Professional Documents
Culture Documents
Shelter Cluster Assessment Verification Reporting Template v1
Shelter Cluster Assessment Verification Reporting Template v1
1. General Information
Type of Activities* Distribution NFIs + Tent
Alert Date*: ASSESSMENT (please tick) ☒
Assessment/Verification Date*: VERIFICATION (please tick) ☒
Reported by (Organization Name) *: Report Date*:
2. Location Information
Governorate* Marib
District* Al Wadi
Sub-District* Al Shabuan
Village/site*
☐ Individual home (non-hosted) ☐ With host family
☐ Rented house ☐ Planned camp or settlement
☐ Self-settled camp or settlement ☐ Collective center
Place of living*
☐ In open or public space ☐ Under Tarpaulins or other materials
☐ Public Building ☐ Tent
☐ Other: _____________________
Displacement Type* Conflict affected ☒ Disaster affected ☐ Other (Specify) _____________ ☐
Context * Urban ☐ Semi Urban ☐ Rural ☒ Other (Specify) _____________ ☐
3. Team Details*
Name Organisation Title Contacts: Email/Mobile/Sat Phone
7. Assessment/Verification Methodology
-Which assessment/verification methods did you use and why (eg household interview, focus group discussion, shelter
observation inside and out, market survey)
-If verifying, are you working from an existing list, or are you creating a list from scratch?
-How many interviews/FGDs/observations did you conduct? What questions did you ask and why?
-Did you use sampling techniques? If so, please describe.
-Is there any information you feel less confident about? If so why?
RECOMMENDATIONS
ANNEX 1
General Situation Questionnaire
GI.2 ☐ Violence
What kind of incident has affected the ☐ Floods
population or forced them to flee from the ☐ Fire
area of origin? ☐ Health epidemic
☐ Food insecurity
☐ Voluntarily returned home but land is occupied by other communities
☐ Evicted from public or private land or property
☐ Other (please specify)
GI.5
Population Households
What is the estimate number of people
living on the site?
GI.8
☐ Number of people on the site are increasing
What is the status of population at the site
of assessment? ☐ Number of people on the site are decreasing
☐ Number of people on the site are about the same
GI.9 Governorate
State area of origin of the population?
District
Sub-District
Village/Site
SN.6
Are local materials available and accessible to the crisis affected, displaced or returnee population for gathering to build
shelters? (check one, and ensure detail on whether people are physically able to collect material and build shelters – consider
gender, age, land availability, security)
☐ Yes - please list which materials are available, which member of the household usually accesses them and how:
SN.6
Are shelter materials/NFI available and accessible at the local market? (check one, and ensure detail on whether people can
access items at the market – do they have cash to spend?)
☐ Yes - please list which materials and items are available, with detail on accessibility and how much each item costs:
☐ No
SN.7
Do the crisis affected/displaced or returnee population currently have:
(check yes or no for each)
Do households have at least one large and one medium cooking pot with a lid, ☐ Yes ☐ No
and a knife and two spoons?
Mattresses ☐ Yes ☐ No
Blankets ☐ Yes ☐ No
Sleeping mats ☐ Yes ☐ No
Water Buckets ☐ Yes ☐ No
Mosquito nets if it is hot area or prone to mosquitos ☐ Yes ☐ No
Stove and/or fuel for cooking ☐ Yes ☐ No
Clothing ☐ Yes ☐ No
Lighting ☐ Yes ☐ No
Emergency/Transitional Shelter ☐ Yes ☐ No
SN.1 For households that have NFI and/or shelter material, how did they obtain these?
☐ Brought from ☐ Purchased at the ☐ Donated by local ☐ Distributed by an aid agency
home, carried local market community Name of organisation:
When: