Please Wait...

Household Template 12 -Form Fill

Survey Information
Q01

Interviewer Code
Q02

Interviewer Name
Q03

Grantee organisation for whom this interview is being conducted
Q04

Date

Q05

Start Time
Q06

End time
Household identification and location
A01

State
A02

State Census/SECC Code
A03

District
A04

District Census/SECC Code
A05

Block
A06

Block Census/SECC Code
A07

Gram Panchayat
A08

Gram Panchayat MNREGS Code
A09

Village
A10

Village Census/SECC Code
A11

Hamlet/Tola
A12

Location of household
A13

Address of the household
A14

Landmark (Specify)
A15

Name of the respondent
A16

Sex of the respondent
A17

Mobile number of the respondent
A18

Relationship of respondent to household head
A19

Name of household head
A20

Mobile number of household head
A21

Sex of the household head
A22

Religion of household head
A23

Religion of majority households in the hamlet you are residing in
A24

Social Category of Household?
A25

Does the household head belong to a particularly vulnerable tribal group (PVTG)
A26

Does the household have a MGNREGS job card?
A27

What is the MNREGS job card number?
A28

Does the household have a ration card?
A29

Under which scheme does the Household have a ration card?

A30

What is the ration card number?
A31

Does [NAME OF HH HEAD] have a voter id?
A32

What is the voter id number of the [NAME OF HH HEAD]?
Household roster
B01

What is the total number of members residing in this household? This includes everybody who stays here under this roof and for whom food is cooked in this house, including members who are not here currently but have lived and eaten food here for more than 6 months in the last 12 months. Do not include members for whom food is cooked separately or people who are short term guests/visitors (less than 6 months).
B02

HH member ID
B03

What is the name of the HH member?
B04

What is the sex of (NAME)?
B05

What is the relation of (NAME) to the household head?
B06

What is the age of (NAME) in completed years?
B07

What is the marital status of (NAME)?
B08

Is (NAME) currently enrolled in a formal educational institution?
B09

What is the highest educational qualification attained by (NAME)?
B10

Does (NAME) have an Aadhar ID?

B11

Does [NAME] have a bank account?
B12

HH member ID
B13

Is [NAME] a member of a group or co-operative that is involved in production or marketing?
B14

What commodity is produced or marketed by this producer group or co-operative?
B15

Year of joining the producer group or co-operative?
B16

What is the position held or role performed by (NAME) in the producer group or cooperative?
Socio-economic status and asset ownership
C01

Does your family own this house?
C02

What is the type of your house?
C03

How many rooms are there in your house?
C04

What is the main source of drinking water for members in the house?
C05

Is the water available throughout the year?
C06

During which months do you experience scarcity of water?
C07

What is type of toilet facility available in your house?
C08

What is the main source of lighting in your house?
C09

What is the main type of fuel does your HH use for cooking?
C10

Does your HH own the following? (Items in the list should be in working condition)

C10_1

Electricity connection
C10_2

Pressure cooker

C10_3

Mixer/grinder

C10_4

Motorcycle/scooter

C10_5

Car/Jeep

C10_6

Tractor and/ or other agricultural equipment (incl. power tiller)
C10_7

Bicycle
C10_8

Animal-drawn cart
C10_9

Chair
C10_10

Table

C10_11

Cot/ Bed

C10_12

Mattress
C10_13

Clock or watch
C10_14

Electric fan
C10_15

Water pump
C10_16

Thresher
C10_17

Radio/Transistor
C10_18

Sewing machine
C10_19

Refrigerator

C10_20

Colour television
C10_21

Telephone
C10_22

Computer
C10_23

Cell Phone
C11

Do you have this farm machinery or equipments available in your house

C11_1

Laser land leveler
C11_2

Wooden plank
C11_3

Rotavator
C11_4

Tractor
C11_5

Disc harrow
C11_6

Cultivator
C11_7

Zero till drill/DSR machine
C11_8

Hoe
C11_9

Wooden plough
C11_10

Iron plough
C11_11

Planter
C11_12

Ox plough cart
C11_13

Seeder
C11_14

Irrigation pump
C11_15

Generator
C11_16

Power weeder
C11_17

Power sprayer
C11_18

Mini harvester
C11_19

Combine harvester
C11_20

Thresher
C11_21

Straw baler
C11_22

Broadcast seeder
C12

Does you HH own the following animals?

