Basic HTML Version
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2
2.1 Are you/is …. currently enrolled in an educational
institution or programme?
2.2 How many days did you/did …… attend school during the
first week of March 2011?
ASK Q 2.2 OF PERSONS 3 - 17 YEARS ONLY
5 days
3 - 4 days
1 - 2 days
Did not attend
Not Stated
PC 011B
PC 011B
ASK Q 1.7 OF PERSONS 5 YEARS OR OLDER
8.2 How many liveborn children and of what sex?
Total
Male
Female
8.3 How many liveborn children are still alive?
If Not Stated Record 99
Total
Male
Female
If Not Stated Record 99
8.4 How many liveborn children are living in the household?
Total
Male
Female
If Not Stated Record 99
8.5 How old were you/was ….. when you had your/she had
her first liveborn child?
Not Stated
8.6 How old were you/was ….. when you had your/she had
her last liveborn child?
Not Stated
8.7 Did you/did ……. have any livebirths since January 1,
2010?
(Go to Section 9)
Yes
No
Not Stated
Date of Birth
Day Month Year
Total
Male
Female
8.8 How many livebirths have you/has …… had since
January 1, 2010 and what was the sex and date of birth of
each?
7.3 Have you/has ….. ever lived with someone as a common-law
partner?
Yes
Never had a husband/wife or common-law partner
Not Stated
(Females Go to Section 8. Males Go to Section 9)
7.4 Are you/is …… currently living with someone as a
common-law partner?
7.5 How long have you/has ….. and your/his/her
husband/wife/common-law partner been married/living together?
Not Stated
8.1 Have you/has …. ever had liveborn children?
Yes
No
Not Stated
(Go to Section 9)
8.9 Have any of the children who were born since January 1,
2010 died?
(Go to Section 9)
Yes
No
Not Stated
8.10 How many of the children who have been born since
January 1, 2010 have died and when?
Total
Male
Female
Date of Death
Month Year
If Not Stated Record '9's
MALES GO TO SECTION 9
SECTION 8
FERTILITY
(For females 15-49 years)
Yes
No
Not Stated
(Females Go to Section 8. Males Go to Section 9)
Sex
Sex
Years
(Go to Q2.4)
Yes
No
Not Stated
Codes For Level of Difficulty: No difficulty -1, Some difficulty - 2,
Much difficulty - 3, Cannot do it at all - 4
Communicating
Lifting, reaching and carrying
Self-care
Remembering and concentrating
Walking or climbing stairs
Hearing
Seeing
(Code) (Code) (Code)
Medication
Aid
Level of
Difficulty
1.7 Do you/does …….. experience difficulty doing any of the
following:
(Read the categories and insert a code for each that
applies)
1.6 What is your/….'s legal marital status?
For example are you/is …… married, divorced, widowed or
never married?
(Check: If Q 1.3 is 'wife/husband of head' then Q 1.6 should be Married, If
Not, Please Probe)
Married
Divorced
Widowed
Never Married
Legally Separated
Not Stated
Codes for Use of Aid and Medication: Yes - 1, No - 2,
Not Stated - 9
EDUCATION
SECTION 2
(For persons 3 years or older)
(Go to Q2.5)
(Go to Q2.5)
(Go to Q2.5)
(Go to Q2.5)
(Go to Q2.5)
(Go to Q2.5)
Secondary High, Technical High
(Grade 12-13)
(Go to Q2.7)
Agricultural (Grade 10-12), Secondary High (Grade 10-11),
Technical High (Grade 10-11)
(Go to Q2.7)
(Grades 10 -11) (Go to Q2.7)
All Age, Primary & Junior High, Secondary High, Technical High
(Grade 7-9)
(Go to Section 3)
(Go to Section 4)
(Go to Section 4)
2.3 What type of educational institution/programme and
grade are you/is …… enrolled in?
2.4 What type of educational institution did you/did …… last
attend?
Pre-Primary
Primary/All Age/Elementary
Secondary High
Vocational High
Commercial/Business College
University
Community College
Other Tertiary
HEART Programme
JFLL Programme
Other (Specify)____________________
None
Not Stated
(Go to Section 3)
(Go to Q2.6)
(Go to Q2.6)
(Go to Q2.6)
(Go to Section 3)
Child
No.
1
2
3
4
N\S FM
Child
No.
1
2
3
4
N\S FM
ASK Q1.6 OF PERSONS 16 YEARS OR OLDER .
PERSONS UNDER 16 YEARS. Go to Q1.7
N\S = Not Stated
N\S = Not Stated
If Not Stated Record '9's
Pre-Primary
Primary, All Age (Grade 1-6)
Commercial/Business College
University
Other Tertiary
HEART Programme
JFLL Programme
Other (Specify)____________________
Not Stated
1 0 0 0 0 0 0 1
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