LSMS+ SAMPLE
HOUSEHOLD AND
INDIVIDUAL
QUESTIONNAIRES
A. HOUSEHOLD INTERVIEW - PARCEL ROSTER
1. Do you or does any member of this household use, own, or hold use rights for any parcel of land, either alone or jointly with someone else, irrespective of whether the parcel is used by your or another household, and irrespective of the use YES...1
of the parcel (including dwelling, agricultural, pastoral, forest and business/commercial parcels)? NO....2
2. 3. 3.a 4. 5. 6. 7. 8. 9. 10
Is this Are there any Under which tenure How was this [PARCEL] acquired? What is the primary Is there a What is the secondary In the last 12 What is the area of [PARCEL]?
PARCEL NAME [PARCEL] the structures, system is this current use of this secondary current use of this months, has
(UNIQUELY piece of land buildings or [PARCEL]? [PARCEL]? current use of [PARCEL]? this [PARCEL]
IDENTIFIES on which the houses on this [PARCEL]? been used for
PIECE OF LAND) dwelling is this[PARCEL] farming? CODES FOR UNIT:
located? ? GIVEN BY THE GOVERNMENT OR
LOCAL AUTHORITY..........1 RESIDENTIAL...1 RESIDENTIAL...1
AGRICULTURAL AGRICULTURAL SQUARE
BY INHERITANCE OF GIFT FROM
(FARMING AND (FARMING AND METERS..........1
RELATIVES...........2
PLANTATION)...2 PLANTATION)...2 ACRE............2
BOUGHT IT FROM A
AQUACULTURE...3 AQUACULTURE...3 HECTARES........3
RELATIVE.................3
PASTORAL......4 PASTORAL......4 Other(Specify)..4
PRIVATE........1 BOUGHT IT FROM A NON-
STATE PUBLIC...2 RELATIVE.................4 FOREST........5 FOREST........5
STATE PRIVATE..3 CLEARED LAND/OCCUPIED FOR BUSINESS/ BUSINESS/
COMMON FREE.....................5 COMMERCIAL..6 COMMERCIAL..6
PROPERTY.......4 DONATED BY FRIEND........6 DON'T KNOW....7 DON'T KNOW....7 AREA
YES...1 YES...1 OTHER YES...1 OTHER YES...1
NO....2 NO....2 INDIGENOUS.....5 RENTED IN................7 NO....2>>
OTHER (SPECIFY)..........8 (SPECIFY)...8 (SPECIFY)...8 NO....2 __ __ __ __ . __ __
OTHER(SPECIFY).6 9
1
__ __ __ __ . __ __
2
__ __ __ __ . __ __
3
__ __ __ __ . __ __
4
__ __ __ __ . __ __
5
__ __ __ __ . __ __
2. ORODHA YA MASHAMBA - 4
UNIT
2. ORODHA YA MASHAMBA - 5
B: HOUSEHOLD INTERVIEW - APARTMENT/CONDO ROSTER
ENUMERATOR: This is any real estate not associated with a parcel of land.
1. Do you or does any member of this household own, either alone or jointly with someone else, any apartment units or
condominiums irrespective of whether the apartment or condo is used by your or another household, and irrespective of whether the
apartment is used for residential or commercial purposes? YES...........1
NO............2>>NEXT MODULE
DON'T KNOW...98>>NEXT MODULE
2. 3. 4.
Please list each apartment or Where is this What is this
condo that is owned by any [APARTMENT/C [APARTMENT/CONDO] used
member of this household. ONDO] located? for?
ENUMERATOR
TO HELP
RESPONDENT
HOUSEHOLD RESIDENCE...1
IDENTIFY
WHETHER COMMERCIAL USE
LOCATION IS (HOUSEHOLD)...........2
RURAL/ RENTED OUT FOR
URBAN RESIDENTIAL USE
(BY ANOTHER
INDIVIDUAL/HOUSEHOLD).3
RENTED OUT FOR
COMMERCIAL USE
(BY ANOTHER
INDIVIDUAL/HOUSEHOLD).4
RURAL.......1 OTHER(SPECIFY).......96
URBAN.......2 DON'T KNOW...........98
RE1
RE2
RE3
RE4
RE5
RE6
C. HOUSEHOLD INTERVIEW - LIVESTOCK
1. Does any member of this household own any livestock at present, exclusively and/or
jointly with someone else?
2. 3.
Do you or does any member Thinking of all household
L L of this household own any members and
I I [LIVESTOCK], either alone [LIVESTOCK] they own,
V V or jointly with someone how many [LIVESTOCK]
E E else? are owned IN TOTAL?
S S
T T READ: CONSIDER ALL READ: CONSIDER ALL
O O LIVESTOCK PRESENT AT LIVESTOCK
C C YOUR FARM OR AWAY. EXCLUSIVELY OR
K K JOINTLY OWNED,
PRESENT AT YOUR
C N FARM OR AWAY.
O A
D M
E E YES....1
NO.....2 >> NEXT
LIVESTOCK NUMBER
1001 Oxen
1002 Bulls
1003 Cows
1004 Calves
1005 Buffaloes
1006 Horses, Ponies
1007 Pigs
1008 Goats
1009 Sheep
1010 Chickens
1011 Ducks
1012 Quail
1013 Turkeys
1014 Geese
1015 Other Specify
D. HOUSEHOLD INTERVIEW - CONSUMER DURABLES
1. 2.
Does any member of this household Thinking of all household members
I I own any [CONSUMER DURABLE] at and [CONSUMER DURABLE] they
T T present, exclusively and/or jointly own, how many [CONSUMER
E E with someone else? DURABLE] are owned IN TOTAL?
M M
C N
O A
D M
E E YES....1
NO.....2 >> NEXT ITEM
DON'T KNOW..98 >> NEXT ITEM
NUMBER
1101 Cell phone
1102 Computer
1103 Bicycle
1104 Motorcycle
1105 Car
1106 Tuk tuk
1107 Boat
1108 Tractor/Koryun
START OF
INDIVIDUAL
INTERVIEWS
E. INDIVIDUAL INTERVIEW - PARCEL DETAILS
Will be administered to each adult household member aged 18 and above
1. 2. 3. 4.
CAPI: PARCEL CAPI: Is this CAPI: How was this [PARCEL] Do you use, own or Do you Does Who else jointly owns this [PARCEL] with
NAME [PARCEL] the acquired? hold use rights for this OWN this anyone you?
piece of land on [PARCEL], either alone [PARCEL], jointly own
[FED FORWARD which the or jointly with someone either alone this LIST UP TO 3 MEMBERS FROM HOUSEHOLD
P FROM HH LEVEL dwelling is else? or jointly [PARCEL] ROSTER. RECORD THE NUMBER OF ADULT
A with with you? MALES OUTSIDE OF THE HOUSEHOLD WITH
LAND ROSTER] located?
