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STRICTLY CONFIDENTIAL TREATMENT ARM 5 13. GPS COORDINATES OF DWELLING: N=1 S=2 LAT LONG 14. MAIN LANGUAGE SPOKEN AT HOME: 15. LANGUAGE OF INTERVIEW: 16. START TIME OF HOUSEHOLD INTERVIEW: HOURS MINUTES The Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000, Fax: 256 414 237553 Email: [email protected] Website: www.ubos.org THIS SURVEY IS BEING CONDUCTED BY THE UGANDA BUREAU OF STATISTICS UNDER THE STATISTICS ACT, 1998. 12. LOCATION ADDRESS OF HOUSEHOLD: See Codesheet See Codesheet D M Uganda Bureau of Statistics METHOLODOGICAL EXPERIMENT ON MEASURING ASSET OWNERSHIP FROM A GENDER PERSPECTIVE HOUSEHOLD QUESTIONNAIRE 6. SUB-COUNTY: 5. COUNTY: 4. SUB-STRATUM: 3. DISTRICT: 2. STRATUM: 1. TREATMENT ASSIGNMENT 9. HOUSEHOLD SERIAL NO.: 8. ENUMERATION AREA: 7. PARISH: 11. NAME OF HOUSEHOLD HEAD: 10. SAMPLE NO.:

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Page 1: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

STRICTLY CONFIDENTIAL

TREATMENT ARM 5

13. GPS COORDINATES OF DWELLING:

N=1 S=2

LAT

LONG

14. MAIN LANGUAGE SPOKEN AT HOME:

15. LANGUAGE OF INTERVIEW:

16. START TIME OF HOUSEHOLD INTERVIEW: HOURS MINUTES

The Uganda Bureau of Statistics

Plot 9 Colville Street

P.O. Box 7186, Kampala, UGANDA

Tel: 256 414 706000,

Fax: 256 414 237553

Email: [email protected]

Website: www.ubos.org

THIS SURVEY IS BEING CONDUCTED BY THE UGANDA BUREAU OF STATISTICS UNDER THE STATISTICS ACT,

1998.

12. LOCATION ADDRESS OF HOUSEHOLD:

See Codesheet

See Codesheet

D M

Uganda Bureau

of Statistics

METHOLODOGICAL EXPERIMENT ON MEASURING ASSET OWNERSHIP

FROM A GENDER PERSPECTIVE

HOUSEHOLD QUESTIONNAIRE

6. SUB-COUNTY:

5. COUNTY:

4. SUB-STRATUM:

3. DISTRICT:

2. STRATUM:

1. TREATMENT ASSIGNMENT

9. HOUSEHOLD SERIAL NO.:

8. ENUMERATION AREA:

7. PARISH:

11. NAME OF HOUSEHOLD HEAD:

10. SAMPLE NO.:

Page 2: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

2

1. CODE OF INTERVIEWER

TABLE OF CONTENTS

PAGE 30

3 MODULE 2: HOUSEHOLD ROSTER

5 MODULE 3A: DWELLING 41 MODULE 8: OTHER REAL ESTATE

7 MODULE 3B: DWELLING 49 MODULE 9: CONSUMER DURABLES

10 MODULE 4: AGRICULTURAL LAND 50 MODULE 10: FINANCIAL ASSETS

19 MODULE 5A: LIVESTOCK LARGE 52 MODULE 11: LIABILITIES

22 MODULE 5A: LIVESTOCK SMALL 53 MODULE 12: VALUABLES

23 MODULE 6A: AGRICULTURAL EQUIPMENT LARGE 53 MODULE 13: END OF QUESTIONNAIRE

29 MODULE 6B: AGRICULTURAL EQUIPMENT SMALL 54 NETWORK ROSTER

Read the following statement of purpose confidently, and then give time for the respondent to ask questions.

The Uganda Bureau of Statistics is conducting a survey of households across Uganda to better understand asset ownership in the country.

The findings from the survey will provide important information to the Government for developing policies and programs to improve the lives of

men and women in Uganda.

Your household was selected as one of those to which the survey questions will be asked. You were not selected for any specific reason.

Rather, your household was selected randomly from a list of all of the households in this village.

All information your household provides is strictly confidential. It will not be shared with any other government agency, and it will only be used

for statistical purposes by the Uganda Bureau of Statistics or under its supervision. To ensure that the most accurate information is collected, it

is very important that we interview the specific household member selected for the interview and that we interview him or her alone, without

family or neighbors present. If, during the interview, any family members or neighbors come within hearing distance of the interview, please ask

them kindly to come back later after the interview has been completed.

Please spare some time to answer the questions. We thank you in advance for your time.

MODULE 7: NON-FARM BUSINESS ASSETS AND

ENTERPRISES

6. REMARKS BY SUPERVISOR

MODULE 1B: STAFF DETAILS AND SURVEY TIME

2. NAME OF INTERVIEWER

3. CODE OF SUPERVISOR

4. NAME OF SUPERVISOR

5. REMARKS BY INTERVIEWER

Page 3: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

3

MODULE 2: HOUSEHOLD ROSTER

200. 201. 202. 204. 205. 206. 207. 208. 209.

SEX What is the residential status of

[NAME]?

(FOR CODES 5 – 7, END

INTERVIEW AT COL. 206)

MONTHS CODEDD MM YYYY

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

P

E

R

S

O

N

I

D

C

O

D

E

During the

past 12

months, how

many

months did

[NAME] live

here?

WRITE 12 IF

ALWAYS

PRESENT

OR IF

AWAY LESS

THAN A

MONTH

NAME

MAKE A COMPLETE LIST OF

HOUSEHOLD MEMBERS IN

THE LAST 12 MONTHS

INCLUDING GUESTS WHO

SLEPT HERE LAST NIGHT AND

THOSE THAT LEFT THE

HOUSEHOLD PERMANENTLY

If [NAME]

has not

stayed for

12

months,

what is the

main

reason for

absence?

SEE

CODE

BOOK

Does [NAME] have

a birth

certificate/immuniz

ation card?

# OF YRS

How old is

[NAME] in

completed

years?

203.

RELATIONSHIP TO

HEAD:

What is [NAME’S]

date of birth?

HEAD. . . . . . . .1

SPOUSE. . . . . .. .2

SON/DAUGHTER. . . ..3

GRANDCHILD. . . . ..4

STEPCHILD. . . . . 5

PARENT OF HEAD

OR SPOUSE . . . . .6

SISTER/BROTHER OF

HEAD OR SPOUSE. . .7

NEPHEW/NIECE. . . ..8

OTHER RELATIVES . .9

SERVANT. . . . . ..10

NON-RELATIVE. . . 11

OTHER (SPECIFY) .. 12

IN ORDER TO MAKE

A COMPREHENSIVE

LIST OF

INDIVIDUALS

CONNECTED TO THE

HOUSEHOLD, USE

THE FOLLOWING

PROBE QUESTIONS:

Just to make

sure that I have

a complete

listing:

a) Are there any

other persons

such as small

children or

infants that we

have not listed?

b) Are there any

other people who

may not be

members of your

family such as

domestic

servants,

lodgers or

friends who

usually live

here?

c) Are there any

guests or

temporary

visitors staying

here, or anyone

else who stayed

here last night,

who have not

been listed? IF

YES, what are

their names?

YES, LONG

CERTIFICATE..1

YES, SHORT

CERTIFICATE..2

NO...........3

DON'T KNOW...4

M..1

F..2

USUAL MEMBER PRESENT...1

USUAL MEMBER ABSENT....2

REGULAR MEMBER PRESENT.3

REGULAR MEMBER ABSENT..4

GUEST..................5

USUAL MEMBER WHO LEFT

HOUSEHOLD MORE THAN 6

MONTHS AGO.............6

LEFT PERMANENTLY/DIED..7

NEVER MARRIED......1>>215

DIVORCED...........2

SEPARATED..........3

WIDOWED............4

CUSTOMARY MARRIAGE,

MONOGAMOUS..........5

CUSTOMARY MARRIAGE,

POLYGAMOUS

RELIGIOUS MARRIAGE,

MONOGAMOUS..........7

CIVIL MARRIAGE,

MONOGAMOUS..........8

CIVIL MARRIAGE,

POLYGAMOUS..........9

COHABITATING,

SINGLE PARTNER.....10

COHABITATING,

MULTIPLE PARTNERS..11

Page 4: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

4

200.

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

P

E

R

S

O

N

I

D

C

O

D

E

IN ORDER TO MAKE

A COMPREHENSIVE

CONNECTED TO THE

PROBE QUESTIONS:

sure that I have

a) Are there any

infants that we

have not listed?

b) Are there any

other people who

members of your

c) Are there any

visitors staying

here, or anyone

else who stayed

here last night,

IF

MODULE 2: HOUSEHOLD ROSTER (CONTINUED)

210. 211. 213. 214. 215. 216. 217. 218. 219.

Does [NAME]

have a spouse

living outside

of this

household

now?

What is

[NAME]’s

ethnic

group/

tribe?

SEE

CODE

BOOK

ID YEAR ID YEAR ID YEAR

NUMBER OF

SPOUSES

ASK OF ALL

HH

MEMBERS

AGED 5

YEARS AND

OLDER.

What was the

highest

grade/class

that [NAME]

completed ?

SEE CODE

BOOK

In what type of

economic activity

did [NAME] spend

most of his/her

time in the last 12

months?

SEE CODEBOOK

Does

[NAME’S]

spouse live in

this

household

now?

What is [NAME]'s marital status?

SPOUSE #1 SPOUSE #2 SPOUSE #3

212.

COPY THE ID CODE OF THE WIFE/

HUSBAND.

In what year did [NAME] marry or form a

consensual union?

IF MORE THAN ONE WIFE, COPY ID CODES

OF ALL WIVES RESIDENT IN HOUSEHOLD.

What religion, if any,

does [NAME]

practice?

How many

spouses

does [NAME]

have living

outside of

this

household?

In what type of

economic

activity did

[NAME] spend

most of his/her

time in the last

7 days?

SEE

CODEBOOK

YES..1

NO...2>>213

NEVER MARRIED......1>>215

DIVORCED...........2>>215

SEPARATED..........3>>215

WIDOWED............4>>215

CUSTOMARY MARRIAGE,

MONOGAMOUS..........5

CUSTOMARY MARRIAGE,

POLYGAMOUS..........6

RELIGIOUS MARRIAGE,

MONOGAMOUS..........7

CIVIL MARRIAGE,

MONOGAMOUS..........8

CIVIL MARRIAGE,

POLYGAMOUS..........9

COHABITATING,

SINGLE PARTNER.....10

COHABITATING,

MULTIPLE PARTNERS..11

YES..1

NO...2>>215

CATHOLIC........1

PROTESTANT......2

MUSLIM..........3

PENTECOSTAL.....4

SDA.............5

TRADITIONALIST..6

OTHER(SPECIFY).96

Page 5: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

5

MODULE 3A: DWELLING

301. 302. 303. 304. 305.

What type of dwelling is this? What type of toilet is mainly used in your

household?

END OF HOUSEHOLD QUESTIONNAIRE CODES:

A. B. C.

ENUMERATOR: RECORD APPROPRIATE CODE

D.

ENUMERATOR: If code 5 "refusal", enter Personal ID code of

household member refusing. LIST UP TO 4 FROM

HOUSEHOLD ROSTER.

ENUMERATOR: RECORD PRIMARY

RESPONDENT ID FOR HOUSEHOLD

QUESTIONNAIRE

ENUMERATOR: RECORD END TIME FOR

HOUSEHOLD QUESITONNAIRE

(Reasons interview partially done or not administered should

be explained in the remarks)

What type of material is

mainly used for

construction of the roof?

What type of material is mainly used

for construction of the wall?

What type of material

mainly used for

construction of the floor?

DETACHED HOUSE

(SINGLE OR MULTI-STORY)..10

SEMI-DETACHED HOUSE......11

FLAT IN A BLOCK OF FLATS.12

ROOM OR ROOMS OF MAIN

HOUSE....................13

SERVANTS QUARTERS........14

TENEMENT (MUZIGO)........15

GARAGE...................16

GO DOWN/BASEMENT.........17

STORE....................18

OTHER (SPECIFY)..........96

IRON SHEETS......10

TILES............11

ASBESTOS.........12

CONCRETE.........13

TINS.............14

THATCH)..........15

OTHER (SPECIFY)..96

CONCRETE/STONES.............10

CEMENT BLOCKS...............11

BURNT STABILIZED BRICKS.....12

UNBURNT BRICKS WITH CEMENT..13

UNBURNT BRICKS WITH MUD.....14

WOOD........................15

MUD AND POLES...............16

TIN/IRON SHEETS.............17

OTHER (SPECIFY).............96

EARTH...........10

RAMMED EARTH....11

CEMENT SCREED...12

CONCRETE........13

TILES...........14

BRICK...........15

STONE...........16

WOOD............17

OTHER(SPECIFY)..96

FLUSH TOILET.....................10

VIP LATRINE......................11

COVERED PIT LATRINE WITH A SLAB..12

COVERED PIT LATRINE

WITHOUT A SLAB...................13

UNCOVERED PIT LATRINE

WITH A SLAB......................14

UNCOVERED PIT LATRINE

WITHOUT A SLAB...................15

ECOSAN (COMPOST TOILET)..........16

NO FACILITY, BUSH, POLYTHENE

BAGS, BUCKET, ETC................17

OTHER (SPECIFY)..................96

COMPLETED…..............1PARTIALLY DONE.........2NOT INTERVIEWED, HOUSEHOLD INELIGIBLE....................3NOT INTERVIEWED,HOUSEHOLDUNAVAILABLE...............4NOT INTERVIEWED,REFUSAL.......................5

HOURS MINUTES

Page 6: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

6

STRICTLY CONFIDENTIAL

TREATMENT ARM 5

5. START TIME OF INDIVIDUAL INTERVIEW:

HOURS MINUTES

The Uganda Bureau of Statistics

Plot 9 Colville Street

P.O. Box 7186, Kampala, UGANDA

Tel: 256 414 706000,

Fax: 256 414 237553

Email: [email protected]

Website: www.ubos.org

THIS SURVEY IS BEING CONDUCTED BY THE UGANDA BUREAU OF STATISTICS UNDER THE STATISTICS ACT,

1998.

