08.12.2012 Views

Anambra State Post-Campaign Net Tracking Survey

Anambra State Post-Campaign Net Tracking Survey

Anambra State Post-Campaign Net Tracking Survey

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

SECTION 1: People living in the household (CONTINUED)<br />

Line<br />

no.<br />

Usual residents and<br />

visitors<br />

Please give me the names<br />

of the persons who usually<br />

live in your household and<br />

guests of the household who<br />

stayed here last night,<br />

starting with the head of the<br />

household.<br />

Relationship to<br />

head of<br />

household<br />

What is the<br />

relationship of<br />

(NAME) to the<br />

head of the<br />

household?*<br />

Sex<br />

Is<br />

(NAME)<br />

male or<br />

female?<br />

Does<br />

(NAME)<br />

usually live<br />

here?<br />

ID number<br />

Residence<br />

Did<br />

(NAME)<br />

stay here<br />

last<br />

night?<br />

<strong>Anambra</strong> <strong>State</strong> <strong>Post</strong>-<strong>Campaign</strong> <strong>Net</strong> <strong>Tracking</strong> <strong>Survey</strong> Page 3 of 18<br />

Age<br />

How old is (NAME)?<br />

If less than 1 year<br />

write 0 in the box and<br />

give number of<br />

months in next<br />

column. If don’t<br />

know write ‘NK’<br />

Pregnant<br />

women<br />

Is (NAME)<br />

currently<br />

pregnant?<br />

Q01 Q02 Q03 Q04 Q05 Q06 Q07 Q08<br />

15<br />

16<br />

17<br />

18<br />

19<br />

20<br />

21<br />

22<br />

23<br />

24<br />

25<br />

26<br />

27<br />

28<br />

Only to make sure that I have a complete list:<br />

Are there any other persons such as small children or infants that we have not listed?<br />

Skip if<br />

male<br />

M F Yes No Yes No Yes No<br />

1 2 1 0 1 0<br />

1 2 1 0 1 0<br />

1 2 1 0 1 0<br />

1 2 1 0 1 0<br />

1 2 1 0 1 0<br />

1 2 1 0 1 0<br />

1 2 1 0 1 0<br />

1 2 1 0 1 0<br />

1 2 1 0 1 0<br />

1 2 1 0 1 0<br />

1 2 1 0 1 0<br />

1 2 1 0 1 0<br />

1 2 1 0 1 0<br />

1 2 1 0 1 0<br />

Are there any other people such as domestic servants, lodgers or friends who usually live here?<br />

Years<br />

Years<br />

Years<br />

Years<br />

Years<br />

Years<br />

Years<br />

Years<br />

Years<br />

Years<br />

Years<br />

Years<br />

Years<br />

Years<br />

Months<br />

Months<br />

Months<br />

Months<br />

Months<br />

Months<br />

Months<br />

Months<br />

Months<br />

Months<br />

Months<br />

Months<br />

Months<br />

Months<br />

IF YES, INTRODUCE EACH ONE IN THE TABLE<br />

IF YES, INTRODUCE EACH ONE IN THE TABLE<br />

1 0<br />

1 0<br />

1 0<br />

1 0<br />

1 0<br />

1 0<br />

1 0<br />

1 0<br />

1 0<br />

1 0<br />

1 0<br />

1 0<br />

1 0<br />

1 0

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!