DDI_JAM_2008_SLC_v01_M
Derek Gordon Databank
2012-03-10
NADA
Version 1.0 (March 2012)
Survey of Living Conditions 2008
SLC 2008
JAM_2008_SLC_v01_M
Planning Institute of Jamaica
Statistical Institute of Jamaica
NADA
Government of Jamaica
Policy Development Unit
Kristin Fox
Living Standards Measurement Study [hh/lsms]
The JSLC is conducted annually by the Statistical Institute of Jamaica (STATIN) on a rotating panel of approximately 2000 households. This survey has been implemented without interruption since 1988. However, in 2003, a abridged version of the questionnaire containing consumption expenditure and basic houshold characteristics only was fielded. Since then, the full survey is fielded biannually. The main objective of the survey is to monitor the social conditions of the Jamaican populace.
2010-06-04- editted data used for report
Demographic characteristics
Consumption Expenditure
Health and health care utilisation
Education and academic achievement
Social welfare
Housing
Parenting
Daily expenses
Food expenses including home production and food received as gifts
Non-food consumption expenditure
Non-consumption expenditure
Inventory of durable goods owned by household
Miscellaneous income received by household
Household roster of all members
Illness during a 4 week period
Use of public and private health facilities
Cost of public and private facilities
Purchase and use of medications
level of health insurance
health status of children less than five years
Beneficiaries of social welfare
Benefits received
Housing tenancy
Presence of amenities - water, light, telephone
Structure of housing
Parent/child social interaction
Parent involvement in school
Parenting support
Child care
Television viewing/supervision
Discipline & corporal punishment in the home
Parent/child separation
Parent attitude towards sexual awareness
Parental stress
The JSLC gleans household and individual data from a subset of the population covered by the Labour force Survey. Information is collected on consumption, health, education, nutrition, housing, demographic characteristics, and the Food Stamp Programme. The main purpose of the survey is to provide the government with information for policy development and planning. Although modeled of the World Bank's Living Standards Measurement Study (LSMS) household surveys, it has a narrower focus and greater emphasis on policy impact. In 2008, a large survey was done to allow for data disaggregation at a parish level. It also included modules on Early Childhood Development and Adult Literary.
Jamaica
National covering all parishes in Jamaica
-Household
-Individual
All non-institution dwellings All persons living in non-institutional dwellings in Jamaica
Sample survey data [ssd]
The 2008 JSLC included all modules of the survey namely: housing characteristics demographic characteristics of all household members education health social welfare consumption children under 5 characteristics and; Early Childhood Development and Adult Literary.
Panel study
STATIN Interviewers
The sample dwellings for the JSLC is is the same as the preceding Labour Force survey (LFS) to facilitate linkage of the data from both surveys. The sampling design is a two-stage stratified random sampling with the first stage being the selection of areas (enumeration districts (ED)) and the second stage a selection of dwellings. For the selection of EDs all in the country are grouped into Sampling Regions (SR) of strata of approximate equal size, in terms of the number odf dwellings. Two EDs are selected from each sampling region with probability proportionate to size. In each ED, a list of dwellings is prepared and this becomes the frame for the selection of the Master Sample of dwellings for the labour force. Sample size: planned 9,623 actual 6,513
Face-to-face [f2f]
Structured questionnaire
Overall coordination at national level with a minimum of one supervisor per parish. The JSLC statisticians visit all the supervisors’ zones during the early part of the fieldwork and scrutinize a number of questionnaires completed by each interviewer and checked by the responsible supervisor. On-the-job training, corrections, etc are done as necessary.
The survey used three different weights which fulfilled different functions. The first weight accounts for the adjustment for non-response biases. The second weight is applied to compensate for the changes in the number of dwellings that occurred between the time of the Census and the time of the listing. The final weight is a post-stratification weight that is applied to control the population total for each parish. Population totals of the number of persons by the demographic variables age and sex at the parish level were estimated primarily from the last population census.
Before data entry, all the questionnaires are edited and coded. All questionnaires partially completed, or not properly filled out, were removed from data entry operations if they could not be corrected. The questionnaires were then screened by the supervising Statisticians, before being submitted for data entry. The data entry for JSLC 2008 was done on personal computers and adequate computer checks for ensuring consistency in totals, codes, etc, which are feasible at this stage were introduced in the programme. The computer printouts of the data in respect of a sample of households from all supervisory zones were then compared with the individual questionnaires to try and identify data entry errors by the assistants and JSLC statisticians. Also, a 10 per cent sample of the questionnaires was double entered, in an effort to check for errors by data entry operators. The SAS software was used for all electronic processing.
Refusals 5.7% Vacant/closed dwellings 26.1% Total non-response - 31.8%
These are done and recorded in the report
Users of the data must agree to keep confidential all data contained in these datasets and to make no attempt to identify, trace or contact any individual whose data is included in these datasets.
PIOJ
Statistical Institute Of Jamaica . Jamaica Survey of Living Conditions, 2008 [Computer file]. Kingston, Jamaica: Statistical Institute Of Jamaica [producer], 2008. Kingston, Jamaica: Planning Institute of Jamaica and Derek Gordon Databank, University of the West Indies [distributors], 2011.
Datasets are distributed at minimal or no cost for legitimate research depending on the classification of user, with the condition that users acknowledge source of data. Copies of all reports and publications based on the requested data must be sent to the Planning Institute of Jamaica and the Derek Gordon Databank, University of the West Indies.
The Statistical Institute of Jamaica provides these data to external users without any warranty or responsibility implied. The Statistical Institute of Jamaica, Planning Institute of Jamaica and University of the West Indies accepts no responsibility for the results and/or implications of any actions resulting from the use of these data.
annual08
ANNUALISED CONSUMPTION DATA
0
29
edtotals08
0
16
finwght08
0
4
food08
ANNUALISED CONSUMPTION DATA
0
10
gifts08
ANNUALISED CONSUMPTION DATA
0
8
heads08
HOUSEHOLD HEAD DATA
0
22
hhsizes08
HOUSEHOLD POPULATION DATA
0
12
homegift08
ANNUALISED CONSUMPTION DATA
0
5
housexp08
ANNUALISED CONSUMPTION DATA
0
10
housing08
ANNUALISED CONSUMPTION DATA
0
19
LItERACY08
Literacy module
0
37
meals08
ANNUALISED CONSUMPTION DATA
0
10
noncons08
ANNUALISED CONSUMPTION DATA
0
10
notfood08
ANNUALISED CONSUMPTION DATA
0
10
povline08
roster with consumption and poverty variables
0
39
rec001_08
0
41
rec002_08
Principal earners employment
0
7
rec003_08
Household Roster
0
19
rec004_08
Section A - Health part 1
0
30
rec005_08
SECTION_A HEALTH PART 2
0
16
rec006_08
SECTION_A HEALTH PART 3
0
19
rec007_08
Section B - Education part 1
0
19
rec008_08
Section B - education part 2
0
34
rec009_08
Section b - education part 3
0
9
rec010_08
Section B - education part 4
0
11
rec011_08
Section B - education part 5
0
32
rec012_08
Section C -child health part 1
0
18
rec013_08
Section C -Child health part 2
0
18
rec014_08
Section D -Social protection respondent
0
3
rec015_08
Section D -Social protection part 1
0
12
rec016_08
Section D -Social protection part 2
0
55
rec017_08
SECTION_E DAILY EXPENSES
0
5
rec018_08
SECTION_ MEALS AWAY FROM HOME
0
5
rec019_08
SECTION_F FOOD EXPENSES (RESPONDENT)
0
3
rec020_08
SECTION_F FOOD EXPENSES (PURCHASED)
0
6
rec021_08
SECTION_F FOOD EXPENSES (HOME PRODUCTION/GIFTS)
0
6
rec022_08
SECTION_G CONSUMPTION EXPENDITURE (respondent)
0
3
rec023_08
SECTION_G CONSUMPTION EXPENDITURE
0
8
rec024_08
SECTION_H NON-CONSUMPTION EXPENDITURE
0
6
rec025_08
SECTION_I HOUSING AND RELATED EXPENSES
0
46
rec026_08
SECTION_J INVENTORY OF DURABLE GOODS
0
30
rec027_08
SECTION_K MISCELLANEOUS INCOME PART 1
0
17
rec028_08
SECTION_K MISCELLANEOUS INCOME PART 2
0
8
rec029_08
SECTION_L EARLY CHILDHOOD DEVELOPMENT/HEALTH PART 1
0
43
rec030_08
SECTION_L EARLY CHILDHOOD DEVELOPMENT/HEALTH PART 2
0
37
thomfood08
ANNUALISED CONSUMPTION DATA (BY HOUSEHOLD)
0
2
thousexp08
0
2
tnoncons08
ANNUALISED CONSUMPTION DATA (BY HOUSEHOLD)
0
2
tnotfood08
ANNUALISED CONSUMPTION DATA (BY HOUSEHOLD)
0
2
totfood08
ANNUALISED CONSUMPTION DATA (BY HOUSEHOLD)
0
2
totgifts08
ANNUALISED CONSUMPTION DATA (BY HOUSEHOLD)
0
6
totmeals08
ANNUALISED CONSUMPTION DATA (BY HOUSEHOLD)
0
2
Household Number
Household Number
Household Number
Household Number
Household Number
Parish Number
Parish Number
Parish Number
Parish Number
Parish Number
Constuency Number
Constuency Number
Constuency Number
Constuency Number
Constuency Number
Enumeration District Number
Enumeration District Number
Enumeration District Number
Enumeration District Number
Enumeration District Number
final weight
final weight
final weight
final weight
final weight
Annual Cost of Meals[Expenditure]
Annual Cost of Meals[Expenditure]
Annual Cost of Meals[Expenditure]
Annual Cost of Meals[Expenditure]
Annual Cost of Meals[Expenditure]
Annual Non-Consumption Expenditure
Annual Non-Consumption Expenditure
Annual Non-Consumption Expenditure
Annual Non-Consumption Expenditure
Annual Non-Consumption Expenditure
Annual Property Tax Payment
Annual Property Tax Payment
Annual Property Tax Payment
Annual Property Tax Payment
Annual Property Tax Payment
Annual Water Bill
Annual Water Bill
Annual Water Bill
Annual Water Bill
Annual Water Bill
Annual Electricity Bill
Annual Electricity Bill
Annual Electricity Bill
Annual Electricity Bill
Annual Electricity Bill
Annual Land Telephone Bill
Annual Land Telephone Bill
Annual Land Telephone Bill
Annual Land Telephone Bill
Annual Land Telephone Bill
Annual Cellular Telephone Bill
Annual Cellular Telephone Bill
Annual Cellular Telephone Bill
Annual Cellular Telephone Bill
Annual Cellular Telephone Bill
Annual Mortgage Payment
Annual Mortgage Payment
Annual Mortgage Payment
Annual Mortgage Payment
Annual Mortgage Payment
Annual Rent Expenditure
Annual Rent Expenditure
Annual Rent Expenditure
Annual Rent Expenditure
Annual Rent Expenditure
Household Size - All individuals
Household Size - All individuals
Household Size - All individuals
Household Size - All individuals
Household Size - All individuals
Household Size - Members only
Household Size - Members only
Household Size - Members only
Household Size - Members only
Household Size - Members only
Annual Utility Bill
Annual Utility Bill
Annual Utility Bill
Annual Utility Bill
Annual Utility Bill
Annual Housing Expenditure
Annual Housing Expenditure
Annual Housing Expenditure
Annual Housing Expenditure
Annual Housing Expenditure
Annual Non-Food Expenditure
Annual Non-Food Expenditure
Annual Non-Food Expenditure
Annual Non-Food Expenditure
Annual Non-Food Expenditure
Total Annual Food Expenditure
Total Annual Food Expenditure
Total Annual Food Expenditure
Total Annual Food Expenditure
Total Annual Food Expenditure
Annual Consumption Expenditure
Annual Consumption Expenditure
Annual Consumption Expenditure
Annual Consumption Expenditure
Annual Consumption Expenditure
Total Annual Expenditure
Total Annual Expenditure
Total Annual Expenditure
Total Annual Expenditure
Total Annual Expenditure
Annual Cost of Home-produced + Gift Food
Annual Cost of Home-produced + Gift Food
Annual Cost of Home-produced + Gift Food
Annual Cost of Home-produced + Gift Food
Annual Cost of Home-produced + Gift Food
Per Cap. Consumption - All Individuals
Per Cap. Consumption - All Individuals
Per Cap. Consumption - All Individuals
Per Cap. Consumption - All Individuals
Per Cap. Consumption - All Individuals
Per Cap. Consumption - Members Only
Per Cap. Consumption - Members Only
Per Cap. Consumption - Members Only
Per Cap. Consumption - Members Only
Per Cap. Consumption - Members Only
Per Capita Population Decile
Per Capita Population Decile
Per Capita Population Decile
Per Capita Population Decile
Per Capita Population Decile
Per Capita Population Quintile
Per Capita Population Quintile
Per Capita Population Quintile
Per Capita Population Quintile
Per Capita Population Quintile
Non-response weight for E.D.
Non-response weight for E.D.
Non-response weight for E.D.
Non-response weight for E.D.
Non-response weight for E.D.
Total Annual Consumption Exp. for E.D.
Total Annual Consumption Exp. for E.D.
Total Annual Consumption Exp. for E.D.
Total Annual Consumption Exp. for E.D.
Total Annual Consumption Exp. for E.D.
Total Annual NonFood Exp. for E.D.
Total Annual NonFood Exp. for E.D.
Total Annual NonFood Exp. for E.D.
Total Annual NonFood Exp. for E.D.
Total Annual NonFood Exp. for E.D.
Total Annual Food Exp. for E.D.
Total Annual Food Exp. for E.D.
Total Annual Food Exp. for E.D.
Total Annual Food Exp. for E.D.
Total Annual Food Exp. for E.D.
Total Home Prod"n/Gift Exp. for E.D.
Total Home Prod"n/Gift Exp. for E.D.
Total Home Prod"n/Gift Exp. for E.D.
Total Home Prod"n/Gift Exp. for E.D.
Total Home Prod"n/Gift Exp. for E.D.
Parish Number
Parish Number
Parish Number
Parish Number
Parish Number
Constuency Number
Constuency Number
Constuency Number
Constuency Number
Constuency Number
Sampling Region
Sampling Region
Sampling Region
Sampling Region
Sampling Region
Enumeration District Number
Enumeration District Number
Enumeration District Number
Enumeration District Number
Enumeration District Number
area code
area code
area code
area code
area code
No. of dwellings responding in E.D.
No. of dwellings responding in E.D.
No. of dwellings responding in E.D.
No. of dwellings responding in E.D.
No. of dwellings responding in E.D.
No. of households responding in E.D.
No. of households responding in E.D.
No. of households responding in E.D.
No. of households responding in E.D.
No. of households responding in E.D.
Total population of E.D.
Total population of E.D.
Total population of E.D.
Total population of E.D.
Total population of E.D.
Total Male population of E.D.
Total Male population of E.D.
Total Male population of E.D.
Total Male population of E.D.
Total Male population of E.D.
Total Female population of E.D.
Total Female population of E.D.
Total Female population of E.D.
Total Female population of E.D.
Total Female population of E.D.
Total Children population of E.D.
Total Children population of E.D.
Total Children population of E.D.
Total Children population of E.D.
Total Children population of E.D.
Parish Number
Parish Number
Parish Number
Parish Number
Parish Number
Constuency Number
Constuency Number
Constuency Number
Constuency Number
Constuency Number
Enumeration District Number
Enumeration District Number
Enumeration District Number
Enumeration District Number
Enumeration District Number
Final Weight
Final Weight
Final Weight
Final Weight
Final Weight
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Item Code Number
Item Code Number
Item Code Number
Item Code Number
Item Code Number
Received any gift past 12 mths?
Received any gift past 12 mths?
Received any gift past 12 mths?
Received any gift past 12 mths?
Received any gift past 12 mths?
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Item Code Number
Item Code Number
Item Code Number
Item Code Number
Item Code Number
Received any gift past 12 mths?
Received any gift past 12 mths?
Received any gift past 12 mths?
Received any gift past 12 mths?
Received any gift past 12 mths?
Record Number
Record Number
Record Number
Record Number
Record Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Individual ID code
Individual ID code
Individual ID code
Individual ID code
Individual ID code
Age of individual- years
Age of individual- years
Age of individual- years
Age of individual- years
Age of individual- years
Age of individual- months
Age of individual- months
Age of individual- months
Age of individual- months
Age of individual- months
Sex of individual
Sex of individual
Sex of individual
Sex of individual
Sex of individual
Relationship to Household Head
Relationship to Household Head
Relationship to Household Head
Relationship to Household Head
Relationship to Household Head
Household member
Household member
Household member
Household member
Household member
Why no longer household member?
Why no longer household member?
Why no longer household member?
Why no longer household member?
Why no longer household member?
Number of months living in household
Number of months living in household
Number of months living in household
Number of months living in household
Number of months living in household
Who plays the role of childs father
Who plays the role of childs father
Who plays the role of childs father
Who plays the role of childs father
Who plays the role of childs father
Copy ID of father/father figure
Copy ID of father/father figure
Copy ID of father/father figure
Copy ID of father/father figure
Copy ID of father/father figure
Who plays the role of childs mother
Who plays the role of childs mother
Who plays the role of childs mother
Who plays the role of childs mother
Who plays the role of childs mother
Copy ID of mother/mother figure
Copy ID of mother/mother figure
Copy ID of mother/mother figure
Copy ID of mother/mother figure
Copy ID of mother/mother figure
Marital status
Marital status
Marital status
Marital status
Marital status
How long...married?
How long...married?
How long...married?
How long...married?
How long...married?
Union status
Union status
Union status
Union status
Union status
Is partner a household member?
Is partner a household member?
Is partner a household member?
Is partner a household member?
Is partner a household member?
Partner"s ID code
Partner"s ID code
Partner"s ID code
Partner"s ID code
Partner"s ID code
Parish Number
Parish Number
Parish Number
Parish Number
Parish Number
Constuency Number
Constuency Number
Constuency Number
Constuency Number
Constuency Number
Enumeration District Number
Enumeration District Number
Enumeration District Number
Enumeration District Number
Enumeration District Number
Questionnaire serial Number
Questionnaire serial Number
Questionnaire serial Number
Questionnaire serial Number
Questionnaire serial Number
Parish Number
Parish Number
Parish Number
Parish Number
Parish Number
Constuency Number
Constuency Number
Constuency Number
Constuency Number
Constuency Number
Enumeration District Number
Enumeration District Number
Enumeration District Number
Enumeration District Number
Enumeration District Number
dwellinging Number
dwellinging Number
dwellinging Number
dwellinging Number
dwellinging Number
Household # in dwellinging
Household # in dwellinging
Household # in dwellinging
Household # in dwellinging
Household # in dwellinging
Household Size - All
Household Size - All
Household Size - All
Household Size - All
Household Size - All
Household Size - hhms only
Household Size - hhms only
Household Size - hhms only
Household Size - hhms only
Household Size - hhms only
No. of Adult Males
No. of Adult Males
No. of Adult Males
No. of Adult Males
No. of Adult Males
No. of Adult Females
No. of Adult Females
No. of Adult Females
No. of Adult Females
No. of Adult Females
No. of Male Children (age <= 14 yrs)
No. of Male Children (age <= 14 yrs)
No. of Male Children (age <= 14 yrs)
No. of Male Children (age <= 14 yrs)
No. of Male Children (age <= 14 yrs)
No. of Female Children (age <= 14 yrs)
No. of Female Children (age <= 14 yrs)
No. of Female Children (age <= 14 yrs)
No. of Female Children (age <= 14 yrs)
No. of Female Children (age <= 14 yrs)
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Item Code Number
Item Code Number
Item Code Number
Item Code Number
Item Code Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Item Code Number
Item Code Number
Item Code Number
Item Code Number
Item Code Number
Received any gift past 12 mths?
Received any gift past 12 mths?
Received any gift past 12 mths?
Received any gift past 12 mths?
Received any gift past 12 mths?
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Pay property taxes?
Pay property taxes?
Pay property taxes?
Pay property taxes?
Pay property taxes?
Amount of taxes paid
Amount of taxes paid
Amount of taxes paid
Amount of taxes paid
Amount of taxes paid
Main source of drinking water
Main source of drinking water
Main source of drinking water
Main source of drinking water
Main source of drinking water
Main source of lighting
Main source of lighting
Main source of lighting
Main source of lighting
Main source of lighting
HH own land telephone?
HH own land telephone?
HH own land telephone?
HH own land telephone?
HH own land telephone?
Pay mortgage?
Pay mortgage?
Pay mortgage?
Pay mortgage?
Pay mortgage?
Amount paid for rent
Amount paid for rent
Amount paid for rent
Amount paid for rent
Amount paid for rent
Time period of rent
Time period of rent
Time period of rent
Time period of rent
Time period of rent
Household Number
Household Number
Household Number
Household Number
Household Number
Parish Number
Parish Number
Parish Number
Parish Number
Parish Number
Constuency Number
Constuency Number
Constuency Number
Constuency Number
Constuency Number
Enumeration District Number
Enumeration District Number
Enumeration District Number
Enumeration District Number
Enumeration District Number
final weight
final weight
final weight
final weight
final weight
Per Capita Population Quintile
Per Capita Population Quintile
Per Capita Population Quintile
Per Capita Population Quintile
Per Capita Population Quintile
Questionnaire serial Number
Questionnaire serial Number
Questionnaire serial Number
Questionnaire serial Number
Questionnaire serial Number
Enumeration District Number
Enumeration District Number
Enumeration District Number
Enumeration District Number
Enumeration District Number
dwellinging Number
dwellinging Number
dwellinging Number
dwellinging Number
dwellinging Number
Household # in dwellinging
Household # in dwellinging
Household # in dwellinging
Household # in dwellinging
Household # in dwellinging
IND
IND
IND
IND
IND
QSTNO
QSTNO
QSTNO
QSTNO
QSTNO
NOELIG
NOELIG
NOELIG
NOELIG
NOELIG
ID
ID
ID
ID
ID
Total Marks Part A
Total Marks Part A
Total Marks Part A
Total Marks Part A
Total Marks Part A
Total Marks Part BL
Total Marks Part BL
Total Marks Part BL
Total Marks Part BL
Total Marks Part BL
Grand Total Mks
Grand Total Mks
Grand Total Mks
Grand Total Mks
Grand Total Mks
TOTALMARKS2
TOTALMARKS2
TOTALMARKS2
TOTALMARKS2
TOTALMARKS2
AGEYRS
AGEYRS
AGEYRS
AGEYRS
AGEYRS
SEX
SEX
SEX
SEX
SEX
area code
area code
area code
area code
area code
Level of Literacy
Level of Literacy
Level of Literacy
Level of Literacy
Level of Literacy
1
Illiterate
2
Basic
3
Functional
Non-Response
Non-Response
Non-Response
Non-Response
Non-Response
Non-response wght.
Non-response wght.
Non-response wght.
Non-response wght.
Non-response wght.
Population Wght.
Population Wght.
Population Wght.
Population Wght.
Population Wght.
FINAL WGHT.
FINAL WGHT.
FINAL WGHT.
FINAL WGHT.
FINAL WGHT.
Area of Residence
Area of Residence
Area of Residence
Area of Residence
Area of Residence
1
KMA
2
Other Towns
3
Rural Areas
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Item Code Number
Item Code Number
Item Code Number
Item Code Number
Item Code Number
Received any gift past 12 mths?
Received any gift past 12 mths?
Received any gift past 12 mths?
Received any gift past 12 mths?
Received any gift past 12 mths?
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Item Code Number
Item Code Number
Item Code Number
Item Code Number
Item Code Number
Received any gift past 12 mths?
Received any gift past 12 mths?
Received any gift past 12 mths?
Received any gift past 12 mths?
Received any gift past 12 mths?
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Item Code Number
Item Code Number
Item Code Number
Item Code Number
Item Code Number
Received any gift past 12 mths?
Received any gift past 12 mths?
Received any gift past 12 mths?
Received any gift past 12 mths?
Received any gift past 12 mths?
Record Number
Record Number
Record Number
Record Number
Record Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Individual ID code
Individual ID code
Individual ID code
Individual ID code
Individual ID code
Age of individual- years
Age of individual- years
Age of individual- years
Age of individual- years
Age of individual- years
Age of individual- months
Age of individual- months
Age of individual- months
Age of individual- months
Age of individual- months
Sex of individual
Sex of individual
Sex of individual
Sex of individual
Sex of individual
Relationship to Household Head
Relationship to Household Head
Relationship to Household Head
Relationship to Household Head
Relationship to Household Head
Household member
Household member
Household member
Household member
Household member
Why no longer household member?
Why no longer household member?
Why no longer household member?
Why no longer household member?
Why no longer household member?
Number of months living in household
Number of months living in household
Number of months living in household
Number of months living in household
Number of months living in household
Who plays the role of childs father
Who plays the role of childs father
Who plays the role of childs father
Who plays the role of childs father
Who plays the role of childs father
Copy ID of father/father figure
Copy ID of father/father figure
Copy ID of father/father figure
Copy ID of father/father figure
Copy ID of father/father figure
Who plays the role of childs mother
Who plays the role of childs mother
Who plays the role of childs mother
Who plays the role of childs mother
Who plays the role of childs mother
Copy ID of mother/mother figure
Copy ID of mother/mother figure
Copy ID of mother/mother figure
Copy ID of mother/mother figure
Copy ID of mother/mother figure
Marital status
Marital status
Marital status
Marital status
Marital status
How long...married?
How long...married?
How long...married?
How long...married?
How long...married?
Union status
Union status
Union status
Union status
Union status
Is partner a household member?
Is partner a household member?
Is partner a household member?
Is partner a household member?
Is partner a household member?
Partner"s ID code
Partner"s ID code
Partner"s ID code
Partner"s ID code
Partner"s ID code
Numeric Age(0-59mths)
Numeric Age(0-59mths)
Numeric Age(0-59mths)
Numeric Age(0-59mths)
Numeric Age(0-59mths)
Adult equivalent values
Adult equivalent values
Adult equivalent values
Adult equivalent values
Adult equivalent values
Adult equivalent values
Adult equivalent values
Adult equivalent values
Adult equivalent values
Adult equivalent values
Annual Consumption Expenditure
Annual Consumption Expenditure
Annual Consumption Expenditure
Annual Consumption Expenditure
Annual Consumption Expenditure
Per Capita Population Quintile
Per Capita Population Quintile
Per Capita Population Quintile
Per Capita Population Quintile
Per Capita Population Quintile
area code
area code
area code
area code
area code
final weight
final weight
final weight
final weight
final weight
Adult Equiv. percapita consumption
Adult Equiv. percapita consumption
Adult Equiv. percapita consumption
Adult Equiv. percapita consumption
Adult Equiv. percapita consumption
Percapita consumption
Percapita consumption
Percapita consumption
Percapita consumption
Percapita consumption
ADE poverty line
ADE poverty line
ADE poverty line
ADE poverty line
ADE poverty line
Food poverty line
Food poverty line
Food poverty line
Food poverty line
Food poverty line
Per Capita Poverty line
Per Capita Poverty line
Per Capita Poverty line
Per Capita Poverty line
Per Capita Poverty line
BPOV=1: <= 0.8 OF ADE Povline
BPOV=1: <= 0.8 OF ADE Povline
BPOV=1: <= 0.8 OF ADE Povline
BPOV=1: <= 0.8 OF ADE Povline
BPOV=1: <= 0.8 OF ADE Povline
APOV=1: <= 1.25 OF ADE Povline
APOV=1: <= 1.25 OF ADE Povline
APOV=1: <= 1.25 OF ADE Povline
APOV=1: <= 1.25 OF ADE Povline
APOV=1: <= 1.25 OF ADE Povline
POV=1: ADE Poor
POV=1: ADE Poor
POV=1: ADE Poor
POV=1: ADE Poor
POV=1: ADE Poor
FPOV=1:ADE Food Poor
FPOV=1:ADE Food Poor
FPOV=1:ADE Food Poor
FPOV=1:ADE Food Poor
FPOV=1:ADE Food Poor
BPER=1: <= 0.8 OF Perline
BPER=1: <= 0.8 OF Perline
BPER=1: <= 0.8 OF Perline
BPER=1: <= 0.8 OF Perline
BPER=1: <= 0.8 OF Perline
APER=1: <= 1.25 OF Perline
APER=1: <= 1.25 OF Perline
APER=1: <= 1.25 OF Perline
APER=1: <= 1.25 OF Perline
APER=1: <= 1.25 OF Perline
PER=1:PerCapita Poor
PER=1:PerCapita Poor
PER=1:PerCapita Poor
PER=1:PerCapita Poor
PER=1:PerCapita Poor
Record Number
Record Number
Record Number
Record Number
Record Number
Questionnaire serial Number
Questionnaire serial Number
Questionnaire serial Number
Questionnaire serial Number
Questionnaire serial Number
Parish Number
Parish Number
Parish Number
Parish Number
Parish Number
1
KINGSTON
2
ST. ANDREW
3
ST. THOMAS
4
PORTLAND
5
ST. MARY
6
ST. ANN
7
TRELAWNY
8
ST. JAMES
9
HANOVER
10
WESTMORELAND
11
ST. ELIZABETH
12
MANCHESTER
13
CLARENDON
14
ST. CATHERINE
Constuency Number
Constuency Number
Constuency Number
Constuency Number
Constuency Number
Sampling Region
Sampling Region
Sampling Region
Sampling Region
Sampling Region
Enumeration District Number
Enumeration District Number
Enumeration District Number
Enumeration District Number
Enumeration District Number
dwellinging Number
dwellinging Number
dwellinging Number
dwellinging Number
dwellinging Number
Household # in dwellinging
Household # in dwellinging
Household # in dwellinging
Household # in dwellinging
Household # in dwellinging
area code
area code
area code
area code
area code
1
KMA
2
Other Town
3
Rural
Interview DaY
Interview DaY
Interview DaY
Interview DaY
Interview DaY
Interview Month
Interview Month
Interview Month
Interview Month
Interview Month
Interview Year
Interview Year
Interview Year
Interview Year
Interview Year
# of Household visits
# of Household visits
# of Household visits
# of Household visits
# of Household visits
Hour interview started
Hour interview started
Hour interview started
Hour interview started
Hour interview started
Minute interview started
Minute interview started
Minute interview started
Minute interview started
Minute interview started
Interviewer code
Interviewer code
Interviewer code
Interviewer code
Interviewer code
Hour interview ended
Hour interview ended
Hour interview ended
Hour interview ended
Hour interview ended
Minute interview ended
Minute interview ended
Minute interview ended
Minute interview ended
Minute interview ended
Supervisor code
Supervisor code
Supervisor code
Supervisor code
Supervisor code
Interview - Hours Taken
Interview - Hours Taken
Interview - Hours Taken
Interview - Hours Taken
Interview - Hours Taken
Interview - Minutes Taken
Interview - Minutes Taken
Interview - Minutes Taken
Interview - Minutes Taken
Interview - Minutes Taken
Senior Supervisor code
Senior Supervisor code
Senior Supervisor code
Senior Supervisor code
Senior Supervisor code
Anthropometrist Code-supervisor
Anthropometrist Code-supervisor
Anthropometrist Code-supervisor
Anthropometrist Code-supervisor
Anthropometrist Code-supervisor
Anthropometrist Code-assistant
Anthropometrist Code-assistant
Anthropometrist Code-assistant
Anthropometrist Code-assistant
Anthropometrist Code-assistant
DaY of Anthropometrics
DaY of Anthropometrics
DaY of Anthropometrics
DaY of Anthropometrics
DaY of Anthropometrics
Mth of Anthropometrics
Mth of Anthropometrics
Mth of Anthropometrics
Mth of Anthropometrics
Mth of Anthropometrics
Year of Anthropometrics
Year of Anthropometrics
Year of Anthropometrics
Year of Anthropometrics
Year of Anthropometrics
Roster -yes/no
Roster -yes/no
Roster -yes/no
Roster -yes/no
Roster -yes/no
Health -yes/no
Health -yes/no
Health -yes/no
Health -yes/no
Health -yes/no
Education -yes/no
Education -yes/no
Education -yes/no
Education -yes/no
Education -yes/no
Anthropometrics -yes/no
Anthropometrics -yes/no
Anthropometrics -yes/no
Anthropometrics -yes/no
Anthropometrics -yes/no
Social Protection -yes/no
Social Protection -yes/no
Social Protection -yes/no
Social Protection -yes/no
Social Protection -yes/no
Daily Expense -yes/no
Daily Expense -yes/no
Daily Expense -yes/no
Daily Expense -yes/no
Daily Expense -yes/no
Food Expenses -yes/no
Food Expenses -yes/no
Food Expenses -yes/no
Food Expenses -yes/no
Food Expenses -yes/no
Consumption Expenditures -yes/no
Consumption Expenditures -yes/no
Consumption Expenditures -yes/no
Consumption Expenditures -yes/no
Consumption Expenditures -yes/no
Non-Consumption Expenditures -yes/no
Non-Consumption Expenditures -yes/no
Non-Consumption Expenditures -yes/no
Non-Consumption Expenditures -yes/no
Non-Consumption Expenditures -yes/no
Housing -yes/no
Housing -yes/no
Housing -yes/no
Housing -yes/no
Housing -yes/no
Durable Goods -yes/no
Durable Goods -yes/no
Durable Goods -yes/no
Durable Goods -yes/no
Durable Goods -yes/no
Miscellaneous Income -yes/no
Miscellaneous Income -yes/no
Miscellaneous Income -yes/no
Miscellaneous Income -yes/no
Miscellaneous Income -yes/no
ECD/Health -yes/no
ECD/Health -yes/no
ECD/Health -yes/no
ECD/Health -yes/no
ECD/Health -yes/no
final weight
final weight
final weight
final weight
final weight
Record Number
Record Number
Record Number
Record Number
Record Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Principal Earner
Principal Earner
Principal Earner
Principal Earner
Principal Earner
Occupational Code
Occupational Code
Occupational Code
Occupational Code
Occupational Code
Industry Code
Industry Code
Industry Code
Industry Code
Industry Code
Caregiver
Caregiver
Caregiver
Caregiver
Caregiver
Record Number
Record Number
Record Number
Record Number
Record Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Individual ID code
Individual ID code
Individual ID code
Individual ID code
Individual ID code
Age of individual- years
Age of individual- years
Age of individual- years
Age of individual- years
Age of individual- years
Age of individual- months
Age of individual- months
Age of individual- months
Age of individual- months
Age of individual- months
Sex of individual
Sex of individual
Sex of individual
Sex of individual
Sex of individual
1
Male
2
Female
Relationship to Household Head
Relationship to Household Head
Relationship to Household Head
Relationship to Household Head
Relationship to Household Head
1
head
2
spouse/partner of head
3
child of head/spouse
4
spouse/partner of child
5
grand child of head/spouse
6
parent of head/spouse
7
other relative of head/spouse
8
domestic employee
9
other non relative
Household member
Household member
Household member
Household member
Household member
1
Still a member
2
No longer a member
3
New member
Why no longer household member?
Why no longer household member?
Why no longer household member?
Why no longer household member?
Why no longer household member?
1
MIGRATED TO OTHER HOUSEHOLD IN PARISH
2
MIGRATED TO OTHER HOUSEHOLD IN ANOTHER PARISH
3
MIGRATED TO ANOTHER COUNTRY
4
DIED
5
DON'T KNOW
6
OTHER (Specify)
Number of months living in household
Number of months living in household
Number of months living in household
Number of months living in household
Number of months living in household
Who plays the role of childs father
Who plays the role of childs father
Who plays the role of childs father
Who plays the role of childs father
Who plays the role of childs father
1
BIRTH FATHER
2
ADOPTED FATHER ( LEGALLY)
3
STEPFATHER
4
GRANDFATHER
5
MOTHER'S BOYFRIEND
6
UNCLE
7
OTHER MALE RELATIVE
8
OTHER MALE NON RELATIVE
9
NO FATHER FIGURE
Copy ID of father/father figure
Copy ID of father/father figure
Copy ID of father/father figure
Copy ID of father/father figure
Copy ID of father/father figure
Who plays the role of childs mother
Who plays the role of childs mother
Who plays the role of childs mother
Who plays the role of childs mother
Who plays the role of childs mother
1
BIRTH MOTHER
2
ADOPTED MOTHER (LEGALLY)
3
STEPMOTHER
4
GRANDMOTHER
5
FATHER'S GIRLFRIEND
6
AUNT
7
OTHER FEMALE RELATIVE
8
OTHER FEMALE NON RELATIVE
9
NO MOTHER FIGURE
Copy ID of mother/mother figure
Copy ID of mother/mother figure
Copy ID of mother/mother figure
Copy ID of mother/mother figure
Copy ID of mother/mother figure
Marital status
Marital status
Marital status
Marital status
Marital status
1
Married
2
Never married
3
Divorced
4
Separated
5
Widowed
How long...married?
How long...married?
How long...married?
How long...married?
How long...married?
Union status
Union status
Union status
Union status
Union status
1
Married
2
Commona Law
3
Visiting
4
Single
Is partner a household member?
Is partner a household member?
Is partner a household member?
Is partner a household member?
Is partner a household member?
Partner"s ID code
Partner"s ID code
Partner"s ID code
Partner"s ID code
Partner"s ID code
Record number
Record number
Record number
Record number
Record number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Individual number
Individual number
Individual number
Individual number
Individual number
Injury due to accidents...?
Injury due to accidents...?
Injury due to accidents...?
Injury due to accidents...?
Injury due to accidents...?
1
Yes
2
No
What types of incidents-MOTOR VEHICLE?
What types of incidents-MOTOR VEHICLE?
What types of incidents-MOTOR VEHICLE?
What types of incidents-MOTOR VEHICLE?
What types of incidents-MOTOR VEHICLE?
1
MOTOR VEHICLE
2
DOMESTIC ACCIDENT
3
INDUSTRIAL ACCIDENT
4
DOMESTIC INCIDENT
5
OTHER VIOLENT RELATED INCIDENT
6
OTHER SPECIFY
What types of incidents-DOMESTIC ACCIDENT?
What types of incidents-DOMESTIC ACCIDENT?
What types of incidents-DOMESTIC ACCIDENT?
What types of incidents-DOMESTIC ACCIDENT?
What types of incidents-DOMESTIC ACCIDENT?
1
MOTOR VEHICLE
2
DOMESTIC ACCIDENT
3
INDUSTRIAL ACCIDENT
4
DOMESTIC INCIDENT
5
OTHER VIOLENT RELATED INCIDENT
6
OTHER SPECIFY
What types of incidents-INDUSTRIAL ACCIDENT?
What types of incidents-INDUSTRIAL ACCIDENT?
What types of incidents-INDUSTRIAL ACCIDENT?
What types of incidents-INDUSTRIAL ACCIDENT?
What types of incidents-INDUSTRIAL ACCIDENT?
1
MOTOR VEHICLE
2
DOMESTIC ACCIDENT
3
INDUSTRIAL ACCIDENT
4
DOMESTIC INCIDENT
5
OTHER VIOLENT RELATED INCIDENT
6
OTHER SPECIFY
What types of incidents-DOMESTIC INCIDENT?
What types of incidents-DOMESTIC INCIDENT?
What types of incidents-DOMESTIC INCIDENT?
What types of incidents-DOMESTIC INCIDENT?
What types of incidents-DOMESTIC INCIDENT?
1
MOTOR VEHICLE
2
DOMESTIC ACCIDENT
3
INDUSTRIAL ACCIDENT
4
DOMESTIC INCIDENT
5
OTHER VIOLENT RELATED INCIDENT
6
OTHER SPECIFY
What types of incidents-OTHER VIOLENT RELATED INCIDENT?
What types of incidents-OTHER VIOLENT RELATED INCIDENT?
What types of incidents-OTHER VIOLENT RELATED INCIDENT?
What types of incidents-OTHER VIOLENT RELATED INCIDENT?
What types of incidents-OTHER VIOLENT RELATED INCIDENT?
1
MOTOR VEHICLE
2
DOMESTIC ACCIDENT
3
INDUSTRIAL ACCIDENT
4
DOMESTIC INCIDENT
5
OTHER VIOLENT RELATED INCIDENT
6
OTHER SPECIFY
What types of incidents-OTHER SPECIFY?
What types of incidents-OTHER SPECIFY?
What types of incidents-OTHER SPECIFY?
What types of incidents-OTHER SPECIFY?
What types of incidents-OTHER SPECIFY?
1
MOTOR VEHICLE
2
DOMESTIC ACCIDENT
3
INDUSTRIAL ACCIDENT
4
DOMESTIC INCIDENT
5
OTHER VIOLENT RELATED INCIDENT
6
OTHER SPECIFY
Any illneses other than that due to injury?
Any illneses other than that due to injury?
Any illneses other than that due to injury?
Any illneses other than that due to injury?
Any illneses other than that due to injury?
1
Yes
2
No
How long did this illness last...?
How long did this illness last...?
How long did this illness last...?
How long did this illness last...?
How long did this illness last...?
How long unable to carry out activities...?
How long unable to carry out activities...?
How long unable to carry out activities...?
How long unable to carry out activities...?
How long unable to carry out activities...?
Health Practitioner Visited.............?
Health Practitioner Visited.............?
Health Practitioner Visited.............?
Health Practitioner Visited.............?
Health Practitioner Visited.............?
1
Yes
2
No
How many visits made to practitioner in past 4 weeks?
How many visits made to practitioner in past 4 weeks?
How many visits made to practitioner in past 4 weeks?
How many visits made to practitioner in past 4 weeks?
How many visits made to practitioner in past 4 weeks?
Where did visits take place....Public Hospital?
Where did visits take place....Public Hospital?
Where did visits take place....Public Hospital?
Where did visits take place....Public Hospital?
Where did visits take place....Public Hospital?
1
Yes
2
No
How long did you wait to see professional (public)...HRS?
How long did you wait to see professional (public)...HRS?
How long did you wait to see professional (public)...HRS?
How long did you wait to see professional (public)...HRS?
How long did you wait to see professional (public)...HRS?
How long did you wait to see professional.(public).MINS?
How long did you wait to see professional.(public).MINS?
How long did you wait to see professional.(public).MINS?
How long did you wait to see professional.(public).MINS?
How long did you wait to see professional.(public).MINS?
Where did visits take place....Private Hospital?
Where did visits take place....Private Hospital?
Where did visits take place....Private Hospital?
Where did visits take place....Private Hospital?
Where did visits take place....Private Hospital?
1
Yes
2
No
How long did you wait to see professional.(private)..HRS?
How long did you wait to see professional.(private)..HRS?
How long did you wait to see professional.(private)..HRS?
How long did you wait to see professional.(private)..HRS?
How long did you wait to see professional.(private)..HRS?
How long did you wait to see professional.(private)..MINS?
How long did you wait to see professional.(private)..MINS?
How long did you wait to see professional.(private)..MINS?
How long did you wait to see professional.(private)..MINS?
How long did you wait to see professional.(private)..MINS?
Where did visits take place....Public Health/Maternity Centre?
Where did visits take place....Public Health/Maternity Centre?
Where did visits take place....Public Health/Maternity Centre?
Where did visits take place....Public Health/Maternity Centre?
Where did visits take place....Public Health/Maternity Centre?
1
Yes
2
No
How long did you wait to see professional..(public health/ maternity).HRS?
How long did you wait to see professional..(public health/ maternity).HRS?
How long did you wait to see professional..(public health/ maternity).HRS?
How long did you wait to see professional..(public health/ maternity).HRS?
How long did you wait to see professional..(public health/ maternity).HRS?
How long did you wait to see professional..(public health/ maternity).MINS?
How long did you wait to see professional..(public health/ maternity).MINS?
How long did you wait to see professional..(public health/ maternity).MINS?
How long did you wait to see professional..(public health/ maternity).MINS?
How long did you wait to see professional..(public health/ maternity).MINS?
Where did visits take place....Private Health/Maternity Centre/Doctors Office?
Where did visits take place....Private Health/Maternity Centre/Doctors Office?
Where did visits take place....Private Health/Maternity Centre/Doctors Office?
Where did visits take place....Private Health/Maternity Centre/Doctors Office?
Where did visits take place....Private Health/Maternity Centre/Doctors Office?
1
Yes
2
No
How long did you wait to see professional...(private health/doctors office)...HRS?
How long did you wait to see professional...(private health/doctors office)...HRS?
How long did you wait to see professional...(private health/doctors office)...HRS?
How long did you wait to see professional...(private health/doctors office)...HRS?
How long did you wait to see professional...(private health/doctors office)...HRS?
How long did you wait to see professional...(private health/doctors office).MINS?
How long did you wait to see professional...(private health/doctors office).MINS?
How long did you wait to see professional...(private health/doctors office).MINS?
How long did you wait to see professional...(private health/doctors office).MINS?
How long did you wait to see professional...(private health/doctors office).MINS?
Where did visits take place....Other Facility?
Where did visits take place....Other Facility?
Where did visits take place....Other Facility?
Where did visits take place....Other Facility?
Where did visits take place....Other Facility?
1
Yes
2
No
How long did you wait to see professional.(other)..HRS?
How long did you wait to see professional.(other)..HRS?
How long did you wait to see professional.(other)..HRS?
How long did you wait to see professional.(other)..HRS?
How long did you wait to see professional.(other)..HRS?
How long did you wait to see professional.(other)..MINS?
How long did you wait to see professional.(other)..MINS?
How long did you wait to see professional.(other)..MINS?
How long did you wait to see professional.(other)..MINS?
How long did you wait to see professional.(other)..MINS?
Record number
Record number
Record number
Record number
Record number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Individual number
Individual number
Individual number
Individual number
Individual number
Cost at Publc Health Facility?
Cost at Publc Health Facility?
Cost at Publc Health Facility?
Cost at Publc Health Facility?
Cost at Publc Health Facility?
Cost at Private Health Facility?
Cost at Private Health Facility?
Cost at Private Health Facility?
Cost at Private Health Facility?
Cost at Private Health Facility?
Overnight Public Facility?
Overnight Public Facility?
Overnight Public Facility?
Overnight Public Facility?
Overnight Public Facility?
1
Yes
2
No
How many nights - Public.......?
How many nights - Public.......?
How many nights - Public.......?
How many nights - Public.......?
How many nights - Public.......?
How much did you pay.- Public..?
How much did you pay.- Public..?
How much did you pay.- Public..?
How much did you pay.- Public..?
How much did you pay.- Public..?
Overnight Private Facility.?
Overnight Private Facility.?
Overnight Private Facility.?
Overnight Private Facility.?
Overnight Private Facility.?
1
Yes
2
No
How many nights..- Private.....?
How many nights..- Private.....?
How many nights..- Private.....?
How many nights..- Private.....?
How many nights..- Private.....?
How much did you pay..- Private?
How much did you pay..- Private?
How much did you pay..- Private?
How much did you pay..- Private?
How much did you pay..- Private?
Why didn t you seek care...?
Why didn t you seek care...?
Why didn t you seek care...?
Why didn t you seek care...?
Why didn t you seek care...?
1
COULD NOT AFFORD
2
WASN'T ILL ENOUGH
3
PREFERRED HOME REMEDIES
4
DIDN'T HAVE TIME TO GO
5
OTHER (SPECIFY)
Did you buy medicines......?
Did you buy medicines......?
Did you buy medicines......?
Did you buy medicines......?
Did you buy medicines......?
1
PRESCRIBED MEDICINES
2
PARTIAL PRESCRIPTION
3
PRESCRIBED/OVER THE COUNTER
4
OVER THE COUNTER
5
PRESCRIBED/DIDN'T BUY
6
NONE PRESCRIBED/REQUIRED
Purchased medicines- Public facility..?
Purchased medicines- Public facility..?
Purchased medicines- Public facility..?
Purchased medicines- Public facility..?
Purchased medicines- Public facility..?
1
Yes
2
No
Purchased medicines- Private Facility or Pharmacy?
Purchased medicines- Private Facility or Pharmacy?
Purchased medicines- Private Facility or Pharmacy?
Purchased medicines- Private Facility or Pharmacy?
Purchased medicines- Private Facility or Pharmacy?
1
Yes
2
No
How much spent at Public Source?
How much spent at Public Source?
How much spent at Public Source?
How much spent at Public Source?
How much spent at Public Source?
Record number
Record number
Record number
Record number
Record number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Individual number
Individual number
Individual number
Individual number
Individual number
How much spent at private source?
How much spent at private source?
How much spent at private source?
How much spent at private source?
How much spent at private source?
Are you covered by any Health Insurance?
Are you covered by any Health Insurance?
Are you covered by any Health Insurance?
Are you covered by any Health Insurance?
Are you covered by any Health Insurance?
1
YES, PRIVATE
2
YES, NI GOLD
3
YES, OTHER PUBLIC (SPECIFY)
4
NO
How is your Health in general?
How is your Health in general?
How is your Health in general?
How is your Health in general?
How is your Health in general?
1
VERY GOOD
2
GOOD
3
FAIR
4
POOR
5
VERY POOR
Suffer from chronic disease/illness...cold?)
Suffer from chronic disease/illness...cold?)
Suffer from chronic disease/illness...cold?)
Suffer from chronic disease/illness...cold?)
Suffer from chronic disease/illness...cold?)
1
YES, COLD
2
YES, DIARRHOEA
3
YES, ASTHMA
4
YES, DIABETES
5
YES, HYPERTENSION
6
YES, ARTHRITIS
7
YES, MENTAL ILLNESS
8
YES, OTHER (SPECIFY)
9
NO
Suffer from chronic disease/illness...diarrhoea?)
Suffer from chronic disease/illness...diarrhoea?)
Suffer from chronic disease/illness...diarrhoea?)
Suffer from chronic disease/illness...diarrhoea?)
Suffer from chronic disease/illness...diarrhoea?)
1
YES, COLD
2
YES, DIARRHOEA
3
YES, ASTHMA
4
YES, DIABETES
5
YES, HYPERTENSION
6
YES, ARTHRITIS
7
YES, MENTAL ILLNESS
8
YES, OTHER (SPECIFY)
9
NO
Suffer from chronic disease/illness...asthma?)
Suffer from chronic disease/illness...asthma?)
Suffer from chronic disease/illness...asthma?)
Suffer from chronic disease/illness...asthma?)
Suffer from chronic disease/illness...asthma?)
1
YES, COLD
2
YES, DIARRHOEA
3
YES, ASTHMA
4
YES, DIABETES
5
YES, HYPERTENSION
6
YES, ARTHRITIS
7
YES, MENTAL ILLNESS
8
YES, OTHER (SPECIFY)
9
NO
Suffer from chronic disease/illness...diabetes?)
Suffer from chronic disease/illness...diabetes?)
Suffer from chronic disease/illness...diabetes?)
Suffer from chronic disease/illness...diabetes?)
Suffer from chronic disease/illness...diabetes?)
1
YES, COLD
2
YES, DIARRHOEA
3
YES, ASTHMA
4
YES, DIABETES
5
YES, HYPERTENSION
6
YES, ARTHRITIS
7
YES, MENTAL ILLNESS
8
YES, OTHER (SPECIFY)
9
NO
Suffer from chronic disease/illness...hypertension?)
Suffer from chronic disease/illness...hypertension?)
Suffer from chronic disease/illness...hypertension?)
Suffer from chronic disease/illness...hypertension?)
Suffer from chronic disease/illness...hypertension?)
1
YES, COLD
2
YES, DIARRHOEA
3
YES, ASTHMA
4
YES, DIABETES
5
YES, HYPERTENSION
6
YES, ARTHRITIS
7
YES, MENTAL ILLNESS
8
YES, OTHER (SPECIFY)
9
NO
Suffer from chronic disease/illness...arthritis?)
Suffer from chronic disease/illness...arthritis?)
Suffer from chronic disease/illness...arthritis?)
Suffer from chronic disease/illness...arthritis?)
Suffer from chronic disease/illness...arthritis?)
1
YES, COLD
2
YES, DIARRHOEA
3
YES, ASTHMA
4
YES, DIABETES
5
YES, HYPERTENSION
6
YES, ARTHRITIS
7
YES, MENTAL ILLNESS
8
YES, OTHER (SPECIFY)
9
NO
Suffer from chronic disease/illness...mental illness?)
Suffer from chronic disease/illness...mental illness?)
Suffer from chronic disease/illness...mental illness?)
Suffer from chronic disease/illness...mental illness?)
Suffer from chronic disease/illness...mental illness?)
1
YES, COLD
2
YES, DIARRHOEA
3
YES, ASTHMA
4
YES, DIABETES
5
YES, HYPERTENSION
6
YES, ARTHRITIS
7
YES, MENTAL ILLNESS
8
YES, OTHER (SPECIFY)
9
NO
Suffer from chronic disease/illness...other?)
Suffer from chronic disease/illness...other?)
Suffer from chronic disease/illness...other?)
Suffer from chronic disease/illness...other?)
Suffer from chronic disease/illness...other?)
1
YES, COLD
2
YES, DIARRHOEA
3
YES, ASTHMA
4
YES, DIABETES
5
YES, HYPERTENSION
6
YES, ARTHRITIS
7
YES, MENTAL ILLNESS
8
YES, OTHER (SPECIFY)
9
NO
Suffer from chronic disease/illness...no?)
Suffer from chronic disease/illness...no?)
Suffer from chronic disease/illness...no?)
Suffer from chronic disease/illness...no?)
Suffer from chronic disease/illness...no?)
1
YES, COLD
2
YES, DIARRHOEA
3
YES, ASTHMA
4
YES, DIABETES
5
YES, HYPERTENSION
6
YES, ARTHRITIS
7
YES, MENTAL ILLNESS
8
YES, OTHER (SPECIFY)
9
NO
Does this person smoke..?
Does this person smoke..?
Does this person smoke..?
Does this person smoke..?
Does this person smoke..?
1
Yes
2
No
Does this person suffer from any disability..?
Does this person suffer from any disability..?
Does this person suffer from any disability..?
Does this person suffer from any disability..?
Does this person suffer from any disability..?
1
Yes
2
No
Does the disability limit this person?
Does the disability limit this person?
Does the disability limit this person?
Does the disability limit this person?
Does the disability limit this person?
1
Yes
2
No
What type of disability does this person have?
What type of disability does this person have?
What type of disability does this person have?
What type of disability does this person have?
What type of disability does this person have?
1
SIGHT ONLY
2
HEARING ONLY
3
SPEECH ONLY
4
PHYSICAL DISABILITY
5
MULTIPLE DISABILITY
6
SLOWNESS OF LEARNING
7
MENTAL RETARDATION
8
OTHER (SPECIFY)
9
NOT STATED
Record number
Record number
Record number
Record number
Record number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Individual number
Individual number
Individual number
Individual number
Individual number
What tyoe of school..?
What tyoe of school..?
What tyoe of school..?
What tyoe of school..?
What tyoe of school..?
