CTC _ Household Survey

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Name of the interviewer / enumerator

• Name of the State

  Adamawa

  Borno

  Yobe

• Name of LGA

  Yola South

  Fufore

  Mubi South

• Name of LGA

  BIU

  KONDOGU

  HAWUL

  JERE

• Name of LGA

  Bade

  Potiskum

  Gujiba

• Name of the Village

• Location
  Address

• Do you give NRC permission to use this information to inform NRC project activities?

  Yes

  No

  N/A

Thank the respondent unwillingness to participate.

• 1. What is your name?

• 2. Gender

  Male

  Female

• 3. Are you the head of the household?

  Yes

  No

  N/A

• if not, then who is the head of your household?

  Male

  Female

• 4. Age

  Select Less than 15 years 15 – 29 years 30 – 45 years 46 – 60 years 60 -75 years Above 75 years

  • Less than 15 years
  • 15 – 29 years
  • 30 – 45 years
  • 46 – 60 years
  • 60 -75 years
  • Above 75 years

• 5. Marital Status

  Single

  Married

  Widowed

  Divorced

• 6. Are you living with disability?

  Yes

  No

  N/A

• 7. State your highest level of education?

  Select Illiterate Primary School Secondary School Undergraduate College (FSC) NCE, OND, ND, HND, BA Ed, BSc, Ed, BA, PGDE MA, MA Ed, MSc, MSc Ed Islamic education Technical education Others

  • Illiterate
  • Primary School
  • Secondary School
  • Undergraduate College (FSC)
  • NCE, OND, ND, HND, BA Ed, BSc, Ed, BA, PGDE
  • MA, MA Ed, MSc, MSc Ed
  • Islamic education
  • Technical education
  • Others

Family members living in your household

• 8. Total number of family members living in your household?

• 9. Total number of male members (inclusive of children and all elders who are resident of this house)

• 10. Total number of female members (inclusive of children and all elders who are resident of this house)

Children of age 6-12 years in your household

• 11. How many children in total are of age between 6 – 12 years in your Household?

• 12. How many male children are of age between 6 – 12 years in your HH?

• 13. How many female children are of age between 6 – 12 years in your HH?

Children of age 13-18 years in your household

• 14. How many children in total are of age between 13– 18 years in your Household?

• 15. How many male children in total are of age between 13– 18 years in your Household?

• 16. How many female children in total are of age between 13– 18 years in your Household?

• 17. Do you have any disabled child(ren) in your house

  Yes

  No

  N/A

• How many of these children are under age between 6-18 years?

• Can you please provide detail of the type of disability?

  Select Visual impairment Hearing Impairment Speech impairment Mental and Cognitive Impairment Physical Impairment

  • Visual impairment
  • Hearing Impairment
  • Speech impairment
  • Mental and Cognitive Impairment
  • Physical Impairment

• 18. How many of the children in this house are currently going to school?

• 19. Are there any out of children in this house?

  Yes

  No

  N/A

• How many children in this house are out-of-school?

• What is the reason(s) of those children being out of school?

  Select Child(ren) has a disability Financial limitations No interest in education Child(ren) is married/ will be married soon Prefer religious education over formal education No educational facilities available The child works to earn a living for the HH Security Issue Others

  • Child(ren) has a disability
  • Financial limitations
  • No interest in education
  • Child(ren) is married/ will be married soon
  • Prefer religious education over formal education
  • No educational facilities available
  • The child works to earn a living for the HH
  • Security Issue
  • Others

• Please specify

• 20. Do you think education is a necessity for children?

  Yes

  No

  N/A

• 21. Can you please explain the reason of your response?

• 22. Do you support your child(ren) in learning, if needed?

  Yes

  No

  N/A

• 23. If you do support your child(ren), what kind of support do you provide? (choose multiple)

  Select I read to my child(ren). I help with homework. I take extra jobs/ work to support the education of my child(ren). I advocate for education of child(ren) in my community. Other

  • I read to my child(ren).
  • I help with homework.
  • I take extra jobs/ work to support the education of my child(ren).
  • I advocate for education of child(ren) in my community.
  • Other

• 24. Are you able to give the support in learning/education, if your child is facing a disability?

