Surveypoint

Q01

School EMIS Code

Q02

Code of the Interviewer

Q03

Name of the Interviewer

Q04

Start Time

Q05

End time

A01

Name of the school

A02

Name of the Village

A03

Code of the Municipality/ Gaunpalika

A04

Code of the District

A05

School code

A06

Type of school

Project

Comparison

A07

Type of Implementation?

WASH + SMP

WASH + SMP+EGR

A08

Is the school benefitting from any other light-touch intervention?

SIDP

Digital learning (DL)

HGSF

None of the above

A09

What is the school type?

Government pre-primary/lower basic (ECD to Grade III)

Government lower basic primary (ECD to Grade V)

Government basic (ECD to Grade VIII)

Government secondary (ECD to Grade X)

Government higher secondary (ECD to Grade XII)

A10

Number of teachers in the school

A11

How many special needs teacher in the school?

A12

UID of the Headteacher

A13

Phone Number of the head teacher

B01

Do you confirm that you have understood the information for the above study and have had the opportunity to consider the information, ask questions and have had these answered satisfactorily?

Yes

No

B02

Do you confirm that you understand that your participation in this study is voluntary and that you can stop the interview at any time without giving a reason?

Yes

No

B03

Do you confirm that you understand that if you decide to stop the interview all data collected will be destroyed?

Yes

No

B04

Do you confirm that you agree to take part in the study?

Yes

No

B05

Do you confirm that you understand that any information used in writing up the study findings will be used anonymously, and that you give your consent to this ?

Yes

No

C01

Do you have a teacher attendance register?

Yes

No

C02

If No, why don’t you have the teacher attendance register?

C03

Was the attendance record book physically verified?

Yes

No

C04

If No, why was the attendance record book not physically verified?

C05

Who do you report to?

C06

Name of the Teacher (Optional)

C07

Apr-May

C08

May-Jun

C09

Jul-Aug

C10

aug-Sep

C11

sep-Oct

C12

Oct-Nov

C13

nov-Dec

C14

Dec-Jan

C15

Jan-Feb

D01

Grade I

D01_1

Total number of students enrolled: Male

D01_2

Total number of students enrolled: Female

D01_3

Total number of students transferred out: Male

D01_4

Total number of students transferred out: Female

D01_5

Total number of students Dropout: Male

D01_6

Total number of students Dropout: Female

D02

Grade III

D02_1

Total number of students enrolled: Male

D02_2

Total number of students enrolled: Female

D02_3

Total number of students transferred out: Male

D02_4

Total number of students transferred out: Female

D02_5

Total number of students Dropout: Male

D02_6

Total number of students Dropout: Female

D03

Grade V

D03_1

Total number of students enrolled: Male

D03_2

Total number of students enrolled: Female

D03_3

Total number of students transferred out: Male

D03_4

Total number of students transferred out: Female

D03_5

Total number of students Dropout: Male

D03_6

Total number of students Dropout: Female

D04

Grade VIII

D04_1

Total number of students enrolled: Male

D04_2

Total number of students enrolled: Female

D04_3

Total number of students transferred out: Male

D04_4

Total number of students transferred out: Female

D04_5

Total number of students Dropout: Male

D04_6

Total number of students Dropout: Female

E01

Baisakh

E01A

Boys

E01A_1

ECD ( Bal Bikas)

E01A_2

Grade 3

E01A_3

Grade 5

E01A_4

School days

E01A_5

Number of class days

E01A_6

Feeding days (Days on which meals are served)

E01A_7

Feeding days (multi-fortified food1)

E01A_8

Seasonal closure due to weather / Local festival or any other reason(for eg COVID19) decided by District Education Office

E01B

Girls

E01B_1

ECD ( Bal Bikas)

E01B_2

Grade 3

E01B_3

Grade 5

E01B_4

School days

E01B_5

Number of class days

E01B_6

Feeding days (Days on which meals are served)

E01B_7

Feeding days (multi-fortified food1)

E01B_8

Seasonal closure due to weather / Local festival or any other reason(for eg COVID19) decided by District Education Office

E01C

Total

E01C_1

ECD ( Bal Bikas)

E01C_2

Grade 3

E01C_3

Grade 5

E01C_4

School days

E01C_5

Number of class days

E01C_6

Feeding days (Days on which meals are served)

E01C_7

Feeding days (multi-fortified food1)

E01C_8

Seasonal closure due to weather / Local festival or any other reason(for eg COVID19) decided by District Education Office

E02

Mangshir

E02A

Boys

E02A_1

ECD ( Bal Bikas)

E02A_2

Grade 3

E02A_3

Grade 5

E02A_4

School days

E02A_5

Number of class days

E02A_6

Feeding days (Days on which meals are served)

E02A_7

Feeding days (multi-fortified food1)

E02A_8

Seasonal closure due to weather / Local festival or any other reason(for eg COVID19) decided by District Education Office

E02B

Girls

E02B_1

ECD ( Bal Bikas)

E02B_2

Grade 3

E02B_3

Grade 5

E02B_4

School days

E02B_5

Number of class days

E02B_6

Feeding days (Days on which meals are served)

E02B_7

Feeding days (multi-fortified food1)

E02B_8

Seasonal closure due to weather / Local festival or any other reason(for eg COVID19) decided by District Education Office

E02C

Total

E02C_1

ECD ( Bal Bikas)

E02C_2

Grade 3

E02C_3

Grade 5

E02C_4

School days

E02C_5

Number of class days

E02C_6

Feeding days (Days on which meals are served)

E02C_7

Feeding days (multi-fortified food1)

E02C_8

Seasonal closure due to weather / Local festival or any other reason(for eg COVID19) decided by District Education Office

E03

Poush

E03A

Boys

E03A_1

ECD ( Bal Bikas)

E03A_2

Grade 3

E03A_3

Grade 5

E03A_4

School days

E03A_5

Number of class days

E03A_6

Feeding days (Days on which meals are served)

E03A_7

Feeding days (multi-fortified food1)

E03A_8

Seasonal closure due to weather / Local festival or any other reason(for eg COVID19) decided by District Education Office

E03B

Girls

E03B_1

ECD ( Bal Bikas)

E03B_2

Grade 3

E03B_3

Grade 5

E03B_4

School days

E03B_5

Number of class days

E03B_6

Feeding days (Days on which meals are served)

E03B_7

Feeding days (multi-fortified food1)

E03B_8

Seasonal closure due to weather / Local festival or any other reason(for eg COVID19) decided by District Education Office

E03C

Total

E03C_1

ECD ( Bal Bikas)

E03C_2

Grade 3

E03C_3

Grade 5

E03C_4

School days

E03C_5

Number of class days

E03C_6

Feeding days (Days on which meals are served)

E03C_7

Feeding days (multi-fortified food1)

E03C_8

Seasonal closure due to weather / Local festival or any other reason(for eg COVID19) decided by District Education Office

F01

Does the school maintain School Health and Nutrition Register (SHN)?

Yes

No

F02

If No, why don’t you have the School Health and Nutrition Register?

F03

Is the record on students’ absenteeism due to sickness updated?

Yes

No

F04

Please refer to school records to check the number of students from class I, III, V, VIII who were absent due to sickness in the last two years

F04A

Grade I

F04A_1

Boys

F04A_2

Girls

F04B

Grade III

F04B_1

Boys

F04B_2

Girls

F04C

Grade V

F04C_1

Boys

F04C_2

Girls

F04D

Grade VIII

F04D_1

Boys

F04D_2

Girls

F05

Is there a record/information about deworming medication distribution for the year

Yes

No

F06

If no, why is there no record?

F07

Did students receive deworming medication

Yes

No

F08

Number of students enrolled in the year

F09

How many students received deworming medication

F10

How are deworming tablets typically distributed?

Weekly

Biweekly

Monthly

Quarterly

Biannually

Never

Other (specify)

Don’t know

F11

If No, why didn’t the students receive deworming tablets?

school closure

stocks out

provided through the health facility

refused the supplementation

Others (specify)

Not Applicable

Record Review Template -Form Fill

School EMIS Code

Code of the Interviewer

Name of the Interviewer

Start Time var statement=document.write(localStorage.getItem('total'));

End time var statement=document.write(localStorage.getItem('total'));

Name of the school

Name of the Village

Code of the Municipality/ Gaunpalika

Code of the District

School code

Type of school

Type of Implementation?

Is the school benefitting from any other light-touch intervention?

What is the school type?

Number of teachers in the school

How many special needs teacher in the school?

UID of the Headteacher

Phone Number of the head teacher

Do you confirm that you have understood the information for the above study and have had the opportunity to consider the information, ask questions and have had these answered satisfactorily?

Do you confirm that you understand that your participation in this study is voluntary and that you can stop the interview at any time without giving a reason?

Do you confirm that you understand that if you decide to stop the interview all data collected will be destroyed?

Do you confirm that you agree to take part in the study?

Do you confirm that you understand that any information used in writing up the study findings will be used anonymously, and that you give your consent to this ?

Do you have a teacher attendance register?

If No, why don’t you have the teacher attendance register?

Was the attendance record book physically verified?

If No, why was the attendance record book not physically verified?

Who do you report to?

Name of the Teacher (Optional)

Apr-May

May-Jun

Jul-Aug

aug-Sep

sep-Oct

Oct-Nov

nov-Dec

Dec-Jan

Jan-Feb

Grade I var statement=document.write(localStorage.getItem('total'));

Total number of students enrolled: Male

Total number of students enrolled: Female

Total number of students transferred out: Male

Total number of students transferred out: Female

Total number of students Dropout: Male

Total number of students Dropout: Female

Grade III var statement=document.write(localStorage.getItem('total'));

Total number of students enrolled: Male

Total number of students enrolled: Female

Total number of students transferred out: Male

Total number of students transferred out: Female

Total number of students Dropout: Male

Total number of students Dropout: Female

Grade V var statement=document.write(localStorage.getItem('total'));

Total number of students enrolled: Male

Total number of students enrolled: Female

Total number of students transferred out: Male

Total number of students transferred out: Female

Total number of students Dropout: Male

Total number of students Dropout: Female

Grade VIII var statement=document.write(localStorage.getItem('total'));

Total number of students enrolled: Male

Total number of students enrolled: Female

Total number of students transferred out: Male

Total number of students transferred out: Female

Total number of students Dropout: Male

Total number of students Dropout: Female

Baisakh var statement=document.write(localStorage.getItem('total'));

Boys var statement=document.write(localStorage.getItem('total'));

ECD ( Bal Bikas)

Grade 3

Grade 5

School days

Number of class days

Feeding days (Days on which meals are served)

Feeding days (multi-fortified food1)

Seasonal closure due to weather / Local festival or any other reason(for eg COVID19) decided by District Education Office

Girls var statement=document.write(localStorage.getItem('total'));

ECD ( Bal Bikas)

Grade 3

Start Time

End time

Grade I

Grade III

Grade V

Grade VIII

Baisakh

Boys

Girls

Total

Mangshir

Boys

Girls

Total

Poush

Boys

Girls

Total