In "yes", ask for sex and age)

1. Serial number

____

2. Sex

[] 1 Male
[] 2 Female

3. Age at death

____

Comments ____

Section E
[Housing]

(Questions 1-5, ask for all and circle only if "yes")

Agriculture and land acquisition

1. Does any member of this household own...?

[] 1 Cattle
[] 2 Goats
[] 4 Sheep
[] 8 Pigs
[] 16 Poultry
[] 32 Donkeys/horses

2. During the last agricultural season, did any member of this household plant...?

[] 1 Maize
[] 2 Millet
[] 4 Sorghum
[] 8 Beans
[] Other (specify) ____

3. How was the land for grazing and/or planting obtained?

[] 1 Land board
[] 2 Tribal/communal
[] 4 Inheritance
[] 8 Freehold
[] 16 Lease/TGLP
[] 32 Syndicate
[] 64 Employer/relatives, etc.
[] 128 Self allocated

Household cash activities

4(a). Since August 1990 did any household member receive cash from...?

[] 1 Cattle
[] 2 Goats/sheep
[] 4 Poultry
[] 8 Maize
[] 16 Millet/sorghum
[] 32 Fish
[] 64 Thatch/poles/reeds
[] 128 Firewood
[] Other cash activities (specify) ____

4(b). Since August 1990 did any household member receive cash from...?

[] 1 Phane
[] 2 Beer
[] 4 Craftwork
[] 8 Clothes
[] 16 Cooked food
[] 32 Other trade
[] 64 Threshing/stamping
[] 128 Firewood
[] Other cash activities (specify) ____

Other cash receipts

5. Since August 1990 did any household member receive cash from...?

[] 1 Remittances inside Botswana
[] 2 Remittances outside Botswana
[] 4 Pension
[] 8 Rents
[] 16 Interest
[] Other cash activities (specify) ____

(Circle response)

6. Type of housing unit

[] 01 Detached house
[] 02 Lolwapa
[] 03 Semi-detached
[] 04 Town house/terraced
[] 05 Flat
[] 06 Servants quarter
[] 07 Part of commercial
[] 08 Shack
[] 09 Movable
[] 10 Rooms

7. Acquisition

How was this housing unit/plot acquired?

[] 01 Tribal authority
[] 02 Land board
[] 03 Purchase
[] 04 Inheritance
[] 05 SHHA
[] 06 Rent: BHC
[] 07 Rent: government
[] 08 Rent: council
[] 09 Rent: individual
[] 10 Rent: company
[] 11 Free
[] 12 Self allocation

8. Duration of occupancy

How long have you and your household lived in this housing unit? (Years)

[] 1 Under 1
[] 2 1-3
[] 3 4-6
[] 4 7 and over

9. Number of rooms

How many rooms are there in this housing unit (excluding kitchen, toilet, bathroom, garage and store)? ____

10. Water supply

What is the principal source of water supply for this household?

[] 1 Piped indoors or in own yard
[] 2 Stand pipe
[] 3 Borehole
[] 4 Well
[] 5 Flowing river
[] 6 Sand river
[] 7 Dam/pan
[] Other (specify) ____

11. Toilet

What type of toilet facility is used by this household?

[] 1 Private flush toilet
[] 2 Private pit latrine
[] 3 Private neighbour's pit latrine
[] 4 Communal flush toilet
[] 5 Communal pit latrine
[] 6 Movable
[] 7 None

Ask for the material used for the construction of this housing unit (if Lolwapa, take main house)

12. Material used for construction of the roof

[] 1 Concrete/slate/blocks/tiles
[] 2 Asbestos
[] 3 Iron/zinc/tin
[] 4 Thatch
[] Other (specify) ____

13. Material used for construction of the walls

[] 1 Stones/bricks/blocks
[] 2 Asbestos
[] 3 Iron/zinc/tin
[] 4 Mud
[] 5 Mud and poles
[] 6 Mud and reeds
[] 7 Poles and reeds
[] 8 Mud, poles and reeds
[] Other (specify) ____

14. Material used for construction of the floor

[] 1 Stones/tiles/cement
[] 2 Wood
[] 3 Mud
[] Other (specify) ____

15. What is the principal fuel used by this household for cooking?

[] 1 Electricity
[] 2 Gas
[] 3 Paraffin
[] 4 Wood
[] 5 Coal
[] Other (specify) ____

16. What is the principal fuel used by this household for lighting?

[] 1 Electricity
[] 2 Gas
[] 3 Paraffin
[] 4 Wood
[] 5 Candle
[] 6 Diesel
[] Other (specify) ____

____ Enumerator's name
____ Signature
____ Date
____ Supervisor's name
____ Signature
____ Date

Appendix XVII

Enumerator revisit record

____ Village code
____ Locality code
____ Locality name
____ Lolwapa number

____ Date of first appointment
____ Time of first appointment

____ Date of second appointment
____ Time of second appointment

____ Date of third appointment
____ Time of third appointment

____ Number of enumerated persons present
____ Number of enumerated persons outside Botswana
____ Reported male births
____ Reported female births
____ Reported male deaths
____ Reported female deaths
____ Comments

Section F
[Institutions]

Appendix XVIII

____ District
____ Village
____ Enumeration Area
____ CD
____ Locality
____ Lolwapa/house number
____ Institution
____ Institution code

(All persons)

1. What are the names of all persons who spent last night in this institution? Be sure to include children, elderly persons and those who normally spend the night in this institution but who were away on night duty, at prayer, meeting, etc.

