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1991 Population and Housing Census
[Uganda]

[Tables below title]
For Census Office use
____ RC1
____ Household number

Schedule B

____ RC1
____ Household number
If institution, write name _______________
For All Persons
[Columns for Persons 1 through 10 appear in the sheet with space to answer Questions 1 - 13.]

1. Name (all who stayed on census night)
2. Relationship (to the head or other member of the household)
3. Sex (m for male, f for female)
4. Age (in years completed; if less than one year, write 0)
5. Religion (what is person's religion, denomination or sect?)
6. Ethnic group or citizenship (Ugandans state tribe / others state country)
7. Is mother alive? (yes or no)
8. Is father alive? (yes or no)
9. Place of birth (in which district was person born? if outside Uganda, state country)
10. Duration of residence (for how many years has person lived in this district? if less than one year, write 0)
11. Previous residence (in which district was person living before? if outside Uganda, state country)
12. School attendance (attended school in 1990 [1991], left school before 1990 [1991], never been to school)
13. Educational attainment (highest level completed)
For All Persons Aged 10 Years or Over
[Columns for Persons 1 through 10 appear in the sheet with space to answer Questions 14 - 18.]
14. Marital status (what is person's marital status? Never married, married, widowed, divorced or separated)
15. Literacy (can person read and write? yes or no)
16. Qualifications (has person professional or vocational qualifications? highest with fields of specialization)
17. Activity status last week (employed, self employed, unpaid family worker, student, household work, looking for work, disabled, too old, etc.)
18. Occupation last week (what kind of work did person do?)
For all women aged twelve years and over
[Columns for Persons 1 through 10 appear in the sheet with space to answer Questions 19 - 22.]

19. How many children has this woman borne? (if none write 0)
20. How many are still alive? (if none write 0)
21. When was the last child born?
____ month
____ year
22. Is the child still alive? (yes or no)

Complete this section for households, not for institutions
Disability

____ Is anyone who was in the household on census night disabled? (yes or no)
If yes, write: Person number [in blank column header] _____

[Columns provide space to record answers for four persons for the following questions:]

____ Nature of disability (blind, mentally ill, deaf and dumb, polio, amputee, leprosy, cripple, lame epilepsy, mentally retarded, other (specify))
____ Cause of disability (born, disease, accident, inflicted injury, etc.)

Household Information
Tick appropriate box
Fuel/PowerWhat fuel does this household mainly use for-


Cooking

[] 1 Electricity
[] 2 Gas
[] 3 Paraffin
[] 4 Charcoal
[] 5 Firewood
[] 6 Dung or grass
[] 7 Other (specify)

Lighting
[] 1 Electricity
[] 2 Gas
[] 3 Paraffin
[] 4 Charcoal
[] 5 Firewood
[] 6 Dung or grass

WaterWhat is the main source of the household's water-

[] 1 Piped water inside
[] 2 Piped water outside
[] 3 Borehole
[] 4 Protected well/spring
[] 5 Open well/spring
[] 6 Stream river
[] 7 Lake/pond dam
[] 8 Other (specify)

FacilitiesWhat facilities does this household have-


Toilet

[] 1 Water borne not shared
[] 2 Water borne shared
[] 3 Pit latrine not shared
[] 4 Pit latrine shared
[] 5 None
[] 6 Other (specify)

Bath
[] 1 Inside not shared
[] 2 Inside shared
[] 3 Outside not shared
[] 4 Outside shared
[] 5 None

Kitchen
[] 1 Inside not shared
[] 2 Inside shared
[] 3 Outside not shared
[] 4 Outside shared
[] 5 None

Household economic activity(if more than one , tick main)


Is the household involved in-

[] 1 Carpentry/woodwork
[] 2 Metal products
[] 3 Leather products
[] 4 Mechanical repairs
[] 5 Brick/tile pottery
[] 6 Food/cash crop processing
[] 7 Embroidery/other crafts
[] 8 None
[] 9 Other (specify)

What is the main source of the household's livelihood-
[] 1 Subsistence farming
[] 2 Commercial farming
[] 3 Petty trading
[] 4 Formal trading
[] 5 Cottage industry
[] 6 Property income
[] 7 Employment income
[] 8 Family support
[] 9 Other (specify)

Housing Conditions
Tick appropriate box

Housing unit
Type of unit housing

[] 1 Detached house
[] 2 Semi-detached house
[] 3 Flat
[] 4 Servant's quarters
[] 5 Tenement Muzigo
[] 6 Hut
[] 7 Other (specify)

No. of households in unit

[] 1 One
[] 2 Two
[] 3 Three
[] 4 Four
[] 5 Five
[] 6 Six or more

Dwelling unit
Type of dwelling unit
[] 1 Main
[] 2 Room or rooms
[] 3 Store/basement
[] 4 Godown/garage
[] 5 Other (specify)

No. of rooms in dwelling unit

[] 1 One
[] 2 Two
[] 3 Three
[] 4 Four
[] 5 Five
[] 6 Six or more

Tenure of dwelling unit

[] 1 Owner occupied
[] 2 Rented - public
[] 3 Rented - private
[] 4 Subsidized - public
[] 5 Subsidized - private
[] 6 Free - public
[] 7 Free - private
[] 8 Other (specify)

Age of dwelling unit

[] 1 0-4 years
[] 2 5-9 years
[] 3 10 or more years

Roofing material

[] 1 Iron sheets
[] 2 Tiles
[] 3 Asbestos
[] 4 Concrete
[] 5 Papyrus
[] 6 Grass
[] 7 Banana leafs/fiber
[] 8 Other (specify)

Wall material

[] 1 Burnt/ stabilized brick
[] 2 Unburnt brick
[] 3 Stone
[] 4 Concrete
[] 5 Cement blocks
[] 6 Pole and mud
[] 7 Wood
[] 8 Other (specify)

Floor material

[] 1 Concrete
[] 2 Brick
[] 3 Stone
[] 4 Cement screed
[] 5 Rammed earth
[] 6 Wood
[] 7 Other (specify)