technical details on the 2009 household survey
TRANSCRIPT
APPENDICES
Technical Details on the 2009 Household Survey
1 Survey design
1.1 Introduction
The household survey is part of a USAID project called the Assets and Markets Access
Collaborative Research Support Program (AMA CRSP), a long-term empirical study of
idiosyncratic shocks and welfare dynamics in Ghana, Bangladesh and Ethiopia.
The survey was conducted in four villages in Akwapim South district, Eastern Region, Ghana in
2009. Questionnaires were administered in five rounds from February to November 2009, with
each household interviewed once every two months.
1.2 Organization of the survey
The survey villages were initially selected because the district was the site of rapid growth
in the export agriculture industry (specifically, of pineapple) in the late 1990s. Four villages were
selected non-randomly from those in the district. The villages are Konkonuru, Oboadaka,
Pokrom and Darmang-Ahweriase.
Within each village, around 60 households were randomly selected for participation in the
first wave in 1997-98. In Darmang, given its population was barely more than 60 households, all
households were selected. Table 1 shows the actual number of households remaining after
refusals etc. The second wave in 2004 was based on the same sample, but due to attrition the
sample was smaller. The 2009 sample was rebuilt by random resampling, to obtain a targeted 70
households in each village. The existing sample was retained, but those households which had
disappeared or chosen not to take part were replaced by new households selected at random from
that village. In a small number of cases, only one of the spouses from a former sample household
remained in the village (because of death, divorce or migration). We included these remaining
‘single spouses’ in the sample but did not count them towards the 70-household target.
Table 1: Survey samples in the Akwapim South study
Wave Konkonuru Oboadaka Pokrom Darmang Total
1997-98 Households 54 51 51 51 213
Individuals 112 102 111 106 429
2004 Households 44 38 38 39 159
Individuals 90 89 81 90 350
2009 Households* 81 76 78 81 316
Individuals 151 149 147 158 605
* Includes single-headed households.
The survey is unusual in that almost all of the questions are posed to both the household
head and spouse(s). A full breakdown of the number of participants in each wave is given in
Table 1. The district is patrilineal, so the head is usually male and the spouse(s) female. A small
number of households had multiple wives; in these cases all wives were interviewed. The 1997-
98 and 2004 survey instruments comprised sections on assets, consumption, land assets, farm
business activity, non-farm business and income, gifts and transfers, loans, family background
and marital attitudes. All of these sections (effectively unchanged) were fielded again in 2009 to
generate consistent panel data. In addition, we added modules on social networks, long-term
shocks and perceptions of poverty, membership of organizations and cooperatives, education and
household characteristics. The questionnaires follow in this appendix. We also conducted two
field experiments designed to study the effects of financial and non-financial windfalls on
savings, consumption and sharing behavior, and the willingness of individuals to contribute to
local public goods. Details on these experiments can be found in Chapters 2 and 3 of the
dissertation.
1.3 Sample issues
The initial sample in 1997-98 was 60 households selected at random in each village. Due
to attrition, we were able to identify just over half of these households willing to participate in
2009. To reach a target sample size of 70 households in each village, we augmented these
remaining households with additional households from each village, using random sampling
stratified by age group. Details on attrition and the resampling are presented in Table 2.
The resampling was conducted as follows. We visited the villages in the fourth week of
January and interviewed someone from every household in the village with a brief demographic
survey. We asked the household head (or designated alternate) for the names and ages of the
head and spouse(s), household size, the household’s location and the residential history of its
occupants. From this listing we identified households in the existing sample and asked whether
they wished to participate in the survey again in 2009. Of the non-sample households, those with
both a head and spouse present were retained for the resampling. We divided this subset into
three groups based on the age of the head (under 30, 30-64, and 65+). These age categories were
chosen because households with heads under 30 could not have been selected for the first wave
in 1997, and older-headed households in the original sample were subject to greater attrition. We
then selected enough households so that, combined with the existing sample households who
agree to participate, we had 70 households in each village with proportions of each age group
close to those of the village. Newly selected households which refused to participate were
replaced by the next household from that age category on a randomized list.
Table 2: Attrition and resampling
Konkonuru Oboadaka Pokrom Darmang Total
Original sample
1997-98 54 51 51 51 207
2004 44 38 38 39 159
Located in 2009 44 40 43 48 175
Dropped/Refused 1 1 0 0 2
Remaining 43 39 43 48 173
Single-headed 12 7 10 11 40
Dual-headed 31 32 33 37 133
Resampling
Young 11 14 12 12 49
Middle 28 23 20 14 85
Old 0 1 5 7 13
Total 39 38 37 33 147
Total sample 2009
Dual-headed 70 70 70 70 280
Single-headed 12 7 10 11 40
Total 82 77 80 81 320
1.4 Definition of a household
We adopt the standard LSMS definition of a household as “a group of individuals which
normally eat from the same pot”. However, this was augmented by a condition that to be a
member of the household, an individual must have satisfied the LSMS definition for at least one
month (30 days) in the past year. This was done to rule out the inclusion of itinerant members or
children living elsewhere.
The household head was defined as the most senior member of the household. This
designation was usually unambiguous, but if not, the head was to be the person who would
normally represent the household in its dealings with other households. The head and his/her
spouse(s) were the only people interviewed from each household.
1.5 Timetable
The survey ran from January to November 2009. In January we recruited and trained the
enumerators. We conducted the listing in the second-last week of January, then conducted the
resampling and selected a pretest group to test the instruments. Pretesting and revision of the
survey instrument took place in the last week of January. The survey rounds began in the first
week of February. Each of the five rounds lasted two months; the full timetable is set out below.
There were two teams of enumerators in the field, four in each village (one of whom was
designated a supervisor). All of the sample households in a village were interviewed over the
course of the month, with two villages being surveyed concurrently. At the end of the month, the
enumerators will move to the second two villages to spend a month there conducting the second
half of the round. The social networks module will be administered by a separate team of
enumerators in February and March, running on the same schedule as the general survey team
but interviewing each household four times over the course of the month.
In each round, respondents answered a standard questionnaire on income, farming,
business activity, assets, consumption and transfers/loans. This was augmented by a full social
network survey in the first round, and some short one-round modules on other issues in
subsequent rounds. Each household was visited once in each round for the general survey, and an
additional four times in February/March for the social networks module.
The following table lists the commencement and completion dates for each activity in the
survey. Data collection rounds and experiments took place two villages at a time. Group A
contains Konkonuru and Oboadaka. Group B contains Pokrom and Darmang, whose data
collection and experiments occur one month after Group A.
Table 3: Calendar of household survey interviews
Round or Activity Date Commenced Date Completed
Listing 22 January 26 January
Pretest 28 January 30 January
Round 1, Group A 7 February 2 March
Round 1, Group B 9 March 6 April
Round 2, Group A 20 April 15 May
Round 2, Group B 18 May 10 June
Round 3, Group A 17 June 8 July
Round 3, Group B 15 July 5 August
Round 4, Group A 12 August 2 September
Round 4, Group B 9 September 30 September
Round 5, Group A 7 October 28 October
Round 5, Group B 4 November 25 November
1.6 Social networks module
The social networks module was designed to map the entire in-sample social network in
each of the four study villages. We collected detailed information on each friendship between
sample members.
The social networks module was conducted during Round 1, in parallel with the standard
household survey. This was achieved by having a second enumerator team in the village during
the first round, specifically conducting the social networks survey. Each respondent was
therefore interviewed twice during this round.
The questionnaire (a blank copy of which is included following the household survey
questionnaire below) was customized for each respondent. The names of all 150 sample
members in the village (excluding the respondent) were listed in column 1 (over multiple pages).
Due to concern about respondent fatigue (since each respondent was being asked about their
friendships with 150 other villagers), we randomized the list of names on each individual’s
questionnaire. This enabled us to test whether responses varied systematically as the enumerator
progressed down the list. There was no evidence of a systematic relationship between responses
and name order.
Early in the listing, we discovered that names are very fluid in the survey area. Many
individuals have a formal name and (possibly more than one) nickname, and are only known in
the village by their nickname. However, they had provided us with their formal names. We
therefore returned to each household and asked each respondent to tell us all the names by which
they were known. For each individual, all of their names were listed on the social networks
questionnaire and the respondent quizzed about each one. If the respondent said they did not
know of the person, the enumerators were directed to probe further by mentioning the name of
the person’s spouse. This occasionally elicited a different response.
Instructions to Enumerators
1.1 Tasks of the interviewers
Your role as an interviewer is crucial to the survey. The quality of the data will depend on
the quality of your work. You should keep in constant touch with your supervisor and inform
him of any problems you encounter in your work in the field. The supervisor will provide you
with all the necessary materials and instructions and will collect and check your work, helping
you solve any problems that arise.
Your principal task is to conduct at least 2 interviews per day during the survey period.
Each enumerator will be assigned 35-40 individuals to interview each month, and it is imperative
that these interviews take place before the end of the month because at that time the survey team
will move to the other village.
You must follow strictly all instructions in this manual. Read all questions exactly as they
appear on the questionnaire. You will be provided with the following materials for use in the
interviews:
• Questionnaires
• Instruction manual
• Briefcase/satchel
• Note pad
• Pencils/erasers
In addition, your supervisor will be equipped with:
• 2 GPS units (for plot mapping)
• Cell phone credit (for communication with ISSER).
1.2 Relations with the supervisor
You should always follow the advice given to you by your supervisor, who is the
representative of the Project Directorate in the field. He will assign you work at the beginning of
each survey round. In order to satisfy himself that your work is up to standard, your supervisor
will carry out the following checks in the field:
• He will examine in detail all questionnaires you complete, to verify that each interview has
been fully and properly carried out.
• He will make random visits to some of the households that you have already interviewed to
make sure that you went to the correct addresses.
• He will observe three more of our interviews in a cycle to evaluate your method of
interviewing. You will not be informed in advance.
• Each day he will discuss your work with you and make regular reports to the Project
Directorate on your performance in the field.
Your supervisor is the link between you and the survey organization. Just as you will
receive instructions from him, you must inform him of any difficulties or problems that you
encounter. For instance, if you do not understand a procedure or the meaning of a question in the
questionnaire, you should ask your supervisor for an explanation.
1.3 Checking the completed questionnaire
After finishing each interview, you must verify that all the sections have been filled out
correctly and legibly. You must make sure that you have asked all of the relevant questions and
recorded the answers on the questionnaire. Finally, you must complete the observations sheet,
and record the completion of the section on the household’s survey cover sheet.
This must be done immediately after the interview, before you hand in the questionnaires
to your supervisor, and most importantly, before moving on to another household or leaving the
village.
Although you may correct minor errors due to having written down the answers badly, you
must never under any circumstance make any other changes to the completed questionnaire
without asking the respondent the same question again. Do not copy the information you have
collected into a new questionnaire. At the end of each day’s work, all filled questionnaires must
be submitted to your supervisor for editing. Errors detected must be corrected before the end of
the month, by re-visiting the relevant household.
1.4 Questions rejected by the data entry system
Your work will also be reviewed by the data entry applications, which will carry out
checks on the answers to various questions, parts and sections of the questionnaire. After
reviewing the data entry print-outs, your supervisor will circle in red ink all the answers in the
questionnaire that were rejected by the data entry program, and return the questionnaire (if
necessary) to you. You should resolve the highlighted problems in consultation with your
supervisor immediately.
1.5 Arrival in the community
The team will arrive in the community a day before the start of the survey. Accompanied
by the interviewers, the supervisor will visit the chief, assemblymen, unit committee members
and other prominent individuals to introduce the team and discuss the survey program.
2.5.1 Finding the address
First you should look for the address written on the first page of the questionnaire and
make sure that it is the household of the head indicated. Sometimes you might have difficulties
finding a household. If this happens, you should stop and ask advice from your supervisor.
2.5.2 Explanation of the survey
The first step after meeting village formalities and constructing the sampling frame will be
to approach the selected households about participating. On the first visit to a household, the first
thing you should do is greet everyone, introduce yourself and say that you are working for
ISSER/Cornell University. You should show your interviewer’s card in all cases. You must
explain that:
• You are conducting a survey designed to learn how households cope with unexpected
events. The purpose is to find out about patterns of income, consumption, assets, gift
giving, loans and social networks in four villages in Akuapim South region. The survey is
very important for planners to learn how to help villagers cope with unexpected events, and
to improve the effectiveness of government programs.
• Their household has been randomly selected to participate in the survey.
2.5.3 Obtaining consent
You must then provide each potential participant (head and spouse(s)) with a copy of the
consent form, which describes the survey, outlines the requirements for and consequences of
participation, and gives them a chance to decide freely whether to participate. Offer them either
the English or Twi version, as they desire. If they cannot read it personally, another person or
you must read it aloud in full to the respondent. You must spend time with the individual
explaining the details of the form: the nature of the survey, requirements of participation,
anticipated risks and benefits from participating, indirect benefits, and the terms of the
commitment to participate.
Stress that although there are parts of the survey which ask about sensitive and potentially
embarrassing information, this information will be used for research purposes only, kept
confidential at all times, and not published in a form which allows anyone to link respondents
and their information. The survey is being conducted by researchers at universities who wish to
learn more about village behavior, and not by a government or for tax purposes. The survey team
will keep the surveys secure after they are completed, and the data will always be kept private.
Only a few individuals will be authorized to see their answers in connection with their name or
identifying details.
Some individuals may nevertheless not wish to answer certain questions in the survey. Be
frank with them that there are some sensitive questions. They have the right to refuse to answer
any question. Discourage them from refusing to participate in the survey simply because some
questions might be sensitive. They can choose which questions to answer, and will not be
punished or lose compensation for refusing to answer a question. Although we would strongly
encourage all participants to commit to participating for the full year, they have the right to leave
the survey at any time.
The ethics guidelines specify that individuals must be given time to consider their
participation before deciding to consent. If an individual chooses to consent on the spot,
however, this is okay. Otherwise, arrange to return the next day to get their decision, and to
schedule an interview if they agree.
2.5.4 Scheduling an interview
Once your supervisor has obtained signed consent forms from both head and spouse(s),
you must arrange a time to return for the first interview with your respondent. There is no pre-
defined order of interviews; it will be your responsibility to schedule interviews so that all of
them can be completed within the month. You should try to accommodate the respondents’
schedules and avoid disrupting their activities or those of other family members, but emphasize
the importance of their keeping the appointment so as not to disrupt your appointments with
other households.
2.5.5 Confirming the interview
You should contact each respondent at least a day before the interview. The purpose of this
visit is to introduce yourself and confirm that the interview will take place the next day.
2.6 The interview
You must be careful to follow all the instructions set out in this manual, the most important
of which is to ask the questions exactly as they are printed in the questionnaire. You must record
the responses directly into the respective answer boxes on the questionnaire during the interview.
Do not record answers on scraps of paper, in your notebook, or in the margin of the
questionnaire. Neither should you count on your memory to fill in the answers after you have left
the household.
2.6.1 Tempo of the interview
You must maintain the tempo of the interview. In particular, avoid long discussions of the
questions with respondents. If the respondent gives you irrelevant or complicated answers, do
not break in too suddenly, but listen to what they are saying and then lead him/her back to the
original question. Remember that you are running the interview, and therefore you must be in
control of the situation at all times.
2.6.2 Objectivity of the interviewer
It is extremely important that you remain absolutely neutral about the subjects of the
interview. Most people are naturally polite, particularly with visitors, and they tend to give
answers and adopt attitudes that they think will please the visitor. You must not express surprise,
approval or disapproval about the answers given by the respondent, nor must you tell him/her
what you think about these things yourself.
You must also avoid any preconceived ideas about the respondent’s ability to answer
certain questions or about the kind of answer s/he is likely to give. Your most important task is to
read the questions exactly as they are written on the questionnaire.
2.6.3 Privacy of the interview
All of the data collected are strictly confidential. Any breach of confidentiality is forbidden
by law. In principle all the questions should be asked in complete privacy to ensure that the
answers remain confidential. The presence of other people may cause embarrassment to the
respondent and influence his/her answers.
The following sections of the survey may be particularly sensitive:
• Assets
• Gifts and loans
• Education
• Marital attitudes
• Social networks
At the start of these sections you should warn the respondent that the questions may be sensitive,
reiterate the privacy of the interview, and politely ask any other individuals watching to respect
the privacy of the respondent.
2.6.4 Setting of the interview
This survey is concerned with the different responses and attitudes of husbands and wives.
It is therefore very important that each spouse be interviewed apart from his/her partner. Under
no circumstances are you to interview someone with their spouse present. Some questions ask
the wife, for example, what her husband has sold. We do not want to know the truth about what
he has sold from her, we want to know what she thinks. For this reason, it is essential that she be
interviewed apart from her husband. If the respondent does not wish to be interviewed alone,
they may have someone else present, but insist that it not be their spouse.
2.6.5 Conclusion and plans for next visit
Before leaving, you must thank the respondent for their time. Explain that a team member
will return in two months for another interview, and that it is important that they participate
again at that time.
2.7 Completing the questionnaire
Every round, each household will be visited two or three times. One enumerator will
interview the head, and another will interview the head’s spouse(s). After each visit, each
enumerator must record the interview in the completion checklist on the cover sheet for that
household. Code the result of the survey COMPLETED if all sections were done; PARTIALLY
COMPLETED if the respondent refused to complete some sections, or if you were interrupted
and must return to that household this round; RESPONDENT NOT AVAILABLE only if the
respondent is definitely uncontactable for the month (eg travelling); REFUSED if they would not
be interviewed. If there is any other reason, write 6 for OTHER along with a note in the
‘Observations’ section of the sheet. If the survey took place, fill out the other details. Whether or
not the survey was completed, return the questionnaire to your supervisor for storage and
review.
2.7.1 Observation sheet
You must also fill out the observation sheet. You should indicate on this page how much
the respondent was willing to cooperate, any problems they had in answering any of the
questions (including any which were refused because of privacy concerns), any unfavorable
circumstances, and any comments you wish to make for the benefit of the supervisor. You
should fill out this section immediately after the interview, but never in the presence of the
respondent.
2.7.2 Conduct of the interviewer
The interviewer must observe the following rules:
• You must be courteous towards everyone (the respondent, his/her family and friends, the
supervisor, other members of the team and everyone else involved). Your behavior can
have an enormous impact on people’s opinions in the survey villages.
• You must avoid disturbing or upsetting anyone by your behavior.
• You must be properly dressed, so that the respondent will be inclined to trust you as a
reliable and responsible person.
• You must arrive punctually for interview appointments, and never keep a respondent
waiting.
• You must exercise patience and tact in conducting the interview, to avoid antagonizing the
respondent or leading him/her to give answers that are not in conformity with the facts.
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STONE/BRICK..........3
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THATCH (GRASS/STRAW).1
WOOD.................2
CORRUGATED IRON/ZINC.3
CEMENT/CONCRETE......4
ASBESTOS.............5
OTHER (SPECIFY)......6
CATHOLIC...........1
ANGLICAN...........2
PRESBYTERIAN.......3
METHODIST..........4
PENTECOSTAL........5
AKYEM..............5
OTHER AKAN.........6
OTHER..............7
MUD/MUD BRICKS.......1
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CORRUGATED IRON......3
STONE/BURNT BRICKS...4
CEMENT/SANDCRETE.....5
OTHER (SPECIFY)......6
YES....1 (>> 4)
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FLUSH TOILET/WC......1
PIT LATRINE..........2
PAN/BUCKET...........3
KVIP.................4
NONE.................5
SPIRITUALIST.......6
OTHER CHRISTIAN....7
MUSLIM.............8
TRADITIONAL........9
NO RELIGION.......10
PARENT.............1
OTHER RELATIVE.....2
LINEAGE............3
EMPLOYER...........4
OTHER (SPECIFY)....5
INDOOR PIPE/TAP....1
VENDOR/TRUCK.......2
NEIGHBOURING HH....3
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PUBLIC PIPE/TAP....5
WELL WITH PUMP.....6
WELL WITHOUT PUMP..7
RIVER..............8
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ELECTRICITY..........1
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LEVEL
CODE
GRADE NUMBER
OCCU-
PATION
CODE
MARITAL
STATUS
CODE
10
0H
ead
10
1S
po
use
1
10
2C
hil
d
10
3C
hil
d
10
4C
hil
d
10
5C
hil
d
10
6C
hil
d
10
7C
hil
d
10
8C
hil
d
10
9C
hil
d
11
0C
hil
d
111
Chil
d
11
2C
hil
d
11
3C
hil
d
11
4C
hil
d
11
5C
hil
d
HO
US
EH
OL
D H
EA
D,
FIR
ST
SP
OU
SE
AN
D A
LL
CH
ILD
RE
N E
VE
R B
OR
N T
O H
ER
(IN
CL
UD
ING
CH
ILD
RE
N D
EC
EA
SE
D O
R L
IVIN
G E
LS
EW
HE
RE
)
HO
US
EH
OL
D R
OS
TE
R
H
HN
R
espon
den
t's
nam
e I
D C
ode
R
ou
nd
V
illa
ge
D
ate
LOCATION CODES
DAMAN/AHWERIASE.....1
POKROM/NSABAA.......2
OBOADAKA/KWAMEKROM..3
KONKONURU...........4
ABURI...............5
NSAWAM..............6
SCHOOL LEVEL CODES
NONE.....................0
PRIMARY..................1
MIDDLE OR JSS............2
SENIOR SEC, TECH, COMMTY
OR TRAINING COLLEGE....3
POST-SEC, NURSING, POLY..4
UNIVERSITY...............5
EASTERN REGION (RURAL) 7
EASTERN REGION (URBAN) 8
ACCRA..................9
OTHER URBAN...........10
OTHER RURAL...........11
NOT IN GHANA..........12
MARITAL STATUS CODES
MARRIED............1
CONSENSUAL UNION...2
DIVORCED...........3
SEPARATED..........4
WIDOW/ER...........5
NEVER MARRIED......6
OCCUPATION CODES
FARMER.................1
TEACHER................2
TAXI/TRO-TRO DRIVER....3
TRUCK DRIVER...........4
ARTISAN................5
CONSTRUCTION WORKER....6
FACTORY WORKER.........7
MASON..................8
CARPENTER/CARVER.......9
HERBALIST.............10
HAIRDRESSER...........11
HEALTH WORKER.........12
OFFICE WORKER.........13
SHOP ATTENDANT/TRADER.14
BAKER/COOK............15
PRIEST................16
ELDER.................17
STUDENT...............18
UNEMPLOYED............19
NOT IN LABOR FORCE....20
OTHER (SPECIFY).......21
(If 16+)
Page
4
12
34
56
78
910
11
12
13
IDR
elati
on
to h
ead
Nam
eS
exIs
[..
.] a
liv
e?A
ge
Ch
ild
of
hea
d?
Does
[...]
curr
entl
y
liv
e h
ere?
Wh
ere
do
es s
/he
live?
Hig
hes
t
sch
ool
level
att
end
ed
Hig
hes
t
gra
de
ach
iev
ed
Occ
u-
pati
on
Mari
tal
sta
tus
WRITE THE PERSON'S COMMONLY USED NAME OR NICKNAME, FOLLOWED BY THEIR FORMAL NAME (IF
ANY) IN PARENTHESES
MALE....1
FEMALE..2
YES.1
NO..WRITE DATE
OF DEATH AND
>>NEXT PERSON
YES..1
NO...2
YES..1
(>>10)
NO...2
LOCATION
CODE
SCHOOL
LEVEL
CODE
GRADE NUMBER
OCCU-
PATION
CODE
MARITAL
STATUS
CODE
201
Spo
use
2
202
Ch
ild
203
Ch
ild
204
Ch
ild
205
Ch
ild
206
Ch
ild
207
Ch
ild
208
Ch
ild
209
Ch
ild
210
Ch
ild
211
Ch
ild
212
Ch
ild
213
Ch
ild
214
Ch
ild
215
Ch
ild
SE
CO
ND
SP
OU
SE
(IF
AP
PL
ICA
BL
E)
AN
D A
LL
CH
ILD
RE
N E
VE
R B
OR
N T
O H
ER
(IN
CL
UD
ING
CH
ILD
RE
N D
EC
EA
SE
D O
R L
IVIN
G E
LS
EW
HE
RE
)
HO
US
EH
OL
D R
OS
TE
R
H
HN
R
esp
onden
t's
nam
e I
D C
ode
R
ou
nd
V
illa
ge
D
ate
(If 16+)
LOCATION CODES
DAMAN/AHWERIASE.....1
POKROM/NSABAA.......2
OBOADAKA/KWAMEKROM..3
KONKONURU...........4
ABURI...............5
NSAWAM..............6
SCHOOL LEVEL CODES
NONE.....................0
PRIMARY..................1
MIDDLE OR JSS............2
SENIOR SEC, TECH, COMMTY
OR TRAINING COLLEGE....3
POST-SEC, NURSING, POLY..4
UNIVERSITY...............5
EASTERN REGION (RURAL) 7
EASTERN REGION (URBAN) 8
ACCRA..................9
OTHER URBAN...........10
OTHER RURAL...........11
NOT IN GHANA..........12
MARITAL STATUS CODES
MARRIED............1
CONSENSUAL UNION...2
DIVORCED...........3
SEPARATED..........4
WIDOW/ER...........5
NEVER MARRIED......6
OCCUPATION CODES
FARMER.................1
TEACHER................2
TAXI/TRO-TRO DRIVER....3
TRUCK DRIVER...........4
ARTISAN................5
CONSTRUCTION WORKER....6
FACTORY WORKER.........7
MASON..................8
CARPENTER/CARVER.......9
HERBALIST.............10
HAIRDRESSER...........11
HEALTH WORKER.........12
OFFICE WORKER.........13
SHOP ATTENDANT/TRADER.14
BAKER/COOK............15
PRIEST................16
ELDER.................17
STUDENT...............18
UNEMPLOYED............19
NOT IN LABOR FORCE....20
OTHER (SPECIFY).......21
Pag
e 5
12
34
56
78
91
011
12
13
IDN
am
eR
ela
tion
-
ship
to
hea
d
Rel
ati
on
-
ship
to
spo
use
Sex
Is [
...]
ali
ve?
Age
Has
[...
] b
een
liv
ing
her
e fo
r
mo
re t
ha
n a
mon
th?
Wh
ere
do
es
s/h
e u
suall
y
liv
e?
