Questionnaire Text

Questionnaire form view entire document:  text  image
B. For all persons
[Questions 1-10 were asked of all persons]

1. Persons in the household: Who was a member of this household on September 26, 1994?

List the name and surname of all persons who were members of the household on September 26, 1994, whether they were present or absent.

Enter the person who was heading the household as person number one.

Name and surname ____
[Note:] It is very important that all persons who were members of the household on March 1, 1995 are listed.

If there are more than 10 members in the household, use additional questionnaire(s). When this is necessary, tick the box in the bottom right corner and change the person number (1, 2, 3 ... in column a in the questionnaire) to 11, 12, 13 ... in the second questionnaire, 21, 22, 23 ... in the third questionnaire, etc.

Regarding the routines for collective households, see the enumerator's manual.

2. What is [the respondent's] relationship to head of household?

[] 1 Head
[] 2 Spouse
[] 3 Son/daughter
[] 4 Parent
[] 5 Other relative
[] 6 Not related
Questionnaire instructions view entire document:  text  image
Section B: For all persons

Question 2: What is [the respondent's] relationship to the head of household?
The purpose of this question is to collect information on the composition of the household.

Circle the appropriate answer. Adopted children and step-children to the head of household will be recorded under "Son/Daughter". Nieces, nephews, grandsons will be included under the "Other relative" category.

These not related to the head of household by blood or marriage will be recorded as "Not related". Where several persons who are not related by blood or marriage constitute a private household, code one of them as a head and the rest as "not related".