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INDIVIDUAL QUESTIONNAIRES
PART 2: PROTECTION AND ASSISTANCE FOR MIGRANTS VULNERABLE TO VIOLENCE, EXPLOITATION AND ABUSE: INDIVIDUAL CASE MANAGEMENT
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INDIVIDUAL QUESTIONNAIRE: ORIGIN/PRE-DEPARTURE
Section 1: Interview information
1.1. Enumerator code: ______________
1.2. Date: [dd-mm-yyyy] ______________
1.3. Language in which interview is conducted: ______________
1.4. Location of interview: ______________
1.5. Country of interview: ______________
Section 2: Basic information
2.1. Respondent’s country of origin: ______________
2.2. Respondent’s citizenship: ______________
2.3. Age (in years): ______________ � Don’t know � Refused
2.4. Language(s) spoken: ______________
Section 3: Individual Vulnerability Factors
Section 3A: Migration: Status, history and intentions, awareness/preparedness
3.1. What is your current migration status in this country? (Check all that apply) � Asylum seeker/refugee claimant � Asylum seeker (granted)/refugee � Asylum seeker/refugee claimant, failed � Citizen � Foreign resident � Foreign student � Foreign worker (temporary) � Irregular migrant, irregular entry � Irregular migrant, overstayed permit/visa � Regular (free movement) � Stateless � Don’t know � Other [specify]: ______________ � Refused
3.2. Have you ever moved to another country/another region of your country before? � Yes
• If yes, where to? ______________• If yes, how many times? ______________
� No• If no, is this the first time you are considering moving to another country or another region of
your country? � Yes � No
• If no, how many times have you considered moving to another country/another region of yourcountry in the past? ______________
• Which country(ies)/which regions? ______________ � Don’t know � Refused
� Don’t know � Refused
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IOM HANDBOOK PROTECTION AND ASSISTANCE FOR MIGRANTS VULNERABLE TO VIOLENCE, EXPLOITATION AND ABUSE
3.3. Have you ever been detained in the past by government or police services for any reason? � Yes
• In which country or countries? ______________ � Don’t know � Refused
� No � Don’t know � Refused
3.4. Do you know of anyone who has been the victim of human trafficking? � Yes
• Were you or someone in your family the victim of trafficking? � Yes � No � Don’t know � Refused
� No � Don’t know � Refused
3.5. What country/region of your country is your intended destination? ______________ � Don’t know � Refused
3.6. Why do you intend to move/leave home? (Check all that apply) � Lack of work opportunities � Look for education � Promised a job � Promised an education � Conflict, insecurity � Bad family situation � Persecution � Romantic relationship/marriage � Look for health care � Family reunification � Natural disaster � Other [specify]: ______________ � Don’t know � Refused
3.7. Is it your own choice to travel/move (not someone else’s)? � Yes � No � Don’t know � Refused
3.8. Is someone else forcing you to travel/move? � Yes
• If yes, how? (Check all that apply) � Threats � Pressure from family � Violence � Kidnapping � Coercion � Other [specify]: ______________ � Don’t know � Refused
� No � Don’t know � Refused
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3.9. Do you think you have been lied to, tricked, manipulated, indebted, given false promises or otherwise deceived in order to get you to travel/move?
� Yes � No � Don’t know � Refused
3.10. Who will you travel with? (Check all that apply) � Alone � With family � With friends � Recruitment agent � Employer � Stranger(s) � Smuggler � Trafficker � Other [specify]: ______________ � Don’t know � Refused
3.11. How will you get to your intended destination? (Check all that apply) � Plane � Train � Bus � Car � Boat � Walking � Other [specify]: ______________ � Don’t know � Refused
3.12. How do you intend to pay for your journey? (Check all that apply) � Savings � I will work as I go � I will borrow money � I will sell something to get cash � I am unable to pay � Other [specify]: ______________ � Don’t know � Refused
3.13. Will you have travel documents with you or have access to them on your journey? � Yes � No
• Why not? � Never had any � Lost � Stolen � Someone else has them/will have them
• Who will have your travel documents? � Agent � Smuggler � Employer � Trafficker � Family member � Other: ______________ � Friend � Don’t know � Immigration / Police � Refused
� Don’t know � Refused
� Don’t know � Refused
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IOM HANDBOOK PROTECTION AND ASSISTANCE FOR MIGRANTS VULNERABLE TO VIOLENCE, EXPLOITATION AND ABUSE
3.14. Do you understand the language(s) of your intended destination? � A little � Quite well � Very well � No � Don’t know � Refused
3.15. Do you speak the language(s) of your intended destination? � A little � Quite well � Very well � No � Don’t know � Refused
3.16. Do you read the language(s) of your intended destination? � A little � Quite well � Very well � No � Don’t know � Refused
3.17. Do you understand the language(s) of the countries/regions you will transit through to reach your intended destination?
� A little � Quite well � Very well � No � Don’t know � Refused � Does not apply
3.18. Do you speak the language(s) of the countries/regions you will transit through to reach your intended destination?
� A little � Quite well � Very well � No � Don’t know � Refused � Does not apply
3.19. Do you read the language(s) of the countries/regions you will transit through to reach your intended destination?
� A little � Quite well � Very well � No � Don’t know � Refused � Does not apply
3.20. Do you think you have the skills or education necessary to get a job at your intended destination? � Yes � No � Don’t know � Refused � Does not apply
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3.21. How dangerous do you think the journey/process of migration will be? � Very dangerous � Somewhat dangerous � Neither dangerous nor safe � Somewhat safe � Very safe � Don’t know � Refused
3.22. Do you anticipate being subjected to any violence, exploitation or abuse on your journey to the country/region you are moving to?
� Yes• What kind/which ones do you anticipate being subjected to?
� Physical violence � Sexual violence � Threats, coercion � Exploitation � Abuse � Other [specify] � Don’t know � Refused
� No � Don’t know � Refused
3.23. Do you anticipate witnessing violence, exploitation or abuse to others on your journey to the country/region you are moving to?
� Yes• What kind/which ones do you anticipate witnessing?
� Physical violence � Sexual violence � Threats, coercion � Exploitation � Abuse � Other [specify]: ______________ � Don’t know � Refused
� No � Don’t know � Refused
3.24. How friendly/unfriendly do you expect people will be towards migrants/foreigners in the country/region you intend to migrate to/move to?
