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Household Survey Questionnaire Climate Impacts Research Capacity and Leadership Enhancement (CIRCLE)
Good day! My name is ……………………………... I am from the University of Energy and Natural Resources. We are conducting a study on Gender, Climate Change Vulnerability and Adaptive Capacity of Agrarian and Forest-Dependent Communities in Transitional Zone of Ghana. I am here to ask you questions about your household’s knowledge, impact and adaptive capacity of climate change in your agriculture and or forest livelihoods. Your participation is voluntary: you may choose not to answer any questions or decide to stop the discussion at any time. We also would like to assure you that your responses will be given maximum confidentiality. Are you willing to participate in this study?
Interview ID:Date of interview: ________day ________ month ________ year
Name of Interviewer
Validated Supervisor
Data entry personnel 1: Data entry personnel 2:
Name of Political District Name of FSD District
Name of MOFA District
A. General information about Village and Households (HH)1. Name of village
2. HH GPS Codes: Elevation (ft)…………; Latitude…………; Longitude………; Accuracy (ft)…………3a. HH Access to Electricity
[1] Mostly Yes
[2] Mostly No 3b. If No give reason:
4a. HH Access to improved source of drinking water
[1] Mostly Yes
[2] Mostly No
4b. If No give reason:
B. Household Demographic characteristics 1. Name of respondent 2. Cell no.
(if any)3. Gender [1] Male [2] Female 4. Age5a.Are you the Head of the household
[1] Yes [2] No 5b. If No, relation to head of household:
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Codes for employment (6b)
[1] self-employed farmer – part-time [7] small and medium business enterprise (specify below)
[2] self-employed farmer – full-time [8] informal sector (e.g. petty trader etc.)
[3] contract worker out-grower scheme / smallholder schemes [9] unemployed
[4] Pensioner [10] NTFPs Collector /harvester – specify type of NTFPs
[5] employed as civil servant [11] Worker in the forest reserve (e.g. timber firm, tree planter, etc.)
[6] seasonal worker on farm (Labourer) [12] Others (pls Specify)
7. Land ownership system status
[ 1] Inherited [2] Family [3] forest reserve [4] purchased[4] rented [5] share cropping [6] Communal land
8. What is the land size(s) Farm 1: Farm 2: Farm 3:
C. HOUSEHOLD ACTIVITIES PROFILE 1. What is your daily routine (from the time you get up till you go to bed)? Please list them:
2a.Which activities are performed by the following in the house and in farm production and how much time is needed to carry out each activity.
Gender Activities2bi Farm Time 2bii. House Time
Female
Male
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6. Basic demographics head of household and spouse
6a. Highest education level? (specify)
6b.Employment:/livelihood (codes – can be more than 1)
6c. Is person born in this village or not. Yes=1 No=0,
6d. Years living in current place of residence? (number of years)
6e. Origin-1. Migrant (specify)
2. Native
Head of household
Spouse of HH head
Both Female and Male
2b. Do these activities change in cause of the year? [1] Yes [2] No2c. If Yes, what ways?
3a. When you think back, have there been any major changes between now and 10/20 years (underline specific year) ago in terms of farm and off-farm activities?
[1] Yes [2] No
3b. If yes, Pls name them
4a.What different or new farm/forest & off-farm activities are you (HH) carrying out now?
4b. Why?
4c. Who in the household takes responsibility for these activities? [1] Husband [2] Wife [3] Son[4] Mother [5] Nephew [6] Daughter [7] Others (pls specify5. a. Does it take more time to complete your daily activities recent time? [1] Yes [2] No5b. Why:7a. Do you find your activities easier or more difficult to perform now than it was for your mother/father (underline specific gender) days?
