COVER: HOUSEHOLD IDENTIFICATION Name Code 1. Administrative Level 1 2. Administrative Level 2 3. SECTOR (Urban=1, Rural=2) 4. HHID 1. Interview Information Panel INTERVIEWER: RECORD A NEW ATTEMPT EVERY TIME YOU CALL A NUMBER (EVEN IF YOU ARE CALLING THE SAME NUMBER MULTIPLE TIMES). 1 2 3 4 5 INTERVIEWER: SELECT THE TIME OF CALL INTERVIEWER: DID ANYONE INTERVIEWER READ TO THE RESPONDENT: INTERVIEWER: ARE YOU C PHONE NUMBER DIALED ATTEMPT ANSWER THE PHONE? Greetings! My name is___________. I am SPEAKING TO A HOUSEHOLD A working for the National Bureau of Statistics MEMBER? L (NBS). We are currently doing a nationwide L survey to examine the impact of and YES..............1 responses to the coronavirus in the country. NO, NOBODY A ANSWERED........2 >> T NEXT ATTEMPT NO, NUMBER I am trying to reach [NAME OF PHONE YES...............1 >> Q7 T DOES NOT EXIST..3 >> OWNER] or any other adult living with NO................2 E NEXT ATTEMPT CANNOT UNDERSTAND NO, PHONE SWITCHED [HEAD NAME]? THEIR LANGUAGE...3 >> M OFF.............4 >> NEXT ATTEMPT NEXT ATTEMPT P Who am I speaking to please? T 1 2 3 4 5 6 7 8 9 INTERVIEWER READ OUT: Could you give INTERVIEWER READ TO THE RESPONDENT: INTERVIEWER: DOES INTERVIEWER: me their number or visit them so I can call This interview will take around 25 minutes. Any information THE RESPONDENT RECORD THE NAME them using your phone? It is really you share with us will be kept strictly confidential and only AGREE TO BE OF THE RESPONDENT be used for statistical purposes. If at any point there are any important for me to be able to speak to INTERVIEWED? questions you do not feel comfortable answering, you can them. IF THE PERSON IS A choose not to answer them. You can also choose to stop the interview at any point. NEW MEMBER, ADD RECORD RESPONSE TO THE ROSTER FIRST NO, DON'T KNOW THE HOUSEHOLD..............1 >> This call will not cost you any airtime. To thank you for your NEXT ATTEMPT participation, we will also transfer airtime to your phone. NO, CAN'T/WON'T CONNECT TO HOUSEHOLD..........2 >> Are you willing to participate? NEXT ATTEMPT YES, PHONE NUMBER......3 >> YES...........1 RECORD IN PHONE NUMBER NO, NOT NOW...2 >> >> NEXT SECTION ROSTER Q10 YES, VISIT HOUSEHOLD...4 >> NO, REFUSED...3 >> Q11a INTERVIEW RESULT 10 11a. 11b. Can I call you back later at a On what day? What time? time that works better for you? It is really important for us to speak to you or anyone else in your household. YES...........1 NO............2 >> INTERVIEW RESULT 1. Interview Information RDD INTERVIEWER: RECORD A NEW ATTEMPT EVERY TIME YOU CALL A NUMBER (EVEN IF YOU ARE CALLING THE SAME NUMBER MULTIPLE TIMES). 1 2 3 4 5 INTERVIEWER: SELECT THE TIME OF CALL INTERVIEWER: DID ANYONE INTERVIEWER READ TO THE RESPONDENT: Are you 18 or older? C PHONE NUMBER DIALED ATTEMPT ANSWER THE PHONE? Greetings! My name is___________. I am A working for the National Bureau of Statistics L (NBS). We are currently doing a nationwide L survey to examine the impact of and YES..............1 responses to the coronavirus in the country. NO, NOBODY A ANSWERED........2 >> T NEXT ATTEMPT NO, NUMBER Who am I speaking to please? T YES.......1 >>Q7 DOES NOT EXIST..3 >> NO .......2 E NEXT ATTEMPT NO, PHONE SWITCHED M OFF.............4 >> NEXT ATTEMPT P T 1 2 3 4 5 6 7 8 9 10 Thank you for your INTERVIEWER READ TO THE RESPONDENT: INTERVIEWER: DOES INTERVIEWER: Can I call you back later at a time today. This interview will take around 25 minutes. Any information THE RESPONDENT RECORD THE NAME time that works better for Unfortunately, your you share with us will be kept strictly confidential and only AGREE TO BE OF THE RESPONDENT you? It is really important for be used for statistical purposes. If at any point there are any household does not INTERVIEWED? us to speak to you or anyone questions you do not feel comfortable answering, you can meet our selection else in your household. choose not to answer them. You can also choose to stop the criteria for the interview at any point. interview. Good bye. This call will not cost you any airtime. To thank you for your participation, we will also transfer airtime to your phone. Are you willing to participate? >> INTERVIEW RESULT YES...........1 YES...........1 NO, NOT NOW...2 >> >> NEXT SECTION NO............2 >> Q10 INTERVIEW RESULT NO, REFUSED...3 >> INTERVIEW RESULT 11a. 11b. On what day? What time? Section 2A. Household Roster Update INTERVIEWER READ OUT: Let's begin. First, I would like to check with you if the people we recorded during our last visit are still members of your household. By household I mean people who normally sleep in the same dwelling and share their meals together. 1. 2. 3. INTERVIEWER: ALL HOUSEHOLD MEMBERS RECORDED NAME CAPI/INTERVIEW Is [NAME] still a member DURING THE [LAST INTERVIEW] ARE PRE-FILLED IN Q1. ER: IS [NAME] A of the household? I N CAPI: PRE-FILLED NEW MEMBER D FOR ALL PRE-FILLED MEMBERS, ASK QUESTIONS Q3 AND NAMES FROM LAST ADDED IN THIS I Q4. INTERVIEW INTERVIEW? V I AFTER YOU HAVE ASKED ABOUT ALL PRE-FILLED INTERVIEWER: ADD D MEMBERS, THEN ASK: "Is there anyone who is a member NEW MEMBERS HERE U of your household whom I haven't mentioned?" YES.1 >> Q5 A NO..2 YES.1 >>NEXT PERSON NO..2 L IF YES, THEN RECORD THEIR NAMES AND ASK Q5 - Q7. I D 1 2 3 4 5 6 7 8 9 10 4. 4a. 5. 6. Why did [NAME] leave the household? Where did [NAME] move to? What is [NAME]'s What is sex? [NAME]'s age? DIVORCE/SEPARATION........................................1 LEFT FOR STUDIES/EDUCATIONAL OPPORTUNITY..................2 LEFT FOR WORK.............................................3 LEFT TO FIND BETTER LAND..................................4 WITHIN SAME NEIGHBORHOOD/LOCALITY..1 HEALTH REASONS............................................5 TO ANOTHER NEIGHBORHOOD/LOCALITY...2 SECURITY REASONS..........................................6 TO ANOTHER VILLAGE.................3 MALE ...1 FOR MARRIAGE/ COHABITATION................................7 TO ANOTHER TOWN....................4 FEMALE .2 TO JOIN THEIR FAMILY ALREADY LIVING IN ANOTHER LOCATION...8 OUTSIDE COUNTRY....................5 MOVED WITH FAMILY.........................................9 DON'T KNOW/REFUSED.................6 LEFT TO SET UP OWN HOME..................................10 OTHER (SPECIFY)....................7 