� Very friendly � Somewhat friendly � Neither friendly nor unfriendly � Somewhat unfriendly � Very unfriendly � Don’t know � Refused
3.25. Do you anticipate being discriminated against in your intended destination? � Yes
• In which countries/regions? ______________ � Don’t know � Refused
� No � Don’t know � Refused
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IOM HANDBOOK PROTECTION AND ASSISTANCE FOR MIGRANTS VULNERABLE TO VIOLENCE, EXPLOITATION AND ABUSE
Section 3B: Personal Circumstances and household/family context
3.26. Are you experiencing any violence, exploitation or abuse? � Yes
• What kind/which ones are you experiencing?• Physical violence• Sexual violence• Threats, coercion• Exploitation• Abuse• Other [specify]: ______________• Don’t know• Refused
� No � Don’t know � Refused
3.27. Have you recently (within the last three years) been affected by any of the following situations? (select all that apply):
� Divorce/ separation � Death � Major illness resulting in disability � Don’t know � Refused
3.28. Do you have a physical or mental disability? � Yes
• What is the nature of this disability? ______________• Don’t know• Refused
� No � Don’t know � Refused
3.29. Are you currently sick or injured, or do you have medical needs? � Yes
• What is the nature of this sickness, injury or medical need? ______________ � Don’t know � Refused � No � Don’t know � Refused
3.30. Do you feel discriminated against? � Yes � No � Don’t know � Refused
3.31. Do you feel that you are isolated from the rest of the community? � Yes � Somewhat � No � Don’t know � Refused
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3.32. If you are under 16, are you currently attending school? � Yes
• Do you feel safe in school? � Yes � No
• What makes you feel unsafe? � Teachers � Other students � Travelling to / from school � Other [specify]: ______________ � Don’t know � Refused
� Don’t know � Refused
� No• Why are you not attending school? ______________
� Don’t know � Refused � Don’t know � Refused
3.33. What is your highest level of education? � None � Primary or elementary, partial � Primary or elementary, completed � Secondary or high school, partial � Secondary or high school, completed � Post-secondary, partial � Post-secondary, completed � Don’t know � Refused
3.34. Do you currently have a source of income? � Yes � No � Don’t know � Refused
3.35. What is your main source of income? � Employment in a business/service � Business owner of a legally registered business � Self-employed � Informal economy � Factory work � Domestic work � Prostitution or sex-related work � Forestry, agriculture and fisheries � Mining and construction � Family support � Subsidy from aid organization � Cash transfer from government � Other [specify]: ______________ � Don’t know � Refused
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IOM HANDBOOK PROTECTION AND ASSISTANCE FOR MIGRANTS VULNERABLE TO VIOLENCE, EXPLOITATION AND ABUSE
3.36. Do you have any debts? � Yes
• Do you feel you are being pressured or coerced into repaying these debts? � Yes � No � Don’t know � Refused
� No � Don’t know � Refused
3.37. Do you have access to health services? � Yes, partially � Yes, fully � No � Don’t know � Refused
3.38. Do you have access to education services? � Yes, partially � Yes, fully � No � Don’t know � Refused
3.39. Do you have access to financial services? � Yes, partially � Yes, fully � No � Don’t know � Refused
3.40. Do you feel that you are well informed of your rights regarding work, housing, education, personal safety, legal status, dealing with the police/border authorities/military, identity documents, etc.?
� Yes, partially � Yes, fully � No � Don’t know � Refused
3.41. Are you currently homeless? � Yes � No � Don’t know � Refused
3.42. Who do you live with? � Live alone � Live with parents � Live with parents and other family members � Live with other family members (not parents) � Live with spouse or partner � Live with spouse or partner and children � Live with children and no other adult � Live in a shelter � Live in shared accommodation (rooming house, with roommates who are not members of your
household/family) � Other [specify]: ______________ � Don’t know � Refused
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3.43. How many people do you live with (not counting yourself )? ______________ � Don’t know � Refused
3.44. Is everyone who lives with you a member of your household/family? � Yes � No
• How many are not members of your household/family? ______________ � Don’t know � Refused
� Don’t know � Refused
3.45. Are you the sole or primary/main provider for your household/family? � Yes � No � Don’t know � Refused
3.46. Is your income/resources enough to provide sufficient food and clean water as well as shelter for your household/family?
� Yes, partially � Yes, fully � No � Don’t know � Refused
3.47. Are you financially responsible for people outside of your household/family? � Yes � No � Don’t know � Refused
3.48. Is your income/resources enough to meet your obligations to those people outside your household/family?
� Yes, partially � Yes, fully � No � Don’t know � Refused
Section 4: Socio-Demographic Information
4.1. Race/Ethnicity:
4.2. Religion: � Buddhist
• Specify: ______________ � Christian
• Specify: ______________ � Hindu
• Specify: ______________ � Muslim
• Specify: ______________ � Jewish
• Specify: ______________ � Animist
• Specify: ______________ � Atheist � Other
• Specify: ______________ � Don’t know � Refused
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IOM HANDBOOK PROTECTION AND ASSISTANCE FOR MIGRANTS VULNERABLE TO VIOLENCE, EXPLOITATION AND ABUSE
4.3. What is your biological sex? � Female � Male � Intersex � Other [specify]: � Don’t know � Refused
4.4. What is your gender identity? � Woman � Man � Non-binary � Other [specify]: ______________ � Don’t know � Refused
4.5. Do you identify as heterosexual? � Yes � No � Don’t know � Refused
INDIVIDUAL QUESTIONNAIRE: IN-TRANSIT
Section 1: Interview information
1.1. Enumerator code: _______________
1.2. Date: [dd-mm-yyyy] _______________
1.3. Language in which interview is conducted: _______________
1.4. Location of interview: _______________
1.5. Country of interview: _______________
Section 2: Basic information
2.1. Respondent’s country of origin: _______________
2.2. Respondent’s citizenship: _______________
2.3. Age (in years): _______________ � Don’t know � Refused
2.4. Language(s) spoken: _______________
Section 3: Individual Vulnerability Factors
Section 3A: Migration: History
3.1. Have you ever moved to another country/another region of your country before? � Yes
• If yes, where to? _______________• If yes, how many times? _______________
� No � Don’t know � Refused
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3.2. Have you ever been detained in the past by government or police services for any reason? � Yes
• In which country or countries? _______________ � Don’t know � Refused � No � Don’t know � Refused
