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Ipsos Healthcare 16-xxxxxx-01 V2 30 Jan 2017 Gates BoP UP Ipsos Healthcare 3 Thomas More Square, London, E1W 1YW, UK Internal client use only Bill and Melinda Gates Foundation Income, Spending and Consumption Behaviour: Season 1 Bangladesh 16-xxxxxx-01 Questionnaire V2 Quotas (SEE FILE SAMPLE PLAN) 60-minute questionnaire Table of content Section To be answered by: A: Household Living Conditions All members of household (collectively) B: Household Profile All members of household (collectively) with demographic questions for each individual member C: Employment Each member of household (individually) who is employed D: Personal Detailed Food Consumption (individual dietary questionnaire) Each of 4 randomly selected members of household (individually) E: General Health Each of 4 randomly selected members of household (individually) F: Women’s Health One randomly selected female member of household, 15-50 years old (individually) G: Household Income All members of household (collectively), with specific questions for individual income earners H: Household Expenditure Primarily key decision maker, but with all members of household (collectively Internal / Client Use Only Screener and Questionnaire Page 1 of 84

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Page 1: €¦ · Web view2. All 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

Ipsos Healthcare 16-xxxxxx-01 V2

30 Jan 2017

Gates BoP UP

Ipsos Healthcare3 Thomas More Square, London, E1W 1YW, UKInternal client use only

Bill and Melinda Gates FoundationIncome, Spending and Consumption Behaviour: Season 1

Bangladesh

16-xxxxxx-01Questionnaire

V2

Quotas (SEE FILE SAMPLE PLAN)

60-minute questionnaire Table of content

Section To be answered by: A: Household Living Conditions All members of household (collectively)

B: Household Profile All members of household (collectively) with demographic questions for each individual

memberC: Employment Each member of household (individually) who is

employedD: Personal Detailed Food Consumption

(individual dietary questionnaire)Each of 4 randomly selected members of

household (individually)E: General Health Each of 4 randomly selected members of

household (individually)F: Women’s Health One randomly selected female member of

household, 15-50 years old (individually)G: Household Income All members of household (collectively), with

specific questions for individual income earnersH: Household Expenditure Primarily key decision maker, but with all

members of household (collectively contributing into answers)

I: Shopping, Food Purchase and Consumption Patterns

Key Decision Maker within household - Identified in Section G

J: Potential Consumption and Additional Income Aspirations

Key Decision Maker within household - Identified in Section G

K: Brand awareness and perceptions Key Decision Maker within household - Identified in Section G

INTRODUCTION TEXT – INFORMED CONSENT STATEMENT

Intro1. Interviewer name

OE TEXT BOX

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Intro2. Interviewer ID

NUMERICAL RESPONSE

PROGRAMMING NOTES: SHOW ON A SEPARATE SCREEN

INFORMED CONSENT FORM: ADD FROM SEPARATE DOCUMENT

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SECTION A: HOUSEHOLD LIVING CONDITIONS

PROGRAMMING NOTES: NUMERIC

INTERVIEWER: SPEAK TO HEAD OF HOUSEHOLD WITH HELP FROM OTHERS

A0.

Respondent ID /INTERVIEWER, TO COMPLETE WITHOUT ASKING RESPONDENT/

ID

PROGRAMMING NOTES: ALL RESPONDENTS. SINGLE CODE

A1.

Country /INTERVIEWER, PLEASE COMPLETE WITHOUT ASKING RESPONDENT/

Code Number Code Label Scripting / Routing Instruction1. Nigeria Continue based on quotas2. Ethiopia Continue based on quotas3. Uttar Pradesh, India Continue based on quotas4. Bangladesh Continue based on quotas

PROGRAMMING NOTES: ALL RESPONDENTS. SINGLE CODE

A2.1 A2.2 A2.3 A2.4 A2.5

Zone Center/District Thana Ward/Union Village

Coastal and South

Barguna

Barguna Sadar

Ward-4 -Ward-8 -

Ayla PatakataPakurgachhia

JangaliaNaltona Gazi Mamud

PatharghataKanthaltali

KanthaltaliTaluk Char Duani

RaihanpurLemua

Raihanpur

Jessore

Abhaynagar

Noapara_Ward-03 -Noapara_Ward-08 -

SreedharpurBarni

SankarpashaKodla

Jhikargachha Gadkhali

BenialiBodhkhana

GadkhaliPatua Para

Dhaka/ Central DhakaBangshal Ward-67 (Part) D.C.Roy Road

Darus Salam Ward-10 First Colony

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Dhanmondi Ward-49 Eidgah Road(Paschim DhanmondiHazaribagh Ward-48(Part) Shikaritola

Kafrul Ward-04 Mirpur Sec. 15 (Block-D)Khilkhet Ward-17 (Part) Khilkhet Nama Para

Mohammadpur Ward-46 (Part) Paschim KatasurRampura Ward-23 ReazbaghShah Ali Ward-08 Mirpur Sec-1 (Block-D)Tejgaon Ward-39 Paschim Tejturi BazarBadda Ward-17 (Part) OliparaPallabi Ward-06 Mirpur Sec-6 (Block-Ta)

NawabganjGalimpur

SurjakhaliNawabganj Sankarkhali

Narsingdi

Narsingdi Sadar

Madhabdi_Ward-04 -

Madhabdi_Ward-07 -

AmdiaBailainBelabo

Grindan Bhum

ManohardiChar Mandalia

Char Mandalia (Part-1)Birgaon

KanchikataBara Mirzapur

Madhushal

Chittagong/ Eastern

Rangamati

Rangamati Sadar

Ward-1 -Ward-7 -

BalukhaliHaja Chhari ParaBadal Chhari Para

KawkhaliFatik Chhari

Barma Chhari Muk ParaPitti Para

KalampatiMajhi ParaKola Para

Comilla

Barura

Ward-2 -Ward-5 -

ChitaddaMakandapurDakshin Odda

Deora Kasia Pukuria

DaudkandiDaudkandi Uttar

Baher CharChengakandi

JinglataliChar Chara Para

Jinglatali

Lowlands NetrakonaDurgapur

Ward-4 -Ward-6 -

GaokandiaDakshin Sankarpur

JangaliakandaUttar Sankarpur

Purbadhala Hogla Nij Hogla

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Sadhu Para

PurbadhalaNarayandahar

Purbadhala

Hobigonj

Habiganj Sadar

Habiganj_Ward-3 -Habiganj_Ward-6 -

NurpurBisauraNurpur

Richi Uttar Mirzapur (Part)

NabiganjDebpara

BaithakhalDebpara

KargaonPanjaraiSherpur

Northern

Bogra

Bogra Sadar

Ward-6 -Ward-14 -Ward-20 -

RajapurKuturbari

MeghagachhaShakharia Bharui Para

ShibganjBihar

Fakir ParaDhamahar

MokamtalaBhagkola

Satana

Kurigram

Nageshwari

Ward-1 -Ward-5 -

HasnabadChorarpar

DhumkuwarparKedar Purba Bishnupur

Phulbari SadarBhanagmore

TalukdartariSardartari

ShimulbariDakshin Sonai Kazi

Bhuiyar Kuthi

PROGRAMMING NOTES: ALL RESPONDENTS. SINGLE CODE

A2.

Urban or rural setting /INTERVIEWER, PLEASE COMPLETE WITHOUT ASKING RESPONDENT/

Code Number Code Label Scripting / Routing Instruction1. Urban Continue2. Rural Continue

Quotas: see separate file

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A5.

In which language would you prefer to complete the interview? /DO NOT READ. SINGLE ANSWER/

Code Number Code Label Scripting / Routing Instruction

1.English

Show and continue if A1= 1,2,3,4 (ALL COUNTRIES)

2. Bengali Show and continue if A1 =4

PROGRAMMING NOTES: SHOW SEPARATELY ON THE SCREEN

/INTERVIEWER, IN SECTIONS A, B AND C, PLEASE, TRY TO SPEAK TO ALL MEMBERS OF HOUSEHOLD WHO ARE AVAILABLE/

I would like to talk about your household. By “household” I mean:

1. a group of people who have usually slept in the same dwelling and share their meals (pot) together or pool their money to make most food purchases. Examples of households are:

- A household consisting of a man and his wife/wives and children, father/mother, nephew and other relatives.

- A household consisting of a single person - A household consisting of a couple or several couples with or without children

2. All 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

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PROGRAMMING NOTES: ALL RESPONDENTS. MULTIPLE CODE

ASK ALL

A27.

I would now like to ask you a few questions about your household. How many household members are 12 years old or younger?

Code Number Code Label Scripting / Routing Instruction1. Three or more Continue2. Two Continue3. One Continue4. None Continue

SINGLE CODE

ASK ALL

A28.

Do all household members ages 6 to 12 currently attend a school/ educational institution?

Code Number Code Label Scripting / Routing Instruction1. No Continue2. No-one 6 to 12 Continue3. Yes Continue

SINGLE CODE

IF CODE 4 SELECTED AT A27, CODE 2 AUTOMATICALLY SELECTED

ASK ALL

A29.

In the past year, did any household member ever do work for which he/she was paid on a daily basis?

Code Number Code Label Scripting / Routing Instruction1. Yes Continue2. No Continue

SINGLE CODE

ASK ALL

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A30.

How many rooms does your household occupy (excluding rooms used for business)?

Code Number Code Label Scripting / Routing Instruction1. One Continue2. Two Continue3. Three or more Continue

SINGLE CODE

ASK ALL

A31

What is the main construction material of the walls of the main room?

Code Number Code Label Scripting / Routing Instruction1. Hemp/ hay/ bamboo, or other Continue2. Mud/ brick or C.I sheet/ wood Continue3. Brick/ cement Continue

SINGLE CODE

ASK ALL

A32

Does the household own any televisions?

Code Number Code Label Scripting / Routing Instruction1. Yes Continue2. No Continue

SINGLE CODE

ASK ALL

A33.

How many fans does the household own?

Code Number Code Label Scripting / Routing Instruction1. None Continue2. One Continue3. Two or more Continue

SINGLE CODE

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ASK ALL

A34.

How many mobile phones does the household own?

Code Number Code Label Scripting / Routing Instruction1. None Continue2. One Continue3. Two or more Continue

SINGLE CODE

ASK ALL

A35.

Does the household own any bicycles, motorcycle/ scooters, or motor cars etc.?

Code Number Code Label Scripting / Routing Instruction1. Yes Continue2. No Continue

SINGLE CODE

ASK ALL

A36.

Does the household own (or rent/ sharecrop/ mortgage in or out) 51 or more decimals of cultivable agricultural land (excluding uncultivable land and dwelling-house/ homestead land)?

Code Number Code Label Scripting / Routing Instruction1. Yes Continue2. No Continue

SINGLE CODE

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SECTION B: HOUSEHOLD PROFILE

PROGRAMMING NOTES: SHOW SEPARATELY ON THE SCREEN

/INTERVIEWER, PLEASE CONFIRM RESPONDENT’S UNDERSTANDING OF HOUSEHOLD DEFINITION. IF IN DOUBT, READ THE DEFINITION IN FULL/

Now I would like to talk about all people who live in your household.

INTERVIEWER: THIS IS FOR YOUR REFERENCE, DO NOT READ AGAIN TO RESPONDENT

1. a group of people who have usually slept in the same dwelling and share their meals (pot) together or pool their money to make most food purchases. Examples of households are:

- A household consisting of a man and his wife/wives and children, father/mother, nephew and other relatives.

- A household consisting of a single person - A household consisting of a couple or several couples with or without children

2. All 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

PROGRAMMING NOTES: ALL RESPONDENTS. NUMERIC ANSWER. MIN=1; MAX=30. WHOLE NUMBERS ONLY

B1.

How many people, including you, live in your household?

Please count everyone, including children under 18.

/INTERVIEWER, PLEASE TYPE THE NUMBER OF PEOPLE/

People

PROGRAMMING NOTES: REPEAT QB2-QB9 ACCORDING TO NUMBER OF FAMILY MEMBERS IDENTIFIED AT QUESTION B1. E.G. IF THERE ARE 7 FAMILY MEMBERS THESE QUESTIONS WILL BE REPEATED 7 TIMES FOR EACH FAMILY MEMBER

I will ask you to answer questions about each member of your family living in your household. Let’s begin with the head of the household.

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PROGRAMMING NOTES: SHOW ON THE SCREEN THE TITLE. FAMILY MEMBER #1. OPEN END QUESTION.

B2.

What is your/ his/ her name? /INTERVIEWER, PLEASE TYPE THE NAME IN THE SPACE PROVIDED BELOW/

PROGRAMMING NOTES: SHOW THE FOLLOWING FOR THE FIRST FAMILY MEMBER

Family member #1 (Head of the household)

PROGRAMMING NOTES: SHOW THE FOLLOWING FOR EACH OF THE OTHER FAMILY MEMBERS UNTIL THE NUMBER OF HOUSEHOLD MEMBERS MATCHES TO THE NUMBER STATED IN B1

Family member #2 (3, 4, 5…)

PROGRAMMING NOTES: EACH FAMILY MEMBER. SINGLE CODE

B4.

Gender of /ENTER THE NAME/

/DO NOT READ OPTIONS/

Code Number Code Label Scripting / Routing Instruction1. Male Continue2. Female Continue

PROGRAMMING NOTES: EACH FAMILY MEMBER. NUMERIC ANSWER. MIN=0; MAX=120.

B5.

What is your age/ age of /ENTER THE NAME/?

Please, give the answer in years or months

/INTERVIEWER, PLEASE, ENTER THE ANSWER IN MONTHS IF THE AGE IS BELOW 1 YEAR. IF OVER 1 YEAR, PLEASE GIVE THE ANSWER IN YEARS/

Years

ORMonths

PROGRAMMING NOTE: ONLY ALLOW MONTHS IF YEARS = 0 OR BLANK. RANGE: 1-11IF CHIEF INCOME EARNER (FIRST RESPONDENT)- CANNOT BE UNDER 18

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PROGRAMMING NOTES: AUTOMATICALLY CODE AGE INTO BANDS

Code Number Code Label Scripting / Routing Instruction1. 0-1 Continue2. 2-5 Continue3. 6-11 Continue4. 12-14 Continue5. 15-17 Continue6. 18-25 Continue7. 26-35 Continue8. 36-45 Continue9. 46-55 Continue10. 56-65 Continue11. 66-75 Continue12. Over 75 Continue

PROGRAMMING NOTES: ALL FAMILY MEMBERS OLDER THAN 5 Y.O. SINGLE CODE

B6.

What is the highest level of education you/ /ENTER THE NAME/ have/ has attained?

Please select one option only

/INTERVIEWER, PLEASE READ THE OPTIONS FOR RESPONDENT/

Code Number Code Label Scripting / Routing Instruction

1.Some primary (1st to 5th class)

Continue

2.Completed primary (completed 5th class)

Continue

3.Some secondary (6th to 10th class)

Continue

4.Completed secondary (Completed SSC)

Continue

5. Senior Secondary Certificate (Completed HSC) Continue

6. Some university Continue

7.Completed university (Degree)

Continue

8. Post-University (e.g. Masters, PhD) Incomplete Continue9. Post-University (e.g. Masters, PhD) Complete Continue10. No education Continue11. Illiterate

PROGRAMMING NOTES: ALL FAMILY MEMBERS YOUNGER THAN 18 Y.O. SINGLE CODE

B7.

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In which, if any, school type is /ENTER THE NAME OF CHILD <18 YEARS/ currently enrolled?

Please select one option only

/INTERVIEWER, PLEASE READ THE OPTIONS FOR RESPONDENT/

Code Number Code Label Scripting / Routing Instruction

0 State/government school (both parents and government together pay the fee)

1. State/government school (no fees paid) Continue2. Private school (i.e. fees are paid) Continue3. Pre-school, crèche or nursery, Anganwade Continue4. Does not attend school Continue5. Other (specify) Continue

PROGRAMMING NOTES: EACH RESPONDENT. SINGLE CODE

B11.

What is your/ /ENTER THE NAME/’s marital status?

Please select only one option.

/INTERVIEWER, PLEASE ALLOW THE RESPONDENT TO RESPOND SPONTANEOUSLY BEFORE READING OUT OPTIONS/

Code Number Code LabelScripting / Routing InstructionLIST FOR MALES ONLY (B4=1)

1. Married (monogamous) Continue2. Married (polygamous) Continue3. Divorced Continue4. Separated Continue5. Widowed Continue6. Never married Continue

Code Number Code Label Scripting / Routing InstructionLIST FOR FEMALES ONLY (B4=2)

1. Married Continue3. Divorced Continue4. Separated Continue5. Widowed Continue6 Never married Continue

PROGRAMMING NOTES: ASK FOR EACH HH MEMBER. SINGLE CODE FOR EACH ROW

B16.

Have you/ Has /ENTER THE NAME/ done any type of work, for which you received wages, salary or any other payments either in cash or in other forms, within the last 30 Please, count any form of payment, even if it is in form of gifts, donations, or bartered products.

/INTERVIEWER, ANSWER FOR EACH ROW/

Code Label Scripting / Routing Instruction

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1. Yes Continue2. No Continue

PROGRAMMING NOTES: SHOW FOR ALL. DIFFERENT FORMATS FOR CHILDREN 14 Y.O. AND YOUNGER AND ADULTS 15 Y.O.+. SINGLE CODE. IF YOUNGER THAN 5 Y.O. AUTOMATICALLY PRECODE 2 (NO) IN B17

B17.

/INTERVIEWER, CAPTURE WITHOUT ASKING RESPONDENT/

FOR ADULTS 15 Y.O.+

Is /ENTER THE NAME/ available for the interview and answering for himself/ herself?

/INTERVIEWER, IF A HOUSEHOLD MEMBER IS NOT AVAILABLE FOR INTERVIEW, ASK THE HEAD OF HOUSEHOLD TO ANSWER ON BEHALF OF THE ABSENT MEMBER.

FOR CHILDREN 14 Y.O. AND YOUNGER

Is /ENTER THE NAME/ answering for himself/ herself?

/INTERVIEWER, IF A HOUSEHOLD MEMBER IS 14 Y.O. AND YOUNGER ASK MOTHER TO GIVE ANSWERS FOR A CHILD. HOWEVER, IF THE CHILD IS AVAILABLE FOR THE INTERVIEW AND CAN SPEAK, PLEASE, TRY TO SPEAK TO HIM/ HER DIRECTLY OR ASK HIM OR HER TO CONTRIBUTE TO ANSWERS/

Code Label Scripting / Routing Instruction1. Yes Continue2. No Continue

PROGRAMMING NOTES: FOR ADULTS 15 Y.O.+ . MULTIPLE CODE

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SECTION C: EMPLOYMENT

PROGRAMMING NOTES: ASK ALL WHO ARE EMPLOYED (B16=1). SINGLE CODE

C1.

What is your/ /ENTER THE NAME/’s profession? By profession we mean the type of work that you/ he/ she do/ does or the sector that you work in. If you/ he/ she are/ is employed at several jobs, please describe the one you/ he/ she consider(s) to be the main job.

Please select one option only

/INTERVIEWER, ALLOW RESPONDENT TO ANSWER SPONTANEOUSLY AT FIRST THEN CLASSIFY THEIR PROFESSION INTO ONE OF THE FOLLOWING CATEGORIES. READ OUT ALL CATEGORIES IF NECESSARY/

Code Number Code LabelScripting/ routing

instruction

1.

Unskilled worker

Continue

2.

Skilled worker

Continue

3.

Petty Trader

Continue

4.Shop Owner

Continue

5. Businessmen/ Industrialists with number of employees – 0

Continue

6. Businessmen/ Industrialists with number of employees – 1-9

Continue

7. Businessmen/ Industrialists with number of employees – 10+

Continue

8.Self Employed Professionals

Continue

9.Clerical/Salesmen

Continue

10.Supervisor

Continue

11.Officers/Executives – Junior

Continue

12. Officers/Executives – Middle/Senior Continue

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13. Houseowner Continue

14.Agricultural laborer

Continue

15.Agricultural worker

Continue

16. Cultivator - < 1 h (< 2.5 acres) Continue

17. Cultivator - 1-5 h (2.5-12.5 acres) Continue

18.Cultivator - 5+ to 10 h (12.5+ to 25 acres)

Continue

19. Cultivator - 10+ h (25+ acres) Continue

20. Other (please specify) Continue

21. Don’t know /INTERVIEWER DO NOT READ/ Continue

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PROGRAMMING NOTES: ASK ALL WHO ARE EMPLOYED (B16=1). NUMERIC ANSWER. MIN=0; MAX=150. ALLOW 0.5 INCREMENTS

C4.2.

How many hours did you/ /ENTER THE NAME/ work in this job within last 7 days?

/INTERVIEWER, PLEASE TYPE THE NUMBER OF HOURS WORKED. IF RESPONDENT HAS DIFFICULTIES WITH COUNTING THE NUMBER OF HOURS, PLEASE, PROBE ASKING ABOUT NUMBER OF WORKING DAYS AND WORKING HOURS PER DAY AND THEN HELP HIM/ HER TO CALCULATE TOTAL NUMBER OF WORKING HOURS PER 7 DAYS/

Hours

99. Don’t know

PROGRAMMING NOTES: ASK ALL WHO ARE EMPLOYED (B16=1). SINGLE CODE

ARE EMPLOYED (B16=1). SINGLE CODE

C5.1

Were you/ was /ENTER THE NAME/ engaged in a secondary job(s) within the last 30 days? By ‘secondary’ job I mean something that you do on more or less a regular basis, but which is not your primary job.

Please select one option only

/INTERVIEWER, DO NOT READ OPTIONS/

Code Number Code Label Scripting/ routing instruction1. Yes Continue to C5.22. No Continue to C63. Don’t know Continue to C6

PROGRAMMING NOTES: ASK IF C5.1=1. MULTIPLE CODE

C5.2

What is your/ /ENTER THE NAME/’s secondary profession? By profession we mean the type of work that you/ he/ she do/ does or the sector that you work in this secondary job. You can choose several answers if you have several secondary jobs

Please select all that apply

/INTERVIEWER, ALLOW RESPONDENT TO ANSWER SPONTANEOUSLY AT FIRST THEN CLASSIFY THEIR PROFESSION INTO ONE OF THE FOLLOWING CATEGORIES. READ OUT ALL CATEGORIES IF NECESSARY/

Code Number Code LabelScripting/ routing

instruction

1.

Unskilled worker

Continue

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2.

Skilled worker

Continue

3.

Petty Trader

Continue

4.Shop Owner

Continue

5. Businessmen/ Industrialists with number of employees – 0

Continue

6. Businessmen/ Industrialists with number of employees – 1-9

Continue

7. Businessmen/ Industrialists with number of employees – 10+

Continue

8.Self Employed Professionals

Continue

9.Clerical/Salesmen

Continue

10.Supervisor

Continue

11.Officers/Executives – Junior

Continue

12. Officers/Executives – Middle/Senior Continue

13. Houseowner Continue

14.Agricultural laborer

Continue

15.Agricultural worker

Continue

16. Cultivator - < 1 h (< 2.5 acres) Continue

17. Cultivator - 1-5 h (2.5-12.5 acres) Continue

18.Cultivator - 5+ to 10 h (12.5+ to 25 acres)

Continue

19. Cultivator - 10+ h (25+ acres) Continue

20. Other (please specify) Continue

21. Don’t know /INTERVIEWER DO NOT READ/ Continue

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PROGRAMMING NOTES: ASK IF C5.1=1. SINGLE CODE

C5.3When was the last time that you /ENTER THE NAME/ worked this job?

Code Number Code Label Scripting/ routing instruction1. More than 6 months ago Continue to C62. 5-6 months ago Continue to C63. 3-4 months ago Continue to C64. Within the last 2 months Continue to C65. Within the last month Continue to C5.4

PROGRAMMING NOTES: ASK IF C5.1=1. NUMERIC ANSWER. MIN=0; MAX=150. ALLOW 0.5 INCREMENTS

C5.4.

ASK IF CODE 5 (WITHIN THE LAST MONTH) AT C5.3

How many hours did you/ /ENTER THE NAME/ work in this secondary job within last 7 days?

/INTERVIEWER, PLEASE TYPE THE NUMBER OF HOURS WORKED/

Hours99. Don’t know

PROGRAMMING NOTES: DISPLAY ALL FAMILY MEMBERS. SINGLE CODE

C6.

2. Of all the members of your household, who is the major decision maker about how the earnings of the household will be used and distributed? Please, think about all expenditures such as healthcare, education, transport, food, etc.Please, select one

Key decision maker

PROGRAMMING NOTES: DISPLAY ALL FAMILY MEMBERS. SINGLE CODE

C7.

And who is major decision maker and planner on household purchases, including planning of food and other goods/ purchases?Please, select one

Key decision maker

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SECTION D: PERSONAL DETAILED FOOD CONSUMPTION

RANDOMLY SELECT MAXIMUM 4 FAMILY MEMBERS. SHOW THEIR NAMES ON THE SCREEN. RANDOM SELECTION SHOULD INCLUDE 1 MAN (15 Y.O.+), 1 WOMAN (15 Y.O.+), 1 MALE CHILD (LESS THAN 14 Y.O.), 1 FEMALE CHILD (LESS THAN 14 Y.O.)

D.0.

/INTERVIEWER, IN THE NEXT SECTIONS OF THE QUESTIONNAIRE YOU WILL NEED TO SPEAK TO THESE MEMBERS OF THE FAMILY/ [PROGRAMME WILL RANDOMLY SELECT 4 MEMBERS OF THE HOUSEHOLD: 2 ADULTS AND 2 CHILDREN]/

Code Number Code LabelScripting/ routing

instruction1. Family member #1 /ENTER THE NAME/2. Family member #2 /ENTER THE NAME/3. Family member #3 /ENTER THE NAME/4. Family member #4 /ENTER THE NAME/

PROGRAMMING NOTES: SHOW SEPARATELY ON THE SCREEN

/INTERVIEWER, IN THE NEXT SECTIONS, PLEASE, SPEAK TO EACH OF SELECTED MEMBERS OF THE HOUSEHOLD. PARENTS WILL GIVE ANSWERS FOR THEIR CHILDREN 11 Y.O. AND YOUNGER, IF THEY KNOW WHAT EXACTLY THEY ATE. HOWEVER, PLEASE, TRY TO SPEAK TO THOSE CHILDREN, WHO YOU CAN SPEAK TO OR ASK THEM TO BE PRESENT DURING THIS PART OF THE INTERVIEW AND CONTRIBUTE TO ANSWERS/

/INTERVIEWER, PLEASE, READ/

Now I would like to talk to different members of your family about what they eat and their health.

PROGRAMMING NOTES: FOR EACH CHILD FROM D0 THAT IS SELECTED FOR THIS QUESTION (11 Y.O AND YOUNGER). SINGLE CODE

D1.

/INTERVIEWER, ASK MOTHER OR OTHER CLOSEST RELATIVE/Can you or somebody in the household answer on behalf of /SHOW THE NAME/ and tell me everything, he/ she ate yesterday? Please select one option only

/INTERVIEWER, DO NOT READ/

Code Number Code LabelScripting/ routing

instruction1. Yes Continue to next question

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2. No SKIP QUESTIONS D3-E10

PROGRAMMING NOTES: FOR ALL RESPONDENTS. SINGLE CODE

I would like to talk about what /SHOW THE FIRST NAME, SELECTED IN D0 AND:

FOR RESPONDENTS 12 Y.O. +: SHOW ONLY IF B17=1 (YES, AVAILABLE FOR THE INTERVIEW).

FOR RESPONDENTS 11 Y.O. AND YOUNGER: SHOW IF B17=1 OR 2 AND D1= 1 (SOMEBODY IN THE HH CAN ANSWER ON BEHALF OF A CHILD).

PROGRAM SHOULD ASSIGN THEIR NUMBERS TO SECTIONS AS WELL. SHOW MAN AND WOMAN NAMES FIRST AND CHILDREN’S NAMES AFTER. AT FIRST SHOW ALL SECTIONS D, E, F FOR ONE FAMILY MEMBER, THEN REPEAT THE SAME SECTIONS FOR THE 2nd, THEN FOR THE 3rd, THEN FOR THE 4th/ eats and his/ her health.

PROGRAMMING NOTES: SECTIONS SELECTION

SECTION D: FOR EACH RESPONDENT IN D0 (MAN, WOMAN, BOY AND GIRL)

SECTION E: FOR EACH RESPONDENT IN D0 (MAN, WOMAN, BOY AND GIRL)

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PROGRAMMING NOTES: ASK EACH FAMILY MEMBER FROM D0 IF B17=1 (AVAILABLE AND ANSWERING BY HIMSELF). MULTIPLE CODE

D3.

PROGRAMMING NOTES: FORMAT OF QUESTION FOR FAMILY MEMBERS 12 Y.O.+: I would like to talk about everything you ate and drank yesterday during the day or night. Please include all foods and drinks, any snacks or small meals as well as any main meals. If you prepare food for others, please also include any food you might have eaten during cooking. Include anything you ate or drank outside the home also. Please be as detailed as possible.

PROGRAMMING NOTES: FORMAT OF QUESTION FOR FAMILY MEMBERS 14 Y.O. AND YOUNGER IF B17=2 (NOT ANSWERING BY HIMSELF): Please tell me about everything /ENTER THE NAME/ ate and drank yesterday, during the day and night. Please include all foods and drinks, any snacks or small meals, as well as any main meals. Include anything he/ she at or drank outside the home also. Please be as detailed as possible. PROGRAMMING NOTES: DOWN SIDE OF GRID. INCLUDE OTHER (PLEASE SPECIFY). SHOW THE NAME OF FAMILY MEMBER ON EVERY SCREEN THROUGHTOUT D3.

Note: there are 6 recall periods to cover for each person: WHEN THEY WOKE UP, LATER IN THE MORNING, MIDDAY, DURING THE AFTERNOON, IN THE EVENING, IN THE EVENING BEFORE GOING TO BED OR DURING THE NIGHT

Code Code Label A B D

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Number

D3.0.

PROGRAMMING NOTES: SHOW ON THE FIRST SCREEN: Let’s start with the first food or drink consumed yesterday. Did you/ she/ he have anything to eat or drink when you/ she/ he woke up? If yes, what? PN: IF YES, RECORD FOOD AND ASK ABOUT ANYTHING ELSE. IF NO PROCEED TO NEXT RECALL PERIOD [E.G. LATER IN THE MORNING].

Anything else when you/she/he woke up? PN: IF YES, RECORD FOOD. CONTINUE TO ASK “ANYTHING ELSE” UNTIL RESPONDENT ANSWERS NO OR NOTHING ELSE.

________________________________________________________

PN: FOR THE NEXT RECALL PERIOD SHOW THE FOLLOWING TEXT: Did you/ she/ he have anything to eat or drink later in the morning ? If yes, what? PN: IF YES, RECORD FOOD AND ASK ABOUT ANYTHING ELSE. IF NO PROCEED TO NEXT RECALL PERIOD.

Anything else in the morning? PN: IF YES, RECORD FOOD. CONTINUE TO ASK “ANYTHING ELSE” UNTIL RESPONDENT ANSWERS NO OR NOTHING ELSE. ________________________________________________________

PN: FOR THE NEXT RECALL PERIOD SHOW THE FOLLOWING TEXT: Did you/ she/ he have anything to eat or drink for lunch (around 1-3 PM)?

OPTIONS TO SHOW:1. Yes 2. No

OPTIONS TO SHOW:1. Yes2. No, nothing else

___________________________________

OPTIONS TO SHOW:1. Yes2. No

OPTIONS TO SHOW:1. Yes2. No, nothing else

__________________________________

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If yes, what? PN: IF YES, RECORD FOOD AND ASK ABOUT ANYTHING ELSE. IF NO PROCEED TO NEXT RECALL PERIOD.

Anything else around 1-3 PM? PN: IF YES, RECORD FOOD. CONTINUE TO ASK “ANYTHING ELSE” UNTIL RESPONDENT ANSWERS NO OR NOTHING ELSE.

________________________________________________________

PN: FOR THE NEXT RECALL PERIOD SHOW THE FOLLOWING TEXT: Did you / she/ he have anything to eat or drink during the afternoon, for example snacks? If yes, what? PN: IF YES, RECORD FOOD AND ASK ABOUT ANYTHING ELSE. IF NO PROCEED TO NEXT RECALL PERIOD.

Anything else during the afternoon? PN: IF YES, RECORD FOOD. CONTINUE TO ASK “ANYTHING ELSE” UNTIL RESPONDENT ANSWERS NO OR NOTHING ELSE.

________________________________________________________

PN: FOR THE NEXT RECALL PERIOD SHOW THE FOLLOWING TEXT: Did you/ she/ he have anything to eat or drink in the evening (e.g. for dinner or before going to bed?If yes, what? PN: IF YES, RECORD FOOD AND ASK ABOUT ANYTHING ELSE. IF NO PROCEED TO NEXT RECALL PERIOD.

OPTIONS TO SHOW:1. Yes2. No

OPTIONS TO SHOW:1. Yes2. No, nothing else

___________________________________

OPTIONS TO SHOW:1. Yes2. No

OPTIONS TO SHOW:1. Yes2. No, nothing else

___________________________________

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Anything else in the evening? PN: IF YES, RECORD FOOD. CONTINUE TO ASK “ANYTHING ELSE” UNTIL RESPONDENT ANSWERS NO OR NOTHING ELSE.

________________________________________________________

OPTIONS TO SHOW:1. Yes2. No

OPTIONS TO SHOW:1. Yes2. No, nothing else

__________________________________

OPTIONS TO SHOW:1. Yes2. No

OPTIONS TO SHOW:1. Yes2. No, nothing else

D3.PROGRAMMING NOTES: LIST OF CATEGORIES IN EXCEL FILE Food categories Only one option

PROGRAMMING NOTES: SINGLE CODE

D3.1.PROGRAMMING NOTES: SHOW FOR EACH CATEGORY Subcategories Only one option

PROGRAMMING NOTES: SINGLE CODE

D3.5. PROGRAMMING NOTES: SHOW FOR EACH FOOD TYPE

Home cooked or not home cookedPlease select one option only/INTERVIEWER, READ THE OPTIONS. IF NOT COOKED THEN SELECT

PROGRAMMING NOTES: SINGLE CODE 1. Raw (home-prepared) [DO NOT SHOW FOR PREPARED DISHES]2. Raw (purchased) [DO NOT SHOW FOR

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“RAW”/

PREPARED DISHES]3. Home cooked 4. Restaurant made/ street food (purchased)5. Produced at the factory (purchased)6. Canteen at workplace or school/ university (did not pay for it)7. Canteen at workplace or school/ university (paid for it)

D3.6.PROGRAMMING NOTES: SHOW IF D3.5=2 OR 4 OR 5 OR 7Cost /INTERVIEWER, PLEASE TYPE THE COST IN THE SPACE PROVIDED/

PROGRAMMING NOTES: NUMERIC ANSWER _____BDT INCLUDE DON’T KNOW OPTION

D3.9.

PROGRAMMING NOTES: SHOW IF QUESTION D3.5=3 (HOME COOKED) OR 4 (RESTAURANT MADE), 5 (FACTORY PRODUCED) OR 6/7 (CANTEEN AT UNIVERSITY OR WORKPLACE) AND D1 (CATEGORY)= 13 (Prepared dishes) RECORDS COMPONENTS AND AUTOCODES IF SELECTED AGAINWhat were the main components of this dish?Please select all that apply/INTERVIEWER, DO NOT READ THE OPTIONS, RECORD EVERY FOOD TYPE MENTIONED INTO RELEVANT CATEGORY/

PROGRAMMING NOTES: MULTIPLE CODE 0. Rice1. Grains, or starchy foods (rice bread, pasta, wheat etc.)2. White roots or tubers, plantains Starchy vegetables such as potatoes, yams, cassava, plantains3. Beans/peas (e.g. lentils)4. Beef 5. Sheep/goat meat (e.g. lamb, mutton)6. Offal/ organ meat (e.g. kidney, liver etc) 8. Chicken/Turkey/Duck9. Fish or seafood10. Carrot, pumpkin, sweet potato, orange squash, red pepper11. Medium to dark green leafy vegetables (e.g. spinach, green salad leaves)

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12. Other vegetables (e.g. okra, aubergine, tomatoes, cucumbers)13. Fruits with dark yellow or orange flesh (e.g. ripe mango, ripe papaya)14. Other fruits (e.g. banana, orange, watermelon)15. Nuts and seeds (include nut butter)16. Eggs17. Milk, cheese or yogurt19. Other (please specify)

D3.8.

