| ## |
RESIDENCE / STRUCTURE ID |
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| 22 |
location/address |
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| 23 |
village |
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| 24 |
tag no. |
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ID |
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| 25 |
old tag no. of structure |
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ID |
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| 26 |
size of structure |
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(in area; square meters) |
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- calculate the average structure size in each village, according to our maps |
| ## |
HOUSEHOLD ID |
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| 27 |
household ID |
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ID |
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Given at first assignment; later need a look-up. |
| 28 |
Household Member No. |
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ID |
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Given at first assignment; later need a look-up. |
| ## |
HOUSEHOLD COMPOSITION |
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| 29 |
respondent relationship to Household Head (HH) |
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| * |
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head |
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| * |
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spouse |
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| * |
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wife |
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| * |
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husband |
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| * |
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son/ daughter |
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| * |
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daughter |
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| * |
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son |
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| * |
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son/daughter - in - law |
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| * |
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grandchild |
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| * |
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granddaughter |
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| * |
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grandson |
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| * |
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parent |
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| * |
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mother |
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| * |
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father |
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| * |
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sister |
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| * |
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brother |
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| * |
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non-relative |
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| * |
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non-relative employee |
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| * |
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others (specify) |
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| 30 |
How many people are living together in this household? |
Berapa banyak anggota keluarga yang hidup di rumah bapak/ibu? |
# |
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| 31 |
Can you help to identity of nuclear family members dependent on the head of household/hh? |
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| * |
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no / cannot |
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| * |
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none |
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| * |
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name |
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(first, middle, last name) |
| * |
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m/f |
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| * |
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age [year] |
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| * |
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birthplace |
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| * |
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religion |
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| * |
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ethnicity |
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| * |
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marital status |
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| * |
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relation with HH |
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| * |
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highest formal education |
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| * |
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occupation, primary |
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| * |
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occupation, secondary |
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| 32 |
Can you help to identify additional family members living with respondent’s family (for the last 6 months) |
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| * |
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no / cannot |
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| * |
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name |
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(first, middle, last name) |
| * |
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m/f |
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| * |
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age [year] |
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| * |
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birthplace |
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| * |
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religion |
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| * |
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ethnicity |
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| * |
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marital status |
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| * |
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relation with HH |
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| * |
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highest formal education |
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| * |
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occupation, primary |
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| * |
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occupation, secondary |
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| 33 |
Does the household head have spouses that live outside this household? |
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| * |
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yes (go to 28a) |
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| * |
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no (go to 29) |
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| 34 |
Do you or the HH have any dependents not living under the same roof? |
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| * |
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no / none |
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| * |
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name |
|
(first, middle, last name) |
| * |
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location of residence |
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| * |
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m/f |
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|
| * |
|
|
age [year] |
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|
| * |
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birthplace |
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| * |
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religion |
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| * |
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ethnicity |
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| * |
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marital status |
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| * |
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relation with hh |
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| * |
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highest formal education |
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|
| * |
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occupation, primary |
|
|
| * |
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occupation, secondary |
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| ## |
RESIDENCY STATUS |
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| 35 |
Is this house your primary residence? |
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|
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| * |
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yes |
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| * |
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no |
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| 36 |
People from other villages/sub-district/district living with the respondent within the last year: |
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| * |
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no / none |
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| * |
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name |
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| * |
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m/f |
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| * |
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relation with hh |
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| * |
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origin (desa,keca kampong) |
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|