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Module A - Identity
GPS coordinates Cassava production
GPS ID ID number on GPS device
GPS 1 Elevation (meters)
GPS 2 Latitude (decimal degrees)
GPS 3 Longitude (decimal degrees)
InterviewA1 PDA number programmedA2 Household number programmedA3 Interviewer ID A3 codes Household InformationA4 Supervisor ID A4 codes A15 Name of household head (First, middle and last names)A5 Date of interview programmed A15a - Last name A15b - First name A15c - Middle nameA6 Time started (in 24 hour clock) programmed A16 What is the gender of the household head? 1 = Male 2 = FemaleA7 Time ended (in 24 hour clock) programmed A17 Respondent relationship to household head A17 codesA8 Language in which interview was conducted A8 codes A18 If A17≠ 1 , What is the name of the respondent?
A18a - Last name A18b - First name A18c - Middle nameA19 What is the respondent's GSM (mobile) number?
Location A20 Number of people living in household (including you) Link to module BA9 State A9 codes A21 How long has this household lived in this village? (in years)
A10 LGA A10 codes A22 Is this household an itinerant household? 1 = Yes 2 = No
A11 Ward open ended A23 What is the respondent's tribe? A23 codesA12 Enumeration Area open ended A24 What is the respondent's religion? A24 codes
A13 Village/Locality name open ended
DEFINITION OF A HOUSEHOLD
A household is a group of people who sleep in the same dwelling and share meals. These people may or may not be related by blood, but make common provision for food or other essentials for living and they have
only one person whom they all regard as the head of the household. A household may consist of one member, a couple or several couples with or without children.
All persons that have been away from the household for more than six months are not considered to be household members EXCEPT:
1) the person who is identified as head of the household even if he/she has not been with the household for nine months or more; 2) a newly born child; 3) students and seasonal workers who have not been living in or
as part of another household.
HarvestPlusDraft 1_011812
CASSAVA VARIETAL ADOPTION
NIGERIAFebruary 2012
Respondent should be the head of the household. If the household head is not available, then ask for the second in command (most likely the wife of the household head), otherwise, respondent
should be other household member who is 15 years of age or older.
A14 In the last 12 months, did you cultivate (plant and/or harvest)
cassava?
Link to module D and F
1 = Yes 2 = No
IF NO, INTERVIEW ENDS
HERE
Module B - Household Composition
B1 B2 B2a B3 B4 B5 B6 B7 B8 B9 B10 B11
Hhold
Member
ID
Household
Member
name
Respondent?
For
Enumerator:
DO NOT ASK -
just fill in on
your own
Relationship to
head of household
For Enumerator:
DO NOT ASK THIS
FOR THE
RESPONDENT
AGAIN SINCE IT
WAS ASKED IN
MODULE A - just
fill in on your own
based on response
from A17… you can
ask informally for
verification
Sex Age What is the
household
member's
level of
literacy?
What was the
highest level
of education
completed?
Marital
status
Primary
occupation
(in terms of
income - please
include implicit
/in-kind
consumption)
Secondary
occupation
(in terms of
income - please
include implicit
/in-kind
consumption)
How many
years of
experience
does the
household
member have
in cassava
cultivation?
(open ended)1 = yes
2 = noA17 codes
1 = Male
2 = Female
In complete
yearsB6 code B7 codes B8 code B9 code
B9 code
plus -88 = NAIn complete years
1 For programmers: all questions will be asked for household members 15 years of age and older
2 For minors, i.e. household members less than 15 years of age, stop at B7.
3 For programmers: There can be more than one wife so please do not restrict code 2 to one per household
4
5
6
7
8
9
10
11
12
13
14
15
Respondent should be the head of the household. If the household head is not available, then ask for the second in command (most likely the wife of the household head),
otherwise, respondent should be other household member who is 15 years of age or older.
Module CA - Land Ownership
For enumerator to fill in:
Who is the respondent?
C1 C1unit codes
C2 1 = Yes
2 = NoC3
C4
Module CB - Crop Production (last 12 months)
C6 C7 C8 C9 C10
Which crops did you
cultivate in the last 12
months?
