Household Head ____________ Household ID Region Shehia District Sheha Name ____________ Enumerator Name ____________ Enumerator ID Contact information: Principal investigator: Alfredo Burlando 0776 651 247 Chief Supervisor: Haji M. Haji 0784 345 577 Completed? Date completed Date 1 st Review Revision required? Date 2 nd Review Revision required? A. Roster u ________ ________ u ________ u B. Fertility u ________ ________ u ________ u C. Home u ________ ________ u ________ u C. Labor, husb. u ________ ________ u ________ u C. Labor, wife u ________ ________ u ________ u D. Leisure, wife u ________ ________ u ________ u D. Leisure, husb. u ________ ________ u ________ u E. Additional module(s) u ________ ________ u ________ u LEISURE AND LABOR SURVEYS UNGUJA DECEMBER 2008 Date received Entered? Date Entered Revised? Date Revised A. Roster ________ u ________ u ________ B. Fertility ________ u ________ u ________ C. Home ________ u ________ u ________ C. Labor, husb. ________ u ________ u ________ C. Labor, wife ________ u ________ u ________ D. Leisure, wife ________ u ________ u ________ D. Leisure, husb. ________ u ________ u ________ E. Additional module(s) ________ u ________ u ________ Comments: 1 English Version
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Household Head ____________ Household ID
Region Shehia
District Sheha Name ____________
Enumerator Name
____________ Enumerator ID
Contact information: Principal investigator: Alfredo Burlando 0776 651 247Chief Supervisor: Haji M. Haji 0784 345 577
Completed? Date completed
Date 1st
ReviewRevision required?
Date 2nd
ReviewRevision required?
A. Roster u ________ ________ u ________ u
B. Fertility u ________ ________ u ________ u
C. Home u ________ ________ u ________ u
C. Labor, husb. u ________ ________ u ________ u
C. Labor, wife u ________ ________ u ________ u
D. Leisure, wife u ________ ________ u ________ u
D. Leisure, husb. u ________ ________ u ________ u
E. Additional module(s)
u ________ ________ u ________ u
LEISURE AND LABOR SURVEYSUNGUJA
DECEMBER 2008
Date received Entered? Date Entered Revised? Date Revised
A. Roster ________ u ________ u ________
B. Fertility ________ u ________ u ________
C. Home ________ u ________ u ________
C. Labor, husb. ________ u ________ u ________
C. Labor, wife ________ u ________ u ________
D. Leisure, wife ________ u ________ u ________
D. Leisure, husb. ________ u ________ u ________
E. Additional module(s)
________ u ________ u ________
Comments:
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Namba ya familia:______ Namba ya mwandishi:________ Tarehe:____________ Saa ya kwanza:_______ Saa ya mwisho:________
A. ORODHA YA MAJINA YA FAMILIATafadhali utawaje watu wote wa familia yako ambao huishi na hulala apo nyumbani kwako. Uanzie na jina yako, halafu uendelee na majina ya mke au mume yako pamoja na watoto wa mkewe. Mwisho, uwaje watu wengine.
AGE OVER 7
NAMBA
A.1. Name
A.2. RelationshipSEE LIST A2
A.3. Sex1=Male2=Female
A.4. Age
0= below 1
A.6.ID NUMBER OF MOTHER, IF SHE LIVES AT HOME
A.5.Marital statusSEE LIST A5
A.7.IF MARRIED: ID OF SPOUSE, IF LIVES AT HOME. WRITE '99' IF DOES NOT LIVE AT HOME.
A.8. Did you ever attend school?1=YES2=NO
A.9Do you still attend school?1=ENDELEA2=MALIZA
A.9. Which class did ___ complete? SEE LIST A9
A.11. How often does__ sleep at home? SEE LIST A11
A.12. How long has ___ lived here?SEE LIST A12
01
02
03
04
05
06
07
08
09
10
11
12
13
Parends of head 6Relatives of spouse 7Other relatives 8House helper 9Other 10
A.2: RELATIONSHIP
Household head 1Spouse of head 2Child of head 3Child of spouse 4grandchild 5
In the past month, did you do any work for money or food? 1=YES2=NONO>> D35
How many jobs did you do?