3.3. Do you know of anyone who has been the victim of human trafficking?
3.4. Why did you move/leave home? (Check all that apply) � Lack of work opportunities � Look for education � Promised a job � Promised an education � Conflict, insecurity � Bad family situation � Persecution � Romantic relationship/marriage � Look for health care � Family reunification � Natural disaster � Other [specify]: _______________ � Don’t know � Refused
3.5. Did you feel discriminated against at your point of origin? � Yes � No � Don’t know � Refused
3.6. Did you feel that you were isolated from the rest of the community at your point of origin? � Yes � Somewhat � No � Don’t know � Refused
3.7. Did you experience any violence, exploitation or abuse at your point of origin? � Yes
• What kind/which ones did you experience? � Physical violence � Sexual violence � Threats, coercion � Exploitation � Abuse � Other [specify]: _______________ � Don’t know � Refused
� No � Don’t know � Refused
� Yes • Were you or someone in your family the victim of trafficking?� Yes� No� Don’t know� Refused
� No� Don’t know� Refused
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IOM HANDBOOK PROTECTION AND ASSISTANCE FOR MIGRANTS VULNERABLE TO VIOLENCE, EXPLOITATION AND ABUSE
3.8. Was it your own choice to travel/move (not someone else’s)? � Yes � No � Don’t know � Refused
3.9. Did someone else force you to travel/move? � Yes
• If yes, how? (Check all that apply) � Threats � Pressure from family � Violence � Kidnapping � Coercion � Other [specify]: _______________ � Don’t know � Refused
� No � Don’t know � Refused
3.10. Do you think you were lied to, tricked, manipulated, indebted, given false promises, or otherwise deceived in order to get you to travel/move?
� Yes � No � Don’t know � Refused
3.11. Who did you travel/move with? (Check all that apply) � Alone � With family � With friends � Recruitment agent � Employer � Stranger(s) � Smuggler � Trafficker � Other [specify]: _______________ � Don’t know � Refused
3.12. Did you have travel documents with you or have access to them when you migrated? � Yes � No
• Why not? � Never had any � Lost � Stolen � Someone else had them
• Who had your travel documents? � Agent � Smuggler � Employer � Trafficker � Family member � Other [specify]: _______________ � Friend � Don’t know � Immigration / Police � Refused
• Don’t know• Refused
� Don’t know � Refused
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3.13. How did you travel to your present location? (Check all that apply) � Plane � Train � Bus � Car � Boat � Walking � Other [specify]: _______________ � Don’t know � Refused
3.14. How did you pay for your journey to your present location? (Check all that apply) � Savings � Worked along the way � Borrowed money � Sold things to get cash � I was unable to pay � Other [specify]: _______________ � Don’t know � Refused
3.15. How dangerous was your journey to get to your present location? � Very dangerous � Somewhat dangerous � Neither dangerous nor safe � Somewhat safe � Very safe � Don’t know � Refused
3.16. Were you subjected to any violence, exploitation or abuse on your journey to your present location? � Yes
• What kind/which ones were you subjected to? � Physical violence � Sexual violence � Threats, coercion � Exploitation � Abuse � Other [specify]: _______________ � Don’t know � Refused
� No � Don’t know � Refused
3.17. Did you witness violence, exploitation or abuse to others on your journey to your present location? � Yes
• What kind/which ones did you witness? � Physical violence � Sexual violence � Threats, coercion � Exploitation � Abuse � Other [specify]: _______________ � Don’t know � Refused
� No � Don’t know � Refused
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IOM HANDBOOK PROTECTION AND ASSISTANCE FOR MIGRANTS VULNERABLE TO VIOLENCE, EXPLOITATION AND ABUSE
Section 3B: Migration: Current Status/Situation
3.18. What is your current migration status in this country? (Check all that apply) � Asylum seeker/refugee claimant � Asylum seeker (granted)/refugee � Asylum seeker/refugee claimant, failed � Citizen � Foreign resident � Foreign student � Foreign worker (temporary) � Irregular migrant, irregular entry � Irregular migrant, overstayed permit/visa � Regular (free movement) � Stateless � Don’t know � Other [specify]: _______________ � Refused
3.19. Are you experiencing any violence, exploitation or abuse in your present location? � Yes
• What kind/which ones are you experiencing? � Physical violence � Sexual violence � Threats, coercion � Exploitation � Abuse � Other [specify]: _______________ � Don’t know � Refused
� No � Don’t know � Refused
3.20. How friendly/unfriendly are people towards migrants/foreigners in your present location? � Very friendly � Somewhat friendly � Neither friendly nor unfriendly � Somewhat unfriendly � Very unfriendly � Don’t know � Refused
3.21. Do you understand the language(s) of your present location? � A little � Quite well � Very well � No � Don’t know � Refused
3.22. Do you speak the language(s) of your present location? � A little � Quite well � Very well � No � Don’t know � Refused
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3.23. Do you read the language(s) of your present location? � A little � Quite well � Very well � No � Don’t know � Refused
3.24. Do you feel discriminated against in your present location? � Yes � No � Don’t know � Refused
3.25. Do you feel that you are isolated from the rest of the community in your present location? � Yes � Somewhat � No � Don’t know � Refused
3.26. If you are under 16, are you currently attending school? � Yes
• Do you feel safe in school? � Yes � No
• What makes you feel unsafe? � Teachers � Other students � Travelling to / from school � Other [specify]: _______________ � Don’t know � Refused
� Don’t know � Refused
� No• Why are you not attending school? _______________
� Don’t know � Refused
� Don’t know � Refused
3.27. Do you currently have travel documents with you or have access to them? � Yes � No
• Why not? � Never had any � Lost � Stolen � Someone else has them
• Who has your travel documents? � Agent � Smuggler � Employer � Trafficker � Family member � Other [specify]: _______________ � Friend � Don’t know � Immigration / Police � Refused
� Don’t know � Refused
� Don’t know � Refused
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IOM HANDBOOK PROTECTION AND ASSISTANCE FOR MIGRANTS VULNERABLE TO VIOLENCE, EXPLOITATION AND ABUSE
3.28. Are you currently sick or injured, or do you have medical needs? � Yes
• What is the nature of this sickness, injury or medical need? _______________ � Don’t know � Refused
� No � Don’t know � Refused
3.29. Do you currently have a source of income? � Yes � No � Don’t know � Refused
3.30. What is your main source of income? � Employment in a business/service � Business owner of a legally registered business � Self-employed � Informal economy � Factory work � Domestic work � Prostitution or sex-related work � Forestry, agriculture and fisheries � Mining and construction � Family support � Subsidy from aid organization � Cash transfer from government � Other [specify]: _______________ � Don’t know � Refused
