DDI_KHM_2001_CCLS_v01_M Kim Chantharith Saint Lundy, Chao Pheav Chao Pheav Accelerated Data Program 2009-09-28 NADA Version 1.0 - National Institute of Statistics - Original documentation of the study. Version 2.0 - Edited version by ADP based on Version 1.0 of NIS downloaded from http://www.nis.gov.kh/nada/index.php/catalog on 14 May 2013. Child Labor Survey 2001 CCLS 2001 Angkat Kamlang Polkam Koma 2001 KHM_2001_CCLS_v01_M National Institute of Statistics

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World Bank Asian Development Bank NADA World Bank Asian Development Bank Swedish International Development Agency The International Labour Organization (ILO)/Programme on the Elimination of Child Labour (IPEC) International Labor Organization on the Elimination of Child Labour Director, Demographic Statistics Census and Survey Department General Inquiries Data User Service Center Labor Force Survey [hh/lfs] The Royal Government of Cambodia has placed the issue of child labour 2001 high on its agenda, and in recent years has made a large number of interventions, in cooperation with international, regional organizations, NGOs, and other partners. For Cambodia, like the rest of the world, there are many issues that need to be addressed in order to ensure the effective abolition of child labour. Eliminating child labour in Cambodia is one of the most urgent challenges of our time. Cambodia National Phnom Penh, Other Urban and Other Rural area Urban/Rural areas - Household - Individual - Children aged 5-17 years The survey covered all household members and children aged 5 to 17 years residing in the household. Sample survey data [ssd] The 2001 Cambodia Child Labor Survey covered the following topics: HOUSEHOLD LEVEL - Demographic Characteristics of All Household Members - Migration Status of Households - Migration Status of Children 5-17 Years of Age (in the last five years ago) - Housing Conditions - Usual Economic Activity of Household Members 5 (five) Years Old and Over During The Last 12 Months - Current Economic Activity of Household Members 5 (five) Years and Over During Past 7 Days - Earnings and Hours of Work of Household Members 5 (five) Years Old and Over Who Worked - Other Activities During Past 7 Days CHILDREN 5-17 YEARS - Housekeeping Activities/ Household Chores of Children 5-17 Years Old (NON-ECONOMIC ACTIVITY) - Children 5-17 Years Old Who Were Idle/ Did Not Do Anything During Past 7 Days (Not attending school/training institution) - Health and Safety Aspects of Children 5-17 Years Old Who Have Worked at Any Time - Place of Work/ Employer of Children 5-17 Years of Age Currently Working - Children 5-17 Years Old Working as Employees for Someone Else for Payments In-cash or In-kind, or Without Any Payment - Perceptions of Parents/ Guardians or Other Relatives with Whom The Working Child Usually Resides ESTABLISHMENt - Enumeration Particulars - General Information - Labor - Wages/ Salaries, Benefits and Facilities - Work Safety National Institute of Statistics The sample for CCLS 2001 was a stratified sample selected in two stages. At the first stage, the villages (primary sampling units or PSU's) were selected from the list of villages for every stratum within the domains listed in order of: province/city, district, commune and village. The method of circular systematic sampling with the probability of inclusion of a village proportional to its size (CSS-PPS) was used to select the villages. In addition to the code for the above, the sampling frame contained identification particulars: the name of the villages as well as the number of households in the village as known at that time. The number of households in the village identified in the sampling frame was taken as its size. The actual number of households in selected villages was obtained later by direct listing. In this method, the actual number of households was generally different from the number recorded in the sampling frame. To avoid ambiguity, the number of households in a village as recorded in the sampling frame will always be referred to as its size. In other words, the number of households in the village was used as the measure of size. Sample village selection was done through the use of a computer program. At the second stage of selection, for each sample village, or PSU (except for large villages), a field listing operation was undertaken. Large villages comprising about 210 households, based on the current household estimates by the village leaders, were segmented first. A segment was then chosen randomly and a complete listing of households was prepared. This entailed carrying out a complete canvass of the PSU in order to make a current and complete listing of households contained within. The procedure involved creating a sketch map of the PSU where physical boundaries in the village and the location of each household were sketched. Canvassing entailed a systematic covering of the entire village following a prescribed path of travel in order to make sure that all housing units in which the households reside were accounted for. After the listing operation was completed, a fixed sample size of 20 households was selected in each PSU. The selection was carried out using a circular systematic random sampling with a random start (CSS). Detailed discussion is provided in Sampling.pdf document. Face-to-face [f2f] The Cambodia Child Labour survey 2001 used three forms: Form 1: Questionnaire for Households Form 2: Questionnaire for Parents/Guardians of Children Ages 5 to 17 in the Household Form 3: Questionnaire for Children Ages 5 to 17 in the Household The household questionnaire (Form 1) included demographic characteristics of all household members, migration status of the household (in the last five years), migration status of children 5 to 17 years of age, housing conditions, household income and expenditures, usual economic activity of household members 5 years old and over during the last 12 months, current economic activity of household members 5 years and over during the past 7 days, earnings and hours of work of household members 5 years old and over who worked (according to the main activity during the past 7 days and other activities during the past 7 days). In the questionnaire about children aged 5 to 17 in the households (Form 2), queries all children 5 to 17 years old were addressed to parents, guardians, or responsible proxies in the household where the child usually resides. This form contained questions on housekeeping activities/household chores of children 5 to 17 years old; children 5 to 17 years old who were idle/did not do anything during the past 7 days; health and safety of children 5 to 17 years old who had worked at any time; place of work/employer of children 5 to 17 years of age currently working; children 5 to 17 years working as employees for someone else for payment in cash or in kind or without any payment; perception of parents/guardians or other relatives with whom the working child usually resides. In the questionnaire for children (Form 3), the questions were addressed to children 5 to 17 years of age: hours actually worked, economic activities, age started to work for the first time, currently or usually worked, health and safety of working children, working conditions and perceptions of working children. The statistical information on hazardous child labour was collected through an establishment survey. Selection of establishments was based on the results of the household-based child labour survey, and establishments found to employ child labour were identified for a follow-up survey by interviewers with the employers and the children identified as child workers. Recruitment of Enumerators and Supervisors For this large-scale nationwide survey, a selection committee was formed to recruit the right staff for the survey. The committee included seven members and two secretaries, of whom H.E. Under Secretary of State, Ministry of Planning, was the Head of the committee, the Director General of NIS was the Deputy Head, the Deputy Director General of NIS was the Deputy Head and other Chiefs of NIS Departments were members of the committee. The number of enumerators and supervisors is broken down according to the institutions origin as follows: 1. Enumerators: 250 persons a. National Institute of Statistics: 104 persons b. Ministry of Planning: 105 persons c. Ministry of Social Affairs and Labour: 5 persons d. Planning Offices in Provinces: 36 persons 2. Supervisors: 60 persons a. National Institute of Statistics: 21 persons b. Ministry of Planning: 10 persons c. Ministry of Social Affairs and Labour: 4 persons d. Planning Offices in Provinces: 25 persons Training The training course consisted of instructions in general interviewing techniques, field procedures, a detailed discussion of items on the questionnaires and practice interviews in the field, as well as the procedure for sample selection in the actual field operation. The training of enumerators and supervisors was broken into two phases. First the supervisors were trained on supervising activities