UNABLE TO STAY DUE TO CONFLICT (MILITANCY/INSURGENCY)....11 DISPUTE WITH OTHER HOUSEHOLD MEMBERS/COMMUNITY...........12 ABDUCTED/KIDNAPPED.......................................13 >>NEXT >> NEXT PERSON PERSON DEAD.....................................................14 >>NEXT PERSON OTHER, (SPECIFY).........................................15 REFUSED..................................................99 TO BE ADAPTED TO EACH COUNTRY 7. What is [NAME]'s relationship to the head of household? NEW BORN..........................1 HEAD .............................01 ADOPTED CHILD.....................2 SPOUSE ...........................02 MARRIAGE /COHABITATION............3 OWN CHILD ........................03 DIVORCE /SEPARATION...............4 STEP CHILD .......................04 RETURNED FROM COLLEGE/UNIV........5 ADOPTED CHILD ....................05 RETURNED FROM INSTITUTION.........6 GRANDCHILD .......................06 MOVED IN WITH PARENT OR BROTHER/SISTER ...................07 NIECE/NEPHEW .....................08 SHARED ACCOMODATION...............8 BROTHER/SISTER-IN-LAW ............09 RETURN FROM WORK MIGRATION........9 PARENT ...........................10 MISTAKENLY NOT REPORTED OR PARENT-IN-LAW ....................11 DOMESTIC HELP (RESIDENT) .........12 DISPLACEMENT DUE TO CONFLICT DOMESTIC HELP (NON RESIDENT) .....13 OTHER RELATION (SPECIFY ) ........14 CORONAVIRUS (COVID OTHER NON-RELATION (SPECIFY) .....15 OTHER, SPECIFY...................96 TO BE ADAPTED TO EACH COUNTRY SECTION 2B: BASIC INFORMATION RDD 1 2 3 What is your What is your age in What is your sex? name? completed years? MALE ...1 FEMALE .2 4 5 6 What is your relationshiop to the head of How many children 6 How many children household? years old or younger in the age group 6- live in the household 18 live in the HEAD .............................01 SPOUSE ...........................02 in total? household? (do not OWN CHILD ........................03 STEP CHILD .......................04 include age 6 and ADOPTED CHILD ....................05 age 18) GRANDCHILD .......................06 BROTHER/SISTER ...................07 NIECE/NEPHEW .....................08 BROTHER/SISTER-IN-LAW ............09 PARENT ...........................10 PARENT-IN-LAW ....................11 DOMESTIC HELP (RESIDENT) .........12 DOMESTIC HELP (NON RESIDENT) .....13 OTHER RELATION (SPECIFY ) ........14 OTHER NON-RELATION (SPECIFY) .....15 TO BE ADAPTED TO EACH COUNTRY 7 8 9 How many adults How many adults What is the highest level of education you have aged 18 or older aged 65 or older live completed ? including you live in in the household? PLEASE DO NOT READ THE OPTIONS the household in total? NEVER ATTENDED SCHOOL ..............1 PRIMARY INCOMPLETE .................2 PRIMARY COMPLETE ...................3 INTERMEDIATE INCOMPLETE ............4 INTERMEDIATE COMPLETE ..............5 SECONDARY INCOMPLETE ...............6 SECONDARY COMPLETE .................7 BACHELOR INCOMPLETE ................8 BACHELOR COMPLETED OR HIGHER .......9 OTHER (SPECIFY) ...................10 TO EACH COUNTRY 10 11 12 In what [STATE]are Does your In the last week, what was the the main you currently? household have source of drinking water for your access to household ? internet at your PLEASE DO NOT READ OPTIONS home? PIPED WATER INTO DWELLING.........1 PIPED WATER INTO YARD OR PLOT.....2 PUBLIC TAP OR STANDPIPE...........3 BOREHOLE OR TUBEWELL..............4 DUG WELL OR SPRING................5 RAINWATER COLLECTION..............6 DELIVERED WATER (TANKER TRUCK)....7 YES.1 PACKAGED WATER (BOTTLE OR SACHET).8 USE CODES NO..2 WATER KIOSK.......................9 SURFACE WATER (RIVER, STREAM, DAM, LACK, POND, CANAL)...............10 OTHER............................11 Countries will decide [STATE] should be substitute about adding this note: by the relevant administrative (e.g. via mobile unit for each country telephone or fixed Countries should adapt the options according to the panel internet) surveys. 13 In the last week, what kind of toilet facility did members of your household use? FLUSH TOILET (TO PIPED SEWER, SEPTIC TANK OR PIT LATRINE)...1 PIT LATRINE WITH SLAB.........2 PIT LATRINE WITHOUT SLAB......3 NO FACILITY/BUSH/FIELD........4 OTHER.........................5 Countries should adapt the options according to the panel surveys. Section 3. Knowledge Regarding the Spread of COVID-19 Baseline Only Baseline Only 1 1b 2 Have you heard about Could you name three symptoms of To your knowledge, what measures can reduce the risk of co the COVID-19 or the COVID-19/coronavirus? CHECK UP TO PLEASE READ ALOUD ALL MEASURES AND RECORD YES/NO F pandemic or epidemic THREE associated with the coronavirus? PLEASE DO NOT READ FEVER .................1 COUGH .................2 YES.1 CHILLS ................3 NO..2 >> NEXT NAUSEA ................4 SECTION HEADACHE ..............5 DIARRHEA ..............6 SORE THROAT ...........7 SHORTNESS OF BREATH OR DIFFICULTY BREATHING...8 FATIGUE ...............9 MUSCLE PAIN ..........10 LOSS OF SMELL OR TASTE No Handshake ......................11 PERSISTENT PAIN OR Handwashing Use of sanitizer or physical PRESSURE IN THE CHEST 12 greetings DONT KNOW ............13 OTHER, NOT LISTED IN OFFICIAL LIST .......14 ures can reduce the risk of contracting coronavirus? URES AND RECORD YES/NO FOR EACH OF THEM YES.1 NO..2 Stay at home and avoid Avoid crowded places or Maintain enough Use of mask Use of gloves Avoid travel going out unless gatherings with many distance of at least 1 necessary people meter 3 What steps has the government or local authorities taken to curb the spread of the coronavirus in your area? PLEASE DO NOT READ SELECT ALL THAT APPLY ADVISED CITIZENS TO STAY AT HOME .......1 RESTRICTED TRAVEL WITHIN COUNTRY/AREA ..2 RESTRICTED INTERNATIONAL TRAVEL ........3 CLOSURE OF SCHOOLS AND UNIVERSITIES ....4 CURFEW/LOCKDOWN ........................5 CLOSURE OF NON ESSENTIAL BUSINESSES ....6 BUILDING MORE HOSPITALS OR RENTING HOTELS TO ACCOMODATE PATIENTS..................7 PROVIDE FOOD TO NEEDED..................8 OPEN CLINICS AND TESTING LOCATIONS......9 DISSEMINATE KNOWLEDGE ABOUT THE VIRUS...10 DONT KNOW ..............................11 OTHER, SPECIFY .........................12 Avoiding touching your face Baseline Only Baseline Only 4 5 Have you