2013 Household Listing Exercise
____ Locality
____ Household number
For all persons
[Question D1 through D9 were asked of all persons.]
[D1] What is this person's name? ____
List all who stayed in this household.
[D2] What is this person's relationship to head of household? _ _
Enter relationship from inside front cover
[D3] What is this person's sex?
Tick appropriate box.
[] 1 Male
[] 2 Female
[] 1 Male
[] 2 Female
[D4a] What is this person's date of birth? If date unknown, estimate year.
Day _ _
Month _ _
Year _ _ _ _
Month _ _
Year _ _ _ _
[D4b] What is this person's age? _ _
[D5] What is this person's ethnic group? _ _
Enter ethnic group from inside front cover.
[D6] What is this person's marital status? _ _
Enter marital status from inside front cover.
[D7] What is this person's religion? _
State exact denomination or sect.
[D8] What is this person's residency status?
Tick appropriate box.
[] 1 Fiji citizen
[] 2 Permit Holder
[] 3 Visitor
[] 1 Fiji citizen
[] 2 Permit Holder
[] 3 Visitor
[D9] Is this person currently attending any formal educational institution?
Tick appropriate box.
[] 1 Full time [Go to D10a]
[] 2 Part time [Go to D10a]
[] 3 Left school [Go to D10b]
[] 4 Never been [Go to D12]
[] 1 Full time [Go to D10a]
[] 2 Part time [Go to D10a]
[] 3 Left school [Go to D10b]
[] 4 Never been [Go to D12]
[D10a] What is the level of education this person is attending? [Go to D11] _ _
[D10b] What is the highest level of education this person has completed? _ _
[D11] What is the main field of study this person has completed? _ _ _ _
For persons who have completed study at the tertiary or vocational level.
State main field of study i.e. BA [Economics], Diploma [Motor Mechanic], Certificate [Primary Teaching], etc.
State main field of study i.e. BA [Economics], Diploma [Motor Mechanic], Certificate [Primary Teaching], etc.
[D12] How did this person travel to his/her main daily activity last week? _ _
Enter mode of transport from inside front cover.
Questions D13-D18 refer to "last week"
[D13a] Did this person do any work?
For money, payment in kind or subsistence.
Tick appropriate box. Important: For those temporarily absent from work: tick "yes".
[] 1 Yes
[] 2 No [Go to D18]
Tick appropriate box. Important: For those temporarily absent from work: tick "yes".
[] 1 Yes
[] 2 No [Go to D18]
[D13b] If yes, what type of work did this person do?
If applicable, select more than one option.
[] 1 Work for money
[] 2 Work to support household by producing goods for sale
[] 3 Work to support household by producing goods for own consumption [If only 3, go to D18]
[] 1 Work for money
[] 2 Work to support household by producing goods for sale
[] 3 Work to support household by producing goods for own consumption [If only 3, go to D18]
Questions D14-D18 for money or other compensation workers only
[D14] What is this person's occupation? _ _ _ _
Describe main task usually performed.
[D15a] Who does this person work for? ____
Company name, organization, self.
[D15b] What are the activities, services, products of this workplace? _ _ _ _
[D15c] What is the location of this workplace? __
[D16] What is this person's employment status?
[] 1 Employee
[] 2 Employer
[] 3 Self-employed
[] 4 Unpaid family worker
[] 5 Other, specify ____
[] 2 Employer
[] 3 Self-employed
[] 4 Unpaid family worker
[] 5 Other, specify ____
[D17] How is this person paid?
[] 1 Daily
[] 2 Weekly
[] 3 Fortnightly
[] 4 Monthly
[] 5 By sale / job done
[] 6 Volunteer with allowance
[] 7 Other, specify ____
[] 2 Weekly
[] 3 Fortnightly
[] 4 Monthly
[] 5 By sale / job done
[] 6 Volunteer with allowance
[] 7 Other, specify ____
[D18a] Did this person actively look for work?
Tick appropriate box.
[] 1 Yes [Go to D18c]
[] 2 No
[] 1 Yes [Go to D18c]
[] 2 No
[D18b] If 'No', why didn't this person actively look for work?
[Question to be asked to persons who are not actively looking for work in question D18a.]
[] 1 Fulltime homemaker
[] 2 Fulltime student
[] 3 Retired
[] 4 Disabled
[] 5 No intention
[] 6 Believes no work available
[] 7 Other, specify ____
[] 1 Fulltime homemaker
[] 2 Fulltime student
[] 3 Retired
[] 4 Disabled
[] 5 No intention
[] 6 Believes no work available
[] 7 Other, specify ____
[D18c] Was this person available to start work?
