HIES2022 Questionnaire

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[ সরকাির পিরক না ও গেবষণার কােজ ব ত]

হেব]
HOUSEHOLD INCOME AND EXPENDITURE

SURVEY (HIES) 2022
Household Income and Expenditure Survey (HIES) 2020-21 Project

Bangladesh Bureau of Statistics (BBS)
Statistics and Informatics Division, Ministry of Planning
Parisankhyan Bhaban, E-27/A, Agargaon, Dhaka-1207
www.bbs.gov.bd
HOUSEHOLD INCOME AND EXPENDITURE SURVEY (HIES) 2022
PSU serial number Team number Term Household number
Geographic Codes
AREA CODE NAME

Division
District
City Corporation
Thana/ Upazilla
Municipalities
Union / Ward
Mouza
Village / Mohalla
RMO
CODE NAME
Female Facilitator
Interviewer
Supervisor
SECTION 1: HOUSEHOLD INFORMATION ROSTER
Total members of the Household
ID Code Name of the HH members Sex Age

01
02
03
04
05
06
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09
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14
Section 1: HOUSEHOLD INFORMATION ROSTER Part A1: HOUSEHOLD INFORMATION ROSTER (all members listed in the roster)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Sex Relationship of [NAME] with Age Religion Marital status If ever Earner? Was [NAME] Why did [NAME] Does Main use of Do you have any Do you Have you used How do you
the head of the household (10 years+) married: (5 years+) abroad for more return to the [NAME] the mobile Active Deposit have any internet (eg: mainly access
1 Male 01 HH Head WRITE AGE than 6 months household from have a Account/ Current account in Zoom, the internet?
Facebook,
2 Female 02 Husband/ wife IN FULL 1 Islam 1 Currently Age at during the last 5 abroad? (Main mobile? 1Communi- Account / Loan different
ID CODE & Name as in Roster
YouTube, email,
03 Son/Daughter ROUNDED 2 Hindu Married 1st 1 Yes years? reason) cation Account at Bank / mobile WhatsApp,
Respondent ID Code
04 Spouse of Son/Daughter YEARS 3 Buddhist 2 Unmarried marriage 2 No 1 Lost job 1 Yes 2 Get Insurance / financial viverr, Emo etc.) 1. Mobile phone
05 Grandchild 4 Christian >>Q7 2 Illness 2 No information Leasing Company services like in the last three 2. Personal
06 Father/Mother WRITE “00” 5 Other 3 Widowed / 1 Yes 3 End of >>Q12 related to / NGO / bKash / months from computer/ Laptop
07 Brother/Sister FOR LESS (specify) Widower 2 No >>Q10 employment work Cooperative Bank Nagad / anywhere and 3. Cyber cafe
08 Niece/Nephew THAN 1 4 Divorced contract 3 Transfer / Post Office? Rocket / from any 4.Community
device?
09 Father/Mother- in- law (one) YEAR 5 Separated 4 Disagreement money Upay etc.? information
(5 years+)
10 Brother/Sister- in-law with authorities 4. Access 1 Yes center/ UDC
11 Other relative WRITE “99” 5 Homesick the internet 2 No 5. Other (specify)
1 Yes
12 Servant FOR 99 OR 6 Due to Economic 5. Other 1 Yes
2 No
13 Employee MORE Recession 2 No
14 Other (specify) YEARS 7 Other (specify)
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02
03
04
05
06
07
08
09
10
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Section 1: HOUSEHOLD INFORMATION ROSTER Part A2: Funtional Difficulty (all members listed in the roster
16 17 18 19 20 21
Does [NAME] have difficulty Does [NAME] have difficulty Does [NAME] have difficulty Does [NAME] have difficulty Does [NAME] have difficulty Does [NAME] have difficulty
ID CODE & Name as in Roster with seeing, even if he/ she is hearing, even if he/ she is for walking or climbing or any remembering or (with self care such as) communicating: for example,
wearing glasses? wearing a hearing aid? other physical movement? concentrating? washing all over or dressing, understanding or being
feeding, toileting, etc? understood?
Respondent ID Code
1 No difficulty 1 No difficulty 1 No difficulty 1 No difficulty

2. Yes, some difficulty 2. Yes, some difficulty 2. Yes, some difficulty 2. Yes, some difficulty 1 No difficulty 1 No difficulty
3. Yes, severe difficulty 3. Yes, severe difficulty 3. Yes, severe difficulty 3. Yes, severe difficulty 2. Yes, some difficulty 2. Yes, some difficulty
4. Yes, cannot see/ hear/ 4. Yes, cannot see/ hear/ 4. Yes, cannot see/ hear/ 4. Yes, cannot see/ hear/ 3. Yes, severe difficulty 3. Yes, severe difficulty
walk/ remember / selfcare/ walk/ remember / selfcare/ walk/ remember / selfcare/ walk/ remember / selfcare/ 4. Yes, cannot see/ hear/ 4. Yes, cannot see/ hear/
communicate at all communicate at all communicate at all communicate at all walk/ remember / selfcare/ walk/ remember / selfcare/
communicate at all communicate at all
01
02
03
04
05
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HOUSEHOLD INFORMATION ROSTER Part B: EMPLOYMENT INFORMATION (all members 5 YEARS AND OLDER)
1 2 3 4 5 6 7 8 9
Have you worked for In the last 7 (seven) Have you worked at In the last 7 (seven) [If Q1, Q2, Q3, [Name] Have Why didn't you look for a [Name] If you had a [Name] Why
at least 1 (one) hour days [name 7] was least 1 (one) hour in days [name] was and Q4 all you tried to find job in the last 30 (thirty) job opportunity in weren't you ready
in the last 7 (seven) temporarily absent the last 7 (seven) days temporarily absent response are a job / take days? the last 7 (seven) to work for a living
initiative in the days, were you at that time?
days [name 7] in from work / work to produce products from the work of “No”]:
last 30 (thirty) 01 Waiting to start a new Job ready to join that
exchange for salary / (in exchange for for your own use in producing this days to produce job?
02 No work available
ID CODE and name as in Roster
wages or profit? salary / wages or the house? product for its own [Name …] Have products for your
profit) where to use where will return you been looking own use? 03. Recession season 1 In educational
[Example: job, business, return again [Raising cattle or quickly again? for a job in the last 04 Waiting to start new institutions /
rickshaw puller, peddler quickly? producing vegetables for 30 (thirty) days in training
... farming mainly for one's own consumption. business 2 Family
exchange for
sale such as: production Farming, production of 05 Disabled/injured responsibilities
salary / wages or
of paddy, wheat, potato paddy, wheat, potatoes,
06 In educational institutions 3 Sick / Injured /
etc.] vegetables, etc., mainly profit? Disabled
for the use of own food.] / training 4 Too old/ retired
07 Personal / Family 5 Too young
Responsibilities 6 Recession season
08 start studying 7 Not willing to
1 Yes >>Q3 1 Yes 1 yes >> Next person 1 Yes 1 Yes 1 Yes >> Q8 09 Dissatisfaction at work 1 yes >> Next person work
9 others (specify)
2 No 2 No 2 No 2 No 2 No 2 No 99 Other (Specify)
2 No
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09
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SECTION 1: HOUSEHOLD INFORMATION ROSTER PART C: SOCIAL SECURITY PROGRAMME (ALL PERSONS 5 YEARS & OLDER)
Now we would like to know from which Social Safety Net Programs, your household or any member of your household received assistance during the last 12 months. We would also like to know which
benefits your household have received from Social Safety Net Programs and quantity of that assistance etc.
Collect data for last one year. In case any member participates in multiple programs report in multiple row for each program the member is participating and carry over the respondent ID as in roster.
1 2 3 4 5 6 7 8
Is (name) If yes, in When did When did How much was (name) receive in cash Did In-kind goods What was/were the
currently which (name) enlist (name) in last payment? (name) payment
Which goods? E F method(s)?
enrolled / has program in this received last received
Cash COLUMN A: look for the item code at the bottom of the page (CODE 2) For Time
received any (name) has programme? payment payment
ID CODE OF RESPONDENT
how unit
ID CODE as in Roster (MID)
assistance Included in from this 1 2 3 in-kind?

many
from any the last 12 program? Cash For Time unit COLUMN B: write the quantity 1 kg months
safety net months? how 1 yes COLUMN C: Code of unit of measurement: 1. Day
2 liter or 1. Bank A/C
program in many days?
last 12 ENUMERATOR: months 1. Day 2 no 3 number 2. 2. Post office
months? LIST ALL IF NOT or >> Q.8 Month
2. Month COLUMN D: Total value in Takas of the in-kind good 3. BKASH
PROGRAMS RECEIVED IF days? 1 2
RECEIVED BY YET WRITE NOTHING 3. One- 4. MOBILE
1 Yes THE PERSON 3. One-shot BANKING
"99" IN MM WRITE A B C D A B C D shot
FIRST AND "9999"
2 No "0" AND 5. Hand to hand
Total value of
Total value of
in-kind goods
in-kind goods
IN YY AND >> q 6
measure
measure
quantity
quantity
>> Next
Code 2
>> q 11 6. Other
Unit of
Unit of
code
person
CODE 1 1st 2nd

MM YY MM YY TAKA Number Code Nb Code
method method
01
02
03
04
05
06
CODE 1: SOCIAL SECURITY Programme code CODE 2: In-Kind good code

1 Ananda School (ROSC) [Cash/kind] 13 Ration for Shaheed Family and Injured Freedom Fighters 26 Rural Employment and Road Maintenance 1 Rice 12 Biscuit
2 Stipend for Primary Students 14 Allowances for Distressed Cultural Personalities/Activists Programme (RERMP) 2 Fortified rice 13 Clothes/blanket
3 School Feeding Program 15 Allowances for the Financially Insolvent Disabled 27 Housing Support 3 Wheat 14 Cook-stove
4 Stipend for Secondary and higher students (boys/girls) 16 Vulnerable Group Development (VGD) 28 Agriculture Rehabilitation 4 Maize 15 Cow/ox/bull/buffalo
5 Stipend for Dropout Students 17 Vulnerable Group Feeding (VGF) 29 One Household One Farm 5 Flour 16 Goat/sheeps
6 Stipend for Disabled Students 18 General Relief Activities 30 Targeted Ultra Poor (TUP) (BRAC) 6 Fortified flour 17 Chicken/duck (Poultry)
7 Old Age Allowance 19 Gratuitous Relief (GR)- Food/ Cash 31 Char Livelihood Project 7 Parched rice, 18 Boat/engine boat
8 Widow/Deserted/Destitute Women Allowances 20 Allowance for Beneficiaries in CTG-Hill Tracts Area 32 Economic Empowerment for the Poor/Shiree flattened rice 19 Rickshaw/van/cart
9 Maternity Allowance Programme for the Poor Lactating Mothers 21 Food Assistance in CTG-Hill Tracts Area 33 Urban Partnership for Poverty Reduction (UPPR) 8 Pulse 20 Tin
10 Maternal Health Voucher Scheme 22 Employment Generation Programme for the Ultra Poor 34 Shouhardo Program 9 Edible oil 21 Latrine
11 Honorarium for Insolvent Freedom Fighters 23 Food/ Cash For Work (FFW/CFW) 35 Nabojibon Program (Save the Children) 10 Powder milk 22 Housing
12 Honorarium & Medical Allowances for Injured Freedom Fighters 24 Test Relief (TR) Food (cash) 36 Proshar Program (ACDI VOCA) 11 Packaged 88 Other (specify)
25 Rural Employment Opportunity for Public Asset (REOPA) 88 Other (specify) liquid milk
SECTION 1: HOUSEHOLD INFORMATION ROSTER PART C: SOCIAL SECURITY PROGRAMME (ALL PERSONS 5 YEARS & OLDER)
9 10 11 12 13 14 15 16
How much was (name)’s entitlement in cash/in kinds for the last payment How much was (name) receive in cash/in kinds in last 12 months? For what Did (name) How did What Did How
you have received? criteria know about (name) was the (name) much
Cash COLUMN A: look for the item code at the bottom of the page Cash COLUMN A: look for the item code at the bottom of the your this safety know selection had to did
ID CODE OF RESPONDENT
ID CODE as in Roster (MID)
A-1 (CODE 2) A-1 page (CODE 2) (name)/ net program about this process: pay any (name)
COLUMN B: write the quantity 1 kg Amount COLUMN B: write the 1 kg househol before program? How did money to had to
received quantity d is participation (FIRST (name) be pay?
COLUMN C: Code of unit of lite COLUMN C: Code of unit of selected ? SOURCE selected included
2 2 liter
measurement: r measurement: for this ) in this in this
3 number 3 number program? program program
COLUMN D: Total value in Takas of the in-kind good COLUMN D: Total value in Takas of the in-kind good ? ?
WRITE 1 2 WRITE 1 2 1 Yes 1 Yes
"0" IF A B C D A B C D "0" IF A B C D A B C D 2 No 2 No
NOTHIN NOTHIN >>Q14 >>Next
Total value of
Total value of
Total value of
Total value of
in-kind goods
in-kind goods
in-kind goods
in-kind goods
G G person
measure
measure
measure
measure
quantity
quantity
quantity
quantity
Code 2
Code 2
Code 2
Code 2
Unit of
Unit of
Unit of
Unit of
Code 3
2n
TAKA TAKA 1st Code Code 4 Code 5 Code TAKA
d
01
02
03
04
05
06
CODE 2: In-Kind good code Code 3: Criteria of selection Code 4: Source of info Code 5: How selected
1 Rice 12 Biscuit 01 Household head is female/widow/ 11 The household members cannot have 3 square 01 Miking 01 Applied and selected
2 Fortified rice 13 Clothes/blanket divorced/separated or husband is meals per day. 02 Mobile message 02 Persued/some one referred and selected
physically/mentally handicapped.
3 Wheat 14 Cook-stove 02 Household head is physically/mentally 12 The household is suffering food insecurity due 03 Newspaper 03 Selection committee selected
handicapped. to disaster.
4 Maize 15 Cow/ox/bull/buffalo 03 Household has no capable/able bodied adult 04 Radio program 04 NGO selected
male.
5 Flour 16 Goat/sheep 04 Household head‘s main occupation is 13 The household has school going children. 05 TV program 88 Other (specify)
ag./non-ag. day labor.
6 Fortified flour 17 Chicken/duck (Poultry) 05 Any Household member (other than HH 14 The household has school drop-out children 06 Chairman/secretary/ Member of the union 99 Don’t know
head) has main occupation of ag./non-ag day going to school now. parishad committee/guard
7 Parched rice, flattened 18 Boat/engine boat labor or beggar.
rice 19 Rickshaw/van/cart 06 Any child of the household engaged in child 15 The person is a insolvent freedom fighter. 07 Teacher, member of school Committee
labor.
8 Pulse 20 Tin 07 The household has land less than 50 decimal 16 The person is a injured freedom fighter. 08 Local influential person
of land or land less.
9 Edible oil 21 Latrine 17 The person is a distressed cultural personality/ 09 Friend/family/relative/neighbor
activists.
10 Powder milk 22 Housing 08 The household does sharecropping. 18 Beneficiary is a physically/mentally 10 NGO workers
handicapped person.
11 Packaged liquid milk 88 Other (specify) 09 The household has almost no productive 19 Beneficiary is a distressed & old aged person. 88 Others (specify)
assets.
10 Household members are ineligible (extreme 20 Beneficiary is a widow/divorced/separated
poor, no savings, etc) to get credit. women.
88 Other (specify)
99 Don't know
SECTION 2: EDUCATION PART A: LITERACY AND EDUCATION ATTAINMENT/QUALITY OF EDUCATION (ALL PERSONS 5 YEARS AND ABOVE)
1 2 3 4 Applicable for 14-21 years old 9 10 11 12
5 6 7 8
Can Can Have you What was the highest class that you What was Have you In which Did you Where did you get your last What type of Did you Which curriculum are
you you ever completed? the age of studied in any class if the jump to the education/are you currently school/ institution received your you pursuing (applies
read a write a attended admission class (up to answer to Q- next class studying? did you last lasr education to students up to
letter? letter? education No class in class 1? class 10) for 6 is yes? without attended/ are you from abroad secondary and higher
? 00 passed/pre- 09 Class 9 more than one [Enter code reading any currently attending? (outside secondary level)
schooling year? from specific Bangladesh)?
01 Class 1 10 SSC/equivalent question 04] class? 1 School
Respondent ID Code
ID Code as in Roster
02 Class 2 11 HSC/equivalent 2 College

