Questionnaire Text

Congo (Democratic Republic) 2015a Congo (Democratic Republic) 2017a Congo (Democratic Republic) 2019b Ethiopia 2015
Congo (Democratic Republic) 2015b Congo (Democratic Republic) 2017b Congo (Democratic Republic) 2020 Ethiopia 2016
Congo (Democratic Republic) 2015c Congo (Democratic Republic) 2018a Congo (Democratic Republic) 2020 Ethiopia 2017
Congo (Democratic Republic) 2016a Congo (Democratic Republic) 2018b Congo (Democratic Republic) 2021 Ethiopia 2018
Congo (Democratic Republic) 2016b Congo (Democratic Republic) 2019a Congo (Democratic Republic) 2021 Ethiopia 2019
top
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

top
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

top
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

top
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

top
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

top
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

top
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

top
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

top
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

top
Congo (Democratic Republic) 2019a
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

top
Congo (Democratic Republic) 2019b
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

top
Congo (Democratic Republic) 2020
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

top
Congo (Democratic Republic) 2020
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

top
Congo (Democratic Republic) 2021
Questionnaire form view entire document:  text 
202. 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

top
Congo (Democratic Republic) 2021
Questionnaire form view entire document:  text 
202. 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

top
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
[] No response

top
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
[] No response

top
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
[] No response

top
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

top
Ethiopia 2019
Questionnaire form view entire document:  text 
011. 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 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