Household questionnaire
1. Household identification Supervisor-filled information
Interviewer-filled information
Cluster code 1.8
Geo reference waypoint code Urban ……………1
Rural ……………2 1.9
GPS ID code Kuchi ……………3
Province 1.10
Latitude name
Range: 29.35 to 38.40 N
.
1.11 Longitude Range: 60.31 to 75.00 E
.
1.12 Altitude m. Range: 200 to 4500 m.
1.6 Control and Enumeration Area
Household number 1-15 Name of head of
household District name
1.2 Residentce code
1.3 1.4
1.7 Village name
1.13
National Risk and Vulnerability Survey NRVA 1389-90 Afghanistans Multi-Purpose Household Survey
1.1
1.14 1.5
Urban Nahia
household
If respondent is not the head of household, fill 1.16 and 1.17
1.17 Respondents line number 1.18 Door number from tracking sheet
2. Process monitoring
Date of interview Day
Month Year
Interviewers number Male interviewer
Female interviewer Supervisors number
2.4 Regional Supervisors number Date of office editing
Day Month
Year Office editors code
Date of data entry Day
Month Year
Data-entry officer code 2.1
2.2 2.3
2.8 2.7
2.5 2.6
1.15 Heads fathers name
1.16 Respondents name
1
3. Household roster
INTERVIEWER: We would like to start with some information about the people who usually live and sleep in this household, starting with the head of the household. Please mention all people who usually stay here,
including babies and infants, and people who are not immediate kin. 3.1
3.2 3.3
3.4 3.5
3.6 3.7
3.8 3.9
3.10 3.11
Line Write the name
What is the Is
How old What is
Line Does
Line Does
Line no.
of each household relationship name was
names number
names number names number member
of name male or
name? marital or
of first father live
of mother
of to the head
female? on hisher engagement spouse
in this this
live in this this
of house- last
status? house-
father house-
mother hold?
birthday? For codes, hold?
hold? If less
see below 1=Yes
1=Yes than one
If not If Not in this
2=No 2=No
For codes, 1=Male
year, married,
household, If No,
If No, go see below 2=Female write 00
go to 3.8 write 99
go to 3.10 to next line
01 1 2
1 2 1 2
02 1 2
1 2 1 2
03 1 2
1 2 1 2
04 1 2
1 2 1 2
05 1 2
1 2 1 2
06 1 2
1 2 1 2
07 1 2
1 2 1 2
08 1 2
1 2 1 2
09 1 2
1 2 1 2
10 1 2
1 2 1 2
11 1 2
1 2 1 2
12 1 2
1 2 1 2
13 1 2
1 2 1 2
14 1 2
1 2 1 2
15 1 2
1 2 1 2
16 1 2
1 2 1 2
17 1 2
1 2 1 2
Codes for 3.3 Relationship to head of household Codes for 3.6 Marital status
1 = Household head 5 = Grandchild
9 = Brother-sister-in-law 1 = Married
4 = Never married, 2 = Wife or husband
6 = Father or mother 10 = Other relative 2 = Divorced, separated
but engaged 3 = Son or daughter
7 = Nephew or niece 11 = Unrelated member 3 = Widowed
5 = Never married, 4 = Son-daughter-in-law
8 = Brother or sister not engaged
1
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4. Housing and amenities
4.1 What type of dwelling best describes
Single family house …………………… 1
your current dwelling? Part of a shared house ………………2
Separate apartment …………………… 3
Shared apartment ……………………… 4
Tent ……………………………………5 Go to 4.6
Temporary sheltershack ……………6 Other …………………………………7
4.2 What is the major construction material of the exterior walls
Fired brickstone ……………………… 1
of the dwelling, in the main living area of the family? Concrete ………………………………
2 Wood …………………………………3
Mud bricksmud ………………………
4 Stonemud ……………………………5
Other …………………………………6 4.3
What is the major construction material of the roof Concrete ………………………………
1 of the dwelling that protects the main living area of
Wood …………………………………2 the family from rain?
