Sub county
Enumeration Area
Type of Household
Enumerator Code
Is the household willing to participate in the survey?
Start time:
INTERVIEWER DESCRIBE LOCATION OF HOUSEHOLD PROVIDE DETAILED DESCRIPTION
Total No. of adults household
(HH Member 1) Age : Household Members aged 18+
(HH Member 2) Age : Household Members aged 18+
(HH Member 3) Age : Household Members aged 18+
(HH Member 4) Age : Household Members aged 18+
(HH Member 5) Age : Household Members aged 18+
(HH Member 6) Age : Household Members aged 18+
(HH Member 7) Age : Household Members aged 18+
(HH Member 8) Age : Household Members aged 18+
q1.2: Respondent Gender
q1.3: Relationship to head of household
q1.4: Respondent AGE
q1.5: Marital status
q1.6: What was the  main occupation of__for the past 12 months
q1.7: Highest Level of schooling (grade) completed by__?
q1.8: What is_ religion?
q1.9: Does___own his/her own mobile phone
s1: Is__in the household at the moment?
s2: Is__Ugandan?
s3: Sometimes people leave and go to other districts, regions and countries to l
s4: Introduction to the Sauti za Wananchi__
q01: Before today, had you ever heard of Twaweza?
q02: Before today, had you ever heard of Sauti za Wananchi?
q1: How many people are in the house hold? (both children and adults)
q1.2: Gender of  Household Members
q1.4:  AGE in years_Above 5 yrs capture Full Years
q1.4: AGE in months_Below 5yrs capture months
q1.6b: Probe if__ was
q1.7: Other: Highest Level of schooling (grade) completed by_
q1.8: Others: What is__religion?
q1.20: Is the Household Member the Respondent
q1.21: Does___ go to school?
q1.22: What class is____currently enrolled in?
q1.23: Which kind of  school does____go to? Is it
q1.24: What type of school does___go to? Is it Day or boarding school?
q1.25: Does__receive tuition or attend extra classes, other than the ones provid
q1.25b: Has____attended radio/tv/online lessons in the last 6 months
q1.26: Normally, how does____get to school
q1.27: How long does it take___ to get to school from home? (including waiting t
q1.31: What year was______born?
q1.31: What month was____born in?
q1.32: Did___sleep under a bed net last night, was the bed net treated?
q1.33: Was the net an insecticide treated net or a long life insecticide net?
q1.34: Do you have a vaccination card for___
q1.35.1: Record how many times___recieved a DPT Vaccination  based on vaccinatio
q1.35.2: Record how many times___ recieved a DPT Vaccination  based on vaccinati
q1.35.3: Record how many times___ recieved a DPT Vaccination  based on vaccinati
q1.36: When was the last time______was vaccinated against measles?
q1.36.1: When was the last time_____was vaccinated against measles?_MONTHS
q1.36.2: When was the last time_____was vaccinated against measles?_YEAR
q1.37: When was the last time______received Vitamin A?
q1.37.1: When was the last time____received Vitamin A?_MONTHS
q1.37.2: When was the last time____received Vitamin A?_YEARS
q1.38: When was the last time____was dewormed?
q1.38.1: When was the last time____was dewormed?_MONTHS
q1.38.2: When was the last time____was dewormed?_YEARS
q3.1: Does the household live in this location during the whole year
q3.2: If not whole year, how many months of the year does the household live her
q3.3: Does the household occupy a compound with more than one buildings/houses
q3.4: How many habitable rooms  does this household occupy?
q3.5: I would like to know the  household tenure status of main residence. Who o
q3.6: What are the walls of the main building made of?
q3.7: What is the roof of the main building made of?
q3.8: What is the floor of this household made of?
q3.9: What is the main source of power for your household for lighting?
q3.10: When did your household get connected to the national grid (umeme)?
