Questionnaire Text

Questionnaire form view entire document:  text  image
Agricultural exploitation

Is there at least one household member who independently runs an agricultural exploitation?

[] 1 Yes
[] 2 No

If Yes, specify its location

_ _ Department
_ _ Township
_ _ District
_ _ Village/neighborhood
Questionnaire instructions view entire document:  text  image
Note: When the census agent enters the household, after presenting himself, the goal of his visit in the household, and the objectives of the census, he shall number the buildings occupied by the household beginning with the one used by the head of household.
Household number: report the household number in the designated grids. The numbering must be continuous within the census zone. Example: The number "002" must be reported as |0|0|2| and "356" as |3|5|6|.
Type of household: there are two types of households: the ordinary household and the collective household. The census agent shall circle '1' in the case of an ordinary household and '2' in the case of a collective household.
Important note: collective households are reported according to their directors [managers]. They can be a hotel director, a prison director, etc. The team leader will introduce the census agent to such establishments.
Head of household's or establishment's name: Write down on the designated line the last and first name of the head of household in the case of an ordinary household or the name of the establishment in the case of a collective household. Example: Cotonou jail as a collective household.
"Agricultural exploitation" table: The census agent shall ask the following question to the head of household: "Is there at least one family member who independently runs an agricultural exploitation?"
If yes, circle 1; if not, circle 2. If yes, specify the department, township, district, and the village/neighborhood where the exploitation is found without reporting the codes in the reserved grids. The census agent shall simply leave these grids empty. If the agricultural exploitation is situated outside of the national territory, cross out the code 1 for YES and circle code 2 for NO.
Summary table: At the end of the work day, the census agent shall review each "household" form and shall report the total number of present residents, absent residents, and the total of present and absent residents, visitors, and the total of persons counted by gender in the summary table.
Note: When filling out the summary table, the census agent must be very careful with the totals. When he is using several questionnaires for the same household, he must take into account all household members on the first page.
Table of seals:
Census agent seal: The census agent shall note his last and first name, the date of completion of the questionnaire in the household, as well as any observations of a problem that occurred in the household. This would be the date of the last visit in the household i.e. the date on which the census agent fully completed his information collection in the household.
Team leader seal: The team leader shall note his last and first name, the control date, as well as any observations related to the filling out of the questionnaire.
Form number in the household and number of household forms
The census agent shall take care in marking down the number of the forms in the household and the number of forms used for each household in the boxes reserved to that effect.