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Republic of Ghana
1984 Population Census

Form H
Household

Enumeration area No. _ _ _ _ _ _ _ _
Detailed address of house/compound ________
Name of town/village ____
Town/village code (for office use) _ _ _ _ _ _ _ _

Serial No. of house/compound within E.A. _ _ _
Serial No. of household within house _ _
Type of residence code (for office use) _
Socio-economic code (for office use) _ _
Household pattern (for office use) _ _

Date enumeration started in household ____

List A. Usual members present on census night

Serial No. _
Full name ________
Sex _
Relationship to head of household ____

Total number of persons in the house/compound _ _ _
Total number of persons on list A _ _

List B. Visitors present on census night

Serial No. _
Full name ________
Sex _
Relationship to head of household ____
Usual residence

____ Town/village
____ Region

Total number of persons on list B _
Total number of persons on lists A and B _ _ _ _

List C. Usual members absent on census night

Serial No. _
Full name ________
Sex _
Age _ _
Relationship to head of household ____
Address on census night

____ Town/village
____ Region/country

How long absent? (in completed months) ____

Total number of persons on list C _ _

Lists of relationships to be specified

Head
Temporary head
Wife/husband
Son
Daughter
Father/mother
Father's brother/sister
Mother's brother/sister
Father's father/mother
Mother's father/mother
Brother
Sister
Brother's son/daughter
Sister's son/daughter
Son's son/daughter
Daughter's son/daughter
(Other specify)

Date enumeration completed in household ____

Fill this questionnaire for all usual members and visitors who spent census night in the household (list A and list B)

Make a cross in the appropriate box of write the answer on the dotted line or in the space provided

Answer for each person
[Questions 1-6 were asked of all persons]

1. Full name ________

2. Sex

What is your sex?

1 [] Male
3 [] Female

3. Age ____

What was your age last birthday?

4. Relationship ____

What is your relationship to the head of the household?

5. Birthplace

Where were you born?

00 [] In this town/village
[] In another town/village in Ghana

Specify town/village and region ____

[] Outside Ghana, specify country ____

6. Nationality

What is your nationality?

00 [] Ghanaian
[] If not Ghanaian, specify country ____

Answer only for persons aged 5 years and over
[Question 7 was asked of persons age 5 and older.]

7. Full-time education

(a) Have you attended or are you attending school now?
0 [] Never
1 [] Now
3 [] Past

(b) If now or past in 7a, what is the highest grade (or year) attained in the regular school attended?
0 [] Kindergarten _
1 [] Primary _
2 [] Middle _
3 [] Secondary _
[] Other, specify No. of years ____

Answer only for persons aged 10 years and over, the answers should, except where otherwise stated, refer to the seven days before census night
[Questions 8-11 were asked of persons age 10 and older.]

8. Type of activity

(a) Did you do any work for pay or profit?
[] Yes
[] No

(b) If no, how were you mainly occupied?
2 [] Had job but did not work
3 [] Unemployed
4 [] Homemaker
5 [] Student
[] Other, specify ____

(c) For how many days did you work for pay or profit?
[] Zero
[] Number ____

Answer only for the employed (including those with jobs who did not work) and the unemployed
[Questions 9-11 were asked of employed and unemployed persons age 10 and older]

9. Occupation ________

If employed, what kind of work did you do? (for unemployed, last kind of work)

10. Industry

(a) What is the name and address of the establishment where you worked? (for unemployed last establishment)
____ Name
____ Address
(b) What was the main product or service of this establishment? ____

11. Employment status

1 [] Employee
2 [] Self-employed without employees
3 [] Self-employed and employs others
4 [] Unpaid family worker
[] Other, specify ____

Form G
Group quarters

Enumeration area No. _ _ _ _ _ _ _ _
Name of institution ____
Detailed address of institution or location of outdoor sleepers ________
Name of town/village ____
Town/village code (for office use) _ _ _ _ _ _ _ _

Serial No. of house or location of outdoor sleepers within the E.A. _ _ _
Sex of persons (write 1 for male, 3 for female and 5 for mixed) _
Type of residence code (for office use) _
Socio-economic code (for office use) _ _

For office use SK [] IP []
For office use S [] KI [] P []

Total number of persons enumerated _ _ _ _

For office use SK [] IP []

Fill this questionnaire for all the inmates who spent census night in the institution or the floating population

Put a cross in the appropriate box of write the answer on the dotted line or in the space provided

Answer for each person
[Questions 1-6 were asked of all persons]

1. Full name ________

2. Sex

What is your sex?

