MICS Household Questionnaire

[Macedonia]
Household Information Panel: HH

HH1. Cluster number: _ _ _

HH2. Household number: _ _ _

HH3. Interviewer's name and number

HH4. Supervisor's name and number:

HH5. Day/month/year of interviewing:

HH6. Area

HH7. Region

We are from Ipsos Strategic Puls. We are working on a project related to family health and education. I would like to talk to you about these issues. The interview will last for about 30 minutes. All the information obtained will remain strictly confidential and your answers will only be analysed as group data by the project team, without any direct correlations to your personal data. Can we start now?

HH8. Name of the head of household: ____

HH9. Results from the household interview:

HH10. The respondent who answers the household questionnaire:

HH11. Total number of household members: _ _

HH12. Number of women aged 15-49 years: _ _

HH13. Number of women questionnaires completed: _ _

HH14. Number of children aged 5 or less: _ _

HH15. Number of under-5 children questionnaires completed: _ _

HH15A. Number of children aged between 2-9 years: _ _

HH15B. Number of questionnaires for child disability (children 2-9) completed: _ _

HH16. Editor in the field (name and number)

HH17. Date entered by (name and number)

HH18. Record momentary time

Household List: HL

At first, can you please tell me the name of each person who usually lives here, starting with the head of household.
List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their gender (HL4)
Then ask: Are there any other persons living here, even if they are not at home at the moment?
If yes, fill in the list for questions HL2-HL4. Then, ask all the questions starting with HL5 for each person individually.
Use an additional questionnaire if all the rows in the household roster form have been used.

HL1. Row number: _ _

HL2. Name: ____

HL3. What is the relation-ship of (name) to the head of household?
(See codes for relationship below the table)
HL4. Is (name) male or female?

HL5. What is (name's) birth date?

HL6. How old is (name)?
Record full years. If the age is 95 or above, record '95'
HL7. Circle row no.
If woman is aged 15-49 (for women aged 15-49)

HL8. Who is this child's mother or primary guardian?
Record row no. for mother/guardian (for children aged 5-14.)
HL9. Who is this child's mother or primary guardian?
Record row no. for mother/guardian (for children under 5)
HL9A. Copy child?s mother or primary guardian raw number for each child between 2 and nine. Use the previous 2 columns ? HL8 and HL9. don?t ask again (for children aged 2-9)
For children aged 0-17 years [HL11 to HL14]

HL11. Is (name's) birth mother alive?

HL12. Does (name's) birth mother live in this household?
Record row number for the mother or 00 for no
HL13. Is (name's) natural father alive?

HL14. Does (name's) natural father live in this household?
Record row no. for the father or 00 for "no"
[] tick this box if an additional questionnaire is used.
Check for additional household members. Probe in particular for any newborns or small children not listed above and other persons who are not family members (like for ex. retainers, friends) but they happen to live in the household. Insert the names of all the additional members in the household roster and complete the for each of them.
Now, for each woman aged between 15 and 49, write the name and the row number and other information in the data panel of the separate Individual Women?s Questionnaire. For each child under 5 years of age, write his/her name and row number AND the raw number of his/her mother or guardian in the data panel of the separate Under-5 Questionnaire. And, for each child aged between 2 and 9, write his/her name and row number AND the raw number of his/her mother or guardian in the data panel of the separate Child Disability Questionnaire. Now, you should have a separate questionnaire per each eligible woman, per each child under five, and per each child aged between 2 and 9 in the household. If there are children aged from 0 to 5 within this household, inform the mother/guardian that these children will have to be measured after the inter- viewing process is complete.


Codes for HL3. Relationship to the head of household

Education: ED

For all the household members aged 5 and above, including the adult members as well [ED1 to ED4B]

ED1. Row number: _ _

ED2. Name and age
Copy from the Household List, HL2 and HL6
ED3. Has (name) ever attended school or pre-school education?

ED4A. What is the highest level of education (name) attended?
If level=0, skip to ED5
ED4B. What is the highest grade (name) completed at this level (ED4A)?
If less than 1, enter 00
For those household members aged 5-24 [ED5 to ED8]

ED5. During the school year (2010-2011), has (name) attended school or preschool at any time?

ED6. During this/that school year, which level and grade does/did (name) attend?
If level=0, skip to ED7
ED7. During the previous school year, (2009-2010), did (name) attend school or preschool at any time?

ED8. During that previous school year, which level and grade did (name) attend?
If level=0, go to next person
Household characteristics: HC

HC1A. What is the religion of the head of household practices?

HC1B. What is head household's mother tongue?

HC1C. What ethnic group does the head of household belong to?

HC2. How many rooms in this household do you use for sleeping?

HC3. Main material the dwelling floor is made from.
Record your own observation
HC4. Main material the dwelling roof is made from.
Record observations
HC5. Main material the exterior walls are made from.
Record your own observation.
HC6. What type of fuel does your household mostly utilise for cooking?

HC7. Does cooking usually take place in the house, in a separate construction, or outdoors?
If 'In the house', check: does it take place in a separate room used as a kitchen?

