ANNEX 2
Questionnaires (Contd.)

Module E: Environment
E1	I would like to have your opinion about the quality of the environment in this village/community. How satisfied or dissatisfied are you with the quality of some characteristics of this community/village?
	Interviewer:
	Try to make the respondent choose between “satisfied” and “dissatisfied” and avoid the easy way out by using the categories 3 and 4. If a characteristic is not present at all in this community/village then enter code 8.
		Satisfactory	Not satisfactory	Neither satisfied, nor dissatisfied	Don't know
	a. Agriculture land	1	2	3	4	E1a
	b. Pastures	1	2	3	4	E1b
	c. Forests	1	2	3	4	E1c
	d. Coastal environment	1	2	3	4	E1d
	e. Fish stocks/grounds	1	2	3	4	E1e
	f. Transport system	1	2	3	4	E1f
	g. Drinking water	1	2	3	4	E1g
	h. Lake, river, sea water	1	2	3	4	E1h
E2	Now, please try to think back to the situation about 10 years ago. Would you say that the quality of the characteristics we just talked about have become better or worse?
	Interviewer:
	Only make use of “about the same” and “don't know” categories if you do not succeed to make the respondent choose between better" and worse". Enter code 8 if characteristic is not present here.
		Better	About the same	Worse	Don't know
	a. Agricultural land	1	2	3	4	E2a
	b. Pastures	1	2	3	4	E2b
	c. Forests	1	2	3	4	E2c
	d. Coastal environment	1	2	3	4	E2d
	e. Fish stocks/grounds	1	2	3	4	E2e
	f. Transport system	1	2	3	4	E2f
	g. Access to news	1	2	3	4	E2g
	h. Drinking water	1	2	3	4	E2h
	i. Lake, river, sea water	1	2	3	4	E2i

	* End of Household Questionnaire ***
	Interviewer:
	Continue with the individual-level questionnaire for the head of household and, subsequently, interview all eligible persons. Eligible men in this household are all men of age 15 and older, but not older than 60 years. Eligible women are all women in the household that are age 15 or older, but not older than 49 years. (Please refer to the encircled person numbers in A13, in Module A)

Population and Development Dynamics in Rural Communities
(FPA/INT/287/INT)

MALE individual questionnaire

(Married males of age 15 or older but not older than 64 years (15–64))

Country: Bangladesh

District:

District ID number

Tana:

Tana ID number

Union:

Union ID number

Village:

Village ID number

Household ID number

Name of male respondent:

Person number of male respondent

Name of first wife:

Person number of (first) wife

Name of second wife:

Person number of (second) wife

Name of third wife:

Person number of (third) wife

Interviewer visits

First visit (1)

Second visit (2)

Third visit (3)

Name interviewer:

Day

Month

Result *

* Interview result code:

Total number of visits

1. Completed

2. Not at home

3. Postponed

4. Refused

5. Partly completed

6. Other, specify

Interviewer and coders:

In case explicit coding instructions for “answer refused”, “don't know” or “not-stated” in the questionnaire are lacking, you must use the following coding convention:

a. Answer refused=7, 97, 997, etc.

b. Respondent does not know answer=8,98 or 998, etc.

c. Answer not stated=9, 99 or 999, etc.

Name:

Day: Month: Year:

Field edited by:

on:

/ /

Office edited by:

on:

/ /

Computer data-entry by:

on:

/ /

Module E: Respondent's Background

E1.

I would like to know about the type of place you grew up when you were young. For most of the time until you were 12 years old, did you live in:

Interviewer: Enter for each place: 1=yes or 2=no or 8=not applicable

a. In this village

E1a

b. In this tana

E1b

c. In this district

E1c

d. Elsewhere

E1d

E2.

In what month and year were you born?

Year -------→

E2y

Month -------→

E2m

E2a.

Interviewer:

what is the sex of this respondent? (1=male, 2=female) -------→

E2a

E3.

How old were you on your last birthday?

Interviewer:

Record the age in completed years, compare with A7 in household questionnaire (Module A) and discuss difference with respondent, if any, and make adjustments, if applicable.

Check consistency with E2, and correct E2 and/or E3, if applicable.

E4.

Have you ever attended school?

1. Yes

2. No -------→

Go to E7

E5.

What is the highest level of school you attended?

1. Perschool level -------→

Go to E7

2. Elementary/Primary school level ---→

Go to E7

3. Secondary school level

4. Vocational or technical school level

5. College/University level

E6.

What is the total number of years of schooling that you have completed successfully level? -------→ Go to E8

E7.

Can you read and understand a letter or newspaper article easily, with difficulty, or not at all?

1. Easily

2. With difficulty

3. Not at all -------→

Go to E9

E8.

Do you usually read a newspaper or magazine at least once a week?

1. Yes

2. No

E9.

Do you listen to the radio at least once a week?

1. Yes

2. No

E10.

Do you watch television at least once a week?

E10

1. Yes

2. No

E11

What is your religion?

E11

1. Muslim

2. Christian

3. Hindu

4. Buddhist

5. Other, specify:

6. Person states not to have a religion

E12	What was the highest level of school your father attended?
	1. Did not attend school	-------→	E12a.		E12
	2. Elementary/ Primary school	-------→	Can your father read and can he write?
	3. Secondary school		1. Yes, both read and write
	4. Vocational or technical school		2. Yes, only reading	-------→	E12a
	5. College or University		3. No
	8. I don't know		8. I don't know
E13.	When you grew up, what kind of work was your father mainly doing?				E13
	1. Fish catching with boats in open sea or on the lake
	2. Fish catching along shores (e.g. with beach seines)
	3. Fish farming
	4. Fish marketing
	5. Fish processing
	6. Boat building
	7. Farming/Agriculture on permanent plots
	8. Farming/Agriculture, shifting cultivation
	9. Cattle herding
	10. Horticulture
	11. Retailing
	12. Military
	13. Service sector employed
	14. Housekeeping/domestic work
	15. Cottage industry
	16. Handicraft
	17. Parent died when respondent was young/Respondent does not know father.
	18. Other, specify:
E14.	Did your father receive a pay or salary for that work?				E14
	1. Yes
	2. No
	8. Don't know
E15.	What was the highest level of school your mother attended?				E15
	1. Did not attend school	-------→	E15a.
	2. Elementary/Primary school	-------→	Can your mother read and can she write?
	3. Secondary/High school		1. Yes, both read and write
	4. Vocational or Technical school		2. Yes, only reading	-------→	E15a
	5. College or University		3. No
	8. I don't know		8. I don't know
E16.	When you grew up, what kind of work was your mother mainly doing?				E16
	1. Fish catching with boats in open sea or on the lake
	2. Fish catching along shores (e.g. with beach seines)
	3. Fish farming
	4. Fish marketing
	5. Fish processing
	6. Boat building
	7. Farming/Agriculture on permanent plots
	8. Farming/Agriculture, shifting cultivation
	9. Cattle herding
	10. Horticulture
	11. Retailing
	12. Military
	13. Service sector employed
	14. Housekeeping/domestic work
	15. Cottage industry
	16. Handicraft
	17. Parent died when respondent was young/Respondent does not know mother.
	18. Other, specify:


E17.	Did your mother receive a pay or salary for her work?			E17
	1. Yes
	2. No
	8. Don't know
E18.	Who were the persons that mainly raised and took care of you when you were young?
	1. Both parents			E18
	2. Mother only
	3. Father only
	4 Brother(s) or sister(s)
	5. Uncle/aunt or other relatives
	6. Step parents/foster parents (non-relatives)
	7. Orphanage
	8. Other, specify:
E19	Did your parents separate or divorce when you were young?			E19
	1. Yes -------→	E19a
	2. No	How old were you when your parents separated or divorced?
		Age in completed years -------→		E19a

E20.	Are your parents still alive?			E20
	1. Both parents are alive
	2. Both parents died	-------→	E20a
	3. Father alive, mother died	-------→	At what age did your (father and/or mother) die?
	4. Father died, mother alive	-------→	Interviewer, enter 88 if not applicable.

			Father's age at death -------→	E20aa
			Mother's age at death -------→	E20ab

End of Module E, go to Module F

ANNEX 2 Questionnaires (Contd.)

ANNEX 2
Questionnaires (Contd.)