technical details on the 2009 household survey

APPENDICES

Technical Details on the 2009 Household Survey

1 Survey design

1.1 Introduction

The household survey is part of a USAID project called the Assets and Markets Access

Collaborative Research Support Program (AMA CRSP), a long-term empirical study of

idiosyncratic shocks and welfare dynamics in Ghana, Bangladesh and Ethiopia.

The survey was conducted in four villages in Akwapim South district, Eastern Region, Ghana in

2009. Questionnaires were administered in five rounds from February to November 2009, with

each household interviewed once every two months.

1.2 Organization of the survey

The survey villages were initially selected because the district was the site of rapid growth

in the export agriculture industry (specifically, of pineapple) in the late 1990s. Four villages were

selected non-randomly from those in the district. The villages are Konkonuru, Oboadaka,

Pokrom and Darmang-Ahweriase.

Within each village, around 60 households were randomly selected for participation in the

first wave in 1997-98. In Darmang, given its population was barely more than 60 households, all

households were selected. Table 1 shows the actual number of households remaining after

refusals etc. The second wave in 2004 was based on the same sample, but due to attrition the

sample was smaller. The 2009 sample was rebuilt by random resampling, to obtain a targeted 70

households in each village. The existing sample was retained, but those households which had

disappeared or chosen not to take part were replaced by new households selected at random from

that village. In a small number of cases, only one of the spouses from a former sample household

remained in the village (because of death, divorce or migration). We included these remaining

‘single spouses’ in the sample but did not count them towards the 70-household target.

Table 1: Survey samples in the Akwapim South study

Wave Konkonuru Oboadaka Pokrom Darmang Total

1997-98 Households 54 51 51 51 213

Individuals 112 102 111 106 429

2004 Households 44 38 38 39 159

Individuals 90 89 81 90 350

2009 Households* 81 76 78 81 316

Individuals 151 149 147 158 605

* Includes single-headed households.

The survey is unusual in that almost all of the questions are posed to both the household

head and spouse(s). A full breakdown of the number of participants in each wave is given in

Table 1. The district is patrilineal, so the head is usually male and the spouse(s) female. A small

number of households had multiple wives; in these cases all wives were interviewed. The 1997-

98 and 2004 survey instruments comprised sections on assets, consumption, land assets, farm

business activity, non-farm business and income, gifts and transfers, loans, family background

and marital attitudes. All of these sections (effectively unchanged) were fielded again in 2009 to

generate consistent panel data. In addition, we added modules on social networks, long-term

shocks and perceptions of poverty, membership of organizations and cooperatives, education and

household characteristics. The questionnaires follow in this appendix. We also conducted two

field experiments designed to study the effects of financial and non-financial windfalls on

savings, consumption and sharing behavior, and the willingness of individuals to contribute to

local public goods. Details on these experiments can be found in Chapters 2 and 3 of the

dissertation.

1.3 Sample issues

The initial sample in 1997-98 was 60 households selected at random in each village. Due

to attrition, we were able to identify just over half of these households willing to participate in

2009. To reach a target sample size of 70 households in each village, we augmented these

remaining households with additional households from each village, using random sampling

stratified by age group. Details on attrition and the resampling are presented in Table 2.

The resampling was conducted as follows. We visited the villages in the fourth week of

January and interviewed someone from every household in the village with a brief demographic

survey. We asked the household head (or designated alternate) for the names and ages of the

head and spouse(s), household size, the household’s location and the residential history of its

occupants. From this listing we identified households in the existing sample and asked whether

they wished to participate in the survey again in 2009. Of the non-sample households, those with

both a head and spouse present were retained for the resampling. We divided this subset into

three groups based on the age of the head (under 30, 30-64, and 65+). These age categories were

chosen because households with heads under 30 could not have been selected for the first wave

in 1997, and older-headed households in the original sample were subject to greater attrition. We

then selected enough households so that, combined with the existing sample households who

agree to participate, we had 70 households in each village with proportions of each age group

close to those of the village. Newly selected households which refused to participate were

replaced by the next household from that age category on a randomized list.

Table 2: Attrition and resampling

Konkonuru Oboadaka Pokrom Darmang Total

Original sample

1997-98 54 51 51 51 207

2004 44 38 38 39 159

Located in 2009 44 40 43 48 175

Dropped/Refused 1 1 0 0 2

Remaining 43 39 43 48 173

Single-headed 12 7 10 11 40

Dual-headed 31 32 33 37 133

Resampling

Young 11 14 12 12 49

Middle 28 23 20 14 85

Old 0 1 5 7 13

Total 39 38 37 33 147

Total sample 2009

Dual-headed 70 70 70 70 280

Single-headed 12 7 10 11 40

Total 82 77 80 81 320

1.4 Definition of a household

We adopt the standard LSMS definition of a household as “a group of individuals which

normally eat from the same pot”. However, this was augmented by a condition that to be a

member of the household, an individual must have satisfied the LSMS definition for at least one

month (30 days) in the past year. This was done to rule out the inclusion of itinerant members or

children living elsewhere.

The household head was defined as the most senior member of the household. This

designation was usually unambiguous, but if not, the head was to be the person who would

normally represent the household in its dealings with other households. The head and his/her

spouse(s) were the only people interviewed from each household.

1.5 Timetable

The survey ran from January to November 2009. In January we recruited and trained the

enumerators. We conducted the listing in the second-last week of January, then conducted the

resampling and selected a pretest group to test the instruments. Pretesting and revision of the

survey instrument took place in the last week of January. The survey rounds began in the first

week of February. Each of the five rounds lasted two months; the full timetable is set out below.

There were two teams of enumerators in the field, four in each village (one of whom was

designated a supervisor). All of the sample households in a village were interviewed over the

course of the month, with two villages being surveyed concurrently. At the end of the month, the

enumerators will move to the second two villages to spend a month there conducting the second

half of the round. The social networks module will be administered by a separate team of

enumerators in February and March, running on the same schedule as the general survey team

but interviewing each household four times over the course of the month.

In each round, respondents answered a standard questionnaire on income, farming,

business activity, assets, consumption and transfers/loans. This was augmented by a full social

network survey in the first round, and some short one-round modules on other issues in

subsequent rounds. Each household was visited once in each round for the general survey, and an

additional four times in February/March for the social networks module.

The following table lists the commencement and completion dates for each activity in the

survey. Data collection rounds and experiments took place two villages at a time. Group A

contains Konkonuru and Oboadaka. Group B contains Pokrom and Darmang, whose data

collection and experiments occur one month after Group A.

Table 3: Calendar of household survey interviews

Round or Activity Date Commenced Date Completed

Listing 22 January 26 January

Pretest 28 January 30 January

Round 1, Group A 7 February 2 March

Round 1, Group B 9 March 6 April

Round 2, Group A 20 April 15 May

Round 2, Group B 18 May 10 June

Round 3, Group A 17 June 8 July

Round 3, Group B 15 July 5 August

Round 4, Group A 12 August 2 September

Round 4, Group B 9 September 30 September

Round 5, Group A 7 October 28 October

Round 5, Group B 4 November 25 November

1.6 Social networks module

The social networks module was designed to map the entire in-sample social network in

each of the four study villages. We collected detailed information on each friendship between

sample members.

The social networks module was conducted during Round 1, in parallel with the standard

household survey. This was achieved by having a second enumerator team in the village during

the first round, specifically conducting the social networks survey. Each respondent was

therefore interviewed twice during this round.

The questionnaire (a blank copy of which is included following the household survey

questionnaire below) was customized for each respondent. The names of all 150 sample

members in the village (excluding the respondent) were listed in column 1 (over multiple pages).

Due to concern about respondent fatigue (since each respondent was being asked about their

friendships with 150 other villagers), we randomized the list of names on each individual’s

questionnaire. This enabled us to test whether responses varied systematically as the enumerator

progressed down the list. There was no evidence of a systematic relationship between responses

and name order.

Early in the listing, we discovered that names are very fluid in the survey area. Many

individuals have a formal name and (possibly more than one) nickname, and are only known in

the village by their nickname. However, they had provided us with their formal names. We

therefore returned to each household and asked each respondent to tell us all the names by which

they were known. For each individual, all of their names were listed on the social networks

questionnaire and the respondent quizzed about each one. If the respondent said they did not

know of the person, the enumerators were directed to probe further by mentioning the name of

the person’s spouse. This occasionally elicited a different response.

Instructions to Enumerators

1.1 Tasks of the interviewers

Your role as an interviewer is crucial to the survey. The quality of the data will depend on

the quality of your work. You should keep in constant touch with your supervisor and inform

him of any problems you encounter in your work in the field. The supervisor will provide you

with all the necessary materials and instructions and will collect and check your work, helping

you solve any problems that arise.

Your principal task is to conduct at least 2 interviews per day during the survey period.

Each enumerator will be assigned 35-40 individuals to interview each month, and it is imperative

that these interviews take place before the end of the month because at that time the survey team

will move to the other village.

You must follow strictly all instructions in this manual. Read all questions exactly as they

appear on the questionnaire. You will be provided with the following materials for use in the

interviews:

• Questionnaires

• Instruction manual

• Briefcase/satchel

• Note pad

• Pencils/erasers

In addition, your supervisor will be equipped with:

• 2 GPS units (for plot mapping)

• Cell phone credit (for communication with ISSER).

1.2 Relations with the supervisor

You should always follow the advice given to you by your supervisor, who is the

representative of the Project Directorate in the field. He will assign you work at the beginning of

each survey round. In order to satisfy himself that your work is up to standard, your supervisor

will carry out the following checks in the field:

• He will examine in detail all questionnaires you complete, to verify that each interview has

been fully and properly carried out.

• He will make random visits to some of the households that you have already interviewed to

make sure that you went to the correct addresses.

• He will observe three more of our interviews in a cycle to evaluate your method of

interviewing. You will not be informed in advance.

• Each day he will discuss your work with you and make regular reports to the Project

Directorate on your performance in the field.

Your supervisor is the link between you and the survey organization. Just as you will

receive instructions from him, you must inform him of any difficulties or problems that you

encounter. For instance, if you do not understand a procedure or the meaning of a question in the

questionnaire, you should ask your supervisor for an explanation.

1.3 Checking the completed questionnaire

After finishing each interview, you must verify that all the sections have been filled out

correctly and legibly. You must make sure that you have asked all of the relevant questions and

recorded the answers on the questionnaire. Finally, you must complete the observations sheet,

and record the completion of the section on the household’s survey cover sheet.

This must be done immediately after the interview, before you hand in the questionnaires

to your supervisor, and most importantly, before moving on to another household or leaving the

village.

Although you may correct minor errors due to having written down the answers badly, you

must never under any circumstance make any other changes to the completed questionnaire

without asking the respondent the same question again. Do not copy the information you have

collected into a new questionnaire. At the end of each day’s work, all filled questionnaires must

be submitted to your supervisor for editing. Errors detected must be corrected before the end of

the month, by re-visiting the relevant household.

1.4 Questions rejected by the data entry system

Your work will also be reviewed by the data entry applications, which will carry out

checks on the answers to various questions, parts and sections of the questionnaire. After

reviewing the data entry print-outs, your supervisor will circle in red ink all the answers in the

questionnaire that were rejected by the data entry program, and return the questionnaire (if

necessary) to you. You should resolve the highlighted problems in consultation with your

supervisor immediately.

1.5 Arrival in the community

The team will arrive in the community a day before the start of the survey. Accompanied

by the interviewers, the supervisor will visit the chief, assemblymen, unit committee members

and other prominent individuals to introduce the team and discuss the survey program.

2.5.1 Finding the address

First you should look for the address written on the first page of the questionnaire and

make sure that it is the household of the head indicated. Sometimes you might have difficulties

finding a household. If this happens, you should stop and ask advice from your supervisor.

2.5.2 Explanation of the survey

The first step after meeting village formalities and constructing the sampling frame will be

to approach the selected households about participating. On the first visit to a household, the first

thing you should do is greet everyone, introduce yourself and say that you are working for

ISSER/Cornell University. You should show your interviewer’s card in all cases. You must

explain that:

• You are conducting a survey designed to learn how households cope with unexpected

events. The purpose is to find out about patterns of income, consumption, assets, gift

giving, loans and social networks in four villages in Akuapim South region. The survey is

very important for planners to learn how to help villagers cope with unexpected events, and

to improve the effectiveness of government programs.

• Their household has been randomly selected to participate in the survey.

2.5.3 Obtaining consent

You must then provide each potential participant (head and spouse(s)) with a copy of the

consent form, which describes the survey, outlines the requirements for and consequences of

participation, and gives them a chance to decide freely whether to participate. Offer them either

the English or Twi version, as they desire. If they cannot read it personally, another person or

you must read it aloud in full to the respondent. You must spend time with the individual

explaining the details of the form: the nature of the survey, requirements of participation,

anticipated risks and benefits from participating, indirect benefits, and the terms of the

commitment to participate.

Stress that although there are parts of the survey which ask about sensitive and potentially

embarrassing information, this information will be used for research purposes only, kept

confidential at all times, and not published in a form which allows anyone to link respondents

and their information. The survey is being conducted by researchers at universities who wish to

learn more about village behavior, and not by a government or for tax purposes. The survey team

will keep the surveys secure after they are completed, and the data will always be kept private.

Only a few individuals will be authorized to see their answers in connection with their name or

identifying details.

Some individuals may nevertheless not wish to answer certain questions in the survey. Be

frank with them that there are some sensitive questions. They have the right to refuse to answer

any question. Discourage them from refusing to participate in the survey simply because some

questions might be sensitive. They can choose which questions to answer, and will not be

punished or lose compensation for refusing to answer a question. Although we would strongly

encourage all participants to commit to participating for the full year, they have the right to leave

the survey at any time.

The ethics guidelines specify that individuals must be given time to consider their

participation before deciding to consent. If an individual chooses to consent on the spot,

however, this is okay. Otherwise, arrange to return the next day to get their decision, and to

schedule an interview if they agree.

2.5.4 Scheduling an interview

Once your supervisor has obtained signed consent forms from both head and spouse(s),

you must arrange a time to return for the first interview with your respondent. There is no pre-

defined order of interviews; it will be your responsibility to schedule interviews so that all of

them can be completed within the month. You should try to accommodate the respondents’

schedules and avoid disrupting their activities or those of other family members, but emphasize

the importance of their keeping the appointment so as not to disrupt your appointments with

other households.

2.5.5 Confirming the interview

You should contact each respondent at least a day before the interview. The purpose of this

visit is to introduce yourself and confirm that the interview will take place the next day.

2.6 The interview

You must be careful to follow all the instructions set out in this manual, the most important

of which is to ask the questions exactly as they are printed in the questionnaire. You must record

the responses directly into the respective answer boxes on the questionnaire during the interview.

Do not record answers on scraps of paper, in your notebook, or in the margin of the

questionnaire. Neither should you count on your memory to fill in the answers after you have left

the household.

2.6.1 Tempo of the interview

You must maintain the tempo of the interview. In particular, avoid long discussions of the

questions with respondents. If the respondent gives you irrelevant or complicated answers, do

not break in too suddenly, but listen to what they are saying and then lead him/her back to the

original question. Remember that you are running the interview, and therefore you must be in

control of the situation at all times.

2.6.2 Objectivity of the interviewer

It is extremely important that you remain absolutely neutral about the subjects of the

interview. Most people are naturally polite, particularly with visitors, and they tend to give

answers and adopt attitudes that they think will please the visitor. You must not express surprise,

approval or disapproval about the answers given by the respondent, nor must you tell him/her

what you think about these things yourself.

You must also avoid any preconceived ideas about the respondent’s ability to answer

certain questions or about the kind of answer s/he is likely to give. Your most important task is to

read the questions exactly as they are written on the questionnaire.

2.6.3 Privacy of the interview

All of the data collected are strictly confidential. Any breach of confidentiality is forbidden

by law. In principle all the questions should be asked in complete privacy to ensure that the

answers remain confidential. The presence of other people may cause embarrassment to the

respondent and influence his/her answers.

The following sections of the survey may be particularly sensitive:

• Assets

• Gifts and loans

• Education

• Marital attitudes

• Social networks

At the start of these sections you should warn the respondent that the questions may be sensitive,

reiterate the privacy of the interview, and politely ask any other individuals watching to respect

the privacy of the respondent.

2.6.4 Setting of the interview

This survey is concerned with the different responses and attitudes of husbands and wives.

It is therefore very important that each spouse be interviewed apart from his/her partner. Under

no circumstances are you to interview someone with their spouse present. Some questions ask

the wife, for example, what her husband has sold. We do not want to know the truth about what

he has sold from her, we want to know what she thinks. For this reason, it is essential that she be

interviewed apart from her husband. If the respondent does not wish to be interviewed alone,

they may have someone else present, but insist that it not be their spouse.

2.6.5 Conclusion and plans for next visit

Before leaving, you must thank the respondent for their time. Explain that a team member

will return in two months for another interview, and that it is important that they participate

again at that time.

2.7 Completing the questionnaire

Every round, each household will be visited two or three times. One enumerator will

interview the head, and another will interview the head’s spouse(s). After each visit, each

enumerator must record the interview in the completion checklist on the cover sheet for that

household. Code the result of the survey COMPLETED if all sections were done; PARTIALLY

COMPLETED if the respondent refused to complete some sections, or if you were interrupted

and must return to that household this round; RESPONDENT NOT AVAILABLE only if the

respondent is definitely uncontactable for the month (eg travelling); REFUSED if they would not

be interviewed. If there is any other reason, write 6 for OTHER along with a note in the

‘Observations’ section of the sheet. If the survey took place, fill out the other details. Whether or

not the survey was completed, return the questionnaire to your supervisor for storage and

review.

2.7.1 Observation sheet

You must also fill out the observation sheet. You should indicate on this page how much

the respondent was willing to cooperate, any problems they had in answering any of the

questions (including any which were refused because of privacy concerns), any unfavorable

circumstances, and any comments you wish to make for the benefit of the supervisor. You

should fill out this section immediately after the interview, but never in the presence of the

respondent.

2.7.2 Conduct of the interviewer

The interviewer must observe the following rules:

• You must be courteous towards everyone (the respondent, his/her family and friends, the

supervisor, other members of the team and everyone else involved). Your behavior can

have an enormous impact on people’s opinions in the survey villages.

• You must avoid disturbing or upsetting anyone by your behavior.

• You must be properly dressed, so that the respondent will be inclined to trust you as a

reliable and responsible person.

• You must arrive punctually for interview appointments, and never keep a respondent

waiting.

• You must exercise patience and tact in conducting the interview, to avoid antagonizing the

respondent or leading him/her to give answers that are not in conformity with the facts.

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EARTH/MUD............1

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ASBESTOS.............5


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ANGLICAN...........2

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METHODIST..........4

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OTHER..............7

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FLUSH TOILET/WC......1

PIT LATRINE..........2

PAN/BUCKET...........3

KVIP.................4

NONE.................5

SPIRITUALIST.......6

OTHER CHRISTIAN....7

MUSLIM.............8

TRADITIONAL........9

NO RELIGION.......10

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MARITAL

STATUS

CODE

10

0H

ead

10

1S

po

use

1

10

2C

hil

d

10

3C

hil

d

10

4C

hil

d

10

5C

hil

d

10

6C

hil

d

10

7C

hil

d

10

8C

hil

d

10

9C

hil

d

11

0C

hil

d

111

Chil

d

11

2C

hil

d

11

3C

hil

d

11

4C

hil

d

11

5C

hil

d

HO

US

EH

OL

D H

EA

D,

FIR

ST

SP

OU

SE

AN

D A

LL

CH

ILD

RE

N E

VE

R B

OR

N T

O H

ER

(IN

CL

UD

ING

CH

ILD

RE

N D

EC

EA

SE

D O

R L

IVIN

G E

LS

EW

HE

RE

)

HO

US

EH

OL

D R

OS

TE

R

H

HN

R

espon

den

t's

nam

e I

D C

ode

R

ou

nd

V

illa

ge

D

ate

LOCATION CODES

DAMAN/AHWERIASE.....1

POKROM/NSABAA.......2

OBOADAKA/KWAMEKROM..3


ABURI...............5

NSAWAM..............6

SCHOOL LEVEL CODES

NONE.....................0

PRIMARY..................1

MIDDLE OR JSS............2

SENIOR SEC, TECH, COMMTY

OR TRAINING COLLEGE....3

POST-SEC, NURSING, POLY..4

UNIVERSITY...............5

EASTERN REGION (RURAL) 7

EASTERN REGION (URBAN) 8

ACCRA..................9

OTHER URBAN...........10

OTHER RURAL...........11

NOT IN GHANA..........12

MARITAL STATUS CODES

MARRIED............1

CONSENSUAL UNION...2

DIVORCED...........3

SEPARATED..........4

WIDOW/ER...........5

NEVER MARRIED......6

OCCUPATION CODES

FARMER.................1

TEACHER................2

TAXI/TRO-TRO DRIVER....3

TRUCK DRIVER...........4

ARTISAN................5

CONSTRUCTION WORKER....6

FACTORY WORKER.........7

MASON..................8

CARPENTER/CARVER.......9

HERBALIST.............10

HAIRDRESSER...........11

HEALTH WORKER.........12

OFFICE WORKER.........13

SHOP ATTENDANT/TRADER.14

BAKER/COOK............15

PRIEST................16

ELDER.................17

STUDENT...............18

UNEMPLOYED............19

NOT IN LABOR FORCE....20


(If 16+)

12

34

56

78

910

11

12

13

IDR

elati

on

to h

ead

Nam

eS

exIs

[..

.] a

liv

e?A

ge

Ch

ild

of

hea

d?

Does

[...]

curr

entl

y

liv

e h

ere?

Wh

ere

do

es s

/he

live?

Hig

hes

t

sch

ool

level

att

end

ed

Hig

hes

t

gra

de

ach

iev

ed

Occ

u-

pati

on

Mari

tal

sta

tus

WRITE THE PERSON'S COMMONLY USED NAME OR NICKNAME, FOLLOWED BY THEIR FORMAL NAME (IF

ANY) IN PARENTHESES

MALE....1

FEMALE..2

YES.1

NO..WRITE DATE

OF DEATH AND

>>NEXT PERSON

YES..1

NO...2

YES..1

(>>10)

NO...2

LOCATION

CODE

SCHOOL

LEVEL

CODE

GRADE NUMBER

OCCU-

PATION

CODE

MARITAL

STATUS

CODE

201

Spo

use

2

202

Ch

ild

203

Ch

ild

204

Ch

ild

205

Ch

ild

206

Ch

ild

207

Ch

ild

208

Ch

ild

209

Ch

ild

210

Ch

ild

211

Ch

ild

212

Ch

ild

213

Ch

ild

214

Ch

ild

215

Ch

ild

SE

CO

ND

SP

OU

SE

(IF

AP

PL

ICA

BL

E)

AN

D A

LL

CH

ILD

RE

N E

VE

R B

OR

N T

O H

ER

(IN

CL

UD

ING

CH

ILD

RE

N D

EC

EA

SE

D O

R L

IVIN

G E

LS

EW

HE

RE

)

HO

US

EH

OL

D R

OS

TE

R

H

HN

R

esp

onden

t's

nam

e I

D C

ode

R

ou

nd

V

illa

ge

D

ate

(If 16+)

LOCATION CODES





ABURI...............5

NSAWAM..............6

SCHOOL LEVEL CODES

NONE.....................0

PRIMARY..................1





UNIVERSITY...............5



ACCRA..................9





MARRIED............1




WIDOW/ER...........5


OCCUPATION CODES

FARMER.................1

TEACHER................2



ARTISAN................5



MASON..................8


HERBALIST.............10





BAKER/COOK............15

PRIEST................16

ELDER.................17

STUDENT...............18




Pag

e 5

12

34

56

78

91

011

12

13

IDN

am

eR

ela

tion

-

ship

to

hea

d

Rel

ati

on

-

ship

to

spo

use

Sex

Is [

...]

ali

ve?

Age

Has

[...

] b

een

liv

ing

her

e fo

r

mo

re t

ha

n a

mon

th?

