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| 3. NAME OF PLACE OR NIEGHBORHOOD | | |
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| 4. NAME OF HOUSEHOLD HEAD | | |
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| 7. Section 1: Demographics |
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| 11. Section 2: Survey (KAP) |
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| 12. In general, how do you rate your living conditions compared to those of other Somalis? [Read out options] |
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| 13. In general, how would you describe: The present economic condition of this country? [Read out options] |
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| 14. In general, how would you describe: Your own present living conditions? [Read out options] |
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| 15. In general, how would you describe: Your own present living conditions? [Read out options] |
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| 16. Looking back, how do you rate the economic conditions in this country compared to twelve months ago? [Read out options] |
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| 17. Looking back, how do you rate your living conditions compared to twelve months ago? [Read out options] |
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| 18. Looking ahead, do you expect the economic conditions in this country in twelve months time to be better or worse? [Read out options] |
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| 19. Looking ahead, do you expect your living conditions in twelve months time to be better or worse? [Read out options] |
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| 20. What about the overall direction of the country? Would you say that the country is going in the wrong direction or in the right direction? |
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| 21. How often do you get news from the radio? [Read out options] |
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| 22. How often do you get news from the Television? [Read out options] |
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| 23. How often do you get news from the Newspapers? [Read out options] |
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| 24. How often do you get news from the internet? [Read out options] |
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25. How interested would you say you are in public affairs?
[Interviewer: Prompt if necessary: You know, in politics and government?]
[Read out options] |
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| 26. When you get together with your friends or family, would you say you discuss political matters: [Read out options] |
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27. Do you agree or disagree with the following statement:
"Taxes affect my livelihood and wellbeing"
[Interviewer: Probe for strength of opinion] |
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28. For each of the following statements, please tell me whether you disagree or agree?
"The courts have the right to make decisions that people always have to abide by".
[Interviewer: Probe for strength of opinion] |
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29. For each of the following statements, please tell me whether you disagree or agree?
"The police always have the right to make people obey the law."
[Interviewer: Probe for strength of opinion] |
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30. For each of the following statements, please tell me whether you disagree or agree?
"The tax authorities always have the right to make people pay taxes."
[Interviewer: Probe for strength of opinion] |
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31. During the past year, how often have you contacted any of the following persons about some important problem or to give them your views?
"A local government councilor"
[Read out options] |
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| 32. "A Member of Parliament" |
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| 33. "An official of a government agency" |
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| 34. "A political party official" |
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35. In the past year, how often, if ever, have you had to pay a bribe, give a gift, or do a favour to government officials in order to:
"Get a document or a permit?"
[Read out options.] |
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| 36. "Get water or sanitation services?" |
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| 37. "Get treatment at a local health clinic or hospital?" |
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| 38. "Avoid a problem with the police, like passing a checkpoint or avoiding a fine or arrest?" |
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| 39. "Get a place in a school for a child?" |
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40. What about local government? I do not mean the national government. I mean your municipal or local government council. How well or badly would you say your local government is handling the following matters, or haven’t you heard enough about them to say?
"Maintaining local roads"
[Interviewer: Probe for strength of opinion] |
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| 41. "Maintaining local market places" |
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| 42. "Maintaining health standards, for example in restaurants and food stalls" |
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| 43. "Keeping our community clean, for example, by refuse removed" |
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| 44. "Managing the use of land" |
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45. Regardless of whether you are able to pay them, are you required to pay each of the following, or haven’t you been able to find out about this?
“Value added tax” on the food or goods that you buy from shops or traders" |
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| 46. "License fees to local government, for example, for a bicycle, cart, business or market stall" |
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| 47. "Property rates or taxes" |
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| 48. In the last year, how often have powerful people or groups other than government, such as criminals or gangs, made people in your community or neighborhood pay them money in return for protecting them, their property or their businesses? [Read out options] |
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49. Based on your experience, how easy or difficult is it to do each of the following?
"To find out what taxes and fees you are supposed to pay to the District Administration?"
[Interviewer: Probe for strength of opinion] |
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| 50. "To find out how District government uses the revenues from people’s taxes and fees?" |
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| 51. "To avoid paying the income or property taxes that you owe to District government?" |
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52. What do you think is the main reason that some people avoid paying government the taxes and fees that they owe?
[Interviewer: Do not read out options. Code from response.] |
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53. Some people say that they see no point in reporting corruption cases. Based on your experience, what do you think is the main reason that many people do not report corruption cases to authorities?.
[Interviewer: Do not read options. Code from response.] |
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| 54. Generally speaking, would you say that most people can be trusted or that you must be very careful in dealing with people? |
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55. How much do you trust each of the following types of people? [Read out options]
"Your relatives" |
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| 57. "Local tax collectors" |
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| 58. "Members of district local government" |
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| 60. Section 3: Security & Freedom |
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61. Over the past year, how often, if ever, have you or anyone in your family:
"Gone without enough food to eat?"
