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Rwanda 1991 Enumeration Form

(Recensement Général de la Population et de l'Habitat, 16-30 août 1991)

Household form

I. Identification
[Questions 1-10]

1. Province _ _

2. Commune (Township) _ _

3. Census sector _ _

4. Census track _ _ _

5. Census cell _ _

6. Dwelling unit number _ _ _

7. Household number _ _ _

8. Type of household:

[] 1 Private
[] 2 Institution. If applicable, specify the type of institution: ____

9. Total numbers of questionnaires filled _ _ _

10. Questionnaire number _ _ _

II. Summary table
[The following information is organized as a table]

Number of residents:
Present:

____ Male
____ Female
____ Total

Absent:

____ Male
____ Female
____ Total

Total:

____ Male
____ Female
____ Total
Visitors:
_ _ Male
_ _ Female
_ _ Total

Date of visit: _ _ _ _ _ _ _ _
Name of census enumerator: ____
Signature: ____

Date of supervision: _ _ _ _ _ _ _ _
Name of supervisor: ____
Signature: ____

IV. Housing characteristics

For private households
[Questions H1 - H11]

H1. Structure of the dwelling unit

[] 1 Single unit house
[] 2 House with several households
[] 3 Building with several apartments (floors)
[] 4 Compound (inhabited by several households)
[] 5 Grouped houses / huts (inhabited by one household)
[] 6 Others

H2. Number of rooms _ _

How many rooms does the dwelling unit have?

H3. Walls

Which materials are the walls made of?

[] 1 Baked bricks
[] 2 Stone
[] 3 Cement blocks
[] 4 Adobe bricks
[] 5 Cement and adobe bricks
[] 6 Wood and cement pisé [wood and cement adobe]
[] 7 Wood and earth pisé [wood and earth adobe]
[] 8 Wood plank
[] 9 Others

H4. Roofs

Which materials are the roofs made of?

[] 1 Corrugated metal sheet
[] 2 Tiles
[] 3 Concrete
[] 4 Thatch / straw
[] 5 Others

H5. Floor

Which material is the floor made of?

[] 1 Cement
[] 2 Ceramic tiles
[] 3 Bricks / stone
[] 4 Earth / sand
[] 5 Others

H6. Type of lighting

What is the type of lighting used?

[] 1 Electricity
[] 2 Oil lamp
[] 3 Paper oil lantern
[] 4 Candle
[] 5 Wood
[] 6 Others

H7. Source of water

Where does the water used by the household come from?

[] 1 Tap inside house
[] 2 Brought from outside tap
[] 3 Street tap
[] 4 Spring / well, built
[] 5 Spring / well, natural
[] 6 River / lake
[] 7 Others

H8. Cooking fuel

What is the main fuel used for cooking by the household?

[] 1 Electricity
[] 2 Gas
[] 3 Kerosene
[] 4 Coal
[] 5 Wood
[] 6 Straw
[] 7 Others

H9. Toilet facility

What is the type of toilet facility used by the household?

[] 1 Flush toilet
[] 2 Pit latrine, individual
[] 3 Pit latrine, shared
[] 4 Neighbor
[] 5 Nature / outside
[] 6 Others

H10. Ownership/renting status

What is the ownership status of the dwelling unit?

[] 1 Landlord / owner
[] 2 Paid by employer
[] 3 Free housing
[] 4 Tenant
[] 5 Other

H11. Ownership of a radio

Do you own a radio?

[] 1 Yes
[] 2 No

Observations from the enumerator ____
Observations from the supervisor ____

IV. Individual characteristics
[Questions P1-P33.]

For all persons
[Questions P1 to P15 were asked of all persons]

[Space is provided for responses to the following items for each person]

P1. Sequential number _ _

P2. Last name and first name

For all residents, specify those present and absent, in the following order:

Head of household;
Unmarried children of the head of household whose mother is no longer a member of the household;
First wife and her unmarried children if they live in the household, starting by the youngest;
Second wife and her unmarried children if they live in the household, starting by the youngest;
Married children of the head of household, followed by their spouses and their children;
Other relatives of the head of household or of his / her spouse;
All visitors.

P3. Relationship with household head

What is the relationship with the household head? Circle the number matching the letters corresponding to the relationship, following the abbreviations at the bottom of the page. [Abbreviations are expanded here]

[] 1 Household head
[] 2 Spouse
[] 3 Child
[] 4 Nephew / niece
[] 5 Parent (father / mother)
[] 6 Grandchild
[] 7 Brother / sister
[] 8 No kinship relation

P4. Residence status

Circle the number matching the letters corresponding to the status:

[] 1 Resident, present
[] 2 Resident, absent
[] 3 Visitor

P5. Sex

Circle the number matching the letters corresponding to sex:

[] 1 Male
[] 2 Female

P6. Date of birth ____

What is the date of birth of [the respondent]?
Write down the month and the year of birth. Separate the month and the year with a slash.

P7. Age _ _

Write down the declared age in years, or the estimated age in integer number if the date of birth is unknown.

P8. Place of birth _ _ _ _

Where was [the respondent] born? If born in Rwanda, write down the commune (township). If born outside of Rwanda, write down the country of birth. ____

P9. Place of residence _ _ _ _

If the place of residence is in Rwanda, write down the commune (township). If it is outside of Rwanda, write down the country of birth.___

P10. Duration of residence _ _

How long, in years, have you lived in this commune (township)?

