Commune Cellule . . . . . . /. . . . . . . . ./. . . . . . . . . NUMERO SEXE AGE

Commune Cellule . . . . . . /. . . . . . . . ./. . . . . . . . . NUMERO SEXE AGE

Demographic Characteristics of the Household
Name of the head of household:
N°
LAST NAME AND FIRST NAME
Préfecture
Commune
|___|___|
SEX
1- M
2- F
|___|___|
|___|___|
Relation to Head
AGE
123456789-
NUMERO
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
SEXE
Secteur
Head
years
Spouse
Child of the head/spouse
Unrelated child
Parents / parents-in-law /
grandparents
Grandchild
Brother / sister
Other relative
Not related
LIEN
AGE
1234567-
Cellule
Ménage
|___|___|
Marital Status
|___|___|
Literate
Single
Monogamously
married
Free union
Divorced
Separated
Widowed
Other
ETATMAT
12-
Date of Interview :
. . . . . . /. . . . . . . . ./. . . . . . . . .
Level of Schooling
Yes
No 1234567-
LIRE
No school
Primary incomplete
Primary completed
Post primary
(teaching/technical)
Secondary incomplete
Secondary completed
University
NIVEAV
Principal Activity
1- Agriculture
2- Hired agric. worker
3- Unskilled worker
4- Independent craftsman
5- Salaried craftsman
6- Trader
7- Skilled worker
8- Domestic assistant - unpaid
9- Student
10- Houseworker - unpaid
11- Other
99- No activity
ACTIVITE