Total No of
I'crsons in
Toial No. of
Persons III
Torn1 No.of
Persons iii
Ist V N t
Date
.. ...,I.......I. . .
2nd V i s i t
. .. ..I.......I... .
Frnal Visit
. . ..I ......I.......
Enurncrato r
................... *....... ... .....
....... ., ..... .... ..
....... / .....
Supervisor
.. ................. ...... ..........
... .....,... .. . ...
.... I..... I.......
.I
.......
¡ I
. /
1
-
--I
----I_-.
i
--7-
A1.
-
-It
- ----
I
--I
KOUS!!\IG COI\IDlTiOhrS (To be answered by head of household oi any respollsible meniher of household)
Circle only one code number corresponding to coriect answer
FORhl A HOUSEHOLD QUESTIONNAIGE PART 3
-*--.-.--___-.
..-
I
.
j On what basis do
you occupp dlis
dwelling?
1 - Owner
Occup led
or i t is
rent-frec, who
owns the accommodation?
I) If you rent
l - Rent
2 - Kerosene Lamp
with Glsss
Shade
3 - Other Kerosene
Lamp
2 - PUbllC
3 - Not Ownrr,
o\r.ne ïship
4
- Candle
but Rcnt Frce
$
- Other, Syecib
3 - Other Private
(Iiis!itution)
5 - Other, Specify
1 - Separate Room
(in tlic Hoiise or
Compound) for
Exclusive Use
of IIousehold
2 - Separate Rooin
(in the Iiousc or
Coinpound) foi
Use of Othcr
I-Iouscholdsalso
3 - Opcn Space (in
the Compound)
1 - Other, Spccify
2 - Ikrosciic
3 - Briquctte
4
- Charcoal
5
-
.-I--Y
1 - Separate Rooin
(in the House or
Compound) for
Exclusive Use
of Household
_
_
_
1
=
-
I) Is there a Toilet
In this House or
Compound?
:) \"/hat Type of
Tollet dGeS ]'OU1
Household use7
c.
1 - VI
2 - NO (Skip to 6 ~ )
2 - Private Pail
3 - Enclosure
without roof (in
llic Compound)
7
Source of Water
,
1- Stnnci Pipe or
Rurining Water
in House or
Compound
l
3 - Public Latrine
2 - Scparatc Roo:n
(in thc I l o u x or
Compound) for
Use of Other
IIouseholds also
1 - Otlier, Specify
- Public Stznd
Pipe
1 - Well in
Cornpound
4 - Private Pit
Yes, does your
Household usc
this Toilet?
1 - Well with
Pump (Public)
)) If
1 - Yes (IIousehold
only)
2 - Y e s (with otlicr
Houccholds)
3- No
; Nuinber of Rooms Occupied by Household (excluding Kitchen, Bathrooin /Toilet and S t o m )
-,"
_----__.-
1 - Yes
Gas
6 - Electricity
-------------
--
Bath Room
Ilhere do you usually have
'our bath7
it
1 - Private
(Individud)
5
6 - Ventlinted
Improved Pit
(VIP)
7 - Otlicr,
Specify
i - Stream or River
- Otliei, Specify
I-
1 Name I
Dcscrïprion midrcss of Location o Í Cwdooï Sleepcïs:
N3me
1 st Visit
Date
. .i.
. ...
2nd Visit
.I .
.
/
... .i .. .
I
. i
Signature
.
.
.. .. .
... . .... ...
..
. ..
.....
.
D,3te
..
. . .. . ...
.
.
.I ..
I
..
I
I
..
.
FORM B GROUP QUARTERS QUESTIONNAIRE PART 2
Demographic Information for All Persons
1
Full Name
Vrite the Names of the Usual Members
'resent and Visitors
3
Age
5
Marital
Status
?hat wa Vhat is yo1
our Agc larital
ist Birth tatus?
ay?
lever
O:
.ess thar larried
Year
larried
8: 98 d
her
7'=-7-2L-
6
Type of
Union
Yhat
slwas you
Jnion?
