Questionnaire Text

Questionnaire form view entire document:  text  image
Section A. Interview information
1. Name of household head ____
2. District ____
3. Principal Chief ____
4. Area Chief ____
5. Village Chief ____
6. Village name ____
7. HSA Name ____
District _ _
Ward _ _ _
Zone _
Urban/Rural _
Constituency _ _
EA Number _ _ _ _ _ _ _ _ _
Village Number _ _
Household Number _ _ _
Local Community County _ _ _
Questionnaire Number _
Questionnaire instructions view entire document:  text  image
Part A of the questionnaire
70. Part A is for the purpose of identifying households, as well as for checking purposes both in the field and in the office.
Geographic Identification Particulars
District: Record here the code of the district under which the village is administered. You will get this information from your supervisor.
Zone: Record here the code of the zone, under which the village falls which could be either Lowland, Foothills, Senqu River Valley, or mountain. The village list provided will have this information.
Ward: Record here the code of the ward under which the village falls. You will get this information from your supervisor.
EA code: Record in the appropriate space the enumeration area to which you will be assigned by the office. The village lists provided will also have this information.
Household number: Ensure consistent numbering of your household for each village in your E.A.
Health Service Area number: Record here the name of the clinic which is nearest to the village recorded. Each clinic has a number, you have to fill in the number in the space provided e.g. J4458
Village: write the name and number of the village in the space provided
Record all the names by which the village is known, beginning with the one which appears more permanent than the others, e.g. if a village is called after the name of the present headman, such a name is not very permanent because it may die with that headman. So try to find out if there are other names of a permanent nature.
Be careful about the villages, which share a common area name. An example of this phenomenon will be found in villages, which surround Qeme Plateau. Such villages should be clearly distinguished from one another by local names, e.g. Qeme, Ha Mantsebo, Qeme Ha Mpo, Qeme Ha Ramorakane etc. If it is a town, write the name of the township e.g. Ha hoohlo Maseru, Lisemeng in Hlotse and Mampoboleng in Moyeni.
Local Community Council: Record here the number of the local community council under which the recorded village falls.
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Urban/Rural: Record here whether the area is Urban or Rural. Your supervisor will make this known to you. If it is urban, delete rural and write code 1. If it is rural, delete urban and write code 2 in the appropriate box.
Household bead: Record the names of the head of the household (first name and surname) as given by the head or a responsible member of the household. In the absence of the entire household, the neighbors or the headman will supply this information. The head of the household (hlooho ea lelapa) is generally the one who is responsible for the upkeep and maintenance of the household. He/she is not necessarily the oldest person in the household. However, your main guide to who is the head is whoever will be pointed to you as the head when you ask.
Names of Principal/Ward Chief, Area Chief, Village Chief/Headman.
Record here in sequence the name of the principal/ward chief; that of the area chief and finally that of the village chief or headman responsible for administering the village.
In some cases it will happen that the principal/ward chief is simultaneously an area chief (chief of a number of villages). In such cases, his name will show in two cases. I.e. as area chief, and principal/ward chief. If people in the village do not know the names of the principal and /or ward chief of their area, the village headman will help you.