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2012
February
F
Food Security Test1
Food Security Test1
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My name is............. I am from Plan. We are conducting periodic interviews with selected participants in the Food Security and Water Initiative, as well non beneficiaries of the programme. We would like to see whether there are changes in the socio economic circumstances of the participants as a result of their participation in the Food Security and Water Initiative Programme.
Ward Number
-- Select --
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Other
Your Name
Are you the head of household?
Yes
No
Name of household head
Sex
Male
Female
Household head sex
Male
Female
What is your relationship to the household head
Spouse
Child
Other
What is the age of the household head?
<= 18 years
19 - 24 years
25 - 34 years
35 - 49 years
50 - 59 years
>= 60 years
In the last 3 months (90 days) have you, or any of your household members:
Yes
No
Gone the whole day without food
Sent a family member to friends/relatives for a meal
Bought food on credit
Undertaken causal labour to get money for food
Skipped meals
Reduced pot size
Sold assets to buy food
Begged for food
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