Hig
hes
t
sch
oo
l le
vel
att
end
ed
Hig
hes
t
gra
de
ach
ieved
Occ
u-
pa
tio
n
Mari
tal
sta
tus
WRITE THE PERSON'S COMMONLY USED NAME
OR NICKNAME, FOLLOWED BY THEIR
FORMAL NAME (IF ANY) IN PARENTHESES
RELATION-
SHIP
CODE
RELATION-
SHIP
CODE
MALE....1
FEMALE..2
YES.1
NO..WRITE DATE
OF DEATH AND
>>NEXT PERSON
YES..1
(>>10)
NO...2
LOCATION
CODE
SCHOOL
LEVEL
CODE
GRADE
NUMBER
OCCU-
PATION
CODE
MARITAL
STATUS
CODE
30
1
30
2
30
3
30
4
30
5
30
6
30
7
30
8
30
9
31
0
311
31
2
AL
L O
TH
ER
IN
DIV
IDU
AL
S W
HO
SP
EN
T L
AS
T N
IGH
T I
N T
HIS
HO
US
EH
OL
D
HO
US
EH
OL
D R
OS
TE
R
H
HN
R
espo
nden
t's
nam
e I
D C
ode
R
ound
V
illa
ge
D
ate
(If 16+)
LOCATION CODES
DAMAN/AHWERIASE.....1
POKROM/NSABAA.......2
OBOADAKA/KWAMEKROM..3
KONKONURU...........4
ABURI...............5
NSAWAM..............6
SCHOOL LEVEL CODES
NONE.....................0
PRIMARY..................1
MIDDLE OR JSS............2
SENIOR SEC, TECH, COMMTY
OR TRAINING COLLEGE....3
POST-SEC, NURSING, POLY..4
UNIVERSITY...............5
EASTERN REGION (RURAL) 7
EASTERN REGION (URBAN) 8
ACCRA..................9
OTHER URBAN...........10
OTHER RURAL...........11
NOT IN GHANA..........12
MARITAL STATUS CODES
MARRIED............1
CONSENSUAL UNION...2
DIVORCED...........3
SEPARATED..........4
WIDOW/ER...........5
NEVER MARRIED......6
OCCUPATION CODES
FARMER.................1
TEACHER................2
TAXI/TRO-TRO DRIVER....3
TRUCK DRIVER...........4
ARTISAN................5
CONSTRUCTION WORKER....6
FACTORY WORKER.........7
MASON..................8
CARPENTER/CARVER.......9
HERBALIST.............10
HAIRDRESSER...........11
HEALTH WORKER.........12
OFFICE WORKER.........13
SHOP ATTENDANT/TRADER.14
BAKER/COOK............15
PRIEST................16
ELDER.................17
STUDENT...............18
UNEMPLOYED............19
NOT IN LABOR FORCE....20
OTHER (SPECIFY).......21
Pa
ge
6
Plo
t C
od
e
1.
2.
Is t
he
plo
t b
ein
g c
ult
ivat
ed o
r fa
llo
w?
CULTIVATED...1
FALLOW.......2
OTHER.......SPECIFY
3.
Whom
do
es t
his
plo
t b
elo
ng t
o?
4.
How
did
yo
u o
bta
in t
he
plo
t?
PURCHASED.......1
INHERITED.......2
MARRIAGE........3
OTHER.....SPECIFY
5.
Fro
m w
ho
m d
id y
ou
ob
tain
th
e p
lot?
RELATIONSHIP CODE
6.
When
did
yo
u o
bta
in i
t?DATE (MM/YY)
7.
Who i
s u
sing
the
lan
d n
ow
?
PROBE:
So,
this
lan
d i
s y
ours
but
is b
ein
g u
sed
by
so
meo
ne
else
?
8.
What
ty
pe
of
arra
ng
emen
t d
o y
ou
hav
e?
9.
What
ty
pe
of
ren
tal
con
trac
t is
it?
10
.W
hen
did
th
e co
ntr
act
beg
in?
DATE (MM/YY)
11a.
What
fix
ed r
ent
(if
any)
do
you
rec
eiv
e?VALUE (GHC)
11
b.
FREQUENCY CODE
12
.H
ow
mu
ch r
ent
is o
uts
tan
din
g (
if a
ny
)?VALUE (GHC)
CROP CODE
SHARE (%)
CROP CODE
SHARE (%)
CROP CODE
SHARE (%)
CROP CODE
SHARE (%)
CROP CODE
SHARE (%)
CROP CODE
SHARE (%)
13a.
13b.
13c.
13d.
13e.
13f.
14
.H
ave
yo
u r
ecei
ved
any
thin
g e
lse,
in c
ash
or
kin
d,
on
acc
oun
t o
f th
e la
nd
?
YES....DESCRIBE
NO.....2
15
.D
o y
ou
ex
pec
t to
rec
eive
any
thin
g e
lse,
in c
ash
or
kin
d,
on a
cco
unt
of
the
land
?
YES....DESCRIBE
NO.....2
>> PART C
4
Part
A. G
ener
al
plo
t d
etail
s
COMPLETE ONE COLUMN FOR EACH PLOT IN OR NEAR THIS VILLAGE, OWNED OR CURRENTLY CONTROLLED BY THE RESPONDENT. USE ADDITIONAL SHEETS IF NECESSARY.
Do y
ou
ow
n o
r cu
rren
tly
con
tro
l an
y p
lots
of
lan
d i
n o
r n
ear
this
vil
lag
e, i
ncl
ud
ing
fal
low
lan
d?
6
Nam
e or
sho
rt d
escr
ipti
on
of
the
plo
t (f
or
iden
tifi
cati
on)
5
PL
OT
QU
ES
TIO
NN
AIR
E
Do y
ou
rec
eiv
e a
shar
e of
pro
du
ctio
n a
s p
aym
ent
for
use
of
the
lan
d?
12
3
YES...GIVE CODE FOR EACH CROP GROWN ON THIS PLOT,
THEN RECORD SHARE OF THAT CROP PAID TO RESPONDENT
NO....(>> 14)
H
HN
Res
pond
ent's
nam
e I
D C
ode
R
ound
V
illa
ge
D
ate
SELF......0 (>>PART C)
SPOUSE....1
OTHER..RELATIONSHIP CODE
NO-ONE..999 (>>NEXT PLOT)
RENTAL..1
OTHER...SPECIFY (>>13)
SELF.....0
SPOUSE...1 (>>PART B)
OTHER....RELATIONSHIP CODE
(>>PART B)
ABUSA............1
ABUNU............2
CASH RENT........3
OTHER (SPECIFY)..4
CROP CODES
CASSAVA..................1
MAIZE....................2
PLANTAIN.................3
COCOYAM..................4
YAM......................5
PINEAPPLE................6
TOMATO...................7
GARDEN EGG...............8
OKRO.....................9
PEPPER..................10
ORANGES.................11
BANANA..................12
AVOCADO.................13
OIL PALM................14
COCOA...................15
SUGAR CANE..............16
BEAN....................17
GROUNDNUT...............18
OTHER (SPECIFY).........19
RELATIONSHIP CODES
SELF......................0
SPOUSE....................1
CHILD.....................2
STEP-CHILD................3
PARENT....................4
GRANDCHILD................5
GRANDPARENT...............6
SIBLING...................7
WOFA/UNCLE/AUNT...........8
NIECE/NEPHEW..............9
COUSIN...................10
OTHER RELATIVE...........11
VILLAGE HEAD.............12
LINEAGE HEAD.............13
OTHER VILLAGER...........14
FRIEND NOT IN VILLAGE....15
PRIEST...................16
EXTENSION AGENT..........17
COOPERATIVE..............18
NGO......................19
EXPORTER.................20
TRADER...................21
OTHER (SPECIFY)..........22
FREQUENCY CODES
DAILY.....................1
WEEKLY....................2
FORTNIGHTLY...............3
MONTHLY...................4
QUARTERLY.................5
HALF-YEARLY...............6
YEARLY....................7
OTHER (SPECIFY)...........8
If self or spouse is a joint owner,
code self or spouse respectively.
YES...LIST PLOTS AT Q1 WITH A BRIEF DESCRIPTION TO AID RECOGNITION, THEN COMPLETE ENTIRE PLOT QUESTIONNAIRE FOR EACH PLOT IN TURN.
NO....(>> END)
Pa
ge
7
PROBE:
So,
yo
u a
re c
urr
entl
y i
n c
ontr
ol
of
this
lan
d b
ut
it i
s o
wned
by s
om
eone
else
?
Plo
t C
od
e
1.
Wh
o o
wns
this
plo
t?RELATIONSHIP CODE
2.
Wh
at t
yp
e o
f ar
ran
gem
ent
do
yo
u h
ave?
3.
Wh
at t
yp
e o
f re
nta
l co
ntr
act
is i
t?
ABUSA............1
ABUNU............2
CASH RENT........3
OTHER (SPECIFY)..4
4.
Wh
en d
id t
he
con
trac
t beg
in?
DATE (MM/YY)
5a.
Wh
at f
ixed
ren
t (i
f an
y)
do y
ou
pay
?GHC
5b.
FREQUENCY CODE
6.
How
mu
ch r
ent
do
yo
u o
we
(if
any
)?GHC
CROP CODE
SHARE (%)
CROP CODE
SHARE (%)
CROP CODE
SHARE (%)
CROP CODE
SHARE (%)
CROP CODE
SHARE (%)
CROP CODE
SHARE (%)
7a.
7b.
7c.
7d.
7e. 7f. 8.
Hav
e y
ou
giv
en t
he
ow
ner
an
yth
ing e
lse,
in c
ash
or
kin
d,
on
acc
ou
nt
of
the
lan
d?
YES....DESCRIBE
NO.....2
9.
Do y
ou
ex
pec
t to
giv
e th
e o
wner
any
thin
g e
lse,
in c
ash o
r kin
d, o
n a
cco
un
t of
the
lan
d?
YES....DESCRIBE
NO.....2
6
Do y
ou
giv
e a
shar
e o
f p
rodu
ctio
n a
s p
aym
ent
for
use
of
the
lan
d?
5
COMPLETE THIS PAGE ONLY FOR THOSE PLOTS LISTED IN PART A WHICH DO NOT BELONG TO THE RESPONDENT.
PL
OT
QU
ES
TIO
NN
AIR
E
12
34
Pa
rt B
. P
lots
no
t o
wn
ed b
y r
esp
on
den
t o
r fa
mil
y
H
HN
R
esponden
t's
nam
e I
D C
ode
R
ound
V
illa
ge
D
ate
YES...GIVE CODE FOR EACH CROP GROWN ON THIS PLOT,
THEN RECORD SHARE OF THAT CROP PAID TO OWNER EACH YEAR
NO....(>> 8)
RENTAL...1
OTHER....SPECIFY (>> 7)
CROP CODES
CASSAVA..................1
MAIZE....................2
PLANTAIN.................3
COCOYAM..................4
YAM......................5
PINEAPPLE................6
TOMATO...................7
GARDEN EGG...............8
OKRO.....................9
PEPPER..................10
ORANGES.................11
BANANA..................12
AVOCADO.................13
OIL PALM................14
COCOA...................15
SUGAR CANE..............16
BEAN....................17
GROUNDNUT...............18
OTHER (SPECIFY).........19
FREQUENCY CODES
DAILY.....................1
WEEKLY....................2
FORTNIGHTLY...............3
MONTHLY...................4
QUARTERLY.................5
HALF-YEARLY...............6
YEARLY....................7
OTHER (SPECIFY)...........8
RELATIONSHIP CODES
SELF......................0
SPOUSE....................1
CHILD.....................2
STEP-CHILD................3
PARENT....................4
GRANDCHILD................5
GRANDPARENT...............6
SIBLING...................7
WOFA/UNCLE/AUNT...........8
NIECE/NEPHEW..............9
COUSIN...................10
OTHER RELATIVE...........11
VILLAGE HEAD.............12
LINEAGE HEAD.............13
OTHER VILLAGER...........14
FRIEND NOT IN VILLAGE....15
PRIEST...................16
EXTENSION AGENT..........17
COOPERATIVE..............18
NGO......................19
EXPORTER.................20
TRADER...................21
OTHER (SPECIFY)..........22
Pa
ge
8
Pa
rt C
. P
lot
imp
rov
emen
tsP
art
D.
Cu
rren
t p
lot
use
Hav
e y
ou
do
ne
any
thin
g t
o i
mp
rov
e th
is p
lot
in t
he
pas
t th
ree
yea
rs?
Wh
at c
rop
s ar
e g
row
ing o
n t
his
plo
t n
ow
, o
r w
ere
gro
win
g i
n t
he
mo
st r
ecen
t se
aso
n?
1.
2.
3.
4.
5.
1.
2.
3.
4.
5.
6.
Plo
t
No
.Im
pro
vem
ent
Dat
eW
ho
did
th
e
wo
rk?
Plo
t
No
.C
rop
Pro
po
rtio
n o
f p
lot
Inte
rcro
pp
ed?
Wh
o i
s fa
rmin
g
this
cro
p?
Co
mm
ents
FALLOW.......1
FERTILIZER...2
PESTICIDE....3
WEEDICIDE....4
OTHER........5
MM/YY
RELATIONSHIP
CODE
CROP CODE
PERCENTAGE
YES...1
NO....2
RELATIONSHIP CODE
PL
OT
QU
ES
TIO
NN
AIR
E
FOR EACH PLOT, LIST THE IMPROVEMENTS AND CROPS GROWN ON THAT PLOT USING AS MANY LINES AS NEEDED.
Com
men
ts
(e.g
. ty
pe
of
fert
iliz
er)
H
HN
Res
pon
den
t's
nam
e
ID
Co
de
R
ou
nd
V
illa
ge
D
ate
NO...(>> PART D)
NONE...(>> PART E)
CROP CODES
CASSAVA..................1
MAIZE....................2
PLANTAIN.................3
COCOYAM..................4
YAM......................5
PINEAPPLE................6
TOMATO...................7
GARDEN EGG...............8
OKRO.....................9
PEPPER..................10
ORANGES.................11
BANANA..................12
AVOCADO.................13
RELATIONSHIP CODES
SELF......................0
SPOUSE....................1
CHILD.....................2
STEP-CHILD................3
PARENT....................4
GRANDCHILD................5
GRANDPARENT...............6
SIBLING...................7
WOFA/UNCLE/AUNT...........8
NIECE/NEPHEW..............9
COUSIN...................10
OTHER RELATIVE...........11
VILLAGE HEAD.............12
LINEAGE HEAD.............13
OTHER VILLAGER...........14
FRIEND NOT IN VILLAGE....15
PRIEST...................16
EXTENSION AGENT..........17
COOPERATIVE..............18
NGO......................19
EXPORTER.................20
TRADER...................21
OTHER (SPECIFY)..........22
OIL PALM................14
COCOA...................15
SUGAR CANE..............16
BEAN....................17
GROUNDNUT...............18
OTHER (SPECIFY).........19
Pag
e 9
In t
he
pas
t th
ree
yea
rs,
wh
at c
rops
hav
e y
ou
(o
r o
ther
s) g
row
n o
n t
his
plo
t? (
Incl
ud
e fa
llo
w p
erio
ds.
)
NONE.......(>> NEXT PLOT)
1.
2.
3.
4.
5.
6.
1.
2.
3.
4.
5.
6.
Cro
pP
rop
ort
ion
of
plo
tF
arm
erC
rop
Pro
port
ion o
f p
lot
Far
mer
Sta
rtE
nd
Sta
rtE
nd
CROP CODE
MM/YY
MM/YY
PERCENTAGE
RELATIONSHIP CODE
CROP CODE
MM/YY
MM/YY
PERCENTAGE
RELATIONSHIP CODE
PL
OT
QU
ES
TIO
NN
AIR
E
FOR EACH PLOT, LIST THE CROPS PREVIOUSLY GROWN ON THAT PLOT USING AS MANY LINES AS NEEDED.
Pa
rt E
. P
ast
plo
t u
sag
e
Dat
esP
lot
No.
Plo
t
No
.
Dat
es
H
HN
Res
po
nd
ent's
nam
e
ID
Co
de
R
oun
d
V
illa
ge
D
ate
CROP CODES
CASSAVA..................1
MAIZE....................2
PLANTAIN.................3
COCOYAM..................4
YAM......................5
PINEAPPLE................6
TOMATO...................7
GARDEN EGG...............8
OKRO.....................9
PEPPER..................10
ORANGES.................11
BANANA..................12
AVOCADO.................13
OIL PALM................14
COCOA...................15
SUGAR CANE..............16
BEAN....................17
GROUNDNUT...............18
OTHER (SPECIFY).........19
RELATIONSHIP CODES
SELF.....................0
SPOUSE...................1
CHILD....................2
STEP-CHILD...............3
PARENT...................4
GRANDCHILD...............5
GRANDPARENT..............6
SIBLING..................7
WOFA/UNCLE/AUNT..........8
NIECE/NEPHEW.............9
COUSIN..................10
OTHER RELATIVE..........11
VILLAGE HEAD............12
LINEAGE HEAD............13
OTHER VILLAGER..........14
FRIEND NOT IN VILLAGE...15
PRIEST..................16
EXTENSION AGENT.........17
COOPERATIVE.............18
NGO.....................19
EXPORTER................20
TRADER..................21
OTHER (SPECIFY).........22
Pa
ge
10
In t
he
pas
t tw
o m
onth
s, h
ave
yo
u w
ork
ed o
n t
his
plo
t, o
r as
ked
any
on
e el
se t
o w
ork
on
th
is p
lot?
NO WORK.......(>>NEXT PLOT)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Plo
t
No
.W
ork
don
eC
rop
inv
olv
edH
ow
man
y d
ays
did
yo
u s
pen
d o
n i
t?
Did
an
yon
e el
se h
elp
wit
h t
he
wo
rk (
incl
ud
ing
rela
tives
)?
How
man
y
oth
er p
eop
le?
Wer
e th
ey
pai
d?
CROP CODE
DESCRIPTION
(LEAVE BLANK IF WORK NOT
CROP-SPECIFIC)
GHC
GHC
GHC
PL
OT
QU
ES
TIO
NN
AIR
E
Pa
rt F
. P
lot
inp
uts
(la
bo
ur)
Val
ue
of
any o
ther
cas
h
or
in-k
ind
pay
men
t
(incl
udin
g o
wn l
abour)
Fo
r h
ow
man
y
day
s on
aver
age
did
each
per
son
hel
p?
How
much
did
you p
ay i
n
cash
for
thei
r
lab
our?
What
was
th
e to
tal
val
ue
of
mea
ls
pro
vid
ed f
or
them
?
YES...1
NO....2
(>>NEXT TASK)
YES...1
NO....2 (>>
10)
H
HN
Res
pon
den
t's
nam
e
ID
Co
de
R
ou
nd
V
illa
ge
D
ate
CROP CODES
CASSAVA..................1
MAIZE....................2
PLANTAIN.................3
COCOYAM..................4
YAM......................5
PINEAPPLE................6
TOMATO...................7
GARDEN EGG...............8
OKRO.....................9
PEPPER..................10
ORANGES.................11
BANANA..................12
AVOCADO.................13
OIL PALM................14
COCOA...................15
SUGAR CANE..............16
BEAN....................17
GROUNDNUT...............18
OTHER (SPECIFY).........19
Page
11
In t
he
pas
t tw
o m
on
ths,
wh
at o
ther
expen
ses
hav
e y
ou i
ncu
rred
in
gro
win
g a
nd
sel
lin
g t
he
cro
ps
on t
his
plo
t?
Incl
ude
pes
tici
de,
fer
tili
zer,
su
ppli
es c
onsu
med
, and
pa
ymen
ts t
o c
on
tract
ors
. D
o n
ot
incl
ude
land
ren
t o
r p
urc
hase
co
sts.
1.
2.
4.
5.
6.
7.
8.
Cro
p i
nvo
lved
Ho
w m
uch
did
it
cost
/was
it
wort
h?
Ho
w d
id y
ou o
bta
in i
t?F
rom
wher
e/w
hom
did
yo
u o
bta
in i
t?
CROP CODE
(LEAVE BLANK IF WORK
NOT CROP-SPECIFIC)
INPUT CODE
DESCRIPTION
UNIT CODE
QUANTITY
GHC
RELATIONSHIP CODE
Plo
t
No.
How
much
/man
y?
PAID CASH..........1
EXCHANGED FOR
GOODS/SERVICES..2
GIFT...............3
FROM OWN FARM......4
PL
OT
QU
ES
TIO
NN
AIR
E
Part
G. P
lot
inp
uts
(n
on
-lab
ou
r)
Wh
at w
as t
he
inpu
t?
3.
INPUT CODES
INSECTICIDE/PESTICIDE....1
BIOLOGICAL CONTROL.......2
HERBICIDE................3
FUNGICIDE................4
FERTILIZER...............5
OTHER CHEMICAL...........6
SPRAYING COSTS...........7
TRACTOR PLOWING..........8
TRANSPORT COSTS..........9
OTHER COMMERCIAL INPUT..10
PROTECTIVE CLOTHING.....11
BAGS, DRUMS, CONTAINERS.12
SUCKERS.................13
SEEDS...................14
SEEDLINGS...............15
STICKS..................16
H
HN
R
esp
onden
t's
nam
e I
D C
ode
R
ou
nd
V
illa
ge
D
ate
RELATIONSHIP CODES
SELF.....................0
SPOUSE...................1
CHILD....................2
STEP-CHILD...............3
PARENT...................4
GRANDCHILD...............5
GRANDPARENT..............6
SIBLING..................7
WOFA/UNCLE/AUNT..........8
NIECE/NEPHEW.............9
COUSIN..................10
OTHER RELATIVE..........11
VILLAGE HEAD............12
LINEAGE HEAD............13
OTHER VILLAGER..........14
FRIEND NOT IN VILLAGE...15
PRIEST..................16
EXTENSION AGENT.........17
COOPERATIVE.............18
NGO.....................19
EXPORTER................20
TRADER..................21
OTHER (SPECIFY).........22
CROP CODES
CASSAVA.............1
MAIZE...............2
PLANTAIN............3
COCOYAM.............4
YAM.................5
PINEAPPLE...........6
TOMATO..............7
GARDEN EGG..........8
OKRO................9
PEPPER.............10
ORANGES............11
BANANA.............12
AVOCADO............13
OIL PALM...........14
COCOA..............15
SUGAR CANE.........16
BEAN...............17
GROUNDNUT..........18
OTHER (SPECIFY)....19
UNIT CODES
NUMBER...................1
GRAMS....................2
KILOGRAMS................3
POUNDS...................4
MINIBAG..................5
MAXIBAG..................6
LITRES...................7
ROPES....................8
BUNCHES..................9
BALLS...................10
LOAVES..................11
BUNDLES.................12
BEER BOTTLES............13
OLONKA/AMERICAN TINS....14
BUCKETS.................15
SMALL BASKETS...........16
LARGE BASKETS...........17
TOMATO TINS (SMALL).....18
TOMATO TINS (LARGE).....19
MARGARINE TIN (SMALL)...20
MARGARINE TIN (LARGE)...21
HEADLOADS...............22
SACHETS/PACKETS.........23
TUBERS..................24
STICKS..................25
OTHER (SPECIFY).........26
Pag
e 12
Plo
t C
od
e
CROP
CODE
REL'SHIP
CODE
CROP
CODE
REL'SHIP
CODE
CROP
CODE
REL'SHIP
CODE
CROP
CODE
REL'SHIP
CODE
CROP
CODE
REL'SHIP
CODE
CROP
CODE
REL'SHIP
CODE
1a.
Wh
o d
ecid
es w
hen
to h
arv
est
the
crops
on t
his
plo
t?
1b.
1c.
1d.
2a.
Wh
o d
ecid
es w
het
her
and w
hen
to s
ell
the
crop
s?
2b.
2c.
2d.
IF THE PLOT IS RENTED UNDER SHORT TERM CONTRACT >>NEXT PLOT, OTHERWISE CONTINUE
3.
Wh
o d
ecid
es w
ho w
ill
inher
it t
his
plo
t?RELATIONSHIP
CODE
4.
Do
you k
now
now
who
wil
l in
her
it t
he
plo
t?RELATIONSHIP
CODE
5.
Wh
o c
an r
ent
out
the
plo
t fo
r a
seas
on?
RELATIONSHIP
CODE
6.
Wh
o c
an l
end
the
plo
t to
som
eone
else
?RELATIONSHIP
CODE
7.
Wh
o c
an u
se t
he
plo
t as
coll
ater
al?
RELATIONSHIP
CODE
8.
Wh
o c
an s
ell
the
plo
t?RELATIONSHIP
CODE
9.
Wh
o c
an r
egis
ter
the
plo
t?RELATIONSHIP
CODE
Ple
ase
rank y
our
plo
ts i
n o
rder
of
fert
ilit
y (
from
most
to l
east
fer
tile
)
1.
Plo
t ra
nkin
g1 = MOST FERTILE
PUT CROP CODE IN FIRST BOX AND
RELATIONSHIP CODE IN SECOND BOX.
USE ONE LINE FOR EACH CROP.
PUT CROP CODE IN FIRST BOX AND
RELATIONSHIP CODE IN SECOND BOX.
USE ONE LINE FOR EACH CROP.
Part
I. S
oil
Fer
tili
ty R
an
kin
g
PL
OT
QU
ES
TIO
NN
AIR
E
12
34
Part
H. P
lot
righ
ts
65
H
HN
R
esp
onden
t's
nam
e I
D C
ode
R
ou
nd
V
illa
ge
D
ate
RELATIONSHIP CODES
SELF......................0
SPOUSE....................1
CHILD.....................2
STEP-CHILD................3
PARENT....................4
GRANDCHILD................5
GRANDPARENT...............6
SIBLING...................7
WOFA/UNCLE/AUNT...........8
OTHER VILLAGER...........14
FRIEND NOT IN VILLAGE....15
PRIEST...................16
EXTENSION AGENT..........17
COOPERATIVE..............18
NIECE/NEPHEW..............9
COUSIN...................10
OTHER RELATIVE...........11
VILLAGE HEAD.............12
LINEAGE HEAD.............13
NGO......................19
EXPORTER.................20
TRADER...................21
OTHER (SPECIFY)..........22
NOT APPLICABLE...........98
Page
13
In t
he
pas
t tw
o m
on
ths,
hav
e yo
u s
old
, or
pro
mis
ed t
o s
ell,
an
yth
ing g
row
n o
n p
lots
you
con
trol?
Note
: D
o n
ot
incl
ude
sale
s of
pro
duce
fro
m s
pou
se's
plo
ts.
12
34
56
1.
Cro
pCROP CODE
2.
On w
hic
h p
lot(
s) w
as t
his
cro
p g
row
n?
PLOT CODE(S)
3.
When
was
it
har
ves
ted
?MM/YY
4.
Who
pai
d/w
ill
pay
fo
r h
arv
esti
ng
th
is c
rop?
RELATIONSHIP CODE
5.
NUMBER OF UNITS
6.
UNIT CODE
7.
How
mu
ch m
on
ey w
as i
t so
ld f
or?
IF PAYMENT IN KIND,
ESTIMATE VALUE IN GHC
8.
Was
th
e cr
op
sold
at
mar
ket
?YES...1
NO....2 (>> 12)
9.
