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General Household Survey 2014A: Particulars of the dwellingA1: PSU Number Segment
A2: Dwelling Unit Number
A3: Physical ID of the Dwelling Unit/Household
A4: Telephone number of enumerated household
A5: Total number of persons in household
A6: Questionnaire number of this household
B: Households at the selected dwelling unitB1: Household number for this household
B2: Total number of households at selected dwelling
C: Field staffSurvey Officer name Assignment Number
DSC name Assignment Number
PQM name Assignment Number
Unique No.
D: Survey periodE: Response details
VisitNo.
Date actual ResultCode
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E2: FINAL RESULT CODE
E3: Comments and full details for result codes 2-11
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RESULT CODES01 Completed02 Non-contact03 Refused04 Partly completed05 No usable information06 Vacant/unoccupied DU
07 Listing error08 Demolished09 Change of status10 Other non-response11 End at Question B
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Next Visit (Planned)
your leading partner in quality statistics
Aim and use of the survey
The aim of the General Household Survey (GHS) is to measure the level of development and performance of various government programmes and projects.
It is essential for any country to measure the characteristics of its population and monitor changes in those characteristics over time. Various Government Departments are stakeholders in the GHS and the information collected is provided to them for further analysis. The GHS’s results will help in the compilation of indicators of living standards and service delivery such as average household size, literacy, patterns of home ownership, access to water and sanitation facilities, access to social welfare services, use and access to transport as well as access and service delivery related to healthcare facilities and education institutions.
The survey design
A representative national sample of 31 771 Dwelling Units (DUs) has been drawn from the 3 058 Primary Sampling Units (PSUs) that form the current master sample. The master sample is based on the 2001 Population Census Enumeration Areas (EAs). Between 1 and 30 dwelling units have been randomly sampled from each PSU and all the households residing within these sampled dwelling units will be enumerated.
Write figures very carefully
Close the zeros (0) so that they will not be mistaken for the sixes (6).When there is more than one zero (0), as for instance in the value 1 000, do not connect the zeros on top, which is very common. Don’t write the figures sideways or diagonally. Never use decimal points (or decimal commas).
Your figures should be made like this: Your crosses should not touch the sides:
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01 02 03 04 05 06 07 08 09 10 A Firstnameandsurname Write down first name and surname of each member of the household, starting with the head or acting head. If more than one head or acting head take the oldest.
B Has………....stayedhere(inthishousehold)for atleastfournightsonaverageperweekduring thelastfourweeks? 1=Yes 2=No
C Is......amaleorafemale? 1=Male 2=Female
D Whatis…..’sdateofbirthandagein completedyears? DayofBirth: Example of day 05
Monthofbirth: Example of month 11
Yearofbirth: Example of year 2007
Ageinyears Less than one year = 0
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First name:
Surname:
If “No”, End of interview
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FLAPThissectioncoversparticularsofeachpersoninthehouseholdThe following information must be obtained for every person who is considered to be a member of the household.Only add persons who had stayed here for at least four nights on average per week for the last four weeks. Do not forget babies.If there are more than 10 persons in the household, use a second questionnaire.
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INTERVIEWSTARTTIME
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01 02 03 04 05 06 07 08 09 10 E Whatpopulationgroupdoes......belongto? 1=BlackAfrican 2=Coloured 3=Indian/Asian 4=White 5=Other(specifyinboxbelow)
F Isthereanyotherpersonresidinginthis household,otherthanthosealready mentioned,whoisnotpresentlyhere?
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If “Yes”, Go back to A
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1.1 Whatis……’srelationshiptotheheadofthe household?(i.e.tothepersonincolumn1) 1=Head/actinghead 2=Husband/wife/partnerofperson01 3=Son/daughter/stepchild/adoptedchildof person01 4=Brother/sister/stepbrother/stepsisterof person01 5=Father/mother/stepfather/stepmotherof person01 6=Grandparent/greatgrandparentofperson01 7=Grandchild/greatgrandchildofperson01 8=Otherrelative(e.g.in-lawsoraunt/uncle) ofperson01 9=Non-relatedpersons
1.2a Whatis……’spresentmaritalstatus? 1=Legallymarried 2=Livingtogetherlikehusbandandwife 3=Divorced 4=Separated,butstilllegallymarried 5=Widowed 6=Single,buthavebeenlivingtogetherwith someoneashusband/wifebefore 7 =Singleandhaveneverbeenmarried/never livedtogetherashusband/wifebefore
1.2b Does….’sspouse/partnerliveinthis household? 1=Yes 2=No
1.2c Ask if yes in Q1.2b Whichpersonisthespouse/partnerof……? Give person number
GotoQ1.3a
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Go to Q1.3a
SECTION1:HOUSEHOLDSPECIFICCHARACTERISTICSThis section covers particulars of each person in the household
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1.3a Is……’sbiologicalfatherstillalive? 1=Yes 2=No 3=Donotknow
1.3b Wasthebiologicalfatheralivefiveyearsago? 1=Yes 2=No 3=Donotknow
1.3c Is…’sbiologicalfatherpartofthishousehold? 1=Yes 2=No
1.3d Whichpersonis……’sbiologicalfather? Give person number
1.4a Is……’sbiologicalmotherstillalive? 1=Yes 2=No 3=Donotknow
1.4b Wasthebiologicalmotheralivefiveyearsago? 1=Yes 2=No 3=Donotknow
1.4c Is……’sbiologicalmotherpartofthis household? 1=Yes 2=No
1.4d Whichpersonis……’sbiologicalmother? Give person number
Go to Q1.3c
Go to Q1.4a
Go to Q1.4a
Go to Q1.5
Go to Q1.5
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1.5 Whatisthehighestlevelofeducationthat ……hassuccessfullycompleted? Diplomas or certificates must be of six months plus study duration full-time (or equivalent) to be included 98=Noschooling 00=GradeR/0 01=Grade1/SubA/Class1 02=Grade2/SubB/Class2 03=Grade3/Standard1/AET1(KhaRiGude,Sanli) 04=Grade4/Standard2 05=Grade5/Standard3/AET2 06=Grade6/Standard4 07=Grade7/Standard5/AET3 08=Grade8/Standard6/Form1 09=Grade9/Standard7/Form2/AET4 10=Grade10/Standard8/Form3 11=Grade11/Standard9/Form4 12=Grade12/Standard10/Form5/Matric (NoExemption) 13=Grade12/Standard10/Form5/Matric(Exemption*) 14=NTC1/N1/NC(V)Level2 15=NTC2/N2/NC(V)Level3 16=NTC3/N3/NC(V)/Level4 17=N4/NTC4 18=N5/NTC5 19=N6/NTC6 20=CertificatewithlessthanGrade12/Std10 21=DiplomawithlessthanGrade12/Std10 22=CertificatewithGrade12/Std10 23=DiplomawithGrade12/Std10 24=HigherDiploma(Technikon/Universityof Technology) 25=PostHigherDiploma(Technikon/Universityof TechnologyMasters,Doctoral) 26=BachelorsDegree 27=BachelorsDegreeandpost-graduatediploma 28=HonoursDegree 29=Higherdegree(Masters,Doctorate) 30=Other(specifyintheboxbelow) 31=Donotknow
EDUCATIONAsk for all household members. Read out: Now I am going to ask you questions related to education for each member of the household
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Ask for all household members aged 0-4 years. Otherwise go to Q1.9
1.6 Whichofthefollowingdoesthechild currentlyattend? 1=GradeR 2=Pre-school/nurseryschool/ Grade00/Grade000 3=Creche/educarecentre 4=Day-mother/gogo 5=Other(specifyintheblock) 6=None 7=Donotknow
