Questionnaire Text

Questionnaire form view entire document:  text  image

For office use
_ _ _ _ _ _ _ _ EA number
_ _ _ Record number
_ _ Household number
_ _ Institution number

_ _ Province


_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Name of local munic.


_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Main place
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Sub-place


____ Physical address
____ Postal code
____ Telephone no
_ How many questionnaires were completed for this household?
_ If more than one questionnaire, what is the number of this questionnaire?
Number of people:
_ _ Total
_ _ Male
_ _ Female

This Questionnaire should be completed for all households living in housing units and collective living quarters including those located in institutions (for example, boarding schools, prisons, hospitals, etc.)

Who completed this questionnaire? Use a dot.
[] An enumerator through an interview
[] A household member through self-completion

Section A: Information for persons in the household -- ask of everyone
[Section A of this form, each question has 10 answer rows for writing individual answers for up to 10 individuals in the household. Only the first is shown here, which is exactly the same as the other nine.]


Usually live

P-11. Does (the person) usually live in this household for at least four nights a week?

Dot the appropriate box.
[] Y = Yes
[] N = No
If yes go to P-12

P-11a. If no, where does (the person) usually live? If in the same place as the place of

enumeration, dot the S box.
[] S
If not the same place, write the province [P] [R], main place (city, town, tribal area, administrative area) and sub-place (suburb, ward, village, farm, informal settlement). If another country, write the name of the country in the boxes below. Use capital letters only.
_ _ Province
_ _ _ _ _ _ _ _ _ _ _ Main Place
_ _ _ _ _ _ _ _ _ _ _ Sub-space

Questionnaire instructions view entire document:  text  image

Question P-11 and 11a -- Usually live

This question also has two parts i.e. P-11 and P-11a.The first part asks if the person usually lives in this household. People who answer "Yes" can move straight on to Question 12. People who say "No" must answer the second part of the question, P-11a.

P-11 "Does (the person) usually live in this household for at least four nights a week?"

If "Yes" skip P-11a and go to P-12, if "No" ask Question P-11a.

P-11a "Where does (the person) usually live?"

The purpose of this question is to identify visitors and exclude them from data about total household income, or data about the number of people who live in a particular place.

If the person does not usually live in this dwelling but lives in the same sub-place, dot the S box (S = Same).

[P. 43]

If the person usually lives in a different place, write the name of the main place and the name of the sub-place in the spaces provided, e.g. Pretoria, Arcadia; or Kutama, Tshikwarane. One place name is not sufficient for coding purposes.

Main place and sub-place
This is the first question that brings in the concepts of main place and sub-place. So far we have only needed province or country. Now we have to write sufficient information to pinpoint local places.

A main place is a city, town, township, tribal authority or administrative area.

A sub-place is a suburb, section of a township, smallholding, village, subvillage, ward or informal settlement.

On the front of the questionnaire for sub-place we wrote the most local name used by the household. For this question, and other questions asking for main place and sub-place, we must be a little more careful, as some local names can occur more than once within a main place.

For more details, see Appendix 6, which also give examples within the new metros.


There are also two boxes for the abbreviation of the province, as some place names occur in more than one province. Use the following two-letter abbreviations: EC, FS, GP, KN, MP, NC, NP, NW, WC.

National Bureau: Write the main place in the main place row and the sub-place in the sub-place row. Do not continue writing the main place in the sub-place row if the name is too long. Just write as many letters as will fit, as we did for religion.

If the person usually lives abroad, ask for the name of the country and write it in the space provided. Write the name of the country, not of the city or the province.