Urban Poverty & Climate Change in Dar es Salaam, Tanzania:
Urban Poverty & Climate Change in Dar es Salaam, Tanzania:
Urban Poverty & Climate Change in Dar es Salaam, Tanzania:
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93<br />
Annex 1 (a)<br />
URBAN POVERTY AND CLIMATIC CHANGE IN DAR ES SALAAM CITY<br />
HOUSEHOLD QUESTIONNAIRE<br />
IRA-UDSM<br />
A: LOCATION<br />
Name of the Street: .............................................. Mtaa ……………………….<br />
Ward .................................. District............................................................ Name of River<br />
System:<br />
………………….. …………………………………………….<br />
Date/Month/Year of Interview.................................................. Name of Ten Cell Leader<br />
………………………………………………….. Mtaa Door Number ……………………….<br />
B: INFORMATION ABOUT RESPONDENT<br />
1. Name ........................................................... 2. Sex: Male/Female [ ]<br />
3. Age .............................<br />
4 Marital status of the r<strong>es</strong>pondent: [1] S<strong>in</strong>gle [2] Married [3] Divorced [4] Widow<br />
[5] Separated [6] Widower [ ]<br />
5 Is the household Male or Female Headed 1. Male Headed ( ) 2. Female Headed ( )<br />
6 Relation to the head of household 1. I am the head ( ) 2. Husband 3. Wife ( ) 4.<br />
Mother ( ) 5. Father ( ) 6. Other relations: Expla<strong>in</strong><br />
……………………......................................................<br />
7 Employment status: 1. Employed [ ] 2. Self-employed [ ] 3. Dependant [ ] 4.<br />
Retired Officer [ ]<br />
8 Occupation of R<strong>es</strong>pondent. Type of Ma<strong>in</strong> and M<strong>in</strong>or occupation of the head of<br />
household<br />
Major ............................................. earn<strong>in</strong>gs per month ............................................<br />
M<strong>in</strong>or ............................................... earn<strong>in</strong>g per month .........................................<br />
9 Total number of people <strong>in</strong> the households........................... Give their details <strong>in</strong> Table<br />
1. In Appendic<strong>es</strong> 1.<br />
C:RESIDENCE TYPE AND OCCUPANTS<br />
8. Plot No. ……………………………Has the plot been surveyed 1.Y<strong>es</strong> 2.No<br />
9. Density: High ( ) Medium ( ) Low ( )<br />
10. Geography of the area: 1. Dry hilly area [ ] 2. Low marshy wetland area [ ] 3. Low<br />
dry Sandy area [ ] 4. Low muddy clay soil area [ ] 5. Other, d<strong>es</strong>cribe<br />
.....................................................................................................................................<br />
11. Ownership: Are you the house owner or tenant 1. Owner ( ) 2. Tenant ( ) If owner<br />
of house, how did you acquire the land and how much did you pay to who? Give explanation<br />
below: