PART -1 HOUSEHOLD QUESTIONNAIRE SCHOOL CHOICE SURVEY … · PART -1 HOUSEHOLD QUESTIONNAIRE SCHOOL CHOICE SURVEY IN SELECTED ... April 2011 Questionnaire No House ... survey will

1

PART -1

HOUSEHOLD QUESTIONNAIRE

SCHOOL CHOICE SURVEY IN SELECTED

TEHSILS OF THE RURAL PUNJAB

Center for Research in Economics and Business

Lahore School of Economics

&

Privatization in Education Research Initiative

(PERI) Open Society Institute

In Collaboration with Bureau of Statistics, Planning

and Development Department, Government of the

Punjab

April 2011

Questionnaire

No House hold

Cluster Tehsil/ Town

District

GPS READING: + / - _____ft ____________N ____________E ELEVATION_____________

CONFIDENTIAL

2

CREB/PERI survey April 2011: Consent script

Asalamoalaikum. We are conducting a survey for the Lahore School of Economics, a private

non-profit university located in Lahore. The objective of the survey is to get parents views on

their reasons for choosing particular schools for their children. The survey will also gather

background information about households and how households get assistance from different

sources.

The survey will last approximately [one hour]. The information you provide will be strictly

confidential and will not be shared with anyone. It will be used only for academic research.

This research aims to help improve services for the people of Punjab, but participating in the

survey will not result in any payment or service.

Your participation in this survey is voluntary and you can refuse to answer all or any of the

questions at any time. If you choose not to answer any question, just say “skip” to the

enumerator. If you choose to participate, your help will be highly appreciated.

If there are any questions, please ask the enumerator now.

Permission given: --------------- ------------ Date

(proceed to interview)

Permission not given: -----------------

(do not interview)

3

HOUSEHOLD(HH)MODULE

District/Tehsil/Town………………………………………………………………………Code

Union Council……………………………………………………………………………………

Village/Mohalla and address……………………………………………………………………

HH1.Clusternumber(as per listing):------------------------------

HH1(a).Cluster No.(as per survey)

HH2.Householdnumber(as per listing):

HH2 (a). Household No.(as per survey):

H3.Interviewer(1)Name&Signature:---------------------------------------------

Interviewer(2)Name&Signature:-------------------------------------------------

Interviewer(3)Name&Signature:------------------------------------------------

HH4.TeamSupervisor‟sName&Signature:----------------------------------- Date:______/_______/2011

HH4a.RegionalSupervisor‟sName:---------------------------------------------- Date:______/_______/2011

HH4b.Editor‟sName&Signature:---------------------------------------------- Date:______/_______/2011

HH4c.DataEntryClerk‟sName&Signature:---------------------------------- Date:______/_______/2011

HH4d.DataChecker‟sName&Signature--------------------------------------- Date:______/_______/2011

HH5.Dateofinterview:

Day Month Year

2011

HH8. Name of the head of household:-----------------------------------------------------------------------------------------------

HH8a. Male……..1 Female…..2

HH8b. Is the name of the Head of H.H. same as given in the listing? Yes………1 HH9

No………2

HH8c. If No, What is the main reason for the difference? (circle Code)

Head of the HH as given in listing is present but not the head of HH now…………………….……...1

Head of the HH/members has left after listing and the house is occupied by other HH/members....2

Mistake in the Listing ,e.g. a shop with no residents; no occupants for a long time….……...……..3

Other (specify)……………………………………………………………………………………………6

After completion of the interview of Household fill-in the following information:

HH9.Result of HHinterview: Completed……..1 HH10

Refused……………………………………2 Not at home…………………………………3

HH not found/destroyed/vacant………..…4 HH14

Incomplete Interview……………………..5

Other(specify)………………………….…..6

HH9a.No.ofre-visits………………

HH9b.Reasonforre-visit HH members not available…….……………….1

Mother or Father not Available …………….2

Male respondent was not available...……….…3

Other(specify)…………..……………………….6

HH10.Nameoftherespondent................................................................... HH10a.LineNo:………..…

HH11.Totalhouseholdmembers:

HH12. If you are willing, we may survey your household again in the future. 1 Yes 2 No

HH13. If we try to survey you again and we cannot find you, is there a phone number we could use to contact you?

Number: ___________________

Is there a number for someone, such as a relative or a neighbor, who would know how to contact you?

Name:________________Phone number:________________

GO TO NEXT SECTION

HH14. ENUMERATOR: ask two neighboring households:

Do you have a telephone number to contact (family name)? ____________

4

PART 1: HOUSEHOLD QUESTIONNAIRE Enumerator: Copy LINE NUMBERS AND NAMES of ALL HH members from the 2007-8 sheet into HL1 and HL2, even if those HH members no longer live here or have died. Then ask: are there any others who live here, even if they are not at home now? (These may include new children, new wives, children working or studying in another city/village/country). If yes, add the new member names and fill in HL1 for the new members STARTING WITH LINE NUMBER 51, 52, 53, etc. Then ask all questions starting from HL3. Add a continuation sheet if there are more than 7 household members and put a tick mark here:______

NAME AGE RELATIONSHIP

EXISTING / NEW MEMBER

STILL A MEMBER NEW MEMBER MOVED TO WHAT DISTRICT

CAUSE OF DEATH

LENGTH OF ILLNESS

SEX MARITAL STATUS

NIC CARD

PARENTS OF CHILDREN 3-18 YEARS

ELIGIBLE FOR SCHOOL INTERVIEW

HL1. LINE NO (COPY LINE NUMBERS 01, 02 ETC. FROM ORIGINAL MICS; START WITH 51, 52, 53 FOR NEW MEMBERS

HL2 WRITENAMEOF HH MEMBER

HL3 AGE IN COMPLETED YEARS AS PER LAST BIRTHDAY. (IF DEAD WRITE 999)

HL4. WHAT IS OR WAS THE RELATIONSHIPOF (NAME)WITHTHECURRENT

HEADOF THEHOUSE- HOLD? WRITE CODES OFHL4AS GIVENBELOW

HL5 ENUMERATOR: IS THIS HH MEMBER 1 AN EXISTING MEMBER IN THE LISTING FROM ORIGINAL MICS 2007-8 (CHECK THAT LINE NUMBER HL1 WAS COPIED FROM OLD LISTING, 1, 2, 3 ….) -> HL6A 2 A NEW MEMBER NOT IN THE ORIGINAL MICS 2007-8 (CHECK THAT NEW LINE NUMBER ASSIGNED: 51, 52, 53…) -> HL6

HL6A IS THIS PERSON STILL A MEMBER OF THIS HOUSEHOLD? 1 YES -> HL10 2 NO: MOVED BECAUSE OF MARRIAGE -> HL7 3 NO: EXTENDED FAMILY BROKE INTO MULTIPLE HHS NEXT MEMBER 4 NO: EMIGRATED-> HL7 5 NO: MOVED DUE TO DIVORCE / SEPARATION -> HL7 6 NO: DIED -> HL8 7 NO: OTHER (E.G. TENANT) 8 NO: ERROR IN ORIGINAL LISTING-> NEXT MEMBER

HL6B HOW DID THIS PERSON BECOME A MEMBER OF THE HOUSEHOLD? 1 NEW MARRIAGE 2 NEW BIRTH 3 RETURN OF MIGRANT 4 EXTENDED FAMILY MEMBERS JOINING HOUSEHOLD 6 ERROR IN ORIGINAL LISTING (WAS A MEMBER IN 2007-8) GO TO HL10

HL7 IN WHAT DISTRICT DOES HE / SHE NOW LIVE? (SEE DISTRICT CODES BELOW )

HL8 HOW DID HE / SHE DIE? 1 ILLNESS -> HL9 2 ACCIDENT ->NEXT MEMBER 3 VIOLENCE -> NEXT MEMBER 4 OLD AGE 6 OTHERS(SPECIFY) 9DONT KNOW

HL9 FOR HOW LONG WAS HE/SHE SICK BEFORE DEATH? 1 LESS THAN ONE MONTH 2 ONE TO THREE MONTHS 3 THREE TO SIX MONTHS 4 MORE THAN SIX MONTHS

HL10 SEX 1 MALE 2 FEMALE

HL11 MARITAL STATUSOF THE MEMBERS 10+ YEARS MARRIED….1 WIDOWED…2 DIVORCED…3 UN-MARRIED….4 DON‟T KNOW...9

HL12 DOES THIS PERSON HAVE AN NIC CARD? 1 YES 2 NO

HL12A. ENUMERATOR: RECORD LINE NO. OF MOTHER OF CHILD OF 3-18 YEARS

HL12B ENUMERATOR: RECORD LINE NO. OF FATHER OF CHILD OF 3-18 YEARS

HL12C ENUMERATOR; RECORD LINE NO. OF MOTHER OR FATHER WHO IS AVAILABLE TO ANSWER PART 2 OF THE QUESTIONNAIRE

1, 2, 3 FOR EXISTING MEMBERS51, 52, 53 FOR NEW MEMBERS

NAME YEARS WRITE CODE

WRITE CODE WRITE CODE WRITE CODE WRITE CODE

WRITE CODE

WRITE CODE WRITE CODE

WRITE CODE

WRITE CODE

LINE NO. FROM

HL1

LINE NO. FROM

HL1

LINE NO. FROM HL1

Codesfor HL4:Relationshiptoheadofhousehold: 01 = Head 07 = Parents-in-Law 13 = Mumani / Khalu 19 = Cousin in law

