Page 1
EDGE FORM 3PSA Approval No.: PSA-1533-03Expires: June 30, 2016
CONFIDENTIALITY: This survey is authorized by RA 10625. All data obtained cannot be used for
taxation, investigation, or law enforcement purposes.
I GEOGRAPHIC IDENTIFICATION CODES III RECORD OF INDIVIDUAL VISIT
1 REGIONTime
2 PROVINCE
3 MUN/CITY 13 Began
4 BARANGAY
5 EA . . . . . . . . . . . . . . . . . . . . 14 Ended
6 SHSN . . . . . . . . . . . . . . . . . . . . . . . . . 15 Date
7 HCN . . . . . . . . . . . . . . . . . . . . . . . . .
II DESIGN CODES 16 ResultCode
8 PSU No. . . . . . . . . . . . . . . . . . . . .
9 Stratum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . RESULT CODES
10 Number of Households in the Housing Unit . . . . . . . 01 - Completed Interview
02 - Not at Home
03 - Postponed
04 - Refused- Do not want to spend time/busy
LINE NO. 05 - Refused- Invasion of privacy11 Name of Eligible Respondent: 06 - Refused-Other
07 - Partly completed
08 - Respondent Incapacitated
09 - OCW/OFW12 Address of Household: 10 - Other
IV CERTIFICATION
I hereby certify that the data gathered in this questionnaire were obtained/reviewed by me personally and in
accordance with instructions stated in the Interviewer's Manual.
Date Accomplished Date Reviewed
Signature Over Printed Name of Interviewer Signature Over Printed Name of Reviewer/Supervisor
(Specify
(Specify)
Booklet ____ of ____ Booklets
Republic of the Philippines
PHILIPPINE STATISTICS AUTHORITY
EDGE PILOT SURVEY ON MEASURING ASSET OWNERSHIP AND ENTREPRENEURSHIP
FROM A GENDER PERSPECTIVE
INDIVIDUAL QUESTIONNAIRE
GEOGRAPHIC IDENTIFICATION AND OTHER INFORMATION
Visit 1 2 3
A
Page 2
2
301 What type of dwelling is this?
- Single /Detached House - Servant's Quarters
- Duplex - Tenement
- Apartment/accessoria/condominium/townhouse - Garage
- Commercial/industrial/agricultural building/house - Other housing unit (e.g. cave, boat) specify________
(e.g. store, etc.)
302 What is the present ownership status of this dwelling?
- Owned by someone in household
- Rented �GO TO Q.316
- Free �GO TO Q.316
- Government provided
- Community provided
- Other, specify �GO TO Q.316
- Don't Know �GO TO Q.316
303 Which household member(s) own this household dwelling?
LINE NO.
LIST ALL ADULTS FROM THE HOUSEHOLD
IF OWNED BY ALL ADULT HOUSEHOLD MEMBERS THEN FILL IN THE IDs OF ALL ADULT HOUSEHOLD MEMBERS.
IF SOMEONE FROM OUTSIDE OF THE HOUSEHOLD JOINTLY OWNS THE HOUSING UNIT, ENTER CODE "99"
ADD ADDITIONAL SPACE FOR LISTING IDs OF ADULT OWNERS, IF REQUIRED
304 In what year was the dwelling or plot of land on which the household dwelling is located acquired by the owner(s)?
IF ≥ 1 OWNER, ALLOW ≥ 1 RESPONSE, ADD ADDITIONAL SPACE FOR LISTING IDs OF ADULT OWNERS, IF REQUIRED.
ENTER CODE "98" FOR DON’T KNOW YEAR
LINE NO.
YEAR
305 How did the owner(s) acquire the dwelling or the plot of land on which the household dwelling is located?
Indicate the mode of acquisition (MOA).IF ≥ 1 OWNER, ALLOW ≥ 1 RESPONSE, ADD ADDITIONAL SPACE FOR LISTING IDs OF ADULT OWNERS, IF REQUIRED.
- Purchased
- Inherited after the death of a natal family member LINE NO.
- Inherited after the death of marital family member
- Acquired due to marital law/custom MOA
- Allocated/gift from household member
- Allocated/gift from non-household member
- Government program
- Encroachment
- Other, specify ________
- Don't Know
306 What is the tenure status of the dwelling or plot of land on which the household dwelling is located ?
Own/Amortized
Leasehold
Freehold
Other (Specify)
Don’t Know
307 Is there an ownership document for the dwelling or plot on which the household dwelling is located?
- A title Deed
- Certificate of Customary Ownership
- Certificate of Occupancy
- A Will
- A sales agreement
- NONE �GO TO Q.309
- Other, specify ________
- Don't Know, �GO TO Q.309
308 Whose names are listed as adult owners on the ownership document for the dwelling or plot of land on
which the household dwelling is located?
LINE NO.
LIST ALL ADULTS FROM THE HOUSEHOLD. ADD ADDITIONAL SPACE FOR LISTINGS IDs OF ADULT OWNERS IF REQUIRED
IF SOMEONE FROM OUTSIDE OF THE HOUSEHOLD IS LISTED AS AN ADULT OWNER ON THE DOCUMENT, ENTER CODE "99",
IN ADDITION TO ID(S) OF HOUSEHOLD MEMBER(S) AND ENTER CODE "98" FOR DON'T KNOW
05
06
96
98
96
THE IDs IN Qs. 303 AND 305 SHOULD CORRESPOND AND BE WRITTEN IN THE
SAME ORDER. THE YEAR CORRESPONDS WITH THE ID THAT IT FOLLOWS
05
98
07
08
96
THE IDs IN Qs.303 AND 304 SHOULD CORRESPOND AND BE WRITTEN IN THE SAME
ORDER. THE YEAR CORRESPONDS WITH THE ID THAT IT FOLLOWS
03
04
01
02
NOTE: FOR CODE "99", SUCEEDING QUESTIONS WILL NOT BE ASKED, QUESTIONS 304-307
98
01
98
02
03
04
03
03
04 96
01
07
01
02
03
04
05
02
06
96
MODULE 3. DWELLING
0501
02 06
Page 3
3
FOR QUESTIONS 309-310
LIST ALL ADULTS FROM THE HOUSEHOLD. ADD ADDITIONAL SPACE FOR LISTING IDs IF REQUIRED. IF SOMEONE FROM THE
OUTSIDE OF HOUSEHOLD HAS THE RIGHT, ENTER CODE '99', IN ADDITION TO ID(S) OF HOUSEHOLD MEMBER(S).
309 If this dwelling or plot of land on which your household dwelling exists were to be sold, which member(s) of this
household would be involved in the decision to sell?
LINE NO.
310 Which member(s) of this household would be involved in the decision to bequeath this dwelling or plot of land on which
your household dwelling exists?
LINE NO.
311 Do dwelling owners sell dwellings in or around this community?
- YES, Dwelling owners sell
- NO sales transactions �GO TO Q.313
- Don't Know �GO TO Q.313
312 Are you informed regarding the value of recent dwelling sales transactions?
1 - Informed of transactions
2 - Not informed of transactions
313 If this dwelling and the plot of land on which it is located were to be sold today, how much could be received for it?
ESTIMATE VALUE IN PHILIPPINE PESO. RECORD '97' IF REFUSE TO ANSWER. RECORD '98' IF DON’T KNOW
IF THE ESTIMATED VALUE OF ASSET IS OBTAINED �GO TO Q.315
- REFUSED TO ANSWER �GO TO Q.314
- DON’T KNOW � GO TO Q.314
314 FOR CODE 1 - SINGLE/DETACHED HOUSE IN Q.301 AND CODES 97 - REFUSE OR 98 - DON’T KNOW IN Q.313
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 PHILIPPINE PESO. RECORD '97' IF REFUSE TO ANSWER. RECORD '98' IF DON’T KNOW
315 If this dwelling were to be sold today, which household member(s) would decide how the money is used?
LINE NO.
LIST ALL ADULTS FROM THE HOUSEHOLD. ADD ADDITIONAL SPACE FOR LISTING IDs IF REQUIRED.
IF SOMEONE FROM OUTSIDE OF THE HOUSEHOLD WOULD DECIDE, ENTER '99', IN ADDITION TO ID(S) OF HOUSEHOLD MEMBER(S).
316 CODE FOR ABILITY OF RESPONDENT TO BE INTERVIEWED ALONE
1 - ALONE 4 - WITH ADULTS MIXED SEX PRESENT
2 - WITH ADULT FEMALE(S) PRESENT 5 - WITH CHILDREN PRESENT
3 - WITH ADULT MALE(S) PRESENT 6 - WITH ADULTS MIXED SEX AND CHILDREN PRESENT
(Reasons why interview was not administered with the respondent(s) alone should be explained in this remarks)
REMARKS:
98
01
02
97
98
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4
MODULE 4. AGRICULTURAL LAND
Do you or any member of your household currently own any agricultural parcels exclusively or jointly with someone else?
(The parcels may include those that are cultivated by your household, current fallow, rented out or given away for nothing in return
on a temporary basis as they are owned, they DO NOT include those held through use/access rights).
- YES
- NO GO TO Q.427
- Don't Know GO TO Q.427
1 - YES
�NEXT ROW
2 - NO
Codes for Q.407 - Primary use of the Parcel Codes for Q.409-Type of Soil
01 - Own Cultivated (Annual Crops) - Sandy soil
02 - Own Cultivated (Perennial Crops) - Silty soil
03 - Livestock, Grazing, Rearing/Pasture - Clay soil
04 - Fallow - Peaty soil
05 - Woodland/Forest - Saline soil
06 - Swamp - Loamy soil
07 - Rented out - Other, specify
08 - Given out (Free) - Don't Know
96 - Other, specify _______
98 - Don't Know
02
PAR-
CEL
NO.
