Questionnaire Text

Congo (Democratic Republic) 2015a Congo (Democratic Republic) 2017b Ethiopia 2018 Kenya 2017
Congo (Democratic Republic) 2015b Congo (Democratic Republic) 2018a India 2016 Kenya 2018
Congo (Democratic Republic) 2015c Congo (Democratic Republic) 2018b India 2017a Uganda 2015b
Congo (Democratic Republic) 2016a Ethiopia 2015 India 2017b Uganda 2016
Congo (Democratic Republic) 2016b Ethiopia 2016 India 2018 Uganda 2017
Congo (Democratic Republic) 2017a Ethiopia 2017 Kenya 2016 Uganda 2018
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Congo (Democratic Republic) 2015a
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.
[] Electricity?
[] A wall clock?
[] A radio?
[] A black/white television?
[] A color television?
[] A mobile phone?
[] A landline telephone?
[] A refrigerator?
[] A freezer?
[] An electric generator/invertor(s)?
[] A washing machine?
[] A computer?
[] A digital photo camera?
[] A non-digital photo camera?
[] A video deck?
[] A DVD/CD?
[] A sewing machine?
[] A bed?
[] A table?
[] A cabinet/cupboard?
[] A bicycle?
[] A motorcycle or motor scooter?
[] A car or truck?
[] A boat with a motor?
[] A boat without a motor?
[] A gas or electric stove?
[] A chair(s)?
[] A lamp(s)?
[] An oven?
[] A hoe(s)?
[] Animal-drawn cart?
[] A canoe or motorized canoe?
[] A rental house?
[] None of the above
[] No response

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Congo (Democratic Republic) 2015b
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.
[] Electricity?
[] A wall clock?
[] A radio?
[] A black/white television?
[] A color television?
[] A mobile phone?
[] A landline telephone?
[] A refrigerator?
[] A freezer?
[] An electric generator/invertor(s)?
[] A washing machine?
[] A computer?
[] A digital photo camera?
[] A non-digital photo camera?
[] A video deck?
[] A DVD/CD?
[] A sewing machine?
[] A bed?
[] A table?
[] A cabinet/cupboard?
[] A bicycle?
[] A motorcycle or motor scooter?
[] A car or truck?
[] A boat with a motor?
[] A boat without a motor?
[] A gas or electric stove?
[] A chair(s)?
[] A lamp(s)?
[] An oven?
[] A hoe(s)?
[] Animal-drawn cart?
[] A canoe or motorized canoe?
[] A rental house?
[] None of the above
[] No response

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Congo (Democratic Republic) 2015c
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.
[] Electricity?
[] A wall clock?
[] A radio?
[] A black/white television?
[] A color television?
[] A mobile phone?
[] A landline telephone?
[] A refrigerator?
[] A freezer?
[] An electric generator/invertor(s)?
[] A washing machine?
[] A computer?
[] A digital photo camera?
[] A non-digital photo camera?
[] A video deck?
[] A DVD/CD?
[] A sewing machine?
[] A bed?
[] A table?
[] A cabinet/cupboard?
[] A bicycle?
[] A motorcycle or motor scooter?
[] A car or truck?
[] A boat with a motor?
[] A boat without a motor?
[] A gas or electric stove?
[] A chair(s)?
[] A lamp(s)?
[] An oven?
[] A hoe(s)?
[] Animal-drawn cart?
[] A canoe or motorized canoe?
[] A rental house?
[] None of the above
[] No response

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Congo (Democratic Republic) 2016a
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.
[] Electricity?
[] A wall clock?
[] A radio?
[] A black/white television?
[] A color television?
[] A mobile phone?
[] A landline telephone?
[] A refrigerator?
[] A freezer?
[] An electric generator/invertor(s)?
[] A washing machine?
[] A computer?
[] A digital photo camera?
[] A non-digital photo camera?
[] A video deck?
[] A DVD/CD?
[] A sewing machine?
[] A bed?
[] A table?
[] A cabinet/cupboard?
[] A bicycle?
[] A motorcycle or motor scooter?
[] A car or truck?
[] A boat with a motor?
[] A boat without a motor?
[] A gas or electric stove?
[] A chair(s)?
[] A lamp(s)?
[] An oven?
[] A hoe(s)?
[] Animal-drawn cart?
[] A canoe or motorized canoe?
[] A rental house?
[] None of the above
[] No response

