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THE GOVERNMENT OF THE GAMBIA GAMBIA BUREAU OF STATISTICS
A. IDENTIFICATION PANELInterviewer ……………………………………………….…………… Local Government Area (LGA) [ ]Interview Date ……………………………………………….…………… Banjul 1 Kerewan 5Interviewer Code…….…/...….. Kanifing 2 Kuntaur 6Quarter { 1, 2, 3 ,4 } [ ] Brikama 3 Janjangbureh 7
Mansakonko 4 Basse 8District name ………………………………… [ __ __ ]Settlement Name………………………………… [ __ __ __ __ __ ]Area 1 - Urban 2 - Rural [ ]E.A. Number [___ ___ ___ ___ ___ ]Selected household (1-20) [___ ___]GPS Coordinates at compound entrance: FID [___________] XUTM [_______________] YUTM [________________]Name of Household Head: ………………….………………………….Address: ……………………………….…………Tel: ……………………………….………… {the tel. numbers would be used to contact the respondents to confirm details submitted}Supervisor ……………………………….………… Supervisor Code: …...…/…...…Checking date ……………………………….…………B. DATA ENTRYCoder/verifier ……………………………….………… Coder/verifier Code: ...……/…...… Coding date ……………………………………Operator ……………………………….………… Operator Code: …...…/…...…Entry date ……………………………….…………
INTEGRATED HOUSEHOLD SURVEY ON CONSUMPTION
EXPENDITURE AND POVERTY LEVEL ASSESSMENT
2015/16
PART TWO: HOUSEHOLD CONSUMPTION EXPENDITURE QUESTIONNAIRE
THIS INFORMATION IS STRICTLY CONFIDENTIAL AND IS TO BE USED FOR STATISTICAL PURPOSES ONLY
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 3 of 62
Page number
5 SECTION 1A: FOOD CONSUMPTION EXPENDITURE
19 SECTION 1B: FOOD CONSUMPTION EXPENDITURE
20 SECTION 2A: NON-FOOD LAST SEVEN DAYS
23 SECTION 2B: NON-FOOD LAST 1 MONTH
27 SECTION 2C: NON-FOOD LAST 3 MONTHS
37 SECTION 2D: NON-FOOD LAST 12 MONTHS
43 SECTION 3A: AGRICULTURE HOLDING
47 SECTION 3B: CROP PRODUCTION
49 SECTION 3C: TRANSFORMATION (PROCESSING) OF AGRICULTURAL PRODUCTS
51 SECTION 3D: CROP INPUT COSTS
53 SECTION 3E: LIVESTOCK
54 SECTION 3F: LIVESTOCK AND FISHING INPUT COSTS
56 SECTION 4A: HOUSEHOLD INCOME
57 SECTION 4B: MISCELLANEOUS INCOME
57 SECTION 4C: MISCELLANEOUS EXPENDITURES
58 SECTION 5: NON-AGRICULTURAL HOUSEHOLD ENTERPRISES
Table of Contents
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 4 of 62
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 5 of 62
SECTION 1A: FOOD CONSUMPTION EXPENDITUREFood consumed within the household last 7 DAYS. Exclude food consumed outside the household.
1 2 5
ASK QUESTION FOR ALL ITEMS,
BEFORE MOVING ON TO
THE NEXT QUESTIONS FOR ITEMS WITH "YES"
YES…....1NO...….2
UNIT UNIT DALASIS UNIT UNIT UNIT
CEREAL AND CEREAL PRODUCTS
Long-grained rice (imported) 101 . . . . .Paddy rice long grain (local) 102 . . . . .Medium-grained rice (imported) 103 . . . . .Small grained rice (imported) 104 . . . . .Basmati Rice (imported) 105 . . . . .Uncle Ben's Rice (imported) 106 . . . . .Maize 107 . . . . .Millet 108 . . . . .Sorghum 109 . . . . .Findi 110 . . . . .Maize flour 111 . . . . .
Within the past 7 days, did the
members of this household
eat/drink any of this [ITEM] within the
household?
How much did your household spend on this
[ITEM] in the last 7 days?
How much of consumption of this
[ITEM] in the last 7 days came from own-
production?
How much of consumption of this
[ITEM] in the last 7 days came from gifts and other
sources?
ITEM CODE
QUANTITY QUANTITY QUANTITY QUANTITY QUANTITY(>>NEXT
ITEM)
8How much of
consumption of this [ITEM] in the last 7 days
came from purchases?
3 4How much in total did
your household consume of this [ITEM] in the last
7 days?
How much did the household purchase of
this [ITEM] in the last 7 days?
6 7
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
5
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 6 of 62Food consumed within the household last 7 DAYS. Exclude food consumed outside the household.
1 2 5
ASK QUESTION FOR ALL ITEMS,
BEFORE MOVING ON TO
THE NEXT QUESTIONS FOR ITEMS WITH "YES"
YES…....1NO...….2
UNIT UNIT DALASIS UNIT UNIT UNIT
Within the past 7 days, did the
members of this household
eat/drink any of this [ITEM] within the
household?
How much did your household spend on this
[ITEM] in the last 7 days?
How much of consumption of this
[ITEM] in the last 7 days came from own-
production?
How much of consumption of this
[ITEM] in the last 7 days came from gifts and other
sources?
ITEM CODE
QUANTITY QUANTITY QUANTITY QUANTITY QUANTITY(>>NEXT
ITEM)
8How much of
consumption of this [ITEM] in the last 7 days
came from purchases?
3 4How much in total did
your household consume of this [ITEM] in the last
7 days?
How much did the household purchase of
this [ITEM] in the last 7 days?
6 7
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
Millet flour 112 . . . . .Sorghum flour 113 . . . . .Wheat flour 114 . . . . .Gari (cassava flour) 115 . . . . .Other grains and flour 116 . . . . .Bread 117 . . . . .Biscuit 118 . . . . .Cake (pan, etc.) 119 . . . . .Pasta and pasta products 120 . . . . .Meat pie/fish pie/sausage roll 121 . . . . .Other cereal and cereal products 122 . . . . .
POULTRY AND POULTRY PRODUCTS
Chicken (local) 123 . . . . .6
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 7 of 62Food consumed within the household last 7 DAYS. Exclude food consumed outside the household.
1 2 5
ASK QUESTION FOR ALL ITEMS,
BEFORE MOVING ON TO
THE NEXT QUESTIONS FOR ITEMS WITH "YES"
YES…....1NO...….2
UNIT UNIT DALASIS UNIT UNIT UNIT
Within the past 7 days, did the
members of this household
eat/drink any of this [ITEM] within the
household?
How much did your household spend on this
[ITEM] in the last 7 days?
How much of consumption of this
[ITEM] in the last 7 days came from own-
production?
How much of consumption of this
[ITEM] in the last 7 days came from gifts and other
sources?
ITEM CODE
QUANTITY QUANTITY QUANTITY QUANTITY QUANTITY(>>NEXT
ITEM)
8How much of
consumption of this [ITEM] in the last 7 days
came from purchases?
3 4How much in total did
your household consume of this [ITEM] in the last
7 days?
How much did the household purchase of
this [ITEM] in the last 7 days?
6 7
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
Chicken (imported) 124 . . . . .Duck 125 . . . . .Eggs 126 . . . . .Other poultry & products 127 . . . . .
MEAT
Beef 128 . . . . .Sheep (mutton) 129 . . . . .Goat meat 130 . . . . .Pork 131 . . . . .Canned meat 132 . . . . .Other meat (excl. poultry) 133 . . . . .
FISH
Fresh Bonga 134 . . . . .7
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 8 of 62Food consumed within the household last 7 DAYS. Exclude food consumed outside the household.
1 2 5
ASK QUESTION FOR ALL ITEMS,
BEFORE MOVING ON TO
THE NEXT QUESTIONS FOR ITEMS WITH "YES"
YES…....1NO...….2
UNIT UNIT DALASIS UNIT UNIT UNIT
Within the past 7 days, did the
members of this household
eat/drink any of this [ITEM] within the
household?
How much did your household spend on this
[ITEM] in the last 7 days?
How much of consumption of this
[ITEM] in the last 7 days came from own-
production?
How much of consumption of this
[ITEM] in the last 7 days came from gifts and other
sources?
ITEM CODE
QUANTITY QUANTITY QUANTITY QUANTITY QUANTITY(>>NEXT
ITEM)
8How much of
consumption of this [ITEM] in the last 7 days
came from purchases?
3 4How much in total did
your household consume of this [ITEM] in the last
7 days?
How much did the household purchase of
this [ITEM] in the last 7 days?
6 7
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
Smoked Bonga 135 . . . . .Cat Fish 136 . . . . .Fresh Grouper/Ladyfish 137 . . . . .Fresh Barracuda 138 . . . . .Dried Couta/Tenny 139 . . . . .Oyster 140 . . . . .Dried fish 141 . . . . .Smoked fish 142 . . . . .Frozen fish 143 . . . . .Shrimps 144 . . . . .Snail fish 145 . . . . .Saul fish 146 . . . . .Tilapia 147 . . . . .
8
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 9 of 62Food consumed within the household last 7 DAYS. Exclude food consumed outside the household.
1 2 5
ASK QUESTION FOR ALL ITEMS,
BEFORE MOVING ON TO
THE NEXT QUESTIONS FOR ITEMS WITH "YES"
YES…....1NO...….2
UNIT UNIT DALASIS UNIT UNIT UNIT
Within the past 7 days, did the
members of this household
eat/drink any of this [ITEM] within the
household?
How much did your household spend on this
[ITEM] in the last 7 days?
How much of consumption of this
[ITEM] in the last 7 days came from own-
production?
How much of consumption of this
[ITEM] in the last 7 days came from gifts and other
sources?
ITEM CODE
QUANTITY QUANTITY QUANTITY QUANTITY QUANTITY(>>NEXT
ITEM)
8How much of
consumption of this [ITEM] in the last 7 days
came from purchases?
3 4How much in total did
your household consume of this [ITEM] in the last
7 days?
How much did the household purchase of
this [ITEM] in the last 7 days?
6 7
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
Crab 148 . . . . .Canned fish/seafood 149 . . . . .Fried fish 150 . . . . .Other fish/seafood 151 . . . . .
MILK AND MILK PRODUCTS
Fresh Milk 152 . . . . .Sour Milk 153 . . . . .Evaporated Milk 154 . . . . .Powdered Milk 155 . . . . .Cream 156 . . . . .Cheese 157 . . . . .Yoghurt 158 . . . . .Vitalait 159 . . . . .
9
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 10 of 62Food consumed within the household last 7 DAYS. Exclude food consumed outside the household.
1 2 5
ASK QUESTION FOR ALL ITEMS,
BEFORE MOVING ON TO
THE NEXT QUESTIONS FOR ITEMS WITH "YES"
YES…....1NO...….2
UNIT UNIT DALASIS UNIT UNIT UNIT
Within the past 7 days, did the
members of this household
eat/drink any of this [ITEM] within the
household?
How much did your household spend on this
[ITEM] in the last 7 days?
How much of consumption of this
[ITEM] in the last 7 days came from own-
production?
How much of consumption of this
[ITEM] in the last 7 days came from gifts and other
sources?
ITEM CODE
QUANTITY QUANTITY QUANTITY QUANTITY QUANTITY(>>NEXT
ITEM)
8How much of
consumption of this [ITEM] in the last 7 days
came from purchases?
3 4How much in total did
your household consume of this [ITEM] in the last
7 days?
How much did the household purchase of
this [ITEM] in the last 7 days?
6 7
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
Baby milk powder 160 . . . . .Other milk products 161 . . . . .
OILS AND FATS
Groundnut oil 162 . . . . .Palm oil 163 . . . . .Margarine 164 . . . . .Butter 165 . . . . .Vegetable oil 166 . . . . .Mayonnaise 167 . . . . .Palm Kernels oil 168 . . . . .Peanut butter 169 . . . . .Other oils and fats 170 . . . . .
10
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 11 of 62Food consumed within the household last 7 DAYS. Exclude food consumed outside the household.
1 2 5
ASK QUESTION FOR ALL ITEMS,
BEFORE MOVING ON TO
THE NEXT QUESTIONS FOR ITEMS WITH "YES"
YES…....1NO...….2
UNIT UNIT DALASIS UNIT UNIT UNIT
Within the past 7 days, did the
members of this household
eat/drink any of this [ITEM] within the
household?
How much did your household spend on this
[ITEM] in the last 7 days?
How much of consumption of this
[ITEM] in the last 7 days came from own-
production?
How much of consumption of this
[ITEM] in the last 7 days came from gifts and other
sources?
ITEM CODE
QUANTITY QUANTITY QUANTITY QUANTITY QUANTITY(>>NEXT
ITEM)
8How much of
consumption of this [ITEM] in the last 7 days
came from purchases?
3 4How much in total did
your household consume of this [ITEM] in the last
7 days?
How much did the household purchase of
this [ITEM] in the last 7 days?
6 7
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
FRUIT AND NUTS
Groundnuts-Unshelled 171 . . . . .Groundnuts-Shelled 172 . . . . .Kola Nuts 173 . . . . .Coconuts 174 . . . . .Banana 175 . . . . .Oranges 176 . . . . .Mangoes 177 . . . . .Lime 178 . . . . .Apple 179 . . . . .Baobab fruit 180 . . . . .Palm nut (fruit kernels) 181 . . . . .Daharr 182 . . . . .
11
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 12 of 62Food consumed within the household last 7 DAYS. Exclude food consumed outside the household.
1 2 5
ASK QUESTION FOR ALL ITEMS,
BEFORE MOVING ON TO
THE NEXT QUESTIONS FOR ITEMS WITH "YES"
YES…....1NO...….2
UNIT UNIT DALASIS UNIT UNIT UNIT
Within the past 7 days, did the
members of this household
eat/drink any of this [ITEM] within the
household?
How much did your household spend on this
[ITEM] in the last 7 days?
How much of consumption of this
[ITEM] in the last 7 days came from own-
production?
How much of consumption of this
[ITEM] in the last 7 days came from gifts and other
sources?
ITEM CODE
QUANTITY QUANTITY QUANTITY QUANTITY QUANTITY(>>NEXT
ITEM)
8How much of
consumption of this [ITEM] in the last 7 days
came from purchases?
3 4How much in total did
your household consume of this [ITEM] in the last
7 days?
How much did the household purchase of
this [ITEM] in the last 7 days?
6 7
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
Cashew 183 . . . . .Paw - paw 184 . . . . .Water melon 185 . . . . .Ananas 186 . . . . .Grapes 187 . . . . .Cabaa 188 . . . . .Bitter Cola nut (Imported) 189 . . . . .Roasted groundnut 190 . . . . .Raw ground nut Powder 191 . . . . .Groundnut Cake 192 . . . . .Dates 193 . . . . .Avocado 194 . . . . .Plum (Saloum Plum) 195 . . . . .
12
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 13 of 62Food consumed within the household last 7 DAYS. Exclude food consumed outside the household.
1 2 5
ASK QUESTION FOR ALL ITEMS,
BEFORE MOVING ON TO
THE NEXT QUESTIONS FOR ITEMS WITH "YES"
YES…....1NO...….2
UNIT UNIT DALASIS UNIT UNIT UNIT
Within the past 7 days, did the
members of this household
eat/drink any of this [ITEM] within the
household?
How much did your household spend on this
[ITEM] in the last 7 days?
How much of consumption of this
[ITEM] in the last 7 days came from own-
production?
How much of consumption of this
[ITEM] in the last 7 days came from gifts and other
sources?
ITEM CODE
QUANTITY QUANTITY QUANTITY QUANTITY QUANTITY(>>NEXT
ITEM)
8How much of
consumption of this [ITEM] in the last 7 days
came from purchases?
3 4How much in total did
your household consume of this [ITEM] in the last
7 days?
How much did the household purchase of
this [ITEM] in the last 7 days?
6 7
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
Other fruits and nuts 196 . . . . .STARCHY ROOTS, TUBERS
Potatoes (Irish) 197 . . . . .Sweet potatoes 198 . . . . .Cassava 199 . . . . .Plantain 200 . . . . .Other roots and tubers 201 . . . . .
VEGEATBLES
Dry Beans 202 . . . . .Other beans 203 . . . . .Small Pepper-fresh 204 . . . . .Tomatoes-fresh 205 . . . . .Bitter Tomato 206 . . . . .
13
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 14 of 62Food consumed within the household last 7 DAYS. Exclude food consumed outside the household.
1 2 5
ASK QUESTION FOR ALL ITEMS,
BEFORE MOVING ON TO
THE NEXT QUESTIONS FOR ITEMS WITH "YES"
YES…....1NO...….2
UNIT UNIT DALASIS UNIT UNIT UNIT
Within the past 7 days, did the
members of this household
eat/drink any of this [ITEM] within the
household?
How much did your household spend on this
[ITEM] in the last 7 days?
How much of consumption of this
[ITEM] in the last 7 days came from own-
production?
How much of consumption of this
[ITEM] in the last 7 days came from gifts and other
sources?
ITEM CODE
QUANTITY QUANTITY QUANTITY QUANTITY QUANTITY(>>NEXT
ITEM)
8How much of
consumption of this [ITEM] in the last 7 days
came from purchases?
3 4How much in total did
your household consume of this [ITEM] in the last
7 days?
How much did the household purchase of
this [ITEM] in the last 7 days?