03 Class 3 12 Vocational 3 University
Midwifery/Nursi 1 Bengali version
04 Class 4 13 4 Madrasha 1 Government
ng
1 Yes 1 Yes 1 Yes Technical 1 Yes 1 Yes Govt. informal literacy Private (Govt. 1 Yes 2 English version
05 PEC/equivalent 14 5 2
Education programme grants)
2 No 2 No 2 No >> 2 No >>Q8 2 No 2 No 3 English Medium
Graduation/ NGO based literacy Private (Not
Next 06 Class 6 15 6 3
equivalent course >> Q13 govt. grants)
Person
Other (specify) NGO run 4 Other (Speciy)
07 Class 7 16 MBBS 7 4
>> Q13 institution
Madrasa (Govt.
08 JSC /Equivalent 17 Engineering 5
Approved)
Post graduatinn Madrasa
18 6
/equivalent (Kowmi)
19 Other (Specify)
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SECTION 2: EDUCATION PART B: CURRENT ENROLLMENT (ALL PERSONS 5 YEARS AND ABOVE)
13 14 15 16 17
Whether your (name) Father/Mother/Guardian (In the What was the highest class that your father What was the highest class that your mother What was the highest class that your guardian
absence of parents) Line No. completed? completed? completed (in the absence of parents)? (If one of
Father/Mother/Guardian
the parents is alive then no other guardian is
(In the absence of parents) applicable)
Father’s ID Mother’s Guardian’s
are from same household? No class No class No class
Code ID Code ID Code (In
00 passed/pre- 09 Class 9 00 passed/pre- 09 Class 9 00 passed/pre- 09 Class 9
the absence
Respondent ID Code
ID Code as in Roster
schooling schooling schooling

of parents)
01 Class 1 10 SSC/equivalent 01 Class 1 10 SSC/equivalent 01 Class 1 10 SSC/equivalent
02 Class 2 11 HSC/equivalent 02 Class 2 11 HSC/equivalent 02 Class 2 11 HSC/equivalent
03 Class 3 12 Vocational 03 Class 3 12 Vocational 03 Class 3 12 Vocational
Midwifery/Nursin Midwifery/Nursin
04 Class 4 13 04 Class 4 13 04 Class 4 13 Midwifery/Nursing
g g
1 Yes Technical Technical
05 PEC/equivalent 14 05 PEC/equivalent 14 05 PEC/equivalent 14 Technical Education
Education Education
2 No >> Q15 Graduation/ Graduation/ Graduation/
06 Class 6 15 06 Class 6 15 06 Class 6 15
equivalent equivalent equivalent
07 Class 7 16 MBBS 07 Class 7 16 MBBS 07 Class 7 16 MBBS
08 JSC /Equivalent 17 Engineering 08 JSC /Equivalent 17 Engineering 08 JSC /Equivalent 17 Engineering
Post graduation Post graduation Post graduation
18 18 18
/equivalent /equivalent /equivalent
>> Next person 19 Other (Specify) 19 Other (Specify) 19 Other (Specify)
01
01
02
03
04
05
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07
08
09
10
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12
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14
SECTION 2: EDUCATION PART B: CURRENT ENROLLMENT (ALL PERSONS 5 YEARS AND OLDER)
ID CODEas as
1 2 3 4 5 6 7
Are you currently Why aren't you attending What class are you currently attending? Are you receiving any stipend for If you get a scholarship/ How much In addition to
attending school/ school? education? stipend, which one? have you scholarship
educational 1 Do not want to study received as stipend, did
institution? any more/completed 00 No class passed/pre-schooling scholarship/ you get the
studies stipend in opportunity
2 Reading and writing 01 Class 1 12 Vocational 1 Yes, (scholarship) the last 12 to study
Respondent ID CODE
age is over >>Q5 months? without pay?

3 No money/a lot of 02 Class 2 13 Nursing 2 Yes,(stipend)
expenses >>Q6)
03 Class 3 14 Technical Education 1 PEC
1 Yes >>Q3 4 No school nearby 04 Class 4 15 Graduate/equivalent 1 Yes ( scholarship 2 JSC 1 Yes
& stipend)>>Q5
2 No 05 PEC/equivalent 16 Medical 2 No >>Q7 3 SSC 2 No
5 Have to work 06 Class 6 17 Engineering 4 HSC
6 Family work/ 07 Class 7 18 Post graduate/equivalent 5 Graduate/equivalent
Household chores 08 JSC/equivalent 19 Other (Specify) 6 Post graduate/
7 Being married 09 Class 9 equivalent
>>Next Person 10 SSC/equivalent 7 Other (Specify)
11 HSC/equivalent TAKA
01
02
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SECTION 2: EDUCATION PART B: CURRENT ENROLLMENT (ALL PERSONS 5 YEARS AND OLDER)
EXPENDITURE DURING THE PAST 12 MONTHS FOR EDUCATION

ID CODE as in Roster
8
How much did your household spend during the past 12 months on your schooling?
WRITE THE EXPENSES IN TAKA

IF NOTHING WAS SPENT, WRITE "0" (ZERO) IF UNKNOWN, LEAVE BLANK
A B C D E F G H I J K L M N O P Q
Admission Annual Institute Registration Examination Tuition Text Exercise Uniform Private Coaching Hostel Transport Tiffin Internet/ Total
Other edu-
fees session fees/ fees fees fees books/ books/ dress/ tutoring fees expensed cost cost e-mail expenses
related
fees donation Note stationary footwear (including cost (edu-
expenses
books food) related)
01
02
03
04
05
06
07
08
09
10
11
12
13
14
SECTION 3: HEALTH PART A: ILLNESSES AND INJURIES (ALL HOUSEHOLD MEMBERS)
1 2 3 4 5 6
Have you suffered What chronic illness/ disability are you suffering from? Have you suffered What Symptoms/Diseases did you suffer from? Have you Why did you not seek any treatment?
from any chronic from any sought any 1 Problem was not serious
illness/ disability symptoms of type of
01 Chronic Fever 09 Skin problem 01 Diarrhea
in the last 12 illness/injury in the medical
months? 02 Injuries / Disability 10 Diabetes last 30 days? 02 Injuries/ disability 15 Female diseases treatment 2 Treatment cost is too much
03 Chronic Heart 11 Cancer 03 Dysentery 16 Malaria related to your
Disease health
04 Respiratory 12 Kidney 04 Pain 17 Pregnancy related problems 3 Distance is too long

Diseases/ Diseases 18 Female diseases mentioned in
Asthma/Bronchitis 13 Liver Diseases 05 Injury/Accident 19 Mental health question 4(1)? 4 Afraid of discovering serious
05 Diarrhea/Dysentery 14 Mental Health 06 Blood pressure 20 Paralysis illness
1 Yes 06 Gastric/ ulcer 15 Paralysis 1 Yes 07 Heart disease 21 Epilepsy 5 There was none to
2 No >>Q3 07 Blood pressure 16 Ear/ENT 2 No >>Q15 08 Respiratory 22 Scabies/Skin accompany
problem Diseases/ Asthma/ diseases y
08 Arthritis/ Rheumatism 17 Eye problem Bronchitis 23 Kidney Diseases 1 Yes 6 Decision maker does
09 Weakness >>Q7 not think I should
18 Other (specify) 10 Dizziness 24 Liver Diseases 2 No seek treatment
11 Pneumonia 25 Ear/ ENT problems
12 Typhoid 26 Eye problem 7 Other (specify)
13 Tuberculosis 27 Dental problem
14 Cancer 28 Other (specify)
IN ORDER OF IMPORTANCE IN ORDER OF IMPORTANCE >>Q15
1 2 1 2 3
01
02
03
04
05
06
07
08
09
10
11
12
13
14
7 7B 8 9 10 11 12 13
Which of the following were consulted for this illness/injury Was the How many Why did you choose this Where did you get the How did you travel to How much time How long did
(in the order in which they were consulted)? consulted days after provider? medicines from? the provider? did it take to you have to wait
01 Govt. Health Worker 10 NGO Health provider symptoms 01 Private car reach the service at provider to be
Worker/Satellite Clinic urban or began did you provider? examined?
rural? first consult
Govt. Satellite Clinic/EPI 11 NGO Clinic/Hospitals 01 Rural this health 01 Nearby 01 Govt. health 02 Taxi
Outreach Center provider? facility
02 12 Govt. Medical 02 02 NGO health 03 Bus
02 Urban Acceptable cost
College/Specialized facility
03 Community Clinic Hospital 03 Availability of doctor 03 Private health 04 Auto rickshaw
facility
04 Union Health & Family 13 Private Clinic/Hospitals 04 Availability of female 04 Other facility, 05 Rickshaw
Welfare Centrer/Union doctor specify
Sub Center
14 Private Medical 05 Availability of equipment 05 Pharmacy/dispe 06 Rickshaw van
College/Specialized nsary
05 Upazila Health Complex Hospital 06 Quality of treatment 06 Other shop 07 Bullock cart
06 Hospital 15 Qualified Doctor's 07 Referred by other provider 07 Not available 08 Country boat
Chamber
16 Non-qualified Doctor's IF 08 Referred by relatives/ 08 Could not 09 Engine boat
Chamber IMMEDIATE friends afford
REFER TO LY, WRITE
07 Govt. District/ 17 Pharmacy/Dispensary 09 Reputation 09 Other (specify) 10 Ambulance
THE FIRST "00"
Sadar/General
08 Govt. Medical 18 Homeopath CONSULTED 10 Other (specify) 11 Walking
College/Specialized PROVIDER
19 Ayurbed/Kabiraj/Hekim 12 Calling doctor at
Hospital IN Q. 7
home
09 Other Govt. Specify 20 Other 13 Other )specify)
Traditional/Spiritual
21 Family/Self Treatment
22 Other (Specify)
1st HOU MINUTE HOU MINUTE
2nd Code No. of days Code Code Code
R S R S
01
02
03
04
05
06
07
08
09
10
11
12
13
14
Continued……………
14 15 16 17
What was the total cost of outpatient treatment during the past 30 How much did you spend for the following during the past 30 days? Have you admitted to hospital If yes, for how many nights did you stay at the
days? and stayed overnight during the hospital?
WRITE THE VALUE IN TAKA WRITE THE VALUE IN TAKA last 12 months?
IF NOTHING WAS SPENT, WRITE "0" (ZERO) IF UNKNOWN, IF NOTHING WAS SPENT, WRITE "0" (ZERO) IF UNKNOWN, LEAVE
LEAVE BLANK BLANK 1 Yes
2 No >>Next person
3 Don't know >>Next person
A B C D E A B C D E
Consultation Cost of Cost of Transport Total Immunization Contraceptives ORS Routine Routine
fees (visit) Medicines Test/ cost outpatient medicines medical
Investigation cost for chronic check up
illness Code Days
01
02
03
04
05
06
07
08
09
10
11
12
13
14
Continued………………..
18 19 20 21
Reasons (symptom/disease/condition) Which hospital you were What was the total cost of inpatient treatment during the past 12 How did you finance the cost of
for hospitalization? admitted in? outpatient/inpatient treatment?
01 Diarrhea 15 Jaundice 01 Regular income
02 Fever 16 Female 01 Govt. Upazila Health 02 Household saving
diseases Complex
03 Dysentery 17 Pregnancy 02 Govt. Maternal & WRITE THE VALUE IN TAKA 03 Sold personal belonging
related Child Welfare Center
04 Pain 18 Cancer (MCWC) 04 Sold Livestock
05 Injury/ 19 Mental 03 Govt Sodar hospital IF NOTHING WAS SPENT, WRITE "0" (ZERO) IF UNKNOWN, LEAVE BLANK 05 Sold Agricultural
accident health product/Tree
06 Blood 20 Paralysis 04 Govt medical college 06 Sold permanent assets

pressure hospital
07 Heart 21 Epilepsy 05 Govt specialized 07 Mortgage of Assets/Land
disease hospital
08 Respiratory 22 Skin 06 Other Govt hospital Borrowed from Friends/
Diseases/ diseases (specify)
Asthma/
Bronchitis
09 Weakness/ 23 Kidney 07 NGO general hospital
Dizziness diseases
10 Covid-19 24 Liver 08 NGO Medical college Borrowed from Money
diseases hospital Lender
11 Pneumonia 25 ENT 09 NGO specialized A B C D E F G H I J 10 Borrowed from Money
problems hospital Lender
12 Typhoid 26 Eye 10 Private general Opera Consultation/ Bed/ Cost Cost of Trans Infor Other Maternity cost Total 11 Other (specify)
problem hospital/clinic tional Doctor fees cabin of investiga port mal form inpatie
13 Tuberculosi 27 Dental 11 Private medical cost charge medici tions cost Tips al nt
s problem college hospital s nes charg Cost (Mention three answers in order
14 Malarias 28 Other 12 Private specialized es 1 2 3 of rank)
(specify) hospital
13 Other private hospital Clini Midwi Othe 1 2 3
(specify) c fe rs
01
02
03
04
05
06
07
08
09
10
11
12
13
14
SECTION 4: ECONOMIC ACTIVITIES AND WAGE EMPLOYMENT PART A: ACTIVITIES (ALL PERSONS 5 YEARS AND OLDER)
1 2 3 4 5 6 7 8
What economic activities did (name) do in How On On Where did you do this activity? What was If you were engaged in If you were engaged in non
the past 12 months? Beside this, many average averag major field of agricultural sector, what was agriculture sector, what was
What other activities did you months , how e how economic your employment status? your work status?
do? did you many many activities you
ID code as in Roster
do this days hours engaged in?