R THIS RIGHT AS WELL AS THE NUMBER OF
someone
C ADULT FEMALES OUTSIDE OF THE
[FED FORWARD else?
E HOUSEHOLD.
L FROM HH LEVEL
GIVEN BY THE GOVERNMENT OR
LAND ROSTER] LOCAL AUTHORITY..........1
N BY INHERITANCE OF GIFT FROM
U RELATIVES...........2
M BOUGHT IT FROM A
RELATIVE.................3
B
BOUGHT IT FROM A NON-
E RELATIVE.................4
R CLEARED LAND/OCCUPIED FOR # OF 18+
YES...1 FREE.....................5 # OF 18+ OLD
YES..1
NO....2 DONATED BY FRIEND........6 YES..1 YES..1
NO...2 > NEXT OLD MALE FEMALE
RENTED IN................7 NO...2►5 NO...2 ►5 HH ID
PARCEL HH ID HH ID NON-HH NON-HH
OTHER (SPECIFY)..........8
#1 #2 #3 MEMBERS MEMBERS
1
2
3
4
5
6
7
8
INDIVIDUAL INTERVIEW - PARCEL DETAILS (CONTINUED)
5. 6. 7. 8. 9. 10.
Does your household What type of documents is Is your name Does anyone Who else's names are on the ownership ENUMERATOR: WAS
have a document for there for this [PARCEL]? among the else's names document for this [PARCEL] as owners or right THE RESPONDENT
this [PARCEL], such as names listed are on the use holders? ABLE TO PRODUCE
an application receipt, on the ownership THE
P land investigation documents for document for DOCUMENTATION
A paper, certificate (title) the [PARCEL] this LIST UP TO 3 MEMBERS FROM HOUSEHOLD FOR CONFIRMATION
R from the government, DOCUMENT TYPE: as owner or [PARCEL] as ROSTER. RECORD THE NUMBER OF ADULT PURPOSES?
C paper from local right use owners or MALES OUTSIDE OF THE HOUSEHOLD WITH THIS
E 1 = Application receipt RIGHT AS WELL AS THE NUMBER OF ADULT
authority, lease or 2 = Land investigation holder? right use
L paper FEMALES OUTSIDE OF THE HOUSEHOLD.
rental contract ? 3 = Certificate (title) holders?
from the government
N 4 = Paper from local YES..1
U authority NO...2
5 = Rental contract Next
M 6 = Other (specify)
7 = Don't know / not Parcel
B sure
E
YES..1
R NO...2 ►11 YES.................1
# OF 18+ # OF 18+ OLD NO, REFUSED.........2
YES..1 NO, CANNOT BE
Document Type 1 Document NO...2
OLD MALE FEMALE NON- LOCATED.............3
Type 1 ►11 HH ID HH ID HH ID NON-HH HH NO, HAVE NO ACCESS..4
#1 #2 #3 MEMBERS MEMBERS NO, OTHER(SPECIFY)..6
1
2
3
4
5
6
7
8
INDIVIDUAL INTERVIEW - PARCEL DETAILS (CONTINUED)
SKIP TO QUESTION 26 IF QUESTION Q2 !=1 and Q5!=1
11.
P With regard to this [PARCEL], are you among the individuals who have the right to sell it, even if you need to obtain consent or permission from someone else? If yes, do you need permission or consent from anyone else?
A
R Is there anyone else who has the right to sell it, even if they needed to obtain consent or permission from someone else?
C
E With regard to this [PARCEL], who else has the right to sell it, even if they needed to obtain consent or permission from someone else? Does the person need permission or consent? From whom does the person need permission or consent?
L
LIST UP TO 3 MEMBERS FROM HOUSEHOLD ROSTER. RECORD THE NUMBER OF ADULT MALES OUTSIDE OF THE HOUSEHOLD WITH THIS RIGHT AS WELL AS THE NUMBER OF ADULT FEMALES OUTSIDE OF THE HOUSEHOLD.
I
D
RESPONDENT HH ROSTER MEMBER #1 HH ROSTER MEMBER #2
Who else
Do you have Anyone Anyone Who else Do
Permission? From whom? Do have Permission? From whom? Permission? From whom?
Right? else? else? have Right?
Right?
# OF 18+ # OF 18+ # OF 18+
# OF 18+ # OF 18+ # OF 18+
OLD YES…1 OLD OLD
YES…1 YES…1 HH ID HH ID HH ID OLD MALE YES…1 HH ID #1 HH ID HH ID HH ID OLD MALE YES…1 HH ID #2 YES…1 HH ID HH ID HH ID OLD MALE
FEMALE NO…2►HH ID FEMALE FEMALE
NO…2►12 NO…2►HH ID #1 #1 #2 #3 NON-HH NO…2►12 #1 #2 #3 NON-HH NO…2►12 NO…2►12 #1 #2 #3 NON-HH
NON-HH #2 NON-HH NON-HH
MEMBERS MEMBERS MEMBERS
MEMBERS MEMBERS MEMBERS
1 1 1 ah 1 ah 1 1 1
2
3
4
5
6
7
8
INDIVIDUAL INTERVIEW - PARCEL DETAILS (CONTINUED)
12.
P With regard to this [PARCEL], are you among the individuals who have the right to bequeath it, even if you need to obtain consent or permission from someone else? If yes, do you need permission or consent from anyone else?
A
R Is there anyone else who has the right to bequeath it, even if they needed to obtain consent or permission from someone else?
C
E With regard to this [PARCEL], who else has the right to bequeath it, even if they needed to obtain consent or permission from someone else? Does the person need permission or consent? From whom does the person need permission or consent?
L
LIST UP TO 3 MEMBERS FROM HOUSEHOLD ROSTER. RECORD THE NUMBER OF ADULT MALES OUTSIDE OF THE HOUSEHOLD WITH THIS RIGHT AS WELL AS THE NUMBER OF ADULT FEMALES OUTSIDE OF THE HOUSEHOLD.
I
D
RESPONDENT HH ROSTER MEMBER #1 HH ROSTER MEMBER #2
Do you have Anyone Who else Do Anyone Who else Do
Permission? From whom? Permission? From whom? Permission? From whom?
Right? else? have Right? else? have Right?