for the duration of four days from 22/01/01 to 25/01/01. This was followed by the enumerator training for the duration of one week from 05/03/01 to 10/03/01, focusing on the actual operation of the interviewing activities. To validate the feasibility and adaptation of the survey questionnaires and survey methodology to the Cambodian household conditions, a pre-test was conducted in Kandal province following the training. A discussion was organized afterward to decide on the necessary changes that should be reflected in the questionnaires as well as the interviewing techniques. The enumerators (interviewers) were organized in batches for all the provinces of the survey. Supervisors were assigned to get authorization for and to facilitate access to households and to constantly supervise the interviewing operation. Also, as editing of the completed questionnaires was an integral part of the field data collection, completed questionnaires based on successful interviews were immediately edited by the supervisors to validate all the entries in the questionnaires, before batching and sending them to the central office (NIS) in Phnom Penh. To further enforce consistency in checking the questionnaires, four area coordinators were sent to randomly selected provinces. There were 60 supervisors assigned for the conduct of CCLS 2001. Of which: a. National Institute of Statistics: 21 persons b. Ministry of Planning: 10 persons c. Ministry of Social Affairs and Labour: 4 persons d. Planning Offices in Provinces: 25 persons The roles of the supervisors include: 1. To get authorization for and to facilitate access to households and to constantly supervise the interviewing operation; 2. To immediately edit completed questionnaires to validate al the entries; and 3. To batch and send all validated questionnaires to the central office (NIS) in Phnom Penh. To further enforce consistency in checking the questionnaires, 4 area coordinators were sent to randomly selected provinces. Two kinds of household weights were calculated, one was for small villages with less than 211 households and the other for large PSUs haiving 211 households or more. The formulas and details on calculation are presented in Append A of CCLS 2001 report. Processing of the Cambodia Child Labour Survey 2001, from data entry to tabulations, was done with the use of the Integrated Microcomputer Processing System (IMPS) of the US Bureau of Census. 20 Machine Encoders (including 2 Supervisors) were trained from 23/05/01 to 25/05/01 before the start of machine encoding activities. The data dictionary and record design of the questionnaire was developed using IMPS, and the data entry screen was designed to enter information from the questionnaires. To confirm the legitimacy of the entries, the data in the questionnaires was reentered. The data files created through this system are in ASCII format and the variables in each data file can be identified using the data dictionary that is based on IMPS. Database files in Foxpro/Foxbase/dBase format was also created. To check the correctness, completeness, range validity and consistency between items of the data, an editing program was developed. This software was created to check and validate the data files, and to produce error printouts for modification. The cleaned database was compared with other sources before it was used for further processing. Data editing took place at the following stages of data processing: 1. On the field: Manual editing on the done by supervisors. 2. Questionnaire reception at NIS: Manual editing and coding done by 15 manual editing personnel at NIS. 3. During data entry: Re-entry of data in the questionnaires to confirm legitimacy of the entries. 4. Correctness, completeness, range validity and consistency checking: An editing program was developed to check and validate data files and produce error printouts from modification. 5. Verification of database with other sources 6. Data quality tabulation: With the preliminary tables generated, data validation work was carried out and range checks built were reviewed. The need to adjust the weights for non-response did not arise as completed questionnaires from all sampled villages and households were retrieved achieving a 100% response rate. The estimation of the magnitude of sampling error in the survey data was computed. Since most of the estimates from the survey are in the form of weighted ratios, variances for ratio estimates were thus presented. Appendix A of the CCLS 2001 report discusses in detail the sampling error estimation. The Statistics Law Article 22 specifies matters of confidentiality. It explicitly says that all staff working with statistics within the Government of Cambodia "shall ensure confidentiality of all individual information obtained from respondents, except under special circumstances with the consent of the Minister of Planning. The information collected under this Law is to be used only for statistical purposes." 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The data will be used for statistical and scientific research purposes only. They will be used solely for reporting of aggregated information, and not for investigation of specific individuals or organizations. 3. No attempt will be made to re-identify respondents, and no use will be made of the identity of any person or establishment discovered inadvertently. Any such discovery would immediately be reported to the National Institute of Statistics. 4. No attempt will be made to produce links among datasets provided by the National Institute of Statistics, or among data from the National Institute of Statistics and other datasets that could identify individuals or organizations. 5. Any books, articles, conference papers, theses, dissertations, reports, or other publications that employ data obtained from the National Institute of Statistics will cite the source of data in accordance with the Citation Requirement provided with each dataset. 6. An electronic copy of all reports and publications based on the requested data will be sent to the National Institute of Statistics. The user of the data acknowledges that the National Institute of Statistics, Cambodia bears no responsibility for use of the data or for interpretations or inferences based upon such uses. member The file contains information on household members derived from all 3 forms of the CCLS questionnaire. 0 307 housing The file contains household information derived from all Form 1 of the CCLS questionnaire. 0 60 Strata Strata Strata Strata Strata Strata 1 Banteay Meanchey 2 Kampong Cham 3 Kandal 4 Takeo 5 Pursat 6 Phnom Penh 7 Kampong Chhnang/Kampong Speu 8 Battambang/Krong Pailin 9 Prey Veng/Svay Rieng 10 Kampot/Koah Kong/Sihanouk Ville/Krong Kep 11 Kracheh/Preah Vihear/Stueng Treng/M-Kiri/R-Kiri 12 Siem Reab/Kampong Thum/Oddar Meanchey Province/City Province/City Province/City Province/City Province/City Province/City 1 Banteay Meanchey 2 Battambang 3 Kampong Cham 4 Kampong Chhnang 5 Kampong Speu 6 Kampong Thum 7 Kampot 8 Kandal 9 Kaoh Kong 10 Kracheh 11 Mondol Kiri 12 Phnom Penh 13 Preah Vihear 14 Prey Veng 15 Pursat 16 Rattanak Kiri 17 Siem Reab 18 Siahnok Vile 19 Stueng Treng 20 Svay Rieng 21 Takeo 22 Oddar Meanchey 23 Krong Keb 24 Krong Pailin District/Khan District/Khan District/Khan District/Khan District/Khan District/Khan Commune/Sankat Commune/Sankat Commune/Sankat Commune/Sankat Commune/Sankat Commune/Sankat Village/Mondol Village/Mondol Village/Mondol Village/Mondol Village/Mondol Sample Village/Mondol Sector Sector Sector Sector Sector Sector 1 Urban 2 Rural Household Serial Number Household Serial Number Household Serial Number Household Serial Number Household Serial Number Household Serial Number F1Resid F1Resid F1Resid F1Resid F1Resid Child ID Child ID Child ID Child ID Child ID Child ID ID Number: Form 1 ID Number: Form 1 ID Number: Form 1 ID Number: Form 1 ID Number: Form 1 ID Number All persons Relationship to the Head: Form 1 Relationship to the Head: Form 1 Relationship to the Head: Form 1 Relationship to the Head: Form 1 Relationship to the Head: Form 1 Relationship to the head Use Relationship Codes below. All persons 1 Head 2 Spouse 3 Son/Daughter 4 Stepchild 5 Adopted Child/Foster Child 6 Parent 7 Sibling 8 Grandchild 9 Niece/Nephew 10 Son/Daughter-in-Law 11 Brother/Sister-in-Law 12 Parent-in-Law 13 Other Relative 14 Servant 15 Other Non-Relative inc. Borders Presence Status: Form 1 Presence Status: Form 1 Presence Status: Form 1 Presence Status: Form 1 Presence Status: Form 1 Presence or absence status Enter code All persons 1 Present 2 Absent Sex: Form 1 Sex: Form 1 Sex: Form 1 Sex: Form 1 Sex: Form 1 Sex Enter code All persons 1 Male 2 Female Day of Birth: Form 1 Day of Birth: Form 1 Day of Birth: Form 1 Day of Birth: Form 1 Day of Birth: Form 1 What is _____'s date of birth? Day All persons Month of Birth: Form 1 Month of Birth: Form 1 Month of Birth: Form 1 Month of Birth: Form 1 Month of Birth: Form 1 What is _____'s date of birth? Month All persons 1 January 2 February 3 March 4 April 5 May 6 June 7 July 8 August 9 September 10 October 11 November 12 December Year of Birth: Form 1 Year of Birth: Form 1 Year of Birth: Form 1 Year of Birth: Form 1 Year of Birth: Form 1 What is _____'s date of birth? Year All persons Weight Weight Weight Weight Weight Weight Age: Form 1 Age: Form 1 Age: Form 1 Age: Form 1 Age: Form 1 What is ____'s age in completed years? Enter 98 if age is 98 or over All persons Age Group: 5-17 Age Group: 5-17 Age Group: 5-17 Age Group: 5-17 Age Group: 5-17 Age Group: 5-17 Age Group: 0-4 Age Group: 0-4 Age Group: 0-4 Age Group: 0-4 Age Group: 0-4 Age Group: 0-4 Ethnicity: Form 1 Ethnicity: Form 1 Ethnicity: Form 1 Ethnicity: Form 1 Ethnicity: Form 1 Ethnicity Enter code All persons 1 Khmer 2 Cham 3 Other Local Group 4 Chinese 5 Vietnamese 6 Thai 7 Lao 8 Other Language: Form 1 Language: Form 1 Language: Form 1 Language: Form 1 Language: Form 1 Can _____ read and write a simple message in any language? All persons aged 5 years and over 1 Can read & write 2 Cannot read & write Schooling Status: Form 1 Schooling Status: Form 1 Schooling Status: Form 1 Schooling Status: Form 1 Schooling Status: Form 1 Schooling Status 1=Never attended (Go to next person) All persons aged 5 years and over 1 Never attended 2 Now 3 Past Age Completed Schooling: Form 1 Age Completed Schooling: Form 1 Age Completed Schooling: Form 1 Age Completed Schooling: Form 1 Age Completed Schooling: Form 1 What age in completed years did _____ start schooling? If col. 10 = 3, go to col. 14. All persons aged 5 years and over currently attending school [f1p2c10=2] Current Level/Grade: Form 1 Current Level/Grade: Form 1 Current Level/Grade: Form 1 Current Level/Grade: Form 1 Current Level/Grade: Form 1 For those currently attending Current level or grade Use code All persons aged 5 years and over currently attending school [f1p2c10=2] Pre-school/Kindergarten 1 Class 1 2 Class 2 3 Class 3 4 Class 4 5 Class 5 6 Class 6 7 Class 7 8 Class 8 9 Class 9 10 Class 10 11 Class 11 12 Class 12 13 Studying in College/University Undergraduate 14 College/University Undergraduate Completed 15 Studying in College/University Graduate 16 College/University graduate completed 17 Studying in Post-graduate 18 Post-graduate Completed 19 Other 99 None Schooling Status: Form 1 Schooling Status: Form 1 Schooling Status: Form 1 Schooling Status: Form 1 Schooling Status: Form 1 For those currently attending Schooling Status 1=Yes, Full time (Go to col. 15) 2=Yes, Part time (Go to col. 15) All persons aged 5 years and over currently attending school [f1p2c10=2] 1 Full time 2 Part time Highest Grade Attained: Form 1 Highest Grade Attained: Form 1 Highest Grade Attained: Form 1 Highest Grade Attained: Form 1 Highest Grade Attained: Form 1 For those who left school Highest level or grade attended Use code All persons aged 5 years and over who left school [f1p2c10=2] Pre-school/Kindergarten 1 Class 1 2 Class 2 3 Class 3 4 Class 4 5 Class 5 6 Class 6 7 Class 7 8 Class 8 9 Class 9 10 Class 10 11 Class 11 12 Class 12 13 Studying in College/University Undergraduate 14 College/University Undergraduate Completed 15 Studying in College/University Graduate 16 College/University graduate completed 17 Studying in Post-graduate 18 Post-graduate Completed 19 Other 99 None Highest Grade Completed: Form 1 Highest Grade Completed: Form 1 Highest Grade Completed: Form 1 Highest Grade Completed: Form 1 Highest Grade Completed: Form 1 What was the highest grade level _____ successfully completed? Use grade level code below. All persons aged 5 years and over Pre-school/Kindergarten 1 Class 1 2 Class 2 3 Class 3 4 Class 4 5 Class 5 6 Class 6 7 Class 7 8 Class 8 9 Class 9 10 Class 10 11 Class 11 12 Class 12 13 Studying in College/University Undergraduate 14 College/University Undergraduate Completed 15 Studying in College/University Graduate 16 College/University graduate completed 17 Studying in Post-graduate 18 Post-graduate Completed 19 Other 99 None Enrollment in Technical/Vocational Skills Training: Form 1 Enrollment in Technical/Vocational Skills Training: Form 1 Enrollment in Technical/Vocational Skills Training: Form 1 Enrollment in Technical/Vocational Skills Training: Form 1 Enrollment in Technical/Vocational Skills Training: Form 1 Main technical/vocational training skills (Primary Skill) Have you joined in the course of technical/vocational training skills? 3=No (Go to col. 22) All persons 10 years old and over 1 Yes, completed 2 Yes, have not completed 3 No Highest Level of Training: Form 1 Highest Level of Training: Form 1 Highest Level of Training: Form 1 Highest Level of Training: Form 1 Highest Level of Training: Form 1 Main technical/vocational training skills (Primary Skill) Type of highest level All persons 10 years old and over and (f1p3c17=1 or f1p3c17=2) 1 Less than 1 month 2 1 - 3 months 3 3 - 6 months 4 Over 6 months Type of Training: Form 1 Type of Training: Form 1 Type of Training: Form 1 Type of Training: Form 1 Type of Training: Form 1 Main technical/vocational training skills (Primary Skill) Type of Training Code All persons 10 years old and over and (f1p3c17=1 or f1p3c17=2) 101 Plantation/Fishery/Forestry 102 Livestock 201 Sewing 202 Goldsmith/Jeweller 203 Metal Processing 204 Carpenter 301 Business 302 Accounting/Finance 401 Language 402 Computer 403 Barber/Hairdressing/Wedding Services 404 Electronic 405 Mechanic 406 Entertainment 407 Assistant 408 Driver 409 Mine Clearing 410 Health 411 Policy/Democracy 412 Survey 501 Other Training Status: Form 1 Training Status: Form 1 Training Status: Form 1 Training Status: Form 1 Training Status: Form 1 Main technical/vocational training skills (Primary Skill) Training Status All persons 10 years old and over and f1p3c17=1 or 2 1 Full time 2 Part time Marital Status: Form 1 Marital Status: Form 1 Marital Status: Form 1 Marital Status: Form 1 Marital Status: Form 1 All persons 10 years old and over 1 Never married 2 Currently married 3 Widowed 4 Divorced 5 Separated 6 Cohabitation 7 Other Changed Place of Residence, Last 5 Years: Form 1 Changed Place of Residence, Last 5 Years: Form 1 Changed Place of Residence, Last 5 Years: Form 1 Changed Place of Residence, Last 5 Years: Form 1 Changed Place of Residence, Last 5 Years: Form 1 Please provide the following information on all children 5-17 years old. Has _____ always been living with the present household/familiy in the last five years? 1. Yes (Go to next person) Children 5-17 years of age 1 Yes 2 No Previous Residence: Commune: Form 1 Previous Residence: Commune: Form 1 Previous Residence: Commune: Form 1 Previous Residence: Commune: Form 1 Previous Residence: Commune: Form 1 Please provide the following information on all children 5-17 years old. Where was the last place of usual residence of _____ prior to coming to this household's/family's residence? [Commune] Enter "SAME" if same Commune, District and Province. Otherwise, specify name of Province/District/Commune. If outside of Cambodia, specify name of the country in cloumn Province and if don't know, put "DK". Children 5-17 years of age and f1p05c2=2 Previous Residence: District: Form 1 Previous Residence: District: Form 1 Previous Residence: District: Form 1 Previous Residence: District: Form 1 Previous Residence: District: Form 1 Please provide the following information on all children 5-17 years old. Where was the last place of usual residence of _____ prior to coming to this household's/family's residence? [District] Enter "SAME" if same Commune, District and Province. Otherwise, specify name of Province/District/Commune. If outside of Cambodia, specify name of the country in cloumn Province and if don't know, put "DK". Children 5-17 years of age and f1p05c2=2 Previous Residence: Province: Form 1 Previous Residence: Province: Form 1 Previous Residence: Province: Form 1 Previous Residence: Province: Form 1 Previous Residence: Province: Form 1 Please provide the following information on all children 5-17 years old. Where was the last place of usual residence of _____ prior to coming to this household's/family's residence? {Province] Enter "SAME" if same Commune, District and Province. Otherwise, specify name of Province/District/Commune. If outside of Cambodia, specify name of the country in cloumn Province and if don't know, put "DK". Children 5-17 years of age and f1p05c2=2 1 Banteay Meanchey 2 Battambang 3 Kampong Cham 4 Kampong Chhnang 5 Kampong Speu 6 Kampong Thom 7 Kampot 8 Kandal 9 Koh Kong 10 Kratie 11 Mondul Kiri 12 Phnom Penh 13 Preah Vihear 14 Prey Veng 15 Pursat 16 Ratanak Kiri 17 Siemreap 18 Sihanoukville 19 Stung Treng 20 Svay Rieng 21 Takeo 22 Oddar Meanchey 23 Kep 24 Pailin Usual Activity in Previous Residence: Form 1 Usual Activity in Previous Residence: Form 1 Usual Activity in Previous Residence: Form 1 Usual Activity in Previous Residence: Form 1 Usual Activity in Previous Residence: Form 1 Please provide the following information on all children 5-17 years old. What was _____ doing in the last place of usual residence prior to coming to this household? Children 5-17 years of age and f1p05c2=2 1 Working/Had a job 2 Attending school 3 Working/Had