LONG FORM - Microdata Library
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Transcript of LONG FORM - Microdata Library
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B.- HOUSEHOLD IDENTIFICATION
URBAN
Hay
16
Mahlla
BLOCK
Head of household name
Residencial address
RURAL
Building census No
Environment
A. GEOGRAPHICAL LOCATION OF THE HOUSEHOLDNAME
IDENTIFIER
Interviewer
CODE CODE
Republic of Iraq
Ministry of Planning
Central Statistical Organization (CSO)
HH
In cooperation with KRSO
Swift Survey - 2017
LONG FORM
Cluster serial N
Street /ZokakGovernorate
NAME
House numberQadha'
Nahiya
C.- CONTACT INFORMATION
Mobile number:Fixed telephone:
Result
Interviewer
Team supervisor
Day YearCode Month
SECTION 1: RATIONS
1
2
1
1
2
3
4
5
6 Other 2 __________
105 106In the past 12
months, for how
many months did
this household
receive this item?
Write (0) if did not
receive
1-WITHIN THE PAST MONTH
2-More than one month and up to three months
4-MORE THAN 12 MONTHS AGO >> NEXT ITEM
5-NEVER >> NEXT ITEM
Rice KG
Sugar
Vegetable oil LT
Other 1 __________
Wheat flour KG
108When was the last time this household received ..[ITEM]..
from the Ration Agent?
How much
ITEM did you
receive that
time?
How many
months does
this quantity
cover?
What price would
you pay in the
market to buy the
..[ITEM].. of same
quality?
Thousand dinars /
unitNB. OF MONTHS
KG
103
<< PART B
107
QUANTITY MONTHS
3-WITHIN THE PAST 12 MONTHS
UN
IT O
F M
EA
SU
RE
ME
NT
104
Amount paid to rations agent for value of rations and value of sacs/bags
CO
DE
ITEM NAME
Does the household receive rations according to the ration card?
PART A: RATIONS RECEIVED
101
102
YES
NO
How many members are in the ration card
OTHER 4
1
2
3
4
5
6 Other 2 __________
UN
IT O
F M
EA
SU
RE
ME
NT
109How much ..[ITEM]..
did this household
consume during the
past 30 days?
Write (0) if nothing and
move to next item
Vegetable oil
KG
KG
ITEM NAME QUANTITY
Wheat flour
Other 1 __________
Rice KG
Sugar
LT
115
3
What was the
total value of
the...[ITEM]... you
purchased?
Why was this purchase of
... [ITEM]...made?
How much of
the ...[ITEM]...
you consumed
was received
as a gift?
Write (0) if nothing and
move to question 114
QUANTITY QUANTITY QUANTITY QUANTITY
PART B: CONSUMPTION OF RATION ITEMS AND SIMILAR DURING THE PAST 30 DAYS
CO
DE
How much of
the ...[ITEM]...
you consumed
was produced
by the
household?
RATION WAS NOT
ENOUGH
110 111 112 113 114
1
THOUSAND
DINARS
How much of
this ..[ITEM]::
consumed
was received
as part of your
ration?
How much of the
...[ITEM]....you
consumed was
purchased?
RATION AND
OTHER SOURCES
NOT ENOUGH
2
WE WANTED
BETTER QUALITY
THAN THE RATION
TYPE OF HOUSING EXPENSE
INTERVIEWER:
YES 1
NO 2
1
2
3
4
5
water and sewer bill
Electricity from the public network bill
Write all expenditures if related in whole or part to the household consumption use.
Do not write the expenditure if it is not related to the said use
<< NEXT
Bill for electricity generated from a common generator
Land / Phone Line bill
Housing unit rent
SECTION 2: HOUSINGL
INE
NU
MB
ER
206 207
Has this household paid for
..[TYPE OF EXPENSE].. during the
past 12 months?
How much was
the last payment
that this
household made
for ..[TYPE OF
EXPENSE]..?
How many days did this last
payment covered?
204 205
THOUSAND
DINARS NUMBER OF DAYS PERCENTAGE
What is the estimated
proportion of use for non
household consumption such
as production and sale
activities carried out within
the housing unit?
DD MM YYYY
302 303
PURCHASED 1
RECEIVED AS GIFT FROM OTHER HHOLDS 2
RECEIVED AS GIFT FROM OTHERS 3
YES 1 PAYMENT FOR WORK 4
NO 2 SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE 6
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
321401 --
321402 --
321403 --
322401 --
322402 --
452101 BOTTLE
452102 BOTTLE
452103 --
452204 LITER
452205 LITER
452206 LITER
453101 LITER
453102 LITER
4190
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
Kaz commercial
Article fat and pigments shoes
Material Maintenance shoes
Other (Kietin .... etc.)
Wages dye and repair
Other (rental shoes .... etc)
Liquid from the gas station
Liquid gas trading
Liquid gas by pipeline
Kerosene from the station
Engine Oils
White oil from the station
White oil trading
Total Page
SECTION 3: Expenditures on Non-Food Services and Commodities during the past 30 days
Have the members of this household acquired …[ITEM].. during the 30 days previous to
the first day of the interview?
ASK QUESTION (301) ABOUT EACH ITEM IN THE LIST
FIRST
IF THE ANSWER TO Q. 301 IS YES, ASK Q. 302 TO 304
304How much has your
household spent or what
is the estimation for all
quantities of ...[ITEM]..
bought or received
during last 30 days for
the first day of interview
ITE
M C
OD
E
301How much ..[ITEM]..
did this household
consume during the
past 30 days?
What's the main source of all these …[ITEM]'s… acquired?
HIES-II, Household Questionnaire - version 0A S3.ORI 5/44
454101 --
454102 --
454103 --
454104 --
552101NUMBER
552102 NUMBER
552103 NUMBER
552104 NUMBER
552105 NUMBER
552106 NUMBER
552107 NUMBER
552108 NUMBER
552109 NUMBER
4330
561101 KILOGRAM
561102 KILOGRAM
561103 KILOGRAM
561104 KILOGRAM
561105 LITER
561106 LITER
561107 --
561108 --
561109 --
561111 --
561112 --
561113 --
561114 --
561115--
561116
--
4490
Dish towels
Materials against insects
Floor cloth wipers
Paper products (table linens, bags, vacuum cleaners,
dishes)
Other materials (matches, candles, wicks, clothes hangers,
pins, knitting needles, embroidery needles, Kchtbanat,
thread, thread couscous, fire extinguisher, screws, rubber
gloves)
Total Page
Washing powders and cleaning business
Washing and cleaning fluids
Minor
Air Freshener
Cleaning the glass
Cleaning tools, brooms, scanners
Cleaning brushes
Hand tools and equipment (saw, hammer, hooks, Kirk, etc.
..)
Soap commercial
Total Page
Detergents and cleaning supply
Massabh hand
Dry Batteries
Alarms
Knobs and locks
Other (small tools and accessories diverse ...)
Soap Supply
Ladders or stairs
Coal
Wood
Amplitude
Other (remains of plants, fronds, etc. ..)
