n q q q
n 0 1 2 3 4 5 6 7 8 9
n 0 1 2 3 4 5 6 7 8 9
n 0 1 2 3 4 5 6 7 8 9
n 1
n 2
n 0 0 0 0 0 0 0 0 0 0 A 0 0 0 0 0 0 1
n 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2
n 2 2 2 2 2 2 2 2 P 1 2 2 2 2 2 2
n 3 3 3 3 3 3 3 3 2 3 3 3 3 3 3
n 4 4 4 4 4 4 4 4 4 4 4 4 4
n 5 5 5 5 5 5 5 5 5 5 5 5 5
n 6 6 6 6 6 6 6 6 6 6 6 6
n 7 7 7 7 7 7 7 7 7 7 7 7
n 8 8 8 8 8 8 1 8 8 8 8 8 8
n 9 9 9 9 9 9 2 9 9 9 9 9 9
n 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
n 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
n 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
n 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
n 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4
n 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
n 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6
n 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
n 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8
n 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
DAY MONTH YEAR HOURS MIN
AM
PM MaleFemale
YesNo
MonthsYears
MaleFemale
A.4 COUNTY NAME
A.5 PARISH NAME
A.6 ENTER TODAY'S DATE A.7 ENTER TIME NOW
REPUBLIC OF UGANDA
A.18 Reference Number
Deepa Narayan, PREM, World Bank, 1998: Page 1 of 10
INTRODUCTION: We are from ___________ and are talking to people all over the city to learn about their daily livesand their communities/neighborhoods.. The answers you give us will be kept confidential and used only to paint apicture of the city as a whole. We are particularly interested in your relationship with other people and groups in yourcommunities/neighborhoods, with NGOs -- that is non-governmental organizations -- and with government officials.
A.14 STRATUM A.17 RC1
A.8 Is therespondent thehead of household?
A.16 E.A
A.11 Age ofRespondent(in years)?
A.9 Sex ofRespondent?
A.2 Enumerator's ID number
A.15 URBANCENTER
CONFIDENTIAL
A - GENERAL INFORMATION
A.13 How long hasrespondent lived inthis area/communnity?
SUPERVISOR VERIFICATION:* STEP 1: BUBBLE IN ALL THE ANSWERS. VERIFY THERE IS ONLY ONE ANSWER PER QUESTION, UNLESS OTHERWISESPECIFIED.* STEP 2: EXAMINE ALL NUMBER GRIDS AND MAKE SURE THE NUMBERS BUBBLED IN MATCH THE NUMBERS WRITTENIN THE BOX ABOVE EACH GRID.* STEP 3: MAKE SURE THAT REGION, DISTRICT, ENUMERATION AREA AND HOUSEHOLD NUMBERS ARE CORRECT.* STEP 4: VERIFY THAT THE CORRECT REFERENCE NUMBER HAS BEEN ENTERED ON TOP OF EACH ODD NUMBEREDPAGE OF ALL QUESTIONNAIRES.
A.18 SAMPLE A.19 HOUSEHOLD
A.12 Age of Headof Household (inyears)?
A.10 Sex ofhead ofHousehold?
A.1 ENUMERATOR'S NAME
A.3 RESPONDENT'S NAME
!!! IMPORTANT!!!
Create a unique reference number above, by combining stratum, urban center, ea, RC1 and household number. Write this number NOW on top of all odd numbered pages, including this one.
GLOBAL SOCIAL CAPITAL SURVEY
f q q q
f 1 0 1 2 3 4 5 6 7 8 9 2
f 0 1 2 3 4 5 6 7 8 9
f
f
f 1 0 1 2 3 4 5 6 7 8 9 2
f 0 1 2 3 4 5 6 7 8 9
f
f
f 1 0 1 2 3 4 5 6 7 8 9 2
f 0 1 2 3 4 5 6 7 8 9
f
f
f 1 0 1 2 3 4 5 6 7 8 9 2
f 0 1 2 3 4 5 6 7 8 9
f
f
f 1 0 1 2 3 4 5 6 7 8 9 2
f 0 1 2 3 4 5 6 7 8 9
f
f
f 1 0 1 2 3 4 5 6 7 8 9 2
f 0 1 2 3 4 5 6 7 8 9
f
f
f 1 0 1 2 3 4 5 6 7 8 9 2
f 0 1 2 3 4 5 6 7 8 9
f
f
f 1 0 1 2 3 4 5 6 7 8 9 2
f 0 1 2 3 4 5 6 7 8 9
f
f
f 1 0 1 2 3 4 5 6 7 8 9 2
f 0 1 2 3 4 5 6 7 8 9
f
f
f 1 0 1 2 3 4 5 6 7 8 9 2
f 0 1 2 3 4 5 6 7 8 9
f
f
f 1 0 1 2 3 4 5 6 7 8 9 2
f 0 1 2 3 4 5 6 7 8 9
f
f
f 1 0 1 2 3 4 5 6 7 8 9 2
f 0 1 2 3 4 5 6 7 8 9
f
f
f 1 0 1 2 3 4 5 6 7 8 9 2
f 0 1 2 3 4 5 6 7 8 9
f
f
f 1 0 1 2 3 4 5 6 7 8 9 2
f 0 1 2 3 4 5 6 7 8 9
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
1. I'd like to start by asking you about the groups or organizations, networks, associations, both formal andinformal. These could be groups such as religious groups, sports teams or just groups of people who get togetherREGULARLY to do an activity or talk. As I read the following list of groups please tell me if you belong to this kindof group -- And how many such groups do you belong to?
