HOUSEHOLD SURVEY QUESTIONNAIRE

Add an "R" to the ID if this is a replacement Household

INTRODUCTION

Hello, my name is: (Can be anonymous if preferred)____________________________

Thank you very much for your time and cooperation in our survey. The survey will enquire about living standards, conditions of

infrastructure, farm production and prices, banking facilities, etc.

This survey is being conducted to assess the conditions in rural Azerbaijan to inform the Ministry of Agriculture. It is being conducted across

Mughan-Salyan, Lower Shirvan, North, and North-West with more than thousand households taking part in each zone. Your family was

randomly selected to participate in this study.

You can be assured that your names and addresses will not be revealed to outside individuals or organizations. The information that you

give will remain absolutely confidential.

You do not have to answer any question you cannot or do not wish to answer.

End:

Name of Community Code of Community

Date of interview: Time - Begin:

Name of Zone Code of Zone

Name of Rayon Code of Rayon

HOUSEHOLD SURVEY QUESTIONNAIRE

Questionnaire №

Name of interviewer:

Code of interviewer: Household ID

ENTER NAME

A1 Name of Respondent

ENTER ADRESS

A2 Address of Respondent

ENTER PHONE NUMBER

A3 Phone number of respondent

A4 1 Yes

2 No

A5 1 Married

2 Single

3 Divorced

4 Widowed

A6 1 Resident

2 Refugee

3 IDP

4 Other

ENTER NUMBER OF PEOPLE

Person

IdentificationA8. Gender

A9. Relationship to

Respondent A10. Age

A11. Education

A12. Employment status

(adult member)

if not employed:

A13. Economically inactivity

status (adult member)

LIST ALL WHO

LIVE AND FEED IN

THAT

HOUSEHOLD

THAT ARE OLDER

THAN 5 YEARS

OLD STARTING

FROM THE HEAD

OF THE

HOUSEHOLD

(1=Male,

2=Female)

1. Household

Head

2. Spouse of HH

head

3. Child

4. Grandparents

5. Uncle/Aunt

6. In-law

7. Nephew/Niece

8. Non-relative

9. Other (specify)

Primary (1);

Uncompleted secondary (2);

Secondary (3);

Vocational (4);

Uncompleted higher (5);

Higher (University) (6);

PhD (Candidate/Dr. of

Science) (7);

Don’t know (99)

Private company (1);

Commercial / trade (2);

Government (3);

Agricultural (farmer, etc.) (4);

Military service (5);

Law enforcement personnel

(6);

Working on household farm

(7);

Student, working (8);

Self-employment (9);

Economically inactive (10);

Other (11) (specify)

Housewife (1);

Pensioner, non-worker (2);

Student, non-worker (3);

Invalids (4);

Invalids (temporary) (5);

Unemployed, has profession

(6);

Unemployed, has no

profession (7)

Other (9) (specify) ______

RESPONDENT (1st

person)

2nd

person selected

from list

3rd

person selected

from list

4th

person selected

from list

5th

person selected

from list

Skip A11 - A13 for household

members younger than 18

years old

What is your family's resident status?

HOUSEHOLD ROSTER (HR)(only the oldest 5 members of the household will respond to this section)

PART A. BASIC INFORMATION ABOUT THE RESPONDENT

Is the respondent the Head of the Household?

What is your marital status?

A7

How many people currently live in this household?

B1. What is your current

employment status?

B2. What is the type of business

your are mainly working in?

B3. Who owns the establishment that you are

working in?B4. Were you paid?

If unemployed:

B5. What is the main reason for your

current unemployment?

If self-employed:

B6. How many workers do you employ

(excluding family members)?

ENTER NUMBER OF EMPLOYEES

1. Permanent worker 1. Farm - livestock 1. Myself / self-employed --> go to B6 1. Yes 1. Illness

2. Temporary worker 2. Farm - crops 2. Family member 2. No 2. Maternity leave

3. Unemployed --> go to B5 3. Manufacturing 3. Privately owned 3. Paid in-kind (food, place to sleep) 3. Attending a sick person

4. Seasonal 4. Service provision 4. Government 4. Education/training

5. Casual worker 5. Administrative or legal 5. NGO/Non-profit 5. Weather conditions

6. Task-based 6. Teacher 6. Other, specify: 6. No work available

7. Other, specify: 7. Health care 7. Dismissed

8. Other, specify: 8. Incapability

9. Attending children

10. Other, specify:

PART B. ECONOMIC ACTIVITY

[INTERVIEW THE HEAD OF THE HOUSEHOLD]

C6. What do you usually use to heat/prepare

meals?