02 = Wife or Husband 08 = Brother or sister 14 = Niece / nephew by blood (through brother)

20 = Other relative

03 = Son or Daughter 09 = Brother or sister in law

15 = Niece / nephew by blood (through sister)

21 = Adopted / stepchildren

04 = Son or Daughter-in-Law 10 = Chacha / Phuppo 16 = Niece / nephew in law 22 = Not related

05 = Grandchildren 11 = Chachi / Phuppa 17 = Cousin (father‟s side) 98 = Don‟t know

06 = Parents 12 = Mamu / Khala 18 = Cousin (mother‟s side)

District Codes for HL7. 1 Bahawalpur 8 Faisalabad 15 Mandi Bahauddin 22 Multan 29 Rawalpindi 36 Mianwali

2 Bahawalnagar 9 Chiniot 16 Narowal 23 Khanewal 30 Attock 37 Other (Specify)

3 RY Khan 10 Jhang 17 Sialkot 24 Lodhran 31 Chakwal

4 DG Khan 11 TT Singh 18 Lahore 25 Vehari 32 Jhelum

5 Layyah 12 Gujranwala 19 Kasur 26 Sahiwal 33 Sargodha

6 Muzaffargarh 13 Gujrat 20 Nankana Sahib 27 Okara 34 Bhakkar

7 Rajanpur 14 Hafizabad 21 Sheikhupura 28 Pakpattan 35 Khushab

5

Enumerator: which household member are you interviewing? Write line number from HL1: ________ LITERACY AND HEALTH MODULE (LHM)

LITERACY FOR HH MEMBERS 10+ ASK FOR ALL HOUSEHOLD MEMBERS LINE NUMBER

NAME AGE LHM1. CAN(NAME)READ WITH UNDERSTANDING IN ANY LANGUAGE? 1 URDU 2 ENGLISH 3 PUNJABI 4 SERAIKI 5 QURAN 6 OTHER (SPE.) 8 CAN’TREAD 9 DON’T KNOW (MULTIPLE

RESPONSES POSSIBLE)

LHM2 CAN(NAME) WRITE WITH UNDERSTANDING IN ANY LANGUAGE? 1 URDU 2 ENGLISH 3 PUNJABI 4 SERAIKI 5 CAN’TWRITE 6 OTHER (SPE.) 9 DON’T KNOW (MULTIPLE

RESPONSES

POSSIBLE)

COUGH / FEVER

TB HEPATITIS ILLNESS / INJURY SHORT TERM

ILLNESS/INJURY LONG TERM

DOCTOR VISIT

TYPE OF DOCTOR

HL1. HL2

HL3 LHM3 HAS (NAME) HAD A COUGH OR FEVER FOR LAST THREE WEEKS OR MORE? 1 YES 2 NO 9 DON’T KNOW

LHM4 HAS (NAME) BEEN DIAGNOSED FOR TUBERCULOSIS IN THE PAST ONE YEAR? 1 YES 2 NO 9 DON’T KNOW

LHM5 HAS (NAME) BEEN DIAGNOSED FOR HEPATITIS/HEPATITIS-C IN THE PAST ONE YEAR? 1 YES 2 NO 9 DON’T KNOW

LHM6 IN THE PAST YEAR, HAS (NAME) BEEN ILL OR INJURED SO THAT THEY CANNOT WORK OR DO HOUSEWORK OR FOR MORE THAN TWO WEEKS? 1 YES 2 NO 9 DON’T KNOW

LHM7 IS THIS PERSON ILL OR INJURED SO BADLY THAT THEY CANNOT WORK OR DO HOUSEWORK EVER AGAIN? 1 YES 2 NO 9 DON’T KNOW

LHM8 IN THE PAST ONE YEAR, HAS (NAME) SEEN A DOCTOR? 1 YES -> LH7 2 NO -> NEXT MEMBER 9 DON’T KNOW

LHM9 DID (NAME) SEE A: 1 GOVERNMENT DOCTOR 2 PRIVATE DOCTOR 3 OTHER – HAKEEM / TRADITIONAL 6 OTHER (SPE.) 9 DON’T KNOW

WRITE LINE NO

FROM HL1

NAME YRS WRITE CODE

WRITE CODE WRITE CODE WRITE CODE WRITE CODE WRITE CODE WRITE CODE WRITE CODE WRITE CODE

6

EDUCATION OF HOUSEHOLD MODULE (EHM)

ASK FOR HOUSEHOLD MEMBERS AGES ABOVE 18(Unprompted) HL1. Line No.

EHM1 WHAT IS THE EDUCATIONAL LEVEL (Name) HAS COMPLETED? 00 =Pre-school 1-16= Class 1 to Masters EHM3 17=Technical /vocational 96 =Other (specify) 98= never enrolled EHM5

EHM2 IF SCHOOL LEVEL ATTAINED IS LESS THAN CLASS 10, GIVE REASON FOR LEAVING SCHOOL?

(multiple responses allowed: If more than 1 reason rank up to three most important reasons)

Consult Table-1 for appropriate codes:

EHM3 TYPE OF SCHOOL (Name)USED TO ATTEND? 1 GOVT 2 PRIVATE 3 TRUST 4FOUNDATION ASSISTED 5 COMMUNITY SCHOOLS 6 VOCATIONAL/TECHNICAL SCHOOL 96 Others (Specify) 99 DON’T KNOW

EHM4 WHAT LANGUAGE IS (Name) ABLE TO SPEAK AND UNDERSTAND?

URDU……..1 ENGLISH……2 PUNJABI…...3 SERAIKI….....4

OTHER (SPECIFY.)….6

EHM5 WHY (Name) NEVER ATTENDED?

(multiple responses allowed: If more than 1 reason rank up to three most important reasons) Consult Table-1 for appropriate codes:

WRITE LINE NO

FROM HL1

WRITE CODE 1ST

2ND

3RD

WRITE CODE WRITE CODE (multiple responses allowed)

1ST

2ND

3RD

Table-1 Codes for EHM2 and EHM5.

1 SCHOOL WAS NOT AVAILABLE 7 HAD POOR HEALTH

2 NOT AFFORDABLE 8 SCHOOL HAD LOW ACADEMIC STANDARD

3 SCHOOL WAS TOO FAR 9 NO FEMALE STAFF

4 TRANSPORT NOT AVAILABLE 10 MARRIAGE

5 NEEDED TO HELP PARENTS 96 OTHERS (Specify)

6 DID NOT WANT TO STUDY 99 Don’t Know

7

A- INCOMEANDEMPLOYMENT(ABOVEI4YEARS )

Questions are to be asked from the head of the household. DURING THE LAST MONTH DID (NAME) WORK ANY DAY FOR AT LEAST ONE HOUR AND

RECEIVE INCOME, HONORARIA OR ANYBENEFIT FOR THE 12 FAMILY (EVEN THOUGH IT IS NOT GIVEN TO THE HOUSEHOLD).

BASICINCOMESOURCE/CASHRECEIVED(COL3-6) ADDITIONALINCOMESOURCE/CASHRECEIVED(COL7-10)

HL1.

LINE NO.

HL2 NAME

HL3 WRITE AGE IN COMPLETEDYEARS AS PER LAST BIRTHDAY

E3 WHAT IS THE MAJOR SOURCE OF INCOME OF [NAME]?. WRITE CODE NO. (SEE BELOW) IF NO INCOME THEN WRITE APPROPRIATE CODE FROM 21-27

E4 WHAT IS YOUR INCOME ON A DAILY/MONTHLY/ YEARLY BASIS? DAILY…………..D MONTHLY……….M YEARLY…………Y FORLABOURERS INDICATEDAILYWAGES

E5 HOW MANY MONTHS (APPROX), YOU WORK LAST YEAR?

E6 HOW MANY DAYS A MONTH, DID (NAME) WORK LAST YEAR (AVERAGE)?

E7 DOES(NAME) HAS ANY OTHER SOURCE OF INCOME?. WRITECODENO.(SEE BELOW)

E8 WHAT IS YOUR INCOME ON A DAILY,MONTHLY OR YEARLY BASIS? DAILY…………..D MONTHLY……….M YEARLY…………Y

E9 HOW MANY MONTHS (APPROX ),YOU WORK LAST YEAR?

E10 HOW MANY DAYS A MONTH, DID YOU WORK LAST YEAR (AVERAGE)? TOTAL WORKING DAY(S)

E11 IN THE LAST FOUR YEARS DID (NAME) LOOK FOR A JOB/NEW JOB? 1 YES 2 NO -> E13

E12 DID (NAME) FIND A NEW JOB? 1 YES 2 NO

E13 DID (NAME‟S) WORKPLACE CLOSE BECAUSE OF THE FLOOD LAST YEAR 1 YES 2 NO

E14 CALCULATION OFMONTHLY INCOME (INPKRS.)

LINE NAME AGE CODEFOR INCOMESOURCE

AMOUNT INRS.

DMY TOTALWORKING

MONTH(S)

TOTAL WORKING

DAY(S)

CODEFORINCOME

SOURCE

AMO UNT IN RS.

DMY TOTAL WORKIN

G MONTH(S

)

TOTAL WORKING

DAYS

WRITE CODE

WRITE CODE

WRITE CODE

BASIC INCOME

ADDITIONAL

INCOME 01 02 03 04 05

TOTALS

Income source codes 1 Govt/ Semi Govt.Employee 7 Profit on deposits/shares 13 Embroidery/stitching 2 Private Employed 8 Agriculture 14 Student labourer 3 Self-Employed 9 Livestock, Poultry, Fishery, forestry 15 Labourer student 4 Employer 10 Home based work/cottage 96 Other (specify) 5 Labourer 11 Retired/Pensioner 98 Don't Know. 6 Rent from hop/house/agricultural 12 Tutor

Noincomecodes 21 Unemployed- looking for work 25 Aged/too old

22 Unemployed- not looking for work 26 Student(without income) 23 UnpaidFamily Worker(4+Hrs/day) 27 Disabled 24 House hold Work 96 Other (specify)

8

HOUSEHOLD CHARACTERISTICS(HC) MODULE HC1.Typeof Dwelling:(circle relevant code)

IndependentHouse/Compound…………....1. ………Apartment/Flat....................................2Partof a large unit.......................................3 Part of a compound.....................................4

Other(specify)………………………………..6

HC1a.Ownership (circle relevant code) Owned........................................................1Rented.........................................................2 Rent free/squatter/other..............................3 Govt./ Subsidized rent.................................4 Owned but mortgaged or pledged....................5 Other(specify).............................................6

HC2.Howmanyrooms in this householdareusedfor sleeping? No.of rooms…………

HC3.Mainmaterialof the dwelling floor:

Record observation.

1.Naturalfloor Earth/sand.............................................11

2.Rudimentaryfloor (katcha).....................21 3.Finishedfloor (pucca)

Bricked..................................................31Cemented with marble chips.................32 Tiles/marble floor..................................33 Cement..................................................34 Other(specify).......................................96

HC4.Main material of the roof.

Record observation.

1.Natural roofing

No Roof.................................................11 Thatch/palm leaf....................................12

2.Rudimentary Roofing Rustic mat.............................................21 Palm/bamboo beams............................22 “Kanne”/ “Pattal”....................................23

3.Finished roofing Tin with iron girders...............................31 Wooden beams.....................................32 Ceramic tiles..........................................33 Cement/lintel concrete...........................34 Roofing shingles....................................35 Other(specify)…………………..………….96

HC5.Main material of the walls

RECORD OBSERVATION.

1.Nowalls No walls.................................................11 Straw.....................................................12

2.Kachaawalls Bamboo with mud..................................21 Stone with mud......................................22 Unbaked bricks with mud......................23 Plywood.................................................24 Carton....................................................25 Reused wood........................................26

3.Pacca walls

Cement..................................................31

Stone with lime/cement.........................32 Bricks.....................................................33 Cement blocks.......................................34

4.Other(specify).........................................96

9

HOUSEHOLD CHARACTERISTICS (HC) MODULE

HC6.WHAT TYPE OF FUEL DOES YOUR

HOUSEHOLD MAINLY USE FOR

COOKING?

Circle any one.

Electricity...............................................01 Liquid Propane Gas(LPG)...................02 Biogas.......................................................03 Kerosene...................................................04 Coal..........................................................05 Wood.........................................................06 Straw/shrubs/grass...................................07 Animal dung..............................................08 Agricultural crop residue.....................11 Other(specify)…………………………….96

GO TO

HC9

HC7.WHAT TYPE OF STOVE IS BEING USED

IN YOUR HOUSEHOLD? Probe for type.

Open fire......................................................1 Open stove.............................................................2 Closed stove................................................3

Other(specify)………………………………...6

HOUSEHOLD UTILITIES & POSSESSIONS HC9.DOES YOUR HOUSEHOLD HAVE THE

FOLLOWING: Yes No

Electricity..........................................1 2 Gas……………………………………...1 2 Radio/taperecorder............................1 2 Television ........................................1 2 Cable TV……………………………….1 2 Telephone ........................................1 2 Mobile Telephone ............................ 1 2 Computer……………………………....1 2 Internet connection…………………...1 2 Refrigerator/freezer.......................... 1 2 Air conditioner .................................. 1 2 Washing Machine/dryer ................... 1 2 Air cooler or fan................................ 1 2 Cooking range/microwave ................1 2 Sewing/embroidery machine ............1 2 Iron ...................................................1 2 Water filter.........................................1 2 DONKEYPUMP ORTURBINE……………..1 2

HC10.DOES ANY MEMBER OF YOUR HH OWN:

Yes No Watch...............................................1 2 Bicycle..............................................1 2 Motorcycle/Scooter.........................1 2 Car or other vehicle .......................... 1 2 Animal drawn-cart ............................ 1 2

10

Household Characteristics(HC) Module House Area and Value(if owned) HC11aAreaof the House (if house not own, write 9998)………Marlas………Sq. Yard…Sq.Ft.

HC11b. House Value(estimate of house value according to local market)…………….Rupees (In case of more than one owner, indicate the share for the household members)

HC12.DOES ANY MEMBER OF THIS HOUSEHOLD

OWN ANY AGRICULTURAL LAND? 1Yes..............................................................2No................................................................2

HC14

HC13.IFYES! THEN WHAT IS TOTAL ESTIMATE IN RUPEES AND ACRES? Canal Irrigated Arid Barren Total

Acre

Rupees Total Land(Acre) Value(Rupees)

HC14.DOES THIS HOUSEHOLD OWN ANY LIVESTOCK, HERDS,OR FARM ANIMALS?

1Yes..............................................................2No................................................................2

HC16

HC15.HOW MANY OFTHE FOLLOWING ANIMALS DOES

THIS HOUSEHOLD HAVE?

Total Cows/calf…………………………………….--------- Buffaloes/ calf………………………………..--------Bulls/oxen…………………………………….---- Camels, horses, donkeys or mules………..--------Goats/Sheep…………………………………----HENS…………………………………….. ------ OTHER(SPECIFY)…………………………….--------- IFNONE,RECORD„0‟.,IFMORETHAN

97,RECORD„97‟.IFUNKNOWN,RECORD„98‟.

HC16 Did the household have any animals that died in the last year? If yes, indicate how many of each:

1 Yes 2 No HC17 Total

1Cows/calf…………………………………….-------- 2Buffaloes/ calf………………………………..------3Bulls/oxen…………………………………….____ 4Camels, horses, donkeys or mules………..-----5Goats/Sheep…………………………………------6HENS………………………………………… ------- 96OTHER(SPECIFY)…………………………….------ IFNONE,RECORD„0‟.,IFMORETHAN

97,RECORD„97‟.IFUNKNOWN,RECORD„98‟.

HC17 IN THE LAST YEAR, DID THIS HOUSEHOLD SELL ANY WHEAT?

1 Yes 2 No

HC21

HC18 HOW MANY MAUNDS DID THE HOUSEHOLD SELL?

______maunds

HC19 AT WHAT PRICE DID YOU SELL PER MAUND? IF UNKNOWN RECORD 9999

Rupees__________ per maund

HC20 DID YOU SELL YOUR WHEAT TO FOOD DEPARTMENT / PASSCO?

1 Yes 2 No

HC21.WHICH IS THE NEAREST(GOVERNMENTORPRIVATE) HEALTH FACILITY AVAILABLE?

GOVERNMENT .................................................................1

PRIVATE ........................................................................2

HC22.ATWHAT DISTANCE IS THIS FACILITY

AVAILABLE?(CIRCLECODE)

WITHIN 29MINUTESDISTANCE .........................................1

30-59MINUTESDISTANCE................................................2

ONEHOURORMORE ......................................................3

11

Remittances HC23) IS ANY FAMILY MEMBER WORKING OUTSIDE THE

VILLAGE/TOWN?

HC23A) If yes, indicate how many?

Yes …………………………………….1 No.....................................................2HC29 Number………………………………

HC24) IFYES,WHERE?

Multiple responses are possible.

Other village/town ……………………………1 Other District …………………………………..2 Other Province…………………………………3 Overseas ………………………………………4

DON‟T KNOW…………………………………. 9 HC25) DID THE HOUSEHOLD RECEIVE ANY REMITTANCE

(IN CASH) FROM WITHIN PAKISTAN ,DURING THE

LAST YEAR?(MONEY WHICH WILLNOT BEREPAID)

Yes..............................................................1

No............................................................2HC27

HC26)IF YES,WHAT WAS THE TOTAL AMOUNT?

Rs………………………

HC27) DID THE HOUSEHOLD RECEIVE ANY REMITTANCE

(IN CASH) FROM OVERSEAS ,DURINGTHELAST

YEAR?(MONEY WHICH WILLNOT BEREPAID)

Yes..............................................................1

No..........................................................2HC29

HC28) IF YES WHAT WAS THE TOTAL AMOUNT?

Rs………………………

HC29 )DID THE HOUSEHOLD RECEIVE ANY CASH

DONATIONS,SUCH AS ZAKAT OR OTHER

MEANS DURING THE LAST YEAR?

Yes..............................................1

No........................................2HC31

HC30) IF YES WHAT WAS THE TOTAL AMOUNT? Rs………………………

HC31)TOTAL REMITTANCES AND ZAKAT RECEIVED

DURINGLASTYEAR(HC26+HC28+HC30)

Rs………………………

Pension Benefits HC32.DID ANYMEMBEROFFAMILYRECEIVE ANY

PENSIONINTHELASTYEAR? HC33.IF YES,WHAT WAS TOTAL AMOUNT

HC34.WHAT WAS THE SOURCE OF PENSION?

Yes....................1 No...............2 HC35 Rupees

Government……1 EOBI…2 Other(Specify)…..6

SafetyNets HC35.DID ANY MEMBER OF FAMILY BENEFIT FROM

GOVERNMENT SOCIAL PROTECTION SCHEMES LAST

YEAR.

IFYES,HOW MUCH AMOUNT RECEIVED IN TOTAL?

INDICATE TYPE OF BENEFITS (CIRCLE CODE)

Yes………………..……..1 No……………………….2....HC37 RUPEES

Zakat 01 SubsistenceAllowance 02 Health 03 Education 04 Marriage Grant 05 Sasta Rashan 06

BISP 07 Other (Specify) 96

HC36 PLEASE BREAK DOWN HOW MUCH WAS RECEIVED IN EACH OF THE FOLLOWING PROGRAMS: (ENUMERATOR: DO NOT MAKE CORRECTIONS IN HC35 )

Zakat: RS Subsistence Allowance RS Health RS Marriage Grant RS Education RS Sasta Rashan RS BISP RS Other (Specify) RS

HC37.DOES YOUR FAMILY PURCHASE GOODS

FROM GOVERNMENT UTILITY STORES? HC38.IFANSWER“YES”HOWOFTEN? HC39.DO YOU THINK THE GOVERNMENT SCHEMES

ARE BENEFICIAL TO A COMMON MAN?

Yes 1 No 2 HC35 Regularly 1 Rarely 2 Yes 1 No 2 DON‟T KNOW 9

12

MIGRATION MODULE

M1 WHEN DID THIS FAMILY COME TO LIVE IN THIS HOUSE? (MONTHS, YEARS OR SINCE BIRTH) IF DON’T KNOW, WRITE CODE 99 SINCE BIRTH -> M4

MONTHS

YEARS

SINCE BIRTH

M2 FROM WHAT DISTRICT DID THE HOUSEHOLD HEAD COME? (SEE CODES FROM HL7, PAGE 4)

WRITE DISTRICT CODE (SEE CODES)

M3 WHY DID THE HH HEAD MOVE TO THIS DISTRICT 1 MARRIAGE 2 SEPARATION/ DIVORCE 3 JOIN FAMILY 4 BETTER ECONOMIC OPPORTUNITY 5 EMPLOYMENT/TRANSFER 6 BETTER EDUCATION 7 DROUGHT 8 BETTER INFRASTRUCTURE 9 FLOOD DAMAGES 96 OTHER (SPECIFY)

CIRCLECODES (MULTIPLE RESPONSES POSSIBLE)

M4 DOES THE HOUSEHOLD HEAD HAVE CHILDREN OR PARENTS LIVING IN THIS VILLAGE BUT WHO ARE NOT

IN THIS HOUSEHOLD? 1 MOTHER 2 FATHER 3 SON(S) 4 DAUGHTER(S) 5 GRANDCHILD THROUGH DAUGHTER 6 GRANDCHILD THROUGH SON 96 OTHER (SPECIFY) 98 NONE

CIRCLE CODE (MULTIPLE RESPONSES POSSIBLE)

M5 DOES THE HOUSEHOLD HEAD HAVE CHILDREN OR PARENTS LIVING OUTSIDE THIS VILLAGE?

1 MOTHER 2 FATHER 3 SON(S) 4 DAUGHTER(S) 5 GRANDCHILD THROUGH DAUGHTER 6 GRANDCHILD THROUGH SON 96 OTHER (SPECIFY) 98 NONE

WRITE CODES (MULTIPLE RESPONSES POSSIBLE)

M6 IN THE LAST FOUR YEARS, HAS ANY RELATIVE WHO WAS A MIGRANT DIED? 1 YES 2 NO IN1

WRITE CODE

M7 WHAT WAS THE RELATIONSHIP OF THIS PERSON TO THE HH HEAD? (WRITE CODE FROM HL4 AND ASK ABOUT A MAXIMUM OF THREE INDIVIDUALS, WHO HAVE PASSED AWAY)

WRITE RELATIONSHIP CODE

________

___________

________

M8 WAS THE PERSON WHO DIED SENDING THIS HH REMITTANCES? IF NO GO TO IN 1.

CIRCLE CODE

1 YES 2 NO

1 YES 2 NO

1 YES 2 NO

M9 HOW MUCH DID THE PERSON WHO DIED USED TO SEND TO THIS HH ON AVERAGE IN A MONTH (IF DON’T KNOW, WRTIE CODE 9999)

RUPEES

________

__________

_________

13

INHERITANCE MODULE

IN1 HAS ANY MEMBER OF THE HOUSEHOLD INHERITED ANY MONEY OR PROPERTY IN THE LAST TEN YEARS? 1 YES 2 NO IN 6

CIRCLE CODE

IN2 DID THE HH RECEIVE THIS INHERITANCE IN THE LAST FOUR YEARS? 1 YES 2 NO

CIRLCE CODE

IN3 WHICH HOUSEHOLD MEMBER RECEIVED THIS INHERITANCE? (WRITE LINE NUMBER FROM HL1)

LINE NUMBER FROM HL1

IN4 WHAT IS THE VALUE OF INHERITANCE (IF DON’T KNOW, WRITE 99999)

RUPEES

IN5 WAS THE PERSON WHO BEQUESTED THIS INHERITANCE, A MEMBER OF THIS HOUSEHOLD? 1 YES 2 NO

CIRCLE CODE

IN6 HAS YOUR MATERNAL GRANDFATHER‟S PROPERTY BEEN DIVIDED AMONG HIS CHILDREN?

(IF RESPONDENT IS THE WIFE/ DAUGHTER-IN-LAW OR MOTHER OF THE MALE MEMBERS OF THE HOUSEHOLD,THEN ASK: HAS YOUR HUSBAND’S MATERNAL GRANDFATHER’S PROPERTY BEEN DIVIDED AMONG HIS CHILDREN?

1 YES 2 NO IN8 3 DID NOT HAVE ANY PROPERTYIN8 9 DON‟T KNOW IN8

CIRCLE CODE

IN7 HOW WAS YOUR MATERNAL GRANDFATHER‟S PROPERTY DIVIDED?

(IF RESPONDENT IS THE WIFE/ DAUGHTER-IN-LAW OR MOTHER OF THE MALE MEMBERS OF THE HOUSEHOLD,THEN ASK:

HOW WAS YOUR HUSBAND’S MATERNAL GRANDFATHER’S PROPERTY DIVIDED?

1 ALL THE HEIRS GOT SHARE ACCORDING TO ISLAMIC LAW

2 FEMALE HEIRS GOT LESS THAN THEIR DUE SHARE AS PER

ISLAMIC LAW

3 PROPERTY WAS DIVIDED AMONGST MALE HEIRS ONLY AND

FEMALE HEIRS ACCEPTED IT

4 PROPERTY WAS DIVIDED AMONGST MALE HEIRS ONLY BUT

FEMALE HEIRS WENT INTO LITIGATION

6 OTHER (SPECIFY)

9 DON‟T KNOW

CIRCLE CODE

IN8 HAS YOUR PATERNAL GRANDFATHER‟S PROPERTY BEEN DIVIDED AMONG HIS CHILDREN?

(IF RESPONDENT IS THE WIFE/ DAUGHTER-IN-LAW OR MOTHER OF THE MALE MEMBERS OF THE HOUSEHOLD,THEN ASK: HAS YOUR HUSBAND’S PATERNAL GRANDFATHER’S PROPERTY BEEN DIVIDED AMONG HIS CHILDREN?

1 YES 2 NO IN10 3 DID NOT HAVE ANY PROPERTYIN10 9 DON‟T KNOW IN10

CIRCLE CODE

14

IN9 HOW WAS YOUR PATERNAL GRANDFATHER‟S PROPERTY DIVIDED? (IF RESPONDENT IS THE WIFE/ DAUGHTER-IN-LAW OR MOTHER OF THE MALE MEMBERS OF THE HOUSEHOLD,THEN ASK: HOW WAS YOUR HUSBAND’S PATERNAL GRANDFATHER’S PROPERTY DIVIDED?