  Yes

  No

  N/A

• 25. If you do support your child(ren) living with a disability in learning, what kind of support do you provide?

• 26. What language do you speak most frequently at home?

  Select English Hausa Kanuri Fulfulde Shuwa Other

  • English
  • Hausa
  • Kanuri
  • Fulfulde
  • Shuwa
  • Other

• Please specify

• 27. Do you have the following items at your home?

  Select Radio Television Internet Computer Mobile Phone

  • Radio
  • Television
  • Internet
  • Computer
  • Mobile Phone

• 28. Displacement Status

  Select IDP (in Camp) IDP (living among host community) Host Community Returnee Refugee

  • IDP (in Camp)
  • IDP (living among host community)
  • Host Community
  • Returnee
  • Refugee

• 29. What is your main source of income?

Child 1

• 1. Name of the Child/ Adolescent Respondent

• 2. Gender

  Male

  Female

• 3. Age

  Select 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years

  • 6 years
  • 7 years
  • 8 years
  • 9 years
  • 10 years
  • 11 years
  • 12 years
  • 13 years
  • 14 years
  • 15 years
  • 16 years
  • 17 years
  • 18 years

• 4. Are there books, newspapers or other materials for you to read at home?

  Yes

  No

  N/A

• 5 .Using your usual language, do you have difficulty communicating, for example, understanding or being understood?

  No difficulty

  Some difficulty

  A lot of difficulty

  Cannot do at all

• 6. Do you live with both parents?

  Yes

  No

  N/A

• If no, who do you live with?

  Select Father only Mother only Relatives Foster parents I am head of household Mallam (The IQS Proprietor) Others

  • Father only
  • Mother only
  • Relatives
  • Foster parents
  • I am head of household
  • Mallam (The IQS Proprietor)
  • Others

• Please specify

• 7. Do you attend any non-formal school currently?

  Yes

  No

  N/A

• 7.1 What is name of your school / learning center?

• 7.2. Learners’ NFL education level

Literacy Level

• Level 1

  Yes

  No

  N/A

• Level 2

  Yes

  No

  N/A

• Level 3

  Yes

  No

  N/A

• None

  Yes

  No

  N/A

Numeracy Level

• Level 1

  Yes

  No

  N/A

• Level 2

  Yes

  No

  N/A

• Level 3

  Yes

  No

  N/A

• Level 4

  Yes

  No

  N/A

• Level 5

  Yes

  No

  N/A

• Level 6

  Yes

  No

  N/A

• None

  Yes

  No

  N/A

• 7.3 Does someone at home read to you or help with homework?

  Yes

  No

  N/A

• If yes, who reads to you at home?

  Mother

  Father

  Elder brother

  Elder sister

  Other

• 7.4 Are you involved in domestic house work/chores?

  Yes

  No

  N/A

• If yes, does it interfere with your school hours or study time at home?

  Yes

  No

  N/A

• 7.5 Do you have water in your learning center?

  Yes

  No

  N/A

• 7.6 What is the water in your learning center used for?

  Select Drinking Washing hands Cleaning Other

  • Drinking
  • Washing hands
  • Cleaning
  • Other

• 7.7 Do you have a toilet in your learning centre?

  Yes

  No

  N/A

• 7.8 How many toilets are there in your learning center?

  1

  2

  3

  4

  More than 4

• 7.9 Are the toilets separate for girls and boys?

  Yes

  No

  N/A

• 7.10 Are the toilets separate for children/ learners and teachers?

  Yes

  No

  N/A

• 7.11 Where do you use a toilet during school day?

  In school

  At home

  In the bush

  In neighbouring school

  Other

• Specify

• 7.12 Did you wash your hand the last time you used a toilet/latrine in school?

  Yes

  No

  N/A

• If no, why?

• What is the reason you think it’s important to wash hands?

• 7.1 If out of school, have you attended any school before?

  Yes

  No

  N/A

• 7.2 What type of school did you attend previously?

  Government / Public

  Non-formal school

  IQS

  Other

• Specify?

• 7.3 What was the last grade you studied?

  Select Primary 1 Primary 2 Primary 3 Primary 4 Primary 5 Primary 6 Junior Secondary Senior Secondary

  • Primary 1
  • Primary 2
  • Primary 3
  • Primary 4
  • Primary 5
  • Primary 6
  • Junior Secondary
  • Senior Secondary

7.4 How long have you been out of school?

• Years

• Months

• 7.5 What were the reason you dropped out of school?

  Select Lack of parental support Lack of financial resource to educate Distance to school To make money for my family Domestic chores Resistance of parent or guardian Other

  • Lack of parental support
  • Lack of financial resource to educate
  • Distance to school
  • To make money for my family
  • Domestic chores
  • Resistance of parent or guardian
  • Other

• Please specify

  Yes

  No

  N/A

• 7.6 Are you involved in domestic house work / chores?

  Yes

  No

  N/A

• 8. Do you have water at your home?

  Yes

  No

  N/A

• 9. Do you have washroom/ toilet in your home?

  Yes

  No

  N/A

• 10. Do you think it is important to wash hands?

  Yes

  No

  N/A

• 10.1 What is the reason you think it is important to to wash hands?

• 11. Do you know the critical times to wash your hands?

  Yes

  No

  N/A

• If yes, can you mention them? [mark all options the child mentions]

  Select Before preparing food/cooking Before eating Before feeding a child After using a latrine After changing a child diaper or washing his faeces After taking care of sick person I don’t know

  • Before preparing food/cooking
  • Before eating
  • Before feeding a child
  • After using a latrine
  • After changing a child diaper or washing his faeces
  • After taking care of sick person
  • I don’t know

• 12. How many times you wash your hand in a day

  Select 1 2 3 4 5 6 More than 6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • More than 6

• 13. For which of the following, do you wash your hands?

  Select Before preparing food/cooking Before eating Before feeding a child After using a latrine After changing a child diaper or washing his faeces After taking care of sick person Others

  • Before preparing food/cooking
  • Before eating
  • Before feeding a child
  • After using a latrine
  • After changing a child diaper or washing his faeces
  • After taking care of sick person
  • Others

• Please specify?

• 14. Do you wash your hands with soap?

  Yes

  No

  N/A

• 15. How often do you wash your hands with soaps after using toilet?

  Select 1 2 3 4 5 6 More than 6 times

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • More than 6 times

• Child 2 available?

  Yes

  No

  N/A

• 1. Name of the Child/ Adolescent Respondent

• 2. Gender

  Male

  Female

• 3. Age

  Select 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years

  • 6 years
  • 7 years
  • 8 years
  • 9 years
  • 10 years
  • 11 years
  • 12 years
  • 13 years
  • 14 years
  • 15 years
  • 16 years
  • 17 years
  • 18 years

• 4. Are there books, newspapers or other materials for you to read at home?

  Yes

  No

  N/A

• 5 .Using your usual language, do you have difficulty communicating, for example, understanding or being understood?

  No difficulty

  Some difficulty

  A lot of difficulty

  Cannot do at all

• 6. Do you live with both parents?

  Yes

  No

  N/A

• If no, who do you live with?

  Select Father only Mother only Relatives Foster parents I am head of household Mallam (The IQS Proprietor) Others

  • Father only
  • Mother only
  • Relatives
  • Foster parents
  • I am head of household
  • Mallam (The IQS Proprietor)
  • Others

• 7. Do you attend any non-formal school currently?

  Yes

  No

  N/A

• 7.1 What is name of your school / learning center?

• 7.2. Learners’ NFL education level

Literacy Level

• Level 1

  Yes

  No

  N/A

• Level 2

  Yes

  No

  N/A

• Level 3

  Yes

  No

  N/A

• None

  Yes

  No

  N/A

Numeracy Level

• Level 1

  Yes

  No

  N/A

• Level 2

  Yes

  No

  N/A

• Level 3

  Yes

  No

  N/A

• Level 4

  Yes

  No

  N/A

• Level 5

  Yes

  No

  N/A

• Level 6

  Yes

  No

  N/A

• None

  Yes

  No

  N/A

• 7.3 Does someone at home read to you or help with homework?

  Yes

  No

  N/A

• If yes, who reads to you at home?

