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Kokoda Livelihoods and Community Well-being Survey |
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Households Surveyed in this village |
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| Number of Persons in Household: | | |
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* Name of the enumerator: |
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Month | Day | Year | | | |
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* Language of the interview: |
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Hrs. | Mins. | AM/PM | | | |
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A1. List household members:
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| A1. Comments regarding this household: | | |
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| * A2. How many people live in your house in total? | | |
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| A3. How many children do you have at the moment? | | |
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A4. Are you planning to have more children? |
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A5. Is there anyone in your family with a physical or mental disability? |
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| A5b. If “Yes” identify the disability: | | |
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A6. Were you born in this village? |
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| A6b. if not born in this village how long have you lived here? | | |
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| A6c. reason for coming to this village: | | |
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B1. What reading materials do you have access to in your household? |
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| B2. Identify village or household activities where reading & writing is required? | | |
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| B3. Identify village or household activities where counting is required? | | |
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B4. Level of importance of literacy in your household/village |
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B5. Level of importance of numeracy in your household/village |
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B6(i). Do you think learning to read and write / or improving your reading and writing skills will improve your life? |
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| B6(I)b. Reason for your response: | | |
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B6(ii). Do you think improving your numeracy / counting skills will improve your life? |
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| B6(ii)b. Reason for your response: | | |
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| B7. If you wanted to improve your literacy or numeracy, where would you go to get these skills? | | |
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B8. Do you think if people improve their literacy & numeracy that they will wish to leave the village? |
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| B8b. Reason for your response: | | |
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B9. Do you receive written information from any of the following stakeholders? |
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B10. Rate your understanding of writing materials provided by KI/KTA/KIDP |
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B11. Rate your understanding of writing materials provided by Government |
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C1. Do you travel away from this village? |
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| C2. How often do you travel away? | | |
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| C3. What is the main purpose of this travel? | | |
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C4. Forms and costs of transport used for this travel?
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| C5. How long are your absences from this village? | | |
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D1. Does any member of your household own land that is used for any of the following activities: |
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D2. What are the main products that you grow or harvest from this land?
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| D3. How are land usage decisions made in your family and village? | | |
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| D4. Who are involved in this decision making? | | |
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E1. Do you have your own house? |
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E2. What is the material of the walls and roof? |
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E3. What is the main source of drinking water of this house? |
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E4. What kind of toilet facility does your household have? |
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E5. Do you have access to electricity? |
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E6. Please state the number of the following durable goods owned by the household:
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E7. Please state the number of the following animals owned by this household:
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F1. Monthly income received by household from “tourism” related activities:
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F2. Monthly income received by household from non-tourism related activities?
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| F3. How much kina does this household spend on average each month? | | |
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F4. What were the three main areas of your household expenditure over the past 12 months?
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G1. Have you had enough food to feed your family during last year? |
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G2. Compared to 5 years ago, how well-off is your household? |
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G3. Compared with other households in the village (or community), how well-off is your household? |
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G4. In general, how safe would you say your village is from violence and crime? |
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G5. Do you trust people in the village (community)? |
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G6. Can you get help from other people in the village (community) if you are in need, for example, if you need extra money because someone in your family is sick? |
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| G7. In the past 12 months, how many times have you or anyone else in your household been the victim of non-violent crime such as theft from garden or washing line or vandalism of property? | | |
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G8. In the past 12 months, how frequently have you or anyone else in your family been victim of domestic violence or physical abuse? |
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G9. List groups or organizations, networks, associations to which you or any member of your household belong
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G10. Satisfaction with the performance of the following individuals / groups?
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G11 In the past 12 months have you attended a community meeting, public discussion forum or public hearing? |
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G12 Have you participated in the development of your ward development plan in the past 12 months? |
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G13. Have you ever participated in the ward development planning? |
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G14. Did you vote in the last local level government election? |
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G15. Have you ever met with a LLG member in the past 12 months? |
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G16. Have you ever met with a National member in the past 12 months? |
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G17 Have you ever notified police or court about a local problem? |
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G18 In the past 12 months, have you worked with others in your village/kona to do something for the benefit of the community? |
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G19 If/When a community project does not directly benefit you, but has benefits for many others in the ward/village/kona what do you contribute:
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G20 How interested/happy are you to participate in village activities |
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G21 How many people in this village would contribute time or money toward community development? |
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G22 If there was a water supply problem in this community, how likely is it that people will cooperate to try to solve the problem? |
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G23 Rank the top three (3) most important sources of information about what the government is doing: |
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H1. Did anyone in your house have a bad harvest during the last year? |
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H2. Did anyone in your house get seriously sick and was not able to work duringthe last year? |
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H3. Did anyone in your house die duringthe last year? |
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H4. Did anyone in your house lose things or move house because of flooding, land slide or fire duringthe last year? |
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H5. Did anyone in your house contribute to a wedding or a traditional ceremony/obligation during the last year? |
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H5i. Specify the occasion |
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| H5ii. In-kind contribution: | | |
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I1 In your opinion, how healthy is the natural environment (forests and rivers and more) currently compared to 5 years ago? |
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I2. What are the major environmental issues in your village? |
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J1. Has your family received any cash, training or material for your agricultural activities during last year? |
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If "Yes", J1b. Type of support: |
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If "Yes", J1c. who received the support: |
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J2 Has your family received any cash, training or material for tourism activities during last year? |
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If "Yes", J2b. Type of support: |
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If "Yes", J2c. who received the support: |
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J3 Has your family received any cash, training or material for managing the environment such as protecting areas such as forests or river catchments during last year? |
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If "Yes", J3b. Type of support: |
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If "Yes", J3c. who received the support: |
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J4 Has your family received any cash, training or material for community development activities (other than agriculture or tourism) during last year? |
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If "Yes", J4b. Type of support: |
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If "Yes", J4c. who received the support: |
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| K1. In your opinion what are the most important issues for the development of your village? | | |
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| K2. Have you heard about the Kokoda Initiative and/or Kokoda Initiative Development Program? If yes, what do you know about it? | | |
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| K3. What areas do you think Kokoda Initiative Development Program should be prioritising? | | |
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Hrs. | Mins. | AM/PM | | | |
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