Evaluation Report
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Annex 1<br />
Survey Form for the PWN members:<br />
Section: 1 Demographics: ( Asking you some of your personal information)<br />
101 Age:<br />
__________ years<br />
102 What is your marital status?<br />
Married .……….………………………………..…...………………...............................................................................……………....…1<br />
Unmarried .……….……………………..............................................................................…………..…...………………………..….…2<br />
Divorced .……….……………………………………………………………….…………………………………………..…...……………………….…….…3<br />
Widow .….…….……………………………….…………………………………………………………………………….…...……………….…………………4<br />
103 What is your ethnicity?<br />
Pashtun.……….………………………………..…...……………................................................................................……………….....…1<br />
Tajik.……….………………………………..…...…………………………….................................………………........................................…2<br />
Hazara.……...............................………………................................……………….….………………………………..…...……………………………....…..3<br />
Uzbek.……...............................………………................................……………….….………………………………..…...……………………………....…...4<br />
Turkmen.…...............................………………................................……………….…….………...……………………..…...……………………………....…5<br />
Other ______________________.……….…………...............................………………...................……..………..…...……………..6<br />
104 What is your highest level of education?<br />
Illiterate.……….…………………………...............................………………................................……………….……..…...……………………………....…1<br />
Literate (no schooling) .………...............................………………..........................………………..…...……………………………....…2<br />
Completed primary school.…...............................………………........................…………………..…...……………………………....…3<br />
Completed secondary school.…….......................................................……………….….………….…...…………………………………4<br />
Completed high school.…...............................………………...........................…….…………………….……………………………....…5<br />
Completed a 2-year college degree.……….……...............................……………….....................………………………………....…...6<br />
Completed a 4-year university degree...............................……………….......................……….…………………………………....…..7<br />
Completed postgraduate studies.………...............................……………….......................…………………………………………....…8<br />
Other ______________________.……...............................………………...................….……..…...……………………………....…9<br />
105 What is your employment status?<br />
Unpaid family worker...........................………………................................………………….…………..…...……………………………....………..1<br />
Salaried worker (private sector) ................................……………….........................……….………………………………………....…..2<br />
Salaried worker (public sector) ................................………………..........................……….…………………………………....………...3<br />
Self-employed.…...............................……………….........................…….………………… …...……………………………...................4<br />
In-home income generating activities (for example, handicraft production) ................................……………….…………5<br />
Day laborer.……...............................………………................................……………….……………..…...……………………………....…………………...6<br />
None/unemployed.…...............................………………...........................…….………… …...……………………………....…………….7<br />
106 What is your family’s average monthly household income?<br />
108 Do you contribute to your monthly household income?<br />
EQUALITY for Peace and Democracy<br />
68<br />
Provincial Women's Network <strong>Evaluation</strong> <strong>Report</strong>