№ Source of IncomeAmount in

AZN

Food

consumptionClothing Utilities 1. Electricity

1. Able to meet all needs 1. Much Worse 1. Less than 50 AZN Much less than adequate 1 1 1 2. Gas

2. Do not have financial difficulties 2. Worse 2. 50 – 125 AZN 1 Crops Less than adequate 2 2 2 3. Wood

3. Barely make ends meet 3. The same 3. 126 – 225 AZN 2 Livestock Adequate 3 3 3 4. Kerosene

4. Suffering indigence 4. Improved 4. 226 – 325 AZN 3 Forestry income (wood, herbs, animal grazing, tree nuts, etc.) More than Adequate 4 4 4 5. Charcoal

5. Don’t know 5. Much improved 5. 326 – 500 AZN Much more than adequate 5 5 5 6. Other fuel (specify)

6. 501 – 551 AZN 4 Regular income (wages or salary)

7. 551 – 1000 AZN 5 Irregular income (ex. (for example, bonuses, overtime, 13th month, etc.)

8. 1001– 2000 AZN 6

Social transfers:

Hardship (social) allowance (pension, disability grant, loss of breadwinner, etc.) or Benefits (to

children under 16, guardians of parentless children, low income families having children under one

year old,TSA, funeral or for unemployment etc.)

9. More than 2000 AZN 7 Rental (ex. land, apartment, house, store, shop, transport, etc.)

10. Don’t know 8 Foreign Remittances or Help from relatives (ex. transfer/gifts, non-foreign remittances)

9 Entrepreneurship - private businesses

10 Sale of property (land, real estate, durable goods, assets etc.)

11 Other

Drop question 4

5: agriculture, remittances, social transfers

Change 5 to monthly (easier to recall).

Check if 12 months works for 5 (when on the ground)

Cut "%" in 5.

Use ranges for 5? Or Amount?

Drop 6.

Drop 9.

i. Agriculture (on-farm income)

ii. Off-farm income

C5. How do you estimate current level of expenditures of your family?

Prompt the categories and answers

PART C. INCOME AND EXPENDITURE

C1. What is the current financial

situation of the family?

Prompt the answers

C2. How did the financial

status of your family change

in the last year?

Prompt the answers

C3. What is the average

monthly income of your

household during the last

year?

C4. Source of household income in the past month in AZN amount:

ENTER THE AMOUNT IN AZN FOR EACH SOURCE OF INCOME, IF NONE WRITE 0

Prompt the categories

Please specify whether each of the below

listed items is present in your household.

Prompt the list one by one.

D1. How many of the

[item] does the

household own?

ENTER NUMBER

D2. When did you acquire the

newest [item]?

1. Less than 3 months

2. 3-6 months

3. 6-12 months

4. 1-2 years

5. 2-4 years

6. 4-6 years

7. 6-8 years

8. 8-10 years

9. over 10 years

D3. How did you acquire the

[item] ?

1. purchased in full

2. purchased with credit/loan

3. as a gift --> go to next

section

4. provided by job/employer -->

go to next section

5. other (specify)

D4. Value of item

(If you bought it, how much money did you

spend on?

or

If you had wanted to sell the item, how much

would you be able to sell it for when you

received it?)

1. Agriculture land (hectares)

2. House

3. Trading depot (shop, etc.)

4. Car

5. Truck

6. Tractor

7. Agricultural equipments

8. Motorbike

9. Refrigerator

10. Dishwasher

11. Laundry Machine

12. Generator

13. Video/DVD / CD player

14. TV

15. Satellite dish

16. Computer

17. Cattle

18. Sheep

19. Poultry

20. Other livestock

PART D. ASSET STRUCTURE FOR HOUSEHOLDS

Rank

1, 2, 3, 4, 5

ENTER NUMBER

OF RANK

1. Insufficient income

2. Insufficient land

3. Insufficient farming field and arable land

4. Harvest failure

5. Many livestock died

6. Insufficient marketing conditions

7. Environmental problems

8. Health problems

9. Education problemsE9. How often do you visit a

village health clinic?

E10. In the last 12 months, did you

go to doctor for a preventative check

?

E11. Could you please rate the

accessibility to Village Clinics?

Prompt the answers

E12. Could you please rate the

village clinic building?

Prompt the answers

E13. Could you please rate

the accessibility to primary

schools ?

Prompt the answers

10. Social environment problems Minutes Not existing Poor Satisfactory Good 1. Once every week 1. Yes 1. No access 1. Highly deteriorated 1. No access

11. Flood problems1. Paved Access Road (fastest route to

access it)1. Access roads

1 2 3 4

2. Once every month 2. No 2. Poor 2. Deteriorated 2. Poor

12. Bad road access 2. Pre-School/kindergarten 2. Bridges 1 2 3 4 3. Once every 3 months 3. Average 3. Little deterioration 3. Average

13. Insufficient electricity 3. Secondary School3. Public

transportation 1 2 3 44. Once in 6 months 4. Satisfactory 4. Fairly good condition 4. Satisfactory

14. Insufficient gas 4. Community Center 4. Market 1 2 3 4 5. Once in an year 5. Very satisfactory 5. Very good condition 5. Very satisfactory

15. Not enough materials for heating 5. Village Clinic 5. Healthcare

facilities 1 2 3 46. Never visited 6. Do not know 6. Do not know 6. Do not know

16. Insufficient Water (quantity and

availability of, and access to, and clean water)6. District Hospital

6. Community

Centers1 2 3 4

7. Do not know

17. Insufficient irrigation water 7. Central Transportation Point7. Preschool/

kindergartens 1 2 3 4

18. Problems with sewage system 8. Domestic Water Supply Point 8. Primary Schools1 2 3 4

19. Bad or inadequate schools and

kindergartens9. Park you usually visit

9. Secondary

Schools 1 2 3 4

20. Unemployment related10. Market where you buy most of your

products

10. Potable water at

home 1 2 3 4

21. No problems11. Water supply

regularity 1 2 3 4

22. Other 12. Electricity

connection 1 2 3 4

13. Regularity of

electricity 1 2 3 4

14. Gas 1 2 3 4

15. Heating 1 2 3 4

E7. By car, how much time did it take you in your last visit

to reach...? (if not access, put “0”)

Prompt answers

[ ] 1. Water pipeline is missing

E5. When you or your family members was last sick with

water related diseases, where did you or your family

members get treated for the water related diseases?

[ ] 1. Village clinics

[ ] 2. District Hospital

[ ] 3. Home treatment

[ ] 6. Water brought by trucks

[ ] 7. Water is bought

E8. Could you please rate the quality of the following items in your area ?

Prompt the response. CIRCLE THE ANSWER

[ ] 6. Do not know

[ ] 8. Other_____________

[ ] 6. No answer

E4. How frequently do you or your family

members have water-related diseases during the

last year?

[ ] 1. Every week

[ ] 9. Don’t know

[ ] 2. Water provision is bad (irregular)[ ] 2. Water pipeline outside of the house

[ ] 3. Artificial well (pit) [ ] 3. Water quality is bad

[ ] 7. Never - skip to E6

[ ] 2. Sewage well in outside of the house – a. to the street; b. to the river; c. to

the sewer hole

[ ] 3. Other _____

[ ] 2. Every month

[ ] 3. Every 3 months

[ ] 4. Every 6 months

[ ] 5. Once in a year

[ ] 4. Self-treatment[ ] 4. Artesian well

[ ] 5. No treatment [ ] 5. Spring

[ ] 4. We do not have any problems

[ ] 5. Don’t know

E2. What is your main source of drinking water?

E3. Which problems with drinking water

do you have currently, if any? (multiple

answers possible)

PART E. CURRENT PROBLEMS IN THE AREA

E6. Which effluent disposal line (sewage system) do you have?

[ ] 1. Centralized effluent disposal line (sewage system)[ ] 1.Water pipeline into the house

E1. Would you, please, indicate and rank three to five main

problems, which you have in your area? (More than 1 answer

possible)

DO NOT PROMPT RESPONDENTS

F1. Do you have any non-political

organizations, NGOs, associations, or

societies in your area?

F2. Over the last 2 months, have

you been active in these?

F3. If “Yes” above, could you

specify which organization you

have been most active in?

F4. What is the value of money and/or

materials your household gave to the

association named in Question F3 in the

past three months?

F5. What is the total time your

household spent for the

association named in Question F3

in the past 3 months?

Recorded in days

ENTER NUMBER OF DAYS

F6. What is the main

purpose/activity of the

association?

1. Yes 1. Yes

1. Seda Project (USAID) 1. Humanitarian services

2. No -> skip to question F12 2. No -> skip to question F5

2. AzRIP 2. Infrastructure upgrading

3. Don’t know -> skip to question № F5 3. Japanese Embassy3. Food security improvements

4. BP funded projects 4. Agricultural productivity improvements

5. EU funded projects 5. Health improvements

6. Community group 6. Education improvements

7. Others: _____ 7. Other, specify:

PART F – ASSOCIATIONS / SOCIETIES

PART G - Social Capital[INTERVIEW THE HEAD OF THE HOUSEHOLD]

G2. Agree or disagree.

In this village it is safe

to leave your house to

your neighbor when

you are travelling.

G3. If you

suddenly had to

go away for a

day or two,

could you think

of at least one

person from the

folllowing

G4. According to

your experience, if

someone forgets to

lock the

bicycle/motorcycle

at night, it will be

stolen?

G5. To whom do you

usually seek

advice/suggestions for

processing your

harvested

commodities or other

tradable goods?

G6. To whom do

you usually seek

advice/suggestions

when you need a

financial loan?

AZN (maximum) AZN__________[ ] 1. Agree

[ ] 1. Members of

my extended

family/relatives

[ ] 1. Yes

[ ] 1. Regional Branch of

the Ministry of

Agriculture

[ ] 1. Credit UnionsENTER NUMBER FROM 1-4 BELOW

EACH ACTIVITY A-D

a. Improving the welfare of your household

and communityb. Enforcing laws and regulations c. Managing crime and theft d. Managing conflict

[ ] 2. Neither agree nor disagree[ ] 2. Friends [ ] 2. No [ ] 2. Municipality [ ] 2. Banks 1. A lot

[ ] 3. Disagree[ ] 3. Community

leaders[ ] 4. Don't know

[ ] 3. Local Executive

Committee (ExCom)

[ ] 3. Friends and

Family2. Somewhat

[ ] 4. Do not own a house

[ ] 4. Members of

my religious

organization

[ ] 4. Others (specify)

[ ] 4. Other lending

entities or individuals

(specify)

3. A little

[ ] 5. IDPs [ ] 5. "Lombard" 4. Not at all

[ ] 6. Neighbors [ ] 5. Does not apply to me

PUT options 1-3 for each

row a-f

Doing better than the

average personAverage

Doing worse than the

average person

a. The relatively poor Put options 1-2 for each row a-g 1. Yes 2. No

b. Older people a. Complain to a village leader

c. Friends or family of the local

leaderb. Complain to a municipal official

d. People that are well

connected to the municipal

government

c. Complain to a rayon official

e. IDPs d. Complain to a religious leader

f. Women headed

households 5. Other, specify:e. Appeal to local NGOs for assistance

f. Take part in community-wide meetings

g. Express my opinions during elections

G11. If you had concerns about how things were going in your village, there are some things that you might

be able to do to make things better. I will read out a list of actions that you could take to try to change the

situation in your village. For each one, I would like you to tell me whether or not you think these things would

help?

Prompt the list of answers

G7. How much do you trust your municipal government in:

Prompt the categories and answer options

G9. How influential are you when

decisions are made on issues that

affect all villagers, do you feel that

you personally play and influential

role in affecting the outcome, for

instance when you speak at village

meetings or trying to persuade

others?