6 7
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
Garden eggs 207 . . . . .Okra 208 . . . . .Onion 209 . . . . .Pumpkin 210 . . . . .Big Red Pepper 211 . . . . .Kren-Kren 212 . . . . .Bisap 213 . . . . .Cabbage 214 . . . . .Lettuce (salad) 215 . . . . .Tomato puree (paste) 216 . . . . .Carrot 217 . . . . .Cucumber 218 . . . . .Onion Leaves 219 . . . . .
14
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 15 of 62Food consumed within the household last 7 DAYS. Exclude food consumed outside the household.
1 2 5
ASK QUESTION FOR ALL ITEMS,
BEFORE MOVING ON TO
THE NEXT QUESTIONS FOR ITEMS WITH "YES"
YES…....1NO...….2
UNIT UNIT DALASIS UNIT UNIT UNIT
Within the past 7 days, did the
members of this household
eat/drink any of this [ITEM] within the
household?
How much did your household spend on this
[ITEM] in the last 7 days?
How much of consumption of this
[ITEM] in the last 7 days came from own-
production?
How much of consumption of this
[ITEM] in the last 7 days came from gifts and other
sources?
ITEM CODE
QUANTITY QUANTITY QUANTITY QUANTITY QUANTITY(>>NEXT
ITEM)
8How much of
consumption of this [ITEM] in the last 7 days
came from purchases?
3 4How much in total did
your household consume of this [ITEM] in the last
7 days?
How much did the household purchase of
this [ITEM] in the last 7 days?
6 7
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
Green peas 220 . . . . .Okra Powder 221 . . . . .Cassava Leaves 222 . . . . .Potato Leaves 223 . . . . .Green Leaves 224 . . . . .Other vegetables and pulses 225 . . . . .
SUGAR, JAM, HONEY, SYRUPS, CHOCOLATE AND CONFECTIONARY
Sugar 226 . . . . .Black mint 227 . . . . .Chewing gum 228 . . . . .Honey 229 . . . . .Jam 230 . . . . .Chocolate 231 . . . . .
15
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 16 of 62Food consumed within the household last 7 DAYS. Exclude food consumed outside the household.
1 2 5
ASK QUESTION FOR ALL ITEMS,
BEFORE MOVING ON TO
THE NEXT QUESTIONS FOR ITEMS WITH "YES"
YES…....1NO...….2
UNIT UNIT DALASIS UNIT UNIT UNIT
Within the past 7 days, did the
members of this household
eat/drink any of this [ITEM] within the
household?
How much did your household spend on this
[ITEM] in the last 7 days?
How much of consumption of this
[ITEM] in the last 7 days came from own-
production?
How much of consumption of this
[ITEM] in the last 7 days came from gifts and other
sources?
ITEM CODE
QUANTITY QUANTITY QUANTITY QUANTITY QUANTITY(>>NEXT
ITEM)
8How much of
consumption of this [ITEM] in the last 7 days
came from purchases?
3 4How much in total did
your household consume of this [ITEM] in the last
7 days?
How much did the household purchase of
this [ITEM] in the last 7 days?
6 7
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
Ice cream 232 . . . . .Mint stick 233 . . . . .Other sweets/confectionary 234 . . . . .
FOOD PRODUCTS N.E.C.
Salt 235 . . . . .Garlic 236 . . . . .Maggi Cube 237 . . . . .Small dry pepper 238 . . . . .Locust beans (Neteetu) 239 . . . . .Chilli powder (black pepper) 240 . . . . .Vinegar 241 . . . . .Powder Pepper 242 . . . . .Curry Powder 243 . . . . .
16
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 17 of 62Food consumed within the household last 7 DAYS. Exclude food consumed outside the household.
1 2 5
ASK QUESTION FOR ALL ITEMS,
BEFORE MOVING ON TO
THE NEXT QUESTIONS FOR ITEMS WITH "YES"
YES…....1NO...….2
UNIT UNIT DALASIS UNIT UNIT UNIT
Within the past 7 days, did the
members of this household
eat/drink any of this [ITEM] within the
household?
How much did your household spend on this
[ITEM] in the last 7 days?
How much of consumption of this
[ITEM] in the last 7 days came from own-
production?
How much of consumption of this
[ITEM] in the last 7 days came from gifts and other
sources?
ITEM CODE
QUANTITY QUANTITY QUANTITY QUANTITY QUANTITY(>>NEXT
ITEM)
8How much of
consumption of this [ITEM] in the last 7 days
came from purchases?
3 4How much in total did
your household consume of this [ITEM] in the last
7 days?
How much did the household purchase of
this [ITEM] in the last 7 days?
6 7
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
Mustard 244 . . . . .Other food n.e.c. 245 . . . . .
NON-ALCOHOLIC BEVERAGES
Tea bags 246 . . . . .Other Tea (local) 247 . . . . .Coffee-Nescafe (50 gr) 248 . . . . .Powdered Tea (Ovaltine, 200 gr) 249 . . . . .Juices (Wonjo) 250 . . . . .Chinese Green Tea(20)(Ataya) 251 . . . . .Soft drinks 252 . . . . .Mineral water 253 . . . . .Cold water in plastic bag 254 . . . . .Mborr Mborr (Tea) 255 . . . . .
17
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 18 of 62Food consumed within the household last 7 DAYS. Exclude food consumed outside the household.
1 2 5
ASK QUESTION FOR ALL ITEMS,
BEFORE MOVING ON TO
THE NEXT QUESTIONS FOR ITEMS WITH "YES"
YES…....1NO...….2
UNIT UNIT DALASIS UNIT UNIT UNIT
Within the past 7 days, did the
members of this household
eat/drink any of this [ITEM] within the
household?
How much did your household spend on this
[ITEM] in the last 7 days?
How much of consumption of this
[ITEM] in the last 7 days came from own-
production?
How much of consumption of this
[ITEM] in the last 7 days came from gifts and other
sources?
ITEM CODE
QUANTITY QUANTITY QUANTITY QUANTITY QUANTITY(>>NEXT
ITEM)
8How much of
consumption of this [ITEM] in the last 7 days
came from purchases?
3 4How much in total did
your household consume of this [ITEM] in the last
7 days?
How much did the household purchase of
this [ITEM] in the last 7 days?
6 7
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
UNIT CODEStandardKILOGRAMS (kg)............01GRAMS (g).................02LITRES (l)................03MILLITRES (ml)............04
Non-standardPACKET....................05PIECE/NUMBER..............06SMALL TOMATO CUP..........07MEDIUM TOMATO CUP.........08BIG TOMATO CUP............09CUP (standard rice cup)...10BUNCH/HEAP................11TIN.......................12BOTTLE....................1350 KG BAG.................14100 KG BAG................15OTHER (specify)...........99
Jambakatang 256 . . . . .Other non-alcoholic 257 . . . . .
ALCOHOLIC BEVERAGES, TOBACCO AND NARCOTICS
Wines (red, white, etc.) 258 . . . . .Spirits 259 . . . . .Stout 260 . . . . .Palm wine 261 . . . . .Beer (lager and porter, etc.) 262 . . . . .Beer (imported) 263 . . . . .Local brew (illicit brews) 264 . . . . .Other alcoholic beverages 265 . . . . .
18
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 19 of 62
SECTION 1B: FOOD CONSUMPTION EXPENDITUREMeals prepared and consumed outside the home last 7 days
1 2
Yes 1
No 2
Breakfast 300
Lunch 301
Dinner 302
303
304
305
306
307
308
Side dishes like pepper soup, brochette, etc.
Full meals (e.g rice and stew, pounded yam and stew, etc)
Alcoholic drinks
Dairy based beverages such as milk, yoghurt etc.
Vegetables and roasted or boiled items such as (carrot, pears, boiled/roasted corn, plantain, sugar cane etc)
Snacks such as sandwiches, biscuits, meat pies, donuts, etc
Non alcoholic drinks
DALASIS
ITEM CODE
3How much did you or other
household members pay, in total in the last 7 days for [MEAL]?
If free, please estimate what it would have cost if you had to pay.
MEALS PREPARED AND CONSUMED OUTSIDE THE HOME
ASK QUESTION FOR ALL ITEMS, BEFORE MOVING
ON TO THE NEXT QUESTIONS FOR ITEMS
WITH "YES"
In the past 7 days, did members of this household
consume any of the following meals or drinks away from
home?
19
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 20 of 62
SECTION 2A: NON-FOOD LAST SEVEN DAYS
1 3
Yes 1No 2
TOBACCO
Piccadilly 400
Bond 401
Rizzla 402
Marlboro 403
Prince 404
Benson 405
St. Morithz 406
Manise (tobacco) wrapped in paper 407
Snuff 408
Other tobacco 409
NARCOTICS INCLUDING CHEMICAL DRUGS
Marijuana 410
Cocaine 411
Other narcotics 412
Over the last one week, did you purchase any […..]?
DALASIS
2
ASK THIS QUESTION FOR ALL ITEMS, BEFORE
MOVING ON TO THE NEXT QUESTIONS FOR ITEMS
WITH "YES"
How much did household spend in total?I
TEM CODE
20
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 21 of 62
1 3
Yes 1No 2
Over the last one week, did you purchase any […..]?
DALASIS
2
ASK THIS QUESTION FOR ALL ITEMS, BEFORE
MOVING ON TO THE NEXT QUESTIONS FOR ITEMS
WITH "YES"
How much did household spend in total?I
TEM CODE
GOODS AND SERVICES FOR ROUTINE HOUSEHOLD MAINTENANCE
Insecticides (mosquito coils, repellants, sprays etc) 413
Candle 414
Matches 415
Lighters 416
Washing Soap 417
Starch (Dakandeh) 418
Washing Blue 419
Washing Powder (Omo) 420
Washing Powder (SET-SETTAL) 421
Soda soap 422
Soda powder 423
Bleach (ordsavel) 424
Newspapers (local daily) 425
Mobile communication (scratch cards) 426
Mobile communication (nopal, e-credit) 427
Internet costs 428
Cassette/DVD rental 429
21
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 22 of 62
SECTION 2B: NON-FOOD LAST 1 MONTH
1 3
Yes 1No 2
ELECTRICITY, GAS AND OTHER FUELS
Kerosene 600
Petrol for generator 601
Diesel for generator 602
Firewood 603
Charcoal 604
Biogas (saw dust/briquette, etc) 605
Batteries 606
Light bulbs 607
Other liquid fuels (specify) 608
Other solid fuels (specify) 609
FUELS AND LUBICANTS FOR PERSONAL TRANSPORT
Spark Plugs/Points 610
Clutch Plate 611
Brake Lining 612
Brake Pads 613
DALASIS
2Over the last ONE MONTH, did
you purchase any […..]?
ASK THIS QUESTION FOR ALL ITEMS, BEFORE
MOVING ON TO THE NEXT QUESTIONS FOR ITEMS
WITH YES
How much did household spend in total?I
TEM CODE
22
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 23 of 621 3
Yes 1No 2
DALASIS
2Over the last ONE MONTH, did
you purchase any […..]?
ASK THIS QUESTION FOR ALL ITEMS, BEFORE
MOVING ON TO THE NEXT QUESTIONS FOR ITEMS
WITH YES
How much did household spend in total?I
TEM CODE
Fuel Filter 614
Oil Filter 615
Car Alarm 616
Other car parts (specify) 617
Motor vehicle tyres tube 618
Bicycle tyres' tubes 619
Air filter 620
Petrol 621
Diesel 622
Lubricants (oils) 623
Other 624
MAINTENANCE AND REPAIR OF PERSONAL TRANPSORT
Puncture repair 625
Servicing of motor vehicle (labour) 626
Car wash 627
Other services 628
PASSENGER TRANSPORT
Taxi fares 629
Bus Fares 630
23
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 24 of 621 3
Yes 1No 2
DALASIS
2Over the last ONE MONTH, did
you purchase any […..]?
ASK THIS QUESTION FOR ALL ITEMS, BEFORE
MOVING ON TO THE NEXT QUESTIONS FOR ITEMS
WITH YES
How much did household spend in total?I
TEM CODE
Ferry fares 631
Motorcycle fares 632
Other (specify) 633
COMMUNICATION
Post (air mail) 634
Post (local) 635
Telephone calls (Local) 636
Telephone calls (International) 637
Other communication (specify) 638
DOMESTIC WORKERS
Maid servants-full/part time 639
Gardener- full/part time 640
Watchman 641
Drivers 642
Cook 643
Other domestic servants 644
MISCELLANEOUS GOODS AND SERVICES
Barber (hair cut) 645
Beauty Saloon (hair dressing) 646
24
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 25 of 621 3
Yes 1No 2
DALASIS
2Over the last ONE MONTH, did
you purchase any […..]?
ASK THIS QUESTION FOR ALL ITEMS, BEFORE
MOVING ON TO THE NEXT QUESTIONS FOR ITEMS
WITH YES
How much did household spend in total?I
TEM CODE
Toilet Soap 647
Nail Polish 648
Razor Blade 649
Tooth Paste 650
Face Powder 651
Skin Lightening 652
Tooth brush 653
Toilet Paper 654
Shampoo 655
Torch light 656
Incense 657
Other frequent (specify) 658
25
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 26 of 62
SECTION 2C: NON-FOOD LAST 3 MONTHS
1 3
Yes 1No 2
CLOTHING MATERIALS
Material for Mens suit 700
Material for Men's shirt 701
Material for Men's trouser 702
Other clothing Materials for men 703
Material for women's suit 704
Material for Women's dress 705
Material for Women's skirt 706
Material for Women's brouse 707
Other clothing Materials for Women 708
Material for children's clothing 709
OTHER ARTICLES OF CLOTHING AND CLOTHING ACCESSORIES
Knitting Wool 710
Thread 711
Buttons 712
Zips 713
DALASIS
2Over the last 3 MONTHS, did
you purchase any […..]?
ASK THIS QUESTION FOR ALL ITEMS, BEFORE
MOVING ON TO THE NEXT QUESTIONS FOR ITEMS
WITH "YES"
ITEM CODE
How much did household spend in total?
26
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 27 of 621 3
Yes 1No 2
DALASIS
2Over the last 3 MONTHS, did
you purchase any […..]?
ASK THIS QUESTION FOR ALL ITEMS, BEFORE
MOVING ON TO THE NEXT QUESTIONS FOR ITEMS
WITH "YES"
ITEM CODE
How much did household spend in total?
Gloves 714
Helmets 715
Other accessories 716
CLEANING, REPAIR AND HIRE OF CLOTHING
Laundry (Clothes) 717
Dry cleaning 718
Tailoring Charges-Men 719
Tailoring Charges-Women 720
Tailoring Charges-Children (girls and boys) 721
Other (specify) 722
GARMENTS
MEN
Men's Underwear 723
Men's Socks 724
Singlet 725
Men's Shirts 726
Men's trousers 727
Men's jacket/coat 728
27
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 28 of 621 3
Yes 1No 2
DALASIS
2Over the last 3 MONTHS, did
you purchase any […..]?
ASK THIS QUESTION FOR ALL ITEMS, BEFORE
MOVING ON TO THE NEXT QUESTIONS FOR ITEMS
WITH "YES"
ITEM CODE
How much did household spend in total?
T-shirt 729
Track suits 730
Other men's clothing 731
WOMEN
Ladies Underwear 732
Brassiere 733
Ladies Docket 734
Lady’s blouse/shirt 735
Ladies dress/skirt 736
Ladies jacket/coat/sweater/cardigan 737
Other ladies clothing 738
CHILDREN
Babies' clothes 739
Girl’s blouse/shirt 740
Girl’s dress/skirt 741
Girl's sweater/cardigan 742
Girl’s undergarments 743
Girl’s other clothing 744
28
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 29 of 621 3
Yes 1No 2
DALASIS
2Over the last 3 MONTHS, did
you purchase any […..]?
ASK THIS QUESTION FOR ALL ITEMS, BEFORE
MOVING ON TO THE NEXT QUESTIONS FOR ITEMS
WITH "YES"
ITEM CODE
How much did household spend in total?
Boy’s shirt 745
Boy’s undergarments 746
Boy’s trousers 747
Boy’s jackets 748
Boy’s sweater/cardigan 749
Boy’s other clothing 750
FOOTWEAR
MEN
Men's Shoes - Leather 751
Men's Shoes - Plastic 752
Men's Shoes - Rubber 753
Men's Sports Shoes 754
Men's Rubber - Sandals 755
Men's Leather/synthetic - Sandals 756
Men's slippers 757
Men's other shoes 758
WOMEN
Women's Shoes - Leather 759
29
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 30 of 621 3
Yes 1No 2
DALASIS
2Over the last 3 MONTHS, did
you purchase any […..]?
ASK THIS QUESTION FOR ALL ITEMS, BEFORE
MOVING ON TO THE NEXT QUESTIONS FOR ITEMS
WITH "YES"
ITEM CODE
How much did household spend in total?
Women's Shoes - Plastic 760
Women's Shoes - Rubber 761
Women's Sports Shoes 762
Women's Rubber - Sandals 763
Women's Leather/synthetic - Sandals 764
Women's slippers 765
Women's other shoes 766
CHILDREN
Babies shoes 767
Boy's Shoes - Leather/synthetic 768
Boy's Shoes - Plastic 769
Boy's Rubber Sandals 770
Boy's Sports Shoes 771
Boy's slippers 772
Boy's, other shoes 773
Girls' shoes - Leather/synthetic 774
Girl's Shoes - Plastic 775
Girl's Rubber Sandals 776
30
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 31 of 621 3
Yes 1No 2
DALASIS
2Over the last 3 MONTHS, did
you purchase any […..]?
ASK THIS QUESTION FOR ALL ITEMS, BEFORE
MOVING ON TO THE NEXT QUESTIONS FOR ITEMS
WITH "YES"
ITEM CODE
How much did household spend in total?
Girl's Sports Shoes 777
Gilrs's slippers 778
Girl's, other shoes 779
Repair
Repair To Footwear-Men 780
Repair To Footwear-Women 781
Repair To Footwear-Children 782
HAIRDRESSING SALONS AND PERSONAL GROOMING
Massage/sauna/spa etc 783
Beauticians 784
Other hair and beaty services 785
Electric appliances for personal care (SD) 786
Hair drier 787
Electric razor 788
Other personal grooming 789
Other electric appliances for personal care 790
NON-DURABLE HOUSEHOLD GOODS
Brooms 791
31
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 32 of 621 3
Yes 1No 2
DALASIS
2Over the last 3 MONTHS, did
you purchase any […..]?
ASK THIS QUESTION FOR ALL ITEMS, BEFORE
MOVING ON TO THE NEXT QUESTIONS FOR ITEMS
WITH "YES"
ITEM CODE
How much did household spend in total?
Scrubbing brushes 792
Dustpans and dust brushes 793
Dusters 794
Tea towels 795
Floor cloths 796
Household sponges 797
Plastic Pan 798
Basin 799
Glass Ware (cup, plates and the like) 800
Thermos flask 801
Other non-durable goods 802
RECREATION AND CULTURE
Services provided by: sports stadiums 803
Swimming pools, golf courses, fitness centres, etc 804
fairgrounds and amusement parks; 805
Playground facilities for kids 806
Pin-ball machines 807
Wrestling (Ticket) 808
32
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 33 of 621 3
Yes 1No 2
DALASIS
2Over the last 3 MONTHS, did
you purchase any […..]?
ASK THIS QUESTION FOR ALL ITEMS, BEFORE
MOVING ON TO THE NEXT QUESTIONS FOR ITEMS
WITH "YES"
ITEM CODE
How much did household spend in total?
Weekend Dance Charges 809
Football game tiicket 810
Video Club (Membership charges) 811
Cinema 812
Other tickets for recreation 813
Other Recreational & Entertainment 814
NEWSPAPERS AND PERIODICALS
Newspapers (other international) 815
Magazines 816
STATIONERY AND DRAWING MATERIALS (not for school)
Envelopes 817
Writing pads, envelopes, account books, notebooks, etc 818
Pens, pencils, fountain pens,.; 819
Toner and ink cartridges 820
Atlases 821
Dictionaries 822
Encyclopaedias 823
Guidebooks 824
33
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 34 of 621 3
Yes 1No 2
DALASIS
2Over the last 3 MONTHS, did
you purchase any […..]?
ASK THIS QUESTION FOR ALL ITEMS, BEFORE
MOVING ON TO THE NEXT QUESTIONS FOR ITEMS
WITH "YES"
ITEM CODE
How much did household spend in total?
Musical scores 825
Stencils, carbon paper, , etc 826
Paper punches, paper cutters, paper clips, drawing pins, tec 827
828
Other stationery and drawing materials 829
RECREATION
Music or video cassette 830
Recording media 831
Records, DVD Disc, Flash Drives 832
Cassettes, video diskettes and CD-ROMs 833
Unrecorded tapes 834
Unexposed films, cartridges 835
Other (specify) 836
HEALTH
Paracetamol 837
Ibrufen 838
Amoxilliyin 839
Aspirin 840
34
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 35 of 621 3
Yes 1No 2
DALASIS
2Over the last 3 MONTHS, did
you purchase any […..]?
ASK THIS QUESTION FOR ALL ITEMS, BEFORE
MOVING ON TO THE NEXT QUESTIONS FOR ITEMS
WITH "YES"
ITEM CODE
How much did household spend in total?
Other pain killers 841
Other anti-biotics 842
Chloroquine and other malaria drugs 843
Cough medicine (babies lintus) 844
Cough medicine (lintus adults) 845
Other medicines 846
Doctor's fees (Public Health Facility) 847
Doctor's fees (Private Clinic) 848
Traditional Healer, faith healer and etc. 849
Hospital fees (hospitalisation) 850
Out-patient fees (ticket paid) 851
Dental costs 852
Other medical products 853
35
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 36 of 62
SECTION 2D: NON-FOOD LAST 12 MONTHS
1 3
Yes 1No 2
FURNITURE, FURNISHINGS, DECORATIONS, CARPETS AND OTHER FLOOR COVERINGS AND REPAIRS
Bedstead 900
Wooden Bed 901
Mat (sleeping/praying) 902
Fitted carpets 903
Home decorations 904
Repair of furniture, furnishings and floor coverings 905
HOUSEHOLD TEXTILES
Bed linen/blanket 906
Other linen (towels, etc) 907
Mosqueto Net 908
Pillows and cushions 909
Table cloths 910
Curtains & Materials for Curtains 911
Other household textiles 912
DALASIS
2Over the last 12 MONTHS, did you purchase any […..]?
ASK THIS QUESTION FOR ALL ITEMS,
BEFORE MOVING ON TO THE NEXT QUESTIONS
FOR ITEMS WITH "YES"
ITEM CODE
How much did household spend in total?
36
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 37 of 621 3
Yes 1No 2
DALASIS
2Over the last 12 MONTHS, did you purchase any […..]?
ASK THIS QUESTION FOR ALL ITEMS,
BEFORE MOVING ON TO THE NEXT QUESTIONS
FOR ITEMS WITH "YES"
ITEM CODE
How much did household spend in total?
SMALL ELECTRICAL APPLIANCES AND REPAIRS
Electric Blender 913
Electric Toaster 914
Electric Kettle 915
Coffee Mills/Makers 916
Food Mixers 917
Deep Fryers 918
Electric Iron 919
Other appliances 920
Repair of small electrical appliances 921
SMALL NON-ELECTRICAL APPLIANCES AND REPAIRS
Negro Pot 922
Bucket (Galvanised) 923
Bucket (Plastic) 924
Frying pan and pots 925
Thermos flask 926
Lantern-Kerosene 927
Lantern-Batteries 928
37
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 38 of 621 3
Yes 1No 2
DALASIS
2Over the last 12 MONTHS, did you purchase any […..]?
ASK THIS QUESTION FOR ALL ITEMS,
BEFORE MOVING ON TO THE NEXT QUESTIONS
FOR ITEMS WITH "YES"
ITEM CODE
How much did household spend in total?
Other small non-electric appliances 929
EQUIPMENT FOR THE HOUSE
Cutlery (forks, knives, etc) 930
Glassware (cups and plates, etc.) 931
Plastic ware (cups and plates, etc) 932
Other (specify) 933
TRANSPORT
Purchase of motor cars 934
Purchase of motor cycles 935
Purchase of bicycles 936
Purchase of animal drawing vehicles 937
Wheel Barrow 938
Motor Tyres 939
Motor engine 940
Bicycle Tyre 941
Other Bicycle parts 942
Other Motor Parts 943
Car battery 944
38
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 39 of 621 3
Yes 1No 2
DALASIS
2Over the last 12 MONTHS, did you purchase any […..]?
ASK THIS QUESTION FOR ALL ITEMS,
BEFORE MOVING ON TO THE NEXT QUESTIONS
FOR ITEMS WITH "YES"
ITEM CODE
How much did household spend in total?
PASSENGER TRANSPORT BY AIR
International Flights 945
HEALTH (Therapeutic appliances and equipment)
Spectacles 946
Spectacle frames 947
Contact lens 948
Denturs 949
High blood pressure apparatus 950
Glucometer/ Sugar monotoring apparatus 951
Other theraputic appliances and equipments 952
RECREATION (garden and pets)
Garden Tools 953
Pets and pet products 954
Other (specify) 955
RECREATION
Guest house or hotel 956
Accommodation services 957
39
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 40 of 621 3
Yes 1No 2
DALASIS
2Over the last 12 MONTHS, did you purchase any […..]?
ASK THIS QUESTION FOR ALL ITEMS,
BEFORE MOVING ON TO THE NEXT QUESTIONS
FOR ITEMS WITH "YES"
ITEM CODE
How much did household spend in total?
Boarding houses, motels, inns 958
Holiday villages and holiday centres, and youth hostels 959
Package holidays 960
Other (specify) 961
INSURANCE
Health 962
Car 963
Home 964
Life 965
Motorcyle 966
Other insurance 967
CEREMONIES
Dowry 968
Marriage ceremony 969
Birthdays 970
Funeral 971
Other ceremonies 972
40
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 41 of 621 3
Yes 1No 2
DALASIS
2Over the last 12 MONTHS, did you purchase any […..]?
