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SUSENAS
CONFIDENTIAL
SUSENAS V.1 – 82
CONSUMPTION
CENTRAL BUREAU OF STATISTIC
1982 NATIONAL SOCIO-ECONOMIC SURVEY
LISTING V.1: FOOD/BEVERAGES CONSUMPTION REGULAR/PARTICULAR HOUSEHOLD
(Daily Records)
I. LOCATION IDENTIFICATION
1. Province
2. Dictrict/Municipality *)
3. Urban/Rural area *)
4. Susenas Sample Code Number
5. Household Serial Number
6. Name of Household head
7. Number of household members
8. Name of particular household **)
9. Head/Leader’s name
10. Number of inhabitants
11. Address
II. ENUMERATION PARTICULARS
1. Name of enumerator
2. Date of enumeration
3. Enumerator’s signature
*) cross out either one
**) Detail 8 to 11 fill in only for particular household
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INFORMATION HOW TO FILL THE DAILY RECORD
What is recorded in this Daily Record are all foods/beverages that are consumed by all
household members, every day during one week. This could be food/beverage that is either
prepared by the household or those that have been bought or received from others.
This Dairy Record consist of 3 (three) parts:
Part A
: List household members’ names including their characteristics. Particular
households are represented by only 10 people.
Part B
: Note all cooked foods/beverages prepared by the household and consumed by
household members, excluding those that are sold, given to others or that used
as animal feed. Food/beverages could be have be bought, own production, given
from other party, etc.
Part of C1/C2 : Note prepared food/beverage, i.e. cooked food/beverage/ prepared by other
party and consumed directly. These prepared food/beverage could be those that
have been bought or given or shared.
Prepared foods/beverages are divided into:
C1
: food eaten in the house/the yard such as: buying ‘gado-gado’ (vegetables with
peanut sauce) from a food stall and bringing it to eat at home; buying
bakso/meatball soup from a vendor passing in front the house;fried bananas
given by the nieghbour, etc.
C2
: food eaten outside the house, such as: buying snack at school, food eaten at the
food stall, eating/drinking during a trip, eating during a meeting, eating at
aparty, etc.
Unit, e.g.: plate, bowl, unit, package, pieces, slices, kg., etc.
Column (6) to (11) fill in with a ‘check’ sign (!). Could be more than one ‘check’ / ! sign.
For foods that are own production or given, and prepared food/beverage that were given, please
estimate their appropriate value as per local price (at the closest market)
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A. NAMES OF HOUSEHOLD MEMBERS
Please write down the names of all household members who live in this household:
Serial
number
(1)
Name of
Household
member
(2)
Relationship to
Head of
Household
(3)
Age
Gender
F/M
Daily
activity
(4)
(5)
(6)
Relationship to the head of household:
-
Household head
Husband/Wife
Children
Son/daughter in Law
Grandchildren
Parents/Parent in law
Other relatives
Servant
Other
Do you usually consume
prepared food/beverage?
Yes/No
(7)
Day by day activity:
-
Work/temporarily not working
Looking for a job
Attending school
Taking care of household
Retired, disabled, etc
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B. CONSUMPTION OF COOKED FOOD/BEVERAGE PREPARED BY HOUSEHOLD
Type of food/beverage
Local
unit
Conversion
from one
local unit to
Kg.*
Day 1:
Quantity
in local
unit
Value
(Rp)
Quantity
in local
unit
Value
(Rp)
Quantity
in local
unit
Value
(Rp)
(1)
(2)
(3)
Cereals
a.