402 403 404
401
ENTER CODE
�
�
RESPONDENT'S
ESTIMATION
01
405 406 407 408
LIST FROM
LARGEST TO
SMALLEST
PARCEL
IF THE PARCEL IS LOCATED IN THE SAME
BARANGAY, WRITE "THE SAME CODES
INDICATED IN IDENTIFICATION PARTICULARS"
ON THE SPACE PROVIDED FOR PROVINCE,
CITY/MUNICIPALITY AND BARANGAY.
COMPLETE
THIS COLUMN
F0R ALL
PARCELS.
THEN ASK
Q404
ENUMERATOR: ASK
THE RESPONDENT TO
ESTIMATE THE AREA IN
HECTARES
PARCEL
NAME
LOCATION &
DESCRIP-
TION
Where is this [PARCEL] located? What is the area of
the [PARCEL]?
Is this
[PARCEL] the
same piece of
land on which
the house is
located?
What is/was
the primary use
of the
[PARCEL]in the
most recent
cropping
season?
Which household member(s)
decided on the primary use of this
[PARCEL] in the most recent
cropping season?
LIST ALL ADULTS FROM THE
HOUSEHOLD ROSTER. IF SOMEONE
FROM OUTSIDE OF THE HOUSEHOLD IS
A DECISION- MAKER, ENTER CODE '99'
IN ADDITION TO ID(S) OF HOUSEHOLD
MEMBER(S)., ADD ADDITIONAL SPACE
FOR LISTING IDs, IF REQUIRED.
01
PROVINCE CITY/MUN BARANGAY LN LN LN LN LN
02
PROVINCE CITY/MUN BARANGAY
.
HECTARE
.
HECTARE
03
PROVINCE CITY/MUN BARANGAY
04
PROVINCE CITY/MUN BARANGAY
.
HECTARE
05
PROVINCE CITY/MUN BARANGAY
.
HECTARE
06
PROVINCE CITY/MUN BARANGAY
.
HECTARE
.
HECTARE
98
98
01
02
03
04
05
06
96
Page 5
5
MODULE 4. AGRICULTURAL LAND
ENTER CODE "98" FOR DON'T KNOW YEAR
1 - YES
2 - NO
�GO TO Q.412
Codes for Q.412-Tenure Status of the Parcel
01 - Fully owned
02 - Ownerlike possession
03 - Tenanted
04 - Leased/Rented
05 - Rent Free
06 - Held under Certificate of Land Transfer (CLT) or Certificate of
Land Ownership Award (CLOA)
07 - Held under Certificate of Ancestral Land Title (CAD/CALT)
08 - Held under Community-Based Forest Management
Agreement (CBFMA) Stewardship
96 - Other, specify __________
414
ENUMERATOR:
IS RESPONSE
FOR Q.407
EITHER OPTION
1 (OWN
CULTIVATED-
ANNUAL
CROPS), OR
OPTION 2 (OWN
CULTIVATED-
PERENNIAL
CROPS)?
LIST ALL ADULTS FROM THE
HOUSEHOLD ROSTER . IF OWNED BY
ALL ADULT HOUSEHOLD MEMBERS
THEN FILL IN THE IDs OF ALL ADULT
HOUSEHOLD MEMBERS. IF
SOMEONE FROM OUTSIDE OF THE
HOUSEHOLD JOINTLY OWNS THE
PARCEL, ENTER '99' IN ADDITION TO
ID(S) OF HOUSEHOLD MEMBER(S).
ADD ADDITIONAL SPACE FOR
LISTING IDs OF ADULT OWNERS, IF
REQUIRED
PAR-
CEL
NO.What crops are (were) cultivated
on this [PARCEL] during the most
recent cropping season?
What is the
tenure status
of this
[PARCEL]?
Which household member(s)
own this [PARCEL]?
In what year was this (these) [PARCEL]
acquired by this owner(s)?
409 410 411 412 413
IF ≥ 1 OWNER, ALLOW ≥1 RESPONSE. ADD
ADDITIONAL SPACE FOR LISTING IDs OF
ADULT OWNERS, IF REQUIRED.
What soil type
is this
[PARCEL]?
ENTER
CODE
LIST ALL CROPS STARTING WITH THE
CROP WITH THE LARGEST AREA
UNDER CULTIVATION. SEE
INTERVIEWER'S MANUAL FOR CROP
CODES.
ENTER
CODE
THE IDs IN Qs.413 AND 414 SHOULD CORRESPOND
AND BE WRITTEN IN THE SAME ORDER. THE YEAR
CORRESPONDS THE ID THAT IT FOLLOWS.
below the code boxes
Write the name of the crops
4TH 5TH LN
1ST 2ND
YEAR
LN LN LN HH LINE
NO.
01
1ST 2ND 3RD
HH LINE
NO.
02
3RD 4TH 5TH
YEAR
1ST 2ND 3RD HH LINE
NO.
03
4TH 5TH
YEAR
HH LINE
NO.
04
4TH 5TH 1ST 2ND 3RD
YEAR
HH LINE
NO.
05
4TH 5TH 1ST 2ND 3RD
YEAR
YEAR
HH LINE
NO.
06
1ST 2ND 3RD 4TH 5TH
Page 6
6
MODULE 4. AGRICULTURAL LAND
Codes for Q.415-Acquisition Status Codes for Q.416-Ownership Status
- Purchased - A Title Deed
- Inherited after the death of a natal family member - Certificate of Customary Ownership
- Inherited after the death of marital family member - Certificate of Occupancy
- Acquired due to marital law/custom - A Will
- Allocated/gift from household member - A Purchase Agreement
- Allocated/gift from non-household member - NONE, � GO TO Q.418
- Government program - Other, Specify ________
- Encroachment - Don't Know, � GO TO Q.418
- Other, specify
- Don't Know
If this (these)[PARCEL] were to be
sold, which member(s) of this
household would be involved in
the decision to sell?
415 416 417 418 419
IF ≥ 1 OWNER, ALLOW ≥1 RESPONSE. ADD
ADDITIONAL SPACE FOR LISTING IDs OF
ADULT OWNERS, IF REQUIRED.
How did the owner (s) acquire this (these)
[PARCEL]? Indicate the mode of acquisition
(MOA).
Is there an
ownership
document for
this
[PARCEL]?
Whose names are listed as
owners on the ownership
document for this [PARCEL]?
Which member(s) of this
household would be
involved in the decision to
bequeath this (these)
[PARCEL]?
LIST ALL ADULT OWNERS FROM
THE HOUSEHOLD ROSTER. IF
SOMEONE FROM OUTSIDE OF THE
HOUSEHOLD IS LISTED AS AN
OWNER ON THE DOCUMENT,
ENTER "99". ADD ADDITIONAL
SPACE FOR LISTING IDs OF ADULT
OWNERS, IF REQUIRED.
ENTER
CODE
THE IDs IN Qs.413 AND 415 SHOULD CORRESPOND
AND BE WRITTEN IN THE SAME ORDER. THE YEAR
CORRESPONDS THE ID THAT IT FOLLOWS.
LIST ALL ADULTSFROM THE
HOUSEHOLD ROSTER. IF
SOMEONE FROM OUTSIDE OF THE
HOUSEHOLD WOULD BE
INVOLVED IN THE DECISION TO
BEQUEATH, ENTER CODE '99' IN
ADDITION TO ID(S) OF
HOUSEHOLD MEMBER(S). ADD
ADDITIONAL SPACE FOR LISTING
IDs, IF REQUIRED
LIST ALL ADULTS FROM THE
HOUSEHOLD ROSTER. IF SOMEONE
FROM OUTSIDE OF THE HOUSEHOLD
WOULD BE INVOLVED IN THE DECISION
TO SELL, ENTER CODE '99' IN ADDITION
TO ID(S) OF HOUSEHOLD MEMBER(S),
ADD ADDITIONAL SPACE FOR LISTING
IDs, IF REQUIRED
LN LN LN LN LN LNLN LN LN LN
MOA
LN LNHH LINE
NO.
HH LINE
NO.
MOA
HH LINE
NO.
MOA
HH LINE
NO.
MOA
HH LINE
NO.
MOA
MOA
98
01
02
03
04
05
06
PAR-
CEL
NO.
01
02
03
04
05
06
96
06
07
08
96
98
01
02
03
04
05
HH LINE
NO.
Page 7
7
MODULE 4. AGRICULTURAL LAND
1 YES
2 NO,
� GO TO NEXT
ROW
Codes for Q.420 Codes for Q.421
01 - YES Land owners sell 1 - Informed of Transactions
02 - NO Land Transactions, � GO TO Q.422 2 - Not Informed of Transactions
98 - Don't Know � GO TO Q.422
Do land owners
sell out any land
in or around the
community
where this land
is located?
420 422 423 424
Are you
informed
regarding
the value of
recent land
sales tran-
sactions?
If this [PARCEL] were to be sold
today, how much could be received
for it?
If this [PARCEL] were to be sold,
which household members would
decide how the money is used?
ENUMERATOR:
IS RESPONDENT ONE
OF THE OWNERS OF
[PARCEL] IN Q.413?
PAR-
CEL
NO.
421
ENTER CODE
ENTER CODE ENTER CODE
ESTIMATE VALUE IN PHILIPPINE PESO.
RECORD "97" IF REFUSE TO ANSWER.
