Liberia 2008 Population and Housing Census
If institution, write name ________
County _ _
District _ _
Township / Clan _ _
EA _ _ _
Locality _ _ _
Locality name ________
Street address ________
Household size:
Males _ _
Female _ _
Total _ _
- What is the name of the head of this household?
- Names of persons who usually live here?
- Any babies, old people or PWD you did not list?
- Names of persons temporarily return within 2 months.
- Names of persons staying here with no usual place of residence elsewhere.
- Names of persons not usually residents but who have been staying here more than 2 months.
[] 2 F
(Record age in completed years, if under 1 record '00'. For 98 and over record '98')
(Record county code or country if outside Liberia)
P11-12. Displacement / Resettlement-- 10 years and over
P11. Has [the respondent] been displaced by war ever since 1990?
[] 2 No
[] 3 DK
P12. Has [the respondent] been resettled?
[] 2 No
[] 3 DK
P13-14. Parental survivorship -- 10 to 24 years
P13. Is [the respondent's] mother alive?
[] 2 No
[] 3 DK
P14. Is [the respondent's] father alive?
[] 2 No
[] 3 DK
P15. Does [the respondent] have any form of disability?
[] 2 No -- Skip to P18
P17. What is the cause of [the respondent's] disability?
____
[] 2 No
If never skip to P21
Females aged 12 years and over
P25-26. Total children ever born
If none record '0'
P26. F _ _
P27-32. How many children have been born alive to [the respondent] who are?
(Record as given -- '0' no child)
P28. F _ _
(Record as given -- '0' no child)
P30. F _ _
(Record as given -- '0' no child)
P32. F _ _
P33-38. No. of births (last 12 months)
[] 2 F
[] 2 No
H01. What type of housing unit does this household occupy?
[] 2 Conventional semi-permanent
[] 3 Temporary
[] 4 Other (specify)
H02. How was this dwelling acquired?
[] 2 Constructed
[] 3 Inherited
[] 5 NHC
[] 6 Private company
[] 7 Private individual
[] 8 Squatter
[] 9 Other (specify)
H03. How many rooms does the household occupy?
H04-06. Main construction materials of dwelling units
[] 2 Cement blocks
[] 3 Clay bricks
[] 4 Zinc or iron
[] 5 Wood or board
[] 6 Mud bricks
[] 7 Mud (sticks)
[] 8 Reed, bamboo, grass or mat
[] 9 Other (specify)
[] 2 Tiles
[] 3 Asbestos
[] 4 Zinc or iron
[] 5 Bamboo, leaves or thatch
[] 6 Other (specify)
[] 2 Tiles, marble
[] 3 Wood
[] 4 Mud
[] 5 Other
H07. What is your main source of water supply for drinking?
[] 2 Pipe or pump outdoors
[] 3 Public tap
[] 4 Closed well or closed spring
[] 5 Open well or spring
[] 6 River, lake or stream
[] 7 Water vendors
[] 8 Other (specify)
H08. What is your main source of fuel for lighting?
[] 2 Electricity -- Power supplier
[] 3 Kerosene
[] 4 Candle
[] 5 Palm oil lamp
[] 6 Wood
[] 7 Other (specify)
H09. What is your main source of fuel supply for cooking?
[] 2 Gas
[] 3 Kerosene
[] 4 Charcoal
[] 5 Wood
[] 6 Other (specify)
H10. What type of human waste disposal is used by household members??
[] 2 Flush shared with other HU
[] 3 Covered pit latrine outside building
[] 4 Open ditch
[] 5 Bush
[] 6 Other (specify)
H11-13. What is the distance from home to the nearest?
[] 2 Less than 0.5 miles
[] 3 From 0.5 miles to 1 mile
[] 4 From 1 mile to 5 miles
[] 5 5 miles and above
[] 2 Less than 0.5 miles
[] 3 From 0.5 miles to 1 mile
[] 4 From 1 mile to 5 miles
[] 5 5 miles and above
[] 2 Less than 0.5 miles
[] 3 From 0.5 miles to 1 mile
[] 4 From 1 mile to 5 miles
[] 5 5 miles and above
Section 3: Ownership of amenities
Q1-6 Does your household own any of the following items?
(Include items only if they are in working conditions)
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
A1. Does any member of the household do agricultural or livestock farming?
[] 2 No -- go to D1
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
Section 5: Deaths in the household
D1. How many deaths occurred in this household in the last 12 months (1 April 2007 -- March 2008)
[] 2 F
D4. If female 10-49, was [the respondent's] death during pregnancy or within 42 days after child birth?
[] 2 No
D5. Age at death
Completed years