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Ministry of Planning and Regional Development
Republic of Cameroon
Peace - Work - Fatherland

Second general population and housing census
Decree No. 85/506 of 11th April 1985

Form RD2
Household - Housing unit questionnaire

Confidential - Information contained in this document is confidential and shall not be used for prosecution, tax control, or economic penalties. Any failure to answer or any inaccurate answer shall be punished in accordance with Law No. 83/017 of 21st July 1963 relating to the obligation to furnish statistics and the secrecy attached thereto.


A. Province: _
B. Division: _ _
C. Sub-division or district: _ _ _
D. Town or village: _ _ _
E. Quarter of town or locality: _ _
F. Enumeration area No.: _ _ _
G. Structure No.: _ _ _
H. Household No.: _ _

Total number of questionnaires used in this household _
Questionnaire No. _

Important reminders to the enumerator

1. Introduction
Introduce yourself politely and fully, giving your name, showing your work card, and explaining that you have been authorized to ask a few questions within the framework of the General Population and Housing Census. Interview only one adult person in each household, in the absence of the head of the household.

2. Attire
You should always be dressed and courteous with the people. Respect the person you are going to visit.

3. Revision of questionnaire
Do not forget to fill page 4 of this questionnaire. After an interview in a household, go through the questionnaire again to check that no information has been left out or is incomplete, and make sure that no resident has been left out before you leave the household.

4. Call-backs
Return to household where you did not find any adult to answer your questions. Ask the neighbors to tell you when it is best to come back to a household. Also ask them for any relevant information and write this down in your field book.

5. Recapitulation
At the end of each day's work, make a recapitulation of the number of residents in the first sheet used in each household, suing the table provided for that purpose. When the whole enumeration are has been covered, transfer this recapitulation in the appropriate form.

Number of residents in this household

____ Male
____ Female
____ Total


[Questions on persons]

[Ask to] residents (list all persons usually residing in the household, whether present or absent) and visitors (list all persons who do not usually reside in the household, but who spent the night preceding the interview in the household.

The whole population
[Questions 1-14 were asked of all persons.]

P1. Serial number _

P2. Name in full ________

Record the residents of the household in the following order:
  • Head of household
  • Unmarried children of the head of the household whose mother does not live in the household
  • Spouse(s) of the head of the household followed by her(their) unmarried children.
  • Married children of the head of the household and their family.
  • Other residents of the head of the household or his spouse(s)
  • Persons who are not relatives of the head of the household or his spouse(s)


P3. Relationship to head of household

What is [the respondent's] relationship to the head of the household? Put the appropriate abbreviation according to the instructions at the bottom of the page.

[] Head of household.
[] Spouse of head of household.
[] Son or daughter of head of household.
[] Father or mother of head of household.
[] Other relative.
[] Non-relative.



P4. Sex

Circle the appropriate number: 1 - M (male) or 2 - F (female)

[] 1 Male
[] 2 Female




P5. Situation of residence
[] 1 Present
[] 2 Absent


P6. Date of birth

Put the first three letters of the month and the last two figures of the year of birth if it is after 1900; if it is before 1900, put 00.

Month _ _ _
Year _ _


P7. Age _ _

Put the declared or estimated age in full years (as of last birthday)



P8. Place of birth ________

Where was [the respondent] born? If the person was born in Cameroon, put the subdivision of the district if it is known or the name of the locality and the division in brackets. If the person was born abroad, put the name of the country.



P9. Nationality ________

What is [the respondent's] nationality? Put the person nationality. CAM for Cameroonians, and the name of the country for foreigners.



P10. Place of usual residence ________

This applies only to visitors. Where does [the respondent] usually reside? Put the subdivision or the district if it is known, or the name of the locality and the division in brackets, if it is in Cameroon. Put the country if it is abroad.



P11. Place of previous residence ________

Has [the respondent] already lived elsewhere for more than 6 months? If no, put no. If yes, where was [the respondent] living immediately before settling where he/she is now residing? Put the subdivision or the district if it is known, or the name of the locality and the division in brackets, if it is in Cameroon. Put the name of the country if it is abroad.



P12. Duration of residence

If yes in P11, for how long has [the respondent] resided in the present subdivision? Put the number of years since the last change of residence.



Survival of parents


P13. Father living

Is [the respondent's] father still living? Circle the appropriate number: 1-Yes, 2-No, or 3-Does not know.

[] 1 Yes
[] 2 No
[] 3 Does not know



P14. Mother living

Is [the respondent's] mother still living? Circle the appropriate number: 1-Yes, 2-No, or 3-Does not know.

[] 1 Yes
[] 2 No
[] 3 Does not know



Population of 3 years and older (born before April 1984).
[Questions 15-18 were asked of persons 3 years old or more.]


Education

Has [the respondent] ever attended school? If no, put a dash in columns P15, P16, and P17. If yes, put in column P15 the abbreviation that corresponds to the type of education, according to the instructions at the bottom of the page. In column P16 put the last class attended under the type of education and in column P17, the highest diploma obtained. Use the numbers at the bottom of the page.

