[Guinea 1996 Enumeration Form]
Guinea general census of population and housing, 1996
Section A: Household identification
____ Sub-prefecture (rural) /community (urban) [Sous-préfecture / Commune]
____ Census track [Zone de dénombrement (ZD)]
____ Female
____ Female
____ Female
____ Female
____ Female
Order number of the form in the household ____
Total number of questionnaires used for the household ____
Statistical confidentiality
The information gathered during a census or a survey which received the authorization according to Article 5 of the Statistical Law, in particular these dealing with the personal life of the persons enumerated or surveyed, are confidential. They cannot in any case be disseminated or used for any political purpose, for tax purposes, for economic repressive purpose, or for legal action, according to Article 7 of Law L/95/047/CTRN from August 29, 1995.
The present document was printed thanks to a grant from the USAID
RGPH-95/DOC.2
All population counted (present + absent + visitors) (RP+RA+VI)
P02 First name and last name ____
P03 Relationship to the head of household
[] 2 Spouse
[] 3 Child (son or daughter)
[] 4 Parents (father or mother)
[] 5 Brother or sister
[] 6 Nephew / niece
[] 7 Grandchild
[] 8 Other relatives
[] 9 Not related by blood
P05 Residence status
[] 2 Resident and absent
[] 3 Visitors
MM in months _ _
YY in years _ _
Age ____
P08 Nationality (Country of citizenship) ____
Resident Population (Present and Absent)
[Questions P09 to P12 were asked of the resident population.]
P09 Religion
[] 1 Muslim
[] 2 Christian
[] 3 Animist
[] 4 Other religions
P10 Type of major disability or handicap
[This code is a concatenated code with 2nd adding]
[] 2 Deaf
[] 4 Mute
[] 8 Disability in lower limbs
[] 16 Disability in upper limbs
[] 32 Multiple disability
[] 64 Other
[] No disability or handicap
P11 Duration of residence
[] 1 Less than a year
[] 2 1 to 4 years
[] 3 5 to 9 years
[] 4 10 years or more
P12 Place of previous residence ____
Resident population aged 6 years and above
[Questions P13-P18 were asked of resident population aged 6 years and above.]
P13 Literacy
[This code is a concatenated code with 2nd adding]
[] 1 National language
[] 2 French
[] 4 English
[] 8 Arabic
[] 16 Other languages _ _
P14 Level of education (Highest grade completed)
____ Last grade attended
____ Education attainment
P15 Activity status
[The French text says "Individual situation with respect to the economic activity"]
[] 2 Unemployed
[] 3 Seeking first job
[] 4 Housewife
[] 5 Retired
[] 6 Pensioner
[] 7 Student
[] 8 Other undetermined
To be filled out only for employed and available unemployed persons
[Questions P16-P18 to be asked only for employed and available unemployed persons.]
P16 Occupation ____
[The French text says "Occupation or economic activity practiced"]
P17 Employment status
[] 2 Employer
[] 3 Public administration employee
[] 4 Mixed enterprise employee
[] 5 Private sector employee
[] 6 Cooperative
[] 7 Apprentice
[] 8 Family assistant
P18 Economic activity branch ___
Resident population aged 12 years and above
[Question P19 was asked of persons aged 12 years and above.]
P19 Marital status
[] 1 Married, with 1 wife
[] 2 Married, with 2 wives
[] 3 Married, with 3 wives
[] 4 Married, with 4 wives
[] 5 Married, with 5 wives
[] 6 Common law union/free union
[] 7 Divorced
[] 8 Separated
[] 9 Widowed
Resident women aged 12 years or more
[Questions 20-22 were asked of women aged 12 years or more. Questions 20-22 were related to the number of live births]
P20 Total number of children ever born, by sex
_ _ Females
P21 Total number of children still alive, by sex
_ _ Females
P22 Number born during the past 12 months, by sex
_ _ Females
H01 Mode of occupancy of the dwelling unit
[] 2 Normal renter
[] 3 Subsidized renter
[] 4 Free housing from employer
[] 5 Paid for by parent/friend
[] 6 Other
H02 Source of water
[] 2 Faucet water elsewhere
[] 3 Dug well
[] 4 Drilled well
[] 5 Developed spring
[] 6 Surface water
[] 7 Other
H03 Source of lighting
[] 2 Gas
[] 3 Kerosene
[] 4 Wood
[] 5 Candle
[] 6 Other
H04 Energy for cooking
[] 2 Gas
[] 3 Petrol
[] 4 Wood
[] 5 Coal
[] 6 Other
H05 Type of toilet facility
[] 2 Latrine
[] 3 Ditch
[] 4 Nature
[] 5 Other
H06 Garbage disposal
[] 2 Private collection
[] 3 Burial
[] 4 Flowing water
[] 5 Ocean
[] 6 Dumped into nature
[] 7 Incineration
H07 Disposal of household waste water
[] 2 Street
[] 3 Pit / Cesspool
[] 4 Ditch/Dry well
[] 5 Nature
[] 6 Flowing water
[] 7 Ocean
H08 Disposal of toilet waste water
[] 2 Street
[] 3 Pit / Cesspool
[] 4 Ditch/Dry well
[] 5 Nature
[] 6 Flowing water
[] 7 Ocean
H09 Number of rooms inhabited by the household _ _
Deaths in the past 12 months
Did any resident person die within the past 12 months?
[] No
If yes, fill in the following table:
Order number _
___ Name of the census enumerator:
___ Date
___ Signature
___ Observations of the team leader
___ Name of the team leader
___ Date
___ Signature