q3.11: How often is electricity from national grid (umeme) unavailable for your
q3.11b: How satisfied are you with the reliability of electricity from national
q3.12: During the rainy season, is this building affected by the water (flooding
q3.13a: During the last 1 (one) MONTH, was there a time when_a:You were worried
q3.13b: If YES; how frequent is this?_a:You were worried you would run out of fo
q3.13a: During the last 1 (one) MONTH, was there a time when_b:You had to skip a
q3.13b: If YES; how frequent is this?_b:You had to skip a meal because there was
q3.13a: During the last 1 (one) MONTH, was there a time when_c:You ate less than
q3.13b: If YES; how frequent is this?_c:You ate less than you thought you should
q3.13a: During the last 1 (one) MONTH, was there a time when_d:Your household ra
q3.13b: If YES; how frequent is this?_d:Your household ran out of food because o
q3.13a: During the last 1 (one) MONTH, was there a time when_e:You were hungry b
q3.13b: If YES; how frequent is this?_e:You were hungry but did not eat because
q3.13a: During the last 1 (one) MONTH, was there a time when_f:You went without
q3.13b: If YES; how frequent is this?_f:You went without eating for a whole day
q3.13a: During the last 1 (one) MONTH, was there a time when_g:Could only afford
q3.13b: If YES; how frequent is this?_g:Could only afford one/same food type due
q3.13a: During the last 1 (one) MONTH, was there a time when_h:You/other adults
q3.13b: If YES; how frequent is this?_h:You/other adults reduced the size of mea
q4.1: Please confirm if we are currently in the dry season in your community (vi
q4.2: What is the household's main source of drinking water in the dry season
q4.3: How long does it take to get water from drinking water source to this dwel
q4.4: Out of these___minutes, how long do you spend waiting?
q4.5: Who in your household is the person mostly responsible for collecting wate
q4.6: Normally how much do you pay/spend per month on water?
q4.7: Do you do anything to your water to make it safer to drink
q4.8: What do you do to make water safer for drinking?
q4.9: What is the household's main source of drinking Water in the rainy season?
q4.10: How long does it take to get water from drinking water source to this dwe
q4.11: Out of these____minutes, how long do you spend waiting?
q4.12: Who in your household is the person responsible for collecting water? (ra
q4.13: Normally how much do you pay/spend per month on water? (rainy season)
q4.14: Do you do anything to your water to make it safer to drink (rainy season)
q4.15: What do you do to make water safer for drinking?
q4.15a: Why do you not do anything to make your water safe for drinking?
q4.16: What type of toilet do household members use
q4.16a: Do you share this facility with others who are not members of your house
q14.17: Is there a functional hand washing facility with soap and wáter near the
q5.1: When was the last time you/or someone in your household suffered from an i
q5.2a: What action did you/person in your household take to find relief for the
q5.2b: What action did you/person in your household take to find relief for the
q5.3: Why didn’t you go to a health facility?
q5.4: The last time you visited a government health facility to seek treatment f
q5.5: Do you personally have health or medical insurance?
q5.5a.1: Do you personally have ay arrangement/support (formal or informal) whic
q5.5a.2: Please explain to us how that type of arrangement/support works?
q5.5a.3: What type of health insurance do you have.
q5.5b: What would you say is the main reason you don’t have any type of health i
q5.5c: Have you ever gone to a health center but you did not receive treatment/s
q5.5d: Why?
q5.6a: The last time you or someone in your household went to a government healt
q5.6b: The last time you or someone in your household went to a government healt
q5.6c: The last time you or someone in your household went to a government healt
q5.7: Thinking about your home, /In the past three (3) months, how have the thin
q5.7: Thinking about your community, /In the past three (3) months, how have the
q5.7: What would you do next if an emergency occurred in your presence?
q5.8: Are you aware of a toll-free number to call in case of a medical emergency
q5.9a: which number is this?
q5.9a: which number is this?_Other Number
q5.10: In the past 6 months have you or a member of your household needed emerge
q5.10a: What did you do?
q5.10b: How long did it take the police to arrive in minutes
q5.10c: How long did it take the ambulance to arrive in minutes
q5.10d: How long did it take the health worker to arrive in minutes
q5.10e: How long did it take to be attended to at the casualty or emergency unit
q5.10f: How would you rate the attitude of health workers at the health facility
q5.10g: How would rate the triage at the heath facility on a scale of 1 to 5 whe
q5.11a: Did you receive emergency care_Before arrival at the health facility
q5.11a: If yes, who provided the emergency care_Before arrival at the health fac
q5.11b: Did you receive emergency care_In transit to the health facility
q5.11b: If yes, who provided the emergency care_ .In transit to the health facil
q5.12: Do you know of an ambulance that can be called to your village/area?
q5.12a: Who provides this ambulance service?
q5.12b: Have you ever called the ambulance?
q5_12c: What do you think of the current Emergency Medical Services overall?_Res
q5_12c: What do you think of the current Emergency Medical Services overall?_amb
q5_12c: What do you think of the current Emergency Medical Services overall?_eme
q5.13: What are the symptoms of someone who has Coronavirus?
q5.13a: What actions can you or other people take to prevent themselves, their h
q5.13b: What actions have you/household taken to prevent yourselves from contrac
q5.14: What would you do if you suspect you have Coronavirus or Covid-19 like sy
q5.14a: Are you aware that there are vaccines developed lately to provide protec
q5.14b: Are you aware that that vaccination against covid is currently going on
q5.14c: Do you know who qualifies to get vaccinated?
q5.14d: If yes, who are those that qualify?
q5.14f: Have you been vaccinated against COVI-19?
q5.14g: Are you willing to be vaccinated against the coronavirus?
q5.14h: If no: why?
q5.15a: What can the government of Uganda do to increase the number of Ugandans
q5_15b: Do you think wealthy countries are doing enough to ensure fair access to
q5_15c: Do you think the Ugandan government has put sufficient measures to secur
q5.15d: why?
q5.15e: Who among the following do you trust the MOST to handle the acquisition
q5.16: If you were offered the following vaccines against the Coronavirus, which
q5.17: Please tell me if you think each statement is true or false?_Covid-19 vac
q5.17: Please tell me if you think each statement is true or false?_Hot climate
q5.17: Please tell me if you think each statement is true or false?_If vaccinate
q5.17: Please tell me if you think each statement is true or false?_Africans can
q5.17: Please tell me if you think each statement is true or false?_A person who
q5.17: Please tell me if you think each statement is true or false?_The Covid-19
q5.17: Please tell me if you think each statement is true or false?_People who h
q6.1: Apart from today, when was the last time you_Listened to the radio
q6.1: Apart from today, when was the last time you_Read a news paper
q6.1: Apart from today, when was the last time you_Watched TV
q6.1: Apart from today, when was the last time you_Used the Internet on mobile p
q6.1: Apart from today, when was the last time you_Used the Internet on computer
q6.1: Apart from today, when was the last time you_Used a mobile phone
q6.1: Apart from today, when was the last time you_Attended a religious gatherin
q6.1: Apart from today, when was the last time you_Attended a political gatherin
q6.1: Apart from today, when was the last time you_Attended a social gathering/l
q6.1: Apart from today, when was the last time you_Attend a meeting with the gro
q6.1a: What do you use the internet for on phone?
q6.1a: What do you use the internet for on computer?
q6.1b: Are you a member of social networking site?
q6.1c: Please tell me all the social networking sites you normally visit?
q6.2: In which language do you get most of your information from the media?
q6.3a: Do you know the names of the following people and what do they do_Preside
q6.3b: What do they do_President Museveni
q6.3a: Do you know the names of the following people and what do they do_Jessica
q6.3b: What do they do_Jessica Alupo
q6.3a: Do you know the names of the following people and what do they do_Dr. Kii
q6.3b: What do they do_Dr. Kiiza Besigye
q6.3a: Do you know the names of the following people and what do they do_Robinah
q6.3b: What do they do_Robinah Nabbanja
q6.3a: Do you know the names of the following people and what do they do_Jose Ch
q6.3b: What do they do_Jose Chameleon
q6.3a: Do you know the names of the following people and what do they do_Joe Bid
q6.3b: What do they do_Joe Biden
q7.1: Most three serious problems facing Uganda today
q7.2: Most three serious problems facing household today
q7.3: How well do you think our national government is performing in solving the
q7.4: Do you know the following people or institutions?_President
q7.4: Do you know the following people or institutions?_Member of parliament for
q7.4: Do you know the following people or institutions?_LC V
q7.4: Do you know the following people or institutions?_LC III
q7.4b: How would you rate the overall or general performance of the following pe
q7.5: In the last 2 months has your household receive any gifts/support/somethin
qd1a: Please tell me the kind of aid received?
q7.6: Imagine that the government decided that, because of increase in food pric
q7.7: If someone in this community speaks out or complains about corruption at a
q7.8: When was the last time you or anyone from your household, had contact with
q7.9: Were you asked/expected to give something so as it can help in getting/spe
q7.10: Did you give something?_Health facilities/institutions (Hospitals, Clinic
q7.10: Did you give something?_Water institution/facility (Uganda Water and sewe
q7.10: Did you give something?_Public Education  institutions/facility (Primary,
q7.10: Did you give something?_Political parties, elections office/officials
q7.10: Did you give something?_Ministry of Land/ Any land officers
q7.10: Did you give something?_Police station/officials
q7.10: Did you give something?_Local government / Councillor office (LCIII)
q7.10: Did you give something?_Local government / Councillor office (LCI )
q7.10: Did you give something?_Uganda Revenue Authority (Customs &Tax Services)
q7.10: Did you give something?_Court of law
q7.11: In the past 1 year, were you ever given small gifts by a candidate runnin
q7.12: Which level of public office was this candidate running for?
