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South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following information must be obtained in respect of every person who normally resides at least 4 nights a week in this household. Do not forget babies. Question Person (Respondent num- ber) 1 (Head/acting head) A. First name B. Is household member present during interview? 1 = Yes 2 = No 1 2 C. Gender 1 = Male 2 = Female 1 2 D. Age in completed years (Less than 1 year = 0) Year of birth ................................................ ........................................... ....................... ................ 19 ... E. Women younger than 55 years who have ever given birth 1 = Yes 2 = No 3 = Unspecified 1 2 3 F. All persons 16 years and older but younger than 55 years. What does ... consider to be the ideal family size? (State number of children). X = unspecified W = do not know ....................... .................... Go to Section 2. Keep flap unfolded so that it forms a heading for each page.
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South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

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Page 1: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following information must be obtained in respect of every

person who normally resides at least 4 nights a week in this household. Do not forget babies.

Question

Person (Respondent num-ber)

1 (Head/acting head)

A. First name

B. Is household member present during interview? 1 = Yes 2 = No

1 2

C. Gender 1 = Male 2 = Female

1 2

D. Age in completed years (Less than 1 year = 0) Year of birth

................................................

...........................................

.......................................

19 ...

E. Women younger than 55 years who have ever given birth

1 = Yes 2 = No 3 = Unspecified

1 2 3

F. All persons 16 years and older but younger than 55 years.

What does ... consider to be the ideal family size? (State number of children). X = unspecified

W = do not know

...........................................

Go to Section 2. Keep flap unfolded so that it forms a heading for each page.

Page 2: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

To be completed by the enumerator in the field. TYPE OF ENUMERATION AREA URBAN AREAS Ordinary town or city area as well as vacant areas within municipal boundaries

11

Area with informal dwellings (e.g. squatter camp) 12

Area with mainly hostels, (e.g. mine, factory and municipal hostels) 13

Area with mainly hospital and prison institutions within municipal/local authority boundaries 14

SEMI-URBAN AREAS Semi-towns (i.e. a town without a local authority) with predominantly formal dwellings

21

Area with informal dwellings (e.g. squatter camp) 22

Area in which mainly hostels are found 23

Area with mainly hospital and prison institutions 24

RURAL AREAS Semi-towns (i.e. a town without a local authority) with predominantly formal dwellings

31

Town (?village? ) without a local authority and which is not situated within a tribal area and with formal and semi-formal dwellings such as houses, huts and rondavels

32

Villages/settlements within a tribal area 33

Area with population concentration in informal dwellings (e.g. squatter camp) 34

Area with mainly hostels where housing for employees is provided by employers (such as mines, factories and power stations)

35

Area with mainly hospital and prison institutions 36

Area with farms, agricultural holdings, holiday resorts, agricultural schools and colleges and other rural area

37

Tribal areas excluding villages/settlements 38

Page 3: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 1 0317-E 5 This section covers information regarding the dwelling and perceived quality of life. Interviewer: Start with this section and complete each section separately. Circle the applicable code. Dwelling 1.1 Which type of dwelling does this household occupy? (Circle the applicable code. If the

household lives in MORE THAN ONE dwelling, circle all the codes that apply.)

Formal dwelling/house on a separate site 1

Traditional dwelling/hut 2

Flat in a block of flats 3

Town/cluster/semi-detached house (simplex, duplex or triplex) 4

Formal dwelling/house/flat/room, in backyard 5

Informal dwelling/shack, in backyard 6

Informal dwelling/shack NOT in backyard, e.g. in an informal settlement 7

Room in hostel/compound for workers provided by employer or municipality 8

Other 9

1.2 If the household lives in more than one type of dwelling, which type describes the MAIN

dwelling? Write in the code from the above list.

1.3 Ownership of site and dwelling:

Site and dwelling owned by the household - fully paid off 1

Site and dwelling owned by the household - partly paid off 2

Only dwelling owned by household - fully paid off 3

Only dwelling owned by household - partly paid off 4

Rented 5

Free (as a company/job benefit) 6

Free (other) 7

Page 4: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 1 (continued) 0317-E 6 1.4 Main materials used for roof and walls:

Material Roof Walls

Bricks xxxxxxx 01

Cement block/concrete 02 02

Prefab 03 03

Corrugated iron/zink 04 04

Wood 05 05

Plastic 06 06

Cardboard 07 07

Mixture of mud and cement 08 08

Wattle and daub 09 09

Tile 10 xxxxxxxx

Mud xxxxxxx 11

Thatching 12 12

Asbestos 13 13

Other (specify) 14 14

1.5 Estimated value of dwelling (excluding site)

Unspecified = 9 999 999 R ............................

