Mali 1998 Enumeration Form
République du Mali / Un Peuple -- Un But -- Une Foi
Ministère de l'Economie, du Plan et de l'Intégration/ Direction Nationale de la Statistique et de l'Informatique / Bureau Central de Recensement
Third General Census of Population and Housing
(1st to 14th April, 1998)
Household and Housing Questionnaire
Mali 1998 Enumeration Form
Section A: Geographic characteristics
3. District [arrondissement] (for rural areas)
4. Township [commune] (for urban areas)
5. Village or fraction (rural areas)
6. Hamlet or gathering point [point de regroupement] (for rural areas and nomadic areas)
[] 1 Yes
7. Neighborhood [for urban areas / commune]
9. Census tract
10. Compound number (Dwelling unit number) _ _ _
11. Household number _ _
Last name and first name of the head of household ____
Total number of questionnaires used in this household _ _
Questionnaire number: _ _
RP: Resident, Present
RP: Males
RP + RA: Males
RP + RA: Females
RP + V: Males
RP + V: Females
[] 1 Sedentary household
[] 2 Nomadic household
Section B: Individual Characteristics
[Questions 1-15: for each person in the household]
2. Last name and first name ____
3. Relationship to head of household
[] 2 Spouse of head
[] 3 Child of head
[] 4 Parent of head
[] 5 Sibling of head
[] 6 Other relative of head
[] 7 No family relationship to head
5. Residence status
[] 2 RA
[] 3 V
6. Date of birth (month, year)
7. Age
Month ____
Year ____
Age _ _
8. Place of birth (district [cercle] or country)____
10. Disability / Handicap
[] 01 Blindness
[] 02 Difficult seeing
[] 03 Leprosy
[] 04 Tryponosomiasis
[] 05 Tuberculosis
[] 06 Mental disorder
[] 07 Onchocerciasis
[] 08 Deaf, mute, deaf and mute
[] 09 Difficult hearing
[] 10 Disability in the limbs
11. Duration of residence, in years
[Question 12: for each household visitor only]
12. Where does the visitor usually live? ____
13. [Respondent] has lived elsewhere more than 6 months?
[] Yes - if yes,
Where does [respondent] currently live? ____
14. [Respondent's] father is alive
[] 2 No
[] 3 Unknown
15. [Respondent's] mother is alive
[] 2 No
[] 3 Unknown
For persons aged 6 years and above
[Questions 16-26]
16. Level of education
[] 01 Fundamental, first cycle
[] 02 Fundamental, second cycle
[] 03 Medersa, first cycle
[] 04 Medersa, second cycle
[] 05 Secondary school, general
[] 06 Secondary school, technical
[] 07 School for teachers
[] 08 Vocational school, grade 5 (CEPE)
[] 09 Vocational school, grade 9 (DEF)
[] 10 Vocational school, grade 12+ (BAC)
[] 11 University
[] 13 Post-university [code 12 is absent from the original form]
[] 14 Koranic school
[] 15 Center for adult literacy
17. Last school grade completed
18. Degree obtained [see bottom of this document]
[] 01 Certificate primary school (CEPE)
[] 02 Diploma fundamental studies (DEF)
[] 03 Diploma, higher technician (BTS)
[] 05 Diploma, teaching aptitude (CAPE)
[] 06 Matrics, baccalaureate, first part
[] 07 Matrics, baccalaureate, second part
[] 08 Bachelors, license, etc.
[] 09 Masters, DEA, etc.
[] 10 First adult literacy campaign
[] 11 Second adult literacy campaigns
19. School attendance
[] 2 No
20. Maternal language
[] 01 Bambara, Malinke
[] 02 Peul, Foulfouble
[] 03 Sonrhai, Djerma
[] 04 Maraka, Soninke
[] 05 Kassonke
[] 06 Senoufo
[] 07 Dogon
[] 08 Mauritanian
[] 09 Tamacheq
[] 10 Bobo Dafing
[] 11 Minianka
[] 12 Haoussa
[] 13 Samogo
[] 14 Bozo
[] 15 Other Malian language
[] 16 Arabic
[] 17 Other African language
[] 18 Other foreign language
21. Language spoken
[] 01 Bambara, Malinke
[] 02 Peul, Foulfouble
[] 03 Sonrhai, Djerma
[] 04 Maraka, Soninke
[] 05 Kassonke
[] 06 Senoufo
[] 07 Dogon
[] 08 Mauritanian
[] 09 Tamacheq
[] 10 Bobo Dafing
[] 11 Minianka
[] 12 Haoussa
[] 13 Samogo
[] 14 Bozo
[] 15 Other Malian language
[] 16 Arabic
[] 17 Other African language
[] 18 Other foreign language
22. Employment status [see bottom of this document]
[] 1 Currently working
[] 2 Unemployed, has already worked
[] 3 Searching for first employment
[] 4 Housewife
[] 5 Student, pupil
[] 6 Living on private means
[] 7 Retired, elderly
[] 8 Does not work
24. Work status in main activity
[] 1 Self employed
[] 2 Employer
[] 3 Salaried, regular
[] 4 Salaried, temporary
[] 5 Apprentice, paid
[] 6 Apprentice, not paid
[] 7 Family help
25. Branch of economic activity
26. Agricultural activity
[] 1 Cereals drop
[] 2 Cash crop
[] 3 Vegetable farming
[] 4 Fruit tree farming
[] 5 Animal husbandry
[] 6 Fishing
[] 7 Forestry
[] 8 Others
For persons aged 12 years and above
[Questions 27-28]
27. Marital status
[] 1 Single
[] 2 Monogamous (man), first marriage (woman)
[] 3 Polygamous 2 women (man), second marriage (woman)
[] 4 Polygamous 3 women (man), third marriage (woman)
[] 5 Polygamous 4 women (man), fourth marriage (woman)
[] 6 Widowed
[] 7 Divorced or separated
28. Literacy [see bottom of this document]
[] 1 Knows how to read and write in French (only)
[] 2 Knows how to read and write only in a national language
[] 3 Knows how to read and write only in another language
[] 4 Knows how to read and write in French and in one of the national languages
[] 5 Does not know to read or write
For women aged 12 years and above
[Questions 29-30]
29. Total number of children ever born
30. Total number of children surviving
Section "C": Events in past 12 months
Births in past 12 months
Sequential number
First name and last name ____
Sex
[] 2 Female
Mother's code number
Age of mother at time of birth
Deaths in past 12 months
Sequential number
First name and last name ____
Sex
[] 2 Female
Age at death
1. Type of dwelling unit
[] Mobile (nomadic)
2. Type of housing
[] Compound, with several dwelling units
[] Modern house
[] Apartment building
[] Other type
3. Number of rooms occupied
4. Type of occupation
[] Landlord, without official documentation
[] Co-owner
[] Tenant
[] Leasing
[] Free lodger
[] Other type
5. Wall materials
[] Semi-hard
[] Adobe
[] Wood or straw
[] Other
6. Roof material
[] Tiles
[] Concrete
[] Adobe
[] Straw
[] Other type
7. Floor material
[] Tiles
[] Earth
[] Other type
8. Source of water
[] Deep well
[] Shallow well
[] Public fountain
[] River, stream, spring
[] Other type
9. Type of toilet facility
[] Private flush toilet, external
[] Flush toilet, communal
[] Pit latrine, private
[] Pit latrine, communal
[] Other type
10. Type of lighting
[] Gas
[] Petrol lamp
[] Other type
11. Type of fuel for cooking
[] Gas
[] Petrol
[] Wood, Coal
[] Other type