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[p. 1]


Third General Census of the Population and Inhabitants (GCPI III)
Ordinary Household Questionnaire

(Decree D/2009/05 1/PRG/SGG of 02/28//2009)

The Republic of Guinea
Ministry of Planning
National Institute of Statistics

Law of statistics: "The information gathered over the course of a census or investigation, bearing the seal prescribed in article 5 of the law of statistics, especially the information concerning the private lives of persons surveyed or investigated, is confidential. It cannot under any circumstances be divulged or used for political purposes, tax audits, economic prosecution, or any legal action, in accordance with article 7 of law L/95/047/CTRN from August 29, 1995, pertaining to the organization of the national statistical system".

Number of questionnaires used for the household _
Questionnaire no. _

I. Identification household

1. Administrative region ____ _
2. Prefecture ____ _
3. Sub-prefecture ____ _ _
4. Type of residence

[] 1 Urban
[] 2 Rural

5. Census zone (ZD): _ _ _ _
6. Audit zone (ZC): _ _
7. District / quarter: ____ _ _
8. Locality / sector: ____ _ _
9. Plot no. _ _ _ _
10. Building no. _ _
11. Household no. _ _
12. Household type: 0

13. Respondent

Enter the appropriate number

[] 1 Head of the household
[] 2 Spouse
[] 3 Son / daughter
[] 4 Other member of the household

II. Household summary table

Present residents (PR)

_ Male
_ Female
_ Total

Absent residents (AR)

_ Male
_ Female
_ Total

Visitors (V)

_ Male
_ Female
_ Total

Legal number of occupants (PR+AR)

_ Male
_ Female
_ Total

Real number of occupants (PR+V)

_ Male
_ Female
_ Total

Effective census total (PR+AR+V)

_ Male
_ Female
_ Total

Administrative use
Census agent

____ Date of signature
____ Team lead
____ Date of signature

Coding agent

____ Date of signature
____ Coding team lead
____ Date of signature

Observations ________

[p. 2]

III. Individual characteristics

All members of the household
[Questions P00 through P12 were asked of all members of the household.]

P00. Order number _ _

P01. First name and last name ____

Enter the first names and last names of each member of the household beginning with the head of the household

P02. Sex

What is the sex of [the respondent]?

[] 1 Male
[] 2 Female

P03. Relationship

What is the relationship of [the respondent] to the head of household?

Enter the appropriate code

[] 00 No family relation
[] 01 Head of household
[] 02 Spouse or co-spouse
[] 03 Son or daughter of the head of household
[] 04 Brother or sister of the head of household
[] 05 Grandson or granddaughter of the head of household
[] 06 Nephew or niece of the head of household
[] 07 Father or mother of the head of household
[] 08 Grandfather or grandmother of the head of household
[] 09 Uncle or aunt of the head of household
[] 10 Son-in-law or daughter-in-law of the head of household
[] 11 Son or daughter of the spouse of the head of the household
[] 12 Other relation to the head of household

P04. Date of birth

What is the date of birth of [the respondent]?

Enter only the month and the year

Month _ _
Year _ _ _ _

P05. Age

What is the age of [the respondent]? _ _

Enter the years completed. If less than one, enter 00. If 95 or more, enter 95.

P06. Place of birth

Where was [the respondent] born?

If in Guinea, write the name of the prefecture. If abroad, enter the name of the country.

[] Guinea
Prefecture ____
[] Abroad
Country ____

[p. 3]

P07. Nationality

What is the nationality of [the respondent]?

Enter the name of the country. ____ _ _ _

P08. Residency situation

What is the residency situation of [the respondent]?

[] 1 Present resident
[] 2 Absent resident
[] 3 Visitor [If visitor, go to the next person]

[Questions 9-12 were asked of present or absent residents]

P09. Length of residency

For how many years has [the respondent] lived in this prefecture? _ _

Enter: 99 if since birth, go to P11; 95 if 95 years or more; 00 if less than a year.

P10. Place of previous residence

Where did [the respondent] live before moving to this prefecture?

[For those who answered a length of residency other than since birth" in P09.]

If in Guinea, enter the name of the prefecture; if abroad, enter the name of the country.

[] Guinea
Prefecture ____
[] Abroad
Country ____

P11. Religion

What is the religion of [the respondent]?

Enter the appropriate code.

[] 0 No religion
[] 1 Muslim
[] 2 Christian
[] 3 Animist
[] 4 Other religion

P12. Major disability

Does [the respondent] have a major disability?

If yes, which? Enter the appropriate code; if no, enter 0.

