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 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 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? 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 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? 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 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 Questionnaire Serial Number 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. 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 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 Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number Questionnaire Serial Number