Did
you
sel
l it
yo
urs
elf?
YES...1
(>>NEXT CROP)
NO....2
10.
Who
so
ld i
t?RELATIONSHIP CODE
11.
How
mu
ch o
f th
e m
oney
wil
l yo
u r
ecei
ve?
(>>NEXT CROP)
12.
To
who
m d
id y
ou
sel
l th
e cr
op
?RELATIONSHIP
CODE
13.
Has
th
e bu
yer
rec
eiv
ed a
ll t
he
cro
ps?
YES...1 (>>16)
NO....2
14.
How
mu
ch r
emai
ns
to b
e giv
en?
NUMBER OF UNITS
15.
When
wil
l y
ou g
ive
it t
o t
he
bu
yer
?MM/YY
16.
Hav
e yo
u r
ecei
ved
full
pay
men
t?YES...1
(>>NEXT CROP)
NO....2
17.
How
mu
ch r
emai
ns
to b
e pai
d?
GHC
18.
When
do y
ou
ex
pec
t to
be
pai
d?
MM/YY
SA
LE
OF
FA
RM
OU
TP
UT
How
mu
ch o
f th
e cr
op
did
yo
u s
ell?
Pa
rt A
. S
ale
of
ou
tpu
t fr
om
ow
n f
arm
s
YES...COMPLETE ONE COLUMN FOR EACH TYPE OF CROP SOLD. USE ADDITIONAL SHEETS IF NECESSARY.
NO....(>> PART B)
H
HN
Res
pon
den
t's
nam
e
ID
Co
de
R
ou
nd
V
illa
ge
D
ate
RELATIONSHIP CODES
SELF.....................0
SPOUSE...................1
CHILD....................2
STEP-CHILD...............3
PARENT...................4
GRANDCHILD...............5
GRANDPARENT..............6
SIBLING..................7
WOFA/UNCLE/AUNT..........8
NIECE/NEPHEW.............9
COUSIN..................10
OTHER RELATIVE..........11
VILLAGE HEAD............12
LINEAGE HEAD............13
OTHER VILLAGER..........14
FRIEND NOT IN VILLAGE...15
PRIEST..................16
EXTENSION AGENT.........17
COOPERATIVE.............18
NGO.....................19
EXPORTER................20
TRADER..................21
OTHER (SPECIFY).........22
CROP CODES
CASSAVA.............1
MAIZE...............2
PLANTAIN............3
COCOYAM.............4
YAM.................5
PINEAPPLE...........6
TOMATO..............7
GARDEN EGG..........8
OKRO................9
PEPPER.............10
ORANGES............11
BANANA.............12
AVOCADO............13
OIL PALM...........14
COCOA..............15
SUGAR CANE.........16
BEAN...............17
GROUNDNUT..........18
OTHER (SPECIFY)....19
UNIT CODES
NUMBER...................1
GRAMS....................2
KILOGRAMS................3
POUNDS...................4
MINIBAG..................5
MAXIBAG..................6
LITRES...................7
ROPES....................8
BUNCHES..................9
BALLS...................10
LOAVES..................11
BUNDLES.................12
BEER BOTTLES............13
OLONKA/AMERICAN TINS....14
BUCKETS.................15
SMALL BASKETS...........16
LARGE BASKETS...........17
TOMATO TINS (SMALL).....18
TOMATO TINS (LARGE).....19
MARGARINE TIN (SMALL)...20
MARGARINE TIN (LARGE)...21
HEADLOADS...............22
SACHETS/PACKETS.........23
TUBERS..................24
STICKS..................25
OTHER (SPECIFY).........26
Page
14
In t
he
pas
t tw
o m
on
ths,
hav
e yo
u s
old
, o
r pro
mis
ed t
o s
ell,
any
thin
g g
row
n o
n p
lots
yo
ur
spo
use
con
trols
?
12
34
56
1.
Cro
pCROP CODE
2.
3.
Wh
en w
as i
t har
ves
ted?
MM/YY
4.
Wh
o p
aid
/wil
l p
ay f
or
har
ves
tin
g t
his
cro
p?
RELATIONSHIP CODE
5.
NUMBER OF UNITS
6.
UNIT CODE
7.
Ho
w m
uch
mo
ney
was
it
sold
fo
r?IF PAYMENT IN KIND,
ESTIMATE VALUE IN GHC
8.
Was
the
cro
p s
old
at
mar
ket
?YES...1
NO....2 (>> 12)
9.
Did
yo
u s
ell
it y
ou
rsel
f?YES...1
(>>NEXT CROP)
NO....2
10
.W
ho s
old
it?
RELATIONSHIP CODE
11.
Ho
w m
uch
of
the
mo
ney
wil
l y
ou
rec
eiv
e?>>NEXT CROP
12
.T
o w
ho
m d
id y
ou
sel
l th
e cr
op
?RELATIONSHIP
CODE
13
.H
as t
he
bu
yer
rec
eived
all
the
crop
s?YES...1 (>>16)
NO....2
14
.H
ow
much
rem
ain
s to
be
giv
en?
NUMBER OF UNITS
15
.W
hen
wil
l y
ou
giv
e it
to
th
e b
uy
er?
MM/YY
16
.H
ave
you
rec
eiv
ed f
ull
pay
men
t?YES...1
(>>NEXT CROP)
NO....2
17
.H
ow
much
rem
ain
s to
be
pai
d?
GHC
18
.W
hen
do
yo
u e
xp
ect
to b
e p
aid
?MM/YY
SA
LE
OF
FA
RM
OU
TP
UT
Ho
w m
uch
of
the
cro
p d
id y
ou
sel
l?
ID o
f sp
ou
se w
ho
gre
w c
rop (if multiple spouses)
Pa
rt B
. S
ale
of
ou
tpu
t fr
om
sp
ou
se's
plo
ts
YES...COMPLETE ONE COLUMN FOR EACH TYPE OF CROP SOLD. USE ADDITIONAL SHEETS IF NECESSARY.
NO....(>> END)
H
HN
R
esponden
t's
nam
e I
D C
ode
R
ound
V
illa
ge
D
ate
RELATIONSHIP CODES
SELF.....................0
SPOUSE...................1
CHILD....................2
STEP-CHILD...............3
PARENT...................4
GRANDCHILD...............5
GRANDPARENT..............6
SIBLING..................7
WOFA/UNCLE/AUNT..........8
NIECE/NEPHEW.............9
OTHER RELATIVE..........11
VILLAGE HEAD............12
LINEAGE HEAD............13
OTHER VILLAGER..........14
FRIEND NOT IN VILLAGE...15
PRIEST..................16
EXTENSION AGENT.........17
COOPERATIVE.............18
NGO.....................19
EXPORTER................20
TRADER..................21
CROP CODES
CASSAVA.............1
MAIZE...............2
PLANTAIN............3
COCOYAM.............4
YAM.................5
PINEAPPLE...........6
TOMATO..............7
GARDEN EGG..........8
OKRO................9
PEPPER.............10
ORANGES............11
BANANA.............12
AVOCADO............13
OIL PALM...........14
COCOA..............15
SUGAR CANE.........16
BEAN...............17
GROUNDNUT..........18
OTHER (SPECIFY)....19
UNIT CODES
NUMBER...................1
GRAMS....................2
KILOGRAMS................3
POUNDS...................4
MINIBAG..................5
MAXIBAG..................6
LITRES...................7
ROPES....................8
BUNCHES..................9
BALLS...................10
LOAVES..................11
BUNDLES.................12
BEER BOTTLES............13
OLONKA/AMERICAN TINS....14
BUCKETS.................15
SMALL BASKETS...........16
LARGE BASKETS...........17
TOMATO TINS (SMALL).....18
TOMATO TINS (LARGE).....19
MARGARINE TIN (SMALL)...20
MARGARINE TIN (LARGE)...21
HEADLOADS...............22
SACHETS/PACKETS.........23
TUBERS..................24
STICKS..................25
OTHER (SPECIFY).........26
Pag
e 15
Hav
e y
ou
co
nd
uct
ed a
ny b
usi
nes
s o
ther
th
an f
arm
ing
in
th
e p
ast
two m
onth
s?
1.
Des
crip
tio
n o
f b
usi
nes
s
2.
Init
ial
sto
ck o
f ra
w m
ater
ials
and
go
od
s fo
r sa
le (
rep
lace
men
t v
alue)
GHC
3.
Raw
mat
eria
ls/g
oo
ds
pu
rch
ased
GHC
4.
Raw
mat
eria
ls/g
oo
ds
ob
tain
ed f
rom
ow
n f
arm
GHC
Day
sV
alu
e o
f la
bo
ur
per
day
Day
sV
alu
e of
lab
our
per
day
Day
sV
alue
of
labou
r
per
day
Day
sV
alue
of
lab
our
per
day
5.
Ow
n l
abo
ur
6.
Sp
ou
se's
lab
ou
r
7.
Oth
er u
npai
d l
abo
ur
8.
Wag
esGHC
9.
Pay
men
ts f
or
oth
er s
erv
ices
GHC
10
.T
ran
spo
rt,
fuel
co
sts
GHC
11
.B
uil
din
g c
ost
s, e
qu
ipm
ent
purc
has
eGHC
12
.E
qu
ipm
ent/
bu
ild
ing
rep
airs
, re
nt
pai
dGHC
13
.T
axes
an
d f
ees
pai
dGHC
14
.O
ther
ex
pen
ses
(INCLUDE DESCRIPTION)
GHC
15
.S
ales
rec
eip
tsGHC
16
.O
wn
an
d h
ou
seh
old
con
sum
pti
on
of
bu
sin
ess
ou
tpu
tGHC
17
.O
ther
pay
men
ts,
gif
ts a
nd
do
nat
ion
s to
th
e b
usi
nes
sGHC
18
.F
inal
sto
ck o
f ra
w m
ater
ials
an
d g
oo
ds
for
sale
GHC
4
OT
HE
R I
NC
OM
E
Part
A:
Non
-farm
bu
sin
ess
inco
me
12
3
H
HN
R
espo
nden
t's
nam
e I
D C
ode
R
ou
nd
V
illa
ge
D
ate
YES...COMPLETE ONE COLUMN FOR EACH NON-FARM BUSINESS.
USE ADDITIONAL SHEETS IF NECESSARY.
NO....(>> PART B)
Pa
ge
16
Hav
e y
ou
do
ne
any
wo
rk f
or
oth
er p
eople
or
org
anis
atio
ns
in t
he
pas
t tw
o m
onth
s?
1.
Occ
up
atio
n o
r ty
pe
of
work
OCCUPATION CODE
AND DESCRIPTION
IF APPLICABLE
2.
Fo
r w
ho
m d
id y
ou
wo
rk?
EMPLOYER CODE
3.
Is t
he
emp
loy
men
t te
mp
ora
ry o
r per
man
ent?
TEMPORARY...1
PERMANENT...2
4.
Ho
w m
any
day
s did
you w
ork
in
the
pas
t tw
o m
onth
s?DAYS
5.
Ho
w m
uch
cas
h w
ere
you
pai
d f
or
the
work
?GHC
6.
Did
yo
u r
ecei
ve
any g
oo
ds
in k
ind
fo
r th
e w
ork
?DESCRIPTION
7.
VALUE (GHC)
8.
Hav
e y
ou
bee
n p
aid
in f
ull
?YES...1 (>>NEXT JOB)
NO....2
9.
Val
ue
of
any r
emai
nin
g p
aym
ent
exp
ecte
dGHC
OT
HE
R I
NC
OM
E
31
2
Part
B:
La
bo
ur
inco
me
4
EMPLOYER CODES
SPOUSE.................1
CHILD..................2
PARENT.................3
OTH HH MEMBER..........4
OTH RELATIVE...........5
SCHOOL................12
CHURCH................13
NGO OR NONPROFIT......14
GOVERNMENT............15
OTHER (SPECIFY).......16
FRIEND IN VILLAGE......6
FRIEND ELSEWHERE.......7
OTHER VILLAGER.........8
COMPANY <5 WORKERS.....9
COMPANY 5-10 WORKERS..10
COMPANY >10 WORKERS...11
H
HN
R
esponden
t's
nam
e I
D C
ode
R
ound
V
illa
ge
D
ate
YES...COMPLETE ONE COLUMN FOR EACH JOB WORKED IN PAST TWO MONTHS.
USE ADDITIONAL SHEETS IF NECESSARY.
NO....(>> PART C)
OCCUPATION CODES
FARMER.................1
TEACHER................2
TAXI/TRO-TRO DRIVER....3
TRUCK DRIVER...........4
ARTISAN................5
CONSTRUCTION WORKER....6
FACTORY WORKER.........7
MASON..................8
CARPENTER/CARVER.......9
HERBALIST.............10
HAIRDRESSER...........11
HEALTH WORKER.........12
OFFICE WORKER.........13
SHOP ATTENDANT/TRADER.14
BAKER/COOK............15
PRIEST................16
ELDER.................17
STUDENT...............18
UNEMPLOYED............19
NOT IN LABOR FORCE....20
OTHER (SPECIFY).......21
Page
17
Hav
e y
ou e
arned
any
in
com
e fr
om
far
ms
ou
tsid
e th
is v
illa
ge
in t
he
pas
t tw
o m
on
ths?
1.
2.
3.
5.
Loca
tion
Mai
n c
rop
Rev
enu
eN
et I
nco
me
LOCATION CODE
CROP CODE
GHC
GHC
a. b.
c. d.
e. f.
Pa
rt D
. O
ther
in
com
eP
art
E.
Sp
ou
se's
oth
er i
nco
me
2. A
mo
unt
1.
Spo
use
ID
3.
Net
In
com
e
a.a.
b.
b.
c.c.
d.
d.
e.e.
f.f.
g.
g.
h.
h.
i.i.
2. D
escr
ipti
on (
Sourc
e)
Hav
e y
ou r
ecei
ved
inco
me
from
any o
ther
sou
rce
in t
he
pas
t tw
o m
onth
s? F
or
exam
ple
, a
pen
sio
n,
inv
estm
ent
div
iden
ds,
pri
ze w
innin
gs
or
sale
s o
f la
nd
?
Asi
de
from
sal
es o
f fa
rm p
rod
uce
, has
your
spou
se r
ecei
ved
any o
ther
in
com
e in
the
pas
t tw
o m
onth
s? F
or
exam
ple
,
fro
m n
on
-far
m b
usi
nes
s, p
aid
wo
rk, fa
rms
outs
ide
tow
n, p
ensi
ons
or
pri
ze w
innin
gs?
1. D
escr
ipti
on
GHC
OT
HE
R I
NC
OM
E
Pa
rt C
. O
ther
fa
rm i
nco
me
4.
Ex
pen
ses
(ex
clud
ing i
nv
estm
ent)
H
HN
R
esp
on
den
t's
nam
e
ID
Co
de
R
ou
nd
V
illa
ge
D
ate
YES...LIST INCOME FOR EACH FARM OUTSIDE VILLAGE.
NO....(>> PART D)
YES...LIST OTHER INCOME AND PROBE FOR PRIZE WINNINGS
NO....(>> PART E)
YES...LIST ALL SPOUSE'S INCOME SOURCES AND PROBE FOR PRIZE WINNINGS
NO....(>> END)
EASTERN REGION (RURAL) 7
EASTERN REGION (URBAN) 8
ACCRA..................9
OTHER URBAN...........10
OTHER RURAL...........11
NOT IN GHANA..........12
CROP CODES
CASSAVA................1
MAIZE..................2
PLANTAIN...............3
COCOYAM................4
YAM....................5
PINEAPPLE..............6
TOMATO.................7
GARDEN EGG.............8
OKRO...................9
PEPPER................10
ORANGES...............11
BANANA................12
AVOCADO...............13
OIL PALM..............14
COCOA.................15
SUGAR CANE............16
BEAN..................17
GROUNDNUT.............18
OTHER (SPECIFY).......19
LOCATION CODES
DAMAN/AHWERIASE........1
POKROM/NSABAA..........2
OBOADAKA/KWAMEKROM.....3
KONKONURU..............4
ABURI..................5
NSAWAM.................6
Pa
ge
18
1.
2.
3.
4.
5.
6.
7.
8.
9.
10
.11
.1
2.
13.
Has
an
yon
e in
you
r h
ou
seh
old
bo
ugh
t an
y [
…]
in t
he
past
mon
th?
QUANTITY
UNIT
CODE
GHC
IF NEVER
WRITE ZERO
AND >> 10
QUANTITY
UNIT
CODE
GHC
IF NEVER
WRITE ZERO
AND >> NEXT ITEM
QUANTITY
UNIT
CODE
GHC
a.M
aize
b.
Corn
doug
h
c.R
ice
d.
Bre
ad
e.M
acar
on
i or
flour
f.C
assa
va
g.
Gar
ri, kokonte
or
oth
er c
assa
va
h.
Yam
s
i.C
oco
yam
j.P
lan
tain
k.
Pota
to, sw
eet
pota
to, m
ille
t, g
uin
ea
corn
or
sorg
hu
m
l.O
il p
alm
fru
it
m.
Gro
undnuts
n.
Sea
food
o.
Chic
ken
How
mu
ch d
id
you
bu
y
each
tim
e, o
n a
ver
age?
Ho
w m
an
y t
imes
ha
s y
ou
r sp
ou
se(s
)
bo
ugh
t [.
..]
in t
he
pa
st m
on
th?
How
mu
ch d
id
yo
ur
spo
use
(s)
bu
y
each
tim
e, o
n a
ver
age?
Part
A. P
urc
hase
d f
ood
CO
NS
UM
PT
ION
I w
ould
lik
e to
kno
w a
bout
the
food y
our
hou
sehold
has
bo
ug
ht
in t
he
pas
t m
onth
.
READ OUT THE LIST AND PLACE A CROSS IN THE
BOX FOR ANY FOODS CONSUMED. THEN RETURN TO
THE FIRST ITEM AND COMPLETE Q3-13 FOR THOSE
ITEMS CONSUMED.
How
man
y
tim
es h
ave
you
bo
ug
ht
[...]
in
the
past
mon
th?
How
mu
ch i
n
tota
l w
as
spen
t on
[...]
?
How
mu
ch
did
you
pa
y
for
it l
ast
tim
e
yo
u b
ou
gh
t it
?
Ho
w m
uch
did
th
ey p
ay
for
it l
ast
tim
e
they
bo
ug
ht
it?
Ho
w m
uch
[..
.] h
as
you
r h
ou
seh
old
bou
gh
t
over
th
e p
ast
mon
th?
H
HN
R
espo
nden
t's
nam
e I
D C
od
e
Rou
nd
V
illa
ge
D
ate
UNIT CODES
NUMBER...................1
GRAMS....................2
KILOGRAMS................3
POUNDS...................4
MINIBAG..................5
LOAVES..................11
BUNDLES.................12
BEER BOTTLES............13
OLONKA/AMERICAN TINS....14
BUCKETS.................15
SMALL BASKETS...........16
LARGE BASKETS...........17
TOMATO TINS (SMALL).....18
TOMATO TINS (LARGE).....19
MARGARINE TIN (SMALL)...20
MAXIBAG..................6
LITRES...................7
ROPES....................8
BUNCHES..................9
BALLS...................10
MARGARINE TIN (LARGE)...21
HEADLOADS...............22
SACHETS/PACKETS.........23
TUBERS..................24
STICKS..................25
OTHER (SPECIFY).........26
Pa
ge
19
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11
.12
.1
3.
Has
an
yon
e in
you
r h
ou
seh
old
bo
ug
ht
an
y [
…]
in t
he
past
mon
th?
QUANTITY
UNIT
CODE
GHC
IF NEVER
WRITE ZERO
AND >> 10
QUANTITY
UNIT
CODE
GHC
IF NEVER
WRITE ZERO
AND >> NEXT ITEM
QUANTITY
UNIT
CODE
GHC
p.
Oth
er p
oult
ry (
pig
eon,
duck
,…)
q.
Bee
f
r.G
oat
or
shee
p
s.B
ush
mea
t
t.E
ggs
u.
Pal
m o
il
v.M
argar
ine,
butt
er
w.
Pin
eap
ple
s
x.
Oth
er f
ruit
y.S
ug
ar c
ane,
toff
ee,
honey
z.M
ilo,
tea,
coff
ee
aa.
Mil
k,
mil
k p
ow
der
, bab
y f
ood
bb.
No
n-a
lco
holi
c b
ever
ages
cc.
Alc
oho
lic
bev
erag
es
dd.
Sal
t
How
man
y
tim
es h
ave
you
bou
gh
t [.
..]
in
the
past
mon
th?
How
mu
ch d
id
you
bu
y
each
tim
e, o
n a
ver
age?
How
mu
ch
did
yo
u p
ay
for
it l
ast
tim
e
you
bou
gh
t it
?
Pa
rt A
. P
urc
ha
sed
fo
od
(co
nti
nu
ed)
CO
NS
UM
PT
ION
: F
OO
D P
UR
CH
AS
ED
READ OUT THE LIST AND PLACE A CROSS IN THE
BOX FOR ANY FOODS CONSUMED. THEN RETURN TO
THE FIRST ITEM AND COMPLETE Q3-13 FOR THOSE
ITEMS CONSUMED.
How
man
y t
imes
has
yo
ur
spo
use
(s)
bou
gh
t [.
..]
in t
he
pa
st m
on
th?
Ho
w m
uch
did
you
r sp
ou
se(s
) b
uy
each
tim
e, o
n a
ver
ag
e?
How
mu
ch
did
th
ey p
ay
for
it l
ast
tim
e
they
bou
gh
t
it?
Ho
w m
uch
[...]
has
you
r h
ou
seh
old
bou
gh
t
over
th
e p
ast
mon
th?
How
mu
ch i
n
tota
l w
as
spen
t on
[...]
?
H
HN
Res
pon
den
t's
nam
e
ID
Cod
e
Ro
un
d
V
illa
ge
D
ate
UNIT CODES
NUMBER...................1
GRAMS....................2
KILOGRAMS................3
POUNDS...................4
MINIBAG..................5
LOAVES..................11
BUNDLES.................12
BEER BOTTLES............13
OLONKA/AMERICAN TINS....14
BUCKETS.................15
SMALL BASKETS...........16
LARGE BASKETS...........17
TOMATO TINS (SMALL).....18
TOMATO TINS (LARGE).....19
MARGARINE TIN (SMALL)...20
MAXIBAG..................6
LITRES...................7
ROPES....................8
BUNCHES..................9
BALLS...................10
MARGARINE TIN (LARGE)...21
HEADLOADS...............22
SACHETS/PACKETS.........23
TUBERS..................24
STICKS..................25
OTHER (SPECIFY).........26
Pa
ge
20
1.
2.
3.
4.
5.
6.
7.
8.
9.
10
.11
.1
2.
13.
Has
an
yon
e in
you
r h
ou
seh
old
bo
ugh
t an
y [
…]
in t
he
past
mon
th?
QUANTITY
UNIT
CODE
GHC
IF NEVER
WRITE ZERO
AND >> 10
QUANTITY
UNIT
CODE
GHC
IF NEVER
WRITE ZERO
AND >> NEXT ITEM
QUANTITY
UNIT
CODE
GHC
ee.
Mag
gi
cubes
, to
mat
o p
aste
ff.
Tom
atoes
gg
.O
nio
ns
hh
.G
arden
egg, okro
ii.
Bea
ns,
pea
s
jj.
Pep
per
kk
.K
onto
mle
ll.
Oth
er v
eget
able
s
mm
.F
ufu
, ken
key
, ban
ku
nn
.O
ther
pre
par
ed f
oods
oo
.M
eals
aw
ay f
rom
hom
e
(e.g
. ch
op b
ars)
pp
.O
ther
:
.O
ther
:
rr.
Oth
er:
ss.
Oth
er:
How
mu
ch d
id
you
bu
y
each
tim
e, o
n a
ver
age?
How
mu
ch d
id
yo
ur
spo
use
(s)
bu
y
each
tim
e, o
n a
ver
age?
CO
NS
UM
PT
ION
: F
OO
D P
UR
CH
AS
ED
READ OUT THE LIST AND PLACE A CROSS IN THE
BOX FOR ANY FOODS CONSUMED. THEN RETURN TO
THE FIRST ITEM AND COMPLETE Q3-13 FOR THOSE
ITEMS CONSUMED.
How
man
y
tim
es h
ave
you
bo
ug
ht
[...]
in
the
past
mon
th?
Ho
w m
an
y t
imes
ha
s y
ou
r sp
ou
se(s
)
bo
ugh
t [.
..]
in t
he
pa
st m
on
th?
How
mu
ch i
n
tota
l w
as
spen
t on
[...]
?
How
mu
ch
did
you
pa
y
for
it l
ast
tim
e
yo
u b
ou
gh
t it
?
Part
A. P
urc
hase
d f
ood
(co
nti
nu
ed)
Ho
w m
uch
did
th
ey p
ay
for
it l
ast
tim
e
they
bo
ug
ht
it?
Ho
w m
uch
[..
.] h
as
you
r h
ou
seh
old
bou
gh
t
over
th
e p
ast
mon
th?
H
HN
R
espo
nden
t's
nam
e I
D C
od
e
Rou
nd
V
illa
ge
D
ate
UNIT CODES
NUMBER...................1
GRAMS....................2
KILOGRAMS................3
POUNDS...................4
MINIBAG..................5
LOAVES..................11
BUNDLES.................12
BEER BOTTLES............13
OLONKA/AMERICAN TINS....14
BUCKETS.................15
SMALL BASKETS...........16
LARGE BASKETS...........17
TOMATO TINS (SMALL).....18
TOMATO TINS (LARGE).....19
MARGARINE TIN (SMALL)...20
MAXIBAG..................6
LITRES...................7
ROPES....................8
BUNCHES..................9
BALLS...................10
MARGARINE TIN (LARGE)...21
HEADLOADS...............22
SACHETS/PACKETS.........23
TUBERS..................24
STICKS..................25
OTHER (SPECIFY).........26
Pa
ge
21
1.
2.
3.
4.
5.
6.
7.
8.
9.
10
.11
.
Ha
s an
yon
e co
nsu
med
an
y [
…]
from
yo
ur
ho
use
hold
's f
arm
s in
th
e
pa
st m
on
th?
QUANTITY
UNIT
CODE
GHC
QUANTITY
UNIT
CODE
GHC
QUANTITY
UNIT
CODE
GHC
a.M
aize
b.
Cas
sav
a
c.G
arri
, ko
ko
nte
or
oth
er c
assa
va
d.
Yam
s
e.C
oco
yam
f.P
lan
tain
g.
Po
tato
, sw
eet
po
tato
h.
Oil
pal
m f
ruit
i.G
roun
dnu
ts
j.S
eafo
od
k.
Chic
ken
l.O
ther
pou
ltry
(p
igeo
n,
duck
,…)
m.
Goat
or
shee
p
n.
Bush
mea
t
o.
Eg
gs
CO
NS
UM
PT
ION
Pa
rt B
. F
oo
d c
on
sum
ed f
rom
ho
use
ho
ld f
arm
s
How
mu
ch
wo
uld
th
is b
e
wort
h i
f it
wer
e so
ld?
Ho
w m
uch
of
the
[...]
con
sum
ed c
am
e fr
om
yo
ur
spou
ses'
farm
s?
Ho
w m
uch
wo
uld
th
is b
e
wort
h i
f it
wer
e so
ld?
No
w I
would
lik
e to
kn
ow
ho
w m
uch
foo
d y
ou
r ho
use
ho
ld h
as c
onsu
med
fro
m y
ou
r ho
use
hold
's f
arm
s.
READ OUT THE LIST AND PLACE A CROSS IN THE
BOX FOR ANY FOODS CONSUMED. THEN RETURN TO
THE FIRST ITEM AND COMPLETE Q3-11 FOR THOSE
ITEMS CONSUMED.
Ho
w m
uch
[..
.] h
as
you
r h
ou
seh
old
con
sum
ed f
rom
its
farm
s o
ver
th
e p
ast
mo
nth
?
How
mu
ch
wou
ld t
his
be
wo
rth
if
it
wer
e so
ld?
How
mu
ch o
f th
e [.
..]
con
sum
ed c
am
e fr
om
you
r fa
rms?
H
HN
Res
pon
den
t's
nam
e
ID
Co
de
R
ou
nd
Vil
lage
D
ate
UNIT CODES
NUMBER...................1
GRAMS....................2
KILOGRAMS................3
POUNDS...................4
MINIBAG..................5
MAXIBAG..................6
LITRES...................7
ROPES....................8
BUNCHES..................9
BALLS...................10
LOAVES..................11
BUNDLES.................12
BEER BOTTLES............13
OLONKA/AMERICAN TINS....14
BUCKETS.................15
SMALL BASKETS...........16
LARGE BASKETS...........17
TOMATO TINS (SMALL).....18
TOMATO TINS (LARGE).....19
MARGARINE TIN (SMALL)...20
MARGARINE TIN (LARGE)...21
HEADLOADS...............22
SACHETS/PACKETS.........23
TUBERS..................24
STICKS..................25
OTHER (SPECIFY).........26
Pa
ge
22
1.
2.
3.
4.
5.
6.
7.
8.
9.
10
.11
.
Ha
s an
yon
e co
nsu
med
an
y [
…]
from
yo
ur
ho
use
hold
's f
arm
s in
th
e
pa
st m
on
th?
QUANTITY
UNIT
CODE
GHC
QUANTITY
UNIT
CODE
GHC
QUANTITY
UNIT
CODE
GHC
p.
Pal
m o
il
q.
Oth
er o
il
r.P
inea
pple
s
s.O
ther
fru
it
t.S
ugar
can
e, h
on
ey
u.
Pal
m w
ine,
akp
etes
hie
v.O
ther
dri
nks
w.
To
mat
oes
x.
Onio
ns
y.G
ard
en e
gg,
okro
z.B
eans,
pea
s
aa.
Pep
per
bb
.K
onto
mle
cc.
Oth
er v
eget
able
s
dd
.O
ther
food
s
CO
NS
UM
PT
ION
Pa
rt B
. F
oo
d c
on
sum
ed f
rom
ho
use
ho
ld f
arm
s (c
on
tin
ued
)
How
mu
ch
wo
uld
th
is b
e
wort
h i
f it
wer
e so
ld?
Ho
w m
uch
of
the
[...]
con
sum
ed c
am
e fr
om
yo
ur
spou
ses'
farm
s?
Ho
w m
uch
wo
uld
th
is b
e
wort
h i
f it
wer
e so
ld?
READ OUT THE LIST AND PLACE A CROSS IN THE
BOX FOR ANY FOODS CONSUMED. THEN RETURN TO
THE FIRST ITEM AND COMPLETE Q3-11 FOR THOSE
ITEMS CONSUMED.
Ho
w m
uch
[..
.] h
as
you
r h
ou
seh
old
con
sum
ed f
rom
its
farm
s o
ver
th
e p
ast
mo
nth
?
How
mu
ch
wou
ld t
his
be
wo
rth
if
it
wer
e so
ld?
How
mu
ch o
f th
e [.
..]
con
sum
ed c
am
e fr
om
you
r fa
rms?
H
HN
Res
pon
den
t's
nam
e
ID
Co
de
R
ou
nd
Vil
lage
D
ate
UNIT CODES
NUMBER...................1
GRAMS....................2
KILOGRAMS................3
POUNDS...................4
MINIBAG..................5
MAXIBAG..................6
LITRES...................7
ROPES....................8
BUNCHES..................9
BALLS...................10
LOAVES..................11
BUNDLES.................12
BEER BOTTLES............13
OLONKA/AMERICAN TINS....14
BUCKETS.................15
SMALL BASKETS...........16
LARGE BASKETS...........17
TOMATO TINS (SMALL).....18
TOMATO TINS (LARGE).....19
MARGARINE TIN (SMALL)...20
MARGARINE TIN (LARGE)...21
HEADLOADS...............22
SACHETS/PACKETS.........23
TUBERS..................24
STICKS..................25
OTHER (SPECIFY).........26
Pa
ge
23
1.
2.
3.
4.
5.
6.
7.
8.
Ha
s a
ny
on
e in
you
r h
ou
seh
old
sp
ent
mo
ney
on
[…
]
in t
he
pa
st m
on
th?
IF NONE
WRITE ZERO
AND >> NEXT ITEM
GHC
IF NONE
WRITE ZERO
AND >> 7
GHC
IF NONE
WRITE ZERO
AND >> NEXT ITEM
GHC
a.S
cho
ol
fees
b.
Oth
er s
cho
ol
exp
ense
s
c.M
edic
ine
(pu
rchas
ed b
y y
ou
r h
ou
seho
ld)
d.
Oth
er m
edic
al e
xp
ense
s (i
ncl
ud
ing
NH
IS p
rem
ium
s)
e.A
dult
sh
oes
f.C
hil
dre
n's
sh
oes
g.
Clo
th
h.
Ad
ult
clo
thes
i.C
hil
dre
n's
clo
thes
j.M
ater
ial
for
adu
lt c
loth
es
k.
Mat
eria
l fo
r ch
ild
ren's
clo
thes
l.S
oap
m.
Per
son
al c
are
pro
du
cts
(po
mad
e, c
om
bs,
sh
amp
oo
,…)
n.
Bro
om
s, h
om
e m
ain
ten
ance
, cl
ean
ing
pro
du
cts
o.
Ho
me
repai
rs,
pai
nti
ng
How
man
y [
...]
did
you
r h
ou
seh
old
pu
rch
ase
/pay
for?
How
man
y [
...]
did
yo
u p
urc
hase
/pay
for?
Ho
w m
an
y [
...]
did
yo
ur
spo
use
(s)
pu
rch
ase
/pa
y f
or?
CO
NS
UM
PT
ION
Now
I w
ou
ld l
ike
to a
sk a
bo
ut
oth
er t
hin
gs
you
r h
ou
seho
ld h
as b
ou
gh
t in
the
pas
t m
onth
.
READ OUT THE LIST AND PLACE A CROSS IN THE
BOX FOR ANY ITEMS PURCHASED. THEN RETURN
TO THE FIRST LINE AND COMPLETE Q3-8
FOR THOSE ITEMS PURCHASED.
Ho
w m
uch
did
yo
u
per
son
all
y s
pen
d o
n
[...]
in t
he
pa
st
mo
nth
?
Ho
w m
uch
did
yo
ur
spo
use
(s)
spen
d o
n
[...
] in
th
e p
ast
mon
th?
Ho
w m
uch
in
to
tal
did
you
r h
ou
seh
old
spen
d o
n [
...]
in
th
e
past
mo
nth
?
Part
C. O
ther
pu
rch
ase
d i
tem
s
H
HN
R
espond
ent's
nam
e I
D C
ode
R
ou
nd
Vil
lage
D
ate
Pa
ge
24
1.
2.
3.
4.
5.
6.
7.
8.
Ha
s a
ny
on
e in
you
r h
ou
seh
old
sp
ent
mo
ney
on
[…
]
in t
he
pa
st m
on
th?
IF NONE
WRITE ZERO
AND >> NEXT ITEM
GHC
IF NONE
WRITE ZERO
AND >> 7
GHC
IF NONE
WRITE ZERO
AND >> NEXT ITEM
GHC
p.
Pu
bli
c tr
ansp
ort
q.
Pet
rol,
moto
r o
il
r.R
epai
rs,
oth
er v
ehic
le e
xp
ense
s
s.N
ewsp
aper
s, b
ook
s, s
tati
on
ery
t.C
har
coal
, fi
rew
oo
d
u.
Mat
ches
, ca
nd
les
v.O
ther
fu
el f
or
coo
kin
g,
lig
ht
w.
Sto
ve,
co
al p
ot
x.
Kit
chen
eq
uip
men
t (p
ots
, p
ans)
y.L
ante
rns
z.E
lect
rici
ty a
nd
wat
er
aa.
Tel
eph
one
bil
ls,
ph
on
e cr
edit
bb
.F
urn
itu
re
cc.
Sh
eets
, to
wel
s
dd
.R
ent
Ho
w m
an
y [
...]
did
yo
ur
spo
use
(s)
pu
rch
ase
/pa
y f
or?
How
man
y [
...]
did
you
r h
ou
seh
old
pu
rch
ase
/pay
for?
CO
NS
UM
PT
ION
READ OUT THE LIST AND PLACE A CROSS IN THE
BOX FOR ANY ITEMS PURCHASED. THEN RETURN
TO THE FIRST LINE AND COMPLETE Q3-8
FOR THOSE ITEMS PURCHASED.
Ho
w m
uch
did
yo
u
per
son
all
y s
pen
d o
n
[...]
in t
he
pa
st
mo
nth
?
Ho
w m
uch
did
yo
ur
spo
use
(s)
spen
d o
n
[...
] in
th
e p
ast
mon
th?
Ho
w m
uch
in
to
tal
did
you
r h
ou
seh
old
spen
d o
n [
...]
in
th
e
past
mo
nth
?
Part
C. O
ther
pu
rch
ase
d i
tem
s (c
on
tin
ued
)
How
man
y [
...]
did
yo
u p
urc
hase
/pay
for?
H
HN
R
espond
ent's
nam
e I
D C
ode
R
ou
nd
Vil
lage
D
ate
Pa
ge
25
1.
2.
3.
4.
5.
6.
7.
8.
Ha
s a
ny
on
e in
you
r h
ou
seh
old
sp
ent
mo
ney
on
[…
]
in t
he
pa
st m
on
th?
IF NONE
WRITE ZERO
AND >> NEXT ITEM
GHC
IF NONE
WRITE ZERO
AND >> 7
GHC
IF NONE
WRITE ZERO
AND >> NEXT ITEM
GHC
ee.
Hai
rdre
ssin
g,
hai
rcu
ts
ff.
Do
mes
tic
serv
ants
gg
.Je
wel
ry,
wat
ches
, ca
mer
a
hh
.E
nte
rtai
nm
ent
(cin
ema,
sp
ort
s, t
apes
, to
ys)
ii.
Tax
es
jj.
Wed
din
gs,
do
wri
es
kk
.F
un
eral
s
ll.
Lo
tter
y t
icket
s
mm
.C
igar
ette
s, t
ob
acco
, co
la
nn
.S
ewin
g m
achin
e
oo
.R
adio
, ta
pe
pla
yer
pp
.O
ther
maj
or
app
lian
ce
.B
icy
cle
rr.
Car
, m
oto
rbik
e, o
ther
veh
icle
ss.
Oth
er (
spec
ify)
Ho
w m
an
y [
...]
did
yo
ur
spo
use
(s)
pu
rch
ase
/pa
y f
or?
How
man
y [
...]
did
you
r h
ou
seh
old
pu
rch
ase
/pay
for?
CO
NS
UM
PT
ION
READ OUT THE LIST AND PLACE A CROSS IN THE
BOX FOR ANY ITEMS PURCHASED. THEN RETURN
TO THE FIRST LINE AND COMPLETE Q3-8
FOR THOSE ITEMS PURCHASED.
Ho
w m
uch
did
yo
u
per
son
all
y s
pen
d o
n
[...]
in t
he
pa
st
mo
nth
?
Ho
w m
uch
did
yo
ur
spo
use
(s)
spen
d o
n
[...
] in
th
e p
ast
mon
th?
Ho
w m
uch
in
to
tal
did
you
r h
ou
seh
old
spen
d o
n [
...]
in
th
e
past
mo
nth
?
Part
C. O
ther
pu
rch
ase
d i
tem
s (c
on
tin
ued
)
How
man
y [
...]
did
yo
u p
urc
hase
/pay
for?
H
HN
R
espond
ent's
nam
e I
D C
ode
R
ou
nd
Vil
lage
D
ate
Pa
ge
26
1.
2.
3.
4.
5.
6.
7.
8.
Do y
ou
ha
ve
an
y…
Ho
w i
s th
e […
]
trea
ted
?
How
mu
ch m
on
ey c
ou
ld
you
sel
l th
e [.
..]
for?
Wh
en d
id y
ou
pu
rch
ase
,
harv
est
or
rece
ive
it?
Wh
o o
wn
s th
e [.
..]?
TREATMENT CODE
QUANTITY
UNIT
CODE
GHC
DATE (MM/YY)
(if multiple,
give latest)
a.C
assa
va
b.
Mai
ze
c.C
oco
yam
d.
Yam
e.P
inea
pple
f.T
om
ato
g.
Pep
per
h.
Bea
n
i.P
lan
tain
An
y o
ther
s I
hav
e n
ot
men
tion
ed?
j. k.
l. m.
n.
o.
AS
SE
TS
YES...CHECK BOX AND ANSWER Q3-8
NO....>> NEXT ITEM
How
mu
ch /
ho
w m
an
y [
...]
do
you
ha
ve?
What
sto
res
of
food
or
farm
ou
tput
does
you
r h
ouse
ho
ld h
ave
rig
ht
no
w?
Part
A. F
ood
an
d f
arm
ou
tpu
t
TREATMENT CODES
FRESH....................0
DRIED....................1
SMOKED...................2
DUSBAN...................3
OTHER (SPECIFY)..........4
SELF..............1
SPOUSE............2
OTHER HH MEMBER...3
SOMEBODY OUTSIDE
HOUSEHOLD.....4
H
HN
R
espo
nden
t's
nam
e I
D C
od
e R
ound
V
illa
ge
D
ate
UNIT CODES
NUMBER...................1
GRAMS....................2
KILOGRAMS................3
POUNDS...................4
MINIBAG..................5
MAXIBAG..................6
LITRES...................7
ROPES....................8
BUNCHES..................9
BALLS...................10
LOAVES..................11
BUNDLES.................12
BEER BOTTLES............13
OLONKA/AMERICAN TINS....14
BUCKETS.................15
SMALL BASKETS...........16
LARGE BASKETS...........17
TOMATO TINS (SMALL).....18
TOMATO TINS (LARGE).....19
MARGARINE TIN (SMALL)...20
MARGARINE TIN (LARGE)...21
HEADLOADS...............22
SACHETS/PACKETS.........23
TUBERS..................24
STICKS..................25
OTHER (SPECIFY).........26
Pa
ge
27
1.
2.
3.
4.
5.
6.
7.
Do y
ou
hav
e a
ny s
eed
s or
pla
nti
ng
mate
ria
ls f
or…
Ho
w m
uch
mon
ey c
ou
ld
yo
u s
ell
the
[...]
for?
Wh
en d
id y
ou
pu
rch
ase
,
harv
est
or
rece
ive
this
item
?
Wh
o o
wn
s th
e [.
..]?
QUANTITY
UNIT CODE
GHC
DATE (MM/YY)
(If multiple dates,
give latest)
a.C
assa
va
b.
Mai
ze
c.C
oco
yam
d.
Yam
e.P
inea
pple
f.T
om
ato
g.
Pep
per
h.
Bea
n
i.P
lanta
in
Any o
ther
s I
hav
e no
t m
enti
oned
?
j. k.
l. m.
n.
o.
AS
SE
TS
YES...CHECK BOX AND ANSWER Q3-7
NO....>> NEXT ITEM
Ho
w m
uch
/ h
ow
man
y [
...]
do
yo
u h
av
e?
What
sto
cks
of
seed
s or
pla
nti
ng m
ater
ials
do
yo
u h
ave?
Part
B.
Sto
cks
of
seed
s an
d p
lan
tin
g m
ate
ria
ls
SELF..............1
SPOUSE............2
OTHER HH MEMBER...3
SOMEBODY OUTSIDE
HOUSEHOLD.....4
H
HN
R
esponden
t's
nam
e I
D C
ode
R
ound
V
illa
ge
D
ate
UNIT CODES
NUMBER...................1
GRAMS....................2
KILOGRAMS................3
POUNDS...................4
MINIBAG..................5
MAXIBAG..................6
LITRES...................7
ROPES....................8
BUNCHES..................9
BALLS...................10
LOAVES..................11
BUNDLES.................12
BEER BOTTLES............13
OLONKA/AMERICAN TINS....14
BUCKETS.................15
SMALL BASKETS...........16
LARGE BASKETS...........17
TOMATO TINS (SMALL).....18
TOMATO TINS (LARGE).....19
MARGARINE TIN (SMALL)...20
MARGARINE TIN (LARGE)...21
HEADLOADS...............22
SACHETS/PACKETS.........23
TUBERS..................24
STICKS..................25
OTHER (SPECIFY).........26
Pa
ge
28
Wh
at e
qu
ipm
ent
does
yo
ur
ho
use
ho
ld o
wn
wh
ich
is
use
d f
or
farm
ing
?
1.
2.
3.
4.
5.
6.
7.
Do
yo
u h
av
e...
Ho
w m
uch
mon
ey w
ou
ld t
he
[...
] b
e w
ort
h n
ow
?
Wh
en w
as
the
item
rece
ived
/pu
rch
ase
d?
Wh
o o
wn
s th
e [.
..]?
YES...CHECK BOX AND ANSWER Q3-7
NO....>> NEXT ITEM
QUANTITY
UNIT CODE
GHC
DATE (MM/YY)
(If multiple,
give latest)
a.C
utl
ass
b.
Spra
yer
c.K
nap
sack
d.
Ho
e
e.C
hem
ical
s
f.F
erti
lize
r
g.
Mat
tock
h.
Rak
e
i.S
ho
vel
j.C
hai
n s
aw
k.
Gu
n
l.P
ipe
m.
Bar
rel
/ d
rum
n.
Mis
t b
low
er
o.
Oth
er t
oo
ls
Do
es t
he
ho
use
ho
ld h
ave
any
oth
er i
tem
s u
sed
for
farm
ing
?
p.
q.
r.
How
mu
ch /
ho
w m
an
y [
...]
do
yo
u h
av
e?
Pa
rt C
. F
arm
eq
uip
men
t
AS
SE
TS
SELF..............1
SPOUSE............2
OTHER HH MEMBER...3
SOMEBODY OUTSIDE
HOUSEHOLD.....4
H
HN
Res
po
nd
ent's
nam
e
ID
Co
de
R
ou
nd
Vil
lage
D
ate
UNIT CODES
NUMBER...................1
GRAMS....................2
KILOGRAMS................3
POUNDS...................4
MINIBAG..................5
MAXIBAG..................6
LITRES...................7
ROPES....................8
BUNCHES..................9
BALLS...................10
LOAVES..................11
BUNDLES.................12
BEER BOTTLES............13
OLONKA/AMERICAN TINS....14
BUCKETS.................15
SMALL BASKETS...........16
LARGE BASKETS...........17
TOMATO TINS (SMALL).....18
TOMATO TINS (LARGE).....19
MARGARINE TIN (SMALL)...20
MARGARINE TIN (LARGE)...21
HEADLOADS...............22
SACHETS/PACKETS.........23
TUBERS..................24
STICKS..................25
OTHER (SPECIFY).........26
Pa
ge
29
1.
2.
3.
4.
5.
6.
Does
an
yon
e h
ave…
How
man
y?
Ho
w m
uch
mon
ey
wou
ld t
he
[…]
be
wort
h
now
?
Wh
en w
as
the
[…]
pu
rch
ase
d /
rec
eiv
ed?
Wh
om
do
es t
he
[…]
bel
on
g
to?
QUANTITY
GHC
DATE (MM/YY)
(If multiple,
give latest)
a.C
ookin
g u
tensi
ls
b.
Sew
ing m
achin
e
c.C
ar
d.
Tru
ck
e.B
icycl
e
f.R
adio
/ t
ape
reco
rder
g.
Tel
evis
ion
h.
Tel
ephone
i.R
efri
ger
ato
r
j.G
rindin
g m
ill
k.
Com
b /
sci
sso
rs
l.H
amm
er
m.
Po
t /
bow
l
n.
Fan
o.
Oth
er t
ools
Does
the
house
ho
ld h
ave
any o
ther
ite
ms
use
d f
or
busi
nes
s ac
tivit
ies?
p.
q.
r.Does
you
r h
ouse
hold
ow
n a
ny
of
the
foll
ow
ing i
tem
s?
AS
SE
TS
Pa
rt D
. O
ther
du
rab
le a
sset
s
YES...CHECK BOX AND ANSWER Q3-6
NO....>> NEXT ITEM
SELF...............1
SPOUSE.............2
OTHER HH MEMBER....3
SOMEBODY OUTSIDE
HOUSEHOLD......4
H
HN
Res
pon
den
t's
nam
e
ID
Cod
e
Ro
un
d
V
illa
ge
D
ate
Pa
ge
30
1.
2.
3.
4.
5.
6.
7.
8.
Do
es a
ny
on
e in
yo
ur
ho
use
ho
ld o
wn
…
Ty
pe
Wh
om
do t
hey
bel
on
g t
o?
Wh
en w
ere
the
an
ima
ls
pu
rch
ase
d /
rec
eived
?
In t
ota
l, h
ow
mu
ch m
on
ey
cou
ld t
hey
be
sold
fo
r to
da
y?
YES...ANSWER Q2-8
NO....>> NEXT ITEM
Mal
eF
emal
eT
ota
lDATE (MM/YY)
(If multiple,
give latest)
GHC
a.G
oat
sA
du
lts
b.
Kid
s
c.S
hee
pA
du
lts
d.
Lam
bs
e.P
igs
Ad
ult
s
f.P
igle
ts
g.
Ch
ick
ens
Lay
ers
h.
Bro
iler
s
i.L
oca
l
j.G
uin
ea f
ow
l
k.
Oth
er p
ou
ltry
:
l.R
abb
its
An
y o
ther
an
imal
s (e
.g.
catt
le,
ho
rses
, g
rass
cutt
ers,
fis
h)?
m.
n.
o.
Ple
ase
tell
me
abo
ut
the
anim
als
ow
ned
by y
ou
r h
ouse
hold
.
How
man
y?P
art
E. L
ives
tock
AS
SE
TS
SELF..............1
SPOUSE............2
OTHER HH MEMBER...3
SOMEBODY OUTSIDE
HOUSEHOLD.....4
H
HN
R
espo
nden
t's
nam
e I
D C
ode
R
ou
nd
V
illa
ge
D
ate
Pa
ge
31
Does
anyon
e in
yo
ur
ho
use
hold
hav
e an
y t
radea
ble
go
od
s or
mer
chan
dis
e, o
ther
than
sto
res
of
food o
r fa
rm o
utp
ut
men
tioned
ear
lier
?
12
34
56
If y
es, w
hat
are
th
ey?
Ho
w m
uch
mon
ey c
ou
ld
they
be
sold
for?
Wh
en w
as
the
[…]
pu
rch
ase
d /
rec
eived
?
Wh
o o
wn
s th
em?
GIVE CROP CODE OR DESCRIPTION
QUANTITY
UNIT CODE
GHC
DATE
(If multiple,
give latest)
a. b.
c. d.
e. f. g.
h. i. j. k. l. m.
n.
o.
How
mu
ch o
r
how
man
y [
…]?
Part
F. O
ther
tra
dea
ble
good
s
AS
SE
TS
H
HN
Res
po
nd
ent's
nam
e I
D C
od
e R
ou
nd
Vil
lage
D
ate
SELF..............1
SPOUSE............2
OTHER HH MEMBER...3
SOMEBODY OUTSIDE
HOUSEHOLD.....4
CROP CODES
CASSAVA..................1
MAIZE....................2
PLANTAIN.................3
COCOYAM..................4
YAM......................5
PINEAPPLE................6
TOMATO...................7
GARDEN EGG...............8
OKRO.....................9
PEPPER..................10
ORANGES.................11
BANANA..................12
AVOCADO.................13
OIL PALM................14
COCOA...................15
SUGAR CANE..............16
BEAN....................17
GROUNDNUT...............18
OTHER (SPECIFY).........19
UNIT CODES
NUMBER...................1
GRAMS....................2
KILOGRAMS................3
POUNDS...................4
MINIBAG..................5
MAXIBAG..................6
LITRES...................7
ROPES....................8
BUNCHES..................9
BALLS...................10
LOAVES..................11
BUNDLES.................12
BEER BOTTLES............13
OLONKA/AMERICAN TINS....14
BUCKETS.................15
SMALL BASKETS...........16
LARGE BASKETS...........17
TOMATO TINS (SMALL).....18
TOMATO TINS (LARGE).....19
MARGARINE TIN (SMALL)...20
MARGARINE TIN (LARGE)...21
HEADLOADS...............22
SACHETS/PACKETS.........23
TUBERS..................24
STICKS..................25
OTHER (SPECIFY).........26
Page
32
Are
yo
u a
mem
ber
of
a su
su o
r es
usu
gro
up?
Are
yo
u h
old
ing m
oney
for
anyo
ne?
Ple
ase
tell
me
about
each
gro
up y
ou b
elong
to
.P
leas
e te
ll m
e ab
out
each
am
oun
t.
1.
2.
3.
4.
5.
1.
2.
3.
4.
Wh
at
typ
e o
f
gro
up
is
it?
How
oft
en d
o
yo
u d
eposi
t?
Dep
osi
t am
ou
nt
Wh
at
is y
ou
r
ba
lan
ce?
Da
te y
ou
wil
l
rece
ive
the
fun
ds
(if
kn
ow
n)
For
wh
om
are
yo
u
ho
ldin
g m
on
ey?
Wh
ere
do t
hey
live?
Ho
w m
uch
mo
ney
?W
hen
did
yo
u
rece
ive
the
mon
ey?