Wh

ere

do

es

s/h

e u

suall

y

liv

e?

Hig

hes

t

sch

oo

l le

vel

att

end

ed

Hig

hes

t

gra

de

ach

ieved

Occ

u-

pa

tio

n

Mari

tal

sta

tus

WRITE THE PERSON'S COMMONLY USED NAME

OR NICKNAME, FOLLOWED BY THEIR

FORMAL NAME (IF ANY) IN PARENTHESES

RELATION-

SHIP

CODE

RELATION-

SHIP

CODE

MALE....1

FEMALE..2

YES.1

NO..WRITE DATE

OF DEATH AND

>>NEXT PERSON

YES..1

(>>10)

NO...2

LOCATION

CODE

SCHOOL

LEVEL

CODE

GRADE

NUMBER

OCCU-

PATION

CODE

MARITAL

STATUS

CODE

30

1

30

2

30

3

30

4

30

5

30

6

30

7

30

8

30

9

31

0

311

31

2

AL

L O

TH

ER

IN

DIV

IDU

AL

S W

HO

SP

EN

T L

AS

T N

IGH

T I

N T

HIS

HO

US

EH

OL

D

HO

US

EH

OL

D R

OS

TE

R

H

HN

R

espo

nden

t's

nam

e I

D C

ode

R

ound

V

illa

ge

D

ate

(If 16+)

LOCATION CODES





ABURI...............5

NSAWAM..............6

SCHOOL LEVEL CODES

NONE.....................0

PRIMARY..................1





UNIVERSITY...............5



ACCRA..................9





MARRIED............1




WIDOW/ER...........5


OCCUPATION CODES

FARMER.................1

TEACHER................2



ARTISAN................5



MASON..................8


HERBALIST.............10





BAKER/COOK............15

PRIEST................16

ELDER.................17

STUDENT...............18




Pa

ge

6

Plo

t C

od

e

1.

2.

Is t

he

plo

t b

ein

g c

ult

ivat

ed o

r fa

llo

w?

CULTIVATED...1

FALLOW.......2

OTHER.......SPECIFY

3.

Whom

do

es t

his

plo

t b

elo

ng t

o?

4.

How

did

yo

u o

bta

in t

he

plo

t?

PURCHASED.......1

INHERITED.......2

MARRIAGE........3

OTHER.....SPECIFY

5.

Fro

m w

ho

m d

id y

ou

ob

tain

th

e p

lot?

RELATIONSHIP CODE

6.

When

did

yo

u o

bta

in i

t?DATE (MM/YY)

7.

Who i

s u

sing

the

lan

d n

ow

?

PROBE:

So,

this

lan

d i

s y

ours

but

is b

ein

g u

sed

by

so

meo

ne

else

?

8.

What

ty

pe

of

arra

ng

emen

t d

o y

ou

hav

e?

9.

What

ty

pe

of

ren

tal

con

trac

t is

it?

10

.W

hen

did

th

e co

ntr

act

beg

in?

DATE (MM/YY)

11a.

What

fix

ed r

ent

(if

any)

do

you

rec

eiv

e?VALUE (GHC)

11

b.

FREQUENCY CODE

12

.H

ow

mu

ch r

ent

is o

uts

tan

din

g (

if a

ny

)?VALUE (GHC)

CROP CODE

SHARE (%)

CROP CODE

SHARE (%)

CROP CODE

SHARE (%)

CROP CODE

SHARE (%)

CROP CODE

SHARE (%)

CROP CODE

SHARE (%)

13a.

13b.

13c.

13d.

13e.

13f.

14

.H

ave

yo

u r

ecei

ved

any

thin

g e

lse,

in c

ash

or

kin

d,

on

acc

oun

t o

f th

e la

nd

?

YES....DESCRIBE

NO.....2

15

.D

o y

ou

ex

pec

t to

rec

eive

any

thin

g e

lse,

in c

ash

or

kin

d,

on a

cco

unt

of

the

land

?

YES....DESCRIBE

NO.....2

>> PART C

4

Part

A. G

ener

al

plo

t d

etail

s

COMPLETE ONE COLUMN FOR EACH PLOT IN OR NEAR THIS VILLAGE, OWNED OR CURRENTLY CONTROLLED BY THE RESPONDENT. USE ADDITIONAL SHEETS IF NECESSARY.

Do y

ou

ow

n o

r cu

rren

tly

con

tro

l an

y p

lots

of

lan

d i

n o

r n

ear

this

vil

lag

e, i

ncl

ud

ing

fal

low

lan

d?

6

Nam

e or

sho

rt d

escr

ipti

on

of

the

plo

t (f

or

iden

tifi

cati

on)

5

PL

OT

QU

ES

TIO

NN

AIR

E

Do y

ou

rec

eiv

e a

shar

e of

pro

du

ctio

n a

s p

aym

ent

for

use

of

the

lan

d?

12

3

YES...GIVE CODE FOR EACH CROP GROWN ON THIS PLOT,

THEN RECORD SHARE OF THAT CROP PAID TO RESPONDENT

NO....(>> 14)

H

HN

Res

pond

ent's

nam

e I

D C

ode

R

ound

V

illa

ge

D

ate

SELF......0 (>>PART C)

SPOUSE....1

OTHER..RELATIONSHIP CODE

NO-ONE..999 (>>NEXT PLOT)

RENTAL..1

OTHER...SPECIFY (>>13)

SELF.....0

SPOUSE...1 (>>PART B)

OTHER....RELATIONSHIP CODE

(>>PART B)

ABUSA............1

ABUNU............2

CASH RENT........3

OTHER (SPECIFY)..4

CROP CODES

CASSAVA..................1

MAIZE....................2

PLANTAIN.................3

COCOYAM..................4

YAM......................5

PINEAPPLE................6

TOMATO...................7

GARDEN EGG...............8

OKRO.....................9

PEPPER..................10

ORANGES.................11

BANANA..................12

AVOCADO.................13

OIL PALM................14

COCOA...................15

SUGAR CANE..............16

BEAN....................17

GROUNDNUT...............18

OTHER (SPECIFY).........19

RELATIONSHIP CODES

SELF......................0

SPOUSE....................1

CHILD.....................2

STEP-CHILD................3

PARENT....................4

GRANDCHILD................5

GRANDPARENT...............6

SIBLING...................7

WOFA/UNCLE/AUNT...........8

NIECE/NEPHEW..............9

COUSIN...................10

OTHER RELATIVE...........11

VILLAGE HEAD.............12

LINEAGE HEAD.............13

OTHER VILLAGER...........14

FRIEND NOT IN VILLAGE....15

PRIEST...................16

EXTENSION AGENT..........17

COOPERATIVE..............18

NGO......................19

EXPORTER.................20

TRADER...................21

OTHER (SPECIFY)..........22

FREQUENCY CODES

DAILY.....................1

WEEKLY....................2

FORTNIGHTLY...............3

MONTHLY...................4

QUARTERLY.................5

HALF-YEARLY...............6

YEARLY....................7

OTHER (SPECIFY)...........8

If self or spouse is a joint owner,

code self or spouse respectively.

YES...LIST PLOTS AT Q1 WITH A BRIEF DESCRIPTION TO AID RECOGNITION, THEN COMPLETE ENTIRE PLOT QUESTIONNAIRE FOR EACH PLOT IN TURN.

NO....(>> END)

Pa

ge

7

PROBE:

So,

yo

u a

re c

urr

entl

y i

n c

ontr

ol

of

this

lan

d b

ut

it i

s o

wned

by s

om

eone

else

?

Plo

t C

od

e

1.

Wh

o o

wns

this

plo

t?RELATIONSHIP CODE

2.

Wh

at t

yp

e o

f ar

ran

gem

ent

do

yo

u h

ave?

3.

Wh

at t

yp

e o

f re

nta

l co

ntr

act

is i

t?

ABUSA............1

ABUNU............2

CASH RENT........3

OTHER (SPECIFY)..4

4.

Wh

en d

id t

he

con

trac

t beg

in?

DATE (MM/YY)

5a.

Wh

at f

ixed

ren

t (i

f an

y)

do y

ou

pay

?GHC

5b.

FREQUENCY CODE

6.

How

mu

ch r

ent

do

yo

u o

we

(if

any

)?GHC

CROP CODE

SHARE (%)

CROP CODE

SHARE (%)

CROP CODE

SHARE (%)

CROP CODE

SHARE (%)

CROP CODE

SHARE (%)

CROP CODE

SHARE (%)

7a.

7b.

7c.

7d.

7e. 7f. 8.

Hav

e y

ou

giv

en t

he

ow

ner

an

yth

ing e

lse,

in c

ash

or

kin

d,

on

acc

ou

nt

of

the

lan

d?

YES....DESCRIBE

NO.....2

9.

Do y

ou

ex

pec

t to

giv

e th

e o

wner

any

thin

g e

lse,

in c

ash o

r kin

d, o

n a

cco

un

t of

the

lan

d?

YES....DESCRIBE

NO.....2

6

Do y

ou

giv

e a

shar

e o

f p

rodu

ctio

n a

s p

aym

ent

for

use

of

the

lan

d?

5

COMPLETE THIS PAGE ONLY FOR THOSE PLOTS LISTED IN PART A WHICH DO NOT BELONG TO THE RESPONDENT.

PL

OT

QU

ES

TIO

NN

AIR

E

12

34

Pa

rt B

. P

lots

no

t o

wn

ed b

y r

esp

on

den

t o

r fa

mil

y

H

HN

R

esponden

t's

nam

e I

D C

ode

R

ound

V

illa

ge

D

ate

YES...GIVE CODE FOR EACH CROP GROWN ON THIS PLOT,

THEN RECORD SHARE OF THAT CROP PAID TO OWNER EACH YEAR

NO....(>> 8)

RENTAL...1

OTHER....SPECIFY (>> 7)

CROP CODES

CASSAVA..................1

MAIZE....................2

PLANTAIN.................3

COCOYAM..................4

YAM......................5

PINEAPPLE................6

TOMATO...................7

GARDEN EGG...............8

OKRO.....................9

PEPPER..................10

ORANGES.................11

BANANA..................12

AVOCADO.................13

OIL PALM................14

COCOA...................15

SUGAR CANE..............16

BEAN....................17

GROUNDNUT...............18


FREQUENCY CODES

DAILY.....................1

WEEKLY....................2


MONTHLY...................4

QUARTERLY.................5

HALF-YEARLY...............6

YEARLY....................7


RELATIONSHIP CODES

SELF......................0

SPOUSE....................1

CHILD.....................2

STEP-CHILD................3

PARENT....................4

GRANDCHILD................5


SIBLING...................7



COUSIN...................10






PRIEST...................16



NGO......................19

EXPORTER.................20

TRADER...................21


Pa

ge

8

Pa

rt C

. P

lot

imp

rov

emen

tsP

art

D.

Cu

rren

t p

lot

use

Hav

e y

ou

do

ne

any

thin

g t

o i

mp

rov

e th

is p

lot

in t

he

pas

t th

ree

yea

rs?

Wh

at c

rop

s ar

e g

row

ing o

n t

his

plo

t n

ow

, o

r w

ere

gro

win

g i

n t

he

mo

st r

ecen

t se

aso

n?

1.

2.

3.

4.

5.

1.

2.

3.

4.

5.

6.

Plo

t

No

.Im

pro

vem

ent

Dat

eW

ho

did

th

e

wo

rk?

Plo

t

No

.C

rop

Pro

po

rtio

n o

f p

lot

Inte

rcro

pp

ed?

Wh

o i

s fa

rmin

g

this

cro

p?

Co

mm

ents

FALLOW.......1

FERTILIZER...2

PESTICIDE....3

WEEDICIDE....4

OTHER........5

MM/YY

RELATIONSHIP

CODE

CROP CODE

PERCENTAGE

YES...1

NO....2

RELATIONSHIP CODE

PL

OT

QU

ES

TIO

NN

AIR

E

FOR EACH PLOT, LIST THE IMPROVEMENTS AND CROPS GROWN ON THAT PLOT USING AS MANY LINES AS NEEDED.

Com

men

ts

(e.g

. ty

pe

of

fert

iliz

er)

H

HN

Res

pon

den

t's

nam

e

ID

Co

de

R

ou

nd

V

illa

ge

D

ate

NO...(>> PART D)

NONE...(>> PART E)

CROP CODES

CASSAVA..................1

MAIZE....................2

PLANTAIN.................3

COCOYAM..................4

YAM......................5

PINEAPPLE................6

TOMATO...................7

GARDEN EGG...............8

OKRO.....................9

PEPPER..................10

ORANGES.................11

BANANA..................12

AVOCADO.................13

RELATIONSHIP CODES

SELF......................0

SPOUSE....................1

CHILD.....................2

STEP-CHILD................3

PARENT....................4

GRANDCHILD................5


SIBLING...................7



COUSIN...................10






PRIEST...................16



NGO......................19

EXPORTER.................20

TRADER...................21


OIL PALM................14

COCOA...................15

SUGAR CANE..............16

BEAN....................17

GROUNDNUT...............18


Pag

e 9

In t

he

pas

t th

ree

yea

rs,

wh

at c

rops

hav

e y

ou

(o

r o

ther

s) g

row

n o

n t

his

plo

t? (

Incl

ud

e fa

llo

w p

erio

ds.

)

NONE.......(>> NEXT PLOT)

1.

2.

3.

4.

5.

6.

1.

2.

3.

4.

5.

6.

Cro

pP

rop

ort

ion

of

plo

tF

arm

erC

rop

Pro

port

ion o

f p

lot

Far

mer

Sta

rtE

nd

Sta

rtE

nd

CROP CODE

MM/YY

MM/YY

PERCENTAGE

RELATIONSHIP CODE

CROP CODE

MM/YY

MM/YY

PERCENTAGE

RELATIONSHIP CODE

PL

OT

QU

ES

TIO

NN

AIR

E

FOR EACH PLOT, LIST THE CROPS PREVIOUSLY GROWN ON THAT PLOT USING AS MANY LINES AS NEEDED.

Pa

rt E

. P

ast

plo

t u

sag

e

Dat

esP

lot

No.

Plo

t

No

.

Dat

es

H

HN

Res

po

nd

ent's

nam

e

ID

Co

de

R

oun

d

V

illa

ge

D

ate

CROP CODES

CASSAVA..................1

MAIZE....................2

PLANTAIN.................3

COCOYAM..................4

YAM......................5

PINEAPPLE................6

TOMATO...................7

GARDEN EGG...............8

OKRO.....................9

PEPPER..................10

ORANGES.................11

BANANA..................12

AVOCADO.................13

OIL PALM................14

COCOA...................15

SUGAR CANE..............16

BEAN....................17

GROUNDNUT...............18


RELATIONSHIP CODES

SELF.....................0

SPOUSE...................1

CHILD....................2

STEP-CHILD...............3

PARENT...................4

GRANDCHILD...............5

GRANDPARENT..............6

SIBLING..................7

WOFA/UNCLE/AUNT..........8

NIECE/NEPHEW.............9

COUSIN..................10

OTHER RELATIVE..........11

VILLAGE HEAD............12

LINEAGE HEAD............13

OTHER VILLAGER..........14

FRIEND NOT IN VILLAGE...15

PRIEST..................16

EXTENSION AGENT.........17

COOPERATIVE.............18

NGO.....................19

EXPORTER................20

TRADER..................21


Pa

ge

10

In t

he

pas

t tw

o m

onth

s, h

ave

yo

u w

ork

ed o

n t

his

plo

t, o

r as

ked

any

on

e el

se t

o w

ork

on

th

is p

lot?

NO WORK.......(>>NEXT PLOT)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

Plo

t

No

.W

ork

don

eC

rop

inv

olv

edH

ow

man

y d

ays

did

yo

u s

pen

d o

n i

t?

Did

an

yon

e el

se h

elp

wit

h t

he

wo

rk (

incl

ud

ing

rela

tives

)?

How

man

y

oth

er p

eop

le?

Wer

e th

ey

pai

d?

CROP CODE

DESCRIPTION

(LEAVE BLANK IF WORK NOT

CROP-SPECIFIC)

GHC

GHC

GHC

PL

OT

QU

ES

TIO

NN

AIR

E

Pa

rt F

. P

lot

inp

uts

(la

bo

ur)

Val

ue

of

any o

ther

cas

h

or

in-k

ind

pay

men

t

(incl

udin

g o

wn l

abour)

Fo

r h

ow

man

y

day

s on

aver

age

did

each

per

son

hel

p?

How

much

did

you p

ay i

n

cash

for

thei

r

lab

our?

What

was

th

e to

tal

val

ue

of

mea

ls

pro

vid

ed f

or

them

?

YES...1

NO....2

(>>NEXT TASK)

YES...1

NO....2 (>>

10)

H

HN

Res

pon

den

t's

nam

e

ID

Co

de

R

ou

nd

V

illa

ge

D

ate

CROP CODES

CASSAVA..................1

MAIZE....................2

PLANTAIN.................3

COCOYAM..................4

YAM......................5

PINEAPPLE................6

TOMATO...................7

GARDEN EGG...............8

OKRO.....................9

PEPPER..................10

ORANGES.................11

BANANA..................12

AVOCADO.................13

OIL PALM................14

COCOA...................15

SUGAR CANE..............16

BEAN....................17

GROUNDNUT...............18


In t

he

pas

t tw

o m

on

ths,

wh

at o

ther

expen

ses

hav

e y

ou i

ncu

rred

in

gro

win

g a

nd

sel

lin

g t

he

cro

ps

on t

his

plo

t?

Incl

ude

pes

tici

de,

fer

tili

zer,

su

ppli

es c

onsu

med

, and

pa

ymen

ts t

o c

on

tract

ors

. D

o n

ot

incl

ude

land

ren

t o

r p

urc

hase

co

sts.

1.

2.

4.

5.

6.

7.

8.

Cro

p i

nvo

lved

Ho

w m

uch

did

it

cost

/was

it

wort

h?

Ho

w d

id y

ou o

bta

in i

t?F

rom

wher

e/w

hom

did

yo

u o

bta

in i

t?

CROP CODE

(LEAVE BLANK IF WORK

NOT CROP-SPECIFIC)

INPUT CODE

DESCRIPTION

UNIT CODE

QUANTITY

GHC

RELATIONSHIP CODE

Plo

t

No.

How

much

/man

y?

PAID CASH..........1

EXCHANGED FOR

GOODS/SERVICES..2

GIFT...............3

FROM OWN FARM......4

PL

OT

QU

ES

TIO

NN

AIR

E

Part

G. P

lot

inp

uts

(n

on

-lab

ou

r)

Wh

at w

as t

he

inpu

t?

3.

INPUT CODES

INSECTICIDE/PESTICIDE....1

BIOLOGICAL CONTROL.......2

HERBICIDE................3

FUNGICIDE................4

FERTILIZER...............5

OTHER CHEMICAL...........6

SPRAYING COSTS...........7

TRACTOR PLOWING..........8

TRANSPORT COSTS..........9

OTHER COMMERCIAL INPUT..10

PROTECTIVE CLOTHING.....11

BAGS, DRUMS, CONTAINERS.12

SUCKERS.................13

SEEDS...................14

SEEDLINGS...............15

STICKS..................16

H

HN

R

esp

onden

t's

nam

e I

D C

ode

R

ou

nd

V

illa

ge

D

ate

RELATIONSHIP CODES

SELF.....................0

SPOUSE...................1

CHILD....................2

STEP-CHILD...............3

PARENT...................4

GRANDCHILD...............5


SIBLING..................7



COUSIN..................10






PRIEST..................16



NGO.....................19

EXPORTER................20

TRADER..................21


CROP CODES

CASSAVA.............1

MAIZE...............2

PLANTAIN............3

COCOYAM.............4

YAM.................5

PINEAPPLE...........6

TOMATO..............7

GARDEN EGG..........8

OKRO................9

PEPPER.............10

ORANGES............11

BANANA.............12

AVOCADO............13

OIL PALM...........14

COCOA..............15

SUGAR CANE.........16

BEAN...............17

GROUNDNUT..........18


UNIT CODES

NUMBER...................1

GRAMS....................2

KILOGRAMS................3

POUNDS...................4

MINIBAG..................5

MAXIBAG..................6

LITRES...................7

ROPES....................8

BUNCHES..................9

BALLS...................10

LOAVES..................11

BUNDLES.................12

BEER BOTTLES............13

OLONKA/AMERICAN TINS....14

BUCKETS.................15

SMALL BASKETS...........16

LARGE BASKETS...........17

TOMATO TINS (SMALL).....18

TOMATO TINS (LARGE).....19

MARGARINE TIN (SMALL)...20

MARGARINE TIN (LARGE)...21

HEADLOADS...............22

SACHETS/PACKETS.........23

TUBERS..................24

STICKS..................25


Pag

e 12

Plo

t C

od

e

CROP

CODE

REL'SHIP

CODE

CROP

CODE

REL'SHIP

CODE

CROP

CODE

REL'SHIP

CODE

CROP

CODE

REL'SHIP

CODE

CROP

CODE

REL'SHIP

CODE

CROP

CODE

REL'SHIP

CODE

1a.

Wh

o d

ecid

es w

hen

to h

arv

est

the

crops

on t

his

plo

t?

1b.

1c.

1d.

2a.

Wh

o d

ecid

es w

het

her

and w

hen

to s

ell

the

crop

s?

2b.

2c.

2d.

IF THE PLOT IS RENTED UNDER SHORT TERM CONTRACT >>NEXT PLOT, OTHERWISE CONTINUE

3.

Wh

o d

ecid

es w

ho w

ill

inher

it t

his

plo

t?RELATIONSHIP

CODE

4.

Do

you k

now

now

who

wil

l in

her

it t

he

plo

t?RELATIONSHIP

CODE

5.

Wh

o c

an r

ent

out

the

plo

t fo

r a

seas

on?

RELATIONSHIP

CODE

6.

Wh

o c

an l

end

the

plo

t to

som

eone

else

?RELATIONSHIP

CODE

7.

Wh

o c

an u

se t

he

plo

t as

coll

ater

al?

RELATIONSHIP

CODE

8.

Wh

o c

an s

ell

the

plo

t?RELATIONSHIP

CODE

9.

Wh

o c

an r

egis

ter

the

plo

t?RELATIONSHIP

CODE

Ple

ase

rank y

our

plo

ts i

n o

rder

of

fert

ilit

y (

from

most

to l

east

fer

tile

)

1.

Plo

t ra

nkin

g1 = MOST FERTILE

PUT CROP CODE IN FIRST BOX AND

RELATIONSHIP CODE IN SECOND BOX.

USE ONE LINE FOR EACH CROP.

PUT CROP CODE IN FIRST BOX AND

RELATIONSHIP CODE IN SECOND BOX.

USE ONE LINE FOR EACH CROP.

Part

I. S

oil

Fer

tili

ty R

an

kin

g

PL

OT

QU

ES

TIO

NN

AIR

E

12

34

Part

H. P

lot

righ

ts

65

H

HN

R

esp

onden

t's

nam

e I

D C

ode

R

ou

nd

V

illa

ge

D

ate

RELATIONSHIP CODES

SELF......................0

SPOUSE....................1

CHILD.....................2

STEP-CHILD................3

PARENT....................4

GRANDCHILD................5


SIBLING...................7




PRIEST...................16




COUSIN...................10




NGO......................19

EXPORTER.................20

TRADER...................21


NOT APPLICABLE...........98

In t

he

pas

t tw

o m

on

ths,

hav

e yo

u s

old

, or

pro

mis

ed t

o s

ell,

an

yth

ing g

row

n o

n p

lots

you

con

trol?

Note

: D

o n

ot

incl

ude

sale

s of

pro

duce

fro

m s

pou

se's

plo

ts.

12

34

56

1.

Cro

pCROP CODE

2.

On w

hic

h p

lot(

s) w

as t

his

cro

p g

row

n?

PLOT CODE(S)

3.

When

was

it

har

ves

ted

?MM/YY

4.

Who

pai

d/w

ill

pay

fo

r h

arv

esti

ng

th

is c

rop?

RELATIONSHIP CODE

5.

NUMBER OF UNITS

6.

UNIT CODE

7.

How

mu

ch m

on

ey w

as i

t so

ld f

or?

IF PAYMENT IN KIND,

ESTIMATE VALUE IN GHC

8.

Was

th

e cr

op

sold

at

mar

ket

?YES...1

NO....2 (>> 12)

9.

Did

you

sel

l it

yo

urs

elf?

YES...1

(>>NEXT CROP)

NO....2

10.

Who

so

ld i

t?RELATIONSHIP CODE

11.

How

mu

ch o

f th

e m

oney

wil

l yo

u r

ecei

ve?

(>>NEXT CROP)

12.

To

who

m d

id y

ou

sel

l th

e cr

op

?RELATIONSHIP

CODE

13.

Has

th

e bu

yer

rec

eiv

ed a

ll t

he

cro

ps?

YES...1 (>>16)

NO....2

14.

How

mu

ch r

emai

ns

to b

e giv

en?

NUMBER OF UNITS

15.

When

wil

l y

ou g

ive

it t

o t

he

bu

yer

?MM/YY

16.

Hav

e yo

u r

ecei

ved

full

pay

men

t?YES...1

(>>NEXT CROP)

NO....2

17.

How

mu

ch r

emai

ns

to b

e pai

d?

GHC

18.

When

do y

ou

ex

pec

t to

be

pai

d?

MM/YY

SA

LE

OF

FA

RM

OU

TP

UT

How

mu

ch o

f th

e cr

op

did

yo

u s

ell?

Pa

rt A

. S

ale

of

ou

tpu

t fr

om

ow

n f

arm

s

YES...COMPLETE ONE COLUMN FOR EACH TYPE OF CROP SOLD. USE ADDITIONAL SHEETS IF NECESSARY.

NO....(>> PART B)

H

HN

Res

pon

den

t's

nam

e

ID

Co

de

R

ou

nd

V

illa

ge

D

ate

RELATIONSHIP CODES

SELF.....................0

SPOUSE...................1

CHILD....................2

STEP-CHILD...............3

PARENT...................4

GRANDCHILD...............5


SIBLING..................7



COUSIN..................10






PRIEST..................16



NGO.....................19

EXPORTER................20

TRADER..................21


CROP CODES

CASSAVA.............1

MAIZE...............2

PLANTAIN............3

COCOYAM.............4

YAM.................5


TOMATO..............7


OKRO................9

PEPPER.............10

ORANGES............11

BANANA.............12

AVOCADO............13

OIL PALM...........14

COCOA..............15


BEAN...............17



UNIT CODES

NUMBER...................1

GRAMS....................2

KILOGRAMS................3

POUNDS...................4

MINIBAG..................5

MAXIBAG..................6

LITRES...................7

ROPES....................8

BUNCHES..................9

BALLS...................10

LOAVES..................11

BUNDLES.................12



BUCKETS.................15







HEADLOADS...............22


TUBERS..................24

STICKS..................25


In t

he

pas

t tw

o m

on

ths,

hav

e yo

u s

old

, o

r pro

mis

ed t

o s

ell,

any

thin

g g

row

n o

n p

lots

yo

ur

spo

use

con

trols

?

12

34

56

1.

Cro

pCROP CODE

2.

3.

Wh

en w

as i

t har

ves

ted?

MM/YY

4.

Wh

o p

aid

/wil

l p

ay f

or

har

ves

tin

g t

his

cro

p?

RELATIONSHIP CODE

5.

NUMBER OF UNITS

6.

UNIT CODE

7.

Ho

w m

uch

mo

ney

was

it

sold

fo

r?IF PAYMENT IN KIND,

ESTIMATE VALUE IN GHC

8.

Was

the

cro

p s

old

at

mar

ket

?YES...1

NO....2 (>> 12)

9.

Did

yo

u s

ell

it y

ou

rsel

f?YES...1

(>>NEXT CROP)

NO....2

10

.W

ho s

old

it?

RELATIONSHIP CODE

11.

Ho

w m

uch

of

the

mo

ney

wil

l y

ou

rec

eiv

e?>>NEXT CROP

12

.T

o w

ho

m d

id y

ou

sel

l th

e cr

op

?RELATIONSHIP

CODE

13

.H

as t

he

bu

yer

rec

eived

all

the

crop

s?YES...1 (>>16)

NO....2

14

.H

ow

much

rem

ain

s to

be

giv

en?

NUMBER OF UNITS

15

.W

hen

wil

l y

ou

giv

e it

to

th

e b

uy

er?

MM/YY

16

.H

ave

you

rec

eiv

ed f

ull

pay

men

t?YES...1

(>>NEXT CROP)

NO....2

17

.H

ow

much

rem

ain

s to

be

pai

d?

GHC

18

.W

hen

do

yo

u e

xp

ect

to b

e p

aid

?MM/YY

SA

LE

OF

FA

RM

OU

TP

UT

Ho

w m

uch

of

the

cro

p d

id y

ou

sel

l?

ID o

f sp

ou

se w

ho

gre

w c

rop (if multiple spouses)

Pa

rt B

. S

ale

of

ou

tpu

t fr

om

sp

ou

se's

plo

ts

YES...COMPLETE ONE COLUMN FOR EACH TYPE OF CROP SOLD. USE ADDITIONAL SHEETS IF NECESSARY.

NO....(>> END)

H

HN

R

esponden

t's

nam

e I

D C

ode

R

ound

V

illa

ge

D

ate

RELATIONSHIP CODES

SELF.....................0

SPOUSE...................1

CHILD....................2

STEP-CHILD...............3

PARENT...................4

GRANDCHILD...............5


SIBLING..................7








PRIEST..................16



NGO.....................19

EXPORTER................20

TRADER..................21

CROP CODES

CASSAVA.............1

MAIZE...............2

PLANTAIN............3

COCOYAM.............4

YAM.................5


TOMATO..............7


OKRO................9

PEPPER.............10

ORANGES............11

BANANA.............12

AVOCADO............13

OIL PALM...........14

COCOA..............15


BEAN...............17



UNIT CODES

NUMBER...................1

GRAMS....................2

KILOGRAMS................3

POUNDS...................4

MINIBAG..................5

MAXIBAG..................6

LITRES...................7

ROPES....................8

BUNCHES..................9

BALLS...................10

LOAVES..................11

BUNDLES.................12



BUCKETS.................15







HEADLOADS...............22


TUBERS..................24

STICKS..................25


Pag

e 15

Hav

e y

ou

co

nd

uct

ed a

ny b

usi

nes

s o

ther

th

an f

arm

ing

in

th

e p

ast

two m

onth

s?

1.

Des

crip

tio

n o

f b

usi

nes

s

2.

Init

ial

sto

ck o

f ra

w m

ater

ials

and

go

od

s fo

r sa

le (

rep

lace

men

t v

alue)

GHC

3.

Raw

mat

eria

ls/g

oo

ds

pu

rch

ased

GHC

4.

Raw

mat

eria

ls/g

oo

ds

ob

tain

ed f

rom

ow

n f

arm

GHC

Day

sV

alu

e o

f la

bo

ur

per

day

Day

sV

alu

e of

lab

our

per

day

Day

sV

alue

of

labou

r

per

day

Day

sV

alue

of

lab

our

per

day

5.

Ow

n l

abo

ur

6.

Sp

ou

se's

lab

ou

r

7.

Oth

er u

npai

d l

abo

ur

8.

Wag

esGHC

9.

Pay

men

ts f

or

oth

er s

erv

ices

GHC

10

.T

ran

spo

rt,

fuel

co

sts

GHC

11

.B

uil

din

g c

ost

s, e

qu

ipm

ent

purc

has

eGHC

12

.E

qu

ipm

ent/

bu

ild

ing

rep

airs

, re

nt

pai

dGHC

13

.T

axes

an

d f

ees

pai

dGHC

14

.O

ther

ex

pen

ses

(INCLUDE DESCRIPTION)

GHC

15

.S

ales

rec

eip

tsGHC

16

.O

wn

an

d h

ou

seh

old

con

sum

pti

on

of

bu

sin

ess

ou

tpu

tGHC

17

.O

ther

pay

men

ts,

gif

ts a

nd

do

nat

ion

s to

th

e b

usi

nes

sGHC

18

.F

inal

sto

ck o

f ra

w m

ater

ials

an

d g

oo

ds

for

sale

GHC

4

OT

HE

R I

NC

OM

E

Part

A:

Non

-farm

bu

sin

ess

inco

me

12

3

H

HN

R

espo

nden

t's

nam

e I

D C

ode

R

ou

nd

V

illa

ge

D

ate

YES...COMPLETE ONE COLUMN FOR EACH NON-FARM BUSINESS.

USE ADDITIONAL SHEETS IF NECESSARY.

NO....(>> PART B)

Pa

ge

16

Hav

e y

ou

do

ne

any

wo

rk f

or

oth

er p

eople

or

org

anis

atio

ns

in t

he

pas

t tw

o m

onth

s?

1.

Occ

up

atio

n o

r ty

pe

of

work

OCCUPATION CODE

AND DESCRIPTION

IF APPLICABLE

2.

Fo

r w

ho

m d

id y

ou

wo

rk?

EMPLOYER CODE

3.

Is t

he

emp

loy

men

t te

mp

ora

ry o

r per

man

ent?

TEMPORARY...1

PERMANENT...2

4.

Ho

w m

any

day

s did

you w

ork

in

the

pas

t tw

o m

onth

s?DAYS

5.

Ho

w m

uch

cas

h w

ere

you

pai

d f

or

the

work

?GHC

6.

Did

yo

u r

ecei

ve

any g

oo

ds

in k

ind

fo

r th

e w

ork

?DESCRIPTION

7.

VALUE (GHC)

8.

Hav

e y

ou

bee

n p

aid

in f

ull

?YES...1 (>>NEXT JOB)

NO....2

9.

Val

ue

of

any r

emai

nin

g p

aym

ent

exp

ecte

dGHC

OT

HE

R I

NC

OM

E

31

2

Part

B:

La

bo

ur

inco

me

4

EMPLOYER CODES

SPOUSE.................1

CHILD..................2

PARENT.................3

OTH HH MEMBER..........4

OTH RELATIVE...........5

SCHOOL................12

CHURCH................13

NGO OR NONPROFIT......14

GOVERNMENT............15


FRIEND IN VILLAGE......6

FRIEND ELSEWHERE.......7

OTHER VILLAGER.........8

COMPANY <5 WORKERS.....9

COMPANY 5-10 WORKERS..10

COMPANY >10 WORKERS...11

H

HN

R

esponden

t's

nam

e I

D C

ode

R

ound

V

illa

ge

D

ate

YES...COMPLETE ONE COLUMN FOR EACH JOB WORKED IN PAST TWO MONTHS.

USE ADDITIONAL SHEETS IF NECESSARY.

NO....(>> PART C)

OCCUPATION CODES

FARMER.................1

TEACHER................2



ARTISAN................5



MASON..................8


HERBALIST.............10





BAKER/COOK............15

PRIEST................16

ELDER.................17

STUDENT...............18




Hav

e y

ou e

arned

any

in

com

e fr

om

far

ms

ou

tsid

e th

is v

illa

ge

in t

he

pas

t tw

o m

on

ths?

1.

2.

3.

5.

Loca

tion

Mai

n c

rop

Rev

enu

eN

et I

nco

me

LOCATION CODE

CROP CODE

GHC

GHC

a. b.

c. d.

e. f.

Pa

rt D

. O

ther

in

com

eP

art

E.

Sp

ou

se's

oth

er i

nco

me

2. A

mo

unt

1.

Spo

use

ID

3.

Net

In

com

e

a.a.

b.

b.

c.c.

d.

d.

e.e.

f.f.

g.

g.

h.

h.

i.i.

2. D

escr

ipti

on (

Sourc

e)

Hav

e y

ou r

ecei

ved

inco

me

from

any o

ther

sou

rce

in t

he

pas

t tw

o m

onth

s? F

or

exam

ple

, a

pen

sio

n,

inv

estm

ent

div

iden

ds,

pri

ze w

innin

gs

or

sale

s o

f la

nd

?

Asi

de

from

sal

es o

f fa

rm p

rod

uce

, has

your

spou

se r

ecei

ved

any o

ther

in

com

e in

the

pas

t tw

o m

onth

s? F

or

exam

ple

,

fro

m n

on

-far

m b

usi

nes

s, p

aid

wo

rk, fa

rms

outs

ide

tow

n, p

ensi

ons

or

pri

ze w

innin

gs?

1. D

escr

ipti

on

GHC

OT

HE

R I

NC

OM

E

Pa

rt C

. O

ther

fa

rm i

nco

me

4.

Ex

pen

ses

(ex

clud

ing i

nv

estm

ent)

H

HN

R

esp

on

den

t's

nam

e

ID

Co

de

R

ou

nd

V

illa

ge

D

ate

YES...LIST INCOME FOR EACH FARM OUTSIDE VILLAGE.

NO....(>> PART D)

YES...LIST OTHER INCOME AND PROBE FOR PRIZE WINNINGS

NO....(>> PART E)

YES...LIST ALL SPOUSE'S INCOME SOURCES AND PROBE FOR PRIZE WINNINGS

NO....(>> END)



ACCRA..................9




CROP CODES

CASSAVA................1

MAIZE..................2

PLANTAIN...............3

COCOYAM................4

YAM....................5

PINEAPPLE..............6

TOMATO.................7

GARDEN EGG.............8

OKRO...................9

PEPPER................10

ORANGES...............11

BANANA................12

AVOCADO...............13

OIL PALM..............14

COCOA.................15

SUGAR CANE............16

BEAN..................17

GROUNDNUT.............18


LOCATION CODES

DAMAN/AHWERIASE........1

POKROM/NSABAA..........2

OBOADAKA/KWAMEKROM.....3

KONKONURU..............4

ABURI..................5

NSAWAM.................6

Pa

ge

18

1.

2.

3.

4.

5.

6.

7.

8.

9.

10

.11

.1

2.

13.

Has

an

yon

e in

you

r h

ou

seh

old

bo

ugh

t an

y [

…]

in t

he

past

mon

th?

QUANTITY

UNIT

CODE

GHC

IF NEVER

WRITE ZERO

AND >> 10

QUANTITY

UNIT

CODE

GHC

IF NEVER

WRITE ZERO

AND >> NEXT ITEM

QUANTITY

UNIT

CODE

GHC

a.M

aize

b.

Corn

doug

h

c.R

ice

d.

Bre

ad

e.M

acar

on

i or

flour

f.C

assa

va

g.

Gar

ri, kokonte

or

oth

er c

assa

va

h.

Yam

s

i.C

oco

yam

j.P

lan

tain

k.

Pota

to, sw

eet

pota

to, m

ille

t, g

uin

ea

corn

or

sorg

hu

m

l.O

il p

alm

fru

it

m.

Gro

undnuts

n.

Sea

food

o.

Chic

ken

How

mu

ch d

id

you

bu

y

each

tim

e, o

n a

ver

age?

Ho

w m

an

y t

imes

ha

s y

ou

r sp

ou

se(s

)

bo

ugh

t [.

..]

in t

he

pa

st m

on

th?

How

mu

ch d

id

yo

ur

spo

use

(s)

bu

y

each

tim

e, o

n a

ver

age?

Part

A. P

urc

hase

d f

ood

CO

NS

UM

PT

ION

I w

ould

lik

e to

kno

w a

bout

the

food y

our

hou

sehold

has

bo

ug

ht

in t

he

pas

t m

onth

.

READ OUT THE LIST AND PLACE A CROSS IN THE

BOX FOR ANY FOODS CONSUMED. THEN RETURN TO

THE FIRST ITEM AND COMPLETE Q3-13 FOR THOSE

ITEMS CONSUMED.

How

man

y

tim

es h

ave

you

bo

ug

ht

[...]

in

the

past

mon

th?

How

mu

ch i

n

tota

l w

as

spen

t on

[...]

?

How

mu

ch

did

you

pa

y

for

it l

ast

tim

e

yo

u b

ou

gh

t it

?

Ho

w m

uch

did

th

ey p

ay

for

it l

ast

tim

e

they

bo

ug

ht

it?

Ho

w m

uch

[..

.] h

as

you

r h

ou

seh

old

bou

gh

t

over

th

e p

ast

mon

th?

H

HN

R

espo

nden

t's

nam

e I

D C

od

e

Rou

nd

V

illa

ge

D

ate

UNIT CODES

NUMBER...................1

GRAMS....................2

KILOGRAMS................3

POUNDS...................4

MINIBAG..................5

LOAVES..................11

BUNDLES.................12



BUCKETS.................15






MAXIBAG..................6

LITRES...................7

ROPES....................8

BUNCHES..................9

BALLS...................10


HEADLOADS...............22


TUBERS..................24

STICKS..................25


Pa

ge

19

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11

.12

.1

3.

Has

an

yon

e in

you

r h

ou

seh

old

bo

ug

ht

an

y [

…]

in t

he

past

mon

th?

QUANTITY

UNIT

CODE

GHC

IF NEVER

WRITE ZERO

AND >> 10

QUANTITY

UNIT

CODE

GHC

IF NEVER

WRITE ZERO

AND >> NEXT ITEM

QUANTITY

UNIT

CODE

GHC

p.

Oth

er p

oult

ry (

pig

eon,

duck

,…)

q.

Bee

f

r.G

oat

or

shee

p

s.B

ush

mea

t

t.E

ggs

u.

Pal

m o

il

v.M

argar

ine,

butt

er

w.

Pin

eap

ple

s

x.

Oth

er f

ruit

y.S

ug

ar c

ane,

toff

ee,

honey

z.M

ilo,

tea,

coff

ee

aa.

Mil

k,

mil

k p

ow

der

, bab

y f

ood

bb.

No

n-a

lco

holi

c b

ever

ages

cc.

Alc

oho

lic

bev

erag

es

dd.

Sal

t

How

man

y

tim

es h

ave

you

bou

gh

t [.

..]

in

the

past

mon

th?

How

mu

ch d

id

you

bu

y

each

tim

e, o

n a

ver

age?

How

mu

ch

did

yo

u p

ay

for

it l

ast

tim

e

you

bou

gh

t it

?

Pa

rt A

. P

urc

ha

sed

fo

od

(co

nti

nu

ed)

CO

NS

UM

PT

ION

: F

OO

D P

UR

CH

AS

ED




ITEMS CONSUMED.

How

man

y t

imes

has

yo

ur

spo

use

(s)

bou

gh

t [.

..]

in t

he

pa

st m

on

th?

Ho

w m

uch

did

you

r sp

ou

se(s

) b

uy

each

tim

e, o

n a

ver

ag

e?

How

mu

ch

did

th

ey p

ay

for

it l

ast

tim

e

they

bou

gh

t

it?

Ho

w m

uch

[...]

has

you

r h

ou

seh

old

bou

gh

t

over

th

e p

ast

mon

th?

How

mu

ch i

n

tota

l w

as

spen

t on

[...]

?

H

HN

Res

pon

den

t's

nam

e

ID

Cod

e

Ro

un

d

V

illa

ge

D

ate

UNIT CODES

NUMBER...................1

GRAMS....................2

KILOGRAMS................3

POUNDS...................4

MINIBAG..................5

LOAVES..................11

BUNDLES.................12



BUCKETS.................15






MAXIBAG..................6

LITRES...................7

ROPES....................8

BUNCHES..................9

BALLS...................10


HEADLOADS...............22


TUBERS..................24

STICKS..................25


Pa

ge

20

1.

2.

3.

4.

5.

6.

7.

8.

9.

10

.11

.1

2.

13.

Has

an

yon

e in

you

r h

ou

seh

old

bo

ugh

t an

y [

…]

in t

he

past

mon

th?

QUANTITY

UNIT

CODE

GHC

IF NEVER

WRITE ZERO

AND >> 10

QUANTITY

UNIT

CODE

GHC

IF NEVER

WRITE ZERO

AND >> NEXT ITEM

QUANTITY

UNIT

CODE

GHC

ee.

Mag

gi

cubes

, to

mat

o p

aste

ff.

Tom

atoes

gg

.O

nio

ns

hh

.G

arden

egg, okro

ii.

Bea

ns,

pea

s

jj.

Pep

per

kk

.K

onto

mle

ll.

Oth

er v

eget

able

s

mm

.F

ufu

, ken

key

, ban

ku

nn

.O

ther

pre

par

ed f

oods

oo

.M

eals

aw

ay f

rom

hom

e

(e.g

. ch

op b

ars)

pp

.O

ther

:

qq

.O

ther

:

rr.

Oth

er:

ss.

Oth

er:

How

mu

ch d

id

you

bu

y

each

tim

e, o

n a

ver

age?

How

mu

ch d

id

yo

ur

spo

use

(s)

bu

y

each

tim

e, o

n a

ver

age?

CO

NS

UM

PT

ION

: F

OO

D P

UR

CH

AS

ED




ITEMS CONSUMED.

How

man

y

tim

es h

ave

you

bo

ug

ht

[...]

in

the

past

mon

th?

Ho

w m

an

y t

imes

ha

s y

ou

r sp

ou

se(s

)

bo

ugh

t [.

..]

in t

he

pa

st m

on

th?

How

mu

ch i

n

tota

l w

as

spen

t on

[...]

?

How

mu

ch

did

you

pa

y

for

it l

ast

tim

e

yo

u b

ou

gh

t it

?

Part

A. P

urc

hase

d f

ood

(co

nti

nu

ed)

Ho

w m

uch

did

th

ey p

ay

for

it l

ast

tim

e

they

bo

ug

ht

it?

Ho

w m

uch

[..

.] h

as

you

r h

ou

seh

old

bou

gh

t

over

th

e p

ast

mon

th?

H

HN

R

espo

nden

t's

nam

e I

D C

od

e

Rou

nd

V

illa

ge

D

ate

UNIT CODES

NUMBER...................1

GRAMS....................2

KILOGRAMS................3

POUNDS...................4

MINIBAG..................5

LOAVES..................11

BUNDLES.................12



BUCKETS.................15






MAXIBAG..................6

LITRES...................7

ROPES....................8

BUNCHES..................9

BALLS...................10


HEADLOADS...............22


TUBERS..................24

STICKS..................25


Pa

ge

21

1.

2.

3.

4.

5.

6.

7.

8.

9.

10

.11

.

Ha

s an

yon

e co

nsu

med

an

y [

…]

from

yo

ur

ho

use

hold

's f

arm

s in

th

e

pa

st m

on

th?

QUANTITY

UNIT

CODE

GHC

QUANTITY

UNIT

CODE

GHC

QUANTITY

UNIT

CODE

GHC

a.M

aize

b.

Cas

sav

a

c.G

arri

, ko

ko

nte

or

oth

er c

assa

va

d.

Yam

s

e.C

oco

yam

f.P

lan

tain

g.

Po

tato

, sw

eet

po

tato

h.

Oil

pal

m f

ruit

i.G

roun

dnu

ts

j.S

eafo

od

k.

Chic

ken

l.O

ther

pou

ltry

(p

igeo

n,

duck

,…)

m.

Goat

or

shee

p

n.

Bush

mea

t

o.

Eg

gs

CO

NS

UM

PT

ION

Pa

rt B

. F

oo

d c

on

sum

ed f

rom

ho

use

ho

ld f

arm

s

How

mu

ch

wo

uld

th

is b

e

wort

h i

f it

wer

e so

ld?

Ho

w m

uch

of

the

[...]

con

sum

ed c

am

e fr

om

yo

ur

spou

ses'

farm

s?

Ho

w m

uch

wo

uld

th

is b

e

wort

h i

f it

wer

e so

ld?

No

w I

would

lik

e to

kn

ow

ho

w m

uch

foo

d y

ou

r ho

use

ho

ld h

as c

onsu

med

fro

m y

ou

r ho

use

hold

's f

arm

s.




ITEMS CONSUMED.

Ho

w m

uch

[..

.] h

as

you

r h

ou

seh

old

con

sum

ed f

rom

its

farm

s o

ver

th

e p

ast

mo

nth

?

How

mu

ch

wou

ld t

his

be

wo

rth

if

it

wer

e so

ld?