Curtain rails
Light bulbs and Florsnat
HIES-II, Household Questionnaire - version 0A S3.ORI 6/44
562101 --
562102 --
562103 --
562104 --
562105 --
562106 --
612101--
611101 --
611102 --
611103 --
611104 --
722104 LITER
722105 LITER
722106 LITER
722107 LITER
722108 --
4690
723101--
723102 --
731105 --
731101 --
731103 --
731104 --
732101 --
732102 --
732103 --
810101 --
4790
Transport of passengers by sea
Wages Hmalah
Wages luggage transfer offices
Commissions and travel agents
Mail expenses (stamps, parcels, money orders)
Total Page
Total Page
Engineering (mechanical, electrical, plumbing, backup
tools, Benjrgi)
Wash and Auto Detailing
Passenger train
Passenger transport by road (inside and outside Iraq)
Passenger transport by air
Kerosene from the station
Kaz commercial
Motor oil from the station
Commercial engine oils
Others (distilled water, Antervriz ... etc.)
Other pharmaceutical products
Guard wages
Chef wages
Medical devices (Termotr, syringes, medical plaster, gauze,
cotton, etc. ..)
Chronic drugs
Chronic disease drugs is
Contraceptives
Wages of a maid
Wages of driver
Wages for farmers
Nanny wages
HIES-II, Household Questionnaire - version 0A S3.ORI 7/44
830101 --
830102 --
830103 --
830104 NUMBER
830105 NUMBER
830106 --
830107 --
830108 --
830109 --
830110 --
830111 --
942101 --
942102 --
942103 --
942104--
942105 --
942106--
942107 --
4960
To lease videotapes and CD
Total Page
Data transport services and the Internet
Internet connectivity services
Expenses of the Telecommunications
Telephone and fax services other
The value of movie tickets, theater, concerts
Expenditure on museums and libraries
Phone and fax rental
Works of art galleries and exhibitions
Expenses of visiting historical monuments, parks and zoos
Services Photographers (photographs, film processing etc
...)
Other cultural services
Wages landline
Wages for telephone calls
Wages set the phone
Card mobile phone
Chandelier Card
Telegraph services, telex and fax
HIES-II, Household Questionnaire - version 0A S3.ORI 8/44
954101 --
954102 --
954103 --
954104 --
954105 --
954106 --
954107 --
954108 --
954109--
954110--
1040101 --
1040102 --
1040103 --
1211201 --
1211202 --
1211203 --
1211204 --
1211205 --
5140
Nursery and kindergarten expenses
Barber Men's wages
Drawing materials, paint, fabric painting (paper, plates,
dyes, wax and pastel, water and brushes)
Other personal care
Scissors, Paper
Gum
Paper clips
Other (rulers, engineering tools, chalk, pens portfolio ... etc.)
Custody fees
Kindergarten fees
Sharpener and eraser
Carbon papers and tapes
Women's wages Barber
Wages bath
Wages sauna and massage
Total Page
Alcabsat and pins and pins for Eabsat drawing
Books and pamphlets
Pens of all kinds
HIES-II, Household Questionnaire - version 0A S3.ORI 9/44
442101--
444101--
1213101--
1213102--
1213103--
1213104--
5180
Non-electric machines (shavers, shaving machine,
scissors, file, brush teeth, comb etc ...)
Personal hygiene items (soap, medical bath, shaving
cream, toothpaste ... etc.)
Beauty products (lipstick, nail polish, perfume body,
perfumes and fragrances)
Other products (toilet paper, tissue paper, sanitary napkins,
diapers for the children ... etc)
Total Page
Number of lines completed for section
Wages for garbage collection and waste (sewage entertain
... etc.)
Other services (guarding, maintenance of elevators ... etc)
HIES-II, Household Questionnaire - version 0A S3.ORI 10/44
DD MM YYYY
402 403
PURCHASED 1
ASK QUESTION (401) ABOUT EACH ITEM IN THE LIST FIRST RECEIVED AS GIFT FROM OTHER HHOLDS 2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
IF THE ANSWER TO Q. 401 IS YES, ASK Q. 402 TO 404 SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE 6
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
311101 Men's woolen fabrics METER
311102 Women's woolen fabrics METER
311103 Woolen fabrics for children METER
311104 Men's cotton fabrics METER
311105 Women's cotton fabrics METER
311106 Cotton fabrics for children METER
311107 Men's silk fabrics METER
311108 Women's silk fabrics METER
311109 Silk fabrics for children METER
311110 Men's Synthetic Fabric METER
311111 Women's synthetic fabrics METER
311112 Synthetic fabrics for children METER
311113 Payment for sewing Men's Clothing --
311114 Payment for Sewing Women's Clothing --
311115 Payment for Clothes children --
311116 Other clothing articles --
5670 Total Page
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
ITE
M C
OD
E
SECTION 4: Expenditures on Non-Food Services and Commodities during the past 90 days
Have the members of this household acquired …[ITEM].. during the 90 days previous to the first day of the interview?
401
What's the main source of all these …[ITEM]'s… acquired?
404
How much has your
household spent or what is
the estimation for all
quantities of ..[ITEM]...
bought or received during
the 90 days preceding the
first day of interview?
What is the quantity of the
..[ITEM]... bought or
acquired by your
household during the 90
days preceding the first
day of interview?
HIES-II, Household Questionnaire - version 0A S4.ORI 11/44
DD MM YYYY
402 403
PURCHASED 1
ASK QUESTION (401) ABOUT EACH ITEM IN THE LIST FIRST RECEIVED AS GIFT FROM OTHER HHOLDS 2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
IF THE ANSWER TO Q. 401 IS YES, ASK Q. 402 TO 404 SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE 6
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
ITE
M C
OD
E
SECTION 4: Expenditures on Non-Food Services and Commodities during the past 90 days
Have the members of this household acquired …[ITEM].. during the 90 days previous to the first day of the interview?
401
What's the main source of all these …[ITEM]'s… acquired?
404
How much has your
household spent or what is
the estimation for all
quantities of ..[ITEM]...
bought or received during
the 90 days preceding the
first day of interview?
What is the quantity of the
..[ITEM]... bought or
acquired by your
household during the 90
days preceding the first
day of interview?
312101 Coats NUMBER
312102 Jackets NUMBER
312103 Pants NUMBER
312104 Coats NUMBER
312105 Shirts NUMBER
312106 Underwear NUMBER
312107 Suits NUMBER
312108 Dishdasha NUMBER
312109 Wool cloak NUMBER
312110 Pajamas NUMBER
312111 Eshmag NUMBER
312112 Headband NUMBER
312113 Arakjan NUMBER
312114 Juarib PAIR
312115 Sportswear NUMBER
312116 Sweater NUMBER
312117 T-Shirt NUMBER
312118 Men's other garments NUMBER
5850 Total Page
HIES-II, Household Questionnaire - version 0A S4.ORI 12/44
DD MM YYYY
402 403
PURCHASED 1
ASK QUESTION (401) ABOUT EACH ITEM IN THE LIST FIRST RECEIVED AS GIFT FROM OTHER HHOLDS 2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
IF THE ANSWER TO Q. 401 IS YES, ASK Q. 402 TO 404 SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE 6
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
ITE
M C
OD
E
SECTION 4: Expenditures on Non-Food Services and Commodities during the past 90 days
Have the members of this household acquired …[ITEM].. during the 90 days previous to the first day of the interview?
401
What's the main source of all these …[ITEM]'s… acquired?
404
How much has your
household spent or what is
the estimation for all
quantities of ..[ITEM]...
bought or received during
the 90 days preceding the
first day of interview?
What is the quantity of the
..[ITEM]... bought or
acquired by your
household during the 90
days preceding the first
day of interview?
312201 Coats NUMBER
312202 Jackets NUMBER
312203 Pants NUMBER
312204 Coats NUMBER
312205 Shirts NUMBER
312206 Underwear NUMBER
312207 Full allowance NUMBER
312208 Dishdasha NUMBER
312209 Mantle NUMBER
312210 Pajamas NUMBER
312211 Skirt NUMBER
312212 Gergd NUMBER
312213 Towel NUMBER
312214 Shawls, tie NUMBER
312215 Juarib PAIR
312216 Sportswear NUMBER
312217 Sweatshirts NUMBER
312218 T-Shirt NUMBER
312219 Other women's ready made clothing NUMBER
6030 Total Page
HIES-II, Household Questionnaire - version 0A S4.ORI 13/44
DD MM YYYY
402 403
PURCHASED 1
ASK QUESTION (401) ABOUT EACH ITEM IN THE LIST FIRST RECEIVED AS GIFT FROM OTHER HHOLDS 2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
IF THE ANSWER TO Q. 401 IS YES, ASK Q. 402 TO 404 SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE 6
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
ITE
M C
OD
E
SECTION 4: Expenditures on Non-Food Services and Commodities during the past 90 days
Have the members of this household acquired …[ITEM].. during the 90 days previous to the first day of the interview?
401
What's the main source of all these …[ITEM]'s… acquired?
404
How much has your
household spent or what is
the estimation for all
quantities of ..[ITEM]...
bought or received during
the 90 days preceding the
first day of interview?
What is the quantity of the
..[ITEM]... bought or
acquired by your
household during the 90
days preceding the first
day of interview?
312301 Coats NUMBER
312302 Jackets NUMBER
312303 Pants NUMBER
312304 Coats NUMBER
312305 Shirts NUMBER
312306 Underwear NUMBER
312307 Suits NUMBER
312308 Dishdasha NUMBER
312309 Sportswear NUMBER
312310 Pajamas NUMBER
312311 Skirt NUMBER
312312 Sweatshirts NUMBER
312313 Juarib PAIR
312314 Other children's clothing --
6170 Total Page
HIES-II, Household Questionnaire - version 0A S4.ORI 14/44
DD MM YYYY
402 403
PURCHASED 1
ASK QUESTION (401) ABOUT EACH ITEM IN THE LIST FIRST RECEIVED AS GIFT FROM OTHER HHOLDS 2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
IF THE ANSWER TO Q. 401 IS YES, ASK Q. 402 TO 404 SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE 6
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
ITE
M C
OD
E
SECTION 4: Expenditures on Non-Food Services and Commodities during the past 90 days
Have the members of this household acquired …[ITEM].. during the 90 days previous to the first day of the interview?
401
What's the main source of all these …[ITEM]'s… acquired?
404
How much has your
household spent or what is
the estimation for all
quantities of ..[ITEM]...
bought or received during
the 90 days preceding the
first day of interview?
What is the quantity of the
..[ITEM]... bought or
acquired by your
household during the 90
days preceding the first
day of interview?
313101 Tie NUMBER
313102 Handkerchief NUMBER
313103 Gloves of all kinds PAIR
313104 Belts NUMBER
313105 Carriers of pants NUMBER
313106 Caps NUMBER
313107 Sewing thread and knitting --
313108 Buckles --
313109 Buttons --
313110 OTHER --
314101 Wages repair clothing --
314102 Payments for sewing clothes --
314103 Ironing clothes --
314104 Washing clothes --
314105 Clothing dye --
314106 Mending clothing --
314107 Rental of clothing --
314108 Other fees (laundry, repair and rental ...) --
6340 Total Page
HIES-II, Household Questionnaire - version 0A S4.ORI 15/44
DD MM YYYY
402 403
PURCHASED 1
ASK QUESTION (401) ABOUT EACH ITEM IN THE LIST FIRST RECEIVED AS GIFT FROM OTHER HHOLDS 2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
IF THE ANSWER TO Q. 401 IS YES, ASK Q. 402 TO 404 SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE 6
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
ITE
M C
OD
E
SECTION 4: Expenditures on Non-Food Services and Commodities during the past 90 days
Have the members of this household acquired …[ITEM].. during the 90 days previous to the first day of the interview?
401
What's the main source of all these …[ITEM]'s… acquired?
404
How much has your
household spent or what is
the estimation for all
quantities of ..[ITEM]...
bought or received during
the 90 days preceding the
first day of interview?
What is the quantity of the
..[ITEM]... bought or
acquired by your
household during the 90
days preceding the first
day of interview?
321101 Leather Shoes PAIR
321102 Non Leather Shoes PAIR
321103 Slippers PAIR
321104 Sports Shoes PAIR
321105 Other (clog slippers .. etc. ..) PAIR
321201 Leather Shoes PAIR
321202 Non Leather Shoes PAIR
321203 Slippers PAIR
321204 Sports Shoes PAIR
321205 Other (clog slippers .. etc. ..) PAIR
321301 Leather Shoes PAIR
321302 Non Leather Shoes PAIR
321303 Slippers PAIR
321304 Sports Shoes PAIR
321305 Other (clog slippers .. etc. ..) PAIR
6490 Total Page
HIES-II, Household Questionnaire - version 0A S4.ORI 16/44
DD MM YYYY
402 403
PURCHASED 1
ASK QUESTION (401) ABOUT EACH ITEM IN THE LIST FIRST RECEIVED AS GIFT FROM OTHER HHOLDS 2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
IF THE ANSWER TO Q. 401 IS YES, ASK Q. 402 TO 404 SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE 6
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
ITE
M C
OD
E
SECTION 4: Expenditures on Non-Food Services and Commodities during the past 90 days
Have the members of this household acquired …[ITEM].. during the 90 days previous to the first day of the interview?
401
What's the main source of all these …[ITEM]'s… acquired?
404
How much has your
household spent or what is
the estimation for all
quantities of ..[ITEM]...
bought or received during
the 90 days preceding the
first day of interview?
What is the quantity of the
..[ITEM]... bought or
acquired by your
household during the 90
days preceding the first
day of interview?
521101 Sheets and mattresses Number
521102 Blankets and Back Number
521103 Ready pillows Number
521104 Duck and quilts Number
521105 Towels and towels Number
521106 Sheets for tables Number
521107 Table linens Number
521108 Wool kg
521109 Cotton kg
521110 Feathering kg
521111 Foam METER
521112 Wages Ndavh --
521113 Fabrics for Furniture METER
521114 Wages of sewing furniture --
521115 Wages Repair --
521116 Textiles and other furnishings --
562201 Wash carpets and rugs --
562202 Clean linens and home furnishings steam --
562203 Rental of furniture and furnishings, carpets, household equipment --
562204 Other Services --
6670 Total Page
621101 General practitioner --
621102 Private doctor --
621103 Orthodontics --
622101 Dentist --
HIES-II, Household Questionnaire - version 0A S4.ORI 17/44
DD MM YYYY
402 403
PURCHASED 1
ASK QUESTION (401) ABOUT EACH ITEM IN THE LIST FIRST RECEIVED AS GIFT FROM OTHER HHOLDS 2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
IF THE ANSWER TO Q. 401 IS YES, ASK Q. 402 TO 404 SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE 6
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
ITE
M C
OD
E
SECTION 4: Expenditures on Non-Food Services and Commodities during the past 90 days
Have the members of this household acquired …[ITEM].. during the 90 days previous to the first day of the interview?
401
What's the main source of all these …[ITEM]'s… acquired?
404
How much has your
household spent or what is
the estimation for all
quantities of ..[ITEM]...
bought or received during
the 90 days preceding the
first day of interview?
