Data Cart

Your data extract

0 variables
0 samples
View Cart
A planned IPUMS system update is scheduled for Monday, December 9. The maintenance window is 10am to 1pm CST. Within that window, each site will have a brief outage of 10 or fewer minutes. This notice will be removed as soon as the update is complete.


REPUBLIC OF MALI
DEMOGRAPHIC AND HEALTH SURVEY IN MALI HOUSEHOLD QUESTIONNAIRE 1987

IDENTIFICATION

NX__
OF__

NUMBER OF HOUSEHOLD QUESTIONNAIRE__
REGION__
CLUSTER__
ARRONDISSEMENT/COMMUNE__
VILLAGE CODE__
VILLAGE NEIGHBORHOOD__
NAME OF HEAD OF COMPOUND__
NAME OF HEAD OF HOUSEHOLD__

INTERVIEWER VISITS

INTERVIEWER 1 (REPEAT FOR SECOND AND THIRD INTERVIEWERS)
DATE__
MONTH__
YEAR 1987
INTERVIEWER NAME____

RESULTS___

1 COMPLETED
2 NOT AT HOME
3 POSTPONED
4 REFUSED
5 PARTIALLY COMPLETED
6 OTHER (SPECIFY)__

NEXT VISIT [FOR INTERVIEWERS 1 AND 2]
DATE__
TIME__

SUPERVISOR
NAME___
DATE___

FIELD EDITOR
NAME__
DATE__

OFFICE EDITOR__
KEYED BY___

CHARACTERISTICS OF HOUSEHOLD MEMBERS:

HOUSEHOLD SCHEDULE:

We would now like information on the persons who usually live in your household and who are currently living with you.

LINE NO. (THE NUMBER OF PERSONS LISTED BY THE RESPONDENT)

____

1. LAST AND FIRST NAME (S)

__________

2. AGE IN COMPLETED YEARS

_______

3. RELATIONSHIP

________

4. GENDER

MALE 1
FEMALE 2

5. HAS (NAME) LIVED THERE:

6 MONTHS OR MORE 1
6 MONTHS AND INTENDS TO STAY 1
OTHER 2

6. RESIDENCE: Did (NAME) stay here last night?

YES 1
NO 2

7. SELECTION OF PEOPLE

_____