received any information on From whom did you receive information about social distancing and self isolation as a self-isolation and social distancing? preventive measure against the coronavirus? PLEASE DO NOT READ. SELCT ALL THAT APPLY POSTER / BILLBOARD / FLYER ...1 RADIO ........................2 TELEVISION ...................3 SMS ..........................4 PHONE ...... .................5 NEWSPAPER ....................6 FACEBOOK/TWITTER/SOCIAL MEDIA.7 YES.1 HEALTH CARE WORKER ...........8 NO..2 >>Q6 NGO WORKER ...................9 OTHER OUTREACH ...............10 LOCAL AUTHORITY ..............11 NEIGHBORS / FAMILY ...........12 TRADITIONAL HEALER/PASTOR/ FAITH BASED HEALER ...........13 Satisfaction with governmetnt policies 6 7 8 Are you satisfied with Why are you not satisfied with the Using the following four-item scale, please indicate how muc the government's federal or state government's PLEASE READ EACH STATEMENT AND SELECT THE APPROPRI response to the response? coronavirus crisis? PLEASE DO NOT READ. SELCT ALL THAT APPLY LIMITED TESTING POINTS....... 1 NO FINANCIAL ASSISTANCE Yes.. 1 >>Q8 FROM THE GOVERNMENT...........2 No....2 LATE RESPONSE BY GOVERNMENT...3 SHORTAGE OF MEDICAL MATERIALS.4 OTHER (SPECIFY)...............5 The local authorities / government are trustworthy in the way they manage the Coronavirus crisis Questions 3, 6-12 could be added in follow-up rounds based o 9 10 11 12 ing four-item scale, please indicate how much you agree or disagree with the following statements: ACH STATEMENT AND SELECT THE APPROPRIATE OPTION FOR EACH OF THEM. Strongly disagree...1 Disagree............2 Neutral.............3 Agree...............4 The government is treating all citizens The Government is able to The government is treating all citizens You intend to follow the (regardless of age, gender and origin) provide health care to address the (regardless of age, gender and origin) Government's guidelines to mitigate fairly when providing health care Coronavirus crisis fairly when providing (cash and in- the spread of the coronavirus. related to the Coronavirus crisis kind) assistance to deal with the Coronavirus crisis could be added in follow-up rounds based on country needs Section 4. Behavior and Social Distancing Baseline Only Baseline Only Baseline Only Baseline Only 1 2 3 4 Last week, did you Last week, did you Last week, did you In the last 7 days, how often did wash your hands with avoid handshakes or avoid groups of more you wash your hands with soap soap more often than physical greetings? than 10 people such as after being in public? you used to? family gatherings, parties, church or ALL OF THE TIME.......1 mosque, funerals, etc? MOST OF THE TIME......2 ABOUT HALF OF THE TIME..................3 YES..........1 SOME OF THE TIME......4 NO ..........2 YES.....1 YES.....1 NONE OF THE TIME......5 DON'T KNOW ..3 NO......2 NO......2 I HAVE NOT BEEN IN N/A.....3 N/A.....3 PUBLIC DURING THE LAST 7 DAYS................6 LAST WEEK COULD BE CHANGED TO SINCE [DATE_OUTBREAK], WHICH WOULD BE THE DATE IN WHICH THE GOVERNMENT CLOSED SCHOOLS/CLOSED OFFICES Baseline Only Baseline Only Baseline Only Baseline Only 5 6 7 8 In the last 7 days, how often did you Last week, did you Last week, did you stock Last week, did you wear a mask when in public? cancel travel plans? up on more food than reduce the number normal? of times you go to the market or ALL OF THE TIME.......1 grocery store? MOST OF THE TIME......2 ABOUT HALF OF THE TIME..................3 SOME OF THE TIME......4 NONE OF THE TIME......5 YES.....1 YES.....1 YES.....1 I HAVE NOT BEEN IN PUBLIC NO......2 NO......2 NO......2 DURING THE LAST 7 N/A.....3 DAYS................6 Section 5. Access MEDICINE STAPLE FOODS 1 2a 2b In the last week, has your In the last week, has your Why was your household not able to buy household been unable to household been unable to [Staple Food 1]? buy Medicine? buy [Staple Food 1]? DO NOT READ OPTIONS SHOPS HAVE RUN OUT OF STOCK ...1 LOCAL MARKETS NOT OPERATING / YES ..........1 CLOSED ........................2 YES ..........1 NO ...........2 >>Q2c LIMITED / NO TRANSPORTATION....3 NO ...........2 NOT TRIED ....3 >>Q2c RESTRICTION TO GO OUTSIDE .....4 NOT TRIED ....3 INCREASE IN PRICE .............5 NO ACCESS TO CASH AND CANNOT PAY WITH CREDIT CARD ..........6 CANNOT AFFORD IT ..............7 OTHER .........................8 REFUSED ......................99 LAST WEEK COULD BE CHANGED TO SINCE [DATE_OUTBREAK], WHICH WOULD BE THE DATE ON WHICH THE GOVERNMENT C 2c 2d In the last week, has your household Why was your household not able to buy been unable to buy [Staple Food 2]? [Staple Food 2]? DO NOT READ OPTIONS SHOPS HAVE RUN OUT OF STOCK ...1 YES ..........1 LOCAL MARKETS NOT OPERATING / NO ...........2 >>Q2e CLOSED ........................2 NOT TRIED ....3 >>Q2e LIMITED / NO TRANSPORTATION....3 RESTRICTION TO GO OUTSIDE .....4 INCREASE IN PRICE .............5 NO ACCESS TO CASH AND CANNOT PAY WITH CREDIT CARD ..........6 CANNOT AFFORD IT ..............7 OTHER .........................8 REFUSED ......................99 TE ON WHICH THE GOVERNMENT CLOSED SCHOOLS/CLOSED OFFICES 2e 2f In the last week, has your household Why was your household not able to buy been unable to buy [Staple Food 3]? [Staple Food 3]? DO NOT READ OPTIONS YES ..........1 NO ...........2 >>Q3a SHOPS HAVE RUN OUT OF STOCK ...1 NOT TRIED ....3 >>Q3a LOCAL MARKETS NOT OPERATING / CLOSED ........................2 LIMITED / NO TRANSPORTATION....3 RESTRICTION TO GO OUTSIDE .....4 INCREASE IN PRICE .............5 NO ACCESS TO CASH AND CANNOT PAY WITH CREDIT CARD ..........6 CANNOT AFFORD IT ..............7 OTHER .........................8 REFUSED ......................99 WATER 3a 3b 3c In the last week, was there any What was the main reason your In the last week did time when you did not have household was unable to access sufficient you have sufficient sufficient drinking water to meet drinking water ? water to wash your household needs? DO NOT READ OPTIONS hands when WATER SUPPLY NO LONGER needed? AVAILABLE......................1 YES, AT LEAST ONCE .....1 WATER SUPPLY REDUCED...........2 UNABLE TO ACCESS COMMUNAL YES NO, ALWAYS SUFFICIENT...2 ..........1>>Q3e >>Q3c SOURCES........................3 SHOPS HAVE RUN OUT OF STOCK ...4 NO ...........2 DON'T KNOW .............3 >>Q3c LOCAL MARKETS NOT OPERATING / CLOSED ........................5 LIMITED / NO TRANSPORTATION....6 RESTRICTION TO GO OUTSIDE .....7 INCREASE IN PRICE .............8 NO ACCESS TO CASH AND CANNOT PAY WITH CREDIT CARD ..........9 CANNOT AFFORD IT ..............10 AFRAID TO GET OUT AND GETTING THE VIRUS..........................11 OTHER .........................12 REFUSED .......................99 3d 3e What was the main reason your In the last week did you have household was unable to access water to sufficient soap to wash your wash hands ? hands when needed? DO NOT READ OPTIONS WATER SUPPLY NO LONGER AVAILABLE......................1 WATER SUPPLY REDUCED...........2 UNABLE TO ACCESS COMMUNAL YES .........1 >>Q3g SOURCES........................3 NO ..........2 SHOPS HAVE RUN OUT OF STOCK ...4 LOCAL MARKETS NOT OPERATING / CLOSED ........................5 LIMITED / NO TRANSPORTATION....6 RESTRICTION TO GO OUTSIDE .....7 INCREASE IN PRICE .............8 NO ACCESS TO CASH AND CANNOT PAY WITH CREDIT CARD ..........9 CANNOT AFFORD IT ..............10 AFRAID TO GET OUT AND GETTING THE VIRUS..........................11 OTHER .........................12 REFUSED .......................99 ENERGY 3f 3g What was the main reason you or What was the primary source of electricity at your members of your household were unable home last week? to access sufficient soap to wash hands? DO NOT READ OPTIONS DO NOT READ ALOUD THE OPTIONS SHOPS HAVE RUN OUT OF STOCK ...1 LOCAL MARKETS NOT OPERATING / NATIONAL GRID CONNECTION FROM [COMPANY] CLOSED ........................2 ...................................1 LIMITED / NO TRANSPORTATION....3 LOCAL MINI GRID ...................2 RESTRICTION TO GO OUTSIDE .....4 SOLAR HOME SYSTEM .................3 INCREASE IN PRICE .............5 SOLAR LANTERN .....................4 NO ACCESS TO CASH AND CANNOT ELECTRIC GENERATOR ................5 PAY WITH CREDIT CARD ..........6 RECHARGEABLE BATTERY ..............6 CANNOT AFFORD IT ..............7 DRY CELL BATTERY / TORCH ..........7 AFRAID TO GET OUT AND GETTING DIDN'T HAVE ELECTRICITY LAST WEEK..8 >>Q4 THE VIRUS......................8 OTHER SPECIFY ....................96 OTHER .........................9 REFUSED ......................99 HEALTH 3h 4 5 During last week, your household's access to Have you or any member of your Were you or the electricity was: household needed medical member of your services since household able to access PLEASE READ ALL THE OPTIONS [DATE_OUTBREAK]? the medical services? Better than before [DATE_OUTBREAK] ..........1 Same as before YES ......1 YES .....1>>FILTER [DATE_OUTBREAK] ..........2 NO........2 >>FILTER NO ......2 Worse than before REFUSED..99 >>FILTER REFUSED..99>>FILTER [DATE_ OUTBREAK]..........3 EDUCATION 6 FILTER 7a What was the main reason you or ARE THERE CHILDREN Were any children the member of your household AGED BETWEEN 6 & 18 attending school before were not able to access the YEARS OLD? schools were closed due medical services? to coronavirus? DO NOT READ OUT YES.1 YES.1 NO..2 >>Q11 NO..2 >>Q11 LACK OF MONEY .........1 NO MEDICAL PERSONNEL AVAILABLE .............2 TURNED AWAY BECAUSE FACILITY WAS FULL .....3 LIMITED/NO TRANSPORTATION ........4 RESTRICTION TO GO OUTSIDE ...............5 AFRAID OF GOING AND GETTING THE VIRUS .....6 OTHER .................7 REFUSED...............99 AGE SHOULD BE ADAPTED TO COUNTRY CONTEXT 7b 8 Have the children been In what types of education or learning activities have the children been engaged in any education engaged in the last week? or learning activities in the last week? READ OPTIONS. SELECT ALL THAT APPLY. Completed assignments provided by the teacher .................1 YES.1 Used mobile learning apps .....................................2 NO..2>>Q9 Watched educational TV programs ...............................3 Listened to educational programs on radio .....................4 Session/meeting with Lesson Teacher (tutor)....................5 OTHER (SPECIFY)...............................................96 LIST SHOULD BE ADAPTED TO COUNTRY CONTEXT FINANCIAL SERVICES 9 10 11 Have the children or anyone else How have the children or others In the last week, did you or any in the household communicated in your household been in member of your household need with their teachers in the last contact with their teachers in to go to the bank, money agent week? the last week? (western union, moneygram, SELECT ALL THAT APPLY mobile money) or use the ATM? PLEASE READ OPTIONS YES.1 YES.1 NO..2 >>Q14 NO..2 >>Q11 SMS ..................1 Online applications ..2 Email ................3 Mail .................4 Telephone (audio) ....5 WhatsApp .............6 LIST SHOULD BE ADAPTED TO COUNTRY CONTEXT TRANSPORTATION 12 13 14 Were you able to Why were you not able to access In the last week, did you successfully access it? it? or any member of your household need to make DO NOT READ OPTIONS use of public transportation services (e.g. formal bus, OFFICE WAS CLOSED ......1 informal bus, YES.1 >>Q14 MOVEMENT RESTRICTION....2 NO..2 AFRAID TO GO OUT rideshare)? BECAUSE OF CORONAVIRUS.3 OTHER (SPECIFY)........96 YES.1 NO..2 >>Q17 HOUSING 15 16 17 Were you able to Why were you not able to access Since [outbreak_date], successfully access it? it? has your HH moved? DO NOT READ OPTIONS YES.1 CESSATION OF SERVICE ...1 NO..2>>Q19 YES, WITHOUT ANY MOVEMENT RESTRICTION....2 DIFFICULTY.....1>>Q17 AFRAID TO GO OUT BECAUSE OF CORONAVIRUS.3 YES, BUT WITH REDUCED OTHER (SPECIFY)........96 FREQUENCY OF SERVICE ....2 NO..........3 18 19 20 From where did your HH move? Does your household own the Are you able to pay dwelling you are living in? your rent for the next month? FROM WITHIN SAME NEIGHBORHOOD/LOCALITY..1 FROM ANOTHER NEIGHBORHOOD/LOCALITY......2 FROM ANOTHER VILLAGE....................3 FROM ANOTHER TOWN.......................4 YES.1 FROM OUTSIDE THE COUNTRY................5 YES...............1 >>Q21 NO..2 DON'T KNOW/REFUSED......................6 NO, RENTED........2 OTHER (SPECIFY).........................7 NO, OCCUPIED FREE OF CHARGE............3 >>Q21 LIST SHOULD BE ADAPTED TO INTERNET 21 22 23 How many rooms does In the last week, Was there any your household occupy, were you or any difficulty/reducti not including any member of your on in quality bathrooms, toilets or HH able to use when using kitchen areas? internet services? Internet services? YES.1 YES.1 NO..2>>NEXT NO..2 SECTION LIST SHOULD BE ADAPTED TO COUNTRY CONTEXT Section 6A. Employment Status in employment Not currently working Why not currently working 1 2 3 Last week, that is from Monday Were you working before Why did you stop working? [DATE] up to Sunday [DATE], did you [OUTBREAK_MONTH]? do any work for pay, do any kind of DO NOT READ OPTIONS business, farming or other activity to generate income, even if only for one hour? BUSINESS / GOV'T CLOSED DUE TO CORONAVIRUS LEGAL RESTRICTIONS ...........1 BUSINESS / GOV'T CLOSED FOR ANOTHER REASON ...................................2 YES.1 LAID OFF WHILE BUSINESS CONTINUES ........3 NO..2 >>Q9 FURLOUGH .................................4 VACATION .................................5 ILL / QUARANTINED .......................6 YES...1 >>Q4a NEED TO CARE FOR ILL RELATIVE ............7 NO....2 SEASONAL WORKER ..........................8 RETIRED ..................................9 NOT ABLE TO GO TO FARM DUE TO MOVEMENT RESTRICTIONS ............................10 NOT ABLE TO FARM DUE TO LACK OF INPUTS ..11 NOT FARMING SEASON ......................12 LACK OF TRANSPORTATION ..................13 DON'T WANT TO BE EXPOSED TO THE VIRUS ...14 OTHER (PLEASE SPECIFY) ..................15 sector of the work left CHANGE IN JOBS 4 4a. 4b. What is the main activity of the business or Is this the same job you were doing before Why did you change jobs? organization in which you were working in your main [OUTBREAK_MONTH]? job before [OUTBREAK_MONTH]? DO NOT READ OPTIONS DO NOT READ OPTIONS BUSINESS / GOV'T CLOSED DUE TO CORONAVIRUS LEGAL RESTRICTIONS ...........1 BUSINESS / GOV'T CLOSED FOR ANOTHER AGRICULTURE, HUNTING, FISHING .......1 REASON ...................................2 MINING, MANUFACTURING ...............2 LAID OFF WHILE BUSINESS CONTINUES ........3 ELECTRICITY, GAS, WATER SUPPLY ......3 FURLOUGH .................................4 CONSTRUCTION ........................4 VACATION .................................5 BUYING & SELLING GOODS, REPAIR OF ILL / QUARANTINED .......................6 GOODS, HOTELS & RESTAURANTS .........5 YES.1 >>Q5 NEED TO CARE FOR ILL RELATIVE ............7 TRANSPORT, DRIVING, POST, TRAVEL NO..2 SEASONAL WORKER ..........................8 AGENCIES ............................6 RETIRED ..................................9 PROFESSIONAL ACTIVITIES: FINANCE, NOT ABLE TO GO TO FARM DUE TO MOVEMENT LEGAL, ANALYSIS, COMPUTER, RESTRICTIONS ............................10 REAL ESTATE .........................7 GOVERNMENT/PUBLIC SECTOR.............8 NOT ABLE TO FARM DUE TO LACK OF INPUTS ..11 PERSONAL SERVICES, EDUCATION, HEALTH, NOT FARMING SEASON ......................12 CULTURE, SPORT, DOMESTIC WORK, OTHER..9 LACK OF TRANSPORTATION ..................13 DON'T WANT TO BE EXPOSED TO THE VIRUS ...14 OTHER (PLEASE SPECIFY) ..................15 >>Q9 ACTUAL JOB 4c 5 What is the main activity of the business or organization in What is the main activity of the business or organization which you were working before [OUTBREAK_MONTH] in in which you are currently working in your main job? your main job? DO NOT READ OPTIONS DO NOT READ OPTIONS AGRICULTURE, HUNTING, FISHING .......1 AGRICULTURE, HUNTING, FISHING .......1 MINING, MANUFACTURING ...............2 MINING, MANUFACTURING ...............2 ELECTRICITY, GAS, WATER SUPPLY ......3 ELECTRICITY, GAS, WATER SUPPLY ......3 CONSTRUCTION ........................4 CONSTRUCTION ........................4 BUYING & SELLING GOODS, REPAIR OF BUYING & SELLING GOODS, REPAIR OF GOODS, HOTELS & RESTAURANTS .........5 GOODS, HOTELS & RESTAURANTS .........5 TRANSPORT, DRIVING, POST, TRAVEL TRANSPORT, DRIVING, POST, TRAVEL AGENCIES ............................6 AGENCIES ............................6 PROFESSIONAL ACTIVITIES: FINANCE, PROFESSIONAL ACTIVITIES: FINANCE, LEGAL, ANALYSIS, COMPUTER, LEGAL, ANALYSIS, COMPUTER, REAL ESTATE .........................7 REAL ESTATE .........................7 GOVERNMENT/PUBLIC SECTOR.............8 GOVERNMENT/PUBLIC SECTOR.............8 PERSONAL SERVICES, EDUCATION, HEALTH, PERSONAL SERVICES, EDUCATION, HEALTH, CULTURE, SPORT, DOMESTIC WORK, OTHER..9 CULTURE, SPORT, DOMESTIC WORK, OTHER..9 WAGE 6 7 8 In your main work, do you currently work ... In the last week, were you able to For the work that you did in the last week, will work as usual in your wage job you be paid/were you paid…...? READ RESPONSES either at your place of work or remotely? PLEASE READ ALL OPTIONS In your own business ..................1 >>Q9 In a business operated by a household or family member ............2 >>Q9 In a family farm, raising family livestock or fishing ..................3 >>Q9 YES.1 As an employee for someone else .......4 NO..2 As an apprentice, trainee, intern .....5 Full normal payment ..1 Partial payment ......2 No payment ...........3 If Q7=1, >>8b 8a 8b Why were you not able to work as usual? Does your employer provide you with the following benefits? PLEASE READ ALOUD ALL MEASURES AND RECORD YES/NO FOR EACH OF THEM DO NOT READ OPTIONS BUSINESS / GOV'T CLOSED DUE TO CORONAVIRUS LEGAL RESTRICTIONS ...........1 BUSINESS / GOV'T CLOSED FOR ANOTHER REASON ...................................2 YES .......1 FURLOUGH .................................3 NO ........2 ILL / QUARANTINED .......................4 REFUSED...99 NEED TO CARE FOR A FAMILY MEMBER .........5 SEASONAL WORKER ..........................6 NOT ABLE TO GO TO PLACE OF WORK DUE TO MOVEMENT RESTRICTIONS ....................7 NOT ABLE TO GO TO PLACE OF WORK DUE TO CESSATION OF PUBLIC TRANSPORT.............8 NOT ABLE TO USE TELEWORK SOLUTIONS TO WORK ONLINE....................................9 OTHER (PLEASE SPECIFY) ...................10 CONTRIBUTION TO CONTRIBUTION TO PAID SICK LEAVE PAID ANNUAL LEAVE HEALTH INSURANCE PENSION FUND OPTIONAL OPTIONAL FAMILY BUSINESS 8c 9 10 11 Do you have a written In the last week, was any Who were these household At any point in the year 2020, contract for the work member of your household members? did you or any member of your you do? (apart from yourself) not able SELECT FROM THE ROSTER ALL household operate a business, to perform his/her usual wage THAT APPLY including