ACTIVITY SERIAL
Activities: Service/Wage employment/ All activity per per

activities( agric/ non-agric) conducted under in the month? day?
self or joint ownerships. last 12 1 Rural 1 Agriculture 1 Day labour >>Part-B 1 Day labour >>Part-B
months 2 Urban 2 Non 2 Self 2 Self >>Section-
? Agriculture employed >>Section-7 employed 5
WRITE DISTRICT CODE FROM >>Q08 3 Employer >>Section-7 3 Employer >>Section-
CODE LIST 5
4 Employee >>Part-B 4 Employee >> Part-B
DESCRIPTION OF OCCUPATION INDUSTR DAYS/ HOURS/
ACTIVITY CODE Y CODE MONTH DAY
MONTH RU CODE DISTRICT CODE CODE CODE CODE
O
SECTION 4: ECONOMIC ACTIVITIES AND WAGE EMPLOYMENT
DAILY WAGE SALARIED WAGE
9 10 11 12 13 14 15 16 17
Were you paid on What was the daily wage in cash Did you What type of in-kind How much did you What type of org. do/ did you What is your What is your What is the
a daily basis? in the past 12 months? receive payment did you receive per day? work for? gross total net take- total value of
payments in- receive? remuneration home monthly in-kind or
1 Govt. organization
kind? per month?
remuneration other benefits
2 Autonomous body after all you received
ACTIVITY SERIAL
deduction at over the past

1 Yes 1 Paddy WRITE THE QUANTITY 3 Private office/institution source? 12 months
IN KG AND THE (tips,
1 Yes 2 No 2 Rice TOTAL VALUE IN 4 Public mill/ factory bonuses or
TAKA
transport) for
2 No >>Q14 >>Next 3 Wheat 5 Private mill/ factory
Activity/Next
this job?
person 4 Meal 6 Local govt
>> Next
5 Other (specify) 7 NGO Activity/Next
Highest Lowest Average QUANTITY VALUE 8 Household Person
CODE 1 2 3 CODE CODE KG TAKA 9 Other (specify) TAKA TAKA TAKA
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
SECTION 5: NON-AGRICULTURAL ENTERPRISES
1 2 3 4 5 6 7 8 9 10
What kind of enterprise did/ do your Which people in the For how long Where do you How many What is What share Who are your Is the What was your main
household solely or jointly own and household work in has this operate the months did the of profit is customers? enterprise/ source of finance for
operate in the past 12 months? this enterprise/ enterprise/activit the enterprise househol owned by 1 Households/ activity setting up the business?
enterprise/activity? activity been y? /activity d's share household? Individuals registered by
operating? operate in the of this the govt. or 01 Inherited/
past 12 enterpris local govt.? through gift
1 Own house months? e/ 2 Govt. or 02 Own savings
1. Yes WRITE ID CODE 2 Rented activity? other public 03 Borrowing from
ENTERPRISE NUMBER
FROM ROSTER house firm relatives/

2. No>>Section 6 3 Govt 3 Private 1 Yes friends
land/house enterprises
4 Fixed 2 No 04 Agricultural dev.
location bank
outside 4 Foreign 3 Not 05 Commercial
house individual applicabl bank
5 Variable /organization e 06 Grameen bank
location 5 Others 07 Other financial
(specify) Inst.
08 NGO/ Relief
agency
WRITE IN 09 Sale of assets
ACCORDING 10 Supplier's credit
INDUSTR ID CODE TO 11 Other (specify)
DESCRIPTION OF Y CODE IMPORTANCE
ACTIVTITY 1 2 3 4 5 YEAR MONT CODE MONTHS PERCEN PERCENTA 1st 2nd CODE 1st 2nd
H TAGE GE
1
10
Continued…………..
SECTION 5: NON-AGRICULTURAL ENTERPRISES (continued) INCOME FROM THE ENTERPRISE [WRITE THE VALUE IN TAKA]
11 12 13 14 15 16 17 18 19 20 21 22 23
How many What problems, if any, have you had in running Gross Expenditures on Expenditure on Expenditure Expenditu Expenditu Other Net Expenditu Sales If
employees were your business in the last 12 months? revenues over wages in the last 12 rent in the past 12 on raw re on re on operatin revenu re on of someon
engaged in the the past 12 months months materials in Fuel, finished g es capital asset e
past 12 months? months the past 12 Kerosene, goods expens goods in s in wanted
months Electricity, purchase es in past 12 past to buy
01 No problem etc. in the d for the past months 12 this
past 12 reselling 12 month enterpri
02 Inadequate capital or credit months in the months s se
03 Inadequate tech. knowledge past 12 today,
months how
ENTERPRISE NUMBER
04 Lack of required no. of expertise much
[ 13 - (14 + 15 + 16 + 17 + 18 + 19 ) ]
05 High-cost of running ent. BOTH CASH AND would
IN KIND he have
06 Water supply problem to pay?
07 Power supply problem
08 Problems with equipment/ spare parts
09 Government regulations
10 Lack of raw materials
11 Lack of customers
12 Transport problems
13 Telecom and Internet access
14 Other (specify)
NUMBER 1 2 TAKA TAKA TAKA TAKA TAKA TAKA TAKA TAKA TAKA TAKA TAKA
5
7. What kind of toilet do you use?
Section 6: HOUSING INFORMATION- Part A Housing
Flash / Pour Flush Latrine
RESPONDENT SHOULD BE HOUSEHOLD HEAD OR OTHER RESPONSIBLE HOUSEHOLD MEMBER)
Flash removal through the pipe to the sewer system.......... 1
Flash and hold in safe tank ................................................ 2
Flash and hold in safe pit (pit latrine) ................................ 3
1. ID code of the respondent Flash removal in open drain............................................... 4
I don't know where it is removed by flash ......................... 5
Ventilated Improved Pit (VIP) latrine................................ 6
2. How many rooms does your household occupy? Number of rooms: Pit latrine with slab ............................................................ 7
(Excluding rooms for business) Slabless pit latrine / open pit .............................................. 8
Composting toilet .............................................................. 9
3. Does your dwelling possess a separate dining room? Bucket ............................................................................... 10
Yes – 1 No – 2 Open / hanging latrine ....................................................... 11
No latrine / bush / field...................................................... 12
4. What is the construction material of the walls of the main room? Other (specify) .................................................................. 99
Straw / bamboo / polythene / plastic / canvas .................... 1
Mud/Unburnt brick ............................................................ 2 8. Does the household share this toilet facility with other households?
Tin (CI sheet) .................................................................... 3 Yes – 1 No – 2
Wood ................................................................................. 4
Brick / Cement................................................................... 5 9. What is the main source of drinking water?
Other (Specify) .................................................................. 6 Pipe water
Pipes in the house .............................................................. 1
5. What is the construction material of the roof of the main room? Pipes in the yard ................................................................ 2
Straw / bamboo / polythene / plastic / canvas .................... 1 Pipes in the neighbor's house ............................................. 3
Tin (CI sheet) .................................................................... 2 Government tap / permanent pipe ...................................... 4
Tin (CI sheet) .................................................................... 2 Tubewell ............................................................................ 5
Tally .................................................................................. 3 Well / Idara
Brick / Cement................................................................... 4 Protected Well / Idara ........................................................ 6
Unprotected wells / Idara ................................................... 7
Other (Specify) .................................................................. 5
Shower water
Safe shower ....................................................................... 8
6. What is the total usable space/area of covered rooms? SQ FT Unprotected shower ........................................................... 9
Collected rainwater ............................................................ 10
Tanker-truck....................................................................... 11
Small tank or drum car ....................................................... 12
Water Kisk Plant ................................................................ 13
Surface water (rivers, lakes, dams, ponds,
canals, irrigation canals) ................................ 14
Packaged or bottled water
Bottled water...................................................................... 15
Small packaged water ........................................................ 16
Other (specify) ................................................................... 99
Part A Housing (continued) If source of drinking water is other than 5 Q13

15. Would you please show me where your family members wash their hands most of the time?
10. Has your Tubewell been tested for arsenic?
Yes – 1 No – 2 >>Q13 Observed
The prescribed hand washing system (basin / tap / tubewell) has been observed:
11. If Yes, was arsenic found? Indoors .................................................................................. 1
Yes – 1 No – 2 >>Q13 In the yard / plot.................................................................... 2
Anything transferable (Bucket / Mug / Kettle) ..................... 3
Not seen
12. If Yes, what is the alternative source of drinking water? There is no place to wash hands inside the house,
in the yard or on the ground .................................................. 4
Supply ............................................................................... 1
Not allowed to view .............................................................. 5
Contaminated Tubewell..................................................... 2 Other Reasons (Specify) ...................................................... 9
Non-contaminated Tubewell ............................................. 3
Pond / river ........................................................................ 4 16. Do you have any soap or detergent or ash / soil / sand for hand washing in your kitchen?
Well ................................................................................... 5
Waterfall string .................................................................. 6 Yes – 1 No – 2 >> Q18
Other (Specify) .................................................................. 7
17. Would you please show me?
13. What is the main source of water for other use?
Pipe water Seen
Pipes in the house .............................................................. 1 Soap or liquid soap or ball soap ............................................ 1
Pipes in the yard ................................................................ 2 Detergent (powder / liquid / paste) ....................................... 2
Pipes in the neighbor's house ............................................. 3 Ash / Soil / Sand ................................................................... 3
Government tap / permanent pipe...................................... 4 Not seen .............................................................................................. 4
Tubewell ................................................................................................ 5
18. What is the main light source in your household?
Protected Well / Idara ........................................................ 6
Electricity ............................................................................. 01
Unprotected Well / Idara ................................................... 7 Solar Powered Lantern(lamp) ............................................... 02 >>Q20
Shower water Rechargeable flashlight, torch or lantern .............................. 03 >>Q20
Safe shower ....................................................................... 8 Battery powered flashlight, torch or lantern.......................... 04 >>Q20
Unprotected shower ........................................................... 9 Biogas lamp .......................................................................... 05 >>Q20
Collected rainwater............................................................ 10 Gasoline Lamp ...................................................................... 06 >>Q20
Tanker-truck ...................................................................... 11 Kerosene or paraffin lamp .................................................... 07 >>Q20
Small tank or drum car ...................................................... 12 Oil lamp ................................................................................ 08 >>Q20
Water Kisk Plant ............................................................... 13 Candle ................................................................................... 99 >>Q20
Surface water (rivers, lakes, dams, There is no system to light the house .................................... 98 >>Q20
ponds, canals, irrigation canals) ................................. 14
Packaged or bottled water ................................................. 15
19. How many hours in a day normally have electricity in your house?
Small, packaged water ....................................................... 16
Other (specify) ................................................................. 99 Hours
14. How long does it take to get to your source of drinking water, collect water, and return?
Minutes
Part A Housing (continued) 24. Cooking in this house is done inside the house, or in a separate room or somewhere outside
the house?
20. What type of stove is mainly used for cooking in your household? If you say in the house / room, ask: whether a separate room is used as kitchen.
If you say outdoors / outdoors, be sure to ask: open courtyard, enclosed backyard or cooking under
the open sky.
Electric .............................................................................. 01
Liquid Gas (LPG) / Cooking Gas Stove ............................ 02
In the main house / house
Natural gas stove ............................................................... 03
Biogas Stove...................................................................... 04
No separate room / house................................................... 1
Liquid Fuel Stove (Oil Stove) ........................................... 05
In separate room ............................................................... 2
Traditional solid fuel (wood) stove .................................... 06
In a separate building / room ............................................. 3
Three stone or brick ovens / open ovens............................ 07
Outside the house
Other (Specify) .................................................................. 99
Under the open sky ........................................................... 4
No food is cooked in the house.......................................... 98
Porch or enclosed courtyard .............................................. 5
Other (specify) .................................................................. 6
21. Is there a chimney in this stove?
25 IS this kitchen used by anyone but members of the household
Yes ..................................................................................... 1
No ...................................................................................... 2 Yes ..................................................................................... 1
Don’t know ........................................................................ 8 No ...................................................................................... 2
Don’t know ........................................................................ 8
22. Is there a fan in this stove?