What is the quantity of the
..[ITEM]... bought or
acquired by your
household during the 90
days preceding the first
day of interview?
622102 Cost of installing dentures --
622103 Repair and maintenance --
622104 Dental Services Other --
623101 Wage analysis --
623102 X-ray payments --
623103 Nurse wages --
623104 Fees are authorized midwife --
623105 Physical Therapy --
623106 Rental of therapeutic equipment --
623107 Medicinal herbs --
623108 Fees for ECG --
623109 Fees for Sonar --
623110 Fees for MRI --
623111 Other medical services (Nursing, blue needles, orthopedic, physical therapy, etc.) --
623112 Ambulance services --
623113 Therapeutic equipment hire --
6860 Total Page
624101 Fees for kidney washing --
624102 Chemotherapy --
624103 Other therapeutic services --
630101 Government hospital --
630102 Private hospital --
630103 popular clinic --
630104 Health center --
630105 Costs of treatment outside of Iraq --
HIES-II, Household Questionnaire - version 0A S4.ORI 18/44
DD MM YYYY
402 403
PURCHASED 1
ASK QUESTION (401) ABOUT EACH ITEM IN THE LIST FIRST RECEIVED AS GIFT FROM OTHER HHOLDS 2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
IF THE ANSWER TO Q. 401 IS YES, ASK Q. 402 TO 404 SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE 6
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
ITE
M C
OD
E
SECTION 4: Expenditures on Non-Food Services and Commodities during the past 90 days
Have the members of this household acquired …[ITEM].. during the 90 days previous to the first day of the interview?
401
What's the main source of all these …[ITEM]'s… acquired?
404
How much has your
household spent or what is
the estimation for all
quantities of ..[ITEM]...
bought or received during
the 90 days preceding the
first day of interview?
What is the quantity of the
..[ITEM]... bought or
acquired by your
household during the 90
days preceding the first
day of interview?
630106 Other services for hospitals --
914101 Videotapes --
914102 Cassette tapes and CDs --
914103 CDs for PC --
914104 Ordinary and color photographic films --
914105 Other means of recording --
933101 Natural plants --
933102 Artificial plants --
933103 Others (such as fertilizer requirements, pot ... etc.) --
7000 Total Page
HIES-II, Household Questionnaire - version 0A S4.ORI 19/44
DD MM YYYY
402 403
PURCHASED 1
ASK QUESTION (401) ABOUT EACH ITEM IN THE LIST FIRST RECEIVED AS GIFT FROM OTHER HHOLDS 2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
IF THE ANSWER TO Q. 401 IS YES, ASK Q. 402 TO 404 SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE 6
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
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SECTION 4: Expenditures on Non-Food Services and Commodities during the past 90 days
Have the members of this household acquired …[ITEM].. during the 90 days previous to the first day of the interview?
401
What's the main source of all these …[ITEM]'s… acquired?
404
How much has your
household spent or what is
the estimation for all
quantities of ..[ITEM]...
bought or received during
the 90 days preceding the
first day of interview?
What is the quantity of the
..[ITEM]... bought or
acquired by your
household during the 90
days preceding the first
day of interview?
941101 City Games Tickets --
941102 Sports tickets --
941103 The value of the participation of social clubs, sports and cultural rights (including membership fees and donations for the club ... etc.)--
941104 Expenses of the fitness centers --
941105 Rental equipment and supplies for sports and leisure --
941106 Training programs (swimming, music ... etc.) --
941107 Extension services tourism --
941108 Services, entertainment and other sports --
1120101 Hotels --
1120102 The role of tourism and resorts --
1120103 Dormitories --
1120104 Other services stay in Iraq --
1120201 Living expenses out of Iraq --
7130 Total Page
Number of lines completed for section
HIES-II, Household Questionnaire - version 0A S4.ORI 20/44
SECTION 5: Acquisition of non-Food Services and Commodities during the past 12 months
DD MM YYYY
502 503
PURCHASED 1
RECEIVED AS
GIFT FROM
2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
431101 Restoration, repair and maintenance of housing -
431102 Home decorating -
431103 Dye house -
432101 Acts of housing maintenance -
511101 Bedroom -
511102 Reception room -
511103 Dining table with chairs Number
511104 Buffet food Number
511105 Living room -
511106 Bed of all kinds Number
511107 Chair Number
511108 Table Number
511109 Wardrobe Number
511110 Library Number
511111 Kitchen counters Number
511112 Tepel Lamb Number
511113 Pictures and paintings Number
511114 Antiques, statues Number
511115 Ready curtains of all kinds Number
511116 Chandeliers Number
511117 Mirror Number
511118 Vases Number
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
IF THE ANSWER TO Q. 501 IS YES, ASK Q. 502 TO 504
ASK QUESTION (501) ABOUT EACH ITEM IN THE LIST
FIRST
501
Have the members of this household acquired …[ITEM].. during the 12 months previous to
the first day of the interview?
What is the quantity of
...[ITEM].. bought or
acquired by your
household last 12 months
before the first day of the
interview?
How much has your
household spent or what is
the estimation for all
quantities of ...[ITEM]..
bought or received during
last 12 months for the first
day of interview
504What's the main source of all these …[ITEM]'s… acquired?
6
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HIES-II, Household Questionnaire - version 0A S5.ORI 21/43
SECTION 5: Acquisition of non-Food Services and Commodities during the past 12 months
DD MM YYYY
502 503
PURCHASED 1
RECEIVED AS
GIFT FROM
2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
IF THE ANSWER TO Q. 501 IS YES, ASK Q. 502 TO 504
ASK QUESTION (501) ABOUT EACH ITEM IN THE LIST
FIRST
501
Have the members of this household acquired …[ITEM].. during the 12 months previous to
the first day of the interview?
What is the quantity of
...[ITEM].. bought or
acquired by your
household last 12 months
before the first day of the
interview?
How much has your
household spent or what is
the estimation for all
quantities of ...[ITEM]..
bought or received during
last 12 months for the first
day of interview
504What's the main source of all these …[ITEM]'s… acquired?
6
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511119 Other (furniture, equipment ...) -
7760 Total Page
HIES-II, Household Questionnaire - version 0A S5.ORI 22/43
SECTION 5: Acquisition of non-Food Services and Commodities during the past 12 months
DD MM YYYY
502 503
PURCHASED 1
RECEIVED AS
GIFT FROM
2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
IF THE ANSWER TO Q. 501 IS YES, ASK Q. 502 TO 504
ASK QUESTION (501) ABOUT EACH ITEM IN THE LIST
FIRST
501
Have the members of this household acquired …[ITEM].. during the 12 months previous to
the first day of the interview?
What is the quantity of
...[ITEM].. bought or
acquired by your
household last 12 months
before the first day of the
interview?
How much has your
household spent or what is
the estimation for all
quantities of ...[ITEM]..
bought or received during
last 12 months for the first
day of interview
504What's the main source of all these …[ITEM]'s… acquired?
