Questionnaire Text

Burkina Faso 2015 India 2016 Niger 2015 Nigeria 2016
Burkina Faso 2016a India 2017a Niger 2016a Nigeria 2017a
Burkina Faso 2016b India 2017b Niger 2016b Nigeria 2017b
Burkina Faso 2017 India 2018 Niger 2017 Nigeria 2018
Burkina Faso 2018 Kenya 2016 Niger 2018
Cote d'Ivoire 2017 Kenya 2017 Nigeria 2015a
Cote d'Ivoire 2018 Kenya 2018 Nigeria 2015b
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Burkina Faso 2015
Questionnaire form view entire document:  text 

HQ10. Please tell me about items that your household owns. Does your household have:
Read out all types and select all that apply. Scroll to bottom to see all choices.
If an item is reported broken but said to be out of use only temporarily, select the item. Otherwise, do not select the item.

Cannot select 'no response' or ;none of the above' with other options.
[] Electricity?
[] A radio?
[] A television?
[] A mobile phone?
[] A landline telephone?
[] A refrigerator?
[] A TV Antenna?
[] A cable subscription?
[] A washing machine?
[] A gas or electric stove?
[] An improved woodstove?
[] A DVD/CD player?
[] An air conditioner?
[] A computer?
[] Home internet?
[] A wall clock?
[] A plow?
[] A bicycle?
[] A motorcycle or motor scooter?
[] Animal-drawn cart?
[] A canoe or fishing nets?
[] A car or truck?
[] A boat with a motor?
[] None of the above
[] No response
Check here to acknowledge you considered all options.

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Burkina Faso 2016a
Questionnaire form view entire document:  text 

201. Please tell me about items that your household owns. Does your household have:

Read out all types and select all that apply. Scroll to bottom to see all choices.

If an item is reported broken but said to be out of use only temporarily, select the item. Otherwise, do not select the item.

Cannot select 'no response' or 'none of the above' with other options.

[] Electricity?
[] A radio?
[] A television?
[] A mobile phone?
[] A landline telephone?
[] A refrigerator?
[] A TV Antenna?
[] A cabel subscription?
[] A washing machine?
[] A gas or electric stove?
[] An improved stove?
[] A DVD/CD?
[] An air conditioner?
[] A computer?
[] Home internet?
[] A wall clock?
[] Charruees ?
[] A bicycle?
[] A motorcycle or motor scooter?
[] Animal-drawn cart?
[] A canoe or fishing nets?
[] A car or truck?
[] A boat with a motor?
[] None of the above
[] No response

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Burkina Faso 2016b
Questionnaire form view entire document:  text 

201. Please tell me about items that your household owns. Does your household have:
Read out all types and select all that apply. Scroll to bottom to see all choices.
If an item is reported broken but said to be out of use only temporarily, select the item. Otherwise, do not select the item.

Cannot select 'no response' or 'none of the above' with other options.
[] Electricity?
[] A radio?
[] A television?
[] A mobile phone?
[] A landline telephone?
[] A refrigerator?
[] A TV Antenna?
[] A cable subscription?
[] A washing machine?
[] A gas or electric stove?
[] An improved woodstove?
[] A DVD/CD player?
[] An air conditioner?
[] A computer?
[] Home internet?
[] A wall clock?
[] A plow?
[] A bicycle?
[] A motorcycle or motor scooter?
[] Animal-drawn cart?
[] A canoe or fishing nets?
[] A car or truck?
[] A boat with a motor?
[] None of the above
[] No response

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Burkina Faso 2017
Questionnaire form view entire document:  text 

201. Please tell me about items that your household owns. Does your household have:

Read out all types and select all that apply. Scroll to bottom to see all choices.

If an item is reported broken but said to be out of use only temporarily, select the item. Otherwise, do not select the item.

Cannot select 'no response' or 'none of the above' with other options.

[] Electricity?
[] A radio?
[] A television?
[] A mobile phone?
[] A landline telephone?
[] A refrigerator?
[] A TV Antenna?
[] A cabel subscription?
[] A washing machine?
[] A gas or electric stove?
[] An improved stove?
[] A DVD/CD?
[] An air conditioner?
[] A computer?
[] Home internet?
[] A wall clock?
[] Charruees ?
[] A bicycle?
[] A motorcycle or motor scooter?
[] Animal-drawn cart?
[] A canoe or fishing nets?
[] A car or truck?
[] A boat with a motor?
[] None of the above
[] No response

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Burkina Faso 2018
Questionnaire form view entire document:  text 

201. Please tell me about items that your household owns. Does your household have:

Read out all types and select all that apply. Scroll to bottom to see all choices.