How

mu

ch o

f th

e [.

..]

con

sum

ed c

am

e fr

om

you

r fa

rms?

H

HN

Res

pon

den

t's

nam

e

ID

Co

de

R

ou

nd

Vil

lage

D

ate

UNIT CODES

NUMBER...................1

GRAMS....................2

KILOGRAMS................3

POUNDS...................4

MINIBAG..................5

MAXIBAG..................6

LITRES...................7

ROPES....................8

BUNCHES..................9

BALLS...................10

LOAVES..................11

BUNDLES.................12



BUCKETS.................15







HEADLOADS...............22


TUBERS..................24

STICKS..................25


Pa

ge

22

1.

2.

3.

4.

5.

6.

7.

8.

9.

10

.11

.

Ha

s an

yon

e co

nsu

med

an

y [

…]

from

yo

ur

ho

use

hold

's f

arm

s in

th

e

pa

st m

on

th?

QUANTITY

UNIT

CODE

GHC

QUANTITY

UNIT

CODE

GHC

QUANTITY

UNIT

CODE

GHC

p.

Pal

m o

il

q.

Oth

er o

il

r.P

inea

pple

s

s.O

ther

fru

it

t.S

ugar

can

e, h

on

ey

u.

Pal

m w

ine,

akp

etes

hie

v.O

ther

dri

nks

w.

To

mat

oes

x.

Onio

ns

y.G

ard

en e

gg,

okro

z.B

eans,

pea

s

aa.

Pep

per

bb

.K

onto

mle

cc.

Oth

er v

eget

able

s

dd

.O

ther

food

s

CO

NS

UM

PT

ION

Pa

rt B

. F

oo

d c

on

sum

ed f

rom

ho

use

ho

ld f

arm

s (c

on

tin

ued

)

How

mu

ch

wo

uld

th

is b

e

wort

h i

f it

wer

e so

ld?

Ho

w m

uch

of

the

[...]

con

sum

ed c

am

e fr

om

yo

ur

spou

ses'

farm

s?

Ho

w m

uch

wo

uld

th

is b

e

wort

h i

f it

wer

e so

ld?




ITEMS CONSUMED.

Ho

w m

uch

[..

.] h

as

you

r h

ou

seh

old

con

sum

ed f

rom

its

farm

s o

ver

th

e p

ast

mo

nth

?

How

mu

ch

wou

ld t

his

be

wo

rth

if

it

wer

e so

ld?

How

mu

ch o

f th

e [.

..]

con

sum

ed c

am

e fr

om

you

r fa

rms?

H

HN

Res

pon

den

t's

nam

e

ID

Co

de

R

ou

nd

Vil

lage

D

ate

UNIT CODES

NUMBER...................1

GRAMS....................2

KILOGRAMS................3

POUNDS...................4

MINIBAG..................5

MAXIBAG..................6

LITRES...................7

ROPES....................8

BUNCHES..................9

BALLS...................10

LOAVES..................11

BUNDLES.................12



BUCKETS.................15







HEADLOADS...............22


TUBERS..................24

STICKS..................25


Pa

ge

23

1.

2.

3.

4.

5.

6.

7.

8.

Ha

s a

ny

on

e in

you

r h

ou

seh

old

sp

ent

mo

ney

on

[…

]

in t

he

pa

st m

on

th?

IF NONE

WRITE ZERO

AND >> NEXT ITEM

GHC

IF NONE

WRITE ZERO

AND >> 7

GHC

IF NONE

WRITE ZERO

AND >> NEXT ITEM

GHC

a.S

cho

ol

fees

b.

Oth

er s

cho

ol

exp

ense

s

c.M

edic

ine

(pu

rchas

ed b

y y

ou

r h

ou

seho

ld)

d.

Oth

er m

edic

al e

xp

ense

s (i

ncl

ud

ing

NH

IS p

rem

ium

s)

e.A

dult

sh

oes

f.C

hil

dre

n's

sh

oes

g.

Clo

th

h.

Ad

ult

clo

thes

i.C

hil

dre

n's

clo

thes

j.M

ater

ial

for

adu

lt c

loth

es

k.

Mat

eria

l fo

r ch

ild

ren's

clo

thes

l.S

oap

m.

Per

son

al c

are

pro

du

cts

(po

mad

e, c

om

bs,

sh

amp

oo

,…)

n.

Bro

om

s, h

om

e m

ain

ten

ance

, cl

ean

ing

pro

du

cts

o.

Ho

me

repai

rs,

pai

nti

ng

How

man

y [

...]

did

you

r h

ou

seh

old

pu

rch

ase

/pay

for?

How

man

y [

...]

did

yo

u p

urc

hase

/pay

for?

Ho

w m

an

y [

...]

did

yo

ur

spo

use

(s)

pu

rch

ase

/pa

y f

or?

CO

NS

UM

PT

ION

Now

I w

ou

ld l

ike

to a

sk a

bo

ut

oth

er t

hin

gs

you

r h

ou

seho

ld h

as b

ou

gh

t in

the

pas

t m

onth

.


BOX FOR ANY ITEMS PURCHASED. THEN RETURN

TO THE FIRST LINE AND COMPLETE Q3-8

FOR THOSE ITEMS PURCHASED.

Ho

w m

uch

did

yo

u

per

son

all

y s

pen

d o

n

[...]

in t

he

pa

st

mo

nth

?

Ho

w m

uch

did

yo

ur

spo

use

(s)

spen

d o

n

[...

] in

th

e p

ast

mon

th?

Ho

w m

uch

in

to

tal

did

you

r h

ou

seh

old

spen

d o

n [

...]

in

th

e

past

mo

nth

?

Part

C. O

ther

pu

rch

ase

d i

tem

s

H

HN

R

espond

ent's

nam

e I

D C

ode

R

ou

nd

Vil

lage

D

ate

Pa

ge

24

1.

2.

3.

4.

5.

6.

7.

8.

Ha

s a

ny

on

e in

you

r h

ou

seh

old

sp

ent

mo

ney

on

[…

]

in t

he

pa

st m

on

th?

IF NONE

WRITE ZERO

AND >> NEXT ITEM

GHC

IF NONE

WRITE ZERO

AND >> 7

GHC

IF NONE

WRITE ZERO

AND >> NEXT ITEM

GHC

p.

Pu

bli

c tr

ansp

ort

q.

Pet

rol,

moto

r o

il

r.R

epai

rs,

oth

er v

ehic

le e

xp

ense

s

s.N

ewsp

aper

s, b

ook

s, s

tati

on

ery

t.C

har

coal

, fi

rew

oo

d

u.

Mat

ches

, ca

nd

les

v.O

ther

fu

el f

or

coo

kin

g,

lig

ht

w.

Sto

ve,

co

al p

ot

x.

Kit

chen

eq

uip

men

t (p

ots

, p

ans)

y.L

ante

rns

z.E

lect

rici

ty a

nd

wat

er

aa.

Tel

eph

one

bil

ls,

ph

on

e cr

edit

bb

.F

urn

itu

re

cc.

Sh

eets

, to

wel

s

dd

.R

ent

Ho

w m

an

y [

...]

did

yo

ur

spo

use

(s)

pu

rch

ase

/pa

y f

or?

How

man

y [

...]

did

you

r h

ou

seh

old

pu

rch

ase

/pay

for?

CO

NS

UM

PT

ION





Ho

w m

uch

did

yo

u

per

son

all

y s

pen

d o

n

[...]

in t

he

pa

st

mo

nth

?

Ho

w m

uch

did

yo

ur

spo

use

(s)

spen

d o

n

[...

] in

th

e p

ast

mon

th?

Ho

w m

uch

in

to

tal

did

you

r h

ou

seh

old

spen

d o

n [

...]

in

th

e

past

mo

nth

?

Part

C. O

ther

pu

rch

ase

d i

tem

s (c

on

tin

ued

)

How

man

y [

...]

did

yo

u p

urc

hase

/pay

for?

H

HN

R

espond

ent's

nam

e I

D C

ode

R

ou

nd

Vil

lage

D

ate

Pa

ge

25

1.

2.

3.

4.

5.

6.

7.

8.

Ha

s a

ny

on

e in

you

r h

ou

seh

old

sp

ent

mo

ney

on

[…

]

in t

he

pa

st m

on

th?

IF NONE

WRITE ZERO

AND >> NEXT ITEM

GHC

IF NONE

WRITE ZERO

AND >> 7

GHC

IF NONE

WRITE ZERO

AND >> NEXT ITEM

GHC

ee.

Hai

rdre

ssin

g,

hai

rcu

ts

ff.

Do

mes

tic

serv

ants

gg

.Je

wel

ry,

wat

ches

, ca

mer

a

hh

.E

nte

rtai

nm

ent

(cin

ema,

sp

ort

s, t

apes

, to

ys)

ii.

Tax

es

jj.

Wed

din

gs,

do

wri

es

kk

.F

un

eral

s

ll.

Lo

tter

y t

icket

s

mm

.C

igar

ette

s, t

ob

acco

, co

la

nn

.S

ewin

g m

achin

e

oo

.R

adio

, ta

pe

pla

yer

pp

.O

ther

maj

or

app

lian

ce

qq

.B

icy

cle

rr.

Car

, m

oto

rbik

e, o

ther

veh

icle

ss.

Oth

er (

spec

ify)

Ho

w m

an

y [

...]

did

yo

ur

spo

use

(s)

pu

rch

ase

/pa

y f

or?

How

man

y [

...]

did

you

r h

ou

seh

old

pu

rch

ase

/pay

for?

CO

NS

UM

PT

ION





Ho

w m

uch

did

yo

u

per

son

all

y s

pen

d o

n

[...]

in t

he

pa

st

mo

nth

?

Ho

w m

uch

did

yo

ur

spo

use

(s)

spen

d o

n

[...

] in

th

e p

ast

mon

th?

Ho

w m

uch

in

to

tal

did

you

r h

ou

seh

old

spen

d o

n [

...]

in

th

e

past

mo

nth

?

Part

C. O

ther

pu

rch

ase

d i

tem

s (c

on

tin

ued

)

How

man

y [

...]

did

yo

u p

urc

hase

/pay

for?

H

HN

R

espond

ent's

nam

e I

D C

ode

R

ou

nd

Vil

lage

D

ate

Pa

ge

26

1.

2.

3.

4.

5.

6.

7.

8.

Do y

ou

ha

ve

an

y…

Ho

w i

s th

e […

]

trea

ted

?

How

mu

ch m

on

ey c

ou

ld

you

sel

l th

e [.

..]

for?

Wh

en d

id y

ou

pu

rch

ase

,

harv

est

or

rece

ive

it?

Wh

o o

wn

s th

e [.

..]?

TREATMENT CODE

QUANTITY

UNIT

CODE

GHC

DATE (MM/YY)

(if multiple,

give latest)

a.C

assa

va

b.

Mai

ze

c.C

oco

yam

d.

Yam

e.P

inea

pple

f.T

om

ato

g.

Pep

per

h.

Bea

n

i.P

lan

tain

An

y o

ther

s I

hav

e n

ot

men

tion

ed?

j. k.

l. m.

n.

o.

AS

SE

TS

YES...CHECK BOX AND ANSWER Q3-8

NO....>> NEXT ITEM

How

mu

ch /

ho

w m

an

y [

...]

do

you

ha

ve?

What

sto

res

of

food

or

farm

ou

tput

does

you

r h

ouse

ho

ld h

ave

rig

ht

no

w?

Part

A. F

ood

an

d f

arm

ou

tpu

t

TREATMENT CODES

FRESH....................0

DRIED....................1

SMOKED...................2

DUSBAN...................3


SELF..............1

SPOUSE............2

OTHER HH MEMBER...3

SOMEBODY OUTSIDE

HOUSEHOLD.....4

H

HN

R

espo

nden

t's

nam

e I

D C

od

e R

ound

V

illa

ge

D

ate

UNIT CODES

NUMBER...................1

GRAMS....................2

KILOGRAMS................3

POUNDS...................4

MINIBAG..................5

MAXIBAG..................6

LITRES...................7

ROPES....................8

BUNCHES..................9

BALLS...................10

LOAVES..................11

BUNDLES.................12



BUCKETS.................15







HEADLOADS...............22


TUBERS..................24

STICKS..................25


Pa

ge

27

1.

2.

3.

4.

5.

6.

7.

Do y

ou

hav

e a

ny s

eed

s or

pla

nti

ng

mate

ria

ls f

or…

Ho

w m

uch

mon

ey c

ou

ld

yo

u s

ell

the

[...]

for?

Wh

en d

id y

ou

pu

rch

ase

,

harv

est

or

rece

ive

this

item

?

Wh

o o

wn

s th

e [.

..]?

QUANTITY

UNIT CODE

GHC

DATE (MM/YY)

(If multiple dates,

give latest)

a.C

assa

va

b.

Mai

ze

c.C

oco

yam

d.

Yam

e.P

inea

pple

f.T

om

ato

g.

Pep

per

h.

Bea

n

i.P

lanta

in

Any o

ther

s I

hav

e no

t m

enti

oned

?

j. k.

l. m.

n.

o.

AS

SE

TS


NO....>> NEXT ITEM

Ho

w m

uch

/ h

ow

man

y [

...]

do

yo

u h

av

e?

What

sto

cks

of

seed

s or

pla

nti

ng m

ater

ials

do

yo

u h

ave?

Part

B.

Sto

cks

of

seed

s an

d p

lan

tin

g m

ate

ria

ls

SELF..............1

SPOUSE............2

OTHER HH MEMBER...3

SOMEBODY OUTSIDE

HOUSEHOLD.....4

H

HN

R

esponden

t's

nam

e I

D C

ode

R

ound

V

illa

ge

D

ate

UNIT CODES

NUMBER...................1

GRAMS....................2

KILOGRAMS................3

POUNDS...................4

MINIBAG..................5

MAXIBAG..................6

LITRES...................7

ROPES....................8

BUNCHES..................9

BALLS...................10

LOAVES..................11

BUNDLES.................12



BUCKETS.................15







HEADLOADS...............22


TUBERS..................24

STICKS..................25


Pa

ge

28

Wh

at e

qu

ipm

ent

does

yo

ur

ho

use

ho

ld o

wn

wh

ich

is

use

d f

or

farm

ing

?

1.

2.

3.

4.

5.

6.

7.

Do

yo

u h

av

e...

Ho

w m

uch

mon

ey w

ou

ld t

he

[...

] b

e w

ort

h n

ow

?

Wh

en w

as

the

item

rece

ived

/pu

rch

ase

d?

Wh

o o

wn

s th

e [.

..]?


NO....>> NEXT ITEM

QUANTITY

UNIT CODE

GHC

DATE (MM/YY)

(If multiple,

give latest)

a.C

utl

ass

b.

Spra

yer

c.K

nap

sack

d.

Ho

e

e.C

hem

ical

s

f.F

erti

lize

r

g.

Mat

tock

h.

Rak

e

i.S

ho

vel

j.C

hai

n s

aw

k.

Gu

n

l.P

ipe

m.

Bar

rel

/ d

rum

n.

Mis

t b

low

er

o.

Oth

er t

oo

ls

Do

es t

he

ho

use

ho

ld h

ave

any

oth

er i

tem

s u

sed

for

farm

ing

?

p.

q.

r.

How

mu

ch /

ho

w m

an

y [

...]

do

yo

u h

av

e?

Pa

rt C

. F

arm

eq

uip

men

t

AS

SE

TS

SELF..............1

SPOUSE............2

OTHER HH MEMBER...3

SOMEBODY OUTSIDE

HOUSEHOLD.....4

H

HN

Res

po

nd

ent's

nam

e

ID

Co

de

R

ou

nd

Vil

lage

D

ate

UNIT CODES

NUMBER...................1

GRAMS....................2

KILOGRAMS................3

POUNDS...................4

MINIBAG..................5

MAXIBAG..................6

LITRES...................7

ROPES....................8

BUNCHES..................9

BALLS...................10

LOAVES..................11

BUNDLES.................12



BUCKETS.................15







HEADLOADS...............22


TUBERS..................24

STICKS..................25


Pa

ge

29

1.

2.

3.

4.

5.

6.

Does

an

yon

e h

ave…

How

man

y?

Ho

w m

uch

mon

ey

wou

ld t

he

[…]

be

wort

h

now

?

Wh

en w

as

the

[…]

pu

rch

ase

d /

rec

eiv

ed?

Wh

om

do

es t

he

[…]

bel

on

g

to?

QUANTITY

GHC

DATE (MM/YY)

(If multiple,

give latest)

a.C

ookin

g u

tensi

ls

b.

Sew

ing m

achin

e

c.C

ar

d.

Tru

ck

e.B

icycl

e

f.R

adio

/ t

ape

reco

rder

g.

Tel

evis

ion

h.

Tel

ephone

i.R

efri

ger

ato

r

j.G

rindin

g m

ill

k.

Com

b /

sci

sso

rs

l.H

amm

er

m.

Po

t /

bow

l

n.

Fan

o.

Oth

er t

ools

Does

the

house

ho

ld h

ave

any o

ther

ite

ms

use

d f

or

busi

nes

s ac

tivit

ies?

p.

q.

r.Does

you

r h

ouse

hold

ow

n a

ny

of

the

foll

ow

ing i

tem

s?

AS

SE

TS

Pa

rt D

. O

ther

du

rab

le a

sset

s


NO....>> NEXT ITEM

SELF...............1

SPOUSE.............2

OTHER HH MEMBER....3

SOMEBODY OUTSIDE

HOUSEHOLD......4

H

HN

Res

pon

den

t's

nam

e

ID

Cod

e

Ro

un

d

V

illa

ge

D

ate

Pa

ge

30

1.

2.

3.

4.

5.

6.

7.

8.

Do

es a

ny

on

e in

yo

ur

ho

use

ho

ld o

wn

…

Ty

pe

Wh

om

do t

hey

bel

on

g t

o?

Wh

en w

ere

the

an

ima

ls

pu

rch

ase

d /

rec

eived

?

In t

ota

l, h

ow

mu

ch m

on

ey

cou

ld t

hey

be

sold

fo

r to

da

y?

YES...ANSWER Q2-8

NO....>> NEXT ITEM

Mal

eF

emal

eT

ota

lDATE (MM/YY)

(If multiple,

give latest)

GHC

a.G

oat

sA

du

lts

b.

Kid

s

c.S

hee

pA

du

lts

d.

Lam

bs

e.P

igs

Ad

ult

s

f.P

igle

ts

g.

Ch

ick

ens

Lay

ers

h.

Bro

iler

s

i.L

oca

l

j.G

uin

ea f

ow

l

k.

Oth

er p

ou

ltry

:

l.R

abb

its

An

y o

ther

an

imal

s (e

.g.

catt

le,

ho

rses

, g

rass

cutt

ers,

fis

h)?

m.

n.

o.

Ple

ase

tell

me

abo

ut

the

anim

als

ow

ned

by y

ou

r h

ouse

hold

.

How

man

y?P

art

E. L

ives

tock

AS

SE

TS

SELF..............1

SPOUSE............2

OTHER HH MEMBER...3

SOMEBODY OUTSIDE

HOUSEHOLD.....4

H

HN

R

espo

nden

t's

nam

e I

D C

ode

R

ou

nd

V

illa

ge

D

ate

Pa

ge

31

Does

anyon

e in

yo

ur

ho

use

hold

hav

e an

y t

radea

ble

go

od

s or

mer

chan

dis

e, o

ther

than

sto

res

of

food o

r fa

rm o

utp

ut

men

tioned

ear

lier

?

12

34

56

If y

es, w

hat

are

th

ey?

Ho

w m

uch

mon

ey c

ou

ld

they

be

sold

for?

Wh

en w

as

the

[…]

pu

rch

ase

d /

rec

eived

?

Wh

o o

wn

s th

em?

GIVE CROP CODE OR DESCRIPTION

QUANTITY

UNIT CODE

GHC

DATE

(If multiple,

give latest)

a. b.

c. d.

e. f. g.

h. i. j. k. l. m.

n.

o.

How

mu

ch o

r

how

man

y [

…]?

Part

F. O

ther

tra

dea

ble

good

s

AS

SE

TS

H

HN

Res

po

nd

ent's

nam

e I

D C

od

e R

ou

nd

Vil

lage

D

ate

SELF..............1

SPOUSE............2

OTHER HH MEMBER...3

SOMEBODY OUTSIDE

HOUSEHOLD.....4

CROP CODES

CASSAVA..................1

MAIZE....................2

PLANTAIN.................3

COCOYAM..................4

YAM......................5

PINEAPPLE................6

TOMATO...................7

GARDEN EGG...............8

OKRO.....................9

PEPPER..................10

ORANGES.................11

BANANA..................12

AVOCADO.................13

OIL PALM................14

COCOA...................15

SUGAR CANE..............16

BEAN....................17

GROUNDNUT...............18


UNIT CODES

NUMBER...................1

GRAMS....................2

KILOGRAMS................3

POUNDS...................4

MINIBAG..................5

MAXIBAG..................6

LITRES...................7

ROPES....................8

BUNCHES..................9

BALLS...................10

LOAVES..................11

BUNDLES.................12



BUCKETS.................15







HEADLOADS...............22


TUBERS..................24

STICKS..................25


Are

yo

u a

mem

ber

of

a su

su o

r es

usu

gro

up?

Are

yo

u h

old

ing m

oney

for

anyo

ne?

Ple

ase

tell

me

about

each

gro

up y

ou b

elong

to

.P

leas

e te

ll m

e ab

out

each

am

oun

t.

1.

2.

3.

4.

5.

1.

2.

3.

4.

Wh

at

typ

e o

f

gro

up

is

it?

How

oft

en d

o

yo

u d

eposi

t?

Dep

osi

t am

ou

nt

Wh

at

is y

ou

r

ba

lan

ce?

Da

te y

ou

wil

l

rece

ive

the

fun

ds

(if

kn

ow

n)

For

wh

om

are

yo

u

ho

ldin

g m

on

ey?

Wh

ere

do t

hey

live?

Ho

w m

uch

mo

ney

?W

hen

did

yo

u

rece

ive

the

mon

ey?

SUSU.....1

ESUSU....2

FREQUENCY CODE

GHC

GHC

DD/MM/YY

RELATIONSHIP

CODE

LOCATION CODE

GHC

DATE (MM/YY)

a.a.

b.

b.

c.c.

Are

yo

u a

mem

ber

of

a sa

vin

gs

or

insu

rance

coop

erat

ive

oth

er t

han

su

su o

r es

usu

, su

ch a

s a

bu

rial

so

ciet

y?

Is a

ny

one

hold

ing m

oney

for

you?

Ple

ase

tell

me

about

each

gro

up y

ou b

elong

to

.P

leas

e te

ll m

e ab

out

each

am

oun

t.

2.

3.

4.

5.

6.

1.

2.

3.

4.

Con

trib

uti

on

am

ou

nt

Fre

qu

ency

of

con

trib

uti

on

Wh

en d

id y

ou

last

rec

eive

mo

ney

fro

m t

he

gro

up

?

Am

ou

nt

rece

ived

Do

/did

yo

u h

ave

to r

epa

y?

Wh

o i

s h

old

ing

you

r m

on

ey?

Wh

ere

do t

hey

live?

Ho

w m

uch

mo

ney

?W

hen

did

yo

u

giv

e th

em t

he

mon

ey?

GHC

FREQUENCY CODE

DATE (MM/YY)

GHC

RELATIONSHIP

CODE

LOCATION CODE

GHC

DATE (MM/YY)

a.a.

b.

b.

c.c.

FIN

AN

CIA

L A

SS

ET

S

Now

I w

ou

ld l

ike

to a

sk a

bo

ut

you

r fi

nan

cial

ass

ets.

Ple

ase

rem

emb

er t

his

su

rvey

is

con

fiden

tial

. Y

ou w

ill

no

t b

e id

enti

fied

in

an

y d

ocu

men

ts w

e pu

bli

sh. Y

our

per

sonal

in

form

atio

n w

ill

no

t be

repo

rted

to a

nyo

ne.