26. Does the household have a landline telephone connection?
Yes ..................................................................................... 1
No ...................................................................................... 2
Don’t know ........................................................................ 8 Yes – 1 No - 2
23. What kind of fuel or fuel-energy is used in this stove? 27. Does your household own a computer/Laptop/Notebook/Tablet?
If more than one type of fuel is used in the stove, name / record the main fuel used. Yes – 1 No - 2
Natural gas ........................................................................... 01
Gasoline / Diesel .................................................................. 02 28. What is your present occupancy status?
Kerosene / Paraffin ............................................................... 03 Own.................................................................................... 1
Coal / Lignite ........................................................................ 04 Rented ................................................................................ 2
Wood coal ............................................................................ 05 Rent Free ............................................................................ 3
Wood ................................................................................... 06
Husk / Straw / Dry Grass / Bichali / Wheat / Maize High .... 07
Dung / animal waste ............................................................. 08 29. If you want to buy or construct a dwelling just like this today,
Processed biomass or wood coil .......................................... 09 how much money would you have to pay?
Garbage / Plastic ................................................................... 10 TAKA
Wood husk............................................................................ 11
Other (specify)...................................................................... 96
30. Is this a slum household?
Yes – 1 No – 2
Part A Housing (continued)

34. Is there any regular collection of waste from government and private enterprises?
31. Is there a seasonal road/dock within 2 km of your house? (In case of Rural) Yes – 1 No – 2
Yes – 1 No – 2
32. Are there Bus/Train /Tempo /Laguna stops within half a kilometer of your house? (In case 35. Does the municipality, City-corporation or any other community organization have a
designated dustbin for disposal of stored waste?
of Urban)
Yes – 1 No – 2 Yes – 1 No – 2
36. Do you regularly throw household waste in the dustbin?

33. If so, how long does it take to get to the nearest stop? Minutes
Yes ........................................................................................ 1
No ......................................................................................... 2
In any other unprotected/open space ..................................... 3
SECTION 6: HOUSING PART B: SHOCKS AND COPING
1 2 3 4 5 6
Description of distress events Did you experience When did the shock first How long did the As a result of the [SHOCK], was there a decline in your How did your household
[shock] during the past occur? shock last? (If households? cope with this [shock]? Up
12 months? Shocks to three answers with
01-Jan 07-Jul continued till rank for each shock
Code 02-Feb 08-Aug now write "99") experienced, use code
Yes 1 03-Mar 09-Sep Income Assets Food Food below:
No 2>>NEXT SHOCK 04- Apr 10-Oct Production purchased
05-May 11-Nov NUMBER OF 1 Yes 1 Yes 1 Yes 1 Yes 1st 2nd 3rd
06-Jun 12-Dec DAYS 2 No 2 No 2 No 2 No COD COD COD
E E E
101 Drought
102 Floods
103 Waterlogging
104 Cyclone
105 Tornedo
106 Storm/Tidal Wave
107 Lightning
108 River/Coastal Erosion
109 Landslide
110 Salinity
111 Hailstorms
112 Irregular Rains
113 Heavy Rains
114 Decreased Income due to Closure of Factories
115 Loss of Employment of Previously Employed Household
member(s) (not due to illness/accident)
116 Serious Illness or Accident of income Earner(s)
117 Serious Illness or Accident of other HH Member(s)
118 Death of Income Earner(s)
119 Fire/Earthquake, etc
199 Other (Specify)
01 Unconditional help provided by relatives/friends 09 Obtained credit
02 Unconditional help provided by local government 10 Sold durable household assets
03 Change dietary patterns involuntarily 11 Sold land or building CODES FOR Q6 - COPING STRATEGIES
04 Change cropping practices (crop choices or technology) 12 Rented out land/building
05 Household member(s) took on more non-farm (wage or self employment) 13 Distress sales of animal stock
06 Household members took on more farm ways employment 14 Send children to live elsewhere
07 Household members migrated 15 Reduce expenditure on health and education
08 Relied on savings 16 Other (specify)
PART A:
SECTION 7: AGRICULTURE LANDHOLDING
WRITE '0' IF NONE.
Acres Decimal
1 Total cultivable agricultural land owned:
Acres Decimal
2 Total dwelling-house/Homestead land owned:
Acres Decimal
3 Total Non-cultivated Land
Acres Decimal
4 Total cultivable agricultural land rented/ share-cropped/mortgaged in:
Acres Decimal
5 Total cultivable agricultural land rented/ share-cropped/mortgaged out:
Acres Decimal
6 Total operating land (1+2+3+4-5)
SECTION 7: AGRICULTURE PART B: CROP PRODUCTION
1 2 3 4 5 6 7 8
Did you or anyone in your Did you How much land did How much in How much did How much How much How much of it was used for the following purposes in the last 12
household cultivate any following cultivate you cultivate under total of crop your household did your did your months?
crops in the last 12 months? (crop) in the this crop in the last did you consumed in the household household WRITE TOTAL QUANTITY USED (IN KG)
last 12 12 months? produce in the last 12 months? sell in the last stock in the
months? last 12 12 months? last 12
months? months?
4=5+6+7+8
1 Yes 1 Yes PRODUCED A B C D E F G
2 No >> Part C: 2 No (IN KG) AND Given Given Used Feed Waste Other Total
Non-crop Activities >>Next THE UNIT to for as for
Crop PRICE (IN landlord Wages Seed animals
TK)
Crop/by product Code Code Acres Decimal kg Taka/kg kg kg kg kg kg kg kg kg kg kg
Aus 01
Aman 02
Boro 03
Wheat 04
Maize 05
Jute 06
Sugarcane 07
Pulses 08
Oil Seed 09
By Product
Paddy by-product 11
By product of wheat 12
By product of jute 13
By product of sugarcane 14
Continued…………
SECTION 7: AGRICULTURE PART B: CROP PRODUCTION
Other Crops: Write the name of the other crops Cultivated by the household
1 2 3 4 5 6 7 8
Did you or any one in your Did you How much land How much in How How How How much of it was used for the following purposes in the last
household member cultivate cultivate did you cultivate total of crop much did much did much did 12 months? (in kg)
any crop in the last 12 months? (crop) in the under this crop did you your your your
last 12 in the last 12 produce in the household household household
months? months? last 12 consume sell in the stock in
months? in the last last 12 the last 12
4=5+6+7+8 12 months? months?
1 Yes 1 Yes months?
2 No >> Part C: Non-Crop 2 No A B C D E F G
Activites >> Next crop given in given Used Feed Waste Other Total
landlord for as for
Vegetables Code Code Acres Decimal Kg Taka/kg Kg Kg Kg wages seed animals
Potato 15
Onion 16
Garlic 17
Ginger 18
Turmeric 19
Tomato 21
Brinjal 22
Green Banana/Green 23
Papaya
Cauliflower/Cabbage 24
Pumpkin 25
Radish 26
Green Chili 27
Bean 28
Bean 29
Lady's Finger 31
Puisak 32
Others (specify) 33
Fruits
Mango 41
Jackfruit 42
Ripe Banana 43
Ripe Papaya 44
Pineapple 45
Leechee 46
Melon/Bangi 47
Guava 48
Others (specify) 49
SECTION 7: AGRICULTURE PART C: NON-CROP ACTIVITIES (Livestock and poultry)
1 Did you or anyone in your household raise any livestock or poultry birds in the last 12 months?
1 Yes
2 No >> Q9
LIVESTOCK AND POULTRY (Do you or any member of your household) LIVESTOCK PRODUCTS
2 3 4 5 6 7 8
Name of domestic animals How many How many were How many How many did Animal production and by- How much did How much did How much did
..[NAME OF THE born/did your died/did your your household product you produce in you sell in the you consume in
ANIMAL].. own? household purchase in household sell in consume in the the last 12 last 12 months? the last 12
What is their total the last 12 months? the last 12 12 months? months? months?
value? months?
WRITE TOTAL NO. AND WRITE TOTAL WRITE TOTAL WRITE TOTAL WRITE TOTAL
THE TOTAL VALUE IN NO. AND THE NO. AND THE QUANTITY AND QUANTITY AND
TAKA TOTAL VALUE IN TOTAL VALUE IN VALUE IN TAKA VALUE IN TAKA
IF NONE, WRITE TAKA TAKA
'0'.
Animal Code Number Taka Number Taka Number Taka Number Taka Animal product Code Unit Quantity Taka Quantity Taka Quantity Taka
Meat (cattle,
Cattle 201 211
buffalo)
Goat 202 Poultry 212
Sheep 203 Mutton, sheep 213
Buffalo 204 Milk 214
Chicken 205 Eggs 215
Duck 206 Animal skins 216
Pigeon 207 Cow dung 217
Other domestic Birds 208 Other 218
Other (specify) 209 Total value 220
Total value 210 UNIT CODE:1 kg; 2 Litre; 3 hali; 4 number; 5 others
SECTION 7: AGRICULTURE PART C: NON-CROP ACTIVITIES (Fish farming, Fish capture and Other farm related)
9 Did you or anyone in your household engage in any fishing or 13 Did you or anyone in your household engage in any
fish farming in the last 12 months? farm forestry in the last 12 months?
1 Yes 1 Yes
2 No >> 2 No >>
Q13 PART
D
FISH FARMING AND FISH CAPTURE FARM FORESTRY

10 11 12 14 15 16
How much did you produce How much did How much Forest Product How many trees do How much How much
(catch) in the past 12 your did your you presently own? did your did your
months? household sell household What is their total household household
in the past 12 consume in value? sell in the consume
months? the 12 last 12 in the 12
months? months? months?
WRITE TOTAL QUANTITY WRITE WRITE WRITE WRITE
AND VALUE IN TAKA TOTAL TOTAL THE THE
QUANTITY QUANTITY TOTAL TOTAL
AND VALUE AND VALUE VALUE VALUE
IN TAKA IN TAKA
Source Code Kg Taka kg Taka kg Taka Forest Product Code No of trees Taka Taka Taka
Fish farm 221 Bamboo 231
Fish Hatchery 222 Timber trees 232
Marine fishing 223 Fruit trees 233
Canal/river fishing 224 Firewood trees 234
Swampland/marsh/fen fishing 225 Honey 235
Pond/sink fishing 226 Sapling/seedling sale 236
Fish fry, crab frog and Other, specify 227 Flower sale 237
Dry fish 228 Flower /fruit seed sale 238
Total value 230 Other, specify 239
Total value 240

SECTION 7: AGRICULTURE PART D: EXPENSES ON AGRICULTURAL INPUTS
1 2
Did your household spend any money on the (item) in last How much did your household spend on the
Expenditure item and code 12 months? (item) in the last 12 months?
1 Yes
2 No >> NEXT ITEM
Items of expenditure Code Code Kg Taka

Seed seedling (crop seedling) 301
Seed (forest seedling) 302
Fertilizer (chemical) 303
Fertilizer (composed/mixed) 304
Food of livestock/ draft animal 305
Tractor/ tiller/ power tiller (rental) 306
Irrigation expenses 307
Insecticides 308
Land revenue (agricultural land) 309
Rent (agricultural land) 311
Carrying cost of goods and transportation expenses (agricultural goods) 312
Salary/wages of laborer employed in agriculture 313
Insurance expenses (agriculture related) 314
Interest of the Agriculture loan 315
Electricity and fuel cost 316
Bees culture expenses 317
Fish production expenses 318
Livestock rearing expenses (Treatment cost etc.) 319
Poultry rearing expenses (Treatment cost etc.) 321
Other (specify) 322
Total value 330

SECTION 7: AGRICULTURE PART E: AGRICULTURAL ASSETS
1 2 3 4
Equipment & assets used in How many ..[NAME OF How many did your household buy in the last 12 months? How many did your household sell in the last 12 How much did your household earn
agriculture ASSET].. do you months? from rental of this item in the last 12
presently own? What is months?
their total value?
TOTAL NUMBER AND THE TOTAL VALUE IN TAKA TOTAL NUMBER AND THE TOTAL VALUE IN WRITE TOTAL VALUE IN TAKA
TAKA
Farming asset Code Number Taka Number Taka Number Taka Taka
Tractor 401
Thresher 402
Power tiller 403
Power pump 404
Hand pump 405
Plough and yoke 406
Deep tube-well 407
Shallow tube-well 408
Sprayer 409
Husking machine 411
Ginning machine 412
Country boat 413
Engine boat 414
Fishing net 415
Cage incubator 416
Brooder 417
Bees-box 418
Other (specify) 419
Total value 420

SECTION 8: OTHER ASSETS AND INCOME PART A: OTHER PROPERTY AND ASSETS
1 Is there any land or property which your household owns but doesn't operate?
(don't include property already reported in sections 5, 6 & 7)

1 Yes Acres Decimals
2 No >> Q3
AMOUNT
2 How much would it cost to buy land or property owned by your household?
TAKA
3 Did your household purchase any land or property during the last 12 months?
1 Yes
2 No >> Q5
4 How much did your household spend on purchasing this land or property?
TAKA
5 Did your household purchase any house or flat over the past 12 months?
1 Yes
2 No >> Q7
6 How much did your household spend on purchasing that house or flat?
TAKA
7 Does your household own any other assets (e.g. stocks, bonds, other financial
assets, jewelry,
etc. not reported earlier)
1 Yes
2 No >> Q9
8 How much in total are these worth?
TAKA
9 Did your household purchase any assets other than land over the past 12 months?
1 Yes
2 No >> Q11
10 How much did your household spend on purchasing these assets? TAKA
11 Did your household sell any assets over the past 12 months?
1 Yes
2 No >> Part B
12 How much did your household get from selling these assets?
TAKA
PART B: OTHER INCOME
SECTION 8: OTHER ASSETS AND INCOME
1 Income from rent of land received during the past 12 months: 8 Remittances received from relatives during the past 12
TAKA months: TAKA
(CASH AND IN-KIND FROM WITHIN THE COUNTRY)

2 Income from rent of other property received during the past 12 9 Remittances received from relatives during the past 12
months: TAKA months: TAKA
(CASH AND IN-KIND FROM OUTSIDE THE COUNTRY)
3 Social and insurance (life and non-life) income received during

the past 12 months:
10 where did you mainly invest/spend the received money?
Code
Life Insurance TAKA
1 Construction
2 Business
3 Education
Health Insurance TAKA
4 Marriage
5 Consumption
6 Treatment
General Insurance TAKA
7 Other (Specify)
4 Profit and dividend received as partner/share holder during the

past 12 months: TAKA
11 Gratuity, separation payment, retirement benefit received
during the past 12 months: TAKA
(DO NOT INCLUDE INCOME ALREADY REPORTED IN SECTION 5)
5 Lottery/prize bond/ other similar income received in cash or in- 12 Interest received during the past 12 months:
kind during the past 12 months: TAKA TAKA
(FROM BANKS AND OTHER SOURCES)
6 Charity, gift, royalty, help, zakat, fitra or other such assistance, 13 Other cash or in-kind receipts during the past 12 months:
etc. received during the past 12 months: IN CASH TAKA TAKA
(DO NOT INCLUDE RECEIPTS REPORTED ELSEWHERE)
7 Charity, gift, royalty, help, zakat, fitra or other such assistance,
etc. received during the past 12 months: IN-KIND TAKA
SECTION 8: OTHER ASSETS AND INCOME PART C: MIGRATION AND REMITTANCE
1 Has any member of your household migrated, either within the country or abroad, during the last 5 years?
1 Yes >>Q3 2 No
2 Has this household received any remittances from anyone living outside the household, either within Bangladesh or abroad, in the last 2 years?
1 Yes 2 No >>Part D
3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Name Relation- When did Where is If in- If abroad, If in Age Sex Level of Occupation How What is the total How did Write the code What
ship to (name) migrate? (name) countr write country country educatio SEE many amount of (name) of any goods/ is the
head of working? y, code. where n SECTION 4 times money that send things that total
the H.H. FOR CODE (name) (name) has sent money to (name) has value
write is it Literacy send over the last 2 the sent to the of all
PERSON ID
zila money years? house- household in the

code. during hold? the last 2 goods/
1 Rural the last years. things
2 Urban
2 LIST UP TO 3 that
1 In >>Q9 1 Male years? IN ORDER OF (name
country IMPORTANCE ) sent
2 Abroad 2 Female CODE in the
>>Q8 last 2
years?
CODE MONTH YEAR CODE Age CODE CODE TAKA CODE 1 2 3 TAKA
91
92
93
94
95
96
97
98
99
CODES FOR Q4 - RELATIONSHIP TO HOUSEHOLD HEAD CODES FOR Q8 - COUNTRY CODE CODES FOR Q17 - ITEM
01 Head 08 Niece/Nephew 01 Saudi Arabia 10 UAE 1 Food
02 Husband/Wife 09 Father/Mother-in-law 02 Qatar 11 Canada 19 Sweden 2 Electronic Goods (TV, VCD,
03 Son/Daughter 10 Brother/Sister-in-law 03 Kuwait 12 Australia etc.)
04 Spouse of Son/Daughter 11 Other relative 04 Oman 13 U.K. 21 Italy 3 Mobile Phone
05 Grandchild 12 Servant 05 Malaysia 14 USA 22 Other European 4 Computer
Country
06 Father/Mother 13 Employee 06 Singapore 15 South Korea 23 Brunai 5 Motor car
07 Brother/Sister 14 Other (specify) 07 Iraq 16 Japan 24 Mauritius
08 Iran 17 Turkey 25 South Africa 7 Household Appliance
09 Libya 18 Germany 99 Other (specify) 9 Other (specify)
CODES FOR Q11 - EDUCATION CODES
00 No class passed/pre-schooling 10 Secondary/
SSC/equivalent
01 Class 1 06 Class6 11 Higher Secondary/ CODES FOR Q14 - FREQUENCY CODES FOR Q16 - METHOD
HSC/equivalent
02 Class 2 07 Class 7 12 Vocational 17 Engineering Once=1 Five times and above=5 Western Union=1 Friends=5
03 Class 3 08 Class eight 13 Midwifery 18 MBBS/ Twice=2 Do not send=6 Money Gram=2 Travel Agency=6
JSC/equivalent
04 Class 4 09 Class 9 14 Technical Thrice=3 Other (Specify)-99 Postal Office=3 Broker=7
05 Class five/PEC/equivalent 15 Graduate/equivalent 99 Other (specify) Four times=4 Bank=4 Mobile banking=8
Others(specify)
SECTION 8: OTHER ASSETS AND INCOME PART C: MIGRATION AND REMITTANCE
3 19
Name How did you spend the remittance received during last two years?
PERSON ID
A B C D
Current Expenditure (in last year) Investment Expenditure for Consumer Savings (in last 2 years)
Expenditure (in durables (in last 2 years)
last 2 years)
CODE Amount (Tk) CODE Amount COD Amount (Tk) COD Amount (Tk)
(Tk) E E
91
92
93
94
95
96
97
98
99
Code for Q19

A Code for Q 19B Code for Q19 C Codes for Q19 D
1 Food 1 Construction of residential/ 1 Vehicles 1 Deposit in bank
2 Clothing non-residential structures 2 Refrigerator
Air cooler/ Air 2 Purchase of valuables (gold , diamond
3
Education 2 Major repair and maintenance 3 conditioner etc.)
4 Health work of residential/non- 4 Television 3 Cash in hand
5 Housing rent residential structures 9 Other equipment for
4 Purchase of residential/ use (specify) 9 Other savings (specify)
commercial space
5 Purchase of agricultural
machineries and equipment
6 Purchase of transport machineries and equipment
(for commercial purposes)
7 Repayment for past borrowing
8 Major repair and maintenance of machineries
and equipment
9 Purchase of share/ bond/ equity
99 Other investment expenditures
(Specify)
SECTION 8: OTHER ASSETS AND INCOME PART D: MICRO CREDIT
Respondent: Head of household
1 2 3 4
Have you or any member of your Have you or any member of your household deposited money in the Have you or any member of your household Have you or anyone in your household
household opened a bank account during credit or microfinance institution (BRAC, Grammeen Bank, etc) in the deposited money in any informal depositor borrowed money from a family member, friend,
the last 12 months? last 12 months? organization in the last 12 months? micro finance institution, bank or other source
in the last 12 months?
1 Yes 1 Yes 1 Yes 1 Yes

2 No 2 No 2 No 2 No
INTERVIEWER: Use a separate line for every line, put in the ID code of the person who borrowed the money.
5 6 7 8 9 10 11 12 13 14
What was How much How long is Interest rate applied on loan How often do you make payments and what Have you Amount What was the Would you like to If yes,
the source money was the (%) is the amount of each payment? completed of unpaid purpose of have borrowed how
of this loan borrowed repayment repayment of loan (in receiving more money at the much?
ID CODE in Roster
or credit? (in taka)? period (in your loan? taka)? loan? same rate of
months)? interest?
LOAN
FILL IN ONLY MONTH OR

