Questionnaire Text

Burkina Faso 2015 Burkina Faso 2017 Burkina Faso 2021 Cote d'Ivoire 2018
Burkina Faso 2016a Burkina Faso 2018 Burkina Faso 2022 Cote d'Ivoire 2020
Burkina Faso 2016b Burkina Faso 2020 Cote d'Ivoire 2017 Cote d'Ivoire 2021
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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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Burkina Faso 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 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?
[] 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 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 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?
[] 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 2022
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 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?
[] 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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Cote d'Ivoire 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.

[] 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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Cote d'Ivoire 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 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/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