SUSU.....1
ESUSU....2
FREQUENCY CODE
GHC
GHC
DD/MM/YY
RELATIONSHIP
CODE
LOCATION CODE
GHC
DATE (MM/YY)
a.a.
b.
b.
c.c.
Are
yo
u a
mem
ber
of
a sa
vin
gs
or
insu
rance
coop
erat
ive
oth
er t
han
su
su o
r es
usu
, su
ch a
s a
bu
rial
so
ciet
y?
Is a
ny
one
hold
ing m
oney
for
you?
Ple
ase
tell
me
about
each
gro
up y
ou b
elong
to
.P
leas
e te
ll m
e ab
out
each
am
oun
t.
2.
3.
4.
5.
6.
1.
2.
3.
4.
Con
trib
uti
on
am
ou
nt
Fre
qu
ency
of
con
trib
uti
on
Wh
en d
id y
ou
last
rec
eive
mo
ney
fro
m t
he
gro
up
?
Am
ou
nt
rece
ived
Do
/did
yo
u h
ave
to r
epa
y?
Wh
o i
s h
old
ing
you
r m
on
ey?
Wh
ere
do t
hey
live?
Ho
w m
uch
mo
ney
?W
hen
did
yo
u
giv
e th
em t
he
mon
ey?
GHC
FREQUENCY CODE
DATE (MM/YY)
GHC
RELATIONSHIP
CODE
LOCATION CODE
GHC
DATE (MM/YY)
a.a.
b.
b.
c.c.
FIN
AN
CIA
L A
SS
ET
S
Now
I w
ou
ld l
ike
to a
sk a
bo
ut
you
r fi
nan
cial
ass
ets.
Ple
ase
rem
emb
er t
his
su
rvey
is
con
fiden
tial
. Y
ou w
ill
no
t b
e id
enti
fied
in
an
y d
ocu
men
ts w
e pu
bli
sh. Y
our
per
sonal
in
form
atio
n w
ill
no
t be
repo
rted
to a
nyo
ne.
Pa
rt A
. S
usu
fu
nd
sP
art
C.
Mo
ney
hel
d b
y r
esp
on
den
t
Pa
rt B
. F
un
ds
in o
ther
sa
vin
gs/
insu
ran
ce c
oo
per
ati
ves
Pa
rt D
. M
on
ey h
eld
by
oth
ers
DO NOT INCLUDE LOANS
AT THIS QUESTION
DO NOT INCLUDE LOANS
AT THIS QUESTION
Des
crip
tion
of
gro
up
Wh
at
is y
ou
r re
lati
on
ship
to
the
coll
ecto
r?
RELATIONSHIP
CODE
6.
1.
IF NO, >> PART B
NO............1
YES, WITH
INTEREST.....2
YES, WITHOUT
INTEREST.....3
OTHER...SPECIFY
H
HN
R
espo
nd
ent's
nam
e
ID
Co
de
R
ou
nd
V
illa
ge
D
ate
RELATIONSHIP CODES
SELF................0
SPOUSE..............1
CHILD...............2
PARENT..............3
GRANDCHILD..........4
GRANDPARENT.........5
SIBLING.............6
WOFA................7
UNCLE/AUNT..........8
COUSIN..............9
FRIEND.............10
EXTENSION AGENT....11
MARKET.............12
COOPERATIVE........13
NGO................14
EXPORTER...........15
VILLAGE HEAD.......16
LINEAGE HEAD.......17
PRIEST.............18
TRADER.............19
OTHER (SPECIFY)....20
IF NO, >> PART D
IF NO, >> PART C
IF NO, >> END
LOCATION CODES
DAMAN/AHWERIASE........1
POKROM/NSABAA..........2
OBOADAKA/KWAMEKROM.....3
KONKONURU..............4
ABURI..................5
NSAWAM.................6
FREQUENCY CODES
DAILY.....................1
WEEKLY....................2
FORTNIGHTLY...............3
MONTHLY...................4
QUARTERLY.................5
HALF-YEARLY...............6
YEARLY....................7
OTHER (SPECIFY)...........8
EASTERN REGION (RURAL) 7
EASTERN REGION (URBAN) 8
ACCRA..................9
OTHER URBAN...........10
OTHER RURAL...........11
NOT IN GHANA..........12
Pa
ge
33
6.
How
much
is
the
pen
sion
(p
er m
on
th)?
8.
Wh
en d
id/w
ill
the
pen
sion
beg
in?
b.
Els
ewh
ere?
Ho
w m
uch
hav
e yo
u s
pen
t on
bu
ild
ing
s in
:
a. T
his
vil
lag
e/to
wn
?
14
.W
ho p
ays
(or
wil
l p
ay)
you
the
pen
sio
n?
7.
5.
b. A
mo
un
t
13
.In
th
e p
ast
yea
r, h
ave
yo
u s
pen
t m
on
ey o
n b
uil
din
gs
(oth
er
than
fo
r b
asic
rep
airs
)?
Do y
ou c
urr
entl
y r
ecei
ve
a pen
sion
, o
r ex
pec
t to
so
on
?
4.
How
much
are
they
wo
rth
tod
ay?
Fo
reig
n c
urr
ency
Wh
at v
alu
e (i
f an
y)
of
the
foll
ow
ing
ite
ms
do
yo
u o
wn
?
10
.C
loth
(e.
g.
ken
te)
1.
Do y
ou h
ave
a b
ank
acc
ou
nt?
2.
Jew
elry
a. C
urr
ency
12
.
9.
FIN
AN
CIA
L A
SS
ET
S
Part
E. O
ther
fin
an
cial
ass
ets
Cas
h
Wh
at i
s th
e b
alan
ce t
oday
?
11
.
3.
Do y
ou o
wn a
ny
sto
cks,
bo
nds,
or
oth
er f
inan
cial
ass
ets?
YES....1
NO.....2 (>> 3)
YES....1
NO.....2 (>> 5)
YES....1
NO.....2 (>> 9)
YES....1
NO.....2 (>> END)
H
HN
R
esp
onden
t's
nam
e I
D C
ode
R
ou
nd
V
illa
ge
D
ate
GHC
GHC
GHC
GHC
GHC
GHC
CODE
NUMBER
EMPLOYER
CODE
DATE
(MM/YY)
EMPLOYER CODES
COMPANY <5 WORKERS.....9
COMPANY 5-10 WORKERS..10
COMPANY >10 WORKERS...11
SCHOOL................12
CHURCH................13
NGO OR NONPROFIT......14
GOVERNMENT............15
OTHER (SPECIFY).......16
Page
34
DO NOT INCLUDE CHOP MONEY, LOANS, OR PAYMENTS FOR WORK DONE AT THIS QUESTION
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Nam
e of
giv
erR
elat
ionsh
ipG
iver
's l
oca
tion
Dat
eA
mount
rece
ived
Rea
son f
or
gif
tD
id y
ou a
sk t
his
per
son f
or
the
money
?
Wh
y d
id y
ou
ask
them
(rat
her
than
som
eone
else
)?
Wo
uld
you e
ver
giv
e m
oney
to
them
?
PROMPT FOR FULL NAME INCLUDING NICKNAMES
RELATIONSHIP
CODE
LOCATION CODE
DD/MM/YY
GHC
YES..1
NO...2 (>>9)
YES..1
NO...2
DO NOT INCLUDE CHOP MONEY, LOANS, OR PAYMENTS FOR WORK DONE AT THIS QUESTION
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Nam
e of
reci
pie
nt
Rel
atio
nsh
ipR
ecip
ient's
loca
tio
n
Dat
eA
mount
giv
enR
easo
n f
or
gif
tD
id t
his
per
son
ask y
ou f
or
the
money
?
Why d
id t
hey
ask
you
(rat
her
than
som
eone
else
)?
Wo
uld
they
ever
giv
e m
oney
to y
ou?
PROMPT FOR FULL NAME INCLUDING NICKNAMES
RELATIONSHIP
CODE
LOCATION CODE
DD/MM/YY
GHC
YES..1
NO...2 (>>9)
YES..1
NO...2
How
man
y t
imes
hav
e you g
iven
this
per
son m
oney
in
the
pas
t yea
r?
How
man
y t
imes
has
this
per
son
giv
en y
ou
money
in
the
pas
t yea
r?
GIF
TS
AN
D T
RA
NS
FE
RS
Pa
rt A
. C
ash
tra
nsf
ers
In t
he
pas
t tw
o m
onth
s, h
ave
you
giv
en a
nyo
ne
a gif
t of
mon
ey w
hic
h t
hey
do n
ot
nee
d t
o r
epay
? (I
ncl
ud
e dow
ries
and
inher
itan
ces.
)
In t
he
pas
t tw
o m
onth
s, h
as a
nyon
e giv
en y
ou
a g
ift
of
money
whic
h y
ou d
o n
ot
nee
d t
o r
epay
? (I
ncl
ude
dow
ries
and i
nher
itan
ces.
)
H
HN
Res
po
nd
ent's
nam
e
ID
Co
de
R
ou
nd
V
illa
ge
D
ate
Page
35
DO NOT INCLUDE CHOP MONEY, LOANS, OR PAYMENTS FOR WORK DONE AT THIS QUESTION
1.
2.
3.
4.
6.
7.
8.
9.
10.
Nam
e of
giv
erR
elat
ionsh
ipG
iver
's
loca
tion
Dat
eR
easo
n f
or
gif
tD
id y
ou a
sk t
his
per
son f
or
the
item
?
Would
you e
ver
giv
e a
gif
t to
them
?
PROMPT FOR FULL NAME INCLUDING NICKNAMES
RELATIONSHIP
CODE
LOCATION CODE
DD/MM/YY
DESCRIPTION
EST. VALUE GHC
YES..1
NO...2 (>>9)
YES..1
NO...2
DO NOT INCLUDE CHOP MONEY, LOANS, OR PAYMENTS FOR WORK DONE AT THIS QUESTION
1.
2.
3.
4.
6.
7.
8.
9.
10.
Nam
e of
reci
pie
nt
Rel
atio
nsh
ipR
ecip
ient's
loca
tion
Dat
eR
easo
n f
or
gif
tD
id t
his
per
son a
sk
for
the
item
?
Would
they
ever
giv
e a
gif
t to
you?
PROMPT FOR FULL NAME INCLUDING NICKNAMES
RELATIONSHIP
CODE
LOCATION CODE
DD/MM/YY
DESCRIPTION
EST. VALUE GHC
YES..1
NO...2 (>>9)
YES..1
NO...2
GIF
TS
AN
D T
RA
NS
FE
RS
Part
B. In
-kin
d t
ran
sfer
s
In t
he
pas
t tw
o m
onth
s, h
as a
ny
one
pu
rchas
ed s
om
ethin
g f
or
yo
u, or
giv
en y
ou a
non-m
onet
ary g
ift
whic
h y
ou d
o n
ot
nee
d t
o r
epay
? (I
ncl
ude
dow
ries
and i
nher
itan
ces.
)
In t
he
pas
t tw
o m
onth
s, h
ave
you p
urc
has
ed s
om
ethin
g f
or
anoth
er p
erso
n, or
giv
en a
nyone
a non-m
onet
ary g
ift
wh
ich t
hey
do n
ot
nee
d t
o r
epay
? (I
ncl
ude
dow
ries
and i
nher
itan
ces.
)
How
man
y t
imes
has
this
per
son
giv
en y
ou g
ifts
in t
he
pas
t yea
r?
5.
How
man
y t
imes
hav
e you g
iven
this
per
son g
ifts
in t
he
pas
t yea
r?
Why d
id y
ou a
sk t
hem
(rat
her
than
som
eon
e el
se)?
Why d
id t
hey
ask
you
(rat
her
than
som
eone
else
)?
Item
rec
eived
5.
Item
giv
en
H
HN
R
espon
den
t's
nam
e I
D C
od
e R
ou
nd
V
illa
ge
D
ate
Page
36
1.
Do y
ou
norm
ally
giv
e y
ou
r sp
ou
se m
oney
to
buy
fo
od
for
the
ho
use
hold
?6
.W
hat
fac
tors
are
co
nsi
der
ed w
hen
dec
idin
g t
hes
e am
oun
ts?
2.
3.
7.
Hav
e y
ou
giv
en y
ou
r sp
ou
se a
ny
thin
g e
lse
of
val
ue
in t
he
pas
t m
onth
?
Day
Am
ou
nt
Day
Am
ou
nt
a.M
ond
aya.
Mo
nd
ay8
.V
alue
Val
ue
b.
Tu
esday
b.
Tu
esday
a.f.
c.W
ednes
day
c.W
edn
esd
ayb
.g.
d.
Thu
rsd
ayd
.T
hu
rsday
c.h.
e.F
rid
aye.
Fri
day
d.
i.
f.S
atu
rday
f.S
aturd
aye.
j.
g.
Su
nd
ayg.
Sun
day
9.
Hav
e y
ou
giv
en y
ou
r sp
ou
se m
on
ey t
o t
rad
e o
r fo
r an
oth
er b
usi
nes
s w
ithin
th
e p
ast
mo
nth
?
4.
Hav
e y
ou
giv
en y
ou
r sp
ou
se a
ny
un
usu
al p
aym
ents
of
mo
ney
in
th
e p
ast
mo
nth
?
Dat
eA
mo
un
t1
0.
Val
ue
Val
ue
a.a.
f.
b.
b.
g.
c.c.
h.
d.
d.
i.
e.e.
j.
f. g.
11
.W
hat
hap
pen
s to
th
e m
oney
s/h
e m
akes
fro
m t
radin
g o
r th
at b
usi
nes
s?
5.
Who
usu
ally
det
erm
ines
th
ese
amo
unts
?
Des
crip
tion
Des
crip
tio
n
Des
crip
tio
nD
escr
ipti
on
How
much
wo
uld
yo
u g
ive
in a
no
rmal
wee
k?
Ho
w m
uch
did
yo
u g
ive
in t
he
wee
k j
ust
pas
t?
Part
C. In
ter-
spou
sal
tran
sfer
s
GIF
TS
AN
D T
RA
NS
FE
RS
Co
mm
ent
YES...1
NO....2 (>>4)
SELF....1
SPOUSE..2
YES...1
NO....2 (>>9)
YES...1
NO....2
(>>END)
H
HN
R
espo
nden
t's
nam
e I
D C
ode
R
ound
V
illa
ge
D
ate
Pa
ge
37
In t
he
pas
t tw
o m
onth
s, h
ave
yo
u g
iven
any l
oan
s of
mo
ney
, fo
od
or
go
od
s to
oth
er p
eop
le,
incl
udin
g y
ou
r sp
ouse
?
a.b.
c.
1.
Nam
e of
reci
pie
nt
2.
Sex
of
reci
pie
nt
MALE.....1
FEMALE...2
3.
Rel
atio
nsh
ip o
f re
cipie
nt
RELATIONSHIP CODE
4.
Wher
e d
oes
the
reci
pie
nt
live?
LOCATION CODE
5.
When
did
you m
ake
the
loan
?DATE
6.
Des
crip
tion
of
item
(s)
lent
7.
Cas
h a
mount
or
esti
mat
ed v
alue
of
item
len
t
8.
Am
oun
t to
be
rep
aid (
if c
ash)
9.
What
wil
l th
e lo
an b
e use
d f
or?
PURPOSE CODE
10
.H
as t
he
loan
bee
n r
epai
d?
YES...1 (>>12)
NO....2
11
.W
hen
do
you
expec
t to
be
repai
d?
12
.W
as t
her
e a
wit
nes
s to
the
loan
?YES...1
NO....2 (>>14)
13
.R
elat
ionsh
ip o
f w
itnes
sRELATIONSHIP CODE
14
.W
as t
her
e an
y c
oll
ater
al?
YES...DESCRIBE
NO...NEXT LOAN
15
.H
ow
much
is
the
coll
ater
al w
ort
h?
16
.W
ho i
s usi
ng t
he
coll
ater
al n
ow
?BORROWER...1
LENDER.....2
OTHER......3
LO
AN
S Q
UE
ST
ION
NA
IRE
YES....USE ONE COLUMN BELOW FOR EACH LOAN GIVEN
NO..... >> PART B
Pa
rt A
. L
end
ing
H
HN
Res
po
nd
ent's
nam
e
ID
Cod
e R
ou
nd
V
illa
ge
D
ate
LOCATION CODES
DAMAN/AHWERIASE.......1
POKROM/NSABAA.........2
OBOADAKA/KWAMEKROM....3
KONKONURU.............4
ABURI.................5
NSAWAM................6
EASTERN REGION RURAL..7
EASTERN REGION URBAN..8
ACCRA.................9
OTHER URBAN..........10
OTHER RURAL..........11
OUTSIDE GHANA........12
LOAN PURPOSE CODES
FARMING.............1
MEDICAL.............2
CONSUMPTION.........3
TRADING.............4
OTHER BUSINESS......5
TRAVEL..............6
FUNERAL.............7
OTHER CEREMONY......8
SCHOOL FEES.........9
OTHER (SPECIFY)....10
MM/YY
GHC
GHC
GHC
RELATIONSHIP CODES
SELF......................0
SPOUSE....................1
CHILD.....................2
STEP-CHILD................3
PARENT....................4
GRANDCHILD................5
GRANDPARENT...............6
SIBLING...................7
WOFA/UNCLE/AUNT...........8
NIECE/NEPHEW..............9
COUSIN...................10
OTHER RELATIVE...........11
VILLAGE HEAD.............12
LINEAGE HEAD.............13
OTHER VILLAGER...........14
FRIEND NOT IN VILLAGE....15
PRIEST...................16
EXTENSION AGENT..........17
COOPERATIVE..............18
NGO......................19
EXPORTER.................20
TRADER...................21
OTHER (SPECIFY)..........22
Pa
ge
38
d.
e.f.
1.
Nam
e o
f re
cip
ien
t (
OPTIONAL)
2.
Sex
of
reci
pie
nt
MALE.....1
FEMALE...2
3.
Rel
atio
nsh
ip o
f re
cip
ien
tRELATIONSHIP CODE
4.
Wh
ere
do
es t
he
reci
pie
nt
liv
e?LOCATION CODE
5.
Wh
en d
id y
ou
mak
e th
e lo
an?
DATE
6.
Des
crip
tio
n o
f it
em(s
) le
nt
IF ITEM IS
CASH, >>8
7.
Cas
h a
mo
unt
or
esti
mat
ed v
alu
e o
f it
em l
ent
8.
Am
ou
nt
to b
e re
pai
d (
if c
ash
)
9.
Wh
at w
ill
the
loan
be
use
d f
or?
PURPOSE CODE
10
.H
as t
he
loan
bee
n r
epai
d?
YES...1 (>>12)
NO....2
11
.W
hen
do
yo
u e
xp
ect
to b
e re
pai
d?
12
.W
as t
her
e a
wit
nes
s to
th
e lo
an?
YES...1
NO....2 (>>14)
13
.R
elat
ion
ship
of
wit
nes
sRELATIONSHIP CODE
14
.W
as t
her
e an
y c
oll
ater
al?
YES...DESCRIBE
NO...NEXT LOAN
15
.H
ow
mu
ch i
s th
e co
llat
eral
wo
rth
?
16
.W
ho
is
usi
ng
th
e co
llat
eral
no
w?
BORROWER...1
LENDER.....2
OTHER......3
LO
AN
S Q
UE
ST
ION
NA
IRE
Part
A. L
end
ing (
con
tin
ued
)
CONTINUE LISTING LOANS ON THIS SHEET, IF REQUIRED
H
HN
R
espon
den
t's
nam
e I
D C
od
e R
ou
nd
V
illa
ge
D
ate
GHC
GHC
MM/YY
GHC
LOCATION CODES
DAMAN/AHWERIASE.......1
POKROM/NSABAA.........2
OBOADAKA/KWAMEKROM....3
KONKONURU.............4
ABURI.................5
NSAWAM................6
EASTERN REGION RURAL..7
EASTERN REGION URBAN..8
ACCRA.................9
OTHER URBAN..........10
OTHER RURAL..........11
OUTSIDE GHANA........12
LOAN PURPOSE CODES
FARMING.............1
MEDICAL.............2
CONSUMPTION.........3
TRADING.............4
OTHER BUSINESS......5
TRAVEL..............6
FUNERAL.............7
OTHER CEREMONY......8
SCHOOL FEES.........9
OTHER (SPECIFY)....10
RELATIONSHIP CODES
SELF......................0
SPOUSE....................1
CHILD.....................2
STEP-CHILD................3
PARENT....................4
GRANDCHILD................5
GRANDPARENT...............6
SIBLING...................7
WOFA/UNCLE/AUNT...........8
NIECE/NEPHEW..............9
COUSIN...................10
OTHER RELATIVE...........11
VILLAGE HEAD.............12
LINEAGE HEAD.............13
OTHER VILLAGER...........14
FRIEND NOT IN VILLAGE....15
PRIEST...................16
EXTENSION AGENT..........17
COOPERATIVE..............18
NGO......................19
EXPORTER.................20
TRADER...................21
OTHER (SPECIFY)..........22
Oth
er t
han
the
loan
s yo
u m
enti
on
ed e
arli
er,
hav
e y
ou m
ade
any
loan
s w
hic
h h
ave
not
yet
bee
n f
ull
y r
epai
d?
a.b
.c.
1.
2.
3.
4.
Sin
ce o
ur
last
in
terv
iew
, has
th
e borr
ow
er m
ade
any r
epay
men
ts o
r giv
e an
y g
ifts
in t
han
ks
for
this
loan
?
5.
6.
7.
8.
YES..1 (>>NEXT LOAN)
NO...2
9.
Hav
e you
giv
en f
urt
her
in
stal
men
ts o
r it
ems
as p
art
of
this
loan
sin
ce o
ur
last
inte
rvie
w?
10
.
11.
12
.
13
.D
o y
ou
expec
t to
rec
eiv
e an
yth
ing i
n t
he
futu
re f
rom
the
bo
rrow
er o
n a
ccount
of
this
loan
?
14
15
.
16
.
17
.
18
.
19
.W
ould
you
len
d t
o t
his
bo
rrow
er a
gai
n, if
he
asked
yo
u f
or
a lo
an?
YES..1
NO...2
When
do y
ou e
xpec
t to
rec
eive
it?
YES..1
NO...2 (>>17)
GIVE DESCRIPTION
Des
crip
tion o
f it
em(s
) to
be
rece
ived
Hav
e you
tak
en a
ny a
ctio
n t
o o
bta
in r
epay
men
t?
Has
th
e borr
ow
er e
xp
erie
nce
d a
ny
un
expec
ted p
roble
ms
whic
h
mig
ht
hin
der
rep
aym
ent?
Val
ue GIVE DESCRIPTION
LO
AN
S Q
UE
ST
ION
NA
IRE
Pa
rt A
1.
Ou
sta
nd
ing
lo
an
s g
iven
to
oth
ers
Nam
e of
reci
pie
nt
Val
ue
Des
crip
tion o
f it
em(s
) g
iven
Do y
ou
con
sid
er t
his
loan
to b
e fu
lly r
epai
d?
When
did
this
occ
ur?
Des
crip
tion o
f it
em(s
) le
nt
Val
ue YES..1
NO...2 (>>9)
When
did
this
occ
ur?
Des
crip
tion o
f it
em(s
) re
ceiv
ed
Val
ue YES..1
NO...2 (>>13)
H
HN
Res
po
nd
ent's
nam
e
ID
Co
de
R
ou
nd
V
illa
ge
D
ate
GHC
GHC
GHC
GHC
MM/YY
MM/YY
MM/YY
Page
40
In t
he
pas
t tw
o m
onth
s, h
ave
you b
orr
ow
ed a
ny m
oney
, fo
od o
r go
ods
fro
m a
ny
one
else
?
a.b
.c.
1.
Nam
e of
lender
2.
Sex
of
lender
MALE.....1
FEMALE...2
3.
Rel
atio
nsh
ip o
f le
nder
RELATIONSHIP CODE
4.
Wher
e does
the
lender
liv
e?LOCATION CODE
5.
When
did
you r
ecei
ve
the
loan
?MM/YY
6.
Des
crip
tion o
f it
em(s
) b
orr
ow
ed
7.
Cas
h a
mount
or
esti
mat
ed v
alue
of
item
borr
ow
ed
8.
Am
ount
to b
e re
pai
d (
if c
ash)
9.
What
wil
l y
ou u
se t
he
loan
fo
r?PURPOSE CODE
10.
Has
the
loan
bee
n r
epai
d?
YES...1
NO....2 (>>12)
11.
When
do y
ou e
xpec
t to
rep
ay t
he
loan
?
12.
Was
ther
e a
wit
nes
s to
the
loan
?YES...1
NO....2 (>>14)
13.
Rel
atio
nsh
ip o
f w
itnes
sRELATIONSHIP CODE
14.
Was
ther
e an
y c
oll
ater
al?
YES...DESCRIBE
NO...NEXT LOAN
15.
Ho
w m
uch
is
the
coll
ater
al w
ort
h?
16.
Who i
s usi
ng t
he
coll
ater
al n
ow
?BORROWER...1
LENDER.....2
OTHER......3
LO
AN
S Q
UE
ST
ION
NA
IRE
YES....USE ONE COLUMN BELOW FOR EACH LOAN RECEIVED
NO..... >> C
Pa
rt B
. B
orr
ow
ing
H
HN
Res
po
nd
ent's
nam
e
ID
Co
de
R
ou
nd
V
illa
ge
D
ate
GHC
GHC
GHC
MM/YY
LOCATION CODES
DAMAN/AHWERIASE.......1
POKROM/NSABAA.........2
OBOADAKA/KWAMEKROM....3
KONKONURU.............4
ABURI.................5
NSAWAM................6
EASTERN REGION RURAL..7
EASTERN REGION URBAN..8
ACCRA.................9
OTHER URBAN..........10
OTHER RURAL..........11
OUTSIDE GHANA........12
LOAN PURPOSE CODES
FARMING.............1
MEDICAL.............2
CONSUMPTION.........3
TRADING.............4
OTHER BUSINESS......5
TRAVEL..............6
FUNERAL.............7
OTHER CEREMONY......8
SCHOOL FEES.........9
OTHER (SPECIFY)....10
RELATIONSHIP CODES
SELF......................0
SPOUSE....................1
CHILD.....................2
STEP-CHILD................3
PARENT....................4
GRANDCHILD................5
GRANDPARENT...............6
SIBLING...................7
WOFA/UNCLE/AUNT...........8
NIECE/NEPHEW..............9
COUSIN...................10
OTHER RELATIVE...........11
VILLAGE HEAD.............12
LINEAGE HEAD.............13
OTHER VILLAGER...........14
FRIEND NOT IN VILLAGE....15
PRIEST...................16
EXTENSION AGENT..........17
COOPERATIVE..............18
NGO......................19
EXPORTER.................20
TRADER...................21
OTHER (SPECIFY)..........22
Pa
ge
41
In t
he
pas
t tw
o m
onth
s, h
ave
you b
orr
ow
ed a
ny m
oney
, fo
od
or
goo
ds
fro
m a
nyo
ne
else
?
d.
e.f.
