Questionnaire Text

Burkina Faso 2014 Ethiopia 2014a Ghana 2015 Nigeria 2014b
Congo (Democratic Republic) 2013 Ethiopia 2014b Ghana 2016 Uganda 2014
Congo (Democratic Republic) 2014 Ethiopia 2015 India 2016 Uganda 2015a
Congo (Democratic Republic) 2015a Ethiopia 2016 India 2017a Uganda 2015b
Congo (Democratic Republic) 2015b Ethiopia 2017 Kenya 2014a Uganda 2016
Congo (Democratic Republic) 2015c Ghana 2013 Kenya 2014b Uganda 2017
Congo (Democratic Republic) 2016a Ghana 2014a Kenya 2016
Congo (Democratic Republic) 2016b Ghana 2014b Nigeria 2014a
top
Burkina Faso 2014
Questionnaire form view entire document:  text 

10. Please tell me about the items you're your household owns. Does your household have:
[ODK populates a list of country-specific household assets, e.g. bed, television, electricity. The asset list may vary between countries, but is constant within each country for each round of data collection.]
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.
[ASSET 1]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 2]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 3]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

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Congo (Democratic Republic) 2013
Questionnaire form view entire document:  text 

10. Please tell me about the items you're your household owns. Does your household have:
[ODK populates a list of country-specific household assets, e.g. bed, television, electricity. The asset list may vary between countries, but is constant within each country for each round of data collection.]
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.
[ASSET 1]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 2]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 3]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

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Congo (Democratic Republic) 2014
Questionnaire form view entire document:  text 

10. Please tell me about the items you're your household owns. Does your household have:
[ODK populates a list of country-specific household assets, e.g. bed, television, electricity. The asset list may vary between countries, but is constant within each country for each round of data collection.]
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.
[ASSET 1]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 2]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 3]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

top
Congo (Democratic Republic) 2015a
Questionnaire form view entire document:  text 

10. Please tell me about the items you're your household owns. Does your household have:
[ODK populates a list of country-specific household assets, e.g. bed, television, electricity. The asset list may vary between countries, but is constant within each country for each round of data collection.]
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.
[ASSET 1]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 2]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 3]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

top
Congo (Democratic Republic) 2015b
Questionnaire form view entire document:  text 

10. Please tell me about the items you're your household owns. Does your household have:
[ODK populates a list of country-specific household assets, e.g. bed, television, electricity. The asset list may vary between countries, but is constant within each country for each round of data collection.]
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.
[ASSET 1]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 2]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 3]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

top
Congo (Democratic Republic) 2015c
Questionnaire form view entire document:  text 

10. Please tell me about the items you're your household owns. Does your household have:
[ODK populates a list of country-specific household assets, e.g. bed, television, electricity. The asset list may vary between countries, but is constant within each country for each round of data collection.]
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.
[ASSET 1]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 2]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 3]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

top
Congo (Democratic Republic) 2016a
Questionnaire form view entire document:  text 

10. Please tell me about the items you're your household owns. Does your household have:
[ODK populates a list of country-specific household assets, e.g. bed, television, electricity. The asset list may vary between countries, but is constant within each country for each round of data collection.]
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.
[ASSET 1]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 2]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 3]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

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Congo (Democratic Republic) 2016b
Questionnaire form view entire document:  text 

10. Please tell me about the items you're your household owns. Does your household have:
[ODK populates a list of country-specific household assets, e.g. bed, television, electricity. The asset list may vary between countries, but is constant within each country for each round of data collection.]
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.
[ASSET 1]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 2]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 3]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

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Ethiopia 2014a
Questionnaire form view entire document:  text 

