Republic of Ghana
Ghana Statistical Service
2000 Population and Housing Census
Instructions: Mark with an X where indicated and fill out form as shown to be asked of head of household or any other responsible member.
A01 Region Name ________
A02 District Name ________
A03 Locality Name ________
A04 Detailed Address of House/Compound/Group Quarters ________
A05 Enumeration Area Code (Base)
_ _ Region
_ _ District
_ _ _ Locality
_ _ _ EA Number
A06 Locality Code _ _ _
A07 Serial No. of House/Compound/Group Quarters _ _ _
A08 Serial No. of Household within House/Compound or subgroup of Group Quarters
_ _ _
A09 Date enumeration started
_ _ Day
_ _ Month
A10 Date enumeration completed
_ _ Day
_ _ Month
A11a Supplementary completed
[] No
A11b If yes in 11a, mark X in the appropriate box
[] Continuation Forms
A12 Type of Residence
[] 02 Vacant housing unit (Go to housing condition)
[] 03 Homeless household (Go to A13 on next page)
[] 04 School, College, University, Seminary, Convent
[] 05 Children's home/SOS, orphanage, destitutes' home
[] 06 Hospital, Maternity Home, Divine healers or herbalist's establishment, Leper settlement, infirmary
[] 07 Prisons, borstal institutions, "Industrial" school, remand home
[] 08 Service barracks, including army camps, and police depots
[] 09 Mining camps, road camps, farm camps, refugee cams etc.
[] 10 Hotel, rest-house, transit quarters, hostel, bar night club, restaurant
[] 11 Transit post e.g. at railway station, in ships, at ferries, inside harbour, at airport, at international border stations
[] 12 Lorry park, market (inside or outside)
[] 13 Other location of outdoor sleepers e.g. on floor near shops, on the beach, on verandah of houses, on pavement at office premises etc., locations of person not in transit e.g. mentally ill.
(Households only)
A15 Status B _ _
A16 Status C _ _
A17 Total persons enumerated _ _ _ _
Number _ _
Full Name ________
Relationship to head of household ________
Sex
[] Female
Age _ _
Status "A/B/C"
[] "B" Visitors present on census night
[] "C" Usual members absent on census night
Complete this column only for usual members absent on census night i.e. Status = C
Town/village ________
Region/Country ________
Months absent ________
Write names of eligible members
Status "A" and "B"
Member name ____
P01 Relationship: What is the relationship of (name) to head of household?
[] 2 Temporary head
[] 3 Spouse (wife/husband)
[] 4 Child (Son/daughter)
[] 5 Parent/parent-in-law
[] 6 Son/Daughter-in-law
[] 7 Grandchild
[] 8 Other relative
[] 9 Non-relative
[] 0 Group quarters/outdoor sleeper
P02 Sex: What is the sex of (name)?
[] Female
P03 Age: How old is (name), in complete years? (Fill in actual age if 00 to 98. If 99 or older, fill 99) _ _
P04 Nationality: What is (name's) nationality?
[] 2 Ghanaian by naturalisation (Go to P07)
[] 3 Other ECOWAS national (Go to P07)
[] 4 African other than ECOWAS (Go to P07)
[] 5 Non African (Go to P07)
[P05-P06 were asked of persons whose nationality are Ghanaian by birth.]
P05 Ethnicity: To which ethnic group does (name) belong? (Refer to appendix 3 for code list). _ _
P06a Born in the town/village: Was (name) born in this town or village? If yes go to P07
[] No
P06b Birthplace outside this town/village: In what region or country was (name) born?
[] 02 Central
[] 03 Greater Accra
[] 04 Volta
[] 05 Eastern
[] 06 Ashanti
[] 07 Brong Ahafo
[] 08 Northern
[] 09 Upper East
[] 10 Upper West
[] 96 Other ECOWAS States
[] 97 African other than ECOWAS
[] 98 Outside Africa
P07 Usual place of residence: In what district is (name's) usual residence? (Refer to appendix 4 for code list) _ _ _ _
P08 Place of residence 5 years ago: If (name) is 5 years or older-- in what district was (name's) usual place of residence 5 years ago? (Appendix 4 for code list) _ _ _ _
P09 Religion: What is (name's) religious affiliation?
[] 2 Protestant
[] 3 Pentecostal/Charismatic
[] 4 Other Christians
[] 5 Islam
[] 6 Traditional
[] 7 No religion
[] 8 Other
P10 Marital status: What is (name's) current marital status?