Which one is your main job? SEE KEY D3
When did you start this jobi?IF AFTER JUNE 2008 >>D20
Where's this job?SEE KEY D5
How many hours per day do you spend doing this job, and only this job (i.e., no other activity)?
J3 J4 J5 Al Ij J1 J2
TOTAL HOURS PER WEEK
Was this schedule different the month before the blackout, in March and April? 1=DIFFERENT 2=SAMESAME >>D11
Main job—before blackoutD9 D10 D11 D12 D13
NAMBA
NAME OF PERSONS OVER 15 Y.O.
The month before the blackout, how many hours per day did you spend doing your job?
J3 J4 J5 Al Ij J1 J2
TOTAL HOURS PER WEEK
The month before the blackout, how many days did you not work due to illness, travel, shortage of work, or other reasons?
What was your monthly income from this job? 99=DOESN'T KNOW1=BELOW 20,000 TSH2=20,000-49,0003=50,000-100,0004=100,000 – 150,0005= 150,000 – 200,0006=over 200,000
During the blackout, did you work more, less, or the same amount? 1=MORE 2=LESS 3=SAME 4=DIDN'T WORKSAME >> D16DIDN'T WORK>>D19
D5: MAHALI PA KAZI
Nyumbani 1Mtaani 2Nje ya mtaa 3Nje ya shehia 4Mahali mbali mbali 5
D3: JOBFamring 1Fishing 2Retail 3Factory work 4Employed, private entrpr 5
Employed, government, NGOs or other Orgs 6
Has business (not farming) 7
Has small business(not farming) 8
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Main job—during blackoutD14 D15 D16 D17 D18
NAMBA
NAME OF PERSONS OVER 15 Y.O.
The month of the blackout, how many hours per day did you spend doing your job? a kufanya kazi nyingine?
J3 J4 J5 Al Il J1 J2
TOTAL HOURS PER WEEK
During the blackout, how many days did you not do this work due to illness, travel, shortage of work, or other reason?
During the blackout, did you get more money, less money, or the same amount?1= MORE 2= LESS 3=SAME 99=DKSAME OR DK >>D19
How much money did you make extra/ lost during that month? TSH/MONTH
Second jobD19 D20 D21 D21 D22 D23
NAMBA
NAME OF PERSONS OVER 15 Y.O.
LOOK AT ANSWER D2. IF PERSON DOES NOT HAVE ANOTHER JOB >> E.
Now I want to know about your second job. What activity is it? SEE KEY D19
When did you start this jobi?IF AFTER JUNE 2008 >>D35
Where is this job?
SEE KEY D21
How many hours per day do you spend doing this job, and only this job (i.e., no other activity)?
J3 J4 J5 Al Il J1 J2
TOTAL HOURS PER WEEK
Was this schedule different the month before the blackout, in March and April? 1=DIFFERENT 2=SAMESAME >>D26
D19: KAZIFamring 1Fishing 2Retail 3Factory work 4Employed, private entrpr 5
Employed, government, NGOs or other Orgs 6
Has business (not farming) 7
Has small business(not farming) 8
D21: JOB LOCATION
Home 1In neighborhood 2
outside of neighborhood 3Outside of village 4
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Second job—before blackoutD24 D25 D26 D28 D29
NAMBA
NAME OF PERSONS OVER 15 Y.O.
The month before the blackout, how many hours per day did you spend doing your job?
J3 J4 J5 Al Ij J1 J2
TOTAL HOURS PER WEEK
The month before the blackout, how many days did you not work due to illness, travel, shortage of work, or other reasons?
What was your monthly income from this job? 99=DOESN'T KNOW1=BELOW 20,000 TSH2=20,000-49,0003=50,000-100,0004=100,000 – 150,0005= 150,000 – 200,0006=over 200,000
During the blackout, did you work more, less, or the same amount? 1=MORE 2=LESS 3=SAME 4=DIDN'T WORKSAME >>D32DIDN'T WORK>>D35
.