10. Does your household have:

Electricity?
[] Yes 1
[] No 0

A wall clock?
[] Yes 1
[] No 0

A radio?
[] Yes 1
[] No 0

A black/white television?
[] Yes 1
[] No 0

A color television?
[] Yes 1
[] No 0

A mobile phone?
[] Yes 1
[] No 0

A landline telephone?
[] Yes 1
[] No 0

A refrigerator?
[] Yes 1
[] No 0

A freezer?
[] Yes 1
[] No 0

Electric generator/invertor(s)?
[] Yes 1
[] No 0

A washing machine?
[] Yes 1
[] No 0

A computer?
[] Yes 1
[] No 0

A digital photo camera?
[] Yes 1
[] No 0

A non digital photo camera?
[] Yes 1
[] No 0

A video deck?
[] Yes 1
[] No 0

A DVD/CD?
[] Yes 1
[] No 0

A sewing machine?
[] Yes 1
[] No 0

A bed?
[] Yes 1
[] No 0

A table?
[] Yes 1
[] No 0

A cabinet/cupboard?
[] Yes 1
[] No 0

A bicycle?
[] Yes 1
[] No 0

A motorcycle or motor scooter?
[] Yes 1
[] No 0

A car or truck?
[] Yes 1
[] No 0

A boat with a motor?
[] Yes 1
[] No 0

A boat without a motor?
[] Yes 1
[] No 0

[] None of the above -77
[] No response -99
READ OUT ALL TYPES AND SELECT ALL THAT APPLY.

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Ethiopia 2014b
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.
Electricity?
[] Yes 1
[] No 0

A wall clock?
[] Yes 1
[] No 0

A radio?
[] Yes 1
[] No 0

A black/white television?
[] Yes 1
[] No 0

A color television?
[] Yes 1
[] No 0

A mobile phone?
[] Yes 1
[] No 0

A landline telephone?
[] Yes 1
[] No 0

A refrigerator?
[] Yes 1
[] No 0

A freezer?
[] Yes 1
[] No 0

Electric generator/invertor(s)?
[] Yes 1
[] No 0

A washing machine?
[] Yes 1
[] No 0

A computer?
[] Yes 1
[] No 0

A digital photo camera?
[] Yes 1
[] No 0

A non digital photo camera?
[] Yes 1
[] No 0

A video deck?
[] Yes 1
[] No 0

A DVD/CD?
[] Yes 1
[] No 0

A sewing machine?
[] Yes 1
[] No 0

A bed?
[] Yes 1
[] No 0

A table?
[] Yes 1
[] No 0

A cabinet/cupboard?
[] Yes 1
[] No 0

A bicycle?
[] Yes 1
[] No 0

A motorcycle or motor scooter?
[] Yes 1
[] No 0

A car or truck?
[] Yes 1
[] No 0

A boat with a motor?
[] Yes 1
[] No 0

A boat without a motor?
[] Yes 1
[] No 0

[] None of the above -77
[] No response -99
READ OUT ALL TYPES AND SELECT ALL THAT APPLY.

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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.
Electricity?
[] Yes 1
[] No 0

A watch clock?
[] Yes 1
[] No 0

A radio?
[] Yes 1
[] No 0

A television?
[] Yes 1
[] No 0

A mobile phone?
[] Yes 1
[] No 0

A non-mobile telephone?
[] Yes 1
[] No 0

A refrigerator?
[] Yes 1
[] No 0

A table?
[] Yes 1
[] No 0

A chair?
[] Yes 1
[] No 0

A bed with cotton sponge spring mattress?
[] Yes 1
[] No 0

An electric mitad?
[] Yes 1
[] No 0

A kerosene lamp pressure lamp?
[] Yes 1
[] No 0

A bicycle?
[] Yes 1
[] No 0

A motorcycle or motor scooter?
[] Yes 1
[] No 0

An animal drawn cart?
[] Yes 1
[] No 0

A car or truck?
[] Yes 1
[] No 0

[] None of the above -77
[] No response -99


READ OUT ALL TYPES AND SELECT ALL THAT APPLY.


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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 

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 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/ SCOOTER
[] AN ANIMAL-DRAWN CART
[] A CAR/TRUCK
[] None of the above -77
[] No response-99

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Ghana 2013
Questionnaire form view entire document:  text 

10. Please tell me about the items you're your household owns. Does your household have:
[ODK populates a list of country-specific household assets, e.g. bed, television, electricity. The asset list may vary between countries, but is constant within each country for each round of data collection.]
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.
[ASSET 1]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 2]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 3]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

top
Ghana 2014a
Questionnaire form view entire document:  text 

10. Please tell me about the items you're your household owns. Does your household have:
[ODK populates a list of country-specific household assets, e.g. bed, television, electricity. The asset list may vary between countries, but is constant within each country for each round of data collection.]
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.
[ASSET 1]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 2]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 3]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

top
Ghana 2014b
Questionnaire form view entire document:  text 

10. Please tell me about the items you're your household owns. Does your household have:
[ODK populates a list of country-specific household assets, e.g. bed, television, electricity. The asset list may vary between countries, but is constant within each country for each round of data collection.]
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.
[ASSET 1]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 2]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 3]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

top
Ghana 2015
Questionnaire form view entire document:  text 

10. Please tell me about the items you're your household owns. Does your household have:
[ODK populates a list of country-specific household assets, e.g. bed, television, electricity. The asset list may vary between countries, but is constant within each country for each round of data collection.]
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.
[ASSET 1]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 2]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 3]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

top
Ghana 2016
Questionnaire form view entire document:  text 

Section 2 - Household Characteristics

Now I would like to ask you a few questions about the characteristics of your household.