If an item is reported broken but said to be out of use only temporarily, select the item. Otherwise, do not select the item.

Cannot select 'no response' or 'none of the above' with other options.

[] Electricity?
[] A radio?
[] A television?
[] A mobile phone?
[] A landline telephone?
[] A refrigerator?
[] A TV Antenna?
[] A cable subscription?
[] A washing machine?
[] A gas or electric stove?
[] An improved stove?
[] A DVD/CD?
[] An air conditioner?
[] A computer?
[] Home internet?
[] A wall clock?
[] A plow ?
[] A bicycle?
[] A motorcycle or motor scooter?
[] Animal-drawn cart?
[] A canoe or fishing nets?
[] A car or truck?
[] A boat with a motor?
[] None of the above
[] No response

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Cote d'Ivoire 2017
Questionnaire form view entire document:  text 

201. Please tell me about items that your household owns. Does your household have:
Read out all types and select all that apply. Scroll to bottom to see all choices.
If an item is reported broken but said to be out of use only temporarily, select the item. Otherwise, do not select the item.
[] Electricity?
[] A radio?
[] A television?
[] A mobile phone?
[] A landline telephone?
[] A refrigerator?
[] A TV Antenna?
[] A cable subscription?
[] A washing machine?
[] A gas or electric stove?
[] An improved woodstove?
[] A DVD/CD player?
[] An air conditioner?
[] A computer?
[] Home internet?
[] A wall clock?
[] A plow?
[] A bicycle?
[] A motorcycle or motor scooter?
[] Animal-drawn cart?
[] A canoe or fishing nets?
[] A car or truck?
[] A boat with a motor?
[] None of the above
[] No response

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Cote d'Ivoire 2018
Questionnaire form view entire document:  text 

201. Please tell me about items that your household owns. Does your household have:

Read out all types and select all that apply. Scroll to bottom to see all choices. If an item is reported broken but said to be out of use only temporarily, select the item. Otherwise, do not select the item.

[] Electricity?
[] A radio?
[] A television?
[] A mobile phone?
[] A landline telephone?
[] A refrigerator?
[] A TV5 Antenna?
[] A cabel subscription?
[] A washing machine?
[] A gas or electric stove?
[] An improved stove?
[] A DVD/CD?
[] An air conditioner?
[] A computer?
[] Home internet?
[] A wall clock?
[] Charruees?
[] A bicycle/tricycle?
[] A motorcycle or motor scooter?
[] Animal-drawn cart?
[] A canoe or fishing nets?
[] A tractor?
[] A car or truck?
[] A boat with a motor?
[] None of the above
[] No response

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India 2016
Questionnaire form view entire document:  text 

201. Please tell me about the items your household owns. Does your household have:
Read out all types and select all that apply. Scroll to bottom to see all choices. If an item is reported broken but said to be out of use only temporarily, select the item. Otherwise do not select the item.

[] Electricity
[] Mattress
[] Pressure cooker
[] Chair
[] Cot/bed
[] Table
[] Electric fan
[] Radio/transistor
[] B and w television
[] Colour television
[] Sewing machine
[] Mobile telephone
[] Land line telephone
[] Internet
[] Computer
[] Refrigerator
[] Airconditioner/cooler
[] Washing machine
[] Watch/clock
[] Bicycle
[] Animal-drawn cart
[] Motorcycle/scooter
[] Car
[] Water pump
[] Thresher
[] Tractor

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India 2017a
Questionnaire form view entire document:  text 

201. Please tell me about the items your household owns. Does your household have:
Read out all types and select all that apply. Scroll to bottom to see all choices. If an item is reported broken but said to be out of use only temporarily, select the item. Otherwise do not select the item.

[] Electricity
[] Mattress
[] Pressure cooker
[] Chair
[] Cot/bed
[] Table
[] Electric fan
[] Radio/transistor
[] B and w television
[] Colour television
[] Sewing machine
[] Mobile telephone
[] Land line telephone
[] Internet
[] Computer
[] Refrigerator
[] Airconditioner/cooler
[] Washing machine
[] Watch/clock
[] Bicycle
[] Animal-drawn cart
[] Motorcycle/scooter
[] Car
[] Water pump
[] Thresher
[] Tractor

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India 2017b
Questionnaire form view entire document:  text 

201. Please tell me about the items your household owns. Does your household have:
Read out all types and select all that apply. Scroll to bottom to see all choices. If an item is reported broken but said to be out of use only temporarily, select the item. Otherwise do not select the item.

