27.02.2017 Views

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>

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