2000 Census of Population and Housing
Republic of Zambia

Central Statistical Office
P.O. Box 31908, Lusaka
Form A ? General Characteristics

Questionnaire Identification

Province Name
District Name
Province _
District _ _
Constituency _ _ _
Ward _ _
CSA No. _ _
Region:

[]Urban
[] Rural

SEA No. _
Census Building Number (CBN) _ _ _
Housing Number Unit (HUN) _ _
Household Number (HHN) _

Summary Count

Male _ _
Female _ _
TOTAL: _ _ _

Area Identification

Village/Locality Name
Residential Address/ Village Address
Chief?s Area _ _ _

Residential Status:
Institutional/ Collective Quarter _

Assignment Record

Enumerator Name ____
Supervisor name ____
Coder Name ____
Editor Name ____
Date Completed ____
Date Checked ____
Date Coded ____
Date Edited ____

Interview Status

[] Interview completed (occupied)
[] Non-contact (occupied)
[] Not interviewed (v
acant) Go to H1
[] Non-Residential Go to H1

Household Listing

Serial No. [1-15]: _ _
Sex:____

Page 2
Housing characteristics

1. Type of Housing
[] Traditional
[] Mixed
[] Conventional Flat
[] Conventional house
[] Mobile
[] Part of commercial building
[] Improvised/makeshift
[] Collective/Institutional quarters
[] Unintended
[1] Other

2. What is the main type of material on the roof?
[] Concrete/cement
[] Asbestos sheet
[] Iron sheet/corrugated
[] Grass/thatch/straw
[] Tiles
[] Slate
[] Other

3. What are the walls of this unit mainly made of?
[] Burnt Bricks
[] Mud Bricks
[] Concrete blacks/slab
[] Cement blocks
[] Stone
[] Iron sheets
[] Asbestos/hardboard/wood
[] Pole and dagga/mud
[] Grass
[] Other

4. What is the floor of this housing unit mainly made of?
[] Concrete
[] Cement
[] Brick
[] Tiles
[] Mud
[] Wood (not wooden tiles)
[] Marble
[] Terrazzo
[] Other

5. Occupancy
[] Single household
[] One household in several housing units
[] Shared
[] Vacant
[] Non-residential

If Vacant of Non-residential END interview

6. (If shared) what is the number of households?

[] 2
[] 3
[] 4
[] 5 or more

7. How many living rooms and bedrooms does this housing unit have?
Living rooms: _ _
Bedrooms: _ _

8. Does this housing unit have a kitchen?
[] Yes
[] No

9. What is the main source of water supply for this house?
[] Piped water inside the housing unit
[] Piped water outside the housing unit within stand/plot
[] Communal tap
[] Protected well
[] Protected borehole
[] Unprotected well
[] Unprotected borehole
[] River/dam/Stream
[] Rainwater Tank
[] Other

Household Characteristics

1. What is the main source of energy used for lighting by this household?
[] Electricity
[] Gas
[] Wood
[] Candle
[] Paraffin
[] Solar
[] Other

2. What is the main source of energy used for cooking by this household?
[] Electricity
[] Gas
[] Wood
[] Paraffin
[] Cow dung
[] Charcoal
[] Coal
[] Solar
[] Other

3. What is the main source of energy used for heating?
[] Electricity
[] Gas
[] Wood
[] Paraffin
[] Cow dung
[] Charcoal
[] Coal
[] Solar
[] Other

4. How is the household refuse disposed?
[] Regularly collected
[] Irregularly collected
[] Burnt
[] Roadside dumping
[] Burying/pit
[] Other

5. Does your household have?..?
Indicate with "Yes or "No".

Electricity? ____
A radio? ____
A television? ____
A refrigerator? ____
A telephone? ____
A bicycle? ____
A motor vehicle? ____
A motorcycle? ____
A plough? ____
A boat/canoe? ____
A scotch cart? ____
A donkey? ____

6. What is the main type of toilet used by members of this household?
[] Flush (private)
[] Flush (communal)
[] Pit latrine
[] Ventilated Improved Pit Latrine (VIP)
[] Bucket
[] Other -- Go to 7
[] No toilet Facility
Is this toilet inside or outside this housing unit?
[] Inside
[] Outside

8. Is this toilet exclusively used by members of the household?
[] Yes
[] No

9. Is this housing unit owned by any member of this household?
[] Yes
[] No -- Go to Question 11

10. How was this housing unit acquired?
[] Purchased
[] Mortgage
[] Freely
[] Inherited
[] Self built
[] Other -- Go to Question 15

11. Is this housing unit provided free by the employer, friend or relative of any member of this household?
[] Yes, employer -- Go to Question 13
[] Yes, by friend or relative ? Go to Question 15
[] No

12. Is this housing unit rented from the employer of any member of this household?
[] Yes
[] No -- go to Question 14

13. Is this employer :
[] The central government?
[] The District Council?
[] Parastatal?
[] A Private Organization?
[] An Individual?

14. Is this housing unit rented from
[] The central government?
[] The District Council?
[] Parastatal?
[] A Private Organization?
[] An Individual?

