OBIRI - ADJEI MICHAEL: June 2015

BELOW ARE SOME QUESTIONNAIRE USED FOR DATA COLLECTION.

HOUSEHOLD QUESTIONNAIRE

A. PROFILE OF RESPONDANT

1. Sex: Male ( ) Female ( )

2. Age ……………………………………….

3. Marital status: Single ( ) Married ( ) Divorced ( )

4. Are you the house head? Yes ( ) No ( )

58.

B. DEMOGRAPHIC CHARACTERISTICS

5. What is the total number of people in your household? Male ( ) Female ( ) Total ( )

6. What are the ages of the people in your household?

7. What is your religious affiliation?

8. What is your tribe?

C. OCCUPATIONAL DISTRIBUTION

9. What is your occupation? (a)Agriculture (b)Trading (c)Government work (d)Unemployed (e)Others

10. How much do you earn in a year? ……………………………………………..

D. EDUCATIONAL STATUS

11. Are you educated? Yes ( ) No ( )

12. What is the highest level of education you have attained? (a)Primary (b) J.H.S (c)S.H.S (d)Tertiary

E. HEALTH STATUS

13. Do you use NHIS? Yes ( ) No ( )

14. Do you sleep under treated mosquito net? Yes ( ) No ( )

15. What are some of the common diseases that affect you? …………………………

F. AGRICULTURE

16. What type of agricultural activity do you undertake? (a)Crop farming (b) Livestock farming (c)Others (specify)

G. CROP PRODUCTION

17. How many acres do you farm? ………………………………………………..

18. Is your yield adequate for your household food requirement? Yes ( ) No ( )

19. What are three (3) major problems you face in your production?

· ……………………………………………………………………..

20. What is your source of finance? ………………………………………………………

OBIRI - ADJEI MICHAEL