[] 1 Married
[] 2 Informal/loose union/living together
[] 3 Separated
[] 4 Divorced
[] 5 Widowed
[] 6 Never married (single)
P11 Literacy: In what language can (name) read and write?
[] 1 Not literate (None)
[] 2 English
[] 3 Ghanaian language
[] 4 English and Ghanaian language
[] 5 Other
P12 Educational characteristics (Answer for persons 3 years or older)
[P12a-P12c was asked of persons age 3+.]
P12a Full time education: Has (name) ever attended/attending school now? (If P12a = 1, go to P13).
[] 2 Now
[] 3 Past
[P12b-P12c were asked of persons have ever attended/attending school now.]
P12b If now, or past in P12a: What is the highest level of schooling (name) attending/attended?
[] 2 Primary
[] 3 Middle/JSS
[] 4 Secondary/SSS
[] 5 Vocational/technical/commercial
[] 6 Post secondary (Agriculture/nursing/teacher training)
[] 7 Tertiary
P12c Highest educational grade: What is the highest grade (name) completed at that level? _ _
P13 Type of activity: For P13 to P17; answer only for ages 7 years or older. The answer should refer to the 7 days before census night:
[Questions P13-P17 were asked of persons age 7 years and older.]
P13a Did (name) work for pay or profit or family gain? (If yes, go to P13c)
[] No
P13b If no, how was (name) occupied? (if P13b= 1 or 2, go to P14) (if P13b = 3 or more, go to P18)
[] 2 Unemployed (Go to P14)
[] 3 Homemaker (Go to P18)
[] 4 Student (Go to P18)
[] 5 Old age (Go to P18)
[] 6 Pensioner (Go to P18)
[] 7 Persons with disability (Go to P18)
[] 8 Other (Go to P18)
[P13c-d were asked of persons who worked for pay or profit or family gain.]
P13c How many days did (name) work for pay or profit or family gain? _ _
P13d How many hours did (name) work for pay or profit or family gain? (If 99 hours or more code 99) _ _
[P14-P17 were asked of persons who did not work for pay or profit or family gain and P13b=1 or 2.]
P14 Occupation: Answer for the employed (i.e. if P13a = yes) and those who have jobs but did not work (ie if P13b = 1) and unemployed (i.e. P13b = 2)
What kind of work did (name) do? For unemployed, last kind of work. Describe work, and refer to appendix 5, and 5a for code list
Description ________
P15 Industry: In what kind of industry was (name) mainly working? (for unemployed, last kind of work) Describe and refer to appendix 6 for code list
Description ________
P16 Employment status: What was (name's) employment status in that establishment/industry?
[] 2 Self employed without employees
[] 3 Self employed with employees
[] 4 Unpaid family worker
[] 5 Apprentice
[] 6 Domestic employee (house help)
[] 7 Other
P17 Employment sector: In what sector was (name) mainly working?
[] 2 Private formal
[] 3 Private informal
[] 4 Semi-public/parastatal
[] 5 NGOs/International organisations
[] 6 Other
P18 Children ever born: Answer for females 12 years and older. (For females under 12 years and all males go to next member)
[Questions P18a and P18b were asked of females 12+.]
P18a Male children ever born: How many male children has (name) ever born alive? (Living with you or elsewhere or dead) _ _
P18b Female children ever born: How many female children has (name) ever born alive? (Living with you or elsewhere or dead) _ _
P19a Male children surviving: How many male children ever born alive to (name) are still surviving? (Living with you or elsewhere) _ _
P19b Female children surviving: How many female children ever born alive to (name) are still surviving? (Living with you or elsewhere) _ _
P20 Number of children born in the last 12 months: How many children has (name) born in the last 12 months? (If 4 or more, mark 4) _ _
H: Housing condition -- Mark clearly with an X in each box which describes your answer. For vacant housing unit, answer only H01, H02 and H04
H01 Type of dwelling: In what type of dwelling does the household live?
[] 02 Semi-detached house
[] 03 Flat/apartment
[] 04 Compound house (rooms)
[] 05 Huts/buildings (same compound)
[] 06 Hotel/hostel
[] 07 Tent
[] 08 Improvised home (kiosk, container)
[] 09 Living quarters attached to office/shop
[] 10 Other (specify) ________
H02 Outer wall: What is the main construction material used for the outer walls?
