| No. | Questions and Filters |
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| Time Interview started | |__|__|:|__|__| AM/PM |
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| Q101 | How old were you at your last birthday? [ESTIMATE IF NECESSARY] | Age in completed years | |__|__|
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| Q102 | What is your marital status? [CIRCLE ONE ONLY] | Single, not in a relationship Single but in a relationship Married (or living with partner) Separated Widow Other (Specify) _________________ | 1 2 3 4 5 96 |
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| Q103 | Have you ever attended school? [CIRCLE ONE ONLY] | YES NO | 1 2 |
àQ111 |
| Q104 | IF YES, what is the highest education grade /level/form you have completed? [CIRCLE ONE ONLY] | None Primary O-Level A-Level Diploma/Technical/vocational Cert. University/college Degree Other (Specify__________________) | 1 2 3 4 5 6 96 |
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| Q105 | If in school, what class are you currently? | __________ |
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| Q106 | Were you attending school at the beginning of this year? | Yes No | 1 2 |
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| Q107 | Which school do you attend? (Ask everyone) | Girls only Mixed school | 1 2 |
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| Q108 | Type of school? (Ask everyone) | Day school Boarding school Day and Boarding school | 1 2 3 |
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| Q109 | Have you ever missed school due to lack of school fees? (Ask everyone) | Yes No | 1 2 |
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| Q110 | How is your academic performance at school? (Ask everyone) | Very good Fair Poor | 1 2 3 |
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| Q111 | What is your religion? [CIRCLE ONE ONLY] | Catholic Anglican/Protestant Pentecostal/Saved Muslim Traditional religion None/No religion Other (specify): ________________ | 1 2 3 4 5 6 96 |
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| Q112 | Tribe | Muganda Musoga Others (specify): ________________ | 1 2 96 |
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| Q113 | Are both biological parents alive? | Both parents alive Both parents died Only mother alive Only father alive Don’t know DWA (Don’t want to answer) | 1 2 3 4 98 97 |
àQ116 àQ115
àQ116àQ116 |
| Q114 | Highest level of education completed by the father | None Primary O’Level A’Level Technical/vocational Cert. University/college Diploma University/college Degree Don’t know Other (Specify__________________) | 1 2 3 4 5 6 7 98 96 |
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| Q115 | Highest level of education completed by the mother | None Primary O’Level A’Level Technical/vocational Cert. University/college Diploma University/college Degree Don’t know Other (Specify__________________) | 1 2 3 4 5 6 7 96 98 |
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| Q116 | Do you have any form of disability | Yes No | 1 2 |
àQ118 |
| Q117 | If yes, which form of disability [MULTIPLE RESPONSE] | Physical disability Visually impaired Has hearing/speech disability Has mental/learning disability Has multiple disabilities Others (Specify)_________________ | 1 2 3 4 5 96 |
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| Q118 | What is your relationship to the head of the household | I am the head of the household Wife Daughter Sister Niece Step-child Grand Daughter Others (specify) ________________ | 1 2 3 4 5 6 7 96 |
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