Page 2 of 10
How Many?a. Religious or spiritual group [such as a church,mosque, temple, informal religious group,religious study group]
b. Cultural, social, emotional/support group[such as arts, music, theater, festivals, film,solidarity group, identity group, burial society,self-help, emotional support, youth, elderly]
c. Sports groups [such as football, soccer,cricket]
d. Basic services groups [such as health,education, nutrition, infrastructure, roads, water,sanitation, literacy groups, study groups]
e. Ethnic based groups [such as caste, tribe,indigenous, community organizations]
f. Community organizations, neighborhoodcommittees
g. Finance, credit, savings groups
h. Production group [such as cooperatives,farmers, fishermen, vendors groups]
i. Unions, labor unions, trade unions
j. Political party
k. Professional association [such asdoctors, lawyers, teachers, veteransassociations]
l. Business, manufacturingassociations
m. Social movement, protest movement
n. Any other groups?
[SPECIFY: _________________________]
PART B: GROUPS AND NETWORKS
n q q q
n 1
n A A A 2
n 3
n B B B 4
n 5
n C C C
n
n D D D
n
n E E E
n 1
n F F F 2
n 3
n G G G 4
n 5
n H H H
n
n I I I
n
n J J J
n
n K K K
n Y Y Y
n L L L N N N
n
n M M M Y Y Y
n N N N
n N N N
n Y Y Y
n N N N
n Y Y Y
n N N N
n Y Y Y
n N N N
n Y Y Y
n N N N
n 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
n 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
n 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
n 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
n 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4
n 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
n 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6
n 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 1 1 1
n 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8
n 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 2 2 2
n
n 3 3 3
n
n 4 4 4
n 0 0 0 0 0 0
n 1 1 1 1 1 1 5 5 5
n 2 2 2 2 2 2
n 3 3 3 3 3 3 6 6 6
n 4 4 4 4 4 4
n 5 5 5 5 5 5 7 7 7
n 6 6 6 6 6 6
n 7 7 7 7 7 7 8 8 8
n 8 8 8 8 8 8
n 9 9 9 9 9 9
Religious or spiritual group
Cultural, social,emotionalsupport group
Sports group
Basic services group
Ethnic based group
Community organization,neighborhood committee
Finance, credit,savings group
Production group
Union, labor union,trade union
Political party
Professional association
Business, manufacturingassociation
Social movement,protest movement
Other group? [SPECIFY:__________]
Funded by the government
Funded by businesses
Funded by politicians
Funded by NGOs
Funded by its members through membership dues
Funded by its members through contributions from members
Not funded, just participated in?
Other [SPECIFY:_________ ]
Mostly the same neighborhood/village/community
Mostly the same family or kin group
Mostly the same tribe/caste/ethnic/linguistic group
Mostly the samereligion
Mostly the same educational background and income level
Mostly the samegender
To a very small extentTo a small extent
Neither small or large extentTo a large extent
To a very large extent
To a very small extentTo a small extent
Neither small or large extentTo a large extent
To a very large extent
2. Of these groups that you belong to, which is theMOST important in your life? What is the SECONDmost important? What is the THIRD most important?
ACCEPT UP TO THREE RESPONSES. PROBE TWICE.
