Gender of household Head:
My name is ${enumerator} and I work for Concern Worldwide and World Vision International. I am here today to conduct a household survey. World Vision International is currently conducting an operations research in urban slum settings including Moroto and Bangladesh to develop and test indicators for early warning of emergencies. Your household has been randomly selected to participate in the study. Your participation will help us better understand the nature of emergencies in urban areas. Participation is voluntary and any information you provide will be kept confidential and used for the intended purpose only. We are using this mobile device to help us to collect information. It does not record your voice neither does it take your photograph. It will store your information very safely and help us to make decisions about our work. Are you willing to participate in this interview?
IS RESPONDENT REFERENCE PERSON NAMED: ${HHH_NAME}?
DOES RESPONDENT LIVE IN THIS HOUSEHOLD?
How are you related to: ${HHH_NAME}
How many adults and children live in this household?
Total number of children UNDER 5 years (0-59 months)
Total number of children 5 -18 years
Total number of adults 18+ years
How many of the following people live in this household? Total number of people living with disability (PLWDs)
Total number of elderly persons (65+)
Total number of people living with HIV/AIDS
