Republic of Botswana
2011 Population and Housing Census

Household Questionnaire

District _ _ _
Locality _ _ _
Village _ _
Enumeration Area _ _ _ _
Lolwapa / House Number _ _ _ _
Check Digit _ _
Household Number _ _ _ _

A. Person Information

[Questions 1-12 were asked of all persons]

Name
1. What are the names of all persons who spent last night here? [Include babies and elderly persons. Include visitor and those who normally spend the night here but who were away on night duty, at prayer meeting, etc.]

________

2. Serial number _ _ _ _ _

Relationship
3. What is [the respondent's] relationship to the head of household?

[] 00 Head
[] 01 Spouse / partner
[] 02 Son / daughter
[] 03 Son / daughter in-law
[] 04 Step child
[] 05 Grandchild
[] 06 Parent
[] 07 Mother / father in-law
[] 08 Grandparent
[] 09 Brother / sister
[] 10 Nephew / niece
[] 11 Other relative
[] 12 Visitor
[] 13 Not related

4. Sex

[] 1 Male
[] 2 Female

Age
5. How old is the [the respondent's] in completed years? [List the age at last birthday. If under 1 year enter 00]

_ _ _

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

[] 001 Botswana
[] 002 Angola
[] 003 Lesotho
[] 004 Malawi
[] 005 Mozambique
[] 006 Namibia
[] 007 South Africa
[] 008 Swaziland
[] 009 Zambia
[] 010 Zimbabwe
[] 011 Tanzania
[] 012 Democratic Republic of the Congo
[] 013 Mauritius
[] 014 Seychelles
[] Other (see list)

Place of birth
7. Where was [the respondent] born? (Usual place of mother's residence at time of birth)
[State locality and census district if born elsewhere in Botswana, otherwise state country]

________

Place of usual living

8. Where does [the respondent] usually live?

[] 0001 In this housing unit
[] 0002 Elsewhere in this locality
[] 66XX Elsewhere in Botswana [state the town / census district]
[] 7XXX Other country [see list]

9. Where did [the respondent] live in August last year?

[] 0000 Not born
[] 0001 In this housing unit
[] 0002 Elsewhere in this locality
[] 66XX Elsewhere in Botswana [state town / district]
[] 7XXX Other country (see list)

10. Where did [the respondent] live this time in August 2006?

[] 0000 Not born
[] 0001 In this housing unit
[] 0002 Elsewhere in this locality
[] 66XX Elsewhere in Botswana [state town / census district]
[] 7XXX Other country [see list]

Parental survival

11. Is [the respondent's] biological father alive?

[] 1 Yes
[] 2 No
[] 3 Don't know

12. Is [the respondent's] biological mother alive?

[] 1 Yes
[] 2 No
[] 3 Don't know

Language

[Questions 13-15 were asked of all persons age 2 years and over]

13. What language does [the respondent] speak most often at home?

[] 01 Setswana
[] 02 English
[] 03 Sekalaka
[] 04 Sekgalagadi
[] 05 Sesubiya
[] 06 Sesarwa
[] 07 Seyei
[] 08 Sembukushu
[] 09 Afrikaans
[] 10 Ndebele
[] 11 Shona
[] 12 Seherero
[] 19 Other (specify) ____

Educational attainment

14. Has [the respondent] ever attended school?

[] 1 Still at school
[] 2 Left school
[] 3 Never attended [go to question 17]

15. What is the highest level of schooling that [the respondent] has completed?

Pre-primary

[] 01 One year
[] 02 Two years
[] 03 Three years
[] 04 Four years

Primary

[] 101 One year
[] 102 Two years
[] 103 Three years
[] 104 Four years
[] 105 Five years
[] 106 Six years
[] 107 Seven years

Secondary

[] 201 One year
[] 202 Two years
[] 203 Three years
[] 204 Four years
[] 205 Five years
[] 206 Six years

Non-formal education

[] 301 One year
[] 302 Two years
[] 303 Three years
[] 304 Four years
[] 305 Five years

Apprentice

[] 1110 Less than one year
[] 1111 One year
[] 1112 Two years
[] 1113 Three years
[] 1114 Four years

Brigade

[] 1220 Less than one year
[] 1221 One year
[] 1222 Two years
[] 1223 Three years
[] 1224 Four years

