HOUSEHOLD QUESTIONNAIRE – SUSTAINABLE LIVELIHOOD FRAMEWORK IN CONFLICT AREA

SECTION 1. Background Questions For Households

1. 2. 3. 4. 5.
M Name Sex Relationship to the Age of [ NAME] How many years
E Please tell about the household member household head since(NAME) been
M .Write down the full names of each person living here
who has been having meals, sleeping, and Male…...1 1…Head Record
B sharing expenditure and income in your Female...0 2..Wife/Husband 2 digits
E household 3.Son/Daughter Note: Ask members
R 4.Parents who are aged 16 and
If do not want to tell the names, then record 5. Sister/brother above
C with the GENDER (Male or Female) 6.Grand Parent
O 7…Grand child (P)
D Note: Write in order, beginning with the 8…Grand parent YEARS
E eldest member 9…Grand child(M)
10. Son/daughter in law
11…Other
relationship
1

10

11

12

13

14

1
SECTION 2 – LIVELIHOOD ASSETS – THE PENTAGON
3 - A. HUMAN CAPITAL
1. 2. 3. 4. 5. 6. 7.
M Name Can [NAME] The highest education Has [NAME] been Has [NAME] been Has [NAME] been Why hasn’t [NAME] worked for
E read & write? that [NAME] obtained? doing any a KEY a KEY the last 12 months?
M Note: To copy the NAME business/job LABOURER1 of LABOURER for
B and the exact same code of 0…No grade since the last one household since the household 1…Unable to
members in the household 1-10…School years year/ last 3 years/ now? find a job due to lack of skills,
E roster 11- 12…College/Higher qualification
R Secondary 2…Don’t want to work
13…Technical 3…Too old
C Diploma/degree 4… Small/studying
O 14…Bachelor 5…Retired
D 16…Master YES….1 6…Sick/Bad health
E 1…YES 17- Madrassa/Religious NO…2 YES….1 7…Do housework
2…NO School NO……2 8…Do work for household
18 - Other YES…1 economic activity, Farm/Non
NO….2 farm
>>7 9-Jobs are not available
10…Others
(specify it)

10

SECTION 2 A. 1- Exclusion and Valuation of Human Capital

1
Note: Key Labourers are those who are economically active adult members aged 16 and over

2
 8- 9- 10- 11- 12 – 13– 14.
Do girls have Do people in Other than Does Does an Do the people in What is your
good the area religious education educated person the opinion about your
opportunities of believe that education, help to in your household area/community own work?
getting girls should should improve the has opportunity who get more
education and attend boys/girls get information to get better and more 1... My current skills
attending schools and education in and employment in education are are good and doing
schools in the get schools and awareness the area or able to get better well.
area? education? colleges about outside? jobs, improve
surroundings their living? 2….Other people in
for better same work are
lives? doing better and I
need more
Yes= 1 information and
No = 2 skills?
Yes = 1 Yes = 1 Maybe = 3 Yes = 1 Yes = 1 Yes = 1
No = 2 No = 2 Do not Know = No = 2 No = 2 No = 2 (Do not consider
Few = 3 Few = 3 4 Maybe=3 Maybe = 3 Maybe = 3 FINANCES in this
Do not know Do not Do not Know = 4 Do not know = 4 Answer)
=4 know = 4

2- B: SOCIAL CAPITAL – Groups and Networks

3 B.1. Has anyone in your household been associated with any one of the following?
YES…1 NO…2 >> If NO, Go to B - 5

Code Name of groups/organizations Code Name of groups/organizations

1. Political Party…………………… 7. Mohallah/street committee …………………………….. 13

Welfare Organization………. Sports club/group ……………………….

2. 8.
NGO………………………… Cultural group/organization…………………

3. Ethnic group………………… 9. Work related trade union …………………….

Religious Group/organization………. Microfinance group …………………….

4. 10.
Mosque/Masjid committee Others – Please specify

5. 11.

3
 6. 12.

Score ranging from 0 to 12

B. 2: (if associated) What is the main benefit of this association?

1) Helps to improve household’s livelihood/job opportunities and access to services like education/health/others
2) Important in times of emergency or in any crisis
3) It is beneficial for many people around/community
4) Enjoyment, Recreation, good activity in leisure
5) Spiritual/religious duty Group 1……………..
6) Helps to improve social status
7) Others (Please specify)_____________________ Group 2……………..

B. 3: Compared to 3 years ago, are members of your household associate with fewer or more groups?

1 = More ….2= Fewer ……..3 = Same number………

HORIZENTAL LINKAGES – 2 B - 1

B.4: How many people are around, whom you can trust, discuss your private matters and whom you can call for help in some emergency?

1- No one………2 = One or two people ….3 = Three or four people……4 = Many people…….

B. 5: If you suddenly needed small amount of money, how many people beyond your immediate household you could ask for to provide you
that amount?

2- No one………2 = One or two people ….3 = Three or four people……4 = Many people…….

B. 6: There are often differences in the characteristics among people living in the same village/community. For example differences
in wealth, income, social status, ethnic or linguistic background. Also like in caste or tribe, to what extent these differences exist in
your area. Please tell on the 5 point scale about your village/area, where 1 means less differences and 5 means more differences.

1 – Very less/non existent ……..2 = to some extent… 3 = neither less nor great…..4 = to great extent….5 = huge differences

B 7: Compared to 3 or 4 years ago, how would you rate these differences now?
1= Increased……….2= Decreased………..3 = No change/same……………………………..

4
 JOB SEARCH AND EMPLOYMENT – 2 – B - 2

3 B.8 During and after the period of Conflict has your household received any support to job finding or job conversion from any individual or
group/organization

YES…1. NO…2 >>>>Go to B. 10 (next question)

Note: Support to job search, access to credit or loan and other assistance for job conversion from farm activities to non-farm activities or wage-employment

If Yes to the above then, Support from which Individual or Groups –

1=………………………………………………. 2=…………………………………………3 = ………………………………………………

B. 9: If you got job with any individual’s help, was he doing the same job when you were employed? 1= Yes….2 = No….

ASSISTANCE/SUPPORT FOR LIVELIHOOD – 2 – B - 3

3 B. 10- After external intervention/conflict, has your household received any ASSISTANCE to your household livelihood from any individuals AND
groups, which consist of your social relationships?

YES…= 1. NO… = 2 ….FELT NO NEED = 3

Note: Supports related to livelihood expenses for short term, access to credit or any other financial resource, help and assistance in starting
new work or to overcome the effects of the crisis

If Yes to the above, then Support from which Individual or Group/organization –

1=………………………………………………. 2=…………………………………………3 = ………………………………………………

B. 11: How effective the support was and how important it was for you?

1 = It did not help……..2 = It helped to some extent…..3= It solved my problem for a short time…..4 = It helped a lot, enabled to face the crisis …….

5 = It totally solved my problems …………

5
2 –C Natural Capital and Environmental Resources
1 – What is the 2.. Is your source 3.. Was your 4.. How is the 5.. Were the 6...Did the loss to 7. Has that
type of water you of water enough water supply water availability forests/Pine forests result in member gained
have access for for irrigation? affected during now? trees affected any job loss to another job till
agriculture conflict? during the your household now?
1… Canal Water conflict? in the last 3
2.. Rain Water 1..Enough 1.. No change 1.. No change years?
3.. Tube Well 2..Not enough 2.. Decreased 2.. Decreased 1- Yes
4.. Spring water 3..Barely enough 3.. Increased 3.. Increased 2- No >> 1.. Yes>>>8 1..Yes
5…Others Go to 2.. No 2..No
(Please Specify) Q. 9

Do you have agricultural land if YES, ASK 9, 10, 11, If NO ask 12 and 13 only, YES = 1, NO = 2
9.. 10.. 11.. 12.. 13 - Is there possibility that
Has the fertility of your Do you spend now more Do you receive any support from Do you think forests and depletion of these resources
land affected during money than the past to government departments to minerals in the area are well in future will affect the
last 3 years. increase soil fertility in the increase soil fertility managed? income opportunities for the
form of (more fertilizers etc) local people?

(Support includes advice and

practical assistance)

1..No Change 1.. Yes 1.. Yes 1.. Yes 1.. Yes
2..Increased 2.. No 2.. No 2…No >>>12 2… No
3..Decreased 3… Do not know

6
2 D. PHYSICAL CAPITAL
2– D – A - PRODUCTIVE ASSETS 2 – D – B – ASSETS AND PUBLIC GOODS

Code 1 .. Does your Assets and Public Goods 2.Do your 3. When did your
Productive Assets household household has household buy or
have this this assets get this asset
asset(s)]?
Mark X if yes Years & months
(Mark x if yes 0 IF NO
AND 0 IF NO
1. Motorcycle 1. Piped drinking water

2. Bicycle 2. Water pump/

3. Cart (Donkey or Horse) 3. Water Tank/water storage facility

4. Tractor 4. Electricity connection

5. Tractor ploughs 5. Natural Gas

6. Pesticide Sprayers 6. LPG for cooking

7. Wheat harvesting machine 7. Cooks with wood

8. Rice Milling Machine 8. Cooks with coal

9. Tractor trolley 9. House built with concrete

10 Mobile Phone 10. House built with wood or mud

.

11 Video Camera/or any other 11. Type of house – Owned

.

12 T.V 12. Rented

.

13 Radio 13. More than one room in house

.

7
 14 Sewing Machine 14. A separate kitchen
.

15 Computer 15. Sewerage system

.

16 Refrigerator 16. Toilet at home

.

17 Water heater 17. Bathroom at home

.

18 Water Pump 18. Cable connection for T.V

.

19 Washing machine 19. Access to newspapers

.

20 Fans 20. Telephone land line

.

21 Pressure cooker 21. Access to public transport

.

22 22. Metallic Road to nearby town/city

.

23 23. Access to nearby school/college

.

24 24. Access to nearby health facility

.

D - 25 - Do you have less or more Household Assets than as these were 3 years ago…? 1…= Less --------- 2 …..= More… 3… = Similar

D - 26 - Do you have poor or better access to different public facilities (health/education etc) than you had 3 years ago

1 = Poor --------- 2 …..= Better …3 …. = Similar

8
 2 – E - FINANCIAL CAPITAL
Code a. RECIEPTS Mark X if
For the past 12 months, has anyone in your household received money from the following sources? answer is yes
If household members work outside country or city, Write their number and ask 1 and 2 – If no 0
1. Overseas remittance from people who are members of your family

2. Domestic remittance from people in other cities who are members of your family

3. Pension,

4. Retirement allowance

5. Other social welfare allowance

6. Money for recovery from disasters (Conflict, flood, diseases…)

7. From welfare organizations, NGO’s or individuals

8. Renting out of land

9. Renting out of houses/shops/workshops

10 Renting out of any vehicle, tractor or any machine

.
R
11 Grant such as Zakat etc
.

12 Any other receipt of money

.
R

2. E. 2 REMITTANCES - If ANSWER YES TO Question 3 - E 1 or 2

1. What is the nature of the transfer your 2. Who handles and manages this 3.. Does this amount help you to
household receives? amount in the household? save or reinvest or it is only
1. Throughout the year – Every Month 1. Household head sufficient to meet expenses?
2. Few months/times in the year 2. Some other member of the 1. Good for Saving
3. Once in the year household 2. Reinvesting
4. No fix timings/it depends 3. It varies 3. Only meets Expenses
4- Cannot even meet expenses

2 - E – 3 Savings and Credit

9
 1. If you have savings 2.
How would you prefer to keep For the last 36 months, has your household
your savings? members received any loan from relatives,
1. In a bank account friends, banks, political-social organizations,
2. Contribute in Committee private money lender?
3. In cash
4. Will buy gold/jewelry Yes...1 >>>Go to CREDIT
5. Will buy livestock No….2 >>> Go to Next Section
6. Will buy land/plot
7. Never had savings

2 - E 4 : CREDIT 3. 4.
1- From which of the following sources has For what purposes has your What are the inconveniences
your household borrowed in the last 36 household used the loan? and disadvantages of this
months? loan?
1…Non-farm production
o investment/ running business 1…High interest rates
D 2…Farm production investment 2…is forShort term and period
E 3…Daily 3…Small amount
R Expenditure/Consumption 4…Not easy to get
4…House purchase/repairs 5…Mortgage requirement
5…Land purchase 6…Other ( specify)
6…Non-economic events: funeral/
wedding, worship, party…
Mark X 7…Children schooling
if Yes 8…Health expenditure
9…Paying debt
10…Others ( specify)

1 Commercial banks Write codes which apply Writhe codes which apply
.

2 Micro credit bank/organization

.

3 Political social organizations

.

4 Private money lenders

.

5 NGO (Non-government organizations)

.

10
6 Relatives
.

7 Neighbourers
.

8 Friends
.

9 Others (specify….)
.

1
0
.

1
1
.