[] Electricity
[] Mattress
[] Pressure cooker
[] Chair
[] Cot/bed
[] Table
[] Electric fan
[] Radio/transistor
[] B and w television
[] Colour television
[] Sewing machine
[] Mobile telephone
[] Land line telephone
[] Internet
[] Computer
[] Refrigerator
[] Airconditioner/cooler
[] Washing machine
[] Watch/clock
[] Bicycle
[] Animal-drawn cart
[] Motorcycle/scooter
[] Car
[] Water pump
[] Thresher
[] Tractor

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India 2018
Questionnaire form view entire document:  text 

201. Please tell me about items that your household owns. Does your household have:

Read out all types and select all that apply. Scroll to bottom to see all choices.

If an item is reported broken but said to be out of use only temporarily, select the item. Otherwise, do not select the item.

Cannot select 'no response' or 'none of the above' with other options.

[] Electricity
[] Mattress
[] Pressure cooker
[] Chair
[] Cot / bed
[] Table
[] Electric fan
[] Radio / transistor
[] BandW television
[] Colour television
[] Sewing machine
[] Mobile telephone
[] Land line telephone
[] Internet
[] Computer
[] Refrigerator
[] Air conditioner / cooler
[] Washing machine
[] Watch / clock
[] Bicycle
[] Motorcycle / scooter
[] Animal-drawn cart
[] Car
[] Water pump
[] Thresher
[] Tractor
[] None of the above
[] No response

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Kenya 2016
Questionnaire form view entire document:  text 

201. Please tell me about items that your household owns. Does your household have:

Read out all types and select all that apply. Scroll to bottom to see all choices.

If an item is reported broken but said to be out of use only temporarily, select the item. Otherwise, do not select the item.

Cannot select 'no response' or 'none of the above' with other options.

[] Electricity?
[] A radio?
[] A television?
[] A mobile phone?
[] A non-mobile telephone?
[] A refrigerator?
[] A solar panel?
[] A table?
[] A chair?
[] A sofa?
[] A bed?
[] A cupboard?
[] A clock?
[] A microwave oven?
[] A DVD player?
[] A cassette / CD player?
[] An air conditioner?
[] A watch?
[] A bicycle?
[] A motorcycle / scooter?
[] Animal-drawn cart?
[] A car / truck?
[] A boat with a motor?
[] None of the above
[] No response

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Kenya 2017
Questionnaire form view entire document:  text 

201. Please tell me about items that your household owns. Does your household have:

Read out all types and select all that apply. Scroll to bottom to see all choices.

If an item is reported broken but said to be out of use only temporarily, select the item. Otherwise, do not select the item.

Cannot select 'no response' or 'none of the above' with other options.

[] Electricity?
[] A radio?
[] A television?
[] A mobile phone?
[] A non-mobile telephone?
[] A refrigerator?
[] A solar panel?
[] A table?
[] A chair?
[] A sofa?
[] A bed?
[] A cupboard?
[] A clock?
[] A microwave oven?
[] A DVD player?
[] A cassette / CD player?
[] An air conditioner?
[] A watch?
[] A bicycle?
[] A motorcycle / scooter?
[] Animal-drawn cart?
[] A car / truck?
[] A boat with a motor?
[] None of the above
[] No response

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Kenya 2018
Questionnaire form view entire document:  text 

201. Please tell me about items that your household owns. Does your household have:

Read out all types and select all that apply. Scroll to bottom to see all choices.

If an item is reported broken but said to be out of use only temporarily, select the item. Otherwise, do not select the item.

Cannot select 'no response' or 'none of the above' with other options.

[] Electricity?
[] A radio?
[] A television?
[] A mobile phone?
[] A non-mobile telephone?
[] A refrigerator?
[] A solar panel?
[] A table?
[] A chair?
[] A sofa?
[] A bed?
[] A cupboard?
[] A clock?
[] A microwave oven?
[] A DVD player?
[] A cassette / CD player?
[] An air conditioner?
[] A watch?
[] A bicycle?
[] A motorcycle / scooter?
[] Animal-drawn cart?
[] A car / truck?
[] A boat with a motor?
[] None of the above
[] No response

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Niger 2015
Questionnaire form view entire document:  text 

201. Please tell me about items that your household owns. Does your household have:
Read out all types and select all that apply. Scroll to bottom to see all choices.
If an item is reported broken but said to be out of use only temporarily, select the item. Otherwise, do not select the item.

Cannot select 'no response' or ;none of the above' with other options.
[] Electricity?
[] A radio?
[] A television?
[] A DVD/CD player?
[] A mobile phone?
[] A landline telephone?
[] A refrigerator?
[] An air conditioner?
[] A stove
[] A satellite dish?
[] A computer?
[] An animal-drawn cart?
[] A plow?
[] A motorized water pump?
[] None of the above
[] No response

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Niger 2016a
Questionnaire form view entire document:  text 

201. Please tell me about items that your household owns. Does your household have:
Read out all types and select all that apply. Scroll to bottom to see all choices.
If an item is reported broken but said to be out of use only temporarily, select the item. Otherwise, do not select the item.

Cannot select 'no response' or ;none of the above' with other options.
[] Electricity?
[] A radio?
[] A television?
[] A DVD/CD player?
[] A mobile phone?
[] A landline telephone?
[] A refrigerator?
[] An air conditioner?
[] A stove
[] A satellite dish?
[] A computer?
[] An animal-drawn cart?
[] A plow?
[] A motorized water pump?
[] None of the above
[] No response

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Niger 2016b
Questionnaire form view entire document:  text 

201. Please tell me about items that your household owns. Does your household have:
Read out all types and select all that apply. Scroll to bottom to see all choices.
If an item is reported broken but said to be out of use only temporarily, select the item. Otherwise, do not select the item.

Cannot select 'no response' or ;none of the above' with other options.
[] Electricity?
[] Yes
[] No
[] A radio?
[] Yes
[] No
[] A television?
[] Yes
[] No
[] A DVD/CD player?
[] Yes
[] No
[] A mobile phone?
[] Yes
[] No
[] A landline telephone?
[] Yes
[] No
[] A refrigerator?
[] Yes
[] No
[] An air conditioner?
[] Yes
[] No
[] A stove
[] Yes
[] No
[] A satellite dish?
[] Yes
[] No
[] A computer?
[] Yes
[] No
[] An animal-drawn cart?
[] Yes
[] No
[] A plow?
[] Yes
[] No
[] A motorized water pump?
[] Yes
[] No
[] None of the above
[] Yes
[] No response
[] Yes

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Niger 2017
Questionnaire form view entire document:  text 

201. Please tell me about items that your household owns. Does your household have:
Read out all types and select all that apply. Scroll to bottom to see all choices.
If an item is reported broken but said to be out of use only temporarily, select the item. Otherwise, do not select the item.

Cannot select 'no response' or ;none of the above' with other options.
[] Electricity?
[] A radio?
[] A television?
[] A DVD/CD player?
[] A mobile phone?
[] A landline telephone?
[] A refrigerator?
[] An air conditioner?
[] A stove
[] A satellite dish?
[] A computer?
[] An animal-drawn cart?
[] A plow?
[] A motorized water pump?
[] None of the above
[] No response

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Niger 2018
Questionnaire form view entire document:  text 

201. Please tell me about items that your household owns. Does your household have:

Read out all types and select all that apply. Scroll to bottom to see all choices. If an item is reported broken but said to be out of use only temporarily, select the item. Otherwise, do not select the item.

[] Electricity?
[] A radio?
[] A television?
[] A DVD/CD?
[] A mobile phone?
[] A landline telephone?
[] A refrigerator?
[] An air conditioner?
[] A stove?
[] Satellite dish?
[] A computer?
[] Animal-drawn cart?
[] Charruees?
[] Motorized water pump?
[] None of the above
[] No response

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Nigeria 2015a
Questionnaire form view entire document:  text 

10. Please tell me about the items you're your household owns. Does your household have:
Read out all types and select all that apply. Scroll to bottom to see all choices.
If an item is reported broken but said to be out of use only temporarily, select the item. Otherwise do not select the item.
[] Electricity?
[] A wall clock?
[] A radio?
[] A black/white television?
[] A color television?
[] A mobile telephone?
[] A non-mobile telephone?
[] A refrigerator?
[] A cable TV?
[] A generating set?
[] Air conditioner?
[] A computer?
[] Electric iron?
[] A fan?
[] A watch?
[] A bicycle?
[] A motorcycle or motor scooter?
[] An animal-drawn cart?
[] A car or truck?
[] A boat without a motor?
[] A canoe?
[] None of the above
[] No response