Pa

rt A

. S

usu

fu

nd

sP

art

C.

Mo

ney

hel

d b

y r

esp

on

den

t

Pa

rt B

. F

un

ds

in o

ther

sa

vin

gs/

insu

ran

ce c

oo

per

ati

ves

Pa

rt D

. M

on

ey h

eld

by

oth

ers

DO NOT INCLUDE LOANS

AT THIS QUESTION

DO NOT INCLUDE LOANS

AT THIS QUESTION

Des

crip

tion

of

gro

up

Wh

at

is y

ou

r re

lati

on

ship

to

the

coll

ecto

r?

RELATIONSHIP

CODE

6.

1.

IF NO, >> PART B

NO............1

YES, WITH

INTEREST.....2

YES, WITHOUT

INTEREST.....3

OTHER...SPECIFY

H

HN

R

espo

nd

ent's

nam

e

ID

Co

de

R

ou

nd

V

illa

ge

D

ate

RELATIONSHIP CODES

SELF................0

SPOUSE..............1

CHILD...............2

PARENT..............3

GRANDCHILD..........4

GRANDPARENT.........5

SIBLING.............6

WOFA................7

UNCLE/AUNT..........8

COUSIN..............9

FRIEND.............10

EXTENSION AGENT....11

MARKET.............12

COOPERATIVE........13

NGO................14

EXPORTER...........15

VILLAGE HEAD.......16

LINEAGE HEAD.......17

PRIEST.............18

TRADER.............19


IF NO, >> PART D

IF NO, >> PART C

IF NO, >> END

LOCATION CODES




KONKONURU..............4

ABURI..................5

NSAWAM.................6

FREQUENCY CODES

DAILY.....................1

WEEKLY....................2


MONTHLY...................4

QUARTERLY.................5

HALF-YEARLY...............6

YEARLY....................7




ACCRA..................9




Pa

ge

33

6.

How

much

is

the

pen

sion

(p

er m

on

th)?

8.

Wh

en d

id/w

ill

the

pen

sion

beg

in?

b.

Els

ewh

ere?

Ho

w m

uch

hav

e yo

u s

pen

t on

bu

ild

ing

s in

:

a. T

his

vil

lag

e/to

wn

?

14

.W

ho p

ays

(or

wil

l p

ay)

you

the

pen

sio

n?

7.

5.

b. A

mo

un

t

13

.In

th

e p

ast

yea

r, h

ave

yo

u s

pen

t m

on

ey o

n b

uil

din

gs

(oth

er

than

fo

r b

asic

rep

airs

)?

Do y

ou c

urr

entl

y r

ecei

ve

a pen

sion

, o

r ex

pec

t to

so

on

?

4.

How

much

are

they

wo

rth

tod

ay?

Fo

reig

n c

urr

ency

Wh

at v

alu

e (i

f an

y)

of

the

foll

ow

ing

ite

ms

do

yo

u o

wn

?

10

.C

loth

(e.

g.

ken

te)

1.

Do y

ou h

ave

a b

ank

acc

ou

nt?

2.

Jew

elry

a. C

urr

ency

12

.

9.

FIN

AN

CIA

L A

SS

ET

S

Part

E. O

ther

fin

an

cial

ass

ets

Cas

h

Wh

at i

s th

e b

alan

ce t

oday

?

11

.

3.

Do y

ou o

wn a

ny

sto

cks,

bo

nds,

or

oth

er f

inan

cial

ass

ets?

YES....1

NO.....2 (>> 3)

YES....1

NO.....2 (>> 5)

YES....1

NO.....2 (>> 9)

YES....1

NO.....2 (>> END)

H

HN

R

esp

onden

t's

nam

e I

D C

ode

R

ou

nd

V

illa

ge

D

ate

GHC

GHC

GHC

GHC

GHC

GHC

CODE

NUMBER

EMPLOYER

CODE

DATE

(MM/YY)

EMPLOYER CODES




SCHOOL................12

CHURCH................13




DO NOT INCLUDE CHOP MONEY, LOANS, OR PAYMENTS FOR WORK DONE AT THIS QUESTION

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Nam

e of

giv

erR

elat

ionsh

ipG

iver

's l

oca

tion

Dat

eA

mount

rece

ived

Rea

son f

or

gif

tD

id y

ou a

sk t

his

per

son f

or

the

money

?

Wh

y d

id y

ou

ask

them

(rat

her

than

som

eone

else

)?

Wo

uld

you e

ver

giv

e m

oney

to

them

?

PROMPT FOR FULL NAME INCLUDING NICKNAMES

RELATIONSHIP

CODE

LOCATION CODE

DD/MM/YY

GHC

YES..1

NO...2 (>>9)

YES..1

NO...2


1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Nam

e of

reci

pie

nt

Rel

atio

nsh

ipR

ecip

ient's

loca

tio

n

Dat

eA

mount

giv

enR

easo

n f

or

gif

tD

id t

his

per

son

ask y

ou f

or

the

money

?

Why d

id t

hey

ask

you

(rat

her

than

som

eone

else

)?

Wo

uld

they

ever

giv

e m

oney

to y

ou?


RELATIONSHIP

CODE

LOCATION CODE

DD/MM/YY

GHC

YES..1

NO...2 (>>9)

YES..1

NO...2

How

man

y t

imes

hav

e you g

iven

this

per

son m

oney

in

the

pas

t yea

r?

How

man

y t

imes

has

this

per

son

giv

en y

ou

money

in

the

pas

t yea

r?

GIF

TS

AN

D T

RA

NS

FE

RS

Pa

rt A

. C

ash

tra

nsf

ers

In t

he

pas

t tw

o m

onth

s, h

ave

you

giv

en a

nyo

ne

a gif

t of

mon

ey w

hic

h t

hey

do n

ot

nee

d t

o r

epay

? (I

ncl

ud

e dow

ries

and

inher

itan

ces.

)

In t

he

pas

t tw

o m

onth

s, h

as a

nyon

e giv

en y

ou

a g

ift

of

money

whic

h y

ou d

o n

ot

nee

d t

o r

epay

? (I

ncl

ude

dow

ries

and i

nher

itan

ces.

)

H

HN

Res

po

nd

ent's

nam

e

ID

Co

de

R

ou

nd

V

illa

ge

D

ate


1.

2.

3.

4.

6.

7.

8.

9.

10.

Nam

e of

giv

erR

elat

ionsh

ipG

iver

's

loca

tion

Dat

eR

easo

n f

or

gif

tD

id y

ou a

sk t

his

per

son f

or

the

item

?

Would

you e

ver

giv

e a

gif

t to

them

?


RELATIONSHIP

CODE

LOCATION CODE

DD/MM/YY

DESCRIPTION

EST. VALUE GHC

YES..1

NO...2 (>>9)

YES..1

NO...2


1.

2.

3.

4.

6.

7.

8.

9.

10.

Nam

e of

reci

pie

nt

Rel

atio

nsh

ipR

ecip

ient's

loca

tion

Dat

eR

easo

n f

or

gif

tD

id t

his

per

son a

sk

for

the

item

?

Would

they

ever

giv

e a

gif

t to

you?


RELATIONSHIP

CODE

LOCATION CODE

DD/MM/YY

DESCRIPTION

EST. VALUE GHC

YES..1

NO...2 (>>9)

YES..1

NO...2

GIF

TS

AN

D T

RA

NS

FE

RS

Part

B. In

-kin

d t

ran

sfer

s

In t

he

pas

t tw

o m

onth

s, h

as a

ny

one

pu

rchas

ed s

om

ethin

g f

or

yo

u, or

giv

en y

ou a

non-m

onet

ary g

ift

whic

h y

ou d

o n

ot

nee

d t

o r

epay

? (I

ncl

ude

dow

ries

and i

nher

itan

ces.

)

In t

he

pas

t tw

o m

onth

s, h

ave

you p

urc

has

ed s

om

ethin

g f

or

anoth

er p

erso

n, or

giv

en a

nyone

a non-m

onet

ary g

ift

wh

ich t

hey

do n

ot

nee

d t

o r

epay

? (I

ncl

ude

dow

ries

and i

nher

itan

ces.

)

How

man

y t

imes

has

this

per

son

giv

en y

ou g

ifts

in t

he

pas

t yea

r?

5.

How

man

y t

imes

hav

e you g

iven

this

per

son g

ifts

in t

he

pas

t yea

r?

Why d

id y

ou a

sk t

hem

(rat

her

than

som

eon

e el

se)?

Why d

id t

hey

ask

you

(rat

her

than

som

eone

else

)?

Item

rec

eived

5.

Item

giv

en

H

HN

R

espon

den

t's

nam

e I

D C

od

e R

ou

nd

V

illa

ge

D

ate

1.

Do y

ou

norm

ally

giv

e y

ou

r sp

ou

se m

oney

to

buy

fo

od

for

the

ho

use

hold

?6

.W

hat

fac

tors

are

co

nsi

der

ed w

hen

dec

idin

g t

hes

e am

oun

ts?

2.

3.

7.

Hav

e y

ou

giv

en y

ou

r sp

ou

se a

ny

thin

g e

lse

of

val

ue

in t

he

pas

t m

onth

?

Day

Am

ou

nt

Day

Am

ou

nt

a.M

ond

aya.

Mo

nd

ay8

.V

alue

Val

ue

b.

Tu

esday

b.

Tu

esday

a.f.

c.W

ednes

day

c.W

edn

esd

ayb

.g.

d.

Thu

rsd

ayd

.T

hu

rsday

c.h.

e.F

rid

aye.

Fri

day

d.

i.

f.S

atu

rday

f.S

aturd

aye.

j.

g.

Su

nd

ayg.

Sun

day

9.

Hav

e y

ou

giv

en y

ou

r sp

ou

se m

on

ey t

o t

rad

e o

r fo

r an

oth

er b

usi

nes

s w

ithin

th

e p

ast

mo

nth

?

4.

Hav

e y

ou

giv

en y

ou

r sp

ou

se a

ny

un

usu

al p

aym

ents

of

mo

ney

in

th

e p

ast

mo

nth

?

Dat

eA

mo

un

t1

0.

Val

ue

Val

ue

a.a.

f.

b.

b.

g.

c.c.

h.

d.

d.

i.

e.e.

j.

f. g.

11

.W

hat

hap

pen

s to

th

e m

oney

s/h

e m

akes

fro

m t

radin

g o

r th

at b

usi

nes

s?

5.

Who

usu

ally

det

erm

ines

th

ese

amo

unts

?

Des

crip

tion

Des

crip

tio

n

Des

crip

tio

nD

escr

ipti

on

How

much

wo

uld

yo

u g

ive

in a

no

rmal

wee

k?

Ho

w m

uch

did

yo

u g

ive

in t

he

wee

k j

ust

pas

t?

Part

C. In

ter-

spou

sal

tran

sfer

s

GIF

TS

AN

D T

RA

NS

FE

RS

Co

mm

ent

YES...1

NO....2 (>>4)

SELF....1

SPOUSE..2

YES...1

NO....2 (>>9)

YES...1

NO....2

(>>END)

H

HN

R

espo

nden

t's

nam

e I

D C

ode

R

ound

V

illa

ge

D

ate

Pa

ge

37

In t

he

pas

t tw

o m

onth

s, h

ave

yo

u g

iven

any l

oan

s of

mo

ney

, fo

od

or

go

od

s to

oth

er p

eop

le,

incl

udin

g y

ou

r sp

ouse

?

a.b.

c.

1.

Nam

e of

reci

pie

nt

2.

Sex

of

reci

pie

nt

MALE.....1

FEMALE...2

3.

Rel

atio

nsh

ip o

f re

cipie

nt

RELATIONSHIP CODE

4.

Wher

e d

oes

the

reci

pie

nt

live?

LOCATION CODE

5.

When

did

you m

ake

the

loan

?DATE

6.

Des

crip

tion

of

item

(s)

lent

7.

Cas

h a

mount

or

esti

mat

ed v

alue

of

item

len

t

8.

Am

oun

t to

be

rep

aid (

if c

ash)

9.

What

wil

l th

e lo

an b

e use

d f

or?

PURPOSE CODE

10

.H

as t

he

loan

bee

n r

epai

d?

YES...1 (>>12)

NO....2

11

.W

hen

do

you

expec

t to

be

repai

d?

12

.W

as t

her

e a

wit

nes

s to

the

loan

?YES...1

NO....2 (>>14)

13

.R

elat

ionsh

ip o

f w

itnes

sRELATIONSHIP CODE

14

.W

as t

her

e an

y c

oll

ater

al?

YES...DESCRIBE

NO...NEXT LOAN

15

.H

ow

much

is

the

coll

ater

al w

ort

h?

16

.W

ho i

s usi

ng t

he

coll

ater

al n

ow

?BORROWER...1

LENDER.....2

OTHER......3

LO

AN

S Q

UE

ST

ION

NA

IRE

YES....USE ONE COLUMN BELOW FOR EACH LOAN GIVEN

NO..... >> PART B

Pa

rt A

. L

end

ing

H

HN

Res

po

nd

ent's

nam

e

ID

Cod

e R

ou

nd

V

illa

ge

D

ate

LOCATION CODES

DAMAN/AHWERIASE.......1

POKROM/NSABAA.........2

OBOADAKA/KWAMEKROM....3

KONKONURU.............4

ABURI.................5

NSAWAM................6

EASTERN REGION RURAL..7

EASTERN REGION URBAN..8

ACCRA.................9

OTHER URBAN..........10

OTHER RURAL..........11

OUTSIDE GHANA........12

LOAN PURPOSE CODES

FARMING.............1

MEDICAL.............2

CONSUMPTION.........3

TRADING.............4

OTHER BUSINESS......5

TRAVEL..............6

FUNERAL.............7

OTHER CEREMONY......8

SCHOOL FEES.........9


MM/YY

GHC

GHC

GHC

RELATIONSHIP CODES

SELF......................0

SPOUSE....................1

CHILD.....................2

STEP-CHILD................3

PARENT....................4

GRANDCHILD................5


SIBLING...................7



COUSIN...................10






PRIEST...................16



NGO......................19

EXPORTER.................20

TRADER...................21


Pa

ge

38

d.

e.f.

1.

Nam

e o

f re

cip

ien

t (

OPTIONAL)

2.

Sex

of

reci

pie

nt

MALE.....1

FEMALE...2

3.

Rel

atio

nsh

ip o

f re

cip

ien

tRELATIONSHIP CODE

4.

Wh

ere

do

es t

he

reci

pie

nt

liv

e?LOCATION CODE

5.

Wh

en d

id y

ou

mak

e th

e lo

an?

DATE

6.

Des

crip

tio

n o

f it

em(s

) le

nt

IF ITEM IS

CASH, >>8

7.

Cas

h a

mo

unt

or

esti

mat

ed v

alu

e o

f it

em l

ent

8.

Am

ou

nt

to b

e re

pai

d (

if c

ash

)

9.

Wh

at w

ill

the

loan

be

use

d f

or?

PURPOSE CODE

10

.H

as t

he

loan

bee

n r

epai

d?

YES...1 (>>12)

NO....2

11

.W

hen

do

yo

u e

xp

ect

to b

e re

pai

d?

12

.W

as t

her

e a

wit

nes

s to

th

e lo

an?

YES...1

NO....2 (>>14)

13

.R

elat

ion

ship

of

wit

nes

sRELATIONSHIP CODE

14

.W

as t

her

e an

y c

oll

ater

al?

YES...DESCRIBE

NO...NEXT LOAN

15

.H

ow

mu

ch i

s th

e co

llat

eral

wo

rth

?

16

.W

ho

is

usi

ng

th

e co

llat

eral

no

w?

BORROWER...1

LENDER.....2

OTHER......3

LO

AN

S Q

UE

ST

ION

NA

IRE

Part

A. L

end

ing (

con

tin

ued

)

CONTINUE LISTING LOANS ON THIS SHEET, IF REQUIRED

H

HN

R

espon

den

t's

nam

e I

D C

od

e R

ou

nd

V

illa

ge

D

ate

GHC

GHC

MM/YY

GHC

LOCATION CODES




KONKONURU.............4

ABURI.................5

NSAWAM................6



ACCRA.................9




LOAN PURPOSE CODES

FARMING.............1

MEDICAL.............2


TRADING.............4


TRAVEL..............6

FUNERAL.............7




RELATIONSHIP CODES

SELF......................0

SPOUSE....................1

CHILD.....................2

STEP-CHILD................3

PARENT....................4

GRANDCHILD................5


SIBLING...................7



COUSIN...................10






PRIEST...................16



NGO......................19

EXPORTER.................20

TRADER...................21


Oth

er t

han

the

loan

s yo

u m

enti

on

ed e

arli

er,

hav

e y

ou m

ade

any

loan

s w

hic

h h

ave

not

yet

bee

n f

ull

y r

epai

d?

a.b

.c.

1.

2.

3.

4.

Sin

ce o

ur

last

in

terv

iew

, has

th

e borr

ow

er m

ade

any r

epay

men

ts o

r giv

e an

y g

ifts

in t

han

ks

for

this

loan

?

5.

6.

7.

8.

YES..1 (>>NEXT LOAN)

NO...2

9.

Hav

e you

giv

en f

urt

her

in

stal

men

ts o

r it

ems

as p

art

of

this

loan

sin

ce o

ur

last

inte

rvie

w?

10

.

11.

12

.

13

.D

o y

ou

expec

t to

rec

eiv

e an

yth

ing i

n t

he

futu

re f

rom

the

bo

rrow

er o

n a

ccount

of

this

loan

?

14

15

.

16

.

17

.

18

.

19

.W

ould

you

len

d t

o t

his

bo

rrow

er a

gai

n, if

he

asked

yo

u f

or

a lo

an?

YES..1

NO...2

When

do y

ou e

xpec

t to

rec

eive

it?

YES..1

NO...2 (>>17)

GIVE DESCRIPTION

Des

crip

tion o

f it

em(s

) to

be

rece

ived

Hav

e you

tak

en a

ny a

ctio

n t

o o

bta

in r

epay

men

t?

Has

th

e borr

ow

er e

xp

erie

nce

d a

ny

un

expec

ted p

roble

ms

whic

h

mig

ht

hin

der

rep

aym

ent?

Val

ue GIVE DESCRIPTION

LO

AN

S Q

UE

ST

ION

NA

IRE

Pa

rt A

1.

Ou

sta

nd

ing

lo

an

s g

iven

to

oth

ers

Nam

e of

reci

pie

nt

Val

ue

Des

crip

tion o

f it

em(s

) g

iven

Do y

ou

con

sid

er t

his

loan

to b

e fu

lly r

epai

d?

When

did

this

occ

ur?

Des

crip

tion o

f it

em(s

) le

nt

Val

ue YES..1

NO...2 (>>9)

When

did

this

occ

ur?

Des

crip

tion o

f it

em(s

) re

ceiv

ed

Val

ue YES..1

NO...2 (>>13)

H

HN

Res

po

nd

ent's

nam

e

ID

Co

de

R

ou

nd

V

illa

ge

D

ate

GHC

GHC

GHC

GHC

MM/YY

MM/YY

MM/YY

In t

he

pas

t tw

o m

onth

s, h

ave

you b

orr

ow

ed a

ny m

oney

, fo

od o

r go

ods

fro

m a

ny

one

else

?

a.b

.c.

1.

Nam

e of

lender

2.

Sex

of

lender

MALE.....1

FEMALE...2

3.

Rel

atio

nsh

ip o

f le

nder

RELATIONSHIP CODE

4.

Wher

e does

the

lender

liv

e?LOCATION CODE

5.

When

did

you r

ecei

ve

the

loan

?MM/YY

6.

Des

crip

tion o

f it

em(s

) b

orr

ow

ed

7.

Cas

h a

mount

or

esti

mat

ed v

alue

of

item

borr

ow

ed

8.

Am

ount

to b

e re

pai

d (

if c

ash)

9.

What

wil

l y

ou u

se t

he

loan

fo

r?PURPOSE CODE

10.

Has

the

loan

bee

n r

epai

d?

YES...1

NO....2 (>>12)

11.

When

do y

ou e

xpec

t to

rep

ay t

he

loan

?

12.

Was

ther

e a

wit

nes

s to

the

loan

?YES...1

NO....2 (>>14)

13.

Rel

atio

nsh

ip o

f w

itnes

sRELATIONSHIP CODE

14.

Was

ther

e an

y c

oll

ater

al?

YES...DESCRIBE

NO...NEXT LOAN

15.

Ho

w m

uch

is

the

coll

ater

al w

ort

h?

16.

Who i

s usi

ng t

he

coll

ater

al n

ow

?BORROWER...1

LENDER.....2

OTHER......3

LO

AN

S Q

UE

ST

ION

NA

IRE

YES....USE ONE COLUMN BELOW FOR EACH LOAN RECEIVED

NO..... >> C

Pa

rt B

. B

orr

ow

ing

H

HN

Res

po

nd

ent's

nam

e

ID

Co

de

R

ou

nd

V

illa

ge

D

ate

GHC

GHC

GHC

MM/YY

LOCATION CODES




KONKONURU.............4

ABURI.................5

NSAWAM................6



ACCRA.................9




LOAN PURPOSE CODES

FARMING.............1

MEDICAL.............2


TRADING.............4


TRAVEL..............6

FUNERAL.............7




RELATIONSHIP CODES

SELF......................0

SPOUSE....................1

CHILD.....................2

STEP-CHILD................3

PARENT....................4

GRANDCHILD................5


SIBLING...................7



COUSIN...................10






PRIEST...................16



NGO......................19

EXPORTER.................20

TRADER...................21


Pa

ge

41

In t

he

pas

t tw

o m

onth

s, h

ave

you b

orr

ow

ed a

ny m

oney

, fo

od

or

goo

ds

fro

m a

nyo

ne

else

?

d.

e.f.

1.

Nam

e o

f le

nder

2.

Sex

of

len

der

MALE.....1

FEMALE...2

3.

Rel

atio

nsh

ip o

f le

nder

RELATIONSHIP CODE

4.

Wher

e does

the

len

der

liv

e?LOCATION CODE

5.

When

did

yo

u r

ecei

ve

the

loan

?MM/YY

6.

Des

crip

tio

n o

f it

em(s

) b

orr

ow

ed

7.

Cas

h a

mo

un

t or

esti

mat

ed v

alue

of

item

bo

rrow

ed

8.

Am

ou

nt

to b

e re

pai

d (

if c

ash)

9.

What

wil

l you

use

the

loan

for?

PURPOSE CODE

10.

Has

the

loan

bee

n r

epai

d?

YES...1

NO....2 (>>12)

11

.W

hen

do y

ou e

xpec

t to

rep

ay t

he

loan

?

12.

Was

ther

e a

wit

nes

s to

the

loan

?YES...1

NO....2 (>>14)

13.

Rel

atio

nsh

ip o

f w

itnes

sRELATIONSHIP CODE

14.

Was

ther

e an

y c

oll

ater

al?

YES...DESCRIBE

NO...NEXT LOAN

15.

How

mu

ch i

s th

e co

llat

eral

wort

h?

16.

Who

is

usi

ng t

he

coll

ater

al n

ow

?BORROWER...1

LENDER.....2

OTHER......3

LO

AN

S Q

UE

ST

ION

NA

IRE

CONTINUE LISTING LOANS ON THIS SHEET, IF REQUIRED

Part

B. B

orr

ow

ing, co

nti

nu

ed

H

HN

R

esp

onden

t's

nam

e I

D C

ode

R

ou

nd

V

illa

ge

D

ate

GHC

GHC

GHC

MM/YY

LOCATION CODES




KONKONURU.............4

ABURI.................5

NSAWAM................6



ACCRA.................9




LOAN PURPOSE CODES

FARMING.............1

MEDICAL.............2


TRADING.............4


TRAVEL..............6

FUNERAL.............7




RELATIONSHIP CODES

SELF......................0

SPOUSE....................1

CHILD.....................2

STEP-CHILD................3

PARENT....................4

GRANDCHILD................5


SIBLING...................7



COUSIN...................10






PRIEST...................16



NGO......................19

EXPORTER.................20

TRADER...................21


Oth

er t

han

the

loan

s yo

u m

enti

on

ed e

arli

er, h

ave

yo

u r

ecei

ved

an

y l

oan

s w

hic

h h

ave

not

yet

bee

n f

ull

y r

epai

d?

a.b.

c.