1
Nursery/Daycare
2
Basic/Infant/Nursery/Kindergarden
3
Primary
4
Preparatory
5
All Age School 1-6
6
All Age School 7-9
7
Primary Junior High (Grades 1-6)
8
Primary Junior High (Grades 7-9)
9
Junior High (Grades 7-9)
10
Secondary High
11
Technical
12
Vocat / Agri
13
University
14
Other Tertiary (Public)
15
Other Tertiary (Private)
16
Adult Literacy Classes
17
Adult Education / Night
18
Special School
19
None
Name of School
Name of School
Name of School
Name of School
Name of School
Is school public or private?
Is school public or private?
Is school public or private?
Is school public or private?
Is school public or private?
1
Public
2
Private
Grade during this school year
Grade during this school year
Grade during this school year
Grade during this school year
Grade during this school year
How far is school from home - DISTANCE
How far is school from home - DISTANCE
How far is school from home - DISTANCE
How far is school from home - DISTANCE
How far is school from home - DISTANCE
How far is school from home - UNIT
How far is school from home - UNIT
How far is school from home - UNIT
How far is school from home - UNIT
How far is school from home - UNIT
1
MILES
2
KMS
3
YARDS
4
METERS
Distance to nearest Primary School - DISTANCE
Distance to nearest Primary School - DISTANCE
Distance to nearest Primary School - DISTANCE
Distance to nearest Primary School - DISTANCE
Distance to nearest Primary School - DISTANCE
Distance to nearest Primary School - UNIT
Distance to nearest Primary School - UNIT
Distance to nearest Primary School - UNIT
Distance to nearest Primary School - UNIT
Distance to nearest Primary School - UNIT
1
MILES
2
KMS
3
YARDS
4
METERS
Distance to nearset Secondary School - DISTANCE
Distance to nearset Secondary School - DISTANCE
Distance to nearset Secondary School - DISTANCE
Distance to nearset Secondary School - DISTANCE
Distance to nearset Secondary School - DISTANCE
Distance to nearset Secondary School - UNIT
Distance to nearset Secondary School - UNIT
Distance to nearset Secondary School - UNIT
Distance to nearset Secondary School - UNIT
Distance to nearset Secondary School - UNIT
1
MILES
2
KMS
3
YARDS
4
METERS
How does ... usually get to school?
How does ... usually get to school?
How does ... usually get to school?
How does ... usually get to school?
How does ... usually get to school?
1
PUBLIC TRANSPORT
2
WALK
3
PRIVATE VEHICLE
4
SCHOOL BUS
5
OTHER (SPECIFY)
How many days sent to school?
How many days sent to school?
How many days sent to school?
How many days sent to school?
How many days sent to school?
Main reason for absence - 1
Main reason for absence - 1
Main reason for absence - 1
Main reason for absence - 1
Main reason for absence - 1
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
TRANSPORT COSTS
8
SCHOOL CLOSED
9
SHOES/ UNIFORM/ MISSING/DIRTY /WET
10
RAIN
11
MONEY PROBLEMS
12
HAD TO RUN AN ERRAND
13
NOT SAFE AT HOME
14
NOT SAFE IN COMMUNITY
15
VIOLENCE
16
OTHER (SPECIFY)
Number of times - 1
Number of times - 1
Number of times - 1
Number of times - 1
Number of times - 1
Main reason for absence - 2
Main reason for absence - 2
Main reason for absence - 2
Main reason for absence - 2
Main reason for absence - 2
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
TRANSPORT COSTS
8
SCHOOL CLOSED
9
SHOES/ UNIFORM/ MISSING/DIRTY /WET
10
RAIN
11
MONEY PROBLEMS
12
HAD TO RUN AN ERRAND
13
NOT SAFE AT HOME
14
NOT SAFE IN COMMUNITY
15
VIOLENCE
16
OTHER (SPECIFY)
Number of times - 2
Number of times - 2
Number of times - 2
Number of times - 2
Number of times - 2
Record number
Record number
Record number
Record number
Record number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Individual number
Individual number
Individual number
Individual number
Individual number
Since start of the year,kept from school..illnes?
Since start of the year,kept from school..illnes?
Since start of the year,kept from school..illnes?
Since start of the year,kept from school..illnes?
Since start of the year,kept from school..illnes?
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
TRANSPORT COSTS
8
SCHOOL CLOSED
9
SHOES/ UNIFORM/ MISSING/DIRTY /WET
10
RAIN
11
MONEY PROBLEMS
12
HAD TO RUN AN ERRAND
13
NOT SAFE AT HOME
14
NOT SAFE IN COMMUNITY
15
VIOLENCE
16
NEVER ABSENT
17
OTHER (SPECIFY)
Since start of the year,kept from school..truancy?
Since start of the year,kept from school..truancy?
Since start of the year,kept from school..truancy?
Since start of the year,kept from school..truancy?
Since start of the year,kept from school..truancy?
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
TRANSPORT COSTS
8
SCHOOL CLOSED
9
SHOES/ UNIFORM/ MISSING/DIRTY /WET
10
RAIN
11
MONEY PROBLEMS
12
HAD TO RUN AN ERRAND
13
NOT SAFE AT HOME
14
NOT SAFE IN COMMUNITY
15
VIOLENCE
16
NEVER ABSENT
17
OTHER (SPECIFY)
Since start of the year,kept from school..working outside home?
Since start of the year,kept from school..working outside home?
Since start of the year,kept from school..working outside home?
Since start of the year,kept from school..working outside home?
Since start of the year,kept from school..working outside home?
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
TRANSPORT COSTS
8
SCHOOL CLOSED
9
SHOES/ UNIFORM/ MISSING/DIRTY /WET
10
RAIN
11
MONEY PROBLEMS
12
HAD TO RUN AN ERRAND
13
NOT SAFE AT HOME
14
NOT SAFE IN COMMUNITY
15
VIOLENCE
16
NEVER ABSENT
17
OTHER (SPECIFY)
Since start of the year,kept from school..needed at home?
Since start of the year,kept from school..needed at home?
Since start of the year,kept from school..needed at home?
Since start of the year,kept from school..needed at home?
Since start of the year,kept from school..needed at home?
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
TRANSPORT COSTS
8
SCHOOL CLOSED
9
SHOES/ UNIFORM/ MISSING/DIRTY /WET
10
RAIN
11
MONEY PROBLEMS
12
HAD TO RUN AN ERRAND
13
NOT SAFE AT HOME
14
NOT SAFE IN COMMUNITY
15
VIOLENCE
16
NEVER ABSENT
17
OTHER (SPECIFY)
Since start of the year,kept from school..market day?
Since start of the year,kept from school..market day?
Since start of the year,kept from school..market day?
Since start of the year,kept from school..market day?
Since start of the year,kept from school..market day?
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
TRANSPORT COSTS
8
SCHOOL CLOSED
9
SHOES/ UNIFORM/ MISSING/DIRTY /WET
10
RAIN
11
MONEY PROBLEMS
12
HAD TO RUN AN ERRAND
13
NOT SAFE AT HOME
14
NOT SAFE IN COMMUNITY
15
VIOLENCE
16
NEVER ABSENT
17
OTHER (SPECIFY)
Since start of the year,kept from school..transport problem?
Since start of the year,kept from school..transport problem?
Since start of the year,kept from school..transport problem?
Since start of the year,kept from school..transport problem?
Since start of the year,kept from school..transport problem?
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
TRANSPORT COSTS
8
SCHOOL CLOSED
9
SHOES/ UNIFORM/ MISSING/DIRTY /WET
10
RAIN
11
MONEY PROBLEMS
12
HAD TO RUN AN ERRAND
13
NOT SAFE AT HOME
14
NOT SAFE IN COMMUNITY
15
VIOLENCE
16
NEVER ABSENT
17
OTHER (SPECIFY)
Since start of the year,kept from school..transport costs?
Since start of the year,kept from school..transport costs?
Since start of the year,kept from school..transport costs?
Since start of the year,kept from school..transport costs?
Since start of the year,kept from school..transport costs?
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
TRANSPORT COSTS
8
SCHOOL CLOSED
9
SHOES/ UNIFORM/ MISSING/DIRTY /WET
10
RAIN
11
MONEY PROBLEMS
12
HAD TO RUN AN ERRAND
13
NOT SAFE AT HOME
14
NOT SAFE IN COMMUNITY
15
VIOLENCE
16
NEVER ABSENT
17
OTHER (SPECIFY)
Since start of the year,kept from school..school closed?
Since start of the year,kept from school..school closed?
Since start of the year,kept from school..school closed?
Since start of the year,kept from school..school closed?
Since start of the year,kept from school..school closed?
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
TRANSPORT COSTS
8
SCHOOL CLOSED
9
SHOES/ UNIFORM/ MISSING/DIRTY /WET
10
RAIN
11
MONEY PROBLEMS
12
HAD TO RUN AN ERRAND
13
NOT SAFE AT HOME
14
NOT SAFE IN COMMUNITY
15
VIOLENCE
16
NEVER ABSENT
17
OTHER (SPECIFY)
Since start of the year,kept from school..shoes/uniform missing?
Since start of the year,kept from school..shoes/uniform missing?
Since start of the year,kept from school..shoes/uniform missing?
Since start of the year,kept from school..shoes/uniform missing?
Since start of the year,kept from school..shoes/uniform missing?
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
TRANSPORT COSTS
8
SCHOOL CLOSED
9
SHOES/ UNIFORM/ MISSING/DIRTY /WET
10
RAIN
11
MONEY PROBLEMS
12
HAD TO RUN AN ERRAND
13
NOT SAFE AT HOME
14
NOT SAFE IN COMMUNITY
15
VIOLENCE
16
NEVER ABSENT
17
OTHER (SPECIFY)
Since start of the year,kept from school..rain?
Since start of the year,kept from school..rain?
Since start of the year,kept from school..rain?
Since start of the year,kept from school..rain?
Since start of the year,kept from school..rain?
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
TRANSPORT COSTS
8
SCHOOL CLOSED
9
SHOES/ UNIFORM/ MISSING/DIRTY /WET
10
RAIN
11
MONEY PROBLEMS
12
HAD TO RUN AN ERRAND
13
NOT SAFE AT HOME
14
NOT SAFE IN COMMUNITY
15
VIOLENCE
16
NEVER ABSENT
17
OTHER (SPECIFY)
Since start of the year,kept from school..money problems?
Since start of the year,kept from school..money problems?
Since start of the year,kept from school..money problems?
Since start of the year,kept from school..money problems?
Since start of the year,kept from school..money problems?
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
TRANSPORT COSTS
8
SCHOOL CLOSED
9
SHOES/ UNIFORM/ MISSING/DIRTY /WET
10
RAIN
11
MONEY PROBLEMS
12
HAD TO RUN AN ERRAND
13
NOT SAFE AT HOME
14
NOT SAFE IN COMMUNITY
15
VIOLENCE
16
NEVER ABSENT
17
OTHER (SPECIFY)
Since start of the year,kept from school..had to run an errand?
Since start of the year,kept from school..had to run an errand?
Since start of the year,kept from school..had to run an errand?
Since start of the year,kept from school..had to run an errand?
Since start of the year,kept from school..had to run an errand?
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
TRANSPORT COSTS
8
SCHOOL CLOSED
9
SHOES/ UNIFORM/ MISSING/DIRTY /WET
10
RAIN
11
MONEY PROBLEMS
12
HAD TO RUN AN ERRAND
13
NOT SAFE AT HOME
14
NOT SAFE IN COMMUNITY
15
VIOLENCE
16
NEVER ABSENT
17
OTHER (SPECIFY)
Since start of the year,kept from school..not safe at school?
Since start of the year,kept from school..not safe at school?
Since start of the year,kept from school..not safe at school?
Since start of the year,kept from school..not safe at school?
Since start of the year,kept from school..not safe at school?
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
TRANSPORT COSTS
8
SCHOOL CLOSED
9
SHOES/ UNIFORM/ MISSING/DIRTY /WET
10
RAIN
11
MONEY PROBLEMS
12
HAD TO RUN AN ERRAND
13
NOT SAFE AT HOME
14
NOT SAFE IN COMMUNITY
15
VIOLENCE
16
NEVER ABSENT
17
OTHER (SPECIFY)
Since start of the year,kept from school..not safe in community?
Since start of the year,kept from school..not safe in community?
Since start of the year,kept from school..not safe in community?
Since start of the year,kept from school..not safe in community?
Since start of the year,kept from school..not safe in community?
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
TRANSPORT COSTS
8
SCHOOL CLOSED
9
SHOES/ UNIFORM/ MISSING/DIRTY /WET
10
RAIN
11
MONEY PROBLEMS
12
HAD TO RUN AN ERRAND
13
NOT SAFE AT HOME
14
NOT SAFE IN COMMUNITY
15
VIOLENCE
16
NEVER ABSENT
17
OTHER (SPECIFY)
Since start of the year,kept from school..violence?
Since start of the year,kept from school..violence?
Since start of the year,kept from school..violence?
Since start of the year,kept from school..violence?
Since start of the year,kept from school..violence?
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
TRANSPORT COSTS
8
SCHOOL CLOSED
9
SHOES/ UNIFORM/ MISSING/DIRTY /WET
10
RAIN
11
MONEY PROBLEMS
12
HAD TO RUN AN ERRAND
13
NOT SAFE AT HOME
14
NOT SAFE IN COMMUNITY
15
VIOLENCE
16
NEVER ABSENT
17
OTHER (SPECIFY)
Since start of the year,kept from school..never absent?
Since start of the year,kept from school..never absent?
Since start of the year,kept from school..never absent?
Since start of the year,kept from school..never absent?
Since start of the year,kept from school..never absent?
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
TRANSPORT COSTS
8
SCHOOL CLOSED
9
SHOES/ UNIFORM/ MISSING/DIRTY /WET
10
RAIN
11
MONEY PROBLEMS
12
HAD TO RUN AN ERRAND
13
NOT SAFE AT HOME
14
NOT SAFE IN COMMUNITY
15
VIOLENCE
16
NEVER ABSENT
17
OTHER (SPECIFY)
Since start of the year,kept from school..other specify?
Since start of the year,kept from school..other specify?
Since start of the year,kept from school..other specify?
Since start of the year,kept from school..other specify?
Since start of the year,kept from school..other specify?
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
TRANSPORT COSTS
8
SCHOOL CLOSED
9
SHOES/ UNIFORM/ MISSING/DIRTY /WET
10
RAIN
11
MONEY PROBLEMS
12
HAD TO RUN AN ERRAND
13
NOT SAFE AT HOME
14
NOT SAFE IN COMMUNITY
15
VIOLENCE
16
NEVER ABSENT
17
OTHER (SPECIFY)
Reason 1
Reason 1
Reason 1
Reason 1
Reason 1
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
TRANSPORT COSTS
8
SCHOOL CLOSED
9
SHOES/ UNIFORM/ MISSING/DIRTY /WET
10
RAIN
11
MONEY PROBLEMS
12
HAD TO RUN AN ERRAND
13
NOT SAFE AT HOME
14
NOT SAFE IN COMMUNITY
15
VIOLENCE
16
NEVER ABSENT
17
OTHER (SPECIFY)
How often has this happened 1?
How often has this happened 1?
How often has this happened 1?
How often has this happened 1?
How often has this happened 1?
1
Frequently
2
Occassionally
3
Seldom
Reason 2
Reason 2
Reason 2
Reason 2
Reason 2
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
TRANSPORT COSTS
8
SCHOOL CLOSED
9
SHOES/ UNIFORM/ MISSING/DIRTY /WET
10
RAIN
11
MONEY PROBLEMS
12
HAD TO RUN AN ERRAND
13
NOT SAFE AT HOME
14
NOT SAFE IN COMMUNITY
15
VIOLENCE
16
NEVER ABSENT
17
OTHER (SPECIFY)
How often has this happened 2?
How often has this happened 2?
How often has this happened 2?
How often has this happened 2?
How often has this happened 2?
1
Frequently
2
Occassionally
3
Seldom
Reason 3
Reason 3
Reason 3
Reason 3
Reason 3
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
TRANSPORT COSTS
8
SCHOOL CLOSED
9
SHOES/ UNIFORM/ MISSING/DIRTY /WET
10
RAIN
11
MONEY PROBLEMS
12
HAD TO RUN AN ERRAND
13
NOT SAFE AT HOME
14
NOT SAFE IN COMMUNITY
15
VIOLENCE
16
NEVER ABSENT
17
OTHER (SPECIFY)
How often has this happened 3?
How often has this happened 3?
How often has this happened 3?
How often has this happened 3?
How often has this happened 3?
1
Frequently
2
Occassionally
3
Seldom
Reason 4
Reason 4
Reason 4
Reason 4
Reason 4
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
TRANSPORT COSTS
8
SCHOOL CLOSED
9
SHOES/ UNIFORM/ MISSING/DIRTY /WET
10
RAIN
11
MONEY PROBLEMS
12
HAD TO RUN AN ERRAND
13
NOT SAFE AT HOME
14
NOT SAFE IN COMMUNITY
15
VIOLENCE
16
NEVER ABSENT
17
OTHER (SPECIFY)
How often has this happened 4?
How often has this happened 4?
How often has this happened 4?
How often has this happened 4?
How often has this happened 4?
1
Frequently
2
Occassionally
3
Seldom
Reason 5
Reason 5
Reason 5
Reason 5
Reason 5
How often has this happened 5?
How often has this happened 5?
How often has this happened 5?
How often has this happened 5?
How often has this happened 5?
1
Frequently
2
Occassionally
3
Seldom
In your opinion how good is the school ..safety?
In your opinion how good is the school ..safety?
In your opinion how good is the school ..safety?
In your opinion how good is the school ..safety?
In your opinion how good is the school ..safety?
1
VERY GOOD
2
GOOD
3
NEITHER GOOD OR BAD
4
BAD
5
VERY BAD
6
DON'T KNOW
In your opinion how good is the school..education quality?
In your opinion how good is the school..education quality?
In your opinion how good is the school..education quality?
In your opinion how good is the school..education quality?
In your opinion how good is the school..education quality?
1
VERY GOOD
2
GOOD
3
NEITHER GOOD OR BAD
4
BAD
5
VERY BAD
6
DON'T KNOW
Does school operate feeding...?
Does school operate feeding...?
Does school operate feeding...?
Does school operate feeding...?
Does school operate feeding...?
1
YES,MILK AND/OR NUTRIBUN
2
YES,COOKED MEAL
3
YES, BOTH
4
NO
5
DON'T KNOW
Usually take meal provided by...?
Usually take meal provided by...?
Usually take meal provided by...?
Usually take meal provided by...?
Usually take meal provided by...?
1
YES,MILK AND/OR NUTRIBUN
2
YES,COOKED MEAL
3
YES, BOTH
4
NO
5
DON'T KNOW
Record number
Record number
Record number
Record number
Record number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Individual number
Individual number
Individual number
Individual number
Individual number
Why doesnt .... take meal?