SECTION 3: LIVELIHOOD ASSETS AND ACTIVITIES OF HOUSEHOLD

2 A. LABOUR TIME ALLOCATION AND ECONOMIC ACTIVITIES – Last 24 months after the CONFLICT
(A ). WAGE EMPLOYMENT

11
1. 2. 3. 4. 5. 6
Interviewer must What occupations has [NAME] done in the following How many months On average how What is the monthly
M record the activities for the last 24 months? has [NAME] done many days per wage/salary did
E surnames of all this activity for the week has [NAME] [NAME] earn from
M key labourers in Note: to record the specific name of this job last 24 months? done this activity? these jobs ?
B this column
E before asking (days per week x 4)
R Note: to record the specific name of this job FOR a) = days per month
WAGE EMPLOYMENT
C If Answer to 3 b is
O Wage Employment YES
D 1- Tourism Related Job
E 2- Forests and Forestry
3- Mining
4- Daily Wages
5- Farming DAYS 1000 PKR
6- Government/ Public Sector job MONTHS
7- NGO
8- Factory/Industry – Private Sector
9- Other Private sector
10- Any other job (please specify)

Mark X for a, b, or c

a b c. d. 1,000 PKR Days per Week

Unemployed wage Self- Self-employment
employment employment Business etc
In farm activities

total
TOTAL INCOME FROM WAGE WORKS = q 6

3 B - FARMING – AGRICUTURAL ACTIVITIES

12
 1 – Does your 2. 3. 4. 5. 6. 7. 8. 9. 10.
household have What crops has your What is What What is the How much How much How much How much Did you pay
farming land? household cultivated the area wasThe approximat did your did you did you did you for
during the last 12 that has total value e value of household spend on spend on spend on Any other
months? been of the the seeds spend on hired rentals of land rental, costs? How
cultivated? produce/out used? fertilizer, labour? machines/ irrigation much?
In case of fruit put for the (Even used pesticide? tractors and taxes?
orchard – Write last 12 your own) means of
accordingly months? transport..?
If No leave
Note: Incl. blank
the value of
Area by-products
1 …..YES (Kanals/sq PKR PKR PKR PKR PKR PKR
2……NO (Go to next .meter)
page/question) PKR
1

Total

11 -Leaving Income/Expenditure, Is your pattern of Crop Cultivation every year is almost similar like last one year –

Yes 1, No = 2 (If have Fruit orchard, answer is YES)

14. TOTAL VALUE OF OUTPUT = TOTAL OF Q 4 16. TOTAL COST FOR FARM PRODUCTION = Q5+…Q10

17. INCOME FROM CROP PRODUCTION= Q 4 - ( Q5+…Q10)

3 –C - OTHER AGRICULTURAL Income SOURCES – LIVESTOCK etc

13
 C – 1 – Do your household have any other income source, like livestock, poultry or any other bird or stock?

1….= YES…………..2= …..NO (Go to next section)

C – 2 – What normally is the use of the production from livestock/poultry

1 = Household use only……..2 = Commercial use/ is sold……3 = Both – Commercial and Household use

C. 3– What is the approximate per month value of the output/production, value includes quantities for both household and commercial use?
- Rs.-------------------------------------------
C. 4 – Is this a good and easy to maintain source of income and consumption for your household
1 = Very good…….2 = Its alright, we manage somehow……….3 = Just O.K, Not very useful ……4 = Its difficult to manage …
5= Its very difficult/ Prefer not to keep

3- D - NON FARM – Self Employment Details

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
Does your What are the Is it solely What are If you How much What is the How many If your What is the
household have names of the owned? the total hired total salary average cost/ months is this household average
any business/self economic (YES = 1) labourers labourers per month Expenditure for activity consumes revenue per
employment activity/business doing this , then you give to production per operated for goods then month?
activity other than your household If NO, then activity? how them? month other the last 12 what is the
agricultural has done in the what is your ( Incl. many than salaries? months? approximate
production? last 12 months? share/equity labourers OR DAILY (includes, value per
1 = YES in this? as HH- WAGE materials, month? If PER DAY
2 = NO (Go to members) fuel/electricity INCOME
Next SECTION) / WRITE. P/D
Numbers Rent/transportat
% NUMBERS ion etc

OR DAILY
EXPENDITURE
1.

