Household Interview

Date of interview

Type of interview (Male or Female)

Name of interviewee

Governorate

District

Sub-District

Name of Village/location
(Specify whether urban or rural)

Start time

End time

Observation

Question Guide

Livelihoods

What is the most important source/s of income earned by your household? (rank up
to 4, 1 = most important, 4 = least important)

Agriculture
Livestock rearing/selling
Other trading/business
Fishing
Skilled labour (Mason, carpenter, mechanic etc.)
Gov. / social security payments
Casual Labour (agriculture)
Casual Labour (other)
Salaried Employment
 Remittances Rents (housing, vehicle, land etc.)
Other (specify)

What were the 6 greatest categories of household expenditure last month? (rank up
to 6 sources, 1 = most important, 4 = least important)

Food
Shelter
Healthcare
Education
House Equipment/Supplies
Clothing Transport
Agricultural Inputs
Social Expenses (wedding, funeral etc)
Debt Repayments
Other Assets (specify)
Other Expenses (specify)

What proportion of the total month’s expenses did food account for? (percentage estimate)

Who in the household usually makes the decisions about food purchases (what to buy, when to buy,
how much)? 1= Man, 2 = Women, 3 = Jointly

Who in the household usually makes the decisions about non-food purchases and uses of money 1=
Man, 2 = Women, 3 = Jointly

Does the household currently owe any debt (including informal debt to family, friends, and local
stores etc)? (Yes/No)

(a) If yes, approximately how much debt does the household currently owe?

What are the most prevalent economic activities in the location/ site?

Primary Economic Activities: Host Community

For Resident households (Men)

most important (for Resident households) (Men)
Other (specify)
second most important (for Resident households) (Men)
Other (specify)
third most important (for Resident households) (Men)
Other (specify)
For Resident households (Women)
most important (for Resident households) (Women)
Other (specify)
 second most important (for Resident households) (Women)
Other (specify)
third most important (for Resident households) (Women)

Primary Economic Activities: IDPs

For Resident households (Men)

most important (for Resident households) (Men)
Other (specify)
second most important (for Resident households) (Men)
Other (specify)
third most important (for Resident households) (Men)
Other (specify)
For Resident households (Women)
most important (for Resident households) (Women)
Other (specify)
second most important (for Resident households) (Women)
Other (specify)
third most important (for Resident households) (Women)

Impact on livelihoods

What has been the impact on income, money, livelihood assets or resources?
Who has been most affected?
No livelihood opportunities
Livelihood assets were lost (destroyed, looted)
Insecurity preventing livelihood activities
Discrimination is affecting livelihood activities
Increase recourse to negative coping mechanism due to lack of livelihoods
opportunities
Other (specify)
To what degree the business or employment in this location was affected by the
displacement?

Home based enterprises (For Men)

Home based enterprises (For Women)
Wage employment - Skilled (For Men)
Wage employment - Skilled (For Women)
Wage employment - unskilled (For Men)
Wage employment - unskilled (For Women)
Trading (For Men)
Trading (For Women)
Manufacturing (For Men)
Manufacturing (For Women)
Shops/markets (For Men)
Shops/markets (For Women)
 Other (specify) (For Men)

Other (specify) (For Women)

Effects of Displacement on infrastructure and basic socio-economic services

Has the location been directly affected by military conflict/war?

How was infrastructure and basic socio-economic services affected in the displacement destination?
Roads/streets
Bridge / Culverts / Piped culvert
Protection wall
Small drains
Community Dug wells
Water supply networks
Markets and commercial centers
Bakeries
Electricity networks
Hospitals/Health facilities
Schools
Mosque/religious center
Irrigation systems
Telecommunication and Internet Coverage
Other (specify):
Which of the following are a high repair or rehabilitation priority in the displacement
destination? (Rank top 5, 1 = first priority ….5=last priority)

most important
Other (specify):
second most important
Other (specify):
third most important
Other (specify):
Fourth most important
Other (specify):
Fifth most important
Other (specify):

