QUESTIONS -English QUESTIONS -Bahasa Indonesia PROMPT / OPTIONS -Englsih PROMPT / OPTIONS -Bahasa Indonesia NOTES
## HOUSEHOLD INCOME        
233 Indicate your household’s GROSS ANNUAL INCOME from the following sources:   (Rp.)    
234 land-based resources        
*     perennial crops/ trees    
*     annual crops    
*     livestock    
*     mining & quarrying    
*     forest resources    
235 marine-based resources        
*     river resources    
*     fishing / fisheries    
*     seaweed cultivation    
236 wage-based earnings        
*     government employee    
*     private business employee karyawan  
*     contract or seasonal work -forestry   (eg. farm worker, factory worker, small scale mining, construction)
*     contract or seasonal work -industrial   (eg. farm worker, factory worker, small scale mining, construction)
*     contract or seasonal work -agriculture (land-based) pertanian  
*     contract or seasonal work -aquaculture (marine-based)    
237 enterprise-based income        
*     trade perdagangan  
*     retail/ wholesale business    
*     manufaturing/ processing business    
*     service-sector business    
*     self-employment/ own business (specify) wiraswasta  
*     property rental penyewaan rumah atau properti lain  
*     investment returns investasi  
238 remittance-based income   pension pensiun  
*     indonesia-based remittances    
*     overseas remittances    
*     social welfare grants and allowances hibah kesejahteraan sosial dan tunjangan  
*     insurance payments pembayaran asuransi  
239 Do you obtain income from any source not listed above? Apakah bapak/ibu memiliki pendapatan lainnya?      
*     yes (specify) ya  
*     no tidak  
           
* indicate your households gross monthly income        
240 Do you or your family own / operate one or more non-farm business(es)?        
*     yes (specify)    
*     no (go to .. ) tidak ada (pergi ke QY)  
241 How many people do you employ in the business?   (number of employees)    
242 Has your family received money transfers from family members/relations outside your Village/Sub-district/District/Province/Country?        
*     (name of sender)    
*     (relationship with head of household)    
*     (type of occupation)    
*     (frequency of money transfer during the last year [Rp])    
*     amount of money transfer in the last year (Rp.)    
243 Usage of money:       (may have more than one answer)
*     daily needs    
*     repairing/constructing home    
*     children’s education    
*     others    
244 Can you help to provide detailed information about your income from farming?        
* field / yard no.        
*     type of land    
*     area [m2]    
*     crop (type)    
*     harvest frequency in the last year    
*     selling price [rp]    
*     proportion of yield consumed/used    
*     amount consumed (kg/harvest)    
*     proportion of yield sold    
*     amount sold (kg/harvest)    
*     gross income    
*     costs / capital [rp/harvest] *)   *) Workers wages etc. /Harvest x Number of Harvests in the last year Yield / Harvest [Kg]
*     net profit [rp/harvest]    
*     net income [rp/year]   (calculated by interviewer when producing clean data)
245 Income or livelihoods generated from onshore natural resources during the last year:       ex: gathering honey, gaharu, gum resin, etc. and if households collect resources that are not necessarily income-generating (i.e. not for sale) but on which they depend (e.g. natural medicines, fibres for building, fuelwood, etc)
* flora (specify)   yield    
* fauna (specify)   location    
*     capital / profit    
246 Income generated from inshore waters, sea/marine activities during the last year:        
*     tripang    
*     lola    
*     fish    
*     seaweed    
*     ornamental resources (e.g. shells)    
247 Where do you usually go to sell harvested / gathered / captured natural resources ? Dimana biasanya bapak/ibu menjual hasil panennya?      
*     in the area around the house di area sekitar rumah  
*     in the village market di pasar desa  
*     in the district market di pasar kecamatan  
*     in the market district di pasar kabupaten  
*     outside the district di luar kabupaten  
*     other (specify) lainnya (sebutkan)  
248 Do you have particular trade partners?        
249 What obstacles faced to increase revenues father / mother? Hambatan apa yang dihadapi untuk meningkatkan pendapatan bapak/ibu?      
*     the lack of available land tidak adanya lahan yang tersedia  
*     pests of plants hama tanaman  
*     fertilizer is expensive pupuk yang mahal  
*     changes in the market price of the crop perubahan harga pasar hasil panen  
*     access to agricultural land / plantation damaged akses ke lahan pertanian/perkebunan rusak  
*     inadequate transport facilities fasilitas transportasi yang tidak memadai  
*     other (specify) lainnya (sebutkan)  
## HOUSEHOLD EXPENDITURE        
250 Indicate how much your household spends on the following items. Jenis pengeluaran bulanan yang dikeluarkan oleh bapak/ibu?      
