STRICTLY CONFIDENTIAL UGANDA BUREAU OF STATISTICS The Republic of Uganda THE SOCIAL INSTITUTIONS AND GENDER INDEX UGANDA (SIGI) SURVEY 2014 INDIVIDUAL QUESTIONNAIRE MODULE 4A: IDENTIFICATION PARTICULARS 1. HOUSEHOLD SERIAL NO.: 2. PERSON ID CODE (PID): 3. NAME: THIS SURVEY IS BEING CONDUCTED BY THE UGANDA BUREAU OF STATISTICS UNDER THE AUTHORITY OF THE UGANDA BUREAU OF STATISTICS ACT, 1998. UGANDA BUREAU OF STATISTICS P.O. BOX 7186 KAMPALA, TEL: +256-414-706000 FAX: 0414-237553 E-MAIL:
[email protected] WEBSITE: www.ubos.org ~ 1 ~ MODULE 4B: STAFF DETAILS AND SURVEY TIME 1. NAME OF INTERVIEWER DD MM YYYY 2. DATE OF INTERVIEW 3. NAME OF SUPERVISOR DD MM YYYY 4. DATE OF CHECKING Visit Visit Visit 1 2 3 Date 5. INTERVIEWER VISITS Result HRS 6 . STARTING TIME 7 A. RESPONSE CODE: Codes for Item 8A: 1 = Completed 2 = Not at Home 3 = Postponed 4= Refused 5= partly completed 6=Incapacitated 7=Other (Specify………………………. 8. REMARKS BY INTERVIEWER: 9. REMARKS BY SUPERVISOR: ~ 2 ~ MODULE 5: ECONOMIC ACTIVITY AND TIME USE 500 501 502 503 504 In the last 12 months, what type In the last 7 days, what type of How much do you receive in cash/kind from How much do you receive in cash/kind from Who mainly of main or secondary activity main or secondary activity were [ACTIVITY]? [ACTIVITY]? decides how the were you engaged in? you engaged in? money you earn is What is the periodicity of the pay? What is the periodicity of the pay? used? 1=Wage employment (not 1=Wage employment (not including casual day labour but including casual day labour but List up to 2 hh