(CONFIDENTIAL)
Republic of Kenya
Statistics Act 2006
Province
Ward
District
Location
Sub-Location
Females =
E.A. Number
E.A. Type
E.A. Status
Line
Number
(P-00)
What are the names
of each person who
spent the night of
24th/25th August,
2009 in this household? (Record two
names of each
person, young and
old, starting with the
head of the household.)
Illustration
An illustration of
how to write the
names is shown
below.
Sex
Age
Line
Number
of Mother
(P-10)
(P-11)
(P-12)
(P-13)
(P-14)
What
is
<NAME>?
1=Head
1=Male
2=Spouse
2=Female
(Record
age in
completed
years using
two digits.
If under 1
year, record
’’00’’. If 95
years and
above code
95)
4=Grandchild
5=Brother/Sister
6=Father/Mother
7=Nephew/Niece
8=In-Law
PATRICIA
ODENG
How
old is
relationship <NAME>’s
to the head sex?
of this
household?
3=Son/Daughter
Constituency
Structure No.:
S
Spoilt
B: Information Regarding Females Aged 12 Years and Above
Relationship
<NAME>’s
Household Type
Total Household Population =
Usual
member
of
household
What is
BUREAU OF STATISTICS
Household No.
A: Information Regarding All Persons
Name
KENYA NATIONAL
Keeping you informed
Division
Males =
KNBS
Population and Housing Census – 24th/25th August 2009
Tribe/
Religion Marital
Status
Nationality
(P-15)
(P-16)
(P-17)
Birth Place
Previous
Residence
(P-18)
(P-19)
Please
What
Where was
What
Is
What is
insert line <NAME> <NAME>’s tribe is
is
<NAME> born?
number
a usual or nationality? <NAME>’s <NAME>’s
member
of
religion? marital
of this
<NAME>’s
status?
biological household?
mother
ENTER
1=Yes
’’00’’ IF
BIOLOGICAL 2=No
MOTHER
IS NOT IN
HOUSEHOLD
For Kenyans,
write tribe code.
1=Catholic
2=Protestant
3=Other
For non-Kenyans,
Christian
write code for
4=Muslim
nationality.
5=Hindu
The code list is
provided.
6=Traditionalist
1=Never
married
2=Married
Monogamous
3=Married
Polygamous
Write district
code, if in Kenya,
or country code,
if outside Kenya.
The code list is
provided.
If aged under 1
year, write ’’000’’.
4=Widowed
7=Other
religion
10=Other
Relative
8=No
religion
11=Non-relative
9=DK
(P-20)
(P-21)
(P-22)
(P-23)
(P-24)
(P-25)
father
alive?
For respondents enumerated in their
district of birth, code month and year
of birth.
1=Yes
1=Yes
2=No
2=No
If date of movement is not known,
write ’’99’’ for month and "9999"
for year.
9=DK
9=DK
Is
<NAME>’s
Particulars of Last
Live Births
Particulars of All Live Births
Orphanhood
How many children
have you ever born
mother alive?
alive?
When did <NAME> move to the
current district?
in August
2008?
Write district
code, if in Kenya,
or country code,
if outside Kenya.
5=Divorced
9=Grandparent
Where was
<NAME> living
Duration of Residence
Is
<NAME>’s
(P-26)
(P-27)
How many children
have you born alive
who usually live in
this household?
(P-28)
(P-29)
How many children
have you born alive
who usually live
elsewhere?
(P-30)
(P-31)
How many children
have you born alive
who have died?
(P-32)
(P-33)
When was your last child
born?
If date of birth is not known
code "99" for month and
"9999" for year.
The code list is
provided.
6=Separated
9=DK
99=DK
Year
FORM 09-KPHC (06-02-09) Page 1
09-KPHC, Enumerator Form Page 1, Base (Black)
Boys
Girls
Boys
Girls
Boys
Girls
Boys
Girls
Month
Year
20009031
§5!{@¤
Month
09-KPHC, Enumerator Form Page 1, Pantone 354 (20%, 40%)
09-KPHC, Enumerator Form Page 1, Pantone 167 (100%)
Line
Number
Illustration
B: Information Regarding
Females Aged 12 Years
and Above
(P-34)
(P-35)
(P-36)
Particulars of Last Live Births
Was
this
last
birth
notified?
1=Yes
2=No
9=DK
Was this
child
male or
female?
Is this
child
still
alive?
1=Male
1=Yes
2=Female
2=No
3=Male
twins
3=One of
the twins
4=Female
twins
4=Both
twins
5=Malefemale
twins
5=One
of the
multiples
6=Multiple
births
5=Two
of the
multiples
9=DK
(P-38)
(P-37)
What type of
disability does
<NAME> have?
(List not more
than three)
(P-40)
(P-39)
Because of
the disability,
does <NAME>
have
difficulties in
engaging in
any
economic
activity?
1. Visual
2. Hearing
3. Speech
4. Physical
5. Mental
6. Self care
7. Others
8. None
1=Yes
2=No
3=NA
9=DK
E: Labour Force Particulars
(To be asked of all persons aged 5 years
and above)
D: Information Regarding Persons
Aged 3 Years and Above
C: Information Regarding
Persons with Disability
(P-42)
(P-41)
Education
What is
the
school/
Learning
institution
attendance
status of
<NAME>?
What is the
highest
Std/Form/Level
reached by
<NAME>?
1=At school/
Learning
Institution
The code list
provided
2=Left School/
Learning
Institution
Write "97" if P-39
equals 3 or 9
Economic
Activity
What is the
highest
Std/Form/Level What was
<NAME> mainly
completed by
doing during
<NAME>?
the last 7 days
preceding the
census night?
The code list
provided
The code list
provided
Write "97" if P-39
equals 3 or 9
(P-44)
(P-43)
F: Information Regarding ICT
(To be asked of persons aged 3 years & above)
(P-45)
Who was
<NAME>’s main
employer?
(P-48)
(P-49)
Code "99" for Not
Applicable
1=Yes
1=Yes
1=Yes
1=Yes
1=Yes
2=No
2=No
2=No
2=No
2=No
9=DK
9=DK
9=DK
9=DK
9=DK
3=Never went
to school/
Learning
Institution
7=All
of the
multiples
(P-47)
How many
hours did
<NAME> work
in the last
7 days
preceding the
census night?
The code list
provided
Code "99" for Not
Applicable
(P-46)
Was <NAME> able to get a service from
the following items within the last one
month?
For those who worked or held
a job (including those on
leave/sick leave)
(P-50)
How often
does
<NAME> use
internet
(e.g. email,
chatting,
etc.)?
1.
2.
3.
4.
5.
9.
Daily
Weekly
Monthly
Yearly
Never
DK
G: Annual
Live Births
(P-51)
(H-10)
How many
live births
mainly use occurred
in this
the
household
internet?
between
24/08/2008
1=Own house
and
2=A friend’s
24/08/2009
house
(last 12
3=Office/
months)?
Workplace
Where did
<NAME>
H: Information About Deaths In the Household
(H-12)
(H-11)
How many
deaths
occurred
in this
household
between
24/08/2008
and
24/08/09
(last 12
months)?
Name of the household
member who died.
9=DK
Radio
If ’5’ or ’9’
Skip to
Mobile
H-10
TV Set Phone Landline Computer
(H-14)
(H-15)
Age
Sex
Was this
death
How old
notified? was
1=Male
2=Female
<NAME>’s
at his/her
death?
1=Yes
2=No
9=DK
In
completed
years
4=Cyber cafe
5=Community
centre
6=Educational
centre
Code "00"
for less
than 1 year
7=Other
9=DK
(H-13)
8=Mobile
Phones
9=DK
If ’00’ Skip
to H-17
Code "99"
for DK
If male
skip to
next
name
1.
2.
3.
4.
5.
Remarks
Continuation page
I: Information Regarding Livestock
(H-16)
(H-17)
For females who died
at age 12 - 49 years
J: Housing Conditions and Amenities – To be Asked of the Household Head or Any Other Responsible Person
How many of each of the following livestock
are currently owned by this household?
Did the death occur...
1=During pregnancy?
§5!{R¤
2=During delivery?
3=Within two months
after delivery?
4=Other
9=DK
Livestock
Number
Livestock
1. Exotic
cattle
7. Pigs
2. Indigenous
cattle
8. Indigenous
chicken
3. Sheep
4. Goat
Number
(H-18)
(H-19)
(H-20)
Dwelling
Units
Habitable
Tenure Status of
Main Dwelling Unit
How many
dwelling
units does
this household
occupy?
How many
habitable
rooms do
these units
contain?
If owner occupied,
state whether:
9. Chicken
Commercial
10. Bee Hives
1=Purchased
2=Constructed
3=Inherited
If rented/provided,
state whether:
4=Government
5=Local Authority
6=Parastatal
7=Private Company
8=Individual
9=Faith based
organization/NGO
10=Other form
(H-21)
(H-22)
(H-23)
Dominant Construction Material
of Main Dwelling Unit
Roof
Wall
Floor
1=Corrugated
Iron sheets
2=Tiles
3=Concrete
4=Asbestos
Sheets
5=Grass
6=Makuti
7=Tin
8=Mud/Dung
9=Other
(Specify)
1=Stone
2=Brick/Block
3=Mud/Wood
4=Mud/
Cement
1=Cement
2=Tiles
3=Wood
4=Earth
5=Other
(Specify)
(H-24)
Main Source
of Water
1=Pond
2=Dam
3=Lake
4=Stream/River
5=Protected
Spring water
(H-25)
1=Main
Sewer
2=Septic tank
3=Cess pool
4=VIP Pit
Latrine
6=Corrugated
Iron sheets
7=Protected Well
5=Pit Latrine
covered
7=Grass/
Reeds
8=Unprotected
Well
8=Tin
9=Borehole
9=Other
(Specify)
10=Piped into
dwelling
11=Piped
12=Jabia
13=Rain/Harvested
L: Emigrants
(H-28)
(H-29)
(H-27)
Main Mode
Did the Household own any of the following items? Emigrants in the last
15 years (since 1995)
of Human Main Type Main Type
of Cooking of Lighting
1=Yes
2=No
Waste
Fuel
Fuel
Disposal
How many members of
6=Unprotected
Spring
5=Wood only
(H-26)
K: Ownership of Household Assets
6=Pit Latrine
uncovered
7=Bucket
Latrine
1=Electricity
2=Paraffin
3=LPG
4=Biogas
5=Firewood
6=Charcoal
7=Solar
8=Other
(Specify)
1=Electricity
2=Pressure
lamp
1. Radio
8. Car
2.TV
9. TrucklLorry/
tractor/bus
3. Mobile
Phone
10. Refrigerator
4. Landline
Telephone
11. Boat
5. Computer
12. Animal
Drawn cart
3=Lantern
4=Tin lamp
5=Gas Lamp
6=Fuel
wood
7=Solar
8=Other
(Specify)
8=Bush
9=Other
(Specify)
14=Water Vendor
5. Camels
11. Other
6. Donkeys
FORM 09-KPHC (06-02-09) Page 2
09-KPHC, Enumerator Form Page 2, Base (Black)
09-KPHC, Enumerator Form Page 2, Pantone 354 (20% background)
15=Other Specify)
this household have
migrated to another
country since 1995?
20009049
H: Information About
Deaths In the Household
of
6. Bicycle
13. Canoes
7. Motor
Cycle
14. Tuk tuk
If NONE write "00" and
end the interview
If NOT "00" fill the
Emigrant Short
Questionnaire