PROGRAMMING NOTESPROGRAMMING NOTES: SHOW IF QUESTION D3.5=3 (HOME COOKED) OR 4 (RESTAURANT MADE), 5 (FACTORY PRODUCED) OR 6/7 (CANTEEN AT UNIVERSITY OR WORKPLACE) AND D1 (CATEGORY)= 13 (Prepared dishes) RECORDS COMPONENTS AND AUTOCODES IF SELECTED AGAIN

Which additional ingredients were used for preparation or were added when eating?Please select all that apply/INTERVIEWER, READ THE OPTIONS/

PROGRAMMING NOTES: MULTIPLE CODE 1. Fat/ butter/ Oil/ Ghee2. Seasoning (Salt/ Pepper/ chilli)3. Seasoning cube (e.g. Maggi cube) 4. Sugar/Honey 5. Water6. Milk/yoghurt7. Herbs/ Spices (Mustard seeds, ginger, cumin, coriander, masala etc)8. Onion / Garlic9. Other (please specify)10. Other (please specify)11. Other (please specify)12. Chui Jhal99.No other additional ingredients

D3.9.i PROGRAMMING NOTES: SHOW IF QUESTION D3.5=3 (HOME COOKED) OR 4 (RESTAURANT MADE) 5 (FACTORY PRODUCED) OR 6/7 (CANTEEN AT UNIVERSITY OR WORKPLACE) AND D1 (CATEGORY)= 13 (Prepared dishes)

What parts of the dish did you eat?

PROGRAMMING NOTES: MULTIPLE CODE. ONLY SHOW CODES SELECTED AT D3.91. Grains, or starchy foods (rice, pasta, etc.)2. Starchy vegetables such as potatoes,

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yams 3. Beans/peas (e.g. lentils)4. Beef 5. Sheep/goat meat (e.g. lamb, mutton)6. Offal/ organ meat (e.g. kidney, liver etc) 8. Chicken/Turkey/Duck9. Fish or seafood10. Carrot, pumpkin, sweet potato, orange squash, red pepper11. Medium to dark green leafy vegetables (e.g. spinach, green salad leaves)12. Other vegetables (e.g. okra, aubergine, tomatoes, cucumbers, onions)13. Fruits with dark yellow or orange flesh (e.g. ripe mango, ripe papaya)14. Other fruits (e.g. banana, orange, watermelon)15. Nuts and seeds (include nut butter)16. Eggs17. Milk, cheese or yogurt19. Other (please specify) [INSERT RESPONSE FROM D3.9]20. Ate all components/ all of it EXCLUSIVE

ADDITIONAL PROGRAMMING NOTES FOR SPECIFIC FOOD CATEGORIES:

- IF BEVERAGES > WATER SELECTED, DO NOT ASK D3.5 – D3.9- IF BREASTMILK SELECTED (DO NOT ASK D3.5- D3.9)- IF BEVERAGES > TEA SELECTED, DO NOT ASK D3.5 OR D3.8- ASK BELOW QUESTIONS: - WATER- DO NOT ASK D3.5

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D3.9.b

PROGRAMMING INSTRUCTION: ASK IF TEA IS SELECTED IN SUBCATEGORY

Which ingredients did you use to make the tea, apart from the tea leaves?

PROGRAMMING NOTES: MULTIPLE CODE

1. Water2. Sugar 3. Spices (e.g. cloves, cardamom, ginger)4. Milk- fresh, cow 5. Milk- fresh, buffalo6. Milk- fresh, plant source (e.g. coconut)7. Milk- fresh, goat8. Condensed milk9. Powdered milk 10. Milk from other source (please specify_____)11. Other (please specify______)

D3.9.c

PROGRAMMING INSTRUCTION: ASK IF MILK IS SELECTED AT D3.9.B (CODES 4-10)

Where did you get the milk to make the tea?

1. Animal owned by the family 2. Animal owned by a neighbour/in the community 3. Bought from a shop 5. Bought from a farmer/ milk seller4. Other (please specify______)

D3.9.d

PROGRAMMING INSTRUCTION: ASK IF MILK IS SELECTED AT D3.9.B (CODES 4-10)

How much of the tea was made of up milk?

1. All of it 2. More than half of it 3. About half of it 4. Less than half of it 5. Almost none of it

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PROGRAMMING NOTES: FOR EACH FAMILY MEMBER FROM D1. MULTIPLE CODE PER COLUMN

SHOW FOR EACH FAMILY MEMBER AFTER THEY HAVE COMPLETED QUESTION D3. SHOW NAME OF FAMILY MEMBER ON SCREEN

D3.10. I will now give you a list of food types and I want you to tell me which were eaten or drunk by you / /ENTER THE NAME/ yesterday during the day or night.

Please don’t include foods eaten in very small amounts, for seasonings or condiments. I am interested in all the foods mentioned, even if they were combined with other foods. Please try to remember snacks, or small meals as well as any main meals.

/INTERVIEWER PLEASE GIVE RESPONDENT CARD D3.10/D6/I11 AND STATE EACH FOOD GROUP IN TURN

ENSURE THAT FOODS MENTIONED PREVIOUSLY ARE CHECKED ON THIS LIST/

Code Number Code Label

Person A Person B Person C Person D

1 1. Tea

22. Cocoa based/ malt drinks(e.g. Bournvita, Milo, Horlicks,

Maltova)

4 3. Grains and starchy foods (e.g. rice, naan, paratha, roti, etc.)

5 4. Potatoes and yams6 5. Packaged noodles, pasta7 6. Beans and peas (e.g. lentils)8 7. Meat (e.g. lamb or chicken)9 8. Fish/seafood (fresh or dried)10 9. Carrot, pumpkin, sweet potato, orange squash, red pepper

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1110. Medium to dark green leafy vegetables (e.g. spinach, green

salad leaves)

1211. Other vegetables (e.g. okra, aubergine, tomatoes, cucumbers,

onions)

1312. Fruits with dark yellow or orange flesh (e.g. ripe mango, ripe

papaya)14 13. Other fruits (non-yellow flesh e.g. banana, orange, watermelon)15 14. Eggs16 15. Nuts or nut butters (e.g. peanuts, cashew)17 16. Seeds (e.g. pumpkin/ sunflower)18 17. Sweets, biscuits, chocolate19 18. Snacks (e.g. chaat, samosas, pakoras) 20 19. None of the above [EXCLUSIVE CODE]

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PROGRAMMING NOTES: FOR EACH FAMILY MEMBER FROM D1. SINGLE CODE

D4.With regard to the quantity of food, yesterday did you/ /ENTER THE NAME/ eat about the same amount of food as you usually do, did you eat less than usual or did you eat more than usual?

Please select one option only

/INTERVIEWER, PLEASE READ THE OPTIONS FOR RESPONDENT/

Code Number Code Label Scripting / Routing Instruction1. Less than usual Continue to D52. Same amount Continue to D63. More than usual Continue to D5

PROGRAMMING NOTES: FOR EACH FAMILY MEMBER FROM D1. SINGLE CODE

D5.Why did you/ /ENTER THE NAME/ eat less/ more than usual yesterday?

Please select one option only

/INTERVIEWER, PLEASE DO NOTREAD THE OPTIONS FOR RESPONDENT, PROMPT AS NECESSARY/

Code Number Code Label Scripting / Routing Instruction1. Health condition Continue2. Special diet Continue3. Religious practices Continue

4. Didn’t have enough food / didn’t have money [HIDE FOR LESS]

Continue

5. Celebration/ party/ social occasion Continue

6. Just wanted to eat more/had increased appetite[HIDE FOR LESS]; didn’t want to eat/ had no appetite [HIDE FOR MORE]

Continue

7. Other reason (please specify) Continue

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PROGRAMMING NOTES: FOR EACH FAMILY MEMBER. SINGLE CODE

D6. I want you to now think about the last 30 days (month). How often did you/ /ENTER THE NAME/ drink or eat the following drinks/ food within the last 30 days? Please select one option only for each row

/INTERVIEWER, PLEASE GIVE RESPONDENT CARD

Code Number Code Label Scripting / Routing Instruction1 1. Tea Continue

2

2. Cocoa based/ malt drinks(e.g. Bournvita, Milo, Horlicks, Maltova)

Continue

33. Milk, cheese, yogurt, chaas, lassi

Continue

44. Grains and starchy foods (e.g. rice, naan, paratha,

roti, etc.)Continue

55. Potatoes and yams

Continue

6 6. Packaged noodles, pasta Continue7 7. Beans and peas (e.g. lentils) Continue8 8. Meat (e.g. lamb or chicken) Continue9 9. Fish/seafood (fresh or dried) Continue

10

10. Carrot, pumpkin, sweet potato, orange squash, red pepper

Continue

11

11. Medium to dark green leafy vegetables (e.g. spinach, green salad leaves)

Continue

12

12. Other vegetables (e.g. okra, aubergine, tomatoes, cucumbers, onions)

Continue

13

13. Fruits with dark yellow or orange flesh (e.g. ripe mango, ripe papaya)

Continue

14

14. Other fruits (non-yellow flesh e.g. banana, orange, watermelon)

Continue

15 15. Eggs Continue16 16. Nuts or nut butters (e.g. peanuts, cashew) Continue17 17. Seeds (e.g. pumpkin/ sunflower) Continue18 18. Sweets, biscuits, chocolate Continue19 19. Snacks (e.g. chaat, samosas, pakoras)

PROGRAMMING NOTES: ACROSS TOP OF GRIDCode

Number Code LabelScripting / Routing

Instruction

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1. Have not drunk/ eaten in the last 30 daysDO NOT ALLOW OPTION FOR FOODS SELECTED AT D3.10

Continue

2. Every day3. 4-6 times a week4. 2-3 times a week5. Once a week6. 2-3 times in the last 30 days7. Once in last 30 days8. Don’t know

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SECTION E: GENERAL HEALTH

PROGRAMMING NOTES: FOR EACH FAMILY MEMBER FROM D1. SINGLE CODE

E3.

In the last 30 days, have you/ has /ENTER THE NAME/ taken any kind of vitamin or mineral supplement?

Please select one option only

/INTERVIEWER, DO NOT READ/

Code Number Code Label Scripting / Routing Instruction1. Yes Continue to E42. No Continue to Section F/G

PROGRAMMING NOTES: ASK IF TAKING VITAMINS (E3=1). MULTIPLE CODE

E4.

Which of the following vitamin and mineral supplements have you/ has /ENTER THE NAME/ taken in the last 30 days?

Please select all that apply

/INTERVIEWER, PLEASE READ THE OPTIONS FOR RESPONDENT/

Code Number Code Label Scripting / Routing Instruction1. Vitamin A Continue2. B-complex vitamins Continue3. Vitamin C Continue4. Vitamin D Continue5. Vitamin E Continue6. Pregnancy multi-vitamins Continue7. Multi-vitamins (tablet form) Continue8. Calcium Continue9. Iron Continue10. Selenium Continue11. Micronutrient powders Continue11a Glucose Continue12. Other (please specify) Continue

PROGRAMMING NOTES: ASK EACH ADULT FROM D1 (15 Y.O.+). SINGLE CODE

E4.1

How often do you take these vitamin or mineral supplements?

/INTERVIEWER, DO NOT READ/

Code Number Code Label

Scripting / Routing Instruction

2. Every day3. 4-6 times a week4. 2-3 times a week

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5. Once a week6. 2-3 times in the last 30 days7. Once in last 30 days8. Don’t know

PROGRAMMING NOTES: ASK EACH ADULT FROM D1 (15 Y.O.+). SINGLE CODE AND ASK IF CODE 1 SELECTED AT E3

E4.2

Where did you get the vitamin/ mineral supplements?

Please select all that apply

/INTERVIEWER, DO NOT READ LIST FOR RESPONDENT BUT PROMPT AS NECESSARY/

Code Number Code Label Scripting / Routing Instruction1. Bought from a pharmacy Continue2. Bought from another shop or market Continue3. Given by a doctor Continue

4. Given by another healthcare worker (nurse, community worker etc).

Continue

5. Given by friends or family Continue6. Other (please specify) Continue

PROGRAMMING NOTES: ASK EACH ADULT FROM D1 (15 Y.O.+). SINGLE CODE AND ASK IF CODE 1 SELECTED AT E3

ASK ADULTS ONLY CHOSEN AT D1E5.

Do you/ does /ENTER NAME smoke on a regular basis (or have you ever, smoked or used tobacco products? By this I mean anything that includes tobacco, such as cigarettes, pipes, or chewing tobacco.

Please select one option only

/INTERVIEWER, DO NOT READ/

Code Number Code Label Scripting / Routing Instruction

1. Yes, I currently smoke or use other tobacco products

Continue

2. I used to smoke or use tobacco products, but I no longer do so

Continue

3. No, I have never smoked or used tobacco products

Continue

ASK IF CODE 1 AT E5 (CURRENTLY SMOKES OR USES TOBACCO PRODUCTS) AND OVER 12 YEARS OLD. MULTIPLE CODE

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E6.