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.

[] ASSET 1
[] ASSET 2
[] ASSET 3
[] ASSET 4
[] ASSET 5
[] ASSET 6
[] ASSET 7
[] ASSET 8
[] ASSET 9
[] ASSET 10
[] ASSET 11
[] ASSET 12
[] ASSET 13
[] ASSET 14
[] ASSET 15
[] ASSET 16
[] None of the above -77
[] No response -99

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India 2016
Questionnaire form view entire document:  text 

Section 2 - Household Characteristics

Now I would like to ask you a few questions about the characteristics of your household.

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.

[] Electricity
[] Mattress
[] Pressure cooker
[] Chair
[] Cot/bed
[] Table
[] Electric fan
[] Radio/transistor
[] B and w television
[] Color television
[] Sewing machine
[] Mobile telephone
[] Landline 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 -77
[] No response -99



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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

top
Kenya 2014a
Questionnaire form view entire document:  text 

10. Please tell me about the items you're your household owns. Does your household have:
[ODK populates a list of country-specific household assets, e.g. bed, television, electricity. The asset list may vary between countries, but is constant within each country for each round of data collection.]
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.
[ASSET 1]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 2]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 3]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

top
Kenya 2014b
Questionnaire form view entire document:  text 

10. Please tell me about the items you're your household owns. Does your household have:
[ODK populates a list of country-specific household assets, e.g. bed, television, electricity. The asset list may vary between countries, but is constant within each country for each round of data collection.]
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.
[ASSET 1]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 2]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

[ASSET 3]

[] Yes 1
[] No 0
[] Don't know -88
[] No response -99

top
Kenya 2016
Questionnaire form view entire document:  text 

Section 2 - Household Characteristics
Now I would like to ask you a few questions about the characteristics of your household.
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
[] TELEVISION
[] MOBILE PHONE
[] NON-MOBILE TELEPHONE
[] REFRIGERATOR
[] SOLAR PANEL
[] TABLE
[] CHAIR
[] SOFA
[] BED
[] CUPBOARD
[] CLOCK
[] MICROWAVE OVEN
[] DVD PLAYER
[] CASSETTE/CD PLAYER
[] AIR CONDITIONER
[] WATCH
[] BICYCLE
[] MOTORCYCLE/SCOOTER
[] ANIMAL-DRAWN CART
[] CAR/TRUCK
[] BOAT WITH MOTOR
[] None of the above -77
[] No response -99

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Nigeria 2014a
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.

Electricity?
[] Yes 1
[] No 0

A wall clock?
[] Yes 1
[] No 0

A radio?
[] Yes 1
[] No 0

A black/white television?
[] Yes 1
[] No 0

A color television?
[] Yes 1
[] No 0

A mobile phone?
[] Yes 1
[] No 0

A landline telephone?
[] Yes 1
[] No 0

A refrigerator?
[] Yes 1
[] No 0

A freezer?
[] Yes 1
[] No 0

Electric generator/invertor(s)?
[] Yes 1
[] No 0

A washing machine?
[] Yes 1
[] No 0

A computer?
[] Yes 1
[] No 0

A digital photo camera?
[] Yes 1
[] No 0

A non-digital photo camera?
[] Yes 1
[] No 0

A video deck?
[] Yes 1
[] No 0

A DVD/CD?
[] Yes 1
[] No 0

A sewing machine?
[] Yes 1
[] No 0

A bed? A table?
[] Yes 1
[] No 0

A cabinet/cupboard?
[] Yes 1
[] No 0

A bicycle?
[] Yes 1
[] No 0

A motorcycle or motor scooter?
[] Yes 1
[] No 0

A car or truck?
[] Yes 1
[] No 0

A boat with a motor?
[] Yes 1
[] No 0

A boat without a motor?
[] Yes 1
[] No 0

[] None of the above -88

top
Nigeria 2014b
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.

Electricity?
[] Yes 1
[] No 0

A wall clock?
[] Yes 1
[] No 0

A radio?
[] Yes 1
[] No 0

A black/white television?
[] Yes 1
[] No 0

A color television?
[] Yes 1
[] No 0

A mobile phone?
[] Yes 1
[] No 0

A landline telephone?
[] Yes 1
[] No 0

A refrigerator?
[] Yes 1
[] No 0

A freezer?
[] Yes 1
[] No 0

Electric generator/invertor(s)?
[] Yes 1
[] No 0

A washing machine?
[] Yes 1
[] No 0

A computer?
[] Yes 1
[] No 0

A digital photo camera?
[] Yes 1
[] No 0

A non-digital photo camera?
[] Yes 1
[] No 0

A video deck?
[] Yes 1
[] No 0

A DVD/CD?
[] Yes 1
[] No 0

A sewing machine?
[] Yes 1
[] No 0

A bed? A table?
[] Yes 1
[] No 0

A cabinet/cupboard?
[] Yes 1
[] No 0

A bicycle?
[] Yes 1
[] No 0

A motorcycle or motor scooter?
[] Yes 1
[] No 0

A car or truck?
[] Yes 1
[] No 0

A boat with a motor?
[] Yes 1
[] No 0

A boat without a motor?
[] Yes 1
[] No 0

[] None of the above -88

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Uganda 2014
Questionnaire form view entire document:  text 

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

[] 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?
[] None of the above
[] No response -99

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.


top
Uganda 2015a
Questionnaire form view entire document:  text 

10. Does your household have:
Read out all types and select all that apply.

Electricity?
[] Yes 1
[] No 0

A wall clock?
[] Yes 1
[] No 0

A radio?
[] Yes 1
[] No 0

A black/white television?
[] Yes 1
[] No 0

A color television?
[] Yes 1
[] No 0

A mobile phone?
[] Yes 1
[] No 0

A landline telephone?
[] Yes 1
[] No 0

A refrigerator?
[] Yes 1
[] No 0

A freezer?
[] Yes 1
[] No 0

Electric generator/invertor(s)?
[] Yes 1
[] No 0

A washing machine?
[] Yes 1
[] No 0

A computer?
[] Yes 1
[] No 0

A digital photo camera?
[] Yes 1
[] No 0

A non digital photo camera?
[] Yes 1
[] No 0

A video deck?
[] Yes 1
[] No 0

A DVD/CD?
[] Yes 1
[] No 0

A sewing machine?
[] Yes 1
[] No 0

A bed?
[] Yes 1
[] No 0

A table?
[] Yes 1
[] No 0

A cabinet/cupboard?
[] Yes 1
[] No 0

A bicycle?
[] Yes 1
[] No 0

A motorcycle or motor scooter?
[] Yes 1
[] No 0

A car or truck?
[] Yes 1
[] No 0

A boat with a motor?
[] Yes 1
[] No 0

A boat without a motor?
[] Yes 1
[] No 0

[] None of the above -88
[] No response -99

top
Uganda 2015b
Questionnaire form view entire document:  text 

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?
[] Yes 1
[] No 0

A radio?
[] Yes 1
[] No 0

A cassette player?
[] Yes 1
[] No 0

A television?
[] Yes 1
[] No 0

A mobile phone?
[] Yes 1
[] No 0

A fixed telephone?
[] Yes 1
[] No 0

A refrigerator?
[] Yes 1
[] No 0

A table?
[] Yes 1
[] No 0

A chair?
[] Yes 1
[] No 0

A sofaset?
[] Yes 1
[] No 0

A bed?
[] Yes 1
[] No 0

A cupboard?
[] Yes 1
[] No 0

A clock?
[] Yes 1
[] No 0

A watch?
[] Yes 1
[] No 0

A bicycle?
[] Yes 1
[] No 0

A motorcycle or motor scooter?
[] Yes 1
[] No 0

An animal-drawn cart?
[] Yes 1
[] No 0

A car or truck?
[] Yes 1
[] No 0

A boat with a motor?
[] Yes 1
[] No 0

A boat without a motor?
[] Yes 1
[] No 0

[] None of the above -88
[] No response -99
READ OUT ALL TYPES AND SELECT ALL THAT APPLY


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Uganda 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.

[] 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 -88
[] No response -99
READ OUT ALL TYPES AND SELECT ALL THAT APPLY.

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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