3.31. Do you have access to health services in your present location? � Yes, partially � Yes, fully � No � Don’t know � Refused
3.32. Do you have access to education services in your present location? � Yes, partially � Yes, fully � No � Don’t know � Refused
3.33. Do you have access to financial services in your present location? � Yes, partially � Yes, fully � No � Don’t know � Refused
3.34. Are you currently homeless? � Yes � No � Don’t know � Refused
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3.35. Who do you live with? � Live alone � Live with parents � Live with parents and other family members � Live with other family members (not parents) � Live with spouse or partner � Live with spouse or partner and children � Live with children and no other adult � Live in a shelter � Live in shared accommodation (rooming house, with roommates who are not members of your
household/family) � Other [specify]: _______________ � Don’t know � Refused
3.36. How many people do you live with (not counting yourself )? _______________ � Don’t know � Refused
3.37. Is everyone who lives with you a member of your household/family? � Yes � No
• How many are not members of your household/family? _______________ � Don’t know � Refused
� Don’t know � Refused
Section 3C: Migration: Intentions
3.38. What country/region of your country is your intended destination? _______________ � Don’t know � Refused
3.39. Who will you travel with for the remainder of your journey? (Check all that apply) � Alone � With family � With friends � Recruitment agent � Employer � Stranger(s) � Smuggler � Trafficker � Other [specify]: _______________ � Don’t know � Refused
3.40. How will you get from here to your intended destination? (Check all that apply) � Plane � Train � Bus � Car � Boat � Walking � Other [specify]: _______________ � Don’t know � Refused
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IOM HANDBOOK PROTECTION AND ASSISTANCE FOR MIGRANTS VULNERABLE TO VIOLENCE, EXPLOITATION AND ABUSE
3.41. How will you pay for the remainder of your journey? (Check all that apply) � Savings � I will work as I go � I will borrow money � I will sell things to get cash � I am unable to pay � Other [specify]: _______________ � Don’t know � Refused
3.42. Will you have travel documents with you or have access to them on the remainder of your journey? � Yes � No
• Why not? � Never had any � Lost � Stolen � Someone else will have them
• Who will have your travel documents? � Agent � Employer � Family member � Friend � Immigration / Police � Smuggler � Trafficker � Other [specify]: _______________ � Don’t know � Refused
� Don’t know � Refused
� Don’t know � Refused
3.43. Do you understand the language(s) of your intended destination? � A little � Quite well � Very well � No � Don’t know � Refused
3.44. Do you speak the language(s) of your intended destination? � A little � Quite well � Very well � No � Don’t know � Refused
3.45. Do you read the language(s) of your intended destination? � A little � Quite well � Very well � No � Don’t know � Refused
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3.46. Do you understand the language(s) of the other countries/regions you will transit through to reach your intended destination?
� A little � Quite well � Very well � No � Don’t know � Refused � Does not apply
3.47. Do you speak the language(s) of the other countries/regions you will transit through to reach your intended destination?
� A little � Quite well � Very well � No � Don’t know � Refused � Does not apply
3.48. Do you read the language(s) of the other countries/regions you will transit through to reach your intended destination?
� A little � Quite well � Very well � No � Don’t know � Refused � Does not apply
3.49. Do you think you have the skills or education necessary to get a job at your intended destination? � Yes � No � Don’t know � Refused
3.50. How dangerous do you think the rest of your journey/process of migration will be? � Very dangerous � Somewhat dangerous � Neither dangerous nor safe � Somewhat safe � Very safe � Don’t know � Refused
3.51. Do you anticipate being subjected to any violence, exploitation or abuse on the rest of your journey to the country/region you are moving to?
� Yes• What kind/which ones do you anticipate being subjected to?
� Physical violence � Sexual violence � Threats, coercion � Exploitation � Abuse � Other [specify]: _______________ � Don’t know � Refused
� No � Don’t know � Refused
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3.52. Do you anticipate witnessing violence, exploitation or abuse to others on the rest of your journey to the country/region you are moving to?
� Yes• What kind/which ones do you anticipate witnessing?
� Physical violence � Sexual violence � Threats, coercion � Exploitation � Abuse � Other [specify]: _______________ � Don’t know � Refused
� No � Don’t know � Refused
3.53. How friendly/unfriendly do you expect people will be towards migrants/foreigners in the country/region you intend to migrate to/move to?
� Very friendly � Somewhat friendly � Neither friendly nor unfriendly � Somewhat unfriendly � Very unfriendly � Don’t know � Refused
3.54. Do you anticipate being discriminated against at your intended destination? � Yes
• In which countries/regions? _______________ � Don’t know � Refused
� No � Don’t know � Refused
Section 3D: Personal Circumstances and Household/Family Context
3.55. Have you recently (within the last three years) been affected by any of the following situations? (select all that apply):
� Divorce/ separation � Death � Major illness resulting in disability � Don’t know � Refused
3.56. Do you have a physical or mental disability? � Yes
• What is the nature of this disability? _______________ � Don’t know � Refused
� No � Don’t know � Refused
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3.57. What is your highest level of education? Guidance: Primary refers to schooling, usually up to grade 8 or standard 8. In most countries primary education is state sponsored. Secondary refers to education beyond primary, usually in an individual’s teenaged years. Post-Secondary refers to attending a college or university.
� None � Primary or elementary, partial � Primary or elementary, completed � Secondary or high school, partial � Secondary or high school, completed � Post-secondary, partial � Post-secondary, completed � Don’t know � Refused
3.58. Do you feel that you are well informed of your rights regarding work, housing, education, personal safety, legal status, dealing with the police/border authorities/military, identity documents, etc.?
� Yes, partially � Yes, fully � No � Don’t know � Refused
3.59. Do you have any debts? � Yes
• Do you feel you are being pressured or coerced into repaying these debts? � Yes � No � Don’t know � Refused
� No � Don’t know � Refused
3.60. Are you the sole or primary/main provider for your household/family? � Yes � No � Don’t know � Refused
3.61. Is your income/resources enough to provide sufficient food and clean water as well as shelter for your household/family?
� Yes, partially � Yes, fully � No � Don’t know � Refused
3.62. Are you financially responsible for people outside of your household/family? � Yes � No � Don’t know � Refused
3.63. Is your income/resources enough to meet your obligations to those people outside your household/family? � Yes, partially � Yes, fully � No � Don’t know � Refused
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Section 4: Socio-Demographic Information
4.1. Race/Ethnicity:
4.2. Religion: � Buddhist
• Specify: _______________ � Christian
• Specify: _______________ � Hindu
• Specify: _______________ � Muslim
• Specify: _______________ � Jewish
• Specify: _______________ � Animist
• Specify: _______________ � Atheist � Other
• Specify: _______________ � Don’t know � Refused
4.3. What is your biological sex? � Female � Male � Intersex � Other [specify]: _______________ � Don’t know � Refused
4.4. What is your gender identity? � Woman � Man � Non-binary � Other [specify]: _______________ � Don’t know � Refused
4.5. Do you identify as heterosexual? � Yes � No � Don’t know � Refused
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INDIVIDUAL QUESTIONNAIRE: DESTINATION
Section 1: Interview information
1.1. Enumerator code: _______________
1.2. Date: [dd-mm-yyyy] _______________
1.3. Language in which interview is conducted: _______________
1.4. Location of interview: _______________
1.5. Country of interview: _______________
Section 2: Basic information
2.1. Respondent’s country of origin: _______________
2.2. Respondent’s citizenship: _______________
2.3. Age (in years): _______________ � Don’t know � Refused
2.4. Language(s) spoken: _______________
Section 3: Individual Vulnerability Factors
Section 3A: Migration: History
3.1. Have you ever moved to another country/another region of your country before? � Yes
• If yes, where to? _______________• If yes, how many times? _______________
� No � Don’t know � Refused
3.2. Have you ever been detained in the past by government or police services for any reason? � Yes
• In which country or countries? _______________ � Don’t know � Refused
� No � Don’t know � Refused
3.3. Do you know of anyone who has been the victim of human trafficking? � Yes
• Were you or someone in your family the victim of trafficking? � Yes � No � Don’t know � Refused
� No � Don’t know � Refused
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3.4. Why did you move/leave home? (Check all that apply) � Lack of work opportunities � Look for education � Promised a job � Promised an education � Conflict, insecurity � Bad family situation � Persecution � Romantic relationship/marriage � Look for health care � Family reunification � Natural disaster � Other [specify]: _______________ � Don’t know � Refused
3.5. Did you feel discriminated against at your point of origin? � Yes � No � Don’t know � Refused
3.6. Did you feel that you were isolated from the rest of the community at your point of origin? � Yes � Somewhat � No � Don’t know � Refused
3.7. Did you experience any violence, exploitation or abuse at your point of origin? � Yes
• What kind/which ones did you experience? � Physical violence � Sexual violence � Threats, coercion � Exploitation � Abuse � Other [specify]: _______________ � Don’t know � Refused
� No � Don’t know � Refused
3.8. Was it your own choice to travel/move (not someone else’s)? � Yes � No � Don’t know � Refused
3.9. Did someone else force you to travel/move? � Yes
• If yes, how? (Check all that apply) � Threats � Coercion � Pressure from family � Other [specify]: _______________ � Violence � Don’t know � Kidnapping � Refused
� No � Don’t know � Refused
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3.10. Do you think you were lied to, tricked, manipulated, indebted, given false promises, or otherwise deceived in order to get you to travel/move?
� Yes � No � Don’t know � Refused
3.11. Who did you travel/move with? (Check all that apply) � Alone � With family � With friends � Recruitment agent � Employer � Stranger(s) � Smuggler � Trafficker � Other [specify]: _______________ � Don’t know � Refused
3.12. Did you have travel documents with you or have access to them when you migrated? � Yes � No
• Why not? � Never had any � Lost � Stolen � Someone else had them
• Who had your travel documents? � Agent � Employer � Family member � Friend � Immigration / Police � Smuggler � Trafficker � Other [specify]: _______________ � Don’t know � Refused
� Don’t know � Refused
� Don’t know � Refused
3.13. How did you travel to your present location? (Check all that apply) � Plane � Train � Bus � Car � Boat � Walking � Other [specify]: _______________ � Don’t know � Refused
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3.14. How did you pay for your journey to your present location? (Check all that apply) � Savings � Worked along the way � Borrowed money � Sold things to get cash � I was unable to pay � Other [specify]: _______________ � Don’t know � Refused
3.15. Did you understand the language(s) used in the locations that you went through during your journey to your present location?
� A little � Quite well � Very well � No � Don’t know � Refused
3.16. Did you speak the language(s) used in the locations that you went through during your journey to your present location?
� A little � Quite well � Very well � No � Don’t know � Refused
3.17. Did you read the language(s) used in the locations that you went through during your journey to your present location?
� A little � Quite well � Very well � No � Don’t know � Refused
3.18. Did you feel discriminated against during your journey to your present location? � Yes � No � Don’t know � Refused
3.19. How dangerous was your journey to get to your present location? � Very dangerous � Somewhat dangerous � Neither dangerous nor safe � Somewhat safe � Very safe � Don’t know � Refused
3.20. Were you subjected to any violence, exploitation or abuse on your journey to your present location? � Yes
• What kind/which ones were you subjected to? � Physical violence � Abuse � Sexual violence � Other [specify]: _______________ � Threats, coercion � Don’t know � Exploitation � Refused
� No � Don’t know � Refused
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3.21. Did you witness violence, exploitation or abuse to others on your journey to your present location? � Yes
• What kind/which ones did you witness? � Physical violence � Sexual violence � Threats, coercion � Exploitation � Abuse � Other [specify]: _______________ � Don’t know � Refused
� No � Don’t know � Refused
Section 3B: Migration: Current Status/Situation
3.22. What is your current migration status in this country? (Check all that apply) � Asylum seeker/refugee claimant � Asylum seeker (granted)/refugee � Asylum seeker/refugee claimant, failed � Citizen � Foreign resident � Foreign student � Foreign worker (temporary) � Irregular migrant, irregular entry � Irregular migrant, overstayed permit/visa � Regular (free movement) � Stateless � Don’t know � Other [specify]: _______________ � Refused
3.23. Are you experiencing any violence, exploitation or abuse in your present location? � Yes
• What kind/which ones are you experiencing? � Physical violence � Sexual violence � Threats, coercion � Exploitation � Abuse � Other [specify]: _______________ � Don’t know � Refused
� No � Don’t know � Refused
3.24. How friendly/unfriendly are people towards migrants/foreigners in your present location? � Very friendly � Somewhat friendly � Neither friendly nor unfriendly � Somewhat unfriendly � Very unfriendly � Don’t know � Refused
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3.25. Do you understand the language(s) of your present location? � A little � Quite well � Very well � No � Don’t know � Refused
3.26. Do you speak the language(s) of your present location? � A little � Quite well � Very well � No � Don’t know � Refused
