HOUSEHOLD SURVEYS DURING MULTIPLE CRISES MODIFYING QUESTIONNAIRES TO ASSESS THE IMPACT OF SHOCKS Ivette Contreras, Gbemisola Oseni, Amparo Palacios-Lopez and Raka Banerjee May 2023 HOUSEHOLD SURVEYS DURING MULTIPLE CRISES MODIFYING QUESTIONNAIRES TO ASSESS THE IMPACT OF SHOCKS Ivette Contreras, Gbemisola Oseni, Amparo Palacios-Lopez and Raka Banerjee May 2023 © 2023 International Bank for Reconstruction and Development / The World Bank 1818 H Street NW Washington DC 20433 Telephone: 202-473-1000 Internet: www.worldbank.org Attribution Please cite the work as follows: Contreras, I., Oseni, G., Palacios-Lopez, A., & Banerjee, R. Household Surveys During Multiple Crises. Modifying Questionnaires to Assess the Impact of Shocks. Washington, DC: World Bank. Disclaimer This work is a product of the staff of The World Bank with external contributions. The findings,interpretations, and conclusions expressed in this work do not necessarily reflect the views of The WorldBank, its Board of Executive Directors, or the governments they represent. The World Bank does not guarantee the accuracy, completeness, or currency of the data included in this work and does not assume responsibility for any errors, omissions, or discrepancies in the information, or liability with respect to the use of or failure to use the information, methods, processes, or conclusions set forth. Nothing herein shall constitute or be construed or considered to be a limitation upon or waiver of the privileges and immunities of The World Bank, all of which are specifically reserved. Rights and Permissions This work is available under the Creative Commons Attribution 3.0 IGO license (CC BY 3.0 IGO) http://creativecommons.org/licenses/by/3.0/igo. Under the Creative Commons Attribution license, you are free to copy, distribute, transmit, and adapt this work, including for commercial purposes. Any queries on rights and licenses, including subsidiary rights, should be addressed to World Bank Publications, The World Bank Group, 1818 H Street NW, Washington, DC 20433, USA; fax: 202-522- 2625; e-mail: pubrights@worldbank.org. Cover images (from left to right): ©Scott Wallace/The World Bank ©Wu Zhiyi/The World Bank Internal photos Page iv ©Dominic Chavez/The World Bank Page 1 ©Stephan Gladieu/The World Bank Page 7 ©Nugroho Nurdikiawan Sunjoyo/The World Bank Page 21 ©Mohammad Al Arief/The World Bank Contents Acknowledgements........................................................................................................v PART A. Introduction.......................................................................................................1 PART B. Modifications to core household survey modules: incorporating questions and response options related to shocks into standard questionnaires.........................................................................................7 Module 1: Household Roster..................................................................................10 Module 2: Education...............................................................................................11 Module 3: Health.....................................................................................................14 Module 4: Labor......................................................................................................16 Module 5: Household Enterprises...........................................................................17 Module 8: Savings and Credit.................................................................................19 Module 11: Housing................................................................................................19 Module 14: Shocks and Coping Strategies.............................................................20 PART C. Additional modules to be considered............................................................21 References.....................................................................................................................23 Appendix A. Model household survey questionnaire ..............................................25 iii iv Acknowledgements The authors are grateful to Diane Steele, Josefine Durazo, Philip Wollburg, Utz J. Pape, Ikuko Uochi, Miki Khanh Doan, and Trang Van Nguyen who provided comments on a previous version of the document, as well to Talip Kilic, Philip Wollburg, Adriana Paolantonio, Yannick Markhof, and the members of the World Bank’s COVID-19 Questionnaire Working Group who designed most of the modules included in Section 4. Professional editing was provided by Olutola Jordan, and the graphic design is by Maryam Gul. v vi PART A Introduction Beyond the COVID-19 pandemic, the world has experienced multiple global crises in the last few years. As countries adapt to a new normal, multi-topic household surveys should also be adapted to account for the impacts of shocks on household welfare. By reviewing the standard household survey questionnaires included in the guidebook, Capturing What Matters: Essential Guidelines for Designing Household Surveys, we provide technical guidance on issues to consider when reviewing, designing, or updating questionnaires for household surveys during or after a major shock – relying on lessons learned from the World Bank’s Living Standards Measurement Study program. 1 Figure 1. Modifying Household Surveys to Assess the Impact of Shocks Shocks, by definition, lead to substantial changes For household surveys Measuring changes in in household welfare, to remain useful in the welfare due to crises with the most vulnerable context of significant and is relevant for public populations likely to be widespread shocks, they policies. These include the most significantly must be appropriately policies focused on food impacted. In recent years, modified to account for security, social protection, the COVID-19 pandemic, the impacts of such shocks building resilience and hyperinflation, disruptions on household welfare. The strengthening policies to in supply chains due to availability of phones, even channel better investments armed conflicts, climate in poorer countries, allows to improve long term related shocks have interviewers to capture development outcomes. impacted livelihoods across information remotely. the world, especially for individuals in low-income countries. Welfare is a complex, multidimensional concept that is best measured through household surveys. Understanding welfare can go beyond collecting simple measurements of household income or consumption, to understanding other dimensions, such as, a household’s level of education, food consumption, health, household enterprises, agricultural production, nutrition, asset ownership, and climate change mitigation strategies, and much more. To this end, multi-topic household surveys may incorporate an extensive range of customizable modules collecting data on common topic areas, such as, demographics, education, and health, alongside a host of other specialized issues, such as, migration, climate change, disability, and conflict. Furthermore, household surveys rely on sampling strategies that facilitate data collection on a wide variety of populations, allowing for the collection of information that is representative at the national level and for multiple sub-populations of interest. 2 Household Surveys During Multiple Crises Shocks, by definition, lead to substantial changes in household welfare, with the most vulnerable populations likely to be the most significantly impacted. As of this writing, the COVID-19 pandemic – one of the most significant global shocks seen in the last century – has affected the lives and livelihoods of people across the globe. No household, sector, or nation has remained untouched by the pandemic and for many households, especially those in low-income countries, the impact has been dire. The pandemic led to a cascade of shocks for households. Deaths in the family, school closures, and job losses have severely disrupted household conditions since the onset of the pandemic. Many households experienced loss of income, others were forced to adapt by adding members to the labor force to increase income or by reducing their consumption of basic goods (The World Bank Group - UNICEF, 2022). In addition, crucial social services have been disrupted or rendered more difficult to access, and gender- based violence has been on the rise (Shalini & Tushar, 2020; The World Bank, 2020; De Paz Nieves, Gaddis, & Muller, 2021). The global community has experienced multiple global crises in recent years. In addition to the pandemic, the war in Ukraine, inflation at levels not seen since the 1970s, and natural disasters have all disrupted the global supply chain and altered the state of household welfare around the world (The World Bank Group, 2022). All these have served to exacerbate the situation in several countries that regularly experience shocks (Hoogeveen, Rossi, & Sansone, 2017). While at any given time, individual households may experience shocks such as job loss, bereavement, or a health emergency, shocks on a larger scale could have severe consequences for the welfare of a community, country and even the world (Heltberg, Oviedo, & Talukdar, 2015). For household surveys to remain useful in the context of significant and widespread shocks, they must be appropriately modified to account for the impacts of such shocks on household welfare. Adapting household surveys to account for significant shocks requires changes and additions to how the questions are asked, the possible response options, and even the mode of data collection. For example, to minimize disruptions to data collection during the COVID-19 pandemic, many countries changed their mode of data collection from face-to-face surveys to phone surveys, allowing for a more direct and timely analysis of developments in dynamic, rapidly changing situations. In addition, different shocks can be transmitted to households through multiple channels, therefore, when designing questionnaires to capture the impacts of shocks, it is important to understand the transmission mechanisms. Furthermore, the design of specific questions about a recent shock should be worded with consideration given that household members may still be suffering from the consequences of the shock. 3 Phone Surveys elicit real-time information remotely, at low cost and are particularly well-suited for data collection purposes during shocks. The relative ubiquity of mobile phones, even in poorer countries, is such that it is generally possible to collect data from a representative sample of the population1. A major downside of this method is the time constraint: a phone interview can last up to 30 minutes at best before fatigue sets in for the respondent, while face-to-face surveys can last 90 minutes or more. The recommended time limit in phone surveys, to prevent respondent fatigue, only allows for the administration of a limited number of questions and therefore adversely impacts comprehensive data collection. Face-to-face household survey data collection remains the best approach for high quality welfare data, especially for low- and middle-income countries. 2 While phone surveys are useful in the absence of the former, this method has a few additional disadvantages when compared to face-to-face surveys. Beyond time constraints, phone surveys also run the risk of selection bias driven by the segment of the population that owns a phone. In addition, phone surveys prevent the interviewer from ascertaining whether the respondent is the targeted participant, and unlike with face-to-face data collection, interviewers conducting phone surveys are unable to observe the respondent’s body language and other visual cues that may indicate the respondent’s understanding of the question. They are also unable to ask complex and detailed questions or use probe mechanisms, as is common in face-to-face surveys (Zezza, McGee, Wollburg, Assefa, & Gourlay, 2022; Gourlay, Kilic, Martuscelli, Wollburg, & Zezza, 2021). Measuring changes in welfare due to a crisis is relevant for public policies. The first step in customizing responses is assessing the differentiated impacts of a shock, and this technical note is a guide on how to adapt household surveys to better account for the impacts of different crises. This note is aligned with the World Bank Group’s Global Crises Response Framework that includes 4 pillars: i. Responding to Food Insecurity through immediate crisis response to provide urgent support and avoid long-term derailment of development prospects; ii. Protecting People and Preserving Jobs to help mitigate the medium- to long-term impact of crises; 1 For more information see The World Bank (2023) Guidelines on Conducting Emergency Phone Surveys – Pacific Observatory. 2 Standard questionnaires and guidelines about household surveys can be found in Capturing What Matters: Essential Guidelines for Designing Household Surveys (World Bank 2021) 4 Household Surveys During Multiple Crises iii. Strengthening Resilience to be better prepared for future crises and challenges; and iv. Strengthening Policies, Institutions and Investments for Rebuilding Better to utilize the opportunities the crises provide to improve long term development outcomes (The World Bank Group, 2022). Indicators related to these four pillars can be measured using household surveys, which can be designed to collect information during a crisis, assess how the crisis is affecting livelihoods and how the households cope when faced with different shocks. This note offers guidance on how household surveys can be modified to account for the impacts of major shocks. We provide technical guidance on issues to consider when reviewing, designing, or updating questionnaires for household surveys during or after a major shock, relying on lessons learned from four decades of household survey expertise through the World Bank’s Living Standards Measurement Study program. This note takes into consideration the standard questionnaires and guidelines included in the guidebook Capturing What Matters: Essential Guidelines for Designing Household Surveys and provides guidance on how to modify the survey modules to better assess crises impacts. Improving survey implementation to account for shocks should not be only a priority when a shock hits a country. During non-crisis times, survey practitioners can invest in improving crisis readiness via the adaptability of household survey operations. For example, ensuring that the household database is regularly updated with current phone numbers and other relevant information for when the need arises (as seen during the pandemic when phone surveys became the most feasible approach to collecting information on household welfare). The remainder of this note is organized as follows: Section B describes modifications to core household survey modules and Section C presents additional modules that should be considered for incorporation as appropriate, depending on the shock and the analytical needs. 5 6 PART B Modifications to core household survey modules: incorporating questions and response options related to shocks into standard questionnaires This section discusses additional questions or response options that can capture changes in household conditions following the occurrence of a major shock, such as, a public health emergency (for example COVID-19 and Ebola emergencies), armed conflict, inflation, a natural disaster, inter alia. The recently released publication Capturing What Matters: Essential Guidelines for Designing Household Surveys presents a recommended household survey questionnaire format based on the core questionnaire modules from the World Bank’s Household Survey Protocol. Using the same list of modules, Table 1 below provides a summary of the proposed changes, which are presented in detail in the text that follows. 7 Table 1. Suggested modifications to core questionnaire modules for household surveys Pillar in the Section Shock-related topics/indicators WBG Global Module Modifications? Number to be included Crises Response Framework Household 0. No No changes Identification Pillar 2 • Members that joined or left Household Protecting People 1. Yes the household for reasons Roster and Preserving related to the shock Jobs • School-age members not attending school due to school closures related to Pillar 2 the shock Protecting People 2. Education Yes • School dropouts and Preserving • Classes missed Jobs • Additional questions regarding internet use • Illness related to the shock Pillar 3 Health and 3. Yes • Access to health services Strengthening Disability • Stress and mental health Resilience • Household members that Pillar 2 Labor/ stopped working, lost jobs, Protecting People 4. Yes Employment or changed jobs due to the and Preserving shock Jobs Pillar 2 • Non-farm enterprises that Household Protecting People 5. Yes stopped, slowed, or changed Enterprises and Preserving focus due to the shock Jobs Non-Labor 6. No No changes Income Pillar 3 Durable 7. No No changes Strengthening Goods/Assets3 Resilience Pillar 4 Strengthening • Reasons for applying for Policies, 8. Credit/Savings Yes new loans that are related Institutions and to the shock Investments for Rebuilding Better Pillar 1 Food 9. No No changes Responding to Consumption Food Insecurity Pillar 1 Non-Food 10. No No changes Responding to Expenditures Food Insecurity 3 Changes in assets are captured in the shocks’ module. 8 Household Surveys During Multiple Crises Pillar in the Section Shock-related topics/indicators WBG Global Module Modifications? Number to be included Crises Response Framework Pillar 4 Strengthening • Additional questions Policies, 11. Housing Yes regarding internet access Institutions and Investments for Rebuilding Better 12. Food Security No No changes • Household eligibility for and Social Pillar 1 use of programs designed 13. Protection Yes Responding to to mitigate impacts of the Programs Food Insecurity shock Shocks and Pillar 3 • Inclusion of the current or 14. Coping Yes Strengthening past shock(s) of relevance Strategies Resilience 15. Land Tenure No No changes These additional questions and/or changes by module are described in detail in the following subsections and incorporated into the modules included in Annex 1 of this technical note. The modules build on the different sections included in the Essential Guidelines. Please note that the reference number of the questions match the ones presented in Annex 1. The modules are also available in an excel version available online. As detailed in the Essential Guidelines, all text written in UPPERCASE (capital) letters are either instructions to the interviewer or response options and codes and these should not be read to the respondent. Text written in lowercase (small) letters should be read directly to the respondent. Note that this includes all response options that are written in lowercase letters. 9 Module 1: Household Roster The household roster collects information about household composition and the demographics of household members. See Annex 1 for the recommended location within the questionnaire of the suggested questions. Proposed Modification 1A: To collect information about shock-related reasons for moving to the current place of residence, as shown in question 23b. Depending on the context and the focus of 23b. the survey, there could be multiple shock- What was [NAME]’s main reason for moving to the current place of residence in the last related reasons of interest included, such 5 years? as “INFLATION”, “COVID-19 PANDEMIC TO LOOK FOR WORK..............................................................1 OTHER INCOME REASONS......................................................2 RESTRICTIONS”, “ARMED CONFLICT”, DROUGHT, FLOOD, OR OTHER WEATHER-RELATED REASON...............................3 “FOOD PRICE INCREASES”, inter alia. This EVICTION..................................................................................4 question should be asked to all household OTHER LAND-RELATED PROBLEM..........................................5 ILLNESS, INJURY.......................................................................6 members that have moved to the current DISABILITY...............................................................................7 household location in recent years. While EDUCATION.............................................................................8 MARRIAGE...............................................................................9 the most common time frame is five years, DIVORCE................................................................................10 survey designers should adapt this period TO ESCAPE INSECURITY........................................................11 RETURN HOME FROM DISPLACEMENT................................12 to match their data needs. The shock- FOLLOW/JOIN FAMILY...........................................................13 [INSERT ADDITIONAL SHOCK-RELATED REASON]...............14 related option(s) should be only enabled/ OTHER, SPECIFY.....................................................................15 valid for household members that moved to the current place of residence since the shock(s) began. If there is a need to identify household 23c. members that moved into the household Did [NAME] join the household since the beginning of the [SHOCK] since the crisis/shock started, consider YES............. 1 including question 23c, which captures NO.............. 2 whether the household member joined the household due to the specific shock at the time of the survey adjustment (referred to here as [SHOCK]). 10 Household Surveys During Multiple Crises Module 2: Education The education module collects information about literacy, educational attainment, and school attendance of household members. Proposed Modification 2A: To capture information on school-age household members that have never attended or are not currently attending school due to the shock (questions 6 and 12). The education module usually captures information for all household members 5 years and older. The shock-related options in question 6 (response options 14 and 15) should only be enabled/valid for household members that should have started school for the first time during the shock, based on the relevant age threshold for the country in which the survey is being conducted. 6. 12. What was the main reason [NAME] Why is [NAME] not currently attending school? never attended school? TOO YOUNG....................................................................... 1 HAD ENOUGH/COMPLETED SCHOOLING.......................... 1 TOO FAR AWAY.................................................................. 2 AWAITING ADMISSION...................................................... 2 TOO EXPENSIVE.................................................................. 3 NO SCHOOL/LACK OF TEACHERS...................................... 3 WORKING (HOME OR JOB................................................. 4 NO TIME ............................................................................. 4 LACK OF MONEY................................................................ 5 NO INTEREST....................................................................... 5 DEATH OF PARENT(S.......................................................... 6 LACK OF MONEY................................................................ 6 SEPARATION OF PARENTS.................................................. 7 MARITAL OBLIGATION....................................................... 7 DID NOT HAVE INTEREST................................................... 8 SICKNESS............................................................................. 8 PARENTS DO NOT THINK IT IS IMPORTANT...................... 9 DISABILITY.......................................................................... 9 PARENTS OPPOSED TO SCHOOL...................................... 10 SEPARATION OF PARENTS................................................ 10 ILLNESS.............................................................................. 11 DEATH OF PARENTS......................................................... 11 DISABILITY........................................................................ 12 TOO OLD TO ATTEND...................................................... 12 CONFLICT (MILITANCY/ INSURGENCY............................. 13 DOMESTIC OBLIGATION................................................... 13 SCHOOL CLOSED DUE TO [SHOCK]................................. 14 CONFLICT (MILITANCY/INSURGENCY)............................. 14 WORRIED ABOUT RISK OF [SHOCK]................................ 15 PREGNANCY..................................................................... 15 OTHER (SPECIFY................................................................ 96 TOO YOUNG.................................................................... 16 SCHOOL CLOSED DUE TO [SHOCK]................................. 17 WORRIED ABOUT RISK OF [SHOCK]................................ 18 OTHER, SPECIFY................................................................ 96 11 Proposed Modification 2B: 9b. To confirm whether school- Was [NAME] attending school in person before [MAJOR SHOCK ONSET MONTH/YEAR]? age household members YES............. 1 were attending school before the shock NO.............. 2 occurred (9b). For global shocks, the onset month may vary across countries. This question is applicable for all household members 5 years and older that have ever attended school. Proposed Modification 2C: To capture the number of classes missed during the last week and to identify the main reason for this. Please note that question 13b should be asked to all household members 5 years and older currently attending school. 13b. 13c. During the last week [MONDAY-SUNDAY] that Why did [NAME] miss the lessons? school was open for lessons, either in-person or virtual, how many days did [NAME] miss? CAPI/INTERVIEWER: NO SCHOOL OPEN NEARBY/LACK OF TEACHERS..................1 CHECK THAT NUMBER OF DAYS <= MAXIMUM SICK..........................................................................................2 NUMBER OF DAYS PER WEEK WITH LESSONS NO TIME/NO INTEREST............................................................3 LACK OF MONEY.....................................................................4 GOT MARRIED/MARITAL OBLIGATION...................................5 DEATH OF PARENTS................................................................6 DOMESTIC OBLIGATIONS........................................................7 CONFLICT (MILITANCY/INSURGENCY)....................................8 GOT JOB/WAS WORKING........................................................9 NATURAL DISASTER..............................................................10 NO INTERNET FOR VIRTUAL LESSONS..................................11 OTHER [SHOCKS] ..................................................................12 OTHER (SPECIFY)...................................................................96 Proposed modification 2D: To understand 8. why household members do not have Why does [NAME] not have access to the internet at home? access to the internet at home. This que- SELECT ALL APPLICABLE stion is recommended to be included in COST OF HAVING A DEVICE TO ACCESS Section 2b that captures information on THE INTERNET IS TOO HIGH......................................................1 COST OF INTERNET ACCESS/DATA PACKAGES technology access. IS TOO HIGH...............................................................................2 LACK OF KNOWLEDGE OR SKILLS TO USE INTERNET/PHONES........................................................3 PRIVACY OR SECURITY CONCERNS...........................................4 QUALITY OF ACCESS IS TOO LOW.............................................5 NO COVERAGE...........................................................................6 NOT INTERESTED........................................................................7 OTHER, SPECIFY........................................................................96 12 Household Surveys During Multiple Crises Proposed modification 2E: To capture information about the frequency of internet use, as well as the limitations to accessing the internet more frequently. Questions 10 and 11 are collected for individuals that previously answered that they have access to the internet. 10. 11. How often does [NAME] use the internet? What limitations prevent [NAME] from using the internet more frequently? Every day.........................................1 SELECT ALL APPLICABLE A few times a week........................2 NOTHING, NO LIMITATION........................................................1 A few times a month.....................3 HIGH COST OF INTERNET...........................................................2 Less than once a month.................4 ISSUES WITH MY PHONE, TABLET OR COMPUTER...................3 Never ..............................................5 WORRIED ABOUT GETTING A VIRUS/MALWARE......................4 WORRIED ABOUT GETTING TRACKED/SURVEILLED.................5 I FIND IT DIFFICULT TO USE........................................................6 NOT ALLOWED TO USE IT MORE (FAMILY, SPOUSE, PARENTS)......................................................7 LACK OF CONTENT IN MY LANGUAGE.....................................8 OTHER, SPECIFY........................................................................96 13 Module 3: Health The health and disability module collects information on health conditions, expenditures on health care, barriers to health care access and disabilities. Proposed Modification 3A: To determine whether the household members needed health services or medical treatment but were not able to access them. Questions 2b-2d are collected at the individual level. 