1.6 Rooms in dwelling:

Total number of living-rooms, including bedrooms and kitchens

Number of bedrooms

Page 5: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 1 (continued) 0317-E 7 Services for dwelling 1.7 Does this household have a rain-water tank?

Yes 1

No 2

1.8 Main source of domestic water:

Source Drinking purposes

Other purposes

Running tap water in the dwelling 01 01

Running tap water on the site 02 02

Water carrier/tanker 03 03

Piped to public tap/kiosk 04 04

Borehole with handpump on site 05 05

Borehole with handpump: communal 06 06

Borehole with engine on site 07 07

Borehole with engine: communal 08 08

Rain-water tank 09 09

Flowing water/stream 10 10

Dam/pool/stagnant water 11 11

Well (non-borehole) on site 12 12

Well (non-borehole): communal 13 13

Protected spring 14 14

Unprotected spring 15 15

Other (specify) 16

16

Page 6: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 1 (continued) 0317-E 8 1.9 Is water obtained adequate for normal household purposes?

Always 1

Mostly yes 2

Mostly no 3

No 4

1.10 How far is the water if it has to be fetched?

Less than 100m 1

100 m - less than 200m 2

200 m - less than 500m 3

500 m - less than 1km 4

1km or more 5

1.11 Does the household have to pay for its water?

Yes 1

No 2

Sometimes 3

Page 7: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 1 (continued) 0317-E 9 1.12 What are the sources of energy for this household? (Give up to three most important sources,

ranked from 1 to 3 in order of importance, for each of the three uses below).

Source Cooking Heating Lighting

Electricity from public supply

Electricity from generator

Electricity from battery xxxxxxxxx

Electricity from solar system

Gas

Paraffin

Wood xxxxxxxxx

Coal xxxxxxxxx

Charcoal xxxxxxxxx

Candles xxxxxxxxx xxxxxxxxx

Crop waste xxxxxxxxx

Animal dung xxxxxxxxx

Other (specify)

If WOOD is ranked No. 1 source of energy for at least one of three uses above, then go to the next question, otherwise go to Question 1.17. 1.13 What is the main source of firewood for the household?

Woodlot 1

Commercial plantations 2

Indigenous forest 3

Veld 4

Homeyard trees 5

Merchants 6

Page 8: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 1 (continued) 0317-E 10 1.14 Is wood obtained adequate for normal household purposes?

Always 1

Mostly yes 2

Mostly no 3

No 4

1.15 How far is the wood if it has to be fetched?

Error! Bookmark not defined.Less than 100m 1

100m - less than 200m 2

200m - less than 1km 3

1 km or more 4

1.16 Does the household have to pay for the wood?

Always 1

Sometimes 2

Not at all 3

1.17 Sanitation:

Sanitation type In dwelling On site Off site

Flush toilet 1 1 1

Chemical toilet xxxxxxxxx 2 2

Pit latrine with ventilation (VIP) xxxxxxxxx 3 3

Other pit latrine xxxxxxxxx 4 4

Bucket toilet xxxxxxxxx 5 5

None xxxxxxxxx 6 6

Other (specify) xxxxxxxxx 7 7

Page 9: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 1 (continued) 0317-E 11 1.18 Is facility shared with other households?

Yes 1

No 2

1.19 If shared - with how many households?

1.20 If not in the dwelling, how far is the nearest toilet facility to which the household has access?

Less than 25m 1

26-50m 2

51-100m 3

More than 100m 4

1.21 If bucket toilet, how frequently is it removed?

Once a week 1

Once a fortnight 2

Once a month 3

Irregularly 4

1.22 Refuse disposal:

Removed by local authority 1

Communal refuse dump 2

Own refuse dump 3

None 4

1.23 If refuse is removed by local authority - how often is it removed?

Once a week 1

Once a fortnight 2

Once a month 3

Irregularly 4

Page 10: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 1 (continued) 0317-E 12 1.24 Telecommunication:

Cellular phone 1

Telephone in dwelling 2

Access to telephone at neighbour 3

Communal telephone (pay phone) 4

Access to telephone at shop/clinic 5

None 6

1.25 If there is no telephone in the dwelling - how far is the nearest available telephone?

Less than 100m 1

100m - less than 200m 2

200m - less than 1km 3

1km - less than 5km 4

5km - less than 10km 5

10km or more 6

Page 11: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 1 (continued) 0317-E 13 1.26 Does this household have access to land for farming (including growing food for the household)?

