Questionnaire Text

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

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

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

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

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

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

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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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Indonesia 2015
Questionnaire form view entire document:  text 

201. Please tell me about the 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?
[] Television?
[] Telephone?
[] Hand phone?
[] Refrigerator?
[] A Bicycle?
[] A motorcycle?
[] A rowboat?
[] A motorboat?
[] An animal-drawn cart (Sado, Cidomo, Dokar, Andong, Bendi)?
[] A car or truck?
[] A ship?
[] None of the above
[] No response

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Indonesia 2016
Questionnaire form view entire document:  text 

201. Please tell me about the 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?
[] Television?
[] Telephone?
[] Hand phone?
[] Refrigerator?
[] A Bicycle?
[] A motorcycle?
[] A rowboat?
[] A motorboat?
[] An animal-drawn cart (Sado, Cidomo, Dokar, Andong, Bendi)?
[] A car or truck?
[] A ship?
[] None of the above
[] No response

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Kenya 2015a
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.
[] A clock or watch?
[] Electricity?
[] A radio?
[] A television?
[] A mobile telephone?
[] A non-mobile telephone?
[] A refrigerator?
[] A solar panel?
[] A bicycle?
[] A motorcycle or motor scooter?
[] An animal-drawn cart?
[] A car or truck?
[] A boat without a motor?
[] None of the above -77
[] No response -99

READ OUT ALL TYPES AND SELECT ALL THAT APPLY.


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Kenya 2015b
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.
[] A clock or watch?
[] Electricity?
[] A radio?
[] A television?
[] A mobile telephone?
[] A non-mobile telephone?
[] A refrigerator?
[] A solar panel?
[] A bicycle?
[] A motorcycle or motor scooter?
[] An animal-drawn cart?
[] A car or truck?
[] A boat without a motor?
[] None of the above -77
[] No response -99

READ OUT ALL TYPES AND SELECT ALL THAT APPLY.


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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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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?
[] 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 2017
Questionnaire form view entire document:  text 

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

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

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Niger 2018
Questionnaire form view entire document:  text 

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

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

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

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Nigeria 2017a
Questionnaire form view entire document:  text 

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

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

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Nigeria 2017b
Questionnaire form view entire document:  text 

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

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

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

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

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

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Nigeria 2018
Questionnaire form view entire document:  text 

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

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

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

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

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

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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.