NSP Baseline Questionnaire - Female Individual
SECTION 0: INTERVIEW CODES
0.01 Date of Interview 0.03 Supervisor Code 0.04 Start Time of Interview 0.06 Province Name 0.08 District Name 0.10 Village Name 0.12 Alternate Village Name 1 0.14 Village Entrance Latitude 0.16 Interview Location Latitude 1 2 3 4 5 6 7 8 9 N.B.: |___|___|·|___|___|___|___|___|___| |___|___|·|___|___|___|___|___|___| Field in Village [>>1.01] Field outside Village [>>1.01] Community Building Temporary Shelter In Headman's House In Other House Field within Headman's Compound Field Within Other Compound Other: Month: |___|___| |___|___|___| |___|___|:|___|___| 0.05 End Time of Interview 0.07 Province Code 0.09 District Code 0.11 Village Code 0.12 Alternate Village Name 2 0.13 Village Entrance Longitude 0.15 Interview Location Longitude 1 2 3 4 5 6 7 8 |___|___|·|___|___|___|___|___|___| |___|___|·|___|___|___|___|___|___| Modern Building with Glass Windows Modern Building with Plastic Windows Modern Building with Open Windows Traditional Tent Relief Tent Mud Building Makeshift Structure Other: |___|___|:|___|___| |___|___| |___|___|___| |___|___|___|___|___| Day: |___|___| 0.02 Enumerator Code |___|___|___|
0.16 Location of Interview
Code Type of Dwelling or [IF IN 0.17 FIELD OF COMPOUND] Main Building in Compound
ALL QUESTIONS IN SECTION 0, EXCEPT 0.05, SHOULD BE COMPLETED PRIOR TO THE START OF THE INTERVIEW.
NSP Baseline Questionnaire - Female Individual
SECTION 1: GOVERNANCE & INSTITUTIONS [PART I]
1.01 RECORD NUMBER ASSIGNED TO PARTICIPANTS SEATING PLACE [MUST MATCH NUMBER IN TABLES IN SECTIONS 1, 3i, 4i, 4ii, 5i & 5ii. OF FOCUS GROUP IN QUESTIONNAIRE] |___|___| 1.02 What is the name of the person or persons most responsible for making decisions on behalf of the community? [MAX 3] 1.03 Does this person [OR PEOPLE] hold any other positions or title? For example, are they the Malik or Arbab, the Mirab, the Mullah, the Mullawi, the Qumandan, or do they hold some title or responsibility? [CODE FROM OCCUPATION CARD] 1.02 - Name D 1 2 3 A B C Don't Know Refuse to Answer Disagreement No Such Person 1.03 - Code D No Such Person |___|___| |___|___| |___|___| A Don't Know B Refuse to Answer A B D CODE FROM OCCUPATION CARD (MAX 5) 1.04 – Dispute 1.08 – Protection D No Such Person No Such Person |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| Don't Know A Don't Know B Refuse to Answer Refuse to Answer 1.05 - Emerg. Loan 1.09 - Water D No Such Person No Such Person |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| Don't Know A Don't Know B Refuse to Answer Refuse to Answer 1.06 - Non-Emerg. 1.10 - Rules D No Such Person No Such Person |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| |___|___| Don't Know A Don't Know B Refuse to Answer Refuse to Answer 1.07 - Dev't Projects No Such Person |___|___| |___|___| |___|___| |___|___| |___|___| Don't Know Refuse to Answer 1.13 Do women serve [ON THE SHURA / AS VILLAGE LEADERS] or have their own shura? 1 No [ALL >> 1.15] 2 Serve On Shura / As Village Leaders 3 Have Own Shura A Don't Know [ALL >> 1.15] B Refuse to Answer [ALL >> 1.15] 1.14 What is the total number of women that serve as [SHURA MEMBERS / VILLAGE LEADERS]? |___|___|___|___| A Don't Know B Refuse to Answer 1.15 When was the last meeting of the [SHURA / VILLAGE LEADERS]? 1 Never 8 Past 6 Months 2 This Week 9 Past 9 Months 3 Past Week 10 Past Year 4 Past 2 Weeks 11 Past 2 Years 5 Past Month More Than Two 12 6 Past 2 Months Years Ago 7 Past 3 Months A Don't Know B Refuse to Answer 1.16 How many people attended the last meeting of the [SHURA / VILLAGE LEADERS]? |___|___|___|___| A Don't Know B Refuse to Answer 1.17 Have you ever attended a meeting of the [SHURA / VILLAGE LEADERS]? 1 No 2 Yes A Don't Know B Refuse to Answer C Not Applicable (No Meetings) 1.18 Are you or a member of your household members of the [SHURA / VILLAGE LEADERS]? 1 No 2 Yes A Don't Know B Refuse to Answer