Yes 1

No 2

If ? No', go to Question 1.27 If ? Yes', complete the following table:

Type of land

Total area (hectares)

Dryland area (hectares)

Irrigation Grazing

Area (hectares)

Source (use codes below)

Yes No

Private land 1 2

Communal garden xxxx xxxx

Tribal (land allocated by tribal authority)

Communal xxxxxxxx xxxxxxxx xxxxxxxx xxxxxxxxx 1

2

Right to occupy

xxxx

xxxx

Communal garden

xxxx

xxxx

Trust land allocated by government/local authority

1

2

Tenancy land allocated by private owner

1

2

Source of irrigation water: 1 = River/stream 5 = Own borehole/pump 9 = Communal tap 2 = Spring 6 = Other borehole/pump 10 = Other 3 = Dam on own land 7 = Well 4 = Other dam 8 = Own tap Perceived quality of life 1.27 Thinking about your physical safety in your neighbourhood, how safe do you and the other

members of the household feel living there?

Very safe 1

Rather safe 2

Rather unsafe 3

Very unsafe 4

Page 12: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 1 (continued) 0317-E 14 1.28 Thinking about your physical safety in your own dwelling, how safe do you and the other

members of your household feel?

Very safe 1

Rather safe 2

Rather unsafe 3

Very unsafe 4

1.29 Has your physical safety in your own dwelling changed, if at all, since October 1994? Are you and the other members of your household safer than you were a year ago, about the

same, or less safe?

Safer 1

The same 2

Less safe 3

1.30 In the past 12 months, has any person in this household been a victim of crime?

Yes 1

No 2

If ? Yes', indicate type of crime

Assault 1

Robbery 2

Rape 3

Murder 4

Abduction 5

Other 6

1.31 In winter, how difficult is it to breathe where you live, because of smoke and pollution?

Very difficult 1

Difficult 2

Slightly difficult 3

Not difficult 4

Page 13: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 1 (continued) 0317-E 15 1.32 In the last year has there ever been a time when you did not have enough money to feed the

children in the household?

Yes 1

No 2

Not applicable (no children) 3

1.33 Taking everything into account, how satisfied is this household with the way it lives these days?

Very satisfied 1

Satisfied 2

Neither satisfied nor dissatisfied 3

Dissatisfied 4

Very dissatisfied 5

1.34 Compared to one year ago, how would you say things are for this household?

Things are better 1

Things are about the same 2

Things are worse 3

1.35 Does head of household normally reside at least 4 nights a week at this household?

Yes 1

No 2

If ‘No', indicate why:

Employment 1

Business 2

Study 3

Sport 4

Polygamy 5

Other 6

Page 14: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 1 (continued) 0317-E 16 1.36 Are there any children from this household younger than 16 years that have been missing for

more than a month and nobody knows anything about their whereabouts? (Possibly street children).

Yes 1

No 2

If ‘Yes', give number of children involved.

1.37 If someone in this household gets ill or injured and decides to seek medical help, where do they

usually go first?

Hospital 1

Clinic 2 Public sector

Other (specify) ........................................ 3

Hospital 4

Clinic 5

Private doctor/specialist 6

Traditional healer 7

Private sector

Other (specify) ........................................ 8

1.38 How far is the hospital/clinic/doctor where you usually go?

Less than 1km 1

1km - less than 5km 2

5km or more 3

How long does it usually take to get there?

About 1/4 of an hour or less 1

About 1/2 an hour 2

About an hour 3

Longer than an hour 4

Page 15: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 1 (continued) 0317-E 17 1.39 Where is this health facility where you usually go? State place name and province (new). (District unspecified = 999) .................................................. If this facility is not ?public hospital? , then ask ... 1.40 Where is the public hospital, which members of this household normally use or would use if

need arose? State place name and province (new). (District unspecified = 999) .................................................. 1.41 How far is the nearest social welfare service point?

Less than 1km 1

1km - less than 5km 2

5km or more 3

Do not know 4

Go to flap.

Page 16: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 2 0317-E 18 This section covers particulars of each person in the household. 1

2.1 Population group 1 = African/Black 2 = Coloured 3 = Indian/Asian 4 = White

1 2 3 4

2.2 Relationship to head/acting head of household 1 = HEAD (or reference person) 2 = Husband/wife/partner 3 = Son/daughter 4 = Parent 5 = Grandparent 6 = Grandchild 7 = Brother/sister 8 = Other relative (e.g. in-laws or aunt/uncle) 9 = Non-related person

1 2 3 4 5 6 7 8 9

2.3 Are the parents of ... still alive? Father Mother

1 = Yes 2 = No

1 2

1 2

2.4 Give respondent numbers of parents of ... if they are part of the household.

Father Mother

.................... ....................

2.5 Marital status 1 = Never married 2 and 3 = Married: 2 = civil 3 = traditional (customary) 4 = Living together 5 = Widower/widow 6 = Divorced/separated

1 2 3 4 5 6

2.6 If ... is married, give respondent number of spouse of he/she is part of the household.

.............................................

Continue on next page.

Page 17: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 2 (continued) 0317-E 19 1

2.7 Place of birth: State town/place name, province (new) and country. (District unspecified = 999) (Outside RSA: district = 000)

............................................ ............................................ ............................................

2.8 Did ... move into this area after 1 October 1994? 1 = No (Go to Question 2.10) 2 = Yes If ?Yes', from where? State town/place name, province (new) and country. (District unspecified = 999) (Outside RSA: district = 000)

1 2 ............................................ ............................................ ............................................ ............................................

2.9 In what type of dwelling did ... live at the previous place of residence, mentioned in Question 2.8 above?

1 = Formal dwelling 2 = Backyard dwelling 3 = Squatter dwelling 4 = Hostel 5 = Traditional dwelling

1 2 3 4 5

2.10 If ... is younger than 6 years is he/she attending preschool, crechè or a day care centre?

1 = Yes 2 = No

1 2

Continue on next page.

Page 18: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 2 (continued) 0317-E 20 1

2.11 Is ... presently attending school/college/university/ technikon, etc? 1 = Yes, full-time 2 = Yes, part-time 3 = No

1 2 3

2.12 Is ... attending or has ... attended a literacy or other basic education program?

1 = Yes 2 = No

1 2

2.13 Is ... busy acquiring or has ... aquired any artisan or operator skill?

1 = Yes 2 = No If ‘Yes', describe the skill. Use occupation code list

1 2

2.14 Is ... a migrant worker (that is a person working or looking for work away from what they consider ?home? )?

1 = Yes 2 = No

1 2

2.15 If ... attends school, does he/she benefit from the school feeding scheme?

1 = Yes 2 = No

1 2

Continue on next page.

Page 19: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 2 (continued) 0317-E 21 1

2.16 What is the highest school standard passed or education level obtained by ...

00 = No schooling 01 = Sub A/sub B grade 1/grade 2/Std 1 02 = Std 2 03 = Std 3 04 = Std 4 05 = Std 5 06 = Std 6 07 = Std 7 08 = Std 8/NTC I 09 = Std 9/NTC II 10 = Std 10/NTC III 11 = Diploma/certificate with Std 9 or lower 12 = Diploma/certificate with Std 10 13 = Degree 14 = Other (specify in column) 15 = Unspecified If respondent is 15-24 years old and he/she has not yet

obtained Std 10 and does not also attend school, go to the next question. Otherwise go to Question 2.18.

00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15

2.17 Would ... wish to continue his/her education or training? 1 = Yes 2 = No If ‘Yes’, what prevents ... from continuing his/her education or

training? 1 = Not enough money 2 = Distance from school/college, etc. 3 = Responsibilities towards family 4 = Pregnancy 5 = Poor health 6 = Other (specify) (Go to 2.19)

1 2 1 2 3 4 5 6

Continue on next page.

Page 20: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 2 (continued) 0317-E 22 1

2.18 If .. is a scholar/student, what did the household spend on ... education fees during the past 12 months?

School/tuition fees (unspecified = 99 999) Transport (unspecified = 99 999) Other (books, school uniforms, boarding) (unspecified = 99 999)

..................................... ..................................... .....................................

PRIMARY HEALTH CARE 2.19 Has ... been ill during the last month? 1 = Yes 2 = No

1 2

2.20 Has ... been injured during the last month? 1 = Yes 2 = No

1 2

2.21 Was ... discharged from hospital during the last month? 1 = Yes 2 = No

1 2

Continue on next page.

Page 21: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 2 (continued) 0317-E 23 1

2.22 Did ... consult any of the following, during the past month as a result of illness or injury? If ?Yes', state number of times, otherwise go to Question 2.25.

Nurse .................................................................................. Doctor ................................................................................ Medical specialist ................................................................ Pharmacist/chemist .............................................................. Dentist ................................................................................ Spiritual healer (church related) ........................................... Traditional healer (Sangoma/Inyanga) ................................. Any other health care provider (including psychologist,

physiotherapist, chiropractor, homeopath, optometrist) .......

............................................ ............................................ ............................................ ............................................ ............................................ ............................................ ............................................ ............................................

2.23 Where did this consultation take place? 1-3 = Public sector (i.e. government, provincial or community

institution) 1 = Hospital 2 = Clinic 3 = Other 4 = Private sector (including private clinics, surgery, private hospitals and sangomas)

1 2 3 4

2.24 Did the household have to pay for this service/medicine? 1 = Yes 2 = No

1 2

2.25 Does ... have access to a medical aid scheme? 1 = Yes 2 = No

1 2

Continue on next page.

Page 22: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 2 (continued) 0317-E 24 1

2.26 Does ... smoke? 1 = Yes 2 = No If ?Yes', at what age did ... start smoking (age in completed

years). (unspecified = 99)

1 2

2.27 Disability Which, if any, of the following handicaps/disabilities does ...

have? 1 = None 2 = Sight (serious eye defect) 3 = Hearing/speech 4 = Physical disability 5 = Mental disability

1 2 3 4 5

2.28 Did ... make use of a social welfare service during the past year?

1 = Yes 2 = No If ?Yes', indicate type of service 1 = Old age pension 2 = Disability grants 3 = Other grants 4 = Material assistance 5 = Skills training 6 = Social work services (therapy, childcare, etc.)

1 2 1 2 3 4 5 6

Go to next person. If last person, go to Section 3.

Page 23: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 3 0317-E 25 This section covers information regarding workers (Formal and informal), unemployed and not economically active persons. Interviewer: Start from the left (person No 1) and complete Section 3 (pages 32 to 53) for each person

10 years and older separately. Circle applicable code. 1

3.1 Now I am going to ask questions about ... activities. What did ... do most during the last 7 days? 1 = Working full-time (Go to 3.3) 2 = Working part-time (Go to 3.3) 3 = With a job but absent from work (e.g. sick-leave, leave, strike, etc.) 4 = Going to school/college/university, etc. 5 = Unemployed (but looking for work) 6 = Not working, not looking for work 7 = Housekeeping (including cleaning, cooking, caring for children/disabled/old people in the household, etc.) 8 = Retired (pensioner) 9 = Permanently unable to work (Go to 3.34) 10 = Other (specify in column)

1 2 3 4 5 6 7 8 9 10

Continue on next page.

Page 24: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 3 (continued) 0317-E 26 1

3.2 Did ... do any work (formal or informal) for pay, profit, or family gain during the past year? (This includes any work done for pay, profit or family gain by housewives and scholars).

Note: Work also includes: - Car wash, parking indicator - Car repairs at home, typing at home, pottery,

dressmaking at home, baking at home, etc. - Looking after cattle, poultry - Vegetable, fruit gardening - Making baskets, carpets, mats - Recycling, hawking, spaza shop - Fetching water for sale - Collecting/cutting/sawing firewood for sale - Woodwork - Tree nursing/propagation 1 = No If ... is 15 years and older go to Question 3.26, otherwise end interview and go to next person at the beginning of Section 3. If last person, go to

Section 4. 2 = Yes If ?Yes? , how long ago? 3 = less than 1 month 4 = 1 month - less than 6 months 5 = 6 months - 1 year

1 2 3 4 5

3.3 How many hours did ... actually work during the last 7 days that he/she worked? If more than 35 hours, go to Question 3.5, otherwise go to Question 3.4.