Why doesnt .... take meal?
Why doesnt .... take meal?
Why doesnt .... take meal?
Why doesnt .... take meal?
1
BECAUSE OF STIGMA
2
DOESN'T LIKE IT
3
TOO EXPENSIVE / CAN'T AFFORD
4
LINE TOO LONG
5
OTHER(SPECIFY)
Does ... pay for meal or get it free?
Does ... pay for meal or get it free?
Does ... pay for meal or get it free?
Does ... pay for meal or get it free?
Does ... pay for meal or get it free?
1
ALWAYS PAYS
2
PAY SOMETIMES
3
DOESN'T PAY/GET IT FREE
4
DON'T KNOW
5
NOT STATED
What does... usually have for lunch?
What does... usually have for lunch?
What does... usually have for lunch?
What does... usually have for lunch?
What does... usually have for lunch?
1
Snack/Meal from school canteen/tuck shop
2
Snack/Meal from vendors
3
Snack/Meal from home
4
Other (Specify)
5
Nothing
Does... have required text books?
Does... have required text books?
Does... have required text books?
Does... have required text books?
Does... have required text books?
1
Yes, has all
2
Has some
3
Has none
4
Don't know
5
Not stated
Why doesnt...have required text books?
Why doesnt...have required text books?
Why doesnt...have required text books?
Why doesnt...have required text books?
Why doesnt...have required text books?
1
Has not paid school Fees
2
Has not paid book rental Fee
3
School does not have the books
4
Books hard to find
5
Money Problems
6
OTHER (SPECIFY)
7
DK/Not stated
What type of school did ....last attend?
What type of school did ....last attend?
What type of school did ....last attend?
What type of school did ....last attend?
What type of school did ....last attend?
1
Basic/Infant/Nursery/Kindergarden
2
Primary
3
Preparatory
4
All Age School 1-6
5
All Age School 7-9
6
Primary Junior High (Grades 1-6)
7
Primary Junior High (Grades 7-9)
8
Junior High (Grades 7-9)
9
New Secondary
10
Comprehensive
11
Secondary High
12
Technical
13
Vocat / Agri
14
University
15
Other Tertiary (Public)
16
Other Tertiary (Private)
17
Adult Literacy Classes
18
Adult Education / Night
19
Special School
20
None
Record number
Record number
Record number
Record number
Record number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Individual number
Individual number
Individual number
Individual number
Individual number
What was the last grade...?
What was the last grade...?
What was the last grade...?
What was the last grade...?
What was the last grade...?
Why did ...stop attending school?
Why did ...stop attending school?
Why did ...stop attending school?
Why did ...stop attending school?
Why did ...stop attending school?
1
REACHED TERMINAL GRADE
2
MONEY PROBLEMS
3
PREGNANCY
4
EXPELLED
5
NO INTEREST IN SCHOOL
6
FAMILY PROBLEMS
7
OTHER (SPECIFY)
What is the highest exam passed?
What is the highest exam passed?
What is the highest exam passed?
What is the highest exam passed?
What is the highest exam passed?
1
NONE
2
JUNIOR HIGH SCHOOL CERTIFICATE
3
GRADE NINE ACHIEVEMENT TEST
4
CXC Basic, JSC 5, SSC. 3rd JL
5
CXC Gen,/GCE O LEVEL
6
CAPE/ GCE A LEVEL
7
TERTIARY CERT./DIPLOMA
8
DEGREE
9
OTHER
10
NOT STATED
No. of subjects
No. of subjects
No. of subjects
No. of subjects
No. of subjects
Exams passed include Math & English?
Exams passed include Math & English?
Exams passed include Math & English?
Exams passed include Math & English?
Exams passed include Math & English?
1
Yes Both
2
Maths Only
3
English Only
4
No (None)
5
DON'T KNOW
Enrolled in any skills training program?
Enrolled in any skills training program?
Enrolled in any skills training program?
Enrolled in any skills training program?
Enrolled in any skills training program?
1
YES, HEART ACADEMY
2
YES, HEART- VTC
3
YES, HEART- SLTOPS/APPRENTICESHIP
4
YES, HEART-OTHER
5
YES, PRIVATE (SPECIFY)
6
YES,OTHER PUBLIC (SPECIFY)
7
NO
What skill did you learn/are you learning?
What skill did you learn/are you learning?
What skill did you learn/are you learning?
What skill did you learn/are you learning?
What skill did you learn/are you learning?
Did you receive a certificate?
Did you receive a certificate?
Did you receive a certificate?
Did you receive a certificate?
Did you receive a certificate?
1
YES
2
NO
3
CURRENTLY ENROLLED
Record number
Record number
Record number
Record number
Record number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Individual number
Individual number
Individual number
Individual number
Individual number
Exam fees
Exam fees
Exam fees
Exam fees
Exam fees
Tuition fees including books
Tuition fees including books
Tuition fees including books
Tuition fees including books
Tuition fees including books
Tuition fees excluding books
Tuition fees excluding books
Tuition fees excluding books
Tuition fees excluding books
Tuition fees excluding books
Other fees and contributions
Other fees and contributions
Other fees and contributions
Other fees and contributions
Other fees and contributions
Extra Lessons
Extra Lessons
Extra Lessons
Extra Lessons
Extra Lessons
Transport
Transport
Transport
Transport
Transport
Lunch and snacks at school
Lunch and snacks at school
Lunch and snacks at school
Lunch and snacks at school
Lunch and snacks at school
Uniforms
Uniforms
Uniforms
Uniforms
Uniforms
Books
Books
Books
Books
Books
Other Supplies
Other Supplies
Other Supplies
Other Supplies
Other Supplies
Boarding
Boarding
Boarding
Boarding
Boarding
Amt. paid by Parent/Guardian - percentage code
Amt. paid by Parent/Guardian - percentage code
Amt. paid by Parent/Guardian - percentage code
Amt. paid by Parent/Guardian - percentage code
Amt. paid by Parent/Guardian - percentage code
Amt. paid by Parent/Guardian - other percentage 1
Amt. paid by Parent/Guardian - other percentage 1
Amt. paid by Parent/Guardian - other percentage 1
Amt. paid by Parent/Guardian - other percentage 1
Amt. paid by Parent/Guardian - other percentage 1
Amt. paid by Parent/Guardian - other percentage 2
Amt. paid by Parent/Guardian - other percentage 2
Amt. paid by Parent/Guardian - other percentage 2
Amt. paid by Parent/Guardian - other percentage 2
Amt. paid by Parent/Guardian - other percentage 2
Amt. paid by Family/friends - percentage code
Amt. paid by Family/friends - percentage code
Amt. paid by Family/friends - percentage code
Amt. paid by Family/friends - percentage code
Amt. paid by Family/friends - percentage code
Amt. paid by Family/friends - other percentage 1
Amt. paid by Family/friends - other percentage 1
Amt. paid by Family/friends - other percentage 1
Amt. paid by Family/friends - other percentage 1
Amt. paid by Family/friends - other percentage 1
Amt. paid by Family/friends - other percentage 2
Amt. paid by Family/friends - other percentage 2
Amt. paid by Family/friends - other percentage 2
Amt. paid by Family/friends - other percentage 2
Amt. paid by Family/friends - other percentage 2
Amt. paid by MOEYC - percentage code
Amt. paid by MOEYC - percentage code
Amt. paid by MOEYC - percentage code
Amt. paid by MOEYC - percentage code
Amt. paid by MOEYC - percentage code
Amt. paid by MOEYC - other percentage 1
Amt. paid by MOEYC - other percentage 1
Amt. paid by MOEYC - other percentage 1
Amt. paid by MOEYC - other percentage 1
Amt. paid by MOEYC - other percentage 1
Amt. paid by MOEYC - other percentage 2
Amt. paid by MOEYC - other percentage 2
Amt. paid by MOEYC - other percentage 2
Amt. paid by MOEYC - other percentage 2
Amt. paid by MOEYC - other percentage 2
Amt. paid by MP - percentage code
Amt. paid by MP - percentage code
Amt. paid by MP - percentage code
Amt. paid by MP - percentage code
Amt. paid by MP - percentage code
Amt. paid by MP - other percentage 1
Amt. paid by MP - other percentage 1
Amt. paid by MP - other percentage 1
Amt. paid by MP - other percentage 1
Amt. paid by MP - other percentage 1
Amt. paid by MP - other percentage 2
Amt. paid by MP - other percentage 2
Amt. paid by MP - other percentage 2
Amt. paid by MP - other percentage 2
Amt. paid by MP - other percentage 2
Amt. paid by Community - percentage code
Amt. paid by Community - percentage code
Amt. paid by Community - percentage code
Amt. paid by Community - percentage code
Amt. paid by Community - percentage code
Amt. paid by Community - other percentage 1
Amt. paid by Community - other percentage 1
Amt. paid by Community - other percentage 1
Amt. paid by Community - other percentage 1
Amt. paid by Community - other percentage 1
Amt. paid by Community - other percentage 2
Amt. paid by Community - other percentage 2
Amt. paid by Community - other percentage 2
Amt. paid by Community - other percentage 2
Amt. paid by Community - other percentage 2
Amt. paid by Other Public - percentage code
Amt. paid by Other Public - percentage code
Amt. paid by Other Public - percentage code
Amt. paid by Other Public - percentage code
Amt. paid by Other Public - percentage code
Amt. paid by Other Public - other percentage 1
Amt. paid by Other Public - other percentage 1
Amt. paid by Other Public - other percentage 1
Amt. paid by Other Public - other percentage 1
Amt. paid by Other Public - other percentage 1
Amt. paid by Other Public - other percentage 2
Amt. paid by Other Public - other percentage 2
Amt. paid by Other Public - other percentage 2
Amt. paid by Other Public - other percentage 2
Amt. paid by Other Public - other percentage 2
Record number
Record number
Record number
Record number
Record number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Individual number
Individual number
Individual number
Individual number
Individual number
Day of birth
Day of birth
Day of birth
Day of birth
Day of birth
Month of birth
Month of birth
Month of birth
Month of birth
Month of birth
Year of birth
Year of birth
Year of birth
Year of birth
Year of birth
Where was name born?
Where was name born?
Where was name born?
Where was name born?
Where was name born?
1
HOSPITAL
2
HEALTH CENTER
3
HOME
4
OTHER
Who delivered the baby?
Who delivered the baby?
Who delivered the baby?
Who delivered the baby?
Who delivered the baby?
1
MEDICAL DOCTOR
2
REGISTERED NURSE
3
NANA
4
UNTRAINED RELATIVE/FRIEND OR STRANGER
5
SELF
6
OTHER
Was the birth registered?
Was the birth registered?
Was the birth registered?
Was the birth registered?
Was the birth registered?
1
YES
2
NO
3
DON'T KNOW/NOT STATED
Weight at birth - KGS?
Weight at birth - KGS?
Weight at birth - KGS?
Weight at birth - KGS?
Weight at birth - KGS?
Age in years
Age in years
Age in years
Age in years
Age in years
Age in months
Age in months
Age in months
Age in months
Age in months
Birth date based on..?
Birth date based on..?
Birth date based on..?
Birth date based on..?
Birth date based on..?
1
BIRTH CERTIFICATE
2
IMMUNIZATION CARD
3
PARENTAL INFORMATION
4
OTHER RELATIVE/GUARDIAN
Was this child measured?
Was this child measured?
Was this child measured?
Was this child measured?
Was this child measured?
1
YES
2
NO
Reason child not measured
Reason child not measured
Reason child not measured
Reason child not measured
Reason child not measured
1
AWAY FROM HOME DURING COMPLETE SURVEY PERIOD
2
ILLNESS
3
DEFORMITY
4
OTHER (SPECIFY)
Weight........KGS
Weight........KGS
Weight........KGS
Weight........KGS
Weight........KGS
Length........CMS
Length........CMS
Length........CMS
Length........CMS
Length........CMS
In what position was child measured?
In what position was child measured?
In what position was child measured?
In what position was child measured?
In what position was child measured?
1
LYING DOWN
2
STANDING
Record number
Record number
Record number
Record number
Record number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Individual number
Individual number
Individual number
Individual number
Individual number
Has child had running belly..?
Has child had running belly..?
Has child had running belly..?
Has child had running belly..?
Has child had running belly..?
1
YES
2
NO
O.P.V.
O.P.V.
O.P.V.
O.P.V.
O.P.V.
D.P.T.
D.P.T.
D.P.T.
D.P.T.
D.P.T.
B.C.G.
B.C.G.
B.C.G.
B.C.G.
B.C.G.
1
YES
2
NO
M.M.R.
M.M.R.
M.M.R.
M.M.R.
M.M.R.
HIB
HIB
HIB
HIB
HIB
HEPATITIS B
HEPATITIS B
HEPATITIS B
HEPATITIS B
HEPATITIS B
Was immunization card seen?
Was immunization card seen?
Was immunization card seen?
Was immunization card seen?
Was immunization card seen?
1
YES
2
NO
What types of symptoms..1?
What types of symptoms..1?
What types of symptoms..1?
What types of symptoms..1?
What types of symptoms..1?
1
CHILD NOT ABLE TO DRINK OR BREASTFEED
2
CHILD DEVELOPS A FEVER
3
CHILD HAS FAST/DIFFICULT BREATHING
4
CHILD HAS BLOOD IN STOOL
5
VOMITING
6
DIARRHOEA
What types of symptoms..2?
What types of symptoms..2?
What types of symptoms..2?
What types of symptoms..2?
What types of symptoms..2?
1
CHILD NOT ABLE TO DRINK OR BREASTFEED
2
CHILD DEVELOPS A FEVER
3
CHILD HAS FAST/DIFFICULT BREATHING
4
CHILD HAS BLOOD IN STOOL
5
VOMITING
6
DIARRHOEA
What types of symptoms..3?
What types of symptoms..3?
What types of symptoms..3?
What types of symptoms..3?
What types of symptoms..3?
1
CHILD NOT ABLE TO DRINK OR BREASTFEED
2
CHILD DEVELOPS A FEVER
3
CHILD HAS FAST/DIFFICULT BREATHING
4
CHILD HAS BLOOD IN STOOL
5
VOMITING
6
DIARRHOEA
What types of symptoms..4?
What types of symptoms..4?
What types of symptoms..4?
What types of symptoms..4?
What types of symptoms..4?
1
CHILD NOT ABLE TO DRINK OR BREASTFEED
2
CHILD DEVELOPS A FEVER
3
CHILD HAS FAST/DIFFICULT BREATHING
4
CHILD HAS BLOOD IN STOOL
5
VOMITING
6
DIARRHOEA
What types of symptoms..5?
What types of symptoms..5?
What types of symptoms..5?
What types of symptoms..5?
What types of symptoms..5?
1
CHILD NOT ABLE TO DRINK OR BREASTFEED
2
CHILD DEVELOPS A FEVER
3
CHILD HAS FAST/DIFFICULT BREATHING
4
CHILD HAS BLOOD IN STOOL
5
VOMITING
6
DIARRHOEA
What types of symptoms..6?
What types of symptoms..6?
What types of symptoms..6?
What types of symptoms..6?
What types of symptoms..6?
1
CHILD NOT ABLE TO DRINK OR BREASTFEED
2
CHILD DEVELOPS A FEVER
3
CHILD HAS FAST/DIFFICULT BREATHING
4
CHILD HAS BLOOD IN STOOL
5
VOMITING
6
DIARRHOEA
When your child is ill...?
When your child is ill...?
When your child is ill...?
When your child is ill...?
When your child is ill...?
1
IMMEDIATELY
2
AFTER OBSERVING 1-2 DAYS WITHOUT IMPROVEMENT
3
AFTER GIVING HOME REMEDIES/OVER THE COUNTER/NO IMPROVEMENT
4
WHEN I GET MONEY
Record number
Record number
Record number
Record number
Record number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Respondent number
Respondent number
Respondent number
Respondent number
Respondent number
Record number
Record number
Record number
Record number
Record number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Individual number
Individual number
Individual number
Individual number
Individual number
Has anyone in household ever applied to PATH?
Has anyone in household ever applied to PATH?
Has anyone in household ever applied to PATH?
Has anyone in household ever applied to PATH?
Has anyone in household ever applied to PATH?
1
YES, 12 MONTHS AGO OR LESS
2
OVER 12 MONTHS AGO
3
NO, NEVER APPLIED
Ever received assistance from PATH...?
Ever received assistance from PATH...?
Ever received assistance from PATH...?
Ever received assistance from PATH...?
Ever received assistance from PATH...?
1
Yes
2
No
How long has household been in receipt of PATH?
How long has household been in receipt of PATH?
How long has household been in receipt of PATH?
How long has household been in receipt of PATH?
How long has household been in receipt of PATH?
1
Five years and more
2
Four years
3
Three years
4
Two years
5
One year or less
6
No longer receiving
Is this respondent the PATH Family Rep.?
Is this respondent the PATH Family Rep.?
Is this respondent the PATH Family Rep.?
Is this respondent the PATH Family Rep.?
Is this respondent the PATH Family Rep.?
1
Yes
2
No
In what category does....receive Path?
In what category does....receive Path?
In what category does....receive Path?
In what category does....receive Path?
In what category does....receive Path?
1
Child 0-71 months
2
Child 6-17 years
3
Elderly
4
Person with disability
5
Adult Poor
6
Pregnant and Lactating
7
Not a beneficiary
Did ....receive PATH enefit in April?
Did ....receive PATH enefit in April?
Did ....receive PATH enefit in April?
Did ....receive PATH enefit in April?
Did ....receive PATH enefit in April?
1
Yes
2
No
What do you do if payment is less than the regular?
What do you do if payment is less than the regular?
What do you do if payment is less than the regular?
What do you do if payment is less than the regular?
What do you do if payment is less than the regular?
1
CHECK WITH MLSS PARISH OFFICE
2
ASK AT THE POST OFFICE
3
CHECK WITH SCHOOL OR HEALTH CENTRE
4
CALL TOLL FREE LINE FOR PATH
5
DO NOTHING
6
BENEFIT HAS NEVER BEEN LESS THAN EXPECTED
Has household had difficulty collecting PATH?
Has household had difficulty collecting PATH?
Has household had difficulty collecting PATH?
Has household had difficulty collecting PATH?
Has household had difficulty collecting PATH?
1
LONG LINES IN P.O.
2
DELAYS IN NOTIFICATION
3
CHEQUE DID NOT ARRIVE AT PO
4
COULD NOT AFFORD TRANSPORTATION
5
OTHER
6
NO DIFFICULTY
Has name ever missed a payment......?