D
A B D
A B D
1.04 If two or more or members of the village have a hoququi dispute, what is the title or responsibility of the person who usually helps resolve this dispute? 1.05 If a villager needs food or money due to a crop failure or other catastrophe, what is the title of the person in the village who would give them food or money to survive? 1.06 If a villager needs to borrow money for a reason that is not an emergency – for example, to pay for a wedding or other celebration what is the title of the person in the village who would lend them 1.07 Who is most responsible for initiating development projects or cashgenerating activities in the village? What this person's title or responsibility? 1.08 If the village requires protection due to conflict or attacks by bandits, who is the person who would provide this protection? What is this person’s title or responsibility? 1.09 Is there a person who is responsible for providing villagers with access to irrigation or drinking water? What is this person’s title or responsibility? 1.10 Who is the person most responsible for making rules for the village?
A B
1.11 Is there a shura in this village, does this village share a shura with other villages, or is there no Share Shura shura that serves this village? 1 No Shura 3 with Other 2 Shura in Village B Refuse to Answer A Don't Know 1.12 How many people are [MEMBERS OF THE SHURA / VILLAGE LEADERS]? i No One [>> 1.19] j One Person (e.g. Malik / Arbab etc.) [>> 1.19] |___|___|___|___| a Don't Know b Refuse to Answer
NSP Baseline Questionnaire - Female Individual
SECTION 1: GOVERNANCE & INSTITUTIONS [PART II]
General Nothing Resolve Disputes Religious Matters Maintain Spiritual Relations Provide Physical Protection Other [SPECIFY] ACTIVITY CODES [FOR 1.19, 1.20 & 1.21] Community Projects Income-Generating Act. 07 Drinking Water / Wells 17 Carpet Weaving 08 Irrigation 18 Handicrafts 09 Sanitation 19 Embroidery 10 Electricity 20 Textiles 11 Healthcare 21 Agriculture 12 Road & Bridges 22 Animal Husbandry 13 Mosques 23 Trade 14 Community Buildings 24 General / Unspecified 15 General / Unspecified 25 Other [SPECIFY] 16 Other [SPECIFY] Training Courses in: 26 Carpet Weaving 27 Embroidery 28 Handicrafts 29 Textiles 30 Agriculture 31 Animal Husbandry 32 Trade 33 General / Unspecified 34 Other [SPECIFY] UNJUST ACTION CODES [FOR 1.24 & 1.30] General Conflict-Related Marriage-Related Issues (e.g. 09 Refused Assistance from Foreign Forces Forcing People to Marry) Supported or Accepted Assistance from 10 Foreign Forces Made a Bad, Unfair, or Wrong Decision in Dispute 11 Refused Assistance from Afghan Government Administered Harsh or Unfair Supported or Accepted Assistance from 12 Punishment Afghan Government Did Not Provide Community 13 Caused Disagreement within Community Projects / Income-Generating 14 Caused Disagreement with other Communities Activities Supported or Accepted Assistance from 15 Afghan Government Allowed Women Too Much Influence in Community Life Assisted or Supported Mujahed / Jihadis / 16 Qumandan / Jang Salar Did Not Allow Women Enough Influence in Did Not Assist or Support Mujahed / Jihadis / 17 Community Life Qumandan / Jang Salar Administered Unfair or Too Did Not Protect Community from Conflict, 18 High Taxes Attacks or Banditry 19 Other Other Confiscated / Stole Property or Assets of Villagers 20 Cash 21 Land 22 House 23 Livestock 24 Crops 25 Household Goods 26 General 27 Other Corruption Favouritism or 28 Nepotism Embezzlement or 29 Misuse of Funds 30 General 31 Other