Second job—during blackoutD30 D31 D32 D33 D34 D35
NAMBA
NAME OF PERSONS OVER 15 Y.O.
The month of the blackout, how many hours per day did you spend doing your job? a kufanya kazi nyingine?
J3 J4 J5 Al Ij J1 J2
TOTAL HOURS PER WEEK
During the blackout, how many days did you not do this work due to illness, travel, shortage of work, or other reason?
During the blackout, did you get more money, less money, or the same amount?1= MORE 2= LESS 3=SAME 99=DKSAME OR DK >.D34
How much money did you make extra/ lost during that month? TSH/MONTH
Did you have a job in March or April that now you don't have any longer?1=YES 2=NOYES>>NEW FORM
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E. HOJIANO LA MUME
F. HOJIANO LA MUME
Name of respondentID The next set of questions deal with how you organize your daily schedule, how your schedule was or was not changed by the blackout, and your participation in some social events.
Usual habits
Question Key Answer Notes
E1 Do you belong to a savings group? 1= YES 2=NO
E2 Do you belong to any community based organizations, such as the VCC, or a school committee, or other village committees?
1= YES 2=NO
E3 Do you regularly practice Sunna? 1= YES 2=NO
E4 How often do you watch TV? SEE KEY1 IF NEVER >>E8
E5 How many hours do you generally spend watching TV when you watch it?
hrs mins
E6 What time of the day do you watch TV? SEE KEY 2
E7 Where do you watch TV when you do? 1=HOME2=FRIEND3=PUBLIC PLACE
IF PUBLIC PLACE >>E10
E8 Does your community have a place where people can watch TV in a public place?
1= YES 2=NO IF NO >>E10
E9 How often do you go to this place to watch TV? SEE KEY 1
E10 How often do you listen to the radio? SEE KEY 1 IF NEVER >>E14
E11 How many hours do you generally spend listening to the radio? hrs mins
E12 What time of the day do you listen to the radio? SEE KEY 1
E13 Where do you listen to the radio? 1=HOME2=FRIEND3=PUBLIC PLACE
E14 After Esha, how often do you stay to play or talk with others at the mosque or maskani?
SEE KEY
E15 By what time do you usually come back home from maskani or from all of the day's activities outside of home?
WRITE HOUR
1. SIKU NGAPI?
Never 0 Siku 6 kwa wiki 6Siku 1 kwa wiki 1 Siku 7 kwa wiki Siku 2 kwa wiki 2 (kila siku) 7
Siku 3 kwa wiki 3 Mara 1-3 kwa mwezi 8 Siku 4 kwa wiki 4 Chini ya mara 1 kwa Siku 5 kwa wiki 5 mwezi 9
2. WAKATI
Morning 1Afternoon 2Evening 3Morning and Afternoon 4Morning and evening 5Afternoon and evening 6
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E. HOJIANO LA MUME
BEFORE THE BLACKOUT
I am going to ask about your usual habits during the long rainy season of this year, before the beginning of the month-long blackout. Think about the activities you did then during the course of your day.
Question Key Answer Notes
E16 During the rainy season, did you watched more TV, less TV, or the same amount of TV as usual?
1= MORE2=LESS3=SAME4=DIDN''T WATCH
SAME OR DIDN'T WATCH >>E19
E17 How often did you watch TV? SEE KEY
E18 How many hours did you watch TV for? hrs mins
E19 Did you listen to the radio more, less, or the same as usual? 1= MORE2=LESS3=SAME4=DIDN''T WATCH
SAME OR DIDN'T WATCH >> E22
E20 How often did you listen to the radio? SEE KEY NEVER >>E22
E21 How many hours did you listen to the radio for? SEE KEY hrs mins
E22 During the rainy season do you spend more time, less time or the same amount of time out of home playing or talking?
1=MORE2-LESS3= SAME
E23 During the rainy season, before the blackout, by what time did you try to be back home from all of the day's activities outside of home?