a job and attending school 4 None/Household chore/Household keeping 5 Other Reason for Moving to Current Residence: Form 1 Reason for Moving to Current Residence: Form 1 Reason for Moving to Current Residence: Form 1 Reason for Moving to Current Residence: Form 1 Reason for Moving to Current Residence: Form 1 Please provide the following information on all children 5-17 years old. What was the main reason _____ came to live/reside with the present household/family? Children 5-17 years of age and f1p05c2=2 1 Insecurity due to civil strife/Natural calamity 2 Family reunion/Family moved 3 Better work prospects/In search for work 4 On account of education 5 Transfer of workplace 6 On account of marriage 7 Repatriation 8 Return after displacement 9 Resettlement 10 Other Length of Stay in Current Residence, Years: Form 1 Length of Stay in Current Residence, Years: Form 1 Length of Stay in Current Residence, Years: Form 1 Length of Stay in Current Residence, Years: Form 1 Length of Stay in Current Residence, Years: Form 1 Please provide the following information on all children 5-17 years old. How long has _____ been living/residing in the present place of residence/present household? [Years] Children 5-17 years of age and f1p05c2=2 Length of Stay in Current Residence, Months: Form 1 Length of Stay in Current Residence, Months: Form 1 Length of Stay in Current Residence, Months: Form 1 Length of Stay in Current Residence, Months: Form 1 Length of Stay in Current Residence, Months: Form 1 Please provide the following information on all children 5-17 years old. How long has _____ been living/residing in the present place of residence/present household? [Months] Children 5-17 years of age and f1p05c2=2 Engagement in Economic Activity, Last 12 Months: Form 1 Engagement in Economic Activity, Last 12 Months: Form 1 Engagement in Economic Activity, Last 12 Months: Form 1 Engagement in Economic Activity, Last 12 Months: Form 1 Engagement in Economic Activity, Last 12 Months: Form 1 Please provide the following information on all members aged 5 years and over. Was _____ engaged in any ecnomic actvity at any time during the last 12 months for pay as unpaid familiy worker or for family profit, or as independent worker for own gain/profit or for own final use or to pay debt or consumption? 2=No (Go to next person/VII) Members 5 years old and over 1 Yes 2 No Total Duration of Work in All Economic Activities: Form 1 Total Duration of Work in All Economic Activities: Form 1 Total Duration of Work in All Economic Activities: Form 1 Total Duration of Work in All Economic Activities: Form 1 Total Duration of Work in All Economic Activities: Form 1 Please provide the following information on all members aged 5 years and over. What was the total duration of work in all economic activities in which he/she was engaged? Enter number of months. If 18 years old and over, go to Q6.5. If 12 months or 5-17 years old, go to Q6.4. Members 5 years old and over Reason 1 for Not Engaging in Economic Activity: Form 1 Reason 1 for Not Engaging in Economic Activity: Form 1 Reason 1 for Not Engaging in Economic Activity: Form 1 Reason 1 for Not Engaging in Economic Activity: Form 1 Reason 1 for Not Engaging in Economic Activity: Form 1 Please provide the following information on all members aged 5 years and over. For children aged 5-17 years: What were the main reasons (one or more reasons acceptable)? Children aged 5-17 1 Awaiting results 2 Too young 3 Sick/handicapped 4 Study/training 5 Could not find work/job 6 Did not want to work 7 Household chore/ Parents don't allow 8 Dismiss/Bankruptcy/Prevented work 9 Other Reason 2 for Not Engaging in Economic Activity: Form 1 Reason 2 for Not Engaging in Economic Activity: Form 1 Reason 2 for Not Engaging in Economic Activity: Form 1 Reason 2 for Not Engaging in Economic Activity: Form 1 Reason 2 for Not Engaging in Economic Activity: Form 1 Please provide the following information on all members aged 5 years and over. For children aged 5-17 years: What were the main reasons (one or more reasons acceptable)? Children aged 5-17 1 Awaiting results 2 Too young 3 Sick/handicapped 4 Study/training 5 Could not find work/job 6 Did not want to work 7 Household chore/ Parents don't allow 8 Dismiss/Bankruptcy/Prevented work 9 Other Reason 3 for Not Engaging in Economic Activity: Form 1 Reason 3 for Not Engaging in Economic Activity: Form 1 Reason 3 for Not Engaging in Economic Activity: Form 1 Reason 3 for Not Engaging in Economic Activity: Form 1 Reason 3 for Not Engaging in Economic Activity: Form 1 Please provide the following information on all members aged 5 years and over. For children aged 5-17 years: What were the main reasons (one or more reasons acceptable)? Children aged 5-17 1 Awaiting results 2 Too young 3 Sick/handicapped 4 Study/training 5 Could not find work/job 6 Did not want to work 7 Household chore/ Parents don't allow 8 Dismiss/Bankruptcy/Prevented work 9 Other Attendance in School/Vocational Training Institution: Form 1 Attendance in School/Vocational Training Institution: Form 1 Attendance in School/Vocational Training Institution: Form 1 Attendance in School/Vocational Training Institution: Form 1 Attendance in School/Vocational Training Institution: Form 1 Please provide the following information on all members aged 5 years and over. Was _____ also attending school or technical/vocational training institution? Children aged 5-17 1 Yes, full time 2 Yes, part time 3 No Main Occupation, Last 12 Months: Form 1 Main Occupation, Last 12 Months: Form 1 Main Occupation, Last 12 Months: Form 1 Main Occupation, Last 12 Months: Form 1 Main Occupation, Last 12 Months: Form 1 Please provide the following information on all members aged 5 years and over. For ages 18 years and over. He/she has been engaged in economic activity duringthe last 12 months. What was the nature of of the main occupation or task/job in which he/she was engaged most of the time during the last 12 months? Members aged 18 years old and over Main Activity/Industry/Business, Last 12 Months: Form 1 Main Activity/Industry/Business, Last 12 Months: Form 1 Main Activity/Industry/Business, Last 12 Months: Form 1 Main Activity/Industry/Business, Last 12 Months: Form 1 Main Activity/Industry/Business, Last 12 Months: Form 1 Please provide the following information on all members aged 5 years and over. What was the nature of the main activity or industry or business where _____ worked the most time (or most of the time) during the last 12 months? Members aged 18 years old and over Worked Even for One Hour, Past 7 Days: Form 1 Worked Even for One Hour, Past 7 Days: Form 1 Worked Even for One Hour, Past 7 Days: Form 1 Worked Even for One Hour, Past 7 Days: Form 1 Worked Even for One Hour, Past 7 Days: Form 1 Please provide the following information on all working members aged 5 years and older who usually reside in this household. Did _____ do any work even for one hour on any day during the past 7 days for paid/unpaid profit, family gain or for own final use or consumption? 1=Yes (Go to Q7.3) Members 5 years old and over 1 Yes 2 No Had a Job/Enterprise, Past 7 Days: Form 1 Had a Job/Enterprise, Past 7 Days: Form 1 Had a Job/Enterprise, Past 7 Days: Form 1 Had a Job/Enterprise, Past 7 Days: Form 1 Had a Job/Enterprise, Past 7 Days: Form 1 Please provide the following information on all working members aged 5 years and older who usually reside in this household. Although _____ did not work during the past 7 days for some reason (i.e. answered "No" to Q7.1) did he/she have a job/enterprise, such as a business, a farm, a shop, service establishment (whether at a fixed place or mobile), etc? 4=No, paid/unpaid work (Go to Q7.9) Members 5 years old and over and f1p9c03=2 1 Yes, a job with assurance for returning to work (without or deducted payment)/an enterprise, etc. 2 Yes, with payment and assurance for returning to work 3 Yes, without assurance or agreement for returning to work 4 No, paid work/unpaid work Primary Occupation, Past 7 Days: Form 1 Primary Occupation, Past 7 Days: Form 1 Primary Occupation, Past 7 Days: Form 1 Primary Occupation, Past 7 Days: Form 1 Primary Occupation, Past 7 Days: Form 1 Please provide the following information on all working members aged 5 years and older who usually reside in this household. What was _____ primary occupation during the past 7 days? Write specific occupation Members 5 years old and over and [f1p9c03=1 or f1p9c04 not= 4] Kind of Industry, Past 7 Days: Form 1 Kind of Industry, Past 7 Days: Form 1 Kind of Industry, Past 7 Days: Form 1 Kind of Industry, Past 7 Days: Form 1 Kind of Industry, Past 7 Days: Form 1 Please provide the following information on all working members aged 5 years and older who usually reside in this household. In what kind of economic activity/industry like agrciculture, manufacturing, construction, trade or service, did _____ work in the past 7 days? Members 5 years old and over and [f1p9c03=1 or f1p9c04 not= 4] 1 Administrative 2 Clerical and related worker 3 Sales worker 4 Agricultural worker 9 Service worker 4-Digit Industry