1998 Population and Housing Census Questionnaire
Confidential: The census is being conducted under the 1967 Statistics Act. The information will be strictly confidential and used for statistical purposes only.
Part A: Identification
A1. Region _
A2. District _ _ _
A3. Traditional authority (TA), sub-traditional authority (STA), or town _ _ _ _ _
A4. Enumeration area _ _ _
A5. Village or place _ _ _
A6. Household number _ _ _
A7. Number of dwelling units to household _
Part B: Characteristics of individual household members
[Questions B1-B7 were asked of all persons]
B1. Dwelling unit number _
B2. Person number _ _
List all household members, including any visitors, who slept in dwelling unit(s) belong to the household last night
Full name: ____
B3. Relationship to head of household
[] 2 Wife/husband
[] 3 Son/daughter
[] 4 Other relative
[] 5 Non-relative
[] 6 Institutional member
B6. Nationality _________
Write the name of the country where the person comes from.
B7. Religion
[] 2 Islam
[] 3 Other
[] 4 None
[Questions B8-B9 are for persons age 20 years and younger]
B8. Orphanhood: is [the respondent's] father alive?
[] 2 No
[] 3 Don't know
B10. Orphanhood: is [the respondent's] mother alive?
[] 2 No
[] 3 Don't know
[Questions B10-B15 are for persons age 5 and older]
B10. Literacy: English
[] 2 No
B11. Literacy: Chichewa
[] 2 No
B12. Literacy: other
[] 2 No
B13. Education: [was the respondent] in school August 1998?
[] 2 No
B14. Education: highest level attended?
Primary:
[] 02 Standard 2
[] 03 Standard 3
[] 04 Standard 4
[] 05 Standard 5
[] 06 Standard 6
[] 07 Standard 7
[] 08 Standard 8
[] 10 Form 2
[] 11 Form 3
[] 12 Form 4
[] 13 Form 5
[] 14 Form 6
[] 16 Year 2
[] 17 Year 3
[] 18 Year 4
[] 19 Year 5
[] 20 Year 6
[] 21 Year 7
B15. Education: highest qualification attained?
[] 1 PSLC
[] 2 JC
[] 3 MSCE
[] 4 GCE "A" Level
[] 5 Diploma
[] 6 Degree
[Questions B16-B19 are for persons age 10 and older]
B16. Marital status
[] 2 Widowed
[] 3 Divorced/separated
[] 4 Never married
B17. Economic activity - type of activity last week
What was [the respondent] doing the last 7 days?
[] 02 Employee
[] 03 Family business worker
[] 04 Self-employed
[] 05 Employer
[] 07 Worked before, non seeking work
[] 08 Never worked before, seeking work
[] 10 Home worker
[] 11 Student
[] 12 Other
B18. Economic activity: occupation
For example: (teacher, nurse, driver, mechanic, carpenter, etc.)
B19. Economic activity: industry
For example: construction, agriculture, transport, manufacturing, community services, etc.
Children ever born [Questions B20-B26]
[Questions B20-B30 were asked of women age 12 and older]
How many live-born children has this woman borne? If none, enter "00".
B21. Male _ _
B22. Female _ _
How many are alive? If none, enter "00".
B24. Female _ _
How many have died? If none, enter "00".
B26. Female _ _
Children born since September 1997
[Questions B27-B30]
How many children has this woman borne since September 1997? If none, enter "0".
B28. Female _
How many are still alive? If none, enter "0".
B30. Female _
Summary of persons in this household
Sex
Male _ _
Female _ _
Age (years)
5-14 _ _
15-17 _ _
18+ _ _
All deaths occurred in the household from September 1997 to date. Note: include all deaths of both children and the elderly
C1. Sex of the deceased
[] 2 Female
C2. Age at death (years) _ _
C3. Total deaths (if no deaths, enter "00") _ _
C4. What is the language most commonly used in this household?
[] 02 Chinyanja
[] 03 Chiyao
[] 04 Chitumbuka
[] 05 Chilomwe
[] 06 Chinkhonde
[] 07 Chingoni
[] 08 Chisena
[] 09 Chitonga
[] 10 Chinyakyusa
[] 11 Chilambya
[] 12 Chisenga
[] 13 English
[] 14 Portuguese
[] 15 Other
Part D: Dwelling unit characteristics and access to facilities
D1. Dwelling unit serial number _ _
D2. Type of structure
[] 2 Semi-permanent
[] 3 Traditional
D3. Number of rooms (exclude bathrooms, toilets, storerooms, and garage) _ _
D4. Tenure
[] 2 Rented
[] 3 Other
What is the main source of drinking water?
[] 02 Piped outside dwelling unit
[] 03 Communal stand pipe
[] 04 Protected well
[] 05 Unprotected well
[] 06 Borehole
[] 07 Spring
[] 08 Stream/river
[] 09 Lake/dam
[] 10 Rainwater
[] 02 Piped outside dwelling unit
[] 03 Communal stand pipe
[] 04 Protected well
[] 05 Unprotected well
[] 06 Borehole
[] 07 Spring
[] 08 Stream/river
[] 09 Lake/dam
[] 10 Rainwater
D7. Toilet
[] 2 VIP latrine
[] 3 Traditional pit latrine
[] 4 None
What is the main source of energy?
[] 2 Charcoal
[] 3 Electricity
[] 4 Paraffin
[] 5 Gas
[] 6 Candles
[] 7 Dung
[] 8 Grass
[] 9 None
[] 2 Charcoal
[] 3 Electricity
[] 4 Paraffin
[] 5 Gas
[] 6 Candles
[] 7 Dung
[] 8 Grass
[] 9 None
D10. Is there a radio in working condition in this dwelling unit?
[] 2 No
How many bicycles and oxcarts belong to persons in this dwelling unit are in working condition?
D11. Bicycle _ _
D12. Ox-cart _ _