* (weekly/monthly/annually)   buying food membeli makanan  
* average of expenditure/month [rp]   rice    
* expenditure of the last year [rp]   “lauk-pauk”    
*     sugar/coffee, etc.    
*     cooking fuel (lpg, kerosene, fuelwood) bahan bakar  
*     electricity listrik  
*     clean water air bersih  
*     soap, detergent, etc.    
*     public transportation transportasi (bensin, biaya lainnya)  
*     automobile fuel    
*     vehicle maintenance pemeliharaan mobil/motor  
*     clothing pakaian  
*     telephone – cell phone load komunikasi (pulsa hand phone atau telpon rumah)  
*     education kebutuhan sekolah anak  
*     tuition (iuran sekolah) (month/semester/year)
*     bekal sekolah bekal sekolah (ongkos & jajan)  
*     supplies (books, pen, etc.)    
*     healthcare kesehatan  
*     entertainment hiburan  
*     community and social events (incl. births, weddings and funerals)    
*     alcohol    
*     cigarette rokok  
*     traditional celebrations perayaan tradisional  
*     religious celebrations perayaan keagamaan  
*     gambling    
*     paying off debt membayar hutang  
*     rent / home ownership payments    
*     warehouse storage gudang penyimpanan  
*     agricultural/ farm inputs    
*     fishing equipment    
*     business/ economic activities    
*     telephone – cell phone load    
*     small household goods (specify)    
*     general goods and merchandise (specify)   (fridge, tv, household appliances)
*     other (specify) lainnya (sebutkan)  
251 What are the main goods they purchase from/trade for with villagers?        
252 For which of these good are you completely reliant on trade to obtain?        
253 What are the “luxury goods”?        
## SAVINGS AND CREDIT PRACTICES        
254 Please indicate which of the saving mechanisms you have used in the past 2 years (Check all that apply) Keep livestock, keep part of my harvest to sell later, own land that can be sold/ rented, social savings, other-specify        
255 Is there any other way by which you are saving up for unforeseen or big expenses?        
256 Have you ever had a bank account?        
*     yes (go to qX)    
*     no (go to qY)    
257 If no, what are your reasons? (Check all that apply)        
*     bank is far from the village    
*     little amount of money to deposit    
*     too many requirements    
*     not interested    
*     need to consider daily needs, transport costs in going to bank is high    
*     other (specify) lainnya (sebutkan)  
258 Is your household able to save?        
*     yes (go to qX)    
*     no (go to qY)    
259 Reasons for inability to save. (Check all that apply)        
*     no money left for savings    
*     operating on negative budget    
*     no regular employment    
*     additional household expenses such as purchase of cellphone load    
*     vices - ie. gambling    
*     other (specify) lainnya (sebutkan)  
260 Sources of Credit        
* Amount Borrowed   relatives    
*     friends    
*     government (name of govt. agency)    
*     private lender    
*     private (name of bank)    
*     mfi/ngo/cooperatives (name of mfis)    
*     other (specify) lainnya (sebutkan)  
261 Smallest amount over last year?        
*     (amount)    
*     (interest rate per month)    
*     (period to pay)    
262 Largest amount over last year?        
*     (amount)    
*     (interest rate per month)    
*     (period to pay)    
263 Purpose of borrowing?        
*     for emergency/hospitalization    
*     start - up capital for business    
*     expand existing business    
*     for farm inputs/fertilizer    
*     to pay existing debt,    
*     to buy food and household basic needs    
*     to pay tuition fee of children    
*     improve house structure    
*     to pay for son/daughter’s wedding preparation/party    
*     other (specify) lainnya (sebutkan)  
264 Does any member of your household have a savings or investment account?        
*     yes (go to qX)    
*     no (go to qY)    
265 Name of bank        
266 Branch        
## AVAILALABLE ECONOMIC SECTORS        
267 Are local communities involved in the tourism industry (e.g. employment, selling, etc)? If so, to what extent does tourism support local livelihoods (e.g. 2% of the population employed, etc)        
268 What is the size of the current tourism industry?        
269 Are there are any current or potentially important tourist/recreation resources in the project area?        
270 Are there any beaches, coral reefs, bird watching species, charismatic marine species, cultural sites within or around the project area?        
271 Are there any recreational facilities in the area?        
272 How is tourism expected to develop in the future?