Has name ever missed a payment......?
Has name ever missed a payment......?
Has name ever missed a payment......?
Has name ever missed a payment......?
1
YES, CHILD DID NOT ATTEND SCHOOL REGULARLY
2
YES, CHILD DID NOT VISIT HEALTH CENTRE AS REQUIRED
3
YES, NOT SURE WHY
4
No
Record number
Record number
Record number
Record number
Record number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Individual number
Individual number
Individual number
Individual number
Individual number
Reason why sch. attnd. req. not met..1
Reason why sch. attnd. req. not met..1
Reason why sch. attnd. req. not met..1
Reason why sch. attnd. req. not met..1
Reason why sch. attnd. req. not met..1
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
CHILD NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
SCHOOL CLOSED
8
SHOES/ UNIFORM/ MISSING/DIRTY /WET
9
RAIN
10
MONEY PROBLEMS
11
HAD TO RUN AN ERRAND
12
NOT SAFE AT SCHOOL
13
NOT SAFE IN COMMUNITY
14
CHILD CHANGED SCHOOL
15
VIOLENCE
16
TRANSPORT COST
17
OTHER (SPECIFY)
Reason why sch. attnd. req. not met..2
Reason why sch. attnd. req. not met..2
Reason why sch. attnd. req. not met..2
Reason why sch. attnd. req. not met..2
Reason why sch. attnd. req. not met..2
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
CHILD NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
SCHOOL CLOSED
8
SHOES/ UNIFORM/ MISSING/DIRTY /WET
9
RAIN
10
MONEY PROBLEMS
11
HAD TO RUN AN ERRAND
12
NOT SAFE AT SCHOOL
13
NOT SAFE IN COMMUNITY
14
CHILD CHANGED SCHOOL
15
VIOLENCE
16
TRANSPORT COST
17
OTHER (SPECIFY)
Reason why sch. attnd. req. not met..3
Reason why sch. attnd. req. not met..3
Reason why sch. attnd. req. not met..3
Reason why sch. attnd. req. not met..3
Reason why sch. attnd. req. not met..3
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
CHILD NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
SCHOOL CLOSED
8
SHOES/ UNIFORM/ MISSING/DIRTY /WET
9
RAIN
10
MONEY PROBLEMS
11
HAD TO RUN AN ERRAND
12
NOT SAFE AT SCHOOL
13
NOT SAFE IN COMMUNITY
14
CHILD CHANGED SCHOOL
15
VIOLENCE
16
TRANSPORT COST
17
OTHER (SPECIFY)
Reason why sch. attnd. req. not met..4
Reason why sch. attnd. req. not met..4
Reason why sch. attnd. req. not met..4
Reason why sch. attnd. req. not met..4
Reason why sch. attnd. req. not met..4
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
CHILD NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
SCHOOL CLOSED
8
SHOES/ UNIFORM/ MISSING/DIRTY /WET
9
RAIN
10
MONEY PROBLEMS
11
HAD TO RUN AN ERRAND
12
NOT SAFE AT SCHOOL
13
NOT SAFE IN COMMUNITY
14
CHILD CHANGED SCHOOL
15
VIOLENCE
16
TRANSPORT COST
17
OTHER (SPECIFY)
Reason why sch. attnd. req. not met..5
Reason why sch. attnd. req. not met..5
Reason why sch. attnd. req. not met..5
Reason why sch. attnd. req. not met..5
Reason why sch. attnd. req. not met..5
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
CHILD NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
SCHOOL CLOSED
8
SHOES/ UNIFORM/ MISSING/DIRTY /WET
9
RAIN
10
MONEY PROBLEMS
11
HAD TO RUN AN ERRAND
12
NOT SAFE AT SCHOOL
13
NOT SAFE IN COMMUNITY
14
CHILD CHANGED SCHOOL
15
VIOLENCE
16
TRANSPORT COST
17
OTHER (SPECIFY)
Reason why sch. attnd. req. not met..6
Reason why sch. attnd. req. not met..6
Reason why sch. attnd. req. not met..6
Reason why sch. attnd. req. not met..6
Reason why sch. attnd. req. not met..6
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
CHILD NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
SCHOOL CLOSED
8
SHOES/ UNIFORM/ MISSING/DIRTY /WET
9
RAIN
10
MONEY PROBLEMS
11
HAD TO RUN AN ERRAND
12
NOT SAFE AT SCHOOL
13
NOT SAFE IN COMMUNITY
14
CHILD CHANGED SCHOOL
15
VIOLENCE
16
TRANSPORT COST
17
OTHER (SPECIFY)
Reason why sch. attnd. req. not met..7
Reason why sch. attnd. req. not met..7
Reason why sch. attnd. req. not met..7
Reason why sch. attnd. req. not met..7
Reason why sch. attnd. req. not met..7
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
CHILD NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
SCHOOL CLOSED
8
SHOES/ UNIFORM/ MISSING/DIRTY /WET
9
RAIN
10
MONEY PROBLEMS
11
HAD TO RUN AN ERRAND
12
NOT SAFE AT SCHOOL
13
NOT SAFE IN COMMUNITY
14
CHILD CHANGED SCHOOL
15
VIOLENCE
16
TRANSPORT COST
17
OTHER (SPECIFY)
Reason why sch. attnd. req. not met..8
Reason why sch. attnd. req. not met..8
Reason why sch. attnd. req. not met..8
Reason why sch. attnd. req. not met..8
Reason why sch. attnd. req. not met..8
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
CHILD NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
SCHOOL CLOSED
8
SHOES/ UNIFORM/ MISSING/DIRTY /WET
9
RAIN
10
MONEY PROBLEMS
11
HAD TO RUN AN ERRAND
12
NOT SAFE AT SCHOOL
13
NOT SAFE IN COMMUNITY
14
CHILD CHANGED SCHOOL
15
VIOLENCE
16
TRANSPORT COST
17
OTHER (SPECIFY)
Reason why sch. attnd. req. not met..9
Reason why sch. attnd. req. not met..9
Reason why sch. attnd. req. not met..9
Reason why sch. attnd. req. not met..9
Reason why sch. attnd. req. not met..9
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
CHILD NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
SCHOOL CLOSED
8
SHOES/ UNIFORM/ MISSING/DIRTY /WET
9
RAIN
10
MONEY PROBLEMS
11
HAD TO RUN AN ERRAND
12
NOT SAFE AT SCHOOL
13
NOT SAFE IN COMMUNITY
14
CHILD CHANGED SCHOOL
15
VIOLENCE
16
TRANSPORT COST
17
OTHER (SPECIFY)
Reason why sch. attnd. req. not met.10
Reason why sch. attnd. req. not met.10
Reason why sch. attnd. req. not met.10
Reason why sch. attnd. req. not met.10
Reason why sch. attnd. req. not met.10
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
CHILD NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
SCHOOL CLOSED
8
SHOES/ UNIFORM/ MISSING/DIRTY /WET
9
RAIN
10
MONEY PROBLEMS
11
HAD TO RUN AN ERRAND
12
NOT SAFE AT SCHOOL
13
NOT SAFE IN COMMUNITY
14
CHILD CHANGED SCHOOL
15
VIOLENCE
16
TRANSPORT COST
17
OTHER (SPECIFY)
Reason why sch. attnd. req. not met.11
Reason why sch. attnd. req. not met.11
Reason why sch. attnd. req. not met.11
Reason why sch. attnd. req. not met.11
Reason why sch. attnd. req. not met.11
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
CHILD NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
SCHOOL CLOSED
8
SHOES/ UNIFORM/ MISSING/DIRTY /WET
9
RAIN
10
MONEY PROBLEMS
11
HAD TO RUN AN ERRAND
12
NOT SAFE AT SCHOOL
13
NOT SAFE IN COMMUNITY
14
CHILD CHANGED SCHOOL
15
VIOLENCE
16
TRANSPORT COST
17
OTHER (SPECIFY)
Reason why sch. attnd. req. not met.12
Reason why sch. attnd. req. not met.12
Reason why sch. attnd. req. not met.12
Reason why sch. attnd. req. not met.12
Reason why sch. attnd. req. not met.12
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
CHILD NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
SCHOOL CLOSED
8
SHOES/ UNIFORM/ MISSING/DIRTY /WET
9
RAIN
10
MONEY PROBLEMS
11
HAD TO RUN AN ERRAND
12
NOT SAFE AT SCHOOL
13
NOT SAFE IN COMMUNITY
14
CHILD CHANGED SCHOOL
15
VIOLENCE
16
TRANSPORT COST
17
OTHER (SPECIFY)
Reason why sch. attnd. req. not met.13
Reason why sch. attnd. req. not met.13
Reason why sch. attnd. req. not met.13
Reason why sch. attnd. req. not met.13
Reason why sch. attnd. req. not met.13
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
CHILD NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
SCHOOL CLOSED
8
SHOES/ UNIFORM/ MISSING/DIRTY /WET
9
RAIN
10
MONEY PROBLEMS
11
HAD TO RUN AN ERRAND
12
NOT SAFE AT SCHOOL
13
NOT SAFE IN COMMUNITY
14
CHILD CHANGED SCHOOL
15
VIOLENCE
16
TRANSPORT COST
17
OTHER (SPECIFY)
Reason why sch. attnd. req. not met.14
Reason why sch. attnd. req. not met.14
Reason why sch. attnd. req. not met.14
Reason why sch. attnd. req. not met.14
Reason why sch. attnd. req. not met.14
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
CHILD NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
SCHOOL CLOSED
8
SHOES/ UNIFORM/ MISSING/DIRTY /WET
9
RAIN
10
MONEY PROBLEMS
11
HAD TO RUN AN ERRAND
12
NOT SAFE AT SCHOOL
13
NOT SAFE IN COMMUNITY
14
CHILD CHANGED SCHOOL
15
VIOLENCE
16
TRANSPORT COST
17
OTHER (SPECIFY)
Reason why sch. attnd. req. not met.15
Reason why sch. attnd. req. not met.15
Reason why sch. attnd. req. not met.15
Reason why sch. attnd. req. not met.15
Reason why sch. attnd. req. not met.15
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
CHILD NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
SCHOOL CLOSED
8
SHOES/ UNIFORM/ MISSING/DIRTY /WET
9
RAIN
10
MONEY PROBLEMS
11
HAD TO RUN AN ERRAND
12
NOT SAFE AT SCHOOL
13
NOT SAFE IN COMMUNITY
14
CHILD CHANGED SCHOOL
15
VIOLENCE
16
TRANSPORT COST
17
OTHER (SPECIFY)
Reason why sch. attnd. req. not met.16
Reason why sch. attnd. req. not met.16
Reason why sch. attnd. req. not met.16
Reason why sch. attnd. req. not met.16
Reason why sch. attnd. req. not met.16
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
CHILD NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
SCHOOL CLOSED
8
SHOES/ UNIFORM/ MISSING/DIRTY /WET
9
RAIN
10
MONEY PROBLEMS
11
HAD TO RUN AN ERRAND
12
NOT SAFE AT SCHOOL
13
NOT SAFE IN COMMUNITY
14
CHILD CHANGED SCHOOL
15
VIOLENCE
16
TRANSPORT COST
17
OTHER (SPECIFY)
Reason why sch. attnd. req. not met.17
Reason why sch. attnd. req. not met.17
Reason why sch. attnd. req. not met.17
Reason why sch. attnd. req. not met.17
Reason why sch. attnd. req. not met.17
1
ILLNESS
2
TRUANCY
3
WORKING OUTSIDE THE HOME
4
CHILD NEEDED AT HOME
5
MARKET DAY
6
TRANSPORT PROBLEM
7
SCHOOL CLOSED
8
SHOES/ UNIFORM/ MISSING/DIRTY /WET
9
RAIN
10
MONEY PROBLEMS
11
HAD TO RUN AN ERRAND
12
NOT SAFE AT SCHOOL
13
NOT SAFE IN COMMUNITY
14
CHILD CHANGED SCHOOL
15
VIOLENCE
16
TRANSPORT COST
17
OTHER (SPECIFY)
Reason why hlth. cntr. req. not met. 1
Reason why hlth. cntr. req. not met. 1
Reason why hlth. cntr. req. not met. 1
Reason why hlth. cntr. req. not met. 1
Reason why hlth. cntr. req. not met. 1
1
TRANSPORT COST
2
HEALTH CENTRE/CLINIC TOO CROWDED
3
CHILD NOT SICK
4
NO TIME TO TAKE CHILD TO CLINIC
5
SENT AWAY BY HEALTH STAFF
6
OTHER
Reason why hlth. cntr. req. not met. 2
Reason why hlth. cntr. req. not met. 2
Reason why hlth. cntr. req. not met. 2
Reason why hlth. cntr. req. not met. 2
Reason why hlth. cntr. req. not met. 2
1
TRANSPORT COST
2
HEALTH CENTRE/CLINIC TOO CROWDED
3
CHILD NOT SICK
4
NO TIME TO TAKE CHILD TO CLINIC
5
SENT AWAY BY HEALTH STAFF
6
OTHER
Reason why hlth. cntr. req. not met. 3
Reason why hlth. cntr. req. not met. 3
Reason why hlth. cntr. req. not met. 3
Reason why hlth. cntr. req. not met. 3
Reason why hlth. cntr. req. not met. 3
1
TRANSPORT COST
2
HEALTH CENTRE/CLINIC TOO CROWDED
3
CHILD NOT SICK
4
NO TIME TO TAKE CHILD TO CLINIC
5
SENT AWAY BY HEALTH STAFF
6
OTHER
Reason why hlth. cntr. req. not met. 4
Reason why hlth. cntr. req. not met. 4
Reason why hlth. cntr. req. not met. 4
Reason why hlth. cntr. req. not met. 4
Reason why hlth. cntr. req. not met. 4
1
TRANSPORT COST
2
HEALTH CENTRE/CLINIC TOO CROWDED
3
CHILD NOT SICK
4
NO TIME TO TAKE CHILD TO CLINIC
5
SENT AWAY BY HEALTH STAFF
6
OTHER
Reason why hlth. cntr. req. not met. 5
Reason why hlth. cntr. req. not met. 5
Reason why hlth. cntr. req. not met. 5
Reason why hlth. cntr. req. not met. 5
Reason why hlth. cntr. req. not met. 5
1
TRANSPORT COST
2
HEALTH CENTRE/CLINIC TOO CROWDED
3
CHILD NOT SICK
4
NO TIME TO TAKE CHILD TO CLINIC
5
SENT AWAY BY HEALTH STAFF
6
OTHER
Reason why hlth. cntr. req. not met. 6
Reason why hlth. cntr. req. not met. 6
Reason why hlth. cntr. req. not met. 6
Reason why hlth. cntr. req. not met. 6
Reason why hlth. cntr. req. not met. 6
1
TRANSPORT COST
2
HEALTH CENTRE/CLINIC TOO CROWDED
3
CHILD NOT SICK
4
NO TIME TO TAKE CHILD TO CLINIC
5
SENT AWAY BY HEALTH STAFF
6
OTHER
How does h\hold interact with PATH...1?
How does h\hold interact with PATH...1?
How does h\hold interact with PATH...1?
How does h\hold interact with PATH...1?
How does h\hold interact with PATH...1?
1
Social workers visit at home
2
Attend community meetings
3
Attend school meetings
4
Go to MLSS office
5
No Interaction
How does h\hold interact with PATH...2?
How does h\hold interact with PATH...2?
How does h\hold interact with PATH...2?
How does h\hold interact with PATH...2?
How does h\hold interact with PATH...2?
1
Social workers visit at home
2
Attend community meetings
3
Attend school meetings
4
Go to MLSS office
5
No Interaction
How does h\hold interact with PATH...3?
How does h\hold interact with PATH...3?
How does h\hold interact with PATH...3?
How does h\hold interact with PATH...3?
How does h\hold interact with PATH...3?
1
Social workers visit at home
2
Attend community meetings
3
Attend school meetings
4
Go to MLSS office
5
No Interaction
How does h\hold interact with PATH...4?
How does h\hold interact with PATH...4?
How does h\hold interact with PATH...4?
How does h\hold interact with PATH...4?
How does h\hold interact with PATH...4?
1
Social workers visit at home
2
Attend community meetings
3
Attend school meetings
4
Go to MLSS office
5
No Interaction
How does h\hold interact with PATH...5?
How does h\hold interact with PATH...5?
How does h\hold interact with PATH...5?
How does h\hold interact with PATH...5?
How does h\hold interact with PATH...5?
1
Social workers visit at home
2
Attend community meetings
3
Attend school meetings
4
Go to MLSS office
5
No Interaction
Any h/hold member rec. assist. from...Poor Relief ?
Any h/hold member rec. assist. from...Poor Relief ?
Any h/hold member rec. assist. from...Poor Relief ?
Any h/hold member rec. assist. from...Poor Relief ?
Any h/hold member rec. assist. from...Poor Relief ?
1
Yes
2
No
Any h/hold member rec. assist. from...SESP?
Any h/hold member rec. assist. from...SESP?
Any h/hold member rec. assist. from...SESP?
Any h/hold member rec. assist. from...SESP?
Any h/hold member rec. assist. from...SESP?
1
Yes
2
No
Any h/hold member rec. assist. from...JADEP?
Any h/hold member rec. assist. from...JADEP?
Any h/hold member rec. assist. from...JADEP?
Any h/hold member rec. assist. from...JADEP?
Any h/hold member rec. assist. from...JADEP?
1
Yes
2
No
Any h/hold member rec. assist. from...NHF?
Any h/hold member rec. assist. from...NHF?
Any h/hold member rec. assist. from...NHF?
Any h/hold member rec. assist. from...NHF?
Any h/hold member rec. assist. from...NHF?
1
Yes
2
No
Any h/hold member rec. assist. from...Health Fee Waiver?
Any h/hold member rec. assist. from...Health Fee Waiver?
Any h/hold member rec. assist. from...Health Fee Waiver?
Any h/hold member rec. assist. from...Health Fee Waiver?
Any h/hold member rec. assist. from...Health Fee Waiver?
1
Yes
2
No
Any h/hold member rec. assist. from...NIS?
Any h/hold member rec. assist. from...NIS?
Any h/hold member rec. assist. from...NIS?
Any h/hold member rec. assist. from...NIS?
Any h/hold member rec. assist. from...NIS?
1
Yes
2
No
Any h/hold member rec. assist. from...Private Pension?
Any h/hold member rec. assist. from...Private Pension?
Any h/hold member rec. assist. from...Private Pension?