Prompt the answer categories

G10. Generally, what would happen if a

household chose not to participate in

community activities?

(multiple answers are possible)

prompt the answers

4. Always influential4. They would not be helped in the future if

they needed help from their community

1. Never influential1. Nothing, this work is purely done on a

voluntary basis

G1. What is the maximum monthly amount you would contribute to

keep a newly built access road well-maintained?

G8. How do the following groups benefit from community decisions?

Prompt the answer categories

2. Somewhat influential2. They would be critized by members of the

community

3. Usually influential3. They would be critized by the municipal

government

H1. Head Woman: How often are you

consulted by your father, son, brother or

in-laws on financial matters?

H2. If you compare YOUR situation to 2 years

ago, would you say that your financial

independence within the household has

improved:

H3. If you compare the situation of ALL

women within your community to 2 years ago,

would you say that your financial

independence within the household has

improved:

[ ] 1. Often 1. Worsened substantially 1. Worsened substantially Minutes

[ ] 2. Sometimes 2. Not improved at all or slightly worsened 2. Not improved at all or slightly worsened Fetching water

[ ] 3. Never 3. Stayed the same 3. Stayed the same Marketing products

4. Improved just a bit 4. Improved just a bit Working for agricultural production:

Crops

5. Improved a lot 5. Improved a lotWorking for agricultural production:

Animals

Spending time with children

Household chores like cooking,

cleaning the house etc.

Community activities

H5. Enumerator: Was there a man present at

the time of the interview?

1. Yes

2. No

H4. How many minutes a day do you spend on? (if not, put “0”)

ENTER THE MINUTES SPENT

PART H – FOR HEAD WOMEN IN THE HOUSEHOLD

For the spouse or woman household head only. Explain to the respondent that the information obtained in this section will not be shared with anyone

J1. How far is it to reach the

closest commercial bank or

credit union?

J3. What was the purpose of the loan?

(more than one option possible)J4. What are the loan details?

J5. What interest rate were

you charged fot this loan?

In percent

if the person doesn't know, write

"don't know"

J6. What are main the difficulties faced by

households or small entrepreneurs in

obtaining a loan or credit from financial

institutions?

Do not prompt, multiple answers possible

J7. How do you save money?

__________ KM Current BorrowingFor future needs, where will you

borrow?[ ] 1. Agriculture

a. When did you take it out? ____

(year)[ ] 1. Excessive interest rates [ ] 1. At home

__________ Minutes by car 1. Commercial Banks [ ] 2. Food consumption [ ] 2. No facilities in the area [ ] 2. At a commercial bank

[ ] 3. Don’t know 2. Credit Unions [ ] 3. Education b. For how many years is the loan? [ ] 3. Cannot get approved for a loan [ ] 3. Rotational savings group

3. Relatives/friends [ ] 4. Marriage / Death [ ] 4. Insufficient collateral [ ] 4. Friends/Family

4. Money lenders [ ] 5. Health related [ ] 5. Other, specify:

5. Others [ ] 6. Buying/constructing housec. What was the size of the loan?

_____________ AZN[ ] 5. Extraperson (Co-Signer) can't be found

6. No borrowing at all [ ] 7. Buying machinery [ ] 6. Lack of bank account

[ ] 8. Investment in the farm [ ] 7. Other (specify)

[ ] 9. Others

J2. Have you taken a loan from any of these institutions in the last 3 years or do you

consider taking out a loan?

Prompt table options

If no to all "current borrowing", skip to next section (K)

PART J – BANKING FACILITIES


Economic Disruption in the Last 12 Months

Now I would like to ask about economic disorder in this household in the last 12 months

Type of economic disruption

Prompt the list

FOR EACH OF THE OPTIONS 1-

7 ASK QUESTIONS K1-K2

PROMPT THE LIST

K1. Total loss/reduction of income due to the event

in the last 12 months? (in AZN)

(POTENTIAL LOST/REDUCED INCOME,

EXCLUDING THE MEDICAL EXPENSE, FUNERAL,

REPAIR)

Write "don't know" if no knowledge

K2. What was done by this household to cope with

the loss of income cause by this event?

1. Serious illness of a household

member that required

hospitalization or frequent

medications

1. Sell household asset

2. Use savings

3. Loan money from parties outside of the household

4. Loan from Bank

5. Loan or gift from Friends/Family

6. Loan or gift Community members

7. Other: ______

8. Nothing

2. Loss of job or business failure

experienced by a household

member


2. Use savings


4. Loan from Bank



7. Other: ______

8. Nothing

3. Loss of business of a

household member because of a

dire, earthquake, or other

disasters


2. Use savings


4. Loan from Bank



7. Other: ______

8. Nothing

Harvest failure of a household

member due to

4. Weather


2. Use savings


4. Loan from Bank



7. Other: ______

8. Nothing

PART K. ECONOMIC DISRUPTION in the LAST 12 MONTHS[INTERVIEW THE HEAD OF THE HOUSEHOLD]

5. Pest


2. Use savings


4. Loan from Bank



7. Other: ______

8. Nothing

6. Reduced household income

due to the very low prices of

crops/products


2. Use savings


4. Loan from Bank



7. Other: ______

8. Nothing

7. Other________________


2. Use savings


4. Loan from Bank



7. Other: ______

8. Nothing

Type of land Size in Hectares Place Crops Livestock Product

Household plot

Directly to consumers in

village / urban center (at

the farm gate)

Farm land (privatized land) IrrigatedNon-

irrigatedIrrigated

Non-

irrigated

ENTER YIELD AND

AREA FOR EACH

ROW

Yield (last year)

measured in tonsArea in ha's

To wholesale buyer at

farm gate

Purchased farm land Crop land WheatTo wholesale at village /

urban center

Inherited Orchard (fruits) MaizeSell products out of the

country

Rented land from neighbor Vineyard Alfalfa Other (specify)

Pasture Potato

Farm building Cotton

Idle Barley

Other (specify) Tobacco

Tomato

Cucumber

Other

I1. Specify the size of your land

Prompt categories

Indicate if the person does not know

I2. If you own farm land, did you sell

your land in the past 2 years?


PART I – FARM PRODUCTIONS AND PRICES

3. Did not sell the land

I4. Where do you usually sell your products? (There may be more

than one answer)

Mark "yes" in the cell that applies for each column

I3. How is the farm land used?

(Don’t fill this section if there is no land)

Other land (specify)

___________

4. Not owning farm land

Major crops

Estimated ValueArea (in ha)

Land use1. Sold the land completely

2. Sold the land partiallyENTER AREA AND

ESTIMATED VALUE FOR

EACH ROW

L1. Does your community have

experience in implementing a

small/micro project?

L2. Did you participate in a

mobilization meeting as part of

the community involvement for

this project.

L3. Did you vote in the

mobilization meeting?

L4. When was the community

group started?

Enter year

L5. Is the community group still

functioning?

L6. Does the community have a

maintenance/sustainability fund?

L7. How much is currently in the

fund?

L8. Has someone from the

community group been

selected/elected to the municipal

government or the ExComm?

[ ] 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes ______________1. ExComm

[ ] 2. No 2. No 2. No 2. No 2. No 2. I don't know 2. Municipal Government/Council

[ ] 3. Do not know 3. No

Projects implemented

ask the next 4 questions for each

project implemented

L9. What was project's type?

[ ] 1. Contruction

[ ] 2. Rehabilitation

L10. Who initiated the project?

DO NOT PROMPT THESE

ANSWERS

1. The community

2. The municipal government

3. The central government

4. Other organization (provide the

name)

5. Azrip

6. Don't know

L11. Who financed the project

you implemented? (Multiple

answers possible)

1. Foreign donor

2. Local donor (sponsor)

3. Central Government

4. Local government

5. Others (name)

6. Don't know

L12. What proportion of people in the

community contributed material support

(time, labor or money) to the project?

1. Everyone

2. Half

3. More than half

4. Less than half

5. No one

6. Don't know

L13. Is this infrastructure still

functional?

1.Yes / 2.No

L14. Do you use this

infrastructure?

1.Yes / 2.No

L15. How satisfied were you with

the quality of the project?