3. PERSON ID NO.:

4. NAME:

2. HOUSEHOLD SERIAL NO.:

Uganda Bureau

of Statistics

METHOLODOGICAL EXPERIMENT ON MEASURING ASSET OWNERSHIP

FROM A GENDER PERSPECTIVE

INDIVIDUAL QUESTIONNAIRE

1. TREATMENT ASSIGNMENT

Page 7: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

7

MODULE 3B: DWELLING

306. 307. 308.

What is the present

ownership status of this

dwelling?

Are you among

the owners of

this dwelling?

312 314 316

ENUMERATOR: WAS THE

RESPONDENT ABLE TO

PRODUCE THE

DOCUMENTATION FOR

CONFIRMATION

PURPOSES?

308-314 ASKED ONLY IF DWELLING TYPE IS DETACHED OR SEMI-DETACHED IN

ACCORDANCE WITH QUESTION 301 (CODE 10 OR 11)

309. 310 311

HH PID

C

HH PID

D

NW PID

A

NW PID

BHH PID A

HH PID

B

HH PID

C

NW PID

A

NW PID

B

HH PID

A

HH PID

B

What is the tenure

status of the plot

of land on which

this dwelling is

located?

Is there an ownership document for the

plot of land on which this dwelling is

located?

Whose names are listed as owners on the

ownership document for the plot of land on which

this dwelling is located?

LIST UP TO 4 FROM THE HOUSEHOLD/2

FROM THE NETWORK ROSTER. REQUEST

TO SEE THE DOCUMENTATION IF AVAILABLE.

Who else owns this dwelling?

LIST UP TO 3 ADULTS FROM THE HOUSEHOLD/2

FROM THE NETWORK ROSTER. IF OWNED BY

ALL ADULT HOUSEHOLD MEMBERS THEN FILL

IN THE 3 HOUSEHOLD MEMBERS.

313 315

How did the owner(s) acquire the

plot of land on which the dwelling is

located?

From whom did the owner(s)

inherit the plot of land on which

the dwelling is located?

LIST UP TO 2 FROM THE

NETWORK ROSTER

(THEN>>317)

From whom did the owner(s) receive the plot of land on

which the dwelling is located?

LIST UP TO 4 FROM THE HOUSEHOLD/2 FROM THE

NETWORK ROSTER.

(THEN>>317)

From whom did the owner(s)

receive the plot of land on which

the dwelling is located as a gift?

LIST UP TO 2 FROM THE

NETWORK ROSTER

NW PID A NW PID BHH PID

A

HH PID

BNW PID A NW PID B

HH PID

C

HH PID

D

NW PID

A

NW PID

B

OWNED BY

SOMEONE

IN HOUSEHOLD...1

RENTED.........2>> 328

FREE...........3>> 328

OTHER

(SPECIFY).....96

DON'T KNOW....98>> 328

MAILO.......1

CUSTOMARY...2

LEASEHOLD...3

FREEHOLD....4

OTHER

(SPECIFY)..96

DON'T KNOW.98

Purchased.........1>>317

Inherited after

the death of a

family member.....2

Allocated by

family............3>>315

Allocated by clan/

traditional

authority..... ...4>>317

Gift from

non-household

member............5>>316

Allocated by Local

Government........6>>317

Other Government

Program...........7>>317

Squatting.........8>>317

Other

(Specify)........96>>317

YES, A TITLE DEED.....1

YES, CERTIFICATE OF

CUSTOMARY OWNERSHIP...2

YES, CERTIFICATE

OF OCCUPANCY..........3

YES, A WILL...........4

YES, A SALES

AGREEMENT.............5

YES, OTHER (SPECIFY).96

NO....................7>>313

DON'T KNOW...........98>>313

YES.................1

NO, REFUSED.........2

NO, CANNOT BE

LOCATED.............3

NO, HAVE NO ACCESS..4

NO, OTHER(SPECIFY).96

YES..1

NO...2>>328

Page 8: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

8

MODULE 3B: DWELLING (CONTINUED)

For questions 317 - 321.

317. 318.

Do you? Permission? Do you? Permission?

RESPONDENT

HH ROSTER MEMBER A

HH ROSTER MEMBER B

HH ROSTER MEMBER C

NETWORK ROSTER MEMBER A

NETWORK ROSTER MEMBER B

319. 320.

Do you? Permission? Do you? Permission?

HH ROSTER MEMBER A

HH ROSTER MEMBER B

HH ROSTER MEMBER C

HH ROSTER MEMBER A

NETWORK ROSTER MEMBER A

NETWORK ROSTER MEMBER B

YES…1

NO…2>>NEXT

ROW

HH

PID C

NW

PID A

NW

PID B

RECORD ID

From whom?

YES…1

NO…2>>NEXT

ROW

HH

PID A

HH

PID B

HH

PID C

NW

PID A

NW PID

B

With regard to this dwelling and the plot of land on which the dwelling is located,

do you have the right to sell it, even if you need to obtain consent or permission

from someone else? If yes, does anyone else?

With regard to this dwelling and the plot of land on which the dwelling is located,

do you have the right to bequeath it, even if you need to obtain consent or

permission from someone else? If yes, does anyone else?

From whom?

LIST UP TO 3 FROM THE HOUSEHOLD/2 FROM THE NETWORK ROSTER.

Does the person need permission or consent?

From whom does the person need permission or consent?

HH

PID C

NW

PID A

NW PID

B

YES…1

NO…2>>NEXT

ROW

HH

PID A

NW

PID B

From whom?

With regard to this dwelling and the plot of land on which the dwelling is located,

do you have the right to rent it out, even if you need to obtain consent or

permission from someone else? If yes, does anyone else?

NW

PID A

HH

PID B

YES…1

NO…2>>318

RECORD IDYES…1

NO…2>>320

RECORD IDYES…1

NO…2>>319

RECORD IDYES…1

NO…2>>321

HH

PID A

HH

PID B

HH

PID C

With regard to this dwelling and the plot of land on which the dwelling is located,

do you have the right to use as collateral, even if you need to obtain consent or

permission from someone else? If yes, does anyone else?

From whom?

YES…1

NO…2>>NEXT

ROW

HH

PID A

HH

PID B

Page 9: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

9

MODULE 3B: DWELLING (CONTINUED)

For questions 317 - 321.

321.

Do you? Permission?

RESPONDENT

HH ROSTER MEMBER A

HH ROSTER MEMBER B

HH ROSTER MEMBER C

NETWORK ROSTER MEMBER A

NETWORK ROSTER MEMBER B

322. 323. 324. 325. 326 327.

328.

(Reasons interview not administered with the respondent(s) alone

should be explained in the remarks)

With regard to this dwelling and the plot of land on which the dwelling is located, do you have the

right to make improvements/invest in it, even if you need to obtain consent or permission from

someone else? If yes, does anyone else?

From whom?

YES…1

NO…2>>NEXT

ROW

HH

PID A

HH

PID B

HH

PID CNW PID A

RECORD IDYES…1

NO…2>>322

LIST UP TO 3 FROM THE HOUSEHOLD/2 FROM THE NETWORK ROSTER.

Does the person need permission or consent?

From whom does the person need permission or consent?

HH PID

C

NW PID

A

NW PID B

Do dwelling owners sell or rent out

dwellings in or around this

community?

Are you informed regarding the value of

recent dwelling sales/ rental transactions?

If this dwelling were to

be sold today, how

much could be

received for it?

ESTIMATE VALUE IN

UGANDAN SHILLINGS.

RECORD 97 IF REFUSE

TO ANSWER. RECORD

98 IF DO NOT KNOW.

What would it cost to construct this

dwelling today, including the cost of

the plot of land on which the

dwelling is located?

ESTIMATE VALUE IN UGANDAN

SHILLINGS. RECORD 97 IF REFUSE TO

ANSWER. RECORD 98 IF DO NOT

KNOW.

If this

dwelling/plot

were to be

sold/rented out

today, would you

be among the

individuals that

would decide

how the money

is used?

If this dwelling/plot were to be sold/rented out

today, who else would decide how the money

is used?

LIST UP TO 3 FROM THE HOUSEHOLD/2

FROM THE NETWORK ROSTER

NW PID BHH PID

A

HH PID

B

YES, LAND OWNERS

RENT/SELL........1

NO LAND

TRANSACTIONS.....2>>324

DO NOT

KNOW............98>>324

INFORMED OF

TRANSACTIONS.....1

NOT INFORMED OF

TRANSACTIONS.....2

YES..1

NO...2>>328

RESPONSE CODES:

ALONE…........................1

WITH ADULT FEMALES PRESENT....2

WITH ADULT MALES PRESENT......3

WITH ADULTS MIXED SEX PRESENT.4

WITH CHILDREN PRESENT.........5

WITH ADULTS MIXED SEX AND

Page 10: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

10

MODULE 4:AGRICULTURAL LAND

402. 403. 403a 405. 406. 407.

P01 __ __ __ __ . __ __

P02 __ __ __ __ . __ __

P03 __ __ __ __ . __ __

P04 __ __ __ __ . __ __

P05 __ __ __ __ . __ __

P06 __ __ __ __ . __ __

P07 __ __ __ __ . __ __

P08 __ __ __ __ . __ __

P09 __ __ __ __ . __ __

P10 __ __ __ __ . __ __

404.

P

A

R

C

E

L

I

D

PARCEL NAME

401. Do you currently own any agricultural parcels exclusively or jointly with someone ?

The parcels may include those that are cultivated by you, currently fallow, rented out or given away for nothing in return on a temporary basis. As long as they are

owned, they DO NOT include those held through use/access rights.

LOCATION &

DESCRIPTION

(COMPLETE THIS

COLUMN FOR ALL

PARCELS. THEN ASK

404.)

AREA IN ACRES

What is the area of this

[PARCEL]?

ENUMERATOR: ASK THE

FARMER TO ESTIMATE

THE AREA IN ACRES.

Where is this [PARCEL]

located?

FARMER ESTIMATION

What is/was the primary

use of this [PARCEL]

during the first cropping

season of 2014?

Is this

[PARCEL]

the same

piece of land

on which the

dwelling is

located?

IF YES,

ONLY

ANSWER

QUESTIONS

404, 406-

408, 424a,

424b

What soil type is this

[PARCEL]?

YES..........1

NO...........2 >> 433

WITHIN THE EA/LC1....1

OUTSIDE EA BUT WITHIN

SAME PARISH..........2

OUTSIDE PARISH BUT WITHIN

THE SUB

COUNTY...............3

ELSEWHERE IN THE

DISTRICT.............4

OTHER DISTRICT.......5

OWN CULTIVATED

(ANNUAL CROPS).....1

OWN CULTIVATED

(PERENNIAL CROPS)..2

RENTED OUT.........3

USED BY

MAILO TENANT.......4

FALLOW.............5

PASTURE............6

WOODLAND/FOREST/

SWAMP..............7

DON'T KNOW.........8

OTHER (SPECIFY)...96

SAND LOAM.........1

SANDY CLAY LOAM...2

BLACK CLAY........3

OTHER.............4

DON'T KNOW.......98

YES..1

NO...2

Page 11: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

11

P01

P02

P03

P04

P05

P06

P07

P08

P09

P10

P

A

R

C

E

L

I

D

MODULE 4:AGRICULTURAL LAND (CONTINUED)

408. 409. 410. 411. 412. 413. 414.

Does anyone

jointly own this

[PARCEL] with

you?

Is your name

among the

names listed on

the ownership

document for the

[PARCEL]?

1ST 2ND 3RD 4TH 5THHH PID

A

HH PID

B

HH PID

C

HH PID

A

NW PID

A

NW PID

B

Who else's names (or whose names) are

listed as owners on the ownership

document for this [PARCEL]?

LIST UP TO 3 FROM THE

HOUSEHOLD/2 FROM THE NETWORK

ROSTER. REQUEST TO SEE THE

DOCUMENTATION IF AVAILABLE.

NW PID

A

NW PID

B

HH PID

B

HH PID

C

What is the tenure

status of the

[PARCEL]?

What crops are (were)

cultivated on this [PARCEL]

during the first cropping

season of 2014?

SEE CODEBOOK FOR CROP

CODES. LIST ALL CROPS IN

ORDER OF IMPORTANCE,

STARTING WITH THE MOST

IMPORTANT CROP.

Who else jointly owns this [PARCEL]?

LIST UP TO 3 ADULTS FROM THE

HOUSEHOLD/2 FROM THE NETWORK

ROSTER. IF OWNED BY ALL ADULT

HOUSEHOLD MEMBERS THEN FILL IN

THE 4 HOUSEHOLD MEMBERS.

Is there an ownership document

for this [PARCEL]?

MAILO.......1

CUSTOMARY...2

LEASEHOLD...3

FREEHOLD....4

DON'T KNOW..5

OTHER

(SPECIFY)..96

YES, A TITLE DEED.....1

YES, CERTIFICATE OF

CUSTOMARY OWNERSHIP...2

YES, CERTIFICATE

OF OCCUPANCY..........3

YES, A WILL...........4

YES, A SALES

AGREEMENT.............5

YES, OTHER (SPECIFY).96

NO..............7>>416

DON'T

KNOW............98>>416YES..1

NO...2>>412YES..1

NO...2

Page 12: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

12

P01

P02

P03

P04

P05

P06

P07

P08

P09

P10

P

A

R

C

E

L

I

D

MODULE 4:AGRICULTURAL LAND (CONTINUED)

415. 416. 417b 418.

ENUMERATOR: WAS THE

RESPONDENT ABLE TO

PRODUCE THE

DOCUMENTATION FOR

CONFIRMATION

PURPOSES?

HH PID

C

HH PID

D

NW PID

A

NW PID

B

How did the owner(s) acquire this

[PARCEL]?

NW ROSTER

MEMBER B

NW ROSTER

MEMBER A

From whom did the owner(s)

receive this [PARCEL] as a gift?

LIST UP TO 2 FROM THE

NETWORK ROSTER

417a

From whom did the

owner(s) inherit this

[PARCEL]?

LIST UP TO 2 FROM

THE NETWORK

ROSTER

(THEN>>419)

From whom did the owner(s) receive this

[PARCEL]?

