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Exit Survey
 
 
Kokoda Livelihoods and Community Well-being Survey
 
 
 
* Supervisor Name:
 
 
 
* Questionnaire Number:
   
 
 
 
* Village Name:
 
 
 
Household #
   
 
 
of
   
 
 
Households Surveyed in this village
 
 
 
Number of Persons in Household:
   
 
 
 
Person # of Respondent:
   
 
 
 
* Result Code:
 
1. Completed
 
2. Entire household absent for extended period
 
3. Refused
 
4. Other, specify
 
 
 
 
* Name of the enumerator:
 
 
 
Date:
MonthDayYear
  
 
 
 
* Language of the interview:
 
English
 
Koiari
 
Koitabu
 
Motu
 
Tok Pisin
 
Other, specifiy
 

 
 
 
Time started:
Hrs.Mins.AM/PM
  
 
A1. List household members:
Relation to HH Age Gender Marital Status Ed Level Literacy Occupation Training Income Best Literacy Best Numeracy
Person #01
Person #02
Person #03
Person #04
Person #05
Person #06
Person #07
Person #08
Person #09
Person #10
Person #11
Person #12
Person #13
Person #14
Person #15
 
 
 
A1. Comments regarding this household:
   
 
 
 
* A2. How many people live in your house in total?
   
 
 
 
A3. How many children do you have at the moment?
   
 
 
 
A4. Are you planning to have more children?
 
 
 
A5. Is there anyone in your family with a physical or mental disability?
 
 
 
A5b. If “Yes” identify the disability:
   
 
 
 
A6. Were you born in this village?
 
Yes
 
No
 
 
 
A6b. if not born in this village how long have you lived here?
   
 
 
 
A6c. reason for coming to this village:
   
 
 
B1. What reading materials do you have access to in your household?
 
None
 
Non-Fiction
 
Religious
 
Newspapers
 
Fiction
 
Other, specify:
 

 
 
 
B2. Identify village or household activities where reading & writing is required?
   
 
 
 
B3. Identify village or household activities where counting is required?
   
 
 
 
B4. Level of importance of literacy in your household/village
Useless / Irrelevant
Not importan
Unsure
Important
Very Important
 
 
 
B5. Level of importance of numeracy in your household/village
Useless / Irrelevant
Not important
Unsure
Important
Very Important
 
 
 
B6(i). Do you think learning to read and write / or improving your reading and writing skills will improve your life?
 
 
B6(I)b. Reason for your response:
   
 
 
 
B6(ii). Do you think improving your numeracy / counting skills will improve your life?
 
 
B6(ii)b. Reason for your response:
   
 
 
 
B7. If you wanted to improve your literacy or numeracy, where would you go to get these skills?
   
 
 
 
B8. Do you think if people improve their literacy & numeracy that they will wish to leave the village?
 
 
B8b. Reason for your response:
   
 
 
 
B9. Do you receive written information from any of the following stakeholders?
 
KI/KTA/KIDP
 
Government
 
Other, specify
 

 
 
 
B10. Rate your understanding of writing materials provided by KI/KTA/KIDP
Impossible to understand
Difficult to understand
Unsure
Some understanding
Easily understood
 
 
 
B11. Rate your understanding of writing materials provided by Government
Impossible to understand
Difficult to understand
Unsure
Some understanding
Easily understood
 
 
C1. Do you travel away from this village?
 
 
 
C2. How often do you travel away?
   
 
 
 
C3. What is the main purpose of this travel?
   
 
 
C4. Forms and costs of transport used for this travel?
Mode of Transport Cost
#1
#2
#3
#4
 
 
 
C5. How long are your absences from this village?
   
 
 
D1. Does any member of your household own land that is used for any of the following activities:
 
Agriculture
 
Plantation
 
Forestry
 
Conservation
 
Other
 

 
 
D2. What are the main products that you grow or harvest from this land?
Main Products
#1
#2
#3
 
 
 
D3. How are land usage decisions made in your family and village?
   