[1] Yes [2] No
7b. Why:
D. RESOURCE, ACCESS AND CONTROL PROFILE
1a. What kind of natural resources do you depend on for your daily activities? [1] Water [2] Timber[3] NTFPS –Plants Specify: [4] NTFPS animals ,
Specify:[5] Firewood [6] others –specify
2a. Are there any resources that you were using, but can no longer access? [1] Yes [2] No2b. If yes, which ones? [1] Water [2] Timber [3] NTFPS [5] Firewood others –specify:
2c. Why? (multiple)
[1] extinction [2] lack of rain [3] restricted access by officials (specify officials)
[4] long distance to access
[5] deforestation [6] Others pls specify:3a. Has the seasonal availability and abundance of any resources you are dependent on changed?
[1] Yes [2] No
3b. If yes which ones? 3c. In what way
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4. How does this influence the HH wellbeing? (ref to 3a)
5. a Are you using new resources? [1] Yes [2] No6. To which types of land do women and men mainly have access and what are the main activities carried
out on the land?6a. Type of land 7b.Gender
M=1; F=2Both =3
7c. Who decides what to grow/how to use
7d. Main activities carried out on the land
Home gardenIrrigated landRainfed agric landRainfed agric. LandRainfed agric. LandForest landRangelandOthers (specify)
7. Which decisions within the household related to the management of small livestock/big livestock are taken by women, which by men, and which by men and women together?Livestock type
Gender : [1] women [2] men [3] Both
HH management decision of livestock[1] Feeding; [2] Sales; [3] Veterinary ; [4]household use
8. Which decisions within the household related to the management of crops are taken by women, which by men, and which by men and women together?Crop type Gender : [1] women
[2] men [3] BothHH management decision of crops[1] crop type; [2] Sales; [3] cropping system ; [4]household use; [5] Others specify
9. Which decisions within the household related to the management of economic trees /or NTFPS are taken by women, which by men, and which by men and women together?10a. Forest resource types
10b sources [1] off-reserve; [2] govt forest reserve
10c. Gender : [1] women [2] men [3] Both
10d. HH management decision.[1] species type; [2] uses ; [3] sales [4] management ; [5] Others specify
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10a. Have members of your household migrated to larger cities or even abroad? [1] Yes [2] No10b. Mention not more than 2 gender groups that have
migrated :[1]=Adult Men; [2]=young men; [3]=adult women ; [4] =young women
10c. To where:
10d. Why? 10e. When:
10f. Do they send money/resources home?
[1] Yes [2] No 10g. If , yes how often:
11a. Do you have access to off-farm income? (specify the source)
[1] Yes [2] No 11c. Do you have access to loans?
[1] Yes [2] No
11b. If yes, how do you use the income:
11d.If yes, how do you use the loans?
12. Which decisions within the household related to the use of income and loans are taken by women, which by men, and which by women and men together?
12a. [1] Income [2] Loans
12b. Gender : [1] women [2] men [3] Both
12c. HH decision related to the use of income and loans
F. PERCEPTION OF CHANGES a) Main weather events
1. Please state the main weather events that happen during the year, when do these events usually occur and for how long do they last?
1a. Events 1b. Specific Month
1c. Duration
1d. Changes: [1] Yes [2] No
1e. Changes mode(s) [multiple responses] [1]=Timing; [2] =Duration; [3] = Intensity; [4]= frequency; [5]= others (Specify)
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Raining season
Dry season
Cloudburst/ThunderstormOthers (specify)
2. Do these events influence your activities/ workload and what are the reasons for these changes?Events [1] Yes ; [2] No How do they influence?Raining season
Dry season
Cloudburst/Thunderstom
Others (specify)
b) Hazards3a. Have you experienced any major hazards over the past 10/20 years? (underline specific year)
[1] Yes [2] No
3b. If yes, what kind? 3c. When did they occur? 3d.How did they affect you and your family?[1] Floods
[2] Droughts
[3] Others pls specify
3e. Have these hazards become more frequent or more intense over the past years? [1] More frequent & more intense
[2] More frequent but not intense
[3] Less frequent but more intense
[4] less frequent &less intense
[5] Others –specify
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c. Changes in temperature & water
4. a Have you noticed any difference in temperature over the past 10/20 years?(underline the specific year)
[1] Yes [2] No
4b. If yes, in which way(s) did the temperature change? 4c.What do you think is the reason for this change?[1]=high temperature ; [2] low temperature ; [3]=moderate
temperature; [4]= extreme high temperature ; [5] Others (pls specify)5a. In your perception has the availability of water from rain and water in water bodies changed over the past 10/20 years? (underline the specific year)
[1] Yes [2] No
5b. If yes, how has it changed
Water bodies Changes [1]= Less rainfall ; [2] =More rainfall ; [3]= lower water levels in /lakes rivers/streams/spring; [4]= higher water levels in lakes /rivers/streams/spring; [5] =Others –specify
5c. Reasons for changes
Lake
Rivers
Streams
Rainfall
Others –specify5d. Does this have any influence on your daily activities/your workload? [1] Yes [2] No
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d. Traditional knowledge 6. a Do you know of any traditional ways of predicting the weather? [1] Yes [2] No6b. If yes describe the methods [1] When the monsoon winds
starts[2] Sun’s direction ,shape & intensity
[3] Cloud gathers [4] Others-specify:
7. a. Are these methods to predict the weather still reliable today? [1] Yes [2] No
7b. If No, why not, 7c. what are the implications for your lives?
7d. What are scientific ways you use to predict the weather?
8a. Have you noticed that some plant species are appearing earlier [1] or later in the season [2] or in places where they did not appear before [3]?
[1] Yes [2] No
8b. Have you noticed that some animal species are appearing earlier [1] or later in the season [2] or in places where they did not appear before [3]?
[1] Yes [2] No
8c.Have any plant species disappeared [1] or become less [2] or more abundant [3]?
[1] Yes [2] No
8d Have any animal species disappeared [1] or become less [2] or more abundant [3]?
[1] Yes [2] No
8c. If yes, which ones?Appearance Disappeared
8ci Plants 8cii.Animals 8ciii Plants 8civ.Animals
9a. Have you observed any new diseases/ pests affecting your livestock over the past 10/20 years?
a[1] Yes [2] No
9b. New disease /Pests 9c. Time occurred 9d. Frequency 9e.Reason they occur1.
2.
3.
10a. Have you observed any new pests/diseases affecting your crops over the past 10/20 years?
[1] Yes [2] No
10b. New disease /Pests 10c. Time occurred 10 d. Frequency 9e.Reason they occur1.
2.
3.
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11a. Have you observed any new health problems that have affected you and your family? (relate to weather changes)
[1] Yes [2] No
11b. Health problem Diminished or disappeared Reasons
12. Are there any positive changes you can think of that make things easier?
[1] prolonged cropping season
[2] warmer streams for washing [3] hygiene [4] modern technologies-specify
[5] remittances
[6] health posts [7] Others –specify13a. Do the changes you have mentioned impact on the availability of food for
your household throughout the year?[1] Yes [2] No
13b.If yes, in what way? [1] Less food [2] more food [3] No change [4] uncertain14a. Has your overall food production changed? [1] Yes [2] No14b.If yes in what way
and why?[1] Less harvest output
[2] more harvest output
[3] No change [4] uncertain
15. For how many months a year does your family have enough food? (tick)
[1] January[2] February[3] March[4] April
[5] May[6] June[7] July[8] August
[9] September[ 10] October[11] November[12] December
16a. Has this changed over the last 10/20 years? [1] Yes [2] No16bIf yes, how and why?
17. How is the food diversity in HH? (multiple responses) Codes (tick)[1] Sufficient grains (rice, cereals, bread,) and/or legumes[2] Sufficient roots and/or tubers[3] Sufficient meat and/or fish and /or Milk[4] Sufficient vegetables and/or fruits and/or nuts
18. Has there been any change in terms of food diversity? [1]Less diverse[2] more diverse [3] No change [4] Uncertain
19. What are your main sources of income? [1] Mostly agriculture [2] mostly industry[3] Mostly remittances [4] mostly services [5] combination of different sources
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20. a. Do the changes in weather you have mentioned impact on your income opportunities (on-farm and off-farm)? (Yes=1/No=0), If yes in what way?
20.b. Are there any income opportunities you no longer have? (Yes=1/No=0)
20. c. Are there any new income opportunities that have arisen over the past 10/20 years? (Yes=1/No=0)
21. Has your overall income changed for the past year? (Yes=1/No=0), if yes, in which way? (Less=1, more=2, no change=3, uncertain=4)
22. What are the reasons for these changes?
23. Is your income sufficient to cover your basic needs (e.g. food, clothing, schooling, and healthcare, shelter)? Indicate reasons
[1] = Income is sufficient =
[2]= less than sufficient=
[3] = Income is more than sufficient=
G. CAPACITY ANALYSIS: COPING AND ADAPTATION MECHANISMS
24. What do you do with your crops and animals when there is too little rain/water or there is an unusually long dry period?
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24 a Crops 24 b. Animals
24c. Is there anything you expect done to mitigate this problem little rain/water?
25a. What do you do with your crops and animals when there is too much rain/water?
25b. Is there anything you expect done to mitigate this problem too much rain/water?
26. What do you do when the weather is extremely hot over a long period of time with respect to crops and Animals?
27. What do you do when it is extremely cold over a long period of time with respect to crops and Animals?
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Crops
Crops
25 a Crops
26 a Crops
27a crops
Animals
Animals
25b. Animals
26b Animals
27b Animals
28. What do you do when there is a flood?
29. Do you receive help from the community or external sources in case of flood, drought, bush or strong wind? Yes/No. if yes what type of help and from who?
30. Have you introduced any new crops or given up planting some crops? (Yes=1/No=0), If yes, which ones and why?
31. What do you do when your crops are affected by pests/diseases?
32. Do you get any support from the community in respect to pests /diseases of crops and animals (Yes=1/No=0), if yes, what kind of support do you receive?
33 What traditional remedies to you take when any member of your family is sick?
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Type of help
Which crops
Whom
Why
34. Do you get access to the hospital or clinic in times of sickness of any member of your family? (Yes=1/No=0)
35. What do you do if there is a prolonged period of food shortage?
36. What do you do if there is a shortage of fuel for cooking or heating?
H. SOCIAL SAFETY NETS37a.When you try to resolve these problems (pls ref to the weather problems mentioned), are
there any specific community groups or arrangements from which you receive help (Yes=1/No=0),
37b.Who participates in these groups/arrangements?
H.1.c. Do you also help others if they have any problems? (Yes=1/No=0), if yes, how?
38a.When you and your family/community are trying to resolve these problems do you get help from outside (e.g., from local government representatives, IOs, NGOs)? (Yes=1/No=0), If yes, from whom exactly?
38b. What kind of help do you receive and for what problems? (e.g., when your crops are affected by pests, when there is a water shortage, when you need assistance because of food shortage, or you need money for a veterinarian or to see a doctor)?
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I.NEEDS ASSESSMENT39. Of the changes, problems, and challenges you have mentioned, which ones are the most
important ones that you are facing in your daily lives at present?
40. Do these difficulties differ from the ones you were facing 10/20 years ago (Yes=1/No=0), If yes, In what way?
I.2.b. What do you think the reasons are for these changes?………………………………………………………………………………………………………
42. Which strategies and mechanisms (including technologies, information, infrastructure, livelihood options, and institutional mechanisms), in addition to the ones you have already mentioned, do you think would help you most to alleviate the current difficulties you are facing?
I.4. Who could help you to overcome these challenges?
43. What would help you most to improve your life?
Thanks for participating
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