In what form do you / does/ ENTER NAME/ consume tobacco?

Please select all that apply

/INTERVIEWER, ALLOW RESPONDENT TO ANSWER SPONTANEOUSLY

Code Number Code Label Scripting / Routing Instruction1. Cigarettes Continue2 Bidis3. Cigar/ pipe Continue4. Paan masala Continue5. Ghutka Continue6. Other chewing tobacco Continue7. Snuff Continue8. Other (please specify) Continue

ASK IF CODE 1 AT E5 (CURRENTLY SMOKES OR USES TOBACCO PRODUCTS). SINGLE CODEE7.

How often do you / does /ENTER NAME/ consume tobacco?

1. Every day Continue2 Two or three times a week Continue3. Once a week Continue4. Once a month Continue5. Less frequently than once a month Continue6. Other (please specify) Continue

ASK ADULTS ONLY CHOSEN AT D1- MULTICODEE6.i

Where do you get information about your health?

Please select as many options as apply

/INTERVIEWER, DO NOT READ/

Code Number Code Label Scripting / Routing Instruction

1. A doctorContinue

2. Another healthcare worker, such as a nurse or community worker, pharmacist

Continue

3.From friends or family

Continue

4.From a community healer

Continue

5.From a religious leader (e.g. imam, priest)

Continue

6. From the television/ radio/ books/ leaflets/ online

Continue

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7. I don’t get any information about my health [EXCLUSIVE CODE]

Continue

8.Other (specify____)

Continue

PIPE THROUGH RESPONDENT NAME

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SECTION F: WOMEN’S HEALTH

PROGRAMMING NOTES: ASK ONLY FOR WOMAN 12 Y.O+ FROM D1. SINGLE CODE

/INTERVIEWER PLEASE SAY: I WILL NOW ASK YOU SOME QUESTIONS TO UNDERSTAND WHAT PEOPLE EAT AT KEY STAGES IN THEIR LIFE/

I am now going to ask some questions about pregnancy, childbirth and breastfeeding. Please be as honest as possible- but remember that you do not have to answer any questions you don’t want to.

F1. Have you ever been pregnant? Please select one option only/INTERVIEWER, PLEASE READ THE OPTIONS FOR RESPONDENT/

Code Number Code Label Scripting / Routing Instruction1. Yes, I’ve been pregnant before Continue to F32. Yes, I’m pregnant now Continue to F33. No Continue to Section G4. Don’t know Continue to Section G

PROGRAMMING NOTES: ASK IF F1=1 OR 2 (HAVE BEEN PREGNANT). NUMERIC. MIN=0; MAX=20.

ALLOW 1 AND 2 TO BE SELECTED TOGETHER

F3.How many times have you given birth? /INTERVIEWER, PLEASE, TYPE THE NUMBER OF BIRTHS/

Births

PROGRAMMING NOTES: ASK IF F3>0 (HAVE GIVEN BIRTHS). NUMERIC. MIN=0; MAX=20. NUMBER SHOULD BE LOWER OR EQUAL THE NUMBER IN F3

F4. How many living children do you have /SHOW ONLY IF F1=2/ (NOT including your unborn child)?/INTERVIEWER, PLEASE, TYPE THE NUMBER OF CHILDREN/

Children

PROGRAMMING NOTES: ASK IF F4>0 (HAVE LIVING CHILDREN). SINGLE CODE

F5.Let’s talk about your youngest living child. When was he or she born?

INSERT DROP DOWN LIST WITH MONTHS

INSERT DROP DOWN LIST WITH YEARS

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PROGRAMMING NOTES: AUTOMATICALLY CALCULATE AGE AND CODE AGE INTO BANDSCode Number Code Label Scripting / Routing Instruction1. 0-1 Continue2. 2-5 Continue3. 6-11 Continue4. 12-14 Continue5. 15-17 Continue6. 18-25 Continue7. 26-35 Continue8. 36-45 Continue9. 46-55 Continue10. 56-65 Continue11. 66-75 Continue12. Over 75 Continue

PROGRAMMING NOTES: ASK THOSE WHO HAVE LIVING CHILDREN (F4>0)- AND EITHER F3 OR F4 IS HIGHER THAN 0. NUMERIC. MIN=1, MAX=60.

F14. During your last/ current pregnancy did/ have you change(d) your diet in any way? Please select one option only /INTERVIEWER, DO NOT READ/

Code Number Code Label Scripting / Routing Instruction1. Yes Continue 2. No Continue

PROGRAMMING NOTES: ASK IF F14=1 (YES, CHANGED DIET DURING PREGNANCY). MULTIPLE CODE

F15. In what ways did your diet change when you were pregnant/ now that you are pregnant? Please select all that apply /INTERVIEWER, PLEASE, READ THE OPTIONS TO RESPONDENT/

Code Number Code Label Scripting / Routing Instruction1. I ate more of some types of food Continue to F162. I ate less of some types of food Continue to F17

3.I ate more food in general

Cannot be selected with code 4; Continue to section G

4.I ate less food in general

Cannot be selected with code 3; Continue to section G

PROGRAMMING NOTES: ASK IF F15=1 (ATE MORE OF SOME TYPES). MULTIPLE CODE

F16.

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You mentioned that you eat more of some types of food when you are pregnant. Could you tell me which specific foods that you ate more of?

Please select all that apply

/INTERVIEWER, PLEASE, READ THE OPTIONS TO RESPONDENT/

Code Number Code Label Scripting / Routing Instruction1. Fruits in general Continue 2. Vegetables in general Continue

3. Non-animal foods rich with protein (beans, nuts, cereals, etc)

Continue

4. Green vegetables, rich with iron, folic acid (spinach, etc) Continue5. Fish and seafood Continue6. Meat Continue7. Chicken Continue8. Eggs Continue9. Fortified products (with added iron, folic acid, etc) Continue10. Other (please specify) Continue

PROGRAMMING NOTES: ASK IF F15=2 (ATE LESS OF SOME TYPES). MULTIPLE CODE

F17.You mentioned that you eat less of some types of food when you are pregnant. Could you tell me which specific foods that you ate less of?

Please select all that apply

/INTERVIEWER, PLEASE, READ THE OPTIONS TO RESPONDENT/

Code Number Code Label Scripting / Routing Instruction1. Oil Continue 2. Milk Continue3. Meat Continue4. Some types of fish or seafood Continue5. Alcohol Continue6. Coffee Continue7. Other (please specify) Continue

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SECTION G: HOUSEHOLD INCOME

/INTERVIEWER, IN THIS SECTION, YOU SHOULD SPEAK WITH AS MANY HOUSEHOLD MEMBERS AS POSSIBLE ALL TOGETHER SO THAT EVERYONE CAN CONTRIBUTE TO ANSWERS GIVEN. YOU SHOULD AIM TO SPEAK TO EACH MEMBER OF THE HOUSEHOLD WHO EARNS AN INCOME/CONTRIBUTES TO THE TOTAL HOUSEHOLD INCOME/

I would now like to talk about your household income and how you receive it.

PROGRAMMING NOTES: SHOW THE NAMES OF HOUSEHOLD MEMBERS FOR WHOM B16=1 (RECEIVED INCOME FROM PRIMARY JOB). AUTOSELECTION OF THE ORDER OF FAMILY MEMBERS INTERVIEWED (RANDOMLY, EACH OF THEM)

G1.

Now I would like to talk to about the income of your household. In the last 30 days, how much money did your household receive from the following sources?

Code Number Code LabelProgramming notes

(numerical input)

1.

Income from primary job: INSERT NAME

Repeat this code with names of all household members who code B16 =1

2.

Income from primary job: INSERT NAME

Repeat this code with names of all household members who code C5.1 =1

3. Selling things you have made, cooked or farmed

4. Doing things for people (e.g. looking after sick people, giving people rides in your car)

5. Loans or borrowing money6. Pension7. Scholarships (e.g. for school or university fees)8. Any type of subsidies9. Money from religious institutions or charities

10. Money sent by family members living abroad or in another part of the country

11. Any other sourcesEXCLUSIVE CODE: NONE OF THE ABOVE

NUMERIC. MIN=0. MAX=100,000,000 (ALLOW 0)

You mentioned that you have received income from subsidies in the last 30 days. Thinking about these subsidies, have these included any type of food rationing coupons or free food provided to you by the government for items such as rice, lentils, tea and spices etc.?

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Code Number Code Label Scripting / Routing Instruction1. Yes Continue2. No Continue3. Don’t know Continue

G6.1

TOTAL AMOUNT OF INCOME PER HOUSEHOLD:

G3.1

G6.2

TOTAL AMOUNT OF INCOME PER EACH HOUSEHOLD MEMBER:

DIVIDED BY NUMBER OF HH MEMBERS

DO NOT ALLOW INTERVIEWER TO CHANGE NUMBERS HERE

PROGRAMMING NOTES: ASK ALL FAMILY MEMBERS. NUMERIC. MIN=0 MAX=100,000,000 INR

G7.

In the last 6 months, What is the average income your household receives from all sources per month? This could be from main and secondary employment, or any other sources such as something you sold, or money you have received from family members or other people.

Please give your answer in taka rupees. If you don’t know the exact amount, give, please, your best estimate

/INTERVIEWER, IF THE RESPONDENT CANNOT GIVE AN ANSWER OF THE AVERAGE AMOUNT IN THE LAST 6 MONTHS, ASKWHAT IS THEIR USUAL AMOUNT OF INCOME IN ANY GIVEN MONTH/ INTERVIEWER: ASK RESPONDENT TO ANSWER SPONTANEOUSLY AND CODE INTO BANDS; IF UNWILLING TO GIVE EXACT ANSWER THEN READ BANDS

1 Less than 2,5002 2,500- 6,0003 6,001 – 10,0004 10,001- 15,0005 15,001- 20,0006 20,001- 25,0007 25,001- 30,0008 30,001- 35,0009 35,001- 40,00010 40,001 – 45,00011 45,001 – 50,00012 50,001 – 100,00013 100,000 +

INCLUDE DON’T KNOW OPTION; SINGLE CODE

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G7.1

Thinking about the last month, has your household income been higher, lower, or the same than normal?

Code Number Code Label Scripting / Routing Instruction1. Higher Continue2. Lower Continue3. The same Continue

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SECTION H: HOUSEHOLD EXPENDITURE

PROGRAMMING NOTES: SHOW ON A SEPARATE SCREEN

/INTERVIEWER, PLEASE DIRECT QUESTIONS OF THIS SECTION TO MAJOR PLANNERS AND DECISION MAKERS /SHOW THE NAMES FROM C6 AND C7. HOWEVER, PLEASE ENSURE THAT AS MANY HOUSEHOLD MEMBERS AS POSSIBLE ARE PRESENT FOR THIS SECTION OF THE SURVEY. PLEASE CHECK IF THERE ARE ANY TYPES OF EXPENDITURES THAT ARE MADE BY SOME HOUSEHOLD MEMBERS ON THEIR OWN, E.G. CHILDREN, INCASE OTHERS ARE NOT AWARE OF THEM//INTERVIEWER, PLEASE READ/Now I would like to speak to /SHOW THE NAMES FROM C6 AND C7/. As you are the major decision maker(s) within the household I would like to ask you about how much your household spends on several different categories of products and services. If there are any other household members who are more aware about some types of expenditure, I would like to ask them to stay and contribute into answers.

PROGRAMMING NOTES: ASK ALL. SINGLE CODE PER ROW

H2.

How much did your household pay for the following items in the last 30 days?

Please, give an answer for each option and estimate amount spent

/INTERVIEWER, PLEASE GIVE RESPONDENT THEM SHOWCARD H2/

Code Number Code Label

Programming notes (numerical input)

1.Food and drinks for the household (including drinking water, street food, snacks, food away from home, etc)

Continue

2. Purchase/ mortgage / rent for house/ apartment

Continue

3. Fuel/ Light Continue4. Non-drinking water Continue

5.Household items and appliances and technological devices such as mobile phones and computers, including repair

Continue

6.Domestic servants (e.g. someone who cleans your house, cook for you, take care of children, etc)

Continue

7. Household washing materials (e.g. laundry detergent, washing up liquid, etc.)

Continue

8. Clothing or footwear for children or adults Continue

9.