HC8. Is there in your household:

A. Electricity?

B. Radio?

C. Television ? classical (CRT)?

D. Plasma/LCD TV?

E. Landline telephone?

F. Refrigerator?

G. Washing machine?

H. Cooler?

I. Water boiler?

J. Air-conditioning?

K. Dish-washer?

L. Microwave-oven?

M. Dryer?

N. Sitting set/sofa?

O. Sleeping bed?

P. Dining table?

HC9. Does any member in your household own:

A. A watch?

B. A mobile phone?

C. A bicycle?

D. A motorcycle or a scooter?

E. A cart pulled by animals?

F. A car or a truck?

G. A motor boat?

H. Computer/PC?

I. Laptop?

J. Caravan?

HC10. Are you or someone else living in this household an owner of this dwelling?
If the answer is "No", ask: Do you rent this dwelling from someone who does not live in this household? If the answer is "Rented from someone else", circle "2". For other responses, circle "6".

HC11. Does any member of this household own any land that can be utilized for agricultural purposes?

HC12. How many hectares of agricultural land do the members of this household possess?
If less than one, record "00". If 95 or more, record '95'. If don't know, record '98'.
HC13. Does this household own any livestock herds, other animals, or poultry?

HC14. How many of the mentioned animals does this household have?
If none, record '00'. If 95 or more, record '95'. If unknown, record '98'.

A. Cattle, milk cows, or bulls?

B. Horses, donkeys, or mules?

C. Goats?

D. Sheep?

E. Chickens?

F. Pigs?

HC15. Does any member of this household have a bank account?

Child Labour: CL

To be filled in for those children in the household aged 5-17. For those household members that are below age 5 or above 17 years of age, leave rows as blank.
Now I would like to ask you about each work that the children in this household may be doing.

CL1. Row number: _ _

CL2. Name and age copy from the Household Roster, HL2 and HL6

CL3. During the last week, did (name) do any kind of work for a person who is not a member of this household?
If yes: For payment in cash or in kind?
CL4. Since last (day of the week), how many hours did he/she work for the person who is not a member of this household?
If more than one job, include all hours for all jobs executed.
CL5. During the last week, did (name) bring any water or collect firewood for the household's use?

CL6. Since last (day of the week), how many working hours did he/she spend to bring water or collect firewood for the household?

CL7. During the last week, did (name) perform any paid or unpaid work on a family farm or in a family business or by selling goods in the street?
Include also the work from a business run by the child, alone or with one or more partners.
CL8. Since last (day of the week), working hours did he/she spend for his/her family or himself/herself?

CL9. During the last week, did (name) help with household chores such as shopping, cleaning, washing the clothes, cooking; or taking caring for the children, older or sick people?

CL10. Since last (day of the week), how many working hours did he/she spend on these chores?

Child Discipline: CD

Table 1: Children Aged Between 2-14 Years Are Eligible for the Child Discipline Questions
Record each of the children aged 2-14 years below according to the order they appear in the Household Listing. Do not include other household members who are outside the age range of 2-14 years.
Indicate the row number, the name, the sex, and the age for each child.
Then insert the total number of children aged between 2-14, in the appropriate box below (CD6).
If there are no children aged 2 to 14 in this household, go to next module.
If there is only one child in the household aged 2-14 years, skip table 2 and go to CD8; write down'1' and carry on with CD9.

CD1. Rank Number: _

CD2. Row number from HL1: _ _

CD3. Name from HL2: ____

CD4. Sex from HL4

CD5. Age from HL6: _ _

CD6. Total number of children aged 2-14 years: _ _

Table 2: Random Selection of a Child for the Child Discipline Questions
Use Table 2 to select one child between the age of 2 and 14, if there is more than one child in the household belonging to this age group.
Check the last digit of the household number (HH2) from the front page. This is the number of the row you should move to in the table given below.
Check the total number of eligible children (2-14) in CD6 above. This is the number of the column you should move to.
Find the box where the row and the column cross along and circle the number that appears in that box. This is the rank number of the child (CD1) that is going to be the subject of the questions you will be asking.

CD7.
Total number of the eligible children in the household (CD6) [Column 1 to 8+]
Last digit from the household number (HH2) [Row 0 to 9]

CD8. Record the rank number of the selected child (CD1): _

CD9. Write the name and row number for the child selected for this module from CD3 and CD2, according to the rank number in CD8.

CD10. Adults exercise certain ways to teach children to proper behaviour or to approach a behavioural problem. I will read you some methods that are used and I would like you to tell me if you or any other person in your household has ever used this method with (name) in the past month.

CD11. Took privileges, or have forbidden something (name) wanted to do or grounded him/her not to leave the house.

CD12. Explained why (name)'s behavior was incorrect.

CD13. Shook him/her with hands.

CD14. Shouted or yelled at him/her.

CD15. Gave him/her something else to do.

CD16. Spanked, or slapped him/her on the bottom.

CD17. Hit him/her on the bottom or somewhere else on the body with something like a belt, a hairbrush, a stick or another hard object.

CD18. Called him/her stupid, lazy, or with similar adjectives.

CD19. Hit or slapped him/her in the face, head or ears.

CD20. Hit or slapped him/her on his/her hand, arm, or leg.

CD21. Beat him/her up, that is hit him/her over and over as hard as one could.

CD22. Do you believe that for the purpose of properly bringing up, raising, or educating a child, one needs to physically punish the child?

HH19. Record the momentary time

HH20. Thank the respondent for his/her cooperation and check the Household List:

Return to the cover page and confirm that all information about the number of eligible women (HH12), all children under 5 (HH14) and all children aged between 2 and 9 (HH15A) is properly entered.
Make all the necessary steps for all the individual questionnaires to be filled in correctly for this household.

Interviewer's observations ________

Field editor's observations ________

Supervisor's observations ________