Total Cost = Q 6 + Q 7 = ………………………Total Revenue = Q 9 + Q 10……………….Total Revenue – Total Cost = Profit

Profit for Household if not solely owned = Profit x Q3…………………

3.E LABOUR TIME ALLOCATION DURING SHOCK – 12 MONTHS PERIOD

14
1. 2. 3. 4. 5. ) Note: If YES to Q. 8
M Interviewer must What occupations had [NAME] done in Did (NAME) worked If there were problems Ask household head: 9. How did you
E record the the following activities during the period regularly, without any like loss of job or 6. What was your deal with this loss?
M surnames of all WHEN YOUR AREA WAS HAVING Problem and break income was it household’ major income
sources before
(Write all if more
B key labourers TROUBLE? permanent during the
E period, or temporary? intervention? apply)
R in this column 1…Wage employment 0....Did nothing 1…
before asking Note: to record the specific name of this 2…Self-employment in Sold land
C job YES = 1 1 = Permanent loss of farm activities
3....Self-employment in
2.Sold other
O NO = 2 work
D Wage Employment 2 = Was temporary non farm activities assets/gold etc)
E 1. Tourism Related Job 3 = Started some other 4… Other non-labour 3…Found a new job
2. Forests and Forestry work/job income
in urban areas
3. Mining source/REMITTANCES
4. Daily Wages 4…Took children
5. Farming out of school
6. Government job
7. Industry – Private Sector 5. Decreased health
8. Other in Private Sector expenditure
9. Any other job
6…Cut down
daily/food
a. b. c. 7. expenditure
wage Self- Self- Has your income now 7…Borrowed from
employment employ employmen decreased than the
ment t
relatives/friend
past?
In farm In non-farm 8..Borrowed from
activities activities
1=..YES >>8… 2=…NO
private money
1 lender
8.
How many times your 9…Borrowed from
2
household not had banks
enough money for
3 household 10…Received
expenditure in last 3 support from
4 years? government
1…0 11..Support/borrowe
5 2…once d from other
3…2-5 times organizations/welfar
6 4…More than that e or( NGOs)
5…Always
7 12…Borrowed from
other sources
8 13…Used savings
14…Others( specify)

SECTION 4: HOUSEHOLD EXPENDITURE

4 A. EXPENDITURE FOR FOOD AND DRINKS – Last one week
15
1. 2. 3. 4. 5.
Within the last 1 week, did your Did your Did any Within the past 7 CHECK FROM
household members eat and drink any household household days did any QUESTION 2 TO 4
the following food and drinks? member buy members household Is at least one answer
Note: from consume any member “YES”?
Only list items consumed within market? […] from consume any […]
household. stock (or from What is the market value
Ask for all questions of each items produced by gifts/assistance of these food or drinks?
before moving to the next item household or any other
itself sources?
YES…1 YES…1 YES…1 YES…1
Code Items NO…..2 NO…..2 NO…..2 NO…..2
>>next
item
1 Wheat products –
. (Roti/Chapati) or Flour

2 Rice
.

3 Meat, meat products, egg,

. fish…

4 Vegetables
.

5 Fruits
.

6 Pulses
.

7 Milk or Yogurt
.

8 Spices, Salt, Chili etc

.

16
 9 Ghee/Cooking Oil
.

1 Cold drinks/Soda etc

0
.

1 Tea, cigarettes
1
.

1
Outdoor eating
2
.

8. TOTAL OF QUESTION 7= TOTAL FOOD AND DRINK EXPENDITURE FOR ONE WEEK
9. TOTAL FOOD AND DRINK EXPENDITURE FOR THE LAST 12 MONTHS= (TOTAL OF QUESTION 7*52 WEEKS)

4 B- NON-FOOD EXPENDITURES
1. For the last 12 months, which of the following items did your household consume or purchase? 2. What is the per month 3. How many months did your
Note: Ask for all items of question 1 before moving to question 2 expenditure? household spend […] for the last 12
months? If * then ask
Code Item Mark X if Yes

1. Pocket money for children

2. Fire Wood *

3. Coal or Dung cake *

4. Kerosene for cooking or light *

5. Electricity Bill (last months)

6. Gas Bill (last months)

7. Drinking water bill/expense

8. Mobile/Telephone Expense

9. Gasoline, lubricant for Motor Cycle

17
 10. Maintenance Repair of Motor cycle/cycle -

11. Installment of Motor cycle/Cycle

12. Transport expense (if public transport is used)

13. Clothes Washing Soap/powder

14. Dish washing soap/ liquid

15. Bathing Soap

16. Other Cosmetics – Shampoo, toothpaste, toothbrush etc

17. Books, newspapers, magazines

18. Entertainment ( cinema, video, sports, TV cable)

19. Prize Bond

20. Haircut, hairdressing

21. Shaving/saloon’s expense

4. TOTAL EXPENDITURE FOR NON-FOOD CONSUMPTION - TOTAL OF QUESTION 4B.3

4 - C: ANNUALLY NON-FOOD EXPENDITURE

Code 1. 2.a Code 1. 2.a
Which of following items did your household consume Value of[…] bought Which of following items did your household consume or Value of[…] bought or
or purchase for the last 12 months? or consumed for the purchase for the last 12 months? consumed for the last
last 12 months. If 12 months
DIFFICULT TO
RECALL ANNUAL
AMOUNT, NOTE
MONTHLY
Item Mark X Item Mark X
if Yes if Yes
1. Cloth/Fabric (Unstitched) 2
2
.

2. Ready-made clothing… 2
3
.

3. Shoes, sandals 2
4
.
18
4. Furniture (Any kind) 2 A. Sub-total =( 1+2+…20)
5
.

5. Bed sheets or Quilt/ blankets, pillows 2 Contributions to social, welfare

6 organization/mosques or others
.

6. Tailoring or laundry services 2 Wedding, and any other social events

7
.

7. Light bulbs, electric wire, plugs, fuse 2 Funeral or expenses related to death of any
8 relative or friends
.

8. Cooking Utensils , Cooker, Fry pan etc 2 Loan, donation, support, assistance…
9
.

9. Crockery, Plates, Cups, Bowls etc/ 3

0
.

10 Expense for Eids (Other Religious festivals) 3

. 1
.

11 Candles, flashlight, battery 3

. 2
.

12 Maintenance and repair of household

. goods

13 Household Decoration Items B. Sub-total - = ( 26 + 27+….32)

.

14 Sport instruments, Toys for children 3. TOTAL EXPENDITURE FOR ANNUALLY

. NON-FOOD EXPENDITURE -

15 Envelopes, stamps/Postal expenses A. Sub-total+ B. Sub-total =

.

16 Internet charge
.
19
 17 Travelling to other city or town
.

18 Any jewelry or expensive thing 3

. 3
.

19 Any electronics, Fans, T.V, computer etc 3

. 4
.

20 Any other expense (specify)

.

4 – D: – EXPENDITURE FOR EDUCATION

1. 2.
List of member

Please tell us the full names of Expenditure for [NAME]’s education for the last 12 months
member who have attended
educational institution for the last 12 IF no expenditure, record 0
months? IF remember the total amount and detailed expenditure items, fill in the corresponding columns

PKR
Note: Starting with the Primary
education level a. b. c. d. e. f. g.
School Extra Other Contribution Uniform School Bag, Total amount
Fees classes, expendit to and School Books, spent on
1…Primary Tuition/Com ure school/REGI Shoes copies, pen education
2…Secondary / high school puter etc (transport STRATION and pencils
3…Vocational , etc = a +b +c+
4…College accomm …+ f
5…Bachelor odation,
6…Master other)
7…Professional Education
Doctor/Engineer or other MONTHLY MONTHLY Monthly
8… Religious School/Madrassa
Surname/Member’s Code from Level
Question 1
1.

2.

3.

20
 4.

5.

6.

7.

8.

9.

10.

TOTAL EXPENDITURE FOR EDUCATION = Total of g =

3 - ...In the last 3 years, on average have your education expenditure changed? 1…Decreased, 2…. = Increased - 3 = Similar

4 E: HEALTH EXPENDITURE

1. 2. 3.
Has any household member gone to doctors or What is the total treatment cost, detailed in a and b? Did anybody from the household need admission and
other health care providers treatment in the hospital (for any cause),
(homeopathic/Hakeem etc) during the last 12 If YES ask details in a and b?
months?
IF NO PERSON>> Q. 4 If No Go to Q. 5
IF YES>> Please tell the their Names/or write
codes
List NAMES a. b. c. Amount a. b. c.
Code
Member

Times Amount/once Times Amount/once Amount

Including: consultation, = a*b Including: Hospital
Mark 0 medicine, health tools and Mark 0 if expenses, doctor’s = a*b
if No others related to one time No fees, follow ups,
of treatment medicines,
transportation (any
other expenses)
1. Fill
later
2.

3.

4.

5.

21
 6.

7.

8.

9.

10
.