1.7 Whereishe/sheduringthedayformostof thetime? 1=Athomewithparent,fosterparentor guardian 2=Athomewithanotheradult 3=Athomewithsomeoneyoungerthan 18years 4=Atsomeoneelse’sdwelling 5=Other
1.8 Is...exposedtoanEarlyChildhood developmentprogrammeinanyway? ECD refers to the emotional, cognitive, sensory, spiritual, moral, physical, social and communication development of a child. 1=Yes 2=No 3=Donotknow
Go to Section 2
GotoQ1.8
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1.9 I am now going to ask questions about various skills related to reading and writing…… Does……havedifficultyindoinganyofthe following… Read all the options. Use the codes below to indicate the degree of difficulty
a=Writinghis/hername
b=Reading(e.g.newspapers,magazines, religiousbooks)atleastonelanguage
c =Fillinginaform(e.g.socialgrantforms)at leastonelanguage
d=Writingaletterinatleastonelanguage
e=Calculating/workingouthowmuchchange he/sheshouldreceivewhenbuying somethinginatleastonelanguage
f =Readingroadsigns
CODES 1 = Nodifficulty 2 = Somedifficulty 3 = Alotofdifficulty 4 = Unabletodo 5 = Donotknow
Ask for all household members who are 5 years and older otherwise go to Q1.10
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Ask for all household members who are 5 years and older
1.10 Isorwill….attendaneducationalinstitution duringthisacademicyear? e.g. school, university, home school, Early Childhood Development Centre (ECD), e.g. day care, crèche, pre-school, nursery school or pre- primary school, distance/correspondence education.Only include courses of six months and longer. 1=Yes 2=No 3=Donotknow
1.11 Ask if “No” in Q1.10 Whatisthemainreasonwhy……is/willnot beattendinganyeducationalinstitution? 01 = Tooold/young 02 = Hascompletededucation/satisfiedwith mylevelofeducation/donotwantto study 03 = School/educationinstitutionistoofar 04 = Difficultiestogettoschool(transport) 05 = Nomoneyforfees 06 = Heorsheisworkingathomeor business/job 07 = Donothavetime/toobusy 08 = Familycommitment(e.g.childminding) 09 = Educationisuselessornotinteresting 10 = Unabletoperformatschool 11 = Illness 12 = Pregnancy 13 = Failedexams 14 = Gotmarried 15 = Disability 16 = Violenceinschool 17 = Notacceptedforenrolment 18=Other
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1.12 Whichofthefollowingeducational institutionsdoes……attend? Read all the options 1=Pre-school(includingECDcentre,e.g. daycare,crèche,playgroup,nursery schoolorpre-primaryschool) 2=School(includingGradeRtoGrade12 learnerswhoattendaformalschool) 3=AdultEducationandTraining LearningCentre(AETCentre) 4=Literacyclasses(e.g.KhaRiGude) 5=HigherEducationalInstitution(University/ UniversityofTechnology) 6=FurtherEducationandTrainingCollege (FET) 7=OtherCollege 8=Homebasededucation/homeschooling 9=Otherthananyoftheabove
1.13 Istheinstitutionthat….isattendingpublic orprivate? 1=Public(Government) 2=Private(Independent) 3=Donotknow
1.14 Isitacorrespondence/distanceeducational institution? The student studies by post/via the internet (e.g. UNISA) in a correspondence/distance institution. 1=Yes 2=No 3=Donotknow
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Ask if someone is currently attending an educational institution: those who answered “Yes” in Q1.10
Go to Section 2
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1.15a Whatmeansoftransportisusuallyusedby …….togettotheeducationalinstitution he/sheattends?If more than one mode is used, indicate the one that covers the longest distance. 1=Walking 2=Bicycle/motorcycle 3=Minibustaxi/sedantaxi/bakkietaxi 4=Bus 5=Train 6=Minibus/busprovidedbyinstitution/ governmentandnotpaidfor 7=Vehiclehiredbyagroupofparents 8=Owncarorotherprivatevehicle 9=Other
1.15b Howlongdoesittake……togettothe educationalinstitutionhe/sheattends? Specify for one direction only, using all the usual means of transport 1=Lessthan15minutes 2=15-30minutes 3=31-60minutes 4=61-90minutes 5=Morethan90minutes 6=Donotknow
1.15c Isthiseducationalinstitutionthenearestof itskind(e.g.pre-school,primary,University) toyourdwelling? 1=Yes 2=No 3=Donotknow
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Go to Q1.16
Go to Q1.16
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1.16 Whatisthetotalamountoftuitionfeespaid bythishouseholdfor…thisyear?Add expenses made to date as well as expected expenses for the remainder of the year. Do not include the cost of uniforms, books and other learning materials, accommodation fees, sports fees and transport fees. 00= None 01= R1-R100 02= R101-R200 03= R201-R300 04= R301-R500 05= R501-R1000 06= R1001-R2000 07= R2001-R3000 08= R3001-R4000 09= R4001-R8000 10= R8001-R12000 11= R12001-R16000 12= R16001-R20000 13= MorethanR20000 14= Donotknow
Go toQ1.18
1.15d Ask if “No” in Q1.15c Whatisthemainreasonwhy......isnot attendingthenearestinstitution? 01=Inadequatefacilities(e.g.classroom, laboratories) 02=Lackofresources/equipment(e.g. computers,textbooks,laboratory equipment,sportsequipment) 03=Lackofservices(e.g.water,electricity, toilets) 04=Qualityofteachingispoor 05=Overcrowdedclasses 06=Lackofsafety 07=Weakmanagement 08=Lackofdiscipline 09=No/toofewextra-muralactivities 10=Notacceptedforenrolment 11=Preferredcourses/subjectnotoffered 12=Currentinstitutionbetterthanclosest 13=Other(specifyintheboxbelow)
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1.19aAsk of respondents who are currently attending grade 1 to 9. Duringthecurrentacademicyear,has..... receivednationalworkbooksin:
a=Languages(anylanguage)
b=Mathematics
CODES 1=Yes 2=No 3=Donotknow
1.17 Ask if “None” in Q1.16 Ifnofeeswerepaidforeducation,whywere nofeespaid? 1=Cannotaffordtopay 2=Donotwanttopay 3=Nofeeschool(schooldidnotaskforfees) 4=............gotafeeexemption 5=.............gotabursarycoveringallcosts 6=Other(specifyintheblock)
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1.18 Ask for all respondents who are currently attending educational institutions Thisacademicyear,has……benefitedfrom anyfeereductionsand/orpartialbursaries? 1=Yes 2=No 3=Donotknow
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1.19c Ask for all respondents who are currently attending educational institutions Duringthecurrentschoolyear,what problems,ifany,did……experienceatthe educationalinstitutionhe/sheattended? Excludethoseindistanceeducation. Read all the options; Use the codes below
a=Lackofbooks
b=Poorqualityofteaching
c =Lackofteachers
d=Facilitiesinbadcondition
e=Feestoohigh
f =Classestoolarge/toomanylearners
g=Teachersareoftenabsentfromschool
h=Teacherswereinvolvedinstrike
i =Other(specifyintheboxbelow)
CODES 1= Yes 2= No 3= Donotknow
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1.19b Ask of respondents who are currently attending grade 10-12. Duringthecurrentacademicyear,….hashad accesstotextbooksin: 1=Allhis/hersubjects 2=Mostofhis/hersubjects 3=Someofhis/hersubject 4=Noneofhis/hersubjects 5=Donotknow
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1.20 WhichGradeis……currentlyattending? 00= GradeR/0 01= Grade1 02= Grade2 03= Grade3 04= Grade4 05= Grade5 06= Grade6 07= Grade7 08= Grade8 09= Grade9 10= Grade10 11= Grade11 12= Grade12/Matric 13= NC(V)Level2(N1/NTC1) 14= NC(V)Level3(N2/NTC2) 15= NC(V)Level4(N3/NTC3) 16= Other
1.21 Is……doingthesamegradethathe/shedid lastyearorbefore(iftherewasabreakinhis/ hereducation)? 1=Yes 2=No 3=Donotknow
1.22a Does….attendaschoolwherefoodisgiven aspartoftheschoolfeedingscheme/ Governmentnutritionprogram? 1=Yes 2=No 3=Donotknow
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Ask Q1.20 to Q1.24 for people currently attending Grade R/0 (in school or pre-school, early learning centre), primary, secondary or any other kind of school. Otherwise go to Section 2. Children receiving home based schooling / home school should be excluded from this section.