WRITE HOUR
E24 During the rainy season, before the blackout, how often did you leave your neighborhood for a short time (less than 1 day)?
SEE KEY IF NEVER >>E26
E25 How many hours did you generally stay out? hrs mins
E26 Between the months of April and May, before the blackout, did you travel outside of your town for more than 1 day?
1=YES 2=NO IF NO >>E28
E27 How many days did you stay out of your town in total during the month prior to the blackout?
E28 What time did you generally wake up in the morning?
E29 What time did you go to sleep at night?
E30 NUMBER OF HOURS OF DAY TIME: TOA E298TOKA E29
EXPLAIN THE GAME WITH THE BEADS TO THE PERSON, AND WRITE DOWN THE ANSWERS BELOW.E31 Leisure hours at home
E32 Working hours
E33 House work hours
E34 Hours outside the home
E35 TOTAL HOURS (E31+E32+E33+E34)IS E34= E30? IF NO, CHECK YOUR ANSWER: THEY NEED TO BE THE SAME BEFORE YOU PROCEED.
E.5. & E.11 SIKU NGAPI?
Never 0 Siku 6 kwa wiki 6Siku 1 kwa wiki 1 Siku 7 kwa wiki Siku 2 kwa wiki 2 (kila siku) 7
Siku 3 kwa wiki 3 Mara 1-3 kwa mwezi 8 Siku 4 kwa wiki 4 Chini ya mara 1 kwa Siku 5 kwa wiki 5 mwezi 9
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E. HOJIANO LA MUME
BLACKOUT
Now we want to figure out if the blackout changed your behavior. I am going to ask you similar questions, but this time they relate to the time of the blackout.
Question Key Answer Notes
E36 During the blackout, did you ever watch TV? 1= YES 2=NO NO >>E40
E37 Did you watch it more often, less often, or the same amount? 1= MORE2=LESS3= SAME
IF SAME>>E40
E38 How often did you watch TV? SEE KEY
E39 Where did you watch TV? 1=HOME2=FRIEND3=PUBLIC PLACE
E40 During the blackout did you listen to the radio? 1= YES 2=NO NO >> E44
E41 Did you listen to it more often, less often, or the same amount? 1= MORE2=LESS3= SAME
IF SAME >> E44
E42 How often did you listen to the radio? SEE KEY
E43 Where did you listen to the radio? 1=HOME2=FRIEND3=PUBLIC PLACE
E44 During the blackout, did you spend more time, less time, or the same amount of time out at maskani?
1= MORE2=LESS3= SAME
E45 During the blackout, did you try to be back home from maskani or all of the day's activities outside of home earlier, later, or as usual?
1=EARLIER2= LATER3=SAME TIME
SAME TIME >> E47
E46 What time did you try to be back home?
E47 During the blackout, how often did you leave your neighborhood for a short time (less than 1 day)?
SEE KEY IF NEVER >> E50
E48 Did you stay out for longer hours, shorter hours, or the same number of hours as before?
1= LONGER 2=SHORTER3=SAME
IF SAME>> E50
E49 How many hours did you generally stay out? hrs mins
E50 During the blackout, did you travel outside of your town for more than 1 day?
1=YES 2=NO IF NO >>E52
E51 How many days did you stay out of your town in total during the month of the blackout?
E52 What time did you wake up in the morning?
E53 What time did you go to sleep at night?
E54 NUMBER OF HOURS OF DAY TIME: TOA E52 FROM E53
E.5. & E.11 SIKU NGAPI?
Never 0 Siku 6 kwa wiki 6Siku 1 kwa wiki 1 Siku 7 kwa wiki Siku 2 kwa wiki 2 (kila siku) 7
Siku 3 kwa wiki 3 Mara 1-3 kwa mwezi 8 Siku 4 kwa wiki 4 Chini ya mara 1 kwa Siku 5 kwa wiki 5 mwezi 9
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E. HOJIANO LA MUME
Now I would like you to move the tassels around to show me if, during this time, you spent your time differently; for instance, if you worked more or less, or if you did more housework or less housework; or if you spent more time resting or less time resting; and if you spent more time going out or less time going out.
