CONFIDENTIAL. FOR PURPOSES OF COMPUTING LOE ONLY.

NOT FOR REUSE OR

QUOTATION.

PHCIP Impact Evaluation

Household Questionnaire
Head of Household Module

CONTENTS

Consent....................................................................................................................................... 2
Current activity of all household members (10 yrs+)................................................................7
Subsidiary Occupation.............................................................................................................9
Underemployment.................................................................................................................. 10
Unemployment....................................................................................................................... 11
Aspirations............................................................................................................................. 12
Attributes and skills – household head...................................................................................13
Animal Husbandry.................................................................................................................. 14
Agriculture.............................................................................................................................. 15
Other programs ......................................................................................................................... 18
Asset information....................................................................................................................... 19

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 CONFIDENTIAL. FOR PURPOSES OF COMPUTING LOE ONLY. NOT FOR REUSE OR
QUOTATION.

Consent
Ask to speak with adult present in household. If head of household is not present, ask to
speak to an adult knowledgeable about the household. See manual for which module to start
with depending on who is available in the house at the time of the visit.

My name is………………… and my colleague’s name is………………… We are from ………………

and we are working with ………………and other partners to collect information. This is part of the
government’s efforts to improve utilization of resources and quality of ………………..services

Permission for this survey has been obtained from …………………. All information provided will be
treated confidentially. No information will be attributed to you personally or to your facility.

Your participation in this survey is voluntary and at no cost to you as an individual. You may choose not
to participate at all or to stop at any time before the end of the survey. You may also choose not to answer
any question that you are not comfortable with. Although we will ask for the names of participants, we
want to assure you that adequate steps to ensure that each individual’s identity is protected have been put
in place. No information will be traced to you in any way because data will be kept and processed
anonymously. Do you have any questions?

Permission
CS01. Do you agree to be Yes = 1
interviewed ? No = 3
If CS01= (1) → Module SCREEN – BLOCK A | |
CS02. If CS01=3, what is the reason
for refusal?

Interviewer certification

Interviewer Name: Code of Date of Interview:------------------ Signature:

----------------- Interviewer:----------
-------
Interview start
time:---------------
Interview end
time:---------------

PROGRAM TO RECORD GEOCODES FOR HH

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 CONFIDENTIAL. FOR PURPOSES OF COMPUTING LOE ONLY. NOT FOR REUSE OR
QUOTATION.

BOOK R
Household member listing
Respondent is “knowledgeable adult” who answers consent above
SEE MANUAL FOR DEFINITION OF HEAD OF HOUSEHOLD

BLOCK RA
RA01 RA02 RA03a RA03 RA04 RA05 RA06 RA07 RA08(AUTO RA9
b a (AUTO- -FILLED)
FILLED)
Name of Relation to Is this Gend Age CNIC Under 5 Aged 10 and FOR
ID household head of the er (In case Day, Month, Year Number years of older? UNDER 5
members household respo [1] is unknown, try to probe (age 18 & age? (RA05a>=10 (if RA07=1):
who ndent Male with the help of event above) (RA05a<5 ) Who is the
“Usually (See codes ? [2] calendar. Write 00 in the ) mother of
live and below) Fema col. of day, month, year of (If yet to 1.yes (name) – list
eat here”. 1.yes le birth, whichever is not obtain a 1.yes 3.no line
(Do not 3.no [3] known. Write year in 4 CNIC 3.no number/ID?
list Trans digits & write 99 for age write code
guests, gend 100 or greater, write 999 if “98”.
visitors, er age is unknown) If CNIC
ect.) lost or not
available
write
code “99”)
Age Date of Birth
(in
com
Mo
plet Yea
Day nth
ed r
RA0 R
year RA0
5b A0
s) 5d
5c
RA
05a
1
2
3
4
5
6
7
8

Codes for RA03a: Head=01, Spouse=02, Son/Daughter =03, Grandchild= 04, Father/Mother=05, Brother/Sister=06,
Nephew/Niece=07, Son/Daughter-in-law= 08, Brother/Sister-in-law=09. Father/Mother-in-law=10, Paternal Grandfather/mother=11,
Paternal Uncle/Aunt=12, Servants/their relatives=13, other =14, Maternal Grandfather/mother=15, Maternal Uncle/Aunt=16

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 CONFIDENTIAL. FOR PURPOSES OF COMPUTING LOE ONLY. NOT FOR REUSE OR
QUOTATION.

BLOCK RC Roster Respondent is “knowledgeable adult”

R RA02 RC RC01 RC01c RC03 RC 04 RC 05 RC 06 RC 07
A 01 b
a
Ma If If married ID code of ID code of If RC04=99 : Where ID code of Where does (name)’s
Name rital marri (RC01a= Spouse Father does (name)’s Mother natural mother live?
of Sta ed 2): natural father live? (If not alive code
hous tus (RC0 currently If not in the (If not alive "98" and if not in
1 ABROAD
ehold 1a=2) expecting roster write code "98" and the roster Write
1 ABROAD 2 IN ANOTHER
mem (Se : a "99"- if not in the code "99")
2 IN ANOTHER HOUSEHOLD IN THE
bers e marri baby/pre (If more than roster Write SAME DISTRICT
HOUSEHOLD IN THE
who co ed gnant? one wife write code "99") SAME DISTRICT IF “99”  GO 3 IN ANOTHER
“Usu de within the code of 3 IN ANOTHER TO RC07 HOUSEHOLD IN
ally s past 1.yes; first wife) IF “99”  GO HOUSEHOLD IN OTHERWISE  ANOTHER DISTRICT
live bel 2 3.no TO RC05 ANOTHER DISTRICT GO TO RC08 4 INSTITUTION IN THIS
and ow years OTHERWISE 4 INSTITUTION IN COUNTRY
eat ) ?  GO TO THIS COUNTRY 8 DK
here” RD06 8 DK
. 1.yes;
(Do 3.no
not
list
guest
s,
visito
rs,
ect.)
1
2
3
4
5
6
7
8
Codes for RC01a: Unmarried / Never Married = 1, Currently Married = 2, Widow / widower = 3, Divorced= 4, Nikkah solemnised but Rukhsati not
taken place = 5

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 CONFIDENTIAL. FOR PURPOSES OF COMPUTING LOE ONLY. NOT FOR REUSE OR
QUOTATION.