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Go to Q1.23aGo to Q1.23a
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1.22b Does….eatthefoodprovidedaspartofthe schoolfeedingscheme/Governmentnutrition program?If yes, specify how regularly food is eaten. 1=No 2=Yes,everyday 3=Yes,afewtimesaweek 4=Yes,sometimes 5=Donotknow
1.23a Has….experiencedanyformofviolence, corporalpunishmentorverbalabuseat schooloverthepast3months? 1=Yes 2=No 3=Donotknow
1.23b Ask if “Yes” in Q1.23a Whatkindofviolencedid…..experience? Read all the options 1=Corporalpunishmentbyteacher 2=Physicalviolencebyteacher 3=Verbalabuse(beinginsulted,teasedor harassed)byteacher 4=Verbalabuse(beinginsulted,teasedor harassed)byotherlearners 5=Physicalabuse(beinghitorpunched) byanotherlearner 6=Other
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Go to Q1.24aGo to Q1.24a
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1.24a Has……beenabsentfromschoolduring thepastschoolcalendarweek(Mondayto Friday)? 1=Yes 2=No 3=Donotknow 4=Notapplicable-schoolclosed e.g.schoolholiday
1.24b Ask if “Yes” in Q1.24a Forhowmanydayswas…….absentduring thepastschoolcalendarweek(Mondayto Friday)?Write the number of days (Maximum 5)
1.24c Ask if “Yes” in Q1.24a Whatisthemainreasonwhy……wasabsent fromschoolduringthepastschoolcalendar week? 01= Illness/injury 02= Didnotwanttogotoschool 03= Needtotakecareofsomeoneelseat home 04= Employed/Workingoutsidethehome 05= Doinghouseholdchores 06= Theweatherwasbad 07= Nomoneyfortransport 08= Lackoftransport/problemswith Transport 09= Writingexams 10= Doesnotfeelsafeatschool 11= Other(specifyinthebox) 12= Donotknow
Go to Section 2Go to Section 2
Go to Section 2
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2.1 Is……coveredbyamedicalaidormedical benefitschemeorotherprivatehealth insurance?If the person is a dependent and covered by someone else’s scheme, the answer is “Yes”. 1=Yes 2=No 3=Donotknow
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SECTION2:HEALTHANDGENERALFUNCTIONINGAsk for all household members. Read out: Now I am going to ask you health-related questions for each member of the household
2.2 Howwouldyoudescribe….’shealthin general?Wouldyousayitis... 1=Excellent 2=VeryGood 3=Good 4=Fair 5=Poor 6=Notsure
2.3 Duringthepastthreemonths,did....suffer Read all the options 1=Fluoracuterespiratorytractinfection 2=Diarrhoea 3=Severecoughwithblood 4=Abuseofalcoholordrugs 5=Depression 6=Sexuallytransmitteddiseases 7=Pneumonia 8=Bronchitis 9=Epilepsy IfalloptionsinQ2.3are“no”then gotoQ2.5a
Yes No
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2.4a Did……consultahealthworkersuchasa nurse,doctorortraditionalhealerasaresult ofthisillness? 1=Yes 2=No 3=Donotknow
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Go to Q2.5a
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2.4b If“No”inQ2.4a Whatisthemainreason,why……didnot consultanyhealthworker? 01 = Tooexpensive 02 = Toofar 03 = Notnecessary/theproblemwasnot seriousenough 04 = Selfmedicated/treatedmyself 05 = Fearofstigmatization 06 = Queuestoolong 07 = Transportationproblems 08 = Experienceddifficultygettingadiagnosis before 09 = Donotknow 10 = Other(specifyinthebox)
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2.5a Inthepastthreemonths,did....suffer fromanyofthefollowinginjuries? 01 = Motorvehicleinjury-occupant 02=Motorvehicleinjury-pedestrian 03 = Bicyclerelated 04 = Gunshotwounds 05 = Severetraumaduetoviolence,assault, beating 06 = Crimerelatedinjury 07 = Fireorburn 08 = Accidentalpoisoning 09 = Intentionalpoisoning 10 = Sportsrelated 11 = Otherinjury(specifyinbox)
If all options = “No”, then go to Q2.6a
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2.5b Howmanydaysdid....missschoolorwork duetothisinjurymentionedinQ2.5a? 1=None 2=Lessthan7days 3=7-20days 4=21-31days 5=Morethan31days 6=Doesnotgotoschoolorwork 7=Donotknow
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2.6a Hasadoctor/nurse/otherhealthcareworker ataclinic/hospital/privatepracticeevertold .....thathe/shehas/hadanyofthefollowing? Read all the options 01= Asthma 02= Diabetes 03= Cancer 04= HIVandAIDS 05= Hypertension/highbloodpressure 06= Arthritis 07= Stroke 08= Heartattack/Myocardialinfarction 09= Tuberculosis 10=MentalIllness 11=Epilepsy 12=MeningitisandSinusitis 13=Pneumonia 14=Bronchitis 15= HighColesterol 16= Osteoporosis 17= Other(specifyinthebox)
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If all options in 2.6a are “no’ then Go to Q2.7a
2 2 2 2 2 2 2 2 2 21 1 1 1 1 1 1 1 1 12 2 2 2 2 2 2 2 2 21 1 1 1 1 1 1 1 1 12 2 2 2 2 2 2 2 2 21 1 1 1 1 1 1 1 1 121 21 21 21 21 21 21 21 21 2121 21 21 21 21 21 21 21 21 2121 21 21 21 21 21 21 21 21 2121 21 21 21 21 21 21 21 21 21
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2.6b If“Yes”toanyoptionin2.6a Is…..takingmedicationfortheillness(es) listedinQ2.6a?Use codes 1 to 4 in the block next to the disease to indicate whether medication is taken or not
a=Asthma
b=Diabetes
c =Cancer
d=HIVandAIDS
e=Hypertension/highbloodpressure
f =Arthritis
g=Stroke
h=Heartattack/Myocardialinfarction
i =Tuberculosis
j =MentalIllness
k=Epilepsy
l =MeningitisandSinusitis
m=Pneumonia
n=Bronchitis
o=HighCholesterol
p=Osteoporosis
q=Other
CODES 1 = Yes 2 = No 3 = Donotknow 4 = Notapplicable
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2.7a Hasanyfemalehouseholdmemberbeen pregnantduringthepast12months? 1=Yes 2=No 3=Donotknow
2.7b If “Yes” in Q2.7a Whatisthecurrentstatusofthispregnancy? 1=Currentlystillpregnant 2=Thechildhasbeenbornalive 3=Thechilddiedinthewomborduring childbirthon/afterthe7thmonthof pregnancy(stillbirth) 4=Thechilddiedinthewomborthe pregnancyendedbeforethe7thmonthof pregnancy(spontaneousabortion/ miscarriage) 5=Thepregnancywasendedbychoice beforethechildwasborn(terminationof pregnancy/abortionbychoice)
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Ask for all female household members between the ages of 12 and 50 years
01 02 03 04 05 06 07 08 09 10
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2.8 Does…havedifficultyindoinganyofthe following?Read all the options; use the codes below to indicate the degree of problems. a=Seeing(evenwithglassesifhe/shewears them) b=Hearing(evenwithahearingaid,ifhe/she wearsone) c =Walkingakilometreorclimbingaflightof steps d=Rememberingandconcentrating
e=Withself-care,suchaswashingordressing
f =Incommunicatinginhis/herusuallanguage includingsignlanguage(understanding othersandbeingunderstoodbyothers) CODES 1 = Nodifficulty 2 = Somedifficulty 3 = Alotofdifficulty 4 = Unabletodo 5 = Donotknow 2.9 Does…..useanyofthefollowing? Read all the options 1=Eyeglasses/spectacles/contactlenses 2=Hearingaid 3=Walkingstick/walkingframe 4=Awheelchair 5=Chronicmedication 6=Otherassistivedevices(specifyinbox below)
Yes No
Read out: I am now going to ask about the general functioning of persons within the household aged 5 years and older.
Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No
a a a a a a a a a a
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3.1a Doesanyoneinthishouseholdreceivea socialgrantorsocialrelief assistancefromtheGovernment? 1=Yes 2=No 3=Donotknow
3.1b If “Yes” in Q3.1a Does…receivea(n).......?Answer for each person who qualified for the grant and NOT for the person who applied on behalf of/physically receives the money. Someone who used to work for the Government and receive a pension do not get an old age grant Read all the options 1=Old-agegrant(60-74;R1260;75+;R1280) 2=Disabilitygrant (18-59;R1260) 3=Childsupportgrant (0-17;R300) 4=Caredependencygrant(0-17;R1260) 5=Fosterchildgrant (<22;R800) 6=Warveteransgrant (60+;R1260) 7=Grant-in-aid (R300andshould haveanothergrant) 8=Socialreliefofdistress
3.2 If“yes”fordisabilitygrantinQ3.1b Pleasestatewhetherthedisabilitygrantis….. 1=Permanentdisability 2=Temporarydisability 3=Donotknow
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Go to Q4.1aGo to Q4.1a
SECTION3:SOCIALGRANTSANDSOCIALRELIEFAsk for all household membersRead out: I am now going to ask about the use of social grants and social relief
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01 02 03 04 05 06 07 08 09 10
If “Yes” to any of the above go to Q4.2a. Otherwise answer Q4.1d
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SECTION 4 : ECONOMIC ACTIVITIESAsk for all household members 15 years and older
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4.1a In the last week did ….. work for a wage, salary, commission or any payment in kind (including paid domestic work), even if it was for only one hour?Examples: a regular job, contract, casual or piece work for pay, work in exchange for food or housing, paid domestic work.
1=Yes 2=No
4.1b In the last week did … run or do any kind of business, big or small, for himself/herself or with one or more partners, even if it was for only one hour? Examples: Commercial farming, selling things, making things for sale, construction, repairing things, guarding cars, brewing beer, collecting wood or water for sale, hairdressing, crèche businesses, taxi or other transport business, having a legal or medical practice, performing in public, having a public phone shop, etc.
1=Yes 2=No
4.1c In the last week did ..… help without being paid in any kind of business, run by his/her household even if it was for only one hour?Examples: Commercial farming, production of agricultural produce to sell, help to sell things, make things for sale or exchange, doing the accounts, cleaning up for the business, etc.
1=Yes 2=No
4.1d In the last week even though ..... did not do any work
for pay or profit, does ...... have a job or business that he/she would definitely return to?