# OF 18+ # OF 18+ # OF 18+
# OF 18+ # OF 18+ # OF 18+
OLD YES…1 OLD OLD
YES…1 YES…1 HH ID HH ID HH ID OLD MALE YES…1 HH ID #1 HH ID HH ID HH ID OLD MALE YES…1 HH ID #2 YES…1 HH ID HH ID HH ID OLD MALE
FEMALE NO…2►HH ID FEMALE FEMALE
NO…2►13 NO…2►HH ID #1 #1 #2 #3 NON-HH NO…2►13 #1 #2 #3 NON-HH NO…2►13 NO…2►14 #1 #2 #3 NON-HH
NON-HH #2 NON-HH NON-HH
MEMBERS MEMBERS MEMBERS
MEMBERS MEMBERS MEMBERS
1
2
3
4
5
6
7
8
INDIVIDUAL INTERVIEW - PARCEL DETAILS (CONTINUED)
13.
P With regard to this [PARCEL], are you among the individuals who have the right to use it as collateral, even if you need to obtain consent or permission from someone else? If yes, do you need permission or consent from anyone else?
A
R Is there anyone else who has the right to use it as collateral, even if they needed to obtain consent or permission from someone else?
C
E With regard to this [PARCEL], who else has the right to use it a collateral, even if they needed to obtain consent or permission from someone else? Does the person need permission or consent? From whom does the person need permission or consent?
L
LIST UP TO 3 MEMBERS FROM HOUSEHOLD ROSTER. RECORD THE NUMBER OF ADULT MALES OUTSIDE OF THE HOUSEHOLD WITH THIS RIGHT AS WELL AS THE NUMBER OF ADULT FEMALES OUTSIDE OF THE HOUSEHOLD.
I
D
RESPONDENT HH ROSTER MEMBER #1 HH ROSTER MEMBER #2
Who else Who else
Do you have Anyone Anyone
Permission? From whom? Do have Permission? From whom? Do have Permission? From whom?
Right? else? else?
Right? Right?
# OF 18+ # OF 18+ # OF 18+
# OF 18+ # OF 18+ # OF 18+
OLD OLD OLD
YES…1 YES…1 HH ID HH ID HH ID OLD MALE YES…1 HH ID #1 YES…1 HH ID HH ID HH ID OLD MALE YES…1 HH ID #2 YES…1 HH ID HH ID HH ID OLD MALE
FEMALE FEMALE FEMALE
NO…2►14 NO…2►HH ID #1 #1 #2 #3 NON-HH NO…2►14 NO…2►HH ID #2 #1 #2 #3 NON-HH NO…2►14 NO…2►14 #1 #2 #3 NON-HH
NON-HH NON-HH NON-HH
MEMBERS MEMBERS MEMBERS
MEMBERS MEMBERS MEMBERS
1
2
3
4
5
6
7
8
INDIVIDUAL INTERVIEW - PARCEL DETAILS (CONTINUED)
14.
P With regard to this [PARCEL], are you among the individuals who have the right to rent it out, even if you need to obtain consent or permission from someone else? If yes, do you need permission or consent from anyone else?
A
R Is there anyone else who has the right to rent it out, even if they needed to obtain consent or permission from someone else?
C
E With regard to this [PARCEL], who else has the right to rent it out, even if they needed to obtain consent or permission from someone else? Does the person need permission or consent? From whom does the person need permission or consent?
L
LIST UP TO 3 MEMBERS FROM HOUSEHOLD ROSTER. RECORD THE NUMBER OF ADULT MALES OUTSIDE OF THE HOUSEHOLD WITH THIS RIGHT AS WELL AS THE NUMBER OF ADULT FEMALES OUTSIDE OF THE HOUSEHOLD.
I
D
RESPONDENT HH ROSTER MEMBER #1 HH ROSTER MEMBER #2
Who else Who else
Do you have Anyone Anyone
Permission? From whom? Do have Permission? From whom? Do have Permission? From whom?
Right? else? else?
Right? Right?
# OF 18+ # OF 18+ # OF 18+ # OF 18+ # OF 18+
YES…1 # OF 18+ OLD YES…1
YES…1 HH ID HH ID HH ID OLD FEMALE YES…1 HH ID #1 HH ID HH ID HH ID OLD MALE OLD FEMALE YES…1 HH ID #2 YES…1 HH ID HH ID HH ID OLD MALE OLD FEMALE
NO…2►HH ID MALE NON-HH NO…2►HH ID
NO…2►15 #1 #2 #3 NON-HH NO…2►15 #1 #2 #3 NON-HH NON-HH NO…2►15 NO…2►15 #1 #2 #3 NON-HH NON-HH
#1 MEMBERS #2
MEMBERS MEMBERS MEMBERS MEMBERS MEMBERS
1
2
3
4
5
6
7
8
INDIVIDUAL INTERVIEW - PARCEL DETAILS (CONTINUED)
15.
P With regard to this [PARCEL], are you among the individuals who have the right to make improvements/invest it, even if you need to obtain consent or permission from someone else? If yes, do you need permission or consent from anyone else?
A
R Is there anyone else who has the right to make improvements/invest it, even if they needed to obtain consent or permission from someone else?
C
E With regard to this [PARCEL], who else has the right to make improvements/invest it, even if they needed to obtain consent or permission from someone else? Does the person need permission or consent? From whom does the person need permission or consent?
L
LIST UP TO 3 MEMBERS FROM HOUSEHOLD ROSTER. RECORD THE NUMBER OF ADULT MALES OUTSIDE OF THE HOUSEHOLD WITH THIS RIGHT AS WELL AS THE NUMBER OF ADULT FEMALES OUTSIDE OF THE HOUSEHOLD.
I
D
RESPONDENT HH ROSTER MEMBER #1 HH ROSTER MEMBER #2
Who else Who else
Do you have Anyone Anyone
Permission? From whom? Do have Permission? From whom? Do have Permission? From whom?
Right? else? else?
Right? Right?
# OF 18+ # OF 18+ # OF 18+ # OF 18+ # OF 18+ # OF 18+
YES…1 YES…1
YES…1 HH ID HH ID HH ID OLD MALE OLD FEMALE YES…1 HH ID #1 HH ID HH ID HH ID OLD MALE OLD FEMALE YES…1 HH ID #2 YES…1 HH ID HH ID HH ID OLD MALE OLD FEMALE
NO…2►Does NO…2►HH ID
NO…2►16 #1 #2 #3 NON-HH NON-HH NO…2►16 #1 #2 #3 NON-HH NON-HH NO…2►16 NO…2►16 #1 #2 #3 NON-HH NON-HH
anyone else #2
MEMBERS MEMBERS MEMBERS MEMBERS MEMBERS MEMBERS
1
2
3
4
5
6
7
8
INDIVIDUAL INTERVIEW - PARCEL DETAILS (CONTINUED)
16. 17. 18. 19. 20. 21. 22.
P CAPI: IS THIS AN Are you Is anyone Who is (or who else is) the decision-maker(s) on this Do land owners sell/rent Are you informed If this [PARCEL] were
A AGRICULTURAL among the else among [PARCEL] regarding the timing of crop activities, out land in or around the regarding recent land to be sold today, how
R PARCEL? decision- the decision- crop choice, and input use? ward where the parcel is sales and/or rental much could be
C maker(s) on maker(s) on located? transactions in or received for it?
E this this LIST UP TO 3 MEMBERS FROM HOUSEHOLD ROSTER. around the ward
L RECORD THE NUMBER OF ADULT MALES OUTSIDE VALUE SHOULD BE
[PARCEL] [PARCEL] where the parcel is
regarding regarding OF THE HOUSEHOLD WITH THIS RIGHT AS WELL AS located? INCLUSIVE OF ANY
I LAND OWNERS ONLY
THE NUMBER OF ADULT MALES/ FEMALES OUTSIDE SELL..........1 BUILDINGS/STRUCTUR
the timing of the timing of
D OF THE HOUSEHOLD. LAND OWNERS ONLY ES ON THE PARCEL
crop crop ONLY INFORMED OF
RENT OUT.......2 SALES
activities, activities, LAND OWNERS SELL TRANSACTIONS.....1
AND RENT......3 RECORD 97 IF REFUSE
crop choice, crop choice,
NO LAND ONLY INFORMED OF TO ANSWER. RECORD
and input and input TRANSACTIONS..4 RENTAL 98 IF DO NOT KNOW.
use? use? ►22 TRANSACTIONS.....2
DO NOT
KNOW.......98 ►22 INFORMED OF BOTH
SALES AND RENTAL
YES..1 # OF 18+ TRANSACTIONS.....3
YES..1 # OF 18+ OLD YES..1
YES..1 NO...2>>20 HH ID HH ID HH ID OLD MALE
NO...2>>20 NOT INFORMED OF NO...2>>26
NO ..2 ►20 FEMALE NON-
#1 #2 #3 NON-HH SALES OR RENTAL
HH MEMBERS
MEMBERS TRANSACTIONS.....4
AMOUNT UNIT
1
2
3
4
5
6
7
8
23.
If this
[PARCEL]
were to be
sold today,
would you be
among the
individuals to
decide how
the money is
used?
YES..1
NO...2>>26
INDIVIDUAL INTERVIEW - PARCEL DETAILS (CONTINUED)
24. 25. 26. 27.
P If this If this [PARCEL] were to be sold today, who (or
How likely are you to Who was present along with the respondent during the individula
A [PARCEL] who else) would decide how the money is used?
involuntarily lose intervew? SEE CODE BELOW
R were to be ownership or use rights to (Reasons interview not administered with the respondent(s) alone
C LIST UP TO 3 MEMBERS FROM HOUSEHOLD should be explained in the remarks )
sold today, is this [PARCEL] in the next 5
E anyone else ROSTER. RECORD THE NUMBER OF ADULT MALES years?
L OUTSIDE OF THE HOUSEHOLD WITH THIS RIGHT AS
among the
WELL AS THE NUMBER OF ADULT MALES /FEMALES RESPONSE CODES:
individuals to
I OUTSIDE OF THE HOUSEHOLD. ALONE…........................1
decide how
D WITH ADULT FEMALES PRESENT....2
the money is WITH ADULT MALES PRESENT......3
used? WITH ADULTS MIXED SEX PRESENT.4
NOT AT ALL LIKELY..1 WITH CHILDREN PRESENT.........5
SLIGHTLY LIKELY....2 WITH ADULTS MIXED SEX AND
YES, MODERATELY LIKELY..3
YES, VERY LIKELY........4 CHILDREN PRESENT..............6
YES, EXTREMELY LIKELY...5
# OF 18+
YES..1 # OF 18+ OLD
HH HH HH OLD MALE
NO...2>>26 FEMALE NON-
PID A PID B PID C NON-HH
HH MEMBERS
MEMBERS
1
2
3
4
5
6
7
8
F: INDIVIDUAL INTERVIEW - APARTMENT/CONDO DETAILS
Will be administered to each adult household member aged 18 and above
1. 2. 3.
CARRIED CARRIED CARRIED FORWARD ON CAPI: Do you OWN Does anyone Who else jointly owns this
FORWARD ON FORWARD ON What is this this jointly own this [APARTMENT/CONDO] with you?
CAPI:'Please list CAPI: Where is [APARTMENT/CONDO] used [APARTMENT/ [APARTMENT/
each this for? CONDO], either CONDO] with LIST UP TO 3 MEMBERS FROM
APARTMENT/CO [APARTMENT/CO alone or jointly you? HOUSEHOLD ROSTER. RECORD THE
NDO that NDO] located? with someone NUMBER OF ADULT MALES OUTSIDE OF
someone in your HOUSEHOLD RESIDENCE...1 else? THE HOUSEHOLD WITH THIS RIGHT AS
WELL AS THE NUMBER OF ADULT
household owns. COMMERCIAL USE
(HOUSEHOLD)...........2
FEMALES OUTSIDE OF THE HOUSEHOLD.
RENTED OUT FOR
RESIDENTIAL USE
(BY ANOTHER
INDIVIDUAL/HOUSEHOLD).3
RENTED OUT FOR
COMMERCIAL USE
(BY ANOTHER
INDIVIDUAL/HOUSEHOLD).4 # OF 18+
# OF 18+ OLD
RURAL..1 OTHER YES..1
URBAN..2 (SPECIFY)............96
YES..1 OLD MALE FEMALE
NO...2►next NO...2 ►4
DON'T KNOW...........98 HH ID HH ID HH ID NON-HH NON-HH
line
#1 #2 #3 MEMBERS MEMBERS
RE1
RE2
RE3
RE4
RE5
RE6
INDIVIDUAL INTERVIEW - APARTMENT/CONDO DETAILS (CONTINUED)
4. 5. 6. 7. 8. 9.
Is there an ownership What type of documents is Is your name Does anyone Who else's names are on the ownership ENUMERATOR: WAS
document for this there for this among the else's names document for this [APARTMENT/CONDO] as THE RESPONDENT
[APARTMENT/CONDO]? [APARTMENT/CONDO]? names listed are on the owners or right use holders? ABLE TO PRODUCE
on the first THE
documents for ownership DOCUMENTATION
the document for LIST UP TO 3 MEMBERS FROM HOUSEHOLD FOR CONFIRMATION
[APARTMENT/ this ROSTER. RECORD THE NUMBER OF ADULT PURPOSES?