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Congo (Democratic Republic) 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 wall clock?
[] A radio?
[] A black/white television?
[] A color television?
[] A mobile phone?
[] A landline telephone?
[] A refrigerator?
[] A freezer?
[] An electric generator/invertor(s)?
[] A washing machine?
[] A computer?
[] A digital photo camera?
[] A non digital photo camera?
[] A video deck?
[] A DVD/CD?
[] A sewing machine?
[] A bed?
[] A table?
[] A cabinet/cupboard?
[] A bicycle?
[] A motorcycle or motor scooter?
[] A car or truck?
[] A boat with a motor?
[] A boat without a motor?
[] A gas or electric stove?
[] A chair(s)?
[] A lamp(s)?
[] An oven?
[] A hoe(s)?
[] Animal-drawn cart?
[] A canoe or motorized canoe?
[] A rental house?
[] None of the above
[] No response

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Congo (Democratic Republic) 2017a
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 wall clock?
[] A radio?
[] A black/white television?
[] A color television?
[] A mobile phone?
[] A landline telephone?
[] A refrigerator?
[] A freezer?
[] An electric generator/invertor(s)?
[] A washing machine?
[] A computer?
[] A digital photo camera?
[] A non digital photo camera?
[] A video deck?
[] A DVD/CD?
[] A sewing machine?
[] A bed?
[] A table?
[] A cabinet/cupboard?
[] A bicycle?
[] A motorcycle or motor scooter?
[] A car or truck?
[] A boat with a motor?
[] A boat without a motor?
[] A gas or electric stove?
[] A chair(s)?
[] A lamp(s)?
[] An oven?
[] A hoe(s)?
[] Animal-drawn cart?
[] A canoe or motorized canoe?
[] A rental house?
[] None of the above
[] No response

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Congo (Democratic Republic) 2017b
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.
[] Electricity?
[] A wall clock?
[] A radio?
[] A black/white television?
[] A color television?
[] A mobile phone?
[] A landline telephone?
[] A refrigerator?
[] A freezer?
[] An electric generator/invertor(s)?
[] A washing machine?
[] A computer?
[] A digital photo camera?
[] A non-digital photo camera?
[] A video deck?
[] A DVD/CD?
[] A sewing machine?
[] A bed?
[] A table?
[] A cabinet/cupboard?
[] A bicycle?
[] A motorcycle or motor scooter?
[] A car or truck?
[] A boat with a motor?
[] A boat without a motor?
[] A gas or electric stove?
[] A chair(s)?
[] A lamp(s)?
[] An oven?
[] A hoe(s)?
[] Animal-drawn cart?
[] A canoe or motorized canoe?
[] A rental house?
[] None of the above
[] No response

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Congo (Democratic Republic) 2018a
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 wall clock?
[] A radio?
[] A black/white television?
[] A color television?
[] A mobile phone?
[] A landline telephone?
[] A refrigerator?
[] A freezer?
[] An electric generator/invertor(s)?
[] A washing machine?
[] A computer?
[] A digital photo camera?
[] A non-digital photo camera?
[] A video deck?
[] A DVD/CD?
[] A sewing machine?
[] A bed?
[] A table?
[] A cabinet/cupboard?
[] A bicycle?
[] A motorcycle or motor scooter?
[] A car or truck?
[] A boat with a motor?
[] A boat without a motor?
[] A gas or electric stove?
[] A chair(s)?
[] A lamp(s)?
[] An oven?
[] A hoe(s)?
[] Animal-drawn cart?
[] A canoe or motorized canoe?
[] A rental house?
[] None of the above
[] No response

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Congo (Democratic Republic) 2018b
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 wall clock?
[] A radio?
[] A black/white television?
[] A color television?
[] A mobile phone?
[] A landline telephone?
[] A refrigerator?
[] A freezer?
[] An electric generator/invertor(s)?
[] A washing machine?
[] A computer?
[] A digital photo camera?
[] A non-digital photo camera?
[] A video deck?
[] A DVD/CD?
[] A sewing machine?
[] A bed?
[] A table?
[] A cabinet/cupboard?
[] A bicycle?
[] A motorcycle or motor scooter?
[] A car or truck?
[] A boat with a motor?
[] A boat without a motor?
[] A gas or electric stove?
[] A chair(s)?
[] A lamp(s)?
[] An oven?
[] A hoe(s)?
[] Animal-drawn cart?
[] A canoe or motorized canoe?
[] A rental house?
[] None of the above
[] No response

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Ethiopia 2015
Questionnaire form view entire document:  text 

10. 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.
READ OUT ALL TYPES AND SELECT ALL THAT APPLY.