ASK THIS QUESTION FOR ALL ITEMS,
BEFORE MOVING ON TO THE NEXT QUESTIONS
FOR ITEMS WITH "YES"
ITEM CODE
How much did household spend in total?
MATERIALS FOR MAINTENANCE AND REPAIR OF DWELLING
Construction Items
Cement 973
Paints (oil) 974
Paints (water) 975
Window panes 976
Wallpaper Pastes 977
Plastering walls 978
Ceramic tiles 979
Other construction items (specify) 980
Plumbing Items
Pipes 981
Taps 982
Joints 983
Other plumbing items (specify) 983
Maintenance & Repair of Dwellings
Maintenance & Repair of Dwellings 984
41
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 42 of 621 3
Yes 1No 2
DALASIS
2Over the last 12 MONTHS, did you purchase any […..]?
ASK THIS QUESTION FOR ALL ITEMS,
BEFORE MOVING ON TO THE NEXT QUESTIONS
FOR ITEMS WITH "YES"
ITEM CODE
How much did household spend in total?
OTHER MISCELLANEUOUS ITEMS
Jewelry 985
Clocks 986
Watches 987
Miscellaneous personal article 988
GAMES OF CHANCE
Gambling 989
Lottery tickets 990
Other games of chance 991
42
EA No ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator.......................................................................... 43 of 62
SECTION 3A: AGRICULTURE HOLDING
1. Did any member of the household engage in crop farming in the last 12 months? >> NEXT SECTION IF Q1=2
2 2APlease tell me about each parcel of land that
HH members farmed during the last 12 months.
Relative 95Employer 96Other (specify) 97DK 98
Acre/rope 1Hectare 2Other (specify) 3
1 .2 .3 .4 .5 .6 .7 .
ONE DECIMAL PLACELAND AREA
PARCEL/PLOT ID
>>NEXT SECTION IF Q4=95 or Q4=96
Who in the household makes the decisions on input use and cropping activities on
this parcel?
DO NOT ASK ABOUT ANY LAND OUTSIDE THE GAMBIA
EACH ROW (LINE) REFERS TO ONE PARCEL
4
WRITE A NAME TO IDENTIFY PARCEL
GIVE ID NUMBER FROM THE HH ROSTER (SECTION 1 Q4)
USE CODES BELOW IF NON-MEMBER
5What is the area of the parcel of land?
LIST ALL PARCELS USED FOR FARMING BEFORE COLLECTING
INFORMATION ON EACH PARCEL OF LAND
3
FOR OFFICE CODINGWRITE NAME OF DISTRICT
AREA
What is the location of this parcel of land?
UNIT
1 = Yes 2 = No
43
EA No ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator.......................................................................... 44 of 62
2
1
2
3
4
5
6
7
PARCEL/PLOT ID
9 10If household were to sell this parcel today, how much could it fetch?
How much did you pay in total for your
rented/leased parcel in last 12 months?
Inherited 1 Household (entire) 1 Annual crop 1Purchased 2 Household head 2 Bi-annual 2
Leasehold 2 Spouse of the HH head 3 Perennial crop 3Son of the HH head 4 Grazing land 4
Borrowed 3 Traded for another parcel 4 Daughter of HH head 5 Fallow 5Other (specify) 5 Someone outside the HH 6 Woodlot 6
Rented 4 Other (specify) 9 Other (specify) 9
Inheritance 5Other (specify) 9
DALASIS DALASIS
>>Q10 IF Q6=2
>>Q11 IF Q6=3
>>Q10 IF Q6=4
What is the current primary use of this
parcel?
How did your household acquire this parcel of land?
7
Use right given by local authorities
11
ONLY IF Q6=2 OR Q6=4
Communal/traditional (family) 1
6Who in the household owns the main
plot?
8What is the land tenure system of
the parcel?
3
44
EA No ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator.......................................................................... 45 of 62
2
1
2
3
4
5
6
7
PARCEL/PLOT ID
Yes 1 River/streams 1 Gravity 1 Yes 1 Inorganic 1 Private stockists 1 Flat 1No 2 Deep well/tube well 2 Pump-fed solar 2 No 2 Organic 2 Other farmers 2 Slight slope 2
Shallow well 3 Both 3 Government 3 Moderate slope 3NAWEC water supply 4 NGOs 4 Steep slope 4Other (specify) 9 Pump-fed electric 4 Other (specify) 9
Pump-fed manual 5
In general, what is the slope of this parcel?
1815During the last 12
months did household use any
fertilizer on parcel of land?
13
Pump-fed (diesel/ petrol/kerosene)
Where did the household source fertilizer for the
parcel?
What is the main methods of water abstraction for
irrigation?
>>Q15 IF Q12==2
14What is the main source of water
for irrigation?
1716During the last 12
months did household practice irrigation in this parcel of land?
What fertilizer type did you use in the last 12 months?
>>Q18 IF Q15==2
12
3
45
EA No ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator.......................................................................... 46 of 62
2
1
2
3
4
5
6
7
PARCEL/PLOT ID
EE F FFBB C CC D DD EA AA B
19
During the last 12 months, how many months in the last 12 months did [NAME] spend working on this plot on any task including land preparation and planting, weeding, harvesting, etc.?
ID NUMBER
ID NUMBER
ID NUMBER
ID NUMBER
ID NUMBER
ID NUMBER FROM SECTION 1 ROSTER Q4
NO.OF MONTHS
NO.OF MONTHS
NO.OF MONTHS
NO.OF MONTHS
NO.OF MONTHS
NO.OF MONTHS
ID NUMBER
46
EA No ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator.......................................................................... 47 of 62
SECTION 3B: CROP PRODUCTION
1 . Does the household grow any crops for their own use or for sale last 12 months? >> NEXT SECTION IF Q1=2
2 5 6On how many plots did
household grow [CROP] in the last season?
On how many plots did household grow [CROP] in
the previous season?
Yes 1 Mono-cropping 1 Labour cost 1No 2 Inter-cropping 2 Seeds not enough 2
Mixed-cropping 3 THAT IS, Other plots not fertile 3Alley cropping 4 >>Q9 IF Q5=Q6 Plots taken from me 4Strip cropping 5 OR Plots given out 5
>>Q9 IF Q5>Q6 Land inadequacy 6NUMBER NUMBER Other (specify) 7
Groundnuts 01
Swamp rice 02
Upland rice 03
Millet (Suno\Sanyo) 04
Sorghum (Kinto) 05
Maize 06
Findi 07
Cotton 08
Cassava 09
Vegetables 10
Other crops (specify) 11
Sesame 12
Mangoes 13
Oranges 14
Bananas 15Cashew 16
Other fruits (specify) 17
NUMBER OF PLOTS CANNOT EXCEED
TOTAL NUMBER LISTED IN SECTION 3A Q2
>>NEXT CROP IF Q3=2
3 7Has the household grown
[CROP] in the last 12 months?
4What was the method of cropping for [CROP]?
CROP CODE
Why did household grow [CROP] on fewer plots in last
season?
IF SAME OR MORE IN LAST SEASON
ASK THIS QUESTION FOR ALL ITEMS, BEFORE
MOVING ON TO THE NEXT QUESTIONS FOR ITEMS
WITH YES
1 = Yes 2 = No
47
EA No ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator.......................................................................... 48 of 62
Groundnuts
Swamp rice
Upland rice
Millet (Suno\Sanyo)
Sorghum (Kinto)
Maize
Findi
Cotton
Cassava
Vegetables
Other crops (specify)
Sesame
Mangoes
Oranges
Bananas
Cashew
Other fruits (specify)
11What was the value of
these sales during the last season?
More 1 Mainly by men 1 Sale 1 RECORD ''00''Same 2 Mainly by women 2 Subsistence 2 IF NONELess 3 By both 3
Both 3
DALASIS
8 109Was the crop grown for
sale or subsistence during the last season?
Was this [CROP] grown mainly by men or by
women?
>>NEXT CROP IF Q10=2
Compared to the previous season what was the size of your harvest
for [CROP]?
48
EA No ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator.......................................................................... 49 of 62
SECTION 3C: TRANSFORMATION (PROCESSING) OF AGRICULTURAL PRODUCTS
1
>>NEXT SECTION IF Q1=2
Own production 1Purchases 2 Kilogram 1 Number 7 1Gifts 3 Litre 2 Big Tomato Cup 8 Week 2Other (specify) 9 Groundnut
bag 3 Med. Tomato Cup 9 Day 1Rice bag 4 Standard cup 10 Week 2Flour bag 5 Other (specify) 11 Month 3
WRITTEN DESCRIPTION Sugar bag 6 Year 4DESCRIPTION
CROP ITEM NAME PRODUCT
.
.
.
.
.
.
.
.
.
What was the source of supply of the goods
[HOUSEHOLD] transformed
(processed) last 12 months?
43
Over the course of the last 12 months, are there any agricultural products (own product, purchased or given other household member) that have been processed or fish that has been smoked by the household?
C
TIME
5
UNIT
B
QUANTITY
A
2
FOR OFFICE CODING
What crop have you processed in the last 12 months?
FOR OFFICE CODING
Over the last 12 months, what products has [HOUSEHOLD] made by processing crops?
What quantity of products last 12 months have [HOUSEHOLD] produced by transformation and in what period?
1 = Yes 2 = No
49
EA No ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator.......................................................................... 50 of 62
CROP ITEM NAME
2What crop have you proc
last 12 months?
10What was the total amount of sales of
“……(Q3)”?
Yes 1 Kilogram 1No 2 Litre 2
Big Tomato Cup 3Med. Tomato Cup 4 Day 1
Day 1 Day 1 Standard cup 5 Week 2Week 2 Week 2 Number 6 Month 3Month 3 Month 3 Other (specify) 9 Year 4Year 4 Year 4
DALASIS DALASIS DALASIS
.
.
.
.
.
.
.
.
.
Q6-Q10 refers to each product transformed (Q4)
How much of "..... (Q3)" did [HOUSHOLD] sell?What was [HOUSEHOLD] labor cost in cash or in kind last 12
months for product (Q3)?
Has [HOUSE-HOLD] sold
any "..... (Q3)"?
98
TIME
CB
UNIT
A
QUANTITY
>>NEXT PRODUCT
IF Q9=2
6
TIME
7What other production costs did
[HOUSEHOLD] have last 12 months for product (Q3)?
TIME
50
EA No ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator.......................................................................... 51 of 62
SECTION 3D: CROP INPUT COSTS
1 . Did the household use any crop inputs last 12 months? >> NEXT SECTION IF Q1=2
2
Yes 1 Yes 1 Private sector 1 Yes 1 Too expensive 1No 2 No 2 Co-operatives 2 No 2 Not available 2
Donor agencies 3 Not useful 3CASH IN KIND Ministry of Agriculture 4 Not applicable 4
NGOs 5 Input from stock 5Other (specify) 9 Other (specify) 9
DALASIS DALASIS
Fertilizer (inorganic) 1
Fertilizer (organic) 2
Insecticides 3
Herbicides 4
Storage of crops 5
Purchased seed, seedlings, etc 6
Irrigation 7
ASK THIS QUESTION FOR
ALL ITEMS (Q3=1), BEFORE
MOVING TO THE NEXT
QUESTIONS FOR ITEMS WITH
"YES"
How much was spent in CASH and IN KIND on [INPUT] in the last 12 months?
Did household use [INPUT] in the last
12 months?
What was the source of [INPUT]?
What was the reason why household did
not purchase [INPUT]?
84Did household
purchase [INPUT] in the last 12
months?
>>NEXT INPUT IF Q3=2
>>Q8 IF Q3=2
ONLY IF Q3=2 AND Q4=2
CROP INPUT CODE
ASK THIS QUESTION FOR
ALL ITEMS, BEFORE
MOVING TO THE NEXT
QUESTIONS FOR ITEMS WITH
"YES"
6 7Was [INPUT] unobtainable at any time during the year when
needed last 12 months?
53
1 = Yes 2 = No
51
EA No ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator.......................................................................... 52 of 62
2
Yes 1 Yes 1 Private sector 1 Yes 1 Too expensive 1No 2 No 2 Co-operatives 2 No 2 Not available 2
Donor agencies 3 Not useful 3CASH IN KIND Ministry of Agriculture 4 Not applicable 4
NGOs 5 Input from stock 5Other (specify) 9 Other (specify) 9
DALASIS DALASIS
ASK THIS QUESTION FOR
ALL ITEMS (Q3=1), BEFORE
MOVING TO THE NEXT
QUESTIONS FOR ITEMS WITH
"YES"
How much was spent in CASH and IN KIND on [INPUT] in the last 12 months?
Did household use [INPUT] in the last
12 months?
What was the source of [INPUT]?
What was the reason why household did
not purchase [INPUT]?
84Did household
purchase [INPUT] in the last 12
months?
>>NEXT INPUT IF Q3=2
>>Q8 IF Q3=2
ONLY IF Q3=2 AND Q4=2
CROP INPUT CODE
ASK THIS QUESTION FOR
ALL ITEMS, BEFORE
MOVING TO THE NEXT
QUESTIONS FOR ITEMS WITH
"YES"
6 7Was [INPUT] unobtainable at any time during the year when
needed last 12 months?
53
Bags, containers, string 8
Petrol/diesel/oil 9
Spare parts 10
Hired labour 11
Transport of crops 12
Renting animals 13
Renting equipment 14
Hand tools (local) 15
Hand tools (imported) 16
Repairs/maintenance 17
Other input (specify) 18
52
EA No ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator.......................................................................... 53 of 62
SECTION 3E: LIVESTOCK
1. Did the household own livestock last 12 months?Yes……...1No……….2
2 5 6 8 9Type of livestock How many
[LIVESTOCK] are owned by
male household members?
How many [LIVESTOCK] are owned by
female household members?
How many [LIVESTOCK] were owned by male household
members 12 months ago?
How many [LIVESTOCK] were owned by
female household
members 12 months ago?
Yes 1 RECORD "00" RECORD "00" WRITTEN RECORD "00" RECORD "00"No 2 A B C IF NONE IF NONE DESCRIPTION IF NONE IF NONE
NUMBER NUMBER NUMBER NUMBER
Horses 1
Oxen 2
Donkeys 3
Cattle 4
Sheep 5
Goats 6
Pigs 7
Poultry 8
Bee Hives (Colonised) 9
Fish Ponds 10
Other (specifY) 11
7In which district is the
[LIVESTOCK]?
FOR OFFICE CODING
COUNTRY/DISTRICT NAME
LIVESTOCK
CODE
Number of [LIVESTOCK] owned by household?
Does any member of
the household currently
own [LIVE-STOCK]?
43
>>Q8 IF Q3=2
TOTAL LIVESTOCK
MALE LIVESTOCK
FEMALE LIVESTOCK
53
EA No ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator.......................................................................... 54 of 62
SECTION 3F: LIVESTOCK AND FISHING INPUT COSTS
1 . Does the household use any livestock and fisihing inputs last 12 months? >> NEXT SECTION IF Q1=2
Yes 1 Yes 1 Private sector 1 Yes 1 Too expensive 1No 2 No 2 Co-operatives 2 No 2 Not available 2
Donor agencies 3 Not useful 3CASH IN KIND Ministry of Agriculture 4 Not applicable 4
NGOs 5 Input from stock 5Other (specify) 9 Other (specify) 9
DALASIS DALASIS
LIVESTOCK
Animal feed including salt
Vet services incl. vacc. and medicine
Paid labour for herding
Other hired labour
Maintenance of pens, stables
Transport of animal feed 6
8What was the source of
[INPUT]?
6
4
2
1
2
3
5
7Was [INPUT] unobtainable at any time during the year when needed last 12 months?
3 4 5Did household use [INPUT] in the last
12 months?
Did household purchase [INPUT] in the last 12 months?
How much was spent in CASH and IN KIND on [INPUT] in the last 12 months?
INPUT CODE
ONLY IF Q3=2 AND Q4=2
>>NEXT INPUT IF Q3=2
LIVESTOCK
>>Q8 IF Q3=2
What was the reason why household did
not purchase [INPUT]?
ASK THIS QUESTION FOR
ALL ITEMS, BEFORE MOVING ON TO THE NEXT QUESTIONS FOR
ITEMS WITH "YES"
ASK THIS QUESTION FOR
ALL ITEMS (Q3=1), BEFORE MOVING ON TO THE NEXT QUESTIONS FOR
ITEMS WITH "YES"
1 = Yes 2 = No
54
EA No ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator.......................................................................... 55 of 62
Yes 1 Yes 1 Private sector 1 Yes 1 Too expensive 1No 2 No 2 Co-operatives 2 No 2 Not available 2
Donor agencies 3 Not useful 3CASH IN KIND Ministry of Agriculture 4 Not applicable 4
NGOs 5 Input from stock 5Other (specify) 9 Other (specify) 9
8What was the source of
[INPUT]?
62 7Was [INPUT] unobtainable at any time during the year when needed last 12 months?
3 4 5Did household use [INPUT] in the last
12 months?
Did household purchase [INPUT] in the last 12 months?
How much was spent in CASH and IN KIND on [INPUT] in the last 12 months?
INPUT CODE
ONLY IF Q3=2 AND Q4=2
>>NEXT INPUT IF Q3=2
LIVESTOCK
>>Q8 IF Q3=2
What was the reason why household did
not purchase [INPUT]?
ASK THIS QUESTION FOR
ALL ITEMS, BEFORE MOVING ON TO THE NEXT QUESTIONS FOR
ITEMS WITH "YES"
ASK THIS QUESTION FOR
ALL ITEMS (Q3=1), BEFORE MOVING ON TO THE NEXT QUESTIONS FOR
ITEMS WITH "YES"
Commission on sale of animals
Compensation for damage by animals
Other livestock costs (specify)
FISHING
Fuel
Hire labour
Spare parts
Reapirs and maintenance
Hiring of equipment
Other fisihing costs (specify)
2
6
5
4
3
7
8
9
1
55
EA No ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator.......................................................................... 56 of 62
SECTION 4A: HOUSEHOLD INCOME
1
Last one month Last 12 months
A B
01 Sale of Crop (fruits, tubers, millet, coose etc.)
02 Sale of horticultural produce (e.g. vegetables, etc.)
03 Livestock & Livestock Products
04 Fishing
05 Other Farming Income (firewood, hunting, charcoal …)
06 Forest products (timber, rhun palm etc.)
07 Non-Farm Enterprise
08 Public Sector Salary
09 Parastatal salary
10 Private Sector Salary
11 Rent Received
12 Pension received
13 Transfer Payments Received (scholarships, etc.)
14 Debts repaid to the household
15 Loan received
16 Other Sources (specify)
Sources of Income DALASIS2
Please record the total income of all members of household corresponding to the source in the appropriate column (i.e. total wages, salaries and profit in cash or in kind and income from other sources* during last year). If the household is engaged in farming, record the total income accrued during last year under the yearly column).
*Income from other sources - (1) Property income (rent interest, dividends, etc.); (2) Current Transfers and Benefits (remittance received, pension, life insurance annuities, social security benefit, etc.
ITEM
CODE
56
EA No ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator.......................................................................... 57 of 62
SECTION 4B: MISCELLANEOUS INCOME
1. In the past 12 months, did household receive income in cash and/or kind? >>NEXT SECTION IF Q1=2
2A 2B 3A 3B 4A 4B
1=Yes 2=No DALASIS 1=Yes 2=No DALASIS 1=Yes 2=No DALASIS
5A 5B 6A 6B 7A 7B 8A 8B 9A 9B1=Yes 2=No DALASIS 1=Yes 2=No DALASIS 1=Yes 2=No DALASIS 1=Yes 2=No DALASIS 1=Yes 2=No DALASIS
SECTION 4C: MISCELLANEOUS EXPENDITURES
1. In the past 12 months, did the household spend (in cash and kind)? >>NEXT SECTION IF Q1=2
2A 2B 3A 3B 4A 4B 5A 5B 6A 6B
DALASIS DALASIS DALASIS DALASIS DALASIS
6Other miscellaneous expenditure
(specify)
Sale of Land Other (specify)
9
Contributions to self-help projects
2Weddings, dowry, naming
ceremonies
4Religious and other ceremonies
(Tobaski, Koriteh, etc.)
5
Contributions to Osusu
4
Other (specify)
Private pension/ insurance Osusu
3
Dowry
65 7 8
FROM CENTRAL AND LOCAL GOVERNMENT
FROM OTHER SOURCES
Social security
2
State Pension
3
1 = Yes 2 = No
1 = Yes 2 = No
57
EA No ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator.......................................................................... 58 of 62
SECTION 5: NON-AGRICULTURAL HOUSEHOLD ENTERPRISES
1
2 What is the ID NUMBER (SECTION 1 Q4) of respondent(s) to Section 5?
3 6 7
Yes 1 Government demolition 1 Yes 1>>Q8 IF Q5=1 Lack of electricity 2 No 2No 2 Lack of capital 3
Lack of raw materials 4High taxes 5Other (specify) 6
WRITTEN DESCRIPTION
INDUSTRY
1
2
3
4
MONTHS
LIST ALL ENTERPRISES BEFORE COLLECTING
INFORMATION ON EACH
WRITE A NAME TO IDENTIFY ENTERPRISE
3APlease tell me about each
enterprise in existence (whether currently in operation or not) last
12 months.ENTERPRISE ID
FOR OFFICE CODING
In the last 12 months, how
many months did the
[ENTERPRISE] operate?
8Is this
[ENTERPRISE] currently in operation?
5
CAN LIST UP TO TWO HOUSEHOLD MEMBERS
Why is the [ENTERPRISE] not been in operation?
Are you expecting to re-start
operation over the next 12 months
FOR [ENTERPRISE]?
In the last 12 months, has anyone in your household operated any non-agricultural enterprise which produces goods or services (for example, artisan, metalworking, tailoring, repair work; also Include processing and selling your outputs from your own crops if or has anyone in your household owned a shop or operated a trading business or profession done regularly)
What is the main activity of [ENTERPRISE] based on the ISIC Industry code?
4
1 = Yes2 = No >>NEXT SECTION
58
EA No ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator.......................................................................... 59 of 62
3
1
2
3
4
ENTERPRISE ID
Didn’t need any money 1 Yes 1 Yes 1 Formal Banks 1Own savings 2 No 2 No 2 Micro finance 2Relatives/family members 3 NGO 3
Credit union 4Industrial Site 3 Landlord 5Traditional Market 4 Microfinance institutions 5 Employer 6
5 Local group 6 Local group 7NGO 7 Relative 8
Roadside 6 Other (specify) 8 Friend 9Other Fixed Place 7 Local money lender 10Mobile 8 Other (Specify) 99
MAIN
Commercial District Shop
>>Q16 IF Q13=2
SECOND
13Has
[ENTERPRISE] ever received a
credit to operate or expand business?
Commercial/Development bank 4
Home Inside the ResidenceHome Outside the Residence 2
1
11 12Who in the household
owns/manages this [ENTERPRISE]?
When was this [ENTERPRISE] started?
Where was this [ENTERPRISE] operated from?
Did this [ENTERPRISE] receive a credit to operate or expand
business during the last 12 months?
14
>>Q16 IF Q14=2
What was the major source of credit for
[ENTERPRISE] last 12 months?
15What was the main source of
money for setting up this [ENTERPRISE]?
109
ID NUMBER
A
ID NUMBER
ID CODES MUST BE FROM HH ROSTER
(SECTION 1 Q4)
MONTH YEAR
B
LIST UP TO TWO OWNERS (MAIN
OWNERS)
59
EA No ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator.......................................................................... 60 of 62
3
1
2
3
4
ENTERPRISE ID
17What is/was the
average monthly gross revenues during the
months of operation of [ENTERPRISE] last 12
months?
A B AA BB AAA BBB
DALASIS FEMALE MALE FEMALE MALE FEMALE MALE
16How many people does [ENTERPRISE] hire during a typical month of
operation?
18
HOUSEHOLD MEMBERS
OTHER NON-HH MEMBERSTOTAL
Who in the household worked on this [ENTERPRISE] last 12 months?
ID NUMBER ID NUMBER ID NUMBER
E
ID NUMBERID NUMBER
LIST UP TO 5 ID CODES FROM ROSTER
C DA B
60
EA No ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator.......................................................................... 61 of 62
3
1
2
3
4
ENTERPRISE ID
19 20 21What is/was the average
expenditure on wages during a typical month
of operation of [ENTERPRISE] last 12
months?
What is/was the average expenditure on raw materials during a typical month of
operation of [ENTERPRISE] last 12
months?
Other operating expenses such as fuel,
kerosene, electricity etc. during typical month of
operation of [ENTERPRISE] last 12
months?Yes 1 Yes 1
No 2Refused 8Don’t know 9
No 2Refused 8Don’t know 9
DALASIS DALASIS DALASIS
23Is this
[ENTERPRISE] officially
registered for Value-Added Tax
(VAT)?
Is this [ENTERPRISE]
registered for income tax?
22
>>NEXT ENTERPRISE IF
Q22=1
61
EA No. ___ ___ ___ ___ ___ HH No. ___ ___ Enumerator .......................................................................... 62 of 62
Length of interview
D D M M Y Y Y Y Start End Minutes
First visit
Second visit
Third visit
Forth Visit
Fifth Visit
BACK COVER
Date Time
AFTER COMPLETING INTERVIEW, PLEASE MAKE OBSERVATIONS ON THE INTERVIEW.
RECORD GENERAL NOTES ABOUT THE INTERVIEW AND RECORD ANY SPECIAL INFORMATION THAT WILL BE HELPFUL FOR SUPERVISORS AND THE ANALYSIS OF THIS QUESTIONNAIRE.
Sections completed
62