A TITLE DEED.........1 CONDO] as [APARTMEN MALES OUTSIDE OF THE HOUSEHOLD WITH
CERTIFICATE owner or right T/CONDO] as THIS RIGHT AS WELL AS THE NUMBER OF
OF OCCUPANCY.........2 YES.................1
A WILL...............3 use holder? owners or ADULT FEMALES OUTSIDE OF THE NO, REFUSED.........2
SALES AGREEMENT......4 right use HOUSEHOLD. NO, CANNOT BE
YES..1 OTHER (SPECIFY).....96
holders? LOCATED.............3
NO...2 ►11
NO, HAVE NO ACCESS..4
NO, OTHER(SPECIFY).96
YES..1
NO...2>
11
# OF 18+ # OF 18+ OLD
YES..1 OLD MALE FEMALE NON-
Document Type Document NO...2
Type ►11 HH ID HH ID HH ID NON-HH HH
#1 #2 #3 MEMBERS MEMBERS
RE1
RE2
RE3
RE4
RE5
RE6
INDIVIDUAL INTERVIEW - APARTMENT/CONDO DETAILS (CONTINUED)
10.
A With regard to this [APARTMENT/CONDO], are you among the individuals who have the right to sell it, even if you need to obtain consent or permission from someone else? If yes, do you need permission or consent from anyone else?
P
A Is there anyone else who has the right to sell it, even if they needed to obtain consent or permission from someone else?
R
T With regard to this [APARTMENT/CONDO], who else has the right to sell it, even if they needed to obtain consent or permission from someone else? Does the person need permission or consent? From whom does the person need
M permission or consent?
E
N LIST UP TO 3 MEMBERS FROM HOUSEHOLD ROSTER. RECORD THE NUMBER OF ADULT MALES OUTSIDE OF THE HOUSEHOLD WITH THIS RIGHT AS WELL AS THE NUMBER OF ADULT FEMALES OUTSIDE OF THE
T HOUSEHOLD.
/
RESPONDENT HH ROSTER MEMBER #1 HH ROSTER MEMBER #2
C
Do you Who else
O Anyone Anyone Who else Do
have Permission? From whom? Do have Permission? From whom? Permission? From whom?
N else? else? have Right?
Right? Right?
D
# OF 18+ # OF 18+ # OF 18+
O # OF 18+ # OF 18+ # OF 18+
YES…1 OLD YES…1 OLD OLD
YES…1 HH ID HH ID HH ID OLD MALE YES…1 HH ID #1 HH ID HH ID HH ID OLD MALE YES…1 HH ID #2 YES…1 HH ID HH ID HH ID OLD MALE
NO…2►HH ID FEMALE NO…2►HH ID FEMALE FEMALE
NO…2►11 #1 #2 #3 NON-HH NO…2►11 #1 #2 #3 NON-HH NO…2►11 NO…2►11 #1 #2 #3 NON-HH
I #1 NON-HH #2 NON-HH NON-HH
MEMBERS MEMBERS MEMBERS
D MEMBERS MEMBERS MEMBERS
1
2
3
4
5
6
7
8
INDIVIDUAL INTERVIEW - APARTMENT/CONDO DETAILS (CONTINUED)
11.
A With regard to this [APARTMENT/CONDO], are you among the individuals who have the right to bequeath it, even if you need to obtain consent or permission from someone else? If yes, do you need permission or consent from anyone
P else?
A
R Is there anyone else who has the right to bequeath it, even if they needed to obtain consent or permission from someone else?
T
M With regard to this [APARTMENT/CONDO], who else has the right to bequeath it, even if they needed to obtain consent or permission from someone else? Does the person need permission or consent? From whom does the person
E need permission or consent?
N
T LIST UP TO 3 MEMBERS FROM HOUSEHOLD ROSTER. RECORD THE NUMBER OF ADULT MALES OUTSIDE OF THE HOUSEHOLD WITH THIS RIGHT AS WELL AS THE NUMBER OF ADULT FEMALES OUTSIDE OF THE
/ HOUSEHOLD.
RESPONDENT HH ROSTER MEMBER #1 HH ROSTER MEMBER #2
C Who
Do you Who else
O Anyone Anyone else Do
have Permission? From whom? Do have Permission? From whom? Permission? From whom?
N else? else? have
Right? Right?
D Right?
# OF 18+ # OF 18+ # OF 18+
O # OF 18+ # OF 18+ # OF 18+
YES…1 OLD YES…1 OLD HH ID OLD
YES…1 HH ID HH ID HH ID OLD MALE YES…1 HH ID #1 HH ID HH ID HH ID OLD MALE YES…1 YES…1 HH ID HH ID HH ID OLD MALE
NO…2►HH ID FEMALE NO…2►HH ID FEMALE #2 FEMALE
NO…2►12 #1 #2 #3 NON-HH NO…2►12 #1 #2 #3 NON-HH NO…2►12 NO…2►12 #1 #2 #3 NON-HH
I #1 NON-HH #2 NON-HH NON-HH
MEMBERS MEMBERS MEMBERS
D MEMBERS MEMBERS MEMBERS
1
2
3
4
5
6
7
8
INDIVIDUAL INTERVIEW - APARTMENT/CONDO DETAILS (CONTINUED)
12.
A With regard to this [APARTMENT/CONDO], are you among the individuals who have the right to use it as collateral, even if you need to obtain consent or permission from someone else? If yes, do you need permission or consent from
P anyone else?
A
R Is there anyone else who has the right to use it as collateral, even if they needed to obtain consent or permission from someone else?
T
M With regard to this [APARTMENT/CONDO], who else has the right to use it a collateral, even if they needed to obtain consent or permission from someone else? Does the person need permission or consent? From whom does the
E person need permission or consent?
N
T LIST UP TO 3 MEMBERS FROM HOUSEHOLD ROSTER. RECORD THE NUMBER OF ADULT MALES OUTSIDE OF THE HOUSEHOLD WITH THIS RIGHT AS WELL AS THE NUMBER OF ADULT FEMALES OUTSIDE OF THE
/ HOUSEHOLD.
RESPONDENT HH ROSTER MEMBER #1 HH ROSTER MEMBER #2
C
Do you Who else Who else
O Anyone Anyone
have Permission? From whom? Do have Permission? From whom? Do have Permission? From whom?
N else? else?
Right? Right? Right?
