LISTING V.1: FOOD/BEVERAGES CONSUMPTION REGULAR/PARTICULAR HOUSEHOLD

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SUSENAS CONFIDENTIALSUSENAS V.1 – 82 CONSUMPTION

CENTRAL BUREAU OF STATISTIC1982 NATIONAL SOCIO-ECONOMIC SURVEY

LISTING V.1: FOOD/BEVERAGES CONSUMPTION REGULAR/PARTICULAR HOUSEHOLD(Daily Records)

I. LOCATION IDENTIFICATION1. Province2. Dictrict/Municipality *)3. Urban/Rural area *)4. Susenas Sample Code Number5. Household Serial Number6. Name of Household head7. Number of household members8. Name of particular household **)9. Head/Leader’s name10. Number of inhabitants11. Address

II. ENUMERATION PARTICULARS1. Name of enumerator2. Date of enumeration3. 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 allhousehold members, every day during one week. This could be food/beverage that is eitherprepared 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. Particularhouseholds are represented by only 10 people.

Part B : Note all cooked foods/beverages prepared by the household and consumed byhousehold members, excluding those that are sold, given to others or that usedas animal feed. Food/beverages could be have be bought, own production, givenfrom other party, etc.

Part of C1/C2 : Note prepared food/beverage, i.e. cooked food/beverage/ prepared by otherparty and consumed directly. These prepared food/beverage could be those thathave 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 withpeanut sauce) from a food stall and bringing it to eat at home; buyingbakso/meatball soup from a vendor passing in front the house;fried bananasgiven by the nieghbour, etc.

C2 : food eaten outside the house, such as: buying snack at school, food eaten at thefood stall, eating/drinking during a trip, eating during a meeting, eating ataparty, 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, pleaseestimate 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:

Serialnumber

Name ofHousehold

member

Relationship toHead of

Household

Age GenderF/M

Dailyactivity

Do you usually consumeprepared food/beverage?

Yes/No(1) (2) (3) (4) (5) (6) (7)

Relationship to the head of household: Day by day activity:

- Household head - Work/temporarily not working- Husband/Wife - Looking for a job- Children - Attending school- Son/daughter in Law - Taking care of household- Grandchildren - Retired, disabled, etc- Parents/Parent in law- Other relatives- Servant- Other

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B. CONSUMPTION OF COOKED FOOD/BEVERAGE PREPARED BY HOUSEHOLDDay 1: Day 2: Day 3:Type of food/beverage Local

unitConversionfrom onelocal unit toKg.*

Quantityin localunit

Value(Rp)


Value(Rp)


Value(Rp)

(1) (2) (3) (4) (5) (6) (7)) (8) (9)a. Cereals1. Rice2. Glutinous rice3. Wet corn with skin4. Dry corn with skin5. Dry shelled corn6. Corn flour7. Wheat flour8. Other x x x x Xb. Tuber1. Cassava2. Dried cassava3. Tapioca4. Dried cassava flour5. Sweet potato6. Other (potato, taro,sago, etc)

x x x X X

c. Fish: fresh water fish, salted /dried fish, cannedfish, shrimp, squid, crab, etc.

X X X

d. Meat: beef, buffalo, goat, pork, chicken,incl. bones, innards, dried meat, driedshredded meat (abon), canned corned beef.

X X X

e. Egg and Milk: chicken egg, duck egg, salted egg, and pure milk, factory-processed liquid milk, cheese, etc

X X X

f. Vegetable: spinach, water spinach, cabbage,string bean, tomato, eggplant, chili, onion, etc.

X X X

g. Pulses: peanut, mungbean, kidney bean,soybean, tofu, tempe, fermented soybeansauce, ‘oncom’, etc

X X X

h. Fruits: Orange, mango, apple, ‘rambutan’,lanzon, durian, snake fruit, pineapple,banana, ‘sawo’, jackfruit, etc

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, ricenoodle, etc

X X X

j. Tobacco, betel: cigarette, clove cigarette,tobacco, betel, areca nut, etc

X X X

Total x X XNumber of people eating ________ persons ______ persons _______ pers

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B. CONSUMPTION OF COOKED FOOD/BEVERAGES PREPARED BY HOUSEHOLDDay 4: Day 5: Day 6: Day 7: Total

QuantityQuantityin localunit

Value(Rp)


Value(Rp)


Value(Rp)


Value(Rp) Local

UnitKg *)

Value(Rp)

(10) (11) (12) (13) (14) (15) (16) (17)) (18) (19) (20)

______persons _________ persons _________ persons _________ persons *) fill in by enumerator

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C1. PREPARED FOOD/BEVERAGES CONSUMED IN THE HOUSE

a. Please write down all the types of prepared food/beverages (food/beverage that are notcooked/prepared by the household) consumed by household members

b. Please write down the quantity and the value, and whether they were bought or given

This food is made of:Day/date

Type ofpreparedfood/beverages

Quantity Unit Value(Rp) Rice Corn Cassava Sweet

potatoWheatflour

Other

Foodorigin

(1) (2) (3) (4) (5) (6) (7)) (8) (9) (10) (11) (12)Day 1

…….

Date:

Day 2

…….

Date:

Day 3

…….

Date:

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potatoWheatflour

Other

Foodorigin

(1) (2) (3) (4) (5) (6) (7)) (8) (9) (10) (11) (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 whosename 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 atrip (train, boat, airplane, hotel/inn) and food eaten at the party.




potatoWheatflour

Other

Foodorigin

(1) (2) (3) (4) (5) (6) (7)) (8) (9) (10) (11) (12)Day 1……Date:

Day 2……Date:

Day 3……Date:

Day 4……Date:

Day 5……Date:

Day 6……Date:

Day 7……Date:

LISTING V.1: FOOD/BEVERAGES CONSUMPTION REGULAR/PARTICULAR HOUSEHOLD

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