LIST UP TO 4 FROM THE HOUSEHOLD/2 FROM

THE NETWORK ROSTER

(THEN>>419)

NW PID A NW PID B

HH PID

A

HH PID

B

Purchased............1>>417

Inherited after

the death of a

family member........2

Allocated by

family...............3

Allocated by clan/

traditional

authority............4>>417

Gift from

non-household member.5>>416

Allocated by Local

Government...........6>>417

Other Government

Program..............7>>417

Squatting............8>>417

Other

(Specify)...........96>>417

Don't Know..........98>>417

YES.................1

NO, REFUSED.........2

NO, CANNOT BE

LOCATED.............3

NO, HAVE NO ACCESS..4

NO, OTHER(SPECIFY).96

Purchased............1>>419

Inherited after

the death of a

family member........2

Allocated by

family...............3>>417b

Allocated by clan/

traditional

authority............4>>419

Gift from

non-household member.5>>418

Allocated by Local

Government...........6>>419

Other Government

Program..............7>>419

Squatting............8>>419

Other

(Specify)...........96>>419

Don't Know..........98>>419

Page 13: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

13

MODULE 4:AGRICULTURAL LAND (CONTINUED)

419.

Right? Permission? Permission? Permission?

P01

P02

P03

P04

P05

P06

P07

P08

P09

P10

Permission? Permission? Permission?

P01

P02

P03

P04

P05

P06

P07

P08

P09

P10

P

A

R

C

E

L

I

D

NW

PID A

NW

PID B

YES…1

NO…2>>420

HH

PID A

HH

PID B

HH

PID C

HH PID C

From whom?

NW PID

A

From whom?

NW PID

B

From whom?

NW

PID B

YES…1

NO…2>>NW PID B

HH

PID A

HH

PID B

HH

PID C

YES…1

NO…2>>NW PID A

HH

PID A

HH

PID B

HH

PID C

NW

PID A

NW

PID A

NW

PID B

HH ROSTER MEMBER C NETWORK ROSTER MEMBER A NETWORK ROSTER MEMBER B

YES…1

NO…2>>420

YES…1

NO…2>>HH PID B

HH

PID A

HH

PID B

HH

PID C

NW

PID A

NW

PID B

YES…1

NO…2>>HH PID B

NW

PID B

From whom?

HH PID

A

From whom?

HH PID

B

From whom?

HH

PID A

HH

PID B

HH

PID C

NW

PID A

NW

PID B

YES…1

NO…2>>HH PID C

HH

PID A

HH

PID B

HH

PID C

NW

PID A

RESPONDENT HH ROSTER MEMBER A HH ROSTER MEMBER B

With regard to this [PARCEL], are you among the individuals who have the right to sell it, even if you need to obtain consent or permission from someone else? If yes, do you need permission or consent

from anyone else?

With regard to this [PARCEL], who else has the right to sell it, even if they needed to obtain consent or permission from someone else? Does the person need permission or consent? From whom does

the person need permission or consent?

LIST UP TO 3 FROM THE HOUSEHOLD/2 FROM THE NETWORK ROSTER

Page 14: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

14

MODULE 4:AGRICULTURAL LAND (CONTINUED)

420.

Right? Permission? Permission? Permission?

P01

P02

P03

P04

P05

P06

P07

P08

P09

P10

Permission? Permission? Permission?

P01

P02

P03

P04

P05

P06

P07

P08

P09

P10

P

A

R

C

E

L

I

D

NW

PID A

NW

PID B

From whom?

NW

PID B

YES…1

NO…2>>421

HH

PID A

HH

PID B

HH

PID C

HH

PID A

HH

PID B

HH

PID C

NW

PID A

HH PID C

From whom?

HH

PID C

NW

PID A

NW

PID B

HH

PID B

NW PID

A

From whom?

NW PID

BYES…1

NO…2>>NW PID A

HH

PID A

YES…1

NO…2>>NW PID B

HH ROSTER MEMBER C NETWORK ROSTER MEMBER A NETWORK ROSTER MEMBER B

NW

PID A

NW

PID B

YES…1

NO…2>>HH PID C

HH

PID A

HH

PID B

YES…1

NO…2>>HH PID B

HH

PID A

HH

PID B

From whom?

HH PID

ANW

PID A

NW

PID B

HH

PID C

YES…1

NO…2>>421

RESPONDENT HH ROSTER MEMBER A HH ROSTER MEMBER B

With regard to this [PARCEL], are you among the individuals who have the right to bequeath it, even if you need to obtain consent or permission from someone else? If yes, do you need permission or

consent from anyone else?

With regard to this [PARCEL], who else has the right to bequeath it, even if they needed to obtain consent or permission from someone else? Does the person need permission or consent? From whom

does the person need permission or consent?

LIST UP TO 3 FROM THE HOUSEHOLD/2 FROM THE NETWORK ROSTER

YES…1

NO…2>>HH PID B

HH

PID A

HH

PID B

HH

PID C

HH PID

B

From whom?From whom?

HH

PID C

NW

PID A

NW

PID B

Page 15: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

15

MODULE 4:AGRICULTURAL LAND (CONTINUED)

421.

Right? Permission? Permission? Permission?

P01

P02

P03

P04

P05

P06

P07

P08

P09

P10

Permission? Permission? Permission?

P01

P02

P03

P04

P05

P06

P07

P08

P09

P10

P

A

R

C

E

L

I

D

YES…1

NO…2>>NW PID A

HH

PID A

HH

PID B

HH

PID C

NW

PID B

YES…1

NO…2>>422

HH

PID A

HH

PID B

HH

PID C

NW

PID A

HH PID C

From whom?

NW PID

A

From whom?

NW PID

B

From whom?

NW

PID A

NW

PID B

YES…1

NO…2>>NW PID B

HH

PID A

HH

PID B

HH

PID C

NW

PID A

NW

PID B

HH ROSTER MEMBER C NETWORK ROSTER MEMBER A NETWORK ROSTER MEMBER B

YES…1

NO…2>>HH PID C

HH

PID A

HH

PID B

HH

PID C

NW

PID B

HH

PID B

HH

PID C

HH PID

B

From whom?

NW

PID A

RESPONDENT HH ROSTER MEMBER A

With regard to this [PARCEL], are you among the individuals who have the right to use it as collateral, even if you need to obtain consent or permission from someone else? If yes, do you need

permission or consent from anyone else?

With regard to this [PARCEL], who else has the right to use it a collateral, even if they needed to obtain consent or permission from someone else? Does the person need permission or consent? From

whom does the person need permission or consent?

LIST UP TO 3 FROM THE HOUSEHOLD/2 FROM THE NETWORK ROSTER

HH ROSTER MEMBER B

NW

PID B

YES…1

NO…2>>HH PID B

HH

PID A

YES…1

NO…2>>HH PID B

HH

PID A

HH

PID B

HH

PID C

NW

PID A

From whom?

HH PID

A

From whom?

NW

PID A

NW

PID B

YES…1

NO…2>>422

Page 16: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

16

MODULE 4:AGRICULTURAL LAND (CONTINUED)

422.

Right? Permission? Permission? Permission?

P01

P02

P03

P04

P05

P06

P07

P08

P09

P10

Permission? Permission? Permission?

P01

P02

P03

P04

P05

P06

P07

P08

P09

P10

P

A

R

C

E

L

I

D

NW

PID B

HH

PID C

NW

PID A

NW

PID B

YES…1

NO…2>>423

HH

PID B

From whom?

HH

PID A

HH

PID C

NW

PID A

YES…1

NO…2>>NW PID A

HH

PID A

HH PID C

YES…1

NO…2>>HH PID C

HH

PID A

HH

PID B

HH

PID C

YES…1

NO…2>>HH PID B

HH ROSTER MEMBER C NETWORK ROSTER MEMBER A NETWORK ROSTER MEMBER B

From whom?

NW

PID A

HH PID

A

From whom?

HH PID

BYES…1

NO…2>>423

YES…1

NO…2>>HH PID B

HH

PID C

NW

PID B

NW

PID A

NW

PID B

HH

PID A

HH

PID B

NW

PID B

HH

PID B

HH

PID A

HH

PID C

From whom?

NW

PID A

With regard to this [PARCEL], are you among the individuals who have the right to rent it out, even if you need to obtain consent or permission from someone else? If yes, do you need permission or

consent from anyone else?

With regard to this [PARCEL], who else has the right to rent it out, even if they needed to obtain consent or permission from someone else? Does the person need permission or consent? From whom

does the person need permission or consent?

LIST UP TO 3 FROM THE HOUSEHOLD/2 FROM THE NETWORK ROSTER

RESPONDENT HH ROSTER MEMBER A HH ROSTER MEMBER B

From whom?

NW PID

A

From whom?

NW PID

BYES…1

NO…2>>NW PID B

HH

PID C

NW

PID A

NW

PID B

HH

PID A

HH

PID B

HH

PID B

Page 17: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

17

MODULE 4:AGRICULTURAL LAND (CONTINUED)

423.

Right? Permission? Permission? Permission?

P01

P02

P03

P04

P05

P06

P07

P08

P09

P10

Permission? Permission? Permission?

P01

P02

P03

P04

P05

P06

P07

P08

P09

P10

NW

PID A

HH

PID B

HH

PID C

NW

PID A

NW

PID B

NETWORK ROSTER MEMBER B

HH

PID B

HH

PID C

NW

PID A

NW

PID B

NW

PID B

P

A

R

C

E

L

I

D

YES…1

NO…2>>424

HH

PID A

HH

PID B

HH

PID C

HH

PID A

HH

PID B

With regard to this [PARCEL], are you among the individuals who have the right to make improvements/invest it, even if you need to obtain consent or permission from someone else? If yes, do you

need permission or consent from anyone else?

With regard to this [PARCEL], who else has the right to make improvements/invest it, even if they needed to obtain consent or permission from someone else? Does the person need permission or

consent? From whom does the person need permission or consent?

LIST UP TO 3 FROM THE HOUSEHOLD/2 FROM THE NETWORK ROSTER

From whom?

HH ROSTER MEMBER B

HH

PID B

HH

PID C

NW

PID A

NW

PID B

HH

PID A

HH

PID B

HH

PID A

HH

PID C

From whom?

NW PID

BYES…1

NO…2>>NW PID B

HH PID C

From whom?

YES…1

NO…2>>NW PID A

HH ROSTER MEMBER C

RESPONDENT HH ROSTER MEMBER A

From whom?

HH PID

A

From whom?

HH PID

BYES…1

NO…2>>424

YES…1

NO…2>>HH PID B

HH

PID C

NW

PID A

NW

PID B

HH

PID A

NW

PID A

NW

PID B

YES…1

NO…2>>HH PID C

NETWORK ROSTER MEMBER A

From whom?

NW PID

A

YES…1

NO…2>>HH PID B

HH

PID A

Page 18: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

18

MODULE 4:AGRICULTURAL LAND (CONTINUED)

424a 424b 425. 426. 427. 428. 429. 430. 431.

Are you informed

regarding the value of

recent land sales/rental

transactions?

Are you the

only

member of

your

household

above the

age of 18

that knows

about your

ownership

of this

[PARCEL]?

USHS

P01

P02

P03

P04

P05

P06

P07

P08

P09

P10

433. CODE FOR ABILITY FOR RESPONDENT TO BE

INTERVIEWED ALONE:

(Reasons interview not administered with the respondent(s) alone should be

explained in the remarks)

P

A

R

C

E

L

I

D

Are there

any

household

members

above the

age of 18

that do not

know about

your

ownership

of this

[PARCEL]?

Which household

member above the age

of 18 does not know

about your ownership of

this [PARCEL]?

LIST UP TO THREE

FROM HOUSEHOLD

ROSTER.

HH PID

A

HH PID

B

HH PID

C

HH PID

A

HH PID

B

HH PID

C

Are you

among the

decision-

maker(s)

across the

plot on this

[PARCEL]

regarding

the timing of

crop

activities,

crop choice,

and input

use?

If this

[PARCEL]

were to be

sold/rented

out today,

would you

be among

the

individuals

to decide

how the

money is

used?

432.

NW PID

B

NW PID

A

NW PID

B

NW PID

A

If this parcel

were to be sold

today, how much

could be

received for it?

ESTIMATE

VALUE IN

UGANDAN

SHILLINGS.

RECORD 97 IF

REFUSE TO

ANSWER.

RECORD 98 IF

DO NOT

KNOW.

If this [PARCEL] were to be sold/rented

out today, who (or who else) would decide

how the money is used?

LIST UP TO 3 FROM THE

HOUSEHOLD/2 FROM THE NETWORK

ROSTER

Who is (or who else is) the decision-

maker(s) across the plots on this

[PARCEL] regarding the timing of crop

activities, crop choice, and input use?

LIST UP TO 3 FROM THE

HOUSEHOLD/2 FROM THE NETWORK

ROSTER

Do land owners sell or

rent out any land in or

around this community?

HH PID

A

HH PID

B

HH PID

C

YES..1

NO...2>>

NEXT ROW

YES..1>>

NEXT ROW

NO...2

YES,

LAND OWNERS

RENT/SELL.....1

NO LAND

TRANSACTIONS..2>>427

DO NOT

KNOW.........98>>427

INFORMED OF

TRANSACTIONS.....1

NOT INFORMED OF

TRANSACTIONS.....2YES..1

NO...2

YES..1

NO...2

RESPONSE CODES:

ALONE…........................1

WITH ADULT FEMALES PRESENT....2

WITH ADULT MALES PRESENT......3

WITH ADULTS MIXED SEX PRESENT.4

WITH CHILDREN PRESENT.........5

WITH ADULTS MIXED SEX AND

Page 19: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

19

MODULE 5A: LARGE LIVESTOCK

501. 502. 503. 504.

HIDDEN?

YES…1

CODE NUMBER NO…2>>506

Large Exotic/Cross

501 Calves

502 Bulls

503 Oxen

504 Heifers

505 Cows

506 Male Goats

507 Female Goats

508 Male Sheep

509 Female Sheep

510 Pigs

Large Indigenous

511 Calves

512 Bulls

513 Oxen

514 Heifers

515 Cows

516 Donkeys

517 Mules

518 Horses

519 Male Goats

520 Female Goats

521 Male Sheep

522 Female Sheep

523 Pigs

INDIVIDUALLY OWNED

How many [LIVESTOCK] do you individually own?

NUMBER OWNED: How many [LIVESTOCK] do you own individually? VALUE:

If you were to sell the [LIVESTOCK] today, how much would you receive?

ESTIMATE VALUES IN UGANDAN SHILLINGS. RECORD 97 IF REFUSE TO

ANSWER. RECORD 98 IF DO NOT KNOW. ESTIMATE TOTAL VALUE FOR

ALL LIVESTOCK YOU OWN INDIVIDUALLY. HIDDEN: Are there any

household members above the age of 18 that do not know about your

ownership of this [LIVESTOCK]? Which household member above the age of

18 does not know about your ownership of this [LIVESTOCK]?

HH PID A HH PID B HH PID C

L

I

V

E

S

T

O

C

K

C

O

D

E

LIVESTOCK NAME

505.

ENTER THE

CODES OF

LIVESTOCK

IDENTIFIED

AS OWNED

BY

RESPONDENT

Are [LIVESTOCK] owned…

# OWNED VALUE

From whom?

Do you own, exclusively or

jointly with someone else, any

[LIVESTOCK]? READ ALL

CATEGORIES.

RECORD AN ANSWER FOR

EACH TYPE OF LIVESTOCK

BEFORE GOING THROUGH

THE ENTIRE MODULE FOR

EACH APPLICABLE ROW,

ONE ROW AT A TIME.

How many of

[LIVESTOCK]

are owned by

you?

YES....1

NO.....2 >> NEXT ITEM

INDIVIDUALLY ONLY..1 JOINTLY ONLY............2 >>506INDIVIDUALLY AND JOINTLY..............3OWNED BY ALLHOUSEHOLDMEMBERS...................4>>506

Page 20: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

20

MODULE 5A: LARGE LIVESTOCK

HIDDEN? HIDDEN?

YES…1 YES…1

NO…2>>SHARING

ARRANGEMENT #2

NO…2>>SHARING

ARRANGEMENT #3

JOINTLY OWNED JOINTLY OWNED

HH PID

A

HH PID

A

HH PID

B

HH PID

C# OWNED

Who do you jointly own this [LIVESTOCK] with?

INSTRUCTION: DIFFERENTIATE DIFFERENT JOINT SHARING ARRANGEMENTS.

NUMBER OWNED: How many [LIVESTOCK] are jointly owned for each sharing arrangement? VALUE: If you were to sell the [LIVESTOCK] today, how much would you receive? ESTIMATE VALUES IN UGANDAN

SHILLINGS. RECORD 97 IF REFUSE TO ANSWER. RECORD 98 IF DO NOT KNOW. ESTIMATE TOTAL VALUE FOR ALL LIVESTOCK OWNED JOINTLY FOR THIS SHARING ARRANGEMENT. HIDDEN: Are there

any household members above the age of 18 that do not know about your joint ownership of this [LIVESTOCK]? Which household member above the age of 18 does not know about the joint ownership of this

[LIVESTOCK]?

VALUE

L

I

V

E

S

T

O

C

K

C

O

D

E NW PID

A# OWNED VALUE

HH PID

B

HH PID

C

506.

NW PID

B HH PID

A

HH PID

B

SHARING ARRANGEMENT #1 SHARING ARRANGEMENT #2

NW PID

A

From whom?

NW PID

B

From whom?

HH PID

A

HH PID

C

HH PID

B

HH PID

C

Page 21: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

21

MODULE 5A: LARGE LIVESTOCK

HIDDEN? HIDDEN?

YES…1 YES…1

NO…2>>SHARING

ARRANGEMENT #4NO…2>>NEXT ROW

JOINTLY OWNED

SHARING ARRANGEMENT #4

HH PID

A

HH PID

B

HH PID

C

NW PID

A

NW PID

B# OWNED VALUE

From whom?

HH PID

A

HH PID

B

HH PID

C

Who do you jointly own this [LIVESTOCK] with?

INSTRUCTION: DIFFERENTIATE DIFFERENT JOINT SHARING ARRANGEMENTS.

NUMBER OWNED: How many [LIVESTOCK] are jointly owned for each sharing arrangement? VALUE: If you were to sell the [LIVESTOCK] today, how much would you receive? ESTIMATE VALUES IN UGANDAN

SHILLINGS. RECORD 97 IF REFUSE TO ANSWER. RECORD 98 IF DO NOT KNOW. ESTIMATE TOTAL VALUE FOR ALL LIVESTOCK OWNED JOINTLY FOR THIS SHARING ARRANGEMENT. HIDDEN: Are

there any household members above the age of 18 that do not know about your joint ownership of this [LIVESTOCK]? Which household member above the age of 18 does not know about the joint ownership of this

[LIVESTOCK]?

JOINTLY OWNED

# OWNED VALUE

From whom?

HH PID

A

HH PID

C HH PID

B

HH PID

C

NW PID

A

NW PID

B

L

I

V

E

S

T

O

C

K

C

O

D

E

SHARING ARRANGEMENT #3

HH PID

A

HH PID

B

Page 22: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

22

MODULE 5B: SMALL LIVESTOCK

507.

LIVESTOCK

CODE

LIVESTOCK

NAME

NUMBER

524 Indigenous Dual-Purpose Chicken

525 Layers (Exotic/Cross Chicken)

526 Broilers (Exotic/Cross Chicken)

527Other Poultry/Birds

(Turkeys/Ducks/Geese)

528 Rabbits

Do you own, exclusively

or jointly with someone

else, any [LIVESTOCK]?

READ ALL

CATEGORIES

508. CODE FOR ABILITY FOR RESPONDENT TO BE

INTERVIEWED ALONE:

(Reasons interview not administered with the

respondent alone should be explained in the remarks)

YES....1

NO.....2 >> NEXT ITEM

RESPONSE CODES:

ALONE…........................................1

WITH ADULT FEMALES PRESENT....................2

WITH ADULT MALES PRESENT......................3

WITH ADULTS MIXED SEX PRESENT.................4

WITH CHILDREN PRESENT.........................5

WITH ADULTS MIXED SEX AND CHILDREN PRESENT....6

Page 23: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

23

MODULE 6A: LARGE AGRICULTURAL EQUIPMENT

601. 602. 603. 605. 606a 607.

CODE

601 TRACTOR

602 PLOUGH

603 OX-PLOUGH

604 TRAILER

605OTHER

(SPECIFY)

NW PID B

E

Q

U

I

P

M

E

N

T

N

A

M

E

Do you own any

[AGRICULTURAL

EQUIPMENT],

exclusively or

jointly with

someone else,

regardless of

whether and how it

is used? READ

ALL

CATEGORIES

E

Q

U

I

P

M

E

N

T

C

O

D

E

604.

HH PID

A

HH PID

B

HH PID

C

NW PID

B

Who else owns this [AGRICULTURAL

EQUIPMENT]?

LIST UP TO 3 ADULTS FROM THE

HOUSEHOLD/2 FROM THE

NETWORK ROSTER. IF OWNED BY

ALL ADULT HOUSEHOLD MEMBERS

THEN FILL IN THE 4 HOUSEHOLD

MEMBERS.

NW PID

A

ENTER THE

CODES FOR THE

AGRICULTURAL

EQUIPMENT

IDENTIFIED AS

OWNED BY

HOUSEHOLD IN

PREVIOUS

QUESTION

Does anyone

jointly own this

[AGRICULTURAL

EQUIPMENT] with

you?

NW PID

A

NW PID

B

From whom did

the owner(s)

receive this

[AGRICULTUR

AL

EQUIPMENT]

as a gift?

LIST UP TO 2

FROM THE

NETWORK

ROSTER.

How did the owner(s) of this

[AGRICULTURAL EQUIPMENT]

acquire it?

606b

From whom did the

owner(s) inherit this

[AGRICULTURAL

EQUIPMENT]?

LIST UP TO 2 FROM

THE NETWORK

ROSTER.

(THEN >> 608).

From whom did the owner(s) receive this

[AGRICULTURAL EQUIPMENT]?

LIST UP TO 4 FROM THE HOUSEHOLD/2

FROM THE NETWORK ROSTER.

(THEN >> 608).

NW PID ANW PID

A

NW PID

B

HH PID

A

HH PID

B

HH PID

C

HH PID

D

YES...1

NO....2>> NEXT

ITEM

Purchased.......1>>608

Inherited after

the death of a

family member...2

Allocated by

family..........3>>606b

Gift from

non-household

member..........4>>607

Other

(Specify)......96>>608

YES..1

NO...2>>605

Page 24: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

24

MODULE 6A: LARGE AGRICULTURAL EQUIPMENT (CONT.)

608.

Right? Permission? Permission? Permission?

CODE

Permission? Permission? Permission?

CODE

HH

PID

A

HH

PID

B

HH

PID

C

NW

PID

A

HH

PID

B

HH

PID

C

NW

PID

A

NW

PID

B

HH

PID

C

NW

PID

A

NW

PID

B

YES…1

NO…2>>HH PID C

HH

PID

A

HH PID D

From whom?

NW PID

A

From whom?

NW PID

B

From whom?

NW

PID

A

NW

PID

B

HH ROSTER MEMBER C NETWORK ROSTER MEMBER A NETWORK ROSTER MEMBER B

NW

PID

A

NW

PID

B

YES…1

NO…2>>609

HH

PID

A

HH

PID

B

HH

PID

C

NW

PID

B

YES…1

NO…2>>NW PID B

HH

PID

A

HH

PID

B

HH

PID

C

YES…1

NO…2>>NW PID A

YES…1

NO…2>>609

HH ROSTER MEMBER B

With regard to this [AGRICULTURAL EQUIPMENT], are you among the individuals who have the right to sell it, even if you need to obtain consent or permission from someone

else? If yes, do you need permission or consent from anyone else?

With regard to this [AGRICULTURAL EQUIPMENT], who else has the right to sell it, even if they needed to obtain consent or permission from someone else? Does the person

need permission or consent? From whom does the person need permission or consent?

LIST UP TO 3 FROM THE HOUSEHOLD/2 FROM THE NETWORK ROSTER

From whom?

HH PID

B

From whom?

NW

PID

B

YES…1

NO…2>>HH PID B

HH

PID

A

HH

PID

B

RESPONDENT HH ROSTER MEMBER A

YES…1

NO…2>>HH PID B

HH

PID

A

HH

PID

B

HH

PID

C

NW

PID

A

HH PID

C

From whom?

Page 25: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

25

MODULE 6A: LARGE AGRICULTURAL EQUIPMENT (CONT.)

609.

Right? Permission? Permission? Permission?

CODE

Permission? Permission? Permission?

CODE

NETWORK ROSTER MEMBER B

HH PID D YES…1

NO…2>>NW PID A

HH

PID

A

HH

PID

B

HH

PID

C

From whom?

NW PID

A

From whom? From whom?

NW PID

BYES…1

NO…2>>NW PID B

NW

PID

A

NW

PID

B

NW

PID

A

NW

PID

B

YES…1

NO…2>>610

HH

PID

B

HH

PID

C

HH

PID

A

HH

PID

A

HH

PID

B

HH

PID

C

YES…1

NO…2>>HH PID B

HH

PID

A

HH

PID

B

NW

PID

A

NW

PID

B

NW

PID

A

NW

PID

B

HH ROSTER MEMBER C NETWORK ROSTER MEMBER A

NW

PID

A

NW

PID

B

NW

PID

A

NW

PID

B

With regard to this [AGRICULTURAL EQUIPMENT], are you among the individuals who have the right to bequeath it, even if you need to obtain consent or permission from

someone else? If yes, do you need permission or consent from anyone else?

With regard to this [AGRICULTURAL EQUIPMENT], who else has the right to bequeath it, even if they needed to obtain consent or permission from someone else? Does the

person need permission or consent? From whom does the person need permission or consent?

LIST UP TO 3 FROM THE HOUSEHOLD/2 FROM THE NETWORK ROSTER

RESPONDENT HH ROSTER MEMBER A HH ROSTER MEMBER B

From whom?

HH PID

B

From whom?

HH PID

C

From whom?

YES…1

NO…2>>610

HH

PID

C

YES…1

NO…2>>HH PID B

HH

PID

A

HH

PID

B

HH

PID

C

HH

PID

B

HH

PID

C

HH

PID

A

YES…1

NO…2>>HH PID C

Page 26: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

26

MODULE 6A: LARGE AGRICULTURAL EQUIPMENT (CONT.)

610.

Right? Permission? Permission? Permission?

CODE

Permission? Permission? Permission?

CODE

HH ROSTER MEMBER B

From whom?

HH

PID

B

NW

PID

A

NW

PID

B

YES…1

NO…2>>611

HH

PID

A

HH

PID

C

NW

PID

A

NW

PID

B

YES…1

NO…2>>NW PID B

HH

PID

A

HH ROSTER MEMBER C NETWORK ROSTER MEMBER A NETWORK ROSTER MEMBER B

HH

PID

B

HH

PID

C

NW

PID

B

YES…1

NO…2>>HH PID B

HH PID D

YES…1

NO…2>>611

HH

PID

B

YES…1

NO…2>>HH PID B

HH

PID

B

NW

PID

A

NW

PID

B

HH

PID

A

HH

PID

C

NW

PID

A

NW

PID

B

HH PID

B

From whom?

HH PID

C

From whom?

With regard to this [AGRICULTURAL EQUIPMENT], are you among the individuals who have the right to use as collateral, even if you need to obtain consent or permission from

someone else? If yes, do you need permission or consent from anyone else?

With regard to this [AGRICULTURAL EQUIPMENT], who else has the right to use as collateral, even if they needed to obtain consent or permission from someone else? Does

the person need permission or consent? From whom does the person need permission or consent?

LIST UP TO 3 FROM THE HOUSEHOLD/2 FROM THE NETWORK ROSTER

RESPONDENT HH ROSTER MEMBER A

HH

PID

A

HH

PID

B

HH

PID

C

NW

PID

A

YES…1

NO…2>>NW PID A

HH

PID

A

HH

PID

B

HH

PID

C

YES…1

NO…2>>HH PID C

HH

PID

A

HH

PID

C

NW

PID

A

NW

PID

B

From whom?

NW PID

A

From whom?

NW PID

B

From whom?

Page 27: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

27

MODULE 6A: LARGE AGRICULTURAL EQUIPMENT (CONT.)

611.

Right? Permission? Permission? Permission?

CODE

Permission? Permission? Permission?

CODE

From whom?

NW

PID

A

HH

PID

A

HH

PID

B

HH

PID

C

HH

PID

C

NW

PID

A

NW

PID

B

YES…1

NO…2>>612

HH

PID

A

HH

PID

B

NW PID

BYES…1

NO…2>>NW PID B

HH

PID

A

HH

PID

B

HH

PID

C

NW

PID

A

HH

PID

C

HH ROSTER MEMBER C NETWORK ROSTER MEMBER A NETWORK ROSTER MEMBER B

HH PID D

From whom?