6
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512101 Rugs Square meters
512102 Carpet Square meters
512103 Floor mats Square meters
512104 Extension Square meters
512105 Wages Repair -
512106 Other (rugs, blankets the land .... etc.) -
531101 Fridge Number
531102 Frozen Number
531103 Water cooler Number
531104 Other (refrigerators and air-cooling ...) -
531201 Electric washing machine Number
531202 Electric clothes dryer Number
531203 Dishwasher, electric Number
531204 Electric iron Number
531205 Other (washing machines and dryers, ironing ...) -
7880 Total Page
531301 Gas cooker Number
531302 Electric cooker Number
531303 Cook oil Number
531304 Electric oven Number
531305 Electric grill Number
531306 Gas grill Number
HIES-II, Household Questionnaire - version 0A S5.ORI 23/43
SECTION 5: Acquisition of non-Food Services and Commodities during the past 12 months
DD MM YYYY
502 503
PURCHASED 1
RECEIVED AS
GIFT FROM
2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
IF THE ANSWER TO Q. 501 IS YES, ASK Q. 502 TO 504
ASK QUESTION (501) ABOUT EACH ITEM IN THE LIST
FIRST
501
Have the members of this household acquired …[ITEM].. during the 12 months previous to
the first day of the interview?
What is the quantity of
...[ITEM].. bought or
acquired by your
household last 12 months
before the first day of the
interview?
How much has your
household spent or what is
the estimation for all
quantities of ...[ITEM]..
bought or received during
last 12 months for the first
day of interview
504What's the main source of all these …[ITEM]'s… acquired?
6
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531307 Premz Number
531308 Oven gas Number
531309 Other (round .... etc.) -
531401 Electric heater Number
531402 Gas heater Number
531403 Oil heater Number
531404 Air Conditioning (Aarkandashn), and Sbelt .... etc. Number
531405 Chilled Number
531406 Electric fan Number
531407 Electric heater Number
531408 Gas fireplace Number
531409 Oil heater Number
531410 Other (heaters, air-conditioning ...) -
8070 Total Page
HIES-II, Household Questionnaire - version 0A S5.ORI 24/43
SECTION 5: Acquisition of non-Food Services and Commodities during the past 12 months
DD MM YYYY
502 503
PURCHASED 1
RECEIVED AS
GIFT FROM
2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
IF THE ANSWER TO Q. 501 IS YES, ASK Q. 502 TO 504
ASK QUESTION (501) ABOUT EACH ITEM IN THE LIST
FIRST
501
Have the members of this household acquired …[ITEM].. during the 12 months previous to
the first day of the interview?
What is the quantity of
...[ITEM].. bought or
acquired by your
household last 12 months
before the first day of the
interview?
How much has your
household spent or what is
the estimation for all
quantities of ...[ITEM]..
bought or received during
last 12 months for the first
day of interview
504What's the main source of all these …[ITEM]'s… acquired?
6
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531501 Electric vacuum cleaner Number
531502 Non-electric vacuum cleaner for carpets and rugs Number
531503 Other cleaning equipment -
531601 Private generator Number
531602 Electric sewing machine Number
531603 Non-electric sewing machine Number
531604 Electric sewing machine Number
531605 Non-electric sewing machine Number
531606 Electric machine embroidery Number
531607 Embroidery machine, non-electric Number
531608 A water filter Number
531609 Treasury Home (Qash) Number
531610 Home Appliances other major -
532101 Electric mill Number
532102 Electric Juicer Number
532103 Mixers Number
532104 Fryers Number
532105 BBQ Meat Number
532106 Elbit Number
532107 Machine, electric meat Number
532108 Flesh of non-electric machine Number
532109 Non-electric mill Number
HIES-II, Household Questionnaire - version 0A S5.ORI 25/43
SECTION 5: Acquisition of non-Food Services and Commodities during the past 12 months
DD MM YYYY
502 503
PURCHASED 1
RECEIVED AS
GIFT FROM
2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
IF THE ANSWER TO Q. 501 IS YES, ASK Q. 502 TO 504
ASK QUESTION (501) ABOUT EACH ITEM IN THE LIST
FIRST
501
Have the members of this household acquired …[ITEM].. during the 12 months previous to
the first day of the interview?
What is the quantity of
...[ITEM].. bought or
acquired by your
household last 12 months
before the first day of the
interview?
How much has your
household spent or what is
the estimation for all
quantities of ...[ITEM]..
bought or received during
last 12 months for the first
day of interview
504What's the main source of all these …[ITEM]'s… acquired?
6
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532110 Other (Toaster .... etc.) -
8290 Total Page
HIES-II, Household Questionnaire - version 0A S5.ORI 26/43
SECTION 5: Acquisition of non-Food Services and Commodities during the past 12 months
DD MM YYYY
502 503
PURCHASED 1
RECEIVED AS
GIFT FROM
2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
IF THE ANSWER TO Q. 501 IS YES, ASK Q. 502 TO 504
ASK QUESTION (501) ABOUT EACH ITEM IN THE LIST
FIRST
501
Have the members of this household acquired …[ITEM].. during the 12 months previous to
the first day of the interview?
What is the quantity of
...[ITEM].. bought or
acquired by your
household last 12 months
before the first day of the
interview?
How much has your
household spent or what is
the estimation for all
quantities of ...[ITEM]..
bought or received during
last 12 months for the first
day of interview
504What's the main source of all these …[ITEM]'s… acquired?
6
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533101 Home appliance repair -
533102 Rental home appliances -
533103 Spare parts for household appliances -
540101 Kitchenware Glass -
540102 Kitchen is glass -
540103 Repair, maintenance and rental Housewares -
551101 Machine Cut Iial Number
551102 Tools and equipment for homes and gardens of other -
613101 Glasses and contact lenses -
613102 Headphones -
613103 Pressure device Number
613104 Wheelchairs Number
613105 Crutches Number
613106 Denominated ligaments of the neck Number
613107 Device to measure sugar Number
613108 The value of dentures Number
613109 Artificial limbs Number
613110 Belts medical Number
613111 Repair and maintenance -
613112 Others (therapeutic appliances and equipment ...) -
8480 Total Page
HIES-II, Household Questionnaire - version 0A S5.ORI 27/43
SECTION 5: Acquisition of non-Food Services and Commodities during the past 12 months
DD MM YYYY
502 503
PURCHASED 1
RECEIVED AS
GIFT FROM
2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
IF THE ANSWER TO Q. 501 IS YES, ASK Q. 502 TO 504
ASK QUESTION (501) ABOUT EACH ITEM IN THE LIST
FIRST
501
Have the members of this household acquired …[ITEM].. during the 12 months previous to
the first day of the interview?
What is the quantity of
...[ITEM].. bought or
acquired by your
household last 12 months
before the first day of the
interview?
How much has your
household spent or what is
the estimation for all
quantities of ...[ITEM]..
bought or received during
last 12 months for the first
day of interview
504What's the main source of all these …[ITEM]'s… acquired?
6
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711101 Cars (year of manufacture without 2000) Number
711102 Cars (Year of Make 2000 and above) Number
711103 Purchase of vehicles (caravans) Number
711104 Buy Boats Number
711105 Motorcycles Number
711106 Bicycles Number
711107 Animal-drawn vehicles Number
711108 Animals necessary to drag the wagons Number
711109 Other (purchase and transport ...) -
721101 Tires Number
721102 Liquid batteries Number
721103 Other backup tools -
721104 Car accessories (brushes, other spare parts) -
724101 Annual car -
724102 Driver license -
724103 Car registration fees -
724104 Paid parking -
724105 Insurance expenses Alsarat -
724106 Other expenses (fees for driving instruction, rental cars without driver)-
8680 Total Page
820101 Landline Number
820102 Mobile phone Number
HIES-II, Household Questionnaire - version 0A S5.ORI 28/43
SECTION 5: Acquisition of non-Food Services and Commodities during the past 12 months
DD MM YYYY
502 503
PURCHASED 1
RECEIVED AS
GIFT FROM
2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
IF THE ANSWER TO Q. 501 IS YES, ASK Q. 502 TO 504
ASK QUESTION (501) ABOUT EACH ITEM IN THE LIST
FIRST
501
Have the members of this household acquired …[ITEM].. during the 12 months previous to
the first day of the interview?