Please indicate if Electricity was affordable or unaffordable in the community over the past week
please indicate if Water supply was affordable or unaffordable in the community over the past week
please indicate if Solid Waste/ garbage was affordable or unaffordable in the community over the past
week
please indicate if Transportation was affordable or unaffordable in the community over the past week
please indicate if Services for person with disabilities (PWD) was affordable or unaffordable in the
community over the past week

What was the most common source of water used for drinking purposes (including cooking, bathing,
washing etc.) in the location over the last week?
What are the most common sanitation issues faced by households in the community?
What are the specific shelter needs in the community during in last three months?
 Host Community
What are the main protection risks faced by host community members (women, girls, men, and
boys) in the assessed community Since the last large arrival of IDPs?
Inter-communal disputes
Lack/loss of civil documentation
Housing, land and property issues
Family separation
Threat from airstrikes
Social pressures not to leave home
Movement restrictions by local authorities
Movement restrictions by other actors
Exploitation
Threat from mines
Threat from sniper/gunfire
Threat from IEDs/SVBIEDS/BBIEDs
Access to basic services and humanitarian assistance
Harassment
Kidnapping
Domestic violence
Sexual violence/abuse
Early marriage (under 18 years)
Child labour
Other (specify):
IDPs
What are the main protection risks faced by newly arrived IDPs (women, girls, men, and boys) in
the assessed community since their arrival/fleeing?
Inter-communal disputes
Lack/loss of civil documentation
Housing, land and property issues
Family separation
Threat from airstrikes
Social pressures not to leave home
Movement restrictions by local authorities
Movement restrictions by other actors
Exploitation
Threat from mines
Threat from sniper/gunfire
Threat from IEDs/SVBIEDS/BBIEDs
Access to basic services and humanitarian assistance
Harassment
Kidnapping
Domestic violence
Sexual violence/abuse
Early marriage (under 18 years)
Child labour
Other (specify):
What is your best guess of the number of schools in your community?
 The word school refers to all kind of education centers, for convenience we will use only school.
Total Number of schools (#)
Number of schools damaged (#)

Do you know if the following types of schools in your community are functioning in the location??
Caravan temporary learning space (TLS)
Tent temporary learning space (TLS)
Formal school building
Informal school building (mosques, abandoned buildings etc)
Other (specify):

Access Constraints
What are the main barriers humanitarian actors face in accessing this area? (situation in last 3 months)
Other (specify)
To deliver humanitarian assistance to the people living in this location, coordination with which of the
following actor(s) is required?
Other (specify)
What are the main barriers humanitarian actors face in accessing this area? (situation in last 3 months)
Other (specify)

Cropping Information

Are households in the community involved in cropping activities (growing crops or

agricultural labor)? Were households in the community involved in cropping activities before
the conflict (baseline year: 2010)? (If households are not active in cropping either now or
before the conflict, skip to the next section – livestock)

Very few to no Some Around Most All or almost

households households (10- half (40- households all
(<10%) 40%) 60%) (60-90%) households
(>90%)
Now
Before the
conflict

If yes, what types of activities do they do? (List all that apply, ordering them in order of
importance)

1 = They grow crops on land that they own

First most
2 = They grow crops through a sharecropping system important
3 = They grow crops on land that they’ve leased from someone [ ]
4 = They grow crops on land that they have received for free from someone Second most
5 = They grow crops on government property important
6 = They don’t grow their own crops but work as labourers on someone else’s [ ]
farm (skip to labourer only section if this was their only involvement) Third most
important
7 = Don’t know
[ ]
8 = Other (please specify)

What types of crops are produced in this village/community? What types of crops were produced this this
village/community before the conflict? (list top three) If there has been a change, please explain.
1= Irrigated wheat
2= Rainfed wheat
3= Barley
4=Maize
5= Pulses
6= Tuber (potatoes)
7= Tomato
8= Cucumber
9= Peppers
10= Cauliflower
11= Onions
12= Leafy greens
13= Another vegetables
14= Citrus
15= Melons
16= Other fruits
17= Olives
18= Oil seeds
19= Cotton
20= Fodder crops
21= Medicinal and aromatic plants
22 = Tobacco
23= Other (please specify)