2b. 2c. 2d. Has [NAME] needed health Was [NAME] able to access What was the main reason services/medical treatment the health services/ medical why [NAME] was not able to since the beginning of the treatment the last time access the health services or [SHOCK]? [NAME] needed it? medical treatment needed? YES............. 1 YES............. 1 Q3 LACK OF MONEY..................................1 Q3 NO.............. 2 NO.............. 2 NO MEDICAL PERSONNEL AVAILABLE.......................2 TURNED AWAY BECAUSE FACILITY WAS FULL..............................3 DUE TO MOVEMENT RESTRICTIONS...4 WORRIED ABOUT RISK OF [SHOCK]....5 OTHER (SPECIFY)................................96 Proposed Modification 3B: To account for the specific shock-related illness suffered by household members (Question 6). The health module collects information for all household members. Question 6 should be posed only to household members that have reported an illness or injury in the last 4 weeks. Here, we include COVID-19 as an example; however, any relevant illness related to the shock of interest should also be included. 6. What type of illness/injury did [NAME] suffer most during the last 4 weeks? SELECT UP TO TWO IN ORDER OF SEVERITY MALARIA..................................................................... 1 FLU............................................................................. 14 TB................................................................................. 2 CATARRH.................................................................... 15 YELLOW FEVER............................................................ 3 COUGH....................................................................... 16 TYPHOID...................................................................... 4 HEADACHE................................................................ 17 CHOLERA..................................................................... 5 DIABETES................................................................... 18 DIARRHEA.................................................................... 6 GUINEA WORM......................................................... 19 MENINGITIS.................................................................. 7 DYSENTERY................................................................ 20 CHICKEN POX.............................................................. 8 SCABIES...................................................................... 21 PNEUMONIA................................................................ 9 RINGWORM............................................................... 22 COMMON COLD........................................................ 10 HEPATITIS B................................................................ 23 COVID-19................................................................... 11 ULCER/STOMACH PAIN............................................. 24 INJURY....................................................................... 12 EYE PROBLEM............................................................ 25 HYPERTENSION.......................................................... 13 TOOTH PROBLEM...................................................... 26 OTHER (SPECIFY)....................................................... 96 BODY PAINS............................................................... 27 1ST 2ND 14 Household Surveys During Multiple Crises Proposed Modification 3C: To measure mental health issues after a relevant shock. We propose including the module below to assess the mental health of the household member using a version of the Center for Epidemiological Studies- Depression or CES-D test.4 This module has been included as module S3B in Annex 1. Now I want to ask you about some of the ways you may have felt or behaved in the last 7 days. CODE During the last 7 days, how many days […] Days (0-7) 1 … Were you disturbed by things that don’t normally bother you? 2 … Did you have trouble concentrating on what you were doing? 3 … Did you feel depressed? 4 … Did you feel that everything you did was a burden? 5 … Were you hopeful about the future? 6 … Did you feel afraid? 7 … Was your sleep restless? 8 … Were you happy? 9 … Did you feel lonely? 10 … Did you feel like not getting up in the morning? 4 Jamison et al. (2018) discusses an application of this test in Nigeria. 15 Module 4: Labor The labor module captures information about the labor activities of the household members. Proposed Modification 4A: To identify whether the household members lost their job or stopped working due to the major shock, as well as the months in which they did not work. Note that for global shocks, the month of onset will vary across countries. The list of months in Question 5 should be adapted by country based on the onset of the shock. Question 6 ascertains whether the household member had to reduce their usual working hours due to the shock. These questions have been included as module S4C in Annex 1. 4. 5. 6. Did you lose your job or stop In which month(s) did you not Did you have to reduce working due to [SHOCK] that work due to [SHOCK]? your usual working hours started in [MAJOR SHOCK due to [SHOCK] that started ONSET MONTH/YEAR]? (if D1=1) in [MAJOR SHOCK ONSET MONTH/YEAR]? YES............. 1 March 2020.....................................1 YES............. 1 Q6 NO.............. 2 April 2020.......................................2 NO.............. 2 May 2020........................................3 June 2020........................................4 July 2020.........................................5 August 2020....................................6 September 2020.............................7 October 2020..................................8 November 2020..............................9 December 2020.............................10 January 2021.................................11 February 2021...............................12 March 2021...................................13 April 2021.....................................14 16 Household Surveys During Multiple Crises Module 5: Household Enterprises This module captures the characteristics of household enterprises. Proposed Modification 5A: To determine whether the household had a non-farm enterprise that shut down due to the shock. The household enterprises module has two sections, one at the household level and the other at the enterprise level. The module at the household level works as a screener to determine if there is any household enterprise with any activity in the last 12 months. The module at the enterprise level collects information for all the businesses done by all household members in the last 12 months. We propose two ways to achieve this goal: ▶▶ Adjusting the reference period to start from before the onset of the shock and capturing the list of enterprises that the household had administered since the shock began, even if these activities are not currently ongoing. For example, for the case of the COVID-19 pandemic, the recommended reference time was January 2020. ▶▶ Keeping the enterprise-level module using a reference period of 12 months and including a question to determine whether the household had any enterprise before the shock and. If there is a yes in any line (lines 14-21), then questions 22 and 23 should be asked to understand if any of the activities stopped since the start of the shock and the main reason for that. Question 24 seeks to quantify any changes in the revenue from sales compared to a month before the shock. Since [REFERENCE MONTH BEFORE THE SHOCK], has anyone in your household… YES............. 1 NO.............. 2 14. … owned a non-agricultural business or provided a non-agricultural service, either from home or from a household-owned shop? Examples include owning a carwash, metal worker, mechanic, carpenter, tailor, barber, etc. 15. … sold any processed products derived from PURCHASED crops, livestock, fishing, or forest products? This means raw materials that were not grown, raised, fished, or foraged/collected by your household, but instead were purchased by your household and then processed for sale. Examples include flour, juice, beer, jam, oil, seed, fish filets, cured meats, wicker baskets, etc. 16. … owned a trading business on a street or in a market? 17. … offered any service or hawked/sold anything on a street or in a market? Includes firewood, home-made charcoal, curios, construction timber, traditional medicine, mats, bricks, furniture, weave baskets, thatch grass, etc.? 18. … offered professional services, from home or from an office, as a doctor, accountant, lawyer, translator, private tutor, midwife, mason, etc.? 17 Since [REFERENCE MONTH BEFORE THE SHOCK], has anyone in your household… YES............. 1 NO.............. 2 19. … offered transportation or moving services as a driver of a household- owned or rented taxi, motorbike, or truck? 20. … owned a bar, restaurant, or food stand? 21. …owned any other non-agricultural business, even if it is a small activity run from home or on a street? 22. 23. 24. Did the household stop any Why did the household stop Compared to [REFERENCE of these activities since [major any of these activities? TIME BEFORE THE SHOCK] are shock] that started in [MAJOR the revenue from sales from SHOCK ONSET MONTH/YEAR]? (IF E2=1) the non-farm family business… (IF THERE IS ANY YES (MULTIPLE RESPONSES MAY READ OPTIONS RESPONSE IN LINES 2-9 IN E1) APPLY) YES............. 1 LEGAL PROBLEMS............................... 1 Higher....................... 1 Q14 NO.............. 2 COULD NOT OBTAIN INPUTS............. 2 The same................... 2 LACK OF DEMAND............................. 3 Less............................ 3 LOW PROFITS...................................... 4 No revenue............... 4 COULD NOT OBTAIN CREDIT............. 5 TOO MUCH DEBT............................... 6 SECURITY ISSUES................................ 7 DEATH/SICKNESS OF OWNER............. 8 CONFLICT (MILITANCY/INSURGENCY)................ 9 ADDITIONAL [SHOCK]-RELATED REASON............. 10 OTHER, SPECIFY................................ 96 Proposed Modification 5B: To assess the specific challenges that non-farm enterprises face due to the shock. We recommend including question 11b to shed light on the most relevant challenges that enterprises are currently facing. 11b Has the activity you or your household operate faced any of the following challenges due to the [major shock]? READ OUT OPTIONS AND RECORD Y/N RESPONSE YES............. 1 NO.............. 2 Difficulty Difficulty Difficulty Difficulty Difficulty Difficulty Other buying and raising repaying paying rent paying selling goods difficulty receiving money for loans or for business workers or services to (SPECIFY) supplies and the business other debt location customers inputs to run obligations the business 18 Household Surveys During Multiple Crises Module 8: Savings and Credit This section collects savings and credit information at the individual level, allowing for intra-household analysis. Proposed Modification 8A: 14. To identify whether new What was the main reason for applying for this loan? loan applications are moti- PURCHASE LAND........................................................................1 vated by shock-related income loss. This PURCHASE INPUTS FOR FOOD CROP.........................................2 PURCHASE INPUTS FOR CASH CROP.........................................3 question is intended to be included in the PURCHASE LIVESTOCK...............................................................4 credit module at the loan level. CEREMONIES (MARRIAGE, BURIAL, OTHER SOCIAL FUNCTIONS)..................5 EDUCATION................................................................................6 MOTOR VEHICLE PURCHASE.....................................................7 HOME PURCHASE OR CONSTRUCTION.....................................8 OTHER HOUSEHOLD CONSUMPTION........................................9 HEALTH EXPENSES....................................................................10 COPING WITH INCOME LOSS DUE TO [SHOCK].....................11 OTHER, SPECIFY........................................................................96 Module 11: Housing The housing module collects information on access to electricity, drinking water source and the type of dwelling. Proposed Modification 11A: To include more detailed questions about internet access. Shocks can often affect mobility and thereby, internet access. In the Essential Guidelines, questions related to internet or mobile phone access are collected at the individual level in the education and technologies section. We recommend also including this set of questions (28b and 28c) at the household level in the housing module. 28b 28c Do you have internet (WiFi) in the household? How much does your household typically pay for internet (WiFi)? DO NOT INCLUDE ACCESS TO THE INTERNET USING MOBILE PHONES TIME UNIT DAILY........................ 1 YES............. 1 WEEKLY..................... 2 NO.............. 2 FORTNIGHTLY........... 3 MONTHLY................. 4 QUARTERLY.............. 5 YEARLY..................... 6 AMOUNT UNIT 19 Module 14: Shocks and Coping Strategies This standard module assesses whether the household experienced shocks over a specified time period and what their coping mechanisms were. Proposed Modification 14A: To identify whether the household has been directly affected by the major shock of interest (COVID-19, armed conflict, inflation, among others). The standard shocks and coping strategies module captures information on the various shocks a household may have experienced in the last 12 months. We suggest changing the reference period to the month and year of the relevant major shock and to incorporate two additional shocks: increase in price of oil and fuel and disruptions in farming/livestock activities. 20 Household Surveys During Multiple Crises PART C Additional modules to be considered In addition to the core questionnaire modules discussed in Section B, the following modules are also recommended to be considered for household surveys. These additional modules are included in Annex 1 of this guidebook and are also available in an excel version available online. 21 Table 2. Additional modules Pillar in the Section WBG Global Module Description Number Crises Response Framework This module creates a roster of former Pillar 2 1B. Absentees household members and their reasons for Protecting People leaving the household and Preserving Jobs This module collects information about the Pillar 1 Access to availability of essential goods and the main 16. Responding to Essential Goods reasons why a household has not been able Food Insecurity to get the item This module provides in-depth information Pillar 3 about shocks related to climate and 17. Climate shocks Strengthening households’ expectations about future Resilience shocks The module captures information on the Pillar 4 economic situation of the household, the Strengthening Economic 18. economic situation of the country, consumer Policies, Institutions Sentiments prices, major household purchases and and Investments for extreme weather shocks Rebuilding Better This is a module to capture changes in key Pillar 1 19. Food prices food items that are usually consumed by Responding to households Food Insecurity Pillar 4 Government This module collects information about Strengthening 20. responses to satisfaction regarding government Policies, Institutions [SHOCK] responses to different shocks and Investments for Rebuilding Better This module captures information on COVID-19 vaccination for household members 5 years and older. It includes COVID-19 vaccine questions about the motivations of those Pillar 3 history, hesitancy, 21. who made the decision to get vaccinated, Strengthening and information as understanding this motivation is as Resilience sources important as understanding vaccine hesitancy when considering how to improve future vaccine rollouts and uptake. Pillar 4 The module captures perceptions regarding Strengthening Subjective the adequacy of the household’s food 22. Policies, Institutions Well-being consumption, housing, clothing, and health and Investments for care. Rebuilding Better 22 Household Surveys During Multiple Crises References De Paz Nieves, C., Gaddis, I., & Muller, M. (2021). Gender and COVID-19 : What Have We Learnt, One Year Later? Policy Research Working Paper . Gourlay, S., Kilic, T., Martuscelli, A., Wollburg, P., & Zezza, A. (2021). Viewpoint: High- frequency phone surveys on COVID-19: Good practices, open questions. Food Policy. Heltberg, R., Oviedo, A., & Talukdar, F. (2015). What do household surveys really tell us about risk, shocks, and risk management in the developing world. The Journal of Development Studies. Hoogeveen, J., Rossi, M., & Sansone, D. (2017). Leaving, Staying, or Coming Back? Migration Decisions during the Northern Mali Conflict. Policy Research Working Paper. Shalini, M., & Tushar, S. (2020). Gender-Based Violence During COVID-19 Pandemic: A Mini-Review. Frontiers in Global Women’s Health. The World Bank (2023). Guidelines on Conducting Emergency Phone Surveys – Pacific Observatory The World Bank. (2020). Policy Note: Gender dimensions of the COVID-19 pandemic. The World Bank Group - UNICEF (2022). The Impact of COVID-19 on the welfare of households with children. The World Bank Group (2022). Navigating multiple crises, staying the course on long- term development. Zezza, A., McGee, K., Wollburg, P., Assefa, T., & Gourlay, S. (2022). From Necessity to Opportunity: Lessons for Integrating Phone and In-Person Data Collection for Agricultural Statistics in a Post-Pandemic World. World Bank Group. 23 24 Household Surveys During Multiple Crises Appendices Appendix A. Model household survey questionnaire Using this questionnaire This questionnaire is designed in accordance with the LSMS Guidebook, “General Guidelines for Designing Household Surveys”. This overview is a supplement to the guidebook and focuses on the design and layout of the questionnaire content; it does not summarize or replace the contents of the guidebook, which should be referred to for detailed guidance [link: LSMS General Guidelines].  The questionnaire content can be tailored to meet the specific survey’s needs, but comparability should be maintained to the greatest extent possible. In addition to the guidance provided here, the model questionnaire includes notes for survey designers (that is, those deciding the context and content of the survey) as well as programmers (that is, those formatting and preparing the questionnaire for implementation, whether on paper or in CAPI). These notes should be taken into consideration during the planning process and removed before the questionnaire is shared with enumerators and used in the field.  General edits throughout the questionnaire Selecting questions. As questions are often interdependent from the perspective of survey analysis, adding and/or removing questions should be based on careful review of the survey analysis requirements. Any changes should also be carefully reviewed in the context of the flow of the entire section, ensuring that skip patterns and references are also updated. The sample module is based on the recommendations in the General Guidelines. In some cases, optional questions are provided that may allow for further analysis and more context on the section topics. 25 These optional questions are sorted into two types: ▶▶ Strongly encouraged: These are questions that are beyond the minimum requirement for the analysis and calculations detailed in the guidebook, but are nevertheless common and allow for greater understanding of the collected data. Throughout the model questionnaire, these are coded in lavender and labeled E/O (strongly encouraged, but optional). ▶▶ Optional, per survey demands: These are questions that are often included and may be of interest depending on the needs of the survey and the country context. Throughout the model questionnaire, these are coded in light orange and labeled OCC (optional, depending on country/survey context). The following notes apply to all questionnaire sections: ▶▶ Item lists. All item lists – other income sources, assets, food items, social assistance types, and so on – include example items and must be tailored to the country and survey needs in consultation with experts. ▶▶ Currency. Replace all occurrences of CURRENCY with the name of the local currency (such as NAIRA, DOLLAR, PESO, etc.). ▶▶ Household members as response options. Several questions ask the respondent to identify household members that conduct or are responsible for specific activities. For these questions, when using paper-and-pen interviewing (PAPI), allow space to report at least three possible household members per question. When using CAPI, the best option is to revise the question instruction to “List all” and design the response as a multi-select drop-down menu of all (age-appropriate) household members, from which the interviewer can select each household member reported by the respondent. ▶▶ Page formatting. Pages are formatted for reviewing the document. However, if the survey will be implemented using PAPI, the font size as well as space for writing responses should be increased. 26 Household Surveys During Multiple Crises Section 2 – Education Reference period. In most cases, the appropriate reference period will be the current school year, although there are potential exceptions. The goal for this section is to collect consistent schooling data across all households (that is, all households are asked about the same reference period) while minimizing the household reporting burden. ▶▶ If the survey is taking place at the beginning of a new school year, it may be better to ask detailed information on the previous school year, as the respondent will likely have a better understanding of the details and costs of a complete year that has recently ended relative to one just beginning. In this case, we recommend the following question structure: ▶▶ Q10 – Q13: Ask as written in the model questionnaire. ▶▶ ADD A NEW QUESTION: Did NAME attend school during the previous [20XX/20XX] school year? ▶▶ Change all subsequent questions to refer to the recently completed school year instead of the current one. ▶▶ Likewise, if the survey is taking place between school years, information should be collected on the recently completed school year. In this case, the same questions can be revised as follows: ▶▶ Q10. Did NAME attend school during the [20XX/20XX] school year? ▶▶ Q12. Why did NAME not attend school? ▶▶ Q13. In what level was NAME enrolled during the recent [20XX/20XX] school year? ▶▶ Change all subsequent questions to refer to the recently completed school year instead of the current one. ▶▶ Consistency matters. If the survey will span different phases of the school year, survey designers should weigh their options regarding reference period and must agree on ONE reference period to be used throughout the survey. Education expenditures should be reported for each item individually, or at least by grouping categories of expenses. ▶▶ Collecting data at the item-level is strongly recommended. To do so, for Q21 & Q22, ask individually about items labeled A through T. Items A though M as well as O are highly recommended. Delete the row of item groupings labeled i through xii. ▶▶ For surveys that will ask about expense by grouping categories, for Q21 & Q22, ask about each grouping labeled i through xii. In this case, delete the row of items labeled A through T. 27 Section 3 – Health Labor impact. While not central to health and wellness calculations, Q7, Q8, and Q28 are highly encouraged for calculations regarding labor impact. Treated bednets. Q29 – Q32 are strongly recommended for countries where malaria is a common health risk. They are only labeled as optional because malaria is not prevalent in some regions. Anthropometry. Q33 – Q39 are a sample of an extremely brief child anthropometry module. For more details on this topic and for more detailed questionnaire examples, see http://mics.unicef.org/tools, Section 4B – Own-use production of goods The International Labor Organization recommends collecting data on all forms of work, including own-use production of goods (which is not classified as employment under current guidelines). Section 4B is an example of how such data may be collected. The questions can be asked as an extension of Section 4 or as a separate section (as shown here). Sections 5A & 5B – Household enterprises section 5A contains filter questions used to establish whether any of the activities conducted by the household qualify as non-farm enterprises (commonly known as household or family enterprises) for the purpose of this survey. Any households that report Yes to any of the activities in Q2 through Q9 will complete Section 5B for each activity. Section 7 – Assets The item list for this section should be tailored to the country where the survey is being conducted. If the item list will be used to calculate the overall asset wealth of households, expand the list to include the most commonly owned assets as well as any high-priced assets (even if not commonly owned) to allow for ranking households by assets. Alternatively, the list can be used to create an asset index to rank households by quintiles or deciles, for example. In this case, the item list does not need to be an exhaustive list of all potential household assets – rather, it should include key items across 28 Household Surveys During Multiple Crises all price ranges to help rank household wealth. Allowing for up to two additional items to be reported at the household’s discretion (using an “Other, specify” response option) will help capture any significant items that may be overlooked. Items frequently reported as “Other, specify” should be evaluated for inclusion in future iterations of the survey. Sections 8 & 8B – Savings & credit and credit detail Section 8 collects savings and credit information at the individual level, allowing for intra-household analysis. Section 8 Q9 through Q14 ask about loans at the individual level (that is, each person is asked about the loans for which they applied) with details collected on one loan per person. Section 8B collects additional details specifically on loans at the loan level (that is, information is collected about each loan taken out by the household, identifying the household members who were applicants). Section 8B provides more detailed loan information and should be used if such information is explicitly requested by stakeholders. IMPORTANT NOTE: Data on loans should not be collected using both modules. When implementing Section 8B, the last question asked in S8 (which will become S8A) will be Q11. Section 12 – Food security This section is based on FAO’s Food Insecurity Experience Scale (FIES), which requires that the set of questions are asked in their entirety. They can be asked at the overall household level (as shown here) or at the individual level, asked once for each adult household member. It is important that this section is NOT asked directly before or after the food consumption sections. There are two recommended options for the reference period for FIES: ▶▶ For SDG monitoring, a 12-month reference period is recommended, as it controls for possible seasonal changes in food security, thus improving comparability across countries and/or national regions with different environmental and climatic zones. ▶▶ A 30-day reference period can be used if the survey is conducted continuously across the year and time stratified, or if the intent is to collect FIES scores only during one specific month. For further guidance, see http://www.fao.org/in-action/voices-of-the-hungry/en/. 29 SECTION PAGE 0. HH IDENTIFICATION 32 1. A. HOUSEHOLD ROSTER 33 B. HH ABSENTEES 38 2. A. EDUCATION 40 B. TECHNOLOGY ACCESS 48 3. A. HEALTH 50 B. MENTAL HEALTH 57 4. A. LABOUR 59 B. OWN USE PRODUCTION OF GOODS 72 C. JOB LOSSES 75 5. A. HOUSEHOLD ENTERPRISES 76 B. HOUSEHOLD ENTERPRISES 79 6. OTHER INCOME 86 7. ASSETS 87 8. A. SAVINGS AND CREDIT 88 B. CREDIT DETAIL 90 9. A. MEALS AWAY FROM HOME 92 B. FOOD CONSUMPTION AND EXPENDITURE 93 10. A. NON-FOOD EXPENDITURE (7 AND 30 DAY, 6 MONTH RECALL) 101 B. NON-FOOD EXPENDITURE (12 MONTH RECALL) 104 11. HOUSING 105 12. FOOD SECURITY 114 13. SOCIAL PROGRAMS AND PROTECTIONS 115 14. SHOCKS COPING 117 15. LAND TENURE 119 16. ACCESS 125 17. CLIMATE 126 18. ECONOMIC SENTIMENTS 130 19. FOOD PRICES 133 20. GOVERNMENT RESPONSES 134 21. COVID-19 VACCINE 135 22. SUBJECTIVE WELFARE 138 23. CONTACT INFORMATION 139 30 Household Surveys During Multiple Crises color code for questions that are E/O: STRONGLY ENCOURAGED BUT OPTIONAL color code for questions that are OCC: OPTIONAL, DEPENDS ON COUNTRY/SURVEY CONTEXT color code for questions that are ASR: ADDITIONAL SHOCK-RELATED QUESTIONS BRIEF DEFINITION OF A HOUSEHOLD: 1. A household is a group of people who have usually slept in the same dwelling and share their meals together. Examples of households are: • A man and his wife and children, father/mother, nephew, and other relatives. • A single person. • A couple or several couples living together, with or without children. 