First mostimportant(Check ONE)
Second mostimportant(Check ONE)
Third mostimportant(Check ONE)
Page 3 of 10
I have a few questions about the groups you mentioned. Letus start with the most important group which is _________
Group 1
________
Group 2
________
Group 3
________
3. On average, how much money, if any, do youcontribute to this group in a month?
4. On average, how often do you participate in thisgroup's activities in a month?
5. To what extent do you participate in thisgroup's decision making?
Group 1 Group 2 Group 3
6. To what extent has your neighborhood/communitybenefited from the activities of this group?
8. How is the group/organization funded?
IF NO ANSWER, SAY Would you say it is MOSTLY . . .READ ENTIRELIST. ACCEPT MORE THAN ONE ANSWER BUT DO NOT PROBE
7. Thinking about the members of this group, would yousay MOST of them are from the same . . .
------------------ GO BACK TO NEXT GROUP IN QUESTION 3 ----------------------
ReferenceNumber
INTERVIEWER, SHOW CARD
INTERVIEWER, SHOW CARD
f q q q
f 1
f 2
f 3
f 4
f X
f A A A
f 1
f B B B 2
f 3
f C C C 4
f
f D D D
f
f E E E
f 1
f F F F 2
f 3
f G G G 4
f
f H H H
f
f I I I
f
f J J J 1
f 2
f K K K 3
f 4
f X
f A A A
f 1
f B B B 2
f 3
f C C C 4
f 5
f D D D
f
f E E E
f
f F F F
f
f G G G
f 1
f H H H 2
f 3
f I I I 4
f 5
f J J J
f 1 1
f 2 2
f 3 3
f 4 4
f 5 5
Very unhappyUnhappy
Neither unhappy nor happyHappy
Very happy
Try to be helpful
Are just looking out for themselves
Most people can be trusted
You can't be too careful
Would take advantage of youLabel 2Label 3
Would try to be fair
No impactSmall impact
Moderate impactBig impact
Not getting along at allNot getting along very well
So-soGetting along quite wellGetting along very well
Not close at allNot very close
So-soSomewhat close
Very close
Very DissatistiedSomewhat Dissatisfied
So-soSomewhat Satisfied
Very Satisfied
No strong leaders
No sense of community
People are too busy
Conflict between differentgroups in village/neighborhood
People care only about themselvesand their households/selfish
There is no government support for groups/no government connections
There are no NGOs or peoplehelping out
Too physically remote, isolated
Politics/politicians
Lack of resources
N/ANo Inactive groups
Strong leaders
A strong sense of community, community unity
Politics/politicians
Facilitators/field workers/community organizers
NGOs
Government support/connections
Lack of government services
Need to protect ourselves/be safe
Desire get ahead economically
To make life better
OTHER (Specify)_____________
N/ANo Active groups
PART C: SUBJECTIVE WELL BEING
11. Taking all things together, would you say you are
12. Would you say that most of the time people try to behelpful, or that they are just looking out for themselves?
13. Generally speaking, would you say that mostpeople can be trusted or that you can't be too carefulin dealing with people?
14. Do you think most people would try to take advantageof you if they got the chance, or would they try to be fair?
15. Overall, how much impact do you think people likeyou can have in making your neighborhood / communitya better place to live - a big impact, moderate, a smallimpact or no impact at all?
16. How well do people in your community/ village/neighborhood get along these days? Using this 5 pointscale where 1 means getting along very well and 5means not getting along at all, how well are people inyour community / village / neighborhood getting along?
17. How would you rate the togetherness or feeling ofbelonging in your neighborhood/ village/ community?Again use this 5 point scale where 1 means people feelvery close to each other and 5 means people do notfeel close at all.
INTERVIEWER,SHOW CARD
Page 4 of 10
18. All things considered, how satisfied are you withyour life as a whole these days? Using the 5 pointscale on this card where 1 means completely satisfiedwith your life, and 5 means completely dissatisfied,where would you place yourself?
10. What do you think is the MOST important reasongroups/associations are NOT as active in your area . . . Whatdo you think are the SECOND and THIRD biggest reasons?
INTERVIEWER,SHOW CARD
Firstreason
Secondreason
Thirdreason
INTERVIEWER,SHOW CARD
9. There are a number of reasons why these kinds ofgroups are active in some areas and not in others. Whatdo you think is the MOST important reason these groupsare active in your area . . What do you think are theSECOND and THIRD biggest reasons?
INTERVIEWER, ACCEPT UP TO THREE RESPONSES.