P11. Place of previous residence _ _ _ _

In which commune (township) did you live before coming to settle here? ____

P12. Nationality / Country of citizenship _ _

What is your nationality? / of which country are you a citizen of? ____

P13. Religion

What is the religion of [the respondent]?
Circle the number matching the letters corresponding to the declared religion, following the abbreviations at the bottom of the page.
[Abbreviations are expanded here]

[] 1 Catholic
[] 2 Protestant
[] 3 Adventist
[] 4 Muslim
[] 5 Traditional religion
[] 6 Other religion
[] 7 No religion

Survival of parents:

P14. Father

Is the father of [the respondent] still alive?
Circle the number matching the letters corresponding to the answer.

[] 1 Yes
[] 2 No
[] 3 Do not know

P15. Mother

Is the mother of [the respondent] still alive?
Circle the number matching the letters corresponding to the answer.

[] 1 Yes
[] 2 No
[] 3 Do not know

Population aged 6 years or older (born before August 1985).
[Questions P16-P20 were asked of persons age 6+]

P16. Literacy

Does [the respondent] know how to read and write?
Circle the number matching the letters corresponding to the answer.

[] 1 Yes
[] 2 No
[] 3 Reads only

P17. Foreign language spoken

In addition to his / her mother tongue, which are the languages that [the respondent] speaks?
Circle the number matching the letters corresponding to the answer.

[] 1 French
[] 2 English
[] 4 Swahili
[] 8 Other
[] 16 None

Level of education
[Question P18-P20 were asked of persons age 6+ who ever attended school]

P18. Highest grade completed _ _

Did [the respondent] ever go to school? If no, write "no" in P18, and draw a line in P19 and P20. If yes, what is the last grade that [the respondent] went to?

P19. Type of education ____

What type of school did [the respondent] go to? If [the respondent] went to secondary school, specify the type of training received. If [the respondent] went to university or to higher education, specify the faculty.

P20. Highest diploma received _ _

What is the highest diploma that [the respondent] had received? ____

Occupation

Population aged 10 years or older (born before August 1981).
[Questions P21-P24 were asked of persons age 10+]

P21. Employment status

During the week from ____ to ____, what [the respondent] was doing (as work) most of the time? Circle the number matching the letters corresponding to the answer given, following the abbreviations provided at the bottom of the page.

[] 1 Employed
[] 2 Unemployed
[] 3 Looking for [first] work
[] 4 Housewife
[] 5 Student
[] 6 Retired
[] 7 Other

Active Population / Employed or unemployed
[Questions P22-P24 were asked of individuals who were part of the active population, whether they were working or not]

P22. Current occupation ____

What is the current occupation of [the respondent]? Write down in full the activity of the named person.

P23. Work status (Status in occupation)

What is the status of [the respondent] in this occupation?
Circle the number matching the letters corresponding to the answer given, following the abbreviations provided at the bottom of the page.

[] 1 Self employed
[] 2 Employer
[] 3 Employee (salaried)
[] 4 Apprentice
[] 5 Family aid / family worker
[] 6 Business partner

P24. Type of economic activity (Branch or sector of economic activity) ____

In which type of economic activity is (or was) the employment of [the respondent]?
Write down in full what the company produces (or was producing) or the society in which the named person works (or was working)?

P25. Marital status

For individuals aged 12 years and older.

What is the marital status of [the respondent]?
Circle the number matching the letters corresponding to the answer given, following the abbreviations provided at the bottom of the page.
[] 1 Single
[] 2 Married, legally
[] 3 Married, customary
[] 4 Free union
[] 5 Polygamous, two wives
[] 6 Polygamous, three wives or more
[] 7 Widowed
[] 8 Divorced / Separated

Women aged 12 years and older (born before August 1979).
[Questions P26-P33 were asked of women age 12+]

P26. Children ever born: number of boys _ _

How many children did [the respondent] ever have? Write 0 if none.

P27. Children ever born: number of girls _ _

How many children did [the respondent] ever have? Write 0 if none.

P28. Children surviving: number of boys still alive _ _

Of all the boys ever born to [the respondent] how many are still alive? Write 0 if none.

P29. Children surviving: Number of girls still alive _ _

Of all the girls ever born to [the respondent] how many are still alive? Write 0 if none.

P30. Own births in past 12 months: number of boys _ _

Did [the respondent] have any live births between August 1st, 1990 and July 31st 1991? Write 0 if none. If this occurred, [specify number of boys]

P31. Own births in past 12 months: number of girls _ _

Did [the respondent] have any live births between August 1st, 1990 and July 31st 1991? Write 0 if none. If this occurred, [specify number of girls]

P32. Own children dead in past 12 months: number of boys _ _

Was there any child (or children) of [the respondent] who died between August 1st, 1990 and July 31st 1991? If this occurred, [specify number of boys]. Write 0 if none.

P33. Own children dead in past 12 months: number of girls _ _

Was there any child (or children) of [the respondent] who died between August 1st, 1990 and July 31st 1991? If this occurred, [specify number of girls]. Write 0 if none.