[] Electricity?
[] A watch/clock?
[] A radio?
[] A television?
[] A mobile phone?
[] A non-mobile telephone?
[] A refrigerator?
[] A table?
[] A chair?
[] A bed with cotton/sponge/spring mattress?
[] An electric mitad?
[] A kerosene lamp/pressure lamp?
[] A bicycle?
[] A motorcycle or motor scooter?
[] An animal-drawn cart?
[] A car or truck?
[] None of the above -77
[] No response -99

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Ethiopia 2016
Questionnaire form view entire document:  text 

10. 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.
READ OUT ALL TYPES AND SELECT ALL THAT APPLY.

[] Electricity?
[] A watch/clock?
[] A radio?
[] A television?
[] A mobile phone?
[] A non-mobile telephone?
[] A refrigerator?
[] A table?
[] A chair?
[] A bed with cotton/sponge/spring mattress?
[] An electric mitad?
[] A kerosene lamp/pressure lamp?
[] A bicycle?
[] A motorcycle or motor scooter?
[] An animal-drawn cart?
[] A car or truck?
[] None of the above -77
[] No response -99

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Ethiopia 2017
Questionnaire form view entire document:  text 

10. 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.
READ OUT ALL TYPES AND SELECT ALL THAT APPLY.

[] Electricity?
[] A watch/clock?
[] A radio?
[] A television?
[] A mobile phone?
[] A non-mobile telephone?
[] A refrigerator?
[] A table?
[] A chair?
[] A bed with cotton/sponge/spring mattress?
[] An electric mitad?
[] A kerosene lamp/pressure lamp?
[] A bicycle?
[] A motorcycle or motor scooter?
[] An animal-drawn cart?
[] A car or truck?
[] None of the above -77
[] No response -99

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Ethiopia 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 watch/clock?
[] A radio?
[] A television?
[] A mobile phone?
[] A non-mobile telephone?
[] A refrigerator?
[] A table?
[] A chair?
[] A bed with cotton/sponge/spring mattress?
[] An electric mitad?
[] A kerosene lamp/pressure lamp?
[] A bicycle?
[] A motorcycle or motor scooter?
[] An animal-drawn cart
[] A car or truck?
[] 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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Uganda 2015b
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 cassette player?
[] A television?
[] A mobile phone?
[] A fixed telephone?
[] A refrigerator?
[] A table?
[] A chair?
[] A sofa set?
[] A bed?
[] A cupboard?
[] A clock?
[] A watch?
[] A bicycle?
[] A motorcycle or motor scooter?
[] An animal drawn cart?
[] A car or truck?
[] A boat with a motor?
[] A boat without a motor?
[] None of the above -77
[] No response -99

Check here to acknowledge you considered all options.


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Uganda 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 cassette player?
[] A television?
[] A mobile phone?
[] A fixed telephone?
[] A refrigerator?
[] A table?
[] A chair?
[] A sofa set?
[] A bed?
[] A cupboard?
[] A clock?
[] A watch?
[] A bicycle?
[] A motorcycle or motor scooter?
[] An animal drawn cart?
[] A car or truck?
[] A boat with a motor?
[] A boat without a motor?
[] None of the above -77
[] No response -99

Check here to acknowledge you considered all options.


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Uganda 2017
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
[] Radio
[] A Cassette Player
[] Television
[] Mobile Phone
[] A Fixed Telephone
[] Refrigerator
[] Table
[] Chair
[] Sofa Set
[] Bed
[] Cupboard
[] Clock
[] Watch
[] Bicycle
[] Motorcycle/Scooter
[] Animal-Drawn Cart
[] Car/Truck
[] Boat With Motor
[] Boat Without A Motor
[] None of the above -77
[] No response -99

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Uganda 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 cassette player?
[] A television?
[] A mobile phone?
[] A fixed telephone?
[] A refrigerator?
[] A table?
[] A chair?
[] A sofa set?
[] A bed?
[] A cupboard?
[] A clock?
[] A watch?
[] A bicycle?
[] A motorcycle or motor scooter?
[] An animal drawn cart?
[] A car or truck?
[] A boat with a motor?
[] A boat without a motor?
[] None of the above -77
[] No response -99

Check here to acknowledge you considered all options.