Bank Interview Question Answers by ttx14547

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									                                                                                                                                                    Survey Number_____________




     Client Assessment Survey – West Bank
     Interviewer: Fill out the information below before the survey begins. Do not ask the respondent for this information.

     Date of Interview                                                                                                 Quality Control Checks
     Interviewer (code)                                                                                    Field Supervisor
     Branch (code)                                                                                         Date___________ Initials_____________
     Client Location:                         Urban=0; Rural=1; Refugee Camp=2
                                                                                                           Headquarters
                                                                                                           Date___________ Initials_____________
     Time in Program:                         Months
                                                                                                           Data Processor
     Client or ID #                                                                                        Date___________ Initials_____________


     Interviewer: Introduce the survey to the respondent. Say: "Hello. My name is ____. I work for the organization _______. We are trying to learn a little bit more about the
     clients we work with, and so I have a few questions I would like to ask today. It should only take us about 15 minutes, and the answers you provide will be put together with
     answers from other households. All of your answers are confidential and your name will not be given with your answers. Are you willing to take some time to answer these
     questions today?" After he/she agrees, proceed with the dialogue below.


     Interviewer: "I would like to ask you some questions about the people in your household. Let me tell you a little bit about what we mean by 'household.' For our purposes
     today, members of a household are those that live together and eat from the "same pot." Each person contributes to and benefits from the household. It should include anyone
     who has lived in your house for 6 of the last 12 months, but it does not include anyone who lives here but eats separately. Do you have any questions about that?" Answer
     any questions the respondent has before proceeding.


     Interviewer: Ask the respondent to list all members of the household, using the definition above. After completing Column A, then ask for the information in Columns B-E,
     filling out each row completely before moving to the next household member. Write the information down in the chart as he/she relays it to you. Say to the respondent: "Now I
     would like you to identify each person in your household and then answer some basic questions about each person."



                        A.                                   B.                            C.                          D.                           E.

             Household Members                  What is [NAME]'s relation            How old is             What is [NAME]'s marital       What is [NAME]'s
                                                to the household head?               [NAME]?                         status?               refugee status?
                                                                                                             (For persons 12 years
                                                                                                                   and older)
                                                   Head…………………..1
                                                   Spouse………………..2
                                                   Child…………………..3
                                                                                                                Never married …..1
                                                   Parent…………………4
                                                                                   (in complete years.          Married…………..2            Registered refugee…...1
                                                   Sibling…………………5
                                                                                 Record '0' for age less        Divorced…………3             Unregistered refugee...2
                                                   Grandparent…………..6
                                                                                     than one year)             Widowed………..4             Not a refugee………....3
                                                   Grandchild…………….7
                                                                                                                Separated……….5
                                                   Daughter-/son-in-law…8
                                                   Other relative………….9
1.                                                 Non-relative…………..10

     1) Respondent
     2)
     3)
     4)
     5)
     6)
     7)
     8)
     9)
     10)
     11)
     12)
     13)
     14)
     15)
     Interviewer: Skip this section and return to fill in the answers after the interview. Do not ask the respondent these questions;
      fill in the answers from the information in the preceding table.
2. Number of people living in household (record number of household members from Column A in the roster):
3. Age of houshold head (record age from Column C of person identified as household head in Column B):
4. Number of household members 15 years of age or younger (record number of household members with age 15 or younger in Column C):
5. Number of household members between 16 and 64 years of age (record number of household members with ages of 16-64 in Column C):
6. Marital status of household head (record number from Column D of person identified as household head in Column B):
7. Are any members of the household a refugee? (enter 1 for yes, if any member has 1 or 2 in Column E; enter 0 otherwise):
                                                                                                                                                                          no=0, yes=1




      USAID Poverty Assessment Tool, West Bank, Version 1.2
                                                                                                                                                              Survey Number_____________




    Interviewer : "Now I would like to ask you a few questions about your home."

    Interviewer: For the following questions, do not read the answers. Ask respondent the question and match the answer to the most similar option on the survey. If
    respondent's answer is unclear, probe until you find an adequate answer.

 8. How many rooms are there in your dwelling (excluding bathrooms and kitchen)?

 9. What is the main building material used for the outside walls of your dwelling?
      Cleaned stone…………………1                                   Cement cob……………….4                                  Other……………………..7
      Stone and cement…………….2                                 Concrete……...…..……….5
      Old stone…………………….....3                                 Mud…………...……..……..6

10. What is the main source of energy for heating your dwelling?
      None.…......…...……...…....…....0                        Kerosene…………….….....2                               Wood/Coal………......…..4
      Gas……………............................1                   Electricity.………..................3                  Other...................................5

11. What is the main source of energy for your oven?
      Do not own oven…..…………..0                               Wood……………………….3                                     Other...................................6
      Gas…………………...…………1                                      Olive cake………………….4
      Electricity………………………..2                                 Coal….……………………..5

12. What is the main source of energy for your water heater?
      Sun………………………….…..1                                      Electricity…………………...4                              Other...................................7
      Gas…………………...…………2                                      Wood…....………………….5
      Kerosene…………………….....3                                  Coal….……………………..6

13. What kind of water network is your dwelling connected to?
      Public network…….....…………1                              Private system…………….2                               No piped water………….3

14. What kind of sewage system is your dwelling connected to?
      Public sewage system………..1                              Cesspit……………………..2                                  No sewage system……..3

    Interviewer: For the following question, ask respondent the question, read all the answer options before allowing the respondent to answer, then match the respondent's
    answer. If respondent's answer is unclear, probe until you find an adequate answer.

15. The tenure of the dwelling occupied by the household is:
      Owned.…......…...……...….…....1                          Rented with furniture…......3                       In exchange for work…...5
      Rented with no furniture...........2                    Free/ no payment..…..........4                      Other...................................6


    Interviewer: "Now I would like to ask you about a few items that members of your household may own."

16. Does your household have a home library?
                                                                                                                                                                              no=0, yes=1

17. Does your household have a television?
                                                                                                                                                                              no=0, yes=1

18. Does your household have a video (VCR)?
                                                                                                                                                                              no=0, yes=1

19. Does your household have a vacuum cleaner?
                                                                                                                                                                              no=0, yes=1

20. Does your household have a washing machine?
                                                                                                                                                                              no=0, yes=1

21. Does your household have a solar boiler?
                                                                                                                                                                              no=0, yes=1

22. Does your household have a private car?
                                                                                                                                                                              no=0, yes=1


    Interviewer: Look over the survey to see if you have missed any questions. If you have, please ask those questions of the respondent. If not, it is the end of the interview.
    Remember to thank the respondent for his/her time in helping you answer these questions!
    Now return to the questions in the box at the bottom of the first page and fill in the answers.




     USAID Poverty Assessment Tool, West Bank, Version 1.2
1=Alto Paraguay    7=Caazapá      13=Itapúa
2=Alto Paraná      8=Canindevú    14=Misiones
3=Amambay          9=Central      15=Neembucú
4=Asunción        10=Concepción   16=Paraguarí
5=Boquerón        11=Cordillera   17=Presidente Hayes
6= Caaguazú       12=Guairá        18=San Pedro

								
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