01 02 03 04 05 06
01 02 03 04 05 06 07 08
1.19 What was the most important thing that the [SHURA / VILLAGE LEADERS] did in the past year? [USE ACTIVITY CODES] D Nothing |___|___| Other: A B Don't Know Refuse to Answer
1.20 What are the other major activities that [SHURA / VILLAGE LEADERS] have undertaken in the past year? USE ACTIVITY CODES. MARK ALL MENTIONED (MAX 3) D Nothing |___|___| Other: |___|___| Other: |___|___| Other: A B Don't Know Refuse to Answer
1.22 Do [SHURA / VILLAGE LEADERS] base decisions on the opinions and interests of the villagers, those of powerful people in the village, or their own opinions and interests? 1 Villagers 2 Powerful People 3 Own Opinions 4 Both Powerful People & Own Opinions 5 Both Villagers & Powerful People 6 Both Villagers & Own Opinions 7 All Three 8 A B Other: Don't Know Refuse to Answer
1.24 What was the thing or things they did which you did not agree with? USE UNJUST ACTION CODES. MARK ALL MENTIONED (MAX 3) |___|___| |___|___| |___|___| |___|___|
a b
Other: Other: Other: Other:
1.21 What was the most important thing that the [SHURA / VILLAGE LEADERS] did for women in the village in the past year? [USE ACTIVITY CODES] D Nothing |___|___| Other: A B Don't Know Refuse to Answer
1.23 I’d like you to now think about all the things that the [SHURA MEMBERS / VILLAGE LEADERS] have done in the past year, both good and bad. Have the [SHURA MEMBERS / VILLAGE LEADERS] made a decision or done something that you believe was unjust, unfair, not right, or otherwise didn’t agree with? 1 No [>>1.25] 2 Yes A Don't Know [>>1.25] B Refuse [>>1.25]
Don't Know Refuse to Answer
NSP Baseline Questionnaire - Female Individual
SECTION 1: GOVERNANCE & INSTITUTIONS [PART III]
1.26 How does one become a [SHURA MEMBER / VILLAGE LEADER]? [MARK ALL MENTIONED] 1.27 How do you think people should become a [SHURA MEMBER / VILLAGE LEADER]? 1.26 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 A B D 1.28 1.27 1 Selected by God or Spirits 2 Inherited / Hereditary Do Good Deeds or Provide Service to 3 Community Fight in War or Conflict / Protect 4 Community from Physical Threats Be a Religious Leader / Have Good 5 Religious Knowledge 6 Appointed by Religious Leaders 7 Be a Qumandan / Mujahed / Jang Salar Appointed by Qumandan / Mujahed / Jang 8 Salar 9 Demonstrate Wisdom / Be a White Beard 10 Appointed by White Beards 11 Be a Malik / Arbab 12 Appointed by Malik / Arbab 13 Appointed by Other Village Official 14 Appointed by Other Shura Members 15 Appointed by District Administrator 16 Appointed by Provincial Governor 17 Appointed by National Government 18 Appointed by NGOs 19 Other: 20 Other: A B D Don't Know Refuse to Answer Not Possible / Not Applicable 1.29 How happy are you with the work the [SHURA / VILLAGE LEADERS] do for the community? Happy, neutral, or not happy? 1 Happy [>>1.31] 2 Neutral [>>1.31] 3 Not Happy A Don't Know [>>1.31] B Refuse [>>1.31] 1.33 To what extent do you feel the [SHURA / VILLAGE LEADERS] follow the desires of the village community or are making an effort to improve the living conditions of people living in the village? Extremely well, well, or not well at all? 1 Extremely Well 2 Well 3 Not Well At All A Don't Know B Refuse to Answer 1.34 To what extent do you feel the [SHURA / VILLAGE LEADERS] follow the desires of the women in the village or are making an effort to improve the living conditions of women living in the village? Extremely well, well, or not well at all? 1 Extremely Well 2 Well 3 Not Well At All A Don't Know B Refuse to Answer