 
 
 
D4. Who are involved in this decision making?
   
 
 
E1. Do you have your own house?
 
 
 
E2. What is the material of the walls and roof?
 
 
 
E3. What is the main source of drinking water of this house?
 
 
 
E4. What kind of toilet facility does your household have?
 
 
 
E5. Do you have access to electricity?
 
 
E6. Please state the number of the following durable goods owned by the household:
Quantity Comments
1. Car
2. Tractor
3. Motor Bike
4. Bicycle
5. Phone
6. TV
7. Radio
8. Stove
9. Sewing machine
10. Chainsaw
11. Solar panel
12. Water pump
13. Generator
 
 
E7. Please state the number of the following animals owned by this household:
Quantity Comments
1. Chicken
2. Pig
3. Cow
4. Goat
5. Other1
5. Other2
 
F1. Monthly income received by household from “tourism” related activities:
Kina
i) Employment (e.g. portering, cooking, security etc)
ii) Accommodation provision (e.g. guest house, camping area, laundry etc
iii) Non-agricultural items (e.g. bilums, carvings, etc)
iv) Agricultural items (e.g. fruit, vegetables, etc)
 
 
F2. Monthly income received by household from non-tourism related activities?
Kina
i) Market sale from agricultural products
ii) Market sale of non-agricultural products
iii) Local employment (not tourism)
iv) Remittances
v) Royalties / Levies
vi) Rentals
vii) Other
 
 
 
F3. How much kina does this household spend on average each month?
   
 
 
F4. What were the three main areas of your household expenditure over the past 12 months?
Main areas of expenditure
#1
#2
#3
 
 
G1. Have you had enough food to feed your family during last year?
Never
Sometimes
Indifferent
Mostly
Always
 
 
 
G2. Compared to 5 years ago, how well-off is your household?
Much worse
Worse
Same
Better
Much better
 
 
 
G3. Compared with other households in the village (or community), how well-off is your household?
Much worse
Worse
Same
Better
Much better
 
 
 
G4. In general, how safe would you say your village is from violence and crime?
Never
Sometimes
Indifferent
Mostly
Always
 
 
 
G5. Do you trust people in the village (community)?
Never
Sometimes
Indifferent
Mostly
Always
 
 
 
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?
Never
Sometimes
Indifferent
Mostly
Always
 
 
 
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?
   
 
 
G7b. Explain response:
   
 
 
 
G8. In the past 12 months, how frequently have you or anyone else in your family been victim of domestic violence or physical abuse?
 
 
G9. List groups or organizations, networks, associations to which you or any member of your household belong
Group Name Group Purpose Group Numbers Group Frequency Group Trust Group Interaction
#1
#2
#3
#4
#5
 
 
G10. Satisfaction with  the performance of the following individuals / groups?
Very Unsatisfied Unsatisfied Indifferent Satisfied Very Satisfied Don’t Know
Your ward member
Your local level government officials
Your district authorities
Provincial government officials
Village court system
Local police
Government medical system, health clinics
Health workers at your health clinic
Village health volunteers
Government school teachers
Very Unsatisfied Unsatisfied Indifferent Satisfied Very Satisfied Don’t Know
Traditional/customary leaders of your village
Kokoda Track Authority
The Church / SDA staff
Rotary
Kokoda Track Foundation (NGO)
Trek Operators
The Australian Government
Rangers employed by KTA
Community-based Mentors trained by KTA
 
 
 
G11 In the past 12 months have you attended a community meeting, public discussion forum or public hearing?
 
 
 
G12 Have you participated in the development of your ward development plan in the past 12 months?
 
 
 
G13. Have you ever participated in the ward development planning?
 
 
 
G14. Did you vote in the last local level government election?
 
 
 
G15. Have you ever met with a LLG member in the past 12 months?
 
 
 
G16. Have you ever met with a National member in the past 12 months?
 
