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Questions marked with an * are required Exit Survey
 
 
* Data-entry by:
   
 
 
 
* Survey Enumerator
 
 
 
* Supervisor
 
 
 
* Date of Enumeration
 
 
 
* Village name
 
 
 
* Clan name
 
 
 
Start Time:
   
 
 
 
End Time:
   
 
 
 
* House identification:
   
 
 
 
* 1. Is the respondent the head of household?
 
Yes
 
No
 
 
 
* 2. Is the head of household male or female?
 
Male
 
Female
 
 
 
* 3. What is your household tenant status in this house?
 
Own house
 
Rented/leased privately
 
Rented/leased from NHC
 
Rent free
 
Other (specify)
 
 
 
4. How many people live in this household?
Number
* Females less than 14 years old
* Females between 14 years and 60 years old
* Females over 60 years old
* Males less than 14 years old
* Males between 14 years and 60 years old
* Males over 60 years old
* TOTAL
 
 
 
* 5. Of the total number of people in the household, how many people originate from provinces other than central province?
   
 
 
 
* 6. What type of house is this?
 
Traditional material
 
Permanent material
 
Combination of both
 
 
 
* 7. How do you access drinking water for this household?
 
Piped/Tanked into household
 
Piped/Tanked into CU
 
Rainwater ⇒ go to Q10
 
Well with pump ⇒ go to Q10
 
Well with no pump ⇒ go to Q10
 
Natural water source ⇒ go to Q10
 
Mobile tank on boat or truck ⇒ go to Q10
 
Other (specify)
 
 
 
 
* 8. Does the household pay for the water?
 
Yes
 
No ⇒ go to Q10
 
Don't know ⇒ go to Q10
 
 
 
* 9. How much does the household pay for the water, on average, each month?
K    
 
 
 
* 10. What kind of toilet facility does your household have?
 
Flush toilet
 
Modern pit latrine
 
Traditional pit latrine
 
Over the sea/lake/river
 
Bush
 
Other (specify)
 
 
 
 
11. Does your household have any of the following durable goods?
(Select all that apply)?
 
A. Television
 
B. Radio
 
C. Stove
 
D. Telephone (fixed)
 
E. Mobile phone
 
F. Vehicle/Car
 
G. Generator
 
H. Air Condition
 
I. Sewing machine
 
Other (specify)
 

 
 
 
* 12. Where did your household get most of its food in the past 7 days?
 
Household garden, hunting, fishing
 
Trade stores
 
Market
 
Relatives
 
Employer
 
Other (specify)
 
 
 
 
* 13. What is the main source of fuel used by the household for cooking?
 
Hydro-electricity
 
Solar power
 
Diesel generator
 
Kerosene
 
Firewood
 
Gas
 
Other (specify)
 
 
 
 
* 14. What is the main source used by the household for lighting?
 
Hydro electricity
 
Solar power
 
Diesel generator
 
Kerosene lantern
 
Firewood
 
Gas
 
Pressure lamp
 
Battery lamp
 
Candles
 
Other (specify)
 
 
 
15. What were the three main sources of cash payments or income for your household over the past 12 months?
Rank
* i. Wages/salary (permanent employment)
* ii. Wages from casual or seasonal worker
* iii. Compensation payment
* iv. Royalty payment
* v. Remittances from relatives
* vi. Selling local produce at trade, market or roadside store
* vii. Selling imported produce at trade, market or roadside store
* viii. Cash crop
* ix. Small scale mining
* x. Logging, firewood, sawmilling
* xi. Own business
* xii. Other
 
 
 
* 16. How much kina does this household receive on average over a fortnight, from all sources?
 
Less than K100
 
Between K100 - K500
 
Between K501 - K1,000
 
More than K1,000
 
Don’t know
 
 
 
* 17. How much kina does your household spend on average each fortnight?
 
Less than K100
 
Between K100 - K500
 
Between K501 - K1,000
 
More than K1,000
 
Don’t know
 
 
18. What were the main areas of your household expenditure over the past 12 months?

Rank
* i. Rent
* ii. Food
* iii. Compensation
* iv. Medical costs
* v. Education/school fees, uniforms
* vi. Water
* vii. Transport
* viii. Electricity
* ix. Loan/debt repayment
* x. Customary obligations
* xi. Other household expenses
* xii. Alcohol or tobacco
* xiii. Clothing, shoes
* xiv. Other
 
 
19. List the types of skills that members of the household have at the current moment?
# females # males
* Fishing
* Trade (carpentry, welding, bricklaying, electrics, mechanic, heavy machinery...)
* Administration (management, computing, clerk, sales jobs)
* Facilitation (church worker, community worker, politics)
* Business (trade stores, vehicles, agriculture...)
* Other (refer hardcopy)
 
 
 
* 20. What is the highest qualification in the household?
 
