QUESTIONNAIRE
OF THE GAMBIA
THE REPUBLIC
FORM A HOUSEHOLD
- PART 1
Strictly Confidential
..
LG.A.
Statistics Act 2005
POPULATION AND HOUSING CENSUS, April, 2013
. ..
Settlement
E.,!\: No.
District
Rtype
No.
-t,
Name
.-
I
Code
-
Full Name
I
.
GPC 3 U sua 1Mbem ers P resen on Census N'19 ht
Sri
Sex
Compound
Ward
I
I
I
I
I
I
I
-
I
-
Sri
Household
No
I
2: Rural
GPC 4 V·isitors
.
Present
Relationship to Head of
No
Head of Household
,
1: Urban
--
I
Normal Household
No. in
Compound
1
I
I
o n C ens us N'IQ h t
Sex Relationship to the Head of
Full Name
Usual Residence
Household
... _
DistrictiCountrv
1
2
1
3
2
A
0
5
4
6
5
I
7
R
q
Persons in GPC-3
II
Persons in GPC-4
I
II
Male
Male
Female
I
0
II
I
Fernals
II
Persons in GPC-5
II
Male
II
I
I
I
Female
Persons in GPC-3&4
Male
I
I
I
Female
Settlement
II
II
Persons in GPC-3&5
Male
II
I
I
Female
I
I
I
-
GPC 5 U sua 1Mb
em ers Ab sen to n Census N·IQ ht
Sri
Se)C Age
Full Name
No
Relationship
to
Head of Household
Address
on Census Night
District/Country
Settlement
How Long
Absent (in
Completed
Months)
1
:;;
::
4
:
Name
1st Visit
2nd Visit
Signature
Date
..... .t ..... .t ....
Enumerator
.... .t . ... .1 .....
...... .t
..!..
..J .... J ...
Supervisor
....
~e
ult ...... .l .... J.
Result of Visit:
... l . ... J .
1 Completed
Name
Signature
Date
Final Visit
...... .t .... ..!. ...
2 Partially
completed
3 vacant
4 Refused
5 Other
Form
of
,
,
..!.
.I.
-Coder
.
.... ..!. ... I. ..
FORMA
Demographic
1
0
SrI. No.
Full Name
2
Sex
3
Age
WritetheNamesof the Usual Members 1:
Whatwas
Present and Visitors
Male your Age
last Birth2: Fe- day?
male
OO:less
than
(please refer to GPCs 3 and 4)
1 Year
98:98Years
& Over
-
--
1
--------------------
--
2
.....
3
--------------------
--
--
1
1
---l--1
I
1
1
--..,---
PART 2
Information
for
Whatis your Relationship to
Head/Temporary Head of the
Household?
01 :Head
02:Temporary Head
03:Wife/Husband
04:Son/Daughter
05:Son's SQn/Daughter
06:Oaughter's
Son/Daughter
07:Father/Mother
08:Mother's Husband
/Father's Wife
09:Brother/Sister
10:Brother's
Son/Daughter
11 :Sister's
Son/Daughter
12:Father's
Father/Mother
13:Mother's
Father/Mother
14:Father's
Brother/ Sister
15:Mother's
Brother/Sister
16:0ther Relative
17: Adopted/Foster Child
18:Live- in-Maids
19: Non Relative
T
1
-------------1---
I
-------------~-1
,
1
------------------
--
8
--
9
0
--------------------
--
- _L __
I
I
---l--I
2.
-
1 :Fula/Tuku 3:Tra
ditional
lur/Lorobo
2:Wollof
Is your
Mother
alive?
1:Yes
1:Yes
2:No
2:No
3: Don't 3: Don't
know
know
4:0ther
3:Jola/
Karoninka
4:Serahuli
5:Serere
----
-------
-----
----
-------
-----
---- -----
-------
-----
----
I
I
-------1-I
10-----
,
1
,
1
I
2:Chris
tianity
1
I
1
O:Mandinkal
Jahanka
(b)
Ethnicity
______
------------'-1
.-------------~-
(a)
What is your What is
your
Ethnic
Origin? (For Religion? Is your
Father
Gambians
alive?