INTERVIEWER,SHOW CARD
INTERVIEWER,SHOW CARD
INTERVIEWER,SHOW CARD
INTERVIEWER,SHOW CARD
n q q q
n 1
n 2
n 3
n 4
n 5
n 1 2 3 4 5
n 1
n 2
n 3
n 4
n 5
n 1 2 3 4 5
n 1
n 2 1 2 3 4 5
n 3
n 4 1 2 3 4 5
n 5
n 1
n 2
n 3
n 4
n 5
n A A A
n B B B
n C C C
n D D D
n E E E
n F F F
n 1
n 2 G G G
n 3 H H H
n 4 I I I
n 5 J J J
n K K K
n L L L
n M M M
n N N N
n 1 2 3 4 5 O O O
n P P P
n Q Q Q
n R R R
n S S S
n T T T
n U U U
n V V V
n 1 2 3 4 5 W W W
Unemployment/ No jobsPovertyInflation
Lack of credit/financeTaxes
Lack of land /Poor quality of land
Illness/ EpidemicLack of health care
Drinking waterSanitation/ Waste disposal
HousingRoads and bridges
Transportations systemsCorruption
Political instabilityPoliticians
Crime/theftViolence/security/safety
EducationDomestic violence
Social isolationFighting between groups
Drunkenness/drug abuse
Family, relatives,friends, neighbors
Moneylender, Informal Credit,Groups, associationsGovernment, Bank,
other formal credit
Not confident at allNot confident
Neither confident nor not confidentConfident
Very confident
Very littlesupport
Little support
So-so Some support
A lot ofsupport
Muchlessconfident
Lessconfident
Same More confident
Muchmoreconfident
Very insecureSomewhat insecure
AverageSomewhat secure
Very secure
Totally powerlessSomewhat powerless
So-soSomewhat powerful
Very powerful
Much worse offSomewhat worse off
About the sameSomewhat better off
Much better off
Very PoorSomewhat Poor
In the middleSomewhat Rich
Very Rich
Very DissatistiedSomewhat Dissatisfied
So-soSomewhat Satisfied
Very Satisfied
Very littlesupport
Little support
So-so Some support
A lot ofsupport
28. People have different opinions about the mostimportant problems that need to be fixed to make lifebetter. In your opinion what is the BIGGEST problemfacing you? What is the SECOND biggest problem?What is the THIRD biggest problem?
INTERViEWER, ACCEPT UP TO THREE RESPONSES.PROBE TWICE. ALSO PROBE FOR CLARITY.
First Choice(check ONE)
Second Choice(check ONE)
Third Choice(check ONE)ECONOMIC
HEALTH
INFRASTRUCTURE
POLITICAL
SECURITY
SOCIAL
Page 5 of 10
27. Sometimes, people have great financial difficulty,because of ill health, a death or loss of a job. Using a5 point scale, how confident are you that you can turnto these different groups help?
26. On a scale of 1 to 5, where 1 is very little support and5 is a lot of support, how would you rate the support youare getting from parents, children or other relatives, eitherliving with you or living elsewhere?
INTERVIEWER,SHOW CARD
24. Using a 5 point scale, how confident would you say youare that your household would be okay in a crisis comparedto 5 years ago?
23. Some people live hand to mouth and others have extraresources to protect them. If there is a crisis, such as poorcrops, the loss of a job, or ill health, some people quicklybecome destitute while others remain secure. How wouldyou rate your household's ability to survive such crisis, on a 5point scale, where 1 means being very insecure and 5 meansbeing very secure?
22. Again using a 5 point scale where 1 means totallypowerless, and 5 means having a lot of rights and power andbeing able to change your life a lot, that is having no rightsand not being able to change your life at all, where would youput yourself?
INTERVIEWER,SHOW CARD
INTERVIEWER,SHOW CARD
INTERVIEWER, SHOW CARD
INTERVIEWER,SHOW CARD
INTERVIEWER, SHOW CARD
21. Thinking about the future, overall do you think that youand your household will be much worse off than today,somewhat worse off, about the same, somewhat better off,or much better off?
20. Still using a 5 point scale where 1 means very poor and 5means very rich, where would you put your household?
19. And using the same 5 point scale where 1 meanscompletely dissatisfied, and 5 means completely satisfied,how satisfied are you with your household's financial situation?
25. On a scale of 1 to 5, where 1 is very little support and 5 isa lot of support, how would you rate the support you aregiving to parents, children or other relatives, either living withyou or living elsewhere?