[Question asked to persons who are actively looking for work in question D18a.]
Tick appropriate box.
[] 1 Yes
[] 2 No
Tick appropriate box.
[] 1 Yes
[] 2 No
Household and housing
[Put appropriate number in right hand box]
[H1] Type of living quarters
Which type of living quarters does this household live in?
[] 1 One family house detached from any other house
[] 2 One family house attached to one or more houses
[] 3 Building with two or more apartments
[] 4 Building with two or more household which share a kitchen or toilet
[] 5 Dwelling attached to a shop or other non-residential building
[] 6 Lodging house
[] 7 Hotel
[] 8 Other, specify ____
[] 1 One family house detached from any other house
[] 2 One family house attached to one or more houses
[] 3 Building with two or more apartments
[] 4 Building with two or more household which share a kitchen or toilet
[] 5 Dwelling attached to a shop or other non-residential building
[] 6 Lodging house
[] 7 Hotel
[] 8 Other, specify ____
[H2a] Construction of outer walls
Of what material are the outer walls of the living quarters of this household mainly constructed of?
[] 1 Concrete, brick or cement
[] 2 Wood
[] 3 Tin or corrugated iron
[] 4 Traditional bure materials
[] 5 Makeshift or improvised materials
[] 6 Other materials, specify ____
[] 1 Concrete, brick or cement
[] 2 Wood
[] 3 Tin or corrugated iron
[] 4 Traditional bure materials
[] 5 Makeshift or improvised materials
[] 6 Other materials, specify ____
[H2b] What is the condition of outer walls?
[] 1 Good
[] 2 Average
[] 3 Poor
[] 2 Average
[] 3 Poor
[H3] Number of rooms
How many rooms does the living quarters of this household have? _
[H4a] Main water supply
What is this household's main water supply?
[] 1 Metered
[] 2 Communal standpipe
[] 3 Roof tank
[] 4 Well
[] 5 River or creek
[] 6 FSC / EGM
[] 7 Borehole
[] 8 Other supply, specify ____
[] 1 Metered
[] 2 Communal standpipe
[] 3 Roof tank
[] 4 Well
[] 5 River or creek
[] 6 FSC / EGM
[] 7 Borehole
[] 8 Other supply, specify ____
[H4b] How often does the household's water supply run out or dry up?
[] 1 Never
[] 2 Sometimes
[] 3 Often
[] 2 Sometimes
[] 3 Often
[H5] What is this household's main electricity supply?
[] 1 FEA
[] 2 FSC
[] 3 Vatukoula
[] 4 PWD
[] 5 Village diesel plant
[] 6 Village hydro plant
[] 7 Home solar system
[] 8 Own plant
[] 9 None
[] 10 Other, specify ____
[] 2 FSC
[] 3 Vatukoula
[] 4 PWD
[] 5 Village diesel plant
[] 6 Village hydro plant
[] 7 Home solar system
[] 8 Own plant
[] 9 None
[] 10 Other, specify ____
[H6] Lighting
What does this household mainly use for lighting?
[] 1 Electricity
[] 2 Pressure lamp
[] 3 Wick lamp
[] 4 Other, specify ____
[] 1 Electricity
[] 2 Pressure lamp
[] 3 Wick lamp
[] 4 Other, specify ____
[H7] Cooking fuel
What does this household mainly use for cooking?
[] 1 Electricity
[] 2 LPG [Fiji gas, etc.]
[] 3 Kerosene
[] 4 Wood stove
[] 5 Wood, open fire
[] 6 Biogas
[] 7 Other, specify ____
[] 1 Electricity
[] 2 LPG [Fiji gas, etc.]
[] 3 Kerosene
[] 4 Wood stove
[] 5 Wood, open fire
[] 6 Biogas
[] 7 Other, specify ____
[H8] Toilet facilities
What type of toilet facilities does this household use?