  Mother

  Father

  Elder brother

  Elder sister

  Other

• 7.4 Are you involved in domestic house work/chores?

  Yes

  No

  N/A

• If yes, does it interfere with your school hours or study time at home?

  Yes

  No

  N/A

• 7.5 Do you have water in your learning center?

  Yes

  No

  N/A

• 7.6 What is the water in your learning center used for?

  Select Drinking Washing hands Cleaning Other

  • Drinking
  • Washing hands
  • Cleaning
  • Other

• 7.7 Do you have a toilet in your learning centre?

  Yes

  No

  N/A

• 7.8 How many toilets are there in your learning center?

  1

  2

  3

  4

  More than 4

• 7.9 Are the toilets separate for girls and boys?

  Yes

  No

  N/A

• 7.10 Are the toilets separate for children/ learners and teachers?

  Yes

  No

  N/A

• 7.11 Where do you use a toilet during school day?

  In school

  At home

  In the bush

  In neighbouring school

  Other

• Specify

• 7.12 Did you wash your hand the last time you used a toilet/latrine in school?

  Yes

  No

  N/A

• If no, why?

• What is the reason you think it’s important to wash hands?

• 7.1 If out of school, have you attended any school before?

  Yes

  No

  N/A

• 7.2 What type of school did you attend previously?

  Government / Public

  Non-formal school

  IQS

  Other

• Specify?

• 7.3 What was the last grade you studied?

  Select Primary 1 Primary 2 Primary 3 Primary 4 Primary 5 Primary 6 Junior Secondary Senior Secondary

  • Primary 1
  • Primary 2
  • Primary 3
  • Primary 4
  • Primary 5
  • Primary 6
  • Junior Secondary
  • Senior Secondary

7.4 How long have you been out of school?

• Years

• Months

• 7.5 What were the reason you dropped out of school?

  Select Lack of parental support Lack of financial resource to educate Distance to school To make money for my family Domestic chores Resistance of parent or guardian Other

  • Lack of parental support
  • Lack of financial resource to educate
  • Distance to school
  • To make money for my family
  • Domestic chores
  • Resistance of parent or guardian
  • Other

• Please specify

  Yes

  No

  N/A

• 7.6 Are you involved in domestic house work / chores?

  Yes

  No

  N/A

• 8. Do you have water at your home?

  Yes

  No

  N/A

• 9. Do you have washroom/ toilet in your home?

  Yes

  No

  N/A

• 10. Do you think it is important to wash hands?

  Yes

  No

  N/A

• 10.1 What is the reason you think it is important to to wash hands?

• 11. Do you know the critical times to wash your hands?

  Yes

  No

  N/A

• If yes, can you mention them? [mark all options the child mentions]

  Select Before preparing food/cooking Before eating Before feeding a child After using a latrine After changing a child diaper or washing his faeces After taking care of sick person I don’t know

  • Before preparing food/cooking
  • Before eating
  • Before feeding a child
  • After using a latrine
  • After changing a child diaper or washing his faeces
  • After taking care of sick person
  • I don’t know

• 12. How many times you wash your hand in a day

  Select 1 2 3 4 5 6 More than 6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • More than 6

• 13. For which of the following, do you wash your hands?

  Select Before preparing food/cooking Before eating Before feeding a child After using a latrine After changing a child diaper or washing his faeces After taking care of sick person Others

  • Before preparing food/cooking
  • Before eating
  • Before feeding a child
  • After using a latrine
  • After changing a child diaper or washing his faeces
  • After taking care of sick person
  • Others

• Please specify?

• 14. Do you wash your hands with soap?

  Yes

  No

  N/A

• 15. How often do you wash your hands with soaps after using toilet?

  Select 1 2 3 4 5 6 More than 6 times

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • More than 6 times

• Child 3 available?

  Yes

  No

  N/A

• 1. Name of the Child/ Adolescent Respondent

• 2. Gender

  Male

  Female

• 3. Age

  Select 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years

  • 6 years
  • 7 years
  • 8 years
  • 9 years
  • 10 years
  • 11 years
  • 12 years
  • 13 years
  • 14 years
  • 15 years
  • 16 years
  • 17 years
  • 18 years

• 4. Are there books, newspapers or other materials for you to read at home?

  Yes

  No

  N/A

• 5 .Using your usual language, do you have difficulty communicating, for example, understanding or being understood?

  No difficulty

  Some difficulty

  A lot of difficulty

  Cannot do at all

• 6. Do you live with both parents?

  Yes

  No

  N/A

• If no, who do you live with?

  Select Father only Mother only Relatives Foster parents I am head of household Mallam (The IQS Proprietor) Others

  • Father only
  • Mother only
  • Relatives
  • Foster parents
  • I am head of household
  • Mallam (The IQS Proprietor)
  • Others

• 7. Do you attend any non-formal school currently?

  Yes

  No

  N/A

• 7.1 What is name of your school / learning center?

• 7.2. Learners’ NFL education level

Literacy Level

• Level 1

  Yes

  No

  N/A

• Level 2

  Yes

  No

  N/A

• Level 3

  Yes

  No

  N/A

• None

  Yes

  No

  N/A

Numeracy Level

• Level 1

  Yes

  No

  N/A

• Level 2

  Yes

  No

  N/A

• Level 3

  Yes

  No

  N/A

• Level 4

  Yes

  No

  N/A

• Level 5

  Yes

  No

  N/A

• Level 6

  Yes

  No

  N/A

• None

  Yes

  No

  N/A

• 7.3 Does someone at home read to you or help with homework?

  Yes

  No

  N/A

• If yes, who reads to you at home?

  Mother

  Father

  Elder brother

  Elder sister

  Other

• 7.4 Are you involved in domestic house work/chores?

  Yes

  No

  N/A

• If yes, does it interfere with your school hours or study time at home?

  Yes

  No

  N/A

• 7.5 Do you have water in your learning center?

  Yes

  No

  N/A

• 7.6 What is the water in your learning center used for?

  Select Drinking Washing hands Cleaning Other

  • Drinking
  • Washing hands
  • Cleaning
  • Other

• 7.7 Do you have a toilet in your learning centre?

  Yes

  No

  N/A

• 7.8 How many toilets are there in your learning center?

  1

  2

  3

  4

  More than 4

• 7.9 Are the toilets separate for girls and boys?

  Yes

  No

  N/A

• 7.10 Are the toilets separate for children/ learners and teachers?

  Yes

  No

  N/A

• 7.11 Where do you use a toilet during school day?

  In school

  At home

  In the bush

  In neighbouring school

  Other

• Specify

• 7.12 Did you wash your hand the last time you used a toilet/latrine in school?

  Yes

  No

  N/A

• If no, why?

• What is the reason you think it’s important to wash hands?

• 7.1 If out of school, have you attended any school before?

  Yes

  No

  N/A

• 7.2 What type of school did you attend previously?

  Government / Public

  Non-formal school

  IQS

  Other

• Specify?

• 7.3 What was the last grade you studied?

  Select Primary 1 Primary 2 Primary 3 Primary 4 Primary 5 Primary 6 Junior Secondary Senior Secondary

  • Primary 1
  • Primary 2
  • Primary 3
  • Primary 4
  • Primary 5
  • Primary 6
  • Junior Secondary
  • Senior Secondary

7.4 How long have you been out of school?

• Years

• Months

• 7.5 What were the reason you dropped out of school?

  Select Lack of parental support Lack of financial resource to educate Distance to school To make money for my family Domestic chores Resistance of parent or guardian Other

  • Lack of parental support
  • Lack of financial resource to educate
  • Distance to school
  • To make money for my family
  • Domestic chores
  • Resistance of parent or guardian
  • Other

• Please specify

  Yes

  No

  N/A

• 7.6 Are you involved in domestic house work / chores?

  Yes

  No

  N/A

• 8. Do you have water at your home?

  Yes

  No

  N/A

• 9. Do you have washroom/ toilet in your home?

  Yes

  No

  N/A

• 10. Do you think it is important to wash hands?

  Yes

  No

  N/A

• 10.1 What is the reason you think it is important to to wash hands?

• 11. Do you know the critical times to wash your hands?