[] 02 Wood
[] 03 Metal sheet or slate/asbestos
[] 04 Stone
[] 05 Burnt bricks
[] 06 Cement blocks/concrete
[] 07 Landcrete
[] 08 Bamboo
[] 09 Palm leaves/thatch (grass)/raffia
[] 10 Other (specify) ________
H03 Floor (finish): What is the main construction material used for the floor of this dwelling?
[] 2 Cement/concrete
[] 3 Stone
[] 4 Burnt bricks
[] 5 Wood
[] 6 Vinyl tiles
[] 7 Ceramic/marble tiles
[] 8 Terrazzo
[] 9 Other (specify) ________
H04 Roof: What's the main material used for the roof?
[] 2 Bamboo
[] 3 Mud/mud bricks/earth
[] 4 Wood
[] 5 Corrugated metal sheet
[] 6 Slate/asbestos
[] 7 Cement/concrete
[] 8 Roofing tiles
[] 9 Other (specify) ________
H05 Tenure/holding arrangement: What is the present holding/tenancy arrangement for this dwelling?
[] 2 Renting
[] 3 Rent-free
[] 4 Perching
H06 Ownership type: Who owns this dwelling?
[] 2 Being purchased
[] 3 Relative not household member
[] 4 Other private individual
[] 5 Private employer
[] 6 Other private agency
[] 7 Public/government ownership
[] 8 Other (specify) ____
H07a How many rooms does this household occupy? (Count living rooms, dining rooms, bedrooms, but not bathrooms and kitchens.)
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 8
[] 9+
H07b Sleeping rooms: How many of the rooms in H07a are designed primarily for sleeping?
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 8
[] 9+
H08 Lighting: What is the main source of lighting for your dwelling?
[] 2 Kerosene lamp
[] 3 Gas lamp
[] 4 Solar energy
[] 5 No light
[] 6 Other (specify) ________
H09 Water supply: What is the main source of drinking water for this household?
[] 2 Pipe-borne outside
[] 3 Tanker supply
[] 4 Well
[] 5 Bore-hole
[] 6 Spring/rain water
[] 7 River/stream
[] 8 Dugout/pond/lake/dam
[] 9 Other (specify) ________
H10a Toilet facilities: What type of toilet is used by the household?
[] 2 Pit latrine
[] 3 KVIP
[] 4 Bucket/pan
[] 5 Toilet in another house (different house) (Go to H11)
[] 6 Public toilet (WC, KVIP, Pitt, pan etc.) (Go to H11)
[] 7 No facilities (bush/beach/field) (Go to H11)
[] 8 Other (specify) ________(Go to H11)
[H10b was asked of households with W.C. or pit latrine, or KVIP of bucket/pan.]
H10b. Is the toilet used exclusively by the household?
[] 2 No, shared
H11 Cooking fuel: What is the main source of cooking fuel for this household?
[] 2 Wood
[] 3 Coconut husk
[] 4 Gas
[] 5 Electricity
[] 6 Kerosene
[] 7 Charcoal
[] 8 Other (specify) ________
H12 Cooking space (kitchen)
What type of cooking space does your household have?
[] 2 Separate room for exclusive use of household
[] 3 Separate room shared with other household(s)
[] 4 Enclosure without roof
[] 5 Structure with roof but without walls
[] 6 Bedroom/hall (living room)
[] 7 Verandah
[] 8 Open space in compound
[] 9 Other (specify) ________
H13 Bathing facilities: What type of bathing facility is used by this household?
[] 02 A shared separate bathroom
[] 03 A private open cubicle
[] 04 A shared open cubicle
[] 05 Public bath house
[] 06 Bathroom in another house
[] 07 Open space around house
[] 08 In a river
[] 09 Lake or pond
[] 10 Other (specify) ________
H14 Solid waste disposal: How does your household dispose of rubbish (solid waste)?
[] 2 Burned by household
[] 3 Public dump
[] 4 Dumped elsewhere
[] 5 Buried by household
[] 6 Other (specify) ________
H15 Liquid waste disposal: How does your household dispose of liquid waste?
[] 2 Thrown onto the street/outside
[] 3 Thrown into gutter
[] 4 Thrown onto compound
[] 5 Other (specify) ________
It is an offence under the laws of the Republic of Ghana to falsify any information on these forms.