E55 Leisure hours
E56 Working hours
E57 House work hours
E58 Hours outside of neighborhood
E59 TOTAL HOURS (E55+E56+E57+E58)
IS E59 = E54? IF NO, CHECK YOUR ANSWER: THEY NEED TO BE THE SAME BEFORE YOU PROCEED.
COMMENTS: WRITE HERE IF THERE WAS ANYTHING THAT WAS IMPORTANT BUT WAS NOT ASKED IN THE QUESTIONNAIRE.
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F. HOJI WA MKE
F. HOJIANO LA MKE
Name of respondentID The next set of questions deal with how you organize your daily schedule, how your schedule was or was not changed by the blackout, and your participation in some social events.
Usual habits
Question Key Answer Notes
F1 Do you belong to a savings group? 1= YES 2=NO
F2 Do you belong to any community based organizations, such as the VCC, or a school committee, or other village committees?
1= YES 2=NO
F3 Do you regularly practice Sunna? 1= YES 2=NO
F4 How often do you watch TV? SEE KEY1 IF NEVER >>F8
F5 How many hours do you generally spend watching TV when you watch it?
hrs mins
F6 What time of the day do you watch TV? SEE KEY 2
F7 Where do you watch TV when you do? 1=HOME2=FRIEND3=PUBLIC PLACE
IF PUBLIC PLACE >>F10
F8 Does your community have a place where people can watch TV in a public place?
1= YES 2=NO IF NO >>F10
F9 How often do you go to this place to watch TV? SEE KEY 1
F10 How often do you listen to the radio? SEE KEY 1 IF NEVER >>F14
F11 How many hours do you generally spend listening to the radio? hrs mins
F12 What time of the day do you listen to the radio? SEE KEY 1
F13 Where do you listen to the radio? 1=HOME2=FRIEND3=PUBLIC PLACE
1. SIKU NGAPI?
Never 0 Siku 6 kwa wiki 6Siku 1 kwa wiki 1 Siku 7 kwa wiki Siku 2 kwa wiki 2 (kila siku) 7
Siku 3 kwa wiki 3 Mara 1-3 kwa mwezi 8 Siku 4 kwa wiki 4 Chini ya mara 1 kwa Siku 5 kwa wiki 5 mwezi 9
2. WAKATI
Morning 1Afternoon 2Evening 3Morning and Afternoon 4Morning and evening 5Afternoon and evening 6
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F. HOJI WA MKE
BEFORE THE BLACKOUT
I am going to ask about your usual habits during the long rainy season of this year, before the beginning of the month-long blackout. Think about the activities you did then during the course of your day.
Question Key Answer Notes
F14 During the rainy season, did you watched more TV, less TV, or the same amount of TV as usual?
1= MORE2=LESS3=SAME4=DIDN''T WATCH
SAME OR DIDN'T WATCH >>F17
F15 How often did you watch TV? SEE KEY
F16 How many hours did you watch TV for? hrs mins
F17 Did you listen to the radio more, less, or the same as usual? 1= MORE2=LESS3=SAME4=DIDN''T WATCH
F18 How often did you listen to the radio? SEE KEY NEVER >>F20
F19 How many hours did you listen to the radio for? SEE KEY hrs mins
F20 During the rainy season, before the blackout, by what time did you try to be back home from all of the day's activities outside of home?
WRITE HOUR
F21 During the rainy season, before the blackout, how often did you leave your neighborhood for a short time (less than 1 day)?
SEE KEY IF NEVER >>F23
F22 How many hours did you generally stay out? hrs mins
F23 Between the months of April and May, before the blackout, did you travel outside of your town for more than 1 day?
1=YES 2=NO IF NO >>F25
F24 How many days did you stay out of your town in total during the month prior to the blackout?
F25 What time did you generally wake up in the morning?
