Republic of Trinidad and Tobago
Central Statistical Office
Population and Housing Census
16th May, 2010

Confidential

Instructions

1. Cross out clearly any changes you make.
2. Make no stray marks on this form.
3. Answer all applicable questions.
For optimum accuracy, please print in capital letters and avoid contact with the edge of the box.
[Some examples are shown to illustrate how to fill in the boxes and shade the circles]

_ _ Municipality ID
_ _ _ _ Community Code
_ _ _ _ _ E.D. Number
_ _ _ Building Number
_ _ _ Dwelling Unit Number
_ _ _ Household Number
_ _ of _ _ Questionnaire Number

____ Respondent's name
Address of household

_ _ No.
_ _ Street name
_ _ Community
_ _ Region

____ Email
____ Municipality/Region/Parish
_ _ _ - _ _ _ _Telephone number 1
_ _ _ - _ _ _ _Telephone number 2
_ _ Number of persons in household

Visit
[] 1
Date: _ _ DD _ _ MM _ _ _ _ YYYY
Time arrived: _ _ : _ _
Time left: _ _ : _ _

Result code:

[] 1 Completed
[] 2 Partially completed
[] 3 Not at home
[] 4 Refused
[] 5 Vacant dwelling
[] 6 Closed dwelling
[] 7 Other (specify) ______

[The same set of questions is asked during visits 2, 3, and 4]

____ Supervisor's name ____ Signature ____ Date
____ Interviewer's Name ____ Signature ____ Date
____ Field editor's name ____ Signature ____ Date

Section 1: Characteristics - For all persons

Circles are precoded, please shade the appropriate circle.

_ _ Individual Number

1. Name of residents

What are the names of the household members?

____ Surname
____ First name [N]

Interviewer:
i. A household member is a person who sleeps at this residence most nights of the week and shares at least one daily meal.
ii. Remember to probe for elderly, infants, new born babies, students, temporary residents and persons who have died but were members of the household at midnight on the 16th May 2010 (Census Day).

2. Relationship to head of household

What is (N's) [the respondent's] relationship to the head of the household? [N stands for the person being enumerated]

[] 01 Head (H)
[] 02 Spouse of head (SH)
[] 03 Partner of the head (PH)
[] 04 Child of head and spouse/partner (CHS/P)
[] 05 Child of head only (CHO)
[] 06 Child of spouse/partner only (CS/PO)
[] 07 Adopted child of head and spouse/partner (ACHS/P)
[] 08 Spouse/partner of child (S/PC)
[] 09 Grandchild of head/spouse/partner (GH/S/P)
[] 10 Parent of head/spouse/partner (PH/S/P)
[] 11 Other relative of head/spouse/partner (ORH/S/P)
[] 12 Domestic employee (DE)
[] 13 Other non-relative (ONR)
[] 99 Not stated (NS)

3. Sex

Is (N) [the respondent] male or female?

[] 1 Male
[] 2 Female

4. Date of birth and age

(a) What is (N's) [the respondent's] date of birth?

_ _ DD - _ _ MM - _ _ _ _ YYYY

(b) What was (N's) [the respondent's] age at last birthday?

_ _ _

5. Ethnic group

To which ethnic group does (N) [the respondent] belong?

[] 01 African (A)
[] 02 Caucasian (Ca)
[] 03 Chinese (Ch)
[] 04 East Indian (EI)
[] 05 Indigenous (I)
[] 06 Mixed - African and East Indian (M-A and EI)
[] 07 Mixed - Other (MO)
[] 08 Portuguese (P)
[] 09 Syrian/Lebanese (S/L)
[] 77 Other ethnic group (OEG)
[] 99 Not stated (NS)

6. Religion

To which religion does (N) [the respondent] belong?

[] 010 Anglican
[] 025 Baptist - Spiritual Shouter
[] ____ Baptist - other (specify)
[] ____ Hinduism (specify)
[] ____ Islam (specify)
[] 040 Jehovah Witness
[] 050 Methodist
[] 038 Moravian
[] 470 Orisha
[] ____ Pentecostal/Evangelical/Full Gospel (Specify)
[] 800 Presbyterian
[] 960 Rastafarian
[] 090 Roman Catholic
[] 100 Seventh Day Adventist
[] 098 None
[] 999 Not stated (NS)

Section 2: Migration (Birthplace and Residence) - For all Persons

7(a). Place of birth

Where was (N's) [the respondent's] place of birth?

[] 01 Trinidad and Tobago (T and T)

Go to Q.7(b)

[] 02 Foreign country (FC)

Go to Q.7(c) and Q.7(d)

[] 09 Not stated (NS)

Skip to Q.8(a)

Trinidad and Tobago born only
[Question 7(b) is asked only to people born in Trinidad and Tobago]

7(b). Full address

What was the usual address of (N's) [the respondent's] mother when (N) [the respondent] was born?

____ No. Street name
____ Community
_ _ _ _ Region

[] 09 Not stated (NS). Skip to Q.8(a)

Interviewer: Skip to Q.8(a) after writing the address.

Foreign born only
[Questions 7(c) and 7(d) are asked only to foreign born]

7(c). Country of birth

In which country was (N) [the respondent] born?

[] 052 Barbados
[] 192 Cuba
[] 308 Grenada
[] 328 Guyana
[] 388 Jamaica
[] 662 St Lucia
[] 670 St Vincent
[] 124 Canada
[] 156 China
[] 280 Germany
[] 356 India
[] 566 Nigeria
[] 826 UK
[] 840 USA
[] 862 Venezuela
[] 608 Philippines
[] ____ Other (specify)
[] 999 Not stated

7(d). Duration of residence in Trinidad and Tobago

From what year has (N) [the respondent] been living in Trinidad and Tobago?

_ _ _ _ Year

[Question 8(a) is asked to both local and foreign people]

8(a). Usual residence. For both local and foreign born

Where does (N) [the respondent] usually live?

[] 01 At this address (ATA)

Go to Q.9

[] 02 Elsewhere in T and T (E T and T)

Go to Q.8(b)

[] 03 Abroad (A) [end interview]
[] 09 Not stated (NS)

Go to Q.9

Interviewer: For persons who select option 03 "Abroad", interview ends here.

8(b). Address of place of usual residence

What is (N's) [the respondent's] place of usual residence in Trinidad and Tobago?

____ No. Street name
____ Community
_ _ _ _ Region

For Local Residents Only
[Question 9 is asked only to local residents]

9. Address ten (10) years ago

Interviewer: Where the individual is less than ten years old or came to reside in T and T after 2000, put NA for Q.9(a) and Q.9(b).

9(a). Did (N) [the respondent] live at this address last census i.e. in 2000?

[] 01 Yes

Skip to Q.10

[] 02 No

Go to Q.9(b)

[] 08 Not applicable (NA)

Skip to Q.10

[] 09 Not stated (NS)

Skip to Q.10

9(b). What was (N's) [the respondent's] address last census i.e. in 2000?

____ No. Street name
____ Community
_ _ _ _ Region

For local born only
[Questions 10, 11, 12(a), and 12(b) are asked of local born only]

10. Residence in another country

Has (N) [the respondent] lived in another country since the last census in 2000?

[] 01Yes
[] 02 No

Skip to Q.13(a)

[] 09 Not stated (NS)

Skip to Q.13(a)

11. Country of last residence

In which country did (N) [the respondent] last live?

[] 052 Barbados
[] 192 Cuba
[] 308 Grenada
[] 328 Guyana
[] 388 Jamaica
[] 662 St Lucia
[] 670 St Vincent
[] 124 Canada
[] 156 China
[] 280 Germany
[] 356 India
[] 566 Nigeria
[] 826 UK
[] 840 USA
[] 862 Venezuela
[] 608 Philippines
[] ____ Other (specify)
[] 999 Not stated

12(a). Year left

In what year did (N) [the respondent] leave Trinidad and Tobago to live in last country?

_ _ _ _ Year

12(b). Year returned

In what year did (N) [the respondent] return from last country to live in Trinidad and Tobago?

_ _ _ _ Year

Section 3: Disability - For all persons

13(a). Long standing disability

Does (N) [the respondent] suffer from any long standing disability?

[] 1 Yes

Go to Q.13(b)

[] 2 No

Skip to Q.15(a)

[] 9 Not stated

Skip to Q.15(a)

13(b). Disability status

Does the long standing disability prevent (N) [the respondent] from doing any of the following?
[Respondents indicate both the activity and its level of difficulty]

[] 01 Seeing even if wearing glasses?
[] 02 Hearing even if using hearing aid?
[] 03 Walking, climbing steps? (Moving/being mobile)
[] 04 Remembering or concentrating? (Learning)
[] 05 Gripping?
[] 06 Speaking and understanding because of a physical, mental or emotional health condition?

Level:
[] a. Yes - some difficulty
[] b. Yes - a lot of difficulty
[] c. Cannot do at all

Interviewer: Multiple responses can be shaded.

14. Activities and participation

Does any of (N's) [the respondent's] disabilities or conditions affect (N) [the respondent] from performing any of the following?

[] 01 Taking care of himself/herself (TCH)
[] 02 Getting around within the home (GAH)
[] 03 Going outside the home (GOH)
[] 04 Working at a job or business (WB)
[] 05 Undertaking educational activities (UEA)
[] 06 Participating in social activities (PSA)
[] 07 No effect (NE)

Interviewer: Multiple responses can be shaded.

Section 4: Health - For all persons

15(a). Chronic illness

Has (N) [the respondent] been diagnosed as suffering from any of the following illnesses?

[] 00 None
[] 01 Alzheimer's disease (AD)
[] 02 Arthritis (ART)
[] 03 Asthma (AST)
[] 04 Cancer (C)
[] 05 Clinical mental disease (CMD)
[] 06 Diabetes (DIA)
[] 07 HIV/AIDS
[] 08 Heart Disease (HD)
[] 09 Hypertension (HYP)
[] 10 Kidney Disease (KD)
[] 11 Lupus (L)
[] 12 Parkinson's disease (PD)
[] 13 Sickle Cell Anemia (SCA)
[] 77 Other (O)
[] 99 Not stated (NS)

Interviewer: Multiple responses can be shaded.

15(b). Health insurance

Is (N) [the respondent] covered by Private Health Insurance or Private Employee Medical Plan?

[] 01 Yes
[] 02 No
[] 08 Don't Know (DK)
[] 09 Not stated (NS)

Section 5: Education - For all persons

16. Attendance at a school/ educational institution

(a) Is (N) [the respondent] currently attending a school/educational Institution?

[] 01 Yes

Go to Q.16(b)

[] 02 No

Skip to Q.18(a)

[] 09 Not stated (NS)

Skip to Q.18(a)

(b) Is (N's) [the respondent's] attendance:

[] 01 Full-time (FT)
[] 02 Part-time (PT)
[] 03 Distance Learning (DL)
[] 09 Not stated (NS)

17. Type of school/educational institution currently attending

What type of school/educational institution is (N) [the respondent] attending?

[] 01 Early Childhood Care and Education/Nursery School/Kindergarten (ECCE/N/K)
[] 10 Government and Assisted Primary (G/AP)
[] 11 Private Primary (PP)
[] 20 Government and Assisted Secondary (G/AS)
[] 21 Private Secondary (PS)
[] 30 Trade/Vocational/Youth Development and Apprenticeship Centre (T/V/YC)
[] 32 Commercial/Secretarial (C/S)
[] 40 Community College (CC)
[] 41 Adult/Continuing Classes (A/CC)
[] 42 Other Post-Secondary (OPS)
[] 60 Tertiary Education Institutions/Non University (TEI/NU)
[] 61 Tertiary Education Institutions/University (TEI/U)
[] 70 Special School (SS)
[] 71 Home School (HS)
[] 77 Other (O)
[] 99 Not stated (NS)

18(a). Highest level of educational attainment

What is (N's) [the respondent's] highest level of educational attainment?