1 [] Male
3 [] Female

3. Age ____

What was your age last birthday?

4. Relationship ____

What is your relationship to the head of the household?

5. Birthplace

Where were you born?

00 [] In this town/village
[] In another town/village in Ghana

Specify town/village and region ____

[] Outside Ghana, specify country ____

6. Nationality

What is your nationality?

00 [] Ghanaian
[] If not Ghanaian, specify country ____

Answer only for persons aged 5 years and over
[Question 7 was asked of persons age 5 and older.]

7. Full-time education

(a) Have you attended or are you attending school now?
0 [] Never
1 [] Now
3 [] Past

(b) If now or past in 7a, what is the highest grade (or year) attained in the regular school attended?
0 [] Kindergarten _
1 [] Primary _
2 [] Middle _
3 [] Secondary _
[] Other, specify No. of years ____

Answer only for persons aged 10 years and over, the answers should, except where otherwise stated, refer to the seven days before census night
[Questions 8-11 were asked of persons age 10 and older.]

8. Type of activity

(a) Did you do any work for pay or profit?
1 [] Yes
[] No

(b) If no, how were you mainly occupied?
2 [] Had job but did not work
3 [] Unemployed
4 [] Homemaker
5 [] Student
[] Other, specify ____

(c) For how many days did you work for pay or profit?
0 [] Zero
[] Number ____

Answer only for the employed (including those with jobs who did not work) and the unemployed
[Questions 9-11 were asked of employed and unemployed persons age 10 and older]

9. Occupation ________

If employed, what kind of work did you do? (for unemployed, last kind of work)

10. Industry

(a) What is the name and address of the establishment where you worked? (for unemployed last establishment)
____ Name
____ Address

(b) What was the main product or service of this establishment? ____

11. Employment status

1 [] Employee
2 [] Self-employed without employees
3 [] Self-employed and employs others
4 [] Unpaid family worker
[] Other, specify ____

Form E.3.1
Coverage check

Enumeration _ _ _ _ _ _ _ _
Detailed address of house/compound ________
Name of town/village ____

Serial No. of house/compound within E.A. _ _ _
Census serial No. of house/compound within E.A. (for office use) _ _ _
Serial No. of household within house _ _
Census serial No. of household within house (for office use) _ _

Date interviewing started in household ____

List A. Persons present in household on census night and also present on night before interviewer's visit

Serial No. _
Full name ________
Sex _
Relationship to head of household ____

Total number of persons on list A _ _

List B. Persons present in household on census night but absent on night before interviewer's visit

Serial No. _
Full name ________
Address on the night before interviewed

____ Town/village
____ Region

Address of usual place of residence

____ Town/village
____ Region

Total number of persons on list B _
Total number of persons on lists A and B _ _

List C. Persons absent from household on census night but present on night before interviewer's visit

Serial No. _
Full name _______
Sex _
Age _ _
Relationship to head of household ____
Detailed address of place of stay on census night
House name and compound name, or other description ____
Town/village ____
Region ____

Total number of persons on list C _ _

Date enumeration completed in household ____

Fill this questionnaire for all persons who spent census night in the household (mark a cross in the appropriate box or write the answer on the dotted line or in the space provided)
[Questions 1-5 were asked of all persons]

(1) Full name (and other names) ________

(2) Sex

1 [] Male
3 [] Female

(3) Age ____

What is your age (in completed years)?

4. Relationship ____

What is your relationship to the head of household?

5. Occupation ________

Answer only for persons aged 10 years and over who were employed, including those with jobs who did not work, and the unemployed. The answers should refer to the 7 days before census night. For all others leave blank.

If employed, what kind of work did you do? If employed, what was your last kind of work?