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Nigeria 2015b
Questionnaire form view entire document:  text 

10. Please tell me about the items you're your household owns. Does your household have:
Read out all types and select all that apply. Scroll to bottom to see all choices.
If an item is reported broken but said to be out of use only temporarily, select the item. Otherwise do not select the item.
[] Electricity?
[] A wall clock?
[] A radio?
[] A black/white television?
[] A color television?
[] A mobile telephone?
[] A non-mobile telephone?
[] A refrigerator?
[] A cable TV?
[] A generating set?
[] Air conditioner?
[] A computer?
[] Electric iron?
[] A fan?
[] A watch?
[] A bicycle?
[] A motorcycle or motor scooter?
[] An animal-drawn cart?
[] A car or truck?
[] A boat without a motor?
[] A canoe?
[] None of the above
[] No response

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Nigeria 2016
Questionnaire form view entire document:  text 

10. Please tell me about the items you're your household owns. Does your household have:
Read out all types and select all that apply. Scroll to bottom to see all choices.
If an item is reported broken but said to be out of use only temporarily, select the item. Otherwise do not select the item.
[] Electricity?
[] A wall clock?
[] A radio?
[] A black/white television?
[] A color television?
[] A mobile telephone?
[] A non-mobile telephone?
[] A refrigerator?
[] A cable TV?
[] A generating set?
[] Air conditioner?
[] A computer?
[] Electric iron?
[] A fan?
[] A watch?
[] A bicycle?
[] A motorcycle or motor scooter?
[] An animal-drawn cart?
[] A car or truck?
[] A boat without a motor?
[] A canoe?
[] None of the above
[] No response

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Nigeria 2017a
Questionnaire form view entire document:  text 

201. Please tell me about the items your household owns. Does your household have:
Read out all types and select all that apply. Scroll to bottom to see all choices. If an item is reported broken but said to be out of use only temporarily, select the item. Otherwise do not select the item.

[] Electricity?
[] A radio?
[] A television?
[] A mobile telephone?
[] A non-mobile telephone?
[] A refrigerator?
[] A cable TV?
[] A generating set?
[] An air conditioner?
[] A computer?
[] An electric iron?
[] A fan?
[] A watch?
[] A bicycle?
[] A motorcycle or motor scooter?
[] An animal-drawn cart?
[] A car or truck?
[] A canoe?
[] A boat with a motor?
[] None of the above -77
[] No response -99

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Nigeria 2017b
Questionnaire form view entire document:  text 

201. Please tell me about items that your household owns. Does your household have:

Read out all types and select all that apply. Scroll to bottom to see all choices.

If an item is reported broken but said to be out of use only temporarily, select the item. Otherwise, do not select the item.

Cannot select 'no response' or 'none of the above' with other options.

[] Electricity?
[] A radio?
[] A television?
[] A mobile telephone?
[] A non-mobile telephone?
[] A refrigerator?
[] A cable TV?
[] A generating set?
[] An air conditioner?
[] A computer?
[] An electric iron?
[] A fan?
[] A watch?
[] A bicycle?
[] A motorcycle or motor scooter?
[] An animal-drawn cart?
[] A car or truck?
[] A canoe?
[] A boat with a motor?
[] None of the above
[] No response

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Nigeria 2018
Questionnaire form view entire document:  text 

201. Please tell me about items that your household owns. Does your household have:

Read out all types and select all that apply. Scroll to bottom to see all choices.

If an item is reported broken but said to be out of use only temporarily, select the item. Otherwise, do not select the item.

Cannot select 'no response' or 'none of the above' with other options.

[] Electricity?
[] A radio?
[] A television?
[] A mobile telephone?
[] A non-mobile telephone?
[] A refrigerator?
[] A cable TV?
[] A generating set?
[] An air conditioner?
[] A computer?
[] An electric iron?
[] A fan?
[] A watch?
[] A bicycle?
[] A motorcycle or motor scooter?
[] An animal-drawn cart?
[] A car or truck?
[] A canoe?
[] A boat with a motor?
[] None of the above
[] No response