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What is your name?
   
 
 
 
How old are you?
   
 
 
 
What is the name of your youth organisation?
   
 
 
 
Where are you currently living?
 
Juba
 
Bor
 
Wau
 
Kuajok
 
Aweil
 
PoC
 
Other
 
 
 
 
Have you had to move your home or location due to the current conflict?
 
I haven't moved
 
I am living somewhere new
 
I had to move, but have returned home
 
 
 
If yes, are you currently staying in a PoC or displaced community?
 
Yes
 
No
 
 
 
Which one?
   
 
 
 
What do you do currently (Select all that apply)?
 
Attend school
 
Youth mobilisation
 
Work
 
Relax
 
Other
 

 
 
 
Do you have your own mobile phone?
 
Yes
 
No
 
 
 
Do you share a mobile phone with your family or friends (Select all that apply)?
 
No
 
Yes, with my friends
 
Yes, with my family

 
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