2. All listed persons that have been away from the household for more than six months are not considered to be household members except: The person identified as the head of household even if he or she has not been with the household for more than 6 months • Newly born (or newly adopted) children • Students and seasonal workers who have not been living in or as part of another household • New spouses 31 [SPACE FOR SURVEY HEADER] SECTION 0: COVER PAGE [Adjust to reflect country-specific listing information] Household Questionnaire THIS INFORMATION IS STRICTLY CONFIDENTIAL AND IS TO BE USED FOR STATISTICAL PURPOSES ONLY. CODE NAME ENUMERATOR: IF YOU FIND THE HOUSEHOLD AND SOMEONE IS 1. DISTRICT: ............................................. ANSWERING THE DOOR, INTRODUCE YOURSELF AND ATTEMPT TO SEEK OUT A COMPETENT RESPONDENT. A COMPETENT RESPONDENT MUST BE X YEARS OF AGE OR OLDER AND MUST HAVE KNOWLEDGE 2. ENUMERATION AREA: ............................................. OF THE HOUSEHOLD AND ITS ACTIVITIES. 3. PLACE / VILLAGE NAME: ............................................. TO CONFIRM CONSENT TO BEGIN THE INTERVIEW, READ THE FOLLOWING TEXT. 4. HOUSEHOLD ID (FROM LIST): Country-specific text. Mention the following: i) Institution responsible for the survey 5. NAME OF HOUSEHOLD HEAD: ............................................. ii) Survey objectives and household selection protocol iii) Confidentiality of the information collected during the interview 6. ENUMERATOR CODE: iv) Profile of the most appropriate respondent for this survey v) Request explicit oral consent to be interviewed, noting that this does 7. ENUMERATOR NAME: not obligate them to answer any or all of the questions (though it would be very appreciated if they do). 8. INTERVIEW DATE AND TIME. DATE START END CODES FOR Q 12 Attempt 1 REFUSED...................................................................................................................1 Attempt 2 NO COMPETENT RESPONDENT AT TIME OF THE VISIT.........................................2 Attempt 3 NONE AT HOME FOR AN EXTENDED AMOUNT OF TIME.....................................3 HH MM HH MM HOUSEHOLD MOVED TO ANOTHER VILLAGE/TOWN/DISTRICT...........................4 HOUSEHOLD MOVED TO A NEIGHBORING COUNTRY.........................................5 YES............. 1 9. Did a household member give consent to be interviewed? NO.............. 2 11 HOUSEHOLD MOVED TO UNKNOWN LOCATION.................................................6 10. Name of member that gave consent: HOUSEHOLD NOT FOUND......................................................................................7 DWELLING DESTROYED..........................................................................................8 YES............. 1 13 OTHER (SPECIFY)...................................................................................................96 11. Is it possible to start the interview? NO.............. 2 12. Reason why the household cannot be interviewed.  END OF INTERVIEW 13. GPS COORDINATES OF THE DWELLING (to be collected outside the dwelling): LATITUDE (N) __ __ O __ __ . __ __ __ LONGITUDE (E) __ __ __ O __ __ . __ __ __ 32 Household Surveys During Multiple Crises SECTION 1A: HOUSEHOLD ROSTER CODED E/O CODED OCC 1. 2. 3. 4. 5. 6. 7. NAME What is the sex What is [NAME]'s relationship How old is [NAME]? In what year was During the past How many days of [NAME]? to the head of household? [NAME] born? 12 months (since did [NAME] eat MAKE A COMPLETE LIST IF 5 YEARS AND OVER, MONTH/ YEAR), in this household OF ALL INDIVIDUALS WHO HEAD...................................................... 1 RECORD YEARS ONLY. CHECK how many in the past NORMALLY LIVE AND EAT WIFE/HUSBAND..................................... 2 CONSISTENCY months has 7 days? MALE...............1 IF LESS THAN 5 YEARS IN THEIR MEALS TOGETHER CHILD/ADOPTED CHILD......................... 3 WITH AGE IN Q4. [NAME] been IN THIS HOUSEHOLD, FEMALE...........2 AGE, RECORD YEARS AND GRANDCHILD......................................... 4 MONTHS. away from this STARTING WITH THE HEAD household? OF HOUSEHOLD. NIECE/NEPHEW...................................... 5 MOTHER/FATHER................................... 6 (CONFIRM THAT HOUSEHOLD SISTER/BROTHER.................................... 7 HEAD HERE IS THE SAME AS HOUSEHOLD HEAD LISTED SON/DAUGHTER-IN-LAW...................... 8 ON COVER.)" BROTHER/SISTER-IN-LAW...................... 9 GRANDFATHER/MOTHER.................... 10 FATHER/MOTHER-IN-LAW................... 11 OTHER RELATIVE................................. 12 ID CODE SERVANT OR SERVANT’S RELATIVE...... 13 LODGER/LODGER’S RELATIVE............. 14 YEAR CUMULATIVE NUMBER YEARS MONTHS (YYYY) MONTHS OF DAYS OTHER NON-RELATIVE........................ 15 1 2 3 4 5 6 7 8 FOR A COMPLETE LIST OF INDIVIDUALS CONNECTED TO THE HOUSEHOLD, USE THE FOLLOWING PROBE QUESTIONS: First, give me the names of all the members of your immediate family who normally live and eat their meals together here. WRITE DOWN NAMES, SEX, AND RELATIONSHIP TO HH HEAD. LIST THE HOUSEHOLD HEAD ON LINE 1. Next, give me the names of any other persons related to you or other household members who normally live and eat their meals together here. Are there any other people not here now who normally live and eat their meals here? For example, household members studying elsewhere or traveling? Next, give me the names of any other persons not related to you or other household members, but who normally live and eat their meals together here, such as servants, lodgers, or others who are not relatives. DO NOT LIST SERVANTS WHO HAVE A HOUSEHOLD ELSEWHERE, AND GUESTS WHO ARE VISITING TEMPORARILY AND HAVE A HOUSEHOLD ELSEWHERE. USE A SECOND QUESTIONNAIRE IF NEEDED TO COLLECT ALL NAMES. 33 SECTION 1A: HOUSEHOLD ROSTER CODED E/O CODED OCC CODED E/O CODED E/O 8. 9. 10. 10 alternate 11. 12. CAPI/ENUMERATOR What is [NAME]'s present Is the spouse of Is the spouse of [NAME] living in the household? Does the What is the PID of CHECK: marital status? [NAME] living in biological father [NAME]'s biological the household? WRITE ID CODE OF ALL CURRENT SPOUSES. of [NAME] live in father? IS THIS PERSON 12 If so, write the IF SPOUSE DOES NOT LIVE IN HH, USE CODE 00 the household? YEARS OR OLDER? MONOGAMOUS/MARRIED..... 1 ID Code of the POLYGAMOUS/MARRIED........ 2 spouse. In what year did [NAME] get married to [SPOUSE]? Q16 NON-FORMAL UNION............. 3 YES............. 1 YES..................1 IF NOT LIVING IN IF RESPONDENT DOES NOT KNOW, CALCULATE USING SEPARATED.............................. 4 Q13 NO.............. 2 NO...................2 THE HH, USE CODE AGE OF SPOUSE AT MARRIAGE DIVORCED................................ 5 00 WIDOW OR WIDOWER........... 6 ID CODE NEVER MARRIED..................... 7 FIRST SPOUSE SECOND SPOUSE THIRD SPOUSE CODE ID CODE ID CODE YEAR ID CODE YEAR ID CODE YEAR COPY ID FROM ROSTER 1 2 3 4 5 6 7 8 34 Household Surveys During Multiple Crises SECTION 1A: HOUSEHOLD ROSTER CODED OCC CODED OCC CODED OCC CODED E/O CODED E/O CODED OCC CODED OCC 13. 14. 15. 16. 17. 18. 19. Is [NAME]'s What was the highest What was/is the industry Does the biological What is the ID of Is [NAME]'s biological What was the highest biological father educational level of occupation of [NAME'S] mother of [NAME] live [NAME]'s biological mother alive? educational level alive? completed by [NAME'S] biological father? in the household? mother? completed by [NAME'S] biological father? biological mother? AGRICULTURE..........................1 YES............. 1 YES............. 1 MINING....................................2 NO.............. 2 YES............. 1 NO.............. 2 Q18 Q22 NO.............. 2 [INSERT HERE COUNTRY- MANUFACTURING...................3 [INSERT HERE COUNTRY- SPECIFIC EDUCATION PROFESSIONAL, SCIENTIFIC, SPECIFIC EDUCATION CODES FROM PRESENT CODES FROM PRESENT TECHNICAL ACTIVITIES...........4 AND PAST.] AND PAST.] ELECTRICITY.............................5 CONSTRUCTION.......................6 CODE TRANSPORTATION...................7 BUYING AND SELLING.............8 FINANCIAL SERVICES...............9 PERSONAL SERVICES.............10 EDUCATION...........................11 HEALTH..................................12 PUBLIC ADMINISTRATION.....13 ID CODE OTHER, SPECIFY.....................14 NEVER WORKED....................15 ID CODE COPY ID FROM ROSTER 1 2 3 4 5 6 7 8 35 SECTION 1A: HOUSEHOLD ROSTER CODED OCC CODED OCC CODED E/O CODED E/O CODED ASR CODED ASR CODED ASR 20. 21. 22. 23. 23a 23b 23c What was/is the industry What is [NAME]'s main In which district/ How many years has CAPI/ENUMERATOR: What was [NAME]'s the Did [NAME] join the of occupation of [NAME'S] religion? country was [NAME] [NAME] lived in this IS Q23 IS 5 YEARS main reason for moving household since the biological mother? born? place/village? OR LESS? to the current place of beginning of the CHRISTIAN........................... 1 residence in the last 5 years? [SHOCK] AGRICULTURE..........................1 ISLAM.................................. 2 INSERT NATIONAL REFERS TO CURRENT MINING....................................2 DISTRICT CODES AS HH LOCATION. TO LOOK FOR WORK..................1 HINDU................................. 3 WELL AS A CODE YES............. 1 MANUFACTURING...................3 NO.............. 2 Q24 OTHER INCOME REASONS..........2 FOLK RELIGION................... 4 FOR “IN ANOTHER IF LESS THAN ONE YES............. 1 PROFESSIONAL, SCIENTIFIC, COUNTRY”. INCLUDE YEAR, RECORD 00. DROUGHT, FLOOD, OR OTHER NO.............. 2 LOCAL RELIGION................ 5 TECHNICAL ACTIVITIES............4 CODES FOR A FEW WEATHER-RELATED REASON......3 ATHEIST/NOT RELIGIOUS.... 6 SPECIFIC OTHER IF HERE SINCE ELECTRICITY.............................5 EVICTION......................................4 OTHER(SPECIFY)................. 7 COUNTRIES IF OF BIRTH, RECORD 100 CONSTRUCTION.......................6 OTHER LAND-RELATED INTEREST. NEXT PERSON PROBLEM.....................................5 TRANSPORTATION...................7 ILLNESS, INJURY...........................6 BUYING AND SELLING.............8 DISABILITY...................................7 FINANCIAL SERVICES...............9 EDUCATION.................................8 PERSONAL SERVICES.............10 MARRIAGE...................................9 EDUCATION...........................11 DIVORCE....................................10 HEALTH..................................12 TO ESCAPE INSECURITY............11 PUBLIC ADMINISTRATION.....13 RETURN HOME FROM OTHER, SPECIFY.....................14 DISPLACEMENT..........................12 NEVER WORKED....................15 FOLLOW/JOIN FAMILY...............13 [INSERT ADDITIONAL ID CODE SHOCK-RELATED REASON].......14 OTHER, SPECIFY.........................15 1 2 3 4 5 6 7 8 Designer Note: Q22-Q25 can be used to collect migration data when a more extensive migration section is not included. 36 Household Surveys During Multiple Crises SECTION 1A: HOUSEHOLD ROSTER CODED E/O CODED E/O CODED OCC CODED OCC 24. 25. 26. 27. In which district/country did [NAME] live What was the main reason for moving to In which district/country did [NAME] live In how many places such as another before moving to the current place of the current place of residence? 5  years ago? village, town, or country, did [NAME] live residence? during the last 5 years? TO LOOK FOR WORK................................... 1 INSERT NATIONAL DISTRICT CODES AS WELL INSERT NATIONAL DISTRICT CODES AS WELL OTHER IMCOME REASONS.......................... 2 AS A CODE FOR “IN ANOTHER COUNTRY”. IF Q22 AND 26 REFER TO THE SAME AS A CODE FOR “IN ANOTHER COUNTRY”. INCLUDE CODES FOR A FEW SPECIFIC OTHER VILLAGE AND RESPONDENT LIVED IN NO INCLUDE CODES FOR A FEW SPECIFIC OTHER DROUGHT, FLOOD, OR OTHER COUNTRIES IF OF INTEREST. WEATHER-RELATED REASON....................... 3 OTHER PLACES, RECORD 1 COUNTRIES IF OF INTEREST. EVICTION....................................................... 4 OTHER LAND-RELATED PROBLEM............... 5 ILLNESS, INJURY............................................ 6 DISABILITY.................................................... 7 EDUCATION.................................................. 8 MARRIAGE.................................................... 9 DIVORCE..................................................... 10 TO ESCAPE INSECURITY............................. 11 RETURN HOME FROM DISPLACEMENT..... 12 ID CODE FOLLOW/JOIN FAMILY................................ 13 OTHER, SPECIFY.......................................... 14 1 2 3 4 5 6 7 8 Designer Note: Q22-Q25 can be used to collect migration data when a more extensive migration section is not included. 37 SECTION 1B: ABSENTEE ROSTER (NON-HOUSEHOLD MEMBERS THAT WERE PART OF THE HOUSEHOLD BEFORE) 0a. Has any person that was part of the household moved away (to another state, city, country) in the last 10 years (NOT A CURRENT HH MEMBER)? (e.g. move to another State for a job, got married and moved to a different city, moved to another country to study) YES............. 1 NO.............. 2 NEXT SECTION Please list the names of all the persons who moved away (to another state, city, country) in the last 10 years. 1. 2. 3. 4. 5. NAME What is [NAME]’s sex? What is [NAME]’s current age What is [NAME]’s relationship to the current When did [NAME] leave (IN COMPLETED YEARS)? household head? this household? PLEASE LIST THE NAMES OF ALL HOUSEHOLD MEMBERS IF LESS THAN 1 YEAR, DO NOT READ OPTIONS WHO NO LONGER LIVE IN RECORD “0” SPOUSE ...............................................................02 THIS HH. OWN CHILD .......................................................03 STEP CHILD .........................................................04 ADOPTED CHILD ................................................05 GRANDCHILD .....................................................06 BROTHER/SISTER ................................................07 NIECE/NEPHEW ..................................................08 SON-IN-LAW/DAUGHTER-INLAW......................16 BROTHER/SISTER-IN-LAW ..................................09 PARENT ..............................................................10 PARENT-IN-LAW .................................................11 DOMESTIC HELP (RESIDENT) .............................12 OTHER RELATION (SPECIFY ) .............................14 OTHER NON-RELATION (SPECIFY) ....................15 FORMER SPOUSE................................................17 MIGRANT ID YEARS YEAR (YYYY) 38 Household Surveys During Multiple Crises SECTION 1B: ABSENTEE ROSTER (NON-HOUSEHOLD MEMBERS THAT WERE PART OF THE HOUSEHOLD BEFORE) 6. 7. 8. 9. Where does [NAME] currently live? In which country is [NAME] In which STATE is [NAME] currently Why did [NAME] leave the household? currently living? living? SELECT COUNTRY NAME FROM SELECT STATE NAME ELSEWEHERE WITHIN VISIT/MOVED TO LIVE WITH RELATIVES/FRIENDS............ 1 THE SAME STATE............................2 Q9 THE LIST OF COUNTRIES FROM THE LIST OF STATES GO TO STUDY..................................................................... 2 IN ANOTHER STATE MARRIAGE.......................................................................... 3 BUT IN THE SAME COUNTRY.........3 Q8 UNITED KINGDOM....................................... 1 FAMILY QUARREL............................................................... 4 ABROAD (OUTSIDE THE COUNTRY)..............4 GERMANY..................................................... 2 DIVORCE............................................................................. 5 DOES NOT KNOW.........................99 Q9 HOLLAND...................................................... 3 SEASONAL WORK............................................................... 6 ITALY............................................................. 4 LOOK FOR/START NEW JOB OR BUSINESS........................ 7 UNITED STATES OF AMERICA...................... 5 LOOK FOR NEW/BETTER LAND TO FARM......................... 8 CANADA....................................................... 6 TO RECEIVE HEALTH CARE................................................. 9 SOUTH AFRICA............................................. 7 ARMED CONFLICT............................................................ 10 CAMEROON.................................................. 8 GENERAL VIOLENCE, HUMAN RIGHTS VIOLATION........ 11 NIGER............................................................ 9 ENVIRONMENTAL/NATURAL DISASTER BENIN.......................................................... 10 (E.G. FLOOD, DROUGHT, HURRICANE, EARTHQUAKE).... 12 GHANA........................................................ 11 HUMAN-MADE DISASTER (E.G. FIRE, CHEMICAL OR NUCLEAR DISASTER).............. 13 CHINA.......................................................... 12 HEALTH CRISIS JAPAN......................................................... 13 (E.G. EBOLA, MARBURG DISEASE, COVID-19)................ 14 SAUDI ARABIA............................................ 14 OTHER (SPECIFY).............................................................. 96 EGYPT.......................................................... 15 AUSTRALIA................................................. 16 MIGRANT ID OTHER (SPECIFY)........................................ 96  Q9 39 SECTION 2A: EDUCATION FOR ALL HOUSEHOLD MEMBERS 5 YEARS OLD OR OLDER, PLEASE ASK THE INDIVIDUAL THE FOLLOWING QUESTIONS. CODED E/O CODED E/O 1. 2. 3. 4. 5. 6. 7. CAPI/ENUMERATOR: IS THIS PERSON WRITE THE Can [NAME] read Has [NAME] ever What was the main reason [NAME] At what age did IS THIS PERSON 5 YEARS ANSWERING FOR ID CODE OF or write in any attended school? never attended school? [NAME] start school? OLD OR OLDER? HIMSELF/HERSELF? THE PROXY language? RESPONDENT YES...... 1 TOO YOUNG.................................................... 1 YES...... 1 YES...... 1 Q4 YES...... 1 if age<20 Q7 TOO FAR AWAY............................................... 2 NO....... 2 NEXT PERSON NO....... 2 NO....... 2 if age>=20 Q8 TOO EXPENSIVE .............................................. 3 Q6 NO....... 2 WORKING (HOME OR JOB)............................. 4 LACK OF MONEY............................................. 5 DEATH OF PARENT(S)...................................... 6 SEPARATION OF PARENTS............................... 7 DID NOT HAVE INTEREST............................... 8 PARENTS DO NOT THINK IT IS IMPORTANT.... 9 PARENTS OPPOSED TO SCHOOL................... 10 ILLNESS........................................................... 11 DISABILITY..................................................... 12 CONFLICT (MILITANCY/INSURGENCY).......... 13 SCHOOL CLOSED DUE TO [SHOCK].............. 14 WORRIED ABOUT RISK OF [SHOCK]............. 15 INDIVIDUAL ID OTHER (SPECIFY)........................................... 14 ALL RESPONSES  NEXT PERSON ID CODE AGE 1 2 3 ` 4 5 6 7 40 Household Surveys During Multiple Crises SECTION 2A: EDUCATION CODED E/O CURRENT SCHOOL YEAR 8. 9. 9b 10. 11. What is the highest level [NAME] What is [NAME]'s highest Was [NAME] attending school Is [NAME] currently attending CAPI/ENUMERATOR: has completed? qualification attained? in person before [MAJOR school (the 20xx/20xx school IS THE RESPONDENT SHOCK ONSET MONTH/YEAR]? year)? [XX] YEARS OR YOUNGER? PRESCHOOL.....01 UNIV.1..............31 IF SCHOOL IS ON A REGULARLY NONE...............................................1 P1.....................11 UNIV.2..............32 SCHEDULED BREAK, BUT FSLC.................................................2 YES...... 1 YES...... 1 NO....... 2 [NAME] WAS ATTENDING PRIOR NO....... 2 NEXT PERSON P2.....................12 UNIV.3..............33 MSLC ..............................................3 TO THE BREAK, RECORD YES. P3.....................13 UNIV.4..............34 JSS ...................................................5 P4.....................14 UNIV.5+............35 SSS ‘O LEVEL’...................................6 P5.....................15 YES...... 1 Q13 A LEVEL...........................................7 P6.....................16 TRAINING COLLEGE NO....... 2 VOC/COMM CERTIFICATE...............8 JS1....................21 TC YR.1.............41 VOC/COMM DIPLOMA...................9 INDIVIDUAL ID JS2....................22 TC YR.2.............42 NCE/OND NURSING......................10 JS3....................23 TC YR.3.............43 BA/BSC/HND..................................11 SS1....................24 TC YR.4.............44 PHD/MASTERS...............................12 SS2....................25 DOCTORATE..................................13 SS3....................26 OTHER (SPECIFY)..........................14 1 2 3 4 5 6 7 Designer Note: For Q11, Replace XX with the upper age limit for expected secondary schooling age in the survey country (for example, 14 or 16, etc.). 41 SECTION 2A: EDUCATION 12. 13. 13b 13c Why is [NAME] not attending school this school In what level is [NAME] During the last week [MONDAY-SUNDAY] that Why did [NAME] miss the lessons? year? enrolled this 20XX/20XX school was open for lessons, either in-person or school year? virtual, how many days did [NAME] miss? NO SCHOOL OPEN NEARBY/LACK OF TEACHERS....... 1 HAD ENOUGH/COMPLETED SCHOOLING................... 1 SICK.............................................................................. 2 AWAITING ADMISSION............................................... 2 INSERT NEW CODES CAPI CHECK that number of days <= maximum NO TIME/NO INTEREST................................................ 3 NO SCHOOL/LACK OF TEACHERS............................... 3 number of days per week with lessons LACK OF MONEY......................................................... 4 NO TIME ...................................................................... 4 DAYS=0  Q14 GOT MARRIED/MARITAL OBLIGATION....................... 5 NO INTEREST................................................................ 5 DEATH OF PARENTS.................................................... 6 LACK OF MONEY......................................................... 6 DOMESTIC OBLIGATIONS............................................ 7 MARITAL OBLIGATION................................................ 7 CONFLICT (MILITANCY/INSURGENCY)........................ 8 SICKNESS...................................................................... 8 GOT JOB/WAS WORKING............................................ 9 DISABILITY................................................................... 9 NATURAL DISASTER.................................................. 10 SEPARATION OF PARENTS......................................... 10 NO INTERNET FOR VIRTUAL LESSONS..................... .11 DEATH OF PARENTS.................................................. 11 OTHER [SHOCKS] ...................................................... 12 TOO OLD TO ATTEND .............................................. 12 OTHER (SPECIFY)....................................................... 96 DOMESTIC OBLIGATION ........................................... 13 CONFLICT (MILITANCY/INSURGENCY)...................... 14 PREGNANCY.............................................................. 15 TOO YOUNG............................................................. 16 SCHOOL CLOSED DUE TO [SHOCK].......................... 17 WORRIED ABOUT RISK OF [SHOCK]......................... 18 INDIVIDUAL ID OTHER, SPECIFY......................................................... 96 ANSWER THEN  Q25 LEVEL DAYS 1 2 3 4 5 6 7 42 Household Surveys During Multiple Crises SECTION 2A: EDUCATION [EDUCATION EXPENDITURES] CODED OCC CODED OCC 14. 15. 16. 17. 18. 19. 20. What kind of What means does [NAME] How much time does it Does [NAME] have a What is the amount How many years From which organization runs the use to get to school? take [NAME] to get to scholarship for the of the scholarship does the scholarship organization, did school that [NAME] is school? (IN MINUTES) current school year? [NAME] receives for cover? [NAME] receive the currently attending? the current school scholarship for the REPORT TIME ONE WAY year? current school year? BOARDING................ 1 Q17 (NOT ROUND TRIP) WALKING.................. 2 YES...... 1 FEDERAL GOVT......... 1 FEDERAL GOVT......... 1 NO....... 2 Q21 BUS............................ 3 STATE GOVT.............. 2 STATE GOVT.............. 2 TRAIN........................ 4 TIME CODE LOCAL GOVT............. 3 LOCAL GOVT............. 3 BICYCLE..................... 5 0-15........................... 1 COMMUNITY............ 4 COMMUNITY............ 4 MOTORCYCLE........... 6 16-30......................... 2 RELIGIOUS BODY...... 5 RELIGIOUS BODY...... 5 CAR............................ 7 31-45......................... 3 PRIVATE..................... 6 PRIVATE..................... 6 INDIVIDUAL ID OTHER, SPECIFY........ 9 46-60......................... 4 NGO........................... 7 NGO........................... 7 61-90......................... 5 OTHER(SPECIFY)....... 8 OTHER(SPECIFY)....... 8 91-120....................... 6 120+.......................... 7 CODE CURRENCY YEARS 1 2 3 4 5 6 7 43 SECTION 2A: EDUCATION [EDUCATION EXPENDITURES] 21. How much did your household spend monthly for [NAME] on education during the 2017/2018 school year for each of the following items? RECORD MONTHLY AMOUNTS. IF THERE WAS NO EXPENDITURE, WRITE ‘0’ i. Ancillary fees ii. Other teaching materials  iii. School meals and transport purchased (boarding, canteen, transport, health services)  outside educational institutions A. B. C. D. E. School canteen fees Fees for transport organized Other REQUIRED purchases, Transportation School meals purchased INDIVIDUAL ID by the school NOT TEXTBOOKS OR to and from school not organized outside school TEACHING MATERIALS by the school" (such as a computer, extra books, athletic equipment, material for arts lessons, or other school-related expenses specific to the country) 1 2 3 4 5 6 7 Designer Note: For Q21 & Q22, it is strongly recommended to collect data at the level of DETAILED(header labels A through T). However, data should be collected AT LEAST at the GROUP LEVEL(headers i through xii). Delete the row of headers not being used. 44 Household Surveys During Multiple Crises SECTION 2A: EDUCATION 22. During the current school year, how much will your household spend IN TOTAL for [NAME]'s education on the following items? Please include amounts already spent for the current school year as well as those you expect to spend for the rest of this CURRENT school year. IF THERE WAS NO EXPENDITURE FOR A GROUP, WRITE ‘0’ FOR THAT GROUP IF THE RESPONDENT CANNOT DIVIDE SCHOOL EXPENSES INTO VARIOUS CATEGORIES, THEN RECORD THE AGGREGATE EDUCATION EXPENDITURE FOR THE INDIVIDUAL IN COLUMN T OR XII, NOT ALLOCABLE. FIRST, MAKE EVERY EFFORT TO OBTAIN EXPENSES BY CATEGORY. FILL IN ANY CATEGORIES POSSIBLE, AND RECORD ANY AMOUNT THAT CANNOT BE BROKEN DOWN IN COLUMN T OR XII, NOT ALLOCABLE. iv. Tuition and other fees (exam, v. Other contributions to school (PTA, SMC, school fund, in-kind contributions)  vi. Ancillary fees (boarding, canteen, registration, etc) transport, health services)  INDIVIDUAL ID G. H. I. J. F. K. L. M. Tuition fees Exam, registration and PTA, SBMC and other Development Gift or donation to Gift or donation to School boarding fees Fees for health other official fees association fees levy or payment teacher school services for construction, (cash or in-kind)? (cash or in-kind)? maintenance or other school funds 1 2 3 4 5 6 7 Designer Note: For Q21 & Q22, it is strongly recommended to collect data at the level of DETAILED(header labels A through T). However, data should be collected AT LEAST at the GROUP LEVEL(headers i through xii). Delete the row of headers not being used. 45 SECTION 2A: EDUCATION CODED OCC CODED OCC 22. During the current school year, how much will your household spend IN TOTAL for [NAME]’s education on the following items? Please include amounts already spent for the current school year as well as those you expect to spend for the rest of this CURRENT school year. IF THERE WAS NO EXPENDITURE FOR A GROUP, WRITE ‘0’ FOR THAT GROUP IF THE RESPONDENT CANNOT DIVIDE SCHOOL EXPENSES INTO VARIOUS CATEGORIES, THEN RECORD THE AGGREGATE EDUCATION EXPENDITURE FOR THE INDIVIDUAL IN COLUMN T OR XII, NOT ALLOCABLE. FIRST, MAKE EVERY EFFORT TO OBTAIN EXPENSES BY CATEGORY. FILL IN ANY CATEGORIES POSSIBLE, AND RECORD ANY AMOUNT THAT CANNOT BE BROKEN DOWN IN COLUMN T OR XII, NOT ALLOCABLE. vii. Uniforms and other viii. Textbooks and ix. Private tutoring x. Additional (OPTIONAL) xi. Other categories (music and arts lessons, gifts, extra- xii. Not Allocable school clothing other teaching materials books, computer, or curricular activities, etc.) (stationery, etc.) learning software to be used at home in support of formal schooling  INDIVIDUAL ID N. O. P. Q. R. S. T. Uniforms and other school Textbooks and other Private tutoring Additional (OPTIONAL) Music and arts lessons Extra-curricular activities Not Allocable clothing teaching materials books, computer, or (stationery, etc.) learning software to be used at home in support of formal schooling 1 2 3 4 5 6 7 Designer Note: For Q21 & Q22, it is strongly recommended to collect data at the level of DETAILED(header labels A through T). However, data should be collected AT LEAST at the GROUP LEVEL(headers i through xii). Delete the row of headers not being used. 46 Household Surveys During Multiple Crises SECTION 2A: EDUCATION CODED E/O CODED E/O CODED E/O CODED OCC CODED OCC CODED OCC 23. 24. 25. 26. 27. 28. During the current Why was [NAME] Did [NAME] ever repeat any class What was the What was [NAME]'S main reason for How many times has school year absent for an during Primary, Junior Secondary, or last class [NAME] repeating the grade specified in Q26? [NAME] repeated the (2018/2019) was extended period? Senior Secondary? repeated? class specified in Q26? [NAME] ever absent for a period of 2 FAILED EXAM............................................... 1 weeks or longer? ADD APPROPRIATE YES,PRIMARY ONLY........ 1 P1............. 11 PREGNANCY................................................. 2 CODES FROM NOT YES,SECONDARY ONLY.... 2 P2............. 12 ATTENDED SCHOOL ILLNESS.......................................................... 3 YES,BOTH......................... 3 P3............. 13 DISABILITY.................................................... 