What is the quantity of
...[ITEM].. bought or
acquired by your
household last 12 months
before the first day of the
interview?
How much has your
household spent or what is
the estimation for all
quantities of ...[ITEM]..
bought or received during
last 12 months for the first
day of interview
504What's the main source of all these …[ITEM]'s… acquired?
6
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820103 Cordless phone Number
820104 Chandelier Number
820105 Fax Number
820106 Amplifiers for mobile Number
820107 Repair and maintenance -
820108 Other (phone and fax equipment, etc. ...) -
911101 TV size less than 26 knots Number
911102 TV size 26 knots or more Number
911103 Registered Number
911104 Video Number
911105 Radio Number
911106 Radio Recorder Number
911107 Loudspeakers Number
911108 TV antennas Number
911109 Video game consoles (Atari, Play ..... etc.) Number
911110 Satellite services Number
911111 Audio-visual equipment and other information processing equipment-
8840 Total Page
912101 Imaging camera Alfotgrave Number
912102 Video Camera Number
912103 Equipment and other devices (equipment, film processing and enlargement)Number
913101 PC Number
HIES-II, Household Questionnaire - version 0A S5.ORI 29/43
SECTION 5: Acquisition of non-Food Services and Commodities during the past 12 months
DD MM YYYY
502 503
PURCHASED 1
RECEIVED AS
GIFT FROM
2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
IF THE ANSWER TO Q. 501 IS YES, ASK Q. 502 TO 504
ASK QUESTION (501) ABOUT EACH ITEM IN THE LIST
FIRST
501
Have the members of this household acquired …[ITEM].. during the 12 months previous to
the first day of the interview?
What is the quantity of
...[ITEM].. bought or
acquired by your
household last 12 months
before the first day of the
interview?
How much has your
household spent or what is
the estimation for all
quantities of ...[ITEM]..
bought or received during
last 12 months for the first
day of interview
504What's the main source of all these …[ITEM]'s… acquired?
6
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913102 Printers and software for computer Number
913103 Instruments Calculator Number
913104 Typewriter Number
913105 Other information processing equipment -
915101 Repair and maintenance of equipment, sound, image, imaging equipment and information processing-
921101 Tents of the trips -
921102 Buy a boat -
921103 Horse, donkey, etc. ..... -
921104 Horse-drawn vehicles -
921105 Others (saddles, bridle, veterinary services and feed ... etc.) -
922101 Musical instruments (piano, violin, guitar, drums ... etc.) -
922102 Tables (pool, tennis ... etc.) -
922103 Maintenance and repair -
9010 Total Page
931101 Card games, chess, table -
931102 Play of all kinds (cars, toys, electronic games, etc. ...) -
931103 Requirements collection of postage stamps (postage stamps used or canceled albums stamps ... etc.)-
931104 Software Video Games -
931105 Other (collection of coins, medals and models of animals, pets, plants ... etc.)-
932101 Rackets -
932102 Football, tennis, table ... Etc. -
932103 Equipment bodybuilding and weightlifting ... Etc. -
HIES-II, Household Questionnaire - version 0A S5.ORI 30/43
SECTION 5: Acquisition of non-Food Services and Commodities during the past 12 months
DD MM YYYY
502 503
PURCHASED 1
RECEIVED AS
GIFT FROM
2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
IF THE ANSWER TO Q. 501 IS YES, ASK Q. 502 TO 504
ASK QUESTION (501) ABOUT EACH ITEM IN THE LIST
FIRST
501
Have the members of this household acquired …[ITEM].. during the 12 months previous to
the first day of the interview?
What is the quantity of
...[ITEM].. bought or
acquired by your
household last 12 months
before the first day of the
interview?
How much has your
household spent or what is
the estimation for all
quantities of ...[ITEM]..
bought or received during
last 12 months for the first
day of interview
504What's the main source of all these …[ITEM]'s… acquired?
6
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932104 Fishing hooks -
932105 Other equipment (firearms for hunting and personal protection, stoves, grills, tents for the trips)-
932106 Repair and maintenance -
934101 Buy Pets -
934102 Pet Supplies -
934103 Other Materials -
935101 Veterinarian -
935102 Medicines for animals -
935103 Veterinary services of the other -
9170 Total Page -
HIES-II, Household Questionnaire - version 0A S5.ORI 31/43
SECTION 5: Acquisition of non-Food Services and Commodities during the past 12 months
DD MM YYYY
502 503
PURCHASED 1
RECEIVED AS
GIFT FROM
2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
IF THE ANSWER TO Q. 501 IS YES, ASK Q. 502 TO 504
ASK QUESTION (501) ABOUT EACH ITEM IN THE LIST
FIRST
501
Have the members of this household acquired …[ITEM].. during the 12 months previous to
the first day of the interview?
What is the quantity of
...[ITEM].. bought or
acquired by your
household last 12 months
before the first day of the
interview?
How much has your
household spent or what is
the estimation for all
quantities of ...[ITEM]..
bought or received during
last 12 months for the first
day of interview
504What's the main source of all these …[ITEM]'s… acquired?
6
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951101 Cultural books (atlas, dictionary, encyclopedias, books, binders, etc. ...)-
951102 Textbooks -
951103 Foreign textbooks -
953101 Alkatolokut and advertising materials and Alcartat -
953102 Posters, greeting cards, ads, messages -
953103 Maps and models of the Earth -
953104 Other publications -
960101 The value of the participation of school trips -
960102 Tours in Iraq (accommodation and living expenses and entertainment)-
960103 Hajj and Umrah -
960104 Other flights out of Iraq -
1010101 Expenses and tuition fees at the primary -
1010102 Expenses of private lessons at the primary -
1010103 Expenses and tuition fees for the intermediate level -
1010104 Expenses of private lessons for the intermediate level -
1010105 Expenses and tuition fees for the preparatory phase -
1010106 Tutoring expenses for the preparatory phase -
1010107 Other expenses -
9320 Total Page
1020101 Expenses and tuition fees for undergraduate -
1020102 Expenses of studies, diploma and master's and doctoral -
1020103 Expenses Tutorials -
HIES-II, Household Questionnaire - version 0A S5.ORI 32/43
SECTION 5: Acquisition of non-Food Services and Commodities during the past 12 months
DD MM YYYY
502 503
PURCHASED 1
RECEIVED AS
GIFT FROM
2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
IF THE ANSWER TO Q. 501 IS YES, ASK Q. 502 TO 504
ASK QUESTION (501) ABOUT EACH ITEM IN THE LIST
FIRST
501
Have the members of this household acquired …[ITEM].. during the 12 months previous to
the first day of the interview?
What is the quantity of
...[ITEM].. bought or
acquired by your
household last 12 months
before the first day of the
interview?
How much has your
household spent or what is
the estimation for all
quantities of ...[ITEM]..
bought or received during
last 12 months for the first
day of interview
504What's the main source of all these …[ITEM]'s… acquired?
