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Appendix 1 - Sample survey questionnaires

Economic Status of the Household
Complete one sheet per household

Village______________

Date_______________________

Season_____________

Household number____________


Interviewer__________________

1. How many buildings in the compound?__________________

For each


Roof material**

Wall material

Size

General Condition

1





2





3





4





5





6





7





8





** if tnatcn, state dutch or trad.

2.Is there a pit latrine?

Yes_________ No_________

3.Do any of the huts/houses have a concrete floor inside?

Yes________ No_______

If so, now many? (Do not count pit latrine)______________________

4. What things does this household appear to own? (Don't ask - just look). Say now many in each case.

Radio____________ Stove__________ Lamps____________
Large iron or clay pots for brewing_________________
Farm implements____________ Tractor____________
Other (e.g. car, bicycle, donkey cart, etc.)__________________

5. What kinds of and how many, animals does this household seem to have? (Don't ask).

Goats___________ Donkeys__________ Cattle____________
Sheep/goats____________ Chickens______________

Jot down any other impressions you have about whether this household is of high/medium/or low economic status.

VILLAGE SURVEY QUESTIONNAIRE

Village.....................

Interviewer.........................

Date........................

Household No........................


Interviewee (optional)..............

Resident Household Members

Number of:

Male

Female

Elderly adults



Adults



Children (old enough to collect firewood)



Small children/babies



Total



Number away:



i.

Lands



ii.

Cattle posts



iii.

Towns*/S. Africa*



Total



* Are there members making financial remittances to household?

1. How often do you cook?

2. At what time do you usually cook your meals?

3. How long do your meals usually take to prepare?

Morning _______hours
Afternoon _______hours
Evening _______hours

4. Which methods do you use for cooking? (Rank methods according to which is used most often. Indicate by putting 1 next to the method used most often, 2 next to the method used less often, etc.)

Open fire

( )

Wood stove

( )

Coal stove

( )

Paraffin stove

( )

Gas stove

( )

Other (specify)

( )

Do you have:

a hay box (or equivalent)?
an oven?
a refrigerator?

- gas
- electricity
- paraffin

5. If you use open fire for cooking, which fuels do you use? (Rank as in 4.)

Wood

( )

Dung

( )

Stalks

( )

Cobs

( )

Other (specify)

( )

6.If you use a wood stove, which fuels do you use? (Rank as in 4.)

Wood

( )

Dung

( )

Stalks

( )

Cobs

( )

Other (specify)

( )

7. How often do you bake bread?

8. Which methods do you use for baking bread? (Rank as in 4.)

Open fire

( )

Wood

( )

Dung

( )

Wood oven

( )

Coal oven

( )

Gas oven

( )

Other (specify)

( )

9. How do you bake?

Open fire
Oven

10. How often do you make Khadi?

How many litres
Home use or sale

11. How often do you brew beer?

12. What fuel do you use when brewing beer?

13. What methods do you use for lighting? (Rank as in 4.)

Open fire

( )

Gas lamp

( )

Paraffin lamp

( )

Candle

( )

Torch

( )

Other (specify)

( )

14. How many hours each evening do you use a light?

15. How often do you press clothes?

16. What fuel do you use for heating the iron?

17. What type of device do you use to press clothes?

18. Do you ever make a fire just for heating water?

19. How much water do you heat each day?

20. Fuel use - see Attachment.

Additional information required on wood collection:
How many householder members collect wood? State numbers:

Women
Girls
Men
Boys

21. Are there wood preferences?

Yes_________ No_________

(a) If yes, what are they?
(b) Why do you prefer using this type of wood?

22. How do you keep your houses warm?

- do you use a paraffin neater?

23. Which material do you prefer to use for building walls?

24. Which material do you prefer for roofing?

25. Indicate approximately number of cattle owned

Under 50

50-99

100-199

Over 200









26. Number and location of small domestic animals


In the Village All Year

At Cattle Posts In Summer

Total

Sheep




Goats




Donkeys




Mules




Pigs




Ducks




Chickens




27. How many animals do you use for draught power, e.g. ploughing, hauling wood etc?


Number

Cows


Oxen


Donkeys


Mules


28. Do you rent your animals to other villagers for draught power? (Assuming there are rains.)

Yes_______ No_________

If yes, is this for money, and at what approximate charge?

Cows
Oxen
Donkeys
Mules

29. What are your major sources of income? (Approximate amount.)

Cattle sale
Renting draught animals
Renting equipment
Brewing beer
Grinding grain
Business
Work
Income from working relative (s)
Relative (s)
Other

PHYSICAL MEASUREMENT OF FUEL CONSUMPTION

1. WOOD


Date

Time

Wt. of wood (kg)

Daily Consumption

DAY 1



x1 =

x1-x2 =

DAY 2



x2 =

x2-x3 =

DAY 3



x3 =

x3-x4 =

DAY 4



x4 =


etc.





SMALL SHOP OWNERS/BUSINESSMEN: ENERGY USE QUESTIONNAIRE

Village...........................

Interviewer.......................

Date..............................

Interviewee.......................

Business or Shop Name.........................

Job...............................


Employer..........................

1. What type of business is this?

2. What are the hours of operation? How many days per week?

3. What kinds of things are sold here? Give typical prices.

4. What things which are sold here are also made here?

What type of equipment and fuel, if any, is used for making these items?

5. Does this business nave a refrigerator?

Yes_________ No_________

If yes, what kind?
How much fuel does it use per week?

6. Does this business cook food to sell?

Yes_________ No__________

If yes, what kinds?
What method is used for cooking?
Approximately how much fuel do you use per week for cooking?

7. What do you use for lighting your shop?

How many hours per day do you light it?
How much fuel to you use per week for lighting?

8. Do you grind grain as part of your business?

Yes_________ No__________

9. Do you heat this building in winter?

Yes_________ No__________

How?

10. Do you use wood in this business?

Yes_________ No__________

If yes:

Do you collect it?
Do you buy it?
For what price?

If you collect it, how do you collect it?

Vehicle
Donkey cart
Human

11. What kind of transport do you use for your business?

For what purposes?
How often?
If you use a motor vehicle, how much fuel do you use per month?

12. If business owner generates his/her own electricity, does he/she also use it at his/her home?

Yes_________ No__________

13. Do you sell candles?

If yes, how many a day, or week?

14. Do you sell batteries?

If yes, how many a day, or week?


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