P15. Type ____

P16. Class ____

P17. Diploma ____

P18. School attendance ____

Is [the respondent] currently attending courses, either in a regular school, full time or part time, in the day or in the evening? Circle the number corresponding to the appropriate abbreviation according to the instructions at the bottom of the page.



Population of 6 years and older (born before April 1981)
[Questions 19-22 were asked of persons 6 years old or more.]


P19. Economic activity ____

During the week from ... to ... what was [the respondent] doing most of the time? Put the appropriate abbreviation according to the instructions at the bottom of the page.



This applies only to persons who worked during the week referred to and those unemployed who had lost their job. For all other persons, put a dash.
[Questions 20-22 were asked of persons in the labor force.]


P20. Employment type ________

For those who worked during the week: what job did [the respondent] hold? For those unemployed who had lost their job: what was [the respondent's] last job? Put the job declared.



P21. Work status________

What was [the respondent's] status at this job? Put one of the abbreviations that correspond to the status on the job, according to the instructions at the bottom of the page.



P22. Industry type ________

In what kind of business or industry was [the respondent's] job? Write in full what [the respondent's] enterprise, company, industry, or employer was doing.



Population of 11 years and older (born before April 1976)
[Questions 23-26 were asked of persons 11 years old or more.]


P23. Place of residence during the April 1976 census________

Where was [the respondent] residing during the April 1976 census? Put the subdivision or the district if it is known, or the name of the locality and the division in brackets, if it is in Cameroon. Put the country if it is abroad.



P24. Marital status ________

Put the appropriate symbol, according to the instructions at the bottom of the page.



P25. Illiteracy

Can [the respondent] read and write? Circle the number corresponding to the appropriate symbol according to the instructions at the bottom of the page.

[] 1 Can read and write French or English
[] 2 Can read and write one national language only
[] 3 Can read and write another language only
[] 4 Can neither read nor write



Women of 12 years and older (born before April 1975)
[Questions 26-27 were asked of women 12 years old or more.]


Births during the past 12 months

Has [the respondent] given birth during the period from April 1986 to March 1987? If no, put a dash. If yes, put on P26 the number of boys and in P27 the number of girls born alive.

P26. Male _ _

P27. Female _ _


Questions on housing

Circle the appropriate number where applicable: in the case of a compound occupied by only one household, take the characteristics (except for the number of rooms) of the main house.


H1. Type of structure

[] 1 Detached house.
[] 2 House with several housing units.
[] 3 Modern villa
[] 4 Apartment building
[] 5 Compound or sare
[] 6 Others



H2. Main material of walls

[] 1 Concrete, cement blocks, baked bricks
[] 2 loose stone
[] 3 Plank
[] 4 Plywood
[] 5 Earth, unbaked brick
[] 6 Mud
[] 7 Mat, leaves or straw
[] 8 Others



H3. Main material of roof

[] 1 Hard (cement)
[] 2 Sheet metal or tile
[] 3 Earth
[] 4 Leaf, thatch, mat
[] 5 Others



H4. Main material of floor

[] 1 Cement
[] 2 Tiles
[] 3 Wood
[] 4 Earth
[] 5 Others



H5. Main source of lighting

[] 1 Electricity
[] 2 Kerosene
[] 3 Electricity and kerosene
[] 4 Gas
[] 5 Others



H6. Main source of water supply

[] 1 Indoor tap
[] 2 Outdoor tap
[] 3 Public tap
[] 4 Harnessed spring
[] 5 Well or unharnessed spring
[] 6 River, creek
[] 7 Others



H7. Main source of energy for cooking

[] 1 Wood, charcoal, sawdust
[] 2 Kerosene
[] 3 Gas
[] 4 Electricity
[] 5 Others



H8. Type of toilet

[] 1 Internal with flush
[] 2 External, private with flush
[] 3 Shared with other households, with flush
[] 4 Private latrines
[] 5 Common latrines
[] 6 Others



H9. Tenure type

[] 1 Owner with land certificate
[] 2 Owner without land certificate
[] 3 Renting
[] 4 House by employer
[] 5 Housed free of charge by someone other than the employer



H10. Number of rooms _ _


Deaths that occurred during the past twelve months in this household

H11. Have there been deaths in this household during the period from April 1986 to March 1987?

(Circle the appropriate number)

[] 1 Yes
[] 2 No


If yes, circle the number corresponding to the sex of each deceased, and record the age at death (a line per death.)


H12. Sex of the deceased

1st death

[] 1 Male
[] 2 Female

2nd death

[] 1 Male
[] 2 Female

3rd death

[] 1 Male
[] 2 Female

4th death

[] 1 Male
[] 2 Female



H13. Age at death

_ _ 1st death
_ _ 2nd death
_ _ 3rd death
_ _ 4th death


Date of visit _______
Name of census enumerator ________