Questionnaire Text

Burkina Faso 2015 Congo (Democratic Republic) 2015a Congo (Democratic Republic) 2017a Niger 2016a
Burkina Faso 2016a Congo (Democratic Republic) 2015b Congo (Democratic Republic) 2017b Niger 2016b
Burkina Faso 2016b Congo (Democratic Republic) 2015c Congo (Democratic Republic) 2018a Niger 2017
Burkina Faso 2017 Congo (Democratic Republic) 2016a Congo (Democratic Republic) 2018b Niger 2018
Burkina Faso 2018 Congo (Democratic Republic) 2016b Niger 2015
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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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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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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

top
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