missing08_3a
29 June 2012, 14:59
Questionnaire



QUESTIONNAIRE OPTIONS
Option Setting
Parent Namesingle item
Child Namemultiple items
Max user text length50
Min user text length0
Text ConversionNone

MISSING (Sequential)
0. Roster number of missing person (s1bq00) - text, identifier
1. What is the name of this person? (s1bq000) - text, single item
2. Can you tell me why {{s1bq000}} is no longer a member of the household? (s1bq1) - menu, single item
3. location (Sequential)
4. JUMP country for domestic migration - jump, none
5. What country is this? (s1b_country) - text, single item
6. What was the primary reason for this move? (s1bq2_1) - menu, single item
7. Does {{s1bq000}} still contribute to the family's finances? (For example: by sending money home from Accra.) (s1bq2) - menu, single item
8. How often has {{MISSING.s1bq000}} contributed FOOD to the household in the last 12 months? [VALUE] (s1b_foodfreq) - menu, single item
9. CASHCONTRIB (Form)
10. OTHERCONTRIB (Form)
11. In the past year, how often did {{s1bq000}} make a contribution? (s1bq2c) - menu, single item
12. JUMP purpose and repayment of cash contribution if none. - jump, none
13. What is the PRIMARY PURPOSE for which {{s1bq000}} sent this money? (s1b_purpose) - menu, single item
14. JUMP to repayment for education purposes - jump, none
15. Is {{s1bq000}} entitled to a share of the proceeds from this business or farm? (s1b_share) - menu, single item
16. Does {{s1bq000}} OWN all or part of that which was bought with this cash? (s1b_stock) - menu, single item
17. Is the household expected to repay {{s1bq000}} for this cash received? If so, when does the household expect it to be repaid? (s1b_repay) - menu, single item
18. Relative to the {{CASHCONTRIB.s1b_cashval_val}} {{CASHCONTRIB.s1b_cashval_currency}} received in total, how much is expected to be repaid? [IN {{CASHCONTRIB.s1b_cashval_currency}}]. (s1b_repay) - formatted, single item
19. How long (in months) has it been since a member of the household saw {{s1bq000}} IN PERSON? [Enter 0 if the person has been seen this month.] (s1b_f2f) - number, single item
20. JUMP phone and email contact if moved within village - jump, none
21. How long (in months) has it been since a member of this household spoke to {{s1bq000}} by phone? [ENTER 999 IF NEVER] (s1b_phone) - number, single item
22. JUMP mortality if not dead - jump, none
23. MORTALITY (Sequential)

COMMON SECTION (Sequential)

MORTALITY (Sequential)
1. In which year did {{MISSING.s1bq000}} die? (s1bq3) - menu, single item
2. Before {{MISSING.s1bq000}} died, or became too sick to carry out his or her normal daily routine before dying, what was his/her most important household activity? (s1bq7) - menu, single item
3. Is this work now being done by someone in the household or someone outside the household, or is it not being done at all? (s1bq11a) - menu, single item
4. Who is now carrying out this work that {{MISSING.s1bq000}} used to do before he/she died or became too sick to carry out his/her normal daily routine? (Enter name if ID code not available). (s1bq11b) - text, single item
5. Did {{MISSING.s1bq000}} die as the result of an illness? (s1bq12) - menu, single item
6. What was the cause of death? (s1bq13) - menu, single item
7. Skipping illness questions for accidental death - jump, none
8. What type of illness was this? (s1bq14) - menu, single item
9. Before {{MISSING.s1bq000}} died, did he/she suffer from any of the following conditions? Choose all that apply. (s1bq15) - ticklist, single item
10. For how long was {{MISSING.s1bq000}} sick before dying? (s1bq16) - menu, single item
11. Did {{MISSING.s1bq000}} seek medical care from any of the following? Choose all that apply. (s1bq17) - ticklist, single item
12. How much was spent on medical care for {{MISSING.s1bq000}} in the 12 months before he/she died? (s1b_mortspend) - formatted, single item

location (Sequential)
1. What region did {{MISSING.s1bq000}} move to? (s1b_region) - menu, single item
2. GREATER ACCRA (Sequential)
3. Greater Accra: jumping to end of section - jump, none
4. ASHANTI (Sequential)
5. Ashanti: jumping to end of section - jump, none
6. BRONG-AHAFO (Sequential)
7. Brong-Ahafo: jumping to end of section - jump, none
8. CENTRAL (Sequential)
9. Central: jumping to end of section - jump, none
10. EASTERN (Sequential)
11. Eastern: jumping to end of section - jump, none
12. NORTHERN (Sequential)
13. Northern: jumping to end of section - jump, none
14. UPPER EAST (Sequential)
15. Upper East: jumping to end of section - jump, none
16. UPPER WEST (Sequential)
17. Upper West: jumping to end of section - jump, none
18. VOLTA (Sequential)
19. Volta: jumping to end of section - jump, none
20. WESTERN (Sequential)

GREATER ACCRA (Sequential)
1. What district in Greater Accra did {{MISSING.s1bq000}} move to? (wdisaa_1) - menu, single item

ASHANTI (Sequential)
1. What district in Ashanti did {{MISSING.s1bq000}} move to? (wdisah_1) - menu, single item

BRONG-AHAFO (Sequential)
1. What district in Brong-Ahafo did {{MISSING.s1bq000}} move to? (wdisba_1) - menu, single item

CENTRAL (Sequential)
1. What district in the Central Region did {{MISSING.s1bq000}} move to? (wdiscp_1) - menu, single item

EASTERN (Sequential)
1. What district in the Eastern Region did {{MISSING.s1bq000}} move to? (wdisep_1) - menu, single item

NORTHERN (Sequential)
1. What district in the Northern Region did {{MISSING.s1bq000}} move to? (wdisnp_1) - menu, single item

UPPER EAST (Sequential)
1. What district in the Upper East Region did {{MISSING.s1bq000}} move to? (wdisue_1) - menu, single item

UPPER WEST (Sequential)
1. What district in the Upper West Region did {{MISSING.s1bq000}} move to? (wdisuw_1) - menu, single item

VOLTA (Sequential)
1. What district in the Volta Region did {{MISSING.s1bq000}} move to? (wdistv_1) - menu, single item

WESTERN (Sequential)
1. What district in the Western Region did {{MISSING.s1bq000}} move to? (wdiswp_1) - menu, single item

CASHCONTRIB (Form)
1. What is the value of all CASH contributed by {{MISSING.s1bq000}} to the household in the last 12 months? [VALUE] (s1b_cashval_val) - number, single item
2. What is the value of all CASH contributed by {{MISSING.s1bq000}} to the household in the last 12 months? [CURRENCY] (s1b_cashval_currency) - menu, single item

OTHERCONTRIB (Form)
1. What is the value of all OTHER GOODS contributed by {{MISSING.s1bq000}} to the household in the last 12 months? [VALUE] (s1b_otherval_amt) - number, single item
2. What is the value of all OTHER GOODS contributed by {{MISSING.s1bq000}} to the household in the last 12 months? [CURRENCY] (s1b_otherval_currency) - menu, single item



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