Enumeration area number _ _ _ _ _ _ _ _
a. Name: ____
b. Relationship: ____
c. Tribe or nationality: ____ _ _For Kenya Africans state tribe.For others, state race, country of citizenship.
d. Sex: _(Write M for males and F for females.)
e. Age: _ _(State age in completed years.)
f. Birth place: ____ _ _If born in district where enumerated, write "here".If born elsewhere in Kenya, state district.If born outside Kenya, state country.
g. Marital status: ____ _(State whether single, married, widowed, divorced or separated.)
h. Education: ____ _ _(State highest standard or form completed.)
i. Is father alive? ____ _
To be asked of females aged 12 and over only[Questions k-o were asked of females aged 12 and over.]
Of the children you have ever borne alive:
k. How many are now living with you? ____
l. How many are now living elsewhere? ____
m. How many have died? ____
Date of the last live birth:
n. Year ____
o. Month ____
National Institutes of Health,
National Science Foundation,
University of Minnesota.
Copyright © Minnesota Population Center, University of Minnesota.