RECORD "98" IF DON’T KNOW
LIST ALL ADULTS FROM THE HOUSEHOLD
ROSTER. IF SOMEONE FROM OUTSIDE OF
THE HOUSEHOLD WOULD DECIDE, ENTER
'99' IN ADDITION TO ID(S) OF HOUSEHOLD
MEMBER(S). ADD ADDITIONAL SPACE FOR
LISTING IDs, IF REQUIRED.
01
LN LN LN LN
02
03
04
05
06
Page 8
8
MODULE 4. AGRICULTURAL LAND
427
1 - ALONE
2 - WITH ADULT FEMALE(S) PRESENT
3 - WITH ADULT MALE(S) PRESENT
4 - WITH ADULTS MIXED SEX PRESENT
1 YES 5 - WITH CHILDREN PRESENT
2 NO, 6 - WITH ADULTS MIXED SEX AND CHILDREN
� GO TO NEXT PRESENT
ROW
425PAR-
CEL
NO.Are there any
household member 18
years old and over that
does not know about
your ownership of this
[PARCEL]?
CODE FOR ABILITY OF RESPONDENT TO BE INTERVIEWED ALONE:
426
LIST UP TO 3 FROM THE
HOUSEHOLD ROSTER.
Which household member
18 years old and over who
does not know about your
ownership of this [PARCEL]?
ENTER CODE
(Reasons why interview was not administered with the
respondent alone should be explained in the remarks)01
LNLN LN
02
REMARKS
03
04
05
06
Page 9
9
READ ALL CATEGORIES
- YES
- NO
� GO TO NEXT ROW
- DON'T KNOW
� GO TO NEXT ROW
Codes for Q.503-Ability of Respondent to be Interviewed Alone
1 - ALONE 4 - WITH ADULTS MIXED SEX PRESENT
2 - WITH ADULT FEMALE(S) PRESENT 5 - WITH CHILDREN PRESENT
3 - WITH ADULT MALE(S) PRESENT 6 - WITH ADULTS MIXED SEX AND CHILDREN PRESENT
MODULE 5. LIVESTOCK AND POULTRY RAISING
Does any member of your
household own any
[LIVESTOCK] either
exclusively or jointly with
someone else?LIST ALL ADULTS MEMBERS FROM
THE HOUSEHOLD ROSTER. IF
OWNED BY ALL ADULT
HOUSEHOLD MEMBERS THEN FILL
IN THE IDs OF ALL ADULTS
HOUSEHOLD MEMBERS. IF
SOMEONE FROM OUTSIDE OF THE
HOUSEHOLD JOINTLY OWNS THE
LIVESTOCK, ENTER CODE "99".
ADD ADDITIONAL SPACE FOR
LISTING OF IDs OF ADULT
OWNERS, IF REQUIRED.
01
504
LIVESTOCK NAME
501 Carabao
502 Cow/Cattle
503 Horse
LIVE-
STOCK
CODE
505
506
507
508
509
510
511
513
514
511
515
516
517
REMARKS
Sheep
Goat
Pig (Boar)
Chicken (Hen)
Rooster (Game Fowl)
Turkey
Ostrich
Duck/Geese
Birds (Dove, Parrots, etc.)
Quail
Broilers (Exotic/Cross Chicken)
Other Poultry/Birds
Other, Specify
503
CODE FOR ABILITY OF RESPONDENT TO
BE INTERVIEWED ALONE.
(Reasons why interview was not
administered with the respondent
alone should be explained in the
remarks)
501 502
Who in your household owns
at least one of this
[LIVESTOCK]?
LN LN LN LN
98
02
Rabbit
Page 10
10
MODULE 6A. LARGE AGRICULTURAL EQUIPMENT
Do you or any member of your household own any [AGRICULTURAL EQUIPMENT] exclusively or jointly with someone
else, including tractors, ploughs, ox-ploughs, trailers or other types?
- YES
- NO, � GO TO Q.615
- DON’T KNOW � GO TO Q.615
Tractor
- Plough
- Ox-Plough
- Trailer
- Other, (Specify)
Codes for Q.605-Acquisition Status
01 - Purchased
02 - Inherited after the death of a natal family member
03 - Inherited after the death of marital family member
04 - Acquired due to marital law/custom
05 - Allocated/gift from household member
06 - Allocated/gift from non-household member
07 - Government program
08 - Encroachment
96 - Other, specify
98 - Don't Know
MOA
How did the owner(s) of this (these)
[AGRICULTURAL EQUIPMENT] acquire
it? Indicate the mode of acquisition
(MOA).
IF ≥ 1 OWNER, ALLOW ≥1 RESPONSE. ADD
ADDITIONAL SPACE FOR LISTING IDs OF
ADULT OWNERS, IF REQUIRED.
THE IDs IN Qs.603 AND 605 SHOULD
CORRESPOND AND BE WRITTEN IN THE
SAME ORDER.
HH
LINE
NO
MOA
HH
LINE
NO
ENTER CODE "98" FOR DON'T KNOW YEAR
IF ≥1 OWNER, ALLOW ≥ RESPONSE, ADD
ADDITIONAL SPACE FOR LISTING IDs OF
ADULT OWNERS, IF REQUIRED.
604603
Which household
member(s) own this
[AGRICULTURAL
EQUIPMENT]?
In what year was this (these)
[AGRICULTURAL EQUIPMENT] acquired by
the owner(s)?
YEAR
HH
LINE
NO
HH
LINE
NO
YEAR
LN LN LN LN
YEAR
HH
LINE
NO
YEAR
HH
LINE
NO
YEAR
HH
LINE
NO
601
602
603
604
605
MOA
HH
LINE
NO
HH
LINE
NO
MOA
HH
LINE
NO
MOA
601
602 605
EQUIP-
MENT
CODE
01
02
List each piece of large
agricultural equipment
that someone in the
household owns in order
of most recently
purchased.
03
IF MORE THAN ONE OF THE
SAME EQUIPMENT, LIST
DECREASING ORDER, FROM
MOST RECENT TO OLDEST
YEAR OF ACQUISITION BY
THE HOUSEHOLD AND GIVE
THE EQUIPMENTS
DIFFERENT NAMES.
EXAMPLE: JOHN'S TRACTOR
1, MYRA'S TRACTOR 2
04
96
ENTER NAME AND CODE
01
02
98
THE IDs IN Qs.603 AND 604 SHOULD
CORRESPOND AND BE WRITTEN IN THE
SAME ORDER
LIST ALL ADULT OWNERS
FROM THE HOUSEHOLD
ROSTER. IF OWNED BY ALL
ADULT HOUSEHOLD MEMBERS
THEN FILL IN THE IDs OF ALL
ADULT HOUSEHOLD MEMBERS.
IF SOMEONE FROM OUTSIDE
OF THE HOUSEHOLD JOINTLY
OWNS THE PARCEL, ENTER
CODE '99' IN ADDITION TO ID(S)
OF HOUSEHOLD MEMBER(S).
ADD ADDITIONAL SPACE FOR
LISTING IDs OF ADULT
OWNERS, IF REQUIRED.
Page 11
11
MODULE 6A. LARGE AGRICULTURAL EQUIPMENT
Codes for Q.608 Codes for Q.609
- Yes, Sell - Informed of Transactions
- No Transactions, �GO TO Q.610 - Not Informed of Transactions
- Don’t Know, �GO TO Q.610
LN LN LN LN
98
01
02
LN LN LNLN
610
ENTER CODE
Do individuals
sell out any [AGRI-
CULTURAL
EQUIPMENT] in
or around this
community?
ENTER CODE
Which member(s) of this
household would be involved in
the decision to bequeath this
[AGRICULTURAL EQUIPMENT]?
If this [AGRICULTURAL
EQUIPMENT] were to be sold,
which member(s) of this
household would be involved in
the decision to sell?
609607
1
2
Are you
informed
regarding the
value of recent [AGRI-
CULTURAL
EQUIPMENT]
sales transac-
tions?
If this [AGRICULTURAL
EQUIPMENT] were to be sold out
today, what would be the total
price received, given the age and
state of this equipment?
ESTIMATE VALUE IN PHILIPPINE PESO.
RECORD "97" IF REFUSE TO ANSWER.
RECORD "98" IF DON’T KNOW
LIST ALL ADULTS FROM THE
HOUSEHOLD ROSTER. IF SOMEONE
FROM OUTSIDE OF THE HOUSEHOLD
WOULD DECIDE, ENTER '99' IN
ADDITION TO ID(S) OF HOUSEHOLD
MEMBER(S). ADD ADDITIONAL SPACE
FOR LISTING IDs, IF REQUIRED.
608
LIST ALL ADULTS FROM THE
HOUSEHOLD ROSTER. IF SOMEONE
FROM OUTSIDE OF THE HOUSEHOLD
HAS THE RIGHT, ENTER CODE '99' IN
ADDITION TO ID(S) OF HOUSEHOLD
MEMBER(S). ADD ADDITIONAL SPACE
FOR LISTING IDs, IF REQUIRED.
606
Page 12
12
MODULE 6A. LARGE AGRICULTURAL EQUIPMENT
#
1 - ALONE
2 - WITH ADULT FEMALE(S) PRESENT
3 - WITH ADULT MALE(S) PRESENT
4 - WITH ADULTS MIXED SEX PRESENT
5 - WITH CHILDREN PRESENT
6 - WITH ADULTS MIXED SEX AND
1 - YES CHILDREN PRESENT
2 - NO,
� GO TO NEXT 1 - YES
ROW 2 - NO,
� GO TO NEXT
ROW
612
ENTER CODE
611
LN LNLN LN
ENUMERATOR: IS
RESPONDENT
ONE OF THE
OWNERS OF
[EQUIPMENT] IN
Q.603?
If this [AGRICULTURAL
EQUIPMENT], were to be
sold, which member(s) of
this household would decide
how the money is used?