Education (school/ pre-school fees/ books/ text books, extra-classes, parents-teachers associations, contribution to repairs at school, etc)

Continue

10. Healthcare (health visits, medicines, including vitamins)

Continue

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11. Entertainment events, hobbies, festivals and celebrations

Continue

12. Payment of loans Continue13. Money towards savings Continue14. Lending money Continue15. Other (please specify) Continue

DO NOT ALLOW BLANK SPACES

EXCLUSIVE CODE: NONE OF THE ABOVE

H3.

Thinking about the last month, has your household expenditure been higher, lower, or the same than normal?

Code Number Code Label Scripting / Routing Instruction1. Higher Continue2. Lower Continue3. The same Continue

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SECTION I: SHOPPING, FOOD PURCHASE, PREPARATION AND CONSUMPTION PATTERNS

PROGRAMMING NOTES: SHOW SEPARATELY ON THE SCREEN

/INTERVIEWER, IN THIS SECTION, PLEASE, SPEAK TO THE KEY DECISION-MAKER IDENTIFIED IN C6/

I would now like to speak to /INSERT NAME OF KEY DECISION MAKER AND PLANNER – ENTER THE NAME FROM C6/. I’d like to ask some questions about how you usually buy food, cook and eat in your household.

PROGRAMMING NOTES: ASK ALL. MULTIPLE CODE

I1.

I am going to read a list of foods. For each one, please tell me where you usually buy it. If you buy it from more than one place, tell me where you buy it most frequently.

INTERVIEWER: USE SHOW CARD

ACROSS TOP OF GRID

Code Number Code Label Scripting / Routing Instruction1. Chain supermarket Continue

2. Mini supermarket (i.e. an independent supermarket with one store)

Continue

3. Open market Continue

4. Within the community (i.e. bought from neighbour) or produced by household

Continue

5. Kiosk (i.e. a permanent, enclosed stall) Continue6. Stall (e.g. on the street, not part of a market) Continue7. Café/ restaurant/ bar99. Other (please specify) Continue8. Don’t buy this/ don’t use Continue

DOWN SIDE OF GRID

Code Number Code Label Scripting / Routing Instruction1 1. Tea Continue

2

2. Cocoa based/ malt drinks(e.g. Bournvita, Milo, Horlicks, Maltova)

Continue

3 3. Milk Continue

4 4. Cheese and yoghurt

55. Flour Continue

66. Fruit and vegetables

Continue

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7 7. Packaged noodles, pasta Continue8 8. Beans and peas (e.g. lentils) Continue9 9. Meat (e.g., pork, lamb or chicken) Continue10 10. Fish/seafood (fresh or dried) Continue11 11. Eggs Continue12 12. Sweets, biscuits, chocolate Continue13 13. Snacks (e.g. chaat, samosas, pakoras) 14 14. Cooking oil15 15. Salt

PROGRAMMING NOTES: ASK ALL. MULTIPLE CODE

I3.

Do you and your family buy and eat prepared food (including dishes/meals, snacking, fast food) in any of the following places?

Please select all that apply

/INTERVIEWER, PLEASE READ OUT OPTIONS/

Code Number Code Label Scripting / Routing Instruction1. Restaurant Continue2. Street food stall Continue4 Street vendors (e.g. chai wallah)5. Other (please, specify) Continue6. Don’t buy prepared food /EXCLUSIVE/ Continue

PROGRAMMING NOTES: ASK ALL. SINGLE CODE:

I3.B.

How often, if at all, do you or your family eat/drink food or drinks that you have collected from the wild (e.g. from wild fields or wild animals, not from farmed land)?

/INTERVIEWER, PLEASE READ THE OPTIONS TO THE RESPONDENT/

Code Number Code Label Scripting / Routing Instruction1. Everyday Continue to I3.C2. 4-6 times a week Continue to I3.C3. 2-3 times a week Continue to I3.C4. Once a week Continue to I3.C5. Once a month Continue to I3.C6. Once every 2-3 months Continue to I3.C7. Once every 6 months Continue to I3.C8. Never Continue to I4

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I3cPROGRAMMING NOTES: ASK ALL WHO ANSWER CODES 1-7 AT I3.B. MULTIPLE CODEI3.C.

What are the types of food that you or your family collect from the wild?

Please select all that apply

/INTERVIEWER, PLEASE READ THE OPTIONS TO THE RESPONDENT/

Code Number Code Label Scripting / Routing Instruction

1. Meat (wild birds, goats, rabbits, rodents, frogs, snakes etc.)

Continue to I4

2. Insects and invertebrates (e.g. snails, termites, caterpillars, grasshoppers, etc)

Continue to I4

3. Vegetables Continue to I44. Fruit Continue to I4

5. Herbs or spices (e.g. mint, coriander, cinnamon, ginger etc)

Continue to I4

6. Roots/tubers (potato, yam) Continue to I47. Milk from wild animals Continue to I48. Fish Continue to I49 Other (please specify)_____________ Continue to I4

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I3D

PROGRAMMING NOTES: ASK ALL WHO ANSWER CODE 8 AT I3C

Thinking about catching fish from the wild, do you and your family eat it, do you sell it, or both?

Please select all that apply

/INTERVIEWER, PLEASE READ THE OPTIONS TO THE RESPONDENT/

Code Number Code Label Scripting / Routing Instruction1. My family and I eat it2. We sell it

I3E

PROGRAMMING NOTES: ASK ALL WHO ANSWER CODE 8 AT Q13C

How often do you fish for food, either to eat yourself or to sell?

Please select all that apply

/INTERVIEWER, PLEASE READ THE OPTIONS TO THE RESPONDENT/

Code Number Code Label Scripting / Routing Instruction1. Every day 2. 4-6 times a week3. 2-3 times a week4. Once a week5. Less often that once a week

PROGRAMMING NOTES: ASK IF I3B – 1-7. SINGLE CODE IN EACH ROW

I4.

Now I will read you several statements about shopping for food. Could you tell me whether you agree or disagree with each of these statements in regard to your personal feelings about food shopping?

Please select one answer for each statement

/INTERVIEWER, PLEASE READ THE SCALE AND THEN READ OUT THE STATEMENTS/

1. Agree

2. Disagree

Code Numbe

r ROTATION OF STATEMENTS

Scripting / Routing Instruction

1. I can buy food whenever I need to

2. I prefer to buy food which I can share with my friends and neighbours

3. I usually buy different food types, so that me and my family will

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have a varied diet

4. It is most important to provide as much food as possible for my family at each meal

5. Before buying food for my family, I need to discuss what to buy with other family members

6. I prefer to buy and cook heavy food (that keeps you full for a long time) for me and my family

7. I usually buy food which is easy and quick to cook (e.g. packaged noodles) for me and my family

8. I often shop for the cheapest food

9. I often think about whether the food I buy for my family is good for the body

10. I prefer to buy and cook with traditional ingredients, the same as my mother used to cook with

11. It’s important for me to impress others with my food12. I like to be the one who decides what our family will eat13. I like to buy foods or drinks which give me and my family energy

14. I like to buy foods which build my strength and that of my family (e.g. for work)

15.

I often think about food that will help my children to study better, not just fill them up

Do not show if no children in household (i.e. if no household member has age of lower than 15)

16. Sometimes I worry that I or my family will run out of food before we get other food to eat

17. I trust that the milk I buy in markets is pure

18.

If I had a cow, I would give the milk to my children rather than selling it

Do not show if no children in household (i.e. if no household member has age of lower than 15)

PROGRAMMING NOTES: ASK ALL.

PROGRAMMING NOTES: ASK ALL. NUMERIC ANSWER. MIN = 0, MAX = 100,000,000

I5.

In a typical week, how much money do you spend on food and drinks for your family?

/INTERVIEWER, PLEASE TYPE AMOUNT OF MONEY SPENT ON TYPICAL SHOPPING TRIP/

BDT

PROGRAMMING NOTES: ASK ALL. ALLOCATION EXERCISE. MIN = 0, MAX = I5

I6.

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BASELINE: You said that you spend /ENTER THE SUM FROM I5/ taka on food and drinks for your family per week. Distribute the sum of money by all other items (SUM SHOULD BE EQUAL TO I5)

/INTERVIEWER, PLEASE, CONTINUE WITH THE REST OF CARDS AND ASK RESPONDENT TO DISTRIBUTE MONEY BY CATEGORIES/

INTERVIEWER: USE SHOW CARD FOR THIS QUESTION

I7.

Please, imagine that for every week from now on [SHOW IF I2=4-7 (USUALLY PURCHASES FOOD ONCE A WEEK OR MORE OFTEN])/ / month [SHOW IF I2=4-7 (USUALLY PURCHASES FOOD ONCE A MONTH OR MORE OFTEN)/ you have /ENTER THE SUM WHICH IS 20% HIGHER THAN AVERAGE FROM PREVIOUS QUESTION – I5/ taka to spend specifically on food and drinks for your family. Look at the same food types/ categories and again tell me:

a) Which foods or drinks would be your first choice/top priority (maximum of 5 different items allowed) INTERVIEWER: USE SHOW CARD FOR THIS QUESTION

Code Number Scripting / Routing Instruction1. 1. Meat/ chicken/ other poultry2. 2. Bread (e.g. roti, paratha, naan)

3. 3. Rice4. 4. Meals away from home (e.g. in restaurant)

5. 5. Roots/tubers (potato, yam)

6. 6. Snacks (e.g. samosas, pakoras)

7. 7. Sweet snacks (e.g. chocolate, biscuits, donuts)8. 8. Green leafy vegetables such as spinach/ 9. 9. Tomato and onion

10. 10. Vegetables (e.g. brinjal/ Baingan (aubergine)/ bhindi (okra))

11.11. Orange/yellow vegetables like carrots/ sweet

potato, pumpkin12. 12. All other vegetables13. 13. Fresh fish 14. 14. Fruit juice/ soft drinks15. 15. Milk, yoghurt, cheese16. 16. Fresh eggs

17. 17. Ground chickpea/ gram flour

18. 18. Packaged noodles/ pasta

19. 19. Beans and bean products (e.g. brown beans)

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20. 20. Yellow/orange flesh fruits (e.g Mango/ papaya )21. 21. Bananas22. 22. All other fruits23. 23. Mustard seed oil/ ghee24. 24. Spices & herbs (chilli, pepper, cumin etc.)25. 25. Tea29. 26. Alcohol e.g. beer/wine31. 27. Water (bottled or sachet)32. 28. Nuts, e.g. peanuts, cashew 33. 29. Other prepared drinks (tea, coffee, etc.)34 30. Wheat flour35 31. Lentils36. 32. Other foods/drinks specify

1_________________37. 33. Other foods/drinks specify 2_________________38. 34. Other foods/drinks specify 3_________________39 35. Would not spend it on food {EXCLUSIVE CODE}

PROGRAMMING NOTES: ASK ALL. SINGLE CODE FOR EACH ROW

PN: ANSWERS SHOULD BE ACCURATE WITHIN +/- 10%

I8.1

How often did you purchase any products from the following categories in the last 30 days? Please select one option only for each row

/INTERVIEWER, PLEASE READ THE OPTIONS FOR RESPONDENT/

INTERVIEWER: USE SHOW CARD FOR THIS QUESTION

Code Number Code Label1 1. Tea

22. Cocoa based/ malt drinks(e.g. Bournvita, Milo,

Horlicks)Maltova)

3 3. Milk, cheese, yogurt, chaas, lassi

4 4. Grains and starchy foods (e.g. rice, naan, paratha, roti, etc.)

5 5. Potatoes and yam 6 6. Packaged noodles, pasta7 7. Beans and peas (e.g. lentils)8 8. Meat (e.g. lamb or chicken)9 9. Fish/seafood (fresh or dried)10 10. Carrot, pumpkin, sweet potato, orange squash, red pepper

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1111. Medium to dark green leafy vegetables (e.g. spinach, green

salad leaves)

1212. Other vegetables (e.g. okra, aubergine, tomatoes, cucumbers,

onions)

1313. Fruits with dark yellow or orange flesh (e.g. ripe mango, ripe

papaya)14 14. Other fruits (non-yellow flesh e.g. banana, orange, watermelon)15 15. Eggs16 16. Nuts or nut butters (e.g. peanuts, cashew)17 17. Seeds (e.g. pumpkin/ sunflower)18 18. Sweets, biscuits, chocolate19 19. Snacks (e.g. chaat, samosas, pakoras) 20 20. None of the above [EXCLUSIVE CODE]

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Code Number PROGRAMMING NOTES: ACROSS TOP OF GRID Scripting / Routing Instruction1. Have not purchased in the last 30 days Continue2. Every day3. 4-6 times a week4. 2-3 times a week5. Once a week6. 2-3 times in the last 30 days7. Once in last 30 days8. Don’t know

PROGRAMMING NOTES: ASK ALL. SINGLE CODE

I8.