Any h/hold member rec. assist. from...Private Pension?
Any h/hold member rec. assist. from...Private Pension?
1
Yes
2
No
Any h/hold member rec. assist. from...Govt.Pension ?
Any h/hold member rec. assist. from...Govt.Pension ?
Any h/hold member rec. assist. from...Govt.Pension ?
Any h/hold member rec. assist. from...Govt.Pension ?
Any h/hold member rec. assist. from...Govt.Pension ?
1
Yes
2
No
In what way has prog. benefitted h/hold...Poor Relief ?
In what way has prog. benefitted h/hold...Poor Relief ?
In what way has prog. benefitted h/hold...Poor Relief ?
In what way has prog. benefitted h/hold...Poor Relief ?
In what way has prog. benefitted h/hold...Poor Relief ?
1
Helped me to maintain dignity
2
Has reduced borrowing/begging
3
Helped to keep children in school
4
Helped to manage health needs
5
Assisted me with meals
6
Other(specify)
7
Has not helped
In what way has prog. benefitted h/hold...SESP?
In what way has prog. benefitted h/hold...SESP?
In what way has prog. benefitted h/hold...SESP?
In what way has prog. benefitted h/hold...SESP?
In what way has prog. benefitted h/hold...SESP?
1
Helped me to maintain dignity
2
Has reduced borrowing/begging
3
Helped to keep children in school
4
Helped to manage health needs
5
Assisted me with meals
6
Other(specify)
7
Has not helped
In what way has prog. benefitted h/hold...JADEP?
In what way has prog. benefitted h/hold...JADEP?
In what way has prog. benefitted h/hold...JADEP?
In what way has prog. benefitted h/hold...JADEP?
In what way has prog. benefitted h/hold...JADEP?
1
Helped me to maintain dignity
2
Has reduced borrowing/begging
3
Helped to keep children in school
4
Helped to manage health needs
5
Assisted me with meals
6
Other(specify)
7
Has not helped
In what way has prog. benefitted h/hold...NHF?
In what way has prog. benefitted h/hold...NHF?
In what way has prog. benefitted h/hold...NHF?
In what way has prog. benefitted h/hold...NHF?
In what way has prog. benefitted h/hold...NHF?
1
Helped me to maintain dignity
2
Has reduced borrowing/begging
3
Helped to keep children in school
4
Helped to manage health needs
5
Assisted me with meals
6
Other(specify)
7
Has not helped
In what way has prog. benefitted h/hold...Health Fee Waiver?
In what way has prog. benefitted h/hold...Health Fee Waiver?
In what way has prog. benefitted h/hold...Health Fee Waiver?
In what way has prog. benefitted h/hold...Health Fee Waiver?
In what way has prog. benefitted h/hold...Health Fee Waiver?
1
Helped me to maintain dignity
2
Has reduced borrowing/begging
3
Helped to keep children in school
4
Helped to manage health needs
5
Assisted me with meals
6
Other(specify)
7
Has not helped
In what way has prog. benefitted h/hold...NIS?
In what way has prog. benefitted h/hold...NIS?
In what way has prog. benefitted h/hold...NIS?
In what way has prog. benefitted h/hold...NIS?
In what way has prog. benefitted h/hold...NIS?
1
Helped me to maintain dignity
2
Has reduced borrowing/begging
3
Helped to keep children in school
4
Helped to manage health needs
5
Assisted me with meals
6
Other(specify)
7
Has not helped
In what way has prog. benefitted h/hold...Private Pension?
In what way has prog. benefitted h/hold...Private Pension?
In what way has prog. benefitted h/hold...Private Pension?
In what way has prog. benefitted h/hold...Private Pension?
In what way has prog. benefitted h/hold...Private Pension?
1
Helped me to maintain dignity
2
Has reduced borrowing/begging
3
Helped to keep children in school
4
Helped to manage health needs
5
Assisted me with meals
6
Other(specify)
7
Has not helped
In what way has prog. benefitted h/hold...Govt.Pension ?
In what way has prog. benefitted h/hold...Govt.Pension ?
In what way has prog. benefitted h/hold...Govt.Pension ?
In what way has prog. benefitted h/hold...Govt.Pension ?
In what way has prog. benefitted h/hold...Govt.Pension ?
1
Helped me to maintain dignity
2
Has reduced borrowing/begging
3
Helped to keep children in school
4
Helped to manage health needs
5
Assisted me with meals
6
Other(specify)
7
Has not helped
Why has prog. not been helpful ..Poor Relief ?
Why has prog. not been helpful ..Poor Relief ?
Why has prog. not been helpful ..Poor Relief ?
Why has prog. not been helpful ..Poor Relief ?
Why has prog. not been helpful ..Poor Relief ?
1
Benefits are inadequate
2
Too much time to collect/access benefit
3
Too costly to collect
4
Compliance requirements too difficult
5
Houseold had other unmet basic needs
6
Other
Why has prog. not been helpful ..SESP?
Why has prog. not been helpful ..SESP?
Why has prog. not been helpful ..SESP?
Why has prog. not been helpful ..SESP?
Why has prog. not been helpful ..SESP?
1
Benefits are inadequate
2
Too much time to collect/access benefit
3
Too costly to collect
4
Compliance requirements too difficult
5
Houseold had other unmet basic needs
6
Other
Why has prog. not been helpful ..JADEP?
Why has prog. not been helpful ..JADEP?
Why has prog. not been helpful ..JADEP?
Why has prog. not been helpful ..JADEP?
Why has prog. not been helpful ..JADEP?
1
Benefits are inadequate
2
Too much time to collect/access benefit
3
Too costly to collect
4
Compliance requirements too difficult
5
Houseold had other unmet basic needs
6
Other
Why has prog. not been helpful ..NHF?
Why has prog. not been helpful ..NHF?
Why has prog. not been helpful ..NHF?
Why has prog. not been helpful ..NHF?
Why has prog. not been helpful ..NHF?
1
Benefits are inadequate
2
Too much time to collect/access benefit
3
Too costly to collect
4
Compliance requirements too difficult
5
Houseold had other unmet basic needs
6
Other
Why has prog. not been helpful ..Health Fee Waiver?
Why has prog. not been helpful ..Health Fee Waiver?
Why has prog. not been helpful ..Health Fee Waiver?
Why has prog. not been helpful ..Health Fee Waiver?
Why has prog. not been helpful ..Health Fee Waiver?
1
Benefits are inadequate
2
Too much time to collect/access benefit
3
Too costly to collect
4
Compliance requirements too difficult
5
Houseold had other unmet basic needs
6
Other
Why has prog. not been helpful ..NIS?
Why has prog. not been helpful ..NIS?
Why has prog. not been helpful ..NIS?
Why has prog. not been helpful ..NIS?
Why has prog. not been helpful ..NIS?
1
Benefits are inadequate
2
Too much time to collect/access benefit
3
Too costly to collect
4
Compliance requirements too difficult
5
Houseold had other unmet basic needs
6
Other
Why has prog. not been helpful ..Private Pension?
Why has prog. not been helpful ..Private Pension?
Why has prog. not been helpful ..Private Pension?
Why has prog. not been helpful ..Private Pension?
Why has prog. not been helpful ..Private Pension?
1
Benefits are inadequate
2
Too much time to collect/access benefit
3
Too costly to collect
4
Compliance requirements too difficult
5
Houseold had other unmet basic needs
6
Other
Why has prog. not been helpful ..Govt.Pension ?
Why has prog. not been helpful ..Govt.Pension ?
Why has prog. not been helpful ..Govt.Pension ?
Why has prog. not been helpful ..Govt.Pension ?
Why has prog. not been helpful ..Govt.Pension ?
1
Benefits are inadequate
2
Too much time to collect/access benefit
3
Too costly to collect
4
Compliance requirements too difficult
5
Houseold had other unmet basic needs
6
Other
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Item Code Number
What is the value received as gift ..past 7 days?
What is the value received as gift ..past 7 days?
What is the value received as gift ..past 7 days?
What is the value received as gift ..past 7 days?
What is the value received as gift ..past 7 days?
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Record Number
Record Number
Record Number
Record Number
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Item Code Number
Item Code Number
Item Code Number
Item Code Number
What is the value received as gift ..past 7 days?
What is the value received as gift ..past 7 days?
What is the value received as gift ..past 7 days?
What is the value received as gift ..past 7 days?
What is the value received as gift ..past 7 days?
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Record Number
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Questionnaire Serial Number
Respondent
Respondent
Respondent
Respondent
Respondent
Record Number
Record Number
Record Number
Record Number
Record Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Item Code Number
Item Code Number
Item Code Number
Item Code Number
Item Code Number
Have you bought .... during past 7 days?
Have you bought .... during past 7 days?
Have you bought .... during past 7 days?
Have you bought .... during past 7 days?
Have you bought .... during past 7 days?
Amount spent past 7 days ($)
Amount spent past 7 days ($)
Amount spent past 7 days ($)
Amount spent past 7 days ($)
Amount spent past 7 days ($)
Amount spent past 30 days ($)
Amount spent past 30 days ($)
Amount spent past 30 days ($)
Amount spent past 30 days ($)
Amount spent past 30 days ($)
Record Number
Record Number
Record Number
Record Number
Record Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
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Item Code Number
Item Code Number
Item Code Number
Item Code Number
Item Code Number
Cost to buy home-prodn past 7 days ($)
Cost to buy home-prodn past 7 days ($)
Cost to buy home-prodn past 7 days ($)
Cost to buy home-prodn past 7 days ($)
Cost to buy home-prodn past 7 days ($)
Cost to buy home-prodn past 30 days ($)
Cost to buy home-prodn past 30 days ($)
Cost to buy home-prodn past 30 days ($)
Cost to buy home-prodn past 30 days ($)
Cost to buy home-prodn past 30 days ($)
Cost to buy amt. received as gift past 30 days ($)
Cost to buy amt. received as gift past 30 days ($)
Cost to buy amt. received as gift past 30 days ($)
Cost to buy amt. received as gift past 30 days ($)
Cost to buy amt. received as gift past 30 days ($)
Record Number
Record Number
Record Number
Record Number
Record Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Respondent
Respondent
Respondent
Respondent
Respondent
Record Number
Record Number
Record Number
Record Number
Record Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Item Code Number
Item Code Number
Item Code Number
Item Code Number
Item Code Number
Have you spent during past 30 days?
Have you spent during past 30 days?
Have you spent during past 30 days?
Have you spent during past 30 days?
Have you spent during past 30 days?
Amount spent past 30 days
Amount spent past 30 days
Amount spent past 30 days
Amount spent past 30 days
Amount spent past 30 days
Amount spent past 12 mths
Amount spent past 12 mths
Amount spent past 12 mths
Amount spent past 12 mths
Amount spent past 12 mths
Received any gift past 12 mths?
Received any gift past 12 mths?
Received any gift past 12 mths?
Received any gift past 12 mths?
Received any gift past 12 mths?
Gift value past 12 mths
Gift value past 12 mths
Gift value past 12 mths
Gift value past 12 mths
Gift value past 12 mths
Record Number
Record Number
Record Number
Record Number
Record Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Item Code Number
Item Code Number
Item Code Number
Item Code Number
Item Code Number
Have you spent during past 30 days?
Have you spent during past 30 days?
Have you spent during past 30 days?
Have you spent during past 30 days?
Have you spent during past 30 days?
Amount spent past 30 days ($)
Amount spent past 30 days ($)
Amount spent past 30 days ($)
Amount spent past 30 days ($)
Amount spent past 30 days ($)
Amount spent past 12 mths ($)
Amount spent past 12 mths ($)
Amount spent past 12 mths ($)
Amount spent past 12 mths ($)
Amount spent past 12 mths ($)
Record Number
Record Number
Record Number
Record Number
Record Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Type of dwelling
Type of dwelling
Type of dwelling
Type of dwelling
Type of dwelling
1
Separate House Detached
2
Semi-detached house
3
Part of a house
4
Apartment building
5
Town House
6
Improvised housing unit
7
Part of commercial building
8
Other
Material of outer walls
Material of outer walls
Material of outer walls
Material of outer walls
Material of outer walls
1
Wood
2
Stone
3
Brick
4
Concrete Nog
5
Block & Steel
6
Wattle / Adobe
7
Other (Specify)
Number of Rooms
Number of Rooms
Number of Rooms
Number of Rooms
Number of Rooms
Are there toilet facilities?
Are there toilet facilities?
Are there toilet facilities?
Are there toilet facilities?
Are there toilet facilities?
1
Yes inside
2
Yes outside
3
No
Type of Toilet facilities
Type of Toilet facilities
Type of Toilet facilities
Type of Toilet facilities
Type of Toilet facilities
1
WC Linked to sewer
2
WC not linked
3
Pit
4
Other
5
None
Toilet facilities shared?
Toilet facilities shared?
Toilet facilities shared?
Toilet facilities shared?
Toilet facilities shared?
1
Exclusive use
2
Shared
Are there Kitchen facilities?
Are there Kitchen facilities?
Are there Kitchen facilities?
Are there Kitchen facilities?
Are there Kitchen facilities?
1
Yes inside
2
Yes outside
3
No
Kitchen facilities shared?
Kitchen facilities shared?
Kitchen facilities shared?
Kitchen facilities shared?
Kitchen facilities shared?
1
Exclusive use
2
Shared
3
None
Does HH own/rent/lease this dwelling?
Does HH own/rent/lease this dwelling?
Does HH own/rent/lease this dwelling?
Does HH own/rent/lease this dwelling?
Does HH own/rent/lease this dwelling?
1
Owned
2
Leased
3
Private Rented
4
Goverment Rented
5
Rent Free
6
Squatted
7
Other
Does HH own a dwelling other than this?
Does HH own a dwelling other than this?
Does HH own a dwelling other than this?
Does HH own a dwelling other than this?
Does HH own a dwelling other than this?
1
Yes
2
No
From whom is the dwelling rented?
From whom is the dwelling rented?
From whom is the dwelling rented?
From whom is the dwelling rented?
From whom is the dwelling rented?
1
Relative
2
Private employer
3
Public Agency
4
Private individual or Agency
Amount paid for rent
Amount paid for rent
Amount paid for rent
Amount paid for rent
Amount paid for rent
Time period of rent
Time period of rent
Time period of rent
Time period of rent
Time period of rent
3
Week
4
Month
5
Year
Who helps to pay rent?
Who helps to pay rent?
Who helps to pay rent?
Who helps to pay rent?
Who helps to pay rent?
1
Relative
2
Private employer
3
Public Agency
4
Private individual or Agency
5
Nobody helps
Does this household own a dwelling?
Does this household own a dwelling?
Does this household own a dwelling?
Does this household own a dwelling?
Does this household own a dwelling?
1
Yes
2
No
Pay mortgage?
Pay mortgage?
Pay mortgage?
Pay mortgage?
Pay mortgage?
1
Yes
2
No
Last mortgage payment
Last mortgage payment
Last mortgage payment
Last mortgage payment
Last mortgage payment
No. of times mortgage paid
No. of times mortgage paid
No. of times mortgage paid
No. of times mortgage paid
No. of times mortgage paid
Time period of mortgage
Time period of mortgage
Time period of mortgage
Time period of mortgage
Time period of mortgage
3
Week
4
Month
5
Year
Pay property taxes?
Pay property taxes?
Pay property taxes?
Pay property taxes?
Pay property taxes?
1
Yes
2
No
Amount of taxes paid
Amount of taxes paid
Amount of taxes paid
Amount of taxes paid
Amount of taxes paid
Time period of taxes
Time period of taxes
Time period of taxes
Time period of taxes
Time period of taxes
4
Month
5
Year
Main source of drinking water
Main source of drinking water
Main source of drinking water
Main source of drinking water
Main source of drinking water
1
Indoor tap/pipe
2
Outside private pipe/tape
3
Public standpipe
4
Well
5
River, Lake, Spring, Pond
6
Rainwater (Tank) PID
7
Rainwater (Tank) NPID
8
Trucked water (NWC) PID
9
Trucked water (NWC) NPID
10
Trucked water (Private) PID
11
Trucked water (Private) NPID
12
Bottled Water
13
Other (Specify)
How many times ....water lock-off?
How many times ....water lock-off?
How many times ....water lock-off?
How many times ....water lock-off?
How many times ....water lock-off?
Group/individual water meter
Group/individual water meter
Group/individual water meter
Group/individual water meter
Group/individual water meter
1
Group
2
Individual
3
No meter
How much was latest water bill
How much was latest water bill
How much was latest water bill
How much was latest water bill
How much was latest water bill
Months covered by water bill
Months covered by water bill
Months covered by water bill
Months covered by water bill
Months covered by water bill
Is Water source shared?
Is Water source shared?
Is Water source shared?
Is Water source shared?
Is Water source shared?
1
THIS HOUSEHOLD ONLY
2
SHARED
Distance of water source
Distance of water source
Distance of water source
Distance of water source
Distance of water source
Distance code for water source ie m/km
Distance code for water source ie m/km
Distance code for water source ie m/km
Distance code for water source ie m/km
Distance code for water source ie m/km
1
KM
2
Meters
Main source of lighting
Main source of lighting
Main source of lighting
Main source of lighting
Main source of lighting
1
Electricity
2
Kerosene
3
Other
4
None
How much was on latest electric bill
How much was on latest electric bill
How much was on latest electric bill
How much was on latest electric bill
How much was on latest electric bill
Months covered by electric bill
Months covered by electric bill
Months covered by electric bill
Months covered by electric bill
Months covered by electric bill
HH own land telephone?
HH own land telephone?
HH own land telephone?
HH own land telephone?
HH own land telephone?
1
Yes
2
No
HH own cellular telephone?
HH own cellular telephone?
HH own cellular telephone?
HH own cellular telephone?
HH own cellular telephone?
1
Yes
2
No
How much was land tele-bill?
How much was land tele-bill?
How much was land tele-bill?
How much was land tele-bill?
How much was land tele-bill?
How much was cellular tele-bill?
How much was cellular tele-bill?
How much was cellular tele-bill?
How much was cellular tele-bill?
How much was cellular tele-bill?
How many months of use - land tele?
How many months of use - land tele?
How many months of use - land tele?
How many months of use - land tele?
How many months of use - land tele?
How many months of use - cellular tele?
How many months of use - cellular tele?
How many months of use - cellular tele?
How many months of use - cellular tele?
How many months of use - cellular tele?
How do you dispose of garbage?
How do you dispose of garbage?
How do you dispose of garbage?
How do you dispose of garbage?
How do you dispose of garbage?