1=Yes 2=No
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12Go to Q4.6a
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01 02 03 04 05 06 07 08 09 10 4.2a What is ……’s total salary/pay at his/her main
job? Including overtime, allowances and bonus, before any tax or deductions. Give amount in whole figures, without any text or decimals. If“NONE”,“REFUSE”or“DONOTKNOWwrite999999999and
4.2b Ask only if an amount is given in Q4.2a Is this …. 1=Perweek 2=Permonth 3=Annually
4.3 Only if“NONE”,“REFUSE”or“DONOTKNOW” in Q 4.2a.Show prompt card 3 and mark the applicable code Weekly Monthly Annually 01 NONE NONE NONE
02 R1-R46 R1-R200 R1-R2400
03 R47-R115 R201-R500 R2401-R6000
04 R116-R231 R501-R1000 R6001-R12000
05 R232-R346 R1001-R1500 R12001-R18000
06 R347-R577 R1501-R2500 R18001-R30000
07 R578-R808 R2501-R3500 R30001-R42000
08 R809-R1039 R3501-R4500 R42001-R54000
09 R1040-R1386 R4501-R6000 R54001-R72000
10 R1387-R1848 R6001-R8000 R72001-R96000
11 R1849-R2540 R8001-R11000 R96001-R132000
12 R2541-R3695 R11001-R16000 R132001-R192000
13 R3696-R6928 R16001-R30000 R192001-R360000
14 R6929ORMORER30001ORMORE R360001ORMORE
15 DON’TKNOW DON’TKNOW DON’TKNOW
16 REFUSE REFUSE REFUSE
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Go to Q4.3
Rands
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Rands Rands Rands Rands Rands Rands Rands Rands Rands
Go to Q4.4a
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01 02 03 04 05 06 07 08 09 10 4.4a What means of transport is usually used by ……. to get to his/her place of employment?If more than one mode is used, indicate the one that covers the longest distance. 1=Officeisathome 2=Walking 3=Bicycle/motorcycle 4=Minibustaxi/sedantaxi/bakkietaxi 5=Bus 6=Train 7=Liftclubbyagroupofpeoplesharinga privatevehicle 8=Owncar/otherprivatevehicle/company vehicle 9=Other(specifyintheblock)
4.4b How many minutes does it take …… to get to his/her place of employment?Specify for one direction only, using all the usual means of transport 1=Lessthan15minutes 2=15-30minutes 3=31-60minutes 4=61-90minutes 5=Morethan90minutes 6=Donotknow
4.5 Is the organization/business/branch where…......... works 1=Intheformalsector(registeredtoperform activity) 2=Intheinformalsector(notregisteredto performactivity) 3=Donotknow
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01 02 03 04 05 06 07 08 09 10 4.6a During the last four weeks, was...... looking for any kind of job or trying to start any type of business? 1=Yes 2=No
4.6b Would …. have liked to work during the last week? 1=Yes 2=No
Go to Q4.6d
Go to Q4.7
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4.6c What was the main reason why .... did not try to find work or start a business in the last four weeks? 01=Awaitingtheseasonforwork 02=Waitingtoberecalledtoformerjob 03=Healthreasons 04=Pregnancy 05=DisabledorUnabletowork(Handicapped) 06=Housewife/Homemaker(Family considerations/childcare) 07=Undergoingtrainingtohelpfindwork 08=Nojobsavailableinthearea 09=Lackofmoneytopayfortransporttolook forwork 10=Unabletofindworkrequiringhis/herskills 11=Losthopeoffindinganykindofwork 12=Notransportavailable 13=Scholarorstudent 14=Retired 15=Tooold/youngtowork 16=Didnotwanttowork 17=Other
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4.7 Has …… participated in a Government or municipal job creation programme or expanded public works programme in the past 6 months? This includes community based workers such as community development workers, home based care workers etc. 1=Yes 2=No
4.8 Did….own a mobile telephone in working order during some or all of the past 12 months? 1=Yes 2=No
1 1 1 1 1 1 1 1 1 12 2 2 2 2 2 2 2 2 2
1 1 1 1 1 1 1 1 1 12 2 2 2 2 2 2 2 2 2
4.6d If a suitable job had been offered or circumstances had allowed, would..... have been able to start work or a business in the last week? 1=Yes 2=No 3=Donotknow
Ask of everybody
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01 02 03 04 05 06 07 08 09 10 4.9 How would you describe ….’s religious affiliation? 01=Christian 02=Muslim 03=Ancestral,tribal,animist,orother traditionalAfricanreligions 04=Hindu 05=Buddhist 06=Bahai 07= Jewish 08=Atheist 09=Agnostic 10=Somethingelse(SPECIFY) 11 =Nothinginparticular 12=Donotknow(DONOTREAD) 13=Refused(DONOTREAD)
4.10 Aside from weddings and funerals, how often does ... attend religious services? 1 =Usuallyatleastonceaweek 2 =Usuallyonceortwiceamonth 3 =Usuallyafewtimesayear 4 =Seldom 5 =Never
4.11 Write the person number of the person who responded on behalf of each household member for sections 1 - 4. If a person responded for himself write his/her person number in his/her column.
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5.1 Indicatethetypeofmaindwellingandotherdwellingthatthehouseholdoccupies?
01= Dwelling/houseorbrick/concreteblockstructure
onaseparatestandoryardoronfarm 02= Traditionaldwelling/hut/structuremadeof
traditionalmaterials 03= Flatorapartmentinablockofflats 04= Clusterhouseincomplex 05= Townhouse(semi-detachedhouseincomplex) 06= Semi-Detachedhouse 07= Dwelling/house/flat/roominbackyard 08= Informaldwelling/shackinbackyard 09= Informaldwelling/shacknotinbackyard,e.g.in
aninformal/squattersettlementoronfarm 10= Room/flatletonapropertyoralargerdwelling/
servants’quarters/grannyflat 11= Caravan/tent 12= Other(specify)
5.2 Whatisthemainmaterialusedforthewallsandthe roofofthemaindwelling? 01= Bricks 02= Cementblock/concrete 03= Corrugatediron/zinc 04= Wood 05= Plastic 06= Cardboard 07= Mudandcementmix 08= Wattleanddaub 09= Tile 10= Mud 11= Thatching/grass 12= Asbestos 13= Other(specify)
Maindwelling
Otherdwelling
SECTION5:GENERALHOUSEHOLDINFORMATIONANDSERVICEDELIVERYThis section covers general information regarding the household. Ask a responsible person in the household to answer on behalf of the household.HOUSINGAsk all households
Walls Roof
1 12 23 34 45 5
Alldwellingsinthehousehold
Roof Floor
5.5 Howmanyofthefollowingroomsdoesthishouseholdoccupy?
Openplandiningrooms/sittingrooms/TVrooms
Lounge/diningroom/sittingroom/TVroom(closed)
Bedrooms
Oneroomwithmultipleuses
Kitchen
Bathrooms
Toilets(roomwithonlyatoilet)
Otherrooms
Total
5.4 Inwhatconditionarethewalls,roofandfloorofthemaindwelling?Is it very weak, weak, needing repairs, good or very good?
1 = Veryweak 2 = Weak 3 = Needminorrepairs 4 = Good 5 = Verygood
5.3 Whatisthemainmaterialusedforthefloorofthe maindwelling? NATURALFLOOR 01= Earth/Sand 02= Dung RUDIMENTARYFLOOR 03= Wood/Planks FINISHEDFLOOR 04= Parquet/polishedwood 05= Vinylorasphaltstrips 06= CeramicTiles 07=Cement 08= Carpet 09= OtherSpecify
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Walls
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5.6 Whatisthetenurestatusofthedwellingthatthehouseholdoccupiesatpresent?
Read all the options 1 = Rentedfromprivateindividual 2 = Rentedfromother(inclmunicipalityandsocialhousing
institutions) 3 = Owned,butnotyetpaidofftobank/financialinstitution
4 = Owned,butnoyetpaidofftoprivatelender 5 = Ownedandfullypaidoff 6 = Occupiedrent-free 7 = Other 8 = Donotknow
5.7 Howmuchrentormortgagedoyoupaypermonth? 1 = LessthanR500 2 = R501-R1000 3 = R1001-R3000 4 = R3001-R5000 5 = R5001-R7000 6 = MorethanR7000 7 = Donotknow
5.8 Whatwouldyouestimatethemarketvalueorthemunicipalvaluationofthispropertytobe?
1 = LessthanR50000 2 = R50001-R250000 3 = R250001-R500000 4 = R500001-R1000000 5 = R1000001-R1500000 6 = R1500001-R2000000 7 = R2000001-R3000000 8 = MorethanR3000000 9 = Donotknow
Go to Q5.8Go to Q5.8Go to Q5.8Go to Q5.8
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5.9 Whenwasthisdwellingoriginallybuilt? Mark the period in which the building was completed, not the time of
any later remodeling, additions or conversions. If year is not known, give best estimate.