LIST ALL ADULTS FROM THE
HOUSEHOLD ROSTER. IF
SOMEONE FROM OUTSIDE OF THE
HOUSEHOLD WOULD DECIDE,
ENTER '99'IN ADDITION TO ID(S)
OF HOUSEHOLD MEMBER(S). ADD
ADDITIONAL SPACE FOR LISTING
IDs, IF REQUIRED.
REMARKS
614
Are there any
household
member 18 years
old and over that
does not know
about your
ownership of this [AGRICULTURAL
EQUIPMENT]?
LIST UP TO 3 FROM
HOUSEHOLD ROSTER
615
CODE FOR ABILITY OF RESPONDENT TO BE
INTERVIEWED ALONE:
613
LN LN LN
(Reasons why interview was not administered
with the respondent alone should be
explained in the remarks)
Which household
member 18 years
old and over who
does not know
about your
ownership of this [AGRICULTURAL
EQUIPMENT]?
ENTER CODE
Page 13
13
MODULE 6B. SMALL AGRICULTURAL EQUIPMENT
1 - ALONE
2 - WITH ADULT FEMALE(S) PRESENT
3 - WITH ADULT MALE(S) PRESENT
4 - WITH ADULTS MIXED SEX PRESENT
5 - WITH CHILDREN PRESENT
6 - WITH ADULTS MIXED SEX AND
- YES CHILDREN PRESENT
- NO,
� GO TO NEXT ROW
- DON'T KNOW,
�GO TO NEXT ROW
CULTIVATOR
PRUNING SAW
CHAIN/HANDSAW
624
Do you or any member of
your household own any
[AGRICULTURAL EQUIP-
MENT] exclusively or jointly
with someone else,
regardless of whether or
how it is used ?
READ ALL CATEGORIES
WEEDER
PLANTER
615 SHELLER
616 SPADE
620
621
WATERING CAN
AXE
608 PANGA
622
623
613
614
617
618
WHEEL BARROW
PRUNING KNIFE
FORK HOE
SPRAYER
MILK CAN
PAIL
LANTERN
REMARKS
625 OTHER, SPECIFY ________
609 SLASHER
619
612
610
611
606 HOE
607
617
Which household member(s) own
at least one of this
[AGRICULTURAL EQUIPMENT]?
LIST ALL ADULT OWNERS FROM THE
HOUSEHOLD ROSTER. IF OWNED BY ALL
ADULT HOUSEHOLD MEMBERS THEN
FILL IN THE IDs OF ALL HOUSEHOLD
MEMBERS. IF SOMEONE FROM OUTSIDE
OF THE HOUSEHOLD JOINTLY OWNS
THE PARCEL, ENTER CODE '99' IN
ADDITION TO ID(S) OF HOUSEHOLD
MEMBER(S). ADD ADDITIONAL SPACE
FOR LISTING IDs OF ADULT OWNERS, IF
REQUIRED.
618
CODE FOR ABILITY OF RESPONDENT TO BE
INTERVIEWED ALONE.
(Reasons why interview was not
administered with the respondent alone
should be explained in the remarks)LN LN LN LN
EQUIP-
MENT
CODE
EQUIPMENT NAME
616
98
02
01
Page 14
14
MODULE 7. NON- AGRICULTURAL ENTERPRISES AND ENTERPRISE ASSETS
Does any member of your household do the following with the main intention of earning income?
701 I own a non-agricultural manufacturing enterprise or provided a non-agricultural service from home or a
household-owned shop, as a carwash owner, metal worker, mechanic, carpenter, tailor, barber, etc .?
1 YES 2 NO
702 I process and sell any agricultural by-products, including flour, starch, juice, beer ,
jam, oil, seed, bran, wine, etc .?
1 YES 2 NO
703 I own a trading enterprise at a fixed or mobile location on a street, at home, or in a market?
1 YES 2 NO
704 I 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.?
1 YES 2 NO
705 I own a professional office or offered professional services from home as a doctor, accountant,
lawyer translator, private tutor, midwife, mason, etc.?
1 YES 2 NO
706 I drive a household-owned taxi or pick-up truck to provide transportation or moving services?
1 YES 2 NO
707 I own a drinking place (ex. bar) or eating place (ex. restaurant)?
1 YES 2 NO
708 I own any other non-agricultural enterprise not mentioned above, even if it is a small enterprise run
from home or on a street?
1 YES 2 NO
709 ENUMERATOR: IS THERE A '1' FOR ANY OF THE QUESTIONS 701 THROUGH 708?
1 YES 2 NO � GO TO Q.748
- -
- -
- -
- -
- -
- -
- -
- -
- -
Page 15
15
MODULE 7B. NON-AGRICULTURAL ENTERPRISE AND ENTERPRISE ASSETS (CONTINUED)
713
Codes for Q.711 - Location of the Enterprise
FIXED PREMISES
01 - At home with no special work space
02 - At home with work space inside/attached to the home
03 - Business premises with fixed location independent from home
04 - Home or workplace of the client
05 - Construction site
06 - Market, bazaar stall, trade fair
07 - Street pavement or highway with fixed post
NO FIXED PREMISES
08 - Transport vehicle
09 - No fixed location (e.g. mobile, door to door/street without fixed post
96 - Other, specify
710 711
NAME AND
ADDRESS OF
[ENTERPRISE]
712
LOCA-
TION OF
THE
[ENTER-
PRISE]
LINE NO. %
%
LIST ALL ADULTS FROM THE HOUSEHOLD ROSTER. IF OWNED BY ALL
ADULT HOUSEHOLD MEMBERS THEN FILL IN THE IDs OF ALL ADULT
HOUSEHOLD MEMBERS. IF SOMEONE FROM OUTSIDE IS AN OWNER,
ENTER CODE '99' IN ADDITION TO ID(S) OF HOUSEHOLD MEMBER(S). ADD
ADDITIONAL SPACE FOR LISTING IDs OF ADULT OWNERS, IF REQUIRED.
714
LINE NO.
INDUSTRY
CODE
(Supervisor
to double
check code
after
interview)
How many
months
per year is
the [ENTER-
PRISE]
opera-
tional?
ENTER
NUMBER IN
COMPLE-
TED
MONTHS
IF LESS
THAN A
MONTH,
ENTER '00'
AND PUT
CORRES-
PONDING
REMARKS
% LINE NO. %
LINE NO. LINE NO. % LINE NO.
Please describe the kind
of activity each enterprise
is engaged in.
EN-
TER-
PRISE
ID
Which household member(s) are the owner(s) of this
[ENTERPRISE]?
E3
E1
E2
% LINE NO. %
E5
E4
LINE NO. % LINE NO. % LINE NO. % LINE NO. %
LINE NO. %%
RECORD % OF OWNERSHIP FOR EACH JOINT OWNER.
% LINE NO. %
LINE NO. % LINE NO. % LINE NO.
LINE NO. % LINE NO.
LINE NO. %
LINE NO. %
Page 16
16
MODULE 7B. NON-AGRICULTURAL ENTERPRISE AND ENTERPRISE ASSETS (CONTINUED)
- NONE
- LESS THAN 20
- 20-39 HOURS
- 40 HOURS
- 41-59 HOURS
- 60 HRS AND MORE
- DON’T KNOW
LN
Codes for Q.719 - Mode of Acquisition
01 - Founded
02 - Purchased
03 - Inherited after the death of a natal family member
04 - Inherited after the death of a marital family member
05 - Acquired due to marital law/custom
06 - Allocated/gift from household member
07 - Allocated/gift from non-household member
08 - Government programs
09 - Encroachment
96 - Other, specify
98 - Don't Know
715
NO.OF
HOURS
Which household
member(s) has the main
responsibility for providing
services and/or producing
goods?
LIST ALL ADULT HOUSEHOLD
MEMBERS. ENTER CODE '99' IF
NON-HOUSEHOLD OWNER OR
A HIRED MANAGER HAS THE
RESPONSIBILITY. ENTER CODE
'98' FOR DONT KNOW. ADD
ADDITIOAL SPACE FOR LISTING
IDs OF ADULT OWNERS, IF
REQUIRED.
LN LN
What was the average number of hours per week that each owner
spent managing or working on this [ENTERPRISE] over the last
operational month?
THE IDs IN Qs.714 AND 715 SHOULD CORRESPOND AND BE WRITTEN IN
THE SAME ORDER
ADD ADDITIONAL SPACE FOR LISTING OF IDs IF ADULT
OWNERS, IF REQUIRED
LINE NO NO.OF
HOURS
LINE NO NO.OF
HOURSLINE NO
LN
LINE NO NO.OF
HOURS
EN-
TER-
PRISE
ID
E2
E3
E1
LINE NO NO.OF
HOURS
LINE NOLN
LINE NO NO.OF
HOURSLINE NO
LIST ALL ADULT HOUSEHOLD
MEMBERS. ENTER CODE '99' IF
NON-HOUSEHOLD OWNER OR
A HIRED MANAGER HAS THE
RESPONSIBILITY. ENTER CODE
'98' FOR DONT KNOW. ADD
ADDITIOAL SPACE FOR LISTING
IDs OF ADULT OWNERS, IF
REQUIRED.
LINE NO
NO.OF
HOURS
E4
E5
LINE NO NO.OF
HOURSLINE NO NO.OF
HOURS
LINE NO NO.OF
HOURSLINE NO
716
NO.OF
HOURSLINE NO NO.OF
HOURS
NO.OF
HOURSLINE NO NO.OF
HOURS
LINE NO NO.OF
HOURS
NO.OF
HOURS
NO.OF
HOURS
NO.OF
HOURS
LINE NO NO.OF
HOURS
717
LINE NO NO.OF
HOURSLINE NO
04
03
02
Which household
member(s) has the main
responsibility for managing
day-to-day operations?
01
05
06
LINE NO
98
LN LN LN
Page 17
17
MODULE 7B. NON-AGRICULTURAL ENTERPRISE AND ENTERPRISE ASSETS (CONTINUED)
1 - YES 1 - YES
2 - NO 2 - NO
� GO TO Q.740 � GO TO Q.723
Codes for Qs.722 and 727- Main Source of Funding Codes for Q.724 - Enterprise Registration
- Own/Household Savings - With Local Government
- Friends/Relatives - With National Government
- Private Money Lender - Not Registered
- Employees - Registration in process
- Commercial/Development Bank - Other, specify
- Deposit Taking/Microfinance Institution - Don’t Know
- Credit Institution - Refuses to Respond
- Trader/Shop Keeper
- Self Help Group
- NGO
- Government
- Didn’t expand enterprise make capital improvements
or face unexpected expense
- Other, specify
- Don’t Know
07
08
09
E1
E2
10
MOA
ENTE
R-
PRISE
ID
718
ENTER CODE
Which household
member(s) has the main
financial control, including
the ability to sign loans,
leases and contracts?
LIST ALL ADULT HOUSEHOLD
MEMBERS. ENTER CODE '99' IF
NON-HOUSEHOLD OWNER OR
A HIRED MANAGER HAS THE
RESPONSIBILITY. ENTER CODE
'98' FOR DONT KNOW. ADD
ADDITIOAL SPACE FOR LISTING
IDs OF ADULT OWNERS, IF
REQUIRED.
How was this [ENTERPRISE] acquired?
HH LINE
NO.
MOA
HH LINE
NO.
722
96
98
IF >1 OWNER ALLOW >1 RESPONSE ADD
ADDITIONAL SPACE FOR LISTING IDs OF ADULT
OWNERS IF REQUIRED
THE IDs IN Qs.714 AND 719 SHOULD
CORRESPOND AND BE WRITTEN IN THE
SAME ORDER
97
DO NOT
READ LIST
E5
11
ENUMERATOR:
WAS THIS
[ENTERPRISE]
FOUNDED (Q.719,
CODE 1) OR
PURCHASED
(CODE 2)?
What was
the main
source of
funding used
for
purchasing
or founding
this [ENTER-
PRISE]?
HH LINE
NO.
MOA
LN
96
98
719 720
ENUMERATOR: IS
THE
RESPONDENT
AMONG THE
OWNERS OF THE
[ENTERPRISE]
ACCORDING TO
Q.714?
721
HH LINE
NO.
03
04
05
06
03
04
12
01
02
01
02
HH LINE
NO.
ADD ADDITIONAL SPACE FOR LISTING OF IDs OF
ADULT OWNERS, IF REQUIRED
MOA
E3
E4
MOA
LN LN LN
Page 18
18
MODULE 7B. NON-AGRICULTURAL ENTERPRISE AND ENTERPRISE ASSETS (CONTINUED)
1 - YES
2 - NO,
�GO TO Q.730
Codes for Q.725 - Records of Enterprise Codes for Q.730 - Reason for not applying for a loan/credit
- No written account kept - No need for a loan enterprise, has sufficient capital
- Informal record for personal use - Application procedures for loans or line of credit are complex
- Simplified accounting format - Interest rates are not favourable
required for tax payment - Collateral requirements for loans or line of credit are
- Detailed format account unattainable
(Balance sheet and income statement) - Size of loan and maturity are insufficient
- Don’t Know - Did not think it would be approved
- Refuses to Respond - Other, specify
Codes for Q.733 - Number of Employees Codes for Q.734 - Desired size of enterprise
- Increased - Enterprise is the size I prefer
- Decreased � GO TO Q.736
- Remained the same - I wanted to grow the enterprise
- Don’t Know
01
02
03
04
727 728
During the last
twelve months,
did the
[ENTERPRISE]
apply for loans or
line(s) of credit?
During the past
year, what was
the primary
source of funding
used to finance
expansion and
capital
improvements or
to face
unexpected
expenses for this
[ENTERPRISE]?
726725
ENTER CODE
723 724
01
02
03
04
In what year was this [ENTERPRISE]
acquired by the owner(s)?
02
03
01
98
Is this [ENTER-
PRISE]
registered?
What type of
records or
accounts this
[ENTERPRISE]
maintained?
YEAR
HH
LINE
NO
YEAR
HH
LINE
NO
YEAR
HH
LINE
NO
YEAR
HH
LINE
NO
YEAR
ENTER CODE "98" FOR DON'T KNOW
98
1
2
97
IF >1 OWNER ALLOW >1 RESPONSE ADD
ADDITIONAL SPACE FOR LISTING IDs OF
ADULT OWNERS IF REQUIRED
ADD ADDITIONAL SPACE FOR LISTING OF
IDs OF ADULT OWNERS, IF REQUIRED.
ENTER
NUMBER
DO NOT READ
LIST
05
06
96
How many paid
employees does
this
[ENTERPRISE]
currently employ
on a continuous
basis, excluding
the owner(s)?
THE IDs IN Qs.714 AND 723 SHOULD
CORRESPOND AND BE WRITTEN IN THE
SAME ORDERENTER CODE
HH
LINE
NO
Page 19
19
MODULE 7B. NON-AGRICULTURAL ENTERPRISE AND ENTERPRISE ASSETS (CONTINUED)
1 - YES,
� GO TO Q.731
2 - NO,
� GO TO Q.731
Codes for Q.735 - Factors that constrained business owners to increased size of enterprise
A - Did not make efforts to grow it J - Lack of market information
B - Lack of demand K - High tax rates
C - Lack of inputs L - Lack of clear ownership of land
D - Lack of finance M - High crime ratess
E - Poor quality of supply of electricity N - Economic policy uncertainty
and phone O - Corruption
F - Lack of trained employees P - Lack of time to work on the business due to household chores
G - Cost of hiring employees X - Other, specify
H - Legal regulations Y - Don’t Know
I - Poor quality roads
ENTER CODE ENTER CODE
734
Is the [ENTER-
PRISE] your
desired size or
did you wish to
grow it and
weren't able to?
731
What was the
approximate monthly
turnover from the
[ENTERPRISE] (the total
value of sales of goods
or services, consider an
average over the last
three operational
months)?
733732
Over the past
three years,
has the number
of paid
employees
increased,
decreased or
remained the
same?
730
What was the
main reason your
enterprise did not
apply for a line of
credit or a loan?
729
Was the loan
application
accepted?
IF RESPONDENT
APPLIED FOR MORE
THAN ONE LOAN IN
THE LAST 12 MONTHS,
REFER TO THE MOST
RECENT LOAN IN THE
SAME TIME PERIOD.
EN-
TER-
PRISE
ID
DO NOT READ
LIST
ESTIMATE VALUE IN
PHILIPPINE PESO.
ESTIMATE VALUE IN
PHILIPPINE PESO.
What was the
approximate total
monthly income earned
from the [ENTERPRISE]
after paying all
expenses, including
wages of employees, but
not including any income
paid to yourself and
other owners (consider
average over the last
three operational
months)?
E4
E5
E1
E2
E3
Page 20
20
MODULE 7B. NON-AGRICULTURAL ENTERPRISE AND ENTERPRISE ASSETS (CONTINUED)
Codes for Q.736-Taken part in any course or training Codes for Q.737- Receive managerial advice
A - As part of my regular education at school - Spouse/partner
B - At my initiative - Other family members/relatives
C - As a condition for receiving a loan/ - Friends
for participating in a program - A public advising service
D - Training from government (bank, lawyer, accountant)
E - Training from NGO - Other, specify
X - Other, specify - NONE/REFUSE
F - NO
E5
E3
E4
X
ENTER CODE
B
C
DO NOT READ LIST
ENTER CODE
E
SELECT UP TO THREE
RESPONSES
SELECT UP TO THREE
RESPONSES
DO NOT READ LIST
D
A
738
CHOOSE ONLY THE
MAIN REASON
What factors would
increase your
happiness/satisfaction
as an entrepreneur?
ENTER CODE ENTER CODE
What is the main
motivation for
running/operating this
[ENTERPRISE]?
Various people may give
you advice on managing
your enterprise. From
whom do you regularly
(once or more per
month) receive
managerial advice for
managing your
enterprise?
SELECT UP TO THREE
RESPONSES
DO NOT READ LIST
737
DO NOT READ LIST DO NOT READ LIST
SELECT UP TO THREE
RESPONSES
739
E2
EN-
TER-
PRISE
ID
E1
Have you ever taken
part in any course or
training activity, whether
formal or informal, on
how to start an
enterprise, such as
training on how to
develop a business plan,
assess market
opportunities, identitfy
and access start-up
capital, develop
business network, etc.?
735
What factors have
constrained the
business owner's
ability to increase
the size of the
[ENTERPRISE] to the
desired size?
736
Page 21
21
MODULE 7B.NON-AGRICULTURAL ENTERPRISE AND ENTERPRISE ASSETS (CONTINUED)
01 - YES
02 - NO
- DON’T KNOW
LN
Codes for Q.738 - Main motivation for operating the Enterprise
01 - To fill a need seen in the market for an entirely new product/service or for an improvement in an
existing product/service
02 - Because the owner identified a very profitable area for enterprise (low wages, cheap inputs, new fashion)
03 - To make more money
04 - To gain greater flexibility, control of time
05 - To fulfill a dream, realize a passion
06 - To supplement the family income
07 - Because it is the family enterprise (it is what is expected
08 - To make a positive contribution to life in the community
09 - Because the owner did not have other choice/lost job, laid off/to feed family
10 - Owner inherited the enterprise from another person
96 - Other, specify
98 - Don’t Know
E4
E5
E2
E3
Equipment/
Machinery/
Furniture
Stocks of
Materials
LN
E1
742
If the [ENTERPRISE ASSETS]
were to be sold today, which
member(s) of this household
would decide how the money
is used?
