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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

1. Region

____

2. Province [cercle]

____

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)

[] 0 No
[] 1 Yes

7. Neighborhood [for urban areas / commune]

_ _

8. Census district

_ _ _

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: Females

_ _

RA: Resident, Absent

RA: Males

_ _

RA: Females

_ _

V: Visitor

V: Males

_ _

V: Females

_ _

All Residents

RP + RA: Males

_ _

RP + RA: Females

_ _

All present

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]

1. Sequential number _ _

2. Last name and first name ____

3. Relationship to head of household

[] 1 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

4. Sex

[] 1 Male
[] 2 Female

5. Residence status

[] 1 RP
[] 2 RA
[] 3 V

6. Date of birth (month, year)

____

7. Age

Day ____
Month ____
Year ____
Age _ _

8. Place of birth (district [cercle] or country)____

9. Nationality

_ _ _

10. Disability / Handicap

[] 00 Nothing
[] 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?

[] No
[] Yes - if yes,
Where did [respondent] live immediately before this address? ____
Where does [respondent] currently live? ____

14. [Respondent's] father is alive

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

15. [Respondent's] mother is alive

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

For persons aged 6 years and above
[Questions 16-26]

Education

16. Level of education

[] 00 Not applicable
[] 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]

[] 00 None, Koranic school, not applicable
[] 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

Schooling

19. School attendance

[] 1 Yes
[] 2 No

Languages

20. Maternal language

[] 00 Not applicable
[] 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

[] 00 Not applicable
[] 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

Activity type

22. Employment status [see bottom of this document]

[] 0 Not applicable
[] 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

23. Main occupation

_ _ _

24. Work status in main activity

[] 0 Not applicable
[] 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

[] 0 Not applicable
[] 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

[] 0 Not applicable
[] 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]

[] 0 Not applicable
[] 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

[] 1 Male
[] 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

[] 1 Male
[] 2 Female

Age at death

_ _

Section "D": Housing

1. Type of dwelling unit

[] Fixed (sedentary)
[] Mobile (nomadic)

2. Type of housing

[] Isolated building
[] Compound, with several dwelling units
[] Modern house
[] Apartment building
[] Other type

3. Number of rooms occupied

_ _

4. Type of occupation

[] Landlord, with official documentation
[] Landlord, without official documentation
[] Co-owner
[] Tenant
[] Leasing
[] Free lodger
[] Other type

5. Wall materials

[] Hard
[] Semi-hard
[] Adobe
[] Wood or straw
[] Other

6. Roof material

[] Corrugated iron
[] Tiles
[] Concrete
[] Adobe
[] Straw
[] Other type

7. Floor material

[] Cement
[] Tiles
[] Earth
[] Other type

8. Source of water

[] Public tap
[] Deep well
[] Shallow well
[] Public fountain
[] River, stream, spring
[] Other type

9. Type of toilet facility

[] Private flush toilet, internal
[] Private flush toilet, external
[] Flush toilet, communal
[] Pit latrine, private
[] Pit latrine, communal
[] Other type

10. Type of lighting

[] Electricity
[] Gas
[] Petrol lamp
[] Other type

11. Type of fuel for cooking

[] Electricity
[] Gas
[] Petrol
[] Wood, Coal
[] Other type

12. Improved stove

[] Yes
[] No