[] 0 No major disability
[] 1 Invalid in lower body parts
[] 2 Invalid in upper body parts
[] 3 Blind
[] 4 Mute
[] 5 Deaf
[] 6 Deaf-mute
[] 7 Mentally disabled
[] 8 Deformed
[] 9 Albino

Residents from 0 to 17 years
[Question P13- P15 were asked of persons 0 to 17 years of age.]

P13. Civil status registration

Was the birth of [the respondent] registered with the Civil Status Registry?

[] 1 Yes
[] 2 No
[] 3 Unknown

P14 / P15. Parents alive?

Are the parents of [the respondent] living?

P14. Father
[] 1 Living in the household
[] 2 Living elsewhere
[] 3 Deceased
[] 4 Unknown

P15. Mother
[] 1 Living in the household
[] 2 Living elsewhere
[] 3 Deceased
[] 4 Unknown

[p. 4]

III. Individual characteristics (cont.)

Residents of 3 years or more
[Questions P16- P21 were asked of resident persons aged 3 years or older.]

P16. National language spoken

What is the principal national language of [the respondent]?

Enter the appropriate code.

[] 00 None
[] 01 Soussou
[] 02 Poular
[] 03 Maninka
[] 04 Diakanka
[] 05 Baga
[] 06 Nalou
[] 07 Mikiforè
[] 08 Landouma
[] 09 Badiaranke
[] 10 Sassari
[] 11 Koniagui
[] 12 Djalonke
[] 13 Sarakolè / Maraka
[] 14 Kouranko
[] 15 Klssl
[] 16 Lele
[] 17 Toma
[] 18 Konlaka
[] 19 Tomamania
[] 20 Kpele
[] 21 Mano
[] 22 Kono
[] 23 Other national language

P17. School attendance

Is [the respondent] currently in school or have they attended?

Enter the appropriate code. If P17 = 0, go to P21.

[] 0 Never
[] 1 Attended
[] 2 Currently attending

P18. Level of education
[The respondents are resident persons aged 3 years or older who ever attended school.]

What is the level of education of [the respondent]?

Enter the appropriate code.

[] 0 Pre-school
[] 1 Primary
[] 2 Junior high
[] 3 High school
[] 4 Professional / technical
[] 5 University

P19. Class
[The respondents are resident persons aged 3 years or older who ever attended school.]

What was the last grade completed by [the respondent]? _ _

P20. Degree

What is the highest degree obtained by [the respondent]?

[The respondents are resident persons aged 3 years or older who ever attended school.]

Enter appropriate code.

[] 0 No degree
[] 1 Primary Studies Certification (CEP)
[] 2 HS Equivalency Certification (BEPC)
[] 3 Professional Training Certification (CAP / BEP)
[] 4 High School Diploma (BAC)
[] 5 Superior Technical Certification (BTS / DUT / DEUG)
[] 6 License / Mastery / DHS
[] 7 Master / Degree of Specialized Studies (DEA / DESS)
[] 8 Doctoral / PhD
[] 9 Other

P21. Reason for not attending or stopping

Why did [the respondent] never attend school or no longer attends school?

If 6-18 years old and P17 = 0 or 1.

Enter the appropriate code.

[] 0 No school / school too far away
[] 1 High cost of attending school / lack of support
[] 2 Repetition
[] 3 Repeated failures
[] 4 Lack of interest
[] 5 Learning a trade
[] 6 Priority to the Koranic school
[] 7 Helping parents
[] 8 Marriage / pregnancy
[] 9 Illness / disability

Residents of 6 years or more
[Questions P22- P25 were asked of resident persons age 3 or more.]

P22. Activity situation

What is the activity situation of [the respondent] during the last 7 days?

Enter the appropriate code. If P22 = 3, 4, 5, 6, 7, or 8 go to P26.

[] 1 Employed
[] 2 Unemployed
[] 3 Searching 1st job
[] 4 Student
[] 5 Stay-at-home parent
[] 6 Rentier
[] 7 Retired
[] 8 Disabled / elderly

P23. Employment activity

[For those who answered 1 or 2 in P22.]

What is the employment activity of [the respondent] performed during the last 7 days or while employed at their last job if unemployed? ____ _ _ _

P24. Status in activity

[For those who answered 1 or 2 in P22.]

What was the status of [the respondent] in this activity?

Enter the appropriate code.

[] 1 Independent
[] 2 Employer
[] 3 Public employee
[] 4 Private employee
[] 5 Contract employment
[] 6 Apprentice
[] 7 Family helper
[] 8 Member of a cooperative or group

P25. Sector of activity

[For those who answered 1 or 2 in P22.]