Which of these options best describes your access to foods?

Please select one response

/INTERVIEWER, PLEASE READ OUT THE OPTIONS TO RESPONDENTS/

Code Number Code Label Scripting / Routing Instruction

1. I can always eat the types and variety of food that I would like

Continue to I10

2. I can usually eat the types and variety of food I would like

Continue to I10

3. I usually cannot eat the types of food I would like Continue to I94. I can never eat the types of food I would like Continue to I9

PROGRAMMING NOTES: ASK IF I8= 3 OR 4. SINGLE MULTIPLE CODE

I9.

You said that you cannot usually/ can never eat the types of food you would like to eat. What are the reasons why you said this?

/INTERVIEWER, PLEASE READ OUT THE OPTIONS TO RESPONDENTS/

Code Number Code Label Scripting / Routing Instruction1. Seasonal lack of availability of certain foods Continue

2. All-year round lack of availability of certain types of food

Continue

3. Do not have enough money to buy this food Continue

4.A doctor or other healthcare professional has said I should not eat certain food for health reasons

Continue

5. Do not have the facilities to cook this food Continue6. Do not have the facilities to store this food Continue7. Due to my tradition/ religion Continue8. Other (please specify) Continue9. Don’t know Continue, EXCLUSIVE CODE

PROGRAMMING NOTES: ASK ALL. SINGLE CODE IN EACH ROW

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I10.

I will read to you several statements about eating habits and diet. Tell me, please, for each of the statements if they are true or false from your point of view./INTERVIEWER, PLEASE READ THE SCALE/

1. True

2. False

Code Number ROTATION

1. It is important to eat a lot of fruits and vegetables on a daily basis for good health2. Eating a lot of sugar is good for one’s health

3. Eating more starchy foods (e.g. rice, potatoes, bread) than vegetables is good for one’s health

4. It is necessary to eat animal products regularly for good health5. Using spices (e.g. cumin, ginger) when cooking can be bad for health6. Drinking milk and eating dairy products is good for building strong bones7. A heavier (fatter) person is always healthier8. Lack of food/ bad food has no effect on the texture of the skin, hair and nails9. Protein is not a necessary substance for body growth in children10. Water helps to ease food digestion11. Good nutrition involves eating a variety of foods in the right proportion12. Absence of certain types of food in a diet can cause serious problems with health 13. It is better to eat foods which have added benefits (e.g. flour that has iron added to it)

Thinking about the foods that you eat overall, how good for you do you think they are for your health?

Code Number ROTATION

1. Very good for my health2. Quite good for my health3. Not very good for my health4. Very bad for my health5. Don’t know

SINGLE CODE

I10.a

You said that you don’t think that the food you eat is very good for your health. What are the reasons why you do not eat food that is better for your health?

Code Number ROTATION

1. I cannot afford healthier food

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2. I cannot buy healthier food where I live 3. I can only buy healthy food at certain times of the year 4. I don’t know what is healthy and what is bad for me5. I don’t make the decision about what kind of food I eat6. Less healthy food tastes better7. It is more convenient 8. Other members of my family prefer less healthy food98. Other (specify________)

PROGRAMMING NOTES: ASK IF CODES 3 AND 4 SELECTED AT Q10.1; MULTICODE

I11.

I’ll read you some statements and will ask you to tell me which different foods and drinks you associate with each statement. /INTERVIEWER, PLEASE, GIVE RESPONDENT CARD AND ASK TO CHOOSE THE CATEGORIES/

SHOW IN GRID FORMAT- SPLIT OVER SEVERAL SCREENS IF NECESSARY

1. 1. Tea2. 2. Cocoa based/ malt drinks(e.g. Bournvita, Milo, Horlicks, Maltova)3. 3. Milk, cheese, yogurt, chaas, lassi4. 4. Grains and starchy foods (e.g. rice, naan, paratha, roti, etc.)

5.5. Potatoes and yams

6. 6. Packaged noodles, pasta7. 7. Beans and peas (e.g. lentils)8. 8. Meat (e.g. lamb or chicken)9. 9. Fish/seafood (fresh or dried)10. 10. Carrot, pumpkin, sweet potato, orange squash, red pepper11. 11. Medium to dark green leafy vegetables (e.g. spinach, green salad

leaves)12. 12. Other vegetables (e.g. okra, aubergine, tomatoes, cucumbers, onions)13. 13. Fruits with dark yellow or orange flesh (e.g. ripe mango, ripe papaya)14. 14. Other fruits (non-yellow flesh e.g. banana, orange, watermelon)15. 15. Eggs16. 16. Nuts or nut butters (e.g. peanuts, cashew)17. 17. Seeds (e.g. pumpkin/ sunflower)18. 18. Sweets, biscuits, chocolate19. 19. Snacks (e.g. chaat, samosas, pakoras) 20. 20. None of the above [EXCLUSIVE CODE]

Code Number Code Label1. It is tasty – I enjoy it2. Shows you have more money 3. Is quick to prepare4. Children like it

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5. Mainly eaten/drunk at special occasions/festivals6. Helps you live longer7. Helps to avoid sickness 8. It’s cheap/ affordable9. Helps children to study better10. Rich with protein11. Gives you energy 12. Fills you up for a long time13. Makes you stronger14. Only suitable for children15. Not always safe to eat16. Bad for digestion/stomach17. Makes you fat18. I see no point in eating/drinking this

PROGRAMMING NOTES: ASK ALL. SINGLE CODE

I13.

On average, how often did you experience such a situation in the last 6 months when there was not enough food and funds in the household? /INTERVIEWER, PLEASE READ THE SCALE/

Code Number Code Label Scripting / Routing Instruction1. Never Continue2. Once or twice in 6 months Continue3. Three to five times in 6 months Continue4. Once a month Continue5. Once every two weeks Continue6. Once a week Continue7. Two or three times a week Continue8. Every day/ almost every day Continue

INCLUDE DON’T KNOW OPTION

PROGRAMMING NOTES: ASK ALL

I12.

If there is limited food in the household and you are limited in funds what do you do or what would you do in such a situation?

Code Number ROTATION1. Rely on less preferred food2. Rely on less expensive food3. Rely on wild food (berries, fruits, , nuts, etc)4. Borrow money from friends/ relatives to buy food

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5. Borrow food from friends/ relatives6. Purchase food on credit / use credit card7. Use money from savings8. Mortgage and sell assets9. Limit everyone’s portions at meal time

10. [ONLY SHOW IN HOUSEHOLDS WITH CHILDREN LESS THAN 15 YEARS OLD] Limit your own intake to ensure that children get enough

11. Reduce number of meals eaten in a day12. Skip whole day(s) without eating13. Reduce number of people eating in the household14. Use food you have stored

15.Engage in different types of jobs or services to earn money (driving, cleaning, cooking, etc)

16.Use money meant for other key purposes (e.g. rent, transport, fuel, school for children, medicines) to buy food

PROGRAMMING NOTES: ASK ALL. SINGLE CODE.

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SECTION K: Brand recognition and purchase

PROGRAMMING NOTES: SHOW ON THE SCREEN /INTERVIEWER, IN THIS SECTION, PLEASE, SPEAK TO THE KEY DECISION-MAKER – /SHOW THE NAME FROM C6 /. IF /SHOW THE NAME FROM C6/ IS NOT AVAILABLE, SPEAK TO /SHOW THE NAME FROM C7/. PLEASE, TICK WHOM YOU ARE GOING TO SPEAKING TO/. SHOW THE NAMES AND ALLOW INTERVIEWER TO TICK

PROGRAMMING NOTES: ASK ALL. MULTIPLE CODE PER COLUMN

INTERVIEWER SAY: We are now going to talk about the foods you and your household eat.

K1

I am now going to read you another list of foods. Please tell me which type of these food you usually buy: made by a company and comes in a packet or is made by local people in the community.

INTERVIEWER: USE SHOWCARD HERE

ACROSS TOP OF GRID:

Code Number Code Label Scripting / Routing Instruction1. Made by a company and comes in a packet Continue

2. Made by local people in the community/ produced by household

Continue

8. Do not buy this ContinueDOWN SIDE OF GRID:

Code Number Code Label Scripting / Routing Instruction1 1. Milk Continue2 2. Cooking oil Continue3 3. Rice Continue

44. Flour Continue

55. Lentils

Continue

6 6. Tea Continue7 7. Salt Continue

PROGRAMMING NOTES: ASK ALL. SINGLE CODE

PN: IF NONE FOR A AND B, THEN DO NOT ASK C AND D

K2.

A. First, please tell me all of the brands of milk or milk powder that you are aware of./ INTERVIEWER, DO NOT READ OUT LIST – ALLOW RESPONDENT TO ANSWER SPONTANEOUSLY. /B. Which, if any, of the following milk or milk powder brands have you heard of?/ INTERVIEWER, READ OUT LIST (PROMPTED AWARENESS) ANSWERS MENTIONED IN PREVIOUS QUESTION ARE AUTOMATICALLY SELECTED /C. Which have you bought in the last 30 days?

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D. Which one do you prefer to buy for you and your family?

Code Number

A. Heard of…Spontaneous

B. Heard of… Prompted

MULTICODE EXCEPT OPTION 4AUTOMATICALLY SELECT ANSWERS TICKED AT AAUTOPUNCH ANSWERS TICKED AT A

C. Bought in the last 30days

DO NOT SHOW IF CODE 2 OR 8 SELECTED FOR CODE 1 AT K1SHOW ONLY ANSWERS SELECTED AT A AND B

D. Preferred

SINGLE CODESKIP FOR THOSE WHO ANSWER ‘NONE OF THEM’ AT K1.BSHOW CALL CODES SELECTED AT A,B,C

1. Pran2. Milkman3. Red Cow4. Anchor5. Shapeup6. Farmland7. Diploma8. Milkvita9. Nido10. Aarong11. Fresh

98.Heard of none of them

NOT AN OPTION FOR K1.A.

SINGLE CODE MULTICODENOT AN OPTION FOR K1.C

NOT AN OPTION FOR K1.C

99.None- we do not consume this

SINGLE CODE NOT AN OPTION FOR K1.B

K3.

A. Now thinking about salt, please tell me all of the brands that you are aware of./ INTERVIEWER, DO NOT READ OUT LIST – ALLOW RESPONDENT TO ANSWER SPONTANEOUSLY. /

Code Number

A. Heard of… Spontaneous

B. Heard of…Prompted

AUTOMATICALLY SELECT ANSWERS TICKED AT AAUTOPUNCH ANSWERS TICKED AT A

C. Bought in the last 30days

DO NOT SHOW IF CODE 2 OR 8 SELECTED FOR CODE 7 AT K1SHOW ONLY ANSWERS SELECTED AT A AND B

D. Preferred

SINGLE CODESKIP FOR THOSE WHO ANSWER ‘NONE OF THEM’ AT K2.BSHOW CALL CODES SELECTED AT A,B,C

1. ACI

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2. Mollah

3. Confident

98.Heard of none of them

NOT AN OPTION FOR K3.A

SINGLE CODE MULTICODE NOT AN OPTION FOR K1.C

NOT AN OPTION FOR K3.C

99.None- we do not consume this

SINGLE CODE NOT AN OPTION FOR K3.B

B. Which, if any, of the following salt have you heard of?/ INTERVIEWER, READ OUT LIST (PROMPTED AWARENESS) ANSWERS MENTIONED IN PREVIOUS QUESTION ARE AUTOMATICALLY SELECTED /C. Which have you bought in the last 30 days? D. Which one do you prefer to buy for you and your family?

K4.

A. Now thinking about cooking oil, please tell me all of the brands that you are aware of./ INTERVIEWER, DO NOT READ OUT LIST – ALLOW RESPONDENT TO ANSWER SPONTANEOUSLY. /B. Which, if any, of the following cooking oil brands have you heard of?/ INTERVIEWER, READ OUT LIST (PROMPTED AWARENESS) ANSWERS MENTIONED IN PREVIOUS QUESTION ARE AUTOMATICALLY SELECTED /C. Which have you bought in the last 30 days? D. Which one do you prefer to buy for you and your family?