Code: Form 1 4-Digit Industry Code: Form 1 4-Digit Industry Code: Form 1 4-Digit Industry Code: Form 1 4-Digit Industry Code: Form 1 4-Digit Industry Code: Form 1 Members 5 years old and over and [f1p9c03=1 or f1p9c04 not= 4] 2-Digit Industry Code: Form 1 2-Digit Industry Code: Form 1 2-Digit Industry Code: Form 1 2-Digit Industry Code: Form 1 2-Digit Industry Code: Form 1 2-Digit Industry Code: Form 1 Members 5 years old and over and [f1p9c03=1 or f1p9c04 not= 4] 45 construction ID Number: Form 1 ID Number: Form 1 ID Number: Form 1 ID Number: Form 1 ID Number: Form 1 ID Number: Form 1 Members 5 years old and over and [f1p9c03=1 or f1p9c04 not= 4] Employment Status, Past 7 Days: 5 Years or Older: Form 1 Employment Status, Past 7 Days: 5 Years or Older: Form 1 Employment Status, Past 7 Days: 5 Years or Older: Form 1 Employment Status, Past 7 Days: 5 Years or Older: Form 1 Employment Status, Past 7 Days: 5 Years or Older: Form 1 Please provide the following information on all working members aged 5 years and older who usually reside in this household. What was _____'s employment status during the past 7 days? Members 5 years old and over and [f1p9c03=1 or f1p9c04 not= 4] 1 Paid employee 2 Employer 3 Own-account worker/Self-employed 4 Unpaid family worker 5 Casual, paid 6 Casual, unpaid 7 Other Had Subsidiary Occupation/Activity, Past 7 Days: Form 1 Had Subsidiary Occupation/Activity, Past 7 Days: Form 1 Had Subsidiary Occupation/Activity, Past 7 Days: Form 1 Had Subsidiary Occupation/Activity, Past 7 Days: Form 1 Had Subsidiary Occupation/Activity, Past 7 Days: Form 1 Please provide the following information on all working members aged 5 years and older who usually reside in this household. In addtion to the main occupation/activity, did _____ also work in any subsidiary occupation(s) or activity(ies) during the past 7 days? Members 5 years old and over and [f1p9c03=1 or f1p9c04 not= 4] 1 Yes 2 No Available/Looking for Additional Work/Business, Past 7 Days: Form 1 Available/Looking for Additional Work/Business, Past 7 Days: Form 1 Available/Looking for Additional Work/Business, Past 7 Days: Form 1 Available/Looking for Additional Work/Business, Past 7 Days: Form 1 Available/Looking for Additional Work/Business, Past 7 Days: Form 1 Please provide the following information on all working members aged 5 years and older who usually reside in this household. Was _____ also available or looking for any additonal work/business during the past 7 days? Members 5 years old and over and [f1p9c03=1 or f1p9c04 not= 4] 1 Yes 2 No Seeking Alternative Work/Business, Past 7 Days: Form 1 Seeking Alternative Work/Business, Past 7 Days: Form 1 Seeking Alternative Work/Business, Past 7 Days: Form 1 Seeking Alternative Work/Business, Past 7 Days: Form 1 Seeking Alternative Work/Business, Past 7 Days: Form 1 Please provide the following information on all working members aged 5 years and older who usually reside in this household. Did _____ seek any alternative work or business during the past 7 days? 1=Yes (Go to next person/VIII) 2=No (Go to next person/VIII) Members 5 years old and over and [f1p9c03=1 or f1p9c04 not= 4] 1 Yes 2 No Available for Work/Business, Past 7 Days: Form 1 Available for Work/Business, Past 7 Days: Form 1 Available for Work/Business, Past 7 Days: Form 1 Available for Work/Business, Past 7 Days: Form 1 Available for Work/Business, Past 7 Days: Form 1 Please provide the following information on all working members aged 5 years and older who usually reside in this household. If without a job/work during the past 7 days, was _____ available for work or business? 2=No (Go to next person/FORM II) Members 5 years old and over and [f1p9c03=2 or f1p9c04=4] 1 Yes 2 No Looked for Job/Business, Past 7 Days: Form 1 Looked for Job/Business, Past 7 Days: Form 1 Looked for Job/Business, Past 7 Days: Form 1 Looked for Job/Business, Past 7 Days: Form 1 Looked for Job/Business, Past 7 Days: Form 1 Please provide the following information on all working members aged 5 years and older who usually reside in this household. Did _____ look for a job business? 1=Yes (Go to next person/FORM II) Members 5 years old and over and [f1p9c03=2 or f1p9c04=4] and f1p10p14=1 1 Yes 2 No Reason for Not Looking for Work, Past 7 Days: Form 1 Reason for Not Looking for Work, Past 7 Days: Form 1 Reason for Not Looking for Work, Past 7 Days: Form 1 Reason for Not Looking for Work, Past 7 Days: Form 1 Reason for Not Looking for Work, Past 7 Days: Form 1 Please provide the following information on all working members aged 5 years and older who usually reside in this household. What was the main reason for not looking? Members 5 years old and over and [f1p9c03=2 or f1p9c04=4] and f1p10p14=1 and f1p10p15=2 1 Believes no work is available 2 Awaiting results of job applications, etc. 3 Disabled/sick 4 Too old/infirm/retired 5 Student 6 Housekeeping 7 Did not want to work 8 Other Terms of Payment, Past 7 Days: Form 1 Terms of Payment, Past 7 Days: Form 1 Terms of Payment, Past 7 Days: Form 1 Terms of Payment, Past 7 Days: Form 1 Terms of Payment, Past 7 Days: Form 1 Please provide the following information on all working household members aged 5 years and older from page 9, col. 3/Q7.1=1 or col. 4=1/Q7.2=2 or 3. If currently in paid employment, how was _____ paid? 5=Without payment (Go to Q8.3) Members 5 years old and over who worked during the past 7 days [f1p9c03=1 or f1p9c04=2,3] 1 Piece rate 2 Hourly 3 Weekly 4 Monthly 5 Without payment 6 Other In-cash Payment, Riels, Past 7 Days: Form 1 In-cash Payment, Riels, Past 7 Days: Form 1 In-cash Payment, Riels, Past 7 Days: Form 1 In-cash Payment, Riels, Past 7 Days: Form 1 In-cash Payment, Riels, Past 7 Days: Form 1 Please provide the following information on all working household members aged 5 years and older from page 9, col. 3/Q7.1=1 or col. 4=1/Q7.2=2 or 3. What was the amount paid to _____ for the latest pay period? In cash, payment (Riels) Members 5 years old and over who worked during the past 7 days [f1p9c03=1 or f1p9c04=2,3] and f1p11c02 not= 5 In-cash Payment, Period, Past 7 Days: Form 1 In-cash Payment, Period, Past 7 Days: Form 1 In-cash Payment, Period, Past 7 Days: Form 1 In-cash Payment, Period, Past 7 Days: Form 1 In-cash Payment, Period, Past 7 Days: Form 1 Please provide the following information on all working household members aged 5 years and older from page 9, col. 3/Q7.1=1 or col. 4=1/Q7.2=2 or 3. What was the amount paid to _____ for the latest pay period? In cash, period Members 5 years old and over who worked during the past 7 days [f1p9c03=1 or f1p9c04=2,3] and f1p11c02 not= 5 In-cash Payment, Days, Past 7 Days: Form 1 In-cash Payment, Days, Past 7 Days: Form 1 In-cash Payment, Days, Past 7 Days: Form 1 In-cash Payment, Days, Past 7 Days: Form 1 In-cash Payment, Days, Past 7 Days: Form 1 Please provide the following information on all working household members aged 5 years and older from page 9, col. 3/Q7.1=1 or col. 4=1/Q7.2=2 or 3. What was the amount paid to _____ for the latest pay period? In cash, unit (days) Members 5 years old and over who worked during the past 7 days [f1p9c03=1 or f1p9c04=2,3] and f1p11c02 not= 5 In-kind Payment, Riels, Past 7 Days: Form 1 In-kind Payment, Riels, Past 7 Days: Form 1 In-kind Payment, Riels, Past 7 Days: Form 1 In-kind Payment, Riels, Past 7 Days: Form 1 In-kind Payment, Riels, Past 7 Days: Form 1 Please provide the following information on all working household members aged 5 years and older from page 9, col. 3/Q7.1=1 or col. 4=1/Q7.2=2 or 3. What was the amount paid to _____ for the latest pay period? In kind, payment (Riels) Members 5 years old and over who worked during the past 7 days [f1p9c03=1 or f1p9c04=2,3] and f1p11c02 not= 5 In-kind Payment, Period, Past 7 Days: Form 1 In-kind Payment, Period, Past 7 Days: Form 1 In-kind Payment, Period, Past 7 Days: Form 1 In-kind Payment, Period, Past 7 Days: Form 1 In-kind Payment, Period, Past 7 Days: Form 1 Please provide the following information on all working household members aged 5 years and older from page 9, col. 3/Q7.1=1 or col. 4=1/Q7.2=2 or 3. What was the amount paid to _____ for the latest pay period? In kind, period Members 5 years old and over who worked during the past 7 days [f1p9c03=1 or f1p9c04=2,3] and f1p11c02 not= 5 In-kind Payment, Days, Past 7 Days: Form 1 In-kind Payment, Days, Past 7 Days: Form 1 In-kind Payment, Days, Past 7 Days: Form 1 In-kind Payment, Days, Past 7 Days: Form 1 In-kind Payment, Days, Past 7 Days: Form 1 Please provide the following information on all working household members aged 5 years and older from page 9, col. 3/Q7.1=1 or col. 4=1/Q7.2=2 or 3. What was the amount paid to _____ for the latest pay period? In kind, unit (days) Members 5 years old and over who worked during the past 7 days [f1p9c03=1 or f1p9c04=2,3] and f1p11c02 not= 5 Total Payment, Past 7 Days: Form 1 Total Payment, Past 7 Days: Form 1 Total Payment, Past 7 Days: Form 1 Total Payment, Past 7 Days: Form 1 Total Payment, Past 7 Days: Form 1 Please provide the following information on all working household members aged 5 years