3.4 Would ... have liked to work more hours? 1 = No 2 = Yes If ?Yes', how many hours in total?

1 2 ............................................

Continue on next page.

Page 25: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 3 (continued) 0317-E 27 1

3.5 What kind of transport does/did ... use to get to and from work? (Up to three responses allowed.)

1 = Bus 2 = Metered taxi 3 = Minibus taxi 4 = Train 5 = Bicycle 6 = Car/Motor bike 7 = On foot 8 = Not applicable (e.g. working from home) 9 = Other (specify)

1 2 3 4 5 6 7 8 9

3.6 What time does/did ... usually leave home for work? (unspecified = 99)

hours

minutes

3.7 What time does/did ... usually get to his/her place of work? (unspecified = 99)

3.8 In or near which city/town does/did ... work? USE DISTRICT CODE LIST

3.9 Does/did ... work for him-/herself (formal or informal) or does/did he/she work for someone else?

1 = Someone else (Go to 3.10) 2 = Him-/herself (Go to 3.19) 3 = Someone else and him-/herself (Go to 3.10)

1 2 3

Continue on next page.

Page 26: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 3 (continued) 0317-E 28 1

3.10 What is/was the name of ... employer? Note: If a person works for a firm/institution, fill in the name of

the firm or institution and if he/she works for a private person, fill in the name of that person.

3.11 What is/was the main activity of ... employer? Note to interviewer: Make sure the lower detail for activity is given - (See

instructions manual). (SEE INDUSTRY CODE LIST)

3.12 When did ... start working with the employer mentioned above? (State year and month) Year Month (unspecified = 99)

............................................

3.13 Is/was ... a member of a trade union? 1 = Yes 2 = No

1 2

3.14 Is ... entitled to a paid maternity or paternity leave? 1 = Yes 2 = No

1 2

3.15 What kind of work is/was ... doing at his/her ... main job? (Give full description)

(SEE OCCUPATION CODE LIST)

Continue on next page.

Page 27: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 3 (continued) 0317-E 29 1

3.16 INCOME from main job: What is/was ... total salary/pay (including overtime) at main job

(before deductions)? Rand (unspecified = 9 999 999) 01 = No income 02 = R1 - R999 03 = R1 000 - R1 249 04 = R1 250 - R1 499 05 = R1 500 - R1 999 06 = R2 000 - R2 499 07 = R2 500 - R2 999 08 = R3 000 - R3 999 09 = R4 000 - R5 999 10 = R6 000 - R7 999 11 = R8 000 - R9 999 12 = R10 000 - R12 499 13 = R12 500 - R14 999 14 = R15 000 - R19 999 15 = R20 000 - R24 999 16 = R25 000 - R29 999 17 = R30 000 - R39 999 18 = R40 000 - R59 999 19 = R60 000 - R79 999 20 = R80 000 - R99 999 21 = R100 000 - R124 999 22 = R125 000 - R149 999 23 = R150 000 - R199 999 24 = R200 000 - R249 999 25 = R250 000 - R299 999 26 = R300 000 - R399 999 27 = R400 000 - R499 999 28 = R500 000 - R599 999 29 = R600 000 and over 30 = Unspecified Important, please specify per day/week/month/year. 1 = Day 2 = Week 3 = Month 4 = Year What is/was the estimated value ... receives/received in kind per

week for: Transport Food Other

R ........................................ 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 1 2 3 4 R ........................................ R ........................................ R ........................................

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Section 3 (continued) 0317-E 30 1

3.17 What is/was the total amount deducted, if any? (unspecified = 99 999) 1 = Per day 2 = Per week 3 = Per month 4 = Per year

R ........................................ 1 2 3 4

3.18 In addition to the main occupation, did ... also do any other work for him-/herself (part-time or informal) for own account during the past year?

1 = Yes (Go to 3.19) 2 = No (Go to 3.25)

1 2

3.19 Describe the work ... does/did for him-/herself (own account). Note: Describe type of work in detail. See note at Question 3.2 for examples. (SEE OCCUPATION AND INDUSTRY CODE LISTS)

3.20 Now I would like to determine whether ... job/business is/was informal or formal (registered). There are several ways of registering a business. Many small businesses do not register at the following offices:

- Registrar of companies, - Commissioner of unemployment insurance, - Commissioner of workmen's compensation. Is/was ... business registered at any of the above-mentioned? 1 = Yes 2 = No

1 2

3.21 Does/did ... have a VAT number? 1 = Yes 2 = No

1 2

Continue on next page.