RA RA02 RC 08 RC 09 RC 10 RC 11 RC 12 RC 13 RC 14 RC 15
01 (AUTO-
FILLED)
Disabilit Can the Has the Highest Work status during On Natur Check
ID

Name of y status member read member class most of the last average e of lines
household in any ever gone completed / one month (age 10 how emplo pregnant
members who (see language with to school? class and above) many yment woman
“Usually live and codes under- 1=Never currently [1] Employed hours in in (RC01c==
eat here”. below) standing? attended attended (if [2] Not employed a week, main 1), OR a
(Do not list (age 10 and school (» currently but seeking work does the activit woman
guests, visitors, above) Go to enrolled) [3] Not employed member y over married in
ect.) [1] Yes Q16) and not seeking work for the past two
[3] No 2=Attende (see codes work due to being pay or past years
d school in below) retired, student, income- one (RC01b==
past housewife, generati year / 1)
3=Currentl disabled etc. ng status
y in school activities
(All age 3 , (see
year & including codes
above) agricultu below
ral )
activities
?
1
2
3
4
5
6
7
8
RC08: 01=No disability, 02=Upper Limb Disability, 03=Lower Limb Disability, 04=Mental Disability, 05=Speech Disability, 06=Hearing Disability,
07=Visual Disability (Partial), 08=Visual Disability (Full), 99= Other
RC11: 00=ECE, 01=Class 1, 02=Class 2, 03=Class 3, 04=Class 4, 05=Class 5, 06=Class 6, 07=Class 7, 08=Class 8, 09=Class 9, 10=Class 10,
11=Polytechnic diploma, 12= FA/F.Sc/I.Com, 13=BA/BSc/B.Com/B.Ed, 14= Post graduate ( MA, M Sc/MBA/M.Ed), 15= Degree in Engineering, 16=
Degree in Medicine, 17= Degree in Agriculture, 18= Degree in Law, 19= MPhil/PhD, 20= other, 21 = Katchi
RC14: 1=Government employee, 2=Semi-govt/ autonomies employee , 3=Regular paid employee, private sector 4= Seasonal paid employee / day
laborer(agriculture), 5 Seasonal paid employee/ Day laborer (non-agriculture), 6=Self-employed, non-agriculture, 7=Self-employed, agriculture: own
cultivator, sharecropper/ livestock or contract cultivator, 8= Unpaid family worker /Contributing family helper; 9=Employer; 10=Unemployed; 11= Other

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 CONFIDENTIAL. FOR PURPOSES OF COMPUTING LOE ONLY. NOT FOR REUSE OR
QUOTATION.

BLOCK RB - Head identification and re-contact information ask to speak to the person identified
as head

RB01 HH Study ID ☐☐☐☐ automatically assigned in CTO survey

RB02 HH Head’s Member ID Member ID ☐☐ (Corresponds to the line of the HH head

in the roster)
RB03. CONFIRM FULL Name of Head of
Household

RB04. CONFIRM Address of House

RB05. CONFIRM Post Office

RB06. Mobile/Cell Number

RB07. PTCL/landline Number

RB08a Name_________
RB08. If members of this household were all to RB08b Relationship to head of
move out of this location, can you give me household______________________
contact information of a third party that can RB08c Address
help us reach out to you in future rounds of our RB08d Mobile/Cell Number:--------------------------
survey? RB08e PTCL/landline Number:-------------------------------------

1….
RB09. Head’s mother tongue
2….
RB10 To which tribe/caste does the HH
head belong?

01=Hinduism
RB11 Which word best describes religion
02= Islam
of HH head?
03= Christianity
14= Other ______________
1. Since birth – If select this option go to AC01
2. Less than one year
3. 1 year
4. 2 years
RB12 How long have you been living in this district?
5. 3 years
6. 4 years
7. 5 years
8. More than 5 years
1. Rural
RB13 Previous residence was located in 2. Urban

01. Job transfer

02. Found a job
03. Searching for a job
04. Searching for a better agriculture land
05. Education
06. Business
07. Health
08. Marriage
RB14 Main reason for migration 09. With parents
10. With spouse
11. With son/ daughter
12. Change of residence
13. Returned to his home
14. Security/Law & order situation
15. Other (Specify)
16. Heard about economic inclusion activities

Codes for RB09: 01= Urdu ,02= Punjabi, 03= Sindhi ,04= Pashto, 05= Balochi, 06= Kashmiri, 07= Siraiki, 08= Hindko ,09= Barohi, 10=
Farsi, 11= English, 99= Other (specify)

Codes for RB10; 01=Abbasi, 02=Aiwan, 03=Ansari, 04=Arain/Aryan, 05=Baloch, 06=Bhutta, 07=Butt, 08=Chahar, 09=Dogar, 10=Gujjar,
11=Jat, 12=Kapoor, 13=Khatar, 14=Khawaja, 15=Lar, 16=Malik, 17=Mohana, 18=Mughal, 19=Naich, 20=Pathan, 21=Peerzada,
22=Qureshi/Hashmi, 23=Rahman, 24=Rajput/Bhatti, 25=Randhawa, 26=Sameeja, 27=Shah, 28=Sheikh, 29=Solangi, 30=Syed, 31=Tarar,
32=Vohra, 33=Waraich, 34=Wattoo, 99= Other (specify)

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 CONFIDENTIAL. FOR PURPOSES OF COMPUTING LOE ONLY. NOT FOR REUSE OR
QUOTATION.

