household schedule - Measurement, Learning & Evaluation Project

RECORD START TIME: HOUR………………………………………………[__|__] MINUTES……………………………..[__|__]
HOUSEHOLD SCHEDULE
Now we would like some information about the people who usually live in your household or who are staying with you now, starting with the household head.
Bayi a nfe awon ifitonileti nipa awon ti o ngbe pelu ebi yin tabi ti o ngbe pelu yin bayi, bere lati olori ebi
(1) (2) (3) (4) (5) (6) (7) (10)
Line No.
Name
Usual residents and
visitors
Please give me the names of
the persons who usually live
in your household, or who
are staying with you now
starting with the head of the
household.
E jowo e fun mi loruko
awon eniyan ti won n gbe
ninu ebi yin ati awon alejo
ti won sun sibi lale ana,
Bere lati olori ebi?
Relationship
to head of
household
(use codes
below)
What is the
relationship of
(NAME) to the
HH head?
Bawo ni
(ORUKO) ti se je
si olori ebi
Sex
Is (NAME)
male or
female?
Se okunrin ni
(ORUKO) tabi
obinrin?
MALE=1
FEMALE=2
Q5A
Does (NAME)
usually live
here?
Se (ORUKO) n
gbe po pelu yin
ni bi?
YES=1
NO=2
IF YES SKIP
TO Q6
Residence
Q5B
Did (NAME)
stay here last
night?
Se (ORUKO)
sun nibi lale
ana?
YES=1
NO=2
How old is
(NAME)?
Age MARITAL STATUS ELIGIBILITY
Omo odun
melo ni
(ORUKO)
IF BELOW 1
YEAR OLD,
ENTER 00
IF AGED 10 YEARS AND
OLDER
What is the current marital
status of (NAME)?
Ipo wo ni (ORUKO) wa bayi
nipa loko laya?
1= MARRIED OR LIVING
TOGETHER
2= DIVORCED/SEPARATED
3= WIDOWED
4= NEVER MARRIED
INTERVIEWED AT
BASELINE
COPY THE WOMAN’S
BASELINE LINE NUMBER
HERE
WOMEN MUST HAVE A
BASELINE NUMBER TO BE
ELIGIBLE TO PARTICIPATE
01. HH Head: M F
0 1 1 2
YES NO
1 2
YES NO
1 2
02.
03.
04.
1 2 1 2 1 2
1 2 1 2 1 2
1 2 1 2 1 2
Just to make sure that I have a complete listing. Are there any other persons such as small children or infants that we have not listed? (If yes, add to table).
Are there any other people who may not be members of your family, such as domestic servants, lodgers, or friends who usually live here? (If yes, add to table).
Are there any guests or temporary visitors staying here, or anyone else who stayed here last night, who have not been listed? (If yes, add to table).
CODES FOR Q3: RELATIONSHIP TO HEAD OF HOUSEHOLD:
01 HEAD 06 PARENT 11 OTHER RELATIVE 96. OTHER
02 SPOUSE 07 PARENT IN LAW 12 ADOPTED/FOSTER/STEPCHILD 98. DON’T KNOW
03 SON OR DAUGHTER 08 BROTHER OR SISTER 13 DOMESTIC SERVANT
04 SON- OR DAUGHTER-IN LAW 09 BROTHER OR SISTER –IN- LAW 14 NOT RELATED
05 GRANDCHILD 10 NIECE/NEPHEW 15CO-WIFE
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