1.

2.

3.

4.

Sin

ce o

ur

last

in

terv

iew

, h

ave

you

mad

e an

y r

epay

men

ts o

r giv

en a

ny

gif

ts i

n t

han

ks

for

this

loan

?

5.

6.

7.

8.

YES..1 (>>NEXT LOAN)

NO...2

9.

Hav

e y

ou r

ecei

ved

furt

her

inst

alm

ents

or

item

s as

par

t of

this

loan

sin

ce o

ur

last

inte

rvie

w?

10

.

11

.

12

.

13

.D

o y

ou e

xp

ect

to m

ake

any

fu

rther

rep

aym

ent

to t

he

len

der

on

acc

oun

t of

this

loan

?

14

15

.

16

.

17

.

18

.

19

.W

ould

yo

u a

ppro

ach t

his

len

der

agai

n, if

you

nee

ded

a l

oan

?

YES..1

NO...2

YES..1

NO...2 (>>9)

Des

crip

tio

n o

f it

em(s

) le

nt

Val

ue

LO

AN

S Q

UE

ST

ION

NA

IRE

Part

B1. O

uts

tan

din

g l

oan

s re

ceiv

ed f

rom

oth

ers

Nam

e o

f le

nd

er

YES..1

NO...2 (>>17)

When

did

this

occ

ur?

When

do y

ou e

xpec

t to

rep

ay?

When

did

this

occ

ur?

Des

crip

tio

n o

f it

em(s

) g

iven

Val

ue YES..1

NO...2 (>>13)

Do y

ou c

onsi

der

this

lo

an t

o b

e fu

lly r

epai

d?

Val

ue

Des

crip

tio

n o

f it

em(s

) re

ceiv

ed

IF RESPONSE IS 'NEEDS MONEY', PROBE WHY

Des

crip

tio

n o

f it

em(s

) to

be

giv

en

Has

the

lend

er t

aken

an

y a

ctio

n t

o o

bta

in r

epay

men

t?

Has

the

lend

er a

sked

fo

r re

pay

men

t? I

f so

, w

hy?

GIVE DESCRIPTION

Val

ue

H

HN

R

esp

onden

t's

nam

e I

D C

ode

R

ou

nd

V

illa

ge

D

ate

GHC

GHC

GHC

GHC

MM/YY

MM/YY

MM/YY

Ho

use

hold

s so

met

imes

hav

e go

od a

nd b

ad s

urp

rise

s. I

would

lik

e to

know

abo

ut

any

bad

even

ts s

uff

ered

by y

our

house

ho

ld i

n t

he

pas

t 1

0 y

ears

.

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

Cod

eS

ho

ck

What

was

yo

ur

finan

cial

co

ndit

ion

afte

r th

e ev

ent?

What

was

the

monet

ary v

alue

of

the

loss

, if

any?

How

long d

id

the

shock

las

t?

Check

MONTH

YEAR

GHC

12

3

01

Dea

th o

f ho

use

ho

ld h

ead o

r sp

ouse

02

Dea

th o

f oth

er h

ouse

hold

mem

ber

03

Lo

ss o

f in

com

e due

to i

llnes

s or

inju

ry o

f hou

sehold

mem

ber

04

Med

ical

exp

ense

s d

ue

to i

llnes

s o

r in

jury

05

Lo

ss o

f a

regu

lar

job

of

a h

ouse

hold

mem

ber

06

Lo

st h

om

e

(e.g

. d

ue

to e

vic

tio

n, d

amag

e, l

egal

act

ion

)

07

Div

orc

e, s

epar

atio

n o

r ab

and

onm

ent

08

Maj

or

loss

of

cro

ps

due

to d

rough

t

09

Maj

or

loss

of

cro

ps

due

to p

ests

and d

isea

se

10

Maj

or

loss

of

cro

ps

due

to o

ther

rea

sons

(e.g

. fl

ood,

sto

rm)

11

Lo

ss o

f li

ves

tock

due

to d

eath

12

Lo

ss o

f li

ves

tock

due

to t

hef

t

13

Lo

ss o

f pro

duct

ive

asse

ts

(due

to t

hef

t, f

ire,

riv

er e

rosi

on, st

orm

s, f

lood e

tc.)

14

Lo

ss o

r des

truct

ion o

f oth

er c

onsu

mp

tio

n (

per

son

al)

asse

ts

15

Fu

ner

al e

xpen

ses

16

Div

isio

n o

f fa

ther

’s p

roper

ty

17

Lo

ss o

f co

ntr

act

or

def

ault

by c

redit

or

18

Fai

lure

or

ban

kru

ptc

y o

f bu

sines

s

19

Cut-

off

or

dec

reas

e o

f re

gula

r re

mit

tance

s to

hou

sehold

20

Wit

hdra

wal

of

gov

ernm

ent

or

NG

O a

ssis

tance

21

Oth

er (

spec

ify)

22

Oth

er (

spec

ify)

The

last

tim

e th

is s

hock

occ

urr

ed....

LO

NG

-TE

RM

SH

OC

KS

Pa

rt A

. N

ega

tiv

e sh

ock

s

READ THROUGH THE LIST AND CHECK

THE BOX IF THE HOUSEHOLD HAS

EXPERIENCED ANY OF THESE EVENTS.

THEN COMPLETE Q4-12 FOR EACH

SHOCK EXPERIENCED. FINALLY, COMPLETE Q13.

When

did

it

hap

pen

?

What

did

you d

o t

o c

ope

wit

h t

he

shock

?

Ho

w m

any

tim

es h

as t

his

shock

occ

ure

d

in t

he

pas

t 10

yea

rs?

Ran

k t

he

wors

t

thre

e sh

ock

s over

the

pas

t 10 y

ears

TO BE ADMINISTERED TO THE HEAD OF HOUSEHOLD, IF POSSIBLE

COPING

STRATEGY CODE

LIST UP TO 3

WAYS

DAYS

ONGOING..999

COPING STRATEGIES CODES

NONE...............................1

SOLD LAND (SPECIFY HOMESTEAD OR

AGRICULTURAL) .................2

MORTGAGED/LEASED LAND (SPECIFY

HOMESTEAD OR AGRICULTURAL).....3

SOLD PRODUCTIVE ASSET (SPECIFY)....4

MORTGAGED PRODUCTIVE ASSET (SP)....5

SOLD CONSUMPTION ASSET (SPECIFY)...6

MORTGAGED CONSUMPTION ASSET (SP)...7

TOOK LOAN FROM NGO/INSTITUTION.....8

TOOK LOAN FROM INFORMAL/

NON-INSTITUTIONAL SOURCE.......9

ATE LESS TO REDUCE EXPENSES.......10

ATE LOWER QUALITY FOOD TO

REDUCE EXPENSES...............11

TOOK CHILDREN OUT OF SCHOOL.......12

HOUSEHOLD MEMBER TOOK JOB

ELSEWHERE TEMPORARILY.........13

SENT HOUSEHOLD MEMBER AWAY

PERMANENTLY/FOSTERED CHILD....14

FORCED TO CHANGE OCCUPATION.......15

MOVED TO LESS EXPENSIVE HOUSING...16

SENT NON-WORKING HOUSEHOLD

MEMBER TO WORK................17

TOOK HELP FROM OTHERS.............18

OTHER (SPECIFY)...................19

H

HN

Res

po

nd

ent's

nam

e

ID

Co

de

R

oun

d

V

illa

ge

D

ate

WORSE THAN BEFORE...1

SAME AS BEFORE......2

BETTER THAN BEFORE..3

NUMBER THE

WORST SHOCKS 1

TO 3, WHERE 1

IS THE WORST

Now

I w

ould

lik

e to

know

about

any g

ood e

ven

ts e

xper

ience

d b

y y

our

house

hold

over

the

pas

t 10 y

ears

.

1.

2.

3.

45.

6.

7.

8.

9.

Code

Shock

How

man

y t

imes

did

this

occ

ur

in

the

pas

t 10 y

ears

?

What

was

your

finan

cial

condit

ion a

fter

the

even

t?

What

was

the

tota

l val

ue

of

your

gai

n?

Check

MONTH

YEAR

GHC

01

New

reg

ula

r jo

b f

or

house

hold

mem

ber

02

Young p

erso

n o

r ch

ild w

ent

to w

ork

for

the

firs

t ti

me

03

New

or

incr

ease

d r

emit

tance

s

04

Inher

itan

ce

05

Lar

ge

gif

t/lo

tter

y w

innin

gs

06

Rec

eipt

of

dow

ry/b

ridep

rice

07

Unusu

ally

lar

ge

gai

n f

rom

bu

sines

s ac

tivit

ies

(spec

ify)

08

Sch

ola

rship

for

chil

d’s

educa

tion

09

New

gover

nm

ent

or

NG

O p

rogra

m/a

ssis

tance

10

Oth

er (

spec

ify)

11

Oth

er (

spec

ify)

12

Oth

er (

spec

ify)

The

last

tim

e th

is e

ven

t occ

urr

ed....

LO

NG

-TE

RM

SH

OC

KS

Pa

rt B

. P

osi

tiv

e sh

ock

s

READ THROUGH THE LIST AND CHECK

THE BOX IF THE HOUSEHOLD HAS

EXPERIENCED ANY OF THESE EVENTS.

THEN COMPLETE Q4-8 FOR EACH

SHOCK EXPERIENCED. FINALLY, COMPLETE Q9.

When

did

it

hap

pen

?


Ple

ase

ran

k t

he

bes

t

thre

e of

thes

e ev

ents

over

the

pas

t 10

yea

rs

WORSE THAN BEFORE...1

SAME AS BEFORE......2

BETTER THAN BEFORE..3

H

HN

R

esponden

t's

nam

e I

D C

ode

R

ound

V

illa

ge

D

ate

NUMBER THE

BEST SHOCKS 1

TO 3, WHERE 1

IS THE BEST

1.

2.

3.

4.

5.

6.

8.

Sin

ce t

he

sta

rt o

f th

e y

ear,

has

you

r h

ou

seh

old

exp

erie

nce

d a

ny o

f th

e fo

llow

ing s

ho

cks?

NOTE: LIST REPEAT OCCURRENCES UNDER 'OTHER'

ID c

od

e of

HH

mem

ber

mo

st

dir

ectl

y a

ffec

ted

Sta

rt d

ate

(or

date

of

occ

urr

ence

)

Wh

at

was

the

tota

l

valu

e of

the

loss

?

(Per

mon

th, if

con

tin

uou

s.)

Did

you

ha

ve

eno

ugh

mon

ey t

o c

over

th

e

exp

ense

s?

Oth

er c

om

men

ts

(e.g

. fu

rth

er d

etail

s on

th

e sh

ock

)

ID CODE

MM/YY

GHC

YES....1 (>>NEXT)

NO.....2

a.F

un

eral

ex

pen

ses

b.

Med

ical

exp

ense

s du

e to

ill

nes

s o

r in

jury

c.L

oss

of

inco

me

due

to i

llnes

s or

inju

ry

d.

Cro

p l

oss

or

dam

age

e.L

ives

tock

loss

or

thef

t

f.P

rop

erty

dam

age

or

thef

t

g.

Loss

of

contr

act,

or

def

ault

by c

redit

or

h.

Loss

of

regula

r jo

b

i.F

ailu

re o

f busi

nes

s, o

r si

gnif

ican

t bu

sines

s lo

sses

j.O

ther

: ________

______

______

______

_______

__

k.

Oth

er:

________

______

______

______

_______

__

l.O

ther

: ________

______

______

______

_______

__

1.

2.

3.

4.

5.

6.

7a.

7b.

8.

Sin

ce t

he

sta

rt o

f th

e y

ear,

has

you

r h

ou

seh

old

exp

erie

nce

d a

ny o

f th

e fo

llow

ing s

ho

cks?

NOTE: LIST REPEAT OCCURRENCES UNDER 'OTHER'

ID c

od

e of

HH

mem

ber

mo

st

dir

ectl

y a

ffec

ted

Sta

rt d

ate

(or

date

of

occ

urr

ence

)

Wh

at

was

the

tota

l

valu

e of

the

gain

?

(Per

mon

th, if

con

tin

uou

s.)

Have

you

giv

en

sign

ific

an

t gif

ts t

o

oth

ers

as

a r

esu

lt o

f

this

even

t?

To

wh

om

did

you

giv

e gif

ts?

Wh

at

was

the

tota

l valu

e of

thes

e

gif

ts?

Oth

er c

om

men

ts

(e.g

. fu

rth

er d

etail

s on

th

e sh

ock

)

ID CODE

MM/YY

GHC

YES....1

NO.....2 (>>8)

RELATIONSHIP CODES

GHC

a.L

ott

ery o

r pri

ze w

innin

gs

b.

New

job

c.In

her

itan

ce /

bri

dep

rice

d.

Unex

pec

tedly

lar

ge

crop y

ield

or

sale

s

e.U

nex

pec

tedly

hig

h b

usi

nes

s pro

fits

f.N

ew r

emit

tance

s

g.

Oth

er:

________

______

______

______

_______

__

h.

Oth

er:

________

______

______

______

_______

__

i.O

ther

: ________

______

______

______

_______

__


NO....>> NEXT ITEM

SH

OC

KS

DU

RIN

G 2

009

Part

A. N

egati

ve

Sh

ock

s

7.

Part

B. P

osi

tive

Sh

ock

s


NO....>> NEXT ITEM

Ho

w d

id y

ou

rais

e th

e m

on

ey t

o c

over

the

exp

ense

s?

H

HN

R

espon

den

t's

nam

e I

D C

od

e R

ou

nd

V

illa

ge

D

ate

Pa

ge

46

We

would

lik

e to

ask

yo

u s

om

e q

ues

tio

ns

abo

ut

yo

ur

circ

um

stan

ces

now

and

over

th

e pas

t fe

w y

ears

.

1.

7.

Whic

h o

f th

e fo

llow

ing

is

tru

e ab

ou

t y

our

curr

ent

inco

me?

2.

8.

Rig

ht

no

w,

wo

uld

yo

u s

ay y

ou

r h

ouse

hold

...

3.

9.

1 y

ear

ago

, w

ou

ld y

ou

say

yo

ur

ho

use

ho

ld..

.

4.

10

.5 y

ears

ago,

wo

uld

yo

u s

ay y

ou

r h

ouse

hold

...

5.

11

.10

yea

rs a

go

, w

ou

ld y

ou

say

yo

ur

hou

seho

ld...

6.

12

.In

ter

ms

of

yo

ur

hou

seho

ld e

cono

mic

wel

l-b

eing

, ar

e y

ou b

ette

r o

ff,

the

sam

e as

, or

wors

e

off

th

an t

his

sam

e ti

me

a y

ear

ago?

PE

RC

EP

TIO

NS

OF

PO

VE

RT

Y A

ND

WE

LL

-BE

ING


Conce

rnin

g y

ou

r fa

mil

y’s

fo

od

con

sum

pti

on

ov

er t

he

pas

t m

on

th,

whic

h o

f th

e fo

llow

ing i

s tr

ue?

Conce

rnin

g y

ou

r fa

mil

y’s

ho

usi

ng

ov

er t

he

pas

t m

onth

,

whic

h o

f th

e fo

llo

win

g i

s tr

ue?

Conce

rnin

g y

ou

r fa

mil

y’s

clo

thin

g o

ver

th

e p

ast

mon

th,

whic

h o

f th

e fo

llo

win

g i

s tr

ue?

Conce

rnin

g t

he

hea

lth

car

e yo

ur

fam

ily g

ets,

wh

ich o

f th

e fo

llo

win

g i

s tr

ue?

Conce

rnin

g y

ou

r ch

ild

ren's

sch

oo

lin

g,

whic

h o

f th

e fo

llo

win

g i

s tr

ue?

Com

par

ed t

o o

ther

hou

seh

old

s in

th

is v

illa

ge,

wou

ld y

ou d

escr

ibe

yo

ur

ho

use

hold

as:

THE RICHEST..................1

AMONG THE RICHEST............2

RICHER THAN MOST HOUSEHOLDS..3

ABOUT AVERAGE................4

POORER THAN MOST HOUSEHOLDS..5

AMONGST THE POOREST..........6

THE POOREST..................7

ALLOWS YOU TO SAVE A LOT............................................1

ALLOWS YOU TO SAVE JUST A LITTLE....................................2

ONLY JUST MEETS YOUR EXPENSES.......................................3

INSUFFICIENT, SO OFTEN NEED TO USE YOUR SAVINGS TO MEET EXPENSES....4

REALLY INSUFFICIENT, SO OFTEN NEED TO BORROW TO MEET EXPENSES.......5

IS VERY RICH............1

IS RICH.................2

IS COMFORTABLE..........3

MANAGES TO GET BY.......4

WAS VERY RICH...........1

WAS RICH................2

WAS COMFORTABLE.........3

MANAGED TO GET BY.......4

NEVER HAD QUITE ENOUGH....5

WAS POOR..................6

WAS DESTITUTE.............7

HOUSEHOLD DIDN'T EXIST....8


WAS RICH................2




WAS POOR..................6




WAS RICH................2




WAS POOR..................6



IT WAS LESS THAN ADEQUATE...1

IT WAS JUST ADEQUATE........2

IT WAS MORE THAN ADEQUATE....3







IT IS LESS THAN ADEQUATE....1

IT IS JUST ADEQUATE.........2

IT IS MORE THAN ADEQUATE.....3

NOT APPLICABLE...............4

IT IS LESS THAN ADEQUATE....1

IT IS JUST ADEQUATE.........2

IT IS MORE THAN ADEQUATE.....3

NOT APPLICABLE...............4

NEVER HAS QUITE ENOUGH....5

IS POOR...................6

IS DESTITUTE..............7

MUCH BETTER NOW.........1

A LITTLE BETTER NOW.....2

NO CHANGE...............3

A LITTLE WORSE NOW......4

MUCH WORSE NOW..........5

DON’T KNOW..............6

H

HN

Res

po

nd

ent's

nam

e

ID

Co

de

R

ou

nd

Vil

lage

D

ate

Pa

ge

47

Con

tinu

ed

13.

Com

par

ed t

o a

yea

r ag

o, w

hy h

ave

your

circ

um

stan

ces

chan

ged

?1

7.

Ho

w w

ould

yo

ur

ho

use

ho

ld o

bta

in t

he

50

ced

i?

a. b. c.

14.

18.

Most

peo

ple

are

bas

ical

ly h

on

est.

19.

Most

peo

ple

can

be

trust

ed.

15.

Why

do y

ou e

xpec

t th

is c

han

ge?

20.

I bel

iev

e th

at t

he

go

ver

nm

ent

does

what

is

rig

ht

for

the

peo

ple

.

a.2

1.

I am

con

fiden

t o

f th

e ab

ilit

y o

f g

ov

ern

men

t o

ffic

ials

to

do

thei

r jo

b.

b.

22.

I co

uld

rel

y o

n m

y n

eigh

bo

r to

mai

l an

im

port

ant

lett

er f

or

me.

c.2

3.

I fe

el I

cou

ld t

rust

my

nei

gh

bors

to

lo

ok

aft

er m

y h

ou

se i

f I

am a

way

.

16.

YES...1

NO....2 (>>18)

PE

RC

EP

TIO

NS

OF

PO

VE

RT

Y A

ND

WE

LL

-BE

ING


In t

erm

s of

you

r house

hold

eco

nom

ic w

ell-

bei

ng,

in a

yea

r fr

om

no

w, d

o y

ou

expec

t to

be

bet

ter

off

, th

e sa

me

as, or

wors

e off

th

an n

ow

?

No

w I

wou

ld l

ike

to a

sk y

ou

so

me

qu

esti

on

s ab

ou

t tr

ust

. D

o y

ou

ag

ree

or

dis

agre

e w

ith

the

foll

ow

ing

stat

emen

ts?

If y

our

house

hold

nee

ded

50 c

edi

for

an e

mer

gen

cy,

cou

ld y

ou

obta

in i

t w

ith

in a

wee

k?

LIST UP TO 3 RESPONSES

MUCH BETTER OFF.........1

A LITTLE BETTER OFF.....2

NO CHANGE...............3

A LITTLE WORSE OFF......4

MUCH WORSE OFF..........5

DON’T KNOW..............6

LIST UP TO 3 RESPONSES

H

HN

Res

pon

den

t's

nam

e

ID

Co

de

R

ou

nd

V

illa

ge

D

ate

STRONGLY AGREE..........1

AGREE...................2

NEUTRAL.................3

DISAGREE................4

STRONGLY DISAGREE.......5

NO EXPERIENCE...........6

FOR EACH QUESTION, ASK THE RESPONDENT TO CHOOSE ONE OF THE FOLLOWING CODES

Pag

e 48

I w

ould

lik

e to

kno

w a

bou

t th

e o

rgan

izat

ion

s y

ou

bel

ong

to

.

1.

2.

3.

4.

5.

6.

7.

8.

9.

Nam

e of

org

aniz

atio

nW

hat

typ

e of

org

aniz

atio

n

is i

t?

Hav

e y

ou

att

end

ed

mee

tin

gs

for

this

org

aniz

atio

n i

n t

he

pas

t

yea

r?

Wh

o t

old

yo

u a

bo

ut

the

gro

up

, or

invit

ed y

ou t

o

join

?

Ho

w o

ften

do

yo

u

atte

nd

, o

n a

ver

age?

Lo

cati

on

Tota

l am

ount

pai

d t

o t

he

org

aniz

atio

n i

n t

he

pas

t

yea

r

Tota

l am

oun

t re

ceiv

ed

fro

m t

he

org

aniz

atio

n i

n

the

pas

t yea

r

Has

th

e gro

up g

iven

yo

u

any o

ther

ass

ista

nce

or

adv

ice?

FIRST LIST ALL ORGANIZATIONS RESPONDENT

BELONGS TO, OTHER THAN THOSE PRE-PRINTED.

THEN ANSWER Q2-6 FOR EACH ORGANIZATION.

YES....1

NO.....2

RELATIONSHIP CODE

OR DESCRIPTION

FREQUENCY CODE

LOCATION CODE

GHC

GHC

IF YES, GIVE DESCRIPTION

Sie

wo h

oF

uner

al o

rgan

izat

ion

Bia

koye

kuo

Far

min

g o

rgan

izat

ion

Onip

a H

iam

oa

Ku

w

ME

MB

ER

SH

IP O

F O

RG

AN

IZA

TIO

NS

AN

D C

OO

PE

RA

TIV

ES

Part

A. M

emb

ersh

ip o

f o

rgan

izati

on

s

H

HN

R

esponden

t's

nam

e I

D C

ode

R

ound

V

illa

ge

D

ate

RELATIONSHIP CODES

NO-ONE....................0

SPOUSE....................1

CHILD.....................2

STEP-CHILD................3

PARENT....................4

GRANDCHILD................5


SIBLING...................7

LOCATION CODES

DAMAN/AHWERIASE...........1

POKROM/NSABAA.............2

OBOADAKA/KWAMEKROM........3

KONKONURU.................4

ABURI.....................5

NSAWAM....................6

FREQUENCY CODES

DAILY.....................1

WEEKLY....................2


MONTHLY...................4

QUARTERLY.................5

HALF-YEARLY...............6

YEARLY....................7


EASTERN REGION (RURAL)....7

EASTERN REGION (URBAN)....8

ACCRA.....................9

OTHER URBAN..............10

OTHER RURAL..............11

NOT IN GHANA.............12



COUSIN...................10






PRIEST...................16



NGO......................19

EXPORTER.................20

TRADER...................21


Pag

e 4

9

Pa

rt B

. M

emb

ersh

ip o

f F

BO

s a

nd

co

op

era

tiv

es

Hav

e you

bel

on

ged

to a

ny f

arm

er-b

ased

org

anis

atio

ns,

coo

per

ativ

es o

r w

ork

gro

ups

in t

he

pas

t fi

ve

yea

rs?

