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Full food and financial crisis impact questionnaire - Gender ...

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3. Social assistance <strong>and</strong> savings :<br />

Transfers, Other income, <strong>and</strong> savings (Recall periods are last one month <strong>and</strong> six months)<br />

Respondent<br />

code ID<br />

3.1. Transfers<br />

Code<br />

Description<br />

Cash income<br />

(taka)<br />

In-kind income<br />

Value of in-kind (taka)<br />

1month 6 months 12 months 1month 6 months 12 months<br />

1 2 3 4 6 7<br />

Remittances<br />

1<br />

From rural residents<br />

2 From urban residents<br />

3 From outside Bangladesh<br />

Public transfers<br />

4 Assistance from government programs (VGD, FFW, etc.)<br />

5 Assistance from NGO programs (relief, not regular NGO<br />

membership)<br />

6 Primary education stipend<br />

7<br />

Secondary education stipend<br />

8 Pension/Allowances from civil servant pension scheme<br />

(monthly pension, medical allowance, gratuity)<br />

9 Transfers from Provident Fund or Employee Welfare Fund<br />

10<br />

Pension/Allowance from Old Age Allowance Scheme or<br />

Assistance to Widowed or Destitute Women Scheme/<br />

Freedom fighter allowance<br />

Note: If no income from 8 <strong>and</strong> 10 then go to Q 18<br />

18 Interest received from savings or lending<br />

(Recall periods are last one month, six<br />

months <strong>and</strong> 12 months)<br />

19 Rent or lease of house, room, or other properties<br />

20 Other income (specify)<br />

21 Other income (specify)<br />

1month 6 months 12 months 1month 6 months 12 months<br />

14

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