1:lslam
only)
9:0ther
I
I
8
Survival
of
Parents
8:Bambara
I
I
7
Religion
If code is not 00 6:Creole/Aku
Enter Country
Marabout
code and
(skip to col 7) 7:Manjago
1
1
1
1
-------1--
-------------r-
I
OO:Gambian
10: Senegalese
11: Guinea
(Conakry)
12: Guinea
(Bissau)
13:Malian
14:Sierra
Leonean
15: Mauritanian
16:Ghanaian
17:Nigerian
18:Liberian
19:0ther West
Africans
20:0ther Africans
21: Non Africans
I
I
1
1
I
---l--I
7
What is your
Nationality?
-------1-
5
--
6
Ethnicity
5
Nationality
I
6
-
Persons
4
- - --------------------
-,...
All
4
Relationship
L_
-----
----
---
-------
-----
----
----
,
I
-------1-I
1------
FORM A - PART 2 (CONTINUED)
o
9
Birth Place
(place of usual residence of mother at the time of birth)
SrI. No.
Duration
Where were you born?
11a
Reason for
Movement
11
10
Previous Residence
of Stay
Where have you been living before?
How many months
What is
(Last Residence)
<NAME's>
have you lived in this
00: In thisSettlementfTownNiliage
In another
SettlementfTownNillage:
Specify District and
SettlementfTown/
00: Always lived in this Settlement! TownNillage and Skip to reason For
Village
13a
migration?
(in complete months)
TownNillage
In another SettlementfTownNillage:
1: Education
Specify District and
SettiementfTownNillage
2:Employment
Outside Gambia: Specify Country
Outside Gambia:
/ in search of
Specify Country
Employment
OO:Less than 1 Month
3:Marriage
4: Followed
Family
60:60 Months and
Over
5: ConflictJWar
6: Disasters
7: Drought
8: Medical Reason
9: TourismNisit
10: Other/Specify
I
I
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I
2
1
Iii
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!
i
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iii
I
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iii
5
1
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FORM A - PART 2 (CONTINUED)
7 Years and over
7 Years and Over
For Aged 3 & Over
0
13
14
14a
SrI. No
Full Time Education
Literacy
Numeracy
(a)
(b)
(aa)
(c)
What is the field of
study for the highest
level
completed?
15
Can you read and
Can (NAME)
Do you usually have access to the following ICT facilities
write in any
Do simple·
at least once a week?
Have you If Now or
If Now or Past in
ever
Attended in
13a,
language with
Calculations in
the Past; In
highest level and
Arabic/Roman
Roman and Arabic
grade
Alphabets
Numbers?
attended
School/
Which
what is the
15a
15b
15c
AccesstolCT
Do you own a How often
does (name)
Mobile?
use internet
(e.g. email,
Where does
name mainly
use the
internet?
chatting,
skype)
/
Educat - educational
attained/completed
ional
system did
in Regular
Institut-
Name have
School/Institution?
ion?
(b)
(b)
level of
o
education?
01-04;
Early childhood
Script
Numer
bers
1 Primary 01-06.
(Skip to
2 Lower
2:Read
3 Upper
2=Madrassa
Secondary 10 -12.
(c)
(e)
(f)
Mobile
Telephone
Computer
Phone
Land Line
(d)
(g)
(h)
News
Radio
TV.
1:
Own Mobile
(i)
1.
Never use
1. Own house
(Skip to 16a)
2. Friend's
2. Daily
3. Official work
Magazi
house
Arabic
1: Yes
Arabic
ne
2:
2: No
2:
1: Yes 1: Yes
1: Yes 1: Yes
1: Yes
1: Yes
1: Yes
3. Weekly
4. Private
2: No
2: No
2:No
2: No
2: No
4. Monthly
5. Community
5. Other
6.Educational
(specify)
center
place
and WritE
secondary 07-09.
1= Western
(b)
paper/
1:
1:Read
(a)
Num-
the highest
2:Now
(a)
acy
1: Never
14)
Only for those who
(a)
corrnleted level,S, or 6
or 7, or 8 with
certificate(s).
Literacy
Roman
only
cyber cafe
Roman
3: DK
3: Both
2: No
2: No
3: Both
center
4 Non-tertiary 01-02
(exclude
3:Past
Daral
Karanta)
5 Tertiary/
diploma
01-12.
6 Bachelor
01-12.
7 Masters
01-12.
8 Doctoral
01-12.
Level
Grade
3:No
4:
(skip to
Other
14a (a))
4:
Script
i
1
i,
2
!,
3
I
4
ii
i
5
6
I
i
t
7
!
8
II
9
II
0
I
I
!
4
Other
7. Mobile
Script
8:0ther
FORM
A - PART 2 (CONTINUED)
For those WorkinglEmployed
For Aged 7 & Over
(incl. those with jobs,
but did not work)
and the Unemployed
Aged
7 and Over
o
16
17
18
19
SrI. No
Type of Activity
Occupation
Industry
Employment
Status
During the past 30 Days
(a)
(b)
What were you doing (If answer
most of the time?
Did you
1: Working (skip to work at all
16d)
for payor
(dd)
(a)
looking for
for work? work?
How
how many
many
hours did
days did you work
you
per day?
(If not working in the past 30 days, ask last
kind of work/occupation in the past 12 months.
Enter never worked. If person did not work in
the past 12 months)
2: Had a Job, but
4: Home making
(go to 16b)
ment status
establishment where you work?
services of this establishment?
in this
(for those who worked past 30 days)
establish(for those who worked past 30 merit?
and
1: Yes
days)
and
(those who did not work past
12 months)
2: No
2: No
during the past 12 months)
or wages
(If 16c and
16cc are both
No, skip to
2: Selfemployed
17)
including
without
employees
pay in kind)
3:Employer
1: Yes
(skip t016d)
5: Student (skip to
20)
6: Something else
(go to 16b)
1 :Employee for pay
30 days but worked sometimes
(Includes
not at work (skip to work for
family
17)
farm or
3: Did not work and business,
did not have job
(skip to 16c)
your employWhat is the main product or
but worked sometimes during the past
profit?
What is/was
What is the name and Location of the
(those who did not work past 30 days
work?
1: Yes
(b)
On average What is your main joblwork (occupation)?
Were you Were you
in 16a is 4 available
(past 30 days,16March or 6)
-14 April 2013),
(d)
(cc)
(c)
4:Unpaid
family worker
2:No(go
5:0ther
to 16c)
(specify)
1
~--------
2
3
----------------- --------_-
--------
------------
.
-------
.
-_------
-_---------------------- -------------
4
5
6
7
8
9
o
5
----------------------------
--------
---------------------------
------------
FORM A PART 2 (CONTINUED)
For Aged 12 and over
0
20
SrI. no
Marital Status
For Aged 2 & Over
For Females Aged 12 Years and Over
22
21
Type of Union
Particulars
Status
What is/was
How many
How many
How many
How many
your Union?
Children
of them are of them are of them
(For ever
have been
living in this living
(a)
(c)
How man) Year
have died? Children
of
(d)
of your disability?
Do you
born to
Enter
1 :Monogamous
you durin, 2:
number
(01 - 12)
2:Polygamous
the last 1< 2012
3:
months?
1-Congenital
disability?
during the last 12 disability
1 :Seeing
months are still
2:Hearing
3-lnjury / Accident
1:
4-Spousal
alive?
Yes
Violence
3:Speaking
1:
Yes
4:Physical
of the
5:Strange
behaviour
2013 Month
2:
5-0ther Violence
No
6-Unknown
3:Polygamous
6. Fits
with 3 spouses
(Skip to
7. Learning 7-0ther
difficulties
8. Other
Specify
4:Polygamous
with 4 spouses
with 5 spouses
and more
Does (Name)
smoke?
2: No
5:Polygamous
/ At Birth
2-Disease / Illness
25)
5:Widowed
What is
form of
only)
with 2 spouses
How many of
born to you
to 22)
4:Separated
Main
Disability
Month of those Children
have beer Birth
you?
00 if
Birth
married Persons born alive to Household? elsewhere?
3:Divorced
25
Tobacco
have any your main
1 :Never Married (Skip
2:Married
24a.