____

2. Serial number

____

3. Sex

[] 1 Male
[] 2 Female

4. Age

How old is [the respondent]? (Age at last birthday. If under 1 year, enter 00) ____

5. Citizenship

Place of usual living

6. Now

Where does [the respondent] usually live?

[] 0001 In this institution
[] 0002 Elsewhere in this locality
[] _ _ _ _ Elsewhere in Botswana (see list)
[] 77XX Other country (see list)

7. A year ago

Where did [the respondent] live this time last year?

[] 0000 Not born
[] 0001 In this institution
[] 0002 Elsewhere in this locality
[] _ _ _ _ Elsewhere in Botswana (see list)
[] 77XX Other country (see list)

8. Does [the respondent] suffer from any of the following disabilities?

(All persons 5 years and over)

9. Has [the respondent] ever attended school?

[] 1 Never attended (Go to Q. 11)
[] 2 Still at school (Go to Q. 10)
[] 3 Left school (Go to Q. 10)

10. What is the highest grade that [the respondent] passed/completed?

Primary

[] 10
[] 11
[] 12
[] 13
[] 14
[] 15
[] 16
[] 17

Secondary

[] 21
[] 22
[] 23
[] 24
[] 25
[] 26

Tertiary

[] 31
[] 32
[] 33
[] 34
[] 35

(All persons 12 years and over)

11. Marital status

Is [the respondent] currently married?

[] 1 Married
[] 2 Living together
[] 3 Never married
[] 4 Separated
[] 5 Divorced
[] 6 Widowed
[] Other (specify) ____

Type of activity during the past 30 days

12. During the past 30 days did [the respondent] work for cash?

[] 1 Yes for someone else (Go to Q. 14)
[] 2 Yes, for self (Go to Q. 14)
[] 3 No (Go to Q. 13)

13. Then what did [the respondent] do during the last 30 days?

[] 1 Family business
[] 2 Work at lands/farms/cattlepost

[For responses 1 or 2,] go to Q. 14

[] 3 Actively seeking work
[] 4 Housework
[] 5 Student
[] 6 Retired
[] 7 Other (specify)

[For responses 3 to 7,] go to 16 if female, else go to next person

14. Occupation

What type of work did [the respondent] do? (Probe as necessary) ____

15. Industry

What was the main product, service or activity of [the respondent's] place of work? (Probe as necessary) ____

(Fertility-females, 12 years and over)

16. How many children have been born alive by [the respondent]?

____

17. How many of these children have died?

____

(Fertility--females, 12--50 years)

18. How many children have been born alive by [the respondent] since Independence Day 1990?

____ Male

19. How many children have been born alive by [the respondent] since Independence Day 1990?

____ Female

____ Comments
____ Enumerator's name
____ Date
____ Signature
____ Supervisor's name
____ Date
____ Signature

Section G

Appendix XIX

____ District
____ Village
____ Enumeration Area
____ CD
____ Locality
____ Lolwapa/house number
____ HH No.

(All persons)

____

2. Serial number

____

3. Relationship

4. Sex

[] 1 Male
[] 2 Female

5. Age

How old is [the respondent]? (Age at last birthday. If under 1 year, enter 00) ____

6. Citizenship

Place of usual living

7. Now

Where does [the respondent] usually live?

[] 0001 In this housing unit
[] 0002 Elsewhere in this locality
[] _ _ _ _ Elsewhere in Botswana (see list)
[] 77XX Other country (see list)

8. A year ago

Where was (the person) during the 1991 Census enumeration?

[] 0000 Not born
[] 0001 In this housing unit
[] 0002 Elsewhere in this locality
[] _ _ _ _ Elsewhere in Botswana (see list)
[] 77XX Other country (see list)

(12 years and over)

9. Marital status

Is [the respondent] currently married?

[] 1 Married
[] 2 Living together
[] 3 Never married
[] 4 Separated
[] 5 Divorced
[] 6 Widowed

(Fertility-females, 12 years and over)

10. How many children have been born alive by [the respondent]?

____

11. How many of children have died?

____

(Fertility-females, 12-50 years)

12. How many children have been born alive by [the respondent] since Independence Day 1990?

____ Male

13. How many children have been born alive by [the respondent] since Independence Day 1990?

____ Female

____ Comments
____ Enumerator's name
____ Date
____ Signature
____ Supervisor's name
____ Date
____ Signature

Data Cart

Your data extract

0	variables
0	samples