C12_1

Cows
C12_2

Buffaloes
C12_3

Bullocks
C12_4

Sheep
C12_5

Goats
C12_6

Pigs
C12_7

Ducks
C12_8

Poultry
C12_9

Fishery
C12_10

Bee-keeping
C13

Number of animals owned

C13_1

Cows
C13_2

Buffaloes
C13_3

Bullocks
C13_4

Sheep
C13_5

Goats
C13_6

Pigs
C13_7

Ducks
C13_8

Poultry
C13_9

Fishery
C13_10

Bee-keeping
Land ownership
D01

What is the total area of land owned by the household?
D01A

Units
D02

Is this [QUANTITY AND UNIT OF LAND RESPONDED IN D1] land exclusively owned by your household or is it shared with other households (including siblings, cousins, parents or other relatives)?
D03

From the total land shared between different households of your family, do you have a clear share/part that is for your household?
D04

What is the area of land exclusively for your household?
D04A

Units
D05

How many different households share the land of your family?
D06

Does your household and these other households cultivate together on this land?
D07

Does your household and these other households share input costs?
D08

Does your household and these other households share the output?
D09

How are the input costs shared?
D10

How is the output shared?
D11

Of the total land (either exclusively owned by your household or total land shared by different households of your family), what is the total area cultivated by your household?
D11A

Units
Kharif 2022
E01

Did you and if yes, how many crops did you cultivate in kharif 2022?
E02

What crop did you cultivate in kharif 2022?
E03

What is area under [CROP] in kharif 2022?
E03A

Units
E04

How much seed was used for [CROP] in kharif 2022?
E05

How much expenses were incurred for purchase of seed in kharif 2022?
E06

What are the sources of seeds in kharif 2022?
E07

How much [CROP] was harvested in kharif 2022?
E08

What is the quantity of [CROP] from Kharif 2022 sold in the market?
E09

In which market(s) did you sell [CROP] in kharif 2022?
E10

How much [CROP] was marketed in [MARKET] in kharif 2022?
E11

What is the total revenue from sales of [CROP] in [MARKET] in kharif 2022?
E12

What are the different type of production inputs used by the household in kharif 2022?
E13

What is the total expenses incurred for the [INPUT NAME] in kharif 2022?
E14

What is the Source of [INPUT] in kharif 2022?
E15

How much did you spend for diesel in kharif 2022?
E16

How much did you spend for electricity in kharif 2022?
E17

How much did you spend for transportation of produce in kharif 2022?
E18

How much did you spend for marketing of produce in kharif 2022?
E19

What is the own farm labour by the male members of the household?

E20

What is the own farm labour by the female members of the household?
E21

Do you hire labour for farming activities in kharif season?
E22

What is the hired male labour by the household in kharif season?
E23

What is the hired female labour by the household in kharif season?
E24

What is the type of payment for hired labour?
E25

How much expenses were incurred for hired male labour (both cash and kind excluding no of meals)?
E26

How much expenses were incurred for hired female labour (both cash and kind excluding no of meals)?
E27

How many meals did you give for hired labourers in kharif season?
E28

Do you avail hired animal labour in kharif season?
E29

How much expenses were incurred for hired animal labour?
E30

Do you avail hired machine labour in kharif season?
E31

How much expenses were incurred for hired machine labour?
Summer 2022
F01

Did you and if yes, how many crops did you cultivate in Summer 2022?
F02

What crop did you cultivate in Summer 2022?
F03

What is area under [CROP] in Summer 2022?
F03A

Units
F04

How much seed was used for [CROP] in Summer 2022?
F05

How much expenses were incurred for purchase of seed in Summer 2022?
F06

What are the sources of seeds in Summer 2022?
F07

How much [CROP] was harvested in Summer 2022?
F08

What is the quantity of [CROP] from Summer 2022 sold in the market?
F09

In which market(s) did you sell [CROP] in Summer 2022?
F10

How much [CROP] was marketed in [MARKET] in Summer 2022?
F11

What is the total revenue from sales of [CROP] in [MARKET] in Summer 2022?
F12

What are the different type of production inputs used by the household in Summer 2022?
F13

What is the total expenses incurred for the [INPUT NAME] in Summer 2022?
F14

What is the Source of [INPUT] in Summer 2022?
F15

How much did you spend for diesel in Summer 2022?
F16

How much did you spend for electricity in Summer 2022?
F17

How much did you spend for transportation of produce in Summer 2022?
F18

How much did you spend for marketing of produce in Summer 2022?
F19

What is the own farm labour by the male members of the household?
F20

What is the own farm labour by the female members of the household?
F21

Do you hire labour for farming activities in Summer season?
F22

What is the hired male labour by the household in Summer season?
F23

What is the hired female labour by the household in Summer season?
F24

What is the type of payment for hired labour?
F25

How much expenses were incurred for hired male labour (both cash and kind excluding no of meals)?
F26

