Region
group(adm1 adm2)
group(adm1 adm2 adm3)
Number of household members
Number of adults (aged 18-70) in household
Household type
Type of Respondent
Respondent ID
What is the type of tenure of this dwelling?
How many rooms does your household occupy?
What is the main material of the roof of your dwelling?
Other specify
What is the main material of the walls of your dwelling?
What is the main material of the floor of your dwelling?
Does your dwelling have access to electricity?
What is the main type of fuel you use for cooking?
What is the main source of drinking water used by your household?
What type of toilet facility does your household usually use?
Which communication technologies do you or anyone in your household have access
Which of the following best describes your working arrangements?
In the last 12 months, what was the annual net household income earned?
In the last 5 years, have you changed your main activity?
Activity ID
Main work Activity
What were your annual net earnings from this activity?
Sector
Type of Activity
Event
Yes/No
Frequency of flood
In which year did flood affect you the most?
How strong was the flood?
Percentage loss on housing by flood
Percentage loss on land by flood
Percentage loss on harvest by flood
Percentage loss on livestock by flood
Percentage loss on fisheries by flood
Percentage loss on health of household members by flood
Did any household member die as a result of flood?
Was there any non-environmental event that also caused losses around the same ti
Frequency of Drought
In which year did drought affect you the most?
How strong was the drought?
Percentage loss on housing by drought
Percentage loss on land by drought
Percentage loss on harvest by drought
Percentage loss on livestock by drought
Percentage loss on fisheries by drought
Percentage loss on health of household members by drought
Did any household member die as a result of drought?
Frequency of Erratic rainfall
In which year did Erratic rainfall affect you the most?
How strong was the erratic rainfall?
Percentage loss on housing by erratic rainfall
Percentage loss on land by erratic rainfall
Percentage loss on harvest by erratic rainfall
Percentage loss on livestock by erratic rainfall
Percentage loss on fisheries by erratic rainfall
Percentage loss on health of household members by erratic rainfall
Did any household member die as a result of erratic rainfall?
Frequency of Heatwave
In which year did Heatwave affect you the most?
How strong was the Heatwave?
Percentage loss on housing by Heatwave
Percentage loss on land by Heatwave
Percentage loss on harvest by Heatwave
Percentage loss on livestock by Heatwave
Percentage loss on fisheries by Heatwave
Percentage loss on health of household members by Heatwave
Did any household member die as a result of Heatwave?
Have you or anyone in your household made changes in Financial means (e.g. loans
Has it increased or decreased?
If no, you:
Have you or anyone in your household made changes in External assistance (e.g. N
Have you or anyone in your household made changes in Home improvement (e.g. wall
Have you or anyone in your household made changes in Protection (own or communit
Have you or anyone in your household made changes in Hired labour as a result of
Have you or anyone in your household made changes in Improved production (e.g. d
Have you or anyone in your household made changes in Accessed training as a resu
Have you or anyone in your household made changes in Innovation of techniques (e
Have you or anyone in your household made changes in Female labour outside the h
Have you or anyone in your household made changes in Hours worked by household m
Have you or anyone in your household made changes in Changed main activity (e.g.
Have you or anyone in your household made changes in Mobility within district as
Have you or anyone in your household made changes in Migration outside district
Have you or anyone in your household made changes in Return migration to distric
Have you or anyone in your household made changes in Other response, specify as
Have you or anyone in your household received any help from social networks
If the climate changes, there is much I can do to respond to the opportunities
I have many options available to me other than being a [insert occupation].
The important thing for me is to minimize my losses during bad seasons.
If there is a climatic shock, I just hope for the best.
Current solutions for dealing with present climate challenges will be sufficient
I have actively planned my responses to climatic shocks in recent years.
I like to experiment with new ways to do my job.
I am less likely to survive a climatic shock compared to my peers.
If needed, I am prepared to completely change the way I do my job in order to su
Climate impacts are unlikely to manifest in this region for some time.
I am interested in learning about climate change and its impacts on my work.
I am interested in learning new livelihood-related skills.
I am cheerful and outgoing
I am easy to get along with.
I am reliable.
I am relaxed and handle stress well.
I am open to new experiences
I like looking for better ways of doing things.
I feel comfortable making big decisions (such as changing livelihood or migratin
Have you felt nervous or anxious?
Have you not been able to stop or control worrying about things such as finances
Have you had little interest or pleasure in doing things?
Have you felt down, depressed or hopeless?