F26 What time did you go to sleep at night?
F27 NUMBER OF HOURS OF DAY TIME: T OA F25 TOKA F26
EXPLAIN THE GAME WITH THE BEADS TO THE PERSON, AND WRITE DOWN THE ANSWERS BELOW.
F28 Leisure hours at home
F29 Working hours
F30 House work hours
F31 Hours outside the home
F32 TOTAL HOURS (F28+F29+F30+F31)
IS F32= F27? IF NO, CHECK YOUR ANSWER: THEY NEED TO BE THE SAME BEFORE YOU PROCEED.
E.5. & E.11 SIKU NGAPI?
Never 0 Siku 6 kwa wiki 6Siku 1 kwa wiki 1 Siku 7 kwa wiki Siku 2 kwa wiki 2 (kila siku) 7
Siku 3 kwa wiki 3 Mara 1-3 kwa mwezi 8 Siku 4 kwa wiki 4 Chini ya mara 1 kwa Siku 5 kwa wiki 5 mwezi 9
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F. HOJI WA MKE
BLACKOUT
Now we want to figure out if the blackout changed your behavior. I am going to ask you similar questions, but this time they relate to the time of the blackout.
Question Key Answer Notes
F33 During the blackout, did you ever watch TV? 1= YES 2=NO NO >>F37
F34 Did you watch it more often, less often, or the same amount? 1= MORE2=LESS3= SAME
IF SAME>>F36
F35 How often did you watch TV? SEE KEY
F36 Where did you watch TV? 1=HOME2=FRIEND3=PUBLIC PLACE
F37 During the blackout did you listen to the radio? 1= YES 2=NO NO >> F41
F38 Did you listen to it more often, less often, or the same amount? 1= MORE2=LESS3= SAME
IF SAME >> F40
F39 How often did you listen to the radio? SEE KEY
F40 Where did you listen to the radio? 1=HOME2=FRIEND3=PUBLIC PLACE
F41 During the blackout, did you try to be back home from all of the day's activities outside of home earlier, later, or as usual?
1=EARLIER2= LATER3=SAME TIME
IF AS USUAL >>F43
F42 What time did you try to be back home?
F43 During the blackout, how often did you leave your neighborhood for a short time (less than 1 day)?
SEE KEY IF NEVER >> F46
F44 Did you stay out for longer hours, shorter hours, or the same number of hours as before?
1= LONGER 2=SHORTER3=SAME
IF SAME>> F46
F45 How many hours did you generally stay out? hrs mins
F46 During the blackout, did you travel outside of your town for more than 1 day?
1=YES 2=NO IF NO >>F48
F47 How many days did you stay out of your town in total during the month of the blackout?
F48 What time did you wake up in the morning?
F49 What time did you go to sleep at night?
F50 NUMBER OF HOURS OF DAY TIME: TOA F2 FROM F1
E.5. & E.11 SIKU NGAPI?
Never 0 Siku 6 kwa wiki 6Siku 1 kwa wiki 1 Siku 7 kwa wiki Siku 2 kwa wiki 2 (kila siku) 7
Siku 3 kwa wiki 3 Mara 1-3 kwa mwezi 8 Siku 4 kwa wiki 4 Chini ya mara 1 kwa Siku 5 kwa wiki 5 mwezi 9
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F. HOJI WA MKE
Now I would like you to move the tassels around to show me if, during this time, you spent your time differently; for instance, if you worked more or less, or if you did more housework or less housework; or if you spent more time resting or less time resting; and if you spent more time going out or less time going out.
F51 Leisure hours
F52 Working hours
F53 House work hours
F54 Hours outside of neighborhood
F55 TOTAL HOURS (F51+F52+F53+F54)
IS F50 = F55? IF NO, CHECK YOUR ANSWER: THEY NEED TO BE THE SAME BEFORE YOU PROCEED.
COMMENTS: WRITE HERE IF THERE WAS ANYTHING THAT WAS IMPORTANT BUT WAS NOT ASKED IN THE QUESTIONNAIRE.