NMICS 2010 Report - Central Bureau of Statistics

HH18.Record the time.Hour ........... __ __Minutes ...... __ __HOUSEHOLD LISTING FORMFIRST, PLEASE TELL ME THE NAME OF EACH PERSON WHO USUALLY LIVES HERE, STARTING WITH THE HEAD OF THE HOUSEHOLD.List the head of the household in line '01'. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4)Then ask: ARE THERE ANY OTHERS WHO LIVE HERE?If yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5-HL14 for each person in the household at a time.Use an additional questionnaire if all rows in the household listing form have been used.Forwomenage 15-49For childrenage 5-14For childrenunder age 5For children age 0-17 yearsHLHL1.LinenumberHL2.Name, last nameHL3.WHAT IS THERELATION-SHIP OF(name) TOTHE HEAD OFHOUSE-HOLD?WriteappropriatecodeHL4.IS (name)MALE ORFEMALE?1 Male2 FemaleHL5.WHAT IS (name)’SDATE OF BIRTH?98 DK 9998 DKHL6.HOW OLD IS(name)?Record incompletedyears. If ageis 95 orabove, record„95‟HL7.Circlelinenumberif woman isage15-49HL8.WHO IS THEMOTHER ORPRIMARYCARETAKEROF(name)?Recordline numberof mother/caretakerHL9.WHO IS THEMOTHER ORPRIMARYCARETAKEROF (name)?Recordline numberof mother/caretakerHL11.IS (name)’SNATURALMOTHERALIVE?1 Yes2 NoHL138 DKHL13HL12.DOES (name)’SNATURALMOTHER LIVE INTHISHOUSEHOLD?Recordline numberof mother or'00' for “No”HL13.IS(name)’SNATURALFATHERALIVE?1 Yes2 NoNext Line8 DKNext LineHL14.DOES (name)’SNATURALFATHER LIVE INTHISHOUSEHOLD?Recordline numberof father or'00' for “No”Line Name Relation* M F Month Year Age 15-49 Mother Mother Y N DK Mother Y N DK Father01 0 1 1 2 __ __ __ __ __ __ ___ ___ 01 ___ ___ ___ ___ 1 2 8 ___ ___ 1 2 8 ___ ___02 ___ ___ 1 2 __ __ __ __ __ __ ___ ___ 02 ___ ___ ___ ___ 1 2 8 ___ ___ 1 2 8 ___ ___03 ___ ___ 1 2 __ __ __ __ __ __ ___ ___ 03 ___ ___ ___ ___ 1 2 8 ___ ___ 1 2 8 ___ ___04 ___ ___ 1 2 __ __ __ __ __ __ ___ ___ 04 ___ ___ ___ ___ 1 2 8 ___ ___ 1 2 8 ___ ___05 ___ ___ 1 2 __ __ __ __ __ __ ___ ___ 05 ___ ___ ___ ___ 1 2 8 ___ ___ 1 2 8 ___ ___06 ___ ___ 1 2 __ __ __ __ __ __ ___ ___ 06 ___ ___ ___ ___ 1 2 8 ___ ___ 1 2 8 ___ ___07 ___ ___ 1 2 __ __ __ __ __ __ ___ ___ 07 ___ ___ ___ ___ 1 2 8 ___ ___ 1 2 8 ___ ___08 ___ ___ 1 2 __ __ __ __ __ __ ___ ___ 08 ___ ___ ___ ___ 1 2 8 ___ ___ 1 2 8 ___ ___