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 NIGER DEMOGRAPHIC AND HEALTH SURVEY
HOUSEHOLD QUESTIONNAIRE 1992

IDENTIFICATION

DEPARTMENT ___
DISTRICT ___
MUNICIPALITY/ADMINISTRATIVE DISTRICT/CITY CENTER ___

VILLAGE/QUARTER:

NIAMEY 1
AGADEZ, MARADI, TAHOUA, ZINDER 2
OTHER CITY 3
RURAL 4

NAME OF RESPONDENT ___
LINE NUMBER OF INTERVIEW FOR HOUSEHOLD QUESTIONNAIRE ___
STRATA NUMBER ___
CLUSTER NUMBER ___
STRUCTURE NUMBER ___
RESIDENCE NUMBER ___
CENSUS ZONE NUMBER ___

HUSBAND INTERVIEW:

YES 1
NO 2

INTERVIEWER VISITS:

INTERVIEWER:
(REPEAT FOR SECOND AND THIRD INTERVIEWERS)
DATE__
DAY__
MONTH__
YEAR__
INTERVIEWER NAME___
RESULTS___

RESULT CODES:

1 COMPLETED
2 HOUSEHOLD PRESENT BUT NO COMPETENT RESPONDENT AT HOME
3 ABSENT
4 POSTPONED
5 REFUSED
6 DWELLING EMPTY OR NO DWELLING AT THE ADDRESS
7 DWELLING DESTROYED
8 DWELLING NOT FOUND
9 OTHER (SPECIFY): ___

NEXT VISIT [FOR INTERVIEWERS 1 AND 2]:
DATE__
TIME__

FINAL VISIT:
DAY__
MONTH__
YEAR 19__
INTERVIEWER__
RESULT__

1 COMPLETED
2 HOUSEHOLD PRESENT BUT NO COMPETENT RESPONDENT AT HOME
3 ABSENT
4 POSTPONED
5 REFUSED
6 DWELLING EMPTY OR NO DWELLING AT THE ADDRESS
7 DWELLING DESTROYED
8 DWELLING NOT FOUND
9 OTHER (SPECIFY): ___

TOTAL NUMBER OF VISITS____

TOTAL NUMBER OF RESIDENTS IN HOUSEHOLD ___
TOTAL NUMBER OF NON-HABITUAL RESIDENTS ___
TOTAL NUMBER OF ELIGIBLE WOMEN ___
TOTAL NUMBER OF ELIGIBLE HUSBANDS ___

QUESTIONNAIRE NUMBER ___
NUMBER OF QUESTIONNAIRES ___

FRENCH QUESTIONNAIRE: 1

INTERVIEW LANGUAGE:

FRENCH 1
HAOUSSA 2
DJERMA 3
OTHERS 4

INTERPRETER:

YES 1
NO 2

FIELD EDITED BY:
NAME ___
DATE ___

OFFICE EDITED BY:
NAME ___
DATE ___

KEYED BY:
NAME ___
DATE ___

HOUSEHOLD TABLE

Now we would like some information on the people usually living in your household or who currently live with you.

1) NUMBER

2) USUAL OR CURRENT RESIDENTS:
Please give the name of those persons usually living in your household or currently living with you, starting with the head of household.

NAME: ___

3) RELATIONSHIP TO HEAD OF HOUSEHOLD:
What is the familial relation between (NAME) and the head of household?

HEAD OF HOUSEHOLD 01
WIFE OR HUSBAND 02
SON OR DAUGHTER 03
SON OR DAUGHTER-IN-LAW 04
GRANDSON OR GRANDDAUGHTER 05
FATHER OR MOTHER 06
PARENT-IN-LAW 07
BROTHER OR SISTER 08
CO-SPOUSE 09
OTHER RELATIVE 10
ADOPTED/FOSTER/STEP CHILD 11
NO FAMILY RELATIONSHIP 12
DON'T KNOW 98

4) RESIDENCE:
Does (NAME) normally live here?

YES 1
NO 2

5) RESIDENCE:
Did (NAME) sleep here last night?

YES 1
NO 2

6) SEX:
Is (NAME) male or female?

MALE 1
FEMALE 2

7) AGE:
How old is (NAME)?

NOTE '97' FOR 97 AND OLDER.

AGE: ___

8) SCHOOLING (IF CHILD IS 6 OR OLDER):
Did (NAME) attend school?

YES 1
NO 2 (GO TO 11)

9) SCHOOLING (IF CHILD 6 OR OLDER):
What is the highest level of education (NAME) attained?
What was the last class that he or she successfully completed at this level?

LEVEL
PRIMARY 1
SECONDARY, FIRST CYCLE 2
SECONDARY, SECOND CYCLE 3
HIGHER 4
DON'T KNOW 8
PRIMARY
CI 1
CP 2
CE1 3
CE2 4
CM1 5
CM2 6
SECONDARY, FIRST CYCLE
6TH 1
5TH 2
4TH 3
3RD 4
DON'T KNOW 8
SECONDARY, SECOND CYCLE LEVEL
2ND YEAR 1
1ST YEAR 2
FINAL YEAR 3
DON'T KNOW 8
CLASSES FOR HIGHER LEVEL
FIRST YEAR 1
SECOND YEAR 2
THIRD YEAR 3
FOURTH YEAR AND HIGHER 4
DON'T KNOW 8

10) IF UNDER 25 YEARS OLD: Does (NAME) still go to school?

YES 1
NO 2

PARENTAL SURVIVORSHIP AND RESIDENCE FOR THOSE UNDER AGE 15 (QUESTIONS 11 - 14):

THESE QUESTIONS ARE FOR THE BIOLOGICAL PARENTS.
RECORD '00' IF PARENTS ARE NOT MEMBERS OF THE HOUSEHOLD

11) Is (NAME)'s natural mother still living?