Technical / Vocational certificate

[] 1310 Less than one year
[] 1311 One year
[] 1312 Two years
[] 1313 Three years
[] 1314 Four years
[] 1315 Five years

Technical / Vocational diploma

[] 1320 Less than one year
[] 1321 One year
[] 1322 Two years
[] 1323 Three years
[] 1324 Four years
[] 1325 Five years

Educational college certificate

[] 1411 One year
[] 1412 Two years
[] 1413 Three years
[] 1414 Four years

Educational college diploma

[] 1421 One year
[] 1422 Two years
[] 1423 Three years
[] 1424 Four years
[] 1425 Five years

Educational college degree

[] 1430 Less than one year
[] 1431 One year
[] 1432 Two years
[] 1433 Three years
[] 1434 Four years
[] 1435 Five years

Institute of Health Sciences

[] 1510 Less than one year
[] 1511 One year
[] 1512 Two years

Diploma of Institute of Health Sciences

[] 1521 One year
[] 1522 Two years
[] 1523 Three years
[] 1524 Four years

Degree of Institute of Health Sciences

[] 1531 One year
[] 1532 Two years
[] 1533 Three years
[] 1534 Four years
[] 1535 Five years

University certificate

[] 1610 Less than one year
[] 1611 One year
[] 1612 Two years
[] 1613 Three years
[] 1614 Four years

University diploma

[] 1611 One year
[] 1612 Two years
[] 1613 Three years
[] 1614 Four years

University degree

[] 1630 Less than one year
[] 1631 One year
[] 1632 Two years
[] 1633 Three years
[] 1634 Four years
[] 1635 Five years
[] 1636 Six years
[] 1637 Seven years

University post-graduate degree

[] 1641 One year
[] 1642 Two years
[] 1643 Three years
[] 1644 Four years
[] 1645 Five years
[] 1646 Six years

University PhD / doctorate

[] 1651 One year
[] 1652 Two years
[] 1653 Three years
[] 1654 Four years
[] 1655 Five years
[] 1656 Six years
[] 1657 Seven years

[Questions 16-24 were asked to persons age 12 years and over]

Field of Education
[For codes 11-16 of question 15]
16. If tertiary, what is/was [the respondent's] field of education?

________ [probe as necessary, use two or more words to describe field of education]

Religion
17. What is [the respondent's] religion?

[] 1 Christian
[] 2 Muslim
[] 3 Bahai
[] 4 Hindu
[] 5 Badimo
[] 6 Other religion
[] 7 No religion

Marital status
18. What is [the respondent's] marital status?

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

Economic activity

19. What has [the respondent] been doing mainly since Independence Day 2010?

Seasonal work

[] 01 Paid
[] 02 Unpaid

Non-seasonal work

[] 03 Paid
[] 04 Unpaid

Other

[] 05 Job seeker
[] 06 Home work
[] 07 Student
[] 08 Retired
[] 09 Sick
[] 10 Prisoner
[] 12 Other (specify) ________

20. Did [the respondent] do any type of work for pay, profit, or home use for at least 1 hour in the past 7 days?

[] 1 Yes [go to question 22]
[] 2 No [if no, has the respondent worked at own lands / cattle?]

21. Since [the respondent] was not working, what did he / she do?

[] 1 Actively seeking work
[] 2 House work
[] 3 Student
[] 4 Retired
[] 5 Sick
[] Other (specify) ________

[If female, go to question 25. If male, go to next person]

22. What was [the respondent] working as during the past 7 days?

[] 1 Employee - paid cash
[] 2 Employee - paid in kind
[] 3 Self-employed (no employees)
[] 4 Self-employed (with employees)
[] 5 Unpaid family helper
[] 6 Working at own lands / cattle posts

Occupation
23. What type of work did [the respondent] do in the past 7 days? To be precise, what were the main tasks and duties?

________ [probe as necessary, use two or more words to describe the occupation]

Industry
24. What was the main product, service, or activity of [the respondent's] place of work?

________ [probe as necessary, use two or more words to describe the industry]

[Go to question 25 for female, else go to next question]

Fertility and child survival

[Questions 25-28 were asked only to females age 12 years and over]

25. How many children have been born alive by [the respondent]?
[Include those who have died]