What was the main reason
for growing this crop?
Did you cultivate this
crop in the last rainy
season ?
Did you cultivate this
crop in the last dry
season ?
See crop codes C8 codes1 = yes
2 = no
1 = yes
2 = no
1
2
3
4
5
Crop ID
Respondent should be the head of the household. If the household head is not available, then ask for the second in command (most likely the wife of the household head),
otherwise, respondent should be other household member who is 15 years of age or older.
If C2 = 2, what percentage of the total land area is borrowed?
For enumerator: show land proportion diagrams here
Respondent should be the head of the household. If the household head is not available, then ask for the second in command (most likely the wife of the household head),
otherwise, respondent should be other household member who is 15 years of age or older.
Crespond
What was the total land area you cultivated in the last 12 months?
For enumerator: cultivated land is farm land only. Remember to emphasize that we are interested in total farm land.Do you own this total cultivated land area?
If C2 = 2, what percentage of the total land area is rented?
For enumerator: show land proportion diagrams here
Link to Module B
Module DA - Cassava General
For enumerator to fill in:
Who is the respondent? Link to Module B
DA1 C1unit codes
-99 = don't know
DA2 %
DA3 1 = Yes
2 = No
DA4 see crop codes from module
C
DA5 DA5 codes
DA6 1 = Yes
2 = No
DA7 DA5 codes
DA8 1 = Yes
2 = No >> DA11
DA9 in ₦
DA10 DA10 codes
DA11 1 = Yes
2 = No
DA12 1 = Yes
2 = No
DA13 in ₦
Respondent should be the head of the household. If the household head is not available, then ask for the second in command (most likely the wife of the household head),
otherwise, respondent should be other household member who is 15 years of age or older.
DArespond
In the last 12 months, did you intercrop the cassava you cultivated, with any other crop(s)?
If DA3 = 1 , which crop(s) did you intercrop cassava with?
Multicheck
From which of the following do you typically receive advice from concerning cassava production?
What was the total land area dedicated to cassava cultivation in the last 12 months?
For programmer: if answer is "don't know (-99)", then ask DA2 else go to DA3.
Note to enumerator:if this land area is greater than the answer given in C1, please double check with the
respondent to make sure they are giving the correct answer
If DA1 = -99, What percentage of your total land area in C1 was allocated to cassava cultivation in the last 12
months?
In the last 12 months, did you or anyone in your household attend a farm plot demonstration on cassava
cultivation?
If DA6=1, who gave the demonstration?
If DA8=1, from whom/where do you buy the cassava stem cuttings?
Multicheck
In the last 12 months, did you sell cassava stem cuttings?
If DA12=1, how much did you receive for cassava stem cuttings which you sold in the last 12 months?
In the last 12 months, did you buy cassava stem cuttings?
If DA8=1, how much did you spend on cassava stem cuttings in the last 12 months?
In the last 12 months, did you receive free cassava stem cuttings from:
a) a research institute (e.g. IITA)
b) an NGO
c) a government institution? (E.g. NRCRI)
DA14 DA14 codes
DA15 1 = Yes
2 = No >> DA17
DA16 DA16 codes
DA17 1 = in the same village
2 = in a neighboring village
within this district/ward
3 = in a village outside this
district or ward
DA18 1 = Yes
2 = No
DA19 1 = Yes
2 = No >> DA21
DA20 in ₦
DA21 1 = Yes
2 = No >> DA23
DA22 in ₦
DA23 1 = Yes
2 = No >> end here
DA24 in ₦If DA23=1 , how much did you spend?
In the last 12 months, did you use a tractor for land preparation?
In the last 12 months, did you use any pesticides for cassava cultivation?
In the last 12 months did you use any herbicides for cassava cultivation?
In the last 12 months, did you use any fertilizer for cassava cultivation?
If DA15=1, where is this person located?
If DA19=1 , how much did you spend?
If DA21=1 , how much did you spend?
In the last 12 months, did you give away (i.e. for free or gifted) cassava stem cuttings?
If DA15=1, to whom did you give free stem cuttings to?
Multicheck
If DA12=1, where do you sell the cassava stem cuttings?
Multicheck
Module DB - Cassava Varieties
For enumerator to fill in:
DBrespond Link to Module B
DB1 DB2 DB3 DB4 DB5 DB6 DB7 DB8 DB9 DB10 DB11 DB12
Cassava ID
number
Please name all
the cassava
varieties you
have been aware
of in your village
over the last five
years
Is this variety
an improved
variety?
Which cassava
product/food is
this variety
best used for?
What year
did you first
hear of this
variety?
From where did
you first hear of
or obtain
information
about this
variety?
Have you
ever planted
this variety?
If DB7=2,
why not?
If DB7=1, in
which year
did you first
plant this
variety?
If DB7=1, from
where did you
obtain the first
stem cutting
for this
variety?
If DB7=1, how
did you acquire
the stem
cuttings from
the source in
DB9?
Did you
cultivate
(plant and/or
harvest) this
variety in
the past 5
years ?
Programmer:
varieties should be
listed first and then
questions asked for
EACH variety to
follow
Open ended or from
list obtained from
FGD???
1 = yes
2 = noDB4 codes Year DB6 codes
1 = yes
2 = no
DB8 codes
end here and
move to next
variety
Year DB10 codes DB11 codes1 = yes
2 = no
1
2
3
4
5
6
7
8
9
10
11
12
Respondent should be the head of the household. If the household head is not available, then ask for the second in command (most
likely the wife of the household head), otherwise, respondent should be other household member who is 15 years of age or older.
Who is the respondent?
DB13 DB14 DB15 DB16 DB17 DB16 DB18 DB19
Did you harvest
[variety] over the
last 12 months?
In the last 12
months, which
cassava
product(s) did
you make using
[variety]?
Multicheck
Which two
production
traits do you
like most about
[variety]?
Multicheck -
limit 2
Which two
processing
traits do you
like most about
[variety]?
Multicheck -
limit 2
Which two
consumption
trait do you like
most about
[variety]?
Multicheck -
limit 2
If DB18= -99, In
the last 12
months, what
percentage of
the land area in
DA1 was
dedicated to
[variety]?
From where
did you
obtain the
stem cuttings
you planted?
How many
long-stem
bundles of
[variety] did
you plant?
1 = yes
2 = no
IF NO, MOVE TO NEXT
VARIETY!
DB4 codes DB15 codes DB16 codes DB17 codes Qty
C1unit
codes
-99 =
don't
know
% Month Year DB10 codes
For programmer: questions DB14 to DB21 are for varieties harvested in the last 12 months only. Respondent should only be asked if DB13=1 for that variety
DB17
When did you plant this
variety that you
harvested in the last 12
months?
DB18
In the last 12
months, how
much land area
did you use to
cultivate
[variety]?
DB20 DB21 DB22 DB23
How many
stem cuttings
of [variety] did
you plant?
How many
months did it
take for
[variety] to get
to the point
where it was
fully ready for
uprooting?
Of the total
quantity of
cassava
harvested over
the last 12
months, what
percentage
would you say
comprised of
[variety]?
What was the
majority of this
harvested variety
used for?
Number Complete months % C8 codes
For programmer: questions DB14 to DB21 are for varieties harvested in the last 12 months only. Respondent should only be asked if DB13=1 for that variety
Module DB (cont) - Cassava Varieties
DB1best Linked from DB13 varieties
Link to module M and module E
(question E5)
DB2best Number
DB3best 1 = Yes
2 = No >> DB5best
DB4best
DB5best 1 = Yes
2 = No
-88 = NA
(I do not make gari with this variety)
DB6best Complete monthsHow many months does it typically take for this variety to to get to the point where it was fully ready for
uprooting?
Which of the varieties harvested in the last 12 months (from DB13) is your favorite/best variety?
From one hectare of land, how many pick-up vans (full loads) would you typically get from this variety?
Do you normally buy cassava stems for this variety?
If DB3best = 1, how much would a bundle of 50 long-stems of this variety typically cost?
Do you add palm oil to the gari you make with this variety?
Module DC1 - Cassava Harvest
DC101 1 = Yes
2 = No
DC1month DC102 DC104 DC107 DC109Month How many
times did
you
harvest
cassava in
[month]?
At what point did
you receive the
cassava stem
cuttings you
planted?
If DC106=-99,
what percentage
of the harvest in
DC105 was used
for home
consumption?
If DC108=-99,
what
percentage of
the harvest in
DC105 was
sold?
(actual
month
names to
be
entered
later)
Number
Month
(actual
month
names to
be
entered/co
ded later)
Year DC104 Qty
DC105
unit
codes
Qty
DC105
unit
codes
-99 =
Don't
know/re
member
% Qty
DC105
unit
codes
-99 =
Don't
know/re
member
%
1
2
3
4
5
6
7
8
9
10
11
12
How much of the cassava
harvested in [month] was
used for home
consumption?
How much of the
cassava harvested in
[month] was sold?
Respondent should be the wife of the household head or the woman responsible for cooking, otherwise, respondent should be other adult female household member
who is 15 years of age or older.
DC108
Did you harvest cassava in the last 12 months?
For programmer: if answer is "no" please skip to next module
DC103 DC105 DC106
When did you plant the
cassava you harvested in
[month]?
What was the total
quantity of cassava
harvested?
Module DC2 - Cassava Processing
DC201
DC202
DC203
DC204
DC205
DC206
DC2month DC207 DC209 DC212
Month When did you
finish consuming
the GARI that
you made in
[month]?
Did you make
LAFUN - on your
own or through
processing center -
for home
consumption in
[month]?
When did you
finish consuming
the FUFU that you
made in [month]?
(actual
month
names to
be
entered
later)
Code:
1 = month 1
2 = month 2,
etc.
13 = still
consuming
1 = Yes
2 = No
>> move to next
product (if
applicable)
Code:
1 = month 1
2 = month 2,
etc.
13 = still
consuming
12….…12
If DC202=1 or DC204=1 for gari, do you add palm oil to your GARI during frying/processing?
Did you make GARI - on
your own or through
processing center - for
home consumption in
[month]?
1 = Yes
2 = No
>> move to next
product (if applicable)
1 = gari
2 = lafun/cassava flour
3 = fufu/akpu
1 = Yes
2 = No >> DC203
1 = Yes
2 = No >> DC205
For programmer: if answer is "no" to both DC201 and DC203, please skip to next module
1 = gari
2 = lafun/cassava flour
3 = fufu/akpu
Number of days
1 = Yes
2 = No
GARI
When did you finish
consuming the
LAFUN that you
made in [month]?
DC210DC206 DC211
Did you make FUFU - on
your own or through
processing center - for
home consumption in
[month]?
1 = Yes
2 = No
>> move to next product
(if applicable)
Code:
1 = month 1
2 = month 2,
etc.
13 = still consuming
LAFUN/CASSAVA FLOUR FUFU/AKPU
Do you process the cassava produce (fufu, lafun, gari etc.) that you consume at home on your own?
Which cassava products do you process on your own?
For programmer: this should be linked to the respective product in the table below
Do you process the cassava produce (fufu, lafun, gari etc.) you consume at home at a local processor or processing
center (mill)?
Which cassava products do you process at the local processor or processing center (mill)?
For programmer: this should be linked to the respective product in the table below
How many days after harvest do you wait before peeling your harvested cassava?
Respondent should be the wife of the household head or the woman responsible for cooking, otherwise, respondent should be other adult female household
member who is 15 years of age or older.
Module DC3 - Cassava Marketing
CASSAVA PURCHASES
DC3by1
DC3by2
DC3by3
DC3by4
DC3bymth DC3by5 DC3by6 DC3by7 DC3by8
Month Did you buy PRODUCT in
[month]?
How much did you spend on
PRODUCT in [month]?
