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Fsnau-Post-Gu-2012-Technical-Report

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Appendices<br />

154<br />

5.12 .12 Mogadishu Household Questionnaire<br />

MOGADISHU HOUSEHOLD FOOD SECURITY SURVEY QUESTIONNAIRE<br />

Page 1 of 1<br />

Page 2 of 2<br />

DATE OF THE INTERVIEW: I______I______I <strong>2012</strong><br />

DATE / MONTH<br />

INTERVIEWER’S NAME: _________________________________________<br />

QUESTIONNAIRE NUMBER:<br />

HH NUMBER:<br />

DISTRICT NAME:<br />

CLUSTER NUMBER:<br />

CLUSTER NAME:<br />

1. DEMOGRAPHICS<br />

1.1 How long has your household been living in this town?<br />

To the Interviewer:<br />

In case the residency is less than one year please record zero ‘0’ under “years” and specify the number of months.<br />

Please move to the next question if the interview is conducted in IDP settlement. Otherwise proceed to question 2.1<br />

1.2 How long has your household been living in this settlement?<br />

To the Interviewer: In case it is less than one year, please record zero ‘0’ under “years” and specify the number of<br />

months.<br />

1.3 What was your original permanent area of residence before arriving to this town?<br />

To the Interviewer: Please skip the Options 2, 3 and 4, if the respondent’s country of origin is Not Somalia.<br />

2. LIVELIHOOD ASSETS & STRATEGIES<br />

2.1. What were your household’s main sources of income in the last three months?<br />

FSNAU <strong>Technical</strong> Series <strong>Report</strong> No. VI 48<br />

Issued October 18, <strong>2012</strong><br />

RESPONDENT’S TYPE OF HOUSING:<br />

1. Tarpaulin/sticks (buul)<br />

2. Corrugated Sheets<br />

3. Wooden<br />

4. Stone<br />

5. Other (specify) _____________<br />

THE INTERVIEW SITE:<br />

1. Town<br />

2. IDP Settlement<br />

SEX OF THE RESPONDENT:<br />

1. Male<br />

2. Female<br />

SEX OF THE HOUSEHOLD HEAD:<br />

1. Male<br />

2. Female<br />

1. Years ______ 2. Months__________<br />

1. Years ______ 2. Months__________<br />

1. Country _______________ 2. Region _________________<br />

3. District _______________ 4. Town _________________<br />

To the Interviewer: Please INDICATE the main income sources (NO MORE THAN THREE SOURCES) from the list below. ASK the respondent to RANK the income sources in order of<br />

importance (major contribution to the overall income) on a scale of 1 to 3, with 1 being the most important. In case Options 4, 5, 6 and 8 are selected, also fill in question Q2.3;<br />

Otherwise move to question 2.2.<br />

1. Livestock sale (goat, cattle, camel, donkey) I______I<br />

2. Poultry or livestock product sale (meat, milk, eggs, skin, etc.) I______I<br />

3. Farming/crop sale I______I<br />

4. Petty trade I______I<br />

5. Casual/labour wage (from portage, construction work, washing clothes, etc.) I______I<br />

6. Skilled/salary I______I<br />

7. Remittance I______I<br />

8. Self-­‐employment (sale of bush products, handicraft, water, etc.) I______I<br />

9. Gifts/zakaat (cash, food-­‐in-­‐kind, animals, etc.) I______I<br />

10. Humanitarian assistance (cash) I______I<br />

11. Humanitarian assistance (food) I______I<br />

12. Humanitarian assistance (non-­‐food items) I______I<br />

13. Fixed asset sales (house, land, etc.) I______I Please specify a. Asset 1_________________ b. Asset 2__________________ c. Asset 3 ________________<br />

14. Other asset sales ( farming/ masonry/other productive tools, domestic assets such as furniture, utensils, etc ) I______I<br />

15. Other I______I Please specify a. Other 1_________________ b. Other 2__________________ c. Other 3 ________________

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