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Section 3 (continued) 0317-E 31 1

3.22 What was ... gross income/turnover (before deducting expences) for all own account activities?

Rand (unspecified = 9 999 999) 01 = No income 02 = R1 - R999 03 = R1 000 - R1 249 04 = R1 250 - R1 499 05 = R1 500 - R1 999 06 = R2 000 - R2 499 07 = R2 500 - R2 999 08 = R3 000 - R3 999 09 = R4 000 - R5 999 10 = R6 000 - R7 999 11 = R8 000 - R9 999 12 = R10 000 - R12 499 13 = R12 500 - R14 999 14 = R15 000 - R19 999 15 = R20 000 - R24 999 16 = R25 000 - R29 999 17 = R30 000 - R39 999 18 = R40 000 - R59 999 19 = R60 000 - R79 999 20 = R80 000 - R99 999 21 = R100 000 - R124 999 22 = R125 000 - R149 999 23 = R150 000 - R199 999 24 = R200 000 - R249 999 25 = R250 000 - R299 999 26 = R300 000 - R399 999 27 = R400 000 - R499 999 28 = R500 000 - R599 999 29 = R600 000 and over 30 = Unspecified Important, please specify per day/week/month/year. 1 = Day 2 = Week 3 = Month 4 = Year

R ........................................ 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 1 2 3 4

Page 30: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 3 (continued) 0317-E 32 1

3.23 How much money did ... spend on salaries/wages/commission and goods/materials, etc. in order to earn his/her gross income during the last month that ... worked?

(unspecified = 99 999)

3.24 State number of persons working for ... (including unpaid family workers) and total salaries and wages paid during the last month that ... worked.

Total

Under 15 yrs

Number of employees: Unpaid --------º (unspecified = 99) Paid -----------º Total salaries/wages/commission paid --------------------º (unspecified = 99 999) Note to enumerator: If one or more of the employees are part of the

household, write down their respondent number(s).

R .................. R .................

R ................... R .................

3.25 Did ... do the formal or informal job as specified earlier during the last 7 days?

1 = Yes Section 3 completed for this person. Go to next person at the beginning of Section 3.

If last person, go to Section 4. 2 = No (Go to 3.26)

1 2

3.26 Even if ... did not work the past week for some reason, did he/she have a job or enterprise or an attachment to a job or enterprise such as a business, farm, etc.?

1 = Yes, an enterprise such as a business, farm, etc. 2 = Yes, payment for duration of absence 3 = Yes, assurance or agreement on return to work 4 = Yes, but starting later 5 = No (Go to 3.28)

1 2 3 4 5

Continue on next page.

Page 31: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 3 (continued) 0317-E 33 1

3.27 Why did ... not work the past week? 01 = Illness or injury 02 = Strike or stay-away 03 = Bad weather 04 = Problems with transport 05 = Vacation, leave 06 = Study or training leave 07 = Maternity or paternity leave 08 = Off-season activity 09 = Unrest (violence) 10 = Reduction in economic activity such as: lower production

due to less demand; shortage of irrigation water or shortage of raw materials

11 = Other reason (specify in column) IMPORTANT: Section 3 is completed for this person. Go

to next person at the beginning of Section 3. If last person go to Section 4.

01 02 03 04 05 06 07 08 09 10 11

Complete Question 3.28 only if the answer to 3.26 is ? No'. 3.28 If a suitable job is offered to ... will he/she accept it? 1 = Yes 2 = No (Go to 3.33)

1 2

3.29 How long has ... been seeking work? 1 = Less than a month 2 = 1 month to less than 6 months 3 = 6 months to less than 1 year 4 = 1 year to less than 3 years 5 = More than 3 years

1 2 3 4 5

Continue on next page.

Page 32: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 3 (continued) 0317-E 34 1

3.30 In the past 4 weeks, what has ... done to find work? 1 = Nothing, but still wants work 2 = Nothing, wants work but already has a job to start at a

definite date in the future 3 = Waited/registered at employment agency/trade union 4 = Enquired at workplaces, farms, factories or called on other

possible employers 5 = Placed/answered advertisement(s) 6 = Sought assistance of relatives or friends 7 = Looked for land, building, equipment or applied for permit

to start own business or farming 8 = Sought/underwent training 9 = Other

1 2 3 4 5 6 7 8 9

3.31 Has ... ever worked in the past for pay, profit or family gain? 1 = No (Go to 3.33) 2 = Yes

1 2

3.32 What was ... last occupation (nature of work)? SEE OCCUPATION CODE LIST

Continue on next page.

Page 33: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 3 (concluded) 0317-E 35 1

3.33 Why did ... not work during the last 7 days? 01 = Lack of skills or qualifications for available jobs 02 = Cannot find suitable work (salary, location of work or

conditions not satisfactory) 03 = Has found a job, but only starting at a definite date in

the future 04 = Scholar or student, prefers not to work 05 = Housewife, prefers not to seek formal work 06 = Retired and prefers not to work 07 = Illness, invalid, disabled or unable to work

(handicapped) 08 = Too young or too old to work 09 = Seasonal worker, e.g. fruit-picker, wool-shearer 10 = Contract worker e.g. mine-worker resting according to

contract 11 = Other reason (specify in column)

01 02 03 04 05 06 07 08 09 10 11

3.34 How does ... support him-/herself? 1 = Did odd jobs during the past week (Go to 3.1) 2 = Supported by persons in the household 3 = Supported by relatives not in the household 4 = Supported by friends not in the household 5 = Supported by charity, church, welfare, etc. 6 = Unemployment benefit 7 = Savings or money previously earned 8 = Old age or disability pension 9 = Other e.g. bursary, or study loan If 2-9 was answered, Section 3 is completed for this

person. Go to next person at the beginning of Section 3. If last person go to Section 4.

1 2 3 4 5 6 7 8 9

Page 34: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 4 0317-E 36 This section covers information regarding deaths in the household. Interviewer: This section must be answered by a senior member of the household (preferably a woman). Record all the deaths of household members that occurred since 1 January 1994. Make sure that babies and elderly persons are not omitted. Stillbirths must not be included. 4.1 Were there any deaths in this household since 1 January 1994?

1 = Yes (Go to 4.2) .. 1

2 = No (Go to Section 5) ........ 2

4.2 4.3 4.4 4.5(a)

Name/relationship (optional)

Gender Age (years) Note: Less than 1 year = 0

Give month of death since 1/1/94

M F

1. 1 2

2. 1 2

3. 1 2

4. 1 2

5. 1 2

4.5(b) 4.6 4.7

Give year of death since 1/1/94

Was the death registered?

Cause of death: Indicate whether the death was due to:

Yes No Natural causes

Accident

Violence

Other

1 2 1 2 3 4

1 2 1 2 3 4

1 2 1 2 3 4

1 2 1 2 3 4

1 2 1 2 3 4

Go to Section 5

Page 35: South Africa October Household Survey 1995 - … · South Africa October Household Survey 1995 QUESTIONNAIRE (EXAMPLE IN RESPECT OF ONE PERSON ONLY) Flap Interviewer: The following

Section 5 0317-E 37 This section covers information regarding births. Interviewer: Please read the instructions on this and the next page before you start with Question 5.1.

This section must be completed for all women younger than 55 years of age in the household who have ever given birth (see flap).

First name of woman (a): ...................................................................Respondent No: .............. 5.1 5.2 5.3 5.4 5.5

Name (Starting with last born) Interviewer: Record twins on separate lines and mark with a bracket.

Is/was ... a boy or a girl?

Is ... still alive?

If alive: Is ... currently part of this household?

If alive: How old is he/she? Interviewer: Record age in completed years. Less than 1 year = 0

Name of child (optional) Boy Girl Yes No Yes No Age in years

1. 1 2 1 2 1 2 SECTION 5 (opposite page) Record all live births starting with the last born. Do not include stillbirths and children adopted by the mother. Remember to include children who have died and children who are not currently part of the household. First name of respondent: ...................................................................Respondent No: .............. 5.6 5.7 5.8 5.9

If dead: How old was ... when he/she died? Interviewer: Record in as much detail as possible.

All children: In what year and month was ... born?

All children: Where was ... born?

All children

In a hospital

At a clinic

Else-where

Was the birth registered?

Age at death Date of birth Yes No

Years Months Days Year Month Day

1 2 3 1 2