LIST ALL ADULTS FROM THE
HOUSEHOLD ROSTER. IF
SOMEONE FROM OUTSIDE OF THE
HOUSEHOLD WOULD DECIDE,
ENTER CODE '99' IN ADDITION TO
ID(S) OF HOUSEHOLD MEMBER(S).
ADD ADDITIONAL SPACE FOR
LISTING IDs, IF REQUIRED
Does this [ENTERPRISE]
currently own any of the
following assets?
How much would be received for
all of the [ENTERPRISE ASSET] if it
were sold today (please estimate
total value per type of asset)?
ESTIMATE IN PHILIPPINE PESO.
RECORD '97' IF REFUSE TO ANSWER.
RECORD '98' IF DON’T KNOW
743
EN-
TER-
PRISE
ID
98
IF NO OR DON’T KNOW FOR
BOTH � GO TO Q.745
IF THE RESPONSE IS 'NO' OR
DON'T KNOW FOR BOTH
EQUIPMENT/MACHINERY/
FURNITURE AND STOCKS O F
MATERIALS. GO TO Q745
LIST ALL ADULTS FROM THE
HOUSEHOLD ROSTER. IF SOMEONE
FROM OUTSIDE OF THE HOUSEHOLD
HAS RIGHT TO SELL, ENTER CODE
'99' IN ADDITION TO ID(S) OF
HOUSEHOLD MEMBER(S). ADD
ADDITIONAL SPACE FOR LISTING IDs,
IF REQUIRED
LN LN LN LN
740
LN
If this [ENTERPRISE] were to be
sold, which member(s) of this
household would be involved in
the decision to sell?
Equipment/
Machinery/
Furniture
Stocks of
Materials
741
LN
Page 22
22
MODULE 7B. NON-AGRICULTURAL ENTERPRISE AND ENTERPRISE ASSETS (CONTINUED)
1 - ALONE
2 - WITH ADULT FEMALE(S) PRESENT
3 - WITH ADULT MALE(S) PRESENT
4 - WITH ADULTS MIXED SEX PRESENT
5 - WITH CHILDREN PRESENT
6 - WITH ADULTS MIXED SEX AND
CHILDREN PRESENT
1 - YES 1 - YES
2 - NO, 2 - NO,
� �
REMARKS
Codes for Q.739 - Factors that would increase happiness/satisfaction
A - More money at the end of the month for me and my family
B - More support from my spouse/partner/family and community
C - Having more time to spend with my family
D - Having less problems complying with public regulations/spend less time to fill paperwork,
get authorization and pay taxes
E - Feeling less concerned about my personal security and the security of my assets
F - Having capable and motivated help (from my paid and unpaid employees)
G - Nothing, I am fully satisfied with my work as enterprise owner
X - Other, specify
REMARKS
LIST UP TO 3 FROM
HOUSEHOLD ROSTER
746 747
LN LN LN
748
CODE FOR ABILITY OF RESPONDENT TO
BE INTERVIEWED ALONE:
(Reasons why interview was not
administered with the respondent alone
should be explained in the remarks)
GO TO NEXT
ROW
LN
745
ENUMERATOR: IS
RESPONDENT
THE OWNER/ONE
OF THE OWNERS
OF THE
[ENTERPRISE] IN
Q.714?
GO TO NEXT
ROW
Are there any
household
members 18
years old and
over do not
know about
your ownership
of this
[ENTERPRISE]?
Which household
member 18 years old
and over does not
know about your
ownership of this
[ENTERPRISE]?
LIST ALL ADULTS FROM THE
HOUSEHOLD ROSTER. IF SOMEONE
FROM OUTSIDE OF THE HOUSEHOLD
HAS RIGHT TO BEQUEATH, ENTER
CODE '99' IN ADDITION TO ID(S) OF
HOUSEHOLD MEMBER(S). ADD
ADDITIONAL SPACE FOR LISTING IDs,
IF REQUIRED
LN
E2
E3
E4
E5
EN-
TER-
PRISE
ID
E1
744
LN
Which household member(s)
would be involved in the
decision to bequeath this [ENTERPRISE]?
LN
Page 23
23
MODULE 8. OTHER REAL ESTATE
Do you or any member of your household currently own any other real estate exclusively or jointly with
someone else, including other dwelling/buildings, flats, other real estate, such as stores, owned by
household enterprise, non-agricultural plots, either rural or urban?
01 - YES
02 - NO � GO TO Q.823
98 - DON’T KNOW � GO TO Q.823
803
Codes for Q.802 - Real State Ownership Codes for Q.805 - Use of Real Estate
01 - Single/Detached House 01 - Household, Non commercial Use �GO TO Q.807
02 - Duplex 02 - Household, Commercial Use
03 - Apartment/accessoria/ 03 - Rented out �GO TO Q.807
condominium/town house 96 Other (Specify) �GO TO Q.807
04 - Commercial/industrial/agricultural 98 - Don’t Know �GO TO Q.807
building/house (e.g. store, etc)
05 - Servants Quarter
06 - Tenement
07 - Non-agricultural land
96 - Other, specify
804 805
LN LN LN
What is this
[REAL
ESTATE]
used for?
DO NOT READ
LIST
LOCATION ADDRESS OF [REAL ESTATE]
LN
2 - RURAL
ENTER CODE
ENTER
ENTERPRISE ID
CODE
LIST ALL ADULTS FROM THE
HOUSEHOLD ROSTER. IF OWNED BY
ALL ADULT HOUSEHOLD MEMBERS
THEN FILL IN THE IDs OF ALL ADULT
HOUSEHOLD MEMBERS. IF JOINTLY
OWNED BY SOMEONE FROM
OUTSIDE OF THE HOUSEHOLD,
ENTER CODE '99'IN ADDITION TO
ID(S) OF HOUSEHOLD MEMBER(S).
ADD ADDITIONAL SPACE FOR LISTING
IDs OF OWNERS, IF REQUIRED.
RE5
RE6
801
RE4
RE3
RE2
ENTER CODE
807806802
List each piece of
other real estate
that someone in
your household
owns.
1 - URBAN
READ LIST
IF THE REAL ESTATE IS LOCATED IN THE SAME
BARANGAY, WRITE "THE SAME CODES
INDICATED IN IDENTIFICATION PARTICULARS"
ON THE SPACE PROVIDED FOR PROVINCE,
CITY/MUNICIPALITY AND BARANGAY.
PROVINCE CITY/MUN BARANGAY
CODE Where is this
[REAL ESTATE]
located?
ENUMERATOR
TO HELP
RESPONDENT
IDENTIFY
WHETHER
LOCATION IS
RURAL/URBAN
RE1
Which non-
agricutural
enterprise ID is
this [REAL
ESTATE] used
for?
Who owns this [REAL ESTATE]?
Page 24
24
MODULE 8. OTHER REAL ESTATE (CONTINUED)
Codes for Q.809-Acquisition Status Codes for Q.810 - Ownership of Document
01 - Purchased - A Title Deed
02 - Inherited after the death of a natal family member - A Certificate of Customary Ownership
03 - Inherited after the death of marital family member - A Certificate of Occupancy
04 - Acquired due to marital law/custom - A Will
05 - Allocated/gift from household member - A Purchase Agreement
06 - Allocated/gift from non-household member - Other (Specify)
07 - Government program - NONE �GO TO Q.812
08 - Encroachment - Don’t Know �GO TO Q.812
96 - Other, specify _______
98 - Don't Know
RE2
RE3
01
02
808
03
04
05
96
06
98
RE4
LINE
NO
LINE
NO
MOA
LINE NO
YEAR
MOA
LINE
NO
MOAYEAR
809
RE5
RE6
CODE
RE1
How did the owner(s) of this (these)
[REAL ESTATE] acquire it? Indicate the
mode of acquisition (MOA)
IF ≥1 OWNER, ALLOW ≥ RESPONSE, ADD
ADDITIONAL SPACE FOR LISTING IDs OF
ADULT OWNERS, IF REQUIRED.
ADD ADDITIONAL SPACE FOR LISTING OF IDs
OF ADULT OWNERS, IF REQUIRED.
THE IDs IN Q807 AND 808 SHOULD CORRESPOND AND BE
WRITTEN IN THE SAME ORDER
Whose names are listed as
owners on the ownership
document for this [REAL ESTATE]?
ENTER CODE
LIST ALL ADULTS FROM HOUSEHOLD
ROSTER. IF SOMEONE FROM OUTSIDE
OF THE HOUSEHOLDIS LISTED AS
OWNER, ENTER CODE '99' IN ADDITION
TO ID(S) OF HOUSEHOLD MEMBER(S).
ADD ADDITIONAL SPACE FOR LISTING
IDs OF ADULT OWNERS, IF REQUIRED
LINE NO
YEAR
810
IF ≥1 OWNER, ALLOW ≥ RESPONSE, ADD ADDITIONAL SPACE
FOR LISTING IDs OF ADULT OWNERS, IF REQUIRED.
In what year was the [REAL ESTATE] acquired by the
owner(s)?
ADD ADDITIONAL SPACE FOR LISTING OF IDs OF ADULT
OWNERS, IF REQUIRED.
Is there an
ownership
document for
this [REAL
ESTATE]?