  Yes

  No

  N/A

• If yes, can you mention them? [mark all options the child mentions]

  Select Before preparing food/cooking Before eating Before feeding a child After using a latrine After changing a child diaper or washing his faeces After taking care of sick person I don’t know

  • Before preparing food/cooking
  • Before eating
  • Before feeding a child
  • After using a latrine
  • After changing a child diaper or washing his faeces
  • After taking care of sick person
  • I don’t know

• 12. How many times you wash your hand in a day

  Select 1 2 3 4 5 6 More than 6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • More than 6

• 13. For which of the following, do you wash your hands?

  Select Before preparing food/cooking Before eating Before feeding a child After using a latrine After changing a child diaper or washing his faeces After taking care of sick person Others

  • Before preparing food/cooking
  • Before eating
  • Before feeding a child
  • After using a latrine
  • After changing a child diaper or washing his faeces
  • After taking care of sick person
  • Others

• Please specify?

• 14. Do you wash your hands with soap?

  Yes

  No

  N/A

• 15. How often do you wash your hands with soaps after using toilet?

  Select 1 2 3 4 5 6 More than 6 times

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • More than 6 times

• Child 4 available?

  Yes

  No

  N/A

• 1. Name of the Child/ Adolescent Respondent

• 2. Gender

  Male

  Female

• 3. Age

  Select 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years

  • 6 years
  • 7 years
  • 8 years
  • 9 years
  • 10 years
  • 11 years
  • 12 years
  • 13 years
  • 14 years
  • 15 years
  • 16 years
  • 17 years
  • 18 years

• 4. Are there books, newspapers or other materials for you to read at home?

  Yes

  No

  N/A

• 5 .Using your usual language, do you have difficulty communicating, for example, understanding or being understood?

  No difficulty

  Some difficulty

  A lot of difficulty

  Cannot do at all

• 6. Do you live with both parents?

  Yes

  No

  N/A

• If no, who do you live with?

  Select Father only Mother only Relatives Foster parents I am head of household Mallam (The IQS Proprietor) Others

  • Father only
  • Mother only
  • Relatives
  • Foster parents
  • I am head of household
  • Mallam (The IQS Proprietor)
  • Others

• 7. Do you attend any non-formal school currently?

  Yes

  No

  N/A

• 7.1 What is name of your school / learning center?

• 7.2. Learners’ NFL education level

Literacy Level

• Level 1

  Yes

  No

  N/A

• Level 2

  Yes

  No

  N/A

• Level 3

  Yes

  No

  N/A

• None

  Yes

  No

  N/A

Numeracy Level

• Level 1

  Yes

  No

  N/A

• Level 2

  Yes

  No

  N/A

• Level 3

  Yes

  No

  N/A

• Level 4

  Yes

  No

  N/A

• Level 5

  Yes

  No

  N/A

• Level 6

  Yes

  No

  N/A

• None

  Yes

  No

  N/A

• 7.3 Does someone at home read to you or help with homework?

  Yes

  No

  N/A

• If yes, who reads to you at home?

  Mother

  Father

  Elder brother

  Elder sister

  Other

• 7.4 Are you involved in domestic house work/chores?

  Yes

  No

  N/A

• If yes, does it interfere with your school hours or study time at home?

  Yes

  No

  N/A

• 7.5 Do you have water in your learning center?

  Yes

  No

  N/A

• 7.6 What is the water in your learning center used for?

  Select Drinking Washing hands Cleaning Other

  • Drinking
  • Washing hands
  • Cleaning
  • Other

• 7.7 Do you have a toilet in your learning centre?

  Yes

  No

  N/A

• 7.8 How many toilets are there in your learning center?

  1

  2

  3

  4

  More than 4

• 7.9 Are the toilets separate for girls and boys?

  Yes

  No

  N/A

• 7.10 Are the toilets separate for children/ learners and teachers?

  Yes

  No

  N/A

• 7.11 Where do you use a toilet during school day?

  In school

  At home

  In the bush

  In neighbouring school

  Other

• Specify

• 7.12 Did you wash your hand the last time you used a toilet/latrine in school?

  Yes

  No

  N/A

• If no, why?

• What is the reason you think it’s important to wash hands?

• 7.1 If out of school, have you attended any school before?

  Yes

  No

  N/A

• 7.2 What type of school did you attend previously?

  Government / Public

  Non-formal school

  IQS

  Other

• Specify?

• 7.3 What was the last grade you studied?

  Select Primary 1 Primary 2 Primary 3 Primary 4 Primary 5 Primary 6 Junior Secondary Senior Secondary

  • Primary 1
  • Primary 2
  • Primary 3
  • Primary 4
  • Primary 5
  • Primary 6
  • Junior Secondary
  • Senior Secondary

7.4 How long have you been out of school?

• Years

• Months

• 7.5 What were the reason you dropped out of school?

  Select Lack of parental support Lack of financial resource to educate Distance to school To make money for my family Domestic chores Resistance of parent or guardian Other

  • Lack of parental support
  • Lack of financial resource to educate
  • Distance to school
  • To make money for my family
  • Domestic chores
  • Resistance of parent or guardian
  • Other

• Please specify

  Yes

  No

  N/A

• 7.6 Are you involved in domestic house work / chores?

  Yes

  No

  N/A

• 8. Do you have water at your home?

  Yes

  No

  N/A

• 9. Do you have washroom/ toilet in your home?

  Yes

  No

  N/A

• 10. Do you think it is important to wash hands?

  Yes

  No

  N/A

• 10.1 What is the reason you think it is important to to wash hands?

• 11. Do you know the critical times to wash your hands?

  Yes

  No

  N/A

• If yes, can you mention them? [mark all options the child mentions]

  Select Before preparing food/cooking Before eating Before feeding a child After using a latrine After changing a child diaper or washing his faeces After taking care of sick person I don’t know

  • Before preparing food/cooking
  • Before eating
  • Before feeding a child
  • After using a latrine
  • After changing a child diaper or washing his faeces
  • After taking care of sick person
  • I don’t know

• 12. How many times you wash your hand in a day

  Select 1 2 3 4 5 6 More than 6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • More than 6

• 13. For which of the following, do you wash your hands?

  Select Before preparing food/cooking Before eating Before feeding a child After using a latrine After changing a child diaper or washing his faeces After taking care of sick person Others

  • Before preparing food/cooking
  • Before eating
  • Before feeding a child
  • After using a latrine
  • After changing a child diaper or washing his faeces
  • After taking care of sick person
  • Others

• Please specify?

• 14. Do you wash your hands with soap?

  Yes

  No

  N/A

• 15. How often do you wash your hands with soaps after using toilet?

  Select 1 2 3 4 5 6 More than 6 times

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • More than 6 times

• Child 5 available?

  Yes

  No

  N/A

• 1. Name of the Child/ Adolescent Respondent

• 2. Gender

  Male

  Female

• 3. Age

  Select 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years

  • 6 years
  • 7 years
  • 8 years
  • 9 years
  • 10 years
  • 11 years
  • 12 years
  • 13 years
  • 14 years
  • 15 years
  • 16 years
  • 17 years
  • 18 years

• 4. Are there books, newspapers or other materials for you to read at home?

  Yes

  No

  N/A

• 5 .Using your usual language, do you have difficulty communicating, for example, understanding or being understood?

  No difficulty

  Some difficulty

  A lot of difficulty

  Cannot do at all

• 6. Do you live with both parents?

  Yes

  No

  N/A

• If no, who do you live with?

  Select Father only Mother only Relatives Foster parents I am head of household Mallam (The IQS Proprietor) Others

  • Father only
  • Mother only
  • Relatives
  • Foster parents
  • I am head of household
  • Mallam (The IQS Proprietor)
  • Others

• 7. Do you attend any non-formal school currently?

  Yes

  No

  N/A

• 7.1 What is name of your school / learning center?

• 7.2. Learners’ NFL education level

Literacy Level

• Level 1

  Yes

  No

  N/A

• Level 2

  Yes

  No

  N/A

• Level 3

  Yes

  No

  N/A

• None

  Yes

  No

  N/A

Numeracy Level

• Level 1

  Yes

  No

  N/A

• Level 2

  Yes

  No

  N/A

• Level 3

  Yes

  No

  N/A

• Level 4

  Yes

  No

  N/A

• Level 5

  Yes

  No

  N/A

• Level 6

  Yes

  No

  N/A

• None

  Yes

  No

  N/A

• 7.3 Does someone at home read to you or help with homework?