FIRST ANSWER Q1 FOR ALL GROUPS, THEN ANSWER Q2-16 FOR EACH GROUP. USE ADDITIONAL SHEET IF REQUIRED.

1.

Nam

e of

gro

up

2.

Nam

e of

gro

up

org

aniz

er/c

onta

ct (

if k

now

n)

3.

Wh

at t

ype

of

gro

up

is

it?

COOPERATIVE.......1

SUPPORT GROUP.....2

WORK GROUP........3

OTHER (SPECIFY)...4

4.

Wh

o t

old

you a

bout

the

gro

up, or

invit

ed y

ou

to

join

?RELATIONSHIP CODE

OR DESCRIPTION

5.

Wh

en d

id y

ou j

oin

the

gro

up?

DATE (MM/YY)

6.

Wh

y d

id y

ou j

oin

the

gro

up?

7.

Are

you s

till

a m

ember

?YES....1 (>>Q10)

NO.....2

8.

Wh

en d

id y

ou l

eav

e th

e gro

up?

DATE (MM/YY)

9.

Wh

y d

id y

ou l

eave?

10.

How

oft

en d

o y

ou

mee

t?FREQUENCY CODE

11.

Does

the

gro

up s

har

e la

bor?

YES....1

NO.....2

12.

Does

the

gro

up s

har

e oth

er i

nputs

or

asse

ts (

e.g. a

trac

tor)

?YES....1

NO.....2

13.

Does

the

gro

up d

iscu

ss f

arm

ing p

ract

ices

?YES....1

NO.....2

14.

Hav

e yo

u c

han

ged

your

farm

ing p

ract

ices

sin

ce l

earn

ing i

nfo

rmat

ion

from

th

is g

roup?

YES....1

NO.....2

15.

Does

the

gro

up h

old

Glo

bal

GA

P c

erti

fica

tion?

YES....1

NO.....2

16.

Does

the

gro

up h

ave

a co

ntr

act

wit

h a

buy

er o

r ex

po

rter

?YES....1

NO.....2

ME

MB

ER

SH

IP O

F O

RG

AN

IZA

TIO

NS

AN

D C

OO

PE

RA

TIV

ES

41

23

GR

OU

PS

H

HN

Res

po

nd

ent's

nam

e

ID

Co

de

R

ou

nd

V

illa

ge

D

ate

RELATIONSHIP CODES

NO-ONE....................0

SPOUSE....................1

CHILD.....................2

STEP-CHILD................3

PARENT....................4

GRANDCHILD................5


SIBLING...................7



COUSIN...................10






PRIEST...................16



NGO......................19

EXPORTER.................20

TRADER...................21


FREQUENCY CODES

DAILY....................1

WEEKLY...................2

FORTNIGHTLY..............3

MONTHLY..................4

QUARTERLY................5

HALF-YEARLY..............6

YEARLY...................7


Pag

e 5

0

1.

Wh

at i

s th

e h

ighes

t gra

de/

mo

de

of

edu

cati

on

yo

u h

ave

atte

nded

?8.

Do y

ou s

pea

k E

ngli

sh?

9.

Can

you

rea

d a

sen

ten

ce i

n E

ng

lish

?

2.

How

man

y y

ears

did

you

att

end

sch

oo

l fo

r?

3.

Wh

ere

did

yo

u a

tten

d s

cho

ol

for

the

mo

st t

ime?

10

.YES...GIVE ID CODE

NO....LEAVE BLANK (>>13)

11

.C

an t

hey

rea

d a

sen

ten

ce i

n E

ng

lish

?

4.

Wh

y d

id y

ou

lea

ve

scho

ol?

12

.L

ang

uag

e co

mpre

hen

sio

n

5.

Can

yo

u r

ead

a s

ente

nce

in

Ak

uap

em T

wi?

6.

In w

hic

h l

ang

uag

e ar

e yo

u m

ost

pro

fici

ent?

13

.B

asic

ari

thm

etic

7.

Can

yo

u r

ead

a s

ente

nce

in

th

is l

ang

uag

e?

14

.Is

th

ere

som

eone

in y

our

ho

use

ho

ld w

ho

do

es s

um

s fo

r yo

u?

ED

UC

AT

ION Is t

her

e so

meo

ne

in y

our

ho

use

ho

ld w

ho

can

rea

d

Eng

lish

for

yo

u?

YES....1

NO.....2 (>>10)

READ WITHOUT ERRORS....1 (>>12)

READ WITH ERRORS.......2 (>>12)

COULD NOT READ.........3

REFUSED..............999

THIS VILLAGE................1

OTHER VILLAGE IN DISTRICT...2

OTHER DISTRICT IN REGION....3

ACCRA.......................4

SCHOOL CLOSED...............6

I WAS ILL...................7

MARRIAGE/PREGNANCY..........8

OTHER (SPECIFY).............9

OTHER RURAL.................5

OTHER URBAN.................6

OUTSIDE GHANA...............7

HAD ENOUGH EDUCATION........1

FAILED EXAM.................2

NO HIGHER SCHOOL/GRADE......3

COULD NOT AFFORD TO GO......4

TO HELP PARENTS.............5

H

HN

Res

po

nd

ent's

nam

e

ID

Co

de

R

ou

nd

Vil

lage

D

ate

READ WITHOUT ERRORS....1

READ WITH ERRORS.......2


REFUSED..............999

SHOW FLASHCARD

FOR AKUAPEM TWI

SHOW FLASHCARD

FOR LANGUAGE




REFUSED..............999

SHOW FLASHCARD

FOR ENGLISH



COULD NOT READ.........3 (>>13)

REFUSED..............999

LOCATE THE PERSON NOMINATED AND

ASK THEM TO READ THE FLASHCARD

FOR ENGLISH

GIVE MATHS TEST TO THE

RESPONDENT AND RECORD ANSWERS

1.

2.

4.

5.

3.

6.

7.

8.

YES..GIVE ID CODE

NO...LEAVE BLANK

AKUAPEM TWI........1 (>>8)

ASANTE TWI.........2

FANTE..............3

GA.................4

EWE................5

OTHER (SPECIFY)....6 (>>8)

GIVE COMPREHENSION TEST TO

RESPONDENT OR NOMINATED PERSON

AND RECORD ANSWERS

1.

2.

4.

5.

3.

6.

7.

8.

NONE/K.G.....0

PRIMARY 1....1

PRIMARY 2....2

PRIMARY 3....3

PRIMARY 4....4

PRIMARY 5....5

JSS 1........6

JSS 2........7

JSS 3........8

M1...........9

M2..........10

M3..........11

M4..........12

SSS1........13

SSS2........14

SSS3........15

S1..........16

S2..........17

S3..........18

S4..........19

S5..........20

VOC/COMM....21

TECHNICAL...22

UNIVERSITY..23

1.

Whic

h c

lan

do

yo

u b

elo

ng

to

?9

.P

leas

e te

ll m

e ab

ou

t th

e am

ou

nt

of

land

bel

on

gin

g t

o y

our

exte

nded

fam

ily.

2.

Do y

ou

hold

a f

amil

y o

r v

illa

ge

off

ice?

UNIT

AMOUNT

Nam

e /

titl

e:T

ota

l fa

mil

y l

and

are

a

Fam

ily

lan

d a

rea

in t

his

tow

n

3.

What

pri

vil

eges

(if

an

y)

do

es t

his

off

ice

giv

e y

ou?

10

.GHC

4.

Who

is

the

hig

hes

t-ra

nk

ed i

nd

ivid

ual

in y

our

exte

nd

ed f

amil

y?

RELATIONSHIP

CODE

11

.a.

H

ow

mu

ch l

and

has

th

e fa

mil

y s

old

or

leas

ed i

n t

he

pas

t y

ear?

AREA

b.

Ho

w m

uch

in

com

e d

id t

hey

rec

eive

for

it?

GHC

5.

What

pri

vil

eges

(if

an

y)

do

es t

hei

r o

ffic

e g

ive

them

?

Part

B. P

are

nts

' E

con

om

ic B

ack

gro

un

d

I w

ould

lik

e to

ask

so

me

qu

esti

on

s ab

out

yo

ur

par

ents

.M

oth

erF

ather

6.

Fam

ily

ho

me

tow

n:

1.

Bir

thp

lace

2.

Hig

hes

t sc

ho

ol

gra

de

com

ple

ted

7.

Reg

ion:

3.

Fir

st o

ccu

pat

ion

4.

Sec

on

d o

ccu

pat

ion

5.

Mai

n r

esid

ence

8a.

Are

yo

u t

he

firs

t fr

om

yo

ur

fam

ily

to

liv

e in

th

is v

illa

ge?

6.

Wif

e nu

mb

er /

nu

mb

er o

f w

ives

7.

Nu

mber

of

chil

dre

n

b.

App

roxim

atel

y h

ow

lon

g h

as y

ou

r fa

mil

y l

ived

her

e?8

.

9.

Did

s/h

e h

old

a v

illa

ge

off

ice?

YES...1

NO....2

c.A

pp

roxim

atel

y h

ow

lon

g h

ave

you

liv

ed h

ere?

10

.If

yes

, w

hat

was

its

nam

e?

Wh

at i

nco

me

did

th

e fa

mil

y e

arn

in t

he

pas

t yea

r fr

om

ren

tin

g o

ut

lan

d?

FA

MIL

Y B

AC

KG

RO

UN

D

To

tal

size

Appro

x.

% o

f

tota

l fa

mil

y l

and

Are

a cu

ltiv

ated

by s

elf

and

sp

ouse

Part

A. F

am

ily s

tru

ctu

re a

nd

wea

lth

Yea

r of

dea

th (

if a

pp

lica

ble

)

LOCATION CODE

OCCUPATION CODE

OCCUPATION CODE

LOCATION CODE

YES....1

NO.....2 (>>Q4)

YES....1 (>>8c)

NO.....2

H

HN

R

espo

nden

t's

nam

e I

D C

ode

R

ound

V

illa

ge

D

ate

YEARS/MONTHS

YEARS/MONTHS

Pa

ge

52

Pa

rt C

. F

ost

erag

eP

art

D.

Inh

erit

an

ces,

con

tin

ued

Did

you l

ive

wit

h a

ny

one

away

fro

m y

our

par

ents

for

at l

east

a y

ear

wh

ile

yo

u w

ere

gro

win

g u

p?

2.

Do

yo

u e

xp

ect

to r

ecei

ve

any o

ther

in

her

itan

ces

(su

ch a

s h

ouse

s or

mon

ey)?

Loca

tio

n 1

Lo

cati

on

2L

oca

tio

n 3

Item

1It

em 2

Item

3

a.P

lace

yo

u l

ived

LOCATION CODE

a.

b.

Age

you s

tart

ed /

en

ded

liv

ing

th

ere

b.

Dat

e y

ou

exp

ect

to r

ecei

ve

itMM/YY

c.R

easo

n f

or

fost

erin

gc.

Rel

atio

nsh

ip o

f cu

rren

t ow

ner

RELATIONSHIP

CODE

d.

Rel

atio

nsh

ip o

f ca

rer(

s)RELATIONSHIP

CODE

d.

Loca

tio

n o

f cu

rren

t ow

ner

LOCATION CODE

e.If

wo

fa,

uncl

e or

aun

t, o

n w

ho

se s

ide?

FATHER...1

MOTHER...2

e.G

end

er o

f cu

rren

t o

wn

erMALE....1

FEMALE..2

f.f.

Is t

he

item

a h

ou

se?

YES..1

NO...2 (>>Q3)

g.

g.

Loca

tio

n o

f ho

use

LOCATION CODE

h.

h.

What

is

it w

ort

h n

ow

?GHC

Pa

rt D

. In

her

itan

ces

1.

Do y

ou e

xpec

t to

rec

eiv

e an

y i

nh

erit

ance

s o

f la

nd?

3.

Did

yo

u r

ecei

ve

any

ass

ista

nce

fro

m y

our

par

ents

or

rela

tives

when

yo

u e

stab

lish

ed y

ou

r ho

use

ho

ld?

Plo

t 1

Plo

t 2

Plo

t 3

Ass

ista

nce

1A

ssis

tan

ce 2

Ass

ista

nce

3

a.D

ate

you

exp

ect

to r

ecei

ve

itMM/YY

a.D

ate

yo

u r

ecei

ved

ass

ista

nce

MM/YY

b.

Rel

atio

nsh

ip o

f cu

rren

t o

wn

erRELATIONSHIP

CODE

b.

Des

crip

tio

n o

f it

em(s

) giv

en

c.L

oca

tio

n o

f cu

rren

t ow

ner

LOCATION CODE

c.R

elat

ionsh

ip o

f p

erso

nRELATIONSHIP

CODE

d.

Gen

der

of

curr

ent

ow

ner

MALE....1

FEMALE..2

d.

Gen

der

of

curr

ent

ow

ner

MALE....1

FEMALE..2

e.L

and s

ize

UNIT

e.L

oca

tio

n o

f per

son

LOCATION CODE

f.QUANTITY

f.L

and

siz

e g

iven

(if

an

y)

IF NONE, (>>h)

g.

Lo

cati

on

CODE

g.

Loca

tio

n o

f la

nd

LOCATION CODE

h.

h.

Was

it

a lo

an o

r a

gif

t?LOAN...1

GIFT...2 (>>NEXT

COLUMN)

i.i.

Hav

e y

ou

rep

aid

th

e lo

an?

YES...1

NO....2

j.W

hat

is

the

land

wort

h n

ow

?GHC

j.W

hat

wo

uld

it

be

wo

rth

no

w?

GHC

FA

MIL

Y B

AC

KG

RO

UN

D

Des

crip

tio

n o

f it

em(s

) pro

mis

ed

Fost

er p

aren

t's:

occ

upat

ion

nu

mber

of

farm

s

mai

n f

arm

ing

act

ivit

y

What

wil

l be

the

mai

n c

rop

gro

wn

?

When

in

her

ited

, w

ill

it b

e dev

elo

ped

or

fall

ow

?

H

HN

R

esponden

t's

nam

e I

D C

ode

R

ound

V

illa

ge

D

ate

YES...1

NO....2 (>>END)

YES...1

NO....2 (>> 3)

YES...1

NO....2 (>> PART D)

YES...1

NO....2 (>> 2)

COMPLETE THIS MODULE FOR EACH SPOUSE

NOTE: CODE REFUSALS AS 999

1. Where does your spouse live? 12.

2. How often do you see your spouse? 13. Are there certain things in the house that you always buy?

If yes, what are they?

3. Overall, how well do you get along with your spouse?

14. Are there certain things in the house that your spouse always buys?

For questions 4 and 5, use the following codes: If yes, what are they?

4.

15. Are there certain expenses (e.g. school fees, funeral expenses)

that you always pay for?

5. If yes, what are they?

Now I would like to ask you about how you both manage the house and farm.

6. Do you think your spouse does his/her fair share of

work on the farm?

16. Are there certain expenses (e.g. school fees, funeral expenses)

that your spouse always pays for?

If yes, what are they?

7.

17. a. Do you lend money to your spouse?

8. Do you think your spouse does enough work

around the house?

b. How much have you lent in the past 6 months?

9.

c. " in the past month?

d. What were the amounts for?

10. Does your spouse contribute to the household

finances?

11. a. Does s/he contribute enough? e. Do you have trouble getting it back?

b. Why not?

f. Does this lead to quarrels?

MARITAL ATTITUDES

In this section we would like to ask you some questions about relationships in your household. Please remember that this survey is entirely confidential and your responses will not be

shared with anyone. All the same, you do not have to answer any question if you do not want to.

On a scale of one to five, how much do you trust your spouse?

On a scale of one to five, how fairly does your spouse treat you?

What would you do if s/he does not do enough?

What would you do if s/he does not do enough?

What would you do if it is not enough?

SAME HOUSE.........1 (>>Q3)

DIFFERENT HOUSE IN

THIS VILLAGE.....2 (>>Q3)

ELSEWHERE..........3

FREQUENCY CODE

VERY WELL..........1

WELL...............2

SATISFACTORY.......3

YES...1

NO....2

YES...1

NO....2

YES...1

NO....2

YES...1 (>> 12)

NO....2

YES...1

NO....2

YES...1

NO....2

YES...1

NO....2

YES...1

NO....2 (>> END)

YES...1 (>> END)

NO....2

YES...1

NO....2

HHN Respondent's name ID Code Round Village Date

NOT SO WELL........4

NOT WELL AT ALL....5

COMPLETELY.........1

MOSTLY.............2

SOMEWHAT...........3

NOT MUCH...........4

NOT AT ALL.........5

GHC

GHC

Pag

e 5

4

Pa

rt A

. H

ou

se c

urr

entl

y l

ived

in

by

res

po

nd

ent

1.

Des

crib

e th

e ty

pe

of

dw

elli

ng y

ou

liv

e in

.9.

How

do y

ou h

ave

acce

ss t

o t

he

dw

elli

ng?

2.

Do y

ou

ow

n t

he

dw

elli

ng

?P

art

B. O

ther

hou

ses

ow

ned

by r

esp

on

den

t

3.

How

did

yo

u a

cquir

e it

?1.

Do y

ou

ow

n a

ny h

ouse

s o

ther

than

th

e on

e yo

u a

re l

ivin

g i

n?

For

each

ho

use

ow

ned

(other t

han

th

e o

ne

des

crib

ed i

n P

art A

), c

om

ple

te o

ne

colu

mn i

n t

he

tab

le.

4.

a,b

. F

rom

who

m d

id y

ou

acq

uir

e it

?

Ho

use

1H

ou

se 2

Hou

se 3

c. I

f w

ofa

, u

ncl

e o

r au

nt,

on w

hose

sid

e?2.

Lo

cati

on

LOCATION CODE

3.

How

did

you a

cquir

e it

?

5.

When

did

yo

u a

cqu

ire

it o

r bu

ild i

t?DD/MM/YY

6.

a. H

ave

yo

u e

ver

mad

e im

pro

vem

ents

to t

he

dw

elli

ng?

4.

Fro

m w

hom

did

you

pu

rchas

e/in

her

it/r

ecei

ve

it?

b.

If y

es,

des

crib

e

(>> PART B)

5.

Who s

tay

s in

this

house

?

7.

Who

ow

ns

the

dw

elli

ng

?

8.

Wher

e d

oes

the

ow

ner

liv

e?LOCATION CODE

YES...1

NO....2 (>> 7)

HO

US

ING

OW

NE

RS

HIP

AN

D I

NH

ER

ITA

NC

E

ROOM....................1

APARTMENT...............2

SELF-CONTAINED HOUSE....3

COMPOUND................4

OTHER.............SPECIFY

BUILT MYSELF..........1 (>> 5)

PURCHASED.............2

INHERITED.............3

RECEIVED AS A GIFT....4

FAMILY HOUSE..........5 (>> 5) YES...1

NO....2

YES...1

NO....2 (>>END)

RELATIONSHIP CODE

BUILT MYSELF.........1 (>>5)

PURCHASED............2

INHERITED............3

RECEIVED AS A GIFT...4

FAMILY HOUSE.........5 (>>5)

SPOUSE...............1

CHILDREN.............2

FAMILY MEMBERS.......3

RENT-PAYING TENANTS..4

NO-ONE...............5

OTHER..........SPECIFY

H

HN

R

esponden

t's

nam

e I

D C

ode

R

ound

V

illa

ge

D

ate

RELATIONSHIP

CODE

MALE....1

FEMALE..2

FATHER...1

MOTHER...2

RELATIONSHIP

CODE

MALE....1

FEMALE..2

FREE TENANCY..........1

RENT-PAYING TENANT....2

OTHER...........SPECIFY

1.

a. W

hic

h m

ember

s of

this

hou

sehold

are

involv

ed i

n c

rop

cu

ltiv

atio

n?

3.

a. H

ave

you

ever

gro

wn p

inea

pple

s?YES...1

NO....2 (>> Q5)

LIST RELATIONSHIP CODES

IF RESPONDENT IS NOT INCLUDED, >> END

b.

Wh

ich

ty

pe(

s)?

b.

Wh

ich m

ember

s ar

e in

volv

ed i

n i

np

ut

allo

cati

on d

ecis

ion

s on

yo

ur

plo

t(s)

?c.

W

hen

did

yo

u s

tart

gro

win

g p

inea

pple

s?MM/YY

LIST RELATIONSHIP CODES

IF RESPONDENT IS NOT INCLUDED, >> END

d.

Are

yo

u s

till

gro

win

g p

inea

pple

s?YES...1 (>> Q4)

NO....2

c. W

hat

is

the

most

im

port

ant

fact

or

in d

ecid

ing h

ow

mu

ch t

o c

ult

ivat

e o

n y

ou

r plo

t(s)

?e.

W

hen

did

yo

u s

top g

row

ing p

inea

pple

s?MM/YY

f. W

hy d

id y

ou

sto

p?

2.

a. D

o y

ou u

se p

esti

cides

?YES...1

NO....2 (>> Q2c)

4.

a. H

ow

do y

ou p

lant

yo

ur

pin

eapp

les?

b.

Wh

at t

yp

e(s)

of

pla

nti

ng m

ater

ials

do y

ou u

se?

c. D

o y

ou u

se f

erti

lize

r?YES...1

NO....2 (>> Q2e)

c. D

o y

ou u

se h

ired

lab

or

to f

arm

yo

ur

pin

eap

ple

s?YES...1

NO....2

d.

To

what

ex

ten

t does

th

e av

aila

bil

ity

of

cash

aff

ect

you

r dec

isio

ns

abou

t th

e fo

llow

ing:

(i)

Tim

ing

of

har

ves

t

(ii)

Q

ual

ity

of

har

ves

t

e. W

hat

is

the

most

im

port

ant

fact

or

in d

ecid

ing h

ow

mu

ch t

ime

you

spen

d w

eedin

g y

our

plo

t?(i

ii)

Pri

ce r

ecei

ved

for

pin

eapple

s

(iv)

Ab

ilit

y t

o t

ransp

ort

pro

du

ce

(v)

Tim

ing o

f nex

t pla

nti

ng /

har

ves

t

d.

Asi

de

from

the

size

of

your

plo

t, w

hat

is

the

most

im

po

rtan

t

f

acto

r in

dec

idin

g h

ow

much

fer

tili

zer

to a

pply

?

ON

-FA

RM

DE

CIS

ION

MA

KIN

G

To

be

ad

min

iste

red t

o r

esp

ond

ents

wit

h a

t le

ast

on

e p

lot,

wh

o c

urr

entl

y cu

ltiv

ate

cro

ps

b.

Asi

de

from

the

size

of

your

plo

t, w

hat

is

the

most

im

po

rtan

t

f

acto

r in

dec

idin

g h

ow

much

pes

tici

de

to a

pply

?

CASH AVAILABLE........1

LABOUR AVAILABLE......2

EXPECTED RAINFALL.....3

EXPECTED PRICE/PROFIT.4

LAND AVAILABLE.........5

HOW I FEEL / MY HEALTH.6

ALWAYS THE SAME........7

OTHER (SPECIFY)........8

CASH AVAILABLE.................1

GROWING CONDITIONS OF CROPS....2

SEVERITY OF PEST INFESTATION...3

CROP PRICES / EXPECTED PROFIT..4

CASH AVAILABLE.................1


EXPECTED RAINFALL..............3


AMOUNT RECOMMENDED BY

EXTENSION OFFICER/OTHERS.....5

NONE (ALWAYS THE SAME AMOUNT)..6

OTHER (SPECIFY)................7

AMOUNT RECOMMENDED BY

EXTENSION OFFICER/OTHERS.....5


OTHER (SPECIFY)................7

CASH AVAILABILITY..............1


EXPECTED RAINFALL..............3


HOW I FEEL / MY HEALTH.........5

AMOUNT OF WEEDS................6

LABOR AVAILABILITY.............7


OTHER (SPECIFY)................9

SUGARLOAF........1

SMOOTH CAYENNE...2

MD2..............3

OTHER (SPECIFY)..4

RAISED BEDS IN ROWS...1

ON THE FLAT IN ROWS...2


SUCKERS....1

CROWNS.....2

OTHER......3

NO EFFECT............1

SMALL EFFECT.........2

MODERATE EFFECT......3

STRONG EFFECT........4

VERY STRONG EFFECT...5

NOW GO TO QUESTION 5

H

HN

Res

po

nd

ent's

nam

e

ID

Cod

e R

ou

nd

V

illa

ge

D

ate

Pa

ge

56

5.

a. H

ave

yo

u e

ver

rec

eiv

ed f

orm

al t

rain

ing i

n p

inea

pple

cult

ivat

ion?