Tinmetal ……………………………… 3
Mud bricksmud ………………………
4 Other …………………………………5
4.4 What is the major construction material of the floor
Dirtearth ……………………………… 1
of this dwelling, in the main living area of the family? Concretetile …………………………2
Other …………………………………3 4.5
When was this dwelling constructed? Less than 2 years ago ………………1
2-4 years ago …………………………2 5-9 years ago …………………………3
10-19 years ago ………………………
4 20-29 years ago
……………………… 5
More than 30 years ago ……………6 Dont know ……………………………7
4.6 How did you acquire this dwelling
Inheritance or from family …………1 or what is the occupancy status?
Purchased dwelling …………………… 2
Constructed dwelling ………………… 3
Caretaker ……………………………… 4
Go to 4.8 Mortgaging ……………………………5
Relative or friend of owner …………6 Own - given free, charity ……………7
Tenant renting ………………………8 Other …………………………………9
4.7 How much money per month does your household pay to live in this dwelling? Afs.
Go to 4.9 If pay in goods or services, estimate the value per month
4.8 If you were to purchase this dwelling today, how much would it cost?
IF DONT KNOW, WRITE 888
4.9 What kind of kitchencooking facilities
Kitchen is separate room in dwelling ……………………………1 does this dwelling have?
Kitchen is part of a room in the dwelling or part of the tent 2 Cooking room is in a separate room outside the dwelling ……3
