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Population and Housing Census 1987

Household questionnaire

Part A: Identification
Region/district _ _
TA, STA or town _ _
Enumeration area _ _ _
Village or place _ _
Household number _ _ _
Number of dwelling units (DUs) to household _

Part B: Characteristics of individual household members

For all persons
[Questions A through H were asked of all persons]

a. Dwelling unit number _ _

b. Serial number _ _

c. Full name
List all household members including any visitors, who slept in the dwelling unit(s) belonging to the household last night ________

d. Relationship to head of household

[] 1 Head
[] 2 Wife/husband
[] 3 Son/daughter
[] 4 Other relative
[] 5 Non-relative

e. Sex

[] 1 Male
[] 2 Female

f. Age (years) _ _

g. Race

[] 1 African
[] 2 Asian
[] 3 European
[] 4 Other

h. Migration - Place of birth ____

If same village/place, simply write "Same village" or "Same place"
If same TA/STA or town, simply write "Same TA", "Same STA" or "Same town"
In other cases, state district, and TA/STA or town
If outside Malawi, state country

i. Migration - Residence during September 1986 ____

For persons aged 1 year or more
If same village/place, simply write "Same village" or "Same place"
If same TA/STA or town, simply write "Same TA", "Same STA" or "Same town"
In other cases, state district, and TA/STA or town
If outside Malawi, state country

Persons age 5 or older
[Questions J and K were asked of persons age 5 or older]

j. Literacy

Able to read and write:

Chichewa
[] 1 Yes
[] 2 No

English
[] 1 Yes
[] 2 No

k. Education

In school during June 1987?
[] 1 Yes
[] 2 No

Highest level attended? _ _
No: No education
S1: Standard 1 etc. [S2 = Standard 2, S3 = Standard 3...]
F1: Form 1 etc. [F2 = Form 2, F3 = Form 3...]
University:
U1: First year etc. [U2 = Second year, U3 = Third year...]
D: Diploma
G: Graduate

Persons aged 10 years or more
[Questions L through O were asked of persons age 10 or older]

l. Marital status

[] 1 Married
[] 2 Widowed
[] 3 Divorced
[] 4 Never married

m. Economic activity - activity status (during last seven days) ____

Active:
Mlimi (subsistence farmer)
Employee
Family business worker
Self employed
Employer
Unemployed:
1 Worked before:
1A: Seeking work
1B: Not seeking work
2 Never worked:
2A: Seeking work
2B: Not seeking work
Inactive:
Home worker
Student
Dependent
Independent
Other

If active or unemployed but worked before, state:
[Questions N and O are asked of persons who have ever worked, as per question M]

n. Occupation ____

o. Industry ____

Women aged 10 years or older
[Questions P and Q were asked of women aged 10 years or more]

p. Total children ever born alive _ _

Number of children ever born alive

Living in this household
_ _ Male
_ _ Female
Living elsewhere
_ _ Male
_ _ Female
Have since died
_ _ Male
_ _ Female

q. Live births occurred between September 1986 and [current] date

Still alive
_ _ Male
_ _ Female
Have died
_ _ Male
_ _ Female

Part C: Summary of persons in this household

Sex:

_ _ Total
_ _ Male
_ _ Female

Age (years):

_ _ 0-4
_ _ 5-14
_ _ 15-64
_ _ 65+

Highest level of education attended:

_ _ None
_ _ Primary
_ _ Secondary and above

Part D: Deaths in the household

All deaths occurred in the household from September, 1986 to date
(Note: Include all deaths of both children and the elderly)

Sex of the deceased:

[] 1 Male
[] 2 Female

Age at death (years) _ _
[If no deaths, enter 0]

Part E: Household economic activities

Include cash crop farming, livestock, handicraft, beer brewing, etc.
(Use the last 12 months as the reference period - i.e., from September 1986 to [current] date)

Type of business/cash crop farming ____

Whether activity carried out during the month:

[] 1 Yes
[] 2 No
1986
[] September
[] October
[] November
[] December
1987
[] January
[] February
[] March
[] April
[] May
[] June
[] July
[] August

Total months of activity _ _

Persons working:

Household members (number) _ _
Hired labor:
Regular (number) _ _
Casual
[] 1 Yes
[] 2 No

Part F: Dwelling unit characteristics and access to facilities

Dwelling unit serial number __

Main construction materials used for:

Wall
[] 1 Burnt bricks
[] 2 Sunburnt bricks
[] 3 Concrete
[] 4 Mud/wattle
[] 5 Reeds/straw
[] 6 Wood/planks
[] 7 Other (specify) ____

Roof
[] 1 Grass thatch
[] 2 Iron sheets
[] 3 Iron and tiles
[] 4 Asbestos
[] 5 Cement
[] 6 Other (specify) ____

Floor
[] 1 Mud
[] 2 Cement
[] 3 Bricks
[] 4 Wood
[] 5 Other (specify) ____

Number of rooms (exclude bathroom, toilet, storeroom and garage) _ _

Tenure

[] 1 Owner/family occupied
[] 2 Rented
[] 3 Other (specify) ____

Main source of drinking water

Wet season
[] 1 Piped inside dwelling unit
[] 2 Piped outside dwelling unit
[] 3 Communal stand pipe
[] 4 Borehole
[] 5 Well
[] 6 Spring
[] 7 Stream/river
[] 8 Lake dam

Dry season
[] 1 Piped inside dwelling unit
[] 2 Piped outside dwelling unit
[] 3 Communal stand pipe
[] 4 Borehole
[] 5 Well
[] 6 Spring
[] 7 Stream/river
[] 8 Lake dam

Toilet

Flush toilet:
[] 1 Exclusive
[] 2 Shared
Pit latrine:
[] 3 Exclusive
[] 4 Shared
[] 5 Bucket
[] 6 None

Whether there is a radio in working condition in dwelling unit

[] 1 Yes
[] 2 No

Number of cycles/vehicles in working condition belonging to person(s) in dwelling unit

_ _ Bicycle
_ _ Motor cycle
_ _ Motor vehicle
_ _ Ox-cart