4 YES...... 1 NO....... 2 Q25 NEXT PERSON NONE................................ 4 P4............. 14 WORK COMMITMENT.................................. 5 P5............. 15 NO MONEY FOR BOOKS.............................. 6 P6............. 16 SCHOOL FEES................................................ 7 JS1............ 21 ILLNESS OR INJURY OF OTHER JS2............ 22 HH MEMBER................................................. 8 INDIVIDUAL ID JS3............ 23 TOO MANY ABSENCES DUE TO CONFLICT (MILITANCY/INSURGENCY).......................... 9 SS1............ 24 OTHER (SPECIFY)........................................ 96 SS2............ 25 SS3 ........... 26 1 2 3 4 5 6 7 47 SECTION 2B: TECHNOLOGY ACCESS CODED E/O CODED E/O CODED E/O CODED E/O CODED E/O CODED E/O CODED E/O 1. 2. 3. 4. 5. 6. 7. CAPI/ENUMERATOR: IS THIS PERSON WRITE THE Does [NAME] have If [NAME] wanted to make Does [NAME] If [NAME] wanted to use the internet, IS [NAME] 10 YEARS ANSWERING FOR ID CODE OF access to a mobile a phone call, whose mobile have access to the how would they access it? OLD OR OLDER? HIMSELF/HERSELF? THE PROXY phone? phone would they use? internet? RESPONDENT Q10 PERSONAL DEVICE..........................1 YES...... 1 YES...... 1 Q4 YES...... 1 OWN........................................... 1 YES...... 1 Q10 OTHER HOUSEHOLD DEVICE.........2 NO....... 2 NEXT PERSON NO....... 2 NO....... 2 Q5 HOUSEHOLD MEMBER.............. 2 NO....... 2 Q8 RELATIVE/FRIEND/NEIGHBOR.........3 RELATIVE/FRIEND/NEIGHBOR.... 3 WORKPLACE...................................4 INDIVIDUAL ID PAY FOR USE.............................. 4 CYBERCAFE.....................................5 OTHER (SPECIFY)....................... 5 PUBLIC WIFI HOTSPOT...................6 OTHER (SPECIFY)............................7 ID CODE 1 2 3 4 5 6 7 8 9 10 48 Household Surveys During Multiple Crises SECTION 2B: TECHNOLOGY ACCESS 8. 9. 10. 11. Why does [NAME] not have access to internet at home? CAPI/ENUMERATOR: How often does [NAME] What limitations prevent [NAME] from using the IS Q6==NO? use the internet? internet more frequently? SELECT ALL APPLICABLE SELECT ALL APPLICABLE NEXT PERSON YES...... 1 Every day.......................... 1 COST OF HAVING A DEVICE TO ACCESS THE INTERNET IS TOO HIGH...... 1 NO....... 2 A few times a week......... 2 COST OF INTERNET ACCESS/DATA PACKAGES IS TOO HIGH..................... 2 NOTHING, NO LIMITATION................................................ 1 A few times a month...... 3 LACK OF KNOWLEDGE OR SKILLS TO USE INTERNET/PHONES................. 3 HIGH COST OF INTERNET................................................... 2 Less than once a month.. 4 PRIVACY OR SECURITY CONCERNS............................................................ 4 ISSUES WITH MY PHONE, TABLET OR COMPUTER........... 3 Never ............................... 5 QUALITY OF ACCESS IS TOO LOW.............................................................. 5 WORRIED ABOUT GETTING VIRUS/MALWARE................. 4 NO COVERAGE............................................................................................ 6 WORRIED ABOUT GETTING TRACKED/SURVEILLED......... 5 NOT INTERESTED......................................................................................... 7 I FIND IT DIFFICULT TO USE................................................ 6 INDIVIDUAL ID OTHER, SPECIFY......................................................................................... 96 NOT ALLOWED TO USE IT MORE (FAMILY, SPOUSE, PARENTS).............................................. 7 LACK OF CONTENT IN MY LANGUAGE............................. 8 OTHER, SPECIFY................................................................ 96 1 2 3 4 5 6 7 8 9 10 49 SECTION 3A: HEALTH FOR ALL HOUSEHOLD MEMBERS 1. 2. 2b 2c 2d 3. 4. IS THIS PERSON WRITE THE Has [NAME] Was [NAME] What was the main reason why During the For what reason(s) did [NAME] ANSWERING ID CODE OF needed health able to access [NAME] was not able to access past 4 weeks, seek consultation? FOR HIMSELF/ THE PROXY services/medical the health the health services or medical has [NAME] HERSELF? RESPONDENT treatment services/ treatment needed? consulted LIST UP TO THREE REASONS since the medical a health LACK OF MONEY................................... 1 beginning of treatment practitioner, the [SHOCK]? the last time NO MEDICAL PERSONNEL dentist, Q6 ILLNESS................................................................... 1 YES...... 1 Q3 [NAME] AVAILABLE............................................. 2 traditional Q6 INJURY................................................................... 2 NO....... 2 needed it? TURNED AWAY BECAUSE healer, or GENERAL CHECKUP (NOT FOR PREGNANCY)...... 3 FACILITY WAS FULL............................... 3 pharmacist, or YES...... 1 PRE/POSTNATAL CHECKUP.................................... 4 NO....... 2 Q3 DUE TO MOVEMENT RESTRICTIONS.... 4 visited a health GIVING BIRTH........................................................ 5 YES...... 1 Q3 WORRIED ABOUT RISK OF [SHOCK]..... 5 center? INDIVIDUAL ID NO....... 2 OTHER (SPECIFY)................................. 96 YES...... 1 Q5 NO....... 2 ID CODE REASON 1 REASON 2 REASON 3 1 2 3 4 5 6 7 50 Household Surveys During Multiple Crises SECTION 3A: HEALTH CODED E/O CODED E/O 5. 6. 7. 8. 9. During the last 4 What type of illness/injury did [NAME] suffer most? Did [NAME] have to For how many days Whom did [NAME] consult for this weeks, did [NAME] stop his/her usual did [NAME] have to illness or injury in the last 4 weeks? suffer from an illness SELECT UP TO TWO IN ORDER OF SEVERITY activities in the past 4 stop his/her usual or injury? weeks because of this activities in the past 4 condition? weeks because of this TRADITIONAL HEALER.........1 condition? DOCTOR................................2 YES...... 1 MALARIA.................. 1 HYPERTENSION....... 13 DENTIST.................................3 NO....... 2 Q17 YES...... 1 TB.............................. 2 FLU.......................... 14 NO....... 2 Q9 NURSE...................................4 YELLOW FEVER......... 3 CATARRH................. 15 MEDICAL ASST......................5 TYPHOID................... 4 COUGH.................... 16 MIDWIFE...............................6 CHOLERA.................. 5 HEADACHE............. 17 PHARMACIST........................7 DIARRHEA................. 6 DIABETES................ 18 CHEMIST................................8 MENINGITIS............... 7 GUINEA WORM...... 19 SPIRITUALIST.......................10 CHICKEN POX........... 8 DYSENTERY............. 20 PNEUMONIA............. 9 SCABIES................... 21 Q17) NO ONE.................................0 ( COMMON COLD..... 10 RINGWORM............ 22 OTHER (SPECIFY)................13 COVID-19................ 11 HEPATITIS B............. 23 INJURY.................... 12 ULCER/ LIST THE TWO MOST IMPORTANT OTHER (SPECIFY).... 12 STOMACH PAIN...... 24 INDIVIDUAL ID EYE PROBLEM......... 25 TOOTH PROBLEM... 26 BODY PAINS............ 27 1ST 2ND NUMBER OF DAYS A. 1ST B. 2ND 1 2 3 4 5 6 7 51 SECTION 3A: HEALTH 10. 11. 12. 13. 14. 15. Where did [NAME]'s Who ran the establishment How much did How did [NAME] reach the How much did How long did it take to travel consultation take place? where [NAME]'s [NAME] pay for the [CONSULT LOCATION] for the first [NAME] pay for (one way) to [NAME]'s first consultation took place? consultation? visit? the first trip (to consultation? and from) for IF MULTIPLE consultation HOSPITAL......................... 1 CONSULTATIONS (transport costs DISPENSARY..................... 2 FEDERAL GOVT................ 1 NO TRAVEL/AT HOME.............1 Q16 WITH THE SAME only)? IF THERE PHARMACY...................... 3 STATE GOVT..................... 2 PROVIDER, REPORT Q15 WALK.......................................2 WAS NO COST, CHEMIST........................... 4 LOCAL GOVT.................... 3 ON THE FIRST BICYCLE....................................3 WRITE 00 CLINIC............................... 5 COMMUNITY................... 4 CONSULT BUS/ PUBLIC TRANSPORT........4 MATERNITY HOME.......... 6 RELIGIOUS BODY............. 5 PRIVATE CAR............................5 CONSULTANT’S HOME.... 8 NGO.................................. 6 TAXI..........................................6 Q16 PATIENT’S HOME............. 9 PRIVATE............................ 7 PRIVATE....................................7 TRADITIONAL OTHER (SPECIFY)............. 8 OTHER (SPECIFY).....................8 HEALER’S HOME............ 10 INDIVIDUAL ID SPIRITUALISTS HOME.... 11 OTHER (SPECIFY)........... 12 REFER TO CONSULTATION REFER TO CONSULTATION CURRENCY CURRENCY HRS MIN REPORTED IN Q9A REPORTED IN Q9A 1 2 3 4 5 6 7 52 Household Surveys During Multiple Crises SECTION 3A: HEALTH CODED OCC HOSPITAL ADMISSIONS 16. 9-16 add'l 17. 18. 19. 20. 21. E1 How long did [NAME] have to REPEAT In the past 4 How much did During the past During the past How much did CAPI/ wait to be attended for this first Q10-Q16 FOR weeks, did [NAME] pay for 12 months, was 12 months, how [NAME] pay in ENUMERATOR: consultation? THE SECOND [NAME] spend these drugs or [NAME] admitted many nights did total for staying IS RESPONDENT CONSULTATION, any money medicines? to a hospital or [NAME] stay in a in a hospital or 5 YEARS OLD OR REPORTED IN for drugs or health facility? hospital or health health facility OLDER? Q9b. medicines over facility? in the last 12 the counter or INCLUDE months? IF YES, READ DESIGN at kiosks or by TRADITIONAL INCLUDE “The next NOTE: INSERT prescription? HEALING TRADITIONAL questions ask QUESTIONS CENTERS HEALING about difficulties FOR SECOND CENTERS you may have VISIT AFTER ALL doing certain YES...... 1 QUESTIONS ARE NO....... 2 Q19 YES...... 1 activities because ASKED ABOUT NO....... 2 Q22 of a HEALTH FIRST VISIT. PROBLEM.” INDIVIDUAL ID YES...... 1 Q29 NO....... 2 HRS MIN CURRENCY NIGHTS CURRENCY 1 2 3 4 5 6 7 53 SECTION 3A: HEALTH DISABILITY 22. 23. 24. 25. 26. 27. Does [NAME] have Does [NAME] have Does [NAME] have Does [NAME] have Does [NAME] have Using his/her usual difficulty seeing, even if difficulty hearing, even difficulty walking or difficulty remembering difficulty with self care (customary) language, he/she is using glasses? if he/she is using a climbing steps? or concentrating? such as washing all over does [NAME] have hearing aid? or dressing? difficulty communicating, READ RESPONSES READ RESPONSES READ RESPONSES for example understanding READ RESPONSES READ RESPONSES or being understood? NO, NO DIFFICULTY......... 1 NO, NO DIFFICULTY......... 1 NO, NO DIFFICULTY......... 1 READ RESPONSES YES, SOME....................... 2 NO, NO DIFFICULTY......... 1 YES, SOME....................... 2 YES, SOME....................... 2 NO, NO DIFFICULTY......... 1 YES, A LOT....................... 3 YES, SOME....................... 2 YES, A LOT....................... 3 YES, A LOT....................... 3 YES, SOME....................... 2 INDIVIDUAL ID NO, NO DIFFICULTY......... 1 CANNOT SEE.................... 4 YES, A LOT....................... 3 CANNOT DO.................... 4 CANNOT DO.................... 4 YES, A LOT....................... 3 YES, SOME....................... 2 CANNOT HEAR................ 4 CANNOT DO.................... 4 YES, A LOT....................... 3 CANNOT DO.................... 4 1 2 3 4 5 6 7 54 Household Surveys During Multiple Crises SECTION 3A: HEALTH CODED OCC CODED OCC TREATED BEDNET 28. 29. 30. 31. 32. Does this difficulty reduce the amount of work [NAME] Did [NAME] Was the bednet [NAME] slept under yesterday How did the household obtain How much did can do at home, at school, or at work? sleep under treated or untreated? [NAME]'s bednet? the household a bednet pay for the yesterday? bednet? YES, ALL THE TIME...................................................... 1 YES, TREATED NET LESS THAN 6 MONTHS OLD........ 1 Q33 FREE GIFT.................................1 INDIVIDUAL ID YES, SOMETIMES......................................................... 2 YES, TREATED NET MORE THAN 6 MONTHS OLD..... 2 PURCHASED.............................2 YES...... 1 NO, NOT AT ALL.......................................................... 3 NOT TREATED.............................................................. 3 PURCHASED W/VOUCHER.......3 NO....... 2 Q33 NO, NOT ATTENDING SCHOOL OR WORKING........... 4 AT HOME AT SCHOOL AT WORK CURRENCY 1 2 3 4 5 6 7 55 SECTION 3A: HEALTH CODED OCC ANTHROPOMETRY SECTION 33. 34. 35. 36. 37. 38. 39. CAPI/INTERVIEWER: INTERVIEWER: WAS INTERVIEWER: WHY WAS ENUMERATOR: IS WEIGHT (up to two LENGTH OR HEIGHT ENUMERATOR: WAS IS [NAME] A CHILD [NAME] MEASURED? [NAME] NOT MEASURED? [NAME] ABLE TO decimal places) CHILD MEASURED AGED LESS THAN 60 STAND ON THE FOR A CHILD UNDER STANDING UP OR MNTHS (LESS THAN 5 SCALE? 2 YRS OLD, MEASURE LAYING DOWN? YEARS)? LENGTH LYING DOWN YES...... 1 Q36 NOT AT HOME DURING NO....... 2 SURVEY PERIOD.......................1 FOR A CHILD AGED TOO ILL....................................2 YES...... 1 2 OR MORE YRS, STANDING UP........... 1 YES...... 1 NO....... 2 MEASURE HEIGHT LAYING DOWN......... 2 UNWILLING .............................3 INDIVIDUAL ID NO....... 2 NEXT PERSON STANDING UP OTHER (SPECIFY).....................4 NEXT PERSON KILOGRAMS CENTIMETERS 1 2 3 4 5 6 7 56 Household Surveys During Multiple Crises SECTION 3B: MENTAL HEALTH 1. 2. 3. 4. 5. 6. CAPI/ENUMERATOR: IS THIS PERSON INTERVIEWER READ: During the last 7 days, During the last 7 During the last 7 days, During the last 7 days, IS [NAME] 15 YEARS ANSWERING FOR Now I want to ask how many days were days, how many days how many days did you how many days did you OLD OR OLDER? HIMSELF/HERSELF? you some of the ways you disturbed by things did you have trouble feel depressed? feel that everything INDIVIDUAL ID you may have felt or that do not normally concentrating on what was a burden? behaved in the last bother you? you were doing? YES...... 1 YES...... 1 7 days. NO....... 2 NEXT PERSON NO....... 2 NEXT PERSON DAYS DAYS DAYS DAYS 1 2 3 4 5 6 7 8 9 10 57 SECTION 3B: MENTAL HEALTH 7. 8. 9. 10. 11. 12. During the last 7 days, During the last 7 days, how During the last 7 days, how During the last 7 days, During the last 7 days, how During the last 7 days, how INDIVIDUAL ID how many days were you many days did you feel many days was your sleep how many days were you many days did you feel many days did you feel hopeful about the future? afraid? restless? happy? lonely? like not getting up in the morning? DAYS DAYS DAYS DAYS DAYS DAYS 1 2 3 4 5 6 7 8 9 10 58 Household Surveys During Multiple Crises SECTION 4A: LABOR FOR HOUSEHOLD MEMBER 15 YEARS OLD OR OLDER ENUMERATOR READ: We would now like to ask you questions regarding the different activities that you and your household members do. Wage NFE NFE help 1. 2. 3. 4. 5. 6. 7. 8. 9. CAPI/ENUMERATOR: IS IS [NAME] WHO IS Last week, that is How many Last week, did How many Last week, did How many THE RESPONDENT 15 REPORTING RESPONDING from Monday [DATE] hours did [NAME] work hours did [NAME] help hours did YEARS OR OLDER? FOR HIMSELF/ ON BEHALF OF up to Sunday [DATE], [NAME] do this in a non-farm [NAME] do this in a non-farm [NAME] do this HERSELF? [NAME]? did [NAME] do any work last week? household work last week? household work last week? work for someone business business that YES...... 1 else for pay for one that [NAME] is operated NO....... 2 NEXT PERSON YES...... 1 Q4 or more hours? operates, for by another NO....... 2 one or more household INCLUDE PAID hours? member for one APPRENTICESHIPS or more hours? AND PAID INTERNSHIPS. INDIVIDUAL ID YES...... 1 NO....... 2 Q8 YES...... 1 Q10 NO....... 2 YES...... 1 NO....... 2 Q6 ID CODE HOURS HOURS HOURS 1 2 3 4 5 6 7 Designer Note: See guidebook for guidance on determining age limit for this section. 59 SECTION 4A: LABOR Farm Recovery farm Filter Recovery question 10. 11. 12. 13. 14. 15. Last week, did [NAME] Last week, did [NAME] How many hours did Thinking about all the products CAPI/ENUMERATOR: Last week, did [NAME] run work on household help on a household [NAME] do this work in [NAME] worked on, are they REVIEW QUESTIONS or do any kind of business, farming, livestock, farm, raising livestock, the last week? intended... Q4, Q6, Q8, Q10, AND farming or other activity to fishing or forestry fishing or foraging/ Q11: IS THERE ANY YES? generate income? activities, even if only hunting for one or more READ OPTIONS for one hour? hours? READ ONLY IF NEEDED: For example: making things Q20 IF Q10=1 YES...... 1 ONLY FOR SALE..............................1 Q20 Q21 IF Q10=2 for sale, buying or reselling MAINLY FOR SALE..........................2 Q20 things, provided paid YES...... 1 Q12 YES...... 1 NO....... 2 NO....... 2 NO....... 2 Q14 MAINLY FOR HOUSEHOLD USE.....3 services, growing products, ONLY FOR HOUSEHOLD USE.........4 raising animals, catching fish, hunting or foraging for sale. INDIVIDUAL ID Q17 YES...... 1 NO....... 2 HOURS 1 2 3 4 5 6 7 Programmer Note: For Q14, is auto-calculated when using CAPI For Q39, static text in CAPI 60 Household Surveys During Multiple Crises SECTION 4A: LABOR Recovery question 16. 17. 18. 19. 20. 21. Or, did [NAME] help How many hours did Was [NAME]'s work in Thinking about all the products CAPI/ENUMERATOR: CAPI/ENUMERATOR: with the business, [NAME] do this work HH farming, livestock, [NAME] worked on, are they IS ENTER APPROPRIATE CODE farm or paid job of a in the last week? fishing, or forestry intended... (Q13==3 | Q13==4) household member? activities? OR 1. NO TYPE OF WORK READ OPTIONS (Q19==3 | Q19==4) ? Q4==Q6==Q8==Q10==2 & Q11==Q15==Q16==2 ENTER 1Q22 YES...... 1 YES...... 1 NO....... 2 Q20 NO....... 2 Q20 ONLY FOR SALE..............................1 YES...... 1 MAINLY FOR SALE..........................2 NO....... 2 2. FAMILY FARM ONLY, MAINLY FOR HOUSEHOLD USE.....3 Q20==1 & Q4==Q6==Q8==2 ENTER 2Q28 ONLY FOR HOUSEHOLD USE.........4 3. WORKED FARM FOR MARKET, INDIVIDUAL ID ANY WAGE, OR ANY NFE Q4==1 | Q6==1 |Q8==1 | Q18==2 | Q20==2 ENTER 3Q39 HOURS 1 2 3 4 5 6 7 61 SECTION 4A: LABOR Temporary Absence 22. 23. 24. 25. 26. 27. Does [NAME] have Why did [NAME] not work during the last week? Including the During the low Was [NAME]'s Thinking about all the products a job, business or time that [NAME] or off-season, work in household [NAME] worked on, are they family farm from has already been does [NAME] farming, livestock, intended... which he/she was WAITING TO START NEW JOB OR BUSINESS.......1 absent, will [NAME] continue to do fishing or forestry absent last week? LOW OR OFF-SEASON..........................................2 Q25 return to that same some work for that activities? READ OPTIONS SHIFT WORK, FLEXI TIME, NATURE OF WORK.....3 job, business or job, business, or VACATION, HOLIDAYS.........................................4 household farm in household farm? SICKNESS, ILLNESS, ACCIDENT.............................5 three months or less? Q38 ONLY FOR SALE..............................1. YES...... 1 YES...... 1 MATERNITY, PATERNITY LEAVE...........................6 MAINLY FOR SALE..........................2. Q38 NO....... 2 Q28 NO....... 2 Q38 EDUCATION LEAVE OR TRAINING.......................7 MAINLY FOR HOUSEHOLD USE.....3 OTHER PERSONAL LEAVE YES...... 1 ONLY FOR HOUSEHOLD USE.........4 (CARE FOR FAMILY, CIVIC DUTIES)......................8 YES...... 1 NO....... 2 Q28 NO....... 2 Q28 INDIVIDUAL ID TEMPORARY LAY OFF, NO CLIENTS OR MATERIALS, WORK BREAK............................9 BAD WEATHER, NATURAL DISASTER................10 STRIKE OR LABOUR DISPUTE.............................11 LONG-TERM DISABILITY.....................................12 OTHER (SPECIFY)................................................13 1 2 3 4 5 6 7 62 Household Surveys During Multiple Crises SECTION 4A: LABOR Job Search 28. 29. 30. 31. 32. During the last four Or did [NAME] try to What did [NAME] mainly do in the last four weeks to find a paid For how long has [NAME] been At present does weeks, did [NAME] start a business? job or start a business? without work and trying to find [NAME] want to do anything to find a a job or start a business? work? paid job? YES...... 1 APPLY TO PROSPECTIVE EMPLOYERS FOR A PAID JOB OR INTERNSHIP...... 1 NO....... 2 Q32 PLACE OR ANSWER JOB ADVERTISEMENTS.................................................. 2 LESS THAN 1 MONTH.....................1 YES...... 1 YES...... 1 1 MONTH TO < 3 MONTHS............2 Q37 NO....... 2 POST/UPDATE RESUME ON PROFESSIONAL/SOCIAL NETWORKING SITES..... 3 NO....... 2 REGISTER WITH PUBLIC EMPLOYMENT SERVICE........................................... 4 3 MONTHS TO < 6 MONTHS..........3 REGISTER WITH A PRIVATE EMPLOYMENT CENTRE/AGENCY...................... 5 6 MONTHS TO < 12 MONTHS........4 TAKE PUBLIC SERVICE EXAM OR INTERVIEW................................................ 6 1 YEAR TO < 2 YEARS....................5 TAKE PRIVATE COMPANY’S EXAM OR INTERVIEW....................................... 7 2 YEARS OR MORE.........................6 SEEK HELP FROM RELATIVES, FRIENDS, OTHERS........................................... 8 ALLQ34 CHECK AT FACTORIES, WORK SITES............................................................... 9 WAIT ON THE STREET TO BE RECRUITED..................................................... 10 SEEK FINANCIAL HELP TO START A BUSINESS............................................. 11 LOOK FOR LAND, BUILDING, EQUIPMENT, MATERIALS TO START A BUSINESS............................................................... 12 DEVELOPED A BUSINESS PLAN..................................................................... 13 INDIVIDUAL ID APPLY FOR A PERMIT OR LICENSE TO START A BUSINESS.......................... 14 OTHER (SPECIFY)........................................................................................... 15 NO SECOND ACTIVITY................................................................................... 16 Action 1 Action 2 1 2 3 4 5 6 7 63 SECTION 4A: LABOR Job Search 33. 34. 35. 36. 37. What is the main reason [NAME] did not try to If a job or Or could [NAME] Why is [NAME] not available to start Which of the following best describes find a paid job or start a business in the last 4 business start working working? what [NAME] is mainly doing at present? weeks? opportunity had within the next 2 been available, weeks? could [NAME] AWAITING RECALL FROM A PREVIOUS JOB..... 1 PLEASE READ ALL OPTIONS WAITING FOR RESULTS OF A PREVIOUS SEARCH...... 1 have started WAITING FOR SEASON TO START...................... 2 AWAITING RECALL FROM A PREVIOUS JOB.............. 2 working last Q37 YES...... 1 IN STUDIES, TRAINING........................................ 3 week? NO....... 2 STUDYING OR TRAINING................................... 1 WAITING FOR THE SEASON TO START....................... 3 FAMILY/HOUSEHOLD RESPONSIBILITIES........... 4 WAITING TO START NEW JOB OR BUSINESS.............. 4 IN FAMILY FARMING/LIVESTOCK/FISHING ENGAGED IN HOUSEHOLD OR FAMILY FOR FAMILY USE................................................. 5 RESPONSIBILITIES................................................ 2 TIRED OF LOOKING FOR JOBS, NO JOBS IN AREA..... 5 YES...... 1 Q37 NO....... 2 RETIRED, PENSIONER.......................................... 6 HOUSEHOLD FARMING, LIVESTOCK, NO JOBS MATCHING SKILLS, LACKS EXPERIENCE..... 6 FISHING, OR FOREST ACTIVITIES CONSIDERED TOO YOUNG/OLD BY EMPLOYERS...... 7 OWN DISABILITY, INJURY, OR ILLNESS.............. 7 FOR HOUSEHOLD USE....................................... 3 IN STUDIES, TRAINING................................................. 8 OLD AGE............................................................. 8 RETIRED OR PENSIONER..................................... 4 FAMILY/HOUSEHOLD RESPONSIBILITIES.................... 9 WITH A LONG-TERM ILLNESS, IN AGRICULTURE/FISHING FOR FAMILY USE............ 10 INJURY OR DISABILITY....................................... 5 OWN DISABILITY, INJURY, ILLNESS........................... 11 DOING VOLUNTEERING, COMMUNITY OR CHARITY WORK.................... 6 RETIRED, PENSIONER, OTHER SOURCES OF INCOME................................... 12 ENGAGED IN CULTURAL OR LEISURE ACTIVITIES............................................ 7 OTHER (SPECIFY)....................................................... 13 OLD AGE............................................................. 8 OLD AGE.................................................................... 14 INDIVIDUAL ID ALL  NEXT SECTION 1 2 3 4 5 6 7 64 Household Surveys During Multiple Crises SECTION 4A: LABOR Main Job Identification Main Job 38. 39. 40. 41. 42. Last week, that is ENUMERATOR READ: What are [NAME]'s main tasks and What is the main activity of this In [NAME]'s main job, does [NAME] work ... from Monday [DATE] I am now going duties in [NAME]'s main job? business or organization where up to Sunday [DATE], to ask you some [NAME] works in this main job? READ RESPONSES did [NAME] have questions about more than one job [NAME]'s main or business? job. The main job IN OWN BUSINESS OR FARMING ACTIVITY................................ 1 is the one where IN A BUSINESS OR FARM OPERATED BY A HOUSEHOLD OR FAMILY MEMBER.................................................................... 2 [NAME] usually AS AN EMPLOYEE FOR SOMEONE ELSE...................................... 3 YES...... 1 works the highest AS AN APPRENTICE, TRAINEE, INTERN........................................ 4 INDIVIDUAL ID NO....... 2 Q40 number of hours HELPING A FAMILY MEMBER WHO WORKS (even if [NAME] was FOR SOMEONE ELSE..................................................................... 5 temporarily absent last week). WRITTEN ISCO WRITTEN ISIC DESCRIPTION CODE DESCRIPTION CODE 1 2 3 4 5 6 7 DESIGNER NOTE: For Q40-41, determine IN ADVANCE who will code, or how it will be coded/incorporated into CAPI. Applies to Q60-Q61 as well. 65 SECTION 4A: LABOR Main Job 43. 44. 45. 46. 47. In the past 12 months, How many weeks per month How many days per week How many hours per day How much does [NAME] usually earn in this main during how many months does [NAME] usually work in does [NAME] usually work in does [NAME] usually work in job? Over what time interval? did [NAME] work this main this main job? this main job? this main job? job? FOR HH BUSINESS REPORT PROFIT (IE. NET INCOME AFTER COST DEDUCTIONS) TIME UNIT HOUR.......................................1 DAY..........................................2 WEEK........................................3 FORTNIGHT..............................4 MONTH....................................5 INDIVIDUAL ID QUARTER.................................6 HALF YEAR...............................7 YEAR........................................8 MONTHS WEEKS DAYS HOURS PER DAY CURRENCY TIME UNIT 1 2 3 4 5 6 7 PROGRAMMER NOTE: For Q47, 0 is a valid option if Q26=2or5 For Q56-57, in CAPI use Yes/No raidal buttons for each component. Q59 is static text in CAPI For Q67, 0 is a valid option if Q42=2or5 66 Household Surveys During Multiple Crises SECTION 4A: LABOR Main Job 48. 49. 50. 51. 52. What kind of enterprise/ establishment does Is the business [NAME] Is the business What kind of accounts or records does this CAPI/ENUMERATOR: [NAME] work for in his/her main job? works for incorporated, [NAME] works for business keep? IS for example as a [limited registered in the Q42==3 OR 4? company or partnership]? [National Business READ ALL OPTIONS GOVERNMENT OR STATE-OWNED ENTERPRISE Register]? YES...... 1 Q52 (FEDERAL, STATE, LOCAL)........................................ 1 Q58 NO....... 2 PRIVATE AGRICULTURAL ENTITY............................. 2 YES............................ 1 Q52 COMPLETE WRITTEN ACCOUNTS PRIVATE NON-AGRICULTURAL ENTITY.................... 3 NO............................. 2 FOR TAX PURPOSES .............................................1 YES............................ 1 INDIVIDUAL ID OTHER HOUSEHOLD(S)/INDIVIDUAL DON’T KNOW......... 98 SIMPLIFIED WRITTEN ACCOUNTS, NO............................. 2 (EX: DOMESTIC WORKER)........................................ 4 Q53 NOT FOR TAX PURPOSES ....................................2 DON’T KNOW......... 98 NGO, NON-PROFIT INSTITUTION, OR CHURCH....... 5 INFORMAL RECORDS OF ORDERS, INTERNATIONAL ORG. OR A FOREIGN EMBASSY..... 6 SALES, PURCHASES...............................................3 NO RECORDS KEPT...............................................4 DON’T KNOW ....................................................98 1 2 3 4 5 6 7 67 SECTION 4A: LABOR Employees & Interns only 53. 54. 55. 56a b c d e f g h i Including [NAME], What is the status of [NAME]’s Is [NAME]'s employer Does [NAME]’s main job employer pay/provide the following benefits? how many people contract/ agreement in his/her responsible for deducting work at his/her main job? any taxes on [NAME]'s READ ALL THE OPTIONS TO THE RESPONDENT, AND MARK ALL THAT APPLY WITH "X" place of work? income, or is that [NAME]'s responsibility? PERMANENT/PENSIONABLE/JOB..... 1 1................. 1 CONTRACT, LESS THAN 1 YEAR....... 2 2-4 ............. 2 EMPLOYER RESPONSIBLE........1 CONTRACT, 1-5 YEARS..................... 3 5-9.............. 3 [NAME] RESPONSIBLE.............2 CONTRACT, MORE THAN 5 YEARS.... 4 10-19.......... 4 NOT APPLICABLE.....................3 WITHOUT ANY CONTRACT.............. 5 20-49.......... 5 OTHER (SPECIFY).............................. 6 50+............. 6 DON’T KNOW................................. 98 INDIVIDUAL ID Paid Paid Paid/ maternity Paid Health annual Pension/ Disability subsidized Transport Other or medical/ insurance leave or retirement pension meals at subsidy benefits parental sick leave benefits vacation work leave 1 2 3 4 5 6 7 68 Household Surveys During Multiple Crises SECTION 4A: LABOR Optional (gender-focus) Second job 57a b c d e 58. 59. 60. 