In which month did you finish
consuming the PRODUCT
you bought in [month]?
From where did you buy
PRODUCT in [month]?
(actual
month
names to be
entered
later)
1 = Yes
2 = Noin ₦
Code:
1 = month 1
2 = month 2,
etc.
13 = still consuming
DA10 codes
1
2
….
…
12
For programmer: for people who answer yes to the respective product, please link to table below for EACH respective product (i.e. cassava flour,
fufu, gari). Each product should have its own table - same format
1 = Yes
2 = No
Respondent should be the head of the household. If the household head is not available, then ask for the second in command (most likely the wife of the household head), otherwise,
respondent should be other household member who is 15 years of age or older.
In the last 12 months, did you buy cassava in raw form?
In the last 12 months, did you buy cassava flour/lafun?
In the last 12 months, did you buy fufu/akpu?
In the last 12 months, did you buy gari?
Module DC3 - Cassava Marketing
CASSAVA SALES
DC3sl1
DC3sl2
DC3sl3
DC3sl4
DC3slmth DC3sl5 DC3sl6 DC3sl7
Month Did you sell PRODUCT
in [month]?
How much did you
receive for PRODUCT
sales in total in
[month]?
Where did you sell
PRODUCT in [month]?
(actual month
names to be
entered later)
1 = Yes
2 = Noin ₦ DA10 codes
1
2
….
…
12
Respondent should be the head of the household. If the household head is not available, then ask for the second in command (most likely the wife of the household head),
otherwise, respondent should be other household member who is 15 years of age or older.
In the last 12 months, did you sell cassava in raw form?
1 = Yes
2 = No
In the last 12 months, did you sell cassava flour/lafun?
In the last 12 months, did you sell fufu/akpu?
In the last 12 months, did you sell gari?
For programmer: for people who answer yes to the respective product, please link to table below for EACH respective product
(i.e. cassava flour, fufu, gari). Each product should have its own table - same format
Module E - Cassava Varietal Traits
For enumerator to fill in
Who is the respondent? Link to Module B
IMPORTANCE OF TRAIT
E1 E2 E3
1
1 Resistance to drought
2 Resistance to field pests
3 Resistance to diseases
4 Early maturity
5 Yield
6 Stem height
7 Tuber size
3 Processing
1 Good pounding ability
2 DMC: Good quantity of Gari from 100kg tubers
3 Starch content
4 Fibre content
5 Market demand
4 Consumption
1 Tuber palatability when steamed
Tuber palatability when roasted
2 Taste for cassava flour or Lafun
3 Taste for Gari
4 Taste for Fufu
Respondent should be the head of the household. If the household head is not available, then ask for the second in command (most likely the wife of the household head),
otherwise, respondent should be other household member who is 15 years of age or older.
Erespond
Production
Trait group
ID no.
Trait ID Trait
E4
How important is [trait] in your
choice of Cassava variety?
E5
How well did your best variety
(identified in DB13) do in terms
of [trait]?
Link with best variety from
DBbest1E4 codes
Module F - Cassava Decision making and Labor Input
F1 F2 F3
Do you practice [activity] when
you produce cassava?
Who in your household is the
decision maker when it
comes to [cassava production
activity]?
Who else in your
household is the decision
maker when it comes to
[cassava production
activity]?
1 = Yes >> F2a
2 = No >> next activity
For programmer: Link to module B
[ID from Mod B or
-88=NA]
For programmer: Link to module
B
[ID from Mod B or
-88=NA]
1 Land preparation
2 Stem variety to cultivate
3 Choosing, acquiring, selecting and storing of stem
4 Planting
5 Harvesting
6 Processing of cassava
7 Selling in the market
8 Buying from the market
Activity
ID
Cassava production activity
Respondent should be the head of the household. If the household head is not available, then ask for the second in command (most likely the wife of
the household head), otherwise, respondent should be other household member who is 15 years of age or older.
Module GA - Social Capital
SOCIAL CAPITAL
GA1 GA2 GA3 GA4 GA5 GA6 GA7 GA8 GA9 GA10
Has anyone
in your
household
been a part
of a [group]
in the past 3
years?
What are the
two most
important
functions of this
group?
Multicheck - 2
What year did
your household
(or the housheold
member) join this
group?
Does your
household still
belong to the
group?
What is/was
the reason for
leaving the
group?
How important
is/ was the
group as a
source of
information on
agricultural
technologies?
How important
is/was this group
as a source of
information on
health and
nutrition?
How important
is/was this group
as a source of
information on
cassava varietal
choice?
1 = Yes
2 = NoGA4 codes year
1 = Yes >> GA8
2 = No >> GA7GA7 codes E4 codes E4 codes E4 codes
1 Farmers' group
2 Cooperative society/ savings' group
3 Religious group
4 Other group (please specify)
8
9
10
11
Group
ID
Group
Respondent should be the head of the household. If the household head is not available, then ask for the second in command (most likely the wife of
the household head), otherwise, respondent should be other household member who is 15 years of age or older.
GA11 GA12 GA13 GA14
How often do
you meet
[group]?
How much did/do
you trust
information that
you receive/obtain
from members of
this group?
Do you know the
cassava varieties
that are grown by
the members of
[group]?
Are some of the
cassava varieties you
cultivated in the last
12 months the same
as those cultivated by
members of this
group?
GA11 codes GA12 codes
1 = Yes
2 = No >> next
module
GA14
8
9
10
11
Module GB - Media & Information Sources
MEDIA AND INFORMATION SOURCES
GB1 GB2 GB3 GB4 GB5 GB6 GB7 GB8 GB9
Do you or anyone in
your household get
information from
[media]?
For media 2 and
3: What kind of
station is this?
[multi check]
For media 7, who
do you receive text
messages from
about
agriculture/health/
nutrition?
For media 8,
what is the name
of the NGO?
How important
is/ was the
media/informati
on source with
regards to
infromation on
agricultural
technologies and
health?
How often do you
get information
from [media]?
How much do
you trust
information that
you read/hear
on [media]?
[open ended] E4 codes GA9 codes GA10 codes
1 Newspapers/magazine
2 Radio
3 Television
4 Billboard/poster/handout
5 Health clinic
6 Agricultural extension officer
7 Phone (text messages)
8 NGO
9 Neighbors/friends
10 Family members
11 Other information sources
Media
ID
Information source/media
Respondent should be the head of the household. If the household head is not available, then ask for the second in command (most likely the wife of the household
head), otherwise, respondent should be other household member who is 15 years of age or older.
Module HA - Dietary Diversity (last 24 hours and 1 week recalls)
For enumerator to fill in:
Link to Module B
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
Blue band margarine (vitamin A fortified)
Fats and oils (butter, other margarine, soybean, mustard ghee, etc)
Kidney, and other offals (abats)
Poultry (chicken, duck, etc.)
Fish and other seafood (shrimp, crab etc.)
Red meat (cow/goat/pig/sheep/pork etc.)
Dark-green leafy vegetables
Other vegetables (tomatoes etc.)
Eggs
Milk, cheese
Fruits (pineapple, guava, pawpaw etc.)
Wild fruits
Sweet potato
Other roots and tubers (yam, irish potatoes, white fleshed sweet potato etc.)
Nuts and seeds
Sugar
Beans and other pulses (such as cowpeas, etc.)
1 = Yes >> HA4
2 = No >> HA3
-99 = Don't know/remember
1 = Yes >> HA4
2 = No >> next item
-99 = Don't know/remember
Number of days
Cassava (such as Gari, Akpu, Fufu, Lafun, etc)
HA2 HA3 HA4
Did you consume [food
item] in the last 24 hours?
Did you consume [food
item] in the last 7 days?
How many days in the last
seven days did you
consume [food item]?
HA1
Cereals (such as Rice, Maize, Millet, etc)
Animal liver
Red palm oil
Mango
Pumpkin
Who is the respondent?
Did you eat any food at a special ocassion in the last seven days? 1 = Yes 2 =No
Respondent should be the wife of the household head or the woman responsible for cooking, otherwise, respondent should be other adult female household
member who is 15 years of age or older. The female respondent should answer questions about her own consumption.
HArespond
Haitem Food Item
Module HB - Frequency of cassava food consumption (Average frequency in the last 7 days)
For enumerator to fill in:
Who is the respondent? Link to Module B
HB1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Asa Iwa (Raw cassava)
Imang
Boiled root
Anyan Ekpang
Cassava bread
Cassava chips
Lafun (white Amala)
Unfermented cassava flour
Cooked odourless fufu
Starch
Cassava leaves
Others
Cassava akara (akara-iwa or ojojo)
Edita-iwa
HBrespond
HB3 HB4 HB5
Did you consume [cassava
food item] in the last 24
hours?
Did you consume [cassava
food item] in the last 7
days?
How many days in the last
seven days did you
consume [cassava food
item]?
HB2
How often did you or any member of your household consume
[Cassava & Cassava Food Item/Products] in the last one month?
Fufu/akpu
1 = Yes >> HB4
2 = No >> HB3
-99 = Don't know/remember
1 = Yes >> HB4
2 = No >> next item
-99 = Don't know/remember
Number of days
Gari (cooked)
Gari (for drinking)
Respondent should be the wife of the household head or the woman responsible for cooking, otherwise, respondent should be other adult female
household member who is 15 years of age or older. The female respondent should answer questions about her own consumption.
Module IA -Frequent Expenditure
For enumerator to fill in:
Who is the respondent? Link to Module B
IA1 IA2 IA3 IA4 IA5 IA6
In the last 30 days did
your household spend
money on [item] ?
How much did
you spend on
[item] in the last
30 days?
FOR FOOD ONLY
(ITEM 1):
What is the
estimated value of
food consumed
from own
production in the
last 30 days?
What was the
average monthly
expenditure on
[item] for the last 12
months?
FOR FOOD ONLY
(ITEM 1):
What is the
estimated average
monthly value of
food from own
production in the
last 12 months?
1 Food
2 Fuel (firewood, charcoal, kerosene, gas)
3 Transport expenses
4 Communication (cell phone, airtime, calling)
5 Cultural/religious activities (e.g. church)
6 Utilities and maintainance costs (electric bill, water)
7 Other, specify
Amount in Naira Amount in Naira
Respondent should be the head of the household. If the household head is not available, then ask for the second in command (most
likely the wife of the household head), otherwise, respondent should be other household member who is 15 years of age or older.
Item ID Item name
1 = Yes
2 = No >> IA5 Amount in Naira Amount in Naira
IArespond
Module IB -Less Frequent Expenditure
For enumerator to fill in:
Who is the respondent? Link to Module B
IB1 IB2 IB3
In the last 12 months, did
your household spend
money on [item]?
What was your
household's total
expenditure on [item]
over the last 12
months?
1 Clothes and shoes (including school uniforms)
2 School fees and other educational expenses
3 Social events (age grade, wedding, funeral, sonkhasonkha, chilimba etc)
4 Housing improvement (latrine, new roof, etc)
5 Human Health expenses (medication,consultation, hospitalization)
6 Other1, specify
7 Other2, specify
Item name
1 = Yes
2 = No >> IB3 Amount in Naira
Respondent should be the head of the household. If the household head is not available, then ask for the second in command (most likely the wife of the household head),
otherwise, respondent should be other household member who is 15 years of age or older.
IBrespond
Item ID
Module J - Assets
For enumerator to fill in:
JrespondWho is the respondent? Link to Module B
Module JA - Household Assets
JA1 JA2 JA5
Does any household
member currently own
[asset]?
What is the current
estimated value of total
[asset] owned by your
entire household?
1 = yes >> JA3
2 = no >> next item
Qty
C1unit
codes
-99 = don't
know
Naira
1
2
3
4
5
6
7
8
9
10
11
12
Bicycle
Motorcycle
Cell/mobile phone(s)
Radio
Television
Respondent should be the head of the household. If the household head is not available, then ask for the second in command (most likely the wife of the
household head), otherwise, respondent should be other household member who is 15 years of age or older.