LN LN LN
MOA
LINE
NO
MOA
LINE
NO
MOA
LN
LINE NO
YEAR
YEAR
LINE NO
YEAR
THE IDs IN Q807 AND 809 SHOULD
CORRESPOND AND BE WRITTEN IN THE
SAME ORDER.
811
YEAR
LINE NO
LINE NO LINE
NO
ENTER CODE "98" FOR DON'T KNOW YEAR
Page 25
25
MODULE 8. OTHER REAL ESTATE (CONTINUED)MODULE 8. OTHER REAL ESTATE (CONTINUED)
1 - YES,
2 - NO,
�
�GO TO Q.819
97 - REFUSE TO ANSWER
�GO TO Q.817
98 - DON'T KNOW
�GO TO Q.817
Codes for Q.814 Codes for Q.815
- YES Individuals sell 1 - Informed of Transactions
- NO Transactions � GO TO Q.816 2 - Not Informed of Transactions
- Don’t Know � GO TO Q.816
RE2
RE3
RE4
817816813 814 815
02
98
01
If this [REAL ESTATE] were
to be sold, which
member(s) of this
household would be
involved in the decision to
sell?
RE1
LIST ALL ADULT FROM THE
HOUSEHOLD ROSTER. IF
SOMEONE FROM OUTSIDE OF
THE HOUSEHOLD HAS RIGHT
TO SELL, ENTER CODE '99'IN
ADDITION TO ID(S) OF
HOUSEHOLD MEMBER(S). ADD
ADDITIONAL SPACE FOR
LISTING IDs, IF REQUIRED
RE5
RE6
ENTER
CODE
812
ENTER
CODE
If this [REAL ESTATE] were
to be sold today, how
much could be received for
it?
LIST ALL ADULTS FROM THE
HOUSEHOLD ROSTER. IF SOMEONE
FROM OUTSIDE OF THE HOUSEHOLD
HAS RIGHT TO BEQUEATH, ENTER
CODE '99' IN ADDITION TO ID(S) OF
HOUSEHOLD MEMBER(S). ADD
ADDITIONAL SPACE FOR LISTING IDs,
IF REQUIRED
Which member(s) of this
household would be involved in
the decision to bequeath this
[REAL ESTATE]?
LN LN LN LN LN LN LN LN
818
(FOR CODE 1-
SINGLE/DETACHED HOUSE
IN Q.802, AND 97-REFUSED
TO ANSWER, OR 98-DON’T
KNOW IN Q.816)
What would it cost to
construct this [REAL
ESTATE] today, including
the cost of the plot of
land on which the real
estate is located?
ESTIMATE IN PHILIPPINE PESO.
RECORD '97' IF REFUSE TO
ANSWER. RECORD '98' IF
DON’T KNOW
ESTIMATE IN PHILIPPINE
PESO. RECORD '97' IF
REFUSE TO ANSWER.
RECORD '98' IF DON’T KNOWENTER
CODE
IF ESTIMATED VALUE IS
OBTAINED
CODE ENUME-
RATOR:
WAS THIS
[REAL
ESTATE]
CODE 1 IN
Q.802?
GO TO
Q.819
Are you
informed
regarding
the value
of recent [REAL
ESTATE]
sales
tran-
sactions?
Do
individuals
sell any
[REAL
ESTATE]
around
where the
real estate
is located?
Page 26
26
MODULE 8. OTHER REAL ESTATE (CONTINUED)
1 - ALONE
2 - WITH ADULT FEMALE(S) PRESENT
3 - WITH ADULT MALE(S) PRESENT
4 - WITH ADULTS MIXED SEX PRESENT
5 - WITH CHILDREN PRESENT
6 - WITH ADULTS MIXED SEX AND
CHILDREN PRESENT
1 - YES 1 - YES
2 - NO 2 - NO
� �
823
Which household
member 18 years old
and over who does not
know about your
ownership of this [REAL
ESTATE]?
821
CODE FOR ABILITY OF RESPONDENT TO BE
INTERVIEWED ALONE.
If this [REAL ESTATE] were to
be sold today, who would
decide how the money is
used?
Are there any
household
members 18
years old and
over that do not
know about your
ownership of this
[REAL ESTATE]?
(Reasons why interview was not
administered with the respondent alone
should be explained in the remarks)
RE6
LN LNLN LN
RE3
RE4
RE5
RE2
LIST UP TO 3 FROM
HOUSEHOLD ROSTER
GO TO NEXT
ROW
GO TO NEXT
ROW
LIST ALL ADULTS FROM THE
HOUSEHOLD ROSTER. IF
SOMEONE FROM OUTSIDE OF THE
HOUSEHOLD WOULD DECIDE,
ENTER CODE '99' IN ADDITION TO
ID(S) OF HOUSEHOLD MEMBER(S).
ADD ADDITIONAL SPACE FOR
LISTING IDs, IF REQUIRED
819 820 822
ENUMERATOR: IS
RESPONDENT
THE OWNER/ONE
OF THE OWNERS
OF [REAL
ESTATE] IN Q807?
REMARKS:LNLNLN
CODE
RE1
Page 27
27
MODULE 9. CONSUMER DURABLES
1 - ALONE
2 - WITH ADULT FEMALE(S) PRESENT
3 - WITH ADULT MALE(S) PRESENT
4 - WITH ADULTS MIXED SEX PRESENT
- YES 5 - WITH CHILDREN PRESENT
- NO 6 - WITH ADULTS MIXED SEX AND
�GO TO NEXT ROW CHILDREN PRESENT
- DON'T KNOW
�GO TO NEXT ROW
915 Other, (Specify)
912 Motorcycle/Tricycle
913 Car/Jeep/Van
914 Pick-up Truck
909 Cell phone
910Computer/Laptop/
Netbook
911 Bicycle
907 Radio
908 Television
904 Electric Fan
905 DVD/Karaoke
906 Refrigerator
902 Gas Range/Stove
903 Aircon
DURA-
BLE
CODE
DURABLE NAMES
903
CODE FOR ABILITY OF RESPONDENT TO BE
INTERVIEWED ALONE.
902901
Do you or any member of
your household own any
[CONSUMER DURABLE]
exclusively or jointly with
someone else?
Who is/are the adult owner(s)
of at least one of this
[CONSUMER DURABLE]?
REMARKS
98
901 Washing Machine
(Reasons why interview was not administered
with the respondent alone should be
explained in the remarks)
LN LN LN LN
LIST ALL ADULTS FROM THE
HOUSEHOLD ROSTER. IF OWNED
BY ALL ADULT HOUSEHOLD
MEMBERS THEN FILL IN THE IDs
OF ALL ADULT HOUSEHOLD
MEMBERS. IF JOINTLY OWNED BY
SOMEONE FROM OUTSIDE OF THE
HOUSEHOLD, ENTER CODE '99' IN
ADDITION TO ID(S) OF
HOUSEHOLD MEMBER(S). ADD
ADDITIONAL SPACE FOR LISTING
IDs OF ADULT OWNERS, IF
REQUIRED.
READ ALL CATEGORIES
01
02
Page 28
28
MODULE 10. FINANCIAL ASSETS
Do you or any member of your household own any financial asset, exclusively
or jointly with somenone else, including commercial bank accounts, microfinance
accounts, informal savings program, equity (stock/shares), bonds, pension fund, life
insurance or other types?
- YES
- NO �GO TO Q.1008
- Don’t Know �GO TO Q.1008
1 - YES, 1 - YES,
2 - NO, 2 - NO,
�GO TO �GO TO
NEXT ROW NEXT ROW
Code for Q.1002 - List of Financial Asset
01 - Commercial Bank Account
02 - Microfinance Account
03 - Informal Savings Program
04 - Equity (stocks/shares)
05 - Bonds
06 - Pension Fund
07 - Life insurance
96 - Other Financial Assets (Specify)
LN LNLN LN LN LN LN
FA8
FA5
FA6
FA7
FA2
FA1
FA4
FA3
LIST UP TO 3 FROM
HOUSEHOLD ROSTER
(IF CODE 1 IN
Q.1005) Are
there any
household
members 18
years old and
over that do not
know about
your ownership
of this
[FINANCIAL
ASSET]?
ENUMERATOR:
IS
RESPONDENT
THE
OWNER/ONE OF
THE OWNERS
OF [FINANCIAL
ASSET]LISTED
IN Q.1003?
CHECK IN
ACCOR-
DANCE TO
Q.1003
ESTIMATE IN PHILIPPINE
PESO. RECORD '97' IF
REFUSE TO ANSWER,
RECORD '98' IF DON’T KNOW
Which household
member 18 years old
and over does not
know about your
ownership of this
[FINANCIAL ASSET]?
1006 100710051004
READ LIST
BELOW
ENUMERATOR: LIST
EACH FINANCIAL
ASSET THAT
SOMEONE IN YOUR
HOUSEHOLD OWNS.
Whose name is on the
[FINANCIAL ASSET]?
LIST ALL ADULTS FROM THE
HOUSEHOLD ROSTER. IF THE
NAME OF SOMEONE FROM THE
HOUSEHOLD IS ON THE ACCOUNT,
ENTER '99'. ADD ADDITIONAL
SPACE FOR LISTING IDs OF ADULT
OWNERS, IF REQUIRED
What is the current value
of the [FINANCIAL
ASSET]?
ASSET
NO.
1003
1001
1002
01
02
98
Page 29
29
MODULE 10. FINANCIAL ASSETS (CONTINUED)
Does any person or any enterprise owe you or any member of your
household any money?