a family business? job? PID YES .......1 YES.1 NO ........2 NO..2 >>Q15 REFUSED...99 YES...............1 NO................2 >>Q11 I'M THE ONLY INCOME EARNER IN THE HH..3 >>Q11 DO NOT ASK IF RESPONSE IN Q6 IS 1 OR 2, GO TO >> Q12 FOR RDD, IT SHOULD LIST NUMBER OF HOUSEHOLD MEMBERS 12 13 14 What do you do/produce in this family business? Compared to [LAST MONTH], is the Why were there no revenue from sales? or Why was the DO NOT READ OPTIONS revenue from the business sales … revenue from the business sales less than in [LAST_MONTH]? READ OPTIONS DO NOT READ OPTIONS USUAL PLACE OF BUSINESS CLOSED DUE TO AGRICULTURE, HUNTING, FISHING .......1 CORONAVIRUS LEGAL RESTRICTIONS .............1 MINING, MANUFACTURING ...............2 USUAL PLACE OF BUSINESS CLOSED FOR ELECTRICITY, GAS, WATER SUPPLY ......3 Higher ......1 >>Q15 CONSTRUCTION ........................4 ANOTHER REASON .............................2 The same ....2 >>Q15 BUYING & SELLING GOODS, REPAIR OF NO COSTUMERS / FEWER CUSTOMERS .............3 Less ........3 GOODS, HOTELS & RESTAURANTS .........5 CAN'T GET INPUTS ...........................4 No revenue ..4 TRANSPORT, DRIVING, POST, TRAVEL CAN'T TRAVEL / TRANSPORT GOODS FOR TRADE ...5 AGENCIES ............................6 ILL / QUARANTINED DUE TO CORONAVIRUS........6 PROFESSIONAL ACTIVITIES: FINANCE, ILL WITH ANOTHER DISEASE....................7 LEGAL, ANALYSIS, COMPUTER, NEED TO TAKE CARE OF A FAMILY MEMBER .......8 REAL ESTATE .........................7 SEASONAL CLOSURE ...........................9 GOVERNMENT/PUBLIC SECTOR.............8 VACATION ..................................10 PERSONAL SERVICES, EDUCATION, HEALTH, OTHER, SPECIFY ............................11 CULTURE, SPORT, DOMESTIC WORK, OTHER..9 IN CAPI THE QUESTION WILL BE ADAPTED DEPENDING ON THE ANSWER IN Q13 We should compare to the last "normal" month (before COVID-19, in 2020) in the first round. Select a specific month adapted for each country E.g. Nigeria asked: Compared to the month of February, are the revenue from sales from the family business… FARMING 15 16 17 18 Since the beginning of 2020, Since [OUTBREAK_MONTH], What are the main reasons you have not been able to Since the beginning of 2020, were there have you or any member of have you been able to perform the normal activities on the farm, livestock or any products from your farm that your household worked on a perform the normal activities fishing? needed to be sold? household farm growing on the farm, raising livestock, crops, raising livestock, or or fishing? DO NOT READ OPTIONS fishing? REQUIRED TO STAY HOME ..................1 REDUCED AVAILABILITY OF HIRED LABOR ....2 RESTRICTIONS ON MOVEMENT / TRAVEL ......3 YES.1 >>NEXT SECTION UNABLE TO ACQUIRE / TRANSPORT INPUTS ...4 YES.1 (or >>Q18) UNABLE TO SELL / TRANSPORT OUTPUTS .....5 YES.....1 NO..2 >>NEXT SECTION NO..2 ILL OR NEED TO CARE FOR ILL FAMILY NO......2 >>NEXT MEMBER .................................6 SECTION OTHER, SPECIFY .........................7 DO NOT ASK IF RESPONSE IN Q6 IS 3, GO TO >> Q16 CHECK OPTIONS 19 20 In the last week, was your Compared to this time last year, household able to sell any the price you got for your product products from your farm? was …? READ OPTIONS YES.....1 Higher ...........1 NO......2 Same .............2 >>NEXT SECTION Lower ............3 N/A.....3 Section 6B. Employment Status in employment Not currently working 1 2 Last week, that is from Monday Were you working before [DATE] up to Sunday [DATE], did you [OUTBREAK_MONTH]? do any work for pay, do any kind of business, farming or other activity to generate income, even if only for one hour? YES.1 NO..2 >>Q9 YES...1 >>Q5 NO....2 Why not currently working 3 Why did you stop working? DO NOT READ OPTIONS BUSINESS / GOV'T CLOSED DUE TO CORONAVIRUS LEGAL RESTRICTIONS ...........1 BUSINESS / GOV'T CLOSED FOR ANOTHER REASON ...................................2 LAID OFF WHILE BUSINESS CONTINUES .......3 FURLOUGH .................................4 VACATION .................................5 ILL / QUARANTINED .......................6 NEED TO CARE FOR ILL RELATIVE ............7 SEASONAL WORKER ..........................8 RETIRED ..................................9 NOT ABLE TO GO TO FARM DUE TO MOVEMENT RESTRICTIONS ............................10 NOT ABLE TO FARM DUE TO LACK OF INPUTS ..11 NOT FARMING SEASON ......................12 LACK OF TRANSPORTATION ..................13 DON'T WANT TO BE EXPOSED TO THE VIRUS ...14 OTHER (PLEASE SPECIFY) ..................15 sector of the work left 4 What is the main activity of the business or organization in which you were working in your main job before [OUTBREAK_MONTH]? DO NOT READ OPTIONS AGRICULTURE, HUNTING, FISHING .......1 MINING, MANUFACTURING ...............2 ELECTRICITY, GAS, WATER SUPPLY ......3 CONSTRUCTION ........................4 BUYING & SELLING GOODS, REPAIR OF GOODS, HOTELS & RESTAURANTS .........5 TRANSPORT, DRIVING, POST, TRAVEL AGENCIES ............................6 PROFESSIONAL ACTIVITIES: FINANCE, LEGAL, ANALYSIS, COMPUTER, REAL ESTATE .........................7 GOVERNMENT/PUBLIC SECTOR.............8 PERSONAL SERVICES, EDUCATION, HEALTH, CULTURE, SPORT, DOMESTIC WORK, OTHER..9 >>Q9 ACTUAL JOB 5 What is the main activity of the business or organization in which you are currently working in your main job? DO NOT READ OPTIONS AGRICULTURE, HUNTING, FISHING .......1 MINING, MANUFACTURING ...............2 ELECTRICITY, GAS, WATER SUPPLY ......3 CONSTRUCTION ........................4 BUYING & SELLING GOODS, REPAIR OF GOODS, HOTELS & RESTAURANTS .........5 TRANSPORT, DRIVING, POST, TRAVEL AGENCIES ............................6 PROFESSIONAL ACTIVITIES: FINANCE, LEGAL, ANALYSIS, COMPUTER, REAL ESTATE .........................7 GOVERNMENT/PUBLIC SECTOR.............8 PERSONAL SERVICES, EDUCATION, HEALTH, CULTURE, SPORT, DOMESTIC WORK, OTHER..9 WAGE 6 7 In your main work, do you currently work ... In the last week, were you able to work as usual in your wage job READ RESPONSES either at your place of work or remotely? In your own business ..................1 >>Q9 In a business operated by a household or family member ............2 >>Q9 In a family farm, raising family livestock or fishing ..................3 >>Q9 YES.1 As an employee for someone else .......4 NO..2 As an