[] 00 None

Skip to Q.19

[] 01 Early Childhood Care and Education/Nursery School/Kindergarten (ECCE/N/K)
[] 02 Primary (P)
[] 03 Secondary (S)
[] 04 Post Secondary (PS)
[] 05 Tertiary/Non University (T/NU)
[] 06 Tertiary/University (T/U)
[] 07 Other
[] 08 Not applicable (NA)

Skip to Q.19

[] 09 Not stated (NS)

Skip to Q.19

18(b). Years of schooling at highest level

How many years of schooling at the highest level did (N) [the respondent] have?

[] 00 Less than 1 year
[] 01 year
[] 02 years
[] 03 years
[] 04 years
[] 05 years
[] 06 years
[] 07 years or more
[] 09 Not stated (NS)

18(c). Highest qualification ever attained

What is the highest exam (N) [the respondent] has ever passed?

[] 00 None
[] 01 School leaving certificate
[] 02 CXC Basic
[] 03 GCE 'O'/CXC Gen/SC

No. of passes 1 2 3 4 5 6 7 8+

[] 04 GCE 'A'/CAPE/HSC

No. of passes 1 2 3 4+

[] 05 Diploma/or Equivalent Certificate of Achievement
[] 06 Associate Degree/Higher Diploma
[] 07 Bachelor's Degree
[] 08 Master's Degree
[] 09 Post Graduate Diploma/Professional Qualification
[] 10 Doctorate
[] 77 Other
[] 99 Not Stated (NS)

Interviewer: Exclude Secondary Entrance Assessment (SEA), Common Entrance and 14+ Exams.

Section 6: Economic Activity - For all persons fifteen (15) years old and over

This section deals with the economic activity of all persons who are 15 years old and over.
Questions 20 and 21 apply only to those answering (30) in question 19.

19. Current activity status

What did (N) [the respondent] do during the past week?

[] 10 Had a job and worked (HJW)
[] 11 Had a job, but did not work (HJNW)
[] 20 Seeking first job (SFJ)
[] 21 Actively seeking work (ASW)
[] 30 Did not look for work (DNLW)
[] 99 Not stated (NS)

Interviewer: For persons who shaded 10 to 21, skip to Q.22.
Those shading 30, go to Q.20.
And for persons who shaded 99, skip to Q.21.

[Questions 20 and 21 apply only to those answering (30) in question 19]

20. Reason for not seeking work past week

Why did (N) [the respondent] not look for work during the past week?

[] 40 Student (S)
[] 41 Home duties (HD)
[] 42 Retired (R)
[] 43 Disabled (D)
[] 44 Old age pensioner (OAP)
[] 45 Did not want work (DNWW)
[] 46 Discouraged (DISC)
[] 47 Awaiting Results (AR)
[] 48 Knew of no vacancy (KNV)
[] 49 Temporary Illness (TI)
[] 77 Other (O)
[] 99 Not stated (NS)

Interviewer: For persons who shaded 40 to 45, skip to Q.25.

21. Last looked for work

When did (N) [the respondent] last look for work?

[] 01 Under 1 month
[] 02 1-3 months
[] 03 4-6 months
[] 04 7-11 months
[] 05 1 year and over
[] 06 Never looked for work (NLW)
[] 09 Not stated (NS)

Interviewer: For persons who shaded 06 OR 09, skip to Q.25.

22. Employment status

What type of worker status applies to (N) [the respondent]?

[] 00 Statutory boards and similar bodies (SB)
[] 01 State owned enterprise (SOE)
[] 02 Central or local government (C/LG)
[] 03 Government, contract work (GCW)
[] 04 Private establishment (PE)
[] 05 Private establishment, contract work (PECW)
[] 06 Paid employee, private home (PEPH)
[] 07 Self-employed with paid employees (SPH)
[] 08 Self-employed with no paid employees (SNPH)
[] 09 Apprentice/Learner (A/L)
[] 10 Unpaid family worker/employee (UFW/E)
[] 11 Other unpaid worker/employee (OUW/E)
[] 77 Other (O)
[] 98 Don't know (DK)
[] 99 Not stated (NS)

Interviewer: For persons who shaded 20 in Q.19, classify by where (N) [the respondent] last applied for a job. And those persons shading 21 OR 30 classify by last job held.

