2012 Population and Housing Census
The United Republic of Tanzania
Long Questionnaire
____ Region
____ District
____ Ward / Shehia
____ Village / street
____ Enumeration area
____ Household number
B. All persons
[Questions 1-19 were asked of all persons.]
____
3. Relationship to the head of household
[] 1 Head
[] 2 Spouse
[] 3 Son / daughter
[] 4 Parent
[] 5 Grandchild
[] 6 Other relative
[] 7 Not related
[] 1 Male
[] 2 Female
Write and shade age in complete years. If under 1 year write 0. For 97 years and above write 97
[] Yes
[] No
[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Unable to see
[] 5 Not applicable
[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Unable to hear
[] 5 Not applicable
[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Unable to walk
[] 5 Not applicable
[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Unable to remember
[] 5 Not applicable
[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Unable to care
[] 5 Not applicable
If answer is no, go to question 12
[]No
[] 2 Spinal befida
[] 3 Spinal cord injuries
[] 4 Mental health
[] 5 Psoriasis
[] 1 Never married
[] 2 Married
[] 3 Living together
[] 4 Divorced
[] 5 Separated
[] 6 Widowed
[] 7 Not stated
[] 1 Tanzania
[] Other _ _
[] 98 Dual citizenship
14. Place of residence
Write and shade code for the region and district if living in Tanzania, or the country code followed by "44" if living outside Tanzania. Codes are in a separate handbook.
15. [Place] where respondent spends most of [the day]
[] 1 Rural
[] 2 Regional / district headquarter
[] 3 Other urban
Write code for the region and district if born in the country or the country code followed by "44" if born outside Tanzania. Codes are in a separate handbook
17. Place of residence in 2011
Write and shade code of the region and district if living in the country or the country code followed by "44" if living outside Tanzania. For children aged '00" in question 5, write code '9798'.
18. Birth certificate
[] 1 Yes, birth certificate
[] 2 Yes, birth notification
[] 3 No
[] 4 Don't know
[] 2 No
[] 3 Don't know
[] 2 No
[] 3 Don't know
C. Education: All persons aged 4 years and above
[Questions 20-22 were asked of persons aged 4+]
[] 1 Kiswahili
[] 2 English
[] 3 Kiswahili and English
[] 4 Other language
[] 5 Illiterate
[] 1 Now attending
[] 2 Partially attended
[] 3 Completed
[] 4 Never attended
If the answer is never attended, skip to section D.
Write and shade the appropriate code. Codes are in a separate handbook.
D. Economic activity: All persons aged 5 years and above
[Questions 23-27 were asked of persons aged 5+]
23. In the last 12 months, did [the respondent] mainly...
[] Worked for payment
[] Worked without payment
[] Worked for own benefit
[] Not worked but actively seeking for work
[] Available for work but not actively seeking for work
[] Household chores (e.g. cooking)
[] Full time student
[] Unable to work / sick / too old / disable
24. In the week preceding census' night did [the respondent] mainly...
[] Worked for payment
[] Worked without payment
[] Worked for own benefit
[] Not worked but actively seeking for work
[] Available for work but not actively seeking for work
[] Household chores (e.g. cooking)
[] Full time student
[] Unable to work / sick / too old / disable
[] Employer
[] Employee
[] Own account worker non agriculture
[] Own account worker agriculture
[] Contributing family worker
[] An apprentice
Write and shade the appropriate code. Codes are in a separate handbook.
Write and shade the appropriate code. Codes are in a separate handbook.
Write and shade the appropriate code. Codes are in a separate handbook.
E. Females aged 12 years and above
[Questions 28-32 were asked of females aged 12+]
28. How many male/female children were born alive to [the respondent] and are now living with you/her in this household?
_ _ Female
If she is not living with any of her children, write and shade '00'.
29. How many male/female children were born alive to [the respondent] and are now living elsewhere?
_ _ Female
If she has no children living elsewhere, write and shade '00'.
30. How many male/female children were born alive to [the respondent] and are now unfortunately dead?
_ _ Female
If none of her children has died, write and shade '00'.
Fertility in the last 12 months for women aged 12 to 49 years
31 How many male/female children were born alive to [the respondent] in the last 12 months [i.e. 26 August 2011-25 August 2012]?
_ Female
If there is no child born alive in the last 12 months write and shade '0'. Don't ask women of age 50 years and above.
32. How many of the male/female children born alive in the last 12 months are still alive?
_ Female
If there is no child surviving, write and shade '0'.
F. General and maternal deaths in the household
Please record information on deaths that occurred in the household in the last 12 months. Do not forget childhood mortality.
33. Was there any death which occurred in this household in the last 12 months?
[] 2 No
If the answer is no, skip to section G.
Record the number of deaths _ _
35. Was the deceased a male or a female?
[] 2 Female
36. How old was the deceased at the time of death? _ _
37. What was the cause of death?
[] 2 Other injuries
[] 3 Suicide
[] 4 Domestic violence
[] 5 Sickness / disease
[] 6 Maternal death
[] 7 Other
If the death is of a woman aged 12 to 49 years
38. Did the death occur during pregnancy?
[] 2 No
If the answer is yes, skip to section G.
39. Did the death occur during childbirth?
[] 2 No
If the answer is yes, skip to section G.
40. Did the death occur during the 6 weeks period following the end of pregnancy, irrespective of the way the pregnancy ended?
[] 2 No
G. Housing conditions and ownership of assets
41. What is the ownership status of the main dwelling used by the household?
[] 2 Lived in without paying any rent
[] 3 Rented privately
[] 4 Rented by employer
[] 5 Rented by government at a subsidized rent
[] 6 Owned by employer - Free of charge
[] 7 Owned by employer -With rent
If the answer is code 2 or above, skip to question 43.
42. What legal right do you have over the ownership of this land where your house is built?
[] 2 Residential license
[] 3 Offer
[] 4 Customary ownership
[] 5 Contract
[] 6 Registration [Zanzibar]
[] 7 No legal right
43. What are the main roofing materials used for the main building of this household?
[] 2 Tiles
[] 3 Concrete
[] 4 Asbestos
[] 5 Grass / leaves
[] 6 Mud and leaves
[] 7 Plastics / box
[] 8 Tent
44. What are the main flooring materials used for the main building of this household?
[] 2 Ceramic tiles
[] 3 Parquet or polished wood
[] 4 Terazzo
[] 5 Vinyl or asphalt strips
[] 6 Wood planks
[] 7 Palm / bamboo
[] 8 Earth / sand
[] 9 Dung
[] 1 Modern floor
[] 0 Non modern floor
45. What are the main wall materials used for the main building of this household?
[] 2 Cement bricks
[] 3 Sundried bricks
[] 4 Baked bricks
[] 5 Timber
[] 6 Timber and sheets
[] 7 Poles and mud
[] 8 Grass
[] 9 Tent
46. How many rooms are available for sleeping in this household?
47. What is the main source of drinking water for this household?
[] 2 Piped water in the yard / plot
[] 3 Public tap / standpipe
[] 4 Tubewell / borehole
[] 5 Protected dug well
[] 6 Unprotected dug well
[] 7 Protected spring
[] 8 Unprotected spring
[] 9 Rainwater collection
[] 10 Bottled water
[] 11 Cart with small tank/drum
[] 12 Tanker truck
[] 13 Surface water [river, dam, lake, pond, stream, charco, canal, irrigation channels]
48. What is the main source of energy used by this household for cooking?
[] 2 Solar
[] 3 Generator / private sources
[] 4 Cooking gas
[] 5 Gas [biogas]
[] 6 Electricity [wind]
[] 7 Paraffin
[] 8 Coal
[] 9 Charcoal
[] 10 Firewood
[] 11 Wood / residuals
[] 12 Animal residuals
[] 13 Not applicable
[] Improved cooking fuel
[] Non improved cooking fuel
49. What is the main source of energy used by this household for lighting?
[] 2 Solar
[] 3 Generator [private source]
[] 4 Gas [industrial]
[] 5 Gas [biogas]
[] 6 Electricity [wind]
[] 7 Acetylene lamp
[] 8 Kerosene [lantern/chimney]
[] 9 Kerosene [wick lamps]
[] 10 Candles
[] 11 Firewood
[] 12 Torch / rechargeable lamps
[] Have electricity
[] Have no electricity
50. What is the main type of toilet facility used by this household?
[] 2 Flush/pour flush to septic tank
[] 3 Flush/pour flush to covered pit
[] 4 Flush/pour flush to somewhere else
[] 5 Ventilated improved pit [VIP] latrine
[] 6 Pit latrine with washable slab and with lid
[] 7 Pit latrine with washable slab without lid
[] 8 Pit latrine with not-washable /soil slab
[] 9 Pit latrine without slab /open pit
[] 10 Composting /ecosan latrine
[] 11 Bucket
[] 12 No facility / bush / field / beach
[] 1 Improved
[] 0 Non improved
51. How is the household refuse disposed of?
[] 2 Irregularly collected
[] 3 Burnt
[] 4 Roadside dumping
[] 5 Burying / pit
[] 6 Other dumping
52. Does your household have/own the following assets?
For yes answer, these assets should be in working condition. Shade the appropriate answer for each item.
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 0 Less than two items out of the listed assets
Radio
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 0 Less than two items out of the listed assets
53. Has/is any member of this household operated/operating any land for agricultural purposes during 2011/12 agricultural year?
[] 2 No
If the answer is no, skip to question 55.
54. Which of the following crops did the household grow?
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
55. Was any member of this household engaged in raising cattle, goats, sheep or poultry up to the census night?
[] 2 No
If the answer is no, skip to question 57.
56. How many cattle, goats or sheep were available during the census night?
____ Cattle
____ Goats
____ Sheep
____ Poultry
57. Is there any member of this household who is currently engaged in fish farming?
[] 2 No
58. Is there any person who was a member of this household currently living outside Tanzania?
[] 2 No
If the answer is no, skip to section J.
59. Write the number of males and females living outside Tanzania?
_ _ Females
60. In which country are they living?
_ _ 1st HH member
_ _ 2nd HH member
_ _ 3rd HH member
_ _ 4th HH member
_ _ 5th HH member
_ _ 6th HH member
_ _ 7th HH member
_ _ 8th HH member
_ _ 9th HH member
_ _ 10th HH member
If the number of diaspora is more than 10, use extra questionnaire.
61. Have you or anyone in this household received remittance in the form of cash or in kind from them during the last 12 months?
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
[] 2 No
62. Is there a person in this household who is a member of the following social security funds?
[] 2 No
If the answer is no, go to section H. Multiple response is allowed.
[] 2 Zanzbar Social Security Fund [ZSSF]
[] 3 Parastatal Pension Fund [PPF]
[] 4 Public Service Pension Fund [PSPF]
[] 5 Government Employee Provident Fund [GEPF]
[] 6 Local Authority Pension Fund [LAPF]
[] 7 National Health Insurance Fund / Community Health Fund [NHIF/CHF]
[] 8 Other Fund
K. Total number of persons in the household
_ _ _ Females
_ _ _ Total
Day_ _ Month_ _
Date of editing questionnaire
Day_ _ Month_ _