Traditional granary
Wooden or concrete storage
JA3
Asset ID Asset How many [asset] does
your entire household
currently own?
Current number
Land
What is the total area of
land that you currently
own (cultivated and
uncultivated)?
JA4
Car
Houses (including the one you live in IF OWNED)
Other buildings owned including stores/shops
Livestock structures
Module JB - Farm Assets
JB1 JB2 JB4
Does any household
member currently own
[asset]?
What is the current
estimated value of total
[asset] owned by your
entire household?
1 = yes >> K3
2 = no >> next item
Naira
1
2
3
4
5
6
Module JC - Livestock Assets
JC1 JC2 JC4
Does any household
member currently own
[asset]?
What is the current
estimated value of total
[asset] owned by your
entire household?
1 = yes >> KC3
2 = no >> next item
Naira
1
2
3
4
5
6
7
8
9
JB3
Asset ID Asset How many [asset] does
your entire household
currently own?
Current number
Plough
Bees/Bee hives
Wheel barrow
Fish pond
Other (please specify)
Tractor
JC3
Asset ID Asset How many [asset] does
your entire household
currently own?
Current number
Poultry
Sheep
Goat
Cow
Pig
Donkey
Oxen
Bull
Other cattle
Module K - Household conditions, Savings & credit
For enumerator to fill in:
Krespond Who is the respondent? Link to Module B
Module KA - Household conditions
KA1
KA2
KA3
KA4
KA5
KA6
KA7
Respondent should be the head of the household. If the household head is not available, then ask for the second in command (most likely the wife of the household
head), otherwise, respondent should be other household member who is 15 years of age or older.
What is the roofing material of the main house?
What is the outer wall material of the main house?
What is the main source of lighting used in the main house?
Do you and/or any of the other members in your household use mosquito nets?
KA1 codes
KA2 codes
KA3 codes
KA4 codes
KA4 codes
KA6 codes
What is the floor material of the main house?
What is main source of drinking water?
What is the main source of water for domestic use?
1 = Yes 2 = No -99 = don't know
Module L - Knowledge
For enumerator to fill in:
Lrespond Who is the respondent? Link to Module B
L2 L3 L4 L5 L6 L7 L8 L9 L10
Have you ever
heard of/ read
about… ?
Where did you
first hear
of/read
about…?
For item 1
only:
List 3 food
items that
are rich in
vitamin A
For item 1
only:
What are the
symptoms of
vitamin A
deficiency?
Have you ever
participated in
any activities
related to…?
If LA6 = 1,
What was the
nature of this
activity?
If LA6 = 1,
where did this
activity take
place?
Have you
ever seen
any posters
on….?
For item 5 only:
What do you
think GM is?
1 = Yes
2 = No >>> next
item
LA3 codes LA4 codes LA5 codes 1 = Yes
2 = No >>> LA9
LA7 codes LA8 codes 1 = Yes
2 = No
LA11 codes
1 Vitamin A
2 Yellow cassava
3 Vitamin A Cassava
4 GM
5 GM Cassava
Respondent should be the wife of the household head or the woman responsible for cooking, otherwise, respondent should be other adult female household member
who is 15 years of age or older.
L1
Module M - Choice Experiment
Who is the respondent? Link to Module B
**Programmer: please link to variety identified in DBbest1
Please consider your best variety, [link to DBbest1] and compare to the varieties in the illustrations below…
[Enumerator: record the respondent’s choice here]
M2
Choice set
1
2
3
4
5
6
M4 M4 CodesWhy did you choose your current stem?
Enumerator: Please follow intrstructions in the choice experiment introduction sheet
Mrespond
Enumerator: Please explain the attributes and levels and the choice making process slowly and clearly - information on these are in your
Programmers: Choice sets should be programmed
into the devices, if possible.Please see the
attached choice experiment word document
M3
Choice