No. QUESTIONS -English QUESTIONS -Bahasa Indonesia PROMPT / OPTIONS -Englsih PROMPT / OPTIONS -Bahasa Indonesia NOTES
## RESIDENCE / STRUCTURE ID
22 location/address
23 village
24 tag no. ID
25 old tag no. of structure ID
26 size of structure (in area; square meters) - calculate the average structure size in each village, according to our maps
## HOUSEHOLD ID
27 household ID ID Given at first assignment; later need a look-up.
28 Household Member No. ID Given at first assignment; later need a look-up.
## HOUSEHOLD COMPOSITION
29 respondent relationship to Household Head (HH)
* head
* spouse
* wife
* husband
* son/ daughter
* daughter
* son
* son/daughter - in - law
* grandchild
* granddaughter
* grandson
* parent
* mother
* father
* sister
* brother
* non-relative
* non-relative employee
* others (specify)
30 How many people are living together in this household? Berapa banyak anggota keluarga yang hidup di rumah bapak/ibu? #
31 Can you help to identity of nuclear family members dependent on the head of household/hh?
* no / cannot
* none
* name (first, middle, last name)
* m/f
* age [year]
* birthplace
* religion
* ethnicity
* marital status
* relation with HH
* highest formal education
* occupation, primary
* occupation, secondary
32 Can you help to identify additional family members living with respondent’s family (for the last 6 months)
* no / cannot
* name (first, middle, last name)
* m/f
* age [year]
* birthplace
* religion
* ethnicity
* marital status
* relation with HH
* highest formal education
* occupation, primary
* occupation, secondary
33 Does the household head have spouses that live outside this household?
* yes (go to 28a)
* no (go to 29)
34 Do you or the HH have any dependents not living under the same roof?
* no / none
* name (first, middle, last name)
* location of residence
* m/f
* age [year]
* birthplace
* religion
* ethnicity
* marital status
* relation with hh
* highest formal education
* occupation, primary
* occupation, secondary
## RESIDENCY STATUS
35 Is this house your primary residence?
* yes
* no
36 People from other villages/sub-district/district living with the respondent within the last year:
* no / none
* name
* m/f
* relation with hh
* origin (desa,keca kampong)