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SECTION 0: Questionnaire ID
0.1 Date of interview |__|__||__|__||__|__||__|__| 0.2 Interviewer team code |__|__|__|
0.3 Cluster Geo-code |__|__|__|__|__|__|__|__|__|_|__|a__|__|__|__|__
| 0.4 Cluster Code |__|
0.5 Province Name 0.6 District Name
0.7 Village or City Name 0.8 Sub-Village or Nahia Name
0.9 Urban Gozar Name. 0.10 Urban Block No.
For Rural areas this code is always 000, for Urban areas the range is from 1 to 420.
0.11 When the rural community is large, and a mosque within a larger village is surveyed, record the name of the
mosque? 0.12 Kuchi Code
0.13 Number of family from CSO data 0.14 GPS ID Code
|__|__|__|
0.15 Geo-reference Waypoint Code
|__|__|__|
GPS data GPS Reading
Altitude m. Range between 200m
4500m. Latitude. Decimal degrees. Range
29.35 38.40N
Longitude. Decimal degrees. Range between 60.31
75.00E
SECTION 1: Community Information
1.1 Number of households living in this villageurban block?
|__|__|__|__|
1.2 Number of habitable dwellingshouses in this villageurban block?
|__|__|__|__|
1.3 Number of people living in this villageurban block?
|__|__|__|__|
1.4 What is the local unit of measure?
1. Seer
O
2. Man
O
3. Other
O 1.5
How many Kg’s is this local unit?
|__|__|.|__| kg
1.6 Of these current households, how many households have returned to the community since the 3 last years and stayed?
Include IDPs and returnees together. If informant gives or proportion convert to number of households.
|__|__|__|__|
1.7 Since the last 3 years, how many household have returned and subsequently left the community again?
|__|__|__|__|
1.8 In the last 3 years, have more people moved into or away from your community?
0 Neither arrivals nor departures
O
1 More arrivals
O
2 More departures
O
3 About the same of both
O
1.9 Does your community engage in agricultural activities in this community?
0 No –► Section 2
O
1 Yes
O
1.10 How many local units of wheat seed are planted per jerib of
Rainfed land
|__|__|
local units
Irrigated land
|__|__|
local units 1.11 Topographical situation of the majority of cropland used
by the community.
1. Open plain
O
2. Valley
O
3. Valley hills
O
4. Hills no valley cultivation
O 1.12 Predominant Cropping system
1. All annual crops
O
2. Mixed annualtree crops
O
3. All tree crops
O
4. No crops – all pastureland
O
1.13 What is the predominant agricultural land use?
1. All irrigated
O
2. More than ½ irrigated
O
3. More than ½ rainfed
O
4. All rainfed –► Section 2
O
5. Grazing land –► Section 2
O 1.14 Is the irrigated land:
1. Upstream
O
2. Midstream
O
3. Downstream
O
1.15 Has the main cereal harvest taken place?
0. Not yet
O
1. In process
O
2. Complete
O
SECTION 2: Access Infrastructure
2.1 How close is the nearest drivable road to this community?