- YES
- NO � GO TO Q.1015
- REFUSED � GO TO Q.1015 `
- DON’T KNOW � GO TO Q.1015
L
O
A
N - Family and/or
household member
N - Friend/Relative
U - Employer
M - Client/Customer
B - Self Help Group
E - Other (Specify)
R - Refused to Respond
- Don’t Know 1 - YES, 1 - YES,
2 - NO, 2 - NO,
� �
CODE FOR ABILITY OF RESPONDENT TO BE INTERVIEWED ALONE
RESPONSE CODES:
1 - ALONE 4 - WITH ADULTS MIXED SEX PRESENT
2 - WITH ADULT FEMALES PRESENT 5 - WITH CHILDREN PRESENT
3 - WITH ADULT MALES PRESENT 6 - WITH ADULTS MIXED SEX AND CHILDREN PRESENT
(Reasons why interview was not administered with the respondent(s) alone should
be explained in the remarks).
REMARKS:
___________________________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
CODE
96
97
98
LN
01
02
01
02
97
98
1009
Who was the money lent to?
LN LN LN
GO TO NEXT
ROW
GO TO NEXT
ROW
LIST UP TO 3 FROM
HOUSEHOLD
ROSTER
1012
Which household
member 18 years old
and over does not
know about your
ownership of this
[MONEY]?
What is the remaining
amount to be received
on the loan (principal +
interest)?
ENUMERATOR: IS
RESPONDENT A
SOLE/JOINT
LENDER OF THE
MONEY IN Q.1010?
04
05
LIST ALL ADULT FROM
HOUSEHOLD ROSTER, IF
SOMEONE FROM OUTSIDE
OF THE HOUSEHOLD IS A
JOINT LENDER OF THE
MONEY ALONG WITH A
HOUSEHOLD MEMBER,
ENTER '99' FOR THE LENDER
OUTSIDE THE HOUSEHOLD.
ADD ADDITIONAL SPACE FOR
LISTING IDs OF ADULT
LENDERS, IF REQUIRED
1010
03
1015
LN4 __________________
LN3 __________________
LN5 __________________
LN6 __________________
1008
LN
Which member(s) of the
household lent of the
[money]?
LN2 __________________
LN1
WRITTEN DESCRIPTION
__________________
LN LN
1011 1013 1014
Are there any
household
members 18 years
old and over that
do not know about
your ownership of
this [MONEY]?
ESTIMATE IN PHILIPPINE
PESO. RECORD '97' IF
REFUSE TO ANSWER,
RECORD '98' IF DON’T
KNOW
Page 30
30
MODULE 11. LIABILITIES
1101 Do you or any member of your household owe money to anyone or any institution?
- YES
- NO � GO TO Q.1110
- REFUSED � GO TO Q.1110
- DON’T KNOW � GO TO Q.1110
- Another Household
Member
- Friends/Relatives
- Private Money Lender
- Employer
- Commercial/
Development Bank
- Microfinance
Institution
- Cooperative Credit Societies
- Trader/Shop Keeper
- Self Help Group
- NGO
- Government
- Pawnshop
- Other (Specify)
Codes for Q.1103 - Main Purpose for Seeking Loan
FOR NON-AGRICULTURAL HOUSEHOLD ENTERPRISE
01 - Purchase inputs/working capital for non-
agricultural enterprise
FOR HOUSEHOLD OR AGRICULTURAL ENTERPRISE
02 - Buy Land �GO TO Q.1105
03 - Buy Livestock �GO TO Q.1105
04 - Buy Agricultural Tools and Implements �GO TO Q.1105
05 - Buy Agricultural Inputs �GO TO Q.1105
06 - Buying House/Pay for Building Materials/ �GO TO Q.1105
Repair renovation of houses
07 - Buy Consumption Goods and Services �GO TO Q.1105
08 - To Pay Education Expenses �GO TO Q.1105
09 - To Pay Health Expenses �GO TO Q.1105
- To Pay for Ceremonial Expenses �GO TO Q.1105
- Other (Specify) �GO TO Q.1105
- Don’t Know �GO TO Q.1105
10
96
98
LNLN LN
____
LN2
____
U
____
____
09
CODE
__________________
LN3__________________
LN1__________________
LN4__________________
WRITTEN DESCRIPTION
11
07
08
12
96
10
ENTER
ENTERPRISE ID
What is the remaining
amount to be repaid on
the loan (principal +
interest)?
02
03
1103
DO NOT READ
LIST
What was the main
purpose for seeking
this [loan]?
1102
Who was the money borrowed from?
04
05
97
98
01
02
01
A
N
LN
Which household
member(s) borrowed the
[money]?
ESTIMATE IN PHILIPPINE
PESO. RECORD '97' IF
REFUSE TO ANSWER,
RECORD '98' IF DON’T
KNOW
ENTER CODE
06
M
B
E
1104
ENUMERATOR: (IF
CODE 1 IN Q.1103) IF
THE LOAN WAS
DRAWN FOR A NON-
AGRICULTURAL
ENTERPRISE, ENTER
THE ENTERPRISE ID
FROM MODULE 7
1105 1106
N
LIST ALL ADULTS FROM THE
HOUSEHOLD ROSTER. IF THE
MONEY BORROWED JOINTLY
WITH SOMEONE FROM
OUTSIDE OF THE
HOUSEHOLD, ENTER '99' IN
ADDITION TO ID(S) OF
HOUSEHOLD MEMBER(S).
ADD ADDITIONAL SPACE FOR
LISTING IDs, IF REQUIRED.
R
L
O
Page 31
31
MODULE 11. LIABILITIES
1110
1 - ALONE
2 - WITH ADULT FEMALE(S) PRESENT
3 - WITH ADULT MALE(S) PRESENT
4 - WITH ADULTS MIXED SEX PRESENT
5 - WITH CHILDREN PRESENT
6 - WITH ADULTS MIXED SEX AND
CHILDREN PRESENT
1 - YES, 1 - YES,
2 - NO, 2 - NO,
� �GO TO NEXT
ROW
GO TO NEXT
ROW
LN1
LN2
LN3
LN4
L
O
A
N
N
O
REMARKS:
CODE FOR ABILITY OF RESPONDENT TO BE
INTERVIEWED ALONE.
(Reasons why interview was not administered with
the respondent alone should be explained in the
remarks)LN LN LN
Which household member
above the 18 years old and
over does not know about
your ownership of this
[LOAN]?
ENUMERATOR: IS
RESPONDENT A
SOLE/JOINT
BORROWER OF THIS
MONEY IN Q.1105?
LIST UP TO 3 FROM
HOUSEHOLD ROSTER
1109
Are there any
household members
18 years old and
over that do not
know about your
ownership of this
[LOAN]?
11081107
Page 32
32
MODULE 12. VALUABLES
CODE FOR ABILITY OF RESPONDENT TO BE
INTERVIEWED ALONE
RESPONSE CODES:
1 - ALONE
2 - WITH ADULT FEMALES PRESENT
3 - WITH ADULT MALES PRESENT
4 - WITH ADULTS MIXED SEX PRESENT
5 - WITH CHILDREN PRESENT
6 - WITH ADULTS MIXED SEX AND CHILDREN PRESENT
- YES
- NO,
� GO TO NEXT ROW
- Don’t Know
� GO TO NEXT ROW
STONES
LN LN LN
98
LN
1202 1203
V
READ ALL
CATEGORIES
B
1201
A
L
U
B
L
A
Who in the household owns
at least one of this
[VALUABLE]?
L
E
Do you or any member
of your household own
any [VALUABLE]
exclusively or jointly with
someone else?
REMARKS:
LIST ALL ADULTS FROM THE
HOUSEHOLD ROSTER. IF OWNED
BY ALL ADULT HOUSEHOLD
MEMBERS THEN FILL IN THE IDs
OF ALL ADULT HOUSEHOLD
MEMBERS. ADD ADDITIONAL
SPACE FOR LISTING IDs OF ADULT
OWNERS, IF REQUIRED
102SEMI-PRECIOUS AND
PRECIOUS METALS
(Reasons why interview was not administered with
the respondent(s) alone should be explained in the
remarks).
N
A
M
E
E
C
O
D
E
103SEMI-PRECIOUS AND
PRECIOUS STONES
105 OTHERS, SPECIFY
101 JEWELRY
104 PAINTINGS
01
02
U
A
V
A
L
Page 33
33
MODULE 13. END OF QUESTIONNAIRE
ENUMERATOR: ENTER RESPONSE CODE FOR COMPLETION STATUS OF INDIVIDUAL QUESTIONNAIRE:
1 - COMPLETED �GO TO Q.1303
2 - PARTIALLY DONE
3 - NOT INTERVIEWED
[REASON FOR PARTIALLY DONE OR NOT INTERVIEWED SHOULD BE EXPLAINED IN THE REMARKS]
ENUMERATOR: REASON FOR PARTIALLY DONE OR NOT INTERVIEWED SHOULD BE EXPLAINED BELOW
ENUMERATOR: INDICATE THE NUMBER OF CALL BACKS YOU MADE TO THE HOUSEHOLD, IF ANY, IN ORDER
TO INTERVIEW RESPONDENT
ENUMERATOR: RECORD END TIME FOR INDIVIDUAL INTERVIEW:
ANY FURTHER COMMENTS:
MINUTES
1301
1302
1303
1304
HOURS
Page 34
34
TRACTOR RICE PLANTER
CORN PLANTER PLOUGH
HAND TRACTOR CORN SHELLER
RICE SHELLER PLOUGH
LARGE AGRICULTURAL EQUIPMENT
Page 35
35
SMALL AGRICULTURAL EQUIPMENT
SPRAYER
MILK CAN
SLASHER (KARIT) HOE (ASAROL) PANGA