ONLY YEAR 1 USE CODES
USE Yes>>Q12 1 Yes
CODES 2 No 2 No
NUMBER >> Next person
OF MONTHLY YEARLY FREQUENCY AMOUNT TAKA
CODE TAKA MONTHS RATE (%) RATE (%) CODE CODE TAKA CODE CODE TAKA
20
21
22
23
24
25
26
CODES FOR Q9 - FREQUENCY OF
CODES FOR Q5 - SOURCE OF LOAN OR CREDIT
PAYMENT CODES FOR Q12 - PURPOSE OF LOAN
1 Private Commercial Bank 9 BRAC 17 Money Lender 1 Once 1 Education
2 Public Commercial Bank 10 BRDB 18 Landlord 2 Daily 2 Health
3 Krishi Bank/Rajshahi Krishi Bank 11 Other Govt. Department 19 Employer 3 Weekly 3 Agriculture
4 Co-operative Bank 12 ASA 20 Friends 4 Fortnightly 4 Business
5 Co-operative Societies 13 Proshika 21 Relatives 5 Monthly 5 Housing
6 BSIC 14 Other NGO 22 Grocery Store 6 Yearly 6 Food Purchase
7 Youth Development 15 Other Micro Finance Establishment 99 Other (specify) 9 Other (specify) 7 Marriage
8 Grameen Bank 16 Input supplier 9 Other (specify)
Section-9 Part- A: Daily consumed food items/commodities
Date Date
Less than 10 years 10 years & above: Less than 10 years 10 years & above:
Number of Boys Number of Men Number of Boys Number of Men
Number of Girls Number of Women Number of Girls Number of Women
Daily consumed food items prepared in household/home:
1st Day 2nd Day
09A 09B
05A 08A Major source 05B 08B Major source
01 Quantity Toal value Purchased- 1 Quantity Toal value Purchased- 1
02 06A 06B 07B
Serial of 03 04 of 07A of OMS-2 of of OMS-2
COICOP Description of Description of Unit
food Name of food items Unit consumed Unit price consumed received as wage-3 consumed consumed received as wage-3
CODE unit price unit price price
items food food own production-4 food food own production-4
items items received from govt.-5 items items received from govt.-5
received/gift-6 received/gift-6
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1111 Rice and rice products
1 11111 Rice (Fine/High Quality), Parboiled kg Price-1 kg Price-1 kg
Rice (Fine/High Quality), Non-
2 11112 kg Price-1 kg Price-1 kg
Parboiled
Rice (Medium/Medium Quality),
Parboiled
Rice (Medium/Medium Quality), Non-
Parbo
5 11115 Rice (Coarse), Parboiled kg Price-1 kg Price-1 kg
6 11116 Rice (Coarse), Non-Parboiled kg Price-1 kg Price-1 kg
7 11117 Puffed rice kg Price-1 kg Price-1 kg
8 11118 Beaten rice kg Price-1 kg Price-1 kg
9 11119 Pop rice kg Price-1 kg Price-1 kg
10 111110 Rice powder kg Price-1 kg Price-1 kg
11 111199 Others kg Price-1 kg Price-1 kg
1112 Wheat/Maze & its prod.
12 11121 Wheat kg Price-1 kg Price-1 kg
13 11122 Flour kg Price-1 kg Price-1 kg
14 11123 Maize kg Price-1 kg Price-1 kg
15 11129 Others (e.g. popcorn) kg Price-1 kg Price-1 kg
1113 Bread & Bakery prod.
16 11131 Biscuits gm Price-1 gm Price-1 gm
17 11132 Chanachur gm Price-1 gm Price-1 gm
18 11133 Bread gm Price-1 gm Price-1 gm
19 11134 Bonroti gm Price-1 gm Price-1 gm
20 11135 Cake/Pastry etc. gm Price-1 gm Price-1 gm
1st Day 2nd Day
09A 09B
02 06A 06B 07B
1 2 3 4 5 6 7 8 9 10 11 12 13 14
21 11139 Others (e.g. wafers) gm Price-1 gm Price-1 gm
1114 Pasta type commodities
22 11141 Vermicelli gm Price-1 gm Price-1 gm
23 11142 Suji gm Price-1 gm Price-1 gm
24 11143 Noodles gm Price-1 gm Price-1 gm
25 11149 Other (specify) gm Price-1 gm Price-1 gm
1115 Manufactured Cereal
26 11151 Cornflakes gm Price-1 gm Price-1 gm
27 11152 Oats/oats flakes gm Price-1 gm Price-1 gm
28 11159 Other (specify) gm Price-1 gm Price-1 gm
1121 Raw meat of cattle
29 11211 Beef gm Price-1 gm Price-1 gm
30 11212 Buffalo meat gm Price-1 gm Price-1 gm
31 11213 Mutton gm Price-1 gm Price-1 gm
32 11214 Sheep meat gm Price-1 gm Price-1 gm
33 11219 Others (e.g. camel, lamb meat) gm Price-1 gm Price-1 gm
1122 Meat of poultry & birds
34 11221 Hen/fowl (native) gm Price-1 gm Price-1 gm
35 11222 Hen/fowl (Sonali/Cock ) gm Price-1 gm Price-1 gm
36 11223 Hen/fowl (Poultry/Broiler) gm Price-1 gm Price-1 gm
37 11224 Hen/fowl (Layer) gm Price-1 gm Price-1 gm
38 11225 Duck gm Price-1 gm Price-1 gm
39 11226 Pigeon number Price-1 number Price-1 number
40 11229 Quail number Price-1 number Price-1 number
41 11230 Others (e.g. Turkey) kg Price-1 kg Price-1 kg
1131 Fresh frozen fish
42 11311 Hilsa kg Price-1 kg Price-1 kg
43 11312 Rhui/ Katla kg Price-1 kg Price-1 kg
44 11313 Kalibaush kg Price-1 kg Price-1 kg
45 11314 Mrigel kg Price-1 kg Price-1 kg
46 11315 Silver carp/Grass carp/Bighead carp/Mir kg Price-1 kg Price-1 kg
47 11316 Pangash kg Price-1 kg Price-1 kg
48 11317 Telapia/ Nilotica kg Price-1 kg Price-1 kg
49 11318 Puti/ Big Puti kg Price-1 kg Price-1 kg
1st Day 2nd Day
09A 09B
02 06A 06B 07B
1 2 3 4 5 6 7 8 9 10 11 12 13 14
50 11319 Tangra / Guilsa fish kg Price-1 kg Price-1 kg
51 113110 Koi kg Price-1 kg Price-1 kg
52 113111 Shing kg Price-1 kg Price-1 kg
53 113112 Magur kg Price-1 kg Price-1 kg
54 113113 Boal kg Price-1 kg Price-1 kg
55 113114 Shoal kg Price-1 kg Price-1 kg
56 113115 Taki kg Price-1 kg Price-1 kg
57 113116 Gajar kg Price-1 kg Price-1 kg
58 113117 Pabda kg Price-1 kg Price-1 kg
59 113118 Air kg Price-1 kg Price-1 kg
60 113119 Baila/bele kg Price-1 kg Price-1 kg
61 113120 Eelfish/betrongi kg Price-1 kg Price-1 kg
62 113121 Mala/Kachki/Chela/Dhela/Batasi/Khalisa/ kg Price-1 kg Price-1 kg
63 113122 See fish (Rupchanda/Poa/Tuna/Coral/Bail kg Price-1 kg Price-1 kg
64 113199 Others fish kg Price-1 kg Price-1 kg
1132 Fresh/ frozen sea food Price-1 Price-1
65 11321 Shrimp (Big) kg Price-1 kg Price-1 kg
66 11322 Shrimp (Medium) kg Price-1 kg Price-1 kg
67 11323 Shrimp (Small) kg Price-1 kg Price-1 kg
68 11329 Others (such as crabs, snails, oysters, kg Price-1 kg Price-1 kg
1133 Dry fish/salted dry fish
69 11331 salted Hilsa dried fish gm Price-1 gm Price-1 gm
70 11332 Chapa / Sidal dried fish gm Price-1 gm Price-1 gm
71 11333 Laitya dried fish gm Price-1 gm Price-1 gm
72 11334 Dried shrimp gm Price-1 gm Price-1 gm
73 11335 Mala / Kachki / Chela / Dhela / Batasi gm Price-1 gm Price-1 gm
74 11339 Other dried fish gm Price-1 gm Price-1 gm
1141 Raw/pasturized/UHT milk
75 11411 Liquid milk litr Price-1 litr Price-1 litr
76 11412 Pasturized milk litr Price-1 litr Price-1 litr
77 11413 UHT milk litr Price-1 litr Price-1 litr
78 11419 Other (specify) litr Price-1 litr Price-1 litr
1142 Condensed/powder milk Price-1 Price-1
79 11421 Condensed milk gm Price-1 gm Price-1 gm
1st Day 2nd Day
09A 09B
02 06A 06B 07B
1 2 3 4 5 6 7 8 9 10 11 12 13 14
80 11422 Powdered milk gm Price-1 gm Price-1 gm
81 11429 Others gm Price-1 gm Price-1 gm
1143 Yogurt and milk products Price-1 Price-1
82 11431 Yogurt gm Price-1 gm Price-1 gm
83 11432 Dairy drinks ml Price-1 ml Price-1 ml
84 11439 Others (e.g. pudding, milk cake, etc.) gm Price-1 gm Price-1 gm
1144 Cheese and curd Price-1 Price-1
85 11441 Casein (ponir) gm Price-1 gm Price-1 gm
86 11442 Curd kg Price-1 kg Price-1 kg
1145 Egg and egg products Price-1 Price-1
87 11451 Hen egg 4 pcs Price-1 4 pcs Price-1 4 pcs
88 11452 Duck egg 4 pcs Price-1 4 pcs Price-1 4 pcs
89 11453 Quail egg 4 pcs Price-1 4 pcs Price-1 4 pcs
90 11459 Other (specify) 4 pcs Price-1 4 pcs Price-1 4 pcs
1151 Edible oil
91 11511 Soybean oil litr Price-1 litr Price-1 litr
92 11512 Mustard oil litr Price-1 litr Price-1 litr
93 11513 Palm oil litr Price-1 litr Price-1 litr
94 11514 Olive Oil/Sunflower Seed Oil litr Price-1 litr Price-1 litr
95 11519 Others (e.g. Corn oil) litr Price-1 litr Price-1 litr
1152 Butter and butter products
96 11521 Butter Oil kg Price-1 kg Price-1 kg
97 11522 Ghee kg Price-1 kg Price-1 kg
98 11523 Dalda kg Price-1 kg Price-1 kg
99 11529 Other (specify) kg Price-1 kg Price-1 kg
1153 Marzarin and vegetable fat
100 11531 Marzarin gm Price-1 gm Price-1 gm
101 11532 Peanut butter gm Price-1 gm Price-1 gm
1161 Fresh/frozen fruits
102 11611 Apple kg Price-1 kg Price-1 kg
103 11612 Orange (Komola) kg Price-1 kg Price-1 kg
104 11613 Orange (Malta) kg Price-1 kg Price-1 kg
105 11614 Ripe banana kg Price-1 kg Price-1 kg
106 11615 Grape kg Price-1 kg Price-1 kg
107 11616 Ripe papaya kg Price-1 kg Price-1 kg
108 11617 Guava kg Price-1 kg Price-1 kg
109 11618 Mango (Ripe) kg Price-1 kg Price-1 kg
110 11619 Melon/ Bangi kg Price-1 kg Price-1 kg
1st Day 2nd Day
09A 09B
02 06A 06B 07B
1 2 3 4 5 6 7 8 9 10 11 12 13 14
111 116110 Pomegranate/Bedana/Dalim kg Price-1 kg Price-1 kg
112 116111 Amra/Kamranga kg Price-1 kg Price-1 kg
113 116112 Boroi (Kul) kg Price-1 kg Price-1 kg
114 116113 Blackberry/Safeda kg Price-1 kg Price-1 kg
115 116114 Leeches number Price-1 number Price-1 number
116 116115 Pineapple number Price-1 number Price-1 number
117 116116 Jack fruit number Price-1 number Price-1 number
118 116117 Ripe palm number Price-1 number Price-1 number
Lemon (Cardamom/Paper/Leaf
119 116118 4 pcs Price-1 4 pcs Price-1 4 pcs
Lemon)
120 116119 Batabi Lemon (Grapefruit) number Price-1 number Price-1 number
121 116120 Pears kg Price-1 kg Price-1 kg
122 116121 Ata fruit kg Price-1 kg Price-1 kg
123 116122 Dragon fruit kg Price-1 kg Price-1 kg
124 116123 Strawberries kg Price-1 kg Price-1 kg
Others (e.g. Rambutan / Rokmilan
etc.)
1162 Dried fruits,Nuts & Edible seeds
126 11621 Dry coconut number Price-1 number Price-1 number
127 11622 Dates kg Price-1 kg Price-1 kg
128 11623 Nuts gm Price-1 gm Price-1 gm
129 11629 Others (eg: Abocadus) kg Price-1 kg Price-1 kg
1163 Preserved Fruits and products
131 11631 Amshatta gm Price-1 gm Price-1 gm
132 11632 Pickles gm Price-1 gm Price-1 gm
Others (e.g.: Canned
133 11639 gm Price-1 gm Price-1 gm
fruits/Roasted/sal
1171 Shak & stem type vegetables
Lalshak/Palong shak/Data shak/Kalmi
134 11711 aati Price-1 aati Price-1 aati
sha
Pui shak/White Gourd shak/Pumpkin
135 11712 aati Price-1 aati Price-1 aati
shak
136 11713 Lotii kg Price-1 kg Price-1 kg
137 11714 Cauliflower kg Price-1 kg Price-1 kg
138 11715 Cabbage kg Price-1 kg Price-1 kg
1st Day 2nd Day
09A 09B
02 06A 06B 07B
1 2 3 4 5 6 7 8 9 10 11 12 13 14
139 11716 Broccoli kg Price-1 kg Price-1 kg
140 11719 Others (e.g. coriander leaves) gm Price-1 gm Price-1 gm
1173 Vegetables for cultivation/Seeds
141 11731 Brinjal kg Price-1 kg Price-1 kg
142 11732 Green chili kg Price-1 kg Price-1 kg
143 11733 Bean kg Price-1 kg Price-1 kg
144 11734 Borboti kg Price-1 kg Price-1 kg
145 11735 Tomato kg Price-1 kg Price-1 kg
146 11736 Water gourd number Price-1 number Price-1 number
147 11737 White gourd number Price-1 number Price-1 number
148 11738 Pumpkin kg Price-1 kg Price-1 kg
149 11739 Snake gourd/ ribbed gourd/sponge gourd kg Price-1 kg Price-1 kg
150 117310 Balsam apple kg Price-1 kg Price-1 kg
151 117311 Perbol/spiny gourd kg Price-1 kg Price-1 kg
152 117312 Green banana 4 pcs Price-1 4 pcs Price-1 4 pcs
153 117313 Green papaya kg Price-1 kg Price-1 kg
154 117314 Cucumber kg Price-1 kg Price-1 kg
155 117315 Ladies' finger kg Price-1 kg Price-1 kg
156 117316 Capsicum (Green/Red/Yellow Pepper) kg Price-1 kg Price-1 kg
1174 Root Vegetables (fresh or chilled)
158 11741 Onion kg Price-1 kg Price-1 kg
159 11742 Garlic kg Price-1 kg Price-1 kg
160 11743 Arum/ Ol-kachu/ Kachur-mukhi kg Price-1 kg Price-1 kg
161 11744 Carrot kg Price-1 kg Price-1 kg
162 11745 Radish kg Price-1 kg Price-1 kg
163 11746 Beetroot kg Price-1 kg Price-1 kg
1175 Potatoes
165 11751 Potato kg Price-1 kg Price-1 kg
166 11752 Sweet Potato kg Price-1 kg Price-1 kg
167 11753 Potato chips gm Price-1 gm Price-1 gm
168 11754 Mushrooms (Processed) gm Price-1 gm Price-1 gm
1st Day 2nd Day
09A 09B
02 06A 06B 07B
1 2 3 4 5 6 7 8 9 10 11 12 13 14
169 11759 Others (e.g. processed garlic, sweet co gm Price-1 gm Price-1 gm
1176 Dried vegetables(Pulses)
170 11761 Lentil kg Price-1 kg Price-1 kg
171 11762 Green gram/gram kg Price-1 kg Price-1 kg
172 11763 Chickling-Vetch kg Price-1 kg Price-1 kg
173 11764 Pea gram kg Price-1 kg Price-1 kg
174 11765 Pea pulse kg Price-1 kg Price-1 kg
175 11766 Mashkalai kg Price-1 kg Price-1 kg
1181 Sugar
177 11811 Sugar kg Price-1 kg Price-1 kg
178 11812 Molasses kg Price-1 kg Price-1 kg
179 11813 Misri kg Price-1 kg Price-1 kg
1182 Jam, Marmalade, Jelly & Honey
180 11821 Jams/ Jelly/Marmalades gm Price-1 gm Price-1 gm
181 11822 Honey kg Price-1 kg Price-1 kg
Chocolate, Chewing gum &
1183
Confectionary
183 11831 Chocolate gm Price-1 gm Price-1 gm
184 11832 Chewing gum gm Price-1 gm Price-1 gm
185 11833 Toffee gm Price-1 gm Price-1 gm
186 11834 Khaja gm Price-1 gm Price-1 gm
187 11835 Lozenges number Price-1 number Price-1 number
Rasogolla/Shandash/Kalojam/Chamc
ham
189 11837 Jilapi/Amriti/Bundia kg Price-1 kg Price-1 kg
190 11838 Halua/ Batasha/ Kadma kg Price-1 kg Price-1 kg
1184 Edible Ice & Ice-cream
193 11841 Ice-cream gm Price-1 gm Price-1 gm
1st Day 2nd Day
09A 09B
02 06A 06B 07B
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Restaurant & Café (All members in
11111
the household)
195 111111 Ruti/parata number Price-1 number Price-1 number
196 111112 Dal/vaji plate Price-1 plate Price-1 plate
197 111113 Egg (Omelette/Mamlette) number Price-1 number Price-1 number
198 111114 Rice plate Price-1 plate Price-1 plate
199 111115 Fish piece Price-1 piece Price-1 piece
Meat (Beef/Buffalo/Muttun/Chicken
200 111116 plate Price-1 plate Price-1 plate
etc.)
201 111117 Chatpoti/Foska plate Price-1 plate Price-1 plate
202 111118 Soup bati Price-1 bati Price-1 bati
203 111119 Seafood (eg: Coral fish/Shrimp/Tuna fis plate Price-1 plate Price-1 plate
204 1111110 Biryani / Tehri / Khichuri / Fried Rice plate Price-1 plate Price-1 plate
205 1111111 Tea cup Price-1 cup Price-1 cup
206 1111112 Coffee cup Price-1 cup Price-1 cup
207 1111113 Singara/Samucha/Dal-puri/Onthon piece Price-1 piece Price-1 piece
208 1111114 Cake piece Price-1 piece Price-1 piece
209 1111115 Burger/Hot Dog/Sharma piece Price-1 piece Price-1 piece
210 1111116 Pattis piece Price-1 piece Price-1 piece
211 1111117 Chicken Sandwich piece Price-1 piece Price-1 piece
212 1111118 Fried chicken piece Price-1 piece Price-1 piece
Fried/Grilled Chicken/Sick
213 1111119 plate Price-1 plate Price-1 plate
Kebab/Chap/B
214 1111120 Pizza number Price-1 number Price-1 number
215 1111121 Pasta / Noodles plate Price-1 plate Price-1 plate
216 1111122 Misty piece Price-1 piece Price-1 piece
217 1111123 Soft drinks ml Price-1 ml Price-1 ml
218 1111124 Bottled water ml Price-1 ml Price-1 ml
219 1111125 Tips (Baksheesh) number Price-1 number Price-1 number
220 1111199 Others (e.g. Chira-Yogurt etc.) plate Price-1 plate Price-1 plate
Section: 9 Part-B: Weekly consumed food
First Week
Date
09
Major source
05 08
01 06 Purchased- 1, OMS-2
02 03 04 Quantity of 07 Toal value of
Serial of Description of received as wage-3
COICOP CODE Name of food items Unit consumed food Unit price consumed food
food items unit price own production-4
items items
received from govt.-5
received/gift-6
1 2 3 4 5 6 7 8 9
01191 Salt, spices & ingredients used in cooking
1 011911 Salt Kg Price-1 kg
2 011912 Dried Chili Kg Price-1 kg
3 011913 Chili Powder gm Price-1 gm
4 011914 Turmeric gm Price-1 gm
5 011915 Cummins gm Price-1 gm
6 011916 Cinamon gm Price-1 gm
7 011917 Cardamon gm Price-1 gm
8 011918 Ginger gm Price-1 gm
9 011919 Black Peeper gm Price-1 gm
10 0119110 Clove gm Price-1 gm
11 0119111 Cassia-leaf gm Price-1 gm
12 0119112 Coriander Seed gm Price-1 gm
13 0119119 Others gm Price-1 gm
01192 Sauce & Foran
14 011921 Hot Tomato Sauce/Catchup Ml Price-1 ml
15 011922 Sirka (white vinegar) Ml Price-1 ml
16 011929 Others (Mayonnaise, Soy Sauce etc.) Ml Price-1 ml
01193 Baking Powder & Soup ,
17 011931 Baking Powder Gm Price-1 gm
18 011932 Soup Bati
01194 Baby Food
19 011941 Baby Formula (Lactogen, Nido etc.) Gm Price-1 gm
09
Major source
05 08
items items
received/gift-6
20 011942 Baby Rice Cereals (Cerilac etc.) Gm Price-1 gm
21 011949 Others (specify) Gm Price-1 gm
01211 Coffee, Tea & Coco
22 012111 Coffee (powder) Kg
23 012112 Tea (Leaves) Kg
24 012113 Ovaltine Kg
25 012114 Horlicks Kg
26 012115 Others (specify) Kg
01221 Mineral water, soft drink & Fruit Juice
27 012211 Mineral Water Ml
28 012212 Soft drinks Ml
29 012213 Fruit Juice Ml
30 012214 Green Coconut water Number
31 012215 Date/sugarcane/palm juice Glass
32 012216 Powdered drink mix (Tang, ISPI etc.) Gm Price-1 gm
33 012219 Others (specify) Ml
02211 Cigarette & Bidi
34 022111 Cigarettes Number
35 022112 Bidis Packet
02212 Other Tobacco Products
36 022121 Zarda Gm Price-1 gm
37 022122 Gul Gm Price-1 gm
38 022123 Tobacco Leaves Piece
02311 Betel, Nut & related products
Bira(80
40 023111 Betel Leaves
piece)
41 023112 Betel Nuts Kg
42 023113 Rolled Betel Number
09
Major source
05 08
items items
received/gift-6
43 023114 Lime Gm Price-1 gm
44 023115 Khoer Gm Price-1 gm
Section 9 Part C: Monthly expenses of non-food items/ services
01
02 03 Value of commodities received Value of commodities received
Serial of goods Total
COICOP CODE Name of goods & service items in cash/credit/wage as home made/without price/ gift
services
1 2 3 4 5 6
4411 Water Supply
1 44111 Water bill supplied
4421 Sewerage / Garbage collection
2 44211 Garbage collection (single family)
4431 Latrine(sewerage) cleaning
3 44311 The latrine (sewerage) is clean
4441 Housing and housing related Services
4 44411 Lift (repair / use) / Security expenses
5 44412 Bills payable to authority / housing
4511 Electricity Charges
6 45111 Electricity bill (with meter charge)
4521 Gas
7 45211 Gas bill (gas supplied on line)
8 45212 Natural gas (bottled)
9 45213 LPG (Bottled)
4531 Liquid Fuel
10 45311 Kerosene oil
4541 Hard/Strong Fuel
11 45411 Fuel wood
12 45412 Agricultural material is the national f
13 45413 Fuel generated from cattle waste (dung)
14 45414 Jute / Mesta Shala (Shingta / Jhingla)
15 45415 Coal / wood coal
16 45419 Other (specify)
5611 Commodities for washing and cleaning
17 56111 Laundry soap
18 56112 Laundry detergent powder / liquid
19 56113 Dish Cleaning Powder / Liquid
20 56114 Floor cleaning disinfectant powder / li
21 56115 Toilet cleaner
22 56116 Shoe brush / ink / su shiner
23 56117 Air freshener
24 56118 Broom
25 56119 Dustpan / Dust brush
26 561199 Others (eg: distilled water)
5612 Other commodities used in households
27 56121 Mosquito coils
28 56122 Liquid mosquito repellent
29 56123 Match
01
services
30 56124 Candles
31 56125 Cloth hanger
32 56126 Septipin / needle / thimble (finger cap
33 56127 Ika / Glue / Tap
34 56128 Insect killer
35 56129 Others (eg: rubber gloves, etc.)
5621 Household Services
36 56211 Household Salary (Month Based)
37 56212 Housekeeper's Bill (Chhuta Bua)
38 56213 Driver's salary
39 56214 Gardener's salary
40 56215 Expenses for home teachers
6111 Medicine
42 61111 Medicine (excluding hospitalization)
6121 Other Medical Accessories
43 61211 Surgical mask
44 61212 Respiratory mask
45 61213 Hand sanitizer
46 61214 Thermometer
47 61215 Bandages
48 61216 Syringe
49 61217 First aid kit
50 61218 Condoms
51 61219 Pregnancy test kit
52 612199 Others (eg: Nee Supporter etc.)
7221 Fuel and Lubricant
53 72211 Diesel
54 72212 Petrol
55 72213 Octane
56 72214 CNG
57 72215 LPG
58 72216 Motor Well (Mobil)
7311 Train Services
59 73111 Train fare
7321 Road Transport Services
60 73211 Bus fare
61 73212 Rickshaw fare
62 73213 Autorickshaw / taxi / tempo / mixer far
8301 Telephone and telefax Services
63 83011 Mobile Talk Time for purchase
64 83012 Internet connection / package purchase
65 83013 Telephone bill
01
services
66 83014 Telephone connection costs
67 95211 Daily newspaper
68 95219 Others (eg: Magazine / Magazine etc.)
12111 Saloon and Parler
69 121111 Haircuts, Facials, Massages, Hair Color
70 121112 Haircuts, Manicures, Pedicures, Facials
12121 Electric items for personal use
72 121211 Electric trimmer
73 121212 Electric Drier
74 121219 Others (such as electric razors, electr
12131 Other commodities for personal use
75 121311 Bath soap
76 121312 Shampoo
77 121313 Conditioner
78 121314 Toothpaste
79 121315 Snow (cream)
80 121316 Telecom powder
81 121317 Baby lotion
82 121318 Coconut oil
83 121319 Comb (girls)
84 1213110 Clip
85 1213111 Perfume
86 1213112 Sanitary pads / napkins
87 1213113 Diapers
88 1213114 Razor
89 1213115 Razor blade
90 1213116 Saving cream
91 1213117 After save lotion
92 1213118 Hair ribbons
93 1213119 Bangle (glass)
94 1213120 Lipstick
95 1213121 Nail polish
96 1213122 Makeup box
97 1213123 Toilet paper
98 1213124 Tissue paper
99 1213129 Others (e.g. lotion, lip gel, glycerin,
Section 9 Part D1: Annual expenses of non-food items/ services
01 02 03 04 05
Serial of goods/ COICOP CODE Description of commodities / services Number/quantities of commodities Value of the commodities received
commodities received in cash/credit/wages/gift in cash/credit/wages/gift for the
for the last 12 months last 12 months
1 2 3 4 5
3111 Natural/artificial/mixed fiber clothing
1 31111 Silk (ready to be cocooned)
2 31112 Artificial silk
3 31113 Mill Fabrics (Longcloth, US Fabrics etc.)
4 31114 Weaving cloth
5 31115 Fabrics made of synthetic yarn (plain /gabardine/jean)
6 31116 Fabrics made of synthetic yarn (shirt fabric)
7 31117 Knitted fabrics / printed fabrics
8 31118 Woolen cloth
9 31119 Drill cloth
10 311199 Other clothes
3121 Wearing Apparel for Men and Boys
11 31211 Shirt
12 31212 T-shirt
13 31213 Jacket / sweater
14 31214 Shawl
15 31215 Pants / trousers
16 31216 Suit / Blazer
17 31217 Lungi
18 31218 Dhoti
19 31219 Punjabi
20 312110 Pajamas
21 312111 Sando genji
22 312112 Underwear
23 312113 Towels
3122 Wearing Apparel for Women and Girls
25 31221 Salwar / pants / pajamas
01 02 03 04 05
26 31222 Kamij Shirt
27 31223 Orna or dupatta
28 31224 Three peace
29 31225 Two peace
30 31226 Sari
31 31227 Blouse
32 31228 Petticoat (shade)
33 31229 Suit / Blazer
34 312210 Shirt / T-shirt
35 312211 Jacket / sweater / cardigan
36 312212 Shawl
37 312213 Bra / bra
38 312214 Panties
39 312215 Towels
3123 Wearing Apparel for Babies (0-2 & 3-13yrs)
41 31231 Frock
42 31232 Baby suit
43 31233 Full pants
44 31234 Shirt
45 31235 T-shirt
46 31236 Shorts
47 31237 Sweater / Jacket
48 31238 Towels
3131 Tie, Handkerchief etc.
50 31311 Tie
51 31312 Handkerchief
52 31313 Scarf / hat
01 02 03 04 05
53 31314 Belt
54 31315 Socks
55 31316 Yarn / Button / Zipper
56 31317 Lace / Lace
57 31319 Others
3141 Tailoring, repair and cleaning
58 31411 Tailor's cost (sewing charges)
59 31412 Blending / laundry costs
60 31413 Cost of ironing (excluding bleaching)
3211 Footwear for Men/Boys
62 32111 Leather / artificial leather shoes
63 32112 Leather / artificial leather sandals
64 32113 Plastic / rubber shoes
65 32114 Plastic / rubber sandals
66 32115 Sponge sandals / slippers
3212 Footwear for Women/Girls
73 32129 Others
3213 Footwear for Children (0-2 and 3-13 yrs.)
01 02 03 04 05
3221 Shoe Polish/repair etc.
80 32211 Shoe polish
81 32212 Shoe repair
4111 Actual housing rent paid by tenant (ex. Utility bill)
83 41111 House rent
Imputed rent for the owner occupied household (ex. Utility
4211 bill)
84 42111 House rent
4311 Commodities for Repair and Maintenance of house
85 43111 Paint / varnish
86 43112 Lime
87 43113 Corrugated
88 43114 His or Guna
89 43115 Brick
90 43116 Cement
91 43117 Wood
92 43118 Bamboo
93 43119 Screw / nut-bolt
94 431110 The star / nail
95 31319 Others
4321 Wages paid for repair and maintenance
96 43211 Raj Mistry
97 43212 Carpenter
98 43213 Painter
99 43214 Electrician
100 43215 Associate workers
101 43219 Others
5111 Furniture and fixtures for the household
102 51111 Readymade Beds (Wood / Iron / Steel etc.
103 51112 Outpost
01 02 03 04 05
104 51113 Cabinets (wood / iron / steel / processed wood etc.)
105 51114 Wardrobe (wood / steel / processed wood)
106 51115 Bookshelf
107 51116 Showcase
108 51117 Table (T-table / reading table / computer/dressing table)
109 51118 Chair
110 51119 Sofa set
111 511110 Hurricane
112 511111 Chimney (Hurricane)
113 511199 Other (eg: trunk)
5121 Carpet and other floor covering
114 51211 Carpet / Linoleum
115 51212 Others
5131 Repair of Furniture and fixtures
116 51311 Furniture repair / polish
5211 Textile Accessories used by household
117 52111 Bed sheets / covers
118 52112 Coat / blanket / kantha
119 52113 Mattress
120 52114 Mattress
121 52115 Pillows / cushions
122 52116 Pillow / cushion cover
123 52117 Mosquito nets
124 52118 The screen
125 52119 Table cover
5311 Main equipment used by household (electric or general)
127 53111 Refrigerator (fridge / deep freezer)
128 53112 Washing machine
129 53113 Oven / Microwave oven
130 53114 Pressure cooker / Rice cooker
01 02 03 04 05
131 53115 Air conditioner
132 53116 Heater
133 53117 Vacuum cleaner (sweeping machine)
134 53118 Floor Cleaner
135 53119 Stove (kerosene stove)
136 531110 Electric kettle
137 531111 Stove (gas)
138 531112 Electric (stove)
139 531113 Sewing machine
5321 Small equipment/accessories used by household
141 53211 Gas stove
142 53212 Blender machine
143 53213 Coffee maker
144 53214 Ironing
145 53215 Electric fan
146 53216 Hotpot
147 53217 Toaster
148 53218 Kettle
5331 Repair of equipment used by household
150 53311 Repair of home appliances
5411 Commodities of Glass/melamine/ceramics etc. and toilet decoration
151 54111 Plates
152 54112 Cup / saucer
153 54113 Glass / mug
5412 Cutleries, flatware and silverware
155 54121 Spoon (spoon / chopped spoon / table spo
156 54122 Knife / Da / Boti
01 02 03 04 05
157 54129 Others
5413 Non-electric commodities/accessories used in kitchen
158 54131 Bucket
159 54132 Jug
160 54133 Pressure cooker
161 54134 Frying Pan (Sticky / Non-Sticky)
162 54135 Pot (for storing kitchen / various items
163 54139 Others (such as garbage cans, towel rail
5511 Big equipment driven by motor
164 55111 Electric drill machine
165 55112 Water pump
166 55113 Tractors (all kinds)
167 55114 Repair (electric drill machine / water p
168 55119 Others (electric saw, hedge cutter etc.)
5521 Hand driven small equipment
169 55211 Saw / hammer / screwdriver / wrench / shield/plus etc.)
170 55212 Garden tools (wheelbarrows, water cans,
171 55213 Ladder
172 55214 Door fittings (hinges / handles / locks
173 55215 Electrical socket / switch / wire cover
174 55216 Electric Lamp (Tube / LED / Energy / Gen
175 55217 Electric battery
176 55219 Others (e.g., torch light / bell / calling bell etc.)
6131 Therapy accessories and equipment
177 61311 Spectacles
178 61312 Hearing aid
179 61313 Surgical belt
180 61314 Glass eye
181 61315 Cratch
182 61316 Blood pressure machine
01 02 03 04 05
183 61317 Wheelchair
184 61318 Medical massage materials
185 61319 Prosthetics (eg: Prosthetic Devices, Dentures etc.)
186 613110 Special Bed (Medical Bed)
187 613119 Others (eg: Neck Brace, Medicated Shoes)
6211 Health services
188 62111 Doctor's Fee (General)
189 62112 Doctor Fee (Specialist)
190 62113 Homeo Doctor Fee
6221 Dental treatment and services
Dental treatment (all costs except doctor's fees and cost of
192 62211 teeth)
6231 Paramedical services
193 62311 Health examination fee (X-ray, blood, urine etc.)
194 62312 Covid-19 test (RT-PCR, Antigen test etc.)
195 62313 Ambulance service
196 62314 Therapist fees
197 62315 Home nurse / midwifery service fee
198 62319 Other (Kabiraj / Ayurvedic Doctor Fee)
6311 Hospital Services
Expenses for hospitalization and treatments(excluding
199 63111 medicine)
200 63112 Medicine (hospitalization)
Section 9 Part D2: Annual expenses of non-food items/ services
01 02 03 Q4. Q5.
Serial of COICOP CODE Name of goods & service items Number/quantity of commodities Value of commodities received by
goods received by cash/credit/wage/gift for cash/credit/wage/ gift for the last 12
services the last 12 months months
1 2 3 4 5
7111 Motor Vehicle
1 71111 Private cars / jeeps / microbuses / van
7121 Motorcycle
2 71211 Motorcycle
3 71212 Scooter
4 71213 Powered Bicycle
7131 Bicycle
5 71311 Bicycles
6 71312 Tricycle (rickshaw)
7 71313 Rickshaw for private use
7141 Humen driven Vehicle
8 71411 Cow / horse / buffalo cart
7211 Spare parts and allied accessories
9 72111 Tires / tubes
10 72112 Other parts
7231 Maintenance and repair of personal transport equipment
11 72311 Car servicing (motor vehicle)
12 72312 Motorcycle servicing
13 72313 Bicycle servicing
7241 Other Services for personal transport
14 72411 Garage rent
15 72412 Toll fee
16 72419 Others (e.g. Driving Learning / Exam /
7331 Passenger Air Transportation
17 73311 For airfare / helicopter rental
7341 Passenger transportation by Ocen going and inland water
18 73411 Ship rent
19 73412 Launch / ferry fare
01 02 03 Q4. Q5.
20 73413 Boat / Speedboat Rental
8101 Postal and communication services
21 81011 Postal service
22 81012 Courier service
8201 Telephone and telex equipment
23 82011 Mobile phone purchase
24 82012 Telephone / telex purchase
25 82013 Mobile / Telephone / Telex Repair / Equ
9111 Equipment for recording/reproduction of sound & picture
26 91111 Television set
27 91112 Speaker / sound system
28 91113 Others (e.g. headphones / microphones,
9121 Photography and Cinema related equipment
29 91211 Still Camera
30 91212 Handycam / Camcorder
31 91213 Video Camera
32 91214 Movie Camera
33 91215 Projector
34 91216 Binoculars / Telescope / Compass
9131 Data Processing Equipment
35 91311 Laptop computer
36 91312 Desktop computer
37 91313 Tablet PC
38 91314 Printer
39 91315 Calculator
40 91319 Others (eg. software package / operating system etc.)
9141 Recording Media
41 91411 CD / recording cassette
42 91413 Flash / pen drive
9221 Music Equipment
43 92211 Harmonium / Piano / Guitar / Flute etc.
01 02 03 Q4. Q5.
44 92212 Other (eg: Billiard / Table Tennis Boar
9231 Repairing of instruments related to entertainment & culture
45 92311 Expenditure on repair of equipment used
9311 Sports , Games and Hobbies
46 93111 Card games / parlor games / chess sets
47 93112 All kinds of dolls and toys
48 93119 Others (eg: stamp / coin collection etc
9321 Games and open space entertainment related instruments
49 93211 Racket / Net / Shuttlecock
50 93212 Ball and bat
51 93213 Gymnastics / physical education and spo
52 93214 Fishing rods and other fishing equipment
9331 Gardening, plantation and flowers
53 93311 Natural flowers
54 93312 Natural trees (garden / ornamental)
55 93313 Artificial flowers and plants (ornament
56 93319 Others (e.g. seeds / fertilizer / tub /
9411 Services related to entertainment and sports
57 94111 Entertainment center, field / stadium e
58 94112 The cost of learning music, dance, reci
59 94119 Others (eg: Rental of such materials)
9421 Expenditures on watching Cinema/Theatre/Music
60 94211 Cinema / Theater / Concert
61 94212 Entrance fee for historical places / na
62 94213 DIS Antenna / Cable Membership / Netfli
63 94214 Photography (eg: wedding / ceremony, in
64 94219 Others (eg: artist hire at weddings / e
9511 Books
65 95111 Books (text books)
66 95112 Books (Guide / Job Book)
67 95119 Other books (maps, dictionaries, music
01 02 03 Q4. Q5.
9541 Stationaries and drawing/painting accessories
68 95411 Notebook (diary)
69 95412 Water Color / Crayon
70 95413 Ballpen
71 95414 Color pencil
72 95415 Paper
73 95416 Pencil
74 95417 Slate
75 95419 Others (e.g.: eraser, sharpener, paper
9601 Holiday Package
76 96011 Package Vacation / Travel Expenses (Tra
77 96012 Cost of Hajj / Pilgrimage
78 96013 Cost of performing Umrah
10101 Pre-primary and Primary education/equivalent
79 101011 Government Pre-Primary Education and Pr
80 101012 Private Pre-Primary Education and Prima
10201 Junior and secondary education/equivalent
81 102011 Government Lower Secondary Education /
82 102012 Private Lower Secondary Education / Equivalent
83 102013 Government Secondary Education / Equivalent
84 102014 Private Secondary Education / Equivalent
10301 Post Secondary/Higher Secondary
85 103011 Government Higher Secondary Education /Eq
86 103012 Private Higher Secondary Education / Eq
10401 Tertiary education
87 104011 Government (Undergraduate, Postgraduate
88 104112 Private (undergraduate, postgraduate an
10511 Education not classified elsewhere
89 105111 Expenses for taking special training (eg. Vocational/trade)
11211 Accommodation services
90 112111 Student dormitory rent
01 02 03 Q4. Q5.
91 112112 Hotel / Motel Rent (Residential)
92 112113 Boarding house rent
93 112119 Others (tips, porter costs, etc.)
12311 Jewellery , clocks and hand watches
94 123111 Gold
95 123112 Diamond
96 123113 Citigold content
97 123114 Watch
98 123115 Wall clock
99 123116 Silver
100 123117 The cost of repairing jewelry, watches
101 123119 Others (e.g. Tiepin, coat pin etc.)
12321 Bags related to travelling and other purposes
102 123211 Vanity bag
103 123212 Handbags
104 123213 Money bag / wallet
105 123214 Suitcase / Luggage / Travel Bag
106 123215 Trunck
12322 Accessories for Children
107 123221 Children's Trolley / Carriages
12323 Commodities related to smoking
108 123231 Lighter
01 02 03 Q4. Q5.
109 123232 Pipe
110 123233 Cigarette case, Astray
12324 Other accessories for personal use
111 123241 Sunglasses
112 123242 Umbrella
113 123243 Hand Walking Stick
114 123244 Expenses for repair of described items
115 123249 Others (e.g. coffin, gravestone, etc.)
12411 Social Protection
116 124111 Daycare
117 124112 Elderly Home
118 124119 Others (Ex: Rehabilitation Center for D
12511 Life Insurance
119 125111 Life insurance
12531 Health Insurance
120 125311 Health insurance
12541 Vehicle Insurance
121 125411 Vehicle insurance
12621 Financial Services (not classified else where)
122 126211 Bank charges (fees)
123 126212 Mobile banking charges
12711 Other Services (not elsewhere classified)
124 127111 The cost of the lawyer
125 127112 Advocacy court fees
126 127113 Advocacy registration fee
127 127114 Car registration fee
128 127115 Photocopy
129 127119 Others (e.g., birth, death, marriage, f
99111 Income tax
130 991111 Money / gifts sent for individual residing separately
01 02 03 Q4. Q5.
131 991112 Income tax
132 991113 Interest payable
133 991114 Paying Zakat
134 991115 Fitra
135 991116 Donation / Charity / Salami / Bakhshish
136 991117 Religious ceremonies (Milad / Kirtan et
137 991118 Cost of purchase / slaughter / processing of animal
138 991119 Expenses related to marriage / wedding
139 9911110 Birth related costs
140 9911111 Kulkhani / Shraddha
Section 9: Consumed goods Part E-Description of Durable goods used in household
Which of the items mentioned bellow are in your household?
3. How much money you will 4. Expenses incurred if

2. How many goods in your
Code Description of commodities 1. If Yes “1” and No “2” receive if you want to sell it purchased in the last 12
household
now months,
1 2 3 4 5 6
1001 Bedstead/ Khat
1002 Almirah (Wood/Steel)/File Cabinet
1003 Dressing Table
1004 Wardrobe
1005 Dining Table and Chair
1006 Showcase
1007 Reading Table
1008 Tea Trolly/Table
1009 TV Trolly/Table
1010 Sofa Set /Divan
1011 Dress Stand
1012 Easy/Rocking Chair
1013 Carpet
1014 Shoe Rack
1015 Meat Safe
1016 TV set
1017 Desktop Computer
1018 Laptop Computer
1019 Mobile Handset (Smart Phone)
1020 Mobile Handset (Feature/Button Phone)
1021 Wrist Watch/Wall Clock
1022 TV Card
1023 WiFi router
1024 Solar Panel
1025 Fan (Seiling/Table)
1026 Microwave/ Electric Oven
1027 Refrigerator/Friedger
1028 Air Conditioner/ Cooler (AC)
3. How much money you will 4. Expenses incurred if
2. How many goods in your
Code Description of commodities 1. If Yes “1” and No “2” receive if you want to sell it purchased in the last 12
household
now months,
1029 Washing Machine
1030 Camera/ Camcorder
1031 Bicycle
1032 Rikshaw/Auto-Rikshaw/Easy bike
1033 Motorcycle/Scooter
1034 Motor Car
1035 Pressure Lamp
1036 Sewing Mahine
1037 Kitchen Stuff/Cutlery
1038 Crockeries
1039 Water Filter/Water Purifier
1040 Geyser
1041 Tube well (for drinking water)
1042 Water Pump/Motor
1043 Boat/Engine Boat
Section 10: Food Security:
Now I would like to ask you some questions about food. During the last 12 MONTHS, was there a time when?
10.1 You were worried you would not have enough food to eat because of a lack of money or other resources 1-Yes 2-No 8- Don’t Know 9-No response
10.2 Still thinking about the last 12 MONTHS, was there a time when you were unable to eat healthy and nutritious food
1-Yes 2-No 8- Don’t Know 9-No response
because of a lack of money or other resources
10.3 You ate only a few kinds of foods because of a lack of money or other resources 1-Yes 2-No 8- Don’t Know 9-No response
10.4 You had to skip a meal because there was not enough money or other resources to get food 1-Yes 2-No 8- Don’t Know 9-No response
10.5 Still thinking about the last 12 MONTHS, was there a time when you ate less than you thought you should because of a
lack of money or other resources
10.6 Your household ran out of food because of a lack of money or other resources 1-Yes 2-No 8- Don’t Know 9-No response
10.7 You were hungry but did not eat because there was not enough money or other resources for food 1-Yes 2-No 8- Don’t Know 9-No response
10.8 During the last 12 MONTHS, was there a time when you went without eating for a whole day because of a lack of money
or other resources