61. Has [NAME] experienced any of the following difficulties in CAPI/ENUMERATOR: ENUMERATOR READ: I What are [NAME]'s main What is the main activity of [NAME]'s main job? IS Q38==1? am now going to ask you tasks and duties in his/her this business or organization some questions about secondary job? where [NAME] works in this READ ALL THE OPTIONS TO THE RESPONDENT, AND MARK ALL [NAME]'s secondary job. secondary job? THAT APPLY WITH "X" YES...... 1 The secondary job is NO....... 2 Q68 the one where [NAME] usually works the second highest number of hours, even if [NAME] was INDIVIDUAL ID temporarily absent last week. Difficulty assigned Difficulty Difficulty getting Harassed at tasks below WRITTEN ISCO WRITTEN ISIC getting a traveling to/ a raise in work level of DESCRIPTION CODE DESCRIPTION CODE promotion from work salary education 1 2 3 4 5 6 7 69 SECTION 4A: LABOR Second job 62. 63. 64. 65. 66. 67. In [NAME]'s second job, does [NAME] work ... In the past 12 How many weeks How many days How many hours How much does [NAME] usually earn months, during per month does per week does per day does in this job? Over what time interval? READ RESPONSES how many [NAME] usually [NAME] usually [NAME] usually months did work in this job? work in this job? work in this job? FOR HH BUSINESS REPORT PROFIT [NAME] work this (IE. NET INCOME AFTER COST IN OWN BUSINESS OR FARMING ACTIVITY............ 1 Q68 job? DEDUCTIONS) IN A BUSINESS OR FARM OPERATED BY HOUSEHOLD OR FAMILY MEMBER......................... 2 Q68 AS AN EMPLOYEE FOR SOMEONE ELSE.................. 3 TIME UNIT AS AN APPRENTICE, TRAINEE, INTERN.................... 4 HELPING A FAMILY MEMBER WHO WORKS HOUR........................ 1 Q68 FOR SOMEONE ELSE................................................. 5 DAY........................... 2 WEEK......................... 3 FORTNIGHT............... 4 MONTH..................... 5 INDIVIDUAL ID QUARTER.................. 6 HALF YEAR................ 7 YEAR......................... 8 MONTHS WEEKS DAYS HOURS PER DAY CURRENCY TIME UNIT 1 2 3 4 5 6 7 70 Household Surveys During Multiple Crises SECTION 4A: LABOR Additional work desires 68. 69. 70. 71. 72. 73. During the last four Would [NAME] want If additional paid How many additional Does [NAME] want What is the main reason [NAME] wants to change weeks, did [NAME] to work more hours work was available, hours per week could to change his/her his/her employment situation? look for additional or per week than usually could [NAME] start [NAME] work? current employment other paid work? worked, provided the working more hours situation? extra hours are paid? within the next two PRESENT JOB IS TEMPORARY..................................... 1 weeks? TO HAVE A BETTER PAID JOB..................................... 2 YES...... 1 YES...... 1 TO HAVE MORE CLIENTS/BUSINESS............................ 3 NO....... 2 YES...... 1 NO....... 2 NEXT SECTION NO....... 2 Q72 YES...... 1 TO WORK MORE HOURS............................................ 4 NO....... 2 Q72 TO WORK FEWER HOURS........................................... 5 INDIVIDUAL ID TO BETTER MATCH SKILLS.......................................... 6 TO WORK CLOSER TO HOME..................................... 7 TO IMPROVE OTHER WORKING CONDITIONS........... 8 OTHER (SPECIFY)......................................................... 9 1 2 3 4 5 6 7 71 SECTION 4B: OWN USE PRODUCTION OF GOODS THESE QUESTIONS REFER TO ACTIVITIES PERFORMED WITHOUT ANY PAY CODED OCC CODED OCC CODED OCC CODED OCC CODED OCC CODED OCC 1. 2. 3. 4. 5. 6. CAPI/ENUMERATOR: IS THE ENUMERATOR: IS [NAME] ENUMERATOR: ENUMERATOR READ: Last week, did [NAME] How many hours did RESPONDENT 15 YEARS OR REPORTING FOR HIM/ WHO IS RESPONDING ON The next questions are spend any time gathering [NAME] do this activity last OLDER? HERSELF? BEHALF OF [NAME]? about other activities that wild food, such as wild week? [NAME] may have done berries, nuts, herbs, COPY ID FROM ROSTER last week, that is from mushrooms, roots, etc.), SECTION 1 Monday [DATE] up to mainly for consumption by YES...... 1 YES...... 1 Q4 NO....... 2 NEXT PERSON NO....... 2 Sunday [DATE], without the household or family? pay, in addition to what you already told me. ID CODE YES...... 1 NO....... 2 Q7 ID CODE HOURS 1 2 3 4 5 6 7 Programmer Note: This entire section is OCC. If this section (S4B) will be implemented, S4 will become S4A. Designer Note: This section captures own-use production of other goods, for a complete accounting of these labor activities. Questions should be reviewed and selected based on their relevance for the survey/country context. Own-use production of services will be forthcoming. 72 Household Surveys During Multiple Crises SECTION 4B: OWN USE PRODUCTION OF GOODS CODED OCC CODED OCC CODED OCC CODED OCC CODED OCC CODED OCC 7. 8. 9. 10. 11. 12. Last week, did [NAME] How many hours did Last week, did [NAME] How many hours did Last week, did [NAME] How many hours did spend any time hunting [NAME] do this activity last spend any time making [NAME] do this activity last fetch water from natural [NAME] do this activity last animals (e.g. for bush week? goods for use by the week? or public sources for use by week? meat) mainly for household such as the household? consumption by the (furniture, pottery, baskets, household or family? clothing, mats...)? YES...... 1 NO....... 2 Q13 ID CODE YES...... 1 YES...... 1 NO....... 2 Q9 NO....... 2 Q11 HOURS HOURS HOURS 1 2 3 4 5 6 7 73 SECTION 4B: OWN USE PRODUCTION OF GOODS CODED OCC CODED OCC CODED OCC CODED OCC CODED OCC CODED OCC 13. 14. 15. 16. 17. 18. Last week, did [NAME] How many hours did Last week, did [NAME] How many hours did Last week, did [NAME] do How many hours did collect any firewood or [NAME] do this activity last spend any time preparing [NAME] do this activity last any construction work her/ [NAME] do this activity last other natural products week? food or drinks to preserve week? himself to renovate, extend week? for use as fuel by the them for the household? or build the household's household? [for example: flour, dried dwelling? fish/meat, butter, cheese, YES...... 1 marmalade, spirits, YES...... 1 NO....... 2 Q15 alcoholic beverages…] NO....... 2 NEXT PERSON YES...... 1 ID CODE NO....... 2 Q17 HOURS HOURS HOURS 1 2 3 4 5 6 7 74 Household Surveys During Multiple Crises SECTION 4C: JOB LOSSES 1. 2. 3. 4. 5. 6. CAPI/ENUMERATOR: IS THIS PERSON WHO IS RESPONDING ON Did [NAME] lose his/her/ In which months(s) did Did [NAME] have to reduce IS [NAME] 15 YEARS OLD ANSWERING FOR HIMSELF/ BEHALF OF [NAME]? their job or stop working [NAME] not work due to his/her/their working OR OLDER? HERSELF? due to the [SHOCK] that the [SHOCK]? hours due to [SHOCK] that started on [MAJOR SHOCK started on [MAJOR SHOCK ONSET MONTH/YEAR]? SELECT ALL THAT APPLY ONSET MONTH/YEAR]? YES...... 1 YES...... 1 Q4 NO....... 2 NEXT PERSON NO....... 2 YES...... 1 March 2020............... 1 YES...... 1 NO....... 2 Q6 April 2020................. 2 NO....... 2 INDIVIDUAL ID May 2020.................. 3 June 2020.................. 4 July 2020................... 5 August 2020.............. 6 September 2020....... 7 October 2020............ 8 November 2020........ 9 December 2020....... 10 January 2021........... 11 February 2021......... 12 March 2021............. 13 April 2021............... 14 ID CODE 1 2 3 4 5 6 7 8 9 10 75 SECTION 5A: HOUSEHOLD ENTERPRISES 1. INTERVIEWER: RECORD ID OF PRIMARY RESPONDENT ID CODE YES............. 1 During the past 12 months, has anyone in your household… NO.............. 2 2. … owned a non-agricultural business or provided a non-agricultural service, either from home or from a household-owned shop? Examples include owning a carwash, metal worker, mechanic, carpenter, tailor, barber, etc. 3. … sold any processed products derived from PURCHASED crops, livestock, fishing, or forest products? This means raw materials that were not grown, raised, fished, or foraged/collected by your household, but instead were purchased by your household and then processed for sale. Examples include flour, juice, beer, jam, oil, seed, fish filets, cured meats, wicker baskets, etc. 4. … owned a trading business on a street or in a market? 5. … offered any service or hawked/sold anything on a street or in a market? Includes firewood, home-made charcoal, curios, construction timber, traditional medicine, mats, bricks, furniture, weave baskets, thatch grass, etc.? 6. … offered professional services, from home or from an office, as a doctor, accountant, lawyer, translator, private tutor, midwife, mason, etc.? 7. … offered transportation or moving services as a driver of a household-owned or rented taxi, motorbike, or truck? 8. … owned a bar, restaurant, or food stand? 9. …owned any other non-agricultural business, even if it is a small activity run from home or on a street? E1 CAPI/ENUMERATOR: IS THERE ANY YES RESPONSE IN Q2 THRU Q9? YES...... 1 NO....... 2 Q12 Designer Note: The wording of Q5 should take into consideration the final design of the Forest Use module in the accompanying Agriculture Questionnaire. As worded here, it includes products sold by the household (a) even if not processed or collected by the household; (b) collected/foraged by the household and sold unprocessed; and (c) collected/foraged by the household and processed by the household. Categories (b) and (c) should be collected either here or in the Agriculture module, nopt in both. The decision for each should be based on the desired level of detail for such activities. Programmer Note: When the questions coded as OCC are not used, the skip instruction in E1 must change to “NO...2  Section 6” 76 Household Surveys During Multiple Crises SECTION 5A: HOUSEHOLD ENTERPRISES 10. Generally speaking, what are the 3 biggest constraints to starting a household 1st: (non-farm) business? 2nd: 3rd: 11. Currently, what are the 3 main constraints to operate and grow this 1st: household's (non-farm) business(es)? CODED OCC 2nd: 3rd Q14 12. In recent years, have you or anyone in your household thought about starting YES...... 1 a non-farm business or a self employment activity? NO....... 2 Q14 13. What are the three most important constraints to starting a household 1st: non‑farm business? 2nd: 3rd Q14 ADDITIONAL SHOCK-RELATED QUESTIONS Since [REFERENCE MONTH BEFORE THE SHOCK], has anyone in your household… YES............. 1 NO.............. 2 14. … owned a non-agricultural business or provided a non-agricultural service, either from home or from a household-owned shop? Examples include owning a carwash, metal worker, mechanic, carpenter, tailor, barber, etc. 15. … sold any processed products derived from PURCHASED crops, livestock, fishing, or forest products? This means raw materials that were not grown, raised, fished, or foraged/collected by your household, but instead were purchased by your household and then processed for sale. Examples include flour, juice, beer, jam, oil, seed, fish filets, cured meats, wicker baskets, etc. 16. … owned a trading business on a street or in a market? 17. … offered any service or hawked/sold anything on a street or in a market? Includes firewood, home-made charcoal, curios, construction timber, traditional medicine, mats, bricks, furniture, weave baskets, thatch grass, etc.? 18. … offered professional services, from home or from an office, as a doctor, accountant, lawyer, translator, private tutor, midwife, mason, etc.? 19. … offered transportation or moving services as a driver of a household-owned or rented taxi, motorbike, or truck? 20. … owned a bar, restaurant, or food stand? 77 SECTION 5A: HOUSEHOLD ENTERPRISES 21. …owned any other non-agricultural business, even if it is a small activity run from home or on a street? E2 CAPI/ENUMERATOR: IS THERE ANY YES RESPONSE IN Q14 THRU Q21? 22. Did the household stop any of these activities since [SHOCK] that started in [MAJOR SHOCK ONSET MONTH/YEAR]? YES...... 1 Q14 NO....... 2 23. Why did the household stop any of these activities? 24. Compared to [REFERENCE TIME BEFORE THE SHOCK] are the revenues from sales from all the non-farm family business Higher ...................... 1 The same .................. 2 Less............................ 3 No revenue............... 4 CODES FOR Q10, Q11, Q13 HIGH INTEREST RATES................................................. 6 HIGH TAXES............................................................... 12 ELECTRICITY................................................................. 1 ACCESS TO MARKETS.................................................. 7 CRIMINALITY, THEFT AND LAWLESSNESS................ 13 NETWORK.................................................................... 2 LOW DEMAND............................................................. 8 CONFLICTS AND SOCIAL FRICTION........................... 14 TRANSPORTATION....................................................... 3 CORRUPTION............................................................... 9 OTHER, SPECIFY......................................................... 15 UNABLE TO BORROW MONEY................................... 4 UNCERTAIN ECONOMIC POLICY............................... 10 UNWILLING TO BORROW MONEY............................ .5 REGISTRATION AND PERMITS................................... 11 CODES FOR Q23 LEGAL PROBLEMS........................................................ 1 COULD NOT OBTAIN CREDIT...................................... 5 CONFLICT (MILITANCY/INSURGENCY)........................ 9 COULD NOT OBTAIN INPUTS...................................... 2 TOO MUCH DEBT........................................................ 6 ADDITIONAL [SHOCK]-RELATED REASON................ 10 LACK OF DEMAND...................................................... 3 SECURITY ISSUES......................................................... 7 OTHER, SPECIFY......................................................... 96 LOW PROFITS............................................................... 4 DEATH/SICKNESS OF OWNER...................................... 8 78 Household Surveys During Multiple Crises SECTION 5B: HOUSEHOLD ENTERPRISES 1. 2. 3. 4. 5. Please list all the businesses, trades, or Is this [ACTIVITY] Is this [ACTIVITY] closed Why did this [ACTIVITY] stop? When did this [ACTIVITY] stop work as self-employed craftsman done currently operating? permanently, seasonally, operating? LEGAL PROBLEMS......................................... 1 by all household members. Include ALL or temporarily? activities during the past 12 months, even COULD NOT OBTAIN INPUTS....................... 2 Q6 YES...... 1 if they are not currently ongoing. NO....... 2 LACK OF DEMAND....................................... 3 PERMANENTLY........1 LOW PROFITS................................................ 4 FIRST, LIST ALL ACTIVITIES HERE. THEN, Q5 SEASONALLY............2 CONTINUE WITH THE FOLLOW UP COULD NOT OBTAIN CREDIT....................... 5 TEMPORARILY.........3 QUESTIONS FOR ONE ACTIVITY AT A TIME. TOO MUCH DEBT......................................... 6 ENTERPRISE NO SECURITY ISSUES.......................................... 7 DEATH/SICKNESS OF OWNER....................... 8 CONFLICT (MILITANCY/INSURGENCY)......... 9 OTHER, SPECIFY.......................................... 10 TYPE OF ACTIVITY INDUSTRY CODE MONTH YEAR 1 2 3 4 5 6 7 79 SECTION 5B: HOUSEHOLD ENTERPRISES 6. 7. 8. 9. 10. 11. Who in the household owns this Who in your household decides on the Who in the household manages this Who is the How many During how [ACTIVITY]? use of the earnings from this activity? [ACTIVITY] or is most familiar with it? respondent YEARS ago did many of the providing the [ACTIVITY] past 12 months LIST ALL LIST ALL IF POSSIBLE, ASK THE REST OF THE information first start was [ACTIVITY] QUESTIONS TO THE MANAGER(S). about this operating? in operation? LIST UP TO TWO MANAGERS. [ACTIVITY]? ENTERPRISE NO IF STARTED IN THE LAST 12 MONTHS, ENTER 0 OWNER 1 OWNER 2 OWNER 3 MANAGER 1 MANAGER 2 MANAGER 3 ID CODE ID CODE ID CODE ID CODE ID CODE ID CODE ID CODE ID CODE ID CODE ID CODE YEARS 1 2 3 4 5 6 7 80 Household Surveys During Multiple Crises SECTION 5B: HOUSEHOLD ENTERPRISES CODED OCC 11alt 11b During which of the past 12 months was [ACTIVITY] in Has the [ACTIVITY] faced any of the following challenges due to the [SHOCK] operation? INTERVIEWER: INDICATE THE MONTHS OPERATED WITH AN "X" ENTERPRISE NO Difficulty Difficulty raising Difficulty Difficulty paying Difficulty paying Difficulty Other difficulty buying and money for the repaying loans rent for business workers selling goods (SPECIFY) receiving business or other debt location or services to may-18 sept-18 mar-18 aug-18 supplies and obligations customers nov-18 feb-18 feb-19 apr-18 jun-18 jan-18 oct-18 jan-19 dic-18 jul-18 inputs to run the business 1 2 3 4 5 6 7 Designer Note: When using Q11 alt, Q5 is not needed and should be deleted. 81 SECTION 5B: HOUSEHOLD ENTERPRISES 12. 13. 14. 15. Where do you operate During the past Is this a. Who are the household members engaged in this [ACTIVITY]? OCC OPTION FOR Q15B: [ACTIVITY]? 12 months, did [ACTIVITY] ASK WHICH MONTHS INSTEAD OF your household officially b. During how many of the past 12 months did [NAME] work in HOW MANY. HOME (INSIDE RESIDENCE)............1 this [ACTIVITY]? SELECT ALL THAT APPLY make any registered MONTHS HOME (OUTSIDE RESIDENCE)........2 payments with the c. During these months, how many days per month did [NAME] ALL YEAR........................................0 INDUSTRIAL SITE.............................3 to local government? work in [ACTIVITY]? authorities JANUARY 2018...............................1 TRADITIONAL MARKET..................4 (government d. How many hours per day did [NAME] normally work in FEBRUARY 2018..............................2 COMMERCIAL AREA SHOP............5 YES...... 1 or non- NO....... 2 [ACTIVITY]? MARCH 2018...................................3 ROADSIDE.......................................6 government) APRIL 2018......................................4 OTHER FIXED PLACE.......................7 ASK FOR ALL MEMBERS THAT WORKED ON THE [ACTIVITY] to allow MAY 2018.......................................5 MOBILE/NO FIXED LOCATION........8 operation of this [ACTIVITY]? JUNE 2018.......................................6 OTHER (SPECIFY)............................9 JULY 2018........................................7 YES...... 1 AUGUST 2018.................................8 NO....... 2 SEPTEMBER 2018............................9 OCTOBER 2018.............................10 NOVEMBER 2018..........................11 DECEMBER 2018...........................12 JANUARY 2019.............................13 ENTERPRISE NO FEBRUARY 2019............................14 HH MEMBER #1 HH MEMBER #2 HH MEMBER #3 ID MONTHS DAYS HOURS ID MONTHS DAYS HOURS ID MONTHS DAYS HOURS PER PER PER PER PER PER MONTH DAY MONTH DAY MONTH DAY 1 2 3 4 5 6 7 82 Household Surveys During Multiple Crises SECTION 5B: HOUSEHOLD ENTERPRISES CODED E/O 16. 17. 18. 19. 20. 21. How many employees What was the main source of start-up capital for During the past From which source did your Did your During the past are there who are not this [ACTIVITY]? 12 months, did household apply for the credit? household 12 months, household members? any member of eventually get how much has LIST UP TO THREE IN ORDER OF IMPORTANCE. your household SELECT UP TO TWO credit from the your household HOUSEHOLD SAVINGS....................................................... 1 try to get banks or other borrowed IN NGO SUPPORT.................................................................... 2 credit for this formal financial TOTAL for this [ACTIVITY] from LOAN FROM BANK (COMMERCIAL, agencies for this [ACTIVITY]? LOAN FROM BANK MICRO FINANCE, CREDIT UNION)............ 1 [ACTIVITY]? banks OR other (COMMERCIAL, MICRO FINANCE, CREDIT UNION)........... 3 formal financial MONEY LENDER........................................ 2 MONEY LENDER................................................................. 4 agencies? COOPERATIVE/TRADE ASSOCIATIONS...... 3 ROSCAS - ROTATING CREDIT AND SAVINGS NOTE THIS ONLY OTHER (SPECIFY)....................................... 4 YES...... 1 ASSOCIATIONS/GROUPS {USE LOCAL NAMES}................. 5 NO....... 2 Q22 OTHER LOANS.................................................................... 6 REFERS TO BUSINESS LOANS, DISTRICT/TOWN ASSOCIATION SUPPORT......................... 7 NOT PERSONAL COOPERATIVE/TRADE ASSOCIATIONS............................... 8 LOANS. REMITTANCES FROM ABROAD.......................................... 9 PROCEEDS FROM FAMILY FARM..................................... 10 YES...... 1 CHURCH/MOSQUE ASSISTANCE....................................... 11 Q22 NO....... 2 ENTERPRISE NO PROCEEDS FROM FAMILY NON-FARM ENTERPRISE....... 12 RELATIVES/FRIENDS.......................................................... 13 OTHER (SPECIFY).............................................................. 14 MALE FEMALE 1ST 2ND 3RD CODE CURRENCY 1 2 3 4 5 6 7 83 SECTION 5B: HOUSEHOLD ENTERPRISES CODED E/O CODED E/O 22. 23. 24. 25. 26. 27. During the past 12 How much MONEY does the To whom do you sell your products or What is the current What is the total What is the total months, has your household pay on all loans for this services? value of the value of the current value of your current household been activity? physical capital stock of inputs or stock of finished repaying any loans (in LIST UP TO 2 BUYERS IN ORDER OF stock, including all supplies for this merchandise (goods cash or kind) for this IMPORTANCE. tools, generators, activity? for sale)? [ACTIVITY]? WEEKLY......................... 1 equipment, FINAL CONSUMERS..............................................1 EVERY 2 WKS................ 2 buildings, land, and INPUTS AND NOT ASKED INCLUDE PAYMENTS TRADERS...............................................................2 vehicles, that are SUPPLIES DO NOT TO THOSE IN PAST 12 MONTHS MONTHLY..................... 3 OTHER SMALL BUSINESSES..................................3 used for this activity? INCLUDE PHYSICAL PERMANENTLY FOR ALL LOANS (NOT EVERY 3 MO................. 4 CAPITAL STOCK CLOSED LARGE ESTABLISHED BUSINESSES........................4 ONLY NEW LOANS IN EVERY 6 MO................. 5 NOT ASKED REPORTED IN Q24 PAST 12 MONTHS) INSTITUTIONS YEARLY ...................... 6 (SCHOOLS, HOSPITALS, GOVT MINISTRIES).........5 TO THOSE ENTERPRISE NO OTHER (SPECIFY).......... 7 EXPORT.................................................................6 PERMANENTLY NOT ASKED YES...... 1 CLOSED TO THOSE NO....... 2 Q25 MANUFACTURERS................................................7 PERMANENTLY OTHER (SPECIFY)..................................................8 CLOSED CURRENCY CODE 1ST 2ND CURRENCY CURRENCY CURRENCY 1 2 3 4 5 6 7 84 Household Surveys During Multiple Crises SECTION 5B: HOUSEHOLD ENTERPRISES CODED OCC CODED OCC CODED E/O 28. 28 alt1 28 alt 1 28 alt 2 During the During During What were the business costs during the LAST MONTH OF OPERATION in the following categories? LAST MONTH the LAST the LAST of operation, MONTH OF MONTH OF what was OPERATION, OPERATION, the total what were what were profit for the total the total [ACTIVITY]? sales/revenue COSTS for the for the [ACTIVITY]? [ACTIVITY]? This includes wages, raw materials and other inputs, generator ENTERPRISE NO fuel, rent, and so on. SALARIES PURCHASE RAW FUEL MAINTENANCE INTEREST AND OF GOODS MATERIALS TRANSPORT FOR OF INSURANCE RENT ON OTHER WAGES FOR SALE OR INPUTS GENERATOR GENERATOR LOANS CURRENCY CURRENCY CURRENCY CURRENCY CURRENCY CURRENCY CURRENCY CURRENCY CURRENCY CURRENCY CURRENCY CURRENCY CURRENCY 1 2 3 4 5 6 7 Designer Note: Three options are provided for collecting data to calculate one month of profit: a) Q28, b) Q28alt.1, consisting of 2 questions, and c) 28 alt.3, consisting of a table of questions. Combining options is not recommended. 85 SECTION 6: OTHER INCOME IN THE LAST 12 MONTHS 1. PRIMARY RESPONDENT FOR THIS SECTION ID CODE: 2. 3. 4. During the last How much in total Who in your household decides what to do 12 months, did any did your household with this income? members of your receive from household receive [SOURCE] during the LIST ALL any income from last 12 months? [SOURCE]? ESTIMATE THE YES...... 1 CASH VALUE OF NO....... 2 NEXT SOURCE IN‑KIND TRANSFERS RECEIVED TYPE CODE SOURCE $ ID CODE # 1 ID CODE # 2 ID CODE # 3 101 National remittances - cash transfers/gifts from individuals (relatives, friends) within the country INCOMING 102 International remittances - cash transfers/gifts TRANSFERS/GIFTS from individuals (relatives, friends) from abroad 103 In-kind gifts (food and non-food) from individuals (relatives, friends) anywhere PENSION & 104 Savings, interest or other investment income INVESTMENT INCOME 105 Contributory pension income 106 Rental income, residential property (apartment, house) 107 Rental income, commercial (shop, store) REVENUE, 108 Income from SALE of real estate SALE OF ASSETS (do not include rental income) 109 Other income (Specify): Designer Note: The list of sources is an example and must be tailored to the country and survey needs, in consultation with experts. It should be expanded to include any specific income sources that are common in the country of the survey. 86 Household Surveys During Multiple Crises SECTION 7: HOUSEHOLD ASSETS 1. PRIMARY RESPONDENT ID FOR THIS SECTION ID CODE: CODED E/O ASK Q1 FOR ALL ITEMS FIRST. THEN, CONTINUE 2. 3. 4. 5. WITH THE FOLLOW-UP QUESTIONS FOR EACH Does your household How many [ITEM]s does Who in your HH owns (the majority of) [ITEM]? If you wanted to sell ITEM OWNED BY THE HOUSEHOLD. own any [ITEM]? your household own? (one of) the [ITEM] LIST ALL today, how much would YES...... 1 you receive? NEXT ITEM NO....... 2 IF MORE THAN ONE ITEM, REFER TO NEWEST ITEM CODE ITEM NUMBER ID CODE ID CODE CURRENCY 101 Furniture (sofa or armchairs) 102 Mattress 103 Bed 104 Gas (or kerosene) cooker 105 Stove (electric or gas) 106 Refrigerator 107 Freezer 108 Air conditioner 109 Washing machine 110 Bicycle 111 Motorbike 112 Cars and other 4-wheel vehicles 113 Generator 114 Fan 115 Microwave 116 Television 117 Computer or tablet 118 Satellite dish 119 Smartphone 120 Mobile phone (NOT smartphones) 121 Other (specify): 122 Other (specify): 87 SECTION 8A: SAVINGS & CREDIT THIS SECTION IS ONLY ASKED FOR HOUSEHOLD MEMBERS 15 YEARS OR OLDER BANKING SAVINGS 1. 2. 3. 4. 5. 6. 7. 8. CAPI/ENUMERATOR: IS THIS PERSON WRITE THE ID Some people like to Does [NAME] Is there someone In the LAST 12 In the LAST 12 IS [NAME] 15 YEARS ANSWERING FOR CODE OF THE keep their money personally have who lets [NAME] MONTHS, has MONTHS, has OLD OR OLDER? HIMSELF/ HERSELF? RESPONDENT in an account at access to mobile cash cheques, [NAME] personally [NAME] personally a bank or micro- money [local transfer funds, or saved or set aside saved or set aside YES...... 1 YES...... 1 Q4 finance institution. example]? do other banking money using a money by using any NO....... 2 NEXT PERSON NO....... 2 Does [NAME] have a transactions using commercial bank, informal savings bank account? YES...... 1 their account? a credit union, clubs (like [insert NO....... 2 savings and credit local example]) or a YES......................... 1 YES...... 1 NO.......................... 2 cooperative [INSERT person outside the NO....... 2 Q6 DON’T KNOW...... 98 LOCAL EXAMPLE], household? micro-finance institution or YES...... 1 any other formal NO....... 2 or semi-formal institution? YES...... 1 NO....... 2 ID CODE 1 2 3 4 5 6 7 8 88 Household Surveys During Multiple Crises SECTION 8A: SAVINGS & CREDIT IF including SECTION IF including SECTION 8B, then 8B, YESNEXT SECTION 8A ends here PERSON CODED OCC LOANS CODED OCC 9. 10. 11. 12. 13. 14. During the last Did [NAME] have need Why did [NAME] not attempt to Was the loan From what type of institution What was the main reason for applying 12 months, did for a loan in the last borrow in the last 12 months? approved or denied? or person did [NAME] for this loan? [NAME] try to 12 months? request this loan? borrow money from PROBE & SELECT ALL IF PERSON someone outside THAT APPLY IN ORDER OF REQUESTED PURCHASE LAND.......................................... 1 YES...... 1 IMPORTANCE MULTIPLE LOANS, COOPERATIVE SOCIETY...............1 the household or NO....... 2 NEXT PERSON PURCHASE INPUTS FOR FOOD CROP........... 2 from any institution ASK ABOUT THE SAVINGS ASSOCIATION...............2 BELIEVED IT WOULD BE REFUSED....1 PURCHASE INPUTS FOR CASH CROP........... 3 (formal or informal)? BIGGEST APPROVED. TOO EXPENSIVE.................................2 MICRO FINANCE..........................3 PURCHASE LIVESTOCK................................. 4 INCLUDE EVEN IF TOO MUCH TROUBLE FOR BANK............................................4 CEREMONIES (MARRIAGE, BURIAL, LOAN WAS REFUSED. WHAT IT WAS WORTH......................3 APPROVED...................1 ROSCAS - ROTATING OTHER SOCIAL FUNCTIONS ETC)................. 5 INADEQUATE COLLATERAL..............4 PENDING DECISION.....2 SAVINGS & CREDIT EDUCATION.................................................. 6 INCLUDE LOANS FOR ASSOCIATION/GROUP DO NOT LIKE TO BE IN DEBT............5 DENIED.........................3 MOTOR VEHICLE PURCHASE....................... 7 EDUCATION. {USE LOCAL NAMES}...................5 DO NOT KNOW ANY LENDER...........6 FRIENDS & RELATIVES.................6 HOME PURCHASE OR CONSTRUCTION....... 8 DO NOT INCLUDE BAD CREDIT.......................................7 OTHER HOUSEHOLD CONSUMPTION.......... 9 BUSINESS LOANS MONEY LENDERS........................7 STILL REPAYING OTHER LOAN..........8 HEALTH EXPENSES...................................... 10 REPORTED IN S5. HIRE PURCHASE...........................8 OTHER (SPECIFY)...............................9 OTHER(SPECIFY)..........................9 COPING WITH INCOME LOSS DUE TO YES...... 1 [SHOCK]...................................................... 11 NO....... 2 Q12 ALLNEXT PERSON OTHER (SPECIFY)........................................ 96 1 2 3 4 5 6 7 8 89 SECTION 8B: CREDIT DETAIL CAPI/ENUMERATOR CHECK: YES........1 1. DOES S8A Q7==1 [YES] for any HH members? NEXT SECTION NO........2 CODED OCC CODED OCC CODED OCC CODED OCC 2. 3. 4. 5. Please list all the types of sources - Which household member(s) applied What was the main reason for applying Was this loan application approved? institutions and people - from which your for the loan from [LENDER TYPE]? for the loan from [LENDER TYPE]? household attempted to borrow money or applied for a loan over the past 12 months. PROBE & LIST ALL Q7 LOAN APPROVED AND RECEIVED........ 1 PURCHASE LAND.......................................... 1 LOAN APPROVED, * INCLUDE APPROVED & REJECTED LOANS. PURCHASE INPUTS FOR FOOD CROP........... 2 NEXT LOAN PENDING DISBURSEMENT..................... 2 * DO NOT INCLUDE LOANS REPORTED PURCHASE INPUTS FOR CASH CROP........... 3 NEXT LOAN AWAITING APPLICATION DECISION..... 3 IN S5 PURCHASE LIVESTOCK................................. 4 LOAN NOT APPROVED/GIVEN.............. 4 * FILL Q1 FOR ALL BEFORE GOING ON CEREMONIES (MARRIAGE, BURIAL, * IF MULTIPLE LOANS FROM THE SAME OTHER SOCIAL FUNCTIONS ETC)................. 5 PERSON/INSTITUTION, LIST EACH ON A EDUCATION.................................................. 6 SEPARATE LINE. MOTOR VEHICLE PURCHASE....................... 7 HOME PURCHASE OR CONSTRUCTION....... 8 COOPERATIVE SOCIETY......................... 1 OTHER HOUSEHOLD CONSUMPTION.......... 9 SAVINGS ASSOCIATION......................... 2 HEALTH EXPENSES...................................... 10 MICRO FINANCE.................................... 3 OTHER (SPECIFY)........................................ 11 BANK...................................................... 4 ADASHI/ESUSU/AJO............................... 5 FRIENDS & RELATIVES........................... 6 MONEY LENDERS.................................. 7 LOAN ID HIRE PURCHASE..................................... 8 OTHER (SPECIFY)................................... 9 ID CODE ID CODE ID CODE 1 2 3 4 5 6 90 Household Surveys During Multiple Crises SECTION 8B: CREDIT DETAIL CODED OCC CODED OCC CODED OCC CODED OCC CODED OCC CODED OCC 6. 7. 8. 9. 10. 11. What were the reasons why this How much was When did your household Has the loan from Approximately when does your At completion of loan application was refused? received under this receive this loan? [LENDER TYPE] household expect to make the repayment of this loan? already been fully final payment on the loan from loan, what is the total MONTH CODE repaid? [LENDER TYPE]? amount you expect to JAN...................01 repay? LACK OF COLLATERAL.......................... 1 MONTH CODE NO SAVINGS/SHARES............................ 2 FEB....................02 YES...... 1 Q10 (INTEREST + PRINCIPAL) JAN...................01 MAR.................03 NO....... 2 BAD CREDIT HISTORY........................... 3 FEB....................02 APR...................04 ITEMS DIDNT QUALIFY FOR A LOAN...... 4 MAR.................03 MAY.................05 LACK OF GUARANTORS........................ 5 APR...................04 JUN...................06 DON’T KNOW........................................ 6 MAY.................05 JUL....................07 OTHER (SPECIFY)................................... 7 JUN...................06 AUG..................08 JUL....................07 SEP....................09 AUG..................08 OCT...................10 SEP....................09 NOV..................11 OCT...................10 DEC...................12 NOV..................11 DEC...................12 LOAN ID PROBE & SELECT MONTH YEAR MONTH YEAR ALL THAT APPLY IN ORDER OF CURRENCY CURRENCY (MM) (YYYY) (MM) (YYYY) IMPORTANCENEXT LOAN 1 2 3 4 5 6 Designer Note: • If using S8B, rename S8 to be S8A and drop S8A Q11-Q23. See questionnaire note for more details. • Answer options for Q3 do not include loans for household non-farm enterprises (NFEs) as these are expected to be collected under the NFE section. Train enumerators to avoid double-counting of loans (e.g., reporting the same loan in two sections). 91 SECTION 9A: MEALS AWAY 1. 2. In the past 7 days, did any members In the past 7 days, how much IN TOTAL of this household consume any of the did household members pay for [MEAL]? following meals or drinks away from If it was free, please estimate what it home? would have cost if you had to pay. READ OUT EACH MEAL TYPE AND RECORD YES/NO. ANSWER Q1 FOR ALL MEAL TYPES BEFORE PROCEEDING. DO NOT COUNT FOOD EATEN FROM THE HOUSEHOLD'S ITEM CODE OWN FAMILY BUSINESS. YES.....................1 MEALS PREPARED AND CONSUMED OUTSIDE THE HOME NO......................2 (NEXT ITEM) CURRENCY Breakfast complete meals [local example] 1 Lunch complete meals [local example] 2 Dinner complete meals [local example] 3 Snacks such as chips, biscuits, [local examples], etc. 4 Dairy-based beverages such as milk, yoghurt, [local example], etc. 5 Vegetable snacks (ex: carrot, pears, roasted corn, roasted plantain, roasted yam, etc.) 6 Non-alcoholic drinks (Coke, Fanta, [local examples], etc.) 7 Alcoholic drinks (palm wine, beer, etc.) 8 Designer Note: The item list is an example and must be tailored to the country and survey needs in consultation with local experts. 92 Household Surveys During Multiple Crises SECTION 9B: WITHIN-HOUSEHOLD FOOD CONSUMPTION & EXPENDITURE 1 2. 3. 4. 5. 6. 7. 8. REPORT ONLY ITEMS During the In total, how much of Of the Of the Of the Did your In the most recent How much CONSUMED WITHIN past 7 days, did [ITEM] did your household [QUANTITY] [QUANTITY] [QUANTITY] household purchase, how much [ITEM] did your THE HOUSEHOLD. FOOD members of consume in the past 7 [UNIT] of [UNIT] of [UNIT] of purchase any did the household buy? household CONSUMED OUTSIDE THE this household days? [ITEM] [ITEM] [ITEM] [ITEM] in the spend on this HOUSEHOLD MUST BE eat/drink any consumed, consumed in consumed, past 30 days? [QUANTITY, REPORTED IN THE PREVIOUS [ITEM] within DO NOT INCLUDE FOOD how much the last 7 days, how much UNIT, SIZE IN CONSUMED OUTSIDE THE YES... 1 SEE UNIT CODES SECTION. the household? came from how much came from ON NEXT PAGE Q7] of [ITEM]? HOUSEHOLD purchases? came from own gifts and other NO.... 2 NEXT ASK Q1 FOR ALL ITEMS, production? sources? ITEM BEFORE MOVING TO FOLLOW YES... 1 UNIT AND ITEM CODE UP QUESTIONS. NO.... 2 NEXT SEE UNIT CODES SIZE MUST BE UNIT AND SIZE UNIT AND SIZE ITEM ON NEXT PAGE THE SAME AS MUST BE THE MUST BE THE IN Q2 SAME AS IN Q2 SAME AS IN Q2 QUANTITY UNIT SIZE QUANTITY QUANTITY QUANTITY CODE QUANTITY UNIT SIZE CURRENCY Guinea corn/sorghum 100 Millet 101 Rice - local 102 Rice - imported 103 GRAINS & FLOURS Maize flour 104 Yam flour 105 Cassava flour 106 Wheat flour 107 Maize 108 (unshelled/on the cob) Maize (shelled/off the cob) 109 Other grains and flour 110 (specify) Bread 111 BAKED/PROCESSED Cake 112 PRODCUTS Buns/pofpof/donuts 113 Biscuits 114 Meat pie/sausage roll 115 93 SECTION 9B: WITHIN-HOUSEHOLD FOOD CONSUMPTION & EXPENDITURE 1 2. 3. 4. 5. 6. 7. 8. REPORT ONLY ITEMS During the In total, how much of Of the Of the Of the Did your In the most recent How much CONSUMED WITHIN past 7 days, did [ITEM] did your household [QUANTITY] [QUANTITY] [QUANTITY] household purchase, how much [ITEM] did your THE HOUSEHOLD. FOOD members of consume in the past 7 [UNIT] of [UNIT] of [UNIT] of purchase any did the household buy? household CONSUMED OUTSIDE THE this household days? [ITEM] [ITEM] [ITEM] [ITEM] in the spend on this HOUSEHOLD MUST BE eat/drink any consumed, consumed in consumed, past 30 days? [QUANTITY, REPORTED IN THE PREVIOUS [ITEM] within DO NOT INCLUDE FOOD how much the last 7 days, how much UNIT, SIZE IN CONSUMED OUTSIDE THE YES... 1 SEE UNIT CODES SECTION. the household? came from how much came from ON NEXT PAGE Q7] of [ITEM]? HOUSEHOLD purchases? came from own gifts and other NO.... 2 NEXT ASK Q1 FOR ALL ITEMS, production? sources? ITEM BEFORE MOVING TO FOLLOW YES... 1 UNIT AND ITEM CODE UP QUESTIONS. NO.... 2 NEXT SEE UNIT CODES SIZE MUST BE UNIT AND SIZE UNIT AND SIZE ITEM ON NEXT PAGE THE SAME AS MUST BE THE MUST BE THE IN Q2 SAME AS IN Q2 SAME AS IN Q2 QUANTITY UNIT SIZE QUANTITY QUANTITY QUANTITY CODE QUANTITY UNIT SIZE CURRENCY Cassava - roots 116 STARCHY ROOTS, TUBERS, Yam - roots 117 Cocoyam 118 PLANTAINS Plantains 119 Sweet potatoes 120 Potatoes 121 Other roots and tuber 122 (specify) Soya beans 123 Other beans 124 PULSES, NUTS & SEEDS Groundnuts (unshelled) 125 Groundnuts (shelled) 126 Coconut 127 Kola nut 128 Cashew nut 129 Other nuts/seeds (specify) 130 94 Household Surveys During Multiple Crises SECTION 9B: WITHIN-HOUSEHOLD FOOD CONSUMPTION & EXPENDITURE 1 2. 3. 4. 5. 6. 7. 8. REPORT ONLY ITEMS During the In total, how much of Of the Of the Of the Did your In the most recent How much CONSUMED WITHIN past 7 days, did [ITEM] did your household [QUANTITY] [QUANTITY] [QUANTITY] household purchase, how much [ITEM] did your THE HOUSEHOLD. FOOD members of consume in the past 7 [UNIT] of [UNIT] of [UNIT] of purchase any did the household buy? household CONSUMED OUTSIDE THE this household days? [ITEM] [ITEM] [ITEM] [ITEM] in the spend on this HOUSEHOLD MUST BE eat/drink any consumed, consumed in consumed, past 30 days? [QUANTITY, REPORTED IN THE PREVIOUS [ITEM] within DO NOT INCLUDE FOOD how much the last 7 days, how much UNIT, SIZE IN CONSUMED OUTSIDE THE YES... 1 SEE UNIT CODES SECTION. the household? came from how much came from ON NEXT PAGE Q7] of [ITEM]? HOUSEHOLD purchases? came from own gifts and other NO.... 2 NEXT ASK Q1 FOR ALL ITEMS, production? sources? ITEM BEFORE MOVING TO FOLLOW YES... 1 UNIT AND ITEM CODE UP QUESTIONS. NO.... 2 NEXT SEE UNIT CODES SIZE MUST BE UNIT AND SIZE UNIT AND SIZE ITEM ON NEXT PAGE THE SAME AS MUST BE THE MUST BE THE IN Q2 SAME AS IN Q2 SAME AS IN Q2 QUANTITY UNIT SIZE QUANTITY QUANTITY QUANTITY CODE QUANTITY UNIT SIZE CURRENCY Palm oil 131 Butter/margarine 132 OILS & FATS Groundnuts oil 133 Coconut oil 134 Animal fat 135 Other oil and fat (specify) 136 Bananas 137 Oranges/tangerines 138 Mangos 139 Avocados 140 Pineapples 141 FRUITS Fruit, canned 142 Pawpaw 143 Watermelon 144 Apples 145 Guava 146 Other fruits (specify) 147 95 SECTION 9B: WITHIN-HOUSEHOLD FOOD CONSUMPTION & EXPENDITURE 1 2. 3. 4. 5. 6. 7. 8. REPORT ONLY ITEMS During the In total, how much of Of the Of the Of the Did your In the most recent How much CONSUMED WITHIN past 7 days, did [ITEM] did your household [QUANTITY] [QUANTITY] [QUANTITY] household purchase, how much [ITEM] did your THE HOUSEHOLD. FOOD members of consume in the past 7 [UNIT] of [UNIT] of [UNIT] of purchase any did the household buy? household CONSUMED OUTSIDE THE this household days? [ITEM] [ITEM] [ITEM] [ITEM] in the spend on this HOUSEHOLD MUST BE eat/drink any consumed, consumed in consumed, past 30 days? [QUANTITY, REPORTED IN THE PREVIOUS [ITEM] within DO NOT INCLUDE FOOD how much the last 7 days, how much UNIT, SIZE IN CONSUMED OUTSIDE THE YES... 1 SEE UNIT CODES SECTION. the household? came from how much came from ON NEXT PAGE Q7] of [ITEM]? HOUSEHOLD purchases? came from own gifts and other NO.... 2 NEXT ASK Q1 FOR ALL ITEMS, production? sources? ITEM BEFORE MOVING TO FOLLOW YES... 1 UNIT AND ITEM CODE UP QUESTIONS. NO.... 2 NEXT SEE UNIT CODES SIZE MUST BE UNIT AND SIZE UNIT AND SIZE ITEM ON NEXT PAGE THE SAME AS MUST BE THE MUST BE THE IN Q2 SAME AS IN Q2 SAME AS IN Q2 QUANTITY UNIT SIZE QUANTITY QUANTITY QUANTITY CODE QUANTITY UNIT SIZE CURRENCY Tomatos 148 Tomato puree (canned) 149 Onions 150 Garden eggs/eggplant 151 VEGETABLES Okra - fresh 152 Okra - dried 153 Fresh pepper 154 Dry pepper 155 Leaves 156 (cocoyam, spinach, etc.) Other vegetables, fresh or 157 canned (specify) Chicken 158 POULTRY & Other domestic poultry 159 RELATED Eggs (from chicken) 160 Other eggs (not chicken) 161 (specify) 96 Household Surveys During Multiple Crises SECTION 9B: WITHIN-HOUSEHOLD FOOD CONSUMPTION & EXPENDITURE 1 2. 3. 4. 5. 6. 7. 8. REPORT ONLY ITEMS During the In total, how much of Of the Of the Of the Did your In the most recent How much CONSUMED WITHIN past 7 days, did [ITEM] did your household [QUANTITY] [QUANTITY] [QUANTITY] household purchase, how much [ITEM] did your THE HOUSEHOLD. FOOD members of consume in the past 7 [UNIT] of [UNIT] of [UNIT] of purchase any did the household buy? household CONSUMED OUTSIDE THE this household days? [ITEM] [ITEM] [ITEM] [ITEM] in the spend on this HOUSEHOLD MUST BE eat/drink any consumed, consumed in consumed, past 30 days? [QUANTITY, REPORTED IN THE PREVIOUS [ITEM] within DO NOT INCLUDE FOOD how much the last 7 days, how much UNIT, SIZE IN CONSUMED OUTSIDE THE YES... 1 SEE UNIT CODES SECTION. the household? came from how much came from ON NEXT PAGE Q7] of [ITEM]? HOUSEHOLD purchases? came from own gifts and other NO.... 2 NEXT ASK Q1 FOR ALL ITEMS, production? sources? ITEM BEFORE MOVING TO FOLLOW YES... 1 UNIT AND ITEM CODE UP QUESTIONS. NO.... 2 NEXT SEE UNIT CODES SIZE MUST BE UNIT AND SIZE UNIT AND SIZE ITEM ON NEXT PAGE THE SAME AS MUST BE THE MUST BE THE IN Q2 SAME AS IN Q2 SAME AS IN Q2 QUANTITY UNIT SIZE QUANTITY QUANTITY QUANTITY CODE QUANTITY UNIT SIZE CURRENCY Beef 162 Mutton 163 Pork 164 MEATS Goat 165 Wild game/bush meat 166 Canned beef/corned beef 167 Other meat 168 (excl. poultry) (specify) Fish - fresh 169 Fish - frozen 170 FISH & SEAFOOD Fish - smoked 171 Fish - dried 172 Seafood (lobster, crab, 173 prawns, etc) Canned fish/seafood 174 Other fish or seafood 175 (specify) 97 SECTION 9B: WITHIN-HOUSEHOLD FOOD CONSUMPTION & EXPENDITURE 1 2. 3. 4. 5. 6. 7. 8. REPORT ONLY ITEMS During the In total, how much of Of the Of the Of the Did your In the most recent How much CONSUMED WITHIN past 7 days, did [ITEM] did your household [QUANTITY] [QUANTITY] [QUANTITY] household purchase, how much [ITEM] did your THE HOUSEHOLD. FOOD members of consume in the past 7 [UNIT] of [UNIT] of [UNIT] of purchase any did the household buy? household CONSUMED OUTSIDE THE this household days? [ITEM] [ITEM] [ITEM] [ITEM] in the spend on this HOUSEHOLD MUST BE eat/drink any consumed, consumed in consumed, past 30 days? [QUANTITY, REPORTED IN THE PREVIOUS [ITEM] within DO NOT INCLUDE FOOD how much the last 7 days, how much UNIT, SIZE IN CONSUMED OUTSIDE THE YES... 1 SEE UNIT CODES SECTION. the household? came from how much came from ON NEXT PAGE Q7] of [ITEM]? HOUSEHOLD purchases? came from own gifts and other NO.... 2 NEXT ASK Q1 FOR ALL ITEMS, production? sources? ITEM BEFORE MOVING TO FOLLOW YES... 1 UNIT AND ITEM CODE UP QUESTIONS. NO.... 2 NEXT SEE UNIT CODES SIZE MUST BE UNIT AND SIZE UNIT AND SIZE ITEM ON NEXT PAGE THE SAME AS MUST BE THE MUST BE THE IN Q2 SAME AS IN Q2 SAME AS IN Q2 QUANTITY UNIT SIZE QUANTITY QUANTITY QUANTITY CODE QUANTITY UNIT SIZE CURRENCY Fresh milk 176 Milk powder 177 MILK & RELATED Baby milk powder 178 Milk, tinned 179 (unsweetened) Cheese 180 Other milk products 181 (specify) Coffee 182 COFFEE, TEA & SIMILAR Chocolate drinks (including 183 Milo) Tea 184 Sugar 185 SUGAR & SWEETS Honey 186 Other sweets and 187 confections (specify) Salt 188 OTHER MISC Unground ogbono 189 Ground ogbono 190 Ground pepper 191 Other spices 192 98 Household Surveys During Multiple Crises SECTION 9B: WITHIN-HOUSEHOLD FOOD CONSUMPTION & EXPENDITURE 1 2. 3. 4. 5. 6. 7. 8. REPORT ONLY ITEMS During the In total, how much of Of the Of the Of the Did your In the most recent How much CONSUMED WITHIN past 7 days, did [ITEM] did your household [QUANTITY] [QUANTITY] [QUANTITY] household purchase, how much [ITEM] did your THE HOUSEHOLD. FOOD members of consume in the past 7 [UNIT] of [UNIT] of [UNIT] of purchase any did the household buy? household CONSUMED OUTSIDE THE this household days? [ITEM] [ITEM] [ITEM] [ITEM] in the spend on this HOUSEHOLD MUST BE eat/drink any consumed, consumed in consumed, past 30 days? [QUANTITY, REPORTED IN THE PREVIOUS [ITEM] within DO NOT INCLUDE FOOD how much the last 7 days, how much UNIT, SIZE IN CONSUMED OUTSIDE THE YES... 1 SEE UNIT CODES SECTION. the household? came from how much came from ON NEXT PAGE Q7] of [ITEM]? HOUSEHOLD purchases? came from own gifts and other NO.... 2 NEXT ASK Q1 FOR ALL ITEMS, production? sources? ITEM BEFORE MOVING TO FOLLOW YES... 1 UNIT AND ITEM CODE UP QUESTIONS. NO.... 2 NEXT SEE UNIT CODES SIZE MUST BE UNIT AND SIZE UNIT AND SIZE ITEM ON NEXT PAGE THE SAME AS MUST BE THE MUST BE THE IN Q2 SAME AS IN Q2 SAME AS IN Q2 QUANTITY UNIT SIZE QUANTITY QUANTITY QUANTITY CODE QUANTITY UNIT SIZE CURRENCY Bottled water 193 NON-ALCOHOLIC DRINKS Sachet water 194 Malt drinks 195 Soft drinks (Coca Cola, 196 Sprite, etc) Fruit juice canned/pack 197 Other non-alcoholic drinks 198 (specify) Beer (local and imported) 199 ALCOHOL Palm wine 200 Gin 201 Other alcoholic beverages 202 99 FOOD ITEM UNIT & SIZE CODES UNIT CODE SIZE CODE Kilograms (kg) 1 SMALL 0 Grams (g) 2 MEDIUM 1 Litres (l) 3 LARGE 2 Centilitres (cl) 4 VERY LARGE 3 10 LITRES 4 Bin/basket 10 20 LITRES 5 Paint rubber 11 25 LITRES 6 Milk cup 12 50 LITRES 7 Cigarette cup 13 25 KG. 10 Tin 14 50 KG 11 Congo 20 33 CL 20 Mudu 30 35 CL 21 Derica 40 50 CL 22 Tiya, small 50 60 CL 23 Kobiowu 60 75 CL 24 Bowl 70 1 LITRE 25 Piece 80 1.5 LITRE 26 Heap 90 ONE SIZE ONLY 99 Bunch / Bundle 100 Stalk 110 Packet/sachet 120 Sack/Bag 130 Basket 140 Loaf 200 Other (specify) 900 Designer Note: The unit list provided here is an example and must be tailored to the country and survey needs in consultation with local experts. 100 Household Surveys During Multiple Crises SECTION 10A: NON-FOOD EXPENDITURES - 7 DAY, 30 DAY, & 6 MONTH RECALL PERIODS 1. ENUMERATOR: RECORD ID OF PRIMARY RESPONDENT ID CODE: 7 DAYS 2. 3. ITEM CODE Over the PAST 7 DAYS, did the household purchase In total, how much did your household spend on or pay for any [...]? [ITEM] in the past 7 days? YES... 1 ITEM NO.... 2 NEXT ITEM CURRENCY 101 Cigarettes or tobacco 102 Matches (and rolling papers, smoking accessories, etc.) Public transport (moto, okada, keke, bus, boat, etc.) 103 EXCLUDE EDUCATION RELATED EXPENSES 104 Gambling, lotto, raffles 30 DAYS RECALL 4. 5. ITEM CODE Over the PAST 30 DAYS, did the household In total, how much did the household spend on purchase or pay for any [...]? [ITEM] in the past 30 days? YES... 1 ITEM NO.... 2 NEXT ITEM CURRENCY 301 Kerosene 302 Gas (for lighting/cooking) 303 Other liquid cooking fuel 304 Electricity, including electricity vouchers 305 Candle 101 SECTION 10A: NON-FOOD EXPENDITURES - 7 DAY, 30 DAY, & 6 MONTH RECALL PERIODS 30 DAYS RECALL (continued) 6. 7. ITEM CODE Over the PAST 30 DAYS, did the household In total, how much did the household spend on purchase or pay for any [...]? [ITEM] in the past 30 days? YES... 1 ITEM NO.... 2 NEXT ITEM CURRENCY 306 Firewood 307 Charcoal 308 Petrol and diesel 309 Lubricants (oil, grease, etc) 310 Light bulbs/globes 311 Water 312 Soap and washing powders (body and clothes) 313 Other household cleaning (cleaning, disinfectant, pesticides) 314 Toilet paper Personal care goods (toothpaste/brush, razor blades, skin 315 & hair products, cosmetics) 316 Vitamin supplements 317 Postal (including stamps, courier) 318 (Cell phone) recharge cards 319 Landline phone charges 320 Internet services 321 Recreational (Cinemas, video/DVD rental, etc) 322 Motor vehicle service, repair, or parts 323 Bicycle service, repair, or parts 324 Wages paid to household workers (maid, gardeners, etc) 325 Mortgage - regular payment to purchase house 326 Repairs & maintenance to dwelling Repairs to household items and personal items 327 (radios, appliances, watches, shoes, etc.) 102 Household Surveys During Multiple Crises SECTION 10A: NON-FOOD EXPENDITURES - 7 DAY, 30 DAY, & 6 MONTH RECALL PERIODS 6 month recall 8. 9. ITEM CODE Over the PAST 6 MONTHS, did the household In total, how much did your household spend on purchase or pay for any [...]? [ITEM] in the past 6 months? YES... 1 ITEM NO.... 2 NEXT ITEM CURRENCY 401 Baby nappies/diapers 402 Clothes for children - boys 403 Clothes for children - girls 404 Clothes for men 405 Clothes for women 406 Boy's shoes 407 Men's shoes 408 Girl's shoes 409 Women's shoes 410 Tailoring charges 411 Laundry and dry cleaning 412 Kitchenware (plates, utensils, cups, pots, etc) 413 Cleaning utensils (brooms, brushes, etc.) 414 Small household items (torch/flashlight, umbrella, etc 415 Books & stationery items (not for school) 416 House decorations 417 Bed linens - bed sheets, bed cover, blankets, pillows 418 Curtain and other linen 419 Carpet and other floor covering 420 Cell phone 421 Personal computer, laptop, or tablet 422 Night's lodging in rest house or hotel 423 Donations (to church, mosque, charity, beggars, etc) 103 SECTION 10B: NON-FOOD EXPENDITURES - 12 MONTH RECALL PERIOD 1. PRIMARY RESPONDENT ID CODE: CODED E/O 2. 3. 4. ITEM CODE Over the PAST 12 MONTHS, did the In total, how much did your household Which household members have been covered by [TYPE household purchase or pay for any [...]? spend on [ITEM] in the past 12 months? OF] insurance at any point in the past 12 months? YES... 1 NO.... 2 NEXT ITEM CURRENCY ID CODE ID CODE ID CODE 501 Carpets, rugs, drapes, curtains 502 Linens (towels, sheets, blankets) Mat (for sleeping or for drying 503 maize flour) 504 Mosquito net 505 Mattress Small household appliances 506 (electric kettle, mixer, toaster, iron, etc.) Sports & hobby equipment, 507 musical instruments, toys 508 Film, film processing, camera Building items (cement, bricks, 509 timber, iron sheets, tools, etc.) 510 Council rates 511 Health insurance Other insurance alt* (auto, home, life) 512 Auto insurance 513 Home insurance 514 Life insurance 515 Fines or legal fees 516 Dowry costs 517 Marriage ceremony costs 518 Funeral costs 104 Household Surveys During Multiple Crises SECTION 11: HOUSING CONDITIONS CODED OCC 1 2 3. 4. 5. 6. INDICATE WHAT TYPE OF DWELLING DOES THE Does your household own, rent If your household If you were to rent this How much does your THE MAIN HOUSEHOLD LIVE IN? or stay for free in the dwelling sold this dwelling dwelling on the open household pay to rent this RESPONDENT that your household currently today, how much market, how much would dwelling? FOR THIS occupies? would you receive you have to pay? SECTION for it? IF IN KIND, INCLUDE VALUE SEPARATE HOUSE(BUNGALOW).......................1 OF IN KIND PAYMENTS SEMI-DETACHED HOUSE...................................2 OWNED....................................1 TIME UNIT FLAT/APARTMENT.............................................3 FREE, AUTHORIZED.................2 Q5 MONTH..............1 COMPOUND HOUSE (SEPARATE ROOMS, FREE, NOT AUTHORIZED.........3 Q5 YEAR..................2 TIME UNIT SHARING FACILITIES).........................................4 RENTED....................................4 Q6 Q7 MONTH..............1 HUTS/BUILDINGS [SHARE COMPOUND]...........5 YEAR..................2 HUTS/BUILDINGS [PRIVATE COMPOUND]........6 TENTS.................................................................7 IMPROVISED HOME (KIOSK, CONTAINER).......8 LIVING QUARTERS ATTACHED TO OFFICE/SHOP................................................9 UNCOMPLETED BUILDING..............................10 OTHER (SPECIFY).............................................11 ID CODE CURRENCY CURRENCY TIME UNIT CURRENCY TIME UNIT 105 SECTION 11: HOUSING CONDITIONS 7. 8. 9. 10. 11. What type of documentation does Are any members of the Which members of the household are listed MAIN CONSTRUCTION MAIN CONSTRUCTION your household have to support household listed on the on the [DOCUMENT]? MATERIAL OF THE OUTSIDE MATERIAL OF THE ROOFING OF occupancy status? [DOCUMENT]? WALLS OF THE DWELLING THE DWELLING PROBE & LIST ALL OBSERVE, DO NOT READ OBSERVE, DO NOT READ OUT OUT TITLE/DEED................................................ 1 YES... 1 OFFER OF LEASE....................................... 2 NO.... 2 THATCH (GRASS OR STRAW).......... 1 CERTIFICATE OF LEASE OR MUD.........................................1 CORRUGATED IRON SHEETS........... 2 RENT AGREEMENT................................... 3 STONE......................................2 CLAY TILES....................................... 3 LETTER FROM CHIEF................................. 4 UNBURNT BRICKS....................3 CONCRETE/CEMENT........................ 4 RECEIPT OF PAYMENT.............................. 5 BURNT BRICKS.........................4 PLASTIC SHEET................................. 5 NONE........................................................ 6 CEMENT OR CONCRETE..........5 ASBESTOS SHEET............................. 6 OTHER (SPECIFY)...................................... 7 WOOD OR BAMBOO...............6 MUD................................................. 7 IRON SHEETS............................7 STEP TILES........................................ 8 CARDBOARD............................8 LONG/SHORT SPAN SHEETS............ 9 OTHER (SPECIFY).....................9 OTHER (SPECIFY............................. 10 ID CODE ID CODE ID CODE YEAR 106 Household Surveys During Multiple Crises SECTION 11: HOUSING CONDITIONS CODED OCC 12. 13. 14. 15. MAIN CONSTRUCTION MATERIAL How many separate rooms do What type of cookstove is your household's In the last 12 months, what is the most commonly OF THE FLOORING OF THE the members of your household primary cookstove? used fuel for this cookstove? DWELLING occupy? PROBE & SELECT TWO MOST USED FUELS IN ORDER OBSERVE, DO NOT READ OUT (DO NOT COUNT BATHROOMS, OF USE FREQUENCY 3-STONE STOVE/OPEN FIRE............................................ 1 TOILETS, STORE-ROOMS, OR MOVEABLE FIREPAN....................................................... 2 GARAGES) SOLAR COOKER SAND/DIRT/STRAW.......................... 1 (THERMAL ENERGY, NOT SOLAR PANELS)..................... 3 COAL/LIGNITE, UNPROCESSED........................................... 1 SMOOTHED MUD............................ 2 BIOMASS FUEL STOVE, TRADITIONAL/SELF BUILT......... 4 COAL/LIGNITE BRIQUETTES OR PELLETS........................... 2 BIOMASS FUEL STOVE, MANUFACTURED ..................... 5 SMOOTH CEMENT/CONCRETE........ 3 LIQUID FUEL (KEROSENE, ETC.) STOVE.......................... 6 CHARCOAL, UNPROCESSED............................................... 3 WOOD.............................................. 4 BIOGAS STOVE................................................................. 7 CHARCOAL BRIQUETTES OR PELLETS................................ 4 TILE................................................... 5 LPG/NATURAL GAS STOVE............................................. 8 Q16 WOOD................................................................................. 5 PIPED NATURAL GAS STOVE........................................... 9 Q16 OTHER(SPECIFY).............................. 6 ELECTRIC STOVE............................................................ 10 Q17 WOODCHIPS OR SAW DUST.............................................. 6 TERRAZO.......................................... 7 NO COOKING OPTION AT HOME................................. 11 Q17 ANIMAL WASTE/DUNG...................................................... 7 OTHER (SPECIFY)........................................................... 12 CROP RESIDUE/PLANT BIOMASS, UNPROCESSED............. 8 BIOMASS PELLETS OR BRIQUETTES................................... 9 NOTE: SOLID/BIOMASS FUELS INCLUDE CHARCOAL, WOOD, CROP RESIDUE, ETC. KEROSENE/PARAFFIN....................................................... 10 ALCOHOL/ETHANOL......................................................... 11 OTHER LIQUID FUEL NOT IN GENERATOR (PETROL, DIESEL, ETC)...................................................... 12 GARBAGE/PLASTIC).......................................................... 13 OTHER (SPECIFY).............................................................. 14 NUMBER Designer Note: When Q14 is not included, Q15 must be revised to include Q14 answer options 8 - 11, with relevant skip instructions. 107 SECTION 11: HOUSING CONDITIONS CODED E/O CODED E/O 16. 17. 18. 19. 20. How much did your Where does your household Do you have electricity What is this household's MAIN source for lighting? What are all the sources of electricity household spend on normally cook with the from any source in your that your household use regularly? the [FUEL TYPE IN Q15] cookstove? PROBE & SELECT TWO MOST OFTEN USED SOURCES household? for this stove in the last IN ORDER OF FREQUENCY PROBE & SELECT ALL THAT APPLY month? IN DWELLING, YES... 1 ENTER THE ACTUAL NOT A SLEEPING AREA................... 1 ELECTRICITY NO.... 2 Q29 PHCN/NEPA............................................... 1 AMOUNT SPENT, NOT (INCLUDING SOLAR PANELS, GENERATOR)............. 1 Q20 LOCAL MINI GRID..................................... 2 THE MARKET VALUE OF IN DWELLING, SOLAR-POWERED LANTERN OR FLASHLIGHT......... 2 IN A SLEEPING AREA....................... 2 RECHARGEABLE FLASHLIGHT, MOBILE, GENERATOR.............................................. 3 THE FUEL IN A SEPARATE DWELLING.............. 3 TORCH OR LANTERN................................................ 3 SOLAR HOME SYSTEM............................. 4 IN A VERANDA BATTERY POWERED FLASHLIGHT, SOLAR LANTERN/LIGHTING SYSTEM......... 5 (ROOFED PLATFORM WITH TORCH OR LANTERN................................................ 4 BIOGAS LAMP........................................................... 5 RECHARGEABLE BATTERY....................... 6 AT LEAST TWO OPEN SIDES)........... 4 LPG LAMP................................................................. 6 OTHER (SPECIFY)...................................... 7 OUTDOORS...................................... 5 GASOLINE LAMP....................................................... 7 OTHER (SPECIFY)............................. 6 KEROSENE/PARAFFIN LAMP.................................... 8 OIL LAMP.................................................................. 9 CANDLE................................................................... 