INTERVIEWER,SHOW CARD
INTERVIEWER,SHOW CARD
INTERVIEWER,SHOW CARD
f q q q
f 0 1 2 3 4 5 6 7 8 9
f 0 1 2 3 4 5 6 7 8 9 0 0 1
f 1 1
f 0 1 2 3 4 5 6 7 8 9 2 2 2
f 0 1 2 3 4 5 6 7 8 9 3 3
f 4 4 3
f 0 1 2 3 4 5 6 7 8 9 5 5
f 0 1 2 3 4 5 6 7 8 9 6 6
f 7 7
f 8 8
f 9 9
f 1 2 3
f 1 2 3
f 0 0 1
f 1 1
f 2 2 2
f 3 3
f 1 2 3 4 4 3
f 5 5
f 6 6
f 7 7
f 8 8
f 9 9
f 0 0 1
f 1 1
f 0 0 1 2 2 2
f 1 1 3 3
f 2 2 2 4 4 3
f 3 3 5 5
f 4 4 3 6 6
f 5 5 7 7
f 6 6 8 8
f 7 7 9 9
f 8 8
f 9 9
f 1
f 2
f 3
f 4
f 0 0 1 5
f 1 1
f 2 2 2
f 3 3
f 4 4 3
f 5 5
f 6 6 1
f 7 7 2
f 8 8 3
f 9 9 4
f 5
Very unilkelyUnlikely
Neither unlikely nor likelyLikely
Very likelyFamily members or relatives,
Friends from the same caste/religion/ethnic/education/wealth/gender group
Friends from DIFFERENT caste/religion/ethnic/education/wealth/gender group
Family members or relatives,
Friends from the same caste/religion/ethnic/education/wealth/gender group
Friends from DIFFERENT caste/religion/ethnic/education/wealth/gender group
Family members or relatives,
Friends from the same caste/religion/ethnic/education/wealth/gender group
Friends from DIFFERENT caste/religion/ethnic/education/wealth/gender group
Family members or relatives,
Friends from the same caste/religion/ethnic/education/wealth/gender group
Friends from DIFFERENT caste/religion/ethnic/education/wealth/gender group
Family members or relatives,
Friends from the same caste/religion/ethnic/education/wealth/gender group
Friends from DIFFERENT caste/religion/ethnic/education/wealth/gender group
Very unilkelyUnlikely
Neither unlikely nor likelyLikely
Very likely
Attended a town meeting,public hearing or public affairs discussion group
Met, called or sent a letter to any local politician
Joined a protest or demonstration
Yes No Not applicable/No elections/Can't vote
Yes No Not applicable/No elections/Can't vote
Yes No Not applicable/No elections/Can't vote
Page 6 of 10
37 Do you spend time with people outside your householdin other ways, such as doing chores, shopping, talking,drinking or just spending time together?
34a. On average, howoften in a month?
37b. Who are these people?
36b. Who are these people?
35a. On average, howoften in a month?
36. Do you get together with a group of people todo arts, crafts, or other recreational activities ?
38. On a scale of 1 to 5, where 1 is very unlikely and 5 isvery likely, how likely is it would you ask your neighbors totake care of your children for a few hours if you were sick?
35b. Who are these people?
36a. On average, howoften in a month?
35. Do you get together with a usual group of people toplay cards, games, board games?
34b. Who are these people?
PART E : SOCIABILITY, EVERY DAYSOCIAL INTERACTIONS
33. Eating meals with people outside the home?
34. Do people visit you at your home?
33b. Who are these people?33a. On average, howoften in a month?
37a. On average, howoften in a month?
In addition to participating in group activities or associations, peoplealso do so many activities informally with others. How often do you dothe following?
PART D: POLITICAL ENGAGEMENT29. In the past year, how many times, if ever, haveyou done any of the following....
30. Did you vote in the last local government / communityelection?
31. Did you vote in the last state / presidentialelection?
32. Would you vote for a candidate who was not from yourethnic group/religion/ caste/ tribe/ race/ linguistic group?
39. On a scale of 1 to 5, where 1 is very unlikely and 5 isvery likely, how likely is it would you ask your neighbors forhelp if you were sick?
INTERVIEWER,SHOW CARD
INTERVIEWER,SHOW CARD
n q q q
n 1 2
n 0 1 2 3 4 5 6 7 8 9
n 0 1 2 3 4 5 6 7 8 9
n 1 2 3 4 5 9
n
n 1 2 3 4 5 9
n
n 1 2 3 4 5 1 2 3 4 5 9
n
n 1 2 3 4 5 9
n
n 1 2 3 4 5 9
n
n 0 1 2 3 4 5 6 7 8 9 1 2 3 4 5 9
n 0 1 2 3 4 5 6 7 8 9
n 1 2 3 4 5 9
n
n 1 2 3 4 5 9
n 1 2 3 4 5
n 1 2 3 4 5
n 1 2 3
n 1 2 3 4 5 9
n
n 1 2 3 1 2 3 4 5 9
n
n 1 2 3 4 5 9
n
n 1 2 3 4 5 9
n
n ~ 1 1 2 3 4 5 9
n 2
n 3 1 2 3 4 5 9
n 4
n 5 1 2 3 4 5 9
n 6
n 7 1 2 3 4 5 9
n 8
n 1 2 3 4 5 9
n
n 1 2 3 4 5 9
n 1 2
To a very small extentTo a small extent
Neither small nor great extentTo a great extent
To a very great extentN/A - No such group
Local government/municipality officials
Village/County officials
License officials
Traditional authorities
Government medical system, clinics. hospitals
Government schoolteachers
Post office
Police
Judges/Court systemNGO's
People in your family
People in your village/ neighborhood
People from other tribes/castes/race/religion/linguistic or ethnic groups Business owners and traders you
buy things from or do business withVillage/Local Government
Judges/Courts/Police
Government services (Education,health, electricity, water etc.)