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HOUSEHOLD INCOME AND EXPENDITURE

Household Income and Expenditure Survey (HIES) 2020-21 Project

AREA CODE NAME

Total members of the Household

ID Code Name of the HH members Sex Age

1 No difficulty 1 No difficulty 1 No difficulty 1 No difficulty

assistance Included in from this 1 2 3 in-kind?

CODE 1 1st 2nd

CODE 1: SOCIAL SECURITY Programme code CODE 2: In-Kind good code

ID CODE as in Roster (MID)

02 Class 2 11 HSC/equivalent 2 College

schooling schooling schooling

age is over >>Q5 months? without pay?

EXPENDITURE DURING THE PAST 12 MONTHS FOR EDUCATION

WRITE THE EXPENSES IN TAKA

04 Respiratory 12 Kidney 04 Pain 17 Pregnancy related problems 3 Distance is too long

06 Blood 20 Paralysis 04 Govt medical college 06 Sold permanent assets

do this days hours engaged in?

Activities: Service/Wage employment/ All activity per per

deduction at over the past

CODE 1 2 3 CODE CODE KG TAKA 9 Other (specify) TAKA TAKA TAKA

FROM ROSTER house firm relatives/

04 Lack of required no. of expertise much

Part A Housing (continued) If source of drinking water is other than 5 Q13

22. Is there a fan in this stove?

Part A Housing (continued)

36. Do you regularly throw household waste in the dustbin?

Goat 202 Poultry 212

Sheep 203 Mutton, sheep 213

Buffalo 204 Milk 214

Chicken 205 Eggs 215

Duck 206 Animal skins 216

Pigeon 207 Cow dung 217

Other domestic Birds 208 Other 218

Other (specify) 209 Total value 220

FISH FARMING AND FISH CAPTURE FARM FORESTRY

Fish farm 221 Bamboo 231

Fish Hatchery 222 Timber trees 232

Marine fishing 223 Fruit trees 233

Canal/river fishing 224 Firewood trees 234

Swampland/marsh/fen fishing 225 Honey 235

Pond/sink fishing 226 Sapling/seedling sale 236

Dry fish 228 Flower /fruit seed sale 238

Total value 230 Other, specify 239

Total value 240

Items of expenditure Code Code Kg Taka

Seed (forest seedling) 302

Fertilizer (chemical) 303

Fertilizer (composed/mixed) 304

Food of livestock/ draft animal 305

Tractor/ tiller/ power tiller (rental) 306

Irrigation expenses 307

Land revenue (agricultural land) 309

Rent (agricultural land) 311

Carrying cost of goods and transportation expenses (agricultural goods) 312

Salary/wages of laborer employed in agriculture 313

Insurance expenses (agriculture related) 314

Interest of the Agriculture loan 315

Electricity and fuel cost 316

Bees culture expenses 317