Professional Documents
Culture Documents
Forth Round Census Ques.
Forth Round Census Ques.
[Please record the type of residence by observing and asking] [Please copy from household listing [Please copy from household listing form question
form question No. 10] No. 13]
Q201. What is the Type of residence? Q202. Housing Unit Serial Number. Q203. Households/Hotel/Hostel/Other
Collective Quarter Serial Number.
0
9
8
7
6
5
4
3
2
1
Q
Head
Name
related
Spouse
Visitors
who have
Other relatives
listed as follows
please tell me the
and Visitors.
As at 17th June./2018
Usual member
F. Name M. Name L.
for cooking and dining
common arrangements
Q304. Write usual place of residence (Region and Zone) and skip to Q306.
Zone
follows:
code 97]
2
to 97 enter
the age of
NAME is 2
[Record age
in completed
years fill it as
is [NAME’s]
years - if less
Q308. What
more or equal
EXAMPLE: If
old code 00, if
Religion?
[NAME’s]
Other------10
Muslim---04
Jova--------06
Jew---------07
Catholic---03
Protestant 02
Orthodox--01
Wakefena--05
No religion--09
Traditionalist-08
Q309. What is
SECTION 3: DETAILS OF HOUSEHOLD MEMBERS
[For ALL household members. For visitors ask up to Q308]
0
9
8
7
6
5
4
3
2
1
Q315a. Does [NAME] have
difficulty in seeing?
below]:
Q316a. What was the Cause of
[NAME’s] seeing difficulty?
difficulty in Speaking or
Communicating?
above].
Residence?
skip to Q324].
than one year].
Birth?
[If not in
to Q320].
[Enter the
[NAME’s]
Country of
the country
Ethiopia fill
country code
from the code
list provided].
Region
in Q318:
provided].
the code list
Zone codes from
Zone
Q319. What was
[NAME’s] Country of Residence is Ethiopia in place in Q321 Reason for Migration? current Marital Status? [NAME’s] Age at
Previous Residence? Q320: mostly Rural or First Marriage
Seek work--------------------------1 Never married—1 [skip to Q401] (Cohabiting/Living
(If not in Ethiopia skip Urban?
Q321. What was Married----------2 Together)?
to Q323. [NAME’s] Region and Seek land---------------------------2
Cohabiting/Living
Zone of Previous Urban = 1 To join family/with family-------3
Together---------3 [Please record
[Use the code book Residence? Education---------------------------4 Divorced--------4 Age in completed
provided] [Please use Region and Rural = 2 Marriage/Divorce-----------------5 Separated-------5 years, in double
Drought/environmental hazard--6 Widowed--------6
Zone code list digits].
Conflict-----------------------------7
provided] Health related----------------------8
Others-------------------------------9
Region zone
Country code
0
SECTION 4: EDUCATION AND INFORMATION TECHNOLOGY
Literacy and Education Information, communication and Technology (ICT) Use
[For persons aged three (3) years and above] [For persons aged 10 years and above]
Q301. Serial No of household member
Q401. Is Q402. Is [NAME] Currently Q403. What is Q404. Is Q405 Is [NAME] able to use Q406. Is [NAME]
[NAME] Attending school? the Highest [NAME] able Internet? currently using Cell
able to Read and Write in Grade
[If yes, enter the code for the [NAME] has to use Phone?
any language?
grade Completed? Computer/ Yes = 1
If not attending, ask if attended Laptop/ No = 2 Yes = 1
Yes-----1 before.
No------2 [Use the code Tablet? No = 2
Code “98” if attended before. list card]
Code “99” if never attended
school and Yes = 1
skip to Q404]
No = 2
[Use the code list card].
0
SECTION 5: ECONOMIC CHARACTERISTICS
Male Female
1
2
3
4
5
6
7
8
9
0
SECTION 7: DEATHS IN THE HOUSEHOLD DURING THE LAST 12
MONTHS
Q701. Did a death occur to a member of the household in the last 12 months (since June 2017)? Yes = 1 | No = 2
[If yes, record number of deaths in the space on the right and further details below]. Number of total Death
[If no, record “0” and go to Section 8].
Q702b. What was the Name of the deceased? Q703. What was the Sex of Q704. What was the age at [only for women
the Deceased? death of the deceased? who died between
age 10-49]
Q702a Serial Number of deaths
SECTION:8 EMIGRATION
[Ethiopians living abroad since Jun e 2013]
Q801. Are there any previous members of this household currently living abroad who left the country during the last five (5)
years (since June 2013)
Yes =1 | No = 2.
[If “Yes” continue to ask Q802-Q808 for each previous household member now living abroad. If “No” skip questions Q802-Q808].
Q802b. What Q803. What is Q804. What Q805. What was Q806 What was Q807. What is Q808. What was [NAME’s]
is the Name? [NAME’s] Sex? was [NAME’s] Year of [NAME’s] Educational [NAME’s] Country Reason for Migration?
[NAME’s] Departure? Level at the time of of current
Male= 1 Age at the leaving Ethiopia? Residence? Seek work---------------------1
[Record the year in Join family -------------------2
time of
Female =2 Ethiopian calendar] Pre-school—-------------1 [Refer to the code Education---------------------3
leaving
Q802a Serial Number
Q906. What is the major material used for Q907. What is the main source of DRINKING Q908. What type of TOILET facility If coded 2 - 6 only in Question 908 Q910. What type of BATHING facility Q911. What type of KITCHEN
the construction of the major part of the WATER for members of this housing unit? does this housing unit have? Q909. Does the household share the toilet does the housing unit have? does the housing unit have?
FLOOR of the housing unit? facility with other household?
Mud 1 Tap inside the house 1 No toilet facility 1 Yes
N No bathing facility 1 No kitchen 1
Bamboo/Reed 2 Tap in compound, private 2 VIP Latrine 2 o Bathtub private 2 A room used for traditional kitchen
Wood planks 3 Tap in compound, shared 3 Flush toilet inside the housing unit 3 Bathtub shared 3 in side housing unit 2
Parquet or polished wood 4 Tap outside compound/From private tap, public Flush toilet outside the housing unit 4 Shower private 4 A room used for traditional kitchen
Cement screed/Cement screed tap, other organisation/(bought or free of charge) 4 Pit Latrine inside the housing unit 5 Shower shared 5 outside the housing unit 3
not applied 5 Botteled water 5 Pit Latrine outside the housing unit 6 A room prepared for bathing 6 A room used for modern kitchen
Plastic tiles 6 Delivered water Tanker water provided by truck 6 inside the housing unit 4
Cement tile/Brick tile 7 Protected well or spring 7 A room used for modern kitchen
Ceramic/Marble tiles 8 Unprotected well or spring 8 outside the housing unit 5
Other 9 River/Lake/Pond 9
[more than one ansewr is possible] [more than one ansewr is possible] Q917. Does the household currently own [……]? yes No
If coded 2 - 5 only in Question 911 Q913. During in the last 12 months what types of Q914 what is the MAIN source of cooking Q915. What type of LIGHTING does the housingQ916. What is the MAIN type Radio/stereo 1 2
the following source of energy was used for
Q912 Does the household share the energy for the household? unit have? [circle the correct answers]. of lighting for the househod? Fixed Telephone/Wireless Telephone 1 2
cooking ?
kitchen with other households? yes No yes No Mobile phone 1 2
Electricity 1 2 Electricity 1 Electricity/Meter private 1 2 Electricity/Meter private 1 Television 1 2
Yes 1 Gas/cylinder for cooking 1 2 Gas/cylinder for cooking 2 Electricity/Meter shared 1 2 Electricity/Meter shared 2 car (only for family use not for business) 1 2
No 2 Kerosene for cooking 1 2 Kerosene for cooking 3 Electricity from generator private 1 2 Electricity from generator private 3 Motor cycle 1 2
Charcoal for cooking 1 2 Charcoal for cooking 4 Electricity from generator Shared 1 2 Electricity from generator Shared 4 Bicycle 1 2
Firewood/Leaves/Sawdust for cooking 1 2 Firewood/Leaves/Sawdust for cooking 5 Solar energy 1 2 Solar energy 5 Refergrator 1 2
Dung/manure for cooking 1 2 Dung/manure for cooking 6 Lantern 1 2 Lantern 6 washing machine 1 2
Bio-gas for cooking 1 2 Bio-gas for cooking 7 Bio-gas 1 2 Bio-gas 7 Personal computer/lap Top 1 2
Other items than listed above 1 2 Other items than listed above 8 Kerosene 1 2 Kerosene 8 Internet connection 1 2
Candle/Wax candle 1 2 Candle/Wax candle 9 Tractor 1 2
[please circle the correct answers] Firewood 1 2 Firewood 10 Animal driven cart 1 2
Dry cell Battery 1 2 Dry cell Battery 11 Donkey/mule/camel 1 2
Other 1 2 Others 12
Q918What is the household's main means Q919. How does the housing unit dispose of Q920. Do livestock spend the night in the
of sewerage Disposal? SOLID WASTE? room(s) where members spend the night? Name Signature Date
No disposal System-------------------------1 Collected by Municipality (Public Dump) 1 Enumerator
Piped system connected to public Collected by private establishments/individuals 2 Yes 1
sewarage disposal plant ----------------------2 Dumped in street/Open space 3 No 2 Supervisor
Bores hole-----------------------------------3 Dumped in river 4 No livestock 3
in to Ditch-----------------------------------4 Burned solid waste 5
Piped system connected to individual Buried solid waste 6
sewage disposal septic tank Cesspool-------5 Occupant composte solid waste 7
Other toilet empties , river, lake, pond-------6 Solid waste collected by self-appointed collcectors 8
Other 9