3.27. Do you read the language(s) of your present location? � A little � Quite well � Very well � No � Don’t know � Refused
3.28. Do you feel discriminated against in your present location? � Yes � No � Don’t know � Refused
3.29. Do you feel that you are isolated from the rest of the community in your present location? � Yes � Somewhat � No � Don’t know � Refused
3.30. If you are under 16, are you currently attending school? � Yes
• Do you feel safe in school? � Yes � No
• What makes you feel unsafe? � Teachers � Other students � Travelling to / from school � Other [specify]: _______________ � Don’t know � Refused
� Don’t know � Refused
� No• Why are you not attending school? _______________
� Don’t know � Refused
� Don’t know � Refused
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3.31. Do you currently have travel documents with you or have access to them? � Yes � No
• Why not? � Never had any � Lost � Stolen � Someone else has them
• Who has your travel documents? � Agent � Employer � Family member � Friend � Immigration / Police � Smuggler � Trafficker � Other [specify]: _______________ � Don’t know � Refused � Don’t know � Refused
� Don’t know � Refused
3.32. Are you currently sick or injured, or do you have medical needs? � Yes
• What is the nature of this sickness, injury or medical need? _______________ � Don’t know � Refused
� No � Don’t know � Refused
3.33. Do you currently have a source of income? � Yes � No � Don’t know � Refused
3.34. What is your main source of income? � Employment in a business/service � Business owner of a legally registered business � Self-employed � Informal economy � Factory work � Domestic work � Prostitution or sex-related work � Forestry, agriculture and fisheries � Mining and construction � Family support � Subsidy from aid organization � Cash transfer from government � Other [specify]: _______________ � Don’t know � Refused
3.35. Do you have access to health services in your present location? � Yes, partially � Yes, fully � No � Don’t know � Refused
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3.36. Do you have access to education services in your present location? � Yes, partially � Yes, fully � No � Don’t know � Refused
3.37. Do you have access to financial services in your present location? � Yes, partially � Yes, fully � No � Don’t know � Refused
3.38. Are you currently homeless? � Yes � No � Don’t know � Refused
3.39. Who do you live with? � Live alone � Live with parents � Live with parents and other family members � Live with other family members (not parents) � Live with spouse or partner � Live with spouse or partner and children � Live with children and no other adult � Live in a shelter � Live in shared accommodation (rooming house, with roommates who are not members of your
household/family) � Other [specify]: _______________ � Don’t know � Refused
3.40. How many people do you live with (not counting yourself )? _______________ � Don’t know � Refused
3.41. Is everyone who lives with you a member of your household/family? � Yes � No
• How many are not members of your household/family? _______________ � Don’t know � Refused
� Don’t know � Refused
Section 3C: Personal Circumstances and Household/Family Context
3.42. Have you recently (within the last three years) been affected by any of the following situations? (select all that apply):
� Divorce/ separation � Death � Major illness resulting in disability � Don’t know � Refused
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3.43. Do you have a physical or mental disability? � Yes
• What is the nature of this disability? _______________ � Don’t know � Refused
� No � Don’t know � Refused
3.44. What is your highest level of education? � None � Primary or elementary, partial � Primary or elementary, completed � Secondary or high school, partial � Secondary or high school, completed � Post-secondary, partial � Post-secondary, completed � Don’t know � Refused
3.45. Do you feel that you are well informed of your rights regarding work, housing, education, personal safety, legal status, dealing with the police/border authorities/military, identity documents, etc.?
� Yes, partially � Yes, fully � No � Don’t know � Refused
3.46. Do you have any debts? � Yes
• Do you feel you are being pressured or coerced into repaying these debts? � Yes � No � Don’t know � Refused
� No � Don’t know � Refused
3.47. Are you the sole or primary/main provider for your household/family? � Yes � No � Don’t know � Refused
3.48. Is your income/resources enough to provide sufficient food and clean water as well as shelter for your household/family?
� Yes, partially � Yes, fully � No � Don’t know � Refused
3.49. Are you financially responsible for people outside of your household/family? � Yes � No � Don’t know � Refused
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3.50. Is your income/resources enough to meet your obligations to those people outside your household/family? � Yes, partially � Yes, fully � No � Don’t know � Refused
Section 4: Socio-Demographic Information
4.1. Race/Ethnicity:
4.2. Religion: � Buddhist
• Specify: _______________ � Christian
• Specify: _______________ � Hindu
• Specify: _______________ � Muslim
• Specify: _______________ � Jewish
• Specify: _______________ � Animist
• Specify: _______________ � Atheist � Other
• Specify: _______________ � Don’t know � Refused
4.3. What is your biological sex? � Female � Male � Intersex � Other [specify]: _______________ � Don’t know � Refused
4.4. What is your gender identity? � Woman � Man � Non-binary � Other [specify]: _______________ � Don’t know � Refused
4.5. Do you identify as heterosexual? � Yes � No � Don’t know � Refused
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INDIVIDUAL QUESTIONNAIRE: RETURNED
Section 1: Interview information
1.1. Enumerator code: _______________
1.2. Date: [dd-mm-yyyy] _______________
1.3. Language in which interview is conducted: _______________
1.4. Location of interview: _______________
1.5. Country of interview: _______________
Section 2: Basic information
2.1. Respondent’s country of origin: _______________
2.2. Respondent’s citizenship: _______________
2.3. Age (in years): _______________ � Don’t know � Refused
2.4. Language(s) spoken: _______________
Section 3: Individual Vulnerability Factors
Section 3A: Migration: History
3.1. Had you ever moved to another country/another region of your country before the trip you have most recently returned from?
� Yes • If yes, where to? _______________• If yes, how many times? _______________
� No � Don’t know � Refused
3.2. Have you ever been detained in the past by government or police services for any reason? � Yes
• In which country or countries? _______________ � Don’t know � Refused
� No � Don’t know � Refused
3.3. Do you know of anyone who has been the victim of human trafficking? � Yes
• Were you or someone in your family the victim of trafficking? � Yes � No � Don’t know � Refused
� No � Don’t know � Refused
3.4. Why did you move/leave home? (Check all that apply) � Lack of work opportunities � Look for education � Promised a job � Promised an education � Conflict, insecurity � Bad family situation
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IOM HANDBOOK PROTECTION AND ASSISTANCE FOR MIGRANTS VULNERABLE TO VIOLENCE, EXPLOITATION AND ABUSE
� Persecution � Romantic relationship/marriage � Look for health care � Family reunification � Natural disaster � Other [specify]: _______________ � Don’t know � Refused
3.5. Did you feel discriminated against at your point of origin before you moved/left home? � Yes � No � Don’t know � Refused
3.6. Did you feel that you were isolated from the rest of the community at your point of origin before you moved/left home?