ISLAMIC LAW





6 OTHER (SPECIFY)

9 DON‟T KNOW

CIRCLE CODE

IN10 HAS YOUR FATHER‟S PROPERTY BEEN DIVIDED AMONG HIS CHILDREN? (IF RESPONDENT IS THE WIFE/ DAUGHTER-IN-LAW OR MOTHER OF THE MALE MEMBERS OF THE HOUSEHOLD,THEN ASK: HAS YOUR HUSBAND’S FATHER’S PROPERTY BEEN DIVIDED AMONG HIS CHILDREN?

1 YES 2 NO S1 3 DID NOT HAVE ANY PROPERTYS1 9 DON‟T KNOW S1

CIRCLE CODE

IN11 HOW WAS YOUR FATHER‟S PROPERTY DIVIDED? (IF RESPONDENT IS THE WIFE/ DAUGHTER-IN-LAW OR MOTHER OF THE MALE MEMBERS OF THE HOUSEHOLD,THEN ASK: HOW WAS YOUR HUSBAND’S FATHER’S PROPERTY DIVIDED?



ISLAMIC LAW





6 OTHER (SPECIFY)

9 DON‟T KNOW

CIRCLE CODE

15

SOCIAL AND INSTITUTIONS MODULE

S1 HOW LONG HAS THIS HOUSEHOLD OWNED LAND IN THIS VILLAGE? (ENTER PERIOD IN YEARS; IF NOT KNOWN WRITE 999 OR WRITE “00” IF HOUSEHOLD NEVER OWNED LAND)

YEARS

____________

S2 DOES THIS HOUSEHOLD RENT ANY LAND FROM ANYONE FOR ANY PURPOSE? 1 YES 2 NO S11 9 DON‟T KNOW S11

CIRCLE CODE

S2A IF YES, THEN FOR WHAT PURPOSE, DID YOU RENT THIS LAND? 1 FOR AGRICULTURE 2 FOR LIVESTOCK/ POULTRY 3 FOR RESIDENCE 6 OTHER (SPECIFY)


S3 HOW MUCH LAND DOES THIS PERSON OWN IN TOTAL, FROM WHOM YOU HAVE RENTED THIS LAND? 9999 DON‟T KNOW

ACRES

S4 HAS THIS LAND BEEN TAKEN ON FIXED MONEY RENT OR SHARECROPPING? 1 FIXED MONEY RENT 2 SHARECROPPING 9 DON‟T KNOW

CIRCLE CODE

S5 DOES THIS HOUSEHOLD RENT ANY LAND FROM ANY SECOND PERSON FOR ANY PURPOSE? 1 YES 2 NO S11 9 DON‟T KNOW S11

CIRCLE CODE

S5A IF YES, THEN FOR WHAT PURPOSE, DID YOU RENT THIS LAND FROM THIS SECOND PERSON? 1 FOR AGRICULTURE 2 FOR LIVESTOCK/ POULTRY 3 FOR RESIDENCE 6 OTHER (SPECIFY)


S6 HOW MUCH LAND DOES THIS SECOND PERSON OWN IN TOTAL, FROM WHOM YOU HAVE RENTED THIS LAND? 9999 DON‟T KNOW

ACRES

S7 HAS THIS SECOND PIECE OF LAND BEEN TAKEN ON FIXED MONEY RENT OR SHARECROPPING? 1 FIXED MONEY RENT 2 SHARECROPPING 9 DON‟T KNOW

CIRCLE CODE

S8 DOES THIS HOUSEHOLD RENT ANY LAND FROM ANY THIRD PERSON FOR ANY PURPOSE? 1 YES 2 NO S11 9 DON‟T KNOW S11

CIRCLE CODE

S8A IF YES, THEN FOR WHAT PURPOSE, DID YOU RENT THIS LAND FROM THIS THIRD PERSON? 1 FOR AGRICULTURE 2 FOR LIVESTOCK/ POULTRY 3 FOR RESIDENCE 6 OTHER (SPECIFY)


S9 HOW MUCH LAND DOES THIS THIRD PERSON OWN IN TOTAL, FROM WHOM YOU HAVE RENTED THIS LAND? 9999 DON‟T KNOW

ACRES

S10 HAS THIS THIRD PIECE OF LAND BEEN TAKEN ON FIXED MONEY RENT OR SHARECROPPING? 1 FIXED MONEY RENT 2 SHARECROPPING 9 DON‟T KNOW

CIRCLE CODE

S11 DOES ANY MEMBER OF THIS HOUSEHOLD WORK FOR WAGE ON SOMEONE ELSE‟S LAND? 1 YES 2 NO S15 9 DON‟T KNOW S15

WRITE CODE

S12 HOW MUCH LAND DOES THIS EMPLOYER / LANDLORD OWN? 9999 DON‟T KNOW

ACRES

16

S13 BESIDES THAT LANDLORD / EMPLOYER, DOES ANY HH MEMBER WORK FOR WAGE ON ANY OTHER PERSON‟S LAND? 1 YES 2 NO S15 9 DON‟T KNOW S15

WRITE CODE

S14 HOW MUCH LAND DOES THIS EMPLOYER / LANDLORD OWN? 9999 DON‟T KNOW

ACRES

S15 ARE THERE ANY OTHER LANDLORDS WITHIN A 10KM RADIUS OF THIS VILLAGE WHO OWN MORE THAN 50 ACRES OF LAND AND RENT OUT TO OTHERS? 1 YES 2 NO S21 9 DON‟T KNOW S21

CIRCLE CODE

S16 HOW MANY SUCH LANDLORDS ARE THERE? 9999 DON‟T KNOW

NUMBER


WRITE CODE


NUMBER


WRITE CODE


NUMBER

S21 IN LAST FOUR YEARS, HAVE YOU HAD ANY DISAGREEMENTS WITH NEIGHBORS ABOUT PROPERTY RIGHTS OR IRRIGATION WATER? 1 YES 2 NO S24

CIRLCE CODE

S22 WAS THE PROBLEM RESOLVED? 1 YES 2 NO S24

CIRCLE CODE

S23 WAS IT RESOLVED IN YOUR FAVOUR? 1 YES 2 NO

CIRCLE CODE

S24 IN LAST FOUR YEARS, HAS ANYONE COMMITTED A CRIME AGAINST ANYONE IN THIS HOUSEHOLD? 1 YES 2 NO S28

CIRCLE CODE

S25 WHAT TYPE OF CRIME WAS THIS? 1. MURDER 2. OTHER VIOLENT ASSAULT / ATTACK 3. RAPE 4. PROPERTY CRIME (E.G. THEFT) 6. OTHER (SPECIFY)


S26 WAS AN FIR (FIRST INFORMATION REPORT) LODGED 1 YES 2 NO S28 9 DON‟T KNOW S28

CIRCLE CODE

S27 WAS ANY PUNISHMENT GIVEN? 1 YES 2 NO 9 DON‟T KNOW

CIRCLE CODE

S28 IN LAST FOUR YEARS, HAS ANYONE ACCUSED ANY MEMBER OF THIS HH OF A CRIME? 1 YES 2 NO

CIRCLE CODE

S29 IN THE LAST FOUR YEARS, HAS THIS HH HAD ANY OTHER PROBLEMS WITH THE POLICE? 1 YES 2 NO S32

CIRCLE CODE

S30 WAS THE PROBLEM RESOLVED? 1 YES 2 NO S32

CIRCLE CODE

17

S31 WAS IT RESOLVED IN YOUR FAVOUR? 1 YES 2 NO

CIRCLE CODE

S32 WHAT IS THE NAME OF YOUR CURRENT MEMBER NATIONAL ASSEMBLY (MNA)?

9 DON‟T KNOW

WRITE

NAME

S33 WHAT IS THE NAME OF YOUR CURRENT MEMBER PROINCIAL ASSEMBLY (MPA)?

9 DON‟T KNOW

WRITE

NAME

18

NETWORK ASSISTANCE MODULE PLEASE TELL ME ABOUT ANYONE WHO FITS IN ONE OF THESE CATEGORIES: LANDLORD, ELECTED OFFICIAL, GOVERNMENT OFFICIAL, NGO OR RELIGIOUS LEADER, ARHTI OR MONEYLENDER ETC AND WITH WHOM YOU HAVE A RELATIONSHIP OR YOU MEET OR CONTACT HIM/HER. (READ OUT ALL CATEGORIES IN TABLE BELOW AND RECORD THE PERSON’S NAME IN NA1 AND POSITION CODE IN NA2.)

NA1 WHAT IS THE NAME OF THIS PERSON?