1 = 2010-2014(0-5years) 2 = 2005-2009(6-10years) 3 = 1995-2004(11-20years) 4 = 1985-1994(21-30years) 5 = 1975-1984(31-40years) 6 = 1965-1974(41-50years) 7 = 1945-1964(51-70years) 8 = Priorto1945(Olderthan70years) 9 = Donotknow
5.10a IsthedwellingyouliveinanRDPorstatesubsidiseddwelling?Do not include housing subsidies for government employees.
1= Yes 2= No 3= Donotknow
5.10b Ask if “Yes” in 5.10a Wasthishouseholdtheoriginalbeneficiary(firstoccupants)of
thisdwelling? 1= Yes 2= No 3= Donotknow
5.10c HasthehouseholdeverusedtheRDPorStatesubsidiseddwellingsassecuritytoobtainaloanorcreditfor: 1 = Establishingabusiness
2= Coveringhealthcosts 3= Coveringeducationalexpenses 4 = Makingimprovementstothehouse 5 = Buyinganotherpropertyorhouse 6 = Other
Go to Q5.11Go to Q5.11
Yes No1 21 21 21 21 21 2
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5.11 Didanymemberofthishouseholdreceiveagovernmenthousingsubsidy,suchasanRDPhousingsubsidy,toobtainthisdwellingoranyotherdwelling?Do not include housing subsidies for government employees.
1= Yes 2= No 3= Donotknow
5.13b Didyouusepipedortapwateratanytimeinthepastwhilelivinginthiscommunity,buthavestoppedasaresultofthesystembreakingdown?
1 = Yes 2 = No
12
Ask if water is not from a pipe or a tap. Otherwise go to Q5.14
5.12 Whatisthehousehold’smainsourceofdrinkingwater?
01= Piped(tap)waterindwelling/house 02= Piped(tap)waterinyard 03= Boreholeinyard 04= Rain-watertankinyard 05= Neighbour’stap 06= Public/communaltap 07= Water-carrier/tanker 08= Boreholeoutsideyard 09= Flowingwater/stream/river 10= Stagnantwater/dam/pool 11= Well 12= Spring 13= Other(specify)
Go to Q5.14Go to Q5.14Go to Q5.14Go to Q5.14
WATER-Ask all households
5.13a Howfaristhewatersourcefromthedwellingoryard(200misequaltothelengthoftwofootball/soccerfields)?
1 = Lessthan200metres 2 = 201-500metres 3 = 501metres-1kilometre 4 = Morethan1kilometre 5 = Donotknow
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Ask if water is not in dwelling, or in yard.
5.14 Isthewaterfromthemainsourceofdrinkingwaterbeforeanytreatment…..
Read all the options 1= Safetodrink? 2= Clear(hasnocolour/freeofmud)? 3= Goodintaste? 4= Freefrombadsmells?
5.15 Dohouseholdmemberstreatthewaterusedfordrinking?This may include boiling, adding chlorine or other chemicals, filtering.
1= Yes,always 2= Yes,sometimes 3= No,never
5.16 Isyourmainsourceofdrinkingwatersuppliedbyamunicipality? 1= Yes 2= No 3= Donotknow
5.17 Ask if “Yes” in Q5.16 Howdoyouratethemunicipalwaterservicesyoureceive? 1= Good 2= Average 3= Poor
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Yes No
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Go to Q5.22Go to Q5.22
Ask all households
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5.18a Doesthehouseholdpayformunicipalwater?If cost of water is included in a levy/rent paid to a housing complex/owner/landlord, the response should be “No”.
1= Yes 2= No
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Go to Q5.19a
5.18b Ask if “No” in Q5.18a Whatisthemainreasonwhythehouseholddoesnotpayfor
water 01=Useownsourceofwater 02=Useafreewatersource 03=Paydirectlytolandlordaspartofrent 04=Paymentincludedinlevy 05=Permissionfrommunicipalitynottopay 06=Donothavewatermeter 07=Watermeternotworking/broken 08=Donotreceivewaterbill 09=Communitydecisionnottopay 10=Cannotaffordtopay 11=Watersupplyirregular 12=Watersupplyhasbeenstopped 13=Other(specify)
5.19a Hasyourmunicipalwatersupplybeeninterruptedatanytimeduringthelast12months?
1= Yes 2= No
5.19b Ask if ‘Yes’ in 5.19a Ifyes,whatwasthemainreasonfortheinterruption? 1 = Generalmaintenance 2 = Wateronlydeliveredatfixedtimes 3 = Non-paymentforservices(cutoff) 4 = Other(specify) 5 = Donotknow
Go to Q5.2212
5.20 Thinkingabouttheinterruptionsinyourmunicipalwatersupplyoverthelast12months,wasanyspecificinterruptionlongerthantwodays?
1= Yes 2= No 3= Donotknow 5.21 Ifyouaddallthedaysthatyourmunicipalwatersupplywas
interruptedoverthelast12months,wasitmorethan15daysintotal?
1= Yes 2= No 3= Donotknow
5.22 Whattypeoftoiletfacilityisusedbythishousehold? 01= Flushtoiletconnectedtoapublicseweragesystem 02= Flushtoiletconnectedtoaseptictank 03= Chemicaltoilet 04= Pitlatrine/toiletwithventilationpipe 05= Pitlatrine/toiletwithoutventilationpipe 06= Buckettoilet(collectedbymunicipality) 07= Buckettoilet(emptiedbyhousehold) 08= EcologicalSanitationSystems 09= None 10= Other(specify)
5.23 Ask if flush toilet connected to public sewerage (option1) in Q5.22 Doesthishouseholdpayfortheseweragesystem? 1 = Yes 2 = No 3 = Donotknow
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Go to Q5.24
Go to Q5.27
Go to Q5.24Go to Q5.24Go to Q5.24
Go to Q5.24
Go to Q5.24
SANITATION-Ask all households
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5.24 Isthetoiletfacilitysharedwithotherhouseholds? 1 = Yes 2 = No
Go to Q5.24Go to Q5.24
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5.25b Howfaristhenearesttoiletfacilitytowhichthehouseholdhasaccess?(200misequaltothelengthoftwofootball/soccerfields)
1 = Lessthan50m 2 = 51m-100m 3 = 101m-200m 4 = 201m-500m 5 = Morethan500m
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Ask if the toilet is outside the yard. Otherwise go to Q5.26
5.25a Isthetoiletfacilityinthedwelling,intheyardoroutsidetheyard? 1 = Indwelling 2 = Inyard 3 = Outsideyard
Go to Q5.26Go to Q5.26
5.27 Doesthishouseholdhaveaccessto/useelectricity? 1= Yes 2= No 3= Donotknow
123
Go to Q5.31Go to Q5.31
ENERGYAsk all households
YesNoN/A
5.26 Duringthepast6months,haveyouexperiencedanyofthefollowingproblemswithregardstothetoiletfacilityusuallyusedbythishousehold?
Read all options 01= Nowatertoflushthetoilet 02= Toiletblockedup 03= Toiletpitorchamberfull 04= Toiletsnotwellmaintainedandbroken 05= Poorlighting 06= Toiletunsafetouse,duetoriskofassault 07= Toiletunsafetouse,duetohealthrisks 08= Toiletnotenclosedwellorstructuredamaged 09= Brokenpipesorblockagesinthemunicipalsystem 10= Toomanypeople,longwaitingtimes 11= Notaporwaterpointtowashhandsafterusingthetoilet 12= Problemreportedbutnotrepairedwithin5workingdays 13= Toiletsystemoverflowinginyard 14= Toiletsystemnotworkingproperlycausingodoursandinsects 15= Toiletnotcleaned(ifsharedpublictoilet)
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5.28a DoesthishouseholdpresentlyhaveaconnectiontotheMAINSelectricitysupply?
1= Yes 2= No 3= Donotknow
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Go to Q5.28c
5.28b Ask if no or do not know in Q5.28a Iftheelectricitythathouseholdshaveaccesstoisnotfrom
mains,whatisthehousehold’ssourceofelectricity? 1= Connectedtoothersourcewhichhouseholdpayfor(e.g.
connectedtoneighbour’slineandpayingneighbour,paying landlord)
2= Connectedtoothersourceforwhichhouseholdisnotpayingfor (e.g.connectedtoneighbour’slineandnotpayingneighbour)
3= Generator 4= Homesolarsystem 5= Battery 6= Other(specify)
Go to Q5.31
5.28c Isyourelectricitysuppliedby: 1= Municipality(pre-paid) 2 = Municipality(receiveabillfrommunicipality) 3= Eskom(pre-paid) 4= Eskom(receiveabillfromEskom) 5= Othersupplier 6= Donotknow
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5.29a Howdoyouratethequalityoftheelectricitysupplyservices(maintenance,meterreading,billing,complainthandling,connectioninstallation)youreceive?
1= Good 2= Average 3= Poor
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5.29b Didyoucontactthecallcentrewithacomplaintrelatedtoelectricityduringthepast12months?