Economic activity and assets

ask to speak to the person identified as head

Current activity of all household members (10 yrs+)

Current activity of all household members (10 yrs+)

AC01. AC02. AC03. AC04. AC05. AC06. AC07. What
What were Did you do Did … Even if … did not Why did … not work If… worked for is the
principal any work for help to work last week last week? family gain in a employment
activities during pay, profit, or work for for some reason, family business status?
most of the last family gain family did… have a job or family farm or
12 months during the gain in a or enterprise if … has an
last week, at family such as a shop, enterprise,
least for one business business, farm or where does the
hour on any or family service activities
day farm establishment associated with
during last (fixed or mobile)? it take place?
week
1. employed 1. Yes (skip 1. Yes 1. Yes, a job 01. Illness or injury 1. Separate 01. Regular
2. unemployed to AC06) (Ask 2. Yes, an own 02. Strike or lockout room in the paid
3. not in labor 3. No AC06) enterprise such or lay off house employee
force (i.e. not 3. No as a shop, 03. Holiday, 2. room in the with fixed
working or business, farm or ramazan, vacation house that is wage
looking for work service or leave of absence used for 02 Casual
and not establishment 04. Off-season something else paid
available to (fixed or mobile) inactivity 3. in the yard employee
work) exist and 05. Due to bad 4. at family or 03. Paid
functioning at the weather friend’s dwelling worker by
time of interview 06. Due to 5. At the piece rate or
3. No, but plans mechanical or employer’s work
to take a job electrical breakdown house performed
within a month 07. Due to shortage 6. On the 04. Paid non-
(Skip to next of raw materials or street/road family
section) fuel 7. On apprentice
4. NO (Skip to 08. Educational and countryside 05. Employer
next section) training leave 8. In a shop, 06. Own
09. Maternity or business office account
parental leave or industry worker
10. Other reasons 9. other (Agriculture)
i.e. reductions in (specify) 07. Owner
economic activity 10. on family account
such as: lower land worker (non-
production due to 11. on someone agriculture)
less demand; or else’s land 08. Owner
shortage of irrigation cultivator
water; or load 09.
shedding (gas or Sharecropper
electricity) (Specify). 10. Contract
11. Other voluntary cultivator
or personal reasons, 11.
e.g. religious or Contributing
social activities or family worker
attended political (Agriculture)
gathering (Specify). 12.
12. Other involuntary Contributing
reasons family worker
Violence/harassmen (non-
t at work place, agriculture)
Security/law and 13. Member
order situation, etc.) of a
(Specify) producer’s
cooperative
14. Other
(Specify)

AC08. AC09. AC10. AC11. AC12. AC13. Where AC14.

What was….. What was the What kind of How many What is the does the How many hours did – work each day during the
main nature of work enterprise? persons are location of activity take main occupation?
occupation, done by the engaged in activity place?
e.g. what was establishment the enterprise If did not work, then record A, B or C
the nature of such as shop, (including A: If had a job or enterprise on that day and did n
work that business, farm, working B: If had no job or enterprise on that particular da
….did? service proprietors, work
establishment unpaid family C: If had no job or enterprise on that particular da
(fixed or workers, paid work.
mobile), employees)?
office/institution
where. …

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 CONFIDENTIAL. FOR PURPOSES OF COMPUTING LOE ONLY. NOT FOR REUSE OR
QUOTATION.

worked?

Please give full

description
along with the
code for main
industry as per
detail given in
Annex-B Manual
of Instructions.
(i) Main refers 01. Federal 1. Urban 1. Separate M T W Th
to the work Govt. 2. Rural room in the
that …… 02. Provincial house
spent most of Govt. 2. room in
the time of 03. Local the house
the week. If body Govt. that is used
same number 04. Public for something
of hours used enterprise else
in more than (Corporation 3. in the yard
one work by act of 4. at family or
consider the national or friend’s
one where provincial dwelling
s/he earns assembly) 5. At the
the most 05. Public employer’s
money. limited house
ii) Please company 6. On the
give full 06. Private street/road
description limited 7. On
alongwith company countryside
with the code 07. 8. In a shop,
for main Cooperative business
occupation as society office or
per detail 08. Individual industry
given in ownership 9. other
Annex-A 09. (specify)
Manual of Partnership
Instructions. 10. Other
(Specify )

AC14. How much did you earn in cash in the past week from AC15. How much did you earn in kind in the past week from
this main occupation? this main occupation?
Rs------------ Kgs of rice ----
Don’t know=99 Kgs of ----
Total cash value of in kind payment Rs ----
Don’t know =99

Annex A:
Sub-major
Description
Group

1 Manager
2 Professional (Science, engineering, health, teaching, business admin, IT, legal, etc)
3 Technicians and associate professionals
4 Clerical support workers
5 Service and sales workers
6 Skilled agricultural, forestry and fishery workers
7 Craft and related trade workers
8 Plant and machine operators and assemblers
9 Elementary occupations
10 Armed forced occupations

Annex B:
Sub-
major Description
Group
1 Agriculture, livestock, fishing
2 Auto mechanic or home appliance repair
3 Construction or other engineering
4 Manufacturing or mining
5 Information technology
6 Business management, book-keeping, accounting

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 CONFIDENTIAL. FOR PURPOSES OF COMPUTING LOE ONLY. NOT FOR REUSE OR
QUOTATION.

7 Health or education services (nursing teaching etc)

8 Media and entertainment
9 Legal services
10 Clerical or general office management
11 Hair dressing or salon relevant skills
12 Culinary and tourism
13 Arts and crafts
14 Other

Subsidiary Occupation
Subsidiary Occupation
SO1. SO2. SO3. SO4. SO5. SO6.
In addition to the How many hours did … work each What is the Where does What was the What kind of
main occupation, day during the last week? employment the activity nature of work enterprise?
did … also work status? take place? done by the
in a subsidiary establishment
occupation? such as shop,
business, farm,
service
establishment
(fixed or mobile),
office/institution
where. …
worked?

Please give full

description
along with 4-
digits code for
main industry as
per detail given
in Annex-B
Manual of
Instructions.
1. Yes M T W T F Sat Sun 01. Regular 1. Separate 01. Federal
3. No (skip this h paid employee room in the Govt.
section) with fixed wage house 02.
02 Casual paid 2. room in the Provincial
employee house that is Govt.
03. Paid worker used for 03. Local
by piece rate or something body Govt.
work performed else 04. Public
04. Paid non- 3. in the yard enterprise
family 4. at family or (Corporation
apprentice friend’s by act of
05. Employer dwelling national or
06. Own 5. At the provincial
account worker employer’s assembly)
(Agriculture) house 05. Public
07. Owner 6. On the limited
account worker street/road company
(non- 7. On 06. Private
agriculture) countryside limited
08. Owner 8. In a shop, company
cultivator business 07.
09. office or Cooperative
Sharecropper industry society
10. Contract 9. other 08. Individual
cultivator (specify) ownership
11. Contributing 09.
family worker Partnership
(Agriculture) 10. Other
12. Contributing (Specify )
family worker
(non-
agriculture)
13. Member of
a producer’s
cooperative
14. Other
(Specify)

SO7. How much did you earn in cash in the past week from SO8. How much did you earn in kind in the past week from

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 CONFIDENTIAL. FOR PURPOSES OF COMPUTING LOE ONLY. NOT FOR REUSE OR
QUOTATION.

this occupation? this occupation?

Rs------------ Kgs of rice ----
Don’t know=9 Kgs of ----
Total cash value of in kind payment Rs ----
Don’t know =99

Underemployment
Section 4: Underemployment
U01. If total number of hours worked in U02. Was … available for alternative U03. Did … seek any alternative/additional
under 35 additional work? work last month?
Why did … work less than 35 hours?
01. Normally works the same number of 1. Yes 1. Yes
hours 3. No 3. No
02. Illness or injury
03. Strike or lockout or lay off
04. Holiday, ramzan, vacation or leave
of absence
05. Off-season inactivity
06. Due to bad weather
07. Due to mechanical or electrical
breakdown
08. Due to shortage of raw materials or
fuel
09. Educational and training leave
10. Maternity or parental leave
11. Other reasons i.e. reductions in
economic activity such as: lower
production due to less demand; or
shortage of irrigation water; or load
shedding (gas or electricity) (Specify).
12. Other voluntary or personal reasons
such as did not want to work more
hours due to religious or social activities
or attended political gathering etc.
(Specify)
13. Other involuntary reasons such as
unable to find/get more hours of work
due to law and order situation etc.
(Specify)

Section 5: For paid employees only

U04. what is the status of …. U05. What is U06. How much U07. How much money did … earn last month?
Job? the periodicity money did … earn last
of payments? week?
1. Daily *include cash + in kind *include cash + in kind but monetize it
With contract/ agreement 2. Weekly but monetize it
3, Fortnightly
4. Piece rate
1. Permanent/ basis
pensionable Job 5. Other,
2. Less than 1 year specify
3. Up to 3 years
4. Up to 5 years
5. Up to 10 years
6. 10 Years and more

7. Without contract/ agreement

Unemployment
Unemployment
UE01. 1 yes
In the last 30 (thirty) days did you look for work for the household’s 3 No
own consumption?
UE02. 1= Government employment center
What was the main mode of looking for work? 2= Private employer
3= Private employment center\
4= Direct to factory / farm
5= Friends / relatives
6= Newspaper advert
7= Internet
8=Exploring opportunities to set up own firm / business
9=Waited on the street to be recruited for casual work / 99= Other
UE03. 1= waiting for joining workplace

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 CONFIDENTIAL. FOR PURPOSES OF COMPUTING LOE ONLY. NOT FOR REUSE OR
QUOTATION.

Why did not you look for any job/business in last 30 (thirty) days? 2= No jobs available
3= Off-season
4= waiting for setting self business
5= Illness, injury, disability
6= Husband/father’s permission
7= In law’s permission
8= Concerns about safety at workplace
9= Concerns about safety traveling
10= In school/training
11= Housework / family work
12=childcare responsibilities
13= Inadequate work
14= No desire to work
15= currently pregnant
99= Others (SPECIFY)
UE04. 1=Yes
Were you available to work during the last 7 (seven) days? 3= No
UE05. 1= <1 month
How long have you been available and seeking work and without a 2= 1-6 months
job or business? 3= 7-12 months
4= 1-2 years
5= 2+ years
UE05. 1= In school / training
What was the reason for you not being available to work in last 7 2= Housework / family work
days? 3=Childcare responsibilities
MAIN REASON 4= Illness, injury, disability
5=Retired, too old for work
6= Too young
7=Off-season
8=Not interested to work
9=Husband/father’s permission
10=In law’s permission
11=Concerns about safety at workplace
12=Concerns about safety traveling
13. Student
98=Other specify
UE06. 1=Getting higher qualifications/training/skills
Which of the following factors would make it more likely for you to 2=Availability of suitable transportation to and from workplace
seek or find a job? 3= Help in locating appropriate jobs
4=More positive attitudes towards persons with disabilities
5=Availability of special equipment or assistive devices
[Read response categories and mark all that apply]
6=Availability of more flexible work schedules or work tasks
arrangements
7=Availability of a more accommodating workplace
8= Availability of childcare services
99=Other: Please specify
97= Refused
99=Don’t know
UE07.. 1=Very supportive
How supportive would your family members be if you decide to 2=Somewhat supportive
work? 3=Not supportive
[Read response categories and mark one] 8=Refused
99=Don’t Know