Cooking done in the open ………………………………………4 Other ………………………………………………………………5
4.10 How many rooms does your household occupy exclude corridors, balconies?
FOR KUCHI HOUSEHOLDS LIVING IN TENTS, RECORD NUMBER OF TENTS
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4.11
INTERVIEWER: RECORD ACCESS TO DWELLING
Footpath ………………………………
1 Unpaved road …………………………2
Paved road ……………………………3 4.12
Has your household had electrictiy at any time Yes No
in the past month from any of these sources? a
Electric grid ………………………1 2
b Government generator …………1
2
INTERVIEWER: READ ALL OPTIONS a-i
c Private generator engine ………
1 2
d Private generator hydro …………
1 2
e Community generator engine …1
2 f
Community generator hydro … …1
2 g
Solar ………………………………
1 2
h Wind ………………………………
1 2
i Battery ……………………………1
2 4.13
In the past month, what has been the households Animal dung …………………………1
main source of cooking fuel? Bushes ping, twigsbranches ………
2 Firewood ………………………………
3 Crop residue, trash ……………………
4 Charcoal, coal
………………………5 Kerosene or oil ………………………6
Gas ……………………………………7 Electricity ………………………………
8 Other …………………………………9
4.14 What is the main source of heating for this house in winter?
No heating in house ………………… 1
Bushesping, twigsbranches, straw 2 Firewood ………………………………
3 Animal dung …………………………4
Crop residue, trash …………………… 5
Charcoal, coal ………………………6
Kerosene, diesel, petrol ………………7 Gas ……………………………………8
Electricity ……………………………… 9
Other …………………………………10 4.15
How much did this household spend in the last month a
Electricity ……………… for each type of fuel used in the household? in Afghanis
b Gas ………………………
READ ALL QUESTIONS a-f
c Fuel, oil …………………
IF HOUSEHOLD DID NOT SPEND ON A SPECIFIC
d Firewood ………………
TYPE OF FUEL, WRITE 0
e Charcoal, coal …………
IF DONT KNOW, WRITE 888
f Ping, straw, manure …
4.16 What main toilet facility does your household use?
Open pit ………………………………… 1
Traditional covered latrine …………2 Improved latrine ………………………3
Flush latrine …………………………4
None open field, bush or sahrahi …5 Go to
4.18
Dearan not pit ………………………6 Other …………………………………7
4.17 Is the toilet facility shared with other households?
Yes ……………………………………1 No ………………………………………2
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4.18 What is the main source of drinking water for members
Open well - public ……………………… 1
of your household in the past month? Open well - private ……………………
2 Hand pump - public ……………………
3 Hand pump - private …………………
4 Bored wells motorisedhand pump …
5 Spring - unprotected …………………
6 Spring - protected ………………………
7 Piped - private ………………………8
Piped - municipal ……………………… 9
Kariz ……………………………………10 River, lake, channel, pool, drainage …
11 Water tanker …………………………12
Bottled water, mineral water ………… 13
Other, specify …………………………14 4.19
How much did you pay or will you pay for water from this drinking water source for the last month? in Afghanis
IF NO PAYMENT, WRITE 0 IF DONT KNOW, WRITE 888
4.20 How many minutes does it take to walk, one way,
to this main source of water?
IF DO NOT HAVE TO WALK, WRITE 0 IF DONT KNOW, WRITE 888
CONTINUE WITH THE NEXT MODULE ,
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5. Livestock
5.1 Does any member of your household own any
Yes ……………………………………1 livestock, including poultry at the present time?
No ………………………………………2
Go to 5.10
5.2 5.2: How many of the following animals
5.3: How many of these animal type 5.3
does your household own today? are productive females?
IF NO ANIMALS OF SPECIFIC TYPE OWNED, WRITE 0 FOR QUESTION 5.2 AND CONTINUE WITH NEXT TYPE IF ANY ANIMALS OF SPECIFIC TYPE OWNED, WRITE NUMBER IN QUESTION 5.2 AND ASK QUESTION 5.3
a Cattle meat and dairy ……………
Cattle meat and dairy …………… b
Oxen, yaks ……………………………… c
Horses …………………………………
d Donkeys
………………………………… e
Camels ………………………………… f
Goats …………………………… Goats ……………………………
g Sheep ……………………………
Sheep …………………………… h
Chickens ……………………… Chickens ………………………
i Turkeys, ducks, geese, other birds
Turkeys, ducks, geese, other birds 5.4
Do you have access to animal feed concentrate? Yes ……………………………………1
No ………………………………………2 5.5
In the past 12 months, have you vaccinated Yes ……………………………………1
any of your livestock or poultry? No ………………………………………2
Go to 5.7 5.6
Which type of livestock have you vaccinated Yes No
in the past 12 months? a
Cattle ……………………………… 1
2 b
Sheep ……………………………… 1
2
ASK FOR ALL TYPES OF LIVESTOCK a-e MENTIONED
c Goats ………………………………
1 2
d Poultry
……………………………1 2
e Other livestock ……………………
1 2
5.7 Did your household obtain information on livestock, medicine
Yes ……………………………………1 for livestock or veterinary help in the last 12 months?
No ………………………………………2 Go to 5.9
5.8 What was the main type of veterinary service provider
Goverment veterinary service………… 1
that your household used? VFU Veterinary Field Unit …………2
Go to Other NGO veterinary service ………
3 5.10
Private veterinary service ……………4 Other …………………………………5
5.9 What was the main reason you did not use any advice
Did not need service ………………… 1
or help from veterinary services in the past 12 months? Had too few animalspoultry …………
2 Could not afford too expensive ……3
Too far away …………………………4 Do not know how to findobtain ………
5 Provider would not work with me ……6
Other …………………………………7 5.10
Did your household sell any live animals Yes ……………………………………1
in the past 12 months? No ………………………………………2
Go to 5.12
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5.11 How many of the following live animals
a Cattle …………………………………
did you sell in the last 12 months? b
Oxen, yaks ………………………………
ASK FOR EACH OF THE LIVESTOCK a-i MENTIONED
c Horses
…………………………………
WRITE 0 IF NO ANIMAL SOLD
d Donkeys
………………………………… e
Camels ………………………………… f
Goats …………………………… g
Sheep …………………………… h
Chickens ……………………… i
Turkeys, ducks, geese, other birds 5.12
Did your household sell any animal products in the past Yes ……………………………………1
12 months, like milk, meat, poultry, wool, cashmere, No ………………………………………2
Go to next hides or eggs?
module 5.13
What quantity of item did you sell in the last 12 months?
a Milk ……………………………………………..