D
# OF 18+ # OF 18+ # OF 18+
O # OF 18+ # OF 18+ # OF 18+
YES…1 OLD YES…1 YES…1 OLD OLD
YES…1 HH ID HH ID HH ID OLD MALE HH ID #1 HH ID HH ID HH ID OLD MALE YES…1 HH ID #2 YES…1 HH ID HH ID HH ID OLD MALE
NO…2►HH ID FEMALE NO…2►1 NO…2►HH ID FEMALE FEMALE
NO…2►13 #1 #2 #3 NON-HH #1 #2 #3 NON-HH NO…2►13 NO…2►13 #1 #2 #3 NON-HH
I #1 NON-HH 3 #2 NON-HH NON-HH
MEMBERS MEMBERS MEMBERS
D MEMBERS MEMBERS MEMBERS
1
2
3
4
5
6
7
8
INDIVIDUAL INTERVIEW - APARTMENT/CONDO DETAILS (CONTINUED)
13.
A With regard to this [APARTMENT/CONDO], are you among the individuals who have the right to rent it out, even if you need to obtain consent or permission from someone else? If yes, do you need permission or consent from anyone
P else?
A
R Is there anyone else who has the right to rent it out, even if they needed to obtain consent or permission from someone else?
T
M With regard to this [APARTMENT/CONDO], who else has the right to rent it out, even if they needed to obtain consent or permission from someone else? Does the person need permission or consent? From whom does the person need
E permission or consent?
N
T LIST UP TO 3 MEMBERS FROM HOUSEHOLD ROSTER. RECORD THE NUMBER OF ADULT MALES OUTSIDE OF THE HOUSEHOLD WITH THIS RIGHT AS WELL AS THE NUMBER OF ADULT FEMALES OUTSIDE OF THE
/ HOUSEHOLD.
RESPONDENT HH ROSTER MEMBER #1 HH ROSTER MEMBER #2
C Who
Do you Who else
O Anyone else Do Anyone
have Permission? From whom? Permission? From whom? Do have Permission? From whom?
N else? have else?
Right? Right?
D Right?
# OF 18+
O # OF 18+ # OF 18+ # OF 18+ # OF 18+
YES…1 # OF 18+ OLD HH ID YES…1 OLD
YES…1 HH ID HH ID HH ID OLD FEMALE YES…1 HH ID HH ID HH ID OLD MALE YES…1 HH ID #2 YES…1 HH ID HH ID HH ID OLD MALE OLD FEMALE
NO…2►HH ID MALE NON-HH #1 NO…2►HH FEMALE
NO…2►14 #1 #2 #3 NON-HH NO…2►14 #1 #2 #3 NON-HH NO…2►14 NO…2►14 #1 #2 #3 NON-HH NON-HH
I #1 MEMBERS ID #2 NON-HH
MEMBERS MEMBERS MEMBERS MEMBERS
D MEMBERS
1
2
3
4
5
6
7
8
INDIVIDUAL INTERVIEW - APARTMENT/CONDO DETAILS (CONTINUED)
14.
A With regard to this [APARTMENT/CONDO], are you among the individuals who have the right to make improvements/invest it, even if you need to obtain consent or permission from someone else? If yes, do you need permission or consent from anyone else?
P
A Is there anyone else who has the right to make improvements/invest it, even if they needed to obtain consent or permission from someone else?
R
T With regard to this [APARTMENT/CONDO], who else has the right to make improvements/invest it, even if they needed to obtain consent or permission from someone else? Does the person need permission or consent? From whom does the person need permission
M or consent?
E
N LIST UP TO 3 MEMBERS FROM HOUSEHOLD ROSTER. RECORD THE NUMBER OF ADULT MALES OUTSIDE OF THE HOUSEHOLD WITH THIS RIGHT AS WELL AS THE NUMBER OF ADULT FEMALES OUTSIDE OF THE HOUSEHOLD.
T
/
RESPONDENT HH ROSTER MEMBER #1 HH ROSTER MEMBER #2
C
Who else Who else
O Do you have Anyone Anyone
Permission? From whom? Do have Permission? From whom? Do have Permission? From whom?
N Right? else? else?
Right? Right?
D
O # OF 18+ # OF 18+ # OF 18+ # OF 18+ # OF 18+ # OF 18+
YES…1
YES…1 YES…1 HH ID HH ID HH ID OLD MALE OLD FEMALE YES…1 HH ID #1 HH ID HH ID HH ID OLD MALE OLD FEMALE YES…1 HH ID #2 YES…1 HH ID HH ID HH ID OLD MALE OLD FEMALE
NO…2►HH ID
NO…2►15 NO…2►HH ID #1 #1 #2 #3 NON-HH NON-HH NO…2►15 #1 #2 #3 NON-HH NON-HH NO…2►15 NO…2►15 #1 #2 #3 NON-HH NON-HH
I #2
MEMBERS MEMBERS MEMBERS MEMBERS MEMBERS MEMBERS
D
1
2
3
4
5
6
7
8
INDIVIDUAL INTERVIEW - APARTMENT/CONDO DETAILS (CONTINUED)
15. 16. 17. 18. 19. 20. 21.
Do individuals sell or rent Are you informed If this [APARTMENT/CONDO]
If this If this 'If this [APARTMENT/CONDO] were to be sold today, who Who was presented along with the respondent
out any regarding the value of were to be sold today, how
[APARTMENT/CO [APARTMENT/ would decide how the money is used? during the individual intervew?
[APARTMENT/CONDO] recent (in the last 12 much could be received for it?
NDO] were to be CONDO] were to
in or around this village? months) LIST UP TO 3 MEMBERS FROM HOUSEHOLD ROSTER. SEE CODE BELOW
sold today, would be sold today, is
[APARTMENT/CONDO RECORD 97 IF REFUSE TO RECORD THE NUMBER OF ADULT MALES OUTSIDE OF (Reasons interview not administered with the
] sales/rental ANSWER. RECORD 98 IF DO
you be among the anyone else THE HOUSEHOLD WITH THIS RIGHT AS WELL AS THE respondent(s) alone should be explained in the
transactions? NOT KNOW. individuals to among the NUMBER OF ADULT MALES /FEMALES OUTSIDE OF THE remarks)
decide how the individuals to HOUSEHOLD.
ONLY INFORMED OF money is used? decide how the
SALES
TRANSACTIONS.....1 money is used?