Aspirations
Aspirations
TS7. 1= Rickshaw/ Van
Please imagine the type of job or work you would like to have if you had any 2= Garments worker
opportunity possible. This includes wage employment, having your own business 3= Transport worker
or work in the home. What is this job or type of work you would like to have if you 4= Construction worker
had any opportunity possible? 5= Hotel worker
Circle two options 6= Business
7= Govt Service
8= Cottage Industry
9= Hawker
10= Agri-labor
11= Porter/Day labor
12= Servant/Maid Servant
13= Student
14= Not working/disabled
15= Working overseas
16=private service
98= Others
TS8. 1= YES
Given your current situation, do you expect you will be able to have that job or 3= NO

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 CONFIDENTIAL. FOR PURPOSES OF COMPUTING LOE ONLY. NOT FOR REUSE OR
QUOTATION.

work in one year? 99= DON’T KNOW

TS9. 1= Lack of education

What are some of the reasons why you think you will be not be able to have this 2= Lack of skills
job or work? 3= Economic constraints
4= There are not enough jobs like this
5= Family will not allow it
Please give us the top three reasons.
6= Don’t have enough connections to help me find
the job
Instruction: Don’t read out the options. Mark the options that are closest to 7= Don’t know how/where to start looking
respondent’s answer. 8= It will require too much work
9= There is discrimination (gender/social/economic)
10= There is social pressure to do something else
11= There are religious reasons
12= Too many responsibilities at home
13= Have to take care of my children
14= Disability/illness
98= Other (please specify)
TS9a. 1= YES
Would you be willing to move away from home/village in search for a job? 3= NO
TS10. 1= Domestical/internal location
Where would you be willing to go? 2= International location/overseas
MULTIPLE RESPONSES ALLOWED

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 CONFIDENTIAL. FOR PURPOSES OF COMPUTING LOE ONLY. NOT FOR REUSE OR
QUOTATION.

Attributes and skills – household head

Non-cognitive skills
Rank each from 1 to 4 (1=almost always | 2 = most of the time | 3 = some of the time | 4 = almost never
AS01. Are you talkative?
Extraversion
Do you like to keep your opinion to yourself? Do you prefer to keep quiet when you have an
opinion?
Are you outgoing, social e.g. do you make friends easily?
AS02. When doing a task, are you very careful?
Conscientiousness
Do you prefer relaxation more than hard work?
Do you work very well and quickly?
AS03. Do you come up with ideas other people haven't thought of before?
Openness
Are you very interested in learning new things?
Do you enjoy beautiful things, like nature, art and music?
AS04. Are you relaxed during stressful situations?
Emotional Stability
Do you tend to worry?
Do you get nervous easily?
AS05. Do you forgive other people easily?
Agreeability
Are you very polite to other people?
Are you generous to other people with your time or money?
S06. Do you finish whatever you begin?
Grit
Do you work very hard? For example, do you keep working when others stop to take a break?
Do you enjoy working on things that take a very long time (at least several months) to
complete?
S07. Do people take advantage of you?
Perception of
Are people mean/not nice to you?
hostility
S08. Do you think about how the things you do will affect you in the future?
Decision making
Do you think carefully before you make an important decision?
Do you ask for help when you don’t understand something?
Do you think about how the things you do will affect others?

Q. To measure risk aversion:

1. Imagine that you have a choice between the following two options: Option 1 – Receive PKR. 4,000 for sure or Option
2 – Flip a coin and receive 0 if it's tails or PKR. 12,000 if it's head. Which one will you choose?
2. Now imagine that you have a choice between the following two options: Option 1 – Receive PKR. 4,000 for sure.
Option 2 – Flip a coin and receive 0 if it's tails or PKR. 16,000 if it's head. Which one will you choose?
3. Now imagine that you have a choice between the following two options: Option 1 – Receive PKR. 4,000 for sure.
Option 2 – Flip a coin and receive 0 if it's tails or PKR. 8,000 if it's head. Which one will you choose?

13
 CONFIDENTIAL. FOR PURPOSES OF COMPUTING LOE ONLY. NOT FOR REUSE OR
QUOTATION.

Animal Husbandry
Section 6: Animal Husbandry
AH1. AH2. AH3. AH4. AH5.
Do you use any of the following Do you own If YES to Use: IF OWN or RENT 1.PER DAY
items in animal rearing? this item or rent Did you acquire it How much did 2.PER WEEK
it? OWN-1 in the past 12 you pay to 3.PER MONTH
RENT-2 months? buy/rent it? (for 4.ANNUALLY
BORROW YES=1 each if multiple)
FOR LABOR-3 NO=3
BORROW DON'T KNOW 99
NOT FOR
LABOR-4

1.Milk pump
2 Pen/Bird coop
3. Cart (bullock, hand cart,etc.)
4 Other (Specify)
5 Other (Specify)
6 Other (Specify)

AH6. AH7. If YES:

Did you produce any of How much was consumed How much was sold? What was the average
the following products in at home? price for sale?
the last 12 months? If
yes, how much was
consumed at home, how
much was sold, what was
the average price for
sale?

(IF LEASE IN ANIMALS,

CONSIDER ONLY
PRODUCTION AFTER
SHARING

1) Milk (liters)

2) Eggs (number #

3) Meat (include livestock

sold live for meat) (kg)

4) Other animal products

(wool, hide, dung cake,
eggs, etc) (kg)

AH8. Did you sell any of your animals in the last 12 1.YES If AH8 = 3,
months (excluding livestock sold live for meat) 3.NO Go to AH10
AH9. For how much did you sell the livestock in the last Rs -------------
12 months (excluding livestock sold live for meat) DON’T KNOW
AH10. Did any of your livestock get stolen/die/go 1.YES
missing in the last 12 months? 3.NO
99. DON’T KNOW
AH11. Which household members worked rearing CODE FROM BOARD Hours per day?
animals and how many hours per day do they work? 99. DON’T KNOW

AH12. Did you purchase any of the AH13. If purchased, how much was AH14 If borrowed/supplied, how
following items in the past month spent on each item? much was spent on this item or paid
1.Fodder (YesNo) 1.Fodder in kind from production?
2.Other animal feed (YesNo) 2.Other animal feed 1.Fodder
3.Transportation for animals/animal 3.Transportation for animals/animal 2.Other animal feed
products (YesNo) products 3.Transportation for animals/animal
4. Other (YesNo) 4. Other products
4. Other
IN KIND 7 -------
DON’T KNOW 99 IN KIND 7

14
 CONFIDENTIAL. FOR PURPOSES OF COMPUTING LOE ONLY. NOT FOR REUSE OR
QUOTATION.

DON’T KNOW 99
AH15. AH16. If purchased, how much was AH17. If borrowed/supplied, how
Did you purchase any of the spent on each item? much was spent on this item pr paid
following items in the past 12 1. Inoculation for animals in kind from production?
months? 2. Veterinary care for animals 1. Inoculation for animals
1. Inoculation for animals 3. Other 2. Veterinary care for animals
YESNO 3. Other
2. Veterinary care for animals IN KIND 7
YESNO DON’T KNOW 99 IN KIND 7
3. Other YESNO DON’T KNOW 99

Agriculture
Section 7: Agriculture
A1. Do you cultivate any land owned by the household YES=1 If A1=3
NO=3 Go to A3
A2. How many /paara/jiraib/ghunta/acres of land owned by the household for JARAIB / Begha=1
you cultivate and leave fallow in the following seasons: MURABBA=2
KANAL=3
1. in (monsoon) season in a normal year MARLA =4
2. in winter season in a normal year DON’T KNOW=99
3. in summer in a normal year
CULTIVATE:
LEAVE FALLOW:
A3. Do you lease in sharecrop any land? Yes=1 If A3=3 or
No=3 97,A7
Don’t know=97
A4. Are you continuing to cultivate this land in the last 12 months? Yes=1 If A4=3 or
No=3 97,
Don’t know=97 A7
A7
A5. How much is your share? --%
A6. How many /paara/jiraib/ghunta/acres do you lease in sharecrop: JARAIB / Begha
=1
1. in (monsoon) season in a normal year MURABBA=2
2. in winter season in a normal year KANAL=3
3. in summer in a normal year MARLA =4
DON’T KNOW=99

A7. Do you use any of following items in farming If YES to If YES to If YES If OWN PER DAY
this land? Use: How use: Do to Use: or =1
many do you own Did you RENT. PER
you use? this item acquire How WEEK=2
or rent it? it in the much PER
OWN=1 past 12 did you MONTH=3
RENT=2 months? pay to ANUALLY=4
BORROW YES=1 buy/rent
FOR NO=2 it? (for
LABOR=3 each if
BORROR multiple)
NOT FOR
LABOR=4 DON’T
KNOW
99
1.Tractor
2. Reaper
3.Cart(bullock, hand cart etc)
4.Rake
6.Shovel
7.Plough
8.Wheelborrow
9.Car or van
10.Other durable goods(Specify)
11. Other durable goods(Specify)
12. Other durable goods(Specify)

15
 CONFIDENTIAL. FOR PURPOSES OF COMPUTING LOE ONLY. NOT FOR REUSE OR
QUOTATION.

A8. Did you cultivate any of the following crops last 12 How much If sold: How If sold: What
months? If yes, how much was consumed at home, how much was much was was the
was sold, what was the average price for sale? consumed at sold? average price
home? for sale?
(IF SHARECROP ONLY CONSIDER CROP LEFT AFTER Don’t know
SHARING) =99 Don’t know=99
Don’t
1.Rice know=99
2.Wheat
3.Maze
4.Dal
5.Vegetable
6.Fodder
7.Mustard
8.Fruit
9.Other(specify)
A9. Which household members worked growing crops or Hours per Days per year?
working the land? How many hours per day do they work? day?
How many days per year do they work?
Roster number….

Section 8 Other Enterprise

O1. What is the nature of this enterprise
(shop, food preparation, etc)?
O2. Do you use any of the following O3. If O4. If YES to Use: O5. If O6. PER DAY =1
items in this activity? YES to Did you acquire it in OWN or PER WEEK=2
use: Do the past 12 months? RENT. PER MONTH=3
you own YES=1 How ANUALLY=4
this item NO=3 much
or rent it? did you
OWN=1 pay to
RENT=2 buy/rent
BORROW it? (for
FOR each if
LABOR=3 multiple)
BORROW
NOT FOR DON’T
LABOR=4 KNOW
99
1.Sewing machine
2.Car or van
3.Cart (bullock, hand cart, etc)
4.Pair of scales, weighing machine
5.Stove/cooking pots
6.Other (specify)
O7. Where does this activity take place? Separate room in the house =1
Room in the house that is used for something else=2
In the yard=3
In a separate premise=4
Other place(specify)=6
O8. Do you own or rent the place where Own=1
you do this activity? Rent=2
Don’t know=99
O9. How much do you pay per month to Rs--------
rent this place? DON’T KNOW=9
O10. Ask what inputs are bought for this How much does it cost (PER Quantity bought (Unit)
business/service provided, how much UNIT)?
they cost and quantity bought in the last DON’T KNOW=99
30 days
INPUT 1: Rs------ -----
INPUT 2: Rs------ ------
INPUT 3: Rs------ ------
INPUT 4: Rs------ ------
INPUT 5: Rs------ ------
INPUT 6: Rs------ ------
INPUT 7: Rs------ ------
INPUT 8: Rs------ ------

16
 CONFIDENTIAL. FOR PURPOSES OF COMPUTING LOE ONLY. NOT FOR REUSE OR
QUOTATION.

INPUT 9: Rs------ ------

INPUT 10: Rs------ ------
O11.Ask what products are sold for this Price (PER UNIT)? How much (units) sold in the last
business/services, how much they are 30 days?
sold for and quantity sold in last 30 days
ITEM 1: Rs------ -----
ITEM 2: Rs------ ------
ITEM 3: Rs------ ------
ITEM 4: Rs------ ------
ITEM 5: Rs------ ------
ITEM 6: Rs------ ------
ITEM 7: Rs------ ------
O12. Compared to the situation of 6 Expanded =1
months ago, would you say that your Contracted =2
activity has expanded, has contracted or Stayed the same =3
has stayed the same? Don’t know=99
O13. Which household members in the CODE from roster Hours per day?
last 12 months worked in this business Don’t know
and how many hours per day do they
work
----- -----

17
 CONFIDENTIAL. FOR PURPOSES OF COMPUTING LOE ONLY. NOT FOR REUSE OR QUOTATION.

Other programs
Sehat Kafaalat Nashonuma Waseela- Punjab Economic Rashan Aghosh PHCIP Kamyab Khidmat Bait ul Zaka Khud Other
Sahulat/Ins Programme Project (BISP e-Taleem/ Opportunities program (H&N CCT) Pakistan card maal t mukhtar specify___
af Card /BISP UCT H&N CCT) BISP edu Program (PEOP) (food Program (PHCIP IE
CCT subsidies) Govt component Enumerato
Zaka ) r note: if
t SPAPP
prog interventio
ram ns are
mentions -
prompt
Emergency Ehsaas Federal-- CCT to Increase the rate As many as Punjab -- To ensure Brick Kilns: Financial https asset
, nursery Kafaalat is To prevent BISP of income growth 20 million To prevent provision The assistance :// transfer
and other the stunting in beneficiari in poor and families stunting in of Quality service to disable zakat and regular
sections of children under es for children under coaching
Governmen vulnerable identified Education, covers persons .punj
rural 2 years of age school 2 years of age sessions
t’s program households in through the Gainful monthly ab.g
health among the attendanc among the
centers, through most e; covers 1 high poverty recently most Employme schooling Marriage ov.p
basic which it vulnerable year of districts of completed vulnerable nt and allowance grant k/
health gives cash BISP ECE. Southern Punjab Ehsaas BISP Meaningful for brick
units and stipends of beneficiaries – Bahawalpur, survey will beneficiaries Engageme kiln Medical
THQ Rs. 7000 focusing first Bahawalnagar, benefit focusing first nt to youth workers' treatment
hospitals 1000 days’ 1000 days’
per quarter Lodhran and from the through children
will be window of window of
developed and bank opportunity to Muzaffargarh. program. opportunity to integrated, from 4 Education
on modern accounts to break the Augment the Ehsaas break the dynamic years to stipend
lines. the most intergeneratio skills-base of low Rashan intergeneratio and 14 years
Upgrading deserving nal cycle of income, poor and provides a nal cycle of sustainable
BHUs in and poorest stunting vulnerable subsidy of stunting youth-
selected Stipend
women families through Rs. 1,000 a centered
districts program:
across the vocational month to initiatives.
The
country. training. each of the To invest in
service
20 million the
covers
families on developme
monthly
the nt of youth
allowance
purchase of with an
for the
flour, aim to
female
pulses, make them
students

18
 CONFIDENTIAL. FOR PURPOSES OF COMPUTING LOE ONLY. NOT FOR REUSE OR QUOTATION.

Ghee/Cooki skilled, from class

ng oil. A confident, 6 to 10 in
30% subsidy resourceful 16 districts
will be & self- of Punjab
given on reliant
these three ultimately
CCT for
items, per enabling
nutritional
unit them to
: The
purchase. contribute
service
Ehsaas has positively
covers
developed a in the
monthly
digitally progress &
allowance
enabled economic
for
mobile stability of
Antenatal/
point of Pakistan.
Postnatal,
sale system
Institution
in
al delivery,
collaboratio
Immuniza
n with
tion and
National
healthcare
Bank of
of
Pakistan
expecting/
(NBP) to
lactating
serve
mothers
beneficiarie
and born
s through a
child(ren)
network of
up to 2
Kiryana
years
stores
designated
by NBP, all Patient
over the with
country. Disability:
(info
missing)
OP1. 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. 1. Yes 1. Yes
Do you 3. No 3. No 3. No 3. No 3. No 3. No 3. No 3. No 3. No 3. No Yes 3. No 3. No
have a 3.
card or No
any
documen

19
 CONFIDENTIAL. FOR PURPOSES OF COMPUTING LOE ONLY. NOT FOR REUSE OR QUOTATION.

tation?
OP2. 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. 1. Yes
Are you 3. No 3. No 3. No 3. No 3. No 3. No 3. No 3. No 3. No 3. No Yes 3. No
aware 3.
of No
[program
]?
OP3. 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. 1. Yes
Has your 3. No 3. No 3. No 3. No 3. No 3. No 3. No 3. No 3. No 3. No Yes 3. No
househol 99. Don’t 99. Don’t 99. Don’t 99. Don’t 99. Don’t know 99. Don’t 99. Don’t 99. Don’t 99. Don’t 99. Don’t 3. 99. Don’t
d or know know know know know know know know know No know
anyone 99.
in your Don’
househol t
d kno
received w
assistanc
e
through
(program
)?
OP4. Specify in Specify in Specify in Specify in Specify in months Specify in Specify in Specify in Specify in Specify in Speci Specify in Specify in
When months months months months months months months months months fy in months months
was the mon
last time ths
Note for Note for Note for Note for Note for Note for Note for Note for Note for Note for Note for
you or Note for
Enumerato Enumerator Enumerator: Enumerat Enumerator Enumerator: Enumerato Enumerat Enumerat Enumerato Enumerato
anyone in Enumerator:
r: months : months months format or: months : months months format r: months or: or: months Note r: months r: months
your months format
format format xx/202x format format xx/202x format months format for format format
HH xx/202x
xx/202x xx/202x xx/202x xx/202x xx/202x format xx/202x Enu xx/202x xx/202x
received
xx/202x mera
assistanc
tor:
e through
mon
(program
ths
)?
form
at
xx/2
02x
OP5. Do 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes
you 3. No 3. No 3. No 3. No 3. No 3. No 3. No 3. No 3. No 3. No 3. No 3. No
1.
understa 97: N/A 97: N/A 97: N/A 97: N/A 97: N/A 97: N/A 97: N/A 97: N/A 97: N/A 97: N/A 97: N/A 97: N/A
Yes
nd the

20
 CONFIDENTIAL. FOR PURPOSES OF COMPUTING LOE ONLY. NOT FOR REUSE OR QUOTATION.

condition 3.
s of this No
program/ 97:
CCT? N/A

21
 CONFIDENTIAL. FOR PURPOSES OF COMPUTING LOE ONLY. NOT FOR REUSE OR
QUOTATION.

Asset information
AI01. What is your present home occupancy [1] Owner occupied (not self-hired) [2] Owner occupied
status? (self-hired) [3] On rent
[4] Subsidized rent [5] Rent free

AI 02. Which material is used for walls? [1] Burned bricks/blocks [2] Raw bricks/mud [3]
Wood/Bamboo [4] Stone [5] others
AI 03. Which material is used for roof? [1] RCC/RBC [2] Wood/Bamboo [3] Iron/Cement sheets
[4] Girder /T-Iron [5] Others
AI 04. How many rooms does your household --------------------- in numbers
occupy, include bed rooms and living rooms? (Do
not count storage rooms, bath rooms, toilets,
kitchen or rooms for business)
AI 05. What is the main fuel used for cooking? [1] Fire-wood     [2] Gas                   [3] Kerosene oil             
[4] Dung cake     
[5] Electricity     [6] Crop residue     [7] Charcoal\
Coal                    [8]  Other 
AI 06. What type of toilet is used by your [1] Flush connected to public sewerage [2] Flush connected
household? to pit [3] Flush connected to open drain [4] Dry
raised latrine [5] Dry pit latrine
[6] No toilet in the household
AI 07. What is the main source of drinking water for [1] Piped water [2] Hand pump [3] Motorized
the household? pumping/Tube well [4] Open well [5] Closed well [6]
Pond/Canal / River / Stream [7] Spring
[8] Mineral water
[9] Tanker /Truck/water bearer [10] Filtration Plant
[11] Others
AI 08. Does the household have an Electricity [1] Yes [2] Yes, extension [3] No
connection?
AI 09. Does the household have a Gas connection? [1] Yes [2] Yes, extension [3] No
AI 10. Does the household have a landline/PTCL [1] Yes [2] Yes, extension [3] No
Telephone connection?
AI 11. Does the household own any of the livestock (buffalo, cow, goat/sheep, horse/mule/donkey and camel)
presently? [1] yes [3] No
AI 11a. If a. Buffalo (in b. Cow/Cattle (in c. Goat/Sheep (in d. e. Camel (in
yes, how numbers):----- numbers):------ numbers):-------------- Horse/mule/donkey numbers):---
many (in - -------- (in ----
numbers) numbers):----------
AI 12. Does any household member own any AI 12a. If yes, how much land is owned in total?
agricultultral land presently? ------------------------------
[1] Yes [3] No AI 12b. Unit of land: [1] Marla [2] Kanal
[3] Acre [4] Murabba
Were any of the following items owned by this HH during the last 1 year?
Asset Yes No Asset Yes No Asset Yes No
AI 13a.Heater AI 13h. Cooking AI 13o. Personal
stove Computer/laptop
AI13b.Washing AI 13i.TV AI 13p.
machine/ dryer Motorcycle/scooter
AI 13c.Geyser AI 13j. VCR, VCP, AI 13q. Tractor
(Gas, Electric) Receiver, De-coder,

22
 CONFIDENTIAL. FOR PURPOSES OF COMPUTING LOE ONLY. NOT FOR REUSE OR
QUOTATION.

DVD Player
AI 13d.Air AI 13k. Refrigerator AI 13r. Car/vehicle
cooler
AI 13e.Air AI 13l. Freezer AI 13s. Mobile/cell phone
conditioner
AI 13f. Fan AI 13m. AI 13t. Internet
(Ceiling, Table, Generator/UPS/solar
Pedestal, panel
Exhaust)
AI 13g. AI 13n. Sewing/
Cooking range, knitting machine
Microwave
oven

Floods Question
Z1 Have any of the following happened to your Mark all that apply
household during the floods 2022?
1= Eviction from dwelling place and destruction of the
house
2=Flooding damaged house
3 =Flooding disrupted work
4=Household has lost a substantial share of income
5=Flooding disrupted essential travel
6=Flooding affected household member/s health or well
being
7=Not affected by floods
98=Don’t know
97=Refuse to answer

23