1.30 What did the [SHURA / VILLAGE LEADERS] do that made you not so happy with them? USE UNJUST ACTION CODES. MARK ALL MENTIONED (MAX 4) |___|___| |___|___| |___|___| |___|___| A B Other: Other: Other: Other:
Don't Know Refuse to Answer
1.31 Do you think women should be [SHURA MEMBERS / VILLAGE LEADERS]? 1 No 2 Yes A Don't Know B Refuse to Answer 1.32 Do you think women should have their own separate shura? 1 No 2 Yes A Don't Know B Refuse to Answer
Do you think the village should be able to elect [SHURA MEMBERS / VILLAGE LEADERS]? No Yes Don't Know Refuse to Answer
1 2 A B
NSP Baseline Questionnaire - Female Individual
SECTION 2: PROJECTS & PRIORITIES
I want you to imagine that the village was given 3,000,000 Afghanis to undertake three development projects. The money could be spent on projects in the following areas: [01] Drinking Water, [02] Irrigation, [03] Schools, [04] Training or Literacy Courses for Women, [05] Training or Literacy Courses for Men, [06] Health and Hygiene Courses, [07] Clinic or Other Health Facilities, [08] Seeds, [09] Agricultural Equipment, [10] Livestock, [11] Roads or Bridges, [12] Electricity, [13] Microfinance Programs, [14] Communal Toilet Facilities, [15] a Community Center, or [16] a Mosque. 2.01 - 2.03: ENTER NUMBER OF ACTIVITY (E.G. 11 FOR "ROADS & BRIDGES") 2.01 On what kind of project should the money be spent on first? |___|___| A Don't Know B Refuse to Answer 2.02 On what kind of project should the money be spent on second? |___|___| A Don't Know B Refuse to Answer 2.03 On what kind of project should the money be spent on third? |___|___| A Don't Know B Refuse to Answer
01 02 03 04 05 06
ACTIVITY CODES [FOR 2.04] General Income-Generating Act. Community Projects Nothing 17 Carpet Weaving 07 Drinking Water / Wells Resolve Disputes 18 Handicrafts 08 Irrigation Religious Matters 19 Embroidery 09 Sanitation 20 Textiles Maintain Spiritual Relations 10 Electricity 21 Agriculture Provide Physical Protection 11 Healthcare Other [SPECIFY] 22 Animal Husbandry 12 Road & Bridges 23 Trade 13 Mosques 24 General / Unspecified 14 Community Buildings 25 Other [SPECIFY] 15 General / Unspecified 16 Other [SPECIFY]
26 27 28 29 30 31 32 33 34
Training Courses in: Carpet Weaving Embroidery Handicrafts Textiles Agriculture Animal Husbandry Trade General / Unspecified Other [SPECIFY]
2.04 What type of community project, training course, or other form of income-generating activity do you think would most benefit women in this village? USE ACTIVITY CODES. MARK ALL MENTIONED (MAX 4) |___|___| Other: |___|___| Other: |___|___| Other: |___|___| Other: A B Don't Know Refuse to Answer
NSP Baseline Questionnaire - Female Individual
SECTION 3: GENERAL LIFE QUESTIONS [PART I]
1 2 3 4 5 6 7 8 Head/Father of the household decides alone Spouse of household head or female household head decides alone Head/Father in consultation with his/her spouse Head/Father in consultation with the person concerned Head/Father and spouse of head in consultation with the person concerned Head/Father and other male members decide Other combination of persons decide Does not apply to this household 3.16 In the last 30 days, did you work for any organization or any individual who is not a HH member? 1 No A Don't Know 2 Yes B Refuse to Answer 3.17 In the last 30 days, did you do any agricultural or livestock work [PAID OR UNPAID], on land owned, rented or used by household? [E.G. CULTIVATING / HARVESTING CROPS, TAKING CARE OF LIVESTOCK OR POULTRY IN YOUR HOUSEHOLD] 1 No A Don't Know 2 Yes B Refuse to Answer 3.18 In the last 30 days, did you do any non-agricultural work in a business enterprise belonging to the household or member of the household? [E.G., AS A TRADER, SHOP OWNER, DRESSMAKER, PROCESSING FARM PRODUCE, MAKING CARPETS OR HANDICRAFTS, OR OTHER BUSINESS ACTIVITY] 1 2 No Yes A Don't Know B Refuse to Answer 3.22 Did you seek medical care? [IF NO] Why not? [MARK ALL MENTIONED] 7 No one to accompany 1 Yes, Sought Treatment 2 No need/ not serious 8 Unsafe 3 Too far No female medical personnel 9 4 Too expensive who could come to dwelling 5 Poor quality of medical personnel 10 Husband did not allow 6 No female medical personnel 12 Family did not allow A Don't Know 13 Traditional constraints B Refuse to Answer 14 Other: 3.23 In the last 30 days, on how many days have you gone outside your dwelling compound? D None [>> 3.25] A Don't Know |___|___| B Refuse to Answer 3.24 In the last 30 days, for what reasons did you leave the dwelling compound? MARK ALL MENTIONED 12 To collect money (begging) 1 To attend school 2 To attend literacy classes 13 To collect trash 3 To go to work outside compound To visit a clinic or health 14 4 To go to a microfinance or NGO professional 5 To go to shops to buy food 15 To see mullah for tawriz 6 To go to shops to buy clothes, 16 To visit family 7 fabric, shoes, cosmetics etc. 17 To visit friends/ neighbours For celebrations (Eid, wedding, 8 18 To go to market for other purpose etc) 9 To accompany children to school 19 Other: 10 To fetch water 11 To go to bakery A Don't Know 12 To collect firewood, brush, ping B Refuse to Answer 3.25 When you go out of the compound, does someone usually accompany you? [IF YES] Who usually accompanies you? 5 Adult Male Family Member 1 No, Unaccompanied 6 Adult Female Family Member 2 Yes, Child Under 10 A Don't Know 3 Child from 11-15 Years 4 Husband B Refuse to Answer 3.26 When you go out of the compound, do you wear a burqa? [IF YES] How often do you wear the burka? 1 No, Don't Wear a Burka 5 Yes, Most of the Time 6 Yes, Always Wear Headscarf or Other Head2 Covering but Not Burqa A Don't Know 3 Yes, But Rarely B Refuse to Answer 4 Yes, Sometimes
I would like you tell me which member of the household makes the decision about the following issues: RECORD NUMBER FROM FAMILY CODES ABOVE 3.01 Purchase of food for the household |___| 3.02 Purchase of clothing for head of household |___| 3.03 Purchase of clothing for wife of household head |___| 3.04 Purchase of clothing for children |___| 3.05 Spending for medical treatment for wife of head |___| 3.06 Spending for medical treatment for other adult females |___| 3.07 Spending for medical treatment for children |___| 3.08 Son's marriage |___| 3.09 Daughter's marriage |___| 3.10 Education for boys |___| 3.11 Education for girls |___| 3.12 Care of elderly |___| 3.13 Taking on or paying off a debt |___| 3.14 If your household has a hoququi dispute, who would you normally seek help from to resolve this dispute? (MAX 3) USE OCCUPATION CODES D No One |___|___| |___|___| |___|___| A Don't Know B Refuse to Answer 3.15 Are female head's views taken into consideration in hoququi disputes? 1 Always 2 Sometimes 3 Rarely 4 Never A Don't Know B Refuse to Answer
3.19 If you do any income generating work, can you decide what to do with the money earned? Do not do any income Can decide in consultation with 1 4 generating work family 2 Can decide myself 5 Spouse decides 6 Family decides Can decide in 3 consultation with A Don't Know spouse B Refuse to Answer 3.20 In the last year, did you borrow or obtain funds that have to be [HAD TO BE] repaid from friends, family, employers, banks, NGOs, traders or any other source? 1 No A Don't Know 2 Yes B Refuse to Answer 3.21 In the last 30 days, have your or any female member of the household been sick or injured? 1 No [>> 3.23] A Don't Know [>> 3.23] 2 Yes B Refuse to Answer [>> 3.23]