ONLY INFORMED OF
RENTAL
TRANSACTIONS.....2
RESPONSE CODES:
INFORMED OF BOTH YES..1 ALONE…...........................1
SALES AND RENTAL NO...2>>21
YES, TRANSACTIONS.....3 WITH ADULT FEMALES PRESENT.......2
INDIVIDUALS WITH ADULT MALES PRESENT.........3
RENT/SELL.....1 NOT INFORMED OF WITH ADULTS MIXED SEX PRESENT....4
NO SALES OR RENTAL YES..1 # OF 18+ WITH CHILDREN PRESENT............5
YES..1 # OF 18+ OLD
TRANSACTIONS..2>>17 TRANSACTIONS.....4 NO...2>>21 HH PID HH PID HH PID HH PID OLD MALE WITH ADULTS MIXED SEX AND
NO...2>>21 FEMALE NON-HH
DO NOT A B C D NON-HH CHILDREN PRESENT.................6
MEMBERS
KNOW.........98>>17 MEMBERS
AMOUNT UNIT
RE1
RE2
RE3
RE4
RE5
RE6
Who was presented along with the respondent
during the individual intervew?
SEE CODE BELOW
(Reasons interview not administered with the
respondent(s) alone should be explained in the
remarks)
ALONE…...........................1
WITH ADULT FEMALES PRESENT.......2
WITH ADULT MALES PRESENT.........3
WITH ADULTS MIXED SEX PRESENT....4
WITH CHILDREN PRESENT............5
WITH ADULTS MIXED SEX AND
CHILDREN PRESENT.................6
G. INDIVIDUAL INTERVIEW - LIVESTOCK
Will be administered to each adult household member aged 18 and above
1. 2. 3. 4. 5. 6. 7. 8. 9.
CARRIED Do you own, exclusively or Are any of these How many If you were to sell REPEAT AGAIN THE How many of Who do you jointly own these livestock with? If you were to sell
L L FORWARD jointly with someone else, any [LIVESTOCK] [LIVESTOCK] today these NUMBER REPORTED [LIVESTOCK] today these
I I FROM of these [LIVESTOCK]? owned do you own [LIVESTOCK] that IN COLUMN 1. do you own READ: PLEASE LIST ALL INDIVIDUALS THAT JOINTLY [LIVESTOCK]
V V exclusively by exclusively? you exclusively jointly with OWN ANY OF THE [LIVESTOCK] WITH YOU that you jointly
HOUSEHOLD
E E RECORD AN ANSWER FOR you, without any own, how much Are any of these someone else? own, how much
ROSTER:
S S EACH TYPE OF LIVESTOCK joint owners? VALIDATION: [LIVESTOCK] owned
would you receive? would you
NUMBER OF
T T BEFORE GOING THROUGH HAS TO BE LESS jointly by you and VALIDATION: receive?
[LIVESTOCK] THE ENTIRE MODULE. THEN
O O THAN OR EQUAL ESTIMATE VALUES someone else? SUM OF
CURRENTLY PROCEED WITH EACH TO THE IN RIELS. RECORD COLUMN 7 AND ESTIMATE
C C
OWNED BY ANY APPLICABLE ROW, ONE ROW NUMBER 97 IF REFUSE TO READ: JOINT OWNERS COLUMN 4 VALUES IN
K K AT A TIME. REPORTED IN CANNOT RESPONSE CODES:
MEMBER OF ANSWER. RECORD CAN INCLUDE COUNTRY
COLUMN 1. ALONE…........................1
THIS 98 IF DO NOT HOUSEHOLD OR NON- EXCEED THE CURRENCY. WITH ADULT FEMALES PRESENT....2
C N ENABLED IF QUESTION 1 IS KNOW. HOUSEHOLD NUMBER RECORD 97 IF
HOUSEHOLD WITH ADULT MALES PRESENT......3
O A GREATER THAN ZERO AND MEMBERS. REPORTED IN REFUSE TO WITH ADULTS MIXED SEX PRESENT.4
D M NOT MISSING. COLUMN 1. ANSWER. WITH CHILDREN PRESENT.........5
E E # OF 18+ OLD # OF 18+ OLD RECORD 98 IF DO WITH ADULTS MIXED SEX AND
HH HH HH MALE FEMALE NOT KNOW . CHILDREN PRESENT..............6
YES....1 YES....1
YES....1 PID A PID B PID C NON-HH NON-HH
NUMBER NO.....2 >> NEXT ITEM NUMBER VALUE NO.....2 >> NEXT NUMBER VALUE
NO.....2 >> 7 MEMBERS MEMBERS
ITEM
1901 Oxen
1902 Bulls
1903 Cows
1904 Calves
1905 Buffaloes
1906 Horses, Ponies
1907 Pigs
1908 Goats
1909 Sheep
1910 Chickens
1911 Ducks
1912 Quail
1913 Turkeys
1914 Geese
1915 Other Specify
10.
Who was presented along with the
respondent during the individul's
intervew?
(Reasons interview not administered with
the respondent(s) alone should be
explained in the remarks )
RESPONSE CODES:
ALONE…........................1
WITH ADULT FEMALES PRESENT....2
WITH ADULT MALES PRESENT......3
WITH ADULTS MIXED SEX PRESENT.4
WITH CHILDREN PRESENT.........5
WITH ADULTS MIXED SEX AND
CHILDREN PRESENT..............6
H. INDIVIDUAL INTERVIEW - CONSUMER DURABLES
Will be administered to each adult household member aged 18 and above
1. 3. 4. 5
CARRIED FORWARD Do you own, exclusively or jointly with How many If you were to sell this Who was presented along with the respondent during the individual
FROM HOUSEHOLD someone else, any of these [CONSUMER [CONSUMER [CONSUMER intervew?
ROSTER: NUMBER OF DURABLE]? DURABLE] do you own? DURABLE] today, how
I I [CONSUMER much would you SEE CODE BELOW
T T DURABLES] RECORD AN ANSWER FOR EACH TYPE receive? (Reasons interview not administered with the respondent(s) alone
E E CURRENTLY OWNED OF CONSUMER DURABLE BEFORE should be explained in the remarks)
M M BY ANY MEMBER OF GOING THROUGH THE ENTIRE
THIS HOUSEHOLD MODULE. THEN PROCEED WITH EACH
C N APPLICABLE ROW, ONE ROW AT A
O A TIME.
D M RESPONSE CODES FOR Q2:
E E ENABLED IF QUESTION 1 IS GREATER ALONE…........................................1
THAN ZERO AND NOT MISSING. WITH ADULT FEMALES PRESENT....................2
YES....1 WITH ADULT MALES PRESENT......................3
YES....1
NO.....2 >> NEXT ITEM WITH ADULTS MIXED SEX PRESENT.................4
NO.....2 >> NEXT ITEM
WITH CHILDREN PRESENT.........................5
WITH ADULTS MIXED SEX AND CHILDREN PRESENT....6
NUMBER NUMBER CURRENCY
2001 Computer
2002 Bicycle
2003 Motorcycle
2004 Car
2005 Tuk tuk
2006 Boat
2007 Tractor/Koryun
Who was presented along with the respondent during the individual
intervew?