Do farmers in this region face any difficulties relating to their cropping activities? If yes, what are the main three
difficulties? (Please indicate using number 1 most important, 2 second most important, 3 third most important)

Yes No
1= Lack of access to land
2= Land burnt/destroyed
3= Crops stolen/seized
4= Crops destroyed
5= Lack of seeds
6= Lack of fertilizers
7= Lack of pesticides
8= Lack of water resources or water networks
9=Lack of fuel First most
10= Lack of tools important [ ]
11 = Lack of machinery Second most
12= High prices for inputs important
13= Climatic conditions [ ]
14= Pests (rats, insects, birds….) and diseases Third most
important [ ]
15= Lack of manpower
16=High price of labor
17 = Marketing constraints/poor market functioning18 = Lack of storage facility
18 = Lack of processing facility
19=Not economically viable (production costs too high compared to benefits)
20=Insecurity
21 = Presence of explosive hazards
22 = Population displacement
23 = Other (please specify)

What type of agriculture support do farmers need most to resume / enhance crop production during the next 12
months? (Please indicate using number 1 most important, 2 second most important, 3 third most important)
1 = seeds
2 = fertilizer
3 = pesticides
4= storage facilities
5 = tools (hoes, etc.)
6 = repair/replacement of machineries
7 = repair of tertiary irrigation canals
8 = repair of primary or secondary irrigation canals
9 = credit / loan
10= draught animals
11= repair of wells/water pump
12= repair of greenhouses
13= access to agricultural land
14= support to marketing of crop production
15= processing facilities
16 = Fuel
17= collective wells
18 = clearance of explosive hazards
19=Access to health services to improve productivity of household
20= other
21 = not applicable

What percentage of the population in this area (or how many people) do you think needs this support?

What are the characteristics of households in this community that you think need this support the most?

Are households in this community receiving any type of assistance? If yes, what type of assistance are they
receiving? Tick from below i.e. 1, 2, 3 & 4
1=Food
2= Cash
3= Agricultural inputs (seeds, fertilizers, etc.)
4= Agricultural tools
5= Animal feed
6= Animals for restocking
7= Animal health treatments / vaccinations
8= Water for animal
9= Water for human consumption
10= Hygiene products
11 = Clothing
12 = Shelter/NFI items
11= Fuel
12= Human health assistance
13=Other agricultural assistance (specify)
14= Other non-agricultural assistance (specify)

Are households engaging in any types of coping strategies due to difficulties accessing food? If yes, what types
of strategies are they engaged in?

Yes No
1 = Spend savings
First most
2 = Buy on credit important
3 = Borrow from friends, family, and/or neighbors [ ]
4 = Sell HH goods Second most
5 = Reduce nonfood expenditures (ex. health care, education costs, etc.) important
6 = Sell productive assets [ ]
7 = Take high risks/illegal activities Third most
important
8 = Send HH members to beg
[ ]
9 = Send child to work
 10 = Consume cheaper or less preferred foods
11 = Reduce number of meals per days
12 = Reduce portion size of meals
13 = Reduce adult consumption so children could eat
14 = Send household members to other regions/migrate
15 = Work additional hours or days
16 = Removal of explosive hazards
17 = Other (please specify)
(select primary three reasons)

Within this district, are there communities where the disruption to household livelihoods have been particularly
severe and where you think households are particularly vulnerable to food insecurity at this time? If yes, which
areas are these? Why are these areas worse off?

General Needs

What are the main needs raised by the returnees?

Shelter

Cash

Livelihoods

Food

Other

What are the main needs raised by the Host Community?

Shelter

Cash

Livelihoods

Food

Other

What are the main needs raised by the IDPs?

Shelter

Cash

Livelihoods

Food

Other

What assistance did the population receive in the last 6 months?

Cash, WASH, Shelter, Livelihoods, Other

Major challenges for population related to basic needs and assistance (rank)?1st choice

Movement restrictions,

Lack of access

Specific groups having access issues

No humanitarian actors in the area

Lack of financial capacities

None of the above