YES..1

NO...2

8.

Ris

k a

vers

ion

exp

erim

ent

YES...1

a.A

Bc.

AB

NO....2 (>> Q6)

11

22

c.F

or

whic

h c

rops

did

you r

ecei

ve

trai

nin

g?

CROP CODE(S)

33

44

d. F

rom

wh

ere

/ fr

om

who

m d

id y

ou g

et t

he

trai

nin

g?

RELATIONSHIP

55

CODE(S)

!6

!6

77

6.

88

99

12

34

56

71

01

0

11

11

PLOT CODE

EVENT CODE

CROP CODE

MM/YY

PER CENT

CODE

GHC

a. b.

b.

AB

d.

AB

c.1

1

d.

22

e.3

3

f.4

4

g.

!5

!5

h.

66

77

7.

Com

par

ed t

o t

he

aver

age

plo

t in

this

are

a, h

ow

fer

tile

are

your

plo

ts?

88

99

Per

centa

ge

of

plo

t

RESPONSE CODE

Res

ponse

8

Val

ue

of

dam

age

What

pro

ble

ms

hav

e you e

xper

ience

d o

n y

our

plo

t(s)

in t

he

pas

t 10 y

ears

? F

or

exam

ple

, dis

ease

s, p

ests

, cr

op l

oss

es, dro

ught.

ON

-FA

RM

DE

CIS

ION

MA

KIN

G, C

on

tin

ued

b. H

ave

you e

ver

rec

eived

form

al t

rain

ing i

n c

ult

ivat

ion

o

f cr

ops

oth

er t

han

pin

eapple

?

Plo

tE

ven

tC

rops

affe

cted

Dat

eS

ever

ity

MUCH MORE THAN AVERAGE..1

MORE THAN AVERAGE.......2

AVERAGE.................3

LESS THAN AVERAGE.......4

MUCH LESS THAN AVERAGE..5

NOT APPLICABLE..........6

a. P

lot

1

d. P

lot

4

b. P

lot

2

e. P

lot

5

EVENT CODES

TERMITES............1

OTHER INSECTS.......2

RODENTS.............3

GRASSCUTTER.........4

OTHER ANIMAL........5

WILT................6

LEAVES FALLING OFF..7

MUSHROOM/FUNGI......8

ROTTEN ROOTS........9

ROTTEN CROPS.......10

DROUGHT/LOW RAIN...11

FLOOD..............12

CHEMICAL DAMAGE....13

PLANTING ERROR.....14

OTHER DISEASE......15

NO MARKET FOR CROP.16

THEFT..............17

UNINTENDED FIRE....18


SEVERITY CODES

MINOR...............1

NOTICEABLE LOSS.....2

SIGNIFICANT LOSS....3

MAJOR LOSS..........4

TOTAL CROP FAILURE..5

RESPONSE CODES

NONE..................1

REPLANT...............2

APPLY CHEMICALS.......3

HAND PICKING..........4

STOP CULTIVATING......5

UPROOT AFFECTED AREA..6

UPROOT ENTIRE PLOT.....7

DESTROY AFFECTED CROP..8

MAKE TRAPS.............9

CHANGE SEED/VARIETY...10

CHANGE METHOD OF

PLANTING............11

TREAT SEEDS...........12

TREAT SUCKERS........13

CAN WATERING.........14

PUMP IRRIGATION......15

WEEDING..............16


H

HN

R

espo

nden

t's

nam

e I

D C

od

e

Rou

nd

V

illa

ge

D

ate

c. P

lot

3

f. P

lot

6

RE

SP

ON

DE

NT

ID

WA

S R

ES

PO

ND

EN

T P

RE

SE

NT

DU

RIN

G M

EA

SU

RE

ME

NT

?YES...1

NO....2

USE ONE ROW FOR EACH PLOT, WITH EACH COLUMN REPRESENTING A VERTEX OF THE PLOT

NOTE: IF YOU RUN OUT OF COLUMNS, ENTER SAME PLOT CODE ON NEXT LINE AND CONTINUE FROM COLUMN 1

Plo

t co

de

NW

NW

NW

NW

NW

NW

6

PL

OT

MA

PP

ING

PLEASE ENSURE PLOT CODES CORRESPOND TO THOSE IN PLOT QUESTIONNAIRE

12

34

5

REMARKS AND OBSERVATIONS

H

HN

Res

po

nd

ent's

nam

e

ID

Cod

e R

ou

nd

V

illa

ge

D

ate

SC

HE

DU

LE

OF

CO

DE

S

LOCATION CODES




KONKONURU..............4

ABURI..................5

NSAWAM.................6



ACCRA..................9




SCHOOL LEVEL CODES

NONE.....................0

PRIMARY..................1





UNIVERSITY...............5

CROP CODES

CASSAVA..................1

MAIZE....................2

PLANTAIN.................3

COCOYAM..................4

YAM......................5

PINEAPPLE................6

TOMATO...................7

GARDEN EGG...............8

OKRO.....................9

PEPPER..................10

ORANGES.................11

BANANA..................12

AVOCADO.................13

OIL PALM................14

COCOA...................15

SUGAR CANE..............16

BEAN....................17

GROUNDNUT...............18


RELATIONSHIP CODES

SELF......................0

SPOUSE....................1

CHILD.....................2

STEP-CHILD................3

PARENT....................4

GRANDCHILD................5


SIBLING...................7



COUSIN...................10






PRIEST...................16



NGO......................19

EXPORTER.................20

TRADER...................21


INPUT CODES

INSECTICIDE/PESTICIDE.....1

BIOLOGICAL CONTROL........2

HERBICIDE.................3

FUNGICIDE.................4

FERTILIZER................5

OTHER CHEMICAL............6

SPRAYING COSTS............7

TRACTOR PLOWING...........8

TRANSPORT COSTS...........9

OTHER COMMERCIAL INPUT...10

PROTECTIVE CLOTHING......11

BAGS, DRUMS, CONTAINERS..12

SUCKERS..................13

SEEDS....................14

SEEDLINGS................15


OCCUPATION CODES

FARMER...................1

TEACHER..................2

TAXI/TRO-TRO DRIVER......3

TRUCK DRIVER.............4

ARTISAN..................5

CONSTRUCTION WORKER......6

FACTORY WORKER...........7

MASON....................8

CARPENTER/CARVER.........9

HERBALIST...............10

HAIRDRESSER.............11

HEALTH WORKER...........12

OFFICE WORKER...........13

SHOP ATTENDANT/TRADER...14

BAKER/COOK..............15

PRIEST..................16

ELDER...................17

STUDENT.................18

UNEMPLOYED..............19

NOT IN LABOR FORCE......20


UNIT CODES

NUMBER...................1

GRAMS....................2

KILOGRAMS................3

POUNDS...................4

MINIBAG..................5

MAXIBAG..................6

LITRES...................7

ROPES....................8

BUNCHES..................9

BALLS...................10

LOAVES..................11

BUNDLES.................12



BUCKETS.................15







HEADLOADS...............22


TUBERS..................24

STICKS..................25


LOAN PURPOSE CODES

FARMING..................1

MEDICAL..................2

CONSUMPTION..............3

TRADING..................4

OTHER BUSINESS...........5

TRAVEL...................6

FUNERAL..................7

OTHER CEREMONY...........8

SCHOOL FEES..............9


FREQUENCY CODES

DAILY....................1

WEEKLY...................2

FORTNIGHTLY..............3

MONTHLY..................4

QUARTERLY................5

HALF-YEARLY..............6

YEARLY...................7


EMPLOYER CODES

SPOUSE.................1

CHILD..................2

PARENT.................3

OTH HH MEMBER..........4

OTH RELATIVE...........5

SCHOOL................12

CHURCH................13




FRIEND IN VILLAGE......6

FRIEND ELSEWHERE.......7

OTHER VILLAGER.........8




Vil

lag

e N

ame

Hou

seh

old

ID

En

um

erat

or

IDP

age of

Vil

lage

Co

de

Res

pon

den

t N

ame

Res

po

nd

ent

ID

I w

ou

ld l

ike

to a

sk y

ou

abo

ut

yo

ur

rela

tio

nsh

ips

wit

h s

om

e o

f th

e p

eop

le i

n t

his

vil

lag

e.

12

34

56

78

91

011

12

HH

No

.ID

Na

me

Do y

ou

kn

ow

wh

o

this

per

son

is?

Do y

ou

kn

ow

th

em

per

son

all

y?

How

is

this

per

son

rel

ate

d t

o

yo

u?

Ho

w l

on

g h

av

e y

ou

kn

ow

n t

his

per

son

?

Wo

uld

yo

u c

on

sid

er

this

per

son

to

be.

..

Ho

w o

ften

do

yo

u

spea

k t

o t

his

per

son

?

IF PERSON DOES NOT RECOGNISE FORMAL NAME, PROMPT

FOR NICKNAME AS WELL

YES....1

NO.....2

YES....1

NO.....2

YES....1

NO.....2

Hav

e y

ou

ev

er

rece

ived

a g

ift

(of

mon

ey,

go

od

s o

r

serv

ices

) fr

om

this

per

son

?

Ha

ve

yo

u e

ver

giv

en a

gif

t (o

f

mo

ney

, g

oo

ds

or

serv

ices

) to

th

is

per

son

?

SO

CIA

L N

ET

WO

RK

QU

ES

TIO

NN

AIR

E

COMPLETE FOR ENTIRE LIST OF PREPRINTED NAMES

RELATIONSHIP CODE

< 1 YEAR......1

1-5 YEARS.....2

5-10 YEARS....3

10+ YEARS.....4

ALL MY LIFE...5

NOT A FRIEND....0

ACQUAINTANCE....1

DISTANT FRIEND..2

GOOD FRIEND.....3

CLOSE FRIEND....4

DAILY.........1

WEEKLY........2

ONCE OR TWICE..

A MONTH.....3

RARELY........4

NEVER.........5

Wo

uld

yo

u

tru

st t

his

per

son

to

lo

ok

aft

er a

va

lua

ble

ite

m

for

yo

u?

YES....1

NO.....2

(>>NEXT

PERSON)

YES....1

NO.....2

(>>NEXT

PERSON)

Bottle cap

drawn

Prize

With dot Without dot

Sorry, no prize

GH¢10 chickens GH¢10 cash

GH¢20 chickens GH¢20 cash

GH¢35 goat GH¢35 cash



A.

Gen

era

l p

rize

in

form

ati

on

1.

a. T

ype

of

pri

ze w

on

2.

a. D

id y

ou r

ecei

ve

the

pri

ze p

erso

nal

ly?

b. V

alue

GHC

b. W

ho

rec

eiv

ed t

he

pri

ze?

c. W

her

e d

id y

ou w

in?

c. H

ave

they

giv

en t

he

pri

ze t

o y

ou

?

d. D

id y

ou t

ell

yo

ur

spo

use

ab

out

the

pri

ze?

d. W

hen

did

th

ey g

ive

it t

o y

ou?

B.

An

ima

l p

rize

s

Did

yo

u w

in a

n a

nim

al p

rize

?

1.

Ple

ase

des

crib

e w

hat

you

did

wit

h t

he

anim

al(s

) y

ou

wo

n.

2.

Lis

t all

act

ion

s u

sin

g a

new

lin

e fo

r ea

ch a

ctio

n.

(Ple

ase

ag

gre

gate

mu

ltip

le i

nst

ance

s of

the

sam

e act

ion

.)

1.

2.

3.

4.

1.

2.

3.

4.

An

imal

no

.D

ate

Act

ion

Pro

po

rtio

n o

f an

imal

Anim

al n

o.

Dat

eP

rop

ort

ion o

f

anim

al

Wh

o w

as t

he

buyer

?

1 or 2

DD/MM/YY

ACTION CODE

PERCENTAGE

1 or 2

DD/MM/YY

PERCENTAGE

RELATIONSHIP CODE

a.a.

b.

b.

c.c.

d.

d.

3.

4.

1.

3.

1.

3.

4.

Dat

e o

f

mea

lR

elat

ionsh

ipD

ate

Loca

tion

Rel

atio

nsh

ip

DD/MM/YY

RELATIONSHIP CODE

DD/MM/YY

LOCATION

CODE

RELATIONSHIP CODE

a.a.

b.

b.

c.c.

d.

d.

5.

If y

ou

kep

t th

e an

imal

(s),

wh

at d

o y

ou

pla

n t

o d

o w

ith i

t/th

em?

2.

Nam

e o

f in

vit

ee

(PLEASE INCLUDE HHN IF APPLICABLE)

4.

Com

men

ts

(EG. REASON FOR CELEBRATION)

If s

om

e of

the

anim

al m

eat

was

eat

en o

r p

rep

ared

fo

r ea

ting b

y y

ou

r ho

use

ho

ld, w

ere

any n

on-h

ouse

ho

ld

mem

ber

s in

vit

ed t

o s

har

e th

e m

eal?

5.

If y

ou s

old

par

t or

all

of

an a

nim

al y

ou w

on,

ple

ase

des

crib

e th

e sa

les

you m

ade.

Com

men

ts

(EG. SPECIFY FOR Q3)

5.

Money

rece

ived

GHC

If p

art

or

all

of

the

anim

al (

or

its

mea

t) w

as g

iven

aw

ay, to

wh

om

was

it

giv

en?

Incl

ude

gif

ts t

o s

po

use

(s).

2.

5.

Pro

port

ion

PERCENTAGE

LO

TT

ER

Y P

RIZ

EW

INN

ER

S F

OL

LO

W-U

P Q

UE

ST

ION

NA

IRE

Co

mple

te a

sep

ara

te s

hee

t fo

r ea

ch p

erso

n w

ho

won a

pri

ze i

n t

his

ro

und

. T

hose

who

won m

ult

iple

pri

zes

should

com

ple

te o

ne

ques

tionn

air

e per

pri

ze.

Nam

e


H

HN

Res

pon

den

t's

nam

e

ID

Co

de

R

ou

nd

V

illa

ge

D

ate

En

um

. ID

CASH........1

CHICKEN(S)..2

GOAT........3

LOTTERY.....1 (>>2)

LUCKY DIP...2

YES...1 (>>B)

NO....2

DATE

(DD/MM/YY)

YES...1

NO....2 (>>END)

RELATIONSHIP CODE

ACTION CODES

KEPT.................1

SOLD (PART OR ALL)...2

ATE OR PREPARED AS

FOOD..............3

GAVE AWAY............4

LOST OR WAS STOLEN...5


EAT...............1

USE FOR BREEDING..2

SELL..............3

YES...1

NO....2

GIVE AWAY.........4

DON'T KNOW........5

OTHER (SPECIFY)...6

YES...1

NO....2 (>>C)

C.

Ca

sh p

rize

s

Did

yo

u r

ecei

ve

a ca

sh p

rize

, o

r se

ll a

n a

nim

al p

rize

?

Ple

ase

des

crib

e w

hat

you

did

wit

h t

he

mo

ney

.

Lis

t all

act

ion

s u

sin

g a

new

lin

e fo

r ea

ch a

ctio

n.

(Yo

u m

ay

aggre

gate

mea

ls, sa

les

etc.

) In

clude

am

ounts

of

money

giv

en t

o t

he

resp

on

den

t's

spouse

(s).

1.

2.

8.

9.

Dat

eA

mo

un

tL

oca

tion

Rel

atio

nsh

ip

DD/MM/YY

GHC

Type

of

bu

sin

ess

LOCATION

CODE

RELATIONSHIP CODE

a. b.

c. d.

e. f. g.

h.

D.

So

cia

l in

tera

ctio

ns

1.

Ho

w d

id y

our

spou

se(s

) re

act

to t

he

new

s th

at y

ou

wo

n?

6.

Ple

ase

des

crib

e th

eir

reques

ts.

(Incl

ude

reques

ts f

rom

sp

ouse

(s)

and o

ther

fam

ily m

ember

s.)

2.

Rel

atio

nsh

ip

2.

a. b.

c.

3.

Ho

w m

uch

more

/les

s? (

Giv

e at

lea

st a

n e

stim

ate.

)GHC

d.

e.

4.

In g

ener

al, h

ow

did

yo

ur

frie

nds

reac

t to

th

e n

ews

that

you

won

?f. g.

h.

5.

i.

Wh

at d

id y

ou

spen

d i

t o

n?

3.

Act

ion

LO

TT

ER

Y P

RIZ

EW

INN

ER

S F

OL

LO

W-U

P Q

UE

ST

ION

NA

IRE

, C

on

t'd

5.

Ty

pe

of

acco

unt

4.

6.

Ple

ase

des

crib

e th

e busi

nes

s.

Item

(s)

boug

ht

(or

serv

ices

pai

d f

or)

10.

Rep

aym

ent

dat

e

(if

appli

cable

)

DD/MM/YY

b. [

For

FE

MA

LE

res

po

nd

ents

] In

th

e w

eek

yo

u w

on,

did

you

r

ecei

ve

less

ch

op

mo

ney

than

usu

al b

ecau

se o

f th

e p

rize

?

a. [F

or

MA

LE

res

po

nden

ts]

In t

he

wee

k y

ou w

on

, d

id y

ou

g

ive

mo

re c

hop

mo

ney

th

an u

sual

bec

ause

of

the

pri

ze?

4.

3.

What

did

they

ask

for?

Nam

e

1.

Has

any

on

e as

ked

yo

u f

or

mon

ey o

r g

ifts

bec

ause

you

wo

n?

Did

you g

ive

it

to t

hem

?

7.

Nam

e of

reci

pie

nt


SPENT................1

PUT IN BANK/SUSU.....2 (>>5)

INVESTED IN BUSINESS

OR FARMING........3 (>>6)

GAVE AWAY............4 (>>7)

LENT.................5 (>>7)


(>> NEXT ACTION)

CONSUMPTION GOOD..1

ASSET (SPECIFY)...2

UTILITY BILL......3

ENTERTAINMENT.....4

LIVESTOCK.........5

OTHER (SPECIFY)...6

(>> NEXT ACTION)

BANK..1

SUSU..2

OTHER.3

(>> NEXT

ACTION)

OCCU-

PATION

CODE

DESCRIPTION

(>> NEXT ACTION)

YES...1

NO....2 (>>END)

HAPPY...............1

UNHAPPY.............2

NO REACTION.........3

DOESN'T KNOW I WON..4

OTHER (SPECIFY).....5

HAPPY...............1

UNHAPPY.............2

NO REACTION.........3

DON'T KNOW I WON....4

OTHER (SPECIFY).....5

GAVE MORE......1

GAVE THE SAME..2 (>>4)

GAVE LESS......3

DON'T KNOW.....4 (>>4)

RECEIVED LESS..1

REC'D THE SAME.2 (>>4)

RECEIVED MORE..3

DON'T KNOW.....4 (>>4)

YES...1

NO....2

YES...1

NO....2 (>>D)

RELATIONSHIP

CODE

DESCRIPTION


Script for Public Goods Experiment

Dialogue

As we promised, today we are going to pay you GHC2 for your participation in the survey in

April. The payment is to compensate you for the time you spent helping us with our research.

Give the person GHC2 (10x 20p coins).

As we discussed at a village meeting recently, you have the choice to donate some or all of this

money to a fund which will be used to purchase a [public good] for [your village]. This was the

item the people at that meeting decided would be most useful for [your village]. The money we

collect will be kept in a bank account until the end of the year and then used to buy the [public

good].

In order to assist your village to buy the [public good], we will match the donations of a certain

number of people. Please take a bottle top from this bag to find out whether your donation will

be matched. Show the ratio card to the person and explain which number they drew based on the

colour of the bottle top.

• If the number drawn was !, 1, 1! or 2: You have drawn the number [X]. Show card with

numbers and matching amounts for the ratio drawn. That means that for any donation you

make to the fund, we will make an additional donation of [X] times what you donate. For

example, if you donate c1, we will donate an additional [X times c1]. Answer any questions

and ensure the person understands this concept before continuing.

• If the number drawn was 0: You have drawn the number 0. That means we will not be able

to match your donation. However, you are still welcome to donate to the fund if you like.

You can choose to donate any amount. You do not have to donate unless you want to. What you

choose to do is entirely your decision, and will be kept private. We will not tell anyone outside

this room whether you donated, and it will not affect your status in the survey or your chance of

winning prizes in the lottery. Your donations are important, however. The village will only get as

much money to buy the [public good] as is raised through respondents’ donations and the

matching contributions.

Would you like to donate, and if so, how much will you donate?

Take donation (if offered) and place in the susu box. Count out the matching donation and

explain the calculation. Place the matching donation in the box as well. Thank the person for

their time and kind donation, and show them to the door. Once they have left, record the amount

they donated on the form.

Actions after donations

After the donations are complete, we will open the box and count the money in the presence of

the village chiefs. We will record the amount raised and announce it to them. We will explain

that the money will be kept in a bank account until the end of the year, and then the total raised

will be spent on the item they chose.

Script for possible questions, complaints

1. Difficult villagers. Give pretest participants a c1 note if they ask for it (provided they are

identified). They must sign in as respondents do. They are not to continue to the experiment,

however. Those who were neither in the sample nor the pretest are not to be paid under any

circumstances.

2. Proxy recipients: The money is to be given only to the respondent him/herself. Respondents

may not accept the money on behalf of their spouse. We will revisit absentees when they return.

3. Dropped households. Individuals whose households were dropped (in Konkonuru and

Darmang) are only to be paid if they completed both the household questionnaire and social

network questionnaire. In that case, give them a c1 note and ask them to leave. Don’t continue

with the experiment. Those who did not complete both questionnaires have not earned payment

and are not to be paid. If the wife completed the questionnaires but the husband didn’t, pay her

but not him. In all cases, explain that because their household is no longer in the survey, they

will not be paid again and will not take part in the lottery.

4. I don’t want the money. If anyone refuses payment, it constitutes a full donation. Make this

known to the respondent too. Continue with the experiment to determine the matching donation.

5. Respondent refuses to take part in experiment. The respondent has the right to leave at any

time. Pay them their money and ensure they have signed for its receipt. Record the donation as

zero in such circumstances.

6. You didn’t give me enough compensation for my time. Paying respondents for surveys is not

common. We are giving you a small amount of money in gratitude for your time, but are

operating on a limited budget and this is the most we can offer.

7. I don’t like the match, I want to draw again. Sorry, you cannot. The matching draw is final. If

you were offered a different match ratio to a friend or spouse; this is intentional. You should

make your own decision about donating based on the match we have offered.

8. I want to donate more than c1. We will accept larger donations, but can only afford to match

up to [X] cedis (where X is the match proportion offered). Take the larger donation, record it on

the form and put it in the box along with X cedis. Record X cedis on the form as the matched

donation, and X as the match proportion.

9. What happens to the money? It will be counted in front of the assemblyman or chief, and kept

in a bank account until December, when we will use it to pay for the village public good.

10. I don’t agree with the public good chosen. The public good was decided by a village meeting

with the leaders of the village present. As a village you may change your mind about the good

later in the year, but only if everyone agrees. We are trying to offer your village something that is

needed, and that a majority of people want. It is impossible to satisfy everyone, or buy

everything that is needed.

11. Any other questions? Do not improvise. Call Thomas on 0245 927 606 for directions.

Bottle cap Match ratio

0

!

1

1 !

2

Dar

man

g

Pro

ject

:

C

om

ple

te t

he

JSS

buil

din

g.

Rai

sed s

o f

ar:

GH

¢ 2

76

Req

uir

ed f

or

pro

ject

:

GH

¢ 7

50

Rai

sed

so f

ar

Req

uir

ed

GH

¢ 2

76

GH

¢ 7

50

technical details on the 2009 household survey

Documents