� Yes � Somewhat � No � Don’t know � Refused
3.7. Did you experience any violence, exploitation or abuse at your point of origin before you moved/left home? � Yes
• What kind/which ones did you experience? � Physical violence � Sexual violence � Threats, coercion � Exploitation � Abuse � Other [specify]: _______________ � Don’t know � Refused
� No � Don’t know � Refused
3.8. Was it your own choice to travel/move (not someone else’s)? � Yes � No � Don’t know � Refused
3.9. Did someone else force you to travel/move? � Yes
• If yes, how? (Check all that apply) � Threats � Pressure from family � Violence � Kidnapping � Coercion � Other [specify]: _______________ � Don’t know � Refused
� No � Don’t know � Refused
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3.10. Do you think you were lied to, tricked, manipulated, indebted, given false promises, or otherwise deceived in order to get you to travel/move?
� Yes � No � Don’t know � Refused
3.11. Who did you travel/move with? (Check all that apply) � Alone � With family � With friends � Recruitment agent � Employer � Stranger(s) � Smuggler � Trafficker � Other [specify]: _______________ � Don’t know � Refused
3.12. Did you have travel documents with you or have access to them when you migrated? � Yes � No
• Why not? � Never had any � Lost � Stolen � Someone else had them
• Who had your travel documents? � Agent � Employer � Family member � Friend � Immigration / Police � Smuggler � Trafficker � Other [specify]: _______________ � Don’t know � Refused
� Don’t know � Refused
� Don’t know � Refused
3.13. How did you travel during your journey? (Check all that apply) � Plane � Train � Bus � Car � Boat � Walking � Other [specify]: _______________ � Don’t know � Refused
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3.14. How did you pay for your journey? (Check all that apply) � Savings � Worked along the way � Borrowed money � Sold things to get cash � I was unable to pay � Other [specify]: _______________ � Don’t know � Refused
3.15. Did you understand the language(s) used in the locations that you went through during your journey? � A little � Quite well � Very well � No � Don’t know � Refused
3.16. Did you speak the language(s) used in the locations that you went through during your journey? � A little � Quite well � Very well � No � Don’t know � Refused
3.17. Did you read the language(s) used in the locations that you went through during your journey? � A little � Quite well � Very well � No � Don’t know � Refused
3.18. Did you feel discriminated against during your journey? � Yes � No � Don’t know � Refused
3.19. How dangerous was your journey? � Very dangerous � Somewhat dangerous � Neither dangerous nor safe � Somewhat safe � Very safe � Don’t know � Refused
3.20. Were you subjected to any violence, exploitation or abuse on your journey? � Yes
• What kind/which ones were you subjected to? � Physical violence � Sexual violence � Threats, coercion � Exploitation � Abuse � Other [specify]: _______________ � Don’t know � Refused
� No � Don’t know � Refused
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3.21. Did you witness violence, exploitation or abuse to others on your journey? � Yes
• What kind/which ones did you witness? � Physical violence � Sexual violence � Threats, coercion � Exploitation � Abuse � Other [specify]: _______________ � Don’t know � Refused
� No � Don’t know � Refused
Section 3B: Migration: Current Status/Situation
3.22. What is your current migration status in this country? (Check all that apply) � Asylum seeker/refugee claimant � Asylum seeker (granted)/refugee � Asylum seeker/refugee claimant, failed � Citizen � Foreign resident � Foreign student � Foreign worker (temporary) � Irregular migrant, irregular entry � Irregular migrant, overstayed permit/visa � Regular (free movement) � Stateless � Don’t know � Other [specify]: _______________ � Refused
3.23. Are you experiencing any violence, exploitation or abuse in your present location? � Yes
• What kind/which ones are you experiencing? � Physical violence � Sexual violence � Threats, coercion � Exploitation � Abuse � Other [specify]: _______________ � Don’t know � Refused
� No � Don’t know � Refused
3.24. How friendly/unfriendly are people towards returnees in your present location? � Very friendly � Somewhat friendly � Neither friendly nor unfriendly � Somewhat unfriendly � Very unfriendly � Don’t know � Refused
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3.25. Do you feel discriminated against in your present location? � Yes � No � Don’t know � Refused
3.26. Do you feel that you are isolated from the rest of the community in your present location? � Yes � Somewhat � No � Don’t know � Refused
3.27. If you are under 16, are you currently attending school? � Yes
• Do you feel safe in school? � Yes � No
• What makes you feel unsafe? � Teachers � Other students � Travelling to / from school � Other [specify]: _______________ � Don’t know � Refused
� Don’t know � Refused
� No• Why are you not attending school? _______________
� Don’t know � Refused
� Don’t know � Refused
3.28. Do you currently have identity documents or have access to them? � Yes � No
• Why not? � Never had any � Lost � Stolen � Someone else has them
• Who has your identity documents? � Agent � Employer � Family member � Friend � Immigration / Police � Smuggler � Trafficker � Other [specify]: _______________ � Don’t know � Refused
� Don’t know � Refused
� Don’t know � Refused
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3.29. Are you currently sick or injured, or do you have medical needs? � Yes
• What is the nature of this sickness, injury or medical need? _______________ � Don’t know � Refused
� No � Don’t know � Refused
3.30. Do you currently have a source of income? � Yes � No � Don’t know � Refused
3.31. What is your main source of income? � Employment in a business/service � Business owner of a legally registered business � Self-employed � Informal economy � Factory work � Domestic work � Prostitution or sex-related work � Forestry, agriculture and fisheries � Mining and construction � Family support � Subsidy from aid organization � Cash transfer from government � Other [specify]: _______________ � Don’t know � Refused
3.32. Do you have access to health services in your present location? � Yes, partially � Yes, fully � No � Don’t know � Refused
3.33. Do you have access to education services in your present location? � Yes, partially � Yes, fully � No � Don’t know � Refused
3.34. Do you have access to financial services in your present location? � Yes, partially � Yes, fully � No � Don’t know � Refused
3.35. Are you currently homeless? � Yes � No � Don’t know � Refused
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3.36. Who do you live with? � Live alone � Live with parents � Live with parents and other family members � Live with other family members (not parents) � Live with spouse or partner � Live with spouse or partner and children � Live with children and no other adult � Live in a shelter � Live in shared accommodation (rooming house, with roommates who are not members of your
household/family) � Other [specify]: _______________ � Don’t know � Refused
3.37. How many people do you live with (not counting yourself )? _______________ � Don’t know � Refused
3.38. Is everyone who lives with you a member of your household/family? � Yes � No
• How many are not members of your household/family? _______________ � Don’t know � Refused
