HOUSEHOLD
General Information
Page 1c
1. Interviewee ________________________________
2. Household head
Position in household
Sex of head
Male
Female
Age (yrs)
 30
31-40
41-50
51-60
61-70
> 70
Not known
1.
2.
3.
4.
5.
6.
Household head
Spouse of head
Brother
Sister
Son
Daughter
Other (specify)
7. ______________
3. Tribe
4. Number of people residing in household
Name __________________
Males
Females
Children < 15 yrs
Code
5. Land holding / farm size
(enter X in box in first column
if not known)
Area
Crops
Grazing *
Forest
6. Land ownership
(Tick one or more)
Units (tick)
Own
Lease
Other
(specify) ______________
Acres
Hectares
9. Livestock kept
(enter numbers
in first column)
Total size
* Other than communal
Numbers
Most
important
species (rank
up to 3:
(1, 2, 3)
7. Livestock activity
Is livestock the major activity on your farm?
Yes
No
8. Sources of income
(Tick first column as
appropriate, rank
level of source of
income in second
column – 1 highest.)
1.
2.
3.
4.
5.
6.
Cattle
Sheep
Goats
Chickens †
Pigs
Donkeys
Other (specify)
7. ______________
† Adult birds only
1.
2.
3.
4.
Crops
Livestock and products *
Home industries
Salary / wages
10. Livestock production category
(Divide numbers given in question 9. into the following categories)
Other (specify)
5. _________________
* Include the value of non-cash outputs or products e.g.
manure, traction etc.
Dairy
1. Cattle
2. Sheep
3. Goats
Meat
Dual purpose
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