What does the company or organization that [the respondent] worked for during the last 7 days do, or during their last job if unemployed? ____ _ _ _

[p. 5]

Residents of 12 years or more
[Questions P26 and P27 were asked of resident persons 12 years or more.]

P26. Literacy

Does [the respondent] know how to read and write in either language?

Enter the appropriate code.

[] 0 Does not know how to read nor write in any language
[] 1 Knows how to read and write only in a foreign language
[] 2 Knows how to read and write in only one national language
[] 3 Knows how to read and write in a national and foreign language

P27. Marital status

What is the marital status of [the respondent]?

Enter the appropriate code.

[] 0 Single
[] 1 Man in monogamous marriage or woman married to a monogamous man
[] 2 Man married to 2 women or woman married to man having 2 wives
[] 3 Man married to 3 women or woman married to man having 3 wives
[] 4 Man married to 4 women or woman married to man having 4 wives
[] 5 Man married to 5 women or woman married to man having 5 wives
[] 6 Widow / widower
[] 7 Divorced or separated
[] 8 Living together or concubinage

Female resident of 12 years or more
[Questions P28M - P29F were asked of female residents aged 12 years or older.]

P28. Total live births

How many live births has [the respondent] delivered over the course of her life?

If no male children, enter 00 in P28M. If no female children, enter 00 in P28F. If P28M = 00 and P28F = 00, go to the next person.
_ _ P28M. Male
_ _ P28F. Female

P29. Surviving children

Out of these children, how many are still living?
If no male children, enter 00 in P29M. If no female children, enter 00 in P29F.
_ _ P29M. Male
_ _ P29F. Female

Female residents of 12 to 54 years
[Questions P31M through P31F were asked of female residents between the ages 12 to 54 years]

P30. Live births during the last 12 months

Has [the respondent] had any live births during the last 12 months?
If no male children, enter 00 in P30M. If no female children, enter 00 P30F. If P30M = 00 and P30F = 0, go to the next person.
_ P30M. Male
_ P30F. Female

P31. Surviving children born during the last 12 months

Out of these children, how many are still living?
If no male children, enter 00 in P31M. If no female children, enter 00 P31F.
_ P31M. Male
_ P31F. Female

[p. 6]

IV- Deaths occurring within the household during the last 12 months

D00: has one or more members of your household died during the last 12 months?

If yes, ask how many and enter the number of persons deceased in the space to the right and fill out the table below.

If no, enter 0 and go to section V (departures since January 2007).

If you have more than five deaths to record, use an additional household questionnaire.
[] Yes [Go to D01]
[The number of persons deceased] _
[] 0 No

Record the name, sex and age at time of death of the person deceased.
[Question D01 through D04 were asked for all deceased persons.]

D01. Number [Number 1 through 5 are prerecorded on the form.]

D02. First, last name ____

D03. Sex

[] 1 Male
[] 2 Female

D04. Age at time of death

Enter 000 if less than 1 year. _ _ _

Death of women from 12 to 54 years old.
If the deceased person is a woman aged 12 to 54 years old, when did the death happen?
[Questions D05 through D07 were asked if the deceased persons was a woman aged 12 to 54.]

D05. During pregnancy

[] 1 Yes
[] 2 No

D06. During delivery

[] 1 Yes
[] 2 No

D07. During the 2 months after the delivery or the end of the pregnancy

[] 1 Yes
[] 2 No

V- Departures since January 2007

E00. Has one or more members of your household left to move to another prefecture or abroad since January 2007? ____

If yes, ask how many and enter the number of persons in the space to the right and fill out the table below. If no, enter zero (0) and go to section VI (characteristics of the living space and assets possessed). If you have more than five migrants to record, use an additional household questionnaire.
[] Yes [Go to E01]
[The number of persons] _
[] 0 No

E01. Number [Number 1 through 5 are prerecorded on the form.]

E02. First, last name ____

E03. Sex

[] 1 Male
[] 2 Female

E04. Year of departure

20 _ _

E05. Age at time of departure _ _

E06. Occupation at time of departure ____

E07. Prefecture / country going to ____

If in Guinea, enter the name of the prefecture; if abroad, enter the name of the country.

E08. Principal reason for leaving

Enter the appropriate code.