What is the main cause
of Births in the last 12 Months
April 2012 to March 2013(Record
None)
What is your Marital
24
23
Number of Children Born
10 Years &
Over
(a)
Male
(b)
(c)
(d)
Fe-
Male
Fe-
male
(e)
(f)
Male Fe-
male
(g)
(h)
(a)
Male Fe-
male
(b)
(c)
(d)
Male Fe-
male
(e)
Male
(f)
(a)
(b)
Female
male
j
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1-------------
i
.-
--
---_._---
FORM A - PART 3
MORTALITY
MORTALITY: (To be answered by head of household or any responsible
Death in the Household in the
Sex
Relationship
(3)
(4)
last 12 months
(2)
(1 )
Maternal Deaths
members of the household)
Age at death of
If the deceased was female 15 years and above did
deceased
she die?
(5)
(6)
What is the
Was the
What is the relationship of the deceased to
How old was
in this household in the last 12
Name of
person female
Head lor Temporal Head of household?
the person
months?
the deceased
How many deaths occurred
or male?
Household
(April 2012 - March 2013)
Enter number of deaths. (if
During
Pregnancy
when he/she
03:Wife/Husband;
member?
(a)
04:Son/Daughter
1= Male
05:Son's Son/Daughter;
2= Female
06:Daughter's Son/Daughter
died?
(b)
(c)
Giving
Within six
Birth
weeks after
1 Yes
termination of
1 Yes
delivery or
2 No
none, enter 00, end go to part
List all names
07:Father/Mother
4)
of persons
08:Mother's
who died in this
09:Brother/Siste~
household
11 :Sister's
in the last 12
Father/Mother 13:Mother's Father/Mother
pregnancy?
2 No
Husband /Father's Wife
10:Brother's
Son/Daughter;
9 OK
1 Yes
Son/Daughter
9 OK
12:Father's
2 No
14:Father's Brother/Sister, 15:Mother's
months
Brother/Sister,
9DK
16:0ther Relative;
17:Adopted/Foster
Child; 18:Live-in-maids;
19:Non Relative
1
2
4
3
5
_.-
-
6
7
- ~~
8
- -
1.
2.
3.
4.
5.
Has a continuation
sheet been used?
1=Yes;
2=No
Continuation
7
UUofUU
FORMA PART4
HOUSING CONDITIONS - TO BE ASKED TO THE HEAD OF HOUSEHOLD ORANY OTHER RESPONSIBLE
(Circle code number of correct answer)
2
1
Accommodation
Main Source of
4
5
6
7
Main Cooking Fuel
8ath Room
Toilet Facility
Main source of
3
Kitchen
PERSON
Light
a) On what basis do
you occupy this
dwelling?
1 -Owner
Occupied
(Skip to 2)
2 - Rent
3 - Not Owner,
but Rent Free
b) If you rent it or it
is rent-free, who
owns the
accommodation?
1 Relative
Individual
2. Non-Relative
Individual
3. Private
Institution
4 - Public
Ownership
1 -Electricity
(NAWEC)
1 - Firewood
2 - Kerosene
2 -Electricity
(Generator)
3 Kerosene
Lamp with
Shade
4 - Other
Kerosene
Lamp
1 - Separate
Room (in the House
or Compound) for
Exclusive Use of
Household
7 Firewood
8 Battery
Powered
light
Where do you
usually have your
bath?
What Type of Toilet does your
Household
use?
(a)
(b)
1 - Piped Sewer
1 - Exclusive
3 - Briquette
---
4 - Charcoal
5 - Gas
2 - Separate Room
(in the House or
Compound) for Use
of other
Households also
6 - Electricity
1 - Separate
Room
(in the House
or
Compound) for
Exclusive Use
of Household
7 - Solar
5 - Candle
6 - Solar
5 - Other
Private
(Institution)
drinking
Where do you
generally cook?
8 - Saw dust
3 - Open Space (in
the Compound)
9 Other
4 -Don't cook
(Skip to 5)
Specify
5 Other
(Specify)
3 - Enclosure
without roof (in
the Compound)
9- Other
(Specify)
1 Piped into
Dwelling
3 - Communal
2 Piped into
Compound
2 - Septic Tank
3 Public Stand Pipe
3 - Pit Latrine
2 - Separate
Room
(in the House
or
Compound)
For
Use of Other
Households
also
with Slab
4 Protected Well in
Compound
4 - Pit Latrine
without Slab
5 Unprotected Well
in Compound
6 Well with Pump
(Public)
5 - Ventilated
Improved
c) What is the main
source of drinking
water used by the
household?
2 - Shared
System
water
Pit
Latrine
7 Well without
Pump (Public)
8 Stream or River
4 - River/Sea
5 Other
6 - BuckeU
Private Pan
(Specify)
7 - No Facility/
9 Rainwater
Collection (Surface
Water
10 Bottled Water
Bush/Open
Space
8 - Other
(Specify)
8
11
Other (Specify)
FORM A - PART 4 (CONTINUED)
HOUSEHOLDS ASSETS
10
Do members of this household own any of the
following assets which are in good condition?
DISPOSAL OF HOUSEHOLD WASTE
9
Solid waste disposal
Frequency ?f
collection
(If 9(a) is 5, 6 or 7)
(a)
How does the household usually dispose of
rubbish (refuse)?
•
(b)
Collected Private
Liquid waste disposal
Liquid waste from household
chores
(d)
Liquid waste from human
convenience
(c)
Liquid waste from economic
activity
(e)
1. Regular
How does your household
usually dispose of liquid
waste?
How does your-household
usually dispose of liquid
waste?
How does your household
usually dispose of liquid
waste?
2. Not Regular
1. Through the sewage
1. Through the sewage
1. ThrotJ§~e
system
system
system
2. Through drainage
system into a gutter
2. Through drainage system
into a gutter
2. Through drainage system
into a gutter
3. Through drainage into a
3. Through drainage into a pit
3. Through drainage into a
3. Regular
pit (soak away)
(soak away)
pit (soak away)
4. Not Regular
4. Thrown onto the
4. Thrown onto the
street/outside
street/outside
4. Thrown onto the
street/outside
5. Thrown into gutter
5. Thrown into gutter
5. Thrown into gutter
6. Thrown onto compound
6. Thrown onto compound
6. Thrown onto compound
7. Other (Specify)
7. Other'(SpecifY)
7. Other (Specify)
= Radio
B = TV
C = Mobile Phone
o = Land Telephone
E = Computer/Laptop
F = Bicycle
G = Motor Cycle
H = Car
I = Truck/Lorry
j = Bus
K = Boat
L = Animal Drawn cart
M = Canoe
A
Direct Disposal:
1. Landfill/Bury
2. Burn
Collected
Municipality
3 Use as Compost
4. Recycle
• Indirect Disposal:
5. Collected by Municipality (household
provides containers)
6. Collected by Municipality (municipality
sewage
provides containers)
7. Collected by Private Body
8. Use Set Setal
9. Public Dump (authorised)
10. In the Bush or Open Space near
Compound
11. Other (Specify)
SECURITY OF TENURE
11
A
= Do you have compound
title deed for the compound in which you stay?
B = Do you pay compound yard rate for the compound in which you stay?
C
= Do you have any ownership
document for your accommodation in this compound?
0= Are you the owner of this compound in which you stay?
E
= Are you the owner of the accommodation
in which you stay?
F = Is this land suitable for residence?
G
= Is
this compound a family compound?
Do you sometimes feel that you can be evicted from your accommodation at any time in the future?
9
1. Yes
2.No
Yes
No
1
2
1
2
1
2
1
2
1
2
1
2
1
2
1
2
1
2
1
2
1
2
1
2
1
2
1
2
1
2
1
2
1
2
1
2
1
2
1
2
FORM A - PART 5: AGRICULTURAL ACTIVITY Last 12
allowed (you can circle more than one response)
1.
Did any member
of your household
during the last 12 months?
a
Type of main crops
1. Yes
cultivate
Months.
(Questions for the household level only)
crops for sale or family
use
2.