  Yes

  No

  N/A

• If yes, who reads to you at home?

  Mother

  Father

  Elder brother

  Elder sister

  Other

• 7.4 Are you involved in domestic house work/chores?

  Yes

  No

  N/A

• If yes, does it interfere with your school hours or study time at home?

  Yes

  No

  N/A

• 7.5 Do you have water in your learning center?

  Yes

  No

  N/A

• 7.6 What is the water in your learning center used for?

  Select Drinking Washing hands Cleaning Other

  • Drinking
  • Washing hands
  • Cleaning
  • Other

• 7.7 Do you have a toilet in your learning centre?

  Yes

  No

  N/A

• 7.8 How many toilets are there in your learning center?

  1

  2

  3

  4

  More than 4

• 7.9 Are the toilets separate for girls and boys?

  Yes

  No

  N/A

• 7.10 Are the toilets separate for children/ learners and teachers?

  Yes

  No

  N/A

• 7.11 Where do you use a toilet during school day?

  In school

  At home

  In the bush

  In neighbouring school

  Other

• Specify

• 7.12 Did you wash your hand the last time you used a toilet/latrine in school?

  Yes

  No

  N/A

• If no, why?

• What is the reason you think it’s important to wash hands?

• 7.1 If out of school, have you attended any school before?

  Yes

  No

  N/A

• 7.2 What type of school did you attend previously?

  Government / Public

  Non-formal school

  IQS

  Other

• Specify?

• 7.3 What was the last grade you studied?

  Select Primary 1 Primary 2 Primary 3 Primary 4 Primary 5 Primary 6 Junior Secondary Senior Secondary

  • Primary 1
  • Primary 2
  • Primary 3
  • Primary 4
  • Primary 5
  • Primary 6
  • Junior Secondary
  • Senior Secondary

7.4 How long have you been out of school?

• Years

• Months

• 7.5 What were the reason you dropped out of school?

  Select Lack of parental support Lack of financial resource to educate Distance to school To make money for my family Domestic chores Resistance of parent or guardian Other

  • Lack of parental support
  • Lack of financial resource to educate
  • Distance to school
  • To make money for my family
  • Domestic chores
  • Resistance of parent or guardian
  • Other

• Please specify

  Yes

  No

  N/A

• 7.6 Are you involved in domestic house work / chores?

  Yes

  No

  N/A

• 8. Do you have water at your home?

  Yes

  No

  N/A

• 9. Do you have washroom/ toilet in your home?

  Yes

  No

  N/A

• 10. Do you think it is important to wash hands?

  Yes

  No

  N/A

• 10.1 What is the reason you think it is important to to wash hands?

• 11. Do you know the critical times to wash your hands?

  Yes

  No

  N/A

• If yes, can you mention them? [mark all options the child mentions]

  Select Before preparing food/cooking Before eating Before feeding a child After using a latrine After changing a child diaper or washing his faeces After taking care of sick person I don’t know

  • Before preparing food/cooking
  • Before eating
  • Before feeding a child
  • After using a latrine
  • After changing a child diaper or washing his faeces
  • After taking care of sick person
  • I don’t know

• 12. How many times you wash your hand in a day

  Select 1 2 3 4 5 6 More than 6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • More than 6

• 13. For which of the following, do you wash your hands?

  Select Before preparing food/cooking Before eating Before feeding a child After using a latrine After changing a child diaper or washing his faeces After taking care of sick person Others

  • Before preparing food/cooking
  • Before eating
  • Before feeding a child
  • After using a latrine
  • After changing a child diaper or washing his faeces
  • After taking care of sick person
  • Others

• Please specify?

• 14. Do you wash your hands with soap?

  Yes

  No

  N/A

• 15. How often do you wash your hands with soaps after using toilet?

  Select 1 2 3 4 5 6 More than 6 times

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • More than 6 times