6
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1020104 Other expenses -
1030101 Vocational training and developmental -
1030102 Language programs -
1030103 Computer programs -
1030104 Training programs and other developmental -
1212101 Electrical items (shaving machine, hair dryer ... etc.) -
1212102 Repair and maintenance -
1212103 Other (electrical appliances for personal care, ...) -
1231101 Gold and Jewelry Accessories -
1231102 Clocks -
1231103 Watches Women and Men -
1231104 Maintenance and repair of watches and jewelry -
1231105 Other (jewelry, clocks and watches ...) -
9450 Total Page
HIES-II, Household Questionnaire - version 0A S5.ORI 33/43
SECTION 5: Acquisition of non-Food Services and Commodities during the past 12 months
DD MM YYYY
502 503
PURCHASED 1
RECEIVED AS
GIFT FROM
2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
IF THE ANSWER TO Q. 501 IS YES, ASK Q. 502 TO 504
ASK QUESTION (501) ABOUT EACH ITEM IN THE LIST
FIRST
501
Have the members of this household acquired …[ITEM].. during the 12 months previous to
the first day of the interview?
What is the quantity of
...[ITEM].. bought or
acquired by your
household last 12 months
before the first day of the
interview?
How much has your
household spent or what is
the estimation for all
quantities of ...[ITEM]..
bought or received during
last 12 months for the first
day of interview
504What's the main source of all these …[ITEM]'s… acquired?
6
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1232101 Women's bag -
1232102 Men's bag and the Governor -
1232103 School bag -
1232104 Suitcase -
1232105 Goods for children (children of a vehicle ... etc.) -
1232106 A variety of personal effects -
1232107 Sunglasses Men and Women -
1232108 Lighters -
1232109 Umbrella -
1232110 Key Chain -
1232111 Walking stick -
1232112 Accessories is not gold -
1232113 Repair and maintenance of other personal belongings -
1232114 Other personal effects -
9580 Total Page
1270101 Fees for legal services -
1270102 Membership fees and subscriptions -
1270103 Expenditure on weddings and concerts -
1270104 Expenditures on funerals -
1270105 Spending on ads -
1270106 Expenses extraction official papers (such as civil status, marriage certificate, death certificate ... etc.)-
1270107 Stockbrokers' wages -
HIES-II, Household Questionnaire - version 0A S5.ORI 34/43
SECTION 5: Acquisition of non-Food Services and Commodities during the past 12 months
DD MM YYYY
502 503
PURCHASED 1
RECEIVED AS
GIFT FROM
2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
IF THE ANSWER TO Q. 501 IS YES, ASK Q. 502 TO 504
ASK QUESTION (501) ABOUT EACH ITEM IN THE LIST
FIRST
501
Have the members of this household acquired …[ITEM].. during the 12 months previous to
the first day of the interview?
What is the quantity of
...[ITEM].. bought or
acquired by your
household last 12 months
before the first day of the
interview?
How much has your
household spent or what is
the estimation for all
quantities of ...[ITEM]..
bought or received during
last 12 months for the first
day of interview
504What's the main source of all these …[ITEM]'s… acquired?
6
ITE
M C
OD
E
1270108 Wages of lawyers -
1270109 Photocopying expenses and extract the documents (passport, certificate courses etc ...)-
1270110 Expenditures on school shooting notes -
1270111 Costs of borrowing from banks -
1270112 Health insurance premiums -
1270113 Accident insurance premiums -
1270114 Life insurance premiums -
1270115 Health insurance premiums and other accidents -
1270116 Property fees -
1270117 Banking fees and commissions -
1270118 Border exit fees -
1270119 Court fees -
1270120 Other (expenses on services ...) -
9730 Total Page
HIES-II, Household Questionnaire - version 0A S5.ORI 35/43
SECTION 5: Acquisition of non-Food Services and Commodities during the past 12 months
DD MM YYYY
502 503
PURCHASED 1
RECEIVED AS
GIFT FROM
2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
IF THE ANSWER TO Q. 501 IS YES, ASK Q. 502 TO 504
ASK QUESTION (501) ABOUT EACH ITEM IN THE LIST
FIRST
501
Have the members of this household acquired …[ITEM].. during the 12 months previous to
the first day of the interview?
What is the quantity of
...[ITEM].. bought or
acquired by your
household last 12 months
before the first day of the
interview?
How much has your
household spent or what is
the estimation for all
quantities of ...[ITEM]..
bought or received during
last 12 months for the first
day of interview
504What's the main source of all these …[ITEM]'s… acquired?
6
ITE
M C
OD
E
151 The cost of purchasing a dwelling for the family -
152 Expenses for building or expanding the household dwelling -
153 The cost of purchasing a piece of land for housing -
154 Housing projects premiums -
155 Premiums to extend sewer and paving -
156 Buy gold bars, jewelry and rare antiques -
157 Purchase of foreign currencies -
158 Purchase of shares and bonds -
159 Other capital expenditure of the family -
128 Cash dowry - goods for a bride -
161 Gifts in kind -
162 Cash gifts -
163 Donations and alms and zakat -
164 After marriage dowry and alimony -
165 Offenses (traffic, etc. ...) -
166 Other transfers within Iraq -
167 Other transfers out of Iraq -
168 Religious vows and expenses -
169 Tribal fund subscription -
170 Tribal payment subscription -
171 Other transfer expenses -
172 Total Page
HIES-II, Household Questionnaire - version 0A S5.ORI 36/43
SECTION 5: Acquisition of non-Food Services and Commodities during the past 12 months
DD MM YYYY
502 503
PURCHASED 1
RECEIVED AS
GIFT FROM
2
YES 1 RECEIVED AS GIFT FROM OTHERS 3
NO 2 PAYMENT FOR WORK 4
SELF PRODUCTION 5
OTHER SOURCE. SPECIFY AFTER ANSWE CODE
ITEM DESCRIPTION UNIT QUANTITY THOUSAND DINARS
Start date _ _ / _ _ / _ 201 expiry date _ _ / _ _ / _ 201
IF THE ANSWER TO Q. 501 IS YES, ASK Q. 502 TO 504
ASK QUESTION (501) ABOUT EACH ITEM IN THE LIST
FIRST
501
Have the members of this household acquired …[ITEM].. during the 12 months previous to
the first day of the interview?
What is the quantity of
...[ITEM].. bought or
acquired by your
household last 12 months
before the first day of the
interview?
How much has your
household spent or what is
the estimation for all
quantities of ...[ITEM]..
bought or received during
last 12 months for the first
day of interview
504What's the main source of all these …[ITEM]'s… acquired?
6
ITE
M C
OD
E
Number of lines completed for section
HIES-II, Household Questionnaire - version 0A S5.ORI 37/43
603
INSTRUCTIONS
1 Cash expenditure from rations 1
2 PURCHASED IN CASH FROM OTHER SOURCES 2
3 RECEIVED AS GIFT FROM OTHER HHOLDS 3
4 RECEIVED AS GIFT FROM OTHERS 4
1 YES PAYMENT FOR WORK 5
2 NO SELF PRODUCTION 6
DINARS OTHER SOURCE… SPECIFY AFTER ANSWER 7
11 1 102 Commercial rice (imported)
11 1 103 Commercial rice (local)
11 1 105 Other rice (broken rice, etc.)
11 1 203 Brown wheat flour (commercial)
11 1 205 White wheat flour (commercial)
11 1 301 Burghul (cracked wheat)
11 1 302 Habbiya (whole roasted wheat)
11 1 304 Maccaroni and vermicelli
11 1 305 Starch
11 1 308 Children's food (commercial)
11 1 310 Corn chips
11 1 311 Other products from cereals (ground maize, popcorn,
etc.)