How much expenses were incurred for hired female labour (both cash and kind excluding no of meals)?
F27

How many meals did you give for hired labourers in Summer season?
F28

Do you avail hired animal labour in Summer season?
F29

How much expenses were incurred for hired animal labour?
F30

Do you avail hired machine labour in Summer season?
F31

How much expenses were incurred for hired machine labour?
Rabi 2021-22
G01

Did you and if yes, how many crops did you cultivate in Rabi 2021-22?
G02

What crop did you cultivate in Rabi 2021-22?
G03

What is area under [CROP] in Rabi 2021-22?
G03A

Units
G04

How much seed was used for [CROP] in Rabi 2021-22?
G05

How much expenses were incurred for purchase of seed in Rabi 2021-22?
G06

What are the sources of seeds in Rabi 2021-22?
G07

How much [CROP] was harvested in Rabi 2021-22?
G08

What is the quantity of [CROP] from Rabi 2021-22 sold in the market?
G09

In which market(s) did you sell [CROP] in Rabi 2021-22?
G10

How much [CROP] was marketed in [MARKET] in Rabi 2021-22?
G11

What is the total revenue from sales of [CROP] in [MARKET] in Rabi 2021-22?
G12

What are the different type of production inputs used by the household in Rabi 2021-22?
G13

What is the total expenses incurred for the [INPUT NAME] in Rabi 2021-22?
G14

What is the Source of [INPUT] in Rabi 2021-22?
G15

How much did you spend for diesel in Rabi 2021-22?
G16

How much did you spend for electricity in Rabi 2021-22?
G17

How much did you spend for transportation of produce in Rabi 2021-22?
G18

How much did you spend for marketing of produce in Rabi 2021-22?
G19

What is the own farm labour by the male members of the household?

G20

What is the own farm labour by the female members of the household?
G21

Do you hire labour for farming activities in Rabi season?
G22

What is the hired male labour by the household in Rabi season?
G23

What is the hired female labour by the household in Rabi season?
G24

What is the type of payment for hired labour?
G25

How much expenses were incurred for hired male labour (both cash and kind excluding no of meals)?
G26

How much expenses were incurred for hired female labour (both cash and kind excluding no of meals)?
G27

How many meals did you give for hired labourers in Rabi season?
G28

Do you avail hired animal labour in Rabi season?
G29

How much expenses were incurred for hired animal labour?
G30

Do you avail hired machine labour in Rabi season?
G31

How much expenses were incurred for hired machine labour?
Rabi 2022-23
H01

Now, I will ask you questions about the current cropping season; Rabi 2022-23

H02

Has your household cultivated any crops or plans to cultivate any crops in this current season?
H03

What crops have you sown or sown and harvested in this current cropping season (Rabi)?
H04

What crops do you plan to sow/cultivate in this current cropping season (Rabi)?
H05

Is your household cultivating or plan to cultivate more crops this Rabi compared to the previous Rabi?
H06

Is your household cultivating or plan to cultivate on more land this Rabi compared to the previous Rabi?
H07

Is your household accessing/utilising/availing any new or enhanced service/technology/platform/product this Rabi compared to the previous Rabi?
H08

What may this be?
H09

What is area under [CROP] in Rabi 2021-22?
H09A

Units
H10

How much seed was used for [CROP] in the current season?
H11

How much expenses were incurred for purchase of seed in the current season?
H12

What are the sources of seeds in the current season?
H13

Is your housedhold better off or have better prospects in this Rabi compares to the previous Rabi?
H14

Why is your household better off or have better prospects?
Perennial crops
I01

Do you and if yes, how many perrenial crops do you currently cultivate or have harvested in the last 12 months?
I02

What perrenial crops do you cultivate or have harvested in the last 12 months?
I03

What is area under [CROP]?
I03A

Units
I04

How much seed or saplings was used for [CROP]?
I05

How much expenses were incurred for purchase of seed or sapling?
I06

What are the sources of seeds or saplings?
I07

How much [CROP] or produce from [CROP] was harvested in the last 12 months?
I08

What is the quantity of [CROP] or produce from [CROP] sold in the market in the last 12 months?
I09

In which market(s) did you sell [CROP] or produce from [CROP] in the last 12 months?
I10

How much [CROP] or produce from [CROP] was marketed in [MARKET] in the alst 12 months?
I11

What is the total revenue from sales of [CROP] or produce from [CROP] in [MARKET] in the last 12 months?
I12

What are the different type of production inputs used by the household in the alst 12 months?
I13

What is the total expenses incurred for the [INPUT NAME] in the last 12 months?
I14

What is the Source of [INPUT] in the last 12 months?
I15

How much did you spend for diesel in the last 12 months?
I16

How much did you spend for electricity in the alst 12 months?
I17

How much did you spend for transportation of produce in the last 12 months?
I18

How much did you spend for marketing of produce in the last 12 months?
I19

What is the own labour for perrenial crops by the male members of the household in the last 12 months?

I20

What is the own labour for perrenial crops by the female members of the household in the last 12 months?
I21

Do you hire labour for the perrenial crops in the last 12 months?
I22

What is the hired male labour by the household for perrenial crops in the last 12 months?
I23

What is the hired female labour by the household for perrenial crops in the last 12 months?
I24

What is the type of payment for hired labour?
I25

How much expenses were incurred for hired male labour (both cash and kind excluding no of meals)?
I26

How much expenses were incurred for hired female labour (both cash and kind excluding no of meals)?
I27

How many meals did you give for hired labourers for perrenial crops in the last 12 months?
I28

Do you avail hired animal labour for perrenial crops in the last 12 months?
I29

How much expenses were incurred for hired animal labour?
I30

Do you avail hired machine labour for perrenial crops in the last 12 months?
I31

How much expenses were incurred for hired machine labour?
Livestock
J01

Has your household owned any livestock in the last 12 months
J02

What livestock has your household owned in the last 12 months?
J03

What is the number of adult male of [LIVESTOCK] in the household?
J04

What is the number of adult female of [LIVESTOCK] in the household?
J05

What is the no of young [LIVESTOCK]?
J06

How many [LIVESTOCK] did you purchase in last 12 months?
J07

What is the total purchase value the [LIVESTOCK] owned by the household in the last 12 months?
J08

What is the source from where the [LIVESTOCK] has been purchased?
J09

Did you rent out any [LIVESTOCK] in the last 12 months?
J10

What is the rent received in the last 12 months?
J11

What is the type of produce from [LIVESTOCK] that has been marketed by your household in the last 12 months?
J12

What is the total sales of [PRODUCE] of [LIVESTOCK] in the last 12 months?

J13

Unit of sales of [PRODUCE]
J14

Where do you market [PRODUCE] of [LIVESTOCK]?
J15

What is the quantity of [PRODUCE] marketed in [MARKET]?
J16

Unit of sales of [PRODUCE] in [MARKET]?
J17

What is the total sales revenue for [PRODUCE] received from [MARKET]?
J18

What are the expenses for transporting animals to the farm/household in the last 12 months?
J19

What are the expenses for feed (Fodder) in the last 12 months?
J20

What are the expenses for feed (concentrate) in the last 12 months?
J21

What are the expenses for vaccines and medicines in the last 12 months?
J22

What are the expenses for housing in the last 12 months?
J23

What are the expenses for transportation charges incurred while marketing/selling produce in the last 12 months?
J24

Do you hire labour for rearing any livestock owned by your household?
J25

What are the total no. of man days of hired male labour in the last 12 months?
J26

What are the total no. of man days of hired female labour in the last 12 months?
J27

What is the type of payment for hired labour?
J28

What are the expenses for hired male labour (both cash and kind excluding no of meals)?
J29

What are the expenses for hired female labour (both cash and kind excluding no of meals)?
J30

How many meals did you give for hired labourers?
Consumption Expenditure
K01

How many [UNIT] of [ITEM] has been consumed in your household over past 30 days?

K01_1

Rice
K01_2

Wheat/Flour
K01_3

Sugar
K01_4

Kerosene
K01_5

Other cereals
K01_6

Pulses and pulse products (includes soybean, gram etc)
K01_7

Meat, chicken, and fish
K01_8

Jaggery and other sweeteners, other than sugar (includes, candy, misri, honey etc)
K01_9

Edible oil and Vanaspati
K01_10

Eggs
K01_11

Milk
K01_12

Milk products like ghee, butter, ice cream, milk powder, dahi, paneer, etc
K01_13

Cereal products like bread, muri, chura, maida, suji, noodles etc
K01_14

Vegetables (includes garlic ginger etc)
K02

Was this [ITEM] home grown or purchased?