SEE CODE BELOW
(Reasons interview not administered with the respondent(s) alone
should be explained in the remarks)
ALONE…........................................1
WITH ADULT FEMALES PRESENT....................2
WITH ADULT MALES PRESENT......................3
WITH ADULTS MIXED SEX PRESENT.................4
WITH CHILDREN PRESENT.........................5
WITH ADULTS MIXED SEX AND CHILDREN PRESENT....6
I. INDIVIDUAL INTERVIEW - MOBILE PHONES
Will be administered to each adult household member aged 18 and above
1. 2. 3. 4. 5. 6. 7. 8. 9.
Do you own any mobile How many Does Who else jointly owns this [MOBILE PHONE] Does this Do you Can you access If you were to sell Who was presented along with the respondent during
phones, exclusively or mobile anyone with you? [MOBILE currently the internet on this [MOBILE the individual intervew?
jointly with someone phones do A else jointly PHONE] have have enough this [MOBILE PHONE] today,
C LIST UP TO 3 FROM THE HOUSEHOLD/2 AND THE a SIM card? SEE CODE BELOW
else? you own, S own this airtime to PHONE]? how much would
O NUMBER OF ADULT (18+ YEARS OLD) NON (Reasons interview not administered with the
exclusively or S mobile initiate a call you receive? respondent(s) alone should be explained in the
INSTRUCTION: THIS D HOUSEHOLD MEMER
jointly, with E phone with with this remarks)
REFERS TO MOBILE E
someone T you? [MOBILE
PHONES IN WORKING
else? PHONE]?
CONDITION. ABLE TO
BE CHARGED TO
RESPONSE CODES:
INITIATE AT LEAST ONE
ALONE…...........................1
CALL. WITH ADULT FEMALES PRESENT.......2
WITH ADULT MALES PRESENT.........3
YES.........1 WITH ADULTS MIXED SEX PRESENT....4
NO..........2 YES..1 YES..1 WITH CHILDREN PRESENT............5
► NEXT MODULE YES..1 # OF 18+ WITH ADULTS MIXED SEX AND
NO...2>7 NO...2
REFUSES TO NO...2 OLD MALE # OF 18+ OLD CHILDREN PRESENT.................6
DK..98 YES..1
RESPOND....97 ►Q5
HH ID HH ID HH ID NON-HH FEMALE NON- NO...2
► NEXT MODULE
NUMBER #1 #2 #3 MEMBERS HH MEMBERS CURRENCY
1
2
J. INDIVIDUAL INTERVIEW - FINANCIAL ASSETS
Will be administered to each adult hh members aged 18 and above
1. 2. 3. 4.
Do you own How many NAME OF List code of [FINANCIAL Does anyone
[FINANCIAL of each A FINANCIAL ASSET] owned by respondent else jointly
ASSET], [FINANCIAL S INSTITUTIO own
S N
exclusively or ASSET], do [FINANCIAL
A A E
jointly with you own, ASSET] with
S S T
someone else? exclusively you?
S S READ ALL or jointly,
E E N
CATEGORIES with
T T O
someone
else?
C N
YES.........1
O A NO..........2
D M ►NEXT ITEM CURRENT............1
SAVINGS............2
E E REFUSES TO FIXED..............3
INFORMAL SAVINGS YES..1
PROGRAM/CLUB...............4
OTHER FINANCIAL
NO...2
ASSETS(SPECIFY)...........96 ►Q6
NUMBER
FA1
1 CURRENT ACCOUNT
2 SAVINGS ACCOUNT FA2
3 FIXED ACCOUNT FA3
INFORMAL SAVINGS FA4
4 PROGRAM/CLUB
(VSLA)
FA9
96 OTHER (SPECIFY)
INDIVIDUAL INTERVIEW - FINANCIAL ASSETS (CONTINUED)
5. 6. 7. 8. 9. 10. 11. 12.
Who else jointly owns [FINANCIAL Is your name Is there Whose names are on the Are there
What is the Are you the Which household
A ASSET] with you? on the anyone else ownership documents for any
current value only member member above the
S account for whose name [FINANCIAL ASSET]? household
[FINANCIAL of your age of 18 does not
S LIST UP TO 3 FROM THE HOUSEHOLD/ this is on the ASSET]? members household know about your
E FOR NON HOUSEHOLD MEMER CASE [FINANCIAL account for LIST UP TO 3 FROM THE above the above the age ownership of this
T WRITE THE NUMBER OF ADULT (18+ HOUSEHOLD/ FOR NON
ASSET]? this RECORD 97 IF age of 18 of 18 that [FINANCIAL ASSET]?
YEARS OLD) HOUSEHOLD MEMER CASE WRITE REFUSE TO
N
[FINANCIAL that do not knows about
THE NUMBER OF ADULT (18+ YEARS ANSWER.
O ASSET] with know about your LIST UP TO THREE
OLD) RECORD 98 IF
you? your ownership of FROM HOUSEHOLD
DO NOT
ownership of this ROSTER.
KNOW.
this [FINANCIAL
[FINANCIAL ASSET]?
ASSET]?
HH ID HH HH #18+ #18+ HH HH ID HH #18+ #18+ YES..1
YES..1 ►NEXT
#1 ID ID male female ID #2 ID male female
YES..1 NO...2 ROW
#2 #3 non HH- YES..1 #1 #3 non HH-
non HH- NO...2 non HH- ►NEXT NO...2
NO...2 memebr
memebr memebr ►Q9 memebr ROW HH ID HH ID
►Q9 CURRENCY #1 #2
FA1
FA2
FA3
FA4
FA9
13. CODE FOR ABILITY FOR RESPONDENT TO BE
(Reasons module not administered with the
INTERVIEWED ALONE:
respondent(s) alone should be explained in
RESPONSE CODES: the remarks)
ALONE…........................................1
WITH ADULT FEMALES PRESENT....................2
WITH ADULT MALES PRESENT......................3
WITH ADULTS MIXED SEX PRESENT.................4
WITH CHILDREN PRESENT.........................5
WITH ADULTS MIXED SEX AND CHILDREN PRESENT....6
Which household
A the
member above
S not
age of 18 does
know about Syour
E
ownership of this
T
[FINANCIAL ASSET]?
N
LIST UP TOOTHREE
FROM HOUSEHOLD
ROSTER.
HH ID
#3
FA1
FA2
FA3
FA4
FA9