1. Rice
2. Glutinous rice
3. Wet corn with skin
4. Dry corn with skin
5. Dry shelled corn
6. Corn flour
7. Wheat flour
8. Other
x
x
b. Tuber
1. Cassava
2. Dried cassava
3. Tapioca
4. Dried cassava flour
5. Sweet potato
6. Other (potato, taro,
x
x
sago, etc)
c. Fish: fresh water fish, salted /dried fish, canned
(4)
(5)
(6)
(7))
(8)
(9)
fish, shrimp, squid, crab, etc.
d. Meat: beef, buffalo, goat, pork, chicken,
incl. bones, innards, dried meat, dried
shredded meat (abon), canned corned
beef.
e. Egg and Milk: chicken egg, duck egg, salted
egg, and pure milk, factory-processed
liquid milk, cheese, etc
spinach, water spinach, cabbage,
f. Vegetable:
string bean, tomato, eggplant, chili, onion, etc.
g. Pulses: peanut, mungbean, kidney bean,
soybean, tofu, tempe, fermented soybean
sauce, ‘oncom’, etc
h. Fruits: Orange, mango, apple, ‘rambutan’,
lanzon, durian, snake fruit, pineapple,
banana, ‘sawo’, jackfruit, etc
Day 2:
Day 3:
x
x
X
x
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
i. Others: salt, spices, soy sauce, fish paste,
coconut, frying oil, butter, palm sugar,
granulated sugar, tea, coffee,
shrimp/fish crackers, emping, rice
noodle, etc
X
X
X
j. Tobacco, betel: cigarette, clove cigarette,
tobacco, betel, areca nut, etc
x
X
X
Total
Number of people eating
________ persons ______ persons _______ pers
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B. CONSUMPTION OF COOKED FOOD/BEVERAGES PREPARED BY HOUSEHOLD
Day 4:
Day 5:
Day 6:
Day 7:
Total
Quantity
in local
unit
Value
(Rp)
Quantity
in local
unit
Value
(Rp)
Quantity
in local
unit
Value
(Rp)
Quantity
in local
unit
Value
(Rp)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17))
______persons
_________ persons
Quantity
Local
Kg *)
Unit
(18)
(19)
Value
(Rp)
(20)
_________ persons _________ persons *) fill in by enumerator
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C1. PREPARED FOOD/BEVERAGES CONSUMED IN THE HOUSE
a.
b.
Day/
date
(1)
Please write down all the types of prepared food/beverages (food/beverage that are not
cooked/prepared by the household) consumed by household members
Please write down the quantity and the value, and whether they were bought or given
Type of
prepared
food/
beverages
Quantity
(2)
(3)
Unit
(4)
Value
(Rp)
Rice
Corn
(5)
(6)
(7))
This food is made of:
Cassava
Sweet Wheat
potato flour
(8)
(9)
(10)
Other
(11)
Food
origin
(12)
Day 1
…….
Date:
Day 2
…….
Date:
Day 3
…….
Date:
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Day/
date
(1)
Type of
prepared
food/
beverages
Quantity
(2)
(3)
Unit
(4)
Value
(Rp)
Rice
Corn
(5)
(6)
(7))
This food is made of:
Cassava
Sweet Wheat
potato flour
(8)
(9)
(10)
Other
(11)
Food
origin
(12)
Day 4
…….
Date:
Day 5
…….
Date:
Day 6
…….
Date:
Day 7
…….
Date:
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Name of household member: …………
C2. PREPARD FOOD/BEVERAGES CONSUMED OUTSIDE THE HOME
a. Please write down all the types of prepared food/beverages consumed by the household member whose
name is written above (as per col. (2) Part A)
b. Please write down its quantity and value, e.g. snacks bought at school/office/food stall/market, during a
trip (train, boat, airplane, hotel/inn) and food eaten at the party.
Day/
date
(1)
Type of
prepared
food/
beverages
Quantity
(2)
(3)
Unit
(4)
Value
(Rp)
Rice
Corn
(5)
(6)
(7))
This food is made of:
Cassava
Sweet Wheat
potato flour
(8)
(9)
(10)
Other
(11)
Food
origin
(12)
Day 1
……
Date:
Day 2
……
Date:
Day 3
……
Date:
Day 4
……
Date:
Day 5
……
Date:
Day 6
……
Date:
Day 7
……
Date:
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