K02_1

Rice
K02_2

Wheat/Flour
K02_3

Sugar
K02_4

Kerosene
K02_5

Other cereals
K02_6

Pulses and pulse products (includes soybean, gram etc)
K02_7

Meat, chicken, and fish
K02_8

Jaggery and other sweeteners, other than sugar (includes, candy, misri, honey etc)
K02_9

Edible oil and Vanaspati
K02_10

Eggs
K02_11

Milk
K02_12

Milk products like ghee, butter, ice cream, milk powder, dahi, paneer, etc
K02_13

Cereal products like bread, muri, chura, maida, suji, noodles etc
K02_14

Vegetables (includes garlic ginger etc)
K03

Over the past 30 days what was the average market price of one [UNIT] of [ITEM]

K03_1

Rice
K03_2

Wheat/Flour
K03_3

Sugar
K03_4

Kerosene
K03_5

Other cereals
K03_6

Pulses and pulse products (includes soybean, gram etc)
K03_7

Meat, chicken, and fish
K03_8

Jaggery and other sweeteners, other than sugar (includes, candy, misri, honey etc)
K03_9

Edible oil and Vanaspati
K03_10

Eggs
K03_11

Milk
K03_12

Milk products like ghee, butter, ice cream, milk powder, dahi, paneer, etc
K03_13

Cereal products like bread, muri, chura, maida, suji, noodles etc
K03_14

Vegetables (includes garlic ginger etc)
K04

Out of total [QUANTITY] [UNIT] how much did you buy from the ration/PDS shop?

K04_1

Rice
K04_2

Wheat/Flour
K04_3

Sugar
K04_4

Kerosene
K04_5

Other cereals
K04_6

Pulses and pulse products (includes soybean, gram etc)
K04_7

Meat, chicken, and fish
K04_8

Jaggery and other sweeteners, other than sugar (includes, candy, misri, honey etc)
K04_9

Edible oil and Vanaspati
K04_10

Eggs
K04_11

Milk
K04_12

Milk products like ghee, butter, ice cream, milk powder, dahi, paneer, etc
K04_13

Cereal products like bread, muri, chura, maida, suji, noodles etc
K04_14

Vegetables (includes garlic ginger etc)
K05

Over the past 30 days, how much did you pay in the ration /PDS shop for one [UNIT] of [ITEM]?

K05_1

Rice
K05_2

Wheat/Flour
K05_3

Sugar
K05_4

Kerosene
K05_5

Other cereals
K05_6

Pulses and pulse products (includes soybean, gram etc)
K05_7

Meat, chicken, and fish
K05_8

Jaggery and other sweeteners, other than sugar (includes, candy, misri, honey etc)
K05_9

Edible oil and Vanaspati
K05_10

Eggs
K05_11

Milk
K05_12

Milk products like ghee, butter, ice cream, milk powder, dahi, paneer, etc
K05_13

Cereal products like bread, muri, chura, maida, suji, noodles etc
K05_14

Vegetables (includes garlic ginger etc)
K06

Over the past 30 days, what was the total value of the following items that the household consumed?

K06_1

Salt and spices (includes dry chillies, powdered spices, oilseeds etc)
K06_2

Tea and coffee
K06_3

Processed foods (such as biscuits, cake, pickles, sauce etc)
K06_4

Paan, tobacco, intoxicants
K06_5

Fruits and nuts (includes mango, banana, coconut, dates, raisins, peanuts, almonds, cashew etc)
K06_6

Food at restaurants, eating out, etc
K06_7

Household fuel
K06_8

Household electricity
K06_9

Entertainment (includes cinema, video cassettes, movie downloads, sports club expenses, and family outings)
K06_10

Telephone/mobile, cable/dish, and internet charges
K06_11

Cosmetics / toilet articles (includes toothpaste, hair oil, shaving blades, sanitary pads etc)
K06_12

Household items (includes electric bulb, tube light, glassware, bucket etc)
K06_13

Soap, detergent/washing powder, incense sticks, insecticide etc

K06_14

Transportation (includes railway, bus, hired taxi, rickshaw, porter charges, auto, school bus/van etc)
K06_15

Diesel, petrol, CNG of owned vehicle
K06_16

House rent
K06_17

House loan instalment
K06_18

Other rent (appliances like cooler etc)
K06_19

Consumer taxes, cesses, and fees, (includes water charges and house tax)
K06_20

Services (domestic help, barber, laundry etc)
K06_21

Out-patient medical expenses
K07

For the following expenses/purchases, about how much did you spend in the past 365 days?