1= Yes 2= No 3= Donotknow
Go to Q5.29dGo to Q5.29d
5.29d Wasyourelectricitycutduringthepast3monthswithoutpriornotification,eventhoughyoupaidyourbillorboughtpre-paidelectricity?Ifyes,howmanytimesdidithappen?
Write 0 if it did not happen at all and
Yes No1 21 21 2
Go to Q5.30
5.29e Didanyoftheseinterruptionslastformorethan12hours?Ifyes,howmanyofthem?
5.29c Ifyes,whatkindofservicedidyoureceive? 1= Wasthecallcentreavailablethefirsttime? 2= Didyougetaresponsewithinareasonabletime? 3= Wastheproblemresolvedinonecall?
5.30 Wastheelectricitycutoffduringthepast30daysfornon-paymentforthishousehold?If there was no electricity because the pre-paid card was empty it is not considered to be an electricity cut off because of non-payment.
1 = Yes 2 = No 3 = Notapplicable 4 = Donotknow
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5.31 Whatisthemainsourceofenergy/fuelforthishousehold? 01= Electricityfrommains 02= Othersourceofelectricity 03= Gas 04= Paraffin 05= Wood 06= Coal 07= Candles 08= Animaldung 09= Solarenergy 10= Other,(specify) 11= None
Ask all households
Cooking
Lighting
WaterHeating
SpaceHeating
5.32 Howistherefuseorrubbishofthishouseholdcollectedorremoved?
01= Removedbylocalauthority/privatecompanyatleastonceaweek
02= Removedbylocalauthority/privatecompanylessoftenthanonceaweek
03= Removedbycommunitymembers,contractedbytheMunicipality,atleastonceaweek
04= Removedbycommunitymembers,contractedbytheMunicipality,lessoftenthanonceaweek
05= Removedbycommunitymembersatleastonceaweek 06= Removedbycommunitymemberslessoftenthanonceaweek 07= Communalrefusedump 08= Communalcontainer/Centralcollectionpoint 09= Ownrefusedump 10= Dumporleaverubbishanywhere 11= Other(specify)
Go to Q5.34
WASTEMANAGEMENTANDREFUSEREMOVALAsk all households
Go to Q5.34Go to Q5.34
37
Ask if answer was options 1-8 in Q5.32. Otherwise go to Q5.34
5.35b Whydoesthehouseholdnotseparatewasteforrecycling? 1 = Thrownoutintodustbinforrefusecollection 2 = Donotthinkitisimportant 3 = Donothaveadequatefacilities 4 = Toofewrecyclables 5 =No/Notenoughfinancialbenefit 6 = Takestoomuchtimetoseparatewaste 7 = Norecyclingservicesavailable 8 = Recyclingdropoffpointsnotconvenientlylocated
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5.33a Isthishouseholdcurrentlypayingfortheremovalofrefuseorrubbish?
1 = Yes 2 = No 3 = Donotknow
5.33b Ask if “No” in Q5.33a Wouldthishouseholdbewillingtopayfortheremovalofrefuse
orrubbish? 1 = Yes 2 = No 3 = Donotknow
Go to Q5.34
Go to Q5.34
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5.35a Doesthishouseholdseparatewasteforrecycling? 1 = Yes 2 = No 3 = Donotknow
Go to Q5.35c
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5.34 Whatdoesthishouseholdusetostorewastebeforeitiscollectedordumped?
1 = Wastebinprovidedbymunicipality 2 = Wastebinprovidedbythehousehold 3 = PlasticBag 4 = Anyothercontainer 5 = None
45
RECYCLINGAsk all households
Yes No2121212121212121
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1234
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Yes No212121212121
5.35c Doesyourneighbourhoodhaveacommunity/schoolprogrammeforrecycling?
1 = Yes 2 = No 3 = Donotknow
5.35e Whatdoyoudowiththewastethatisseparatedforrecycling? 1 = Fetchedbymunicipality 2 = Fetchedbycompaniescontractedbymunicipality 3 = Fetchedbyprivatecompanies 4 = Takentodropoffpointbyhousehold 5 =Other 5.35f Howoftenisseparatedwastefetchedorremoved? 1 = Weekly 2 = Bi-Weekly 3 =Monthly 4 = LessOften5.35g Whydoesthehouseholdseparatewasteforrecycling? 1 = Toreducewaste 2 = Tosaveenergy/naturalresources 3 = Tosavelandfillspace 4 = Toreducelitterandpollution 5 =Becausearecyclingserviceiseasilyaccessible 6 = Tosupportacommunity/schoolrecyclingprogramme 7 = Tosell
Yes No
212121212121
5.35d Whichofthefollowingdoesthehouseholdseparateforrecycling?Read all the options
1 = Paper,cardboard/boxes 2 = Glass/glassbottles 3 = Plastic/plasticbags/plasticbottles 4 = Metal/Aluminiumcans 5 = Oil(household/automotive) 6 = Ash,rubbleandbricks
Answer if Q5.35a = “Yes”, else go to Q5.36a
21
38
Yes No2121212121
2121
ENVIRONMENTAsk all households
5.37 Whichofthefollowingenvironmentalproblemsdoyouexperienceinyourcommunity/onyourandneighbouringfarms?
Read all the options 1 = Irregularornowasteremoval 2 = Littering 3 = Waterpollution 4 = Outdoor/indoorairpollution 5 = Landdegradation/over-utilisationofnaturalresources(e.g.
soilerosion,potholesanddongas,overgrazing,cuttingoftreesforfirewood)
6 = Excessivenoise/noisepollution 7 = Other(specify)
5.38 Inthepast12monthshaveyouoranymemberofyourhousehold........
Read all the options 1 = Usedpesticidesinyourdwelling? 2 = Usedpesticidesinyourgarden/yard? 3 = Usedherbicides/weedkillersinyourgarden/yard?
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5.36c Doesyourhouseholdsellanyofthewastecollectedforrecycling? 1 = Yes 2 = No 3 = Donotknow
5.36a Doesthishouseholdcollectwasteforrecycling? 1 = Yes 2 = No 3 = Donotknow
123
Go to Q5.37Go to Q5.37
Yes No
212121212121
5.36b Whichofthefollowingdoesthehouseholdcollectforrecycling?Read all the options
1 = Paper,cardboard/boxes 2 = Glass/glassbottles 3 = Plastic/plasticbags/plasticbottles 4 = Metal/Aluminiumcans 5 = Oil(household/automotive) 6 = Ash,rubbleandbricks
1 2
1 2 3
1 2 3
Yes N/ANo
WASTECOLLECTIONAsk all households
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SECTION6:COMMUNICATIONANDTRANSPORT
6.1 Doesthishouseholdhaveafunctional/workinglandlinetelephoneinthedwelling?
1 = Yes 2 = No 6.2a Isthereafunctional/workingcellulartelephoneavailable
withinthishousehold? 1 = Yes 2 = No
COMMUNICATIONANDPOSTALSERVICES-Ask all households
6.3 Howfaristhenearestaccessibletelephone? 1 = 500metresorless 2 = 501metresto1kilometres 3 = Morethan1kmupto5kilometres 4 = Morethan5kilometres
1234
Ask if answer is “No” to Q6.1 and Q6.2a. Otherwise go to Q6.4
6.2b Ifyes,howmany?
6.4 Domembersofthishouseholduseanyofthefollowinginternetservices?
Read all the options 1 = Internetconnectioninthehousehold 2 = Internetinalibrary/communityhall/Thusongcentre 3 = Internetforstudentsataschool/university/college 4 = Atplaceofwork 5 = InternetCafé2kmorlessfromthehousehold 6 = InternetCafémorethan2kmfromthehousehold 7 = Anyplaceviaamobilecellulartelephone 8 = Anyplaceviaothermobileaccessservices
9 = Other(specify)
Yes No
212121212121212121
If option 1, 7 or 8 in Q6.4 =1 then answer Q6.5, else go to Q6.6
6.5 Whattype/sofInternetaccessservicesareusedforInternetaccessathome?
1 = Narrowband 2 = Fixedbroadband
3 = Mobilebroadband
6.6 Whatisthemainreasonfornothavinginternetaccessathome?
1 = Lackofinterest/noneed 2 = Lackofknowledge/skills/confidence 3 = Haveaccesstointernetelsewhere 4 = Costofequipmenttoohigh 5 = Costofsubscriptiontoohigh 6 = Concernaboutexposuretoinappropriateor
harmfulcontents 7 = Donotknow 6.7 Howdoesthishouseholdreceivemostofitsmail/post? 1 = Deliveredtothedwelling 2 = Deliveredtoapostbox/privatebag 3 = Throughfriendorneighbourorrelative 4 = Throughashop 5 = Throughaschool 6 = Throughaworkplace 7 = Throughatribal/traditional/localauthorityoffice 8 = Donotreceivemail 9 = Other(specify)
Yes No DNK
2 312 312 31
40
6.8 Pleasespecifyifmembersofthishouseholdusedminibustaxi/sedantaxi/bakkietaxisduringthelastcalendarweek(SundaytoSaturday)?
1 = Totalnumberoftripsduringthelastcalendarweek Write 0 if no trip was made 2 = Howmuchmoneywasspentintotalonthisformoftransportby
allhouseholdmembersduringthelastcalendarweek? Write 8888 if do not know 3 = Howfar(inkilometers)doyouhavetotraveltogettothe nearestminibustaxi/sedantaxi/bakkietaxistop? Write 0 for less than one kilometer and 888 if do not know
6.9 Pleasespecifyifmembersofthishouseholdusedbusesduring thelastcalendarweek(SundaytoSaturday)? 1 = Totalnumberoftripsduringthelastcalendarweek Write 0 if no trip was made 2 = Howmuchmoneywasspentintotalonthisformoftransport byallhouseholdmembersduringthelastcalendarweek? Write 8888 if do not know 3 = Howfar(inkilometers)doyouhavetotraveltogettothenearest
busstop? Write 0 for less than one kilometer and 888 if do not know
6.10 Pleasespecifyifmembersofthishouseholdusedtrainsduringthelastcalendarweek(SundaytoSaturday)?
1 = Totalnumberoftripsduringthelastcalendarweek Write 0 if no trip was made 2 = Howmuchmoneywasspentintotalonthisformoftransport
byallhouseholdmembersduringthelastcalendarweek? Write 8888 if do not know 3 = Howfar(inkilometers)doyouhavetotraveltogettothenearest
trainstation? Write 0 for less than one kilometer and 888 if do not know
TRANSPORTAsk all households
Go to Q6.9
Go to Q6.10
Go to Section 7
7.1 Ifanymemberofthishouseholdbecomesillanddecidestoseekmedicalhelp,wheredotheyusuallygofirst?
Publicsector(i.e. government, provincial or community institution) 01 = Hospital 02 = Clinic 03 = Otherinpublicsector(specifyinblockbelow) Privatesector(including private clinics, surgery, private hospitals and
sangomas) 04 = Hospital 05 = Clinic 06 = Privatedoctor/specialist 07 = Traditionalhealer 08 = Spiritualhealer’sworkplace/church 09 = Pharmacy/chemist 10 = Healthfacilityprovidedbyemployer 11 = Alternativemedicine,e.g.homoeopathist 12 = Otherinprivatesector(specify) 13 = Donotknow
7.2a Whatmeansoftransportisusuallyusedbymosthouseholdmemberstogettothehealthfacilitythehouseholdnormallyuses?
1= Walking 2= Minibustaxi/sedantaxi/bakkietaxi 3= Bus 4= Train 5= Owntransport 6= Bicycle/motorcycle 7= Other(specify)
7.2b Howlongdoesittakewhenusingtheusualmeansoftransporttogettothehealthinstitutionthatyourhouseholdnormallygoesto?Specify for one direction only, using the usual means of transport
1= Lessthan15minutes 2= 15-29minutes 3= 30-89minutes 4= 90minutesandmore 5= Donotknow
12345
SECTION7:HEALTH,WELFAREANDFOODSECURITYHEALTHANDWELFAREAsk all households
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7.3a Isthisfacilitythenearestofitskind(clinic/hospital/healthcentreetc.)toyourdwelling?
1 = Yes 2 = No
7.3b Answerif“No”in7.3a Ifnotthenearest,whyisthehouseholdnormallynotusingthe
nearestfacility? 01= Facilitiesnotclean 02= Longwaitingtime 03= Openingtimesnotconvenient 04= Tooexpensive 05= Drugsthatwereneeded,notavailable 06= Staffrudeoruncaringorturnedpatientaway 07= Incorrectdiagnosis 08= Notonmedicalaidschemelistoffacilities 09= PrefertouseaState/Provincialhealthinstitution 10= Prefertouseaprivatehealthinstitution 11= Other(specify)
7.4 Whenwasyour(therespondent’s)lastvisittothehealthfacilitynormallyusedbythehousehold?
1= Duringthepasttwelvemonths 2= Morethantwelvemonthsago 3= Ihaveneverbeenthere
7.5 Howsatisfiedwereyou(therespondent)withtheserviceyoureceivedduringthisparticularvisit?
1= Verysatisfied 2= Somewhatsatisfied 3= Neithersatisfiednordissatisfied 4= Somewhatdissatisfied 5= Verydissatisfied
Go to Q7.6
Go to Q7.4
7.6 Inthepast12months,didanyadult(18yearsandabove)inthishouseholdgohungrybecausetherewasn’tenoughfood?
1 = Never 2 = Seldom 3 = Sometimes 4 = Often 5 = Always 6 = Notapplicable(Noadultsinhousehold) 7.7 Inthepast12months,didanychild(17yearsoryounger)inthis
householdgohungrybecausetherewasn’tenoughfood? 1 = Never 2 = Seldom 3 = Sometimes 4 = Often 5 = Always 6 = Notapplicable(Nochildreninhousehold)
7.8 Inthepast12months,wasthereanyyoungperson,aged5-17years,whohasleftthishousehold,andyoudonotknowhis/herwhereaboutsortoliveonthestreets?
1 = Yes 2 = No 3 = Donotknow 4 = Notapplicable(Nochildreninhousehold)
7.9 Didyourhouseholdrunoutofmoneytobuyfoodduringthepast12months?
Hasithappened5ormoredaysinthepast30days? 7.10 Didyoucutthesizeofmealsduringthepast12monthsbecause
therewasnotenoughfoodinthehouse?
Hasithappened5ormoredaysinthepast30days?
1234
FOODSECURITY
Yes No
1 2
1 2
Yes No
1 2
1 2
If “No” Go to Q7.10
If “No” Go to Q7.11
42
7.11 Didyouskipanymealsduringthepast12monthsbecausetherewasnotenoughfoodinthehouse?
Hasithappened5ormoredaysinthepast30days? 7.12 Didyoueatasmallervarietyoffoodsduringthepast12months
thanyouwouldhavelikedto,becausetherewasnotenoughfoodinthehouse?
Hasithappened5ormoredaysinthepast30days?
7.13 Pleasespecifyhowmanytimestherespondentatethefollowingfoodsduringthepast24hours.
Read all the options
Yes No
1 2
1 2
Yes No
1 2
1 2
If “No” Go to Q7.13
If “No” Go to Q7.12
01= Maize,rice,sorghum,millet,breadandothercereals
02= Potatoes,sweetpotatoes,cassava
03= Beans,peas,groundnuts,cashewnutsorothernuts
04= Spinachandwildgreenleaves
05= Othervegetables,carrots,relish,tomatoes,cabbage,beetrootetc
06= Fruit
07= Beef,goat,poultry(chicken),pork,fish,eggs
08= Milk,yoghurtandotherdairyproducts
09= Sugarandsugarproducts
10= Oils,fatandbutter
SECTION8:HOUSEHOLDLIVELIHOODSAGRICULTURALACTIVITIESAsk all households
8.1 Hasthehouseholdbeeninvolvedintheproductionofanykindoffoodoragriculturalproductsduringthepasttwelvemonths?(e.g.livestock,crops,poultry,foodgardening,forestry,fish,etc.)
1 = Yes 2 = No
8.2 Howmanyhouseholdmembers,aged15yearsorolder,wereinvolvedintheseagriculturalactivities,evenifonlyonceinawhile?
Go to Q8.9a12
8.3 Whatkindoffoodproduction/agriculturalactivitiesisthehouseholdinvolvedin?
Read all the options 01= Livestockproduction(cattle,goats,sheep,pigs,etc.) 02= Poultryproduction(chickens,ducks,geese,guineafowl,etc.) 03= Grainsandfoodcrops(maize,wheat,beans,sorghum,millet,
groundnutsetc.) 04= Industrialcrops(e.g.tea,coffee,cotton,tobacco) 05= Fruitandvegetableproduction 06= Fodder,grazing/pastureorgrassforanimals 07= Fishfarming/aquaculture 08= Forestry 09= Gamefarming 10= Other
8.4 Whydoyougrowfarmproduceorkeepstockforthehousehold? 1 = Asamainsourceoffoodforthehousehold 2 = Asthemainsourceofincome/earningaliving 3 = Asanextrasourceofincome 4 = Asanextrasourceoffoodforthehousehold 5 = Asaleisureactivityorhobbye.g.gardening
8.5a Didyourhouseholdsellanyofitsproduce? 1 = Yes 2 = No
12345
12Go to Q8.6a
Yes No
1 21 21 2
1 21 21 21 21 21 21 2
43
8.5b Towhomdoyourhouseholdsellmostofitsproduce? Read all the options 1 = Localbuyersfromthisdistrict 2 = Buyersfromneighbouringcitiesandtowns 3 = FormalmarketsinSouthAfrica 4= Exportagenciesininternationalbuyers. 5 = Other
12345
8.6a Hasyourhouseholdreceivedanyofthefollowingkindsofagriculturalrelatedassistancefromthegovernmentduringthepast12months?
Read all the options 1 = Training 2 = Advicefromgovernmentextensionofficers 3 = Grants(moneythatdoesnothavetobepaidback) 4 = Loans(moneythathastobepaidback) 5 = Inputs(seed,fertilizer,etc.)aspartofaloan 6 = Inputs(seed,fertilizer,etc.)forfree 7 = DippingandvaccinationservicesforlivestockfromState
veterinarianorotherDepartment 8 = Other(specify) GotoQ8.6bifhouseholdsansweredyestoanyofthe
categoriesabove,elsegotoQ8.7
8.6b Didyourhouseholdfindthisagriculture-relatedassistance: 1 = Veryuseful
2 = Somewhatuseful 3 = Notuseful
8.6c Didyourhouseholdreceiveagriculture-relatedassistancefromanyotherentitythangovernment?
1 = Yes 2 = No
Yes No
1 21 21 2
1 21 21 21 2
1 2
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8.8a Wheredoesthehouseholdpractiseitscropplantingactivities? Read all the options 1 = Farmland(communalorprivate) 2 = Backyardgarden(caninclude,vegetables,fruits,grains) 3 = Schoolgarden(caninclude,vegetables,fruits,grains) 4 = Communalgarden(morethanonehouseholdinvolved,can
includevegetables,fruits,grains) 5 = Onvergesofroadsandunusedpublic/municipalland 6 = Other
8.8b Approximatelyhowbigisthelandthatthehouseholduseforproduction?Estimatetotalareaifmorethanonepiece.
1= Lessthan500m2(approximatelyonesoccerfield) 2= 500m2to9999m2(betweenonesoccerfieldandonehectare) 3= 1butlessthan2hectares 4 = 2butlessthan5hectares 5= 5butlessthan10hectares 6= 10butlessthan20hectares 7= 20ormorehectares 8= Donotknow
Yes No
1 21 21 2
1 2
1 21 2
Continue if the household planted grains/vegetables/fruits/trees (forestry)/pastures/industrial crops. Otherwise go to Q8.9a
8.7 Howmanyofthefollowingdoesthe
householdown?Please mark the most appropriate category with an x.
1 = Cattle 2 = Sheep 3 = Goats 4 = Pigs 5 = Other
0 1-10 11-100 100+
Onlyanswerifoption1inQ8.3=“Yes”,elsegotoQ8.8a
44
8.8c Onwhatbasisdoesthishouseholdhaveaccesstothelandusedforcropproduction?Ifmorethanonekindoftenuresystemappliesfordifferentpiecesofland,giveananswerforthebiggestpiece.
1= Ownstheland 2 = Rentstheland 3 = Sharecropping 4 = Tribalauthority 5 = Stateland 6= Other(specify) 7 = Donotknow
8.10 Ifthehouseholdreceivesanincomefromremittances,pleasespecifyapproximatelyhowmuchtheyreceivepermonth?If no income received from remittances write 0.
8.11 Ifthehouseholdreceivesanincomefrompensions(donotincludeincomefromoldagegrants),pleasespecifyapproximatelyhowmuchtheyreceivepermonth?If no income received from pensions write 0.
HOUSEHOLDINCOMESOURCESANDEXPENDITUREAsk all households
8.9a Whatarethesourcesofincomeforthishousehold? Read all the options 1= Salaries/wages/commission 2= Incomefromabusiness 3= Remittances(moneyreceivedfrompeoplelivingelsewhere) 4= Pensions 5= Grants(includeoldagegranthere) 6= Salesoffarmingproductsandservices 7= Otherincomesourcese.g.rentalincome,interest 8= Noincome 8.9b Whichoneoftheaboveincomesourcesisthemainsourceof
income? Write the option number in the block provided. If only one source of
income write the code of that one source.
1 2
Go to Q8.12
1 21 21 21 21 2
Yes No
1 21 2
8.12 WhichnethouseholdincomepermonthinRandwouldbetheabsoluteminimumforyourhousehold?Thatistosay,thatyouwouldnotabletomakeendsmeetifyourearnedless.
8.13 Isthetotalmonthlyincomeofyourhouseholdhigher,lowerormoreorlessthesameastheminimumincomegivenabove?
1 = Muchhigher 2 = Higher 3 = Moreorlessthesame 4 =Lower 5 = Muchlower
8.14 Whatwasthetotalhouseholdexpenditureinthelastmonth?Include money spent on food, clothing, transport, rent and rates, alcohol and tobacco, school fees, entertainment and any other expenses.
01= R0 02= R1-R199 03= R200-R399 04= R400-R799 05= R800-R1199 06= R1200-R1799 07= R1800-R2499 08= R2500-R4999 09= R5000-R9999 10= R10000ormore 11= Donotknow 12= Refuse
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8.15 Doesthehouseholdownoneormoremotorvehicle(s)inworkingcondition(e.g.acar/bakkie/van/truck)?
1 = Yes
2 = No
Howmanyarethereinthehousehold?
8.16 Doesyourhouseholdownaradioinworkingcondition?Ifyes,howmany?Pleaseexcludecarradios.
8.17 Inthepreviousmonth,didthishouseholdmakeuseofadomesticorhouseholdworkers’services(excludingforbusiness
purposes)? 1 = Yes
2 = No
8.18 DidthehouseholdreceiveaGovernmentlandgrantaspartofthelandreformprogramoranotherGovernmentsupportprogramtoobtainaplotoflandforresidenceorfarming?
1 = Yes,forresidence 2 = Yes,forfarming 3 = No 4 = Donotknow
1234
Go to Q8.16
8.19 Wouldyousayyouandyourhouseholdareatpresent? 1 = Wealthy
2 = Verycomfortable 3 = Reasonablycomfortable 4 = Justgettingalong 5 = Poor 6 = Verypoor
8.20 Areyouhappier,thesameorlesshappywithlifethanyouweretenyearsago?
1 = Happier 2 = Thesame 3 = Lesshappy 4 = Refusetoanswer 5 = Donotknow
12345
8.21 Doesthehouseholdownanyofthefollowing? 01= TVSet
02= SwimmingPool 03= DVDPlayer/BlurayPlayer 04= PayTV(M-Net/DSTV/TopTV)Subscription 05= AirConditioner(ExcludingFans) 06= Computer/Desktop/Laptop 07= VacuumCleaner/FloorPolisher 08= Dishwashingmachine 09= WashingMachine 10= TumbleDryer 11= DeepFreezer-freestanding 12= RefrigeratororCombinedFridgeFreezer 13= ElectricStove/GasStove 14= MicrowaveOven 15= Built-inKitchensink 16= HomeSecurityService 17= HomeTheatreSystem 18= Geyser,providinghotrunningwater
8.22 IndicatethecolumnnumberofthepersonwhoansweredmostofthequestionsinSection5-8
Yes No1 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 2
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SECTION9:MORTALITYINTHELAST12MONTHS
9.1 Hasanymemberofthishouseholdpassedawayinthelast12months?
9.2 Howmanymembersofthehouseholdpassedawayinthelast12months?
9.3 Whatwasthefirstnameofthedeceased?
9.4 Whatwasthemonthandtheyearofthedeceased’sdeath?
9.5 Wasthedeceasedmaleorfemale?
9.6 Whatwasthedeceased’sageincompletedyearsatthetimeofdeath?
9.7 Whatcausedthedeathofthedeceased?
Please note: The deceased individuals must
have been members of the household at the time of their deaths.
1Yes2No3Donotknow
M M Y Y Y YM M Y Y Y Y M M Y Y Y YM M Y Y Y Y M M Y Y Y Y 1Male
2Female
1Unnatural2Natural
1Male2Female
1Unnatural2Natural
1Male2Female
1Unnatural2Natural
1Male2Female
1Unnatural2Natural
1Male2Female
1Unnatural2Natural
Person1 Person2 Person3 Person4 Person5
} Go to Section 10
47
INTERVIEWENDTIME
Thanktherespondent! h h m m
10.1 Inwhatlanguagewasthemainpartoftheinterviewconducted? 01 = Afrikaans 02 = English 03 = Isindebele/Southndebele/Northndebele 04 = Isixhosa/Xhosa 05 = Isizulu/Zulu 06 = Sepedi/Northernsotho 07 = Sesotho/Southernsotho/Sotho 08 = Setswana/Tswana 09 = Siswati/Swazi 10 = Tshivenda/Venda 11 = Xitsonga/Tsonga 12 = Other,(specify)
10.2 Whattypeoflivingquartersarethese? 1= Privatedwelling 2= Workers’hostel
10.3 Didthishouseholdliveinthisdwellingduring2013? 1=Yes
2=No 3=Donotknow
12
SECTION10:INTERVIEWERTOANSWERQUESTIONSBELOW
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Question Person Generalcomments Number Number
GENERALCOMMENTS