NA2 WHAT KIND OF POSITION DOES THIS PERSON HOLD? WRITE CODE FROM TABLE BELOW

NA2A PLEASE TELL US IF THIS PERSON ALSO HOLDS ANY OTHER POSITIONS WRITE CODES FROM TABLE BELOW (IF NO OTHER POSITION APPLICABLE, WRITE CODE “00”)

NA3 HAS THE HOUSEHOLD ANY RELATIONSHIP WITH (NAME)? 1. THIS PERSON IS A MEMBER OF THE HOUSEHOLD 2. RELATIVE OF HH MEMBER NA5 3. KNOW THE PERSON BUT NOT RELATED NA7

NA4 WHICH HOUSEHOLD MEMBER HOLDS THIS POSITION? WRITE LINE NUMBER FROM HL1

NA5 HOW IS THIS PERSON RELATED TO THE MEMBERS OF THE HOUSEHOLD? (WRITE RELATIONSHIP CODE FROM HL4 PAGE-4)

NA6 IF YOU ARE RELATED BY MARRIAGE, HOW LONG AGO DID THE MARRIAGE TAKE PLACE? 998. NO RELATIONSHIP 999. DON‟T KNOW

NA7 APPROXIMATELY HOW OFTEN DO YOU MEET (NAME)? 1. MORE THAN ONCE A WEEK 2. ONCE A FORTNIGHT 3. ONCE A MONTH 4. TWICE A YEAR 5. ONCE A YEAR OR LESS 8. NEVER

WRITE NAME WRITE POSITION CODE

WRITE POSITION CODES (MULTIPLE ANSWERS POSSIBLE)

WRITE CODE WRITE LINE NUMBER FROM HL1

RELATIONSHIP CODE

YEARS WRITE CODE

LANDLORDS ELECTED OFFICIALS LOCAL OFFICIALS DISTRICT, PROVINCIAL OR NATIONAL OFFICIALS

NGO OR RELIGIOUS LEADERS

OTHER

A1. LOCAL LANDLORD OWNSING MORE THAN 50 ACRES OF LAND AND HH RENT LAND FROM THIS LANDLORD

B1. MEMBER OF NATIONAL ASSEMBLY

C1. PATWARI D1. DCO D6 PASSCO / FOOD DEPARTMENT AGENT

E1 STAFF OF CHARITY OR NGO

F1. ARHTI

A2. LOCAL LANDLORD OWNING MORE THAN 50 ACRES OF LAND AND HH DO NOT RENT FROM THIS LANDLORD

B2. CANDIDATE FOR NATIONAL ASSEMBLY

C2. NUMERDAR D2 DISTRICT NAZIM / NAIB NAZIM

D7 JUDGE OR SESSIONS JUDGE

E2. IMAM MASJID F2. MONEYLENDER

A96. OTHERS (SPECIFY) B3. MEMBER OF PROVINCIAL ASSEMBLY

C3. ZAKAT COMMITTEE MEMBER

D3TEHSIL NAZIM / NAIB NAZIM

D8 OTHER PROVINCIAL GOVERNMENT AGENT

E3 HEREDITARY RELIGIOUS LEADER,

GADI NASHI OR PIR

F3. PROFESSIONAL FACILITATOR OR TOUT

B4. CANDIDATE FOR PROVINCIAL ASSEMBLY

C4. MEMBER OF PUNCHAYAT / JIRGA

D4 POLICE OFFICER D9 OTHER FEDERAL GOVERNMENT AGENT

E96. OTHERS (SPECIFY)

F4. JUIDICIAL STAFF

B96. OTHERS (SPECIFY) C5. MEMBER OF LOCAL COUNCIL

D5 ARMY OFFICER D96. OTHERS (SPECIFY)

F96. OTHERS (SPECIFY)

C96. OTHERS (SPECIFY)

19




NA8 HOW CAN YOU GET IN TOUCH WITH HIM IN ANY OF THE FOLLOWING WAYS 1 MAINTAINS TIMINGS FOR VISITORS 2 VISIT OFFICE WITHOUT AN APPOINTMENT 3 VISIT HIS HOUSE WITHOUT AN APPOINTMENT 4 HAVE HIS DIRECT TELEPHONE NUMBER 5 HAVE TELEPHONE NUMBER FOR SOMEONE WHO CAN GET IN TOUCH WITH HIM 6 OTHERS (SPECIFY) 8 CAN NOT CONTACT

NA9 HAVE YOU CONTACTED (NAME) FOR ANY OF THE FOLLOWING WITHOUT OFFERING ANY PAYMENT? 01 WEDDINGS, FUNERALS, RELIGIOUS FESTIVALS 02 EMERGENCIES (SUCH AS FLOODS) 03 AGRICULTURAL WORK WITHOUT PAY 04 BUILDING WITHOUT PAY 05 CANVASSING FOR A POLITICAL CANDIDATE 06 PARTICIPATING IN POLITICAL GATHERINGS 07 NEVER CONTACTED 96 OTHERS (SPECIFY)



WRITE CODE WRITE CODE

20

NOW PLEASE TELL US ABOUT WHETHER ANY OF THESE INDIVIDUALS ASSISTED YOUR HH IN ANY OF THESE SITUATIONS, OR WHETHER A RELATIVE OR INSTITUTION ASSISTED THE HH. NA1 WHAT IS THE NAME OF THIS PERSON?



NA10 IN THE LAST FOUR YEARS, DID (NAME) HELP IMPROVING THE QUALITY AT A SCHOOL ONE OF YOUR CHILDREN ATTENDS? (FOR EXAMPLE TO COMPLAIN ABOUT A TEACHER’S ABSENCE, OR LACK OF EQUIPMENT IN THE SCHOOL) 1 YES, FOR A FEE 2 YES, WITHOUT FEE 3 NO NA13 (RECORD THE LINE NUMBER OF THE CHILD WHO WAS HELPED FROM HL1. WRITE AT MOST 3 LINE NUMBERS)

NA11 WHAT SCHOOL PROBLEM (NAME) RESOLVED OR HELPED RESOLVED? 1. GET PHYSICAL INFRASTRUCTURE BUILT 2. ADDRESS TEACHER ABSENTEEISM 6. OTHERS (SPECIFY)

NA12 DID THE SITUATION IMPROVE? 1 YES 2 NO 9 DON‟T KNOW

NA13 IN THE PAST FOUR YEARS, HAS (NAME) PAID YOUR CHILDREN‟S SCHOOL FEE? 1 YES FULL 2 YES PARTIALLY 3 NO



CHILD‟S LINE NUMBER

WRITE CODE WRITE CODE WRITE CODE WRITE CODE

21




NA16 IN THE PAST FOUR YEARS DID (NAME) HELP TRY TO GET ADMISSION FOR A CHILD IN THIS HH TO GO TO SECONDARY SCHOOL? 1 YES, FOR A FEE 2 YES, WITHOUT FEE 3 NO NA18

NA17 WAS THAT CHILD ADMITTED? 1 YES 2 NO

NA18 HAS (NAME) HELPED ANY MEMBER OF THE HOUSEHOLD OBTAIN NADRA‟S COMPUTERIZED ID CARD? 1 YES 2 NO 9 DON‟T KNOW

NA19 IN THE PAST FOUR YEARS DID (NAME) HELP ANY HH MEMBER GET AN APPOINTMENT WITH A DOCTOR, REDUCE THE WAIT TO SEE A DOCTOR, REDUCE DOCTOR FEES, OR PAY MEDICAL BILLS? 1 YES, FOR A FEE 2 YES, WITHOUT FEE 3 NO (IF ANSWER 1 OR 2 THEN WRITE THE RELATIONSHIP CODE FROM HL4 PAGE-4)



WRITE CODE WRITE CODE WRITE CODE RELATIONSHIP CODE FROM HL4

WRITE CODE

22




NA20 IN THE PAST FOUR YEARS DID (NAME) TRY TO HELP THE HOUSEHOLD RESOLVE DISAGREEMENTS WITH NEIGHBORS ABOUT PROPERTY RIGHTS OR IRRIGATION WATER? 1 YES, FOR A FEE 2 YES, WITHOUT FEE 3 NO

NA21 IN THE LAST FOUR YEARS DID (NAME) HELP THE HH MEMBER TRY TO GET ASSISTANCE FROM GOVERNMENT SAFETY NET SCHEMES SUCH AS: ZAKAT, BISP, EDUCATION, SASTA RASHAN, WATAN CARDS? 1 YES, FOR A FEE 2 YES, WITHOUT FEE 3 NO

NA22 IN THE PAST FOUR YEARS HAS (NAME) TRIED TO HELP ANY MEMBER OF THE HH WHO WAS THE VICTIM OF A CRIME? 1 YES, FOR A FEE 2 YES, WITHOUT FEE 3 NO

NA23 IN THE PAST FOUR YEARS HAS THIS PERSON TRIED TO HELP ANY MEMBER OF THE HH WHO WAS ACCUSED OF A CRIME? 1 YES, FOR A FEE 2 YES, WITHOUT FEE 3 NO

NA24 IN THE PAST FOUR YEARS HAS THIS PERSON TRIED TO HELP ANY MEMBER OF THE HH WHO HAD ANY OTHER PROBLEMS WITH THE POLICE? 1 YES, FOR A FEE 2 YES, WITHOUT FEE 3 NO

NA25 HAS THIS PERSON GIVEN OR LENT YOU MONEY OR GOODS (SUCH AS AGRICULTURAL INPUTS) IN THE LAST YEAR? 1 YES 2 NO NA30

NA26 IN THE LAST YEAR HOW MUCH DID (NAME) LEND IN THE FORM OF CASH OR CASH IN- KIND? (RECORD THE VALUE OF CASH AND CASH IN-KIND SEPERATELY) (IF NOTHING IS GIVEN IN ANY OF THE HEADS, RECORD “00”)



WRITE CODE WRITE CODE WRITE CODE WRITE CODE WRITE CODE WRITE CODE

CASH IN-KIND (RS.)

CASH (RS.)

23




NA27 WILL THIS LOAN BE REPAID? 1 YES WITHOUT INTEREST NA29 2 YES WITH INTEREST 3 NO NA30

NA28 HOW MUCH INTEREST OR FEES WILL YOU PAY? (RECORD AMOUNT IN RUPEES)

NA29 AFTER RECEIVING THIS LOAN, HOW LONG WILL YOU TAKE TO RE-PAY IT? (RECORD NUMBER OF MONTHS)

NA30 HAS (NAME) PERSON TRIED TO HELP THE HH SELL WHEAT TO PASSCO OR THE FOOD DEPARTMENT (EXAMPLE: GETTING BAGS OR GOING TO PROCUREMENT CENTER TOGETHER) 1 YES, FOR A FEE 2 YES, WITHOUT FEE 3 NO

NA31 HAS (NAME) RECOMMENDED WHO TO VOTE FOR IN THE LAST ELECTION (2008)? 1 YES 2 NO NA34

NA32 WHICH CANDIDATE DID (NAME) RECOMMEND FOR: MNA (WRITE NAME) 1 DON‟T REMEMBER 9 DON‟T KNOW

NA33 WHICH CANDIDATE DID (NAME) RECOMMEND FOR: MPA (WRITE NAME) 1 DON‟T REMEMBER 9 DON‟T KNOW

NA34 THE VOTE YOU CASTERD IN 2008 ELECTION, DO YOU THINK: 1. YOUR VOTE IS SECRET FROM THIS PERSON 2. THIS PERSON WOULD KNOW HOW YOU VOTED 3. DID NOT VOTE 9. DON‟T KNOW

NA35 WHAT IS THIS PERSON‟S BIRADERI, ZAAT OR CASTE? SEE BIRADERI CODES ON SG2, PAGE-25



WRITE CODE RUPEES MONTHS WRITE CODE WRITE CODE

WRITE NAME

WRITE NAME

WRITE CODE

WRITE BIRADERI CODE

24

TRANSFERS, SAVINGS AND INSURANCE MODULE

T1 WE ALREADY ASKED ABOUT REMITTANCES SENT BY MIGRANTS AND GIFTS AND LOANS FROM LANDLORDS, OFFICIALS, MONEYLENDERS AND ARHTIS. OTHER THAN THOSE YOU HAVE ALREADY MENTIONED, DID THE HOUSEHOLD RECEIVE ANY OTHER CASH GIFTS OR LOANS FROM

INDIVIDUALS, SUCH AS RELATIVES OR FRIENDS? 1 YES 2 NO T22 9 DON‟T KNOW T22

CIRCLE CODE

T2 FROM WHOM DID YOU TAKE THIS CASH GIFTS/ LOAN? (WRITE RELATIONSHIP CODES FROM HL4, PAGE-4)

9999 DON‟T KNOW


T3 AMOUNT OF MONEY RECEIVED IN THE LAST YEAR 9999 DON‟T KNOW

RUPEES

T4 WHICH HOUSEHOLD MEMBER RECEIVED THE MONEY? (WRITE LINE NUMBER FROM HL1)

WRITE LINE NUMBER FROM HL1

T5 WILL THIS MONEY BE REPAID? 1 YES 2 NO T8 9 DON‟T KNOW T8

CIRCLE CODE

T6 HOW LONG AFTER RECEIVING THE MONEY DO YOU EXPECT TO REPAY? (WRITE MONTHS AND YEARS)

9999 DON‟T KNOW

MONTHS

YEARS

T7 IF YOU EXPECT TO PAY ANY INTEREST, FEE OR EXTRA, HOW MUCH? 9999 DON‟T KNOW

RUPEES

T8 DID THE HOUSEHOLD RECEIVE ANY OTHER CASH GIFTS OR LOANS FROM ANY SECOND INDIVIDUAL? 1 YES 2 NO T22 9 DON‟T KNOW T22

CIRCLE CODE


9999 DON‟T KNOW


T10 AMOUNT OF MONEY RECEIVED AS CASH GIFTS/ LOAN? 9999 DON‟T KNOW

RUPEES




CIRCLE CODE


9999 DON‟T KNOW

MONTHS

YEARS


RUPEES

T15 DID THE HOUSEHOLD RECEIVE ANY OTHER CASH GIFTS OR LOANS FROM ANY THIRD INDIVIDUAL? 1 YES 2 NO T22 9 DON‟T KNOW T22

CIRCLE CODE


9999 DON‟T KNOW


T17 AMOUNT OF MONEY RECEIVED AS CASH GIFTS/ LOAN? 9999 DON‟T KNOW

RUPEES



25


CIRCLE CODE


9999 DON‟T KNOW

MONTHS

YEARS


RUPEES

T22 IN THE LAST ONE YEAR DID THE HOUSEHOLD RECEIVE ANY OTHER LOANS FROM A BANK OR MICROFINANCE ORGANIZATION (SUCH AS KASHF)? 1 YES FROM A BANK 2 YES FROM A MICROFINANCE ORGANIZATION 3 YES FROM BOTH 4 NO T26 9 DON‟T KNOW T26

CIRCLE CODE

T23 TOTAL AMOUNT BORROWED THIS YEAR, FROM THESE INSTITUTIONS 9999 DON‟T KNOW

RUPEES

T24 HOW LONG AFTER RECEIVING THE MONEY DO YOU EXPECT TO REPAY? 9999 DON‟T KNOW

MONTHS

YEARS


RUPEES

T26 DO YOU HAVE ANY BANK ACCOUNT OR OTHER SAVINGS? 1 YES 2 NO T28

CIRCLE CODE

T27 HOW MUCH DO YOU CURRENTLY HOLD IN YOUR SAVINGS ACCOUNT? 8888 PREFER NOT TO SAY

RUPEES

T28 ARE YOU A MEMBER OF ANY ROSCA (COMMITTEE)? 1 YES 2 NO T30

CIRCLE CODE

T29 HOW MUCH DO YOU EXPECT TO RECEIVE IN THE NEXT YEAR FROM THIS ROSCA? 8888 PREFER NOT TO SAY

RUPEES

T30 DO YOU HAVE ACCESS TO ANY TYPE OF INSURANCE E.G. LIFE INSURANCE, HEALTH INSURANCE, HOUSE INSURANCE ETC.? 1 YES 2 NO GO TO NEXT MODULE

T30A DO YOU HAVE ACCESS TO LIFE INSURANCE? 1 YES 2 NO T31A 9 DON‟T KNOW T31A

CIRCLE CODE

T30B HAVE YOU PURCHASED LIFE INSURANCE? 1 YES T30D 2 NO

CIRCLE CODE

T30C IF NOT, WHAT WAS THE REASON? 1. NOT AVAILABLE 2. HIGH COST 3. DON‟T NEED IT

4. DON‟T TRUST THE COMPANY TO PAY OUT IN CASE OF BAD WEATHER

CIRCLE CODE

T30D HOW MUCH DOES IT COST ANNUALLY? 8888 PREFER NOT TO SAY 9999 DON‟T KNOW

RUPEES

ANNUALLY

T30E HAVE YOU RECEIVED ANY PAYOUTS IN THE LAST TWO YEARS FROM THIS LIFE INSURANCE? 1 YES 2 NO

CIRCLE CODE

T31A DO YOU HAVE ACCESS TO HEALTH INSURANCE? 1 YES 2 NO T32A 9 DON‟T KNOW T32A

CIRCLE CODE

T31B HAVE YOU PURCHASED HEALTH INSURANCE? 1 YES T31D 2 NO

CIRCLE CODE

26



CIRCLE CODE


RUPEES

ANNUALLY

T31E HAVE YOU RECEIVED ANY PAYOUTS IN THE LAST TWO YEARS FROM THIS HEALTH INSURANCE? 1 YES 2 NO

CIRCLE CODE

T32A DO YOU HAVE ACCESS TO HOUSE INSURANCE? 1 YES 2 NO T33A 9 DON‟T KNOW T33A

CIRCLE CODE

T32B HAVE YOU PURCHASED HOUSE INSURANCE? 1 YES T32D 2 NO

CIRCLE CODE



CIRCLE CODE


RUPEES

ANNUALLY

T32E HAVE YOU RECEIVED ANY PAYOUTS IN THE LAST TWO YEARS FROM THIS HOUSE INSURANCE? 1 YES 2 NO

CIRCLE CODE

T33A DO YOU HAVE ACCESS TO INSURANCE FOR BAD WEATHER? 1 YES 2 NO ND1 9 DON‟T KNOW ND1

CIRCLE CODE

T33B HAVE YOU PURCHASED INSURANCE FOR BAD WEATHER? 1 YES T33D 2 NO

CIRCLE CODE



CIRCLE CODE


RUPEES

ANNUALLY

T33E HAVE YOU RECEIVED ANY PAYOUTS IN THE LAST TWO YEARS FROM THIS INSURANCE FOR BAD WEATHER? 1 YES 2 NO

CIRCLE CODE

27

NATURAL DISASTER MODULE

ND1 IN THE PAST 2 YEARS, DID ANYONE YOU KNOW HAVE THEIR HOUSE DAMAGED BY FLOOD? 1 YES 2 NO ND6

WRITE CODE

ND2 If YES, did you assist any family or friends BY Giving money (NOT TO BE RETURNED)? (RUPEES GIVEN OR “00” FOR NONE)