Code Number

A. Heard of… Spontaneous

MULTICODE EXCEPT OPTION 17

B. Heard of Prompted

MULTICODE EXCEPT OPTION 16AUTOMATICALLY SELECT ANSWERS TICKED AT AAUTOPUNCH ANSWERS TICKED AT A

C. Bought in the last 30days

DO NOT SHOW IF CODE 2 OR 8 SELECTED FOR CODE 2 AT K1 SHOW ONLY ANSWERS SELECTED AT A AND B

D. Preferred

SINGLE CODESKIP FOR THOSE WHO ANSWER ‘NONE OF THEM’ AT K2.BSHOW CALL CODES SELECTED AT A,B,C

1. Deepchandra

2. King’s

3. Oliviola

4. Meizan

5Fortune

6 Lucky

7 Aci Nutrilife

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8 Vikings

9 Familiar

10 Teer

11 Muskan

12 Fresh

13 Saffola

14 Olitalia

15 PRAN

16 Rupchada

17 Pusti

18 Swarna

19 Krishani

98.Heard of none of them

NOT AN OPTION FOR K3.A

SINGLE CODE MULTICODE NOT AN OPTION FOR K1.C

NOT AN OPTION FOR K3.C

99.None- we do not consume this

SINGLE CODE NOT AN OPTION FOR K3.B

K5.

A. Now thinking about rice, please tell me all of the brands of rice that you are aware of./ INTERVIEWER, DO NOT READ OUT LIST – ALLOW RESPONDENT TO ANSWER SPONTANEOUSLY. /B. Which, if any, of the following rice brands have you heard of?/ INTERVIEWER, READ OUT LIST (PROMPTED AWARENESS) ANSWERS MENTIONED IN PREVIOUS QUESTION ARE AUTOMATICALLY SELECTED /C. Which have you bought in the last 30 days? D. Which one do you prefer to buy for you and your family?

Code Number

A. Heard of… Spontaneous

MULTICODE EXCEPT OPTION 17

B. Heard of…Prompted

MULTICODE EXCEPT OPTION 16AUTOMATICALLY SELECT ANSWERS TICKED AT AAUTOPUNCH ANSWERS TICKED AT A

C. Bought in the last 30days

DO NOT SHOW IF CODE 2 OR 8 SELECTED FOR CODE 3 AT K1SHOW ONLY ANSWERS SELECTED AT A AND B

D. Preferred

SINGLE CODESKIP FOR THOSE WHO ANSWER ‘NONE OF THEM’ AT K2.BSHOW CALL CODES SELECTED AT A,B,C

1. Chashi

2. Alin

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3. National

4. Raj Masala

5Wah

6 Sella

7 ACI

8 BD

9 Biswah

10 Pran

11 Rupchandra

12 Pushti Chal

98.Heard of none of them

NOT AN OPTION FOR K3.A

SINGLE CODE MULTICODE NOT AN OPTION FOR K1.C

NOT AN OPTION FOR K3.C

99.None- we do not consume this

SINGLE CODE NOT AN OPTION FOR K3.B

K6.

A. Now thinking about flour, please tell me all of the brands of flour that you are aware of./ INTERVIEWER, DO NOT READ OUT LIST – ALLOW RESPONDENT TO ANSWER SPONTANEOUSLY. /B. Which, if any, of the following flour brands have you heard of?/ INTERVIEWER, READ OUT LIST (PROMPTED AWARENESS) ANSWERS MENTIONED IN PREVIOUS QUESTION ARE AUTOMATICALLY SELECTED /C. Which have you bought in the last 30 days? D. Which one do you prefer to buy for you and your family?

Code Number

A. Heard of… Spontaneous

MULTICODE EXCEPT OPTION 17

B. Heard of…Prompted

MULTICODE EXCEPT OPTION 16AUTOMATICALLY SELECT ANSWERS TICKED AT AAUTOPUNCH ANSWERS TICKED AT A

C. Bought in the last 30days

DO NOT SHOW IF CODE 2 OR 8 SELECTED FOR CODE 4 AT K1SHOW ONLY ANSWERS SELECTED AT A AND B

D. Preferred

SINGLE CODESKIP FOR THOSE WHO ANSWER ‘NONE OF THEM’ AT K2.B

SHOW CALL CODES SELECTED AT A,B,C

1. Teer

2. Fresh

3. Pusti

4. Yusuf

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5Saad

6 Eldars

7 Fowzi

8 Silver

9 Horse

10 Dimomd

11 Keya

12 Romoni

13 ACI

98.Heard of none of them

NOT AN OPTION FOR K3.A

SINGLE CODE MULTICODE NOT AN OPTION FOR K1.C

NOT AN OPTION FOR K3.C

99.None- we do not consume this

SINGLE CODE NOT AN OPTION FOR K3.B

K7.

In the last year, have you eaten anything that you know has been has extra benefits added to it? For example, this could be salt with added iodine, oil with added vitamin A, flour with added iron or rice with a mix of vitamins and minerals.

Code Number Code Label Scripting / Routing Instruction1. Yes Continue2. No Continue

ASK ALL, SINGLE CODE

K8.

You said that you have eaten fortified food in the last year. What is the reason for this?

Code Number Code Label Scripting / Routing Instruction1. It is better for my health Continue2. It is the only option available Continue3. It was given to me by an organisation for free Continue4. It tastes better/ is the brand I prefer Continue5. Don’t know Continue6. Other (specify______) Continue

ASK ALL; MULTICODE; RANDOMISE

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K9.

Now I will read you several statements about different types of food. Could you tell me whether you agree or disagree with each of these statements?

Please select one answer for each statement

/INTERVIEWER, PLEASE READ THE SCALE AND THEN READ OUT THE STATEMENTS/

1. Agree

2. Disagree

Code Numbe

r ROTATION OF STATEMENTS

Scripting / Routing Instruction

1.I prefer pre-packaged branded food to loose food I buy in a market

2. Pre-packaged branded food is better for my health than loose food I buy in a market

3. I buy pre-packaged branded food to impress people

4. Pre-packaged branded food is safer to eat than loose food I buy in a market

5. Pre-packaged branded food is worth the extra cost6. I would buy only pre-packaged branded food if I could

7. I trust food that has been has extra benefits to it (e.g. flour that has iron added to it)

8. I actively look for food that has extra benefits to it (e.g. flour that has iron added to it).

PROGRAMMING NOTES: ASK ALL.

K9.

You said previously that you buy the following food types loose from a market. What are the reasons why you buy these types of food in loose form?

INTERVIEWER: ALLOW RESPONDENT TO ANSWER SPONTANEOUSLY AND CODE ANSWERS

DOWN SIDE OF GRID: PIPE THROUGH CODES SELECTED AS CODE 2 AT K1

ACROSS TOP OF GRID:

Code Number Code Label Scripting / Routing Instruction1. I prefer the taste2. It impresses people3. It is safer4. It is cheaper5. I trust the product 6. It is better quality7. Habit/ what I always do8. It is better for my/ my family’s health

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9. Other (specify) OE BOX, Anchor10. Don’t know Anchor

K10.

You said previously that you buy the following food types in pre-packaged form. What are the reasons why you buy these types of food in packages?

INTERVIEWER: ALLOW RESPONDENT TO ANSWER SPONTANEOUSLY AND CODE ANSWERS

DOWN SIDE OF GRID: PIPE THROUGH CODES SELECTED AS CODE 1 AT K1

ACROSS TOP OF GRID:

SAME TABLE AS AT K9

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SECTION J: POTENTIAL CONSUMPTION AND ADDITIONAL INCOME ASPIRATIONS

PROGRAMMING NOTES: SHOW ON THE SCREEN /INTERVIEWER, IN THIS SECTION, PLEASE, SPEAK TO THE KEY DECISION-MAKER – /SHOW THE NAME FROM C6/. IF /SHOW THE NAME FROM C6/ IS NOT AVAILABLE, SPEAK TO /SHOW THE NAME FROM C7/. PLEASE, TICK WHOM YOU ARE GOING TO SPEAKING TO/. SHOW THE NAMES AND ALLOW INTERVIEWER TO TICK

PROGRAMMING NOTES: ASK ALL. SINGLE CODE PER ROW

J1.

I will read to you several statements, which people might use to describe their attitude to their income and life in general. Could you tell me whether you agree or disagree with each of these statements in regard to your personal life? /INTERVIEWER, PLEASE READ THE SCALE AND THEN READ OUT EACH STATEMENT/

1. Agree

2. Disagree

Code Number ROTATION EXCLUSIONS

1. Having a good income is one of the most important things in my life – without money you can’t really be happy

2. My main responsibility is to maintain a healthy diet (for my family)

3. For me the most important is to be sure that my family and children are not hungry

4. It is important to have certain items in your house (e.g. stainless steel cups and plates), regardless of how rich you are

5.

My household has enough money to meet our basic needs

If disagree cannot combine with code 6 = agree

6.

My household has enough money to afford some luxuries

If agree cannot combine with code 5 disagree

7. I worry about money

8. If I receive some money unexpectedly I tend to save it rather than spend it

9. I feel that my household’s prospects will improve in the next year

10. Sometimes I have to buy cheaper food than I’d like to buy in order to buy other, more important things or save money for such things

11. If our income increases I’d rather spend more money on higher quality food than on anything else

Do not allow both codes 11 and 12 agree

12.If our income increases I’d rather spend more money on larger items (such as a mobile phone, refrigerator, car, etc), than on better food

Do not allow both codes 11 and 12 agree

13. If I am limited in money I’d prefer to buy better clothes, than spend more money on food

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14. To be part of celebrations and parties is more important than always having a full cupboard of food at home

15.

It is important that our children attend private schools

Do not show if no children in household (i.e. if no household member has age of lower than 15)

16. Our household tries to save money for emergency situations (e.g. when somebody is ill)

17. Though we are not rich, I am satisfied with income we have and what we can afford for ourselves

18. It is important that women are able to work in order to contribute to the household income

PROGRAMMING NOTES: ASK ALL. PRIORITISATION EXERCISE

J2.Next we’d like to understand more about how your household’s spending would change if your monthly income were to increase. Imagine that your average monthly income increases by 20% and will be /ENTER THE SUM FROM G6.1 + 20%/. On which of the following categories would you spend this additional money? Please, look at these categories and choose:B) Which ones would be your first choice/PRIORITY (maximum of 5 different categories allowed) /INTERVIEWER, PLEASE, CONTINUE WITH THE REST OF CARDS AND ASK RESPONDENT TO CHOOSE THOSE CATEGORIES WHICH WILL BE THE FIRST CHOICE. THERE COULD MAXIMUM OF 5 ITEMS. REMOVE THOSE CARDS FROM THE PILE/INTERVIEWER: USE SHOW CARD FOR THIS QUESTION

and A) BASKET 2: FIRST CHOICE (MAXIUMUM OF 5 CATEGORIES ALLOWED)

Code Number ROTATION1. 1. More food to eat at home2. 2. More fast food/ restaurants (e.g. street stalls, eateries) 3. 3. Investment into your business4. 4. More money for children’s education (fees, books, uniform)5. 5. Just savings, not for a specific purchase (i.e. saved in case it is needed)

6. 6. Savings for something needed for the household (e.g. for a valuable household item (refrigerator, freezer, television, furniture, etc)

7. 7. Savings for purchase a car (or minibus/ motorcycle/ scooter)8. 8. Savings for a big event or celebration (e.g. wedding)9. 9. To pay off a debt/ loan/ outstanding bill10. 10. Give (more) to family members/friends11. 11. Buy smaller household items (plates, cups, etc.) 12. 12. More fuel (e.g. firewood, coal, peat, kerosene) 13. 13. More clothing14. 14. More washing materials (soap, laundry, detergent)

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15. 15. More personal hygiene products (shampoo, toothpaste, toilet paper, sanitary products)

16. 16. More cosmetics and perfume17. 17. More on healthcare (e.g. health visits, medicines, etc)18. 18. More on vitamins and mineral supplements19. 19. More on entertainment (e.g. sport events attendance, hobbies, etc)20. 20. More on celebrations (e.g. parties, festivals, etc)21. 21. More on alcohol22. 22. More on travel for recreation23. 23. Other (please specify)

J3.

Thank you very much for your participation in this survey. Would you be willing to share your phone number so that you can be re-contacted? This will be for quality purposes only and your details will

only be shared with relevant people without organisation.

INSERT OPEN ENDED TEXT BOX- MUST BE AT LEAST 11 DIGITS

EXCLUSIVE CODE: “Does not wish to give phone number”

END OF QUESTIONNAIRE

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