Liters
ASK FOR EACH OF THE
b Meat from sheep, goats, cattle, horses, etc. ..Kg.
PRODUCE a-f MENTIONED
c Meat from poultry chicken, geese, etc. …….Kg.
IF ITEM NOT SOLD, WRITE 0 AND
d Wool, cashmere ………………………………Kg.
CONTINUE WITH NEXT ITEM
e Furs, skins, hides, leather ………………. Pieces
f Eggs
…………………………………….. Number CONTINUE WITH THE NEXT MODULE
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6. Agriculture
INTERVIEWER:
Now, I would ask you some questions about land ownership and access to agricultural land in the most recent spring cultivation season
6.1 Does any of your household members own
Yes ……………………………………1 agricultural land or a garden plot?
No ………………………………………2 Go to 6.5
How many jeribs of each of the following types of land is owned by this household?
IF NO LAND OF A SPECIFIC TYPE OWNED, WRITE 0.0
6.2 Irrigated land …………………………………………………………………….
Jeribs .
6.3 Rain-fed land …………………………………………………………………….
Jeribs .
6.4 Garden plot ……………………………………………………………………………
Jeribs .
Go to 6.6 6.5
Did anyone in your household have access to agricultural Yes ……………………………………1
land or a garden plot - without owning it - in the most recent No ………………………………………2
Go to next spring cultivating season?
module 6.6
Did anyone in your household have access to any irrigated Yes ……………………………………1
land - owned or not owned - in the most recent spring No ………………………………………2
Go to 6.18
cultivation season, excluding a garden plot? 6.7
How many jeribs of irrigated land - without garden plot - Jeribs
.
did members of your household together cultivate in the
IF NONE, WRITE 0.0
most recent spring cultivation season? 6.8
How many jeribs of irrigated land did your household Jeribs
. If 0.0,
leave fallow in the main spring cultivation season?
IF NONE, WRITE 0.0
go to 6.10 6.9
What was the main reason for not cultivating the irrigated Lack of water …………………………1
land in the most recent spring cultivation season? Lack of money to provide water ……2
No budget for cultivation ……………3 Conflict over water or land …………4
Security concerns ……………………… 5
Land not fertile ………………………6 Shifting cultivation………………………
7 Other …………………………………8
6.10 What was the most important crop you harvested
FOR CODES, SEE AT BOTTOM OF PAGE
from the last spring cultivation season? 6.11
How much of this most important crop did you harvest? Kgs.
6.12 What was the second most important crop you har-
FOR CODES, SEE AT BOTTOM OF PAGE
If 0.0, vested from the last spring cultivation season?
IF NO SECOND CROP, WRITE 00
go to 6.16 6.13
How much of this second-most important crop did you harvest? Kgs.
6.14 What was the third most important crop you
FOR CODES, SEE AT BOTTOM OF PAGE
If 0.0, harvested from the last spring cultivation season?
IF NO THIRD CROP, WRITE 00
go to 6.16 6.15
How much of this third-most important crop did you harvest? Kgs.
Codes for 6.10 - 6.12 and 6.14 Harvested crops 1=Wheat
5=Flax 8=Millet
12=Kourgit 16=Tomato
20=Fruitnut trees 2=Maizesorghum
6=Sugar canebeet 9=Cotton 13=Potatoes
17=Onions 21=Melonwatermelon
3=Barley 7=Alfalfaclover
10=Opium 14=Beans
18=Okra 22=Other fruits
4=Rice other fodder
11=Cumin 15=Eggplant
19=Other vegetables 23=Other crop
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6.16 What was the main source of irrigation for the majority
Irrigated river, canal, dam …………1 of the irrigated land you cultivated during the spring
Irrigated deep-well pump ……………2 cultivation season?
Spring …………………………………3 Kariz ……………………………………4
Nawara ………………………………… 5
Absialab, snow melt, flood …………6 Other …………………………………7
6.17 In the past spring cultivation season, did you have
Yes ……………………………………1 sufficient irrigation for your irrigated crops?
No ………………………………………2 6.18
Did anyone in your household have access to any rain-fed Yes ……………………………………1
land - owned or not owned - in the most recent spring No ………………………………………2
Go to
6.28
cultivation season, excluding a garden plot? 6.19
How many jeribs of rain-fed land - without garden plot - Jeribs
.
did members of your household together cultivate in the
IF NONE, WRITE 0.0
most recent spring cultivation season? 6.20
How many jeribs of rain-fed land did your household Jeribs
. If 0.0,
leave fallow in the main spring cultivation season?
IF NONE, WRITE 0.0
go to
6.22
6.21 What was the main reason for not cultivating the rain-fed
Lack of rain ……………………………1 land in the most recent spring cultivation season?
No budget for cultivation ……………2 Conflict over ownership ………………3
Security concerns ……………………… 4
Land not fertile ………………………5 No manpower to help …………………
6 Other …………………………………7
6.22 What was the most important crop you harvested
Wheat …………………………………1 in the most recent spring cultivation season from
Barley …………………………………2 rain-fed land?
Maize sorghum ……………………… 3
Cotton …………………………………4 Flax ……………………………………5
Cumin …………………………………
6 Melon watermelon ……………………
7 Other crop
……………………………8 6.23
How much of this most important crop did you harvest? Kgs.
6.24 What was the second most important crop you harvested
Wheat …………………………………1 in the most recent spring cultivation season from
Barley …………………………………2 rain-fed land?
Maize sorghum ……………………… 3
Cotton …………………………………4 Flax ……………………………………5
Cumin …………………………………
6 Melon watermelon ……………………
7 Other crop
……………………………8 No second-most important crop ……9
Go to
6.28
6.25 How much of this second-most important crop did you harvest?
Kgs.
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6.26 What was the third most important crop you harvested
Wheat …………………………………1 from the most recent spring cultivation season from
Barley …………………………………2 rain-fed land?
Maize sorghum ……………………… 3
Cotton …………………………………4 Flax ……………………………………5
Cumin ………………………………
6 Melon watermelon ……………………
7 Other crop
……………………………8 No third-most important crop
……9 Go to
6.28
6.27 How much of this third-most important crop did you harvest?
Kgs. 6.28
Did your household have acces to a garden plot Yes ……………………………………1
in the most recent spring cultivation season? No ………………………………………2
Go to
6.34
6.29 How many jeribs of garden plot did your household
Jeribs .
If 00, cultivate in the most recent spring cultivation season?
IF NONE, WRITE 0.0
go to
6.34
6.30 What was the most important crop you harvested in the
Fruit nut trees ………………………1 last spring cultivation season from the garden plot?
Grapes ………………………………… 2
Other fruits ……………………………3 Maize sorghum ………………………
4 Alfalfacloverother fodder …………5
Shakarpara ……………………………6 Other specify ………………………7
6.31 How much of this most important crop did you harvest?
Kgs. 6.32
What was the second most important crop you harvested Fruit nut trees ………………………1
in the last spring cultivation season from the garden plot? Grapes …………………………………
2 Other fruits ……………………………3
Maize sorghum ……………………… 4
Alfalfacloverother fodder …………5 Shakarpara ……………………………6
Other specify ………………………7
No second-most important crop ……8 Go to
6.34
6.33 How much of this second-most important crop did you harvest?
Kgs. 6.34
What was the total amount of money you spent on agricultural input on the following a-f:
WRITE 00 IF NO MONEY SPENT ON AN ITEM
Afghanis a
Seeds ………………………………………………………………………………… b
Water ………………………………………………………………………………… c
Fertilisers UREADAP and pesticides …………………………………………… d
Labour costs e.g. for weeding…………………………………………………… e
Machinetractor rent………………………………………………………………… f
Other input costs …………………………………………………………………… CONTINUE WITH THE NEXT MODULE
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7. Household assets