For ever
Tarried
'ersons
'nlY)
Iivorced
donomous
eparated
'o lygamot
Nationality
Khat is your Nationality?
K):
:Mandinka/
Jahanka
Karoninka
Jidowed
Gambians
-
@:- -Col 4, and Cols f$
1__1
to 21 are not applica=
tarters.
Birth Place
dhat is your Religion? Where were you bom?
Gambian
f not Gambian, specify
:ountiy and skip to 9.
Religion
:Islam
:Christianity
:Traditional
:Other, Specify
00: In this TowdVillage
.
t
11
Previous Residence
here have you been living before?
: Always lived in this TowdVillage. Skip tl
In another TowdVillage: Specify District and
Town/Village
In another TownIVillage: Specify District and
owdVillage
Outside Gambia: Specify Country
utside Gambia: Specify Country
FORM B GROUP QUARTERS QUESTIONNAIRE PART 2 (Continued)
Aged 10 & Ove1
13
Literacy
14
Full Time Education
I
S
_
I
Can you read and
write with
4rabiclRoman
4lphabets?
(a)
,iteracy
: Read
nd Writ1
,: Read
hly
1 :
No
Skip to
4)
(4
lave you
:ver attenc
d School1 n Regular Schoollinstitution
3ucatmended?
mal
nstitution 'rimary:
)1 - 06
diddle:
: Never
1
Skip to
iec.Tec.:
54
Il - 24
ligh Sch.:
low
II - 37
'eacher's Tr.:
'ast
.1 - 43
locational:
1 - 54
Jnder graduate1
kudying For a Diploma:
11 - 64
Ìraduatel
)iploma Holder: 70
'ost Graduate: 80
fther, Specify:
1 - 96
or 6)
1: Working (skip to 15d)
2: Had a Job, but not at work
(skip to 16)
3: Did not work and did not have
job (skip to 15c)
4: Homemaking
(go to 15b)
5: Student (interview ends)
6: Something else
(Specify):
(go to 15b)
Did you
work at all
for pay or
profit?
(Includes
work for
family fan
or business, includ
ing pay in
kind)
For those WorkinglEmployed(inc1. those with jobs, but did not work) and the Unemployed Aged 10 and Over
-.
16
17
18
Occupation
Industry
Employmer
status
?hat is your main joblwork ?
(a)
unemployed, ask last kind of work or
Vhat is the name of the
Vhat is the main product or
nter never worked
stablishment where you work?
ervice of this establishment?
For unemployed last
stablishment)
i
15
Type of Activity
(C)
Nere you
ooking for
work?
(d)
low
nany
lays
lid
.: Yes
'OU
I
tork
Fill Up
6, 17 & 11
ibout
ast
ob, if
.ny)
,. No
interview
nds)
1: Yes (ski
to 15d)
2:No (go
ko 15c)
I
THE
UBLK
Population And Housing Census, April 1993
Strictly Confidential
(Complete For Each Compound within Enumeration Area)
-Buildingí
structure
Numbcr
Construction Material
Use Classification of Building
(Put a tick mark in the appropriate cell)
(Put a tick mark in the column (s) o f use)
Total
Number of
rooms Including
kitchen,
bathrood
Roof
Walls
1
2
3
A
5
I
I
9
P
O
I
Name
Signature Da;e
-Name
Signature D m
POPULATION
Stnidy Confidential
SUS, APRIL 1
To be filled in by the respondent
SEX
(1) NAME
ACE
NATIONALITY
-----
-----------(2) EDUCATIONAL QUALIFICATIONS
NAME@) OF DEGREE OR DIPLOMA OBTAINED
AREA OF STUDY
(3) OCCUPATION
(i)
Name of occupation.
(ii)
Name of organisation in which
working. If self-employed write
accordingly.
(4) Average monthly income / saXary range (in Dalasis)
(Circle one range only)
Less t.han
500
5011000
1001-
1500
1501- 2001 &
Above
2000