Post graduate – Masters, Phd
 
Graduate - degree
 
Diploma
 
Grade 12
 
Grade 10
 
Grade 8
 
Lower than Grade 8
 
 
 
* 21. What is the main health service facility used by the members of your household?
 
Gov’t Health Facility
 
Church Health Facility
 
Private Health Facility
 
Aid Post
 
Traditional healer
 
Other (specify)
 
 
 
 
* 22. Where is the main health service facility used by the household?
   
 
 
 
* 23. How long does it take to get to the main health service facility used by the household?
 
Less than 30 minutes
 
30 to 60 minutes
 
Between 1 and 2 hours
 
Over 2 hours
 
 
24. What is the main education service facility used by the members of your household?
# females # males
* Gov’t Education Facility
* Church Education Facility
* Private Education Facility
* University
* Technical college
* Other (refer hardcopy)
 
 
 
* 25. How long does it take to get to the main education service facility used by the household?
 
Less than 30 minutes
 
30 to 60 minutes
 
Between 1 and 2 hours
 
Over 2 hours
 
 
 
* 26. Do you or anyone in the household have a bank account?
 
Yes
 
No ⇒go to Q29
 
Don’t know ⇒go to Q29
 
 
 
* 27. Has this person used the bank account in the last three months to deposit or withdraw money?
 
Yes
 
No
 
Don't know
 
 
 
* 28. Does this household have a savings or investment fund or plan?
 
Yes
 
No
 
Don't know
 
 
29. Are your household members part of any Community Organisation? (eg Sports group or church group or business group?
Name of group Purpose of group
1.
2.
3.
4.
 
 
30. Which of these priority community services does your household benefit from the most?

Rank
* i. School
* ii. Health
* iii. Bank/microfinance
* iv. Market and retail stores
* v. Post office/ telecommunication
* vi. Law and justice service
* vii. Housing
* viii. Electricity
* ix. Education
* x. Roads and bridges
* xi. Boat/dingy/PMV services
* xii. Water and sewage supply
* xiii. None
 
 
 
* 31. Does any one in this household go fishing?
 
Yes
 
No ⇒go to 42a
 
 
 
* 32. Where do you go fishing? Please describe (eg walk to nearby place, take a boat to a particular location ....)
   
 
 
 
* 33. On average how much do you catch in one week?
 
1 to 5 fish
 
6 to 10 fish
 
11 to 20 fish
 
20 to 30 fish
 
31 or more fish
 
 
 
* 34. Compared to this time last year are you catching more fish or less fish?
   
 
 
 
35. State the reasons why your catching more fish or less fish?
   
 
 
 
36. What types of fish do you catch?
   
 
 
 
37. State the portion (percentage) of the catch consumed by the household.
 
100% ⇒go to Q42
 
51% to 99% (majority)
 
50% (half)
 
1% to 49% (partial)
 
0% (none)
 
 
 
38. State the portion (percentage) of the catch sold for cash:
 
100% (all)
 
51% to 99% (majority)
 
50% (half)
 
1% to 49% (partial)
 
 
 
39. How much do you earn from these sales of fish?
K    
 
 
 
40. Where do you sell your fish?
   
 
 
 
41a. How long does it take you to get to your market place?
 
Less than 30 minutes
 
30 to 60 minutes
 
Between 1 and 2 hours
 
Over 2 hours
 
 
 
41b. What mode of transport do you use to reach the market place?
 
Walk
 
PMV
 
Others vehicle
 
Own vehicle
 
Other
 
 
 
 
42a. Does this household consume other sea products (including mangrove, shellfish, sea cucumber, crab, urchins, oysters and marine plants....) taken from this area?
 
Yes
 
No ⇒go to Q43a
 
 
42b. What types sea products are consumed and how much in one week?
Product Amount in one week Collected from Use of the product
1.
2.
3.
4.
5.
6.
7.
8.
 
 
 
43a. Do you sell any of the products listed in question 42?
 
Yes
 
No ⇒go to Q44.
 
 
43b. How much do you sell and earn from these sales?
Product Number sold each week Amount earned
1.
2.
3.
4.
5.
6.
7.
8.
 
 
 
44. Compared to this time last year are you harvesting more or less of these products?
   
 
 
 
45. State your reasons why harvesting more or less of these products?