1. Not satisfied

2. Somewhat unsatisfied

3. Average

4. Somewhat satisfied

5. Very Satisfied

L16. Is the

community

currently involved

in the

MAINTENANCE of

the project?

1.Yes / 2.No

L.17 Is a part of the

government involved

in the MAINTENANCE

or further improvement

of the project?

1. Yes, Excomm

2. Yes, Municipal

government

3. No

4. I don't know.

L19. As a result of the

ROAD improvement

project, how did traffic

change?

Mark one

1. Water supply System (potable) Place Travel time (in minutes) 1. Traffic increased

2. Sewerage and drainage system Market 2. Traffic stayed the same

3. Secondary roads and bridges Hospital 3. Traffic was reduced

4. Small scale local electricity

distribution School 4. I don't know

5. Schools and kindergarten Safe water source

6. Health Centers Cemetary

7. Community centers

8. Parks

9. Market places

10. Small-scale Irrigation

11. Soil and water conservation

12. Other, specify:

L20. Is there public

transportation connecting your

village/community to the city?

(Bus etc)

L21. Have you ever heard about

the Rural Investment Project

(AzRIP/AzKIL) in your area?

L22. Did this community received

support from AzRIP/AzKIL?

L23. For how many small/micro

projects was support from

AzRIP/AzKIL received?

L24. Where did you hear about the Rural

Investment Project (AzRIP) for the first

time (multiple answers possible)?

L25. Are you interested in

preparing another micro-project?

[ ] 1. Yes [ ] 1. Yes [ ] 1. Yes [ ] 1. 1 project [ ] 1. Government [ ] 1 Yes Type Put numbers 1- 4 for the ranking

[ ] 2. No [ ] 2. No - Skip to question L17[ ] 2. No - Skip to question L17

[ ] 2. 2 projects [ ] 2. Municipality [ ] 2. No -- Skip to next section [ ] 1. Water supply system

[ ] 3. More than 2 projects [ ] 3. Mobilization team[ ] 3. Do not know now

[ ] 2. Sewerage and drainage system

[ ] 4. Do not know [ ] 4. Relatives [ ] 3. Secondary roads and bridges

[ ] 5. Neighbors[ ] 4. Small scale local electricity

distribution

[ ] 6. Newspaper [ ] 5. Schools and kindergarten

[ ] 7. Radio [ ] 6. Health centers

[ ] 8. TV [ ] 7. Community centers

[ ] 9. Project group [ ] 8. Parks

[ ] 10. Other:_____ [ ] 9. Market places

[ ] 11. Don't remember [ ] 10. Small-scale irrigation

[ ] 11. Soil and water conservation

[ ] 12. Livelihoods

[ ] 13. Others _______________

PART L – QUESTIONS ON COMMUNITY PROJECTS

L18. If there was a ROAD upgrading as part of the

community implementing the project:

By how much was the traveling time reduced to the

following places?

L26. In what type of project would you be interested in participating?

Please rank your top 4 priorities

RANK PREFERENCE FROM 1-4

For COMPLETED projects only:

M1. How many kilometers and

minutes do you need to reach the

capital of the Rayon by road/car?

Kilometers ____________1. Yes 2. No

Name of ExComm representative

in the municipality

Minutes ___________ Infrastructure project Name of ExComm representative

in the city (head of the Rayon)

Agriculture project

Business support project

Other type of in-kind support

[ ] 3. Do not know Financial support

PART M – CLOSENESS TO RAYON ADMINISTRATION

M2. What type of support did this community receive from the

Rayon Administration in the last 2 years?

Prompt the response. Please enter 1 or 2 in ech row.

M3. Please name a representative of your Rayon administration and

her/his position.

Write "Don't know" if the person does not know.

Number of family members

Within Azerbaijan

From a city to a village/rural area

From a village/rural area to a city

From another country to Azerbaijan

From Azerbaijan to another country

Space for additional comments on the survey

THANK YOU FOR THIS INTERVIEW!

PART N. MIGRATION TO AND FROM

CITIES/TOWNS TO/FROM VILLAGES

N1. How many of your family members migrated within the last 12

months?

ENTER NUMBER IN ROW THAT APPLIES

HOUSEHOLD SURVEY QUESTIONNAIRE

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