[] 1 Flush toilet for exclusive use
[] 2 Flush toilet shared with other households
[] 3 Water sealed privy for exclusive use
[] 4 Shared water sealed privy
[] 5 Pit latrine for exclusive use
[] 6 Shared pit latrine
[] 7 None
[] 8 Other, specify ____
[] 1 Flush toilet for exclusive use
[] 2 Flush toilet shared with other households
[] 3 Water sealed privy for exclusive use
[] 4 Shared water sealed privy
[] 5 Pit latrine for exclusive use
[] 6 Shared pit latrine
[] 7 None
[] 8 Other, specify ____
[H9] Tenure: living quarters
State type of tenure of the living quarters occupied by the household
[] 1 Own or have a mortgage
[] 2 Rent from private landlord
[] 3 Rent from public rental board
[] 4 Occupy government or institutional housing
[] 5 Occupy by leave of employer
[] 6 Caretaker
[] 7 Other, specify ____
[] 1 Own or have a mortgage
[] 2 Rent from private landlord
[] 3 Rent from public rental board
[] 4 Occupy government or institutional housing
[] 5 Occupy by leave of employer
[] 6 Caretaker
[] 7 Other, specify ____
H10 Tenure: land
What is the type of tenure of the land is this household occupies?
[] 1 Freehold
[] 2 Lease from state
[] 3 Lease from NTLB
[] 4 Occupy without legal arrangement, state or freehold land
[] 5 Occupy native land with formal or informal arrangement
[] 6 Occupy through traditional village tenure
[] 7 Other, specify ____
[] 1 Freehold
[] 2 Lease from state
[] 3 Lease from NTLB
[] 4 Occupy without legal arrangement, state or freehold land
[] 5 Occupy native land with formal or informal arrangement
[] 6 Occupy through traditional village tenure
[] 7 Other, specify ____
[H11a] Land use
Apart from this site being the residential quarters for this household, are there any other land uses or regular activities carried out on this site by this household?
Tick the appropriate box or boxes.
[] 1 Run a shop/canteen
[] 2 Farm for household [subs]
[] 3 Farm produce for sale
[] 4 Make objects for sale [clothes, food, art]
[] 5 Offer technical service [e.g. mechanic garage]
[] 6 Offer professional service [e.g. accounting]
[] 7 Offer flat for rent
[] 8 Offer organized, community, religious and educational services
[] 9 None
[] 10 Other, specify ____
Tick the appropriate box or boxes.
[] 1 Run a shop/canteen
[] 2 Farm for household [subs]
[] 3 Farm produce for sale
[] 4 Make objects for sale [clothes, food, art]
[] 5 Offer technical service [e.g. mechanic garage]
[] 6 Offer professional service [e.g. accounting]
[] 7 Offer flat for rent
[] 8 Offer organized, community, religious and educational services
[] 9 None
[] 10 Other, specify ____
[H11b] Land use for farming ____
If response to H11 is 2 or 3 state main farming activity
[H12] Waste disposal
How is the household waste disposed?
Tick appropriate box or boxes.
[] 1 Collected by local authority / council
[] 2 Buried
[] 3 Burnt
[] 4 Disposed in river / creek
[] 5 Disposed in sea
[] 6 Disposed in backyard
[] 7 Compost bin
[] 8 Other, specify ____
Tick appropriate box or boxes.
[] 1 Collected by local authority / council
[] 2 Buried
[] 3 Burnt
[] 4 Disposed in river / creek
[] 5 Disposed in sea
[] 6 Disposed in backyard
[] 7 Compost bin
[] 8 Other, specify ____
[H13] Household durables
Are any of the following items owned by members of this household?
State number of items in appropriate box. "0" if none.
State number of items in appropriate box. "0" if none.
_ 1. Car / van
_ 2. Carrier / truck / tractor
_ 3. Outboard motor
_ 4. Generator
_ 5. Brush cutter / lawn mower
_ 6. Home solar system
_ 7. Water pump
_ 8. Refrigerator / freezer
_ 9. Washing machine
_ 10. Clothes drier
_ 11. Gas / electric stove
_ 12. Hot water system
_ 13. Air conditioner
_ 14. Radio / stereo
_ 15. TV
_ 16. Video / DVD
_ 17. Sky Pacific
_ 18. Telephone- Line / Easy Tel
_ 19. Mobile phone
_ 20. Computer / laptop
_ 21. Internet
_ 22. Ipad / tablet
_ 23. Smart phone
Remittances
[H14] Does the household receive money from overseas?
Tick appropriate boxes.
[] If yes, continue
[] If no, end interview
[] If yes, continue
[] If no, end interview
[H15a] If yes, give a rough estimate of how much was received within the last 12 months? ____
[H15b] What is the country of residence of the sender? _ _
[H15c] What is the relationship of sender to the head of household? _ _
Enter relationship code inside of front cover of questionnaire.
[H15d] What is the occupation of sender? _ _
[H15e] How is the money usually received? ____
Enter mode of transfer inside front cover of questionnaire.