NSP Baseline Questionnaire - Female Individual
NSP Baseline Questionnaire - Female Individual
SECTION 3: GENERAL LIFE QUESTIONS [PART II]
3.27 Do you personally own any jewelry? 1 No [>> 3.30] A Don't Know [>> 3.30] 2 Yes B Refuse to Answer [>> 3.30] 3.28 1 2 3 4 5 6 A B How did you acquire this jewelry? Given by my family or inherited from my family Husband bought/ mahar Bought by myself Bought by my children Given as a gift from others Other: Don't Know Refuse to Answer 3.33 Who decides how to use the profits from the livestock you own? 1 Myself alone 2 Myself and husband 3 Husband alone 4 Husband and other male family members 5 My father-in-law or mother-in-law 6 My father or mother 7 A B Other: Don't Know Refuse to Answer 3.37 Who decides how to use the profits from the land you own? 1 Myself alone 2 Myself and husband 3 Husband alone 4 Husband and other male family members 5 My father-in-law or mother-in-law 6 My father or mother 7 A B Other: Don't Know Refuse to Answer
3.29 If you wish to sell this jewelry, who will decide? 1 2 3 4 5 6 7 A B Myself alone Myself and husband Husband alone Husband and other male family members My father-in-law or mother-in-law My father or mother Other: Don't Know Refuse to Answer
3.34 If you wish to sell this livestock, who will decide? 1 Myself alone 2 Myself and husband 3 Husband alone 4 Husband and other male family members 5 My father-in-law or mother-in-law 6 My father or mother 7 A B 3.35 1 2 A B Other: Don't Know Refuse to Answer Do you personally own any land? No [>> 3.39] Yes Don't Know [>> 3.39] Refuse to Answer [>> 3.39]
3.38 If you wish to sell this land, who will decide? 1 Myself alone 2 Myself and husband 3 Husband alone 4 Husband and other male family members 5 My father-in-law or mother-in-law 6 My father or mother 7 A B Other: Don't Know Refuse to Answer
3.30 Do you personally own any livestock? 1 No [>> 3.35] A Don't Know [>> 3.35] 2 Yes B Refuse to Answer [>> 3.35] 3.31 1 2 A B 3.32 1 2 3 4 5 6 A B What kind of livestock do you own? Chickens 3 Goats/sheep Other poultry 4 Cows Don't Know 5 Other: Refuse How did you acquire this livestock? Given by my family or inherited from my family Husband bought/ mahar Bought by myself Bought by my children From NGO / Microfinance Other: Don't Know Refuse to Answer
3.36 How did you acquire this land? Given by my family or inherited from my 1 family 2 Husband bought/ mahar 3 Bought by myself 4 Bought by my children 5 Took out a mortgage 6 A B Other: Don't Know Refuse to Answer
3.39 If you were asked to rate how content you are with your life, would you say you are very unhappy, unhappy, neither happy not unhappy, happy, or very happy? 1 Very Unhappy 2 Unhappy 3 Neither Unhappy nor Happy 4 Happy 5 Very Happy A Don't Know B Refuse to Answer GO TO A.1
NSP Baseline Questionnaire - Female Individual
SECTION A: Enumerator Review
A.01 End Time of Interview:
|__|__|:|__|__|
A.02 What language was this survey mainly conducted in? 1 Pashto 2 Dari 3 Uzbek 4 Pashaie 5 Arabic 6 Urdu 7 Other:
A.07 Please provide a detailed explanation of why the interview was terminated early:
A.11 Were any people not related to the respondent present during all or part of this interview? 1 No [>>A.14] 2 Yes A.12 For all those present who were not related to the respondent, please list their appropriate title or function in the table below: [CODE FROM OCCUPATION CARD] |___|___| Other: Other: Other: Other: Other:
A.03 How was the respondent’s skill in speaking and understanding the language used? Displayed No Problems in Speaking or 1 Understanding Displayed Some Difficulty in Speaking or 2 Understanding Displayed Moderate Difficulty in Speaking 3 or Understanding Displayed Serious Problems Speaking or 4 Understanding A.04 Did the respondent appear angry, upset, or uncomfortable at any point during the 1 No [>>A.06] 2 Yes A.05 List the questions which seemed to make the respondent most angry, upset, or |__| . |__|__| |__| . |__|__| |__| . |__|__| |__| . |__|__| |__| . |__|__| |__| . |__|__| |__| . |__|__| |__| . |__|__| |__| . |__|__| |__| . |__|__| A.06 Was the interview terminated early by the respondent or for any other reason? i No [>>A.08] j Yes
A.08 Were any people related to the respondent present during all or part of this interview? 1 No [>>A.11] 2 Yes A.09 For all those family members present, list their relationship to the respondent in the table below: 01 02 03 04 05 06 07 08 09 Household Head Son Son-in-law Brother Brother-in-law Father Grandfather Grandson Uncle |___|___| |___|___| |___|___| |___|___| 10 11 12 13 14 15 16 17 Nephew Other male relative Unrelated male 1st Wife 2nd Wife 3rd Wife Mother Grandmother |___|___| |___|___| |___|___| |___|___| 18 19 20 21 22 23 24 25 26 Daughter Daughter-in-law Sister Sister-in-law Aunt Granddaughter Niece Other female relative Unrelated female |___|___| |___|___| |___|___| |___|___|
|___|___| |___|___| |___|___| |___|___|
A.13 Please explain why these people were present during the interview:
|___|___| |___|___| |___|___| |___|___|
|___|___| |___|___| |___|___| |___|___|
A.14 Are you very confident, somewhat confident, or not very confident in the overall quality and truthfulness of the respondent’s answers? 1 Very Confident [>>END] 2 Somewhat Confident 3 Not Very Confident A.15 Please explain why you are not very confident in the overall quality and/or truthfulness of the respondent’s answers:
A.10 Please explain why these people were present during the interview:
NSP Baseline Questionnaire - Female Individual
SECTION B: Supervisor Review
B.01 Total Duration of Interview: |___|___| Hours |___|___| Minutes B.02 1 2 3 4 B.03 1 2 3 4 General accuracy of circle-filling Very Clear Somewhat Clear Somewhat Unclear Unclear General accuracy of hand-written responses Very Clear Somewhat Clear Somewhat Unclear Unclear B.11 Describe inaccuracies in Section 0 information: B.17 Was anyone else other than the headof-household present during the interview? 1 No 2 Yes
B.12 Was the interview terminated prior to completion? 1 No 2 Yes B.13 1 2 3 4 How satisfied are you with the quality of this interview? Very Unsatisfied Unsatisfied Satisfied, but with concerns Very Satisfied [>>B.15]
B.04 Number of “Don’t Knows”: |___|___|___| B.05 Number of “Refuse to Answer”: |___|___|___| B.06 Number of Blank Fields (excluding "Other" Fields) that should have a Code or Written Response: |___|___|___| B.07 Number of fields where "Other" is selected but the required written response is missing: |___|___|___| B.08 Number of other errors or logical consistencies: |___|___|___| B.09 Describe logical errors or inconsistencies [if applicable]:
B.14 Please explain why you are not very confident in the overall quality and/or truthfulness of the answers provided by respondent:
B.15 Do you have any other concerns about the quality of this interview or about the enumerators performance in this interview? 1 No 2 Yes [>>B.17] B.16 Please describe any further concerns you have about the quality of this interview or about the enumerators performance in this interview:
B.10 Is GPS and other information in Section 0 entered accurately? 1 No 2 Yes [>>B.12]