[] 1 Studies / education
[] 2 Work / employment
[] 3 Family management / reorganizing
[] 4 Catastrophe
[] 5 Intercommunal conflicts
[] 6 Political situation
[] 7 Insecurity
[] 8 Medical care
[] 9 Retirement
[] 0 Other

[p. 7]

VI - Characteristics of the living space and assets of the household
Circle the code of the appropriate answer

H01. Type of main residence

[] 0 Homeless
[] 1 Hut
[] 2 Single-family house
[] 3 Multi-family house
[] 4 Single-family structure
[] 5 Multi-family structure
[] 6 Shack
[] 7 Tent

H02. Rooms for living space

_ _ Total number of rooms
_ _ Total number of bedrooms

H03. Material of the roof

[] 1 Sheet metal
[] 2 Tile / slate
[] 3 Concrete
[] 4 Straw / leaves
[] 5 Tarp / plastic / canvas

H04. Material of the walls

[] 1 Cement brick
[] 2 Terracotta brick
[] 3 Compressed clay brick
[] 4 Non-compressed brick / formed earth
[] 5 Wood / bamboo / plank / straw
[] 6 Stone
[] 7 Sheet metal
[] 8 Tarp / plastic / canvas

H05. Material of the floor

[] 1 Dirt
[] 2 Cement
[] 3 Tile
[] 4 Plants / wood

H06. Mode of lighting

[] 1 Guinea Electric Supplied (EDG)
[] 2 Cooperative-supplied
[] 3 Battery-powered
[] 4 Candle
[] 5 Gasoline lamp
[] 6 Natural gas lamp
[] 7 Solar energy
[] 8 Firewood

H07. Source of potable water

[] 1 Tap on the lot
[] 2 Tap available elsewhere
[] 3 Public fountain
[] 4 Mineral water
[] 5 Forage / wells / managed spring
[] 6 Ordinary wells
[] 7 Surface water

H08. Principal source of energy used for cooking

[] 1 Firewood
[] 2 Charcoal
[] 3 Gasoline
[] 4 Electricity
[] 5 Natural gas
[] 6 Wood-shavings / plant matter
[] 7 Solar energy

H09. Type of restroom

[] 1 WC with flowing water
[] 2 Covered ventilated latrine
[] 3 Covered unventilated latrine
[] 4 Non-covered unventilated latrine
[] 5 Basic pit
[] 6 Public restrooms
[] 7 Nature
[] 8 Edge of the sea
[] 9 Other

H10. Mode of household waste removal

[] 1 Public collection
[] 2 Private collection
[] 3 Collective dumpster
[] 4 Gutter / street
[] 5 Nature
[] 6 Stream
[] 7 Ocean
[] 8 Burying / burning

H11. Mode of wastewater removal

[] 1 Sewer system
[] 2 Sump / septic pit / cesspool
[] 3 Channel / hole
[] 4 Nature
[] 5 Gutter / street
[] 6 Ocean
[] 7 Stream

H12. Status of occupation of the living space

[] 1 Owner with title
[] 2 Owner without title
[] 3 Family co-ownership
[] 4 Simple rental
[] 5 Rent-to-own
[] 6 Free housing
[] 7 Functional housing
[] 8 Lodge by the employer

H13. Means of information

Radio
[] 1 Yes
[] 2 No

Television
[] 1 Yes
[] 2 No

Internet
[] 1 Yes
[] 2 No

H15. Means of transport

Vehicle
[] 1 Yes
[] 2 No

Motorcycle
[] 1 Yes
[] 2 No

Bicycle
[] 1 Yes
[] 2 No

Dugout canoe / boat
[] 1 Yes
[] 2 No

Donkey / horse
[] 1 Yes
[] 2 No

H16. Possession of parcel of land

[] 1 Yes, with title
[] 2 Yes, without title
[] 3 No parcel

H17. Other assets

Hunting rifle
[] 1 Yes
[] 2 No

Generator
[] 1 Yes
[] 2 No

Solar panel
[] 1 Yes
[] 2 No

Refrigerator / freezer
[] 1 Yes
[] 2 No

Computer
[] 1 Yes
[] 2 No

Drilling site
[] 1 Yes
[] 2 No

H18. Does your household possess any livestock or poultry?

If yes, circle 1 and enter the number of each species. If no, circle 2 and go to the next category. Enter 99 if more than 99.

[] 1 Yes
[] 2 No
_ _ Cows
_ _ Goats
_ _ Horses
_ _ Rabbits
_ _ Traditional chickens
_ _ Improved chickens
_ _ Sheep
_ _ Pigs
_ _ Donkeys
_ _ Agoutis
_ _ Ducks
_ _ Guinea-fowl