TOTAL TREATMENT COST = TOTAL OF 2C TOTAL IN-PATIENT TREATMENT TOTAL OF 3C

COST =

4. 5. 6. 7.
During the last 1 year, how much your Did anyone in the household receive How much did it cost to the THE TOTAL AMOUNT SPENT ON
household spend on medicine for self- any injury due to the conflict in the household so far for the treatment HEALTH
treatment without consultations? (To area which required treatment? of that injury or medical problem?
facilitate average per month expense = 2C+3C+4+6
can be recorded) 1 …= No, 2…..= Yes >>>6

8...In the last 3 years, on average has your health expenditure changed? 1…Decreased, 2…. =..Increased 3 = Similar

4 F: HOUSING AND EXPENDITURE FOR HOUSING

1. What type of the house you were living 3 or 4 years ago?
1…Mud house/Vulnerable
2…Concrete/bricked house with private kitchen and bathroom/toilet
3…Concrete house with a shared kitchen and no bathroom/toilet
4…temporary houses/thatched houses

2. What type of the house now is your household living in?

1….. Mud House/Vulnerable
2…concrete/bricked houses with private kitchen and bathroom/toilet
3…bricked houses with a shared kitchen or bathroom/toilet
4…temporary houses/thatched houses

3. What is the total use area of this house 7. Do you had to spend on house repairs caused by the damage in the war
during the last 3 years, if yes how much approximately?
………………………………………………….Marla = 1 M = 272 sq feet
………………………………………………….. (PKR)

4. Has this house been used for any business/production? (Any shop etc) 8. How much you spend on minor house routine house repairs during last 1
1…Yes year?

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2…No
3…Sometimes ………………………………………………….(1,000, PKR)

5. Is this house solely owned by your household?

1…Yes >>7
2… Rented)>>>6 9 - Payments per month of Electricity, Water, Gas and Telephone (Add from
3…Joint ownership (with other family members SECTION 4 B)
4…No, It is borrowed without paying

)
6. How much did your household pay for rental per month?

……………………………………………(PKR ) 1 x 12 = Yearly Rent

18 - TOTAL ANNUAL EXPENDITURE FOR HOUSING = (6 + 8 + 9)

SECTION 5: THE CONTEXT OF LIVELIHOODS

5 A: RESPONSE TO RISK and SHOCKS
1. Natural disasters 4. Sickness, accidents IF YES TO ANY ONE Question FROM
A. Has your household suffered from any natural disaster/FLOODS A. Has your household suffered from sickness, any accidents for 1 to 5, GO TO >>>B and C
for the last 12 months? the last 12 months?
IF NO>>2 IF NO>>5 B. How did you deal with this loss and
IF YES, Please tell, what is your estimate of the loss? IF YES, Please tell, what is your estimate of the loss? difficulty? (Write all if more apply)

………………………… ……………………………………………… 0....Did nothing

1…Sold farmland/residential land
C. How long will it take/did it take your household to recover from C. How long did it take your household to recover from this
this loss? loss/shock? 2…Sold other assets (motorbike,
………………………………………………MONTHS livestock, furniture, durable goods)
………………………………………………MONTHS 3…Found a new job in urban areas
4…Took children out school
2. Crop insects, livestock diseases 5. Loss of job 5. Decreased health expenditure
A. Has your household’s farm production suffered from the loss Has anybody in your household to suddenly lose the job during the
caused by insects on crops or livestock diseases in the last 12 last 12 months? 6…Cut down daily/food expenditure
months? IF NO>>6 7…Borrowed from relatives/friend
IF NO>>3 IF YES, Please tell us what is the total income that has been lost?
IF YES, Please tell us how much did you lose?
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 ……………………………………………………
8..Borrowed from private money lender
…………………………………………………………
9…Borrowed from banks
C. How long did it take your household to recover from this loss?
10…Received support from government
C. How long did it take your household to recover from this loss?
………………………………………………MONTHS 11..Support/borrowed from other
………………………………………………MONTHS organizations/welfare or( NGOs)
12…Borrowed from other sources
3. Market vagaries (IN business and Farming) 6..Conflict
A. Has your household suffered from loss of or decrease in income Due to recent conflict in the area initially due to outside 13…Used savings
due to change in market prices for the last 12 months? intervention, social and economic system was affected, 14…Others ( specify)
IF NO>>4 then there was a war in the area, people migrated also. Did
IF YES, Please tell us how much did you lose? it affect you, by changes in economic activities or you had
…………………………………………………………… to leave your homes?

IF NO>> Next Section C. To which extent you have

C. How long did it take your household to recover from this loss? IF YES, Please tell us, what is your estimate of total economic overcome this loss/shock?
loss?
--------------------------------------------------------------------------------- 1…Totally recovered
………………………………………………MONTHS C. How long will it take/did it take your household to recover? 2…Partially recovered
--------------------------------------------------------------MONTHS 3… Unrecoverable

5 B. ACCESS TO MARKET AND INFORMATION

Question 1, 2 & 3 only if HOUSEHOLD is doing Question 4 & 5 only IF HOUSEHOLD is Doing Business 7. What is the most difficult thing for your household to
FARMING Activity/Self Employed (NON FARMING) reach a better livelihood at present?
1…Lack of skills and qualification
1. 4. Which of the following difficulties has your household 2…Lack of capital, unable to access to credit
What is the influence of information/ and assistance experienced in input market for the last 3 years? 3…Do not have a favorable location to run business
provided by public or private agricultural agents on your 4…Lack of farmland to cultivate
household’ decision making on farm production? 1…Too few suppliers 5…Lack of access to technology, information for
2…Too high expensive prices of fuel, materials, tools, production, market…
1. High influence equipment for production 6…Lack of peace and security in the area
3. Low influence 3…Lack of information, techniques 7..Lack of Employment/Business opportunities
3. No Influence 4…Lack of ability to access to credit
5…Poor quality infrastructure (irrigation/roads…)
6…High labour cost
7…High cost for business premises
8.. Unrest and Insecurity

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2. 5. Which of the following difficulties has your household 8. Do you think which one of the following activities is
From which sources your household received agricultural coped with in the output market for the last 3 years? the most lucrative?
advice /training from the following in the last 12 months? 1…Too many domestic competitors 1…wage-employment for public sectors
1. Government Agricultural services…………… 2…Unable to compete with Chinese imported products 2…wage-employment for companies/factories…
2. PRIVATE Interest groups……………………………… 3…Lack of information on prices, market trends… 3…wage-employment for other households
3. NGOs………………………………………… 4…High transportation cost /individuals in farms/Tourism/Mining
4. Relatives/Friends………………………….. 5…Unrest, Violence in the area 4…self-employed in farm production
5. Media (T.V, Radio, Newspapers) 6…Less buyers 5…self-employed in some other business/activity (Non
7..Improper business place/few facilities Farm

3. 6.. (ALL HOUSEHOLDS) From which sources you get

Who bought largely your farm products for the last 12 following informations?
months? Issues: 1: Agricultural production or other businesses
2: Income opportunities and access to credit……….
1…Other households/ 3 Government policies…………………………….
Other individual in the villages 4: Market (Jobs, prices for buying or selling…) We are thankful for your patience and cooperation
2…Private traders Sources of information: (please tell any 3)
3…Markets (Fruit, Grain Markets) 1. Relatives, Neighbourers, friends
4…Government agencies 2. Mosques loud speakers/Religious leaders (Imam)
5…Food processing Private companies 3. Village/local shop/markets
6..Used all for household consumption 4. Newspaper
7.. Someone else (specify) 5. Radio, TV, internet
6. Government officials/employees
7. Business or work places
8. Other (specify…)

SECTION – 6 - Democracy and Freedoms

Finally we would like to know your opinions about democracy

1: Have you ever casted your vote for national, provincial or local assembly elections?
1 = Yes

2 = No

3 = Do not know

2: When present government completes its tenure and new elections will be held, will you cast your vote?
1 = Yes

2 = No

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 3 = Do not know

3: Has the Member of Parliament tried to improve your area, like providing facilities for the people (or is trying)
Enter Code:
0 = No, 1 = educational, 2 = health, 3 = infrastructure roads etc, 4 = water, 5 = electricity/gas
6 = jobs, 7 = More than one improvement area

4: If any development project is complete, how useful it is for the local people

1. Very useful
2. Have little use
3. Currently of no use/is closed
4. Is wastage of government funds

5: if you or others in your area need to see the Member of Parliament for some issue, can you meet/access him easily?

1 Sometimes

2 Always

3 Never

4 Do not know

6: When government is formed through elections, do people have more opportunities to improve their lives and find better opportunities like
access to jobs etc.
1 = Yes

2 No

3 Do not know

7 = The problems of the people and the area are solved better, provision of different facilities is done in better way, when decisions about
people are taken mostly by government officials and unelected people?
1 Yes

2 No

3 Do not know

8: If you cast your vote, how do you decide to vote for someone?
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 0 Do not vote

1 As decided among friends

2 As decided among relatives

3 As decided among neighbors

4 Only to the candidate of the party, I affiliate

5 After seeing the attributes of candidates

6 After seeing the campaign of candidate

7 Can vote for anyone

8 Any other factor

9: What do you think the countries which made more progress than Pakistan, because they have some or all of the following features?
1 Better schools

2 Better hospitals

3 More opportunities to work/jobs

4 Good public institutions and less corruption

5 More political freedom

6 Have governments which care more about needs of people

7 All of these

8 Do not know

We are thankful for your cooperation

Interviewers Comments _________________________________________________________________________________________

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