1
REGULAR PUBLIC COLLECTION SYSTEM
2
IRREGULAR PUBLIC COLLECTION SYSTEM
3
PRIVATE COLLECTION SYSTEM
4
BURN
5
BURY
6
DUMP IN SEA/RIVER/POND/GULLY
7
DUMP IN OWN YARD
8
DUMPING IN MUNICIPAL SITE
9
OTHER DUMPING
10
Other (Specify)
Household has working computer?
Household has working computer?
Household has working computer?
Household has working computer?
Household has working computer?
1
YES Laptop
2
YES Desktop
3
YES Both
4
NO
Type of internet connection?
Type of internet connection?
Type of internet connection?
Type of internet connection?
Type of internet connection?
1
ADSL
2
DIAL UP (POST PAID)
3
DIAL UP (PRE- PAID)
4
WIRELESS
5
NONE
Do you pay insurance for this dwelling?
Do you pay insurance for this dwelling?
Do you pay insurance for this dwelling?
Do you pay insurance for this dwelling?
Do you pay insurance for this dwelling?
1
Yes
2
No
What type of lightbulbs do you generally use
What type of lightbulbs do you generally use
What type of lightbulbs do you generally use
What type of lightbulbs do you generally use
What type of lightbulbs do you generally use
1
INCANDESCENT
2
FLORESCENT
3
BOTH
4
NONE
Record number
Record number
Record number
Record number
Record number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Sewing Machines
Sewing Machines
Sewing Machines
Sewing Machines
Sewing Machines
Gas Stoves
Gas Stoves
Gas Stoves
Gas Stoves
Gas Stoves
Electric Stoves
Electric Stoves
Electric Stoves
Electric Stoves
Electric Stoves
Refrigerators
Refrigerators
Refrigerators
Refrigerators
Refrigerators
Air Conditioners
Air Conditioners
Air Conditioners
Air Conditioners
Air Conditioners
Fans
Fans
Fans
Fans
Fans
Radio Cassettes
Radio Cassettes
Radio Cassettes
Radio Cassettes
Radio Cassettes
Stereos
Stereos
Stereos
Stereos
Stereos
Other Stereo Equipment
Other Stereo Equipment
Other Stereo Equipment
Other Stereo Equipment
Other Stereo Equipment
TV set
TV set
TV set
TV set
TV set
Vcr/Dvd Player
Vcr/Dvd Player
Vcr/Dvd Player
Vcr/Dvd Player
Vcr/Dvd Player
Video Equipment
Video Equipment
Video Equipment
Video Equipment
Video Equipment
Washing Machine
Washing Machine
Washing Machine
Washing Machine
Washing Machine
Dryer
Dryer
Dryer
Dryer
Dryer
Bicycles
Bicycles
Bicycles
Bicycles
Bicycles
Motorbikes
Motorbikes
Motorbikes
Motorbikes
Motorbikes
Cars/Other Vehicles
Cars/Other Vehicles
Cars/Other Vehicles
Cars/Other Vehicles
Cars/Other Vehicles
Computer/Printer/Fax
Computer/Printer/Fax
Computer/Printer/Fax
Computer/Printer/Fax
Computer/Printer/Fax
Computer Scanner
Computer Scanner
Computer Scanner
Computer Scanner
Computer Scanner
CD Burner
CD Burner
CD Burner
CD Burner
CD Burner
DVD Burner
DVD Burner
DVD Burner
DVD Burner
DVD Burner
Other Electrical Equipment
Other Electrical Equipment
Other Electrical Equipment
Other Electrical Equipment
Other Electrical Equipment
Musical Equipment
Musical Equipment
Musical Equipment
Musical Equipment
Musical Equipment
DSS
DSS
DSS
DSS
DSS
Generator
Generator
Generator
Generator
Generator
Water Heater-Electrical
Water Heater-Electrical
Water Heater-Electrical
Water Heater-Electrical
Water Heater-Electrical
Water Heater-Solar
Water Heater-Solar
Water Heater-Solar
Water Heater-Solar
Water Heater-Solar
Water Tank
Water Tank
Water Tank
Water Tank
Water Tank
Record number
Record number
Record number
Record number
Record number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Questionnaire serial number
Support From Parents In Jamaica
Support From Parents In Jamaica
Support From Parents In Jamaica
Support From Parents In Jamaica
Support From Parents In Jamaica
Support From Parents Abroad
Support From Parents Abroad
Support From Parents Abroad
Support From Parents Abroad
Support From Parents Abroad
Spouse/Partner Who Lives In Jamaica
Spouse/Partner Who Lives In Jamaica
Spouse/Partner Who Lives In Jamaica
Spouse/Partner Who Lives In Jamaica
Spouse/Partner Who Lives In Jamaica
Spouse/Partner Who Lives Abroad
Spouse/Partner Who Lives Abroad
Spouse/Partner Who Lives Abroad
Spouse/Partner Who Lives Abroad
Spouse/Partner Who Lives Abroad
Children Who Live In Jamaica
Children Who Live In Jamaica
Children Who Live In Jamaica
Children Who Live In Jamaica
Children Who Live In Jamaica
Children Who Live Abroad
Children Who Live Abroad
Children Who Live Abroad
Children Who Live Abroad
Children Who Live Abroad
Other Relatives - Jamaica
Other Relatives - Jamaica
Other Relatives - Jamaica
Other Relatives - Jamaica
Other Relatives - Jamaica
Other Relatives - Abroad
Other Relatives - Abroad
Other Relatives - Abroad
Other Relatives - Abroad
Other Relatives - Abroad
Rental Payments
Rental Payments
Rental Payments
Rental Payments
Rental Payments
Social Security (NIS)
Social Security (NIS)
Social Security (NIS)
Social Security (NIS)
Social Security (NIS)
Pension Fund
Pension Fund
Pension Fund
Pension Fund
Pension Fund
Public Assistance
Public Assistance
Public Assistance
Public Assistance
Public Assistance
Dividends/Interest From Loans
Dividends/Interest From Loans
Dividends/Interest From Loans
Dividends/Interest From Loans
Dividends/Interest From Loans
Windfall Receipts
Windfall Receipts
Windfall Receipts
Windfall Receipts
Windfall Receipts
Other
Other
Other
Other
Other
Record Number
Record Number
Record Number
Record Number
Record Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Individual Number
Individual Number
Individual Number
Individual Number
Individual Number
Item code Number
Item code Number
Item code Number
Item code Number
Item code Number
Amount of income
Amount of income
Amount of income
Amount of income
Amount of income
Original monetary value
Original monetary value
Original monetary value
Original monetary value
Original monetary value
How often is money received - time?
How often is money received - time?
How often is money received - time?
How often is money received - time?
How often is money received - time?
How often is money received - period?
How often is money received - period?
How often is money received - period?
How often is money received - period?
How often is money received - period?
Record Number
Record Number
Record Number
Record Number
Record Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Questionnaire Serial Number
Individual Number
Individual Number
Individual Number
Individual Number
Individual Number
In past month have you read.........?
In past month have you read.........?
In past month have you read.........?
In past month have you read.........?
In past month have you read.........?
In past month have you told stories.?
In past month have you told stories.?
In past month have you told stories.?
In past month have you told stories.?
In past month have you told stories.?
In past month have you sung songs...?
In past month have you sung songs...?
In past month have you sung songs...?
In past month have you sung songs...?
In past month have you sung songs...?
In past month have you played games.?
In past month have you played games.?
In past month have you played games.?
In past month have you played games.?
In past month have you played games.?
In past month have you ...counting..?
In past month have you ...counting..?
In past month have you ...counting..?
In past month have you ...counting..?
In past month have you ...counting..?
In past month have you..special act.?
In past month have you..special act.?
In past month have you..special act.?
In past month have you..special act.?
In past month have you..special act.?
In past month have you ...none......?
In past month have you ...none......?
In past month have you ...none......?
In past month have you ...none......?
In past month have you ...none......?
Child has toys that teach colours........?
Child has toys that teach colours........?
Child has toys that teach colours........?
Child has toys that teach colours........?
Child has toys that teach colours........?
Child has toys that teach numbers........?
Child has toys that teach numbers........?
Child has toys that teach numbers........?
Child has toys that teach numbers........?
Child has toys that teach numbers........?
Child has toys that require fine movement?
Child has toys that require fine movement?
Child has toys that require fine movement?
Child has toys that require fine movement?
Child has toys that require fine movement?
Child has books other than school books..?
Child has books other than school books..?
Child has books other than school books..?
Child has books other than school books..?
Child has books other than school books..?
Child has toy or real musical instrument.?
Child has toy or real musical instrument.?
Child has toy or real musical instrument.?
Child has toy or real musical instrument.?
Child has toy or real musical instrument.?
Child has none...........................?
Child has none...........................?
Child has none...........................?
Child has none...........................?
Child has none...........................?
In past month child has been disciplined by Slapping?
In past month child has been disciplined by Slapping?
In past month child has been disciplined by Slapping?
In past month child has been disciplined by Slapping?
In past month child has been disciplined by Slapping?
In past month child has been disciplined by Beating?
In past month child has been disciplined by Beating?
In past month child has been disciplined by Beating?
In past month child has been disciplined by Beating?
In past month child has been disciplined by Beating?
In past month child has been disciplined by Quarelling?
In past month child has been disciplined by Quarelling?
In past month child has been disciplined by Quarelling?
In past month child has been disciplined by Quarelling?
In past month child has been disciplined by Quarelling?
In past month child has been disciplined by Removing Privileges?
In past month child has been disciplined by Removing Privileges?
In past month child has been disciplined by Removing Privileges?
In past month child has been disciplined by Removing Privileges?
In past month child has been disciplined by Removing Privileges?
In past month child has been disciplined by Denying Food?
In past month child has been disciplined by Denying Food?
In past month child has been disciplined by Denying Food?
In past month child has been disciplined by Denying Food?
In past month child has been disciplined by Denying Food?
In past month child has been disciplined by Time Out?
In past month child has been disciplined by Time Out?
In past month child has been disciplined by Time Out?
In past month child has been disciplined by Time Out?
In past month child has been disciplined by Time Out?
In past month child has been disciplined by Talking?
In past month child has been disciplined by Talking?
In past month child has been disciplined by Talking?
In past month child has been disciplined by Talking?
In past month child has been disciplined by Talking?
In past month child has been disciplined by Swearing?
In past month child has been disciplined by Swearing?
In past month child has been disciplined by Swearing?
In past month child has been disciplined by Swearing?
In past month child has been disciplined by Swearing?
In past month child has been disciplined by Pinching?
In past month child has been disciplined by Pinching?
In past month child has been disciplined by Pinching?
In past month child has been disciplined by Pinching?
In past month child has been disciplined by Pinching?
In past month child has been disciplined by Ignoring?
In past month child has been disciplined by Ignoring?
In past month child has been disciplined by Ignoring?
In past month child has been disciplined by Ignoring?
In past month child has been disciplined by Ignoring?
In past month child has been disciplined by Reasoning?
In past month child has been disciplined by Reasoning?
In past month child has been disciplined by Reasoning?
In past month child has been disciplined by Reasoning?
In past month child has been disciplined by Reasoning?
In past month child has been disciplined by Other?
In past month child has been disciplined by Other?
In past month child has been disciplined by Other?
In past month child has been disciplined by Other?
In past month child has been disciplined by Other?
In past month child has been disciplined......None...?
In past month child has been disciplined......None...?
In past month child has been disciplined......None...?
In past month child has been disciplined......None...?
In past month child has been disciplined......None...?
Is childs functioning limited by an illness?
Is childs functioning limited by an illness?
Is childs functioning limited by an illness?
Is childs functioning limited by an illness?
Is childs functioning limited by an illness?
Problems using arms or legs
Problems using arms or legs
Problems using arms or legs
Problems using arms or legs
Problems using arms or legs
Problems sitting/standing , moving around
Problems sitting/standing , moving around
Problems sitting/standing , moving around
Problems sitting/standing , moving around
Problems sitting/standing , moving around
Problems using hands or fingers
Problems using hands or fingers
Problems using hands or fingers
Problems using hands or fingers
Problems using hands or fingers
Problems seeing
Problems seeing
Problems seeing
Problems seeing
Problems seeing
Problems hearing
Problems hearing
Problems hearing
Problems hearing
Problems hearing
Problems making speech sounds
Problems making speech sounds
Problems making speech sounds
Problems making speech sounds
Problems making speech sounds
Problems speaking
Problems speaking
Problems speaking
Problems speaking
Problems speaking
Understands what is told to them
Understands what is told to them
Understands what is told to them
Understands what is told to them
Understands what is told to them
Concerned about childs behaviour
Concerned about childs behaviour
Concerned about childs behaviour
Concerned about childs behaviour
Concerned about childs behaviour
Concerned about how child gets along with others
Concerned about how child gets along with others
Concerned about how child gets along with others
Concerned about how child gets along with others
Concerned about how child gets along with others
Problems doing things for herself/himself
Problems doing things for herself/himself
Problems doing things for herself/himself
Problems doing things for herself/himself
Problems doing things for herself/himself
Problems at school
Problems at school
Problems at school
Problems at school
Problems at school
Concerned about other aspects of learning etc.
Concerned about other aspects of learning etc.
Concerned about other aspects of learning etc.
Concerned about other aspects of learning etc.
Concerned about other aspects of learning etc.
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Record Number
Record Number
Record Number
Record Number
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Individual Number
Individual Number
Individual Number
Individual Number
Individual Number
Reported Problems using arms or legs?
Reported Problems using arms or legs?
Reported Problems using arms or legs?
Reported Problems using arms or legs?
Reported Problems using arms or legs?
Reported Problems sitting/standing , moving around?
Reported Problems sitting/standing , moving around?
Reported Problems sitting/standing , moving around?
Reported Problems sitting/standing , moving around?
Reported Problems sitting/standing , moving around?
Reported Problems using hands or fingers?
Reported Problems using hands or fingers?
Reported Problems using hands or fingers?
Reported Problems using hands or fingers?
Reported Problems using hands or fingers?
Reported Problems seeing?
Reported Problems seeing?
Reported Problems seeing?
Reported Problems seeing?
Reported Problems seeing?
Reported Problems hearing?
Reported Problems hearing?
Reported Problems hearing?
Reported Problems hearing?
Reported Problems hearing?
Reported Problems making speech sounds
Reported Problems making speech sounds
Reported Problems making speech sounds
Reported Problems making speech sounds
Reported Problems making speech sounds
Reported Problems speaking
Reported Problems speaking
Reported Problems speaking
Reported Problems speaking
Reported Problems speaking
Reported If Understands what is told to them
Reported If Understands what is told to them
Reported If Understands what is told to them
Reported If Understands what is told to them
Reported If Understands what is told to them
Reported Concerns about childs behaviour
Reported Concerns about childs behaviour
Reported Concerns about childs behaviour
Reported Concerns about childs behaviour
Reported Concerns about childs behaviour
Reported Concerns about how child gets along with others
Reported Concerns about how child gets along with others
Reported Concerns about how child gets along with others
Reported Concerns about how child gets along with others
Reported Concerns about how child gets along with others
Reported Problems doing things for herself/himself
Reported Problems doing things for herself/himself
Reported Problems doing things for herself/himself
Reported Problems doing things for herself/himself
Reported Problems doing things for herself/himself
Reported Problems at school
Reported Problems at school
Reported Problems at school
Reported Problems at school
Reported Problems at school
Reported Concerns about other aspects of learning etc.
Reported Concerns about other aspects of learning etc.
Reported Concerns about other aspects of learning etc.
Reported Concerns about other aspects of learning etc.
Reported Concerns about other aspects of learning etc.
How many children in childs class?
How many children in childs class?
How many children in childs class?
How many children in childs class?
How many children in childs class?
Safe place to play..own yard?
Safe place to play..own yard?
Safe place to play..own yard?
Safe place to play..own yard?
Safe place to play..own yard?
Safe place to play..playground?
Safe place to play..playground?
Safe place to play..playground?
Safe place to play..playground?
Safe place to play..playground?
Safe place to play..community centre?
Safe place to play..community centre?
Safe place to play..community centre?
Safe place to play..community centre?
Safe place to play..community centre?
Safe place to play..other?
Safe place to play..other?
Safe place to play..other?
Safe place to play..other?
Safe place to play..other?
Safe place to play..NO?
Safe place to play..NO?
Safe place to play..NO?
Safe place to play..NO?
Safe place to play..NO?
Has child witnessed violence within community?
Has child witnessed violence within community?
Has child witnessed violence within community?
Has child witnessed violence within community?
Has child witnessed violence within community?
Has child witnessed violence at home?
Has child witnessed violence at home?
Has child witnessed violence at home?
Has child witnessed violence at home?
Has child witnessed violence at home?
Get along with peers
Get along with peers
Get along with peers
Get along with peers
Get along with peers
Help someone who is hurt
Help someone who is hurt
Help someone who is hurt
Help someone who is hurt
Help someone who is hurt
Trouble sticking to an activity
Trouble sticking to an activity
Trouble sticking to an activity
Trouble sticking to an activity
Trouble sticking to an activity
Appears fearful or anxious
Appears fearful or anxious
Appears fearful or anxious
Appears fearful or anxious
Appears fearful or anxious
Displays respect for adults
Displays respect for adults
Displays respect for adults
Displays respect for adults
Displays respect for adults
Takes other persons things
Takes other persons things
Takes other persons things
Takes other persons things
Takes other persons things
Able to identify 10 letters of alphabet
Able to identify 10 letters of alphabet
Able to identify 10 letters of alphabet
Able to identify 10 letters of alphabet
Able to identify 10 letters of alphabet
Able to recognize numbers 1 to 10
Able to recognize numbers 1 to 10
Able to recognize numbers 1 to 10
Able to recognize numbers 1 to 10
Able to recognize numbers 1 to 10
Able to say which of two nubers is bigger
Able to say which of two nubers is bigger
Able to say which of two nubers is bigger
Able to say which of two nubers is bigger
Able to say which of two nubers is bigger
Able to sort by size, shape or colour
Able to sort by size, shape or colour
Able to sort by size, shape or colour
Able to sort by size, shape or colour
Able to sort by size, shape or colour
Understands time concepts
Understands time concepts
Understands time concepts
Understands time concepts
Understands time concepts
Able to cimmunicate needs to peers
Able to cimmunicate needs to peers
Able to cimmunicate needs to peers
Able to cimmunicate needs to peers
Able to cimmunicate needs to peers
Able to understand what is said on first try
Able to understand what is said on first try
Able to understand what is said on first try
Able to understand what is said on first try
Able to understand what is said on first try
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