� Don’t know � Refused
Section 3C: Migration: Intentions
3.39. Do you intend to migrate again? � Yes
• What country/region of your country would you go to? _______________ � Don’t know � Refused � Maybe
• What country/region of your country would you go to? _______________ � Don’t know � Refused
� No � Don’t know � Refused
3.40. What would make you likely to migrate again? (Check all that apply) � Lack of work opportunities � Look for education � Promise of a job � Promise of an education � Conflict, insecurity � Bad family situation � Persecution � Romantic relationship/marriage � Look for health care � Family reunification � Natural disaster � Other [specify]: _______________ � Don’t know � Refused
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3.41. Would it be your own choice to migrate again (not someone else’s)? � Yes � No � Don’t know � Refused
3.42. Is someone else pressuring you to migrate again? � Yes
• If yes, how? (Check all that apply) � Threats � Pressure from family � Violence � Kidnapping � Coercion � Other [specify]: _______________ � Don’t know � Refused
� No � Don’t know � Refused
3.43. Who would you travel with for your journey? (Check all that apply) � Alone � With family � With friends � Recruitment agent � Employer � Stranger(s) � Smuggler � Trafficker � Other [specify]: _______________ � Don’t know � Refused
3.44. How would you travel? (Check all that apply) � Plane � Train � Bus � Car � Boat � Walking � Other [specify]: _______________ � Don’t know � Refused
3.45. How would you pay for your journey? (Check all that apply) � Savings � I would work as I go � I would borrow money � I would sell things to get cash � I would be unable to pay � Other [specify]: _______________ � Don’t know � Refused
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3.46. Would you have travel documents with you or have access to them on your journey? � Yes � No
• Why not? � Never had any � Lost � Stolen � Someone else would have them
• Who would have your travel documents? � Agent � Employer � Family member � Friend � Immigration / Police � Smuggler � Trafficker � Other [specify]: _______________ � Don’t know � Refused
� Don’t know � Refused
� Don’t know � Refused
3.47. Do you understand the language(s) of the country/region of your country you would go to? � A little � Quite well � Very well � No � Don’t know � Refused
3.48. Do you speak the language(s) of the country/region of your country you would go to? � A little � Quite well � Very well � No � Don’t know � Refused
3.49. Do you read the language(s) of the country/region of your country you would go to? � A little � Quite well � Very well � No � Don’t know � Refused
3.50. Do you understand the language(s) of the other countries/regions you would transit through to reach your destination?
� A little � Quite well � Very well � No � Don’t know � Refused � Does not apply
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3.51. Do you speak the language(s) of the other countries/regions you would transit through to reach your destination?
� A little � Quite well � Very well � No � Don’t know � Refused � Does not apply
3.52. Do you read the language(s) of the other countries/regions you would transit through to reach your destination?
� A little � Quite well � Very well � No � Don’t know � Refused � Does not apply
3.53. Do you think you would have the skills or education necessary to get a job in the country/region of your country you would go to?
� Yes � No � Don’t know � Refused
3.54. How dangerous do you think your journey would be? � Very dangerous � Somewhat dangerous � Neither dangerous nor safe � Somewhat safe � Very safe � Don’t know � Refused
3.55. Do you think you would be subjected to any violence, exploitation or abuse on your journey? � Yes
• What kind/which ones do you think you would be subjected to? � Physical violence � Sexual violence � Threats, coercion � Exploitation � Abuse � Other [specify]: _______________ � Don’t know � Refused
� No � Don’t know � Refused
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IOM HANDBOOK PROTECTION AND ASSISTANCE FOR MIGRANTS VULNERABLE TO VIOLENCE, EXPLOITATION AND ABUSE
3.56. Do you think you would witness violence, exploitation or abuse to others on your journey? � Yes
• What kind/which ones do you think you would witness? � Physical violence � Sexual violence � Threats, coercion � Exploitation � Abuse � Other [specify]: _______________ � Don’t know � Refused
� No � Don’t know � Refused
3.57. How friendly/unfriendly do you think people would be towards migrants/foreigners in the country/region you would go to?
� Very friendly � Somewhat friendly � Neither friendly nor unfriendly � Somewhat unfriendly � Very unfriendly � Don’t know � Refused
3.58. Do you think that you would be discriminated against in the country/region you would go to? � Yes
• In which countries/regions? _______________ � Don’t know � Refused
� No � Don’t know � Refused
Section 3D: Personal Circumstances and Household/Family Context
3.59. Have you recently (within the last three years) been affected by any of the following situations? (select all that apply):
� Divorce/ separation � Death � Major illness resulting in disability � Don’t know � Refused
3.60. Do you have a physical or mental disability? � Yes
• What is the nature of this disability? _______________ � Don’t know � Refused
� No � Don’t know � Refused
3.61. What is your highest level of education? � None � Post-secondary, partial � Primary or elementary, partial � Post-secondary, completed � Primary or elementary, completed � Don’t know � Secondary or high school, partial � Refused � Secondary or high school, completed
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3.62. Do you feel that you are well informed of your rights regarding work, housing, education, personal safety, legal status, dealing with the police/border authorities/military, identity documents, etc.?
� Yes, partially � Yes, fully � No � Don’t know � Refused
3.63. Do you have any debts? � Yes
• Do you feel you are being pressured or coerced into repaying these debts? � Yes � No � Don’t know � Refused
� No � Don’t know � Refused
3.64. Are you the sole or primary/main provider for your household/family? � Yes � No � Don’t know � Refused
3.65. Is your income/resources enough to provide sufficient food and clean water as well as shelter for your household/family?
� Yes, partially � Yes, fully � No � Don’t know � Refused
3.66. Are you financially responsible for people outside of your household/family? � Yes � No � Don’t know � Refused
3.67. Is your income/resources enough to meet your obligations to those people outside your household/family? � Yes, partially � Yes, fully � No � Don’t know � Refused
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Section 4: Socio-Demographic Information
4.1. Race/Ethnicity: _______________
4.2. Religion: � Buddhist
• Specify: _______________ � Christian
• Specify: _______________ � Hindu
• Specify: _______________ � Muslim
• Specify: _______________ � Jewish
• Specify: _______________ � Animist
• Specify: _______________ � Atheist � Other
• Specify: _______________ � Don’t know � Refused
4.3. What is your biological sex? � Female � Male � Intersex � Other [specify]: _______________ � Don’t know � Refused
4.4. What is your gender identity? � Woman � Man � Non-binary � Other [specify]: _______________ � Don’t know � Refused
4.5. Do you identify as heterosexual? � Yes � No � Don’t know � Refused