Special Group Population
15. Is any member of the household disabled in any way?
[] Yes (fill in Disability Supplement)
[] No

Agriculture

1. Did your household engage directly in agricultural activities, namely crop growing, livestock and poultry raising and fish farming since 1st October 1999?
[] Yes
[] No -- Skip rest of Agriculture section

2. On your holding, which of the following crops did you grow since 1st October 1999?
Indicate with "Yes" or "No".

Maize? ____
Sorghum? ____
Millet? ____
Rice? ____
Cassava? ____
Sweet potatoes? ____s
Irish potatoes? ____
Groundnuts? ____
Mixed beans? ____
Cow peas? ____
Wheat? ____
Cotton? ____
Burley tobacco? ____
Virginia tobacco ? ____
Sunflower? ____
Soya beans? ____
Paprika? ____
Sugar cane? ____
Cashews ? ____
Other crops? ____

3. On your holding, which of the following livestock/poultry did you raise since 1st October 1999?
Indicate with "Yes" or "No".

Cattle? ____
Goats? ____
Pigs? ____
Sheep? ____
Donkeys? ____
Poultry? ____

4. Did your agriculture enterprise include fish farming since 1st October 1999?
[] Yes
[] No

Page 3
Form B ? Personal Information
General Characteristics

Form A I.D. _ _ _ _ _ _ _ _ /_ _
Full Name: _______

2. Membership status?
[] Usual member present last night
[] Visitor
[] Usual member absent

3. Relationship to Head of Household
[] Head
[] Spouse
[] Own Son/Daughter
[] Step Son/Daughter
[] Parent
[] Brother/Sister
[] Nephew/Niece
[] Son/Daughter in Law
[] Grandchild
[] Other relative
[] Unrelated

4. Sex
[] Male
[] Female

5. Age
Enter age in completed years, 00 if less than one year and 90 if 90 years or older: _ _

6. Birthplace
State district if born in Zambia and district number and country if outside of Zambia:
District Name:_____________
Code:_ _

Was this part of the district rural or urban at the time of birth?

[] Rural
[] Urban
[] N/A (outside Zambia)

7. Citizenship
(non-Zambia enter country code, Zambian enter code 148.): _ _ _

8. Purpose of Stay (Non-Zambians only)
What is your purpose of stay in Zambia?

[] Employment
[] Family reunification/formation
[] Education/training
[] Settlement
[] Refuge/Asylum
[] Other

9. Religion
What is your religion?

[] Catholic
[] Protestant
[] Muslim
[] Hindu
[] Other
[] None

10 . Residence
Enter Completed years and months living continuously in this district

Year: __ __
Months: __ __

11. Migration
Where were you living before August of last year?

District Number: __ __ __

Was this part of district rural or urban at the time of birth?

[] Rural
[] Urban
[] N/A Outside Zambia

12. Ethnicity
If Zambian enter tribe, it not mark major racial group.

Tribe:______________
[]African
[] American
[] Asian
[] European
[] Other
No response (code 88): _ _

13. Predominant Language
Write name of predominant language.

Language:________
Not applicable (enter 88) __ __

14. Second Language
Write name of SECOND language then code. (If not applicable enter 88)

Language: ________
Not applicable (enter 88) __ __

For Persons 5 Years and Older ? Education

15. Can you read and write in any language?
[] Yes
[] No

16. Do you go to any institution of learning?
[] Yes ? full time (Go to Question 18)
[] Yes ? part time (Go to Question 18)
[] Yes ? correspondence (Go to Question 18)
[] No

17. Did you previously go to any institution of learning?
[] Yes ? full time
[] Yes ? part time
[] Yes ? correspondence
[] No (Go to Question 19)

18. What highest level of academic education have you completed?
Level: _ _

19. What highest professional or vocational education have you completed?
Write level and field of study and enter code from the list of supplied Education Programmes.

Field of Study:________
Code: _ _
[] Certificate
[] Diploma
[] Degree
[] None

Page 4
For Persons 12 Years and Older

20. What were you mainly doing in the last 7 days?
[] Worked ? paid non-seasonal
[] Worked ? unpaid non-seasonal
[] Worked ? paid seasonal
[] Worked ? unpaid seasonal
[] On leave
[] Unpaid work on household holding or business
[] Unemployed and seeking work
[] Not seeking work but available for work
[] Full-time housewife/homemaker
[] Full time student
[] Not available for work for other reasons

21. What have you mainly been doing for the past 12 months?
[] Worked ? paid non-seasonal
[] Worked ? unpaid non-seasonal
[] Worked ? paid seasonal
[] Worked ? unpaid seasonal
[] On leave
[] Unpaid work on household holding or business
[] Unemployed and seeking work (GO TO 25)
[] Not seeking work but available for work (GO TO 25)
[] Full-time housewife/homemaker (GO TO 25)
[] Full time student (GO TO 25)
[] Not available for work for other reasons (GO TO 25)

22. Employment Status
Since 27th April 1999 what have you been mainly:

[] An employer
[] An employee
[] Self-employed
[] An unpaid family worker

23. Occupation
What was your main occupation for the last 12 months. Write name of occupation and enter code.

Occupation: __________________
Code: _ _ _

24. Industry
What kind of main product or service is/was produced where you work? Write name of industry and enter code.

Industry: __________________
Code: _ _ _

25. What is your marital status?
[] Married
[] Separated
[] Divorced
[] Widowed
[] Never married
[] Living together/cohabiting

For Females 12 Years and Older ? Fertility
(Own children ever born alive)

26. Have you ever had a live birth (including babies who died after birth)?
[] Yes
[] No (Go to Question 30)

27. Of the children born to you alive:
a. How many are still living with you? How many of these are male and how many are female?