RUPEES

ND3 DID YOULENDMONEY TO ANY FAMILY OR FRIENDS AFFECTED BY FLOODS ? WRITE AMOUNT OR 00 FOR NONE

RUPEES

ND4 DID YOU PROVIDE LODGING FOR ANY FAMILY OR FRIENDS AFFECTED BY FLOODS? 1 YES 2 NO

WRITE CODE

ND5 DID YOU HELP ANY FAMILY OR FRIEND IN RECONSTRUCTION / REPAIRS OF FLOOD DAMAGES 1 YES 2 NO

WRITE CODE

DROUGHT

EARTHQUAKE

CYCLONE

FLOOD

ND6 HAVE YOU EVER EXPERIENCED A DROUGHT, EARTHQUAKE, CYCLONE OR FLOOD? 1 YES (MARK 1 IN EACH COLUMN THAT APPLIES)

2 NO SG1

IF NO TO ALL, THEN GO TO NEXT MODULE, QUESTION SG1

WRITE CODE

ND7 IF YES, HOW MANY TIMES IN THE PAST 10 YEARS? 1 ONE 2 TWO 3 MANY

WRITE CODE

ND8 HOW LONG AGO WAS THE MOST RECENT TIME? (YEAR) IF RESPONDENT HAS NOT EXPERIENCED OR DOES NOT KNOW, WRITE 00

YEAR

ND 8A BECAUSE OF THE RECENT FLOODS, DID YOU OR YOUR NEIGHBOUR EXPERIENCE ANY KIND OF LOSS? 1 YES 2 NO SG1

ND9 DID YOUR NEIGHBORS LOSE ANY CROPS IN THE RECENT FLOOD? 1 YES 2 NO

WRITE CODE

ND10 DID YOU LOSE ANY CROPS IN THE RECENT FLOOD? 1 YES 2 NO ND13

WRITE CODE

ND11 HAVE YOU REPLANTED ON THIS LAND? 1 YES 2 NO

WRITE CODE

ND12 HOW MUCH DID YOU SPEND TO REPLANT? IF DON‟ KNOW, WRITE 9999 AND IF DO NOT WANT TO TELL, WRITE 8888

RUPEES

ND13 DID ANY OF YOUR NEIGHBORS LOSE ANY FARM ANIMALS IN THE RECENT FLOOD? 1 YES 2 NO

WRITE CODE

ND14 DID YOU LOSE ANY FARM ANIMALS IN THE RECENT FLOOD? 1 YES 2 NO ND17

WRITE CODE

ND15 HAVE YOU REPLACED THEM? 1 YES 2 NO

WRITE CODE

ND16 HOW MUCH DID YOU SPEND TO REPLACE THEM? IF DON‟ KNOW, WRITE 9999 AND IF DO NOT WANT TO TELL, WRITE 8888

RUPEES

ND17 DID ANY OF YOUR NEIGHBORS LOSE ANY HOUSEHOLD POSSESSIONS IN THE RECENT FLOOD? 1 YES 2 NO

WRITE CODE

ND18 DID YOU LOSE ANY HOUSEHOLD POSSESSIONS IN THE RECENT FLOOD? 1 YES 2 NO ND21

WRITE CODE

28

ND19 HAVE YOU REPLACED THEM? 1 YES 2 NO ND21

WRITE CODE

ND20 HOW MUCH DID YOU SPEND TO REPLACE THEM? IF DON‟ KNOW, WRITE 9999 AND IF DO NOT WANT TO TELL, WRITE 8888

RUPEES

ND21 DID ANY OF YOUR NEIGHBORS LOSE THEIR HOUSE STRUCTURE IN THE RECENT FLOOD? 1 YES 2 NO

WRITE CODE

ND22 DID YOU LOSE YOUR HOUSE STRUCTURE IN THE RECENT FLOOD? 1 YES 2 NO ND25

WRITE CODE

ND23 HAVE YOU REBUILT IT? 1 YES 2 NO

WRITE CODE

ND24 HOW MUCH DID YOU SPEND TO REBUILD IT? IF DON‟ KNOW, WRITE 9999 AND IF DO NOT WANT TO TELL, WRITE 8888

RUPEES

ND25 WAS ANYONE IN THIS VILLAGE KILLED IN THE RECENT FLOOD? 1 YES 2 NO

WRITE CODE

ND26 WAS ANYONE IN THIS HOUSEHOLD KILLED IN THE RECENT FLOOD? 1 YES 2 NO

WRITE CODE

ND27 WAS ANYONE IN THIS VILLAGE INJURED IN THE RECENT FLOOD? 1 YES 2 NO

WRITE CODE

ND28 WAS ANYONE IN THIS HOUSEHOLD INJURED IN THE RECENT FLOOD? 1 YES 2 NO

WRITE CODE

ND29 DID YOU REINFORCE YOUR HOUSE (E.G. ROOF OR WALLS) IN ANY WAY BEFORE THE FLOOD? 1 YES 2 NO

WRITE CODE

ND30 DID YOU PLACE ANY SANDBAGS OR BARRIERS AROUND THE LAND? 1 YES 2 NO

WRITE CODE

ND31 BEFORE THE FLOOD WATERS CAME IN, DID YOU MOVE YOUR HOUSEHOLD POSSESSIONS TO HIGHER GROUND? 1 YES 2 NO

WRITE CODE

ND32 DID ANYONE HELP YOU PROTECT YOURSELF AND YOUR HOUSE? 1 YES 2 NO ND34

WRITE CODE

ND33 IF YES, WAS IT: (MULTIPLE RESPONSES POSSIBLE) 1. NEIGHBORS 2. GOVERNMENT 3. NGO

6 OTHERS (SPECIFY)

WRITE CODE (MULTIPLE RESPONSES POSSIBLE)

ND34

DURING THE FLOOD, DID YOU STAY IN YOUR HOUSE?

1. YES ND36 2. NO

WRITE CODE

ND35 IF NO, WHERE DID YOU SLEEP? 1. HOUSE OF FRIEND OR FAMILY 2. CAMP 3. OUTSIDE, IN MY OWN SELF-MADE SHELTER

6 OTHERS (SPECIFY)

WRITE CODE

ND36 SINCE THE FLOOD WATERS RECEDED, HAVE YOU MOVED TO A HOUSE ON HIGHER GROUND? 1 YES 2 NO

WRITE CODE

ND37 DID ANYONE ASSIST YOUR HOUSEHOLD WITH RECONSTRUCTION / REPAIRS OF FLOOD DAMAGES? 1. YES

2. No -> SG1

WRITE CODE

ND38 WHO ASSISTED WITH RECONSTRUCTION / REPAIRS? 1. NEIGHBORS 2. GOVERNMENT 3. NGO

6. OTHERS (SPECIFY)

WRITE CODE

29

SOCIAL GROUPS MODULE

SG1 WHAT IS YOU RELIGION: (CIRCLE APPROPRIATE CODE) 1 MUSLIM 2 CHRISTIAN 3 SIKH 4 HINDU 6 OTHER(SPECIFY)

SG2 WHAT IS THIS HOUSEHOLD‟S BIRADERI, ZAAT, OR CASTE? SEE BIRADERI CODES BELOW

WRITE CODE; MULTIPLE RESPONSES POSSIBLE

BIRADERI CODES FOR SG2

1 AARAIN 9 JAT 17 RAJPUT

2 ABBASI 10 LAAR 18 REHMANI

3 ANSARI 11 MOHANA 19 SAMIJA

4 AWAAN 12 MUGHAL 20 SHEIKH

5 BALOCH 13 MUSLIM SHEIKH 21 SOLANGI

6 BUTT 14 NAICH 22 SYED

7 CHACHAR 15 PATHAN 96 OTHER: SPECIFY

8 GUJJAR 16 QURESHI 99 PREFER NOT TO SAY

Documents

PART -1 HOUSEHOLD QUESTIONNAIRE SCHOOL CHOICE SURVEY … · PART -1 HOUSEHOLD QUESTIONNAIRE SCHOOL CHOICE SURVEY IN SELECTED ... April 2011 Questionnaire No House ... survey will