K07_1

In-patient medical expenses
K07_2

School/college fees
K07_3

Private tuition (coaching) fees
K07_4

School books and educational articles (includes newspaper, library charges, stationary charges etc)
K07_5

Clothing and bedding (includes tailoring costs, bedsheets, mosquito net etc)
K07_6

Footwear
K07_7

Furniture and fixtures (includes bed, almirah, etc)
K07_8

Crockery and utensils
K07_9

Cooking and household appliances (includes electric fan, air conditioner, sewing machine, pressure cooker etc)
K07_10

Goods for recreation (includes television, radio, musical instruments etc)
K07_11

Jewellery and ornaments
K07_12

Personal transport equipment (includes bicycle, two-wheeler, car tyres etc)
K07_13

Therapeutic appliances (includes eye glasses, spectacles, hearing aids, orthopaedic equipment etc)
K07_14

Personal care and household items (includes torch, umbrella, lighter etc)
K07_15

Other personal goods (includes clock, watch, telephone, mobile, computer etc)
K07_16

Repair and maintenance (of residential buildings, plumbing, wiring etc NOT NEW BUILDING)
K07_17

Insurance premiums
K07_18

Vacations/holidays/recreational travel
K07_19

Social functions (such as marriage, funerals, baptism, etc other than reported above)
Effectiveness of Farmer Producer Organisation (FPO)
L01

Are you a member of a Farmer Producer Organisation (FPO)?
L02

How long have you been a member of the FPO?
L03

Name of the FPO that you are a member of?
L04

How did you come to know about the FPO?
L05

Approximately how many members does the FPO have?
L06

Would you say that more than 70% of farmers in the FPO are…
L07

Are women farmers, members of the FPO?
L08

Do you regularly attend the meetings of the FPO?
L09

What are the services provided by the FPO?

L10

Do you participate in the activities of the FPO?
L11

Do you benefit from the activities of the FPO?
L12

What are your perceived benefits of the FPO?
L13

Why do you not use the services of the FPO?

L14

On a scale of 1-5 how satisfied are you with the services provided by the FPO?
L15

Does the FPO provide loans to its members?
L16

What type of loan does the FPO provide?
L17

Why are you not a member of an FPO?
Crop Advisory and Capacity Building
M01

What were major challenges you faced while engaging in cultivation over the last 365 days/12 months?

M02

Did you receive any of the following advisory services over the last 365 days/12 months?
M03

From where you got these advisory services

Gender and womens' empowerment in agri value chains
N01

Do you, yourself, participate in any of these activities?
N02

When decisions are made regarding [ACTIVITY] who is it that normally takes the decision?
N03

How much input do you have in decisions in on the use of income generated from [ACTIVITY]
N04

Do you own Agricultural land (pieces/plots)?
N05

Do you own large livestock (oxen, cattle etc)?

N06

Do you own farm equipment? (Non-mechanized: hand tools, animal-drawn plough)

N07

Do you own farm equipment? (Mechanized: tractor-plough, power tiller, treadle pump)

N08

Do you own non-farm business equipment? (Solar panels used for recharging, sewing machine, brewing equipment, fryers)

N09

Do you own a cell phone?
N10

Do you own any means of transportation? (Bicycle, motorcycle, car)

N11

Has anyone in your household taken any loans or borrowed cash/in-kind in the past 12 months?

N12

Who makes the decision to borrow most of the time?
N13

Who makes the decision about what to do with the money/ item borrowed most of the time?

N14

What are all the groups that you know are present in your community?
N15

Which groups are you an active member of?
Interviewer feedback and observation on respondent behaviour
O01

Who was the primary respondent
O02

Who was the respondent that responded to sections 10 and 11 on consumption expenditure and dietary diversity?
O03

Who else from the household answered some questions or offered advice?
O04

Were there non-household members present at the interview at any time?
O05

Did you have any difficulty in the beginning in conveying the purpose of this interview to the respondent?
O06

Did the respondent have any difficulty in understanding the questions?
O07

Did the respondent look at you while answering questions?
O08

Did the respondent answer questions clearly?
O09

Was the respondent knowledgeable about the consumption expenditure questions?
O10

Was the respondent confident?
O11

Your assessment of the reliability of response?
O12

Capture location coordinates and time stamp before ending survey