NW PID

A

HH

PID

B

HH

PID

A

HH

PID

C

HH

PID

B

HH

PID

C

NW

PID

B

YES…1

NO…2>>612

YES…1

NO…2>>HH PID B

From whom?

NW

PID

A

NW

PID

B

YES…1

NO…2>>NW PID A

NW

PID

B

With regard to this [AGRICULTURAL EQUIPMENT], are you among the individuals who have the right to rent it out, even if you need to obtain consent or permission from

someone else? If yes, do you need permission or consent from anyone else?

With regard to this [AGRICULTURAL EQUIPMENT], who else has the right to rent it out, even if they needed to obtain consent or permission from someone else? Does the

person need permission or consent? From whom does the person need permission or consent?

LIST UP TO 3 FROM THE HOUSEHOLD/2 FROM THE NETWORK ROSTER

RESPONDENT HH ROSTER MEMBER A HH ROSTER MEMBER B

From whom?

HH PID

B

From whom?

HH PID

C

From whom?

NW

PID

A

NW

PID

B

YES…1

NO…2>>HH PID B

HH

PID

A

HH

PID

B

NW

PID

A

NW

PID

B

YES…1

NO…2>>HH PID C

HH

PID

A

Page 28: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

28

MODULE 6A: LARGE AGRICULTURAL EQUIPMENT (CONT.)

612. 613. 614. 615. 617. 618. 619.

USHS

Do individuals sell or rent

out any [AGRICULTURAL

EQUIPMENT] in or around

this community?

If this [AGRICULTURAL EQUIPMENT]

were to be sold/rented out today, who (or

who else) would decide how the money is

used?

LIST UP TO 3 FROM THE

HOUSEHOLD/2 FROM THE NETWORK

ROSTER.

Are there any

household members

above the age of 18

that do not know about

your ownership of this

[AGRICULTURAL

EQUIPMENT]?

Are you the only

member of your

household above the

age of 18 that knows

about your ownership

of this

[AGRICULTURAL

EQUIPMENT]?

NW PID

B

HH PID

A

HH PID

B

HH PID

C

Are you informed

regarding the value of

recent

[AGRICULTURAL

EQUIPMENT]

sales/rental

transactions?

If this

[AGRICULTURAL

EQUIPMENT]

were to be sold

today, what would

be the total price

received, given the

age and state of

equipment?

ESTIMATE IN

UGANDAN

SHILLINGS.

RECORD 97 IF

REFUSE TO

ANSWER.

RECORD 98 IF

DO NOT KNOW.

NW PID

A

If this

[AGRICULTURAL

EQUIPMENT]

were to be

sold/rented out

today, would you

be among the

individuals to

decide how the

money is used?

616.

Who in your household

does not know about

this [AGRICULTURAL

EQUIPMENT]?

LIST UP TO TWO

FROM HOUSEHOLD

ROSTER

HH PID

A

HH PID

B

HH PID

C

YES..1

NO...2>> NEXT

ROW

YES..1>> NEXT

ROW

NO...2

YES,

RENT/SELL.....1

NO

TRANSACTIONS..2>>614

DO NOT

KNOW.........98>>614

INFORMED OF

TRANSACTIONS.....1

NOT INFORMED OF

TRANSACTIONS.....2YES..1

NO...2

Page 29: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

29

MODULE 6B: SMALL AGRICULTURAL EQUIPMENT

620.

606 HOE

607 AXE

608 PANGA

609 SLASHER

610 WATERING CAN

611 WHEELBARROW

612 PRUNING KNIFE

613 PRUNING SAW

614 CHAIN/HANDSAW

615 SHELLER

616 SPADE

617 FORK HOE

618 SPRAYER

619 MILK CAN

620 PAIL

621 LANTERN

622 CULTIVATOR

623 WEEDER

624 PLANTER

625 OTHER (SPECIFY)

E

Q

U

I

P

M

E

N

T

N

A

M

E

E

Q

U

I

P

M

E

N

T

C

O

D

E

Do you own any [AGRICULTURAL

EQUIPMENT], exclusively or jointly

with someone else, regardless of

whether and how it is used? READ

ALL CATEGORIES

621. CODE FOR ABILITY FOR

RESPONDENT TO BE INTERVIEWED

ALONE:

(Reasons interview not administered with the respondent

alone should be explained in the remarks)

YES..1

NO...2>> NEXT

ITEM

RESPONSE CODES:

ALONE…................................1

WITH ADULT FEMALES PRESENT............2

WITH ADULT MALES PRESENT..............3

WITH ADULTS MIXED SEX PRESENT.........4

WITH CHILDREN PRESENT.................5

WITH ADULTS MIXED SEX AND

CHILDREN PRESENT......................6

Page 30: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

30

MODULE 7: NON-FARM BUSINESS ASSETS AND ENTERPRISES

N03 … own a trading business on a street or in a market? N08 …own any other non-agricultural business, even if it is a small business

run from home or on a street?

Do you, either exclusively or jointly…

N01 … own a non-agricultural business or provided a non-agricultural service from home or a

household-owned shop, as a carwash owner, metal worker, mechanic, carpenter, tailor, barber, etc.?

N06 … drive a household-owned taxi or pick-up truck to provide

transportation or moving services?

N02 … process and sell any agricultural by-products, including flour, starch, juice, beer, jam, oil, seed,

bran, etc ?

N07 … own a drinking place (ex. bar) or eating place (ex. restaurant)?

ENUMERATOR: CHECK QUESTIONS 216 & 217. IF THE RESPONDENT HAS REPORTED SELF-EMPLOYMENT IN THE LAST 12 MONTHS OR 7 DAYS, THEN YOU MUST CONFIRM THAT THEY

REPORT A NON-FARM ENTERPRISE IN THIS MODULE

N04 … offer any service or sold anything on a street or in a market, including firewood, home-made

charcoal, curios, construction timber, woodpoles, traditional medicine, mats, bricks, cane furniture,

weave baskets, thatch grass etc.?

ENUMERATOR: IS THERE A "1" FOR ANY OF THE QUESTIONS N01

THROUGH N08?

N05 … own a professional office or offered professional services from home as a doctor, accountant,

lawyer, translator, private tutor, midwife, mason, etc?

YES..1

NO...2>>738

YES...1

NO....2

YES...1

NO....2

YES...1

NO....2

YES...1

NO....2

YES...1

NO....2

YES...1

NO....2

YES...1

NO....2

YES...1

NO....2

Page 31: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

31

MODULE 7: NON-FARM BUSINESS ASSETS AND ENTERPRISES

702. 703. 704. 705. 705a

INDUSTRY

CODE# OF

MONTHS % PID A % PID B % PID C %

NW PID

A %

NW PID

B %

HH PID

A

HH PID

B

HH PID

C

HH PID

D

NW PID

A

NW PID

B

B1

B2

B3

B4

B5

Please describe the kind of activity each of the

businesses you own is engaged in.

(Supervisor to

double check

code after

interview)

Who has the main responsibility for providing

services and/or producing goods?

LIST UP TO 4 FROM THE HOUSEHOLD/2

FROM THE NETWORK ROSTER

Is the

business a

seasonal

enterprise?

How many

months

per year is

the

business

oper-

ational?

What is

your %

owner-

ship of

this

enter-

prise?

B

U

S

I

N

E

S

S

I

D

706.705b

Who else owns the enterprise?

LIST UP TO 3 ADULTS FROM THE HOUSEHOLD/2 FROM THE

NETWORK ROSTER. IF OWNED BY ALL ADULT HOUSEHOLD

MEMBERS THEN FILL IN THE 4 HOUSEHOLD MEMBERS.

RECORD % OF OWNERSHIP FOR EACH JOINT OWNER.

Does anyone

jointly own

this enterprise

with you?

HH ROSTER MEMBERS

NETWORK ROSTER

MEMBERS

YES..1

NO...2>>712YES..1

NO...2>>714

Page 32: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

32

B1

B2

B3

B4

B5

B

U

S

I

N

E

S

S

I

D

MODULE 7: NON-FARM BUSINESS ASSETS AND ENTERPRISES (CONTINUED)

709. 710.

HH PID

A

HH PID

B

HH PID

C

HH PID

D

NW PID

A

NW PID

B

HH PID

A

HH PID

B

HH PID

C

HH PID

D

NW PID

A

NW PID

B

NW PID

A

NW PID

B

HH PID

A

HH PID

B

HH PID

C

HH PID

D

NW PID

A

NW PID

B

How was this [BUSINESS]

acquired?

Where is this

[BUSINESS] located?

Who has the main responsibility for managing

day-to-day operations?

LIST UP TO 4 FROM THE HOUSEHOLD/2

FROM THE NETWORK ROSTER

708.

Who has the main financial control, including the

ability to sign loans, leases and contracts?

LIST UP TO 4 FROM THE HOUSEHOLD/2

FROM THE NETWORK ROSTER

707. 711a 711b

From whom did

the owner(s)

inherit this

[BUSINESS]?

LIST UP TO 2

FROM THE

NETWORK

ROSTER

(THEN>>713)

From whom did the owner(s) receive this

[BUSINESS]?

LIST UP TO 4 FROM THE HOUSEHOLD/2

FROM THE NETWORK ROSTER

(THEN>>713)HOME INSIDE THE

RESIDENCE........1

HOME OUTSIDE THE

RESIDENCE........2

INDUSTRIAL SITE..3

TRADITIONAL

MARKET...........4

COMMERCIAL

DISTRICT SHOP....5

ROADSIDE.........6

OTHER

FIXED PLACE......7

MOBILE...........8

DON'T KNOW......98

Founded.........1>>713

Purchased.......2>>713

Inherited after

the death of a

family member...3

Allocated by

family..........4>>711b

Gift from

non-household

member..........5>>712

Other

(Specify)......96>>713

Don't Know.....98>>713

Page 33: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

33

B1

B2

B3

B4

B5

B

U

S

I

N

E

S

S

I

D

MODULE 7: NON-FARM BUSINESS ASSETS AND ENTERPRISES (CONTINUED)

713. 714. 715. 716. 717. 718. 719.

YEAR NUMBER NUMBER

From whom did the owner(s)

receive this [BUSINESS] as a

gift?

LIST UP TO 4 FROM THE

HOUSEHOLD/2 FROM THE

NETWORK ROSTER

How many

unpaid

workers

does this

[BUSINESS]

currently

employ,

excluding

the

owner(s)?

What was the main source of funding

used for purchasing or founding this

[BUSINESS]?

What year

was this

[BUSINESS]

established

or acquired

by the

owner(s)?

712.

Is this

[BUSINESS]

registered for

income tax?

What is the legal status of

this [BUSINESS]?

Is this

[BUSINESS]

registered for

VAT?

How many

paid

employees

does this

[BUSINESS]

currently

employ,

excluding

the

owner(s)?

NW PID BNW PID A

OWN/HOUSEHOLD'S SAVINGS......1

COMMERCIAL/DEVELOPMENT BANK..2

DEPOSIT TAKING

MICROFINANCE INSTITUTIONS....3

SACCO........................4

LOCAL GROUP..................5

NGO..........................6

OTHER (SPECIFY).............96

DON'T KNOW..................98

SOLE PROPRIETORSHIP..1

GENERAL OR LIMITED

PARTNERSHIP..........2

LIMITED

LIABILITY COMPANY....3

CORPORATION..........4

OTHER (SPECIFY).....96

DON'T KNOW..........98

YES.........1

NO..........2

DON'T KNOW.98

REFUSES

TO RESPOND.97

YES.........1

NO..........2

DON'T KNOW.98

REFUSES

TO RESPOND.97

Page 34: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

34

B1

B2

B3

B4

B5

B

U

S

I

N

E

S

S

I

D

MODULE 7: NON-FARM BUSINESS ASSETS AND ENTERPRISES (CONTINUED)MODULE 7: NON-FARM BUSINESS ASSETS AND ENTERPRISES (CONTINUED)

720. 721. 722. 723. 724. 725.

USHS USHS

What was the

approximate

monthly

turnover from

the

[BUSINESS]

(the total

value of sales

of goods or

services,

consider an

average over

the last three

months)?

During the last year, what was the

primary source of funding used to

finance expansion and capital

improvements or to face unexpected

expenses for this [BUSINESS]?

What factors have constrained your and joint

owner’s ability to increase the size of the

[BUSINESS] to the desired size (list all that apply)?

What is the main reason you have started this [BUSINESS] (pick the main

reason)?

What was the

total income the

[BUSINESS]

earned last

month after

paying all

expenses,

including wages

of employees, but

not including any

income paid to

yourself and the

other owners

(consider an

average over the

last three

months)?

Over the past three

years, has the

[BUSINESS]’

revenues (sales,

turnover) increased,

decreased or

remained the

same?

DIDN'T EXPAND ENTERPRISE, MAKE

CAPITAL IMPROVEMENTS OR FACE

UNEXPECTED EXPENSES..........1

OWN/HOUSEHOLD'S SAVINGS......2

COMMERCIAL/DEVELOPMENT BANK..3

DEPOSIT TAKING

MICROFINANCE INSTITUTIONS....4

SACCO........................5

LOCAL GROUP..................6

NGO..........................7

OTHER (SPECIFY).............96

DON'T KNOW..................98

INCREASED.....1

DECREASED.....2

REMAINED

THE SAME......3

DON'T KNOW...98

LACK OF DEMAND..........................A

LACK OF INPUTS..........................B

LACK OF FINANCE.........................C

POOR QUALITY ELECTRICITY AND PHONE......D

LACK OF TRAINED EMPLOYEES...............E

COST OF HIRING NEW EMPLOYEES............F

LEGAL REGULATIONS.......................G

POOR QUALITY ROADS......................H

LACK OF MARKET INFORMATION..............I

HIGH TAX RATES..........................J

LACK OF CLEAR OWNDERSHIP OF LAND........K

HIGH CRIME RATES........................L

ECONOMIC POLICY UNCERTAINTY.............M

CORRUPTION..............................N

LACK OF TIME TO WORK ON THE BUSINESS....O

THE BUSINESS IS THE DESIRED SIZE........P

OTHER (SPECIFY).........................Z

DON'T KNOW..............................Q

TO FILL A NEED SEEN IN THE MARKET FOR AN ENTIRELY NEW

PRODUCT/SERVICE OR FOR AN IMPROVEMENT IN AN EXISTING

PRODUCT/SERVICE............................................1

BECAUSE THE OWNER IDENTIFIED A VERY PROFITABLE AREA FOR

BUSINESS (LOW WAGES, CHEAP INPUTS, NEW FASHION...).........2

TO MAKE MORE MONEY.........................................3

TO GAIN GREATER FLEXIBILITY, CONTROL OF TIME...............4

TO FULFILL A DREAM, REALIZE A PASSION......................5

TO SUPPLEMENT THE FAMILY INCOME............................6

BECAUSE IT IS THE FAMILY BUSINESS(IT IS WHAT IS EXPECTED)..7

TO MAKE A POSITIVE CONTRIBUTION TO LIFE IN THE COMMUNITY...8

BECAUSE THE OWNER DID NOT HAVE ANY OTHER CHOICE/

LOST JOB, LAID OFF/TO FEED FAMILY..........................9

OWNER INHERITED THE BUSINESS FROM ANOTHER PERSON..........10

OTHER (SPECIFY)...........................................96

DON'T KNOW................................................98

Page 35: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

35

MODULE 7: NON-FARM BUSINESS ASSETS AND ENTERPRISES (CONTINUED)

726.

Right?Permission? Permission? Permission?

CODE

B1

B2

B3

B4

B5

Permission? Permission? Permission?

CODE

B1

B2

B3

B4

B5

HH

PID C

HH

PID C

NW

PID A

NW

PID B

NW

PID A

NW

PID B

YES…1

NO…2>>727

HH

PID A

HH

PID B

HH PID C

From whom?

NW

PID A

From whom?

NW

PID B

From whom?

HH ROSTER MEMBER C NETWORK ROSTER MEMBER A NETWORK ROSTER MEMBER B

YES…1

NO…2>>NW PID A

HH

PID A

HH

PID B

HH

PID C

NW

PID A

NW

PID B

YES…1

NO…2>>NW PID B

HH

PID A

HH

PID B

With regard to this [BUSINESS], are you among the individuals who have the right to sell it, even if you need to obtain consent or permission from someone else? If yes, do you need permission or

consent from anyone else?

With regard to this [BUSINESS], who else has the right to sell it, even if they needed to obtain consent or permission from someone else? Does the person need permission or consent? From whom does

the person need permission or consent?

LIST UP TO 3 FROM THE HOUSEHOLD/2 FROM THE NETWORK ROSTER

From whom?

HH

PID A

From whom?

HH

PID B

From whom?

NW

PID A

NW

PID B

YES…1

NO…2>>HH PID B

HH

PID A

YES…1

NO…2>>HH PID A

HH

PID A

HH

PID B

HH

PID C

HH

PID A

HH

PID B

HH

PID C

NW

PID A

NW

PID B

HH

PID B

HH

PID C

NW

PID A

NW

PID B

YES…1

NO…2>>727

RESPONDENT HH ROSTER MEMBER A HH ROSTER MEMBER B

YES…1

NO…2>>HH PID C

Page 36: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

36

MODULE 7: NON-FARM BUSINESS ASSETS AND ENTERPRISES (CONTINUED)

727.

Right?Permission? Permission? Permission?

CODE

B1

B2

B3

B4

B5

Permission? Permission? Permission?

CODE

B1

B2

B3

B4

B5

NW

PID A

NW

PID B

HH PID C

YES…1

NO…2>>HH PID C

HH

PID B

YES…1

NO…2>>HH PID A

HH

PID A

HH

PID B

HH

PID C

NW

PID A

NW

PID B

NW

PID A

NW

PID B

With regard to this [BUSINESS], are you among the individuals who have the right to bequeath it, even if you need to obtain consent or permission from someone else? If yes, do you need permission or

consent from anyone else?

With regard to this [BUSINESS], who else has the right to bequeath it, even if they needed to obtain consent or permission from someone else? Does the person need permission or consent? From whom

does the person need permission or consent?

LIST UP TO 3 FROM THE HOUSEHOLD/2 FROM THE NETWORK ROSTER

RESPONDENT HH ROSTER MEMBER A HH ROSTER MEMBER B

From whom?

HH

PID A

From whom?

HH

PID B

From whom?

YES…1

NO…2>>728

YES…1

NO…2>>HH PID B

HH

PID A

HH

PID A

HH

PID B

HH

PID C

HH

PID C

NW

PID A

NW

PID B

HH ROSTER MEMBER C NETWORK ROSTER MEMBER A NETWORK ROSTER MEMBER B

From whom?

NW

PID A

From whom?

NW

PID B

From whom?

YES…1

NO…2>>NW PID A

HH

PID A

HH

PID B

HH

PID C

NW

PID A

NW

PID B

YES…1

NO…2>>NW PID B

HH

PID A

YES…1

NO…2>>728

HH

PID B

HH

PID C

NW

PID A

NW

PID B

HH

PID A

HH

PID B

HH

PID C

Page 37: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

37

MODULE 7: NON-FARM BUSINESS ASSETS AND ENTERPRISES (CONTINUED)

728.

Right?Permission? Permission? Permission?

CODE

B1

B2

B3

B4

B5

Permission? Permission? Permission?

CODE

B1

B2

B3

B4

B5

NW

PID A

NW

PID B

YES…1

NO…2>>729

HH

PID A

HH

PID B

YES…1

NO…2>>NW PID A

HH

PID C

NW

PID A

NW

PID B

HH

PID A

HH

PID B

HH

PID C

NW

PID B

NW

PID A

YES…1

NO…2>>729

YES…1

NO…2>>HH PID A

HH

PID C

With regard to this [BUSINESS], are you among the individuals who have the right to use as collateral, even if you need to obtain consent or permission from someone else? If yes, do you need

permission or consent from anyone else?

With regard to this [BUSINESS], who else has the right to use as collateral, even if they needed to obtain consent or permission from someone else? Does the person need permission or consent? From

whom does the person need permission or consent?

LIST UP TO 3 FROM THE HOUSEHOLD/2 FROM THE NETWORK ROSTER

RESPONDENT HH ROSTER MEMBER A HH ROSTER MEMBER B

From whom?

HH

PID A

From whom?

HH

PID B

From whom?

HH

PID A

HH

PID B

HH

PID C

NW

PID A

NW

PID A

NW

PID B

YES…1

NO…2>>HH PID B

HH

PID A

HH

PID B

NW

PID B

YES…1

NO…2>>HH PID C

HH ROSTER MEMBER C NETWORK ROSTER MEMBER A NETWORK ROSTER MEMBER B

HH PID C

From whom?

NW

PID A

From whom?

NW

PID B

From whom?

HH

PID A

HH

PID B

YES…1

NO…2>>NW PID B

HH

PID A

HH

PID B

HH

PID C

NW

PID A

HH

PID C

NW

PID B

Page 38: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

38

MODULE 7: NON-FARM BUSINESS ASSETS AND ENTERPRISES (CONTINUED)

729.

Right?Permission? Permission? Permission?

CODE

B1

B2

B3

B4

B5

Permission? Permission? Permission?

CODE

B1

B2

B3

B4

B5

HH

PID C

NW

PID A

NW

PID B

YES…1

NO…2>>HH PID B

YES…1

NO…2>>730

HH

PID B

HH

PID C

NW

PID A

With regard to this [BUSINESS], are you among the individuals who have the right to rent it out, even if you need to obtain consent or permission from someone else? If yes, do you need permission or

consent from anyone else?

With regard to this [BUSINESS], who else has the right to rent it out, even if they needed to obtain consent or permission from someone else? Does the person need permission or consent? From whom

does the person need permission or consent?

LIST UP TO 3 FROM THE HOUSEHOLD/2 FROM THE NETWORK ROSTER

RESPONDENT HH ROSTER MEMBER A HH ROSTER MEMBER B

From whom?

HH

PID A

From whom?

HH

PID B

From whom?

NW

PID A

NW

PID B

HH

PID A

HH

PID B

HH

PID C

NW

PID A

NW

PID B

NW

PID B

YES…1

NO…2>>HH PID C

HH

PID A

YES…1

NO…2>>HH PID A

HH

PID A

HH

PID B

HH

PID C

HH ROSTER MEMBER C NETWORK ROSTER MEMBER A NETWORK ROSTER MEMBER B

HH PID C

From whom?

NW

PID A

From whom?

NW

PID B

From whom?

NW

PID A

NW

PID B

HH

PID C

NW

PID A

NW

PID B

YES…1

NO…2>>730

HH

PID B

HH

PID C

YES…1

NO…2>>NW PID B

HH

PID A

HH

PID B

YES…1

NO…2>>NW PID A

HH

PID A

HH

PID A

HH

PID B

Page 39: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

39

MODULE 7: NON-FARM BUSINESS ASSETS AND ENTERPRISES (CONTINUED)

730.

Right?Permission? Permission? Permission?

CODE

B1

B2

B3

B4

B5

Permission? Permission? Permission?

CODE

B1

B2

B3

B4

B5

YES…1

NO…2>>731

HH

PID A

HH

PID C

NW

PID A

NW

PID B

HH

PID B

HH

PID C

NW

PID A

NW

PID B

NW

PID B

HH

PID B

HH

PID C

NW

PID A

NW

PID B

With regard to this [BUSINESS], are you among the individuals who have the right to make improvements/invest, even if you need to obtain consent or permission from someone else? If yes, do you need

permission or consent from anyone else?

With regard to this [BUSINESS], who else has the right to make improvements/invest, even if they needed to obtain consent or permission from someone else? Does the person need permission or

consent? From whom does the person need permission or consent?

LIST UP TO 3 FROM THE HOUSEHOLD/2 FROM THE NETWORK ROSTER

RESPONDENT HH ROSTER MEMBER A HH ROSTER MEMBER B

From whom?

HH

PID A

From whom?

HH

PID B

From whom?

YES…1

NO…2>>731

YES…1

NO…2>>HH PID B

HH

PID A

HH

PID B

YES…1

NO…2>>HH PID A

HH

PID A

HH

PID B

HH

PID C

NW

PID B

YES…1

NO…2>>HH PID C

HH

PID A

HH

PID C

NW

PID A

NW

PID A

HH ROSTER MEMBER C NETWORK ROSTER MEMBER A NETWORK ROSTER MEMBER B

HH PID C

From whom?

NW

PID A

From whom?

NW

PID B

From whom?

YES…1

NO…2>>NW PID B

HH

PID A

HH

PID B

YES…1

NO…2>>NW PID A

HH

PID A

HH

PID B

HH

PID C

NW

PID A

NW

PID B

Page 40: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

40

MODULE 7: NON-FARM BUSINESS ASSETS AND ENTERPRISES (CONTINUED)

732. 733. 734. 735. 736. 737.

HH PID

A

HH PID

B

HH PID

C

NW PID

A

NW PID

B

HH PID

A

HH PID

B

HH PID

C

B1

B2

B3

B4

B5

738. CODE FOR ABILITY FOR RESPONDENT TO BE INTERVIEWED

ALONE:

(Reasons module not administered with the respondent(s) alone should be

explained in the remarks)

B

U

S

I

N

E

S

S

I

D

Stocks of

Materials

Equipment/

Machinery/ FurnitureStocks of Materials

Equipment/

Machinery/

Furniture

Are you the only

member of your

household above

the age of 18 that

knows about your

ownership of this

[BUSINESS]?

731.

Which household

member above the age

of 18 does not know

about your ownership of

this [BUSINESS]?

LIST UP TO THREE

FROM HOUSEHOLD

ROSTER.

Does the [BUSINESS]

currently own any of the

following assets?

IF THE RESPONSE IS "NO"

OR "DO NOT KNOW" FOR

BOTH EQUIPMENT/

MACHINERY/FURNITURE

AND STOCKS OF

MATERIALS, SKIP TO 735.

How much would be received for all of

this [BUSINESS ASSET] if it were sold

today (please estimate total value per

type of asset)?

ESTIMATE IN UGANDAN SHILLINGS.

RECORD 97 IF REFUSE TO ANSWER.

RECORD 98 IF DO NOT KNOW.

If the business assets were sold today,

who (or who else) would decide how the

money is used?

LIST UP TO 3 FROM THE

HOUSEHOLD/2 FROM THE NETWORK

ROSTER

Are there any

household

members above

the age of 18

that do not know

about your

ownership of this

[BUSINESS]?

If the

business

assets were

sold today,

would you be

among the

individuals to

decide how

the money is

used?

YES..1

NO...2>>NEXT

ROW

YES..1>>NEXT

ROW

NO...2

YES...........1

NO............2

DON'T KNOW...98

YES..1

NO...2

RESPONSE CODES:

ALONE…........................................1

WITH ADULT FEMALES PRESENT....................2

WITH ADULT MALES PRESENT......................3

WITH ADULTS MIXED SEX PRESENT.................4

WITH CHILDREN PRESENT.........................5

WITH ADULTS MIXED SEX AND CHILDREN PRESENT....6

Page 41: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

41

MODULE 8: OTHER REAL ESTATE

802. 803. 804. 805. 806. 808. 809.

Which non-farm

business ID is

this [REAL

ESTATE] used

for?

Does anyone

jointly own this

[REAL ESTATE]

with you?

Is there an ownership document for

this [REAL ESTATE]?

Is your name

among the

names listed

on the

ownership

document for

this [REAL

ESTATE]?

RE1

RE2

RE3

RE4

RE5

RE6

801. Do you own any other real estate, exclusively or jointly with someone else, including other dwellings/buildings, flats, other real estate,

such as stores, owned by household enterprises, non-agricultural plots, either rural or urban?

ENTERPRISE ID

CODE

Please list each piece of other real

estate that you own.

Where is this

[REAL

ESTATE]

located?

ENUMERATOR

TO HELP

RESPONDENT

IDENTIFY

WHETHER

LOCATION IS

RURAL/

URBAN

What is this [REAL ESTATE]

used for?

807.

Who else jointly owns this [REAL

ESTATE] with you?

LIST UP TO 3 ADULTS FROM THE

HOUSEHOLD/2 FROM THE NETWORK

ROSTER. IF OWNED BY ALL ADULT

HOUSEHOLD MEMBERS THEN FILL IN

THE 4 HOUSEHOLD MEMBERS.

NW PID

B

HH PID

A

HH PID

B

HH PID

C

NW PID

A

UNIT PAIL (SMALL). 4 UNIT

YES...........1

NO............2>>829

UNIT PAIL (SMALL). 4

RURAL..1

URBAN..2

HOUSEHOLD

NON-COMMERCIAL

USE.............1>>806

HOUSEHOLD

COMMERCIAL

USE.............2

RENTED OUT......3>>806

OTHER

(SPECIFY)......96>>806

DON'T KNOW.....98>>806

DETACHED HOUSE

(SINGLE OR MULTI-STORY....1

SEMI-DETACHED HOUSE.......2

OTHER BUILDING............3

FLAT IN A BLOCK OF FLATS..4

ROOM(S) IN A HOUSE........5

STORE.....................6

NON-AGRICULTURAL LAND.....7

OTHER (SPECIFY)..........96

YES, A TITLE DEED....1

YES, CERTIFICATE OF

CUSTOMARY OWNERSHIP..2

YES, CERTIFICATE

OF OCCUPANCY.........3

YES, A WILL..........4

YES, A SALES

AGREEMENT............5

OTHER (SPECIFY).....96

NO...................7>>812

DON'T KNOW..........98>>812

YES..1

NO...2

YES..1

NO...2>>808

Page 42: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

42

RE1

RE2

RE3

RE4

RE5

RE6

DETACHED HOUSE

(SINGLE OR MULTI

SEMI

OTHER BUILDING............3

FLAT IN A BLOCK OF FLATS

ROOM(S) IN A HOUSE........5

STORE.....................6

NON

OTHER (SPECIFY)..........96

MODULE 8: OTHER REAL ESTATE (CONT.)

811. 812.

ENUMERATOR: WAS

THE RESPONDENT ABLE

TO PRODUCE THE

DOCUMENTATION FOR

CONFIRMATION

PURPOSES?

How did you and any joint

owner(s) of this [REAL ESTATE]

acquire it?

813a 813b

From whom did

the owner(s)

inherit this [REAL

ESTATE] as a

gift?

LIST UP TO 2

FROM THE

NETWORK

ROSTER

(THEN >> 815)

From whom did the owner(s) receive this [REAL

ESTATE]?

LIST UP TO 4 FROM THE HOUSEHOLD/2

FROM THE NETWORK ROSTER

(THEN >> 815)

NW PID

A

NW PID

B

HH PID

A

HH PID

B

HH PID

C

HH PID

D

NW PID

A

NW PID

B

NETWORK

ROSTER MEMBER

A

NETWORK

ROSTER MEMBER

B

814.

''From whom did you and any

joint owner(s) receive this [REAL

ESTATE] as a gift?

LIST UP TO 2 FROM THE

NETWORK ROSTER

810.

'Who (or who else's) names are listed as

owners on the ownership document for

this [REAL ESTATE]?

LIST UP TO 3 FROM THE

HOUSEHOLD/2 FROM THE NETWORK

ROSTER. REQUEST TO SEE THE

DOCUMENTATION IF AVAILABLE.

NW PID

B

HH PID

A

HH PID

B

HH PID

C

NW PID

A

UNIT UNIT PAIL UNITUNIT PAIL

Purchased.........1>>815

Inherited after

the death of a

family member.....2

Allocated by

family............3>>813b

Allocated by clan/

traditional

authority..... ...4>>815

Gift from

non-household

member............5>>814

Allocated by Local

Government........6>>815

Other Government

Program...........7>>815

Built.............8

Squatting.........9>>815

Other

(Specify)........96>>815

Don't Know.......98>>815

YES.................1

NO, REFUSED.........2

NO, CANNOT BE

LOCATED.............3

NO, HAVE NO ACCESS..4

NO, OTHER(SPECIFY).96

UNIT

Page 43: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

43

MODULE 8: OTHER REAL ESTATE (CONT.)

815.

Right? Permission? Permission? Permission?

CODE

RE1

RE2

RE3

RE4

RE5

RE6

Permission? Permission? Permission?

CODE

RE1

RE2

RE3

RE4

RE5

RE6

NW

PID

B

YES…1

NO…2>>NW PID B

HH

PID

A

HH

PID

B

HH

PID

C

YES…1

NO…2>>NW PID A

HH

PID

A

HH

PID

B

HH

PID

C

NW

PID

A

NW

PID

A

NW

PID

B

NW

PID

A

NW

PID

B

YES…1

NO…2>>816

HH

PID

A

HH

PID

B

HH

PID

C

HH PID C

From whom?

NW

PID

A

From whom?

NW

PID

B

From whom?

HH ROSTER MEMBER C NETWORK ROSTER MEMBER A NETWORK ROSTER MEMBER B

With regard to this [REAL ESTATE], are you among the individuals who have the right to sell it, even if you need to obtain consent or permission from someone else? If

yes, do you need permission or consent from anyone else?

With regard to this [REAL ESTATE], who else has the right to sell it, even if they needed to obtain consent or permission from someone else? Does the person need

permission or consent? From whom does the person need permission or consent?

LIST UP TO 3 FROM THE HOUSEHOLD/2 FROM THE NETWORK ROSTER

YES…1

NO…2>>HH PID A

HH

PID

A

HH

PID

B

HH

PID

C

NW

PID

A

NW

PID

B

YES…1

NO…2>>HH PID B

HH

PID

A

HH

PID

B

HH

PID

C

From whom?

HH

PID

A

From whom?

HH

PID

B

From whom?

RESPONDENT HH ROSTER MEMBER A HH ROSTER MEMBER B

HH

PID

A

HH

PID

B

HH

PID

C

NW

PID

A

YES…1

NO…2>>816

NW

PID

B

NW

PID

B

YES…1

NO…2>>HH PID C

NW

PID

A

Page 44: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

44

MODULE 8: OTHER REAL ESTATE (CONT.)

816.

Right? Permission? Permission? Permission?

CODE

RE1

RE2

RE3

RE4

RE5

RE6

Permission? Permission? Permission?

CODE

RE1

RE2

RE3

RE4

RE5

RE6

YES…1

NO…2>>NW PID A

HH

PID

A

HH

PID

B

HH

PID

C

NW

PID

A

NW

PID

B

HH PID C

NW

PID

B

YES…1

NO…2>>HH PID C

HH

PID

B

HH

PID

C

NW

PID

A

NW

PID

B

HH

PID

A

HH

PID

B

With regard to this [REAL ESTATE], are you among the individuals who have the right to bequeath it, even if you need to obtain consent or permission from someone

else? If yes, do you need permission or consent from anyone else?

With regard to this [REAL ESTATE], who else has the right to bequeath it, even if they needed to obtain consent or permission from someone else? Does the person

need permission or consent? From whom does the person need permission or consent?

LIST UP TO 3 FROM THE HOUSEHOLD/2 FROM THE NETWORK ROSTER

RESPONDENT HH ROSTER MEMBER A HH ROSTER MEMBER B

From whom?

HH

PID

A

From whom?

HH

PID

B

From whom?

YES…1

NO…2>>817

YES…1

NO…2>>HH PID B

HH

PID

A

NW

PID

B

YES…1

NO…2>>HH PID A

HH

PID

A

HH

PID

B

HH

PID

C

NW

PID

A

HH ROSTER MEMBER C NETWORK ROSTER MEMBER A NETWORK ROSTER MEMBER B

From whom?

NW

PID

A

From whom?

NW

PID

B

From whom?

YES…1

NO…2>>NW PID B

HH

PID

A

YES…1

NO…2>>817

HH

PID

B

HH

PID

C

NW

PID

A

NW

PID

B

HH

PID

A

HH

PID

B

HH

PID

C

NW

PID

A

NW

PID

B

HH

PID

C

NW

PID

A

Page 45: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

45

MODULE 8: OTHER REAL ESTATE (CONT.)

817.

Right? Permission? Permission? Permission?

CODE

RE1

RE2

RE3

RE4

RE5

RE6

Permission? Permission? Permission?

CODE

RE1

RE2

RE3

RE4

RE5

RE6

HH PID C

NW

PID

B

From whom?

HH

PID

A

HH

PID

B

HH

PID

C

NW

PID

A

YES…1

NO…2>>NW PID A

HH

PID

C

NW

PID

A

NW

PID

B

NW

PID

B

From whom?

NW

PID

A

From whom?

YES…1

NO…2>>NW PID B

HH

PID

A

HH

PID

B

NW

PID

A

NW

PID

B

YES…1

NO…2>>818

HH

PID

A

HH

PID

B

HH

PID

C

With regard to this [REAL ESTATE], are you among the individuals who have the right to use as collateral, even if you need to obtain consent or permission from

someone else? If yes, do you need permission or consent from anyone else?

With regard to this [REAL ESTATE], who else has the right to use as collateral, even if they needed to obtain consent or permission from someone else? Does the

person need permission or consent? From whom does the person need permission or consent?

LIST UP TO 3 FROM THE HOUSEHOLD/2 FROM THE NETWORK ROSTER

RESPONDENT HH ROSTER MEMBER A HH ROSTER MEMBER B

From whom?

HH

PID

A

From whom?

HH

PID

B

NW

PID

A

NW

PID

B

YES…1

NO…2>>HH PID C

HH

PID

A

HH

PID

C

NW

PID

A

NW

PID

B

YES…1

NO…2>>HH PID B

HH

PID

A

HH

PID

B

From whom?

HH

PID

B

HH

PID

C

NW

PID

B

YES…1

NO…2>>818

YES…1

NO…2>>HH PID A

HH

PID

A

HH

PID

B

HH

PID

C

NW

PID

A

HH ROSTER MEMBER C NETWORK ROSTER MEMBER A NETWORK ROSTER MEMBER B

Page 46: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

46

MODULE 8: OTHER REAL ESTATE (CONT.)

818.

Right? Permission? Permission? Permission?

CODE

RE1

RE2

RE3

RE4

RE5

RE6

Permission? Permission? Permission?

CODE

RE1

RE2

RE3

RE4

RE5

RE6

HH

PID

B

HH

PID

C

NW

PID

A

NW

PID

B

HH

PID

C

YES…1

NO…2>>NW PID B

YES…1

NO…2>>NW PID A

HH

PID

A

HH

PID

B

YES…1

NO…2>>HH PID C

HH

PID

A

HH

PID

B

HH

PID

C

NW

PID

A

NW

PID

B

YES…1

NO…2>>HH PID B

HH

PID

A

With regard to this [REAL ESTATE], are you among the individuals who have the right to rent it out, even if you need to obtain consent or permission from someone

else? If yes, do you need permission or consent from anyone else?

With regard to this [REAL ESTATE], who else has the right to rent it out, even if they needed to obtain consent or permission from someone else? Does the person need

permission or consent? From whom does the person need permission or consent?

LIST UP TO 3 FROM THE HOUSEHOLD/2 FROM THE NETWORK ROSTER

RESPONDENT HH ROSTER MEMBER A HH ROSTER MEMBER B

From whom?

HH

PID

A

From whom? From whom?

NW

PID

A

NW

PID

B

HH

PID

B

HH

PID

A

HH

PID

B

HH

PID

B

HH

PID

C

NW

PID

A

NW

PID

B

YES…1

NO…2>>819

YES…1

NO…2>>HH PID A

HH

PID

C

HH ROSTER MEMBER C NETWORK ROSTER MEMBER A NETWORK ROSTER MEMBER B

HH PID C

From whom?

NW

PID

A

From whom? From whom?

NW

PID

A

NW

PID

B

NW

PID

B

NW

PID

A

NW

PID

B

YES…1

NO…2>>819

HH

PID

A

HH

PID

A

HH

PID

B

HH

PID

C

Page 47: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

47

MODULE 8: OTHER REAL ESTATE (CONT.)

819.

Right? Permission? Permission? Permission?

CODE

RE1

RE2

RE3

RE4

RE5

RE6

Permission? Permission? Permission?

CODE

RE1

RE2

RE3

RE4

RE5

RE6

HH

PID

A

HH

PID

B

YES…1

NO…2>>NW PID A

YES…1

NO…2>>HH PID A

HH

PID

A

HH

PID

B

HH

PID

C

NW

PID

A

With regard to this [REAL ESTATE], are you among the individuals who have the right to make improvements/invest, even if you need to obtain consent or permission

from someone else? If yes, do you need permission or consent from anyone else?

With regard to this [REAL ESTATE], who else has the right to make improvements/invest, even if they needed to obtain consent or permission from someone else?

Does the person need permission or consent? From whom does the person need permission or consent?

LIST UP TO 3 FROM THE HOUSEHOLD/2 FROM THE NETWORK ROSTER

RESPONDENT HH ROSTER MEMBER A HH ROSTER MEMBER B

From whom?

HH

PID

A

From whom?

HH

PID

B

From whom?

YES…1

NO…2>>820

YES…1

NO…2>>HH PID B

HH

PID

A

HH

PID

B

NW

PID

B

HH

PID

B

HH

PID

C

NW

PID

A

NW

PID

B

YES…1

NO…2>>HH PID C

HH

PID

A

HH

PID

C

NW

PID

A

NW

PID

B

HH ROSTER MEMBER C NETWORK ROSTER MEMBER A NETWORK ROSTER MEMBER B

From whom?

NW

PID

A

From whom?

NW

PID

B

From whom?

YES…1

NO…2>>NW PID B

HH

PID

A

HH

PID

B

HH PID C HH

PID

C

NW

PID

A

NW

PID

B

HH

PID

C

NW

PID

A

NW

PID

B

YES…1

NO…2>>820

HH

PID

A

HH

PID

B

HH

PID

C

NW

PID

A

NW

PID

B

Page 48: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

48

MODULE 8: OTHER REAL ESTATE

820. 821. 822. 823. 824. 826. 827.

Are you informed

regarding the value of

recent [REAL ESTATE]

sales/rental

transactions?

'If this [REAL

ESTATE]

were to be

sold today,

would you be

among the

individuals to

decide how

the money is

used?

Are you the only

member of your

household

above the age

of 18 that

knows about

your ownership

of this [REAL

ESTATE]?

USHS USHS

RE1

RE2

RE3

RE4

829. CODE FOR ABILITY FOR RESPONDENT TO BE INTERVIEWED

ALONE (ALONE AS COUPLE FOR ARM 3):

(Reasons module not administered with the

respondent(s) alone should be explained in the remarks)

HH PID

A

HH PID

B

Do individuals sell or rent

out any [REAL ESTATE]

in or around this

community?

Which household

member above the age

of 18 does not know

about your ownership of

this [REAL ESTATE]?

LIST UP TO THREE

FROM HOUSEHOLD

ROSTER.

If this [REAL

ESTATE] were

to be sold

today, how

much could be

received for it?

ESTIMATE

VALUE IN

UGANDAN

SHILLINGS.