apprentice, trainee, intern .....5 8 8a For the work that you did in the last week, will Why were you not able to work as usual? you be paid/were you paid…...? DO NOT READ OPTIONS PLEASE READ ALL OPTIONS BUSINESS / GOV'T CLOSED DUE TO CORONAVIRUS LEGAL RESTRICTIONS ...........1 BUSINESS / GOV'T CLOSED FOR ANOTHER REASON ...................................2 FURLOUGH .................................3 ILL / QUARANTINED .......................4 NEED TO CARE FOR A FAMILY MEMBER .........5 Full normal payment ..1 SEASONAL WORKER ..........................6 Partial payment ......2 NOT ABLE TO GO TO PLACE OF WORK DUE TO MOVEMENT No payment ...........3 RESTRICTIONS ....................7 NOT ABLE TO GO TO PLACE OF WORK DUE TO CESSATION OF PUBLIC TRANSPORT.............8 NOT ABLE TO USE TELEWORK SOLUTIONS TO WORK ONLINE....................................9 OTHER (PLEASE SPECIFY) ...................10 If Q7=1, >>Q9 FAMILY BUSINESS 9 10 11 In the last week, was any Who were these household At any point in the year 2020, member of your household members? did you or any member of your (apart from yourself) not able SELECT FROM THE ROSTER ALL household operate a business, to perform his/her usual wage THAT APPLY including a family business? job? PID YES.1 NO..2 >>Q15 YES...............1 NO................2 >>Q11 I'M THE ONLY INCOME EARNER IN THE HH..3 >>Q11 DO NOT ASK IF RESPONSE IN Q6 IS 1 OR 2, GO TO >> Q12 FOR RDD, IT SHOULD ASK FOR THE NUMBER OF HOUSEHOLD MEMBERS 12 13 Which of the following best describes the sector of Compared to [LAST MONTH], is the the business? revenue from the business sales … DO NOT READ OPTIONS READ OPTIONS Higher ......1 >>Q15 AGRICULTURE, HUNTING, FISHING .......1 The same ....2 >>Q15 MINING, MANUFACTURING ...............2 Less ........3 ELECTRICITY, GAS, WATER SUPPLY ......3 No revenue ..4 CONSTRUCTION ........................4 BUYING & SELLING GOODS, REPAIR OF GOODS, HOTELS & RESTAURANTS .........5 TRANSPORT, DRIVING, POST, TRAVEL AGENCIES ............................6 PROFESSIONAL ACTIVITIES: FINANCE, LEGAL, ANALYSIS, COMPUTER, REAL ESTATE .........................7 GOVERNMENT/PUBLIC SECTOR.............8 PERSONAL SERVICES, EDUCATION, HEALTH, CULTURE, SPORT, DOMESTIC WORK, OTHER..9 We should compare to the last "normal" month (before COVID-19, in 2020) in the first round. Select a specific month adapted for each country E.g. Nigeria asked: Compared to the month of February, are the revenue from sales from the family business… FARMING 14 15 Why were there no revenue from sales? or Why was the Since the beginning of 2020, revenue from the business sales less than in [LAST_MONTH]? have you or any member of your household worked on a DO NOT READ OPTIONS household farm growing crops, raising livestock, or fishing? USUAL PLACE OF BUSINESS CLOSED DUE TO CORONAVIRUS LEGAL RESTRICTIONS .............1 USUAL PLACE OF BUSINESS CLOSED FOR ANOTHER REASON .............................2 NO COSTUMERS / FEWER CUSTOMERS .............3 CAN'T GET INPUTS ...........................4 YES.1 CAN'T TRAVEL / TRANSPORT GOODS FOR TRADE ...5 NO..2 >>NEXT SECTION ILL / QUARANTINED DUE TO CORONAVIRUS........6 ILL WITH ANOTHER DISEASE....................7 NEED TO TAKE CARE OF A FAMILY MEMBER .......8 SEASONAL CLOSURE ...........................9 VACATION ..................................10 OTHER, SPECIFY ............................11 DO NOT ASK IF RESPONSE IN Q6 IS 3, GO TO >> Q16 IN CAPI THE QUESTION WILL BE ADAPTED DEPENDING ON THE ANSWER IN Q13 16 17 Since [OUTBREAK_MONTH], What are the main reasons you have not been able to have you been able to perform perform the normal activities on the farm, livestock or the normal activities on the fishing? farm, raising livestock, or fishing? DO NOT READ OPTIONS REQUIRED TO STAY HOME ..................1 REDUCED AVAILABILITY OF HIRED LABOR ....2 RESTRICTIONS ON MOVEMENT / TRAVEL ......3 YES.1 >>NEXT SECTION UNABLE TO ACQUIRE / TRANSPORT INPUTS ...4 (or >>Q18) UNABLE TO SELL / TRANSPORT OUTPUTS .....5 NO..2 ILL OR NEED TO CARE FOR ILL FAMILY MEMBER .................................6 OTHER, SPECIFY .........................7 CHECK OPTIONS 18 19 Since the beginning of 2020, were there In the last week, was your any products from your farm that household able to sell any needed to be sold? products from your farm? YES.....1 YES.....1 NO......2 >>NEXT NO......2 SECTION >>NEXT SECTION N/A.....3 20 Compared to this time last year, the price you got for your product was …? Higher ...........1 Same .............2 Lower ............3 Section 7. Income Loss 1 2 In the last 12 months, which of the following were your household's Since [DATE_OUTBREAK] has income sources of livelihood? from [SOURCE] ..? SELECT ALL THAT APPLY Increased ...........1 Stayed the same......2 Reduced .............3 Not received ........4 Family farming, livestock or fishing Non-farm family business Wage employment of household members Unemployment benefits Remittances from abroad Assistance from family within the country Assistance from other non-family individuals Income from properties, investments or savings Pension Assistance from the Government Assistance from NGOs / charitable organization OTHER (SPECIFY):____________ Total Household Income Refused The option "FAMILY FARMING, LIVESTOCK OR FISHING" should be customized by each country (if this is not the harvest season, HH doesn't have income from farming activities) Note: If the optional module of remittances will be implemented, remove remittances in this section Section 7a. Remittances 1 2 In the last 12 months, did you or any Since [DATE_OUTBREAK] has the HH member receive remittances from frequency of remittances changed? abroad? Increased ...........1 YES.1 Stayed the same......2 NO..2 >>NEXT Reduced .............3 SECTION 3 4 Since [DATE_OUTBREAK] has the Since [DATE_OUTBREAK] has there amount of remittances changed? been any change in the cost of the remittance services you use? Increased ...........1 Increased ...........1 Stayed the same......2 Stayed the same......2 Reduced .............3 Reduced .............3 Section 8. Food Insecurity Experience Scale Now I would like to ask you some questions about food . During the last 30 days, was there a time when: 1 2 3 You or any other adult in your You, or any other adult in your You, or any other adult in your household were worried about household, were unable to eat household, ate only a few not having enough food to eat healthy and kinds of foods because of a because of lack of money or nutritious/preferred foods lack of money or other other resources? because of a lack of money or resources? other resources? YES.1 YES.1 NO..2 YES.1 NO..2 NO..2 as there a time when: 4 5 6 7 You, or any other adult in your You, or any other adult in your Your household ran You, or any other adult household, had to skip a meal household, ate less than you out of food because of in your household, because there was not enough thought you should because a lack of money or were hungry but did money or other resources to of a lack of money or other other resources? not eat because there get food? resources? was not enough money or other resources for food? YES.1 YES.1 NO..2 NO..2 YES.1 NO..2 YES.1 NO..2 8 You, or any other adult in your household, went without eating for a whole day because of a lack of money or other resources? YES.1 NO..2 Section 9. Concerns 1 2 How do you feel about the possibility that How much of a threat would you say you or someone in your immediate family the coronavirus outbreak is to your might become seriously ill from COVID-19 household’s finances? (coronavirus disease)? READ OUT ANSWER OPTIONS READ OUT ANSWER OPTIONS Very worried ........1 A substantial threat ....1 Somewhat worried ....2 A moderate threat .......2 Not too worried .....3 Not much of a threat ....3 Not worried at all ..4 Not a threat at all .....4 Section 9a. Opinion 1 2 I believe that the response to the I believe that the COVID-19 crisis puts COVID-19 emergency will limit my me and my family at greater security rights and freedoms. risk and more vulnerable to crime and violence. READ OUT ANSWER OPTIONS Strongly disagree...1 READ OUT ANSWER OPTIONS Disagree............2 Neutral.............3 Strongly disagree...1 Agree...............4 Disagree............2 Strongly agree .....5 Neutral.............3 Agree...............4 Strongly agree .....5 3 I am concerned that money and supplies allocated for the COVID-19 response will be misused and captured by powerful people in the country READ OUT ANSWER OPTIONS Strongly disagree...1 Disagree............2 Neutral.............3 Agree...............4 Strongly agree .....5 Section 10. SHOCKS/COPING I'D LIKE TO ASK YOU ABOUT EVENTS THAT MAY HAVE AFFECTED YOUR HOUSEHOLD SINCE [DATE_OUTBREAK] 1. 2. Has your household been affected by [SHOCK] since How did your [DATE_OUTBREAK]? household cope with the [shock]? DO NOT READ OPTIONS S H SEE CODES. O SELECT ALL THAT APPLY C YES..1 K NO...2(► NEXT SHOCK) C O D E 1 Job loss 2 Nonfarm business closure 3 Theft/looting of cash and other property 4 Disruption of farming, livestock, fishing activities 5 Increase in price of farming/business inputs 6 Fall in the price of farming/business output 7 Lack of availability of farming/business inputs 8 Reduction of farming/business output 9 Increase in price of major food items consumed Illness, injury, or death of income earning member of household 10 11 Other (specify) 12 [WHEN APPLICABLE] Natural disasters 13 [WHEN APPLICABLE] War and conflict AFT ER CO MPL ETIN G EAC H VISI T, PLE ASE MAK E OBS ERV ATI ONS ON THE INTE RVI EW REC ORD GEN ERA L NOT ES ABO UT THE INTE RVI EW AND REC ORD CODES FOR Q2. SALE OF ASSETS (AG AND NO-AG) .......................1 ENGAGED IN ADDITIONAL INCOME GENERATING ACTIVITIES...2 RECEIVED ASSISTANCE FROM FRIENDS & FAMILY ...........3 BORROWED FROM FRIENDS & FAMILY ......................4 TOOK A LOAN FROM A FINANCIAL INSTITUTION.............5 CREDITED PURCHASES ..................................6 DELAYED PAYMENT OBLIGATIONS .........................7 SOLD HARVEST IN ADVANCE .............................8 REDUCED FOOD CONSUMPTION ............................9 REDUCED NON-FOOD CONSUMPTION .......................10 RELIED ON SAVINGS ..................................11 RECEIVED ASSISTANCE FROM NGO .......................12 TOOK ADVANCED PAYMENT FROM EMPLOYER ................13 RECEIVED ASSISTANCE FROM GOVERNMENT ................14 WAS COVERED BY INSURANCE POLICY ....................15 DID NOTHING ........................................16 OTHER (SPECIFY) ....................................96 1. 2. 3. 4. Since [MONTH_OUTBREAK] has What was the total Since [MONTH_OUTBREAK] has What was the total value of A any member of your household value of [ASSISTANCE] any member of your household [ASSISTANCE] S received any type of assistance From GOVERNMENT? received any type of assistance From OTHER INSTITUTION? S from GOVERNMENT from OTHER INSTITUTION? (community organizations, I C ESTIMATE VALUE OF (community organizations, NGOs, NGOs, international S O ANY FOOD AND IN- international organisations, organisations, religious bodies, T D KIND ASSISTANCE religious bodies, other) other) A E N YES...1 ESTIMATE VALUE OF ANY C YES...1 NO....2 >> QUESTION 3 NO....2 >> QUESTION 6 FOOD AND IN-KIND E ASSISTANCE LCU LCU 101 Cash Transfers 102 Free Food Payment relief for public services (e.g. 103 electricity, water, internet, public transport) Other in-kind transfers (excluding food. 104 For example: face masks, sanitizer, soap, etc.) 5 6 7 8 WHAT IS THE RESULT OF THE INTERVIEW? COULD THE HOUSEHOLD BE INTERVIEWER: PLEAST GIVE INTERVIEWER: WHICH REACHED / THE INTERVIEW BE DETAILS ON WHY THE LANGUAGE DO YOU COMPLETED IF ANOTHER HOUSEHOLD CANNOT BE THINK THE COMPLETE...............1 >> Q9 PARTIALLY COMPLETE.....2 INTERVIEWER TRIED TO CALL REACHED, WHY THEY REFUSED, RESPONDENT SPEAKS REFUSED................3 >> Q7 LATER? OR WHY THE INTERVIEW COULD DON'T SPEAK THE LANGUAGE..............4 >> Q8 NOT BE COMPLETED WRITE "DK" IF DON'T NOBODY ANSWERING.......5 >> Q12 NUMBER DOES NOT EXIST..6 >> Q12 KNOW PHONE TURNED OFF.......7 >> Q12 YES........1 IF PARTIALLY COMPLETE >> Q9 DON'T KNOW THE NO.........2 HOUSEHOLD.............8 >> Q7 ELSE >> Q12 REFERENCE PERSON CAN'T CONNECT TO HH...9 >> Q7 >> Q12 9 10 11 INTERVIEWER: PLEASE SELECT INTERVIEWER: IN INTERVIEWER: THE ID OF THE RESPONDENT WHICH LANGUAGE DID PLEASE CONFIRM YOU MAINLY CONDUCT THE NUMBER YOU THE INTERVIEW? REACHED THE RESPONDENT ON ENGLISH.........1 LANGUAGE 1 .....2 LANGUAGE 2 .....3 LANGUAGE 3 .....4 OTHER SPECIFY..96