23(a). Main kind of occupation/work

What kind of work was (N) [the respondent] doing (job held/did (N) [the respondent] apply for) during the past week? E.g. Secondary School Teacher, Accounts Clerk, Automobile Mechanic.

__________

23(b). Job title

What was (N's) [the respondent's] Job Title? E.g. Teacher II, Accounts Clerk I, Automobile Mechanic Grade "A".

Occupation: __________
Job title: _ _ _ _ _ _

Interviewer: For persons who shaded 20 in Q.19, classify by where (N) [the respondent] last applied for a job. Those persons shading 21 OR 30 classify by last job held.

24(a). Industry

What is the name of the Business/Firm/Establishment/Government Department in which (N) [the respondent] worked/had a job? E.g. Ministry of Health (St. Ann's Hospital), Pete's Advertising Agency.

__________

24(b). Type of business

What type of business is carried on there? E.g. Psychiatric Hospital, creative designs of advertisement for media.

Industry: ________
Business: _ _ _ _

Interviewer: For persons who shaded 20 in Q.19, classify by where (N) [the respondent] last applied for a job. Those persons shading 21 OR 30 classify by last job held.

25. What did (N) [the respondent] do most during the past twelve (12) months?

[] 10 Had a job and worked (HJW)
[] 11 Had a job, did not work (HJNW)
[] 20 Seeking first job (SFJ)
[] 21 Seeking work - not first job (SW)
[] 30 Wanted work and available (WW)
[] 40 Student (S)
[] 41 Home duties (HD)
[] 42 Retired (R)
[] 43 Disabled (D)
[] 44 Old Age Pensioner (OAP)
[] 45 Did not want work (DNWW)
[] 77 Other (O)
[] 99 Not stated (NS)

Interviewer: For persons who shaded 20 in Q.19, classify by where (N) [the respondent] last applied for a job. And those persons shading 21 OR 30 classify by last job held.

Section 7: Marital Status - For all persons fourteen (14) years and over

26. Marital status

What is (N's) [the respondent's] legal marital status?

[] 01 Never married (NM)
[] 02 Married (M)
[] 03 Widowed (W)
[] 04 Legally separated (LS)
[] 05 Divorced (D)
[] 09 Not stated (NS)

Section 8 Fertility - For Females Fourteen to fifty-four (14-54) Years

27. Children ever born (live born)

(a) How many live born children has (N) [the respondent] ever had and how many are males and females?

_ _ Total
_ _ Female
_ _ Male
[] 09 NS

(b) How many of (N's) [the respondent's] live born children are still alive and how many are males and females?

_ _ Total
_ _ Female
_ _ Male
[] 09 NS

Interviewer: If none, skip to Q.31

28. Age (first born)

How old was (N) [the respondent] when she had her first live born child?

_ _ Age

29. Age (last born)

How old was (N) [the respondent] when she had her last live born child?

_ _ Age

30(a). Number of live births in the past 12 months

How many live births did (N) [the respondent] have during the past 12 months?

[] 00 None
[] 01 One
[] 02 Two separate births
[] 03 Twin (TW)
[] 04 Three and over (3+)
[] 09 Not stated (NS)

Interviewer: If none, skip to Q.31

30(b). Children born in the past 12 months who have died

How many of the children who were born in the past 12 months have died and how many were males and females?

_ _ Total
_ _ Female
_ _ Male
[] 09 NS

31. Number of still births in the past 12 months

How many still births did (N) [the respondent] have during the past 12 months?

[] 00 None
[] 01 One
[] 02 Two and over (2+)
[] 09 Not Stated (NS)

32. Union status

What is (N's) [the respondent's] union status?

[] 01 Married and living with spouse (M)
[] 02 Common-law and living with partner (CL)
[] 03 Visiting partner (VP)
[] 04 No longer living with spouse (NLS)
[] 05 No longer with common-law partner (NLCP)
[] 06 Never had a spouse nor common-law partner (NS/P)
[] 09 Not stated (NS)

Section 9: Census Night - For all persons

33. Census night

Where did (N) [the respondent] spend census night? (i.e. at midnight on the 16th May 2010)

[] 01 This household (TH)
[] 02 Elsewhere in Trinidad and Tobago (E)
[] 03 Institution (I)
[] 04 Abroad (A)
[] 07 Other (O)
[] 09 Not stated (NS)

Section 10: Individual Use of Information and Communication Technology - For persons three (3) years and over

34. Use of mobile phone

Did (N) [the respondent] have use of a mobile telephone during some or all of the last 3 months?

[] 01 Yes
[] 02 No
[] 09 NS

35. Use of computer

Has (N) [the respondent] used a computer from any location in the last 3 months?

[] 01 Yes
[] 02 No
[] 09 NS

36. Use of Internet

Has (N) [the respondent] used the Internet from any location in the last 3 months?

[] 01 Yes
[] 02 No
[] 09 NS

Section 11: Housing - Head of household

A. Characteristics of Building

37. Type of building

[] 01 Residential
[] 02 Residential/ Commercial
[] 03 Residential/Professional (Office)
[] 04 Residential/Industrial
[] 05 Community Service - Private/Government
[] 07 Other (specify) ______
[] 09 Not stated

38. Material of outer walls

What are the main materials of the outer walls?

[] 01 Wood
[] 02 Wood and brick
[] 03 Wood and concrete
[] 04 Wood and galvanize
[] 05 Concrete
[] 06 Concrete and brick
[] 07 Stone
[] 08 Stone and brick
[] 09 Wattle/Adobe/Tapia
[] 77 Other (specify) ____
[] 99 Not stated

39. Material of the roof

What is the main material used for roofing?

[] 01 Sheet metal (zinc, aluminum, galvanize)
[] 02 Shingle (asphalt)
[] 03 Shingle (wood)
[] 04 Concrete
[] 05 Tile
[] 06 Thatch/Makeshift
[] 07 Other (specify) ____
[] 09 Not stated

40. Year built

In which year/period was this building built?

[] 01 Before 1980
[] 02 1980-1989
[] 03 1990-1999
[] 04 2000-2005
[] 05 2006
[] 06 2007
[] 07 2008
[] 08 2009
[] 09 2010
[] 98 Don't know
[] 99 Not Stated

B. Characteristics of Occupied Dwelling Unit and Land Tenancy

41. Type of dwelling

A dwelling unit must have a separate entrance and not be accessed or entered through someone else's living arrangements.

How would you describe the type of dwelling unit that your household occupies?

[] 01 Separate house
[] 02 Flat/apartment/cond.
[] 03 Townhouse
[] 04 Double house/duplex
[] 05 Part of Com./Ind. building
[] 06 Barracks
[] 07 Out-room
[] 08 Other Pr./dwelling
[] 09 Group dwelling
[] 10 WAFDA
[] 77 Other
[] 99 Not stated

42. Type of tenure/ownership

(a) Is the dwelling unit:

[] 01 Owned fully
[] 02 Owned with mortgage/loan
[] 03 Rent to own
[] 04 Rented private
[] 05 Rent free
[] 06 Rented government
[] 07 Leased private
[] 08 Leased government
[] 09 Squatted
[] 77 Other (specify) ____
[] 99 Not stated

Applicable only to those households which own their dwelling unit:
[Question 42(b) is asked of households which own their dwelling units]

(b) Is the land on which the dwelling unit stands:

[] 01 Owned/family land
[] 02 Rented private
[] 03 Rented government
[] 04 Leased private
[] 05 Leased government
[] 06 Rent free
[] 07 Squatted
[] 77 Other (specify) ____
[] 98 Don't know
[] 99 Not stated

43(a). For renters only: What is the monthly rent paid for this dwelling unit?

_ _ _ _ _ TT$
[] 08 Don't know

43(b). For owner-occupied only: If you were to rent this dwelling unit how much would it fetch monthly?

_ _ _ _ _ TT$
[] 08 Don't know

44. Single or multiple occupancy of dwelling unit

44(a). Is any part of the dwelling unit in which you live occupied by any other household either for a rent, for free or by some other arrangement?

[] 01 Yes

Go to Q.44(b)

[] 02 No

Skip to Q.45

[] 09 Not stated

Skip to Q.45

44(b). How many other households occupy this dwelling unit with your household?

[] 1
[] 2
[] 3
[] 4 and over
[] 9 Not stated

45. Number of rooms

How many rooms are there in your dwelling unit? (Do not count bathrooms, porches, kitchens, garages)

[] 1
[] 2
[] 3
[] 4
[] 5 and more
[] 9 Not stated

46. Number of bedrooms

46(a). How many bedrooms are there in this dwelling unit? (Count all bedrooms including spares not occupied. Bedrooms are used mainly for sleeping and exclude makeshift and temporary sleeping quarters)

[] 0 None
[] 1
[] 2
[] 3
[] 4
[] 5 and more
[] 9 Not stated

Interviewer: Question 46(b) applies only to heads of households living in dwelling units occupied by more than one household.

[Question 46(b) was asked of households living in dwelling units occupied by more than one household.]

46(b). How many bedrooms are occupied/available for use by your household?

[] 0 None
[] 1
[] 2
[] 3
[] 4
[] 5 and more
[] 9 Not stated

47. Water supply

What is this household's main source of water supply?

[] 01 Public piped into dwelling
[] 02 Public piped into yard
[] 03 Public standpipe
[] 04 Private piped into dwelling
[] 05 Private catchment not piped
[] 06 Truck borne (and not piped into dwelling)
[] 07 Spring/River/Well/Pond
[] 77 Other (specify)
[] 99 Not stated

Interviewer: If shaded 04 to 99, skip to Q.49

48. How often in a week does this household obtain water from a public supply?

[] 01 Everyday
[] 02 Three (3) or more times weekly
[] 03 Once or twice weekly
[] 04 Once every two to three weeks
[] 05 Not at all
[] 07 Other
[] 09 Not stated

49. Toilet facilities

49(a). What type of toilet facilities does this household have?

[] 01 WC linked to sewer
[] 02 WC linked to septic tank/soak away
[] 03 Pit/latrine
[] 04 Other
[] 05 None
[] 09 Not stated

Interviewer: For persons who shaded 05 or 09, skip to Q.50(a).

49(b). Are these toilet facilities shared with any other household?

[] 01 Yes
[] 02 No
[] 08 Not applicable
[] 09 Not stated

50(a). Type of lighting

What type of lighting does this household use most?

[] 01 Electricity
[] 02 Gas
[] 03 Kerosene
[] 04 Solar energy
[] 07 Other (specify)
[] 09 Not stated

50(b). Type of fuel

What type of fuel does this household use most for cooking?

[] 00 None
[] 01 Electricity
[] 02 LPG/Cooking gas
[] 03 Kerosene
[] 04 Wood/Charcoal
[] 05 Solar energy
[] 07 Other (specify)
[] 09 Not stated

51. Household access to the internet

What type/s of internet access services are used by this household?

[] 00 None
[] 01 Analogue (Dial-up)
[] 02 Other narrowband
[] 03 Digital subscriber line (DSL) (e.g. Blink, Greendot)
[] 04 Cable modem (e.g. Flow)
[] 05 Other fixed broadband
[] 06 Mobile broadband (e.g. Blink on the Go)
[] 08 Don't know

Interviewer: Multiple responses can be shaded.

52. Household facilities available

Does your household have any of the following?

[] 01 Air-conditioner
[] 02 Cable TV/Satellite
[] 03 Television
[] 04 DVD/MP3
[] 05 Radio/Stereo
[] 06 Washing machine
[] 07 Clothes dryer
[] 08 Microwave
[] 09 Refrigerator/Freezer
[] 10 Leisure boat/Yacht
[] 11 Swimming pool
[] 12 Vehicle (for private use)

Interviewer: Multiple responses can be shaded.

Section 12: Environment - Head of Household

53. Disposal of household garbage

How does this household usually dispose of its garbage?

Use the following options to answer this question.

a) Garbage truck/skip/bin
b) Dumping (land)
c) Burning
d) Dumping river/sea/pond/drain
e) Burying
f) Compost
g) Other

[] 01 White goods - fridge, washing machine, stove