and older from page 9, col. 3/Q7.1=1 or col. 4=1/Q7.2=2 or 3. What was the amount paid to _____ for the latest pay period? Total amount (9)=(3)+(6) Members 5 years old and over who worked during the past 7 days [f1p9c03=1 or f1p9c04=2,3] and f1p11c02 not= 5 Time of Usual Work, Day Time, Number of Hours per Day, Past 7 Days: Form 1 Time of Usual Work, Day Time, Number of Hours per Day, Past 7 Days: Form 1 Time of Usual Work, Day Time, Number of Hours per Day, Past 7 Days: Form 1 Time of Usual Work, Day Time, Number of Hours per Day, Past 7 Days: Form 1 Time of Usual Work, Day Time, Number of Hours per Day, Past 7 Days: Form 1 Please provide the following information on all working household members aged 5 years and older from page 9, col. 3/Q7.1=1 or col. 4=1/Q7.2=2 or 3. During which time and how many hours does _____ usually work? Day time: number of hours per day (5:00AM - 6:00PM) Members 5 years old and over who worked during the past 7 days [f1p9c03=1 or f1p9c04=2,3] Time of Usual Work, Evening Time, Number of Hours per Day, Past 7 Days: Form 1 Time of Usual Work, Evening Time, Number of Hours per Day, Past 7 Days: Form 1 Time of Usual Work, Evening Time, Number of Hours per Day, Past 7 Days: Form 1 Time of Usual Work, Evening Time, Number of Hours per Day, Past 7 Days: Form 1 Time of Usual Work, Evening Time, Number of Hours per Day, Past 7 Days: Form 1 Please provide the following information on all working household members aged 5 years and older from page 9, col. 3/Q7.1=1 or col. 4=1/Q7.2=2 or 3. During which time and how many hours does _____ usually work? Evening time: number of hours per day (6:00PM - 10:00PM) Members 5 years old and over who worked during the past 7 days [f1p9c03=1 or f1p9c04=2,3] Time of Usual Work, Night Time, Number of Hours per Day, Past 7 Days: Form 1 Time of Usual Work, Night Time, Number of Hours per Day, Past 7 Days: Form 1 Time of Usual Work, Night Time, Number of Hours per Day, Past 7 Days: Form 1 Time of Usual Work, Night Time, Number of Hours per Day, Past 7 Days: Form 1 Time of Usual Work, Night Time, Number of Hours per Day, Past 7 Days: Form 1 Please provide the following information on all working household members aged 5 years and older from page 9, col. 3/Q7.1=1 or col. 4=1/Q7.2=2 or 3. During which time and how many hours does _____ usually work? Evening time: number of hours per day (10:00PM - 5:00AM) Members 5 years old and over who worked during the past 7 days [f1p9c03=1 or f1p9c04=2,3] Number of Hours of Actual Work, Past 7 Days: Form 1 Number of Hours of Actual Work, Past 7 Days: Form 1 Number of Hours of Actual Work, Past 7 Days: Form 1 Number of Hours of Actual Work, Past 7 Days: Form 1 Number of Hours of Actual Work, Past 7 Days: Form 1 Please provide the following information on all working household members aged 5 years and older from page 9, col. 3/Q7.1=1 or col. 4=1/Q7.2=2 or 3. How many hours did _____ actually work during the past 7 days? Members 5 years old and over who worked during the past 7 days [f1p9c03=1 or f1p9c04=2,3] Terms of Payment, Other Activity, Past 7 Days: Form 1 Terms of Payment, Other Activity, Past 7 Days: Form 1 Terms of Payment, Other Activity, Past 7 Days: Form 1 Terms of Payment, Other Activity, Past 7 Days: Form 1 Terms of Payment, Other Activity, Past 7 Days: Form 1 Please provide the following information on all working household member aged 5 years and older. Please copy IDs from page 10, col. 11/ Q7.6=1. If currently in paid employment, how was _____ paid? 5=Without payment (Go to Q8.7) Members 5 years old and over who worked during the past 7 days [f1p9c03=1 or f1p9c04=2,3] and f1p11c11=1 1 Piece rate 2 Hourly 3 Weekly 4 Monthly 5 Without payment 6 Other In-cash Payment, Riels, Other Activity, Past 7 Days: Form 1 In-cash Payment, Riels, Other Activity, Past 7 Days: Form 1 In-cash Payment, Riels, Other Activity, Past 7 Days: Form 1 In-cash Payment, Riels, Other Activity, Past 7 Days: Form 1 In-cash Payment, Riels, Other Activity, Past 7 Days: Form 1 Please provide the following information on all working household member aged 5 years and older. Please copy IDs from page 10, col. 11/ Q7.6=1. What was the amount paid to _____ for the latest pay period? In cash, payment (Riels) Members 5 years old and over who worked during the past 7 days [f1p9c03=1 or f1p9c04=2,3] and f1p11c11=1 and f1p12c02 not= 5 In-cash Payment, Period, Other Activity, Past 7 Days: Form 1 In-cash Payment, Period, Other Activity, Past 7 Days: Form 1 In-cash Payment, Period, Other Activity, Past 7 Days: Form 1 In-cash Payment, Period, Other Activity, Past 7 Days: Form 1 In-cash Payment, Period, Other Activity, Past 7 Days: Form 1 Please provide the following information on all working household member aged 5 years and older. Please copy IDs from page 10, col. 11/ Q7.6=1. What was the amount paid to _____ for the latest pay period? In cash, period Members 5 years old and over who worked during the past 7 days [f1p9c03=1 or f1p9c04=2,3] and f1p11c11=1 and f1p12c02 not= 5 In-cash Payment, Days, Other Activity, Past 7 Days: Form 1 In-cash Payment, Days, Other Activity, Past 7 Days: Form 1 In-cash Payment, Days, Other Activity, Past 7 Days: Form 1 In-cash Payment, Days, Other Activity, Past 7 Days: Form 1 In-cash Payment, Days, Other Activity, Past 7 Days: Form 1 Please provide the following information on all working household member aged 5 years and older. Please copy IDs from page 10, col. 11/ Q7.6=1. What was the amount paid to _____ for the latest pay period? In cash, unit (days) Members 5 years old and over who worked during the past 7 days [f1p9c03=1 or f1p9c04=2,3] and f1p11c11=1 and f1p12c02 not= 5 In-kind Payment, Riels, Other Activity, Past 7 Days: Form 1 In-kind Payment, Riels, Other Activity, Past 7 Days: Form 1 In-kind Payment, Riels, Other Activity, Past 7 Days: Form 1 In-kind Payment, Riels, Other Activity, Past 7 Days: Form 1 In-kind Payment, Riels, Other Activity, Past 7 Days: Form 1 Please provide the following information on all working household member aged 5 years and older. Please copy IDs from page 10, col. 11/ Q7.6=1. What was the amount paid to _____ for the latest pay period? In kind, period Members 5 years old and over who worked during the past 7 days [f1p9c03=1 or f1p9c04=2,3] and f1p11c11=1 and f1p12c02 not= 5 In-kind Payment, Period, Other Activity, Past 7 Days: Form 1 In-kind Payment, Period, Other Activity, Past 7 Days: Form 1 In-kind Payment, Period, Other Activity, Past 7 Days: Form 1 In-kind Payment, Period, Other Activity, Past 7 Days: Form 1 In-kind Payment, Period, Other Activity, Past 7 Days: Form 1 Please provide the following information on all working household member aged 5 years and older. Please copy IDs from page 10, col. 11/ Q7.6=1. What was the amount paid to _____ for the latest pay period? In kind, period Members 5 years old and over who worked during the past 7 days [f1p9c03=1 or f1p9c04=2,3] and f1p11c11=1 and f1p12c02 not= 5 In-kind Payment, Days, Other Activity, Past 7 Days: Form 1 In-kind Payment, Days, Other Activity, Past 7 Days: Form 1 In-kind Payment, Days, Other Activity, Past 7 Days: Form 1 In-kind Payment, Days, Other Activity, Past 7 Days: Form 1 In-kind Payment, Days, Other Activity, Past 7 Days: Form 1 Please provide the following information on all working household member aged 5 years and older. Please copy IDs from page 10, col. 11/ Q7.6=1. What was the amount paid to _____ for the latest pay period? In kind, unit (days) Members 5 years old and over who worked during the past 7 days [f1p9c03=1 or f1p9c04=2,3] and f1p11c11=1 and f1p12c02 not= 5 Total Payment, Other Activity, Past 7 Days: Form 1 Total Payment, Other Activity, Past 7 Days: Form 1 Total Payment, Other Activity, Past 7 Days: Form 1 Total Payment, Other Activity, Past 7 Days: Form 1 Total Payment, Other Activity, Past 7 Days: Form 1 Please provide the following information on all working household member aged 5 years and older. Please copy IDs from page 10, col. 11/ Q7.6=1. What was the amount paid to _____ for the latest pay period? Total amount (9)=(3)+(6) Members 5 years old and over who worked during the past 7 days [f1p9c03=1 or f1p9c04=2,3] and f1p11c11=1 and f1p12c02 not= 5 Time of Usual Work, Day Time, Number of Hours per Day, Other Activity, Past 7 Days: Form 1 Time of Usual Work, Day Time, Number of Hours per Day, Other Activity, Past 7 Days: Form 1 Time of Usual Work, Day Time, Number of Hours per Day, Other Activity, Past 7 Days: Form 1 Time of Usual Work, Day Time, Number of Hours per Day, Other Activity, Past 7 Days: Form 1 Time of Usual Work, Day Time, Number of Hours per Day, Other Activity, Past 7 Days: Form 1 Please provide the following information on all working household member aged 5 years and older. Please copy IDs from page 10, col. 11/ Q7.6=1. During which time and how many hours does _____ usually work? Day time: number of hours per day (5:00AM - 6:00PM) Members 5 years old and over who worked during the past 7 days [f1p9c03=1 or f1p9c04=2,3] and f1p11c11=1 Time of Usual Work, Evening Time, Number of Hours per Day, Other Activity, Past 7 Days: Form 1 Time