| Assessment of socio-economic level. NB : Tick only the most valuable: Low; 8 - 19: Medium; 20 - 26: High | ||
14 | Does any member of your household have a stable monthly or annual income? | 0 = No 1 = Yes | e1 |
15 | Main wall materials? | 0 = Earth/wood/plank/palm/bamboo 1 = Semi-hard/brick | e2 |
16 | Main floor materials | 0 = Terracotta 1 = Cement 2 = Tiles | e3 |
17 | Main roof materials | 0 = Straw/branches/leaves 1 = Sheet metal/tulle 2 = Slab | e4 |
18 | Number of rooms (e.g. living room = 2 rooms) | 0 = One piece 1 = More than one piece | e5 |
19 | Toilet type | 0 = None (no WC in the concession) 1 = Ordinary 2 = Sanitary | e6 |
20 | What energy source do you use mainly for lighting? | 0 = Kerosene lamp/candle 1 = Electric battery 2 = Electricity (SBEE) 3 = Solar energy and/or SBEE 4 = Generator and/or SBEE | e7 |
21 | How do you travel? (mention only the added value) | 0 = None 1 = Bicycle 2 = Motorcycle 3 = Vehicle | e8 |
22 | What household appliances do you have? (mention only the added value) | 0 = None 1 = Radio set 2 = Android mobile phone 3 = Television set 4 = Fridge | e9 |
23 | What type of fuel does your household mainly use for cooking? | 0 = Wood/branch 1 = Charcoal/steel 2 = Gas/heating plate | e10 |
24 | What is the main source of water in your household? | 0 = River/marigot 1 = Well water 2 = Drilling 3 = Tap water (SONEB/AEV) | e11 |
25 | Do you own the house you live in, or do you have a house or plot of land that you pay for yourself? | 0 = Yes 1 = No | e12 |
26 | Total household points | /_____/_____/ | e13 |
Information on sexuality | |||
27 | At what age did you start menstruating? | /____/____/ years | s1 |
28 | Did you have your first sexual intercourse before the age of 15? | 0 = No 1 = Yes | s2 |
29 | Have you ever been pregnant? | 0 = No 1 = Yes | s3 |