Ward/County office
Yes No
PovertyGender
Ethnicity/caste/tribe/raceReligion
EducationAge
Not leader, officialOther SPECIFY_________
N/A(allowed to participate)
Yes No Don't know
Yes No Don't know
Yes No (GO TO Question 43)
VeryNegative
Negative No Impact Positive VeryPositive
StronglyDisagree
Disagree Neither disagreenor agree
Agree StronglyAgree
StronglyDisagree
Disagree Neither disagreenor agree
Agree StronglyAgree
Very incompetent/inefficientSomewhat ncompetent/inefficient
Average/NeitherSomewhat competent/efficient
Very competent/efficientNo contact
Page 7 of 10
51. Our lives are affected by government institutions. I am goingto read a list of institutions. For each please tell me howcompetent and efficient it is: would you say (INSERT) is veryincompetent and inefficient, somewhat incompetent andinefficient, average, somewhat competent and efficient, or verycompetent and efficient?
PART G: RELATIONS WITHTHE GOVERNMENT
50. Now I want to ask you how much you trust different groupsof people. On a scale of 1 to 5, where 1 means to a smallextent and 5 means to a great extent, how much do you feelyou can trust the people in that group?
49. Have you helped someone in the community /neighborhood in the last 6 months ?
INTERVIEWER, DO NOT READ LIST. ACCEPT TWO ANSWERSBUT DO NOT PROBE FOR THEM. PROBE FOR CLARITY
48. Why aren't you allowed to participate?
47. Are there any community level activities inwhich you are not allowed to participate?
46. Do you think MOST people in your community /neighborhood make a fair contribution to community/ neighborhood activities?
Reference Number
PART F: COMMUNITY ACTIVITIES40. Are there any NGOs - that is non-governmentalorganizations - currently in your area?INTERVIEWER, GIVE
LOCAL EXAMPLES
41. About how many NGOs are currentlyactive in this area?
42. On a scale of 1 to 5, where 1 means verynegative and 5 very positive, how would you ratethese NGOs' impact on your neighborhood?
43. On average, how many times per month di youvolunteer in any community activities?
INTERVIEWER, GIVELOCAL EXAMPLES
44. In your community/neighborhood, it is generallyexpected that people will volunteer or help incommunity activities?
45. People who do not volunteer or participate incommunity activities likely to be criticized or fined.
INTERVIEWER, SHOW CARD
I am now going to read some statements. On ascale of 1 to 5, where 1 means strongly disagreeand 5 means strongly agree, tell me how muchyou agree or disagree with each one of them.
f q q q
f 1 2 3 4 5
f 1 2 3 4 5f 1f 2f 3f 4f 5
f 1 2 3 4 5
f 1f 2f 1 2 3 4 5 3f 4f 5
f 1ff 2ff 3ff 4ff 1 2 3 4 5 9 5ff 1 2 3 4 5 9ff 1 2 3 4 5 9ff 1 2 3 4 5 9ff 1 2 3 4 5 9 1f 2f 1 2 3 4 5 9 3ff 1 2 3 4 5 9ff 1 2 3 4 5 9ff 1 2 3 4 5 9ff 1 2 3 4 5 9 1f 2f 3f 4f 5f 9
Very confused who I amSomewhat confused who I am
Neither clear nor unclear who I amSomewhat clear who I am
Very clear who I am
Very ashamedAshamed
Neither proud nor ashamedProud
Very proud
There is no tension and different groups live together peacefully
In the past there was some conflict and tension between groups, but now people live peacefully
There is tension and disagreement between groups, but no violence
Tension and disagreements often lead to violencebetween groupsNot applicable /
There are no groups living together
Yes, frequentlyYes, occasionally
Never
Decreased a lotDecreased somewhat
Remained about sameIncreased somewhat
Increased a lotN/A (No violence
in the past 5 years)
Very DishonestDishonest
Neither honest nor dishonestHonest
Very honestN/A - No such group
StronglyDisagree
Disagree Neither disagreenor agree
Agree StronglyAgree
StronglyDisagree
Disagree Neither disagreenor agree
Agree StronglyAgree
StronglyDisagree
Disagree Neither disagreenor agree
Agree StronglyAgree
StronglyDisagree
Disagree Neither disagreenor agree
Agree StronglyAgree
Local government/municipality officials
Village/County officials
License officials
Traditional authorities
Government medical system, clinics. hospitals
Government schoolteachers
Post office
Police
Judges/Court systemNGO's
Page 8 of 10
PART H: IDENTITY
57. We have talked to many people about their sense ofidentity - that is who they are, where they come from,and their sense of belonging. Using this 5 point scalewhere 1 means having a very weak sense of identity and5 means have a very strong sense of identity, how wouldyou rate your own sense of identity?
Very strongsense of identity
Very confusedabout own identity
58. We are also interested how proud you are of whoyou are and the larger group to which you belong.Using this 5 point scale where 1 means veryashamed and 5 means very proud, how proud are youabout who you are and the group you belong to?
PART I: VIOLENCE AND CRIME59. Sometimes different groups living in the samearea live together peacefully. Other times thereis tension and disagreement between differentgroups. How would you describe yourcommunity/ neighborhood/ village these days. . .
60. In the last 5 years, have different groups ofpeople in your community/ neighborhood/ villageused force or violence against one anotherfrequently, occasionally or never?
61. Compared to 5 years ago, has the level ofviolence between groups in your area decreaseda lot, decreased somewhat, remained about thesame, increased somewhat or increased a lot?
56. Sometimes, it is common for households to payadditional money to government agencies to get thingsdone. As I read the following list of agencies, please tellme, on a scale of 1 to 5 where 1 is very dishonest and 5 isvery honest how you would rate each of the governmentservices on the following list.
55. If a household pays the required additional moneyto the government officials the service is delivered asagreed or the problem is solved?
I am now going to read some statements. On a scale of 1 to 5,where 1 means strongly disagree and 5 means strongly agree,tell me how much you agree or disagree with each one of them.
52. The rules, laws and policies that affect your household'seconomic well-being change without warning?
53. Thes government take into account concerns voiced byyou, your household or people like you when making changesin rules, laws and policies affecting your business?
54. Households like yours generally have to have to paysome additional money to government officials from time totime to get things done?
INTERVIEWER,SHOW CARD
INTERVIEWER,SHOW CARD
INTERVIEWER,SHOW CARD
INTERVIEWER,SHOW CARD
INTERVIEWER,SHOW CARD
n q q q
n 1
n 2
n 3
n 4
n 5 1
n 2
n 3
n 4
n 5
n 1 6
n 2 7
n 3
n 4
n 5
n 1
n 2
n 3
n 1
n 2
n 3 1
n 4 2
n 5 3
n 4
n 5
n 0 1 2 3 4 5 6 7 8 9
n 1 0 1 2 3 4 5 6 7 8 9
n 2
n 3
n 4
n 5
n 1 2
n 1
n 2
n 3
n 4
n 0 1 2 3 4 5 6 7 8 9 A
n 0 1 2 3 4 5 6 7 8 9 A
n 1 2
n 1
n 2
n 3
n 0 1 2 3 4 5 6 7 8 9 A 4
n 0 1 2 3 4 5 6 7 8 9 A 5
n 6
n 7
In or near household10 Minutes20 Minutes30 Minutes40 Minutes50 Minutes
60 Minutes or more
Not confident at allNot confident
So-soSomewhat confidentExtremely confident
Near household10 Minutes20 Minutes30 Minutes40 Minutes50 Minutes
60 Minutes or more
Yes, throughout the yearYes, only during certain seasons
No, not easily accessible at all
Very badBad
About averageGood
Very good
NeverDaily
WeeklyMonthly
Yes No
Yes No
Very unsafeUnsafe
Neither unsafe nor safeSafe
Very safe
Very unsafeUnsafe
Neither unsafe nor safeSafe
Very safe
Very unsafeUnsafe
Neither unsafe nor safeSafe
Very safe
Page 9 of 10
PART J: COMMUNICATIONS
64. In general, how safe would you say yourneighborhood is from crime and violence ?
65. How much confidence do you have that governmentauthorities can protect you, your household and yourproperty from crime and violence? Using this 5 pointscale where 1 means not confident at all and 5 meansextremely confident, how confident are you?
INTERVIEWER,CODE TONEAREST 10MINUTES
68. How long does it take you to reach thenearest working post office ?
69. Is your household easily accessible by roads allyear long, only during certain seasons, or not at all?
70. How would you rate the general condition of theroads in your area . .
71. On average, how many times per week, if at all, doyou read a daily newspaper or have one read to you?
72. Do you have a radio in your household or haveaccess to a radio somewhere else nearby, or not?
73. How often, if at all, do you listen to the radio . . .
74. Do you have a television in your household or haveaccess to a television somewhere else nearby?
75. How long does it take you to get to the nearesttelephone?
66. In the past 12 months, how many times haveyou or anyone else in your household been thevictim of a non-violent crime, such as physicalassault or mugging?