of Usual Work, Evening Time, Number of Hours per Day, Other Activity, Past 7 Days: Form 1 Time of Usual Work, Evening Time, Number of Hours per Day, Other Activity, Past 7 Days: Form 1 Time of Usual Work, Evening Time, Number of Hours per Day, Other Activity, Past 7 Days: Form 1 Time of Usual Work, Evening Time, Number of Hours per Day, Other Activity, Past 7 Days: Form 1 Please provide the following information on all working household member aged 5 years and older. Please copy IDs from page 10, col. 11/ Q7.6=1. During which time and how many hours does _____ usually work? Evening time: number of hours per day (6:00PM - 10:00PM) Members 5 years old and over who worked during the past 7 days [f1p9c03=1 or f1p9c04=2,3] and f1p11c11=1 Time of Usual Work, Night Time, Number of Hours per Day, Other Activity, Past 7 Days: Form 1 Time of Usual Work, Night Time, Number of Hours per Day, Other Activity, Past 7 Days: Form 1 Time of Usual Work, Night Time, Number of Hours per Day, Other Activity, Past 7 Days: Form 1 Time of Usual Work, Night Time, Number of Hours per Day, Other Activity, Past 7 Days: Form 1 Time of Usual Work, Night Time, Number of Hours per Day, Other Activity, Past 7 Days: Form 1 Please provide the following information on all working household member aged 5 years and older. Please copy IDs from page 10, col. 11/ Q7.6=1. During which time and how many hours does _____ usually work? Evening time: number of hours per day (10:00PM - 5:00AM) Members 5 years old and over who worked during the past 7 days [f1p9c03=1 or f1p9c04=2,3] and f1p11c11=1 Number of Hours of Actual Work, Other Activity, Past 7 Days: Form 1 Number of Hours of Actual Work, Other Activity, Past 7 Days: Form 1 Number of Hours of Actual Work, Other Activity, Past 7 Days: Form 1 Number of Hours of Actual Work, Other Activity, Past 7 Days: Form 1 Number of Hours of Actual Work, Other Activity, Past 7 Days: Form 1 Please provide the following information on all working household member aged 5 years and older. Please copy IDs from page 10, col. 11/ Q7.6=1. How many hours did _____ actually work during the past 7 days? Members 5 years old and over who worked during the past 7 days [f1p9c03=1 or f1p9c04=2,3] and f1p11c11=1 Engaged in Housekeeping Activities/Household Chores on Regular Basis, Past 7 Days: Form 2 Engaged in Housekeeping Activities/Household Chores on Regular Basis, Past 7 Days: Form 2 Engaged in Housekeeping Activities/Household Chores on Regular Basis, Past 7 Days: Form 2 Engaged in Housekeeping Activities/Household Chores on Regular Basis, Past 7 Days: Form 2 Engaged in Housekeeping Activities/Household Chores on Regular Basis, Past 7 Days: Form 2 Please provide the following information on all children aged 5-17 years in the household where the child usually resides. NON-ECONOMIC ACTIVITY Children 5-17 years old 1 Yes 2 No, studying/working 3 No, not studying/working Number of Hours Engaged in Housekeeping Activities, Monday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Monday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Monday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Monday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Monday, Past 7 Days: Form 2 Please provide the following information on all children aged 5-17 years in the household where the child usually resides. NON-ECONOMIC ACTIVITY How many hours per day does _____ engage in housekeeping activities or household chores in own parents', guardian's or spouse's home on a regular basis during the past 7 days? [Mon] 2=No, studying/working (Go to X) 3=No, no study/no working (Go to X) Children 5-17 years old and f2p2c03=1 Number of Hours Engaged in Housekeeping Activities, Tuesday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Tuesday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Tuesday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Tuesday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Tuesday, Past 7 Days: Form 2 Please provide the following information on all children aged 5-17 years in the household where the child usually resides. NON-ECONOMIC ACTIVITY How many hours per day does _____ engage in housekeeping activities or household chores in own parents', guardian's or spouse's home on a regular basis during the past 7 days? [Tue] Children 5-17 years old and f2p2c03=1 Number of Hours Engaged in Housekeeping Activities, Wednesday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Wednesday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Wednesday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Wednesday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Wednesday, Past 7 Days: Form 2 Please provide the following information on all children aged 5-17 years in the household where the child usually resides. NON-ECONOMIC ACTIVITY How many hours per day does _____ engage in housekeeping activities or household chores in own parents', guardian's or spouse's home on a regular basis during the past 7 days? [Wed] Children 5-17 years old and f2p2c03=1 Number of Hours Engaged in Housekeeping Activities, Thursday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Thursday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Thursday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Thursday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Thursday, Past 7 Days: Form 2 Please provide the following information on all children aged 5-17 years in the household where the child usually resides. NON-ECONOMIC ACTIVITY How many hours per day does _____ engage in housekeeping activities or household chores in own parents', guardian's or spouse's home on a regular basis during the past 7 days? [Thu] Children 5-17 years old and f2p2c03=1 Number of Hours Engaged in Housekeeping Activities, Friday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Friday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Friday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Friday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Friday, Past 7 Days: Form 2 Please provide the following information on all children aged 5-17 years in the household where the child usually resides. NON-ECONOMIC ACTIVITY How many hours per day does _____ engage in housekeeping activities or household chores in own parents', guardian's or spouse's home on a regular basis during the past 7 days? [Fri] Children 5-17 years old and f2p2c03=1 Number of Hours Engaged in Housekeeping Activities, Saturday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Saturday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Saturday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Saturday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Saturday, Past 7 Days: Form 2 Please provide the following information on all children aged 5-17 years in the household where the child usually resides. NON-ECONOMIC ACTIVITY How many hours per day does _____ engage in housekeeping activities or household chores in own parents', guardian's or spouse's home on a regular basis during the past 7 days? [Sat] Children 5-17 years old and f2p2c03=1 Number of Hours Engaged in Housekeeping Activities, Sunday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Sunday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Sunday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Sunday, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Sunday, Past 7 Days: Form 2 Please provide the following information on all children aged 5-17 years in the household where the child usually resides. NON-ECONOMIC ACTIVITY How many hours per day does _____ engage in housekeeping activities or household chores in own parents', guardian's or spouse's home on a regular basis during the past 7 days? [Sun] Children 5-17 years old and f2p2c03=1 Number of Hours Engaged in Housekeeping Activities, Total, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Total, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Total, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Total, Past 7 Days: Form 2 Number of Hours Engaged in Housekeeping Activities, Total, Past 7 Days: Form 2 Please provide the following information on all children aged 5-17 years in the household where the child usually resides. NON-ECONOMIC ACTIVITY How many hours per day does _____ engage in housekeeping activities or household chores in own parents', guardian's or spouse's home on a regular basis during the past 7 days? [Total] Children 5-17 years old and f2p2c03=1 Non-Economic Activity 1 Carried Out in Past 7 Days: Form 2 Non-Economic Activity 1 Carried Out in Past 7 Days: Form 2 Non-Economic Activity 1 Carried Out in Past 7 Days: Form 2 Non-Economic Activity 1 Carried Out in Past 7 Days: Form 2 Non-Economic Activity 1 Carried Out in Past 7 Days: Form 2 Please provide the following information on all children aged 5-17 years in the household where the child usually resides. NON-ECONOMIC ACTIVITY What were the non-economic activities carried out during the past 7 days? (List four non-economic activities.) After filling up, go to next child. Children 5-17 years old and f2p2c03=1 1 Preparing meals 2 