q7.13: Are you a registered voter?
q7.14: Did you vote in the January 2021 general election?
q7.15: Why did you not vote?
q7.16: Which political parties are you aware of?
q7.17: Which political party do you feel closest to if any?
q7.18: If the election were held today, which political party will you support o
q7.19: Which of the following statements do you agree with more?
q8.1: Have you ever owned a mobile phone
q8.2: Do you currently own a mobile phone?
q8.2a: Is your phone a smart phone?
q8.3: How many mobile phone handsets are you currently using?
q8.4: For how long have you been using this mobile phone handset(s)?_1
q8.4: For how long have you been using this mobile phone handset(s)?_2
q8.4: For how long have you been using this mobile phone handset(s)?_3
q8.4: For how long have you been using this mobile phone handset(s)?_4
q8.4: For how long have you been using this mobile phone handset(s)?_5
q8.5: I would now like to know how much you spent on airtime/voucher over the pa
q8.6: What do you use your mobile phone for?
q8.7: Record the Mobile phone service provider with the strongest network accord
q8.9: Are you using/do you have any of these forms of financial products/service
q8.10: What type of insurance do you have?
q8.11a: You said you use a mobile money account, is it your personal mobile mone
q8.11b: Please tell me what services do you mainly use your mobile money for?
q8.12: Have you/your household member ever borrowed money or taken a loan (cash/
q8.13: Where did you take the loan from/borrow from?
q8.14: Right now, what would you do if you needed money in an emergency?
q9.1: Please tell me, what do you understand by the term democracy?_Personal Fre
q9.1: Please tell me, what do you understand by the term democracy?_People choos
q9.1: Please tell me, what do you understand by the term democracy?_Civil rights
q9.1: Please tell me, what do you understand by the term democracy?_Women have t
q9.1: Please tell me, what do you understand by the term democracy?_The media is
q9.1: Please tell me, what do you understand by the term democracy?_The governme
q9.1: Please tell me, what do you understand by the term democracy?_Having stron
q9.1: Please tell me, what do you understand by the term democracy?_Information
q9.1: Please tell me, what do you understand by the term democracy?_None
q9.2: When you hear the word constitution, what does it mean to you?
q9.3: Is the constitution being implemented well, somewhat well or not at all we
9.4a: In the past 12 months, have you taken any of the following actions_Attend
9.4a: In the past 12 months, have you taken any of the following actions_Raise i
9.4a: In the past 12 months, have you taken any of the following actions_Speak t
9.4a: In the past 12 months, have you taken any of the following actions_Discuss
9.4a: In the past 12 months, have you taken any of the following actions_Monitor
9.4a: In the past 12 months, have you taken any of the following actions_Call ra
9.4a: In the past 12 months, have you taken any of the following actions_Other
9.4a: In the past 12 months, have you taken any of the following actions_None
q9.4b.1: What did the action relate to health?_Attend community meeting?
q9.4b.1: What did the action relate to health?_Raise issues about services in a
q9.4b.1: What did the action relate to health?_Speak to company/institution empl
q9.4b.1: What did the action relate to health?_Discuss problems like health, edu
q9.4b.1: What did the action relate to health?_Monitor service delivery issues l
q9.4b.1: What did the action relate to health?_Call radio program to talk about
q9.4b.1: What did the action relate to health?_Other
q9.4b.2: What did the action relate to water?_Attend community meeting?
q9.4b.2: What did the action relate to water?_Raise issues about services in a c
q9.4b.2: What did the action relate to water?_Speak to company/institution emplo
q9.4b.2: What did the action relate to water?_Discuss problems like health, educ
q9.4b.2: What did the action relate to water?_Monitor service delivery issues li
q9.4b.2: What did the action relate to water?_Call radio program to talk about p
q9.4b.2: What did the action relate to water?_Other
q9.4b.3: What did the action relate to Education?_Attend community meeting?
q9.4b.3: What did the action relate to Education?_Raise issues about services in
q9.4b.3: What did the action relate to Education?_Speak to company/institution e
q9.4b.3: What did the action relate to Education?_Discuss problems like health,
q9.4b.3: What did the action relate to Education?_Monitor service delivery issue
q9.4b.3: What did the action relate to Education?_Call radio program to talk abo
q9.4b.3: What did the action relate to Education?_Other
q9.4b.4: What did the action relate to Other Topic?_Attend community meeting?