 
 
G17 Have you ever notified police or court about a local problem?
 
 
 
G18 In the past 12 months, have you worked with others in your village/kona to do something for the benefit of the community?
 
 
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:
No Yes, Voluntary Yes, Required
Labour?
Money?
Land?
Bush materials?
Tools?
Equipment?
Food?
 
 
 
G20 How interested/happy are you to participate in village activities
Not at all Interested/ Happy
Not Interested/ Happy
Indifferent
Interested/ Happy
Very Interested/ Happy
 
 
 
G21 How many people in this village would contribute time or money toward community development?
No-one
Less than Half
Half
More than Half
Everyone
 
 
 
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?
Not at all
Mostly Not
Likely
Mostly
Very Much
 
 
 
G23 Rank the top three (3) most important sources of information about what the government is doing:
Drag your choices here to rank them
     
     
    H1. Did anyone in your house have a bad harvest during the last year?
     
     
     
    H2. Did anyone in your house get seriously sick and was not able to work duringthe last year?
     
     
     
    H3. Did anyone in your house die duringthe last year?
     
     
     
    H4. Did anyone in your house lose things or move house because of flooding, land slide or fire duringthe last year?
     
     
     
    H5. Did anyone in your house contribute to a wedding or a traditional ceremony/obligation during the last year?
     
     
    H5i. Specify the occasion
     
    Wedding / Bride Price
     
    Funeral
     
    Obligation
     
    Other, specifiy
     
     
     
     
    H5i. Cash contribution:
       
     
     
    H5ii. In-kind contribution:
       
     
     
    I1 In your opinion, how healthy is the natural environment (forests and rivers and more) currently compared to 5 years ago?
    Badly deteriorated
    Deteriorated
    The same
    Improved
    Greatly improved
     
     
     
    I2. What are the major environmental issues in your village?
     
    Water pollution
     
    Soil degradation
     
    Flooding
     
    Deforestation
     
    Climate change
     
    Other, specify
     

     
     
    J1. Has your family received any cash, training or material for your agricultural activities during last year?
     
     
    If "Yes",
    J1a. Agency?
       
     
     
    If "Yes",
    J1b. Type of support:
     
    Cash / product
     
    Equipment / training
     
     
    If "Yes",
    J1c. who received the support:
     
    Only men,
     
    Only women,
     
    Both women & men
     
    Other
     
     
     
     
    J2 Has your family received any cash, training or material for tourism activities during last year?
     
     
    If "Yes",
    J2a. Agency?
       
     
     
    If "Yes",
    J2b. Type of support:
     
    Cash / product
     
    Equipment / training
     
     
    If "Yes",
    J2c. who received the support:
     
    Only men,
     
    Only women,
     
    Both women & men
     
    Other
     
     
     
     
    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?
     
     
     
    If "Yes",
    J3a. Agency?
       
     
     
    If "Yes",
    J3b. Type of support:
     
    Cash / product
     
    Equipment / training
     
     
    If "Yes",
    J3c. who received the support:
     
    Only men,
     
    Only women,
     
    Both women & men
     
    Other
     
     
     
     
    J4 Has your family received any cash, training or material for community development activities (other than agriculture or tourism) during last year?
     
     
     
    If "Yes",
    J4a. Agency?
       
     
     
    If "Yes",
    J4b. Type of support:
     
    Cash / product
     
    Equipment / training
     
     
    If "Yes",
    J4c. who received the support:
     
    Only men,
     
    Only women,
     
    Both women & men
     
    Other
     
     
     
    K1. In your opinion what are the most important issues for the development of your village?
       
     
     
     
    K2. Have you heard about the Kokoda Initiative and/or Kokoda Initiative Development Program? If yes, what do you know about it?
       
     
     
     
    K3. What areas do you think Kokoda Initiative Development Program should be prioritising?
       
     
     
     
    End Time Completed:
    Hrs.Mins.AM/PM
      
     
     
     
    End comments: