Household identification Supervisor-filled information Process monitoring Household roster

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 2 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 , , , 3 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 , , , , , , 4 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 , 5 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 , , , , , , 6 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 , , , , , , , , 7 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 , , , , , , , , 8 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. , , , , 9 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 , , , , , , , , , 10

7. Household assets