YES 1
NO 2 (GO TO 13)
DON'T KNOW 8 (GO TO 13)

12) Is (NAME)'s natural mother living in the household?

IF YES: What is her name?

WRITE THE MOTHER'S LINE NUMBER.

LINE NUMBER: ___

13) Is (NAME)'s natural father still living?

YES 1
NO 2 (GO TO 15)
DON'T KNOW 8 (GO TO 15)

14) Is (NAME)'s natural father living in the household?

IF YES: What is his name?

WRITE THE FATHER'S LINE NUMBER.

LINE NUMBER____

15) FOR PERSONS AGED 15 AND OVER:
MARITAL STATUS: Is (NAME) currently married/ partnered, widowed/er, divorced/separated, or single?

MARRIED/ PARTNERED 1
WIDOWED/ER 2
DIVORCED/SEPARATED 3
SINGLE 4

16) ELIGIBILITY OF WOMEN:
CIRCLE THE LINE NUMBER OF WOMEN BETWEEN THE AGES OF 15 AND 49 (SEE QUESTIONS 6 AND 7).

IF HOUSEHOLD HAS MORE THAN 20 MEMBERS, RECORD 'N.A.'

17) HUSBAND ELIGIBILITY: FOR EACH ELIGIBLE PARTNERED WOMAN:
Does the husband/partner of (NAME) currently live in this household, or did he sleep here last night?

IF YES: What is his name?

RECORD THE HUSBAND'S LINE NUMBER NEXT TO HIS WIFE'S.

IF NO: RECORD '00' NEXT TO HIS WIFE'S LINE NUMBER.

LINE NUMBER___

CHECK HERE IF ANOTHER PAGE IS USED AND NOTE THE PAGE NUMBER ON THE FIRST PAGE: ___

TOTAL NUMBER OF ELIGIBLE WOMEN:

___

TOTAL NUMBER OF ELIGIBLE MEN:

___

Just to make sure I have a complete list:

1. Are there any other people, for instance small children or infants we have not placed on the list?
YES: ___ (RECORD EACH IN THE ABOVE TABLE)
NO: ___
2. In addition, are there other people who are perhaps not members of your family, such as servants, renters, or friends, who usually live here?
YES: ___ (RECORD EACH IN THE ABOVE TABLE)
NO: ___
3. Do you have any guests or temporary visitors staying at your house, or other people who slept here last night?
YES: ___ (RECORD EACH IN THE ABOVE TABLE)
NO: ___

18) Where does the water your household uses for hand and dishwashing come from?

PIPED WATER
PIPED INTO THE RESIDENCE/YARD/PLOT 11 (GO TO 20)
PUBLIC TAP 12
WELL WATER
WELL IN THE RESIDENCE/YARD/PLOT 21 (GO TO 20)
PUBLIC WELL OR BOREHOLE 22
SURFACE WATER
SPRING 31
RIVER OR STREAM 32
POND/LAKE 33
DAM 34
RAINWATER 41 (GO TO 20)
WATER VENDOR 51
BOTTLED WATER 61 (GO TO 20)
OTHER (SPECIFY): ___ 71

19) How much time does it take to go there, get water, and come back?

MINUTES: ___
ON LOCATION 996

20) Does your household use water from the same source for drinking?

YES 1 (GO TO 22)
NO 2

21) Where does the water your household uses for drinking come from?

PIPED WATER
PIPED INTO THE RESIDENCE/YARD/PLOT 11
PUBLIC TAP 12
WELL WATER
WELL IN THE RESIDENCE/YARD/PLOT 21
PUBLIC WELL OR BOREHOLE 22
SURFACE WATER
SPRING 31
RIVER OR STREAM 32
POND/LAKE 33
DAM 34
RAINWATER 41
WATER VENDOR 51
BOTTLED WATER 61
OTHER (SPECIFY): ___ 71

22) What kind of toilet is there in your household?

FLUSH TOILET
OWN FLUSH TOILET 11
SHARED FLUSH TOILET 12
PUBLIC FLUSH TOILET 13
PIT TOILET OR LATRINE
TRADITIONAL PIT TOILET 21
VENTILATED IMPROVED PIT (VIP) OR LATRINES 22
NO FACILITY/BRUSH/FIELD 31
OTHER (SPECIFY): ___ 41

23 In your residence, do you have:

Electricity?
A radio?
A television?
A refrigerator?

ELECTRICITY
YES 1
NO 2
RADIO
YES 1
NO 2
TELEVISION
YES 1
NO 2
REFRIGERATOR
YES 1
NO 2

24) In your household, how many rooms do you use for sleeping?

ROOMS: ___

25) PRINCIPLE FLOORING MATERIAL.

RECORD OBSERVATION.

NATURAL FLOOR
EARTH/SAND 11
FINISHED FLOOR
PARQUET OR POLISHED WOOD 31
VINYL STRIPS 32
TILE 33
CEMENT 34
RUG 35
OTHER (SPECIFY): ___ 41

26) MAIN ROOF MATERIAL.

RECORD OBSERVATION.

CONCRETE 01
SHEET METAL 02
BANCO [TRANSLATOR NOTE: A TYPE OF MUDBRICK OR ADOBE SPECIFIC TO WEST AFRICA] 03
STRAW 04
CANVAS 05
OTHER (SPECIFY): ___ 06

27) Is there someone in your household who owns:

A bicycle?
A scooter or motorcycle?
A car?
A cart?

BICYCLE
YES 1
NO 2
SCOOTER/MOTORCYCLE
YES 1
NO 2
CAR
YES 1
NO 2
CART
YES 1
NO 2