q9.4b.4: What did the action relate to Other Topic?_Raise issues about services
q9.4b.4: What did the action relate to Other Topic?_Speak to company/institution
q9.4b.4: What did the action relate to Other Topic?_Discuss problems like health
q9.4b.4: What did the action relate to Other Topic?_Monitor service delivery iss
q9.4b.4: What did the action relate to Other Topic?_Call radio program to talk a
q9.4b.4: What did the action relate to Other Topic?_Other
q10.1: Does your household own the following?_Radio and Radio Cassette
q10.1: Does your household own the following?_Telephone(landline
q10.1: Does your household own the following?_Telephone(mobile
q10.1: Does your household own the following?_Refrigerator or freezer
q10.1: Does your household own the following?_Sewing Machine
q10.1: Does your household own the following?_Television
q10.1: Does your household own the following?_Video / DVD
q10.1: Does your household own the following?_Chairs
q10.1: Does your household own the following?_Sofas
q10.1: Does your household own the following?_Tables
q10.1: Does your household own the following?_Watches
q10.1: Does your household own the following?_Beds
q10.1: Does your household own the following?_Cupboards, chest-of-drawers, boxes
q10.1: Does your household own the following?_Lanterns
q10.1: Does your household own the following?_Computer
q10.1: Does your household own the following?_Cooking pots, cups,  jars and pans
q10.1: Does your household own the following?_Mosquito net
q10.1: Does your household own the following?_Iron (Charcoal or electric
q10.1: Does your household own the following?_Electric/gas stove
q10.1: Does your household own the following?_Other stove
q10.1: Does your household own the following?_Water-heater
q10.1: Does your household own the following?_Record/cassette player, tape recor
q10.1: Does your household own the following?_Complete music system
q10.1: Does your household own the following?_Books (not school books)
q10.1: Does your household own the following?_Motor Vehicles
q10.1: Does your household own the following?_Motor cycle
q10.1: Does your household own the following?_Bicycle
q10.1: Does your household own the following?_Carts
q10.1: Does your household own the following?_Animal-drawn cart
q10.1: Does your household own the following?_Boat/canoe
q10.1: Does your household own the following?_Wheel barrow
q10.1: Does your household own the following?_Livestock
q10.1: Does your household own the following?_Poultry
q10.1: Does your household own the following?_Outboard engine
q10.1: Does your household own the following?_Donkeys
q10.1: Does your household own the following?_Fields/Land
q10.1: Does your household own the following?_House(s
q10.1: Does your household own the following?_Fan/Air conditioner
q10.1: Does your household own the following?_Dish antenna/decoder
q10.1: Does your household own the following?_Hoes
q10.1: Does your household own the following?_Spraying machine
q10.1: Does your household own the following?_Water pumping set
q10.1: Does your household own the following?_Reapers
q10.1: Does your household own the following?_Tractor
q10.1: Does your household own the following?_Trailer for tractors etc.
q10.1: Does your household own the following?_Plough etc
q10.1: Does your household own the following?_Harrow
q10.1: Does your household own the following?_Milking machine
q10.1: Does your household own the following?_Harvesting and threshing machine
q10.1: Does your household own the following?_Hand milling machine
q10.1: Does your household own the following?_Coffee pulping machine
q10.1: Does your household own the following?_Fertilizer distributor
q11: General Literacy:Other common language
q11: General Literacy:English
q11.3: Which languages do you speak and understand?
q11.4: Which languages do you write in?
q11.5: Which language do you speak most frequently at home?
q12.1: Please tell me how would you rate the value of your opinion in shaping th
q12.2: Please tell me, what do you expect as a result of participating in this s
q13.1: Did you give the respondent the following items?_Mobile Phone Handset
q13.1: Did you give the respondent the following items?_Sim Card
q13.2: Could I please look at the number of network bars on your mobile phone
q14.4: What is your relationship to
q14.5: The interview completed in which visit?
EVI 1: How many people were present during the interview?
EVI2: What was the behavior of the respondent during the beginning of the interv
EVI3: What was the behavior of the respondent at the end of the interview?
EVI4: What are you expectations of the respondent if interviewed through mobile
EVI5: Did the respondent chat during the interview?
EVI6: Did the respondent express worries about the interview?
EVI7: How difficult was it for the respondent to understand the questions?
EVI8: Has the initial phone call been made to the call center?
Comment
End time
EA code Number
TOTAL No HHS
Household Weight
No of adults above 18 years
Individual Weight
Age Group
wealth index based on polychoric pca
scaled wealth index based on polychoric pca
Household wealth - 5 Levels
Household wealth - 3 Levels