Questionnaire Text

Questionnaire form view entire document:  text  image
Phase II

[] K Urban
[] P Rural

I. Information on location

1. Province ____
2. District ____

Domain _ _ _

3. Sub-district ____ _
4. Village ____ _
5. Cluster no. ____
6. Census block no. ____
7. Building no. ____
8. Household no. ____ _ _ _
9. Address or location ____
10. Total no. of household members _ _

Questionnaire instructions view entire document:  text  image

2. Household
2.1. Concept and definition
Households are classified as Normal Households and Institutional Households.

2.1.1 Normal household
a. A normal household is a group of individuals who inhabit part of or all of a building and in general eat together from one kitchen (normal extended household). This household usually consists of husband, wife and children. They may also have other relatives or a maid living with them. People who board and eat together with them are also considered members of the household.

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Several students or workers who occupy one living quarter (dormitory), if the number is fewer than 10 people, although they may eat separately, should be classified as a normal household. If the number of people is 10 or more, the unit should be classified as an institutional household.

b. Sometime a household consists of only one person who inhabits some of or all of a building and manages the needs of the household by himself (normal single household).

2.1.2. Institutional household.
An institutional household is a group of people who live in a dormitory, hotel, hospital, prison, etc. This is a residence that was founded and arranged by an employer or a foundation (non-profit institution)/organization either by the government or the private sector. A residence that has been organized by an individual can be considered a dormitory, and when it accommodates 10 or more people, it is classified as an institutional household.

Institutional households can be classified into three (3) groups:
1. Permanent dormitory (usually for bachelors), either civil or military.
2. Hospital (for mental patients, leprosy, sanatorium), prison or the like where in general those living there will stay for a long time.
3. Hotel, motel, general hospital, maternity hospital, etc. where in general those staying there will stay only a few days.


Instructions:
1. In this survey only normal households will be enumerated.
2. Persons in institutional households will not be enumerated in this survey.
3. Managers and housekeepers of institutional households and their relatives are considered living in normal households and they will be enumerated in this survey.
4. Residents who have lodged for 6 months or more and manage their household needs by themselves will be classified as normal households that will be enumerated in this survey.

Location identification.
This location identification section should be filled in before conducting the interview, that is, by copying from the sample list, except for items 7 - 10, which can be filled in when conducting the interview.


Column (3) Gender.
Ask question A2 about the gender of each person listed on the form. The enumerator may not determine the gender by himself based on what he thinks the gender should be. He must ask the respondent about the gender of every household member.