INTERVIEWER, CODE 00 IF NEVER HAPPENED
INTERVIEWER, CODE 00 IF NEVER HAPPENED
67. In the past 12 months, how many times haveyou or anyone else in your household been thevictim of a non-violent crime, such as theft, robberyor destruction of property?
63. How safe do you feel safe walkingdown your street after dark?
INTERVIEWER,CODE TONEAREST 10MINUTES
62. In general, how safe would you say youand your household are from crime andviolence at home?
ReferenceNumber
f q q q
f 1f 2f 3f 4f 5f 6
f 1 2 3 4 5 9f 1f 1 2 3 4 5 9 2f 3f 1 2 3 4 5 9 4f 5f 1 2 3 4 5 9 6ff 1 2 3 4 5 9ff 1 2 3 4 5 9f 0 1 2 3 4 5 6 7 8 9f 1 2 3 4 5 9 0 1 2 3 4 5 6 7 8 9ff 1 2 3 4 5 9 0 1 2 3 4 5 6 7 8 9f 0 1 2 3 4 5 6 7 8 9f 1 2 3 4 5 9f 0 1 2 3 4 5 6 7 8 9f 0 1 2 3 4 5 6 7 8 9
f 0 1 2 3 4 5 6 7 8 9f 0 1 2 3 4 5 6 7 8 9
f 0 1 2 3 4 5 6 7 8 9f 0 1 2 3 4 5 6 7 8 9
f 1f 2f 3f 4f 5 1 1f 2 2f 3f 4f 5f 6f 7 1f 8 2f 1 2 9 3ff 1 2ff 1 2 1f 1 2f 1 2 2 3f 3 4f 1 2 4 5f 5 6f 1 2 6 7ff 1 2f 1f 1 2 2f 3f 1 2 4 0 0 0 0 Af 5 1 1 1 1f 1 2 6 2 2 2 Pf 7 3 3 3f 1 2 4 4 4f 5 5 5f 1 2 1 6 6f 2 7 7f 1 2 3 8 8f 4 9 9f 5
To a very small extentTo a small extent
Neither small nor large extentTo a large extent
To a very large extentN/A Source not available
Very un-commonSomewhat un-common
Neither un-common nor commonSomewhat common
Very common
Source of water within the home
Own pit toilet
A bicycle
A television
A telephone
A radio
A refrigerator/freezer
A sewing machine
A watch or clock
Large Cattle
Small cattle (sheep, goats)
The house you live in
Any land or propertyother than the house you live in
NonePrimary
Lower SecondaryHigher Secondary
University/college or moreVocational/technical
Single/Never marriedMarried Monogamous
Married PolygamousLiving as married
Widowed Divorced/Separated
AgricultureNon Agriculture
Language 1Language 2Language 3Language 4Language 5Language 6
Group 1Group 2Group 3Group 4Group 5Group 6Group 7
Housewife/HomemakerUnemployed
Student or ApprenticeRetired/Pensioner/Inactive
Regular EmployeeCasual Employee
EmployerOwn account worker
Contributing family worker
Public or semi-publicPrivate formal
Private informal
ChristianMoslem
Traditional africanBuddhist
HinduJew
Other
AM
PM
Respondent very interestedRespondent somewhat interested
Respondent not interestedNot completed/not found
Not completed/refused
Newspapers, journals,magazines
Radio
Television
People from my ethnic/tribe/caste/race group
People from other ethnic/tribe/caste/race groups
Clubs, groups, associations
Business, work associates
Within village/ neighborhood sources
Outside village/neighborhood sources
HOURS MIN
Page 10 of 10
76. When making a life decision, to what extent can youturn to the following sources of information? Use a 5point scale where 1 is to a very small extent, 5 to a verylarge extent.
76. On a scale of 1 to 5, where 1 means veryun-common and 5 very common, how common is it forpeople in this area to marry outside their caste /religion/ tribe?
BOYS 15and under
PART K: DEMOGRAPHICS77. How much formal schooling have you had?
78. Are you currently married, LIVING AS married,widowed, divorced, separated, or have you never beenmarried?
83. What language doyou speak
77. Does your household own any of the following?
84. Which ethnic groupdo you belong to?
85. What is your religion?
79. How many ...... live in your household?
TOTALMEMBERS
ADULT MEN(16 and over)
80. What is youremployment status?
82. What is youremployment sector?
81. What is your industryof employment?
86. Time now
87. Interview Result
INTERVIEWER,SHOW CARD
Yes No
INTERVIEWER,INCLUDE ITEMS IFTHEY ARE INWORKINGCONDITION
ADULT WOMEN(16 and over)
GIRLS 15and under
ß