2. No (skip to 2)
Did any member
during
b
How many household members
the crops for sale or family use
TO BE COMPLETED FOR EACH HOUSEHOLD
of your household
the last 12 months?
grow vegetables
1. Yes
Type of horticulture/vegetables
Female
1. cabbage
1. Rice
2. Tomato
2. ground nuts
4. Onions
4. maize
8. Garden eggs
8. Millet
16. Lettuce
16. Findo
32. Okra
Other (specify):
64. Sweet Pepper
128. Hot Pepper
Other (specify):
10
use
(skip to 3)
b
How many household
members plant horticultural
crops and vegetables for sale or family use
Male
Male
for sale or family
2.No
a
cultivate
Multiple responses are
Female
FORM A - PART 5 (CONTINUED)
3. Did any member of your household plant forest/fruit trees for sale or family
last 12 months?
1. Yes
2. No (skip to 4)
a
Type of forest/fruitst tree(s)
use
4. Did any member of your household farm fish for sale or family use last 12 months?
1. Yes
2. No (skip to 5)
a
b
How many household members
for sale or family use
plant forest/treestrees
Type of fish farmed by household
members for sale or family use
I
b
How many household membersrarmed fish
I
I
I
j
Male
Female
Male
1. Avocado
Female
I
,,
I
,
,
,
2. Paw-Paw
I
I
4. Oranges
I
I
8. Mangoes
,
16. Bananas
32. Cashew
64. Coconut
I
:
128. Guava
t
t
256. Grape fruit
I
512.Soursop
I
1024. Lime
i
I
!
I
2048. Shea nut
Other (specify)
I
I
I
I,
I
I
11
,,
I
I,
I
I
I
I,
It
I
I
5. Did any member of your household rear livestock for sale or family use during
the last 12 months?
1. Yes
a
Type of livestock
owned by household
members for sale or
family use
2. No (End interview)
b
Number of livestock owned by household
Total
Male
Female
c
How many household
members breed the
livestock for sale or family
use
Male
Female
1. Cattle
2. Sheep
4. Goats
8. Pigs
16.Chicken
32. Ducks
128. Horses
Other (Specify)
<o
o-.
o-,
12
THE REPUBLIC
OF THE GAMBIA
FORM B GROUP QUARTERS AND FLOATING POPULATION
QUESTIONNAIRE - PART 1
Statistics Act 2005
POPULATION AND HOUSING CENSUS, April, 2013
Strictly Confidential
L.G.A.
District
Settlement
E.A. No.
Ward
Rtype
Compound
Group
Group
No.
Name
1: Urban
Code
2: Rural
Male
female
2
Name of Group Quarter/Institution/location of outdoor sleepers: ­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­------------------------------------------------
Description / Address of Group Quarter/Institution/Location of Outdoor Sleepers:
­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­------------------------------------------------
Name
1st Visit
2nd Visit
Signature
Date
Name
Enumerator
Coder
Date
Result
...................... ..................
......./......./......
…….
Result of Visit:
…..
......................
.…../……/…….
......./......./.......
1 Completed
Signature
Date
Final Visit
......./......./.......
Supervisor
………………..
……………….
….
2 Partially completed 3 vacant
4 Refused
5 Other
Form …...… of ………...
..…../……/…….
.......................
.…../……/…….
FORM B - PART 2
Demographic Information for All Persons
0
1
2
3
5
6
7
9
10
Srl. No.
Full Name
Sex
Age
Nationality
Ethnicity
Religion
Birth Place
Duration Of
11
Previous Residence
Stay
Write the Names of all
individuals found in the
institution/Location
1: Male
What was
What is your Nationality?
your Age
2: Female last Birthday?
00:Gambian
1:Islam
2:Christianity
Jahanka
3:Traditional
In another
4:Other
Settlement/Town/Village: Specify
2:Wollof
District and
00:Less than 1
15: Mauritanian
3:Jola/Karoninka
Settlement/Town/Village
Month
.
16:Ghanaian
4:Serahuli
.
17:Nigerian
5:Serere
.
18:Liberian
6:Creole/Aku Marabout
& Over
20:Other Africans
8:Bambara
21: Non Africans
9:Other
Enter Country code and
(skip to col. 7)
4
5
6
7
8
9
0
months)
14:Sierra Leonean
7:Manjago
(Last Residence)
Settlement/Town/Vi 00: Always lived in this
llage (in complete Settlement/Town/Village and
1:Fula/Tukulur/Lorobo
98:98 years 19:Other West Africans
Where have you been living before?
this
13:Malian
If code is not 00
3
Settlement/Town/Village
0:Mandinka/
Ethnicity
1
How many months
have you lived in
00: In this
only)
10: Senegalese
00:less than 12: Guinea (Bissau)
2
What is your Where were you born?
Origin? (For Gambians Religion?
11: Guinea (Conakry)
1 Year
What is your Ethnic
Outside Gambia: Specify Country .
.
60:60 Months and
Over
Skip
to 13a
In another Settlement/Town/Village:
Specify District and
Settlement/Town/village
Outside Gambia: Specify Country
FORM B - PART 2 (CONTINUED)
For Aged 3 & Over
(a)
Have you
ever
attended
School\
(aa)
If Now or
Attended in the
Past; In Which
educational
7 Years and Over
13
14
14a
Full Time Education
Literacy
Numeracy
(b)
If Now or Past in 13a, what is
the highest grade attained/
completed in Regular
School\Institution
(c)
Can you read and write Can (NAME)
What is the field
Do simple Calculations in Roman and
in any language with
of study for the
Arabic/Roman Alphabets Arabic Numbers?
highest level
completed?
Educational system did Name attended?
Institution?
have the highest
level of
1: Never
education?
(Skip to 14)
2:Now
3:Past
0 Early childhood 01-04;
1 Primary 01-06.
2 Lower
secondary 07-09.
1= Western
2=Madrassa
3 Upper
Secondary 10 -12.
4 Non-tertiary 01-04.
(exclude Dara / 5 Tertiary/
Karanta)
diploma 01-12.
6 Bachelor 01-12.
7 Masters 01-12.
8 Doctoral 01- 12.
Level
Grade
(a)
Only for those
Literacy
who completed
level, 5, or 6 or 7,
or 8 with
certificate(s).
1:Read and
Write
2:Read only
3:No
(skip to
14a(a))
(a)
(b)
(b)
Script
Numeracy
Numbers
1: Arabic
1: Yes
1: Arabic
2:
2: No
2: Roman
3: DK
3: Both
Roman
3: Both
4: Other
Script
4: Other Script
FORM B – PART 2 (CONTINUED)
For Aged 7 & Over
0
Srl. No
For those Working\Employed (incl. those with jobs, but did not work) and the Unemployed Aged 7 and Over
16
17
18
19
Type of Activity
Occupation
Industry
Employment Status
During the past 30 Days
(a)
What were you doing
most of the time? (past
30 days, 16 March – 14
April 2013),
(b)
(If answer in
(cc)
(c)
Were you
Were you looking
16a is 4 or 6) available for for work?
Did you work
work?
at all for pay
1: Working (skip to 16d) or profit?
2: Had a Job, but not at
work (skip to 17)
3: Did not work and did
(Includes work 1: Yes
for family
farm or
business,
including pay
not have job (skip to 16c) in kind)
4: Home making
(go to 16b)
5: Student (skip to next
person)
6: Something else
(go to 16b)
1
2
3
4
5
6
7
8
9
10
1: Yes
2: No
2: No
(If 16c and 16cc
are both No, then
skip to 17)
(d)
How
(dd)
What is / was your main job\work (occupation)?
many On average how many days hours did (If not working in the past 30 days, ask last kind of work
did you you work / occupation in the past 12 months. Enter never worked, if
per day?
work?
person did not work in the past 12 months).
(a)
(b)
What is/was your
What is the name and Location of the establishment
What is the main product or services of employ-
where you work?
this establishment?
(for those who worked past 30 days)
and
establish(for those who worked past 30 days)
ment?
and
(those who did not work past 30 days but worked
sometimes during the past 12 months)
ment status in this
(those who did not work past 30 days 1:Emplobut worked sometimes during the past
yee for pay or
12 months)
wages
2: Self-employed
without employees
3:Employer
4:Unpaid family
1: Yes (skip
worker
to 16d)
5:Other (specify)
2: No (go to
16c)
FORM B – PART 2 (CONTINUED)
For Aged 7 & Over
0
Srl. No
For those Working\Employed (incl. those with jobs, but did not work) and the Unemployed Aged 7 and Over
16
17
18
19
Type of Activity
Occupation
Industry
Employment Status
During the past 30 Days
(a)
What were you doing
most of the time? (past
30 days, 16 March – 14
April 2013),
(b)
(If answer in
(cc)
(c)
Were you
Were you looking
16a is 4 or 6) available for for work?
Did you work
work?
at all for pay
1: Working (skip to 16d) or profit?
2: Had a Job, but not at
work (skip to 17)
3: Did not work and did
(Includes work 1: Yes
for family
farm or
business,
including pay
not have job (skip to 16c) in kind)
4: Home making
(go to 16b)
5: Student (skip to next
person)
6: Something else
(go to 16b)
1
2
3
4
5
6
7
8
9
10
1: Yes
2: No
2: No
(If 16c and 16cc
are both No, then
skip to 17)
(d)
How
(dd)
What is / was your main job\work (occupation)?
many On average how many days hours did (If not working in the past 30 days, ask last kind of work
did you you work / occupation in the past 12 months. Enter never worked, if
per day?
work?
person did not work in the past 12 months).
(a)
(b)
What is/was your
What is the name and Location of the establishment
What is the main product or services of employ-
where you work?
this establishment?
(for those who worked past 30 days)
and
establish(for those who worked past 30 days)
ment?
and
(those who did not work past 30 days but worked
sometimes during the past 12 months)
ment status in this
(those who did not work past 30 days 1:Emplobut worked sometimes during the past
yee for pay or
12 months)
wages
2: Self-employed
without employees
3:Employer
4:Unpaid family
1: Yes (skip
worker
to 16d)
5:Other (specify)
2: No (go to
16c)
FORM C: BUILDING & COMPOUND
PARTICULARS
THE REPUBLIC
OF THE GAMBIA
Population And Housing Census, April, 2013
Strictly Confidential
L.G.A.
Ward
District
Statistics Act 2005
Settlement
E.A. No.
Rtype
Name
1: Urban
Code
2: Rural
Building/ What is the Status
Structure of the Building?
Number
1: Complete
2: In-Complete
(0)
1
2
3
4
5
6
7
8
9
0
(1)
Write all
household
numbers in the
compound that
can use this
building
whenever they
want to.
Construction Material
(write code)
Walls
Roof
1-Cement
1- Iron/
Block,
Asbestos
Burnt Brick
2- Thatch
(If a building in 2- Mud/
(Grass/
a compound is
Krinting
Palm
not used by any
Leaves)
household in that 3- Other,
compound write Specify
3- Concrete
oo)
4. Roof
Tiles
5- Other,
Specify
(2)
(3)
(4)
Compound No.
Use/Classification of Building
(Put a tick mark in the column (s) of use)
(for residential and non-residential)
Floor
1 Sand/
Earth /
Mud/Clay
Owner Tenants Owner Business/ IndusResiden only
Residen Commerce try
tial
tial and
Tenants
Hotels Constr&
uction
Restaur
ant
Education
Health Religion
Recre- Transation port/
Commu
nication
Government/
Public
Service
Other,
Specify
2 Cement /
concrete
3 Wood
4 Tiles
(ceramic/wood/
plastic)
5 Other, Specify
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
(19)
Form ………..of………..
Building/
Structure
Number
Type of Rooms and Number of Rooms (Including Kitchen, Bathroom, Toilet and Stores).
Only for households, that is, rooms used by households for any purpose.
A
Living
Rooms
B
C
D
Sleeping Kitchen Bathroom
Room
E
Toilets
F
Stores
G
Study
H
I
J
Business Recreation More than one use
specify
K
Other
L
All
Rooms
Enumerator: Name
…………………..….…
……../……../……..
Supervisor: Name
…………………..….…
……../……../……..
(0)
1
2
3
4
5
6
7
8
9
0
(20)
(21)
(22)
(23)
(24)
(25)
(26)
(27)
(28)
(29)
(30)
(31)
Signature
Date
……………….
Signature
……………….
Date