10 OPEN FIRE............................................................... 11 OTHER (SPECIFY).................................................... 96 108 Household Surveys During Multiple Crises SECTION 11: HOUSING CONDITIONS CODED OCC CODED OCC CODED OCC CODED OCC CODED OCC CODED OCC 21. 22. 23. 24. E1 25. 26. What is the household's MAIN How much does your In the last 7 days, In the last 7 days, CAPI/ENUMERATOR In the last 7 What was the total source of electricity (the one used household typically pay how many hours how many hours CHECK: DOES days, how many duration of all most of the time)? for electricty? of electricity were of electricity Q21==1 OR 2? times were there the unscheduled available each day were available, unscheduled outages/ blackouts in on average from on average, each outages/blackouts the last 7 days? [NAME, NATIONAL GRID].......................1 TIME UNIT [MAIN ELECTRICITY evening from 6:00 YES... 1 from [NAME OF LOCAL MINI GRID....................................2 DAILY........................ 1 SYSTEM]? pm to 10:00 pm from Q29 NO.... 2 MAIN ELECTRICITY [MAIN ELECTRICITY SYSTEM]? GENERATOR.............................................3 WEEKLY..................... 2 SOLAR HOME SYSTEM............................4 FORTNIGHTLY........... 3 SOLAR LANTERN/LIGHTING SYSTEM......5 MONTHLY................. 4 RECHARGEABLE BATTERY......................6 QUARTERLY.............. 5 DRY CELL BATTERY/TORCH.....................7 YEARLY..................... 6 OTHER (SPECIFY).....................................8 AMOUNT UNIT HOURS (0-24) HOURS (0-4) # OF INTERUPTIONS HOURS 109 SECTION 11: HOUSING CONDITIONS CODED OCC CODED OCC 27. 28. 28b 28c 29. In the last 12 months, were In the last 12 months, did Do you have internet (WiFi) How much does your What is the MAIN source of drinking water for this any of your appliances anyone using [NAME OF in the household? household typically pay for household? damaged because of issues MAIN ELECTRICAL SYSTEM] internet (WiFi)? in the electrical system die or have permanent limb DO NOT INCLUDE ACCESS MOST FREQUENTLY USED SOURCE THROUGHOUT THE (voltage surges)? (bodily injury) damage? TO THE INTERNET USING YEAR, EVEN IF NOT CURRENTLY IN USE. MOBILE PHONES TIME UNIT YES........................1 DAILY........................ 1 YES........................1 Q32 PIPED INTO DWELLING................................. 1 NO.........................2 YES...... 1 WEEKLY..................... 2 NO.........................2 Q32 PIPED INTO YARD/PLOT............................... 2 DON’T KNOW.....98 NO....... 2 FORTNIGHTLY........... 3 DON’T KNOW.....98 Q31 PIPED TO NEIGHBOR.................................... 3 MONTHLY................. 4 PUBLIC TAP/STANDPIPE................................ 4 QUARTERLY.............. 5 TUBE WELL/BOREHOLE................................ 5 YEARLY..................... 6 PROTECTED DUG WELL................................ 6 UNPROTECTED DUG WELL........................... 7 PROTECTED SPRING...................................... 8 UNPROTECTED SPRING................................ 9 RAIN WATER COLLECTION......................... 10 TANKER TRUCK/WATER VENDOR.............. 11 CART WITH SMALL TANK/DRUM............... 12 SURFACE WATER (RIVER, STREAM, POND, DAM, CANAL).... 13 Q32 BOTTLED WATER........................................ 14 Q32 SACHET WATER.......................................... 15 Q31 WATER KIOSK............................................. 16 OTHER (SPECIFY)........................................ 17 AMOUNT UNIT 110 Household Surveys During Multiple Crises SECTION 11: HOUSING CONDITIONS CODED E/O CODED E/O 30. 31. 32. 33. 34. Where is this [SOURCE] How long does it take to go Do you usually do anything What do you usually do to the water to Do you use the main water source… located? there, get water, and come to the water (dry or rainy make it safer to drink? back, including waiting season) to make it safer to time? drink? DO NOT READ. PROBE & SELECT ALL Q65 ALL YEAR......................... 1 THAT APPLY Q32 IN OWN DWELLING....... 1 ONLY RAINY SEASON...... 2 Q32 IN OWN YARD/PLOT..... 2 ONLY DRY SEASON.......... 3 TIME UNIT YES... 1 ELSEWHERE.................... 3 BOIL........................................................ 1 MINUTES............1 NO.... 2 Q34 HOURS................2 ADD BLEACH/CHLORINE....................... 2 STRAIN THROUGH CLOTH..................... 3 USE A WATER FILTER............................. 4 SOLAR DISINFECTION............................ 5 LET IT SETTLE......................................... 6 OTHER (SPECIFY)................................... 7 TIME UNIT # OF TRIPS 111 SECTION 11: HOUSING CONDITIONS CODED E/O CODED E/O 35. 36. 37. 38. What is the main source of drinking water for your In the last 30 days, has What is the main source of water used by members of During the past 30 days, how household during the other season? there been any time when your household for other purposes, such as cooking and much did your household pay your household did not hand washing? for water, including any fees have sufficient quantities or costs of transportation, PIPED INTO DWELLING.................................................................... 1 of drinking water when delivery, etc.? PIPED INTO YARD/PLOT.................................................................. 2 needed? PIPED INTO DWELLING.................................................................... 1 IF THE WATER BILL IS PIPED TO NEIGHBOR....................................................................... 3 PIPED INTO YARD/PLOT.................................................................. 2 SHARED, ONLY RECORD THE PUBLIC TAP/STANDPIPE................................................................... 4 PIPED TO NEIGHBOR....................................................................... 3 HH'S PORTION YES...... 1 TUBE WELL/BOREHOLE................................................................... 5 PUBLIC TAP/STANDPIPE................................................................... 4 NO....... 2 PROTECTED DUG WELL................................................................... 6 TUBE WELL/BOREHOLE................................................................... 5 UNPROTECTED DUG WELL.............................................................. 7 PROTECTED DUG WELL................................................................... 6 PROTECTED SPRING......................................................................... 8 UNPROTECTED DUG WELL.............................................................. 7 UNPROTECTED SPRING................................................................... 9 PROTECTED SPRING......................................................................... 8 RAIN WATER COLLECTION............................................................ 10 UNPROTECTED SPRING................................................................... 9 TANKER TRUCK/WATER VENDOR................................................. 11 RAIN WATER COLLECTION............................................................ 10 WITH SMALL TANK/DRUM............................................................ 12 TANKER TRUCK.............................................................................. 11 SURFACE WATER (RIVER, STREAM, POND, DAMN, CANAL)....... 13 CART WITH SMALL TANK/DRUM.................................................. 12 BOTTLED WATER........................................................................... 14 SURFACE WATER (RIVER, STREAM, POND, DAM, IRRIGATION CHANNEL CANAL)..... 13 SACHET WATER............................................................................. 15 BOTTLED WATER........................................................................... 14 WATER KIOSK................................................................................ 16 SACHET WATER............................................................................. 15 OTHER (SPECIFY)........................................................................... 17 WATER KIOSK................................................................................ 16 OTHER (SPECIFY)........................................................................... 17 CURRENCY 112 Household Surveys During Multiple Crises SECTION 11: HOUSING CONDITIONS 39. 40. 41. 42. 43. What is the MAIN type of toilet facility used Where is this toilet Does your In the past 12 months, how has your household most often How much does your by your household? facility located? household share disposed of refuse (garbage disposal)? household typically pay this facility for refuse disposal? Q42 FLUSH TO PIPED SEWAGESYSTEM........... 1 with others FLUSH TO SEPTIC TANK............................ 2 households? IN OWN DWELLING......... 1 COLLECTED BY GOV...................................................1 FLUSH TO PIT LATRINE............................. 3 TIME UNIT IN OWN YARD/ PLOT....... 2 COLLECTED BY PRIVATE FIRM...................................2 Q42 FLUSH TO OPEN DRAIN............................ 4 DAILY........................ 1 ELSEWHERE...................... 3 TAKE TO PUBLIC/DESIGNATED RUBBISH HEAP.........3 FLUSH TO SOMEWHERE ELSE.................. 5 Q42 YES...... 1 BURNING.....................................................................4 NEXT SECTION WEEKLY..................... 2 FLUSH TO UNKNOWN.............................. 6 NO....... 2 COMPOST SOLID WASTE............................................5 NEXT SECTION FORTNIGHTLY........... 3 VENTILATED IMPROVED LATRINE........... 7 MONTHLY................. 4 RUBBISH PIT/DISPOSAL ON COMPOUND PIT LATRINE WITH SLAB........................... 8 NEXT SECTION (NOT BURNING/COMPOST)........................................6 QUARTERLY.............. 5 PIT LATRINE W/O SLAB/OPEN PIT............ 9 NEXT SECTION INFORMAL DISPOSAL, LAND (BUSH, STREET, ETC)....7 YEARLY..................... 6 COMPOSTING TOILET............................. 10 NEXT SECTION INFORMAL DISPOSAL, WATER (RIVER, SEA..............8 Q42 BUCKET................................................... 11 OTHER (SPECIFY)........................................................9 Q42 HANGING TOILET/HANGING LATRINE... 12 Q42 NO FACILITIES, BUSH OR FIELD.............. 13 Q42 OTHER (SPECIFY...................................... 14 PLACE/NOT SURE/DONT KNOW WHERE.15 Q42 AMOUNT UNIT 113 SECTION 12: FOOD SECURITY Now I would like to ask you some questions about food and meals in the household. 1. ENUMERATOR: RECORD PRIMARY RESPONDENT ID ID CODE YES...... 1 During the last 12 months, was there a time when, because of lack of money or other resources: NO....... 2 2. … anyone in your household worried about not having enough food to eat? 3. … anyone in your household was unable to eat healthy and nutritious foods? 4. … anyone in your household ate only a few kinds of foods? 5. … anyone in your household had to skip a meal? 6. … anyone in your household ate less than you thought you should? 7. … your household ran out of food? 8. … anyone in your household was hungry but did not eat? 9. … anyone in your household went without eating for a whole day? Designer Note: Ask these questions at the overall household level, or at the individual level for each HH member. See Questionnaire Note for more detail. 114 Household Surveys During Multiple Crises SECTION 13: SOCIAL PROGRAMS AND PROTECTIONS 1. PRIMARY RESPONDENT ID CODE: 2. 3. 4. FIRST ASK QUESTION 1 FOR ALL TYPES In the past 12 months, has any member What was the total value of [ASSISTANCE] What was the total value of [ASSISTANCE] OF ASSISTANCE. THEN ASK FOLLOW- of your household received any of the from [GOVERNMENT]? from all other groups/ organizations? UP QUESTIONS FOR EACH TYPE THE following types of assistance from the HOUSEHOLD RECEIVES. government or from community, religious, ESTIMATE VALUE OF ANY FOOD AND ESTIMATE VALUE OF ANY FOOD AND international, or other organizations/ IN‑KIND ASSISTANCE. IN‑KIND ASSISTANCE. groups? IF NONE, WRITE 0 IF NONE, WRITE 0 YES... 1 CODE NEXT ITEM NO.... 2 ASSISTANCE TYPE 1 (Free) Food 2 (Direct) Cash transfers 3 Payment relief for public services (ex: electricity, water, internet) 4 Other in-kind transfers, SPECIFY (medicine, masks/sanitizers, etc.) Designer Note: The item list is an example and must be tailored to the country and survey needs in consultation with local experts. 115 SECTION 13: SOCIAL PROGRAMS AND PROTECTIONS CODED OCC CODED E/O CODED E/O 5. 6. 7. What was the source of this [ASSISTANCE] ? Was this assistance given to… Which household members received this assistance from READ OPTIONS ALOUD. [PROGRAMME] in the last COMMUNITY ORGANIZATION OR COOPERATIVE..... 1 12 months? NGO.............................................................................. 2 RECORD ROSTER ID OF EACH NEXT PERSON ENTIRE HOUSEHOLD.........................1 INTERNATIONAL ORGANIZATION.............................. 3 SPECIFIC HOUSEHOLD MEMBERS........2 MEMBER MENTIONED RELIGIOUS GROUP....................................................... 4 OTHER (SPECIFY)......................................................... 5 CODE ASSISTANCE TYPE ID CODE ID CODE ID CODE 1 (Free) Food 2 (Direct) Cash transfers 3 Payment relief for public services (ex: electricity, water, internet) 4 Other in-kind transfers, SPECIFY (medicine, masks/sanitizers, etc.) 116 Household Surveys During Multiple Crises SECTION 14: SHOCKS COPING 1. INTERVIEWER: RECORD ID OF PRIMARY RESPONDENT ID CODE: 2. 3. 4. CODES FOR Q4. During the last 12 months, was your household negatively Rank the 3 most significant How did your household SALE OF LIVESTOCK..................................................... 1 affected by any of the following? shocks you have experienced. cope with [SHOCK]? IF SHOCK SALE OF LAND.............................................................. 2 HAPPENED MORE THAN FIRST ASK Q1 FOR ALL SHOCKS , THEN ASK FOLLOW UP ONCE, ASK ABOUT MOST SALE OF OTHER PROPERTY.......................................... 3 QUESTIONS RECENT. SENT CHILDREN TO LIVE WITH FRIENDS..................... 4 MOST SEVERE.................. 1 FOR EACH YES ANSWER WITHDREW CHILDREN FROM SCHOOL....................... 5 NEXT MOST SEVERE........ 2 SHOCK CODE ONLY ASK FOR 3 MOST ENGAGED IN ADDITIONAL INCOME THIRD MOSTSEVERE........ 3 SIGNIFICANT SHOCKS GENERATING ACTIVITIES.............................................. 6 YES... 1 RANKED IN Q4. RECEIVED HELP FROM FRIENDS & FAMILY................. 7 NEXT SHOCK NO.... 2 SEE CODES. SELECT ALL THAT BORROWED FROM FRIENDS OR FAMILY.................... 8 APPLY TOOK A LOAN FROM FINANCIAL INSTITUTION......... 9 1 Death of an adult working household member MEMBERS OF THE HOUSEHOLD MIGRATED FOR WORK............................................... 10 2 Death of other HH members PUT PURCHASES ON CREDIT...................................... 11 DELAYED PAYMENT OBLIGATIONS........................... 12 3 Illness or disability of income earning household member SOLD HARVEST IN ADVANCE..................................... 13 4 Job loss (NOT related to death, disability, or illness) REDUCED FOOD CONSUMPTION............................... 14 End of regular assistance, aid, or remittances from outside REDUCED NON-FOOD CONSUMPTION..................... 15 5 RELIED MORE ON COLLECTING/FORAGING the household FOOD ITEMS FROM FOREST/WILD AREAS................ 16 Departure of income-earning household member 6 (ex: due to separation, divorce, changing to another RELIED ON SAVINGS................................................... 17 household) TOOK ADVANCED PAYMENT FROM EMPLOYER...... 18 RECEIVED ASSISTANCE FROM NGO........................... 19 7 Non-farm business failure/closure RECEIVED ASSISTANCE FROM GOVERNMENT.......... 20 8 Theft of crops, cash, livestock or other property WAS COVERED BY INSURANCE POLICY.................... 21 DID NOTHING............................................................. 22 9 Destruction of harvest by fire OTHER (SPECIFY)........................................................ 23 10 Dwelling damaged/demolished 11 Irregular or poor rains that caused harvest failure 12 Flooding that caused harvest failure or storage loss 13 Pest invasion that caused harvest failure or storage loss 14 Loss of property due to fire or flood 15 Loss of land 117 SECTION 14: SHOCKS COPING 2. 3. 4. CODES FOR Q4. SALE OF LIVESTOCK..................................................... 1 During the last 12 months, was your household negatively Rank the 3 most significant How did your household affected by any of the following? shocks you have experienced. cope with [SHOCK]? IF SHOCK SALE OF LAND.............................................................. 2 HAPPENED MORE THAN SALE OF OTHER PROPERTY.......................................... 3 FIRST ASK Q1 FOR ALL SHOCKS , THEN ASK FOLLOW UP ONCE, ASK ABOUT MOST SENT CHILDREN TO LIVE WITH FRIENDS..................... 4 QUESTIONS RECENT. MOST SEVERE.................. 1 WITHDREW CHILDREN FROM SCHOOL....................... 5 FOR EACH YES ANSWER NEXT MOST SEVERE........ 2 SHOCK CODE ONLY ASK FOR 3 MOST ENGAGED IN ADDITIONAL INCOME THIRD MOSTSEVERE........ 3 SIGNIFICANT SHOCKS GENERATING ACTIVITIES.............................................. 6 YES... 1 RANKED IN Q4. RECEIVED HELP FROM FRIENDS & FAMILY................. 7 NO.... 2 NEXT SHOCK BORROWED FROM FRIENDS OR FAMILY.................... 8 SEE CODES. SELECT ALL THAT APPLY TOOK A LOAN FROM FINANCIAL INSTITUTION......... 9 MEMBERS OF THE HOUSEHOLD 16 Other natural disasters (landslides, earthquakes, etc.) MIGRATED FOR WORK............................................... 10 17 Death of livestock due to illness, disease, or accident PUT PURCHASES ON CREDIT...................................... 11 DELAYED PAYMENT OBLIGATIONS........................... 12 Increase in price of inputs needed by household farm or non- 18 SOLD HARVEST IN ADVANCE..................................... 13 farm enterprise REDUCED FOOD CONSUMPTION............................... 14 Fall in price of outputs sold by household farm or non-farm 19 REDUCED NON-FOOD CONSUMPTION..................... 15 enterprise RELIED MORE ON COLLECTING/FORAGING Reduction in earnings from non-farm enterprise FOOD ITEMS FROM FOREST/WILD AREAS................ 16 20 (not due to illness, accident, or death of household member) RELIED ON SAVINGS................................................... 17 Failure or closure of non-farm enterprise TOOK ADVANCED PAYMENT FROM EMPLOYER...... 18 21 (not due to illness, accident or death of a household member) RECEIVED ASSISTANCE FROM NGO........................... 19 RECEIVED ASSISTANCE FROM GOVERNMENT.......... 20 22 Increase in price of major food items consumed WAS COVERED BY INSURANCE POLICY.................... 21 23 Increase in price of oil and fuel DID NOTHING............................................................. 22 OTHER (SPECIFY)........................................................ 23 24 Kidnapping/hijacking/robbery/assault 25 Disruptions in farming/livestock activities 96 Other (specify) 118 Household Surveys During Multiple Crises SECTION 15: LAND TENURE 1. Do you or does any member of your household use, own, or hold use rights for any parcel of land, either alone or jointly with YES... 1 someone else, regardless of who uses the parcel and regardless of what it is used for (i.e., dwelling, cultivated, pastoral, forest, or SECTION 16 NO.... 2 business/commercial parcels)? A PARCEL IS A PIECE OF LAND OF ONE TENURE TYPE ENTIRELY SURROUNDED BY OTHER LAND, WATER, ROADS, OR FORESTS OF A DIFFERENT TENURE TYPE THAT MAY OR MAY NOT BE USED OR OWNED BY THE SAME HOUSEHOLD. ENUMERATOR: CREATE THE ROSTER BY COMPLETING Q2 & Q3 FOR ALL PARCELS, THEN GO THROUGH THE REST OF THE SECTION ONE PARCEL AT A TIME. 2. 3. 4. 5. 6. PARCEL NAME LOCATION & RECORD THE ID OF THE How was this [PARCEL] acquired? How much do you pay the owner DESCRIPTION OF RESPONDENT. for use of this [PARCEL]? Please tell me about PARCEL each parcel that you or LIST FROM HOUSEHOLD ESTIMATE THE VALUE OF ANY IN- 9 GRANTED BY CUSTOMARY/COMMUNITY AUTHORITIES...... 1 any household member ROSTER" KIND PAYMENTS, EXCLUDING CROP currently uses, owns, 9 ALLOCATED BY GOVERNMENT............................................. 2 OUTPUTS or holds use rights for, 9 ALLOCATED BY FAMILY MEMBER......................................... 3 either alone or with 9 INHERITED BY THE DEATH OF A FAMILY MEMBER.............. 4 someone else. 8 PURCHASED............................................................................ 5 Please describe or give RENTED IN, SHORT-TERM (< 3 YEARS).................................. 6 me the name of each RENTED IN, LONG-TERM........................................................ 7 parcel, (starting with 9 SHARECROPPED IN................................................................. 8 the parcel you reside 9 BORROWED FOR FREE........................................................... 9 on, if applicable). 9 BRIDE PRICE.......................................................................... 10 9 GIFT FROM NON-HOUSEHOLD MEMBER............................ 11 18 MOVED IN WITHOUT PERMISSION...................................... 12 PARCEL ID 8 OTHER (SPECIFY).................................................................. 13 CASH IN-KIND ID CODE CURRENCY CURRENCY 1 2 3 4 5 119 SECTION 15: LAND TENURE 7. 8. 9. 10. 11. How many months does How much in total did Under which tenure system is Who in the household [owns/ holds use rights to] this Does your household this payment cover? you pay for this [PARCEL] this [PARCEL]? [PARCEL]? have a document for this (include both cash and [PARCEL] issued by or payments in-kind)? LIST UP TO 4 JOINT OWNERS OR USE RIGHT HOLDERS registered at the Land FROM HOUSEHOLD ROSTER. Registry/Cadastral Agency, CUSTOMARY...................................1 FREEHOLD.......................................2 such as a title deed, certificate of ownership, LEASEHOLD.....................................3 certificate of hereditary STATE...............................................4 acquisition, lease or rental COMMUNITY/GROUP RIGHT..........5 contract? COOPERATIVES...............................6 OTHER (SPECIFY)............................7 YES... 1 PARCEL ID Q13 NO.... 2 ALL9 ID CODE ID CODE ID CODE ID CODE NUMBER CURRENCY CODE #1 #2 #3 #4 1 2 3 4 5 120 Household Surveys During Multiple Crises SECTION 15: LAND TENURE CODED E/O 12. 13. What type of documents does your household have for this [PARCEL], CAPI/ENUMERATOR: and which household members are listed as owners or use rights holders on each? IS Q4==6 OR 8 OR 9? LIST UP TO 3, SHOW PHOTO AID Q18 YES... 1 DOCUMENT TYPE: NO.... 2 TITLE DEED................................................................................................ 1 CERTIFICATE OF CUSTOMARY OWNERSHIP............................................ 2 CERTIFICATE OF OCCUPANCY.................................................................. 3 CERTIFICATE OF HEREDITARY ACQUISITION LISTED IN REGISTRY......... 4 SURVEY PLAN........................................................................................... 5 RENTAL CONTRACT, REGISTERED............................................................ 6 LEASE, REGISTERED.................................................................................. 7 OTHER (SPECIFY)...................................................................................... 8 PARCEL ID IF NO HOUSEHOLD MEMBER ON DOCUMENT, ENTER “55” IF DON’T KNOW, ENTER “98” DOCUMENT #1 DOCUMENT #2 DOCUMENT #3 DOC. ID CODE ID CODE ID CODE ID CODE DOC. ID CODE ID CODE ID CODE ID CODE DOC. ID CODE ID CODE ID CODE ID CODE TYPE #1 #2 #3 #4 TYPE #1 #2 #3 #4 TYPE #1 #2 #3 #4 1 2 3 4 5 121 SECTION 15: LAND TENURE 14. 15. 16. 17. Does anyone in the Who can decide whether to sell [PARCEL]? Does anyone in the Who can decide whether to bequeath this [PARCEL]? household have the right to household have the right sell [PARCEL], either alone or LIST UP TO 4 ID CODES FROM HOUSEHOLD ROSTER to bequeath this [PARCEL], LIST UP TO 4 ID CODES FROM HOUSEHOLD ROSTER with someone else? AND 1 CODE FROM OUTSIDE HOUSEHOLD, IF either alone or with AND 1 CODE FROM OUTSIDE HOUSEHOLD, IF APPLICABLE. someone else? APPLICABLE. YES...........................1 CODE FOR NON-HH MEMBER: YES...........................1 CODE FOR NON-HH MEMBER: NO............................2 16 RELATIVE...................................................................... 1 NO............................2 18 RELATIVE...................................................................... 1 DONT’KNOW.........98 16 LOCAL OFFICIAL.......................................................... 2 DON’T KNOW........98 18 LOCAL OFFICIAL.......................................................... 2 REFUSAL.................99 16 CUSTOMARY LEADER................................................. 3 REFUSAL.................99 18 CUSTOMARY LEADER................................................. 3 PARCEL ID OTHER.......................................................................... 4 OTHER.......................................................................... 4 ID CODE ID CODE ID CODE ID CODE NON-HH ID CODE ID CODE ID CODE ID CODE NON-HH #1 #2 #3 #4 MEMBER #1 #2 #3 #4 MEMBER 1 2 3 4 5 122 Household Surveys During Multiple Crises SECTION 15: LAND TENURE 18. 19. 20. On a scale from 1 to 5, where 1 is not at all likely and 5 is extremely likely, how likely is ONLY ASK IF Q10=1 What is the area of this [PARCEL]? [NAME of owner/use rights holder] to involuntarily lose ownership or use rights to this (yes) [PARCEL] in the next 5 years? ENUMERATOR: IF AREA IS REPORTED ON THE DOCUMENT, ASK Is the area of this TO SEE THE DOCUMENT ASK FOR EACH OF THE ID CODES REPORTED IN Q10. [PARCEL] reported on the document(s)? IF "MOVED IN WITHOUT PERMISSION" (Q5=12), ASK ABOUT THE HOUSEHOLD HEAD (INDVIDUAL 1) AND THE SPOUSE OF THE HEAD OF HOUSEHOLD (INDIVIDUAL 2). YES............... 1 NO................ 2 NOT AT ALL LIKELY.........................1 SLIGHTLY LIKELY.............................2 MODERATELY LIKELY.....................3 VERY LIKELY....................................4 EXTREMELY LIKELY.........................5 PARCEL ID INDIVIDUAL 1 INDIVIDUAL 2 INDIVIDUAL 3 INDIVIDUAL 4 ID RESPONSE ID RESPONSE ID RESPONSE ID RESPONSE AREA UNIT 1 __ __ __ __ . __ __ 2 __ __ __ __ . __ __ 3 __ __ __ __ . __ __ 4 __ __ __ __ . __ __ 5 __ __ __ __ . __ __ 123 SECTION 15: LAND TENURE 21. 22. 24. 25. 26. ONLY IF Q10=1 (yes) What are the three main uses of this CAPI/ENUMERATOR: How much do you How many months does this ENUMERATOR: REPORT THE [PARCEL]? IS Q22A==10 | Q22B==10 | receive from renting or payment cover? SOURCE OF INFORMATION Q22C==10?) sharecropping out this [PARCEL]? RESIDENTIAL.........................................................1 CROP PRODUCTION..............................................2 ESTIMATE THE VALUE OF IN- RESPONDENT DECLARATION.........1 YES......... 1 KIND RECEIPTS, INCLUDING DOCUMENT....................................2 GRAZING (MEADOWS AND PASTURES)..............3 NEXT PARCEL NO.......... 2 CROP OUTPUTS TEMPORARILY FALLOW.......................................4 FARM BUILDINGS.................................................5 AQUACULTURE.....................................................6 FOREST..................................................................7 BUSINESS/COMMERCIAL......................................8 UNUSED................................................................9 RENTED OUT/SHARECROPPED OUT..................10 GAVE OUT FOR FREE..........................................11 NO SECOND USE.................................................12 DON’T KNOW.....................................................88 PARCEL ID OTHER (SPECIFY)................................................98 CASH IN-KIND 1st 2nd 3rd CURRENCY CURRENCY 1 2 3 4 5 124 Household Surveys During Multiple Crises SECTION 16: ACCESS TO ESSENTIAL GOODS Instructions: Include the 5 more common essential goods in the country 1a. 1b. 1c. 2a 2b In the past 7-days, did you Were you or someone in Why was your household not able to Were you able to buy the Why was your household not able to or anyone in your household your household able to buy buy [ITEM]? desired amount of [ITEM]? buy the desired amount of [ITEM]? want or need to buy [ITEM]? [ITEM]? OUT OF STOCK................................................ 1 NEXT SECTION YES......... 1 OUT OF STOCK................................................ 1 YES......... 1 Q2A YES......... 1 PRICE HAS INCREASED.................................... 2 NO.......... 2 PRICE HAS INCREASED.................................... 2 NEXT SECTION NO.......... 2 NO.......... 2 DUE TO QUOTAS............................................. 3 DUE TO QUOTAS............................................. 3 HIGH TRANSPORTATION COSTS..................... 4 HIGH TRANSPORTATION COSTS..................... 4 INFERIOR QUALITY OF AVAILABLE ITEMS....... 5 INFERIOR QUALITY OF AVAILABLE ITEMS....... 5 NOT ABLE TO GO TO THE MARKET NOT ENOUGH MONEY.................................... 6 DUE TO SECURITY REASONS........................... 6 OTHER (SPECIFY)........................................... 96 NO MONEY TO BUY........................................ 7 OTHER (SPECIFY)........................................... 96 SELECT ALL THAT APPLY ITEM SELECT ALL THAT APPLY 1 2 3 4 5 6 125 SECTION 17: PAST EXPERIENCE, CURRENT EXPERIENCE & FUTURE EXPECTATIONS: CLIMATE/WEATHER EXPERIENCE IN THE PAST 12 MONTHS ENABLE IF Q3=1 3. 4. 5. 6. During the past 12 months, In which month did the How long did the [CLIMATE/ Did [CLIMATE/WEATHER EVENT] did your household [CLIMATE/WEATHER WEATHER EVENT] last? affect only this household, some experience [CLIMATE/ EVENT] first occur? other households, most households WEATHER EVENT]? IF RESPONDENT DOES NOT in the community, or all households KNOW, RECORD "99" in the community? JANUARY.................. 1 YES...... 1 FEBRUARY................. 2 CODES FOR UNIT: Only this household................................. 1 NEXT ROW NO....... 2 MARCH...................... 3 MONTH...... 1 Some other households........................... 2 APRIL......................... 4 WEEK.......... 2 Most households in the community........ 3 MAY.......................... 5 DAY............ 3 All households in the community........... 4 JUNE.......................... 6 Do not know......................................... 777 JULY........................... 7 AUGUST.................... 8 SEPTEMBER............... 9 OCTOBER................ 10 NOVEMBER............. 11 EVENT CODE DECEMBER.............. 12 DO NOT KNOW.... 777 CODE CODE NB OF MONTHS UNIT CODE 1 Drought 2 Erratic rainfall 3 Late onset of rains 4 Early onset of rains  5 Early cessation of rains 6 Flooding 7 Water logging 8 Torrential downpours 9 Hailstorms 10 Extreme winds 11 Very high temperatures 12 Unusually High Level of Crop Pests & Disease 13 Unusually High Level of Livestock Disease 126 Household Surveys During Multiple Crises SECTION 17: PAST EXPERIENCE, CURRENT EXPERIENCE & FUTURE EXPECTATIONS: CLIMATE/WEATHER EXPERIENCE IN THE PAST 12 MONTHS DISABLE IF “NO” TO ALL ANSWER OPTIONS IN Q7 7. 8. 8a Did any of the following happen to How did your household cope with the Compared to 5 years ago, would you your household because of [CLIMATE/ negative consequences of [CLIMATE/ say that the occurrence of [CLIMATE/ WEATHER EVENT] in the last 12 months? WEATHER EVENT] after it occurred? WEATHER EVENT] is increasing, decreasing or about the same? READ EACH OPTION ALOUD. FOR EACH EVENT, PROVIDE UP TO 3 SELECT ALL THAT APPLY ANSWERS STARTING WITH THE ONE THAT WAS DONE FIRST Increasing......................... 1 About the same............... 2 A. Loss of crop production.......................... Y/N Decreasing....................... 3 B. Loss of livestock/livestock production.... Y/N [SEE CODES] DO NOT KNOW........... 777 C. Loss/damage of other assets or properties (specify)............................. Y/N D. Household members displaced.............. Y/N EVENT CODE E. Household members killed/injured........ Y/N Other (specify)............................................. Y/N CODE 1 Drought 2 Erratic rainfall 3 Late onset of rains 4 Early onset of rains  5 Early cessation of rains 6 Flooding 7 Water logging 8 Torrential downpours 9 Hailstorms 10 Extreme winds 11 Very high temperatures 12 Unusually High Level of Crop Pests & Disease 13 Unusually High Level of Livestock Disease 127 CODES FOR Q8 USED OWN SAVINGS...............................................................................................................................1 RELIED MORE INTENSIVELY ON IRRIGATION.......................................................................................16 [RECEIVED ASSISTANCE] RECEIVED ASSISTANCE FROM FRIENDS/FAMILY...........................................2 ENGAGED IN ADDITIONAL INCOME GENERATING ACTIVITIES..........................................................17 RECEIVED ASSISTANCE FROM GOVERNMENT.......................................................................................3 DELAYED PAYMENT OBLIGATIONS......................................................................................................18 RECEIVED ASSISTANCE FROM NGO/RELIGIOUS INSTITUTION...............................................................4 [TOOK A LOAN] TOOK A LOAN FROM A FINANCIAL INSTITUTION...................................................19 EMPLOYED HOUSEHOLD MEMBERS TOOK ON MORE EMPLOYMENT................................................5 TOOK A LOAN FROM AN INFORMAL LENDER....................................................................................20 ADULT HOUSEHOLD MEMBERS WHO WERE PREVIOUSLY NOT WORKING HAD TO FIND WORK.....6 TOOK ADVANCED PAYMENT FROM EMPLOYER/BUYER....................................................................21 ONE OR MORE HOUSEHOLD MEMBERS MIGRATED TO FIND JOB ELSEWHERE.....................................7 [SOLD OR RENTED ASSETS] RENTED OUT LAND/BUILDINGS/HOUSES................................................22 WITHDREW CHILDREN FROM SCHOOL..................................................................................................8 SOLD LAND/BUILDINGS/HOUSES..........................................................................................................23 MARRIED THE CHILDREN........................................................................................................................9 SOLD AGRICULTURAL ASSETS...............................................................................................................24 SENT CHILDREN (UNDER 15) TO WORK...............................................................................................10 SOLD CROP/FOOD STOCK.....................................................................................................................25 SENT CHILDREN TO LIVE ELSEWHERE..................................................................................................11 SOLD CROP HARVEST IN ADVANCE.....................................................................................................26 REDUCED EXPENDITURE ON HEALTH AND/OR EDUCATION..............................................................12 SOLD DURABLE GOOD..........................................................................................................................27 CHANGED EATING PATTERNS SOLD LIVESTOCK...................................................................................................................................28 (RELIED ON LESS PREFERRED FOOD OPTIONS, REDUCED THE PROPORTION OR ENGAGED IN SPIRITUAL EFFORTS - PRAYER, SACRIFICES, DIVINER CONSULTATIONS.......................29 NUMBER OF MEALS PER DAY, OR HOUSEHOLD MEMBERS SKIPPED DAYS OF EATING, ETC)..........13 HOUSEHOLD WAS COVERED BY INSURANCE......................................................................................30 CHANGED CROPPING PRACTICES (CROP CHOICES OR TECHNOLOGY)..............................................14 DID NOT DO ANYTHING.......................................................................................................................31 STARTED OFF-SEASON CULTIVATION...................................................................................................15 OTHER (SPECIFY).................................................................................................................................999 other option for CODES for Q8 Q8.1 Q8.2 Q8.3 USED OWN SAVINGS ......................................................................... 1 From whom did you received What asset did you sell? From whom did youy take a loan? RECEIVED ASSISTANCE ...................................................................... 2 assistance? IF Q8==3 IF Q8==6 SOLD ASSETS ...................................................................................... 3 IF Q8==2 SELECT ALL THE ONES THAT APPLY SELECT ALL THE ONES THAT APPLY RENTED OUT LAND/BUILDINGS/HOUSES ......................................... 4 SELECT ALL THE ONES THAT APPLY ENGAGED IN ADDITIONAL INCOME GENERATING ACTIVITIES....... 5 FRIENDS/FAMILY.......................................... 1 LAND/BUILDINGS/ FRIENDS/FAMILY.................................... 1 GOVERNMENT.............................................. 2 HOUSES.................................................. 1 FINANCIAL INSTITUTION....................... 2 TOOK A LOAN ................................................................................... 6 NGO/RELIGIOUS INSTITUTION................. 3 AGRICULTURAL ASSETS......................... 2 INFORMAL LENDER............................... 3 REDUCED FOOD CONSUMPTION ...................................................... 7 OTHER (SPECIFY)....................................... 96 CROP/FOOD STOCK............................... 3 NGO/RELIGIOUS INSTITUTION.............. 4 REDUCED NON-FOOD CONSUMPTION ............................................ 8 CROP HARVEST IN ADVANCE............... 4 EMPLOYER............................................. 5 CHANGED CROPPING PRACTICES (CROP CHOICES OR TECHNOLOGY)................................................... 9 DURABLE GOOD.................................... 5 OTHER (SPECIFY)................................. 96 STARTED OFF-SEASON CULTIVATION.............................................. 10 LIVESTOCK............................................. 6 RELIED MORE INTENSIVELY ON IRRIGATION.................................. 11 OTHER (SPECIFY)................................. 96 WAS COVERED BY INSURANCE POLICY.......................................... 12 DID NOTHING................................................................................... 13 OTHER (SPECIFY).............................................................................. 96 128 Household Surveys During Multiple Crises SECTION 17: PAST EXPERIENCE, CURRENT EXPERIENCE & FUTURE EXPECTATIONS: CLIMATE/WEATHER OPTIONAL OPTIONAL OPTIONAL FUTURE EXPECTATIONS DISABLE IF Q9=1 ENABLE IF Q10=4 OR 5 9. 10. 11 During the next 5 years, how Using a scale of 1 to 5. where The next time [CLIMATE/WEATHER EVENT] occurs, frequently do you expect your 1 is “Extremely unlikely” and do you expect it to cause your household any of the household to experience [CLIMATE/ 5 is “Extremely likely”, how following? WEATHER EVENT]? likely is that your household will experience [CLIMATE/WEATHER READ EACH OPTION ALOUD. EVENT] in the next 12 months? SELECT ALL THAT APPLY NEVER..........................1 RARELY.........................2 EXTREMELY UNLIKELY.......................... 1 A. Loss of crop production..................................................Y/N MOST YEARS................3 UNLIKELY............................................... 2 B. Loss of livestock/livestock production............................Y/N EVERY YEAR................4 NEITHER LIKELY NOR UNLIKELY........... 3 C. Loss/damage of other assets or properties (specify).....Y/N DO NOT KNOW.......777 LIKELY.................................................... 4 EVENT CODE D. Household members displaced......................................Y/N EXTREMELY LIKELY................................ 5 E. Household members killed/injured................................Y/N DO NOT KNOW................................. 777 CODE CODE A B C D 1 Drought 2 Erratic rainfall 3 Late onset of rains 4 Early onset of rains  5 Early cessation of rains 6 Flooding 7 Water logging 8 Torrential downpours 9 Hailstorms 10 Extreme winds 11 Very high temperatures 12 Unusually High Level of Crop Pests & Disease 13 Unusually High Level of Livestock Disease 129 SECTION 18: ECONOMIC SENTIMENTS Household economic situation Country economic situation 1. 2. 3. 4. We are interested in how people are Now looking ahead--do you think that 12 Now turning to economic situation in the And during the next 5 years, how do you getting along financially these days. Would months from now you and your household country as a whole. How do you think the expect the general economic situation in you say that you and your household are will be better off financially, or worse off, general economic situation in the country this country to develop? It will … financially better off, about the same, or or just about the same as now? has changed during the past 12 months? worse off than you were 12 months ago? It has … READ OPTIONS READ OPTIONS Get a lot better................................................. 1 READ OPTIONS Will be better off............................................. 1 READ OPTIONS Get a little better............................................. 2 Better now........................................................ 1 Same.................................................................. 2 Got a lot better................................................ 1 Stay about the same........................................ 3 Same.................................................................. 2 Will be worse off.............................................. 3 Got a little better............................................. 2 Get a little worse.............................................. 4 Worse................................................................ 3 DON’T KNOW................................................. 97 Stayed about the same.................................... 3 Get a lot worse................................................. 5 DON’T KNOW................................................. 97 Got a little worse.............................................. 4 DON’T KNOW................................................. 97 Got a lot worse................................................. 5 DON’T KNOW................................................. 97 130 Household Surveys During Multiple Crises SECTION 18: ECONOMIC SENTIMENTS Consumer prices 5. 6a. 6b. 7. Now turning to prices in general: (IF Q5=1 OR 2) (IF Q5=3) How do you expect that prices in general During the last 12 months, do you think By about what percent do you think By about what percent do you think prices will develop during the next 12 months, prices in general have gone up a lot, prices in general went up during the last in general went down during the last comparing to the past 12 months? gone up somewhat, stayed the same, or 12 months? 12 months? gone down? READ OPTIONS RECORD PERCENTAGE RECORD PERCENTAGE Go up more than in the last 12 months....................... 1 Gone up a lot.....................1 Go up at the same rate as in the last 12 months........... 2 Gone up somewhat...........2 Go up less than in the last 12 months......................... 3 Q7 Stayed the same................3 Stay about the same................................................. 4 Gone down........................4 Go down................................................................. 5 Q7 DON’T KNOW..................97 DON’T KNOW........................................................ 97 Percentage Percentage 131 SECTION 18: ECONOMIC SENTIMENTS Major household purchases Extreme weather shocks 8. 9. 10. We now would like to ask you about the big items people We would now like to ask you about extreme weather Which events, do you expect will negatively affect buy for their households--such as furniture, a stove, a events, such as drought conditions, delayed rains, floods, you and your household financially during the next 12 refrigerator, a car, a motorcycle. Generally speaking, do and heatwaves, how likely is it that extreme weather months? you think now is a good or a bad time for people to buy events will negatively affect you and your household major household items? financially during the next 12 months? READ OPTIONS READ OPTIONS READ OPTIONS SELECT ALL THAT APPLY Drought conditions.......................................... 1 Good time......................................................... 1 Extremely likely.................1 Delayed rains.................................................... 2 Neither good nor bad...................................... 2 Likely........................................2 Floods................................................................ 3 Bad time............................................................ 3 NEXT SECTION Neither likely nor unlikely......3 Heatwaves........................................................ 4 DON’T KNOW................................................. 97 NEXT SECTION Unlikely....................................4 NEXT SECTION Extremely unlikely...................5 NEXT SECTION Don’t know............................97 132 Household Surveys During Multiple Crises SECTION 19: FOOD PRICES The list of items should be adapted by country 1. 2. 3. 4. 5. 6. 7. Is [ITEM] currently available Do you know the Do you know the What is the What is the UNIT/ What is the In the last month, for sale in your community price of [ITEM] in price of [ITEM] in current price for SIZE for which current price for did the price of or nearby? your community or your community 1 Kilogram (KG) you know the [ITEM] per [ITEM]… nearby? or nearby in of [ITEM]? price of [ITEM]? [UNIT/SIZE in Kilograms (KG)? Q5]? YES........................ 1 SEE ITEM AND INCREASE................. 1 NO......................... 2 NEXT ITEM YES.....1 Q7 UNIT CODES STAY THE SAME..... 2 NO......2 NEXT ITEM YES....... 1 NEXT ITEM DON’T KNOW... 99 DECREASE................ 3 ITEM CODE Q5 NO........ 2 DON’T KNOW....... 99 ITEM $ UNIT SIZE $ Guinea corn/sorghum 10 Rice - local 11 Cassava - roots 12 Yam - roots 13 White beans 14 Onions 15 133 SECTION 20: GOVERNMENT RESPONSES This section should be answered by the household head. Question 3 should be modified accordingly to the shock in question 2 1. 2. 3. 4. 5. 6. 7. INDICATE THE MAIN Are you satisfied Why are you not satisfied with the Using the following four-item scale, please indicate how much you agree or disagree RESPONDENT FOR with the federal or state government's response? with the following statements: THIS SECTION government's response to the PLEASE DO NOT READ. SELCT ALL THAT PLEASE READ EACH STATEMENT AND SELECT THE APPROPRIATE OPTION FOR EACH OF [SHOCK]? APPLY THEM. LIMITED TESTING POINTS................................. 1 Strongly disagree....................1 Q4 YES....... 1 NO FINANCIAL ASSISTANCE Disagree...................................2 NO........ 2 FROM THE GOVERNMENT................................ 2 Neutral.....................................3 LATE RESPONSE BY GOVERNMENT............... 3 Agree.......................................4 SHORTAGE OF MEDICAL MATERIALS............ 4 OTHER (SPECIFY).................................................. 5 The local authorities The government is The Government is able The government is / government are treating all citizens to provide health care treating all citizens trustworthy in the (regardless of age, to address the [SHOCK] (regardless of age, way they manage the gender and origin) gender and origin) [SHOCK] fairly when providing fairly when providing health care related to (cash and in-kind) [SHOCK] assistance to deal with ID CODE [SHOCK] 134 Household Surveys During Multiple Crises SECTION 21: COVID-19 VACCINE FOR ALL HOUSEHOLD MEMBERS 5 YEARS OLD OR OLDER , PLEASE ASK THE INDIVIDUAL THE FOLLOWING QUESTIONS. INTERVIEWER READ OUT: Now I'd like to ask you some questions on COVID-19 vaccine to understand people's attitudes towards COVID-19 vaccines. This will not be used to determine your eligibility to receive COVID-19 vaccine or to provide you with COVID-19 vaccine. 0. 1. 2. 3. 4. 5. CAPI/ENUMERATOR: IS THIS PERSON WRITE THE ID CODE OF Have you been vaccinated When did you receive the How many shots of IS THIS PERSON 5 YEARS ANSWERING FOR HIMSELF/ THE PROXY RESPONDENT for COVID-19? first shot of COVID-19 COVID-19 vaccine have you OLD OR OLDER? HERSELF? vaccine? received? YES....... 1 YES....... 1 YES....... 1 Q3 NO........ 2 Q9 January 2021....................... 1 ONE..............................1 NEXT PERSON NO........ 2 NO........ 2 February 2021..................... 2 TWO.............................2 Q6B March 2021.......................... 3 MORE THAN TWO.......3 Q6B April 2021............................ 4 May 2021.............................. 5 June 2021............................. 6 July 2021............................... 7 August 2021........................ 8 September 2021................. 9 October 2021.................... 10 November 2021................ 11 December 2021................ 12 INDIVIDUAL ID January 2022..................... 13 February 2022................... 14 March 2022........................ 15 ID CODE MONTH/YEAR 1 2 3 4 5 6 7 135 SECTION 21: COVID-19 VACCINE 6a. 6b. 7. 8. 9. Where did you get vaccinated Where did you get vaccinated What are your main reasons for getting How likely are you to Are you planning to be for COVID-19? for COVID-19? vaccinated for COVID-19 apart from encourage others to get the vaccinated for COVID-19? protecting your health? COVID-19 vaccine? SELECT ALL THAT APPLY RECORD UP TO TWO REASONS READ OPTIONS YES .............1 HOSPITAL.............................................. 1 CLINIC..................................................... 2 DO NOT READ OPTIONS Q14 NO...............2 HOSPITAL.............................................. 1 LOCAL HEALTH CENTER................... 3 Q14 NOT SURE....3 CLINIC..................................................... 2 VERY LIKELY......................................... 1 PHARMACY.......................................... 4 SOMEWHAT LIKELY........................... 2 LOCAL HEALTH CENTER................... 3 PROTECTING MY HEALTH IS THE ONLY REASON....... 1 SENIOR LIVING CENTER.................... 5 NEITHER LIKELY NOR UNLIKELY.... 3 PHARMACY.......................................... 4 PROTECTING COMMUNITY’S HEALTH........................ 2 MASS VACCINATION SITE................. 6 SOMEWHAT UNLIKELY..................... 4 SENIOR LIVING CENTER.................... 5 GOVERNMENT MANDATE.............................................. 3 WORKPLACE........................................ 7 VERY UNLIKELY................................... 5 MASS VACCINATION SITE................. 6 REQUIRED FOR SCHOOL ATTENDANCE...................... 4 RELIGIOUS WORSHIP CENTRES......... 8 WORKPLACE........................................ 7 EMPLOYER MANDATE..................................................... 5 OTHER (SPECIFY)............................... 96 NEXT SECTION RELIGIOUS WORSHIP CENTRES......... 8 AVOID PUBLIC HEALTH MEASURES OTHER (SPECIFY)............................... 96 FOR UNVACCINATED........................................................ 6 Q7 TAKE PART IN PUBLIC LIFE /SOCIAL EVENTS............. 7 INDIVIDUAL ID BE ABLE TO TRAVEL......................................................... 8 PEOPLE IN MY COMMUNITY/FAMILY DID IT TOO...... 9 RECEIVED FINANCIAL OR IN-KIND INCENTIVE...... 10 OTHER (SPECIFY)............................................................. 96 1 2 3 4 5 6 7 136 Household Surveys During Multiple Crises SECTION 21: COVID-19 VACCINE 11. 13. 14. What are the main reasons why you want to get Why have you not received the COVID-19 vaccine yet? Why are you not sure or not planning to be vaccinated vaccinated for COVID-19 apart from protecting your for COVID-19? health? RECORD UP TO TWO REASONS RECORD UP TO TWO REASONS RECORD UP TO TWO REASONS DO NOT READ THE OPTIONS DO NOT READ THE OPTIONS DO NOT READ THE OPTIONS INELIGIBLE FOR VACCINE IN CURRENT PHASE..........................................1 DO NOT KNOW HOW OR WHERE TO GET/REGISTER FOR VACCINE........2 I DON’T THINK IT WILL WORK ...................................................................1 PROTECTING MY HEALTH IS THE ONLY REASON......................................1 TOO CROWDED/LONG LINES AT VACCINATION CENTERS........................3 I AM WORRIED ABOUT THE SIDE EFFECTS................................................2 PROTECTING COMMUNITY’S HEALTH........................................................2 FACILITY INACCESSIBLE (FOR PEOPLE WITH DISABILITIES).......................4 I ALREADY HAD COVID-19 ........................................................................3 GOVERNMENT MANDATE..........................................................................3 TOO FAR/NO TRANSPORT...........................................................................5 I AM NOT ENOUGH AT RISK OF CONTRACTING COVID-19.......................4 REQUIRED FOR SCHOOL ATTENDANCE.....................................................4 NOT ENOUGH VACCINES............................................................................6 IN GENERAL, I DON’T TRUST VACCINES.....................................................5 EMPLOYER MANDATE................................................................................5 NOT ABLE TO REGISTER/ COMPLICATIONS DURING REGISTRATION........7 IT IS AGAINST MY RELIGION.......................................................................6 AVOID PUBLIC HEALTH MEASURES FOR UNVACCINATED........................6 WORK COMMITMENTS...............................................................................8 I AM WORRIED TO GET INFECTED WITH COVID-19 TAKE PART IN PUBLIC LIFE /SOCIAL EVENTS..............................................7 AT THE HEALTH FACILITY............................................................................7 DOMESTIC COMMITMENTS BE ABLE TO TRAVEL....................................................................................8 (CHILDCARE, TAKING CARE OF FAMILY MEMBER, ETC.)..........................9 HEALTH FACILITY TOO FAR OR TOO HARD TO GET TO............................8 PEOPLE IN MY COMMUNITY/FAMILY DID IT TOO.....................................9 RELIGIOUS REASONS.................................................................................10 IT WILL TAKE TOO LONG TO GET VACCINATED/ I DON’T HAVE TIME TO GET VACCINATED................................................9 RECEIVED FINANCIAL OR IN-KIND INCENTIVE.........................................10 MEDICAL REASONS...................................................................................11 I DON’T THINK THE VACCINES AVAILABLE IN MY COUNTRY OTHER (SPECIFY).......................................................................................96 WAITING FOR MY APPOINTMENT............................................................12 ARE EFFECTIVE...........................................................................................10 AFRAID OF THE SIDE EFFECTS...................................................................13 I AM NOT SURE I WILL GET THE VACCINE I WANT..................................11 OTHER (SPECIFY).......................................................................................96 IT’S NOT A PRIORITY.................................................................................12 COVID-19 DOES NOT EXIST.......................................................................13 NEXT SECTION MEDICAL REASONS...................................................................................14 INDIVIDUAL ID DISTRUST IN GOVERNMENT AND HEALTH ORGANIZATIONS.................15 OTHER (SPECIFY).......................................................................................96 NEXT SECTION 1 2 3 4 5 6 7 137 SECTION 22: SUBJECTIVE WELFARE INTERVIEWER READ OUT: Now I’d like to ask you some questions on the welfare of your household. This information would help us understand the sentiments and standard of living of the population. 1. 2. 3. 4. 5. 6. Concerning your household's Concerning your household's Concerning your household's Concerning the standard of Considering the Taking all things food consumption over the housing over the past month, clothing over the past month, health care you received for level of your current together, would you past one month, which of the which of the following is true? which of the following is true? household members over household income, say you are currently: following is true? the past month, which of the would you say that following is true? you are living NOTE: 'ADEQUATE' MEANS NO It was less than adequate It was less than adequate Very happy................... 1 MORE OR NO LESS THAN WHAT for household needs......................... 1 for household needs......................... 1 Fairly happy................. 2 THE RESPONDENT CONSIDERS It was just adequate It was just adequate It was less than adequate Well................................ 1 Not very happy........... 3 TO BE THE MINIMUM for household needs......................... 2 for household needs......................... 2 for household needs......................... 1 Fairly well..................... 2 CONSUMPTION NEEDS OF THE Not at all happy......... 4 It was more than adequate It was more than adequate It was just adequate Fairly.............................. 3 HOUSEHOLD. for household needs......................... 3 for household needs......................... 3 for household needs......................... 2 With difficulty............ 4 It was more than adequate for household needs......................... 3 It was less than adequate for household needs......................... 1 It was just adequate for household needs......................... 2 It was more than adequate for household needs......................... 3 138 Household Surveys During Multiple Crises SECTION 23: CONTACT 1. In order for us to be able to contact you in the future, could you kindly provide us with your telephone numbers? 2A. FIRST HOUSEHOLD MEMBER: NAME : PHONE: 2B. SECOND HOUSEHOLD MEMBER. Is there another adult member of the household that can provide us with a phone number for contact? NAME : PHONE: 2C. THIRD HOUSEHOLD MEMBER. Is there another adult member of the household that can provide us with a phone number for contact? NAME : PHONE: 3A. If you were to move in the next two years, who are the people in this community who would be most likely to know your new address? CONTACT INFORMATION FOR REFERENCE PERSON 1 CONTACT INFORMATION FOR REFERENCE PERSON 2 3A1. NAME: 3B1. NAME: 3A2. RELATION TO HEAD: 3B2. RELATION TO HEAD: 3A3. PHONE (MOBILE): 3B3. PHONE (MOBILE): 3A4. ADDRESS: 3B4. ADDRESS: 139 HOUSEHOLD SURVEYS DURING MULTIPLE CRISES MODIFYING QUESTIONNAIRES TO ASSESS THE IMPACT OF SHOCKS About this publication By reviewing the standard household survey questionnaires included in the guidebook, Capturing What Matters: Essential Guidelines for Designing Household Surveys, we provide technical guidance on issues to consider when reviewing, designing, or updating questionnaires for household surveys during or after a major shock – relying on lessons learned from the World Bank’s Living Standards Measurement Study program. Living Standards Measurement Study www.worldbank.org/lsms data.worldbank.org