KENYA DEMOGRAPHIC AND HEALTH SURVEY 1989
HOUSEHOLD SCHEDULE
SURVEY QUESTIONNAIRES
NATIONAL COUNCIL FOR POPULATION AND DEVELOPMENT
MINISTRY OF HOME AFFAIRS AND NATIONAL HERITAGE
PROVINCE __________
DISTRICT __________
LOCATION/TOWN __________
SUBLOCATION/WARD __________
CLUSTER NUMBER
HOUSEHOLD NUMBER
STRUCTURE NUMBER
NAME OF HOUSEHOLD HEAD _____
rural 2
INTERVIEWER VISITS 1
DATE
INTERVIEWER'S NAME
RESULT*
NEXT VISIT:
DATE ______
TIME ______
INTERVIEWER VISITS 2
DATE
INTERVIEWER'S NAME
RESULT*
NEXT VISIT:
DATE _____
TIME _____
INTERVIEWER VISITS 3
DATE
INTERVIEWER'S NAME
RESULT*
FINAL VISIT
MONTH
YEAR
INTERVIEWER NO.
FINAL RESULT
2 HOUSEHOLD PRESENT BUT NO COMPETENT RESP. AT HOME
3 HOUSEHOLD ABSENT NIGHT BEFORE INTERVIEW
4 POSTPONED
5 REFUSED
6 DWELLING VACANT OR ADDRESS NOT A DWELLING
7 DWELLING DESTROYED
8 DWELLING NOT FOUND
9 OTHER (SPECIFY) _________
LANGUAGE OF QUESTIONNAIRE: ENGLISH
OFFICE EDITOR
NAME
DATE
KEYED BY
NAME
DATE
Now we would like some information about the people who usually live in your household or who are staying with you now.
1. LINE NO.
2. Please give me the names of the persons who usually live in your household and guests of the household who stayed here last night, starting with the head of the household.
3. RELATIONSHIP TO HEAD OF HOUSEHOLD
2 Spouse
3 Son/daugh.
4 Broth/sis.
5 Grandchild
6 Parent
7 Other rel.
8 Unrelated
4. Does (NAME) usually live here?
NO 2
5. Did (NAME) stay here last night?
NO 2
6. SEX: Is (NAME) male or female?
F 2
ONLY FOR CHILDREN UNDER 15 YEARS OLD:
8. Do any of his/her parents usually live in this household?* ?
NO 2
9. CIRCLE LINE NUMBER OF WOMEN AND HUSBANDS ELIGIBLE FOR INDIVIDUAL INTERVIEW.
TOTAL NUMBER OF ELIGIBLE WOMEN __
TOTAL NUMBER OF ELIGIBLE HUSBANDS __
TICK HERE IF CONTINUATION SHEET USED ____
Just to make sure that I have a complete listing:
1) Are there any other persons such as small children or infants that we have not listed?
NO
2) In addition, are there any other people who may not be members of your family, such as domestic servants, lodgers or friends who usually live here?
NO
3) Do you have any guests or temporary visitors staying here, or anyone else who slept here last night, who have not been listed?
NO