11 1 401 Bread, all types
11 1 402 Buns, all types and sizes
11 1 405 Cake
11 1 406 Biscuits
11 1 407 Rusk and zwieback
11 1 409 Other bread and bakery products
11 2 101 Mutton, fresh
11 2 102 Mutton, frozen
11 2 103 Beef, fresh
11 2 104 Beef, frozen
00 0 080 TOTAL
(1) ask this question for each item in the table and write 1 if yes and
2 if no
(2) When you are finished, ask questions 602 to 604 for substances
that were answered in601, "Yes
Liter
Number
NO UNIT
unit of
measurementQUANTITY
Section 6: Food consumption over the past 7 daysIT
EM
CO
DE
601 602 604Have you consumed ..[ITEM].. during the past 7 days? How much ..[ITEM].. did
your household consume
during the past 7 days?
How much did you pay
for or what is the value
of ..[ITEM].. consumed
during the past 7 days?
What is the main source from which you got most of the …[ITEM]..
consumed during the past 7 days?
KILOGRAM
11 2 105 Chicken, frozen
11 2 106 Chicken, alive
11 2 107 Goat meet
11 2 109 Red meats (imported)
11 2 126 Chicken liver, kidney and heart
11 2 127 Barbecued chicken or fried fish
11 2 132 Canned meat (including sausage)
11 3 101 Fresh water fish, fresh
11 3 102 Sea fishes, fresh
113103 Fish, frozen
11 3 105 Canned fish
11 3 106 Shrimps
11 3 108 Other types of fish and seafood
11 4 101 Fresh milk
114102 Fresh milk (imported)
11 4 103 powdered milk (commercial)
11 4 104 Condensed milk
00 0 081 TOTAL
11 4 105 Formula milk
11 4 107 Yogurt
11 4 109 Local cheese
114110 Imported cheese
114111 Buffalo cream (local)
114112 cream (imported)
114113 Butter
11 4 111 Packed cream
114118 Other
11 4 201 Eggs (chicken)
114202 Eggs chicken (imported)
11 5 102 Vegetable fat (commercial)
11 5 105 Vegetable oil (commercial)
11 5 107 Sesame oil
11 5 109 Other oils
11 6 101 Orange
11 6 102 Lemon
11 6 104 Mandarins
11 6 105 Sour orange
11 6 108 Other citrus fruits
00 0 082 TOTAL
11 6 109 Green plum
11 6 110 Peach
11 6 113 Raw olives
11 6 114 Apricot
11 6 115 Cherry plum
11 6 116 Other (lotus, azarole, etc.)
11 6 117 Apple
11 6 118 Melon
11 6 119 Water melon
11 6 120 Pomegranate
11 6 121 Grape
11 6 122 Banana
11 6 123 Pear
11 6 124 Fig
11 6 126 Kiwi
11 6 131 Fresh dates
11 6 202 Canned olives
11 6 203 Sultanas
11 6 205 Tirshana (dried halved apricots)
11 6 207 Dried dates
00 0 083 TOTAL
11 6 209 Almonds
11 6 210 Walnut
11 6 211 Coconut
11 6 216 Pistachio
116219 Other (currants, dried apricot paste)
11 7 101 Tomatoes
11 7 102 Okra
11 7 103 Egg plant
11 7 104 Squash, pumpkins
11 7 105 Stringed beans
11 7 106 Broad beans
11 7 107 Peas
11 7 108 Grean beans
11 7 109 Cauliflower
11 7 110 Cabbage
11 7 111 Potato
11 7 112 Onions
11 7 113 Green onions
11 7 114 Dry garlic
11 7 116 Spinach
00 0 084 TOTAL
11 7 118 Turnip
11 7 119 Beetroot
11 7 120 Turnip cabbage
11 7 121 Green pepper
11 7 122 Carrots
11 7 123 Radish
11 7 124 Lettuce
11 7 125 Swisschard
11 7 126 Cucumber
11 7 129 Mushroom
11 7 130 Other fresh, frozen and dried vegetables
11 7 201 Tomato paste
11 7 202 Fava beans (canned)
11 7 204 Other canned vegetables
11 7 302 Dry white beans (commercial)
11 7 303 Dry broad beans
11 7 305 Chick peas (commercial)
11 7 306 Ground chick peas
11 7 308 Lentils (commercial)
11 7 309 Dry stringed beans
00 0 085 TOTAL
11 7 310 Vigna
11 7 313 Other
11 7 401 Potato crisps
11 8 102 Sugar (commercial)
11 8 103 Assorted sweets
11 8 104 Chocolate
11 8 105 Jam
11 8 106 Honey
11 8 107 Date syrup
11 8 108 Artificially flavored juice
11 8 109 Chewing gum
11 8 110 Ice-cream
11 8 111 Ice
11 8 112 Other sugar products
11 9 102 Salt (commercial)
11 9 103 Vinegar
11 9 104 Cardamon
11 9 105 Nomi Basrah
11 9 106 Pickles
11 9 109 Spices
00 0 086 TOTAL
11 9 112 Baking powder
11 9 113 Yeast
11 9 116 Sauces and flavors
11 9 117 Other
12 1 102 Tea (commercial)
12 1 103 Coffee and instant coffee
12 1 104 Cocoa
12 2 101 Gaseous beverages
12 2 102 Mineral waters
12 2 103 Purshus Water
12 2 105 Fruit juice
12 2 106 Sherbet (all types)
12 2 107 Other waters, soft drinks, etc
21 1 106 Other alcoholic drinks
22 1 101 Cigarettes
22 1 102 Tobacco
111 1 101 Sandwich (all types)
111 1 102 Kebab, tikka and liver (grilled in skewers)
111 1 106 Various meal dishes
111 1 107 Non-alcoholic beverages (tea, coffee, juice, soda
water, etc)
00 0 087 TOTAL
111 1 108 Alcoholioc beverages (beer, arak, whisky, etc)
45 2 201 Gasoline from station / normal (for generators)
45 2 202 Gasoline station / Mohsen (for generators)
45 2 203 Commercial gasoline (for generators)
72 2 101 Gasoline from station / normal (for personal
transportation)
72 2 102 Gasoline station / Mohsen (for personal transportation)
72 2 103 Commercial gasoline (for personal transportation)
111 1 110 Other expenditure on restaurants, cafes and food
taken away from home
11 1 209 Grain and other products (wheat, barley, barley flour ,
yellow corn, etc.)
11 1 303 Meal .. Semolina
11 2 129 Other meat (fresh, frozen, or refrigerated)
95 2 101 Newspaper, magazines and other periodicals
00 0 088 TOTAL
701 702 703 704 705 706
NUMBER YEAR DINARS YEAR DINARS
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
06 Electric washing machine
03 Motorcycle
SECTION 7: DURABLE GOODS
07 Electric generator
08 TV
05 refrigerator
What is the total number of
…DURABLE GOOD]...
owned by the members of
this household?
04 COOLER
01 Car
02 Taxi (if it's also being used by household)
LIN
E N
UM
BE
R
Com
mod
ity o
rder
acc
ordi
ng to
last
acq
uire
d
What is the estimated price you pay if
you buy the item?
How much have you paid for this
..[DURABLE GOOD]..?
CommodityIF RECEIVED FREE OF CHARGE,
MENTION THE IMPUTED VALUE
When did you aquire this
..[DURABLE GOOD]..?
Manufacture year for the good
HIES-II, Household Questionnaire - version 0A S7.ORI 43/44