1.
Nam
e o
f le
nder
2.
Sex
of
len
der
MALE.....1
FEMALE...2
3.
Rel
atio
nsh
ip o
f le
nder
RELATIONSHIP CODE
4.
Wher
e does
the
len
der
liv
e?LOCATION CODE
5.
When
did
yo
u r
ecei
ve
the
loan
?MM/YY
6.
Des
crip
tio
n o
f it
em(s
) b
orr
ow
ed
7.
Cas
h a
mo
un
t or
esti
mat
ed v
alue
of
item
bo
rrow
ed
8.
Am
ou
nt
to b
e re
pai
d (
if c
ash)
9.
What
wil
l you
use
the
loan
for?
PURPOSE CODE
10.
Has
the
loan
bee
n r
epai
d?
YES...1
NO....2 (>>12)
11
.W
hen
do y
ou e
xpec
t to
rep
ay t
he
loan
?
12.
Was
ther
e a
wit
nes
s to
the
loan
?YES...1
NO....2 (>>14)
13.
Rel
atio
nsh
ip o
f w
itnes
sRELATIONSHIP CODE
14.
Was
ther
e an
y c
oll
ater
al?
YES...DESCRIBE
NO...NEXT LOAN
15.
How
mu
ch i
s th
e co
llat
eral
wort
h?
16.
Who
is
usi
ng t
he
coll
ater
al n
ow
?BORROWER...1
LENDER.....2
OTHER......3
LO
AN
S Q
UE
ST
ION
NA
IRE
CONTINUE LISTING LOANS ON THIS SHEET, IF REQUIRED
Part
B. B
orr
ow
ing, co
nti
nu
ed
H
HN
R
esp
onden
t's
nam
e I
D C
ode
R
ou
nd
V
illa
ge
D
ate
GHC
GHC
GHC
MM/YY
LOCATION CODES
DAMAN/AHWERIASE.......1
POKROM/NSABAA.........2
OBOADAKA/KWAMEKROM....3
KONKONURU.............4
ABURI.................5
NSAWAM................6
EASTERN REGION RURAL..7
EASTERN REGION URBAN..8
ACCRA.................9
OTHER URBAN..........10
OTHER RURAL..........11
OUTSIDE GHANA........12
LOAN PURPOSE CODES
FARMING.............1
MEDICAL.............2
CONSUMPTION.........3
TRADING.............4
OTHER BUSINESS......5
TRAVEL..............6
FUNERAL.............7
OTHER CEREMONY......8
SCHOOL FEES.........9
OTHER (SPECIFY)....10
RELATIONSHIP CODES
SELF......................0
SPOUSE....................1
CHILD.....................2
STEP-CHILD................3
PARENT....................4
GRANDCHILD................5
GRANDPARENT...............6
SIBLING...................7
WOFA/UNCLE/AUNT...........8
NIECE/NEPHEW..............9
COUSIN...................10
OTHER RELATIVE...........11
VILLAGE HEAD.............12
LINEAGE HEAD.............13
OTHER VILLAGER...........14
FRIEND NOT IN VILLAGE....15
PRIEST...................16
EXTENSION AGENT..........17
COOPERATIVE..............18
NGO......................19
EXPORTER.................20
TRADER...................21
OTHER (SPECIFY)..........22
Oth
er t
han
the
loan
s yo
u m
enti
on
ed e
arli
er, h
ave
yo
u r
ecei
ved
an
y l
oan
s w
hic
h h
ave
not
yet
bee
n f
ull
y r
epai
d?
a.b.
c.
1.
2.
3.
4.
Sin
ce o
ur
last
in
terv
iew
, h
ave
you
mad
e an
y r
epay
men
ts o
r giv
en a
ny
gif
ts i
n t
han
ks
for
this
loan
?
5.
6.
7.
8.
YES..1 (>>NEXT LOAN)
NO...2
9.
Hav
e y
ou r
ecei
ved
furt
her
inst
alm
ents
or
item
s as
par
t of
this
loan
sin
ce o
ur
last
inte
rvie
w?
10
.
11
.
12
.
13
.D
o y
ou e
xp
ect
to m
ake
any
fu
rther
rep
aym
ent
to t
he
len
der
on
acc
oun
t of
this
loan
?
14
15
.
16
.
17
.
18
.
19
.W
ould
yo
u a
ppro
ach t
his
len
der
agai
n, if
you
nee
ded
a l
oan
?
YES..1
NO...2
YES..1
NO...2 (>>9)
Des
crip
tio
n o
f it
em(s
) le
nt
Val
ue
LO
AN
S Q
UE
ST
ION
NA
IRE
Part
B1. O
uts
tan
din
g l
oan
s re
ceiv
ed f
rom
oth
ers
Nam
e o
f le
nd
er
YES..1
NO...2 (>>17)
When
did
this
occ
ur?
When
do y
ou e
xpec
t to
rep
ay?
When
did
this
occ
ur?
Des
crip
tio
n o
f it
em(s
) g
iven
Val
ue YES..1
NO...2 (>>13)
Do y
ou c
onsi
der
this
lo
an t
o b
e fu
lly r
epai
d?
Val
ue
Des
crip
tio
n o
f it
em(s
) re
ceiv
ed
IF RESPONSE IS 'NEEDS MONEY', PROBE WHY
Des
crip
tio
n o
f it
em(s
) to
be
giv
en
Has
the
lend
er t
aken
an
y a
ctio
n t
o o
bta
in r
epay
men
t?
Has
the
lend
er a
sked
fo
r re
pay
men
t? I
f so
, w
hy?
GIVE DESCRIPTION
Val
ue
H
HN
R
esp
onden
t's
nam
e I
D C
ode
R
ou
nd
V
illa
ge
D
ate
GHC
GHC
GHC
GHC
MM/YY
MM/YY
MM/YY
Page
43
Ho
use
hold
s so
met
imes
hav
e go
od a
nd b
ad s
urp
rise
s. I
would
lik
e to
know
abo
ut
any
bad
even
ts s
uff
ered
by y
our
house
ho
ld i
n t
he
pas
t 1
0 y
ears
.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
Cod
eS
ho
ck
What
was
yo
ur
finan
cial
co
ndit
ion
afte
r th
e ev
ent?
What
was
the
monet
ary v
alue
of
the
loss
, if
any?
How
long d
id
the
shock
las
t?
Check
MONTH
YEAR
GHC
12
3
01
Dea
th o
f ho
use
ho
ld h
ead o
r sp
ouse
02
Dea
th o
f oth
er h
ouse
hold
mem
ber
03
Lo
ss o
f in
com
e due
to i
llnes
s or
inju
ry o
f hou
sehold
mem
ber
04
Med
ical
exp
ense
s d
ue
to i
llnes
s o
r in
jury
05
Lo
ss o
f a
regu
lar
job
of
a h
ouse
hold
mem
ber
06
Lo
st h
om
e
(e.g
. d
ue
to e
vic
tio
n, d
amag
e, l
egal
act
ion
)
07
Div
orc
e, s
epar
atio
n o
r ab
and
onm
ent
08
Maj
or
loss
of
cro
ps
due
to d
rough
t
09
Maj
or
loss
of
cro
ps
due
to p
ests
and d
isea
se
10
Maj
or
loss
of
cro
ps
due
to o
ther
rea
sons
(e.g
. fl
ood,
sto
rm)
11
Lo
ss o
f li
ves
tock
due
to d
eath
12
Lo
ss o
f li
ves
tock
due
to t
hef
t
13
Lo
ss o
f pro
duct
ive
asse
ts
(due
to t
hef
t, f
ire,
riv
er e
rosi
on, st
orm
s, f
lood e
tc.)
14
Lo
ss o
r des
truct
ion o
f oth
er c
onsu
mp
tio
n (
per
son
al)
asse
ts
15
Fu
ner
al e
xpen
ses
16
Div
isio
n o
f fa
ther
’s p
roper
ty
17
Lo
ss o
f co
ntr
act
or
def
ault
by c
redit
or
18
Fai
lure
or
ban
kru
ptc
y o
f bu
sines
s
19
Cut-
off
or
dec
reas
e o
f re
gula
r re
mit
tance
s to
hou
sehold
20
Wit
hdra
wal
of
gov
ernm
ent
or
NG
O a
ssis
tance
21
Oth
er (
spec
ify)
22
Oth
er (
spec
ify)
The
last
tim
e th
is s
hock
occ
urr
ed....
LO
NG
-TE
RM
SH
OC
KS
Pa
rt A
. N
ega
tiv
e sh
ock
s
READ THROUGH THE LIST AND CHECK
THE BOX IF THE HOUSEHOLD HAS
EXPERIENCED ANY OF THESE EVENTS.
THEN COMPLETE Q4-12 FOR EACH
SHOCK EXPERIENCED. FINALLY, COMPLETE Q13.
When
did
it
hap
pen
?
What
did
you d
o t
o c
ope
wit
h t
he
shock
?
Ho
w m
any
tim
es h
as t
his
shock
occ
ure
d
in t
he
pas
t 10
yea
rs?
Ran
k t
he
wors
t
thre
e sh
ock
s over
the
pas
t 10 y
ears
TO BE ADMINISTERED TO THE HEAD OF HOUSEHOLD, IF POSSIBLE
COPING
STRATEGY CODE
LIST UP TO 3
WAYS
DAYS
ONGOING..999
COPING STRATEGIES CODES
NONE...............................1
SOLD LAND (SPECIFY HOMESTEAD OR
AGRICULTURAL) .................2
MORTGAGED/LEASED LAND (SPECIFY
HOMESTEAD OR AGRICULTURAL).....3
SOLD PRODUCTIVE ASSET (SPECIFY)....4
MORTGAGED PRODUCTIVE ASSET (SP)....5
SOLD CONSUMPTION ASSET (SPECIFY)...6
MORTGAGED CONSUMPTION ASSET (SP)...7
TOOK LOAN FROM NGO/INSTITUTION.....8
TOOK LOAN FROM INFORMAL/
NON-INSTITUTIONAL SOURCE.......9
ATE LESS TO REDUCE EXPENSES.......10
ATE LOWER QUALITY FOOD TO
REDUCE EXPENSES...............11
TOOK CHILDREN OUT OF SCHOOL.......12
HOUSEHOLD MEMBER TOOK JOB
ELSEWHERE TEMPORARILY.........13
SENT HOUSEHOLD MEMBER AWAY
PERMANENTLY/FOSTERED CHILD....14
FORCED TO CHANGE OCCUPATION.......15
MOVED TO LESS EXPENSIVE HOUSING...16
SENT NON-WORKING HOUSEHOLD
MEMBER TO WORK................17
TOOK HELP FROM OTHERS.............18
OTHER (SPECIFY)...................19
H
HN
Res
po
nd
ent's
nam
e
ID
Co
de
R
oun
d
V
illa
ge
D
ate
WORSE THAN BEFORE...1
SAME AS BEFORE......2
BETTER THAN BEFORE..3
NUMBER THE
WORST SHOCKS 1
TO 3, WHERE 1
IS THE WORST
Page
44
Now
I w
ould
lik
e to
know
about
any g
ood e
ven
ts e
xper
ience
d b
y y
our
house
hold
over
the
pas
t 10 y
ears
.
1.
2.
3.
45.
6.
7.
8.
9.
Code
Shock
How
man
y t
imes
did
this
occ
ur
in
the
pas
t 10 y
ears
?
What
was
your
finan
cial
condit
ion a
fter
the
even
t?
What
was
the
tota
l val
ue
of
your
gai
n?
Check
MONTH
YEAR
GHC
01
New
reg
ula
r jo
b f
or
house
hold
mem
ber
02
Young p
erso
n o
r ch
ild w
ent
to w
ork
for
the
firs
t ti
me
03
New
or
incr
ease
d r
emit
tance
s
04
Inher
itan
ce
05
Lar
ge
gif
t/lo
tter
y w
innin
gs
06
Rec
eipt
of
dow
ry/b
ridep
rice
07
Unusu
ally
lar
ge
gai
n f
rom
bu
sines
s ac
tivit
ies
(spec
ify)
08
Sch
ola
rship
for
chil
d’s
educa
tion
09
New
gover
nm
ent
or
NG
O p
rogra
m/a
ssis
tance
10
Oth
er (
spec
ify)
11
Oth
er (
spec
ify)
12
Oth
er (
spec
ify)
The
last
tim
e th
is e
ven
t occ
urr
ed....
LO
NG
-TE
RM
SH
OC
KS
Pa
rt B
. P
osi
tiv
e sh
ock
s
READ THROUGH THE LIST AND CHECK
THE BOX IF THE HOUSEHOLD HAS
EXPERIENCED ANY OF THESE EVENTS.
THEN COMPLETE Q4-8 FOR EACH
SHOCK EXPERIENCED. FINALLY, COMPLETE Q9.
When
did
it
hap
pen
?
TO BE ADMINISTERED TO THE HEAD OF HOUSEHOLD, IF POSSIBLE
Ple
ase
ran
k t
he
bes
t
thre
e of
thes
e ev
ents
over
the
pas
t 10
yea
rs
WORSE THAN BEFORE...1
SAME AS BEFORE......2
BETTER THAN BEFORE..3
H
HN
R
esponden
t's
nam
e I
D C
ode
R
ound
V
illa
ge
D
ate
NUMBER THE
BEST SHOCKS 1
TO 3, WHERE 1
IS THE BEST
Page
45
1.
2.
3.
4.
5.
6.
8.
Sin
ce t
he
sta
rt o
f th
e y
ear,
has
you
r h
ou
seh
old
exp
erie
nce
d a
ny o
f th
e fo
llow
ing s
ho
cks?
NOTE: LIST REPEAT OCCURRENCES UNDER 'OTHER'
ID c
od
e of
HH
mem
ber
mo
st
dir
ectl
y a
ffec
ted
Sta
rt d
ate
(or
date
of
occ
urr
ence
)
Wh
at
was
the
tota
l
valu
e of
the
loss
?
(Per
mon
th, if
con
tin
uou
s.)
Did
you
ha
ve
eno
ugh
mon
ey t
o c
over
th
e
exp
ense
s?
Oth
er c
om
men
ts
(e.g
. fu
rth
er d
etail
s on
th
e sh
ock
)
ID CODE
MM/YY
GHC
YES....1 (>>NEXT)
NO.....2
a.F
un
eral
ex
pen
ses
b.
Med
ical
exp
ense
s du
e to
ill
nes
s o
r in
jury
c.L
oss
of
inco
me
due
to i
llnes
s or
inju
ry
d.
Cro
p l
oss
or
dam
age
e.L
ives
tock
loss
or
thef
t
f.P
rop
erty
dam
age
or
thef
t
g.
Loss
of
contr
act,
or
def
ault
by c
redit
or
h.
Loss
of
regula
r jo
b
i.F
ailu
re o
f busi
nes
s, o
r si
gnif
ican
t bu
sines
s lo
sses
j.O
ther
: ________
______
______
______
_______
__
k.
Oth
er:
________
______
______
______
_______
__
l.O
ther
: ________
______
______
______
_______
__
1.
2.
3.
4.
5.
6.
7a.
7b.
8.
Sin
ce t
he
sta
rt o
f th
e y
ear,
has
you
r h
ou
seh
old
exp
erie
nce
d a
ny o
f th
e fo
llow
ing s
ho
cks?
NOTE: LIST REPEAT OCCURRENCES UNDER 'OTHER'
ID c
od
e of
HH
mem
ber
mo
st
dir
ectl
y a
ffec
ted
Sta
rt d
ate
(or
date
of
occ
urr
ence
)
Wh
at
was
the
tota
l
valu
e of
the
gain
?
(Per
mon
th, if
con
tin
uou
s.)
Have
you
giv
en
sign
ific
an
t gif
ts t
o
oth
ers
as
a r
esu
lt o
f
this
even
t?
To
wh
om
did
you
giv
e gif
ts?
Wh
at
was
the
tota
l valu
e of
thes
e
gif
ts?
Oth
er c
om
men
ts
(e.g
. fu
rth
er d
etail
s on
th
e sh
ock
)
ID CODE
MM/YY
GHC
YES....1
NO.....2 (>>8)
RELATIONSHIP CODES
GHC
a.L
ott
ery o
r pri
ze w
innin
gs
b.
New
job
c.In
her
itan
ce /
bri
dep
rice
d.
Unex
pec
tedly
lar
ge
crop y
ield
or
sale
s
e.U
nex
pec
tedly
hig
h b
usi
nes
s pro
fits
f.N
ew r
emit
tance
s
g.
Oth
er:
________
______
______
______
_______
__
h.
Oth
er:
________
______
______
______
_______
__
i.O
ther
: ________
______
______
______
_______
__
YES...CHECK BOX AND ANSWER Q3-8
NO....>> NEXT ITEM
SH
OC
KS
DU
RIN
G 2
009
Part
A. N
egati
ve
Sh
ock
s
7.
Part
B. P
osi
tive
Sh
ock
s
YES...CHECK BOX AND ANSWER Q3-8
NO....>> NEXT ITEM
Ho
w d
id y
ou
rais
e th
e m
on
ey t
o c
over
the
exp
ense
s?
H
HN
R
espon
den
t's
nam
e I
D C
od
e R
ou
nd
V
illa
ge
D
ate
Pa
ge
46
We
would
lik
e to
ask
yo
u s
om
e q
ues
tio
ns
abo
ut
yo
ur
circ
um
stan
ces
now
and
over
th
e pas
t fe
w y
ears
.
1.
7.
Whic
h o
f th
e fo
llow
ing
is
tru
e ab
ou
t y
our
curr
ent
inco
me?
2.
8.
Rig
ht
no
w,
wo
uld
yo
u s
ay y
ou
r h
ouse
hold
...
3.
9.
1 y
ear
ago
, w
ou
ld y
ou
say
yo
ur
ho
use
ho
ld..
.
4.
10
.5 y
ears
ago,
wo
uld
yo
u s
ay y
ou
r h
ouse
hold
...
5.
11
.10
yea
rs a
go
, w
ou
ld y
ou
say
yo
ur
hou
seho
ld...
6.
12
.In
ter
ms
of
yo
ur
hou
seho
ld e
cono
mic
wel
l-b
eing
, ar
e y
ou b
ette
r o
ff,
the
sam
e as
, or
wors
e
off
th
an t
his
sam
e ti
me
a y
ear
ago?
PE
RC
EP
TIO
NS
OF
PO
VE
RT
Y A
ND
WE
LL
-BE
ING
TO BE ADMINISTERED TO THE HEAD OF HOUSEHOLD, IF POSSIBLE
Conce
rnin
g y
ou
r fa
mil
y’s
fo
od
con
sum
pti
on
ov
er t
he
pas
t m
on
th,
whic
h o
f th
e fo
llow
ing i
s tr
ue?
Conce
rnin
g y
ou
r fa
mil
y’s
ho
usi
ng
ov
er t
he
pas
t m
onth
,
whic
h o
f th
e fo
llo
win
g i
s tr
ue?
Conce
rnin
g y
ou
r fa
mil
y’s
clo
thin
g o
ver
th
e p
ast
mon
th,
whic
h o
f th
e fo
llo
win
g i
s tr
ue?
Conce
rnin
g t
he
hea
lth
car
e yo
ur
fam
ily g
ets,
wh
ich o
f th
e fo
llo
win
g i
s tr
ue?
Conce
rnin
g y
ou
r ch
ild
ren's
sch
oo
lin
g,
whic
h o
f th
e fo
llo
win
g i
s tr
ue?
Com
par
ed t
o o
ther
hou
seh
old
s in
th
is v
illa
ge,
wou
ld y
ou d
escr
ibe
yo
ur
ho
use
hold
as:
THE RICHEST..................1
AMONG THE RICHEST............2
RICHER THAN MOST HOUSEHOLDS..3
ABOUT AVERAGE................4
POORER THAN MOST HOUSEHOLDS..5
AMONGST THE POOREST..........6
THE POOREST..................7
ALLOWS YOU TO SAVE A LOT............................................1
ALLOWS YOU TO SAVE JUST A LITTLE....................................2
ONLY JUST MEETS YOUR EXPENSES.......................................3
INSUFFICIENT, SO OFTEN NEED TO USE YOUR SAVINGS TO MEET EXPENSES....4
REALLY INSUFFICIENT, SO OFTEN NEED TO BORROW TO MEET EXPENSES.......5
IS VERY RICH............1
IS RICH.................2
IS COMFORTABLE..........3
MANAGES TO GET BY.......4
WAS VERY RICH...........1
WAS RICH................2
WAS COMFORTABLE.........3
MANAGED TO GET BY.......4
NEVER HAD QUITE ENOUGH....5
WAS POOR..................6
WAS DESTITUTE.............7
HOUSEHOLD DIDN'T EXIST....8
WAS VERY RICH...........1
WAS RICH................2
WAS COMFORTABLE.........3
MANAGED TO GET BY.......4
NEVER HAD QUITE ENOUGH....5
WAS POOR..................6
WAS DESTITUTE.............7
HOUSEHOLD DIDN'T EXIST....8
WAS VERY RICH...........1
WAS RICH................2
WAS COMFORTABLE.........3
MANAGED TO GET BY.......4
NEVER HAD QUITE ENOUGH....5
WAS POOR..................6
WAS DESTITUTE.............7
HOUSEHOLD DIDN'T EXIST....8
IT WAS LESS THAN ADEQUATE...1
IT WAS JUST ADEQUATE........2
IT WAS MORE THAN ADEQUATE....3
IT WAS LESS THAN ADEQUATE...1
IT WAS JUST ADEQUATE........2
IT WAS MORE THAN ADEQUATE....3
IT WAS LESS THAN ADEQUATE...1
IT WAS JUST ADEQUATE........2
IT WAS MORE THAN ADEQUATE....3
IT IS LESS THAN ADEQUATE....1
IT IS JUST ADEQUATE.........2
IT IS MORE THAN ADEQUATE.....3
NOT APPLICABLE...............4
IT IS LESS THAN ADEQUATE....1
IT IS JUST ADEQUATE.........2
IT IS MORE THAN ADEQUATE.....3
NOT APPLICABLE...............4
NEVER HAS QUITE ENOUGH....5
IS POOR...................6
IS DESTITUTE..............7
MUCH BETTER NOW.........1
A LITTLE BETTER NOW.....2
NO CHANGE...............3
A LITTLE WORSE NOW......4
MUCH WORSE NOW..........5
DON’T KNOW..............6
H
HN
Res
po
nd
ent's
nam
e
ID
Co
de
R
ou
nd
Vil
lage
D
ate
Pa
ge
47
Con
tinu
ed
13.
Com
par
ed t
o a
yea
r ag
o, w
hy h
ave
your
circ
um
stan
ces
chan
ged
?1
7.
Ho
w w
ould
yo
ur
ho
use
ho
ld o
bta
in t
he
50
ced
i?
a. b. c.
14.
18.
Most
peo
ple
are
bas
ical
ly h
on
est.
19.
Most
peo
ple
can
be
trust
ed.
15.
Why
do y
ou e
xpec
t th
is c
han
ge?
20.
I bel
iev
e th
at t
he
go
ver
nm
ent
does
what
is
rig
ht
for
the
peo
ple
.
a.2
1.
I am
con
fiden
t o
f th
e ab
ilit
y o
f g
ov
ern
men
t o
ffic
ials
to
do
thei
r jo
b.
b.
22.
I co
uld
rel
y o
n m
y n
eigh
bo
r to
mai
l an
im
port
ant
lett
er f
or
me.
c.2
3.
I fe
el I
cou
ld t
rust
my
nei
gh
bors
to
lo
ok
aft
er m
y h
ou
se i
f I
am a
way
.
16.
YES...1
NO....2 (>>18)
PE
RC
EP
TIO
NS
OF
PO
VE
RT
Y A
ND
WE
LL
-BE
ING
TO BE ADMINISTERED TO THE HEAD OF HOUSEHOLD, IF POSSIBLE
In t
erm
s of
you
r house
hold
eco
nom
ic w
ell-
bei
ng,
in a
yea
r fr
om
no
w, d
o y
ou
expec
t to
be
bet
ter
off
, th
e sa
me
as, or
wors
e off
th
an n
ow
?
No
w I
wou
ld l
ike
to a
sk y
ou
so
me
qu
esti
on
s ab
ou
t tr
ust
. D
o y
ou
ag
ree
or
dis
agre
e w
ith
the
foll
ow
ing
stat
emen
ts?
If y
our
house
hold
nee
ded
50 c
edi
for
an e
mer
gen
cy,
cou
ld y
ou
obta
in i
t w
ith
in a
wee
k?
LIST UP TO 3 RESPONSES
MUCH BETTER OFF.........1
A LITTLE BETTER OFF.....2
NO CHANGE...............3
A LITTLE WORSE OFF......4
MUCH WORSE OFF..........5
DON’T KNOW..............6
LIST UP TO 3 RESPONSES
H
HN
Res
pon
den
t's
nam
e
ID
Co
de
R
ou
nd
V
illa
ge
D
ate
STRONGLY AGREE..........1
AGREE...................2
NEUTRAL.................3
DISAGREE................4
STRONGLY DISAGREE.......5
NO EXPERIENCE...........6
FOR EACH QUESTION, ASK THE RESPONDENT TO CHOOSE ONE OF THE FOLLOWING CODES
Pag
e 48
I w
ould
lik
e to
kno
w a
bou
t th
e o
rgan
izat
ion
s y
ou
bel
ong
to
.
1.
2.
3.
4.
5.
6.
7.
8.
9.
Nam
e of
org
aniz
atio
nW
hat
typ
e of
org
aniz
atio
n
is i
t?
Hav
e y
ou
att
end
ed
mee
tin
gs
for
this
org
aniz
atio
n i
n t
he
pas
t
yea
r?
Wh
o t
old
yo
u a
bo
ut
the
gro
up
, or
invit
ed y
ou t
o
join
?
Ho
w o
ften
do
yo
u
atte
nd
, o
n a
ver
age?
Lo
cati
on
Tota
l am
ount
pai
d t
o t
he
org
aniz
atio
n i
n t
he
pas
t
yea
r
Tota
l am
oun
t re
ceiv
ed
fro
m t
he
org
aniz
atio
n i
n
the
pas
t yea
r
Has
th
e gro
up g
iven
yo
u
any o
ther
ass
ista
nce
or
adv
ice?
FIRST LIST ALL ORGANIZATIONS RESPONDENT
BELONGS TO, OTHER THAN THOSE PRE-PRINTED.
THEN ANSWER Q2-6 FOR EACH ORGANIZATION.
YES....1
NO.....2
RELATIONSHIP CODE
OR DESCRIPTION
FREQUENCY CODE
LOCATION CODE
GHC
GHC
IF YES, GIVE DESCRIPTION
Sie
wo h
oF
uner
al o
rgan
izat
ion
Bia
koye
kuo
Far
min
g o
rgan
izat
ion
Onip
a H
iam
oa
Ku
w
ME
MB
ER
SH
IP O
F O
RG
AN
IZA
TIO
NS
AN
D C
OO
PE
RA
TIV
ES
Part
A. M
emb
ersh
ip o
f o
rgan
izati
on
s
H
HN
R
esponden
t's
nam
e I
D C
ode
R
ound
V
illa
ge
D
ate
RELATIONSHIP CODES
NO-ONE....................0
SPOUSE....................1
CHILD.....................2
STEP-CHILD................3
PARENT....................4
GRANDCHILD................5
GRANDPARENT...............6
SIBLING...................7
LOCATION CODES
DAMAN/AHWERIASE...........1
POKROM/NSABAA.............2
OBOADAKA/KWAMEKROM........3
KONKONURU.................4
ABURI.....................5
NSAWAM....................6
FREQUENCY CODES
DAILY.....................1
WEEKLY....................2
FORTNIGHTLY...............3
MONTHLY...................4
QUARTERLY.................5
HALF-YEARLY...............6
YEARLY....................7
OTHER (SPECIFY)...........8
EASTERN REGION (RURAL)....7
EASTERN REGION (URBAN)....8
ACCRA.....................9
OTHER URBAN..............10
OTHER RURAL..............11
NOT IN GHANA.............12
WOFA/UNCLE/AUNT...........8
NIECE/NEPHEW..............9
COUSIN...................10
OTHER RELATIVE...........11
VILLAGE HEAD.............12
LINEAGE HEAD.............13
OTHER VILLAGER...........14
FRIEND NOT IN VILLAGE....15
PRIEST...................16
EXTENSION AGENT..........17
COOPERATIVE..............18
NGO......................19
EXPORTER.................20
TRADER...................21
OTHER (SPECIFY)..........22
Pag
e 4
9
Pa
rt B
. M
emb
ersh
ip o
f F
BO
s a
nd
co
op
era
tiv
es
Hav
e you
bel
on
ged
to a
ny f
arm
er-b
ased
org
anis
atio
ns,
coo
per
ativ
es o
r w
ork
gro
ups
in t
he
pas
t fi
ve
yea
rs?
FIRST ANSWER Q1 FOR ALL GROUPS, THEN ANSWER Q2-16 FOR EACH GROUP. USE ADDITIONAL SHEET IF REQUIRED.
1.
Nam
e of
gro
up
2.
Nam
e of
gro
up
org
aniz
er/c
onta
ct (
if k
now
n)
3.
Wh
at t
ype
of
gro
up
is
it?
COOPERATIVE.......1
SUPPORT GROUP.....2
WORK GROUP........3
OTHER (SPECIFY)...4
4.
Wh
o t
old
you a
bout
the
gro
up, or
invit
ed y
ou
to
join
?RELATIONSHIP CODE
OR DESCRIPTION
5.
Wh
en d
id y
ou j
oin
the
gro
up?
DATE (MM/YY)
6.
Wh
y d
id y
ou j
oin
the
gro
up?
7.
Are
you s
till
a m
ember
?YES....1 (>>Q10)
NO.....2
8.
Wh
en d
id y
ou l
eav
e th
e gro
up?
DATE (MM/YY)
9.
Wh
y d
id y
ou l
eave?
10.
How
oft
en d
o y
ou
mee
t?FREQUENCY CODE
11.
Does
the
gro
up s
har
e la
bor?
YES....1
NO.....2
12.
Does
the
gro
up s
har
e oth
er i
nputs
or
asse
ts (
e.g. a
trac
tor)
?YES....1
NO.....2
13.
Does
the
gro
up d
iscu
ss f
arm
ing p
ract
ices
?YES....1
NO.....2
14.
Hav
e yo
u c
han
ged
your
farm
ing p
ract
ices
sin
ce l
earn
ing i
nfo
rmat
ion
from
th
is g
roup?
YES....1
NO.....2
15.
Does
the
gro
up h
old
Glo
bal
GA
P c
erti
fica
tion?
YES....1
NO.....2
16.
Does
the
gro
up h
ave
a co
ntr
act
wit
h a
buy
er o
r ex
po
rter
?YES....1
NO.....2
ME
MB
ER
SH
IP O
F O
RG
AN
IZA
TIO
NS
AN
D C
OO
PE
RA
TIV
ES
41
23
GR
OU
PS
H
HN
Res
po
nd
ent's
nam
e
ID
Co
de
R
ou
nd
V
illa
ge
D
ate
RELATIONSHIP CODES
NO-ONE....................0
SPOUSE....................1
CHILD.....................2
STEP-CHILD................3
PARENT....................4
GRANDCHILD................5
GRANDPARENT...............6
SIBLING...................7
WOFA/UNCLE/AUNT...........8
NIECE/NEPHEW..............9
COUSIN...................10
OTHER RELATIVE...........11
VILLAGE HEAD.............12
LINEAGE HEAD.............13
OTHER VILLAGER...........14
FRIEND NOT IN VILLAGE....15
PRIEST...................16
EXTENSION AGENT..........17
COOPERATIVE..............18
NGO......................19
EXPORTER.................20
TRADER...................21
OTHER (SPECIFY)..........22
FREQUENCY CODES
DAILY....................1
WEEKLY...................2
FORTNIGHTLY..............3
MONTHLY..................4
QUARTERLY................5
HALF-YEARLY..............6
YEARLY...................7
OTHER (SPECIFY)..........8
Pag
e 5
0
1.
Wh
at i
s th
e h
ighes
t gra
de/
mo
de
of
edu
cati
on
yo
u h
ave
atte
nded
?8.
Do y
ou s
pea
k E
ngli
sh?
9.
Can
you
rea
d a
sen
ten
ce i
n E
ng
lish
?
2.
How
man
y y
ears
did
you
att
end
sch
oo
l fo
r?
3.
Wh
ere
did
yo
u a
tten
d s
cho
ol
for
the
mo
st t
ime?
10
.YES...GIVE ID CODE
NO....LEAVE BLANK (>>13)
11
.C
an t
hey
rea
d a
sen
ten
ce i
n E
ng
lish
?
4.
Wh
y d
id y
ou
lea
ve
scho
ol?
12
.L
ang
uag
e co
mpre
hen
sio
n
5.
Can
yo
u r
ead
a s
ente
nce
in
Ak
uap
em T
wi?
6.
In w
hic
h l
ang
uag
e ar
e yo
u m
ost
pro
fici
ent?
13
.B
asic
ari
thm
etic
7.
Can
yo
u r
ead
a s
ente
nce
in
th
is l
ang
uag
e?
14
.Is
th
ere
som
eone
in y
our
ho
use
ho
ld w
ho
do
es s
um
s fo
r yo
u?
ED
UC
AT
ION Is t
her
e so
meo
ne
in y
our
ho
use
ho
ld w
ho
can
rea
d
Eng
lish
for
yo
u?
YES....1
NO.....2 (>>10)
READ WITHOUT ERRORS....1 (>>12)
READ WITH ERRORS.......2 (>>12)
COULD NOT READ.........3
REFUSED..............999
THIS VILLAGE................1
OTHER VILLAGE IN DISTRICT...2
OTHER DISTRICT IN REGION....3
ACCRA.......................4
SCHOOL CLOSED...............6
I WAS ILL...................7
MARRIAGE/PREGNANCY..........8
OTHER (SPECIFY).............9
OTHER RURAL.................5
OTHER URBAN.................6
OUTSIDE GHANA...............7
HAD ENOUGH EDUCATION........1
FAILED EXAM.................2
NO HIGHER SCHOOL/GRADE......3
COULD NOT AFFORD TO GO......4
TO HELP PARENTS.............5
H
HN
Res
po
nd
ent's
nam
e
ID
Co
de
R
ou
nd
Vil
lage
D
ate
READ WITHOUT ERRORS....1
READ WITH ERRORS.......2
COULD NOT READ.........3
REFUSED..............999
SHOW FLASHCARD
FOR AKUAPEM TWI
SHOW FLASHCARD
FOR LANGUAGE
READ WITHOUT ERRORS....1
READ WITH ERRORS.......2
COULD NOT READ.........3
REFUSED..............999
SHOW FLASHCARD
FOR ENGLISH
READ WITHOUT ERRORS....1
READ WITH ERRORS.......2
COULD NOT READ.........3 (>>13)
REFUSED..............999
LOCATE THE PERSON NOMINATED AND
ASK THEM TO READ THE FLASHCARD
FOR ENGLISH
GIVE MATHS TEST TO THE
RESPONDENT AND RECORD ANSWERS
1.
2.
4.
5.
3.
6.
7.
8.
YES..GIVE ID CODE
NO...LEAVE BLANK
AKUAPEM TWI........1 (>>8)
ASANTE TWI.........2
FANTE..............3
GA.................4
EWE................5
OTHER (SPECIFY)....6 (>>8)
GIVE COMPREHENSION TEST TO
RESPONDENT OR NOMINATED PERSON
AND RECORD ANSWERS
1.
2.
4.
5.
3.
6.
7.
8.
NONE/K.G.....0
PRIMARY 1....1
PRIMARY 2....2
PRIMARY 3....3
PRIMARY 4....4
PRIMARY 5....5
JSS 1........6
JSS 2........7
JSS 3........8
M1...........9
M2..........10
M3..........11
M4..........12
SSS1........13
SSS2........14
SSS3........15
S1..........16
S2..........17
S3..........18
S4..........19
S5..........20
VOC/COMM....21
TECHNICAL...22
UNIVERSITY..23
Page
51
1.
Whic
h c
lan
do
yo
u b
elo
ng
to
?9
.P
leas
e te
ll m
e ab
ou
t th
e am
ou
nt
of
land
bel
on
gin
g t
o y
our
exte
nded
fam
ily.
2.
Do y
ou
hold
a f
amil
y o
r v
illa
ge
off
ice?
UNIT
AMOUNT
Nam
e /
titl
e:T
ota
l fa
mil
y l
and
are
a
Fam
ily
lan
d a
rea
in t
his
tow
n
3.
What
pri
vil
eges
(if
an
y)
do
es t
his
off
ice
giv
e y
ou?
10
.GHC
4.
Who
is
the
hig
hes
t-ra
nk
ed i
nd
ivid
ual
in y
our
exte
nd
ed f
amil
y?
RELATIONSHIP
CODE
11
.a.
H
ow
mu
ch l
and
has
th
e fa
mil
y s
old
or
leas
ed i
n t
he
pas
t y
ear?
AREA
b.
Ho
w m
uch
in
com
e d
id t
hey
rec
eive
for
it?
GHC
5.
What
pri
vil
eges
(if
an
y)
do
es t
hei
r o
ffic
e g
ive
them
?
Part
B. P
are
nts
' E
con
om
ic B
ack
gro
un
d
I w
ould
lik
e to
ask
so
me
qu
esti
on
s ab
out
yo
ur
par
ents
.M
oth
erF
ather
6.
Fam
ily
ho
me
tow
n:
1.
Bir
thp
lace
2.
Hig
hes
t sc
ho
ol
gra
de
com
ple
ted
7.
Reg
ion:
3.
Fir
st o
ccu
pat
ion
4.
Sec
on
d o
ccu
pat
ion
5.
Mai
n r
esid
ence
8a.
Are
yo
u t
he
firs
t fr
om
yo
ur
fam
ily
to
liv
e in
th
is v
illa
ge?
6.
Wif
e nu
mb
er /
nu
mb
er o
f w
ives
7.
Nu
mber
of
chil
dre
n
b.
App
roxim
atel
y h
ow
lon
g h
as y
ou
r fa
mil
y l
ived
her
e?8
.
9.
Did
s/h
e h
old
a v
illa
ge
off
ice?
YES...1
NO....2
c.A
pp
roxim
atel
y h
ow
lon
g h
ave
you
liv
ed h
ere?
10
.If
yes
, w
hat
was
its
nam
e?
Wh
at i
nco
me
did
th
e fa
mil
y e
arn
in t
he
pas
t yea
r fr
om
ren
tin
g o
ut
lan
d?
FA
MIL
Y B
AC
KG
RO
UN
D
To
tal
size
Appro
x.
% o
f
tota
l fa
mil
y l
and
Are
a cu
ltiv
ated
by s
elf
and
sp
ouse
Part
A. F
am
ily s
tru
ctu
re a
nd
wea
lth
Yea
r of
dea
th (
if a
pp
lica
ble
)
LOCATION CODE
OCCUPATION CODE
OCCUPATION CODE
LOCATION CODE
YES....1
NO.....2 (>>Q4)
YES....1 (>>8c)
NO.....2
H
HN
R
espo
nden
t's
nam
e I
D C
ode
R
ound
V
illa
ge
D
ate
YEARS/MONTHS
YEARS/MONTHS
Pa
ge
52
Pa
rt C
. F
ost
erag
eP
art
D.
Inh
erit
an
ces,
con
tin
ued
Did
you l
ive
wit
h a
ny
one
away
fro
m y
our
par
ents
for
at l
east
a y
ear
wh
ile
yo
u w
ere
gro
win
g u
p?
2.
Do
yo
u e
xp
ect
to r
ecei
ve
any o
ther
in
her
itan
ces
(su
ch a
s h
ouse
s or
mon
ey)?
Loca
tio
n 1
Lo
cati
on
2L
oca
tio
n 3
Item
1It
em 2
Item
3
a.P
lace
yo
u l
ived
LOCATION CODE
a.
b.
Age
you s
tart
ed /
en
ded
liv
ing
th
ere
b.
Dat
e y
ou
exp
ect
to r
ecei
ve
itMM/YY
c.R
easo
n f
or
fost
erin
gc.
Rel
atio
nsh
ip o
f cu
rren
t ow
ner
RELATIONSHIP
CODE
d.
Rel
atio
nsh
ip o
f ca
rer(
s)RELATIONSHIP
CODE
d.
Loca
tio
n o
f cu
rren
t ow
ner
LOCATION CODE
e.If
wo
fa,
uncl
e or
aun
t, o
n w
ho
se s
ide?
FATHER...1
MOTHER...2
e.G
end
er o
f cu
rren
t o
wn
erMALE....1
FEMALE..2
f.f.
Is t
he
item
a h
ou
se?
YES..1
NO...2 (>>Q3)
g.
g.
Loca
tio
n o
f ho
use
LOCATION CODE
h.
h.
What
is
it w
ort
h n
ow
?GHC
Pa
rt D
. In
her
itan
ces
1.
Do y
ou e
xpec
t to
rec
eiv
e an
y i
nh
erit
ance
s o
f la
nd?
3.
Did
yo
u r
ecei
ve
any
ass
ista
nce
fro
m y
our
par
ents
or
rela
tives
when
yo
u e
stab
lish
ed y
ou
r ho
use
ho
ld?
Plo
t 1
Plo
t 2
Plo
t 3
Ass
ista
nce
1A
ssis
tan
ce 2
Ass
ista
nce
3
a.D
ate
you
exp
ect
to r
ecei
ve
itMM/YY
a.D
ate
yo
u r
ecei
ved
ass
ista
nce
MM/YY
b.
Rel
atio
nsh
ip o
f cu
rren
t o
wn
erRELATIONSHIP
CODE
b.
Des
crip
tio
n o
f it
em(s
) giv
en
c.L
oca
tio
n o
f cu
rren
t ow
ner
LOCATION CODE
c.R
elat
ionsh
ip o
f p
erso
nRELATIONSHIP
CODE
d.
Gen
der
of
curr
ent
ow
ner
MALE....1
FEMALE..2
d.
Gen
der
of
curr
ent
ow
ner
MALE....1
FEMALE..2
e.L
and s
ize
UNIT
e.L
oca
tio
n o
f per
son
LOCATION CODE
f.QUANTITY
f.L
and
siz
e g
iven
(if
an
y)
IF NONE, (>>h)
g.
Lo
cati
on
CODE
g.
Loca
tio
n o
f la
nd
LOCATION CODE
h.
h.
Was
it
a lo
an o
r a
gif
t?LOAN...1
GIFT...2 (>>NEXT
COLUMN)
i.i.
Hav
e y
ou
rep
aid
th
e lo
an?
YES...1
NO....2
j.W
hat
is
the
land
wort
h n
ow
?GHC
j.W
hat
wo
uld
it
be
wo
rth
no
w?
GHC
FA
MIL
Y B
AC
KG
RO
UN
D
Des
crip
tio
n o
f it
em(s
) pro
mis
ed
Fost
er p
aren
t's:
occ
upat
ion
nu
mber
of
farm
s
mai
n f
arm
ing
act
ivit
y
What
wil
l be
the
mai
n c
rop
gro
wn
?
When
in
her
ited
, w
ill
it b
e dev
elo
ped
or
fall
ow
?
H
HN
R
esponden
t's
nam
e I
D C
ode
R
ound
V
illa
ge
D
ate
YES...1
NO....2 (>>END)
YES...1
NO....2 (>> 3)
YES...1
NO....2 (>> PART D)
YES...1
NO....2 (>> 2)
Page 53
COMPLETE THIS MODULE FOR EACH SPOUSE
NOTE: CODE REFUSALS AS 999
1. Where does your spouse live? 12.
2. How often do you see your spouse? 13. Are there certain things in the house that you always buy?
If yes, what are they?
3. Overall, how well do you get along with your spouse?
14. Are there certain things in the house that your spouse always buys?
For questions 4 and 5, use the following codes: If yes, what are they?
4.
15. Are there certain expenses (e.g. school fees, funeral expenses)
that you always pay for?
5. If yes, what are they?
Now I would like to ask you about how you both manage the house and farm.
6. Do you think your spouse does his/her fair share of
work on the farm?
16. Are there certain expenses (e.g. school fees, funeral expenses)
that your spouse always pays for?
If yes, what are they?
7.
17. a. Do you lend money to your spouse?
8. Do you think your spouse does enough work
around the house?
b. How much have you lent in the past 6 months?
9.
c. " in the past month?
d. What were the amounts for?
10. Does your spouse contribute to the household
finances?
11. a. Does s/he contribute enough? e. Do you have trouble getting it back?
b. Why not?
f. Does this lead to quarrels?
MARITAL ATTITUDES
In this section we would like to ask you some questions about relationships in your household. Please remember that this survey is entirely confidential and your responses will not be
shared with anyone. All the same, you do not have to answer any question if you do not want to.
On a scale of one to five, how much do you trust your spouse?
On a scale of one to five, how fairly does your spouse treat you?
What would you do if s/he does not do enough?
What would you do if s/he does not do enough?
What would you do if it is not enough?
SAME HOUSE.........1 (>>Q3)
DIFFERENT HOUSE IN
THIS VILLAGE.....2 (>>Q3)
ELSEWHERE..........3
FREQUENCY CODE
VERY WELL..........1
WELL...............2
SATISFACTORY.......3
YES...1
NO....2
YES...1
NO....2
YES...1
NO....2
YES...1 (>> 12)
NO....2
YES...1
NO....2
YES...1
NO....2
YES...1
NO....2
YES...1
NO....2 (>> END)
YES...1 (>> END)
NO....2
YES...1
NO....2
HHN Respondent's name ID Code Round Village Date
NOT SO WELL........4
NOT WELL AT ALL....5
COMPLETELY.........1
MOSTLY.............2
SOMEWHAT...........3
NOT MUCH...........4
NOT AT ALL.........5
GHC
GHC
Pag
e 5
4
Pa
rt A
. H
ou
se c
urr
entl
y l
ived
in
by
res
po
nd
ent
1.
Des
crib
e th
e ty
pe
of
dw
elli
ng y
ou
liv
e in
.9.
How
do y
ou h
ave
acce
ss t
o t
he
dw
elli
ng?
2.
Do y
ou
ow
n t
he
dw
elli
ng
?P
art
B. O
ther
hou
ses
ow
ned
by r
esp
on
den
t
3.
How
did
yo
u a
cquir
e it
?1.
Do y
ou
ow
n a
ny h
ouse
s o
ther
than
th
e on
e yo
u a
re l
ivin
g i
n?
For
each
ho
use
ow
ned
(other t
han
th
e o
ne
des
crib
ed i
n P
art A
), c
om
ple
te o
ne
colu
mn i
n t
he
tab
le.
4.
a,b
. F
rom
who
m d
id y
ou
acq
uir
e it
?
Ho
use
1H
ou
se 2
Hou
se 3
c. I
f w
ofa
, u
ncl
e o
r au
nt,
on w
hose
sid
e?2.
Lo
cati
on
LOCATION CODE
3.
How
did
you a
cquir
e it
?
5.
When
did
yo
u a
cqu
ire
it o
r bu
ild i
t?DD/MM/YY
6.
a. H
ave
yo
u e
ver
mad
e im
pro
vem
ents
to t
he
dw
elli
ng?
4.
Fro
m w
hom
did
you
pu
rchas
e/in
her
it/r
ecei
ve
it?
b.
If y
es,
des
crib
e
(>> PART B)
5.
Who s
tay
s in
this
house
?
7.
Who
ow
ns
the
dw
elli
ng
?
8.
Wher
e d
oes
the
ow
ner
liv
e?LOCATION CODE
YES...1
NO....2 (>> 7)
HO
US
ING
OW
NE
RS
HIP
AN
D I
NH
ER
ITA
NC
E
ROOM....................1
APARTMENT...............2
SELF-CONTAINED HOUSE....3
COMPOUND................4
OTHER.............SPECIFY
BUILT MYSELF..........1 (>> 5)
PURCHASED.............2
INHERITED.............3
RECEIVED AS A GIFT....4
FAMILY HOUSE..........5 (>> 5) YES...1
NO....2
YES...1
NO....2 (>>END)
RELATIONSHIP CODE
BUILT MYSELF.........1 (>>5)
PURCHASED............2
INHERITED............3
RECEIVED AS A GIFT...4
FAMILY HOUSE.........5 (>>5)
SPOUSE...............1
CHILDREN.............2
FAMILY MEMBERS.......3
RENT-PAYING TENANTS..4
NO-ONE...............5
OTHER..........SPECIFY
H
HN
R
esponden
t's
nam
e I
D C
ode
R
ound
V
illa
ge
D
ate
RELATIONSHIP
CODE
MALE....1
FEMALE..2
FATHER...1
MOTHER...2
RELATIONSHIP
CODE
MALE....1
FEMALE..2
FREE TENANCY..........1
RENT-PAYING TENANT....2
OTHER...........SPECIFY
Page
55
1.
a. W
hic
h m
ember
s of
this
hou
sehold
are
involv
ed i
n c
rop
cu
ltiv
atio
n?
3.
a. H
ave
you
ever
gro
wn p
inea
pple
s?YES...1
NO....2 (>> Q5)
LIST RELATIONSHIP CODES
IF RESPONDENT IS NOT INCLUDED, >> END
b.
Wh
ich
ty
pe(
s)?
b.
Wh
ich m
ember
s ar
e in
volv
ed i
n i
np
ut
allo
cati
on d
ecis
ion
s on
yo
ur
plo
t(s)
?c.
W
hen
did
yo
u s
tart
gro
win
g p
inea
pple
s?MM/YY
LIST RELATIONSHIP CODES
IF RESPONDENT IS NOT INCLUDED, >> END
d.
Are
yo
u s
till
gro
win
g p
inea
pple
s?YES...1 (>> Q4)
NO....2
c. W
hat
is
the
most
im
port
ant
fact
or
in d
ecid
ing h
ow
mu
ch t
o c
ult
ivat
e o
n y
ou
r plo
t(s)
?e.
W
hen
did
yo
u s
top g
row
ing p
inea
pple
s?MM/YY
f. W
hy d
id y
ou
sto
p?
2.
a. D
o y
ou u
se p
esti
cides
?YES...1
NO....2 (>> Q2c)
4.
a. H
ow
do y
ou p
lant
yo
ur
pin
eapp
les?
b.
Wh
at t
yp
e(s)
of
pla
nti
ng m
ater
ials
do y
ou u
se?
c. D
o y
ou u
se f
erti
lize
r?YES...1
NO....2 (>> Q2e)
c. D
o y
ou u
se h
ired
lab
or
to f
arm
yo
ur
pin
eap
ple
s?YES...1
NO....2
d.
To
what
ex
ten
t does
th
e av
aila
bil
ity
of
cash
aff
ect
you
r dec
isio
ns
abou
t th
e fo
llow
ing:
(i)
Tim
ing
of
har
ves
t
(ii)
Q
ual
ity
of
har
ves
t
e. W
hat
is
the
most
im
port
ant
fact
or
in d
ecid
ing h
ow
mu
ch t
ime
you
spen
d w
eedin
g y
our
plo
t?(i
ii)
Pri
ce r
ecei
ved
for
pin
eapple
s
(iv)
Ab
ilit
y t
o t
ransp
ort
pro
du
ce
(v)
Tim
ing o
f nex
t pla
nti
ng /
har
ves
t
d.
Asi
de
from
the
size
of
your
plo
t, w
hat
is
the
most
im
po
rtan
t
f
acto
r in
dec
idin
g h
ow
much
fer
tili
zer
to a
pply
?
ON
-FA
RM
DE
CIS
ION
MA
KIN
G
To
be
ad
min
iste
red t
o r
esp
ond
ents
wit
h a
t le
ast
on
e p
lot,
wh
o c
urr
entl
y cu
ltiv
ate
cro
ps
b.
Asi
de
from
the
size
of
your
plo
t, w
hat
is
the
most
im
po
rtan
t
f
acto
r in
dec
idin
g h
ow
much
pes
tici
de
to a
pply
?
CASH AVAILABLE........1
LABOUR AVAILABLE......2
EXPECTED RAINFALL.....3
EXPECTED PRICE/PROFIT.4
LAND AVAILABLE.........5
HOW I FEEL / MY HEALTH.6
ALWAYS THE SAME........7
OTHER (SPECIFY)........8
CASH AVAILABLE.................1
GROWING CONDITIONS OF CROPS....2
SEVERITY OF PEST INFESTATION...3
CROP PRICES / EXPECTED PROFIT..4
CASH AVAILABLE.................1
GROWING CONDITIONS OF CROPS....2
EXPECTED RAINFALL..............3
CROP PRICES / EXPECTED PROFIT..4
AMOUNT RECOMMENDED BY
EXTENSION OFFICER/OTHERS.....5
NONE (ALWAYS THE SAME AMOUNT)..6
OTHER (SPECIFY)................7
AMOUNT RECOMMENDED BY
EXTENSION OFFICER/OTHERS.....5
NONE (ALWAYS THE SAME AMOUNT)..6
OTHER (SPECIFY)................7
CASH AVAILABILITY..............1
GROWING CONDITIONS OF CROPS....2
EXPECTED RAINFALL..............3
CROP PRICES / EXPECTED PROFIT..4
HOW I FEEL / MY HEALTH.........5
AMOUNT OF WEEDS................6
LABOR AVAILABILITY.............7
NONE (ALWAYS THE SAME AMOUNT)..8
OTHER (SPECIFY)................9
SUGARLOAF........1
SMOOTH CAYENNE...2
MD2..............3
OTHER (SPECIFY)..4
RAISED BEDS IN ROWS...1
ON THE FLAT IN ROWS...2
OTHER (SPECIFY).......3
SUCKERS....1
CROWNS.....2
OTHER......3
NO EFFECT............1
SMALL EFFECT.........2
MODERATE EFFECT......3
STRONG EFFECT........4
VERY STRONG EFFECT...5
NOW GO TO QUESTION 5
H
HN
Res
po
nd
ent's
nam
e
ID
Cod
e R
ou
nd
V
illa
ge
D
ate
Pa
ge
56
5.
a. H
ave
yo
u e
ver
rec
eiv
ed f
orm
al t
rain
ing i
n p
inea
pple
cult
ivat
ion?
YES..1
NO...2
8.
Ris
k a
vers
ion
exp
erim
ent
YES...1
a.A
Bc.
AB
NO....2 (>> Q6)
11
22
c.F
or
whic
h c
rops
did
you r
ecei
ve
trai
nin
g?
CROP CODE(S)
33
44
d. F
rom
wh
ere
/ fr
om
who
m d
id y
ou g
et t
he
trai
nin
g?
RELATIONSHIP
55
CODE(S)
!6
!6
77
6.
88
99
12
34
56
71
01
0
11
11
PLOT CODE
EVENT CODE
CROP CODE
MM/YY
PER CENT
CODE
GHC
a. b.
b.
AB
d.
AB
c.1
1
d.
22
e.3
3
f.4
4
g.
!5
!5
h.
66
77
7.
Com
par
ed t
o t
he
aver
age
plo
t in
this
are
a, h
ow
fer
tile
are
your
plo
ts?
88
99
Per
centa
ge
of
plo
t
RESPONSE CODE
Res
ponse
8
Val
ue
of
dam
age
What
pro
ble
ms
hav
e you e
xper
ience
d o
n y
our
plo
t(s)
in t
he
pas
t 10 y
ears
? F
or
exam
ple
, dis
ease
s, p
ests
, cr
op l
oss
es, dro
ught.
ON
-FA
RM
DE
CIS
ION
MA
KIN
G, C
on
tin
ued
b. H
ave
you e
ver
rec
eived
form
al t
rain
ing i
n c
ult
ivat
ion
o
f cr
ops
oth
er t
han
pin
eapple
?
Plo
tE
ven
tC
rops
affe
cted
Dat
eS
ever
ity
MUCH MORE THAN AVERAGE..1
MORE THAN AVERAGE.......2
AVERAGE.................3
LESS THAN AVERAGE.......4
MUCH LESS THAN AVERAGE..5
NOT APPLICABLE..........6
a. P
lot
1
d. P
lot
4
b. P
lot
2
e. P
lot
5
EVENT CODES
TERMITES............1
OTHER INSECTS.......2
RODENTS.............3
GRASSCUTTER.........4
OTHER ANIMAL........5
WILT................6
LEAVES FALLING OFF..7
MUSHROOM/FUNGI......8
ROTTEN ROOTS........9
ROTTEN CROPS.......10
DROUGHT/LOW RAIN...11
FLOOD..............12
CHEMICAL DAMAGE....13
PLANTING ERROR.....14
OTHER DISEASE......15
NO MARKET FOR CROP.16
THEFT..............17
UNINTENDED FIRE....18
OTHER (SPECIFY)....19
SEVERITY CODES
MINOR...............1
NOTICEABLE LOSS.....2
SIGNIFICANT LOSS....3
MAJOR LOSS..........4
TOTAL CROP FAILURE..5
RESPONSE CODES
NONE..................1
REPLANT...............2
APPLY CHEMICALS.......3
HAND PICKING..........4
STOP CULTIVATING......5
UPROOT AFFECTED AREA..6
UPROOT ENTIRE PLOT.....7
DESTROY AFFECTED CROP..8
MAKE TRAPS.............9
CHANGE SEED/VARIETY...10
CHANGE METHOD OF
PLANTING............11
TREAT SEEDS...........12
TREAT SUCKERS........13
CAN WATERING.........14
PUMP IRRIGATION......15
WEEDING..............16
OTHER (SPECIFY)......17
H
HN
R
espo
nden
t's
nam
e I
D C
od
e
Rou
nd
V
illa
ge
D
ate
c. P
lot
3
f. P
lot
6
Page
55
RE
SP
ON
DE
NT
ID
WA
S R
ES
PO
ND
EN
T P
RE
SE
NT
DU
RIN
G M
EA
SU
RE
ME
NT
?YES...1
NO....2
USE ONE ROW FOR EACH PLOT, WITH EACH COLUMN REPRESENTING A VERTEX OF THE PLOT
NOTE: IF YOU RUN OUT OF COLUMNS, ENTER SAME PLOT CODE ON NEXT LINE AND CONTINUE FROM COLUMN 1
Plo
t co
de
NW
NW
NW
NW
NW
NW
6
PL
OT
MA
PP
ING
PLEASE ENSURE PLOT CODES CORRESPOND TO THOSE IN PLOT QUESTIONNAIRE
12
34
5
REMARKS AND OBSERVATIONS
H
HN
Res
po
nd
ent's
nam
e
ID
Cod
e R
ou
nd
V
illa
ge
D
ate
SC
HE
DU
LE
OF
CO
DE
S
LOCATION CODES
DAMAN/AHWERIASE........1
POKROM/NSABAA..........2
OBOADAKA/KWAMEKROM.....3
KONKONURU..............4
ABURI..................5
NSAWAM.................6
EASTERN REGION (RURAL) 7
EASTERN REGION (URBAN) 8
ACCRA..................9
OTHER URBAN...........10
OTHER RURAL...........11
NOT IN GHANA..........12
SCHOOL LEVEL CODES
NONE.....................0
PRIMARY..................1
MIDDLE OR JSS............2
SENIOR SEC, TECH, COMMTY
OR TRAINING COLLEGE....3
POST-SEC, NURSING, POLY..4
UNIVERSITY...............5
CROP CODES
CASSAVA..................1
MAIZE....................2
PLANTAIN.................3
COCOYAM..................4
YAM......................5
PINEAPPLE................6
TOMATO...................7
GARDEN EGG...............8
OKRO.....................9
PEPPER..................10
ORANGES.................11
BANANA..................12
AVOCADO.................13
OIL PALM................14
COCOA...................15
SUGAR CANE..............16
BEAN....................17
GROUNDNUT...............18
OTHER (SPECIFY).........19
RELATIONSHIP CODES
SELF......................0
SPOUSE....................1
CHILD.....................2
STEP-CHILD................3
PARENT....................4
GRANDCHILD................5
GRANDPARENT...............6
SIBLING...................7
WOFA/UNCLE/AUNT...........8
NIECE/NEPHEW..............9
COUSIN...................10
OTHER RELATIVE...........11
VILLAGE HEAD.............12
LINEAGE HEAD.............13
OTHER VILLAGER...........14
FRIEND NOT IN VILLAGE....15
PRIEST...................16
EXTENSION AGENT..........17
COOPERATIVE..............18
NGO......................19
EXPORTER.................20
TRADER...................21
OTHER (SPECIFY)..........22
INPUT CODES
INSECTICIDE/PESTICIDE.....1
BIOLOGICAL CONTROL........2
HERBICIDE.................3
FUNGICIDE.................4
FERTILIZER................5
OTHER CHEMICAL............6
SPRAYING COSTS............7
TRACTOR PLOWING...........8
TRANSPORT COSTS...........9
OTHER COMMERCIAL INPUT...10
PROTECTIVE CLOTHING......11
BAGS, DRUMS, CONTAINERS..12
SUCKERS..................13
SEEDS....................14
SEEDLINGS................15
OTHER (SPECIFY)..........16
OCCUPATION CODES
FARMER...................1
TEACHER..................2
TAXI/TRO-TRO DRIVER......3
TRUCK DRIVER.............4
ARTISAN..................5
CONSTRUCTION WORKER......6
FACTORY WORKER...........7
MASON....................8
CARPENTER/CARVER.........9
HERBALIST...............10
HAIRDRESSER.............11
HEALTH WORKER...........12
OFFICE WORKER...........13
SHOP ATTENDANT/TRADER...14
BAKER/COOK..............15
PRIEST..................16
ELDER...................17
STUDENT.................18
UNEMPLOYED..............19
NOT IN LABOR FORCE......20
OTHER (SPECIFY).........21
UNIT CODES
NUMBER...................1
GRAMS....................2
KILOGRAMS................3
POUNDS...................4
MINIBAG..................5
MAXIBAG..................6
LITRES...................7
ROPES....................8
BUNCHES..................9
BALLS...................10
LOAVES..................11
BUNDLES.................12
BEER BOTTLES............13
OLONKA/AMERICAN TINS....14
BUCKETS.................15
SMALL BASKETS...........16
LARGE BASKETS...........17
TOMATO TINS (SMALL).....18
TOMATO TINS (LARGE).....19
MARGARINE TIN (SMALL)...20
MARGARINE TIN (LARGE)...21
HEADLOADS...............22
SACHETS/PACKETS.........23
TUBERS..................24
STICKS..................25
OTHER (SPECIFY).........26
LOAN PURPOSE CODES
FARMING..................1
MEDICAL..................2
CONSUMPTION..............3
TRADING..................4
OTHER BUSINESS...........5
TRAVEL...................6
FUNERAL..................7
OTHER CEREMONY...........8
SCHOOL FEES..............9
OTHER (SPECIFY).........10
FREQUENCY CODES
DAILY....................1
WEEKLY...................2
FORTNIGHTLY..............3
MONTHLY..................4
QUARTERLY................5
HALF-YEARLY..............6
YEARLY...................7
OTHER (SPECIFY)..........8
EMPLOYER CODES
SPOUSE.................1
CHILD..................2
PARENT.................3
OTH HH MEMBER..........4
OTH RELATIVE...........5
SCHOOL................12
CHURCH................13
NGO OR NONPROFIT......14
GOVERNMENT............15
OTHER (SPECIFY).......16
FRIEND IN VILLAGE......6
FRIEND ELSEWHERE.......7
OTHER VILLAGER.........8
COMPANY <5 WORKERS.....9
COMPANY 5-10 WORKERS..10
COMPANY >10 WORKERS...11
Vil
lag
e N
ame
Hou
seh
old
ID
En
um
erat
or
IDP
age of
Vil
lage
Co
de
Res
pon
den
t N
ame
Res
po
nd
ent
ID
I w
ou
ld l
ike
to a
sk y
ou
abo
ut
yo
ur
rela
tio
nsh
ips
wit
h s
om
e o
f th
e p
eop
le i
n t
his
vil
lag
e.
12
34
56
78
91
011
12
HH
No
.ID
Na
me
Do y
ou
kn
ow
wh
o
this
per
son
is?
Do y
ou
kn
ow
th
em
per
son
all
y?
How
is
this
per
son
rel
ate
d t
o
yo
u?
Ho
w l
on
g h
av
e y
ou
kn
ow
n t
his
per
son
?
Wo
uld
yo
u c
on
sid
er
this
per
son
to
be.
..
Ho
w o
ften
do
yo
u
spea
k t
o t
his
per
son
?
IF PERSON DOES NOT RECOGNISE FORMAL NAME, PROMPT
FOR NICKNAME AS WELL
YES....1
NO.....2
YES....1
NO.....2
YES....1
NO.....2
Hav
e y
ou
ev
er
rece
ived
a g
ift
(of
mon
ey,
go
od
s o
r
serv
ices
) fr
om
this
per
son
?
Ha
ve
yo
u e
ver
giv
en a
gif
t (o
f
mo
ney
, g
oo
ds
or
serv
ices
) to
th
is
per
son
?
SO
CIA
L N
ET
WO
RK
QU
ES
TIO
NN
AIR
E
COMPLETE FOR ENTIRE LIST OF PREPRINTED NAMES
RELATIONSHIP CODE
< 1 YEAR......1
1-5 YEARS.....2
5-10 YEARS....3
10+ YEARS.....4
ALL MY LIFE...5
NOT A FRIEND....0
ACQUAINTANCE....1
DISTANT FRIEND..2
GOOD FRIEND.....3
CLOSE FRIEND....4
DAILY.........1
WEEKLY........2
ONCE OR TWICE..
A MONTH.....3
RARELY........4
NEVER.........5
Wo
uld
yo
u
tru
st t
his
per
son
to
lo
ok
aft
er a
va
lua
ble
ite
m
for
yo
u?
YES....1
NO.....2
(>>NEXT
PERSON)
YES....1
NO.....2
(>>NEXT
PERSON)
Bottle cap
drawn
Prize
With dot Without dot
Sorry, no prize
GH¢10 chickens GH¢10 cash
GH¢20 chickens GH¢20 cash
GH¢35 goat GH¢35 cash
GH¢50 goat GH¢50 cash
GH¢70 goat GH¢70 cash
A.
Gen
era
l p
rize
in
form
ati
on
1.
a. T
ype
of
pri
ze w
on
2.
a. D
id y
ou r
ecei
ve
the
pri
ze p
erso
nal
ly?
b. V
alue
GHC
b. W
ho
rec
eiv
ed t
he
pri
ze?
c. W
her
e d
id y
ou w
in?
c. H
ave
they
giv
en t
he
pri
ze t
o y
ou
?
d. D
id y
ou t
ell
yo
ur
spo
use
ab
out
the
pri
ze?
d. W
hen
did
th
ey g
ive
it t
o y
ou?
B.
An
ima
l p
rize
s
Did
yo
u w
in a
n a
nim
al p
rize
?
1.
Ple
ase
des
crib
e w
hat
you
did
wit
h t
he
anim
al(s
) y
ou
wo
n.
2.
Lis
t all
act
ion
s u
sin
g a
new
lin
e fo
r ea
ch a
ctio
n.
(Ple
ase
ag
gre
gate
mu
ltip
le i
nst
ance
s of
the
sam
e act
ion
.)
1.
2.
3.
4.
1.
2.
3.
4.
An
imal
no
.D
ate
Act
ion
Pro
po
rtio
n o
f an
imal
Anim
al n
o.
Dat
eP
rop
ort
ion o
f
anim
al
Wh
o w
as t
he
buyer
?
1 or 2
DD/MM/YY
ACTION CODE
PERCENTAGE
1 or 2
DD/MM/YY
PERCENTAGE
RELATIONSHIP CODE
a.a.
b.
b.
c.c.
d.
d.
3.
4.
1.
3.
1.
3.
4.
Dat
e o
f
mea
lR
elat
ionsh
ipD
ate
Loca
tion
Rel
atio
nsh
ip
DD/MM/YY
RELATIONSHIP CODE
DD/MM/YY
LOCATION
CODE
RELATIONSHIP CODE
a.a.
b.
b.
c.c.
d.
d.
5.
If y
ou
kep
t th
e an
imal
(s),
wh
at d
o y
ou
pla
n t
o d
o w
ith i
t/th
em?
2.
Nam
e o
f in
vit
ee
(PLEASE INCLUDE HHN IF APPLICABLE)
4.
Com
men
ts
(EG. REASON FOR CELEBRATION)
If s
om
e of
the
anim
al m
eat
was
eat
en o
r p
rep
ared
fo
r ea
ting b
y y
ou
r ho
use
ho
ld, w
ere
any n
on-h
ouse
ho
ld
mem
ber
s in
vit
ed t
o s
har
e th
e m
eal?
5.
If y
ou s
old
par
t or
all
of
an a
nim
al y
ou w
on,
ple
ase
des
crib
e th
e sa
les
you m
ade.
Com
men
ts
(EG. SPECIFY FOR Q3)
5.
Money
rece
ived
GHC
If p
art
or
all
of
the
anim
al (
or
its
mea
t) w
as g
iven
aw
ay, to
wh
om
was
it
giv
en?
Incl
ude
gif
ts t
o s
po
use
(s).
2.
5.
Pro
port
ion
PERCENTAGE
LO
TT
ER
Y P
RIZ
EW
INN
ER
S F
OL
LO
W-U
P Q
UE
ST
ION
NA
IRE
Co
mple
te a
sep
ara
te s
hee
t fo
r ea
ch p
erso
n w
ho
won a
pri
ze i
n t
his
ro
und
. T
hose
who
won m
ult
iple
pri
zes
should
com
ple
te o
ne
ques
tionn
air
e per
pri
ze.
Nam
e
(PLEASE INCLUDE HHN IF APPLICABLE)
H
HN
Res
pon
den
t's
nam
e
ID
Co
de
R
ou
nd
V
illa
ge
D
ate
En
um
. ID
CASH........1
CHICKEN(S)..2
GOAT........3
LOTTERY.....1 (>>2)
LUCKY DIP...2
YES...1 (>>B)
NO....2
DATE
(DD/MM/YY)
YES...1
NO....2 (>>END)
RELATIONSHIP CODE
ACTION CODES
KEPT.................1
SOLD (PART OR ALL)...2
ATE OR PREPARED AS
FOOD..............3
GAVE AWAY............4
LOST OR WAS STOLEN...5
OTHER (SPECIFY)......6
EAT...............1
USE FOR BREEDING..2
SELL..............3
YES...1
NO....2
GIVE AWAY.........4
DON'T KNOW........5
OTHER (SPECIFY)...6
YES...1
NO....2 (>>C)
C.
Ca
sh p
rize
s
Did
yo
u r
ecei
ve
a ca
sh p
rize
, o
r se
ll a
n a
nim
al p
rize
?
Ple
ase
des
crib
e w
hat
you
did
wit
h t
he
mo
ney
.
Lis
t all
act
ion
s u
sin
g a
new
lin
e fo
r ea
ch a
ctio
n.
(Yo
u m
ay
aggre
gate
mea
ls, sa
les
etc.
) In
clude
am
ounts
of
money
giv
en t
o t
he
resp
on
den
t's
spouse
(s).
1.
2.
8.
9.
Dat
eA
mo
un
tL
oca
tion
Rel
atio
nsh
ip
DD/MM/YY
GHC
Type
of
bu
sin
ess
LOCATION
CODE
RELATIONSHIP CODE
a. b.
c. d.
e. f. g.
h.
D.
So
cia
l in
tera
ctio
ns
1.
Ho
w d
id y
our
spou
se(s
) re
act
to t
he
new
s th
at y
ou
wo
n?
6.
Ple
ase
des
crib
e th
eir
reques
ts.
(Incl
ude
reques
ts f
rom
sp
ouse
(s)
and o
ther
fam
ily m
ember
s.)
2.
Rel
atio
nsh
ip
2.
a. b.
c.
3.
Ho
w m
uch
more
/les
s? (
Giv
e at
lea
st a
n e
stim
ate.
)GHC
d.
e.
4.
In g
ener
al, h
ow
did
yo
ur
frie
nds
reac
t to
th
e n
ews
that
you
won
?f. g.
h.
5.
i.
Wh
at d
id y
ou
spen
d i
t o
n?
3.
Act
ion
LO
TT
ER
Y P
RIZ
EW
INN
ER
S F
OL
LO
W-U
P Q
UE
ST
ION
NA
IRE
, C
on
t'd
5.
Ty
pe
of
acco
unt
4.
6.
Ple
ase
des
crib
e th
e busi
nes
s.
Item
(s)
boug
ht
(or
serv
ices
pai
d f
or)
10.
Rep
aym
ent
dat
e
(if
appli
cable
)
DD/MM/YY
b. [
For
FE
MA
LE
res
po
nd
ents
] In
th
e w
eek
yo
u w
on,
did
you
r
ecei
ve
less
ch
op
mo
ney
than
usu
al b
ecau
se o
f th
e p
rize
?
a. [F
or
MA
LE
res
po
nden
ts]
In t
he
wee
k y
ou w
on
, d
id y
ou
g
ive
mo
re c
hop
mo
ney
th
an u
sual
bec
ause
of
the
pri
ze?
4.
3.
What
did
they
ask
for?
Nam
e
1.
Has
any
on
e as
ked
yo
u f
or
mon
ey o
r g
ifts
bec
ause
you
wo
n?
Did
you g
ive
it
to t
hem
?
7.
Nam
e of
reci
pie
nt
(PLEASE INCLUDE HHN IF APPLICABLE)
SPENT................1
PUT IN BANK/SUSU.....2 (>>5)
INVESTED IN BUSINESS
OR FARMING........3 (>>6)
GAVE AWAY............4 (>>7)
LENT.................5 (>>7)
OTHER (SPECIFY)......6
(>> NEXT ACTION)
CONSUMPTION GOOD..1
ASSET (SPECIFY)...2
UTILITY BILL......3
ENTERTAINMENT.....4
LIVESTOCK.........5
OTHER (SPECIFY)...6
(>> NEXT ACTION)
BANK..1
SUSU..2
OTHER.3
(>> NEXT
ACTION)
OCCU-
PATION
CODE
DESCRIPTION
(>> NEXT ACTION)
YES...1
NO....2 (>>END)
HAPPY...............1
UNHAPPY.............2
NO REACTION.........3
DOESN'T KNOW I WON..4
OTHER (SPECIFY).....5
HAPPY...............1
UNHAPPY.............2
NO REACTION.........3
DON'T KNOW I WON....4
OTHER (SPECIFY).....5
GAVE MORE......1
GAVE THE SAME..2 (>>4)
GAVE LESS......3
DON'T KNOW.....4 (>>4)
RECEIVED LESS..1
REC'D THE SAME.2 (>>4)
RECEIVED MORE..3
DON'T KNOW.....4 (>>4)
YES...1
NO....2
YES...1
NO....2 (>>D)
RELATIONSHIP
CODE
DESCRIPTION
(PLEASE INCLUDE HHN IF APPLICABLE)
Script for Public Goods Experiment
Dialogue
As we promised, today we are going to pay you GHC2 for your participation in the survey in
April. The payment is to compensate you for the time you spent helping us with our research.
Give the person GHC2 (10x 20p coins).
As we discussed at a village meeting recently, you have the choice to donate some or all of this
money to a fund which will be used to purchase a [public good] for [your village]. This was the
item the people at that meeting decided would be most useful for [your village]. The money we
collect will be kept in a bank account until the end of the year and then used to buy the [public
good].
In order to assist your village to buy the [public good], we will match the donations of a certain
number of people. Please take a bottle top from this bag to find out whether your donation will
be matched. Show the ratio card to the person and explain which number they drew based on the
colour of the bottle top.
• If the number drawn was !, 1, 1! or 2: You have drawn the number [X]. Show card with
numbers and matching amounts for the ratio drawn. That means that for any donation you
make to the fund, we will make an additional donation of [X] times what you donate. For
example, if you donate c1, we will donate an additional [X times c1]. Answer any questions
and ensure the person understands this concept before continuing.
• If the number drawn was 0: You have drawn the number 0. That means we will not be able
to match your donation. However, you are still welcome to donate to the fund if you like.
You can choose to donate any amount. You do not have to donate unless you want to. What you
choose to do is entirely your decision, and will be kept private. We will not tell anyone outside
this room whether you donated, and it will not affect your status in the survey or your chance of
winning prizes in the lottery. Your donations are important, however. The village will only get as
much money to buy the [public good] as is raised through respondents’ donations and the
matching contributions.
Would you like to donate, and if so, how much will you donate?
Take donation (if offered) and place in the susu box. Count out the matching donation and
explain the calculation. Place the matching donation in the box as well. Thank the person for
their time and kind donation, and show them to the door. Once they have left, record the amount
they donated on the form.
Actions after donations
After the donations are complete, we will open the box and count the money in the presence of
the village chiefs. We will record the amount raised and announce it to them. We will explain
that the money will be kept in a bank account until the end of the year, and then the total raised
will be spent on the item they chose.
Script for possible questions, complaints
1. Difficult villagers. Give pretest participants a c1 note if they ask for it (provided they are
identified). They must sign in as respondents do. They are not to continue to the experiment,
however. Those who were neither in the sample nor the pretest are not to be paid under any
circumstances.
2. Proxy recipients: The money is to be given only to the respondent him/herself. Respondents
may not accept the money on behalf of their spouse. We will revisit absentees when they return.
3. Dropped households. Individuals whose households were dropped (in Konkonuru and
Darmang) are only to be paid if they completed both the household questionnaire and social
network questionnaire. In that case, give them a c1 note and ask them to leave. Don’t continue
with the experiment. Those who did not complete both questionnaires have not earned payment
and are not to be paid. If the wife completed the questionnaires but the husband didn’t, pay her
but not him. In all cases, explain that because their household is no longer in the survey, they
will not be paid again and will not take part in the lottery.
4. I don’t want the money. If anyone refuses payment, it constitutes a full donation. Make this
known to the respondent too. Continue with the experiment to determine the matching donation.
5. Respondent refuses to take part in experiment. The respondent has the right to leave at any
time. Pay them their money and ensure they have signed for its receipt. Record the donation as
zero in such circumstances.
6. You didn’t give me enough compensation for my time. Paying respondents for surveys is not
common. We are giving you a small amount of money in gratitude for your time, but are
operating on a limited budget and this is the most we can offer.
7. I don’t like the match, I want to draw again. Sorry, you cannot. The matching draw is final. If
you were offered a different match ratio to a friend or spouse; this is intentional. You should
make your own decision about donating based on the match we have offered.
8. I want to donate more than c1. We will accept larger donations, but can only afford to match
up to [X] cedis (where X is the match proportion offered). Take the larger donation, record it on
the form and put it in the box along with X cedis. Record X cedis on the form as the matched
donation, and X as the match proportion.
9. What happens to the money? It will be counted in front of the assemblyman or chief, and kept
in a bank account until December, when we will use it to pay for the village public good.
10. I don’t agree with the public good chosen. The public good was decided by a village meeting
with the leaders of the village present. As a village you may change your mind about the good
later in the year, but only if everyone agrees. We are trying to offer your village something that is
needed, and that a majority of people want. It is impossible to satisfy everyone, or buy
everything that is needed.
11. Any other questions? Do not improvise. Call Thomas on 0245 927 606 for directions.
Bottle cap Match ratio
0
!
1
1 !
2
Dar
man
g
Pro
ject
:
C
om
ple
te t
he
JSS
buil
din
g.
Rai
sed s
o f
ar:
GH
¢ 2
76
Req
uir
ed f
or
pro
ject
:
GH
¢ 7
50
Rai
sed
so f
ar
Req
uir
ed
GH
¢ 2
76
GH
¢ 7
50