[Read out options] |
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| 62. "Gone without enough clean water for home use?" |
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| 63. "Gone without medicines or medical treatment?" |
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| 64. "Gone without enough fuel to cook your food?" |
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| 65. "Gone without a cash income?" |
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66. Over the past year, how often, if ever, have you or anyone in your family:
"Felt unsafe walking in your neighborhood?"
[Read out options] |
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| 67. "Feared crime in your own home?" |
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68. During the past year, have you or anyone in your family:
"Had something stolen from your house?"
[Interviewer: read out options]. If the respondent answers yes, follow by asking: Did this happen once, twice, or three or more times?] |
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| 69. "Been physically attacked?" |
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71. Let’s talk for a moment about the kind of society you would like to have in this country. Which of the following statements is closest to your view?
Choose Statement 1 or Statement 2.
[Interviewer: Probe for strength of opinion for each set of statements: Do you agree or agree very strongly.] |
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72. Statement 1: If funds for schooling are limited, a boy should always receive an education in school before a girl.
Statement 2: If funds for schooling are limited, a family should send the child with the greatest ability to learn. |
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73. Statement 1: Men make better political leaders than women, and should be elected rather than women.
Statement 2: Women should have the same chance of being elected to political office as men.
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74. Statement 1: In our country, women should have equal rights and receive the same treatment as men do.
Statement 2: Women have always been subject to traditional laws and customs, and should remain so. |
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| 75. Section 5: Leadership & Tax Attitudes |
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76. Let’s talk for a moment about the kind of society you would like to have in this country.
Which of the following statements is closest to your view? Choose Statement 1 or Statement 2.
[Interviewer: Probe for strength of opinion for each set of statements: Do you agree or agree very strongly.] |
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77. Statement 1: Once in office, elected leaders are obliged to help their home community or group first.
Statement 2: Since elected leaders should represent everyone, they should not do anything that favors their own group over others. |
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78. Statement 1: It is more important to have a government that can get things done, even if we have no influence over what it does.
Statement 2: It is more important for citizens to be able to hold government accountable, even if that means it makes decisions more slowly. |
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79. Statement 1: Citizens must pay their taxes to the government in order for our country to develop.
Statement 2: The government can find enough resources for development from other sources without having to tax the people. |
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81. Based on your experience, how easy or difficult is it to obtain the following services from government? Or do you never try and get these services from government?
"An identity document, such as a birth certificate, driver’s license, passport or voter’s card"
[Interviewer: Probe for strength of opinion.] |
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| 82. "Household services like piped water or electricity" |
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| 83. "Help from the police" |
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| 84. "A place in a primary school for a child" |
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| 85. "Medical treatment at a public clinic or hospital" |
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86. Have you encountered any of these problems with your local public clinic or hospital during the past 12 months?
"Services are too expensive / unable to pay"
[Read out options.]Â |
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| 87. "Lack of medicines or other supplies?" |
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| 88. "Lack of attention or respect from staff?" |
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92. Do you or anyone in this household receive any of the following:
"Free visits or medicines from a public or government-run health clinic or hospital?" |
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| 93. "Food for children from a government-run school feeding programme?" |
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| 94. "An old age pension or grant from the government?" |
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| 95. Section 7: SES & Access to ICTs |
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96. Do you have a job that pays a cash income?
[If yes, ask:] Is it full-time or part-time?
[If no, ask:] Are you presently looking for a job? |
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97. What is the highest level of education you have completed?
[Code from answer. Do not read options] |
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| 98. Which of these things do you personally own (Select all that apply)? |
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99. How often do you use:
"A computer?"
[Read out options] |
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101. Do you ever use a mobile phone? If so, who owns the mobile phone that you use most often?
[Read out options] |
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102. Please tell me whether each of the following are available inside your house, inside your compound, or outside your compound:
"Your main source of water for household use"
[Read out options] |
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| 103. "A toilet or latrine" |
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| 104. Section 8: Enumerator Survey |
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105. Are the following services present in the primary sampling unit / enumeration area?
"Electricity grid that most houses could access" |
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| 106. "Piped water system that most houses could access" |
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| 107. "Sewage system that most houses could access" |
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| 108. "Cell phone service" |
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109. Are the following services present in the primary sampling unit / enumeration area or within easy walking distance?
"Hormuud Telecommunication or Dahabshiil" |
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| 113. "Market Stalls (selling groceries and/or clothing)" |
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114. In the primary sampling unit / enumeration area did you (or any of your colleagues) see:
"Any policemen or police vehicles?" |
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| 115. "Any soldiers or army vehicles?" |
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| 116. "Any roadblocks set up by police or army?" |
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| 117. "Any roadblocks or booms set up by private security providers?" |
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| 118. "Any roadblocks or booms set up by the local community?" |
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| 119. Additional Comments/Thoughts: | | |
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