RECORD 97

IF REFUSE

TO ANSWER.

RECORD 98

IF DO NOT

KNOW.

ASKED ONLY IF

REAL ESTATE IS

CODE 1 THROUGH 3

IN QUESTION 802

825. 828.

HH PID

C

'If this [REAL ESTATE] were to be sold

today, who (or who else) would decide

how the money is used?

LIST UP TO 3 FROM THE

HOUSEHOLD/2 FROM THE NETWORK

ROSTER

Are there any

household

members above

the age of 18

that do not know

about your

ownership of this

[REAL

ESTATE]?

HH PID

A

HH PID

B

What would it cost to

construct this [REAL

ESTATE] today,

including the cost of

the plot of land on

which the dwelling is

located?

ESTIMATE VALUE IN

UGANDAN

SHILLINGS. RECORD

97 IF REFUSE TO

ANSWER. RECORD

98 IF DO NOT

KNOW.

HH PID

C

NW PID

A

NW PID

B

UNIT PAIL (SMALL). 4 BUNCH . 8 BASKET (DENGU) OX-CARTUNIT PAIL (SMALL).

YES..1

NO...2>>NEXT

ROW

YES..1>>NEXT

ROW

NO...2

YES,

INDIVIDUALS

RENT/SELL.....1

NO

TRANSACTIONS..2>>822

DO NOT

KNOW.........98>>822

INFORMED OF

TRANSACTIONS.....1

NOT INFORMED OF

TRANSACTIONS.....2YES..1

NO...2

RESPONSE CODES:

ALONE…........................................1

WITH ADULT FEMALES PRESENT....................2

WITH ADULT MALES PRESENT......................3

WITH ADULTS MIXED SEX PRESENT.................4

WITH CHILDREN PRESENT.........................5

WITH ADULTS MIXED SEX AND CHILDREN PRESENT....6

Page 49: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

49

MODULE 9: CONSUMER DURABLES

901.

Do you own any

[CONSUMER

DURABLE], exclusively

or jointly, with someone

else? READ ALL

CATEGORIES

901 Bed

902 Charcoal Stove

903 Kerosene Stove

904 Electric Iron

905 Kettle

906 Refrigerator

907 Radio

908 Television

909 Cell phone

910 Computer

911 Bicycle

912 Motorcycle

913 Car

914 Pick-up Truck

915 Other (Specify)

I

T

E

M

N

A

M

E

I

T

E

M

C

O

D

E

902. CODE FOR ABILITY FOR RESPONDENT TO BE INTERVIEWED

ALONE:

(Reasons interview not administered with the respondent(s) alone

should be explained in the remarks)

YES....1

NO.....2 >> NEXT

ITEM

RESPONSE CODES:

ALONE…........................................1

WITH ADULT FEMALES PRESENT....................2

WITH ADULT MALES PRESENT......................3

WITH ADULTS MIXED SEX PRESENT.................4

WITH CHILDREN PRESENT.........................5

WITH ADULTS MIXED SEX AND CHILDREN PRESENT....6

Page 50: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

50

MODULE 10: FINANCIAL ASSETS

1001. 1002. 1003. 1004. 1005. 1007. 1008. 1009. 1010.

A

S

S

E

T

N

O

NUMBER USHS

1001 BANK ACCOUNT

FA1

1002MICROFINANCE

ACCOUNT

FA2

1003

INFORMAL

SAVINGS

PROGRAM

FA3

1004

EQUITY

(STOCKS/

SHARES)

FA4

1005 BONDS

FA5

1006 PENSION FUND

FA6

1007LIFE

INSURANCE

FA7

1008OTHER

(SPECIFY)

FA8

A

S

S

E

T

C

O

D

E

Are there any

household

members

above the

age of 18

that do not

know about

your

ownership of

this

[FINANCIAL

ASSET]?

1006.

List code of [FINANCIAL

ASSET] owned by

respondent

Whose else's name is on the account?

LIST UP TO 3 FROM THE

HOUSEHOLD/2 FROM THE NETWORK

ROSTER

NW PID

A

NW PID

B

A

S

S

E

T

N

A

M

E

Do you own

[FINANCIAL

ASSET],

exclusively or jointly

with someone else?

READ ALL

CATEGORIES

HH PID

A

HH PID

B

HH PID

C

What is the

current value

of the

account?

ESTIMATE

IN

UGANDAN

SHILLINGS.

RECORD 97

IF REFUSE

TO

ANSWER.

RECORD 98

IF DO NOT

KNOW.

How many of

each

[FINANCIAL

ASSET], do

you own,

exclusively

or jointly,

with

someone

else?

Are you the

only member

of your

household

above the

age of 18

that knows

about your

ownership of

this

[FINANCIAL

ASSET]?

HH PID

A

HH PID

B

HH PID

C

Which household

member above the age of

18 does not know about

your ownership of this

[FINANCIAL ASSET]?

LIST UP TO THREE

FROM HOUSEHOLD

ROSTER.BANK ACCOUNT.......1

MICROFINANCE

ACCOUNT............2

INFORMAL SAVINGS

PROGRAM............3

EQUITY

(STOCKS/SHARES)....4

BONDS..............5

PENSION FUND.......6

LIFE INSURANCE.....7

OTHER FINANCIAL

ASSETS(SPECIFY)...96

YES.........1

NO..........2

>> NEXT ITEM

REFUSES TO

RESPOND....97

>> NEXT ITEM

YES..1

NO...2>>

NEXT ROW

YES..1>>

NEXT ROW

NO...2

Page 51: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

51

MODULE 10: FINANCIAL ASSETS (CONTINUED)

1011

1013. 1015. 1016. 1017.

L

O

A

N

N

O

Did anyone

in the

household

jointly lend

the money

with you?

Are there any

household

members above

the age of 18

that do not know

about your

ownership of this

[MONEY]?

Are you the only

member of your

household above

the age of 18 that

knows about your

ownership of this

[MONEY]?

WRITTEN DESCRIPTION CODE USHS

LN1

LN2

LN3

LN4

Does any person or any business owe you any

money?

1018.

Which household member

above the age of 18 does

not know about your

ownership of this

[MONEY]?

LIST UP TO 3 FROM THE

HOUSEHOLD ROSTER

1012.

Who was the money lent to?

1014.

Who else in the

household jointly lent

the money with you?

LIST UP TO 3 FROM

THE HOUSEHOLD

What is the

remaining amount to

be received on the

loan (principal +

interest)?

ESTIMATE IN

UGANDAN

SHILLINGS.

RECORD 97 IF

REFUSE TO

ANSWER.

RECORD 98 IF DO

NOT KNOW.

1019. CODE FOR ABILITY FOR RESPONDENT

TO BE INTERVIEWED ALONE:

(Reasons module not administered with the respondent(s)

alone should be explained in the remarks)

HH PID

A

HH PID

B

HH PID

C

HH PID

A

HH PID

B

HH PID

C

YES..........1

NO...........2>> 1019

REFUSES TO

RESPOND.....97>> 1019

FAMILY AND/

OR HOUSEHOLD MEMBER. ...1

FRIEND..................2

EMPLOYER................3

CLIENT/CUSTOMER.........4

SACCOS..................5

OTHER(SPECIFY).........96

REFUSES TO RESPOND.....97

YES..1

NO...2>> NEXT

ROW

(THEN >> NEXTROW.

WHEN DONE, >>

1019)

YES..1>> NEXT

ROW

NO...2

YES..1

NO...2>>

1015

RESPONSE CODES:

ALONE…........................................1

WITH ADULT FEMALES PRESENT....................2

WITH ADULT MALES PRESENT......................3

WITH ADULTS MIXED SEX PRESENT.................4

WITH CHILDREN PRESENT.........................5

WITH ADULTS MIXED SEX AND CHILDREN PRESENT....6

Page 52: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

52

MODULE 11: LIABILITIES

1103. 1104. 1106. 1107. 1108.

L

O

A

N

N

O

Did anyone

jointly borrow

the money with

you?

WRITTEN DESCRIPTION CODE USHS

LN1

LN2

LN3

LN4

(Reasons module not administered with the respondent(s) alone should be explained in

the remarks)

HH PID

A

HH PID

A

HH PID

C

HH PID

B

1110. CODE FOR ABILITY FOR

RESPONDENT TO BE INTERVIEWED

ALONE:

1101. Do you owe money to anyone or any

institution?

1102.

Who was the money borrowed from?

1109.

Which household

member above the age

of 18 does not know

about your ownership of

this [LOAN]?

LIST UP TO THREE

FROM HOUSEHOLD

ROSTER.

What is the

remaining

amount to be

repaid on the

[LOAN]

(principal +

interest)?

ESTIMATE IN

UGANDAN

SHILLINGS.

RECORD 97

IF REFUSE

TO ANSWER.

RECORD 98

IF DO NOT

KNOW.

HH PID

B

HH PID

C

NW

PID A

NW

PID B

1105.

Who did you jointly borrow the money

with?

LIST UP TO 3 FROM THE

HOUSEHOLD/2 FROM THE NETWORK

ROSTER

Are there

any

household

members

above the

age of 18

that do not

know about

your

ownership

of this

[LOAN]?

Are you the

only

member of

your

household

above the

age of 18

that knows

about your

ownership

of this

[LOAN]?

What was main purpose for seeking the

loan?

YES...........1

NO............2>> 1110

REFUSES TO

RESPOND......97>> 1110

(THEN >> NEXT

LIABILITY.

WHEN ALL LOANS

DONE,>> 1110)

FRIENDS/RELATIVES. ...1

PRIVATE MONEY LENDER..2

LANDLORD . ...........3

EMPLOYER..............4

BANK..................5

SACCOs................6

DEPOSIT TAKING MFIs E.G.

FINCA............7

CREDIT INSTITUTIONS...8

INPUT TRADER/SHOP

KEEPER................9

OTHER(SPECIFY).......96

BUY LAND. . . . . . . . . . . . 1

BUY LIVESTOCK. . . . . . . . . .2

BUY FARM TOOLS AND IMPLEMENTS. .3

BUY FARM INPUTS . . . . . . . . 4

PURCHASE INPUTS/WORKING CAPITAL FOR

NON-FARM ENTERPRISES. . . . 5

PAY FOR BUILDING MATERIALS

(TO BUY HOUSE). . . . . . . .. .6

BUY CONSUMPTION

GOODS AND SERVICES. . . . . . . 7

TO PAY EDUCATION EXPENSES. . . .8

TO PAY HEALTH EXPENSES. . . . . 9

TO PAY FOR CEREMONIAL EXPENSES.10

OTHER(SPECIFY). . . . . . . . .96

YES.1

NO..2>>

NEXT LOAN

YES.1>>

NEXT LOAN

NO..2

YES..1

NO...2>> 1106

RESPONSE CODES:

ALONE…........................................1

WITH ADULT FEMALES PRESENT....................2

WITH ADULT MALES PRESENT......................3

WITH ADULTS MIXED SEX PRESENT.................4

WITH CHILDREN PRESENT.........................5

WITH ADULTS MIXED SEX AND CHILDREN PRESENT....6

Page 53: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

53

1201

CODE

101 Jewelry

102 Semi-precious and

precious metals

103 Semi-precious and

precious stones

104 Paintings

105 Other (specify)

1302. ENUMERATOR: If code 5 "refusal", enter Personal ID code of household

member refusing. LIST UP TO 4 FROM HOUSEHOLD ROSTER.

1303. ENUMERATOR: RECORD END TIME FOR INDIVIDUAL INTERVIEW

(Reasons for partial or no response should be explained in the remarks)

MODULE 13: END OF INDIVIDUAL QUESTIONNAIRE

MODULE 12: VALUABLES

SOURCE

Do you own any

[VALUABLE],

exclusively or jointly

with someone else?

READ ALL

CATEGORIES

1202. CODE FOR ABILITY FOR RESPONDENT TO BE INTERVIEWED

ALONE:

(Reasons interview not administered with the respondent(s) alone

should be explained in the remarks)

1301. CODE FOR INTERVIEW STATUS

YES.....1

NO......2>> NEXT

ITEM

COMPLETED….....................................................1PARTIALLY DONE................................................2NOT INTERVIEWED, HOUSEHOLD INELIGIBLE....................................3NOT INTERVIEWED, DESIGNATED RESPONDENT UNAVAILABLE...4NOT INTERVIEWED, REFUSAL..........................5

RESPONSE CODES:

ALONE…........................................1

WITH ADULT FEMALES PRESENT....................2

WITH ADULT MALES PRESENT......................3

WITH ADULTS MIXED SEX PRESENT.................4

WITH CHILDREN PRESENT.........................5

WITH ADULTS MIXED SEX AND CHILDREN PRESENT....6

HOURS MINUTES

Page 54: Uganda Bureau of Statistics - United Nations Questionnaire Treatment Arm 5.pdfThe Uganda Bureau of Statistics Plot 9 Colville Street P.O. Box 7186, Kampala, UGANDA Tel: 256 414 706000,

54

NETWORK ROSTER

ID

N01

N02

N03

N04

N05

N06

N07

N08

N09

N10

N11

N12

N13

N14

N15

1. NAME 2. RELATIONSHIP

TO RESPONDENT

6. LOCATION3. GENDER 5. AGE4. IS THIS NETWORK

ROSTER MEMBER ALIVE

OR DEAD?

CODES FOR QUESTION 5:

WITHIN THE VILLAGE................1

NEAR THE VILLAGE..................2

IN/NEAR THE TOWN..................3

IN/NEAR THE DISTRICT/URBAN CENTER.4

OUTSIDE THE DISTRICT..............5

OUTSIDE THE REGION................6

CODES FOR QUESTION 2:

SPOUSE OUTSIDE OF

HOUSEHOLD.........................1

SON/DAUGHTER......................2

GRANDCHILD........................3

PARENT............................4

SISTER/BROTHER....................5

SISTER-IN-LAW/BROTHER-IN-

LAW...............................6

NEPHEW/NIECE......................7

COUSIN............................8

AUNT/UNCLE........................9

GRANDPARENT .....................10

STEPFATHER/STEPMOTHER............11

STEPSON/STEPDAUGHTER.............12

OTHER RELATIVE (SPECIFY).........13

CLAN (RELATIVE)..................14

CLAN (NON-RELATIVE)..............15

SAVINGS GROUP/NGO................16

OTHER NON-RELATIVE (SPECIFY).....17

M..1

F..2

ALIVE..1

DEAD...2