Sewing/Mending garments 3 Cleaning house/Washing clothes 4 Shopping 5 Caring for children 6 Fetching water 7 Carrying food/Delivering messages to household members 8 Other Non-Economic Activity 2 Carried Out in Past 7 Days: Form 2 Non-Economic Activity 2 Carried Out in Past 7 Days: Form 2 Non-Economic Activity 2 Carried Out in Past 7 Days: Form 2 Non-Economic Activity 2 Carried Out in Past 7 Days: Form 2 Non-Economic Activity 2 Carried Out in Past 7 Days: Form 2 Please provide the following information on all children aged 5-17 years in the household where the child usually resides. NON-ECONOMIC ACTIVITY What were the non-economic activities carried out during the past 7 days? (List four non-economic activities.) After filling up, go to next child. Children 5-17 years old and f2p2c03=1 1 Preparing meals 2 Sewing/Mending garments 3 Cleaning house/Washing clothes 4 Shopping 5 Caring for children 6 Fetching water 7 Carrying food/Delivering messages to household members 8 Other Non-Economic Activity 3 Carried Out in Past 7 Days: Form 2 Non-Economic Activity 3 Carried Out in Past 7 Days: Form 2 Non-Economic Activity 3 Carried Out in Past 7 Days: Form 2 Non-Economic Activity 3 Carried Out in Past 7 Days: Form 2 Non-Economic Activity 3 Carried Out in Past 7 Days: Form 2 Please provide the following information on all children aged 5-17 years in the household where the child usually resides. NON-ECONOMIC ACTIVITY What were the non-economic activities carried out during the past 7 days? (List four non-economic activities.) After filling up, go to next child. Children 5-17 years old and f2p2c03=1 1 Preparing meals 2 Sewing/Mending garments 3 Cleaning house/Washing clothes 4 Shopping 5 Caring for children 6 Fetching water 7 Carrying food/Delivering messages to household members 8 Other Non-Economic Activity 4 Carried Out in Past 7 Days: Form 2 Non-Economic Activity 4 Carried Out in Past 7 Days: Form 2 Non-Economic Activity 4 Carried Out in Past 7 Days: Form 2 Non-Economic Activity 4 Carried Out in Past 7 Days: Form 2 Non-Economic Activity 4 Carried Out in Past 7 Days: Form 2 Please provide the following information on all children aged 5-17 years in the household where the child usually resides. NON-ECONOMIC ACTIVITY What were the non-economic activities carried out during the past 7 days? (List four non-economic activities.) After filling up, go to next child. Children 5-17 years old and f2p2c03=1 1 Preparing meals 2 Sewing/Mending garments 3 Cleaning house/Washing clothes 4 Shopping 5 Caring for children 6 Fetching water 7 Carrying food/Delivering messages to household members 8 Other Idle/Did not Do Anything at All in Past 7 Days: Form 2 Idle/Did not Do Anything at All in Past 7 Days: Form 2 Idle/Did not Do Anything at All in Past 7 Days: Form 2 Idle/Did not Do Anything at All in Past 7 Days: Form 2 Idle/Did not Do Anything at All in Past 7 Days: Form 2 Please provide the following information on all children aged 5-17 years in the household where the child usually resides. NON-ECONOMIC ACTIVITY Was _____ idle for the past 7 days, i.e. _____ did not do anything at all during the past 7 days? 2=No (Go to next child) Children 5-17 years old who were idle/did not do anything during the past 7 days (not attending school/training institution or f2p2c03=2,3) 1 Yes 2 No Reason 1 for Being Idle in Past 7 Days: Form 2 Reason 1 for Being Idle in Past 7 Days: Form 2 Reason 1 for Being Idle in Past 7 Days: Form 2 Reason 1 for Being Idle in Past 7 Days: Form 2 Reason 1 for Being Idle in Past 7 Days: Form 2 Please provide the following information on all children aged 5-17 years in the household where the child usually resides. NON-ECONOMIC ACTIVITY What was (were) the main reason(s)? Children 5-17 years old who were idle/did not do anything during the past 7 days (not attending school/training institution or f2p2c03=2,3) and f2p2p16=1 1 Sick 2 Disabled 3 Too young 4 Begging 5 Loitering in the streets 6 Addicted to drugs 7 Other Reason 2 for Being Idle in Past 7 Days: Form 2 Reason 2 for Being Idle in Past 7 Days: Form 2 Reason 2 for Being Idle in Past 7 Days: Form 2 Reason 2 for Being Idle in Past 7 Days: Form 2 Reason 2 for Being Idle in Past 7 Days: Form 2 Please provide the following information on all children aged 5-17 years in the household where the child usually resides. NON-ECONOMIC ACTIVITY What was (were) the main reason(s)? Children 5-17 years old who were idle/did not do anything during the past 7 days (not attending school/training institution or f2p2c03=2,3) and f2p2p16=1 1 Sick 2 Disabled 3 Too young 4 Begging 5 Loitering in the streets 6 Addicted to drugs 7 Other Reason 3 for Being Idle in Past 7 Days: Form 2 Reason 3 for Being Idle in Past 7 Days: Form 2 Reason 3 for Being Idle in Past 7 Days: Form 2 Reason 3 for Being Idle in Past 7 Days: Form 2 Reason 3 for Being Idle in Past 7 Days: Form 2 Please provide the following information on all children aged 5-17 years in the household where the child usually resides. NON-ECONOMIC ACTIVITY What was (were) the main reason(s)? Children 5-17 years old who were idle/did not do anything during the past 7 days (not attending school/training institution or f2p2c03=2,3) and f2p2p16=1 1 Sick 2 Disabled 3 Too young 4 Begging 5 Loitering in the streets 6 Addicted to drugs 7 Other Worked at All Any Time in the Past: Form 2 Worked at All Any Time in the Past: Form 2 Worked at All Any Time in the Past: Form 2 Worked at All Any Time in the Past: Form 2 Worked at All Any Time in the Past: Form 2 Please provide the following information on all children aged 5-17 years: Have _____ ever worked at any past time? 2=No (Go to next child/FORM III) Children 5-17 years old 1 Yes 2 No Supervised by an Adult at Work: Form 2 Supervised by an Adult at Work: Form 2 Supervised by an Adult at Work: Form 2 Supervised by an Adult at Work: Form 2 Supervised by an Adult at Work: Form 2 Please provide the following information on all children aged 5-17 years: If _____ has worked, was _____ supervised by an adult at work? 2=No (Go to Q11.4) Children 5-17 years old who have worked at anytime [f2p3c03=1] 1 Yes 2 No Adult Acting as Supervisor: Form 2 Adult Acting as Supervisor: Form 2 Adult Acting as Supervisor: Form 2 Adult Acting as Supervisor: Form 2 Adult Acting as Supervisor: Form 2 Please provide the following information on all children aged 5-17 years: Who was this adult person? Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p2c04=1 1 Parent/Guardian 2 Brother/Sister 3 Other relative 4 Employer/Boss 5 Other Frequency of Coming Home from Work: Form 2 Frequency of Coming Home from Work: Form 2 Frequency of Coming Home from Work: Form 2 Frequency of Coming Home from Work: Form 2 Frequency of Coming Home from Work: Form 2 Please provide the following information on all children aged 5-17 years: How often did/does _____ come home from work? Children 5-17 years old who have worked at anytime [f2p3c03=1] 1 Always (1 day or less) 2 Sometimes (1 month or less 3 Seldom/Never (More than 1 month) Frequency of Heavy Physical Work: Form 2 Frequency of Heavy Physical Work: Form 2 Frequency of Heavy Physical Work: Form 2 Frequency of Heavy Physical Work: Form 2 Frequency of Heavy Physical Work: Form 2 Please provide the following information on all children aged 5-17 years: How often did/does _____ have to do heavy physical work? Children 5-17 years old who have worked at anytime [f2p3c03=1] 1 Always/Often 2 Sometimes 3 Seldom/Never Frequency of Finding Work as Stressful/Boring: Form 2 Frequency of Finding Work as Stressful/Boring: Form 2 Frequency of Finding Work as Stressful/Boring: Form 2 Frequency of Finding Work as Stressful/Boring: Form 2 Frequency of Finding Work as Stressful/Boring: Form 2 Please provide the following information on all children aged 5-17 years: How often dis/does _____ find work stressful/boring? Children 5-17 years old who have worked at anytime [f2p3c03=1] 1 Always/Often 2 Sometimes 3 Seldom/Never Consider Some Aspects of Work Risky/Dangerous: Form 2 Consider Some Aspects of Work Risky/Dangerous: Form 2 Consider Some Aspects of Work Risky/Dangerous: Form 2 Consider Some Aspects of Work Risky/Dangerous: Form 2 Consider Some Aspects of Work Risky/Dangerous: Form 2 Did/do you consider some aspects of work risky or dangerous? 2=No (Go to Q11.9.) Children 5-17 years old who have worked at anytime [f2p3c03=1] 1 Yes 2 No Main Reason for Considering Some Aspects of Work Risky/Dangerous: Form 2 Main Reason for Considering Some Aspects of Work Risky/Dangerous: Form 2 Main Reason for Considering Some Aspects of Work Risky/Dangerous: Form 2 Main Reason for Considering Some Aspects of Work Risky/Dangerous: Form 2 Main Reason for Considering Some Aspects of Work Risky/Dangerous: Form 2 Main reason for considering Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p4c10=1 1 Prone to vehicular accident 2 Might get burned 3 May fall 4 May impair hearing 5 May face sight 6 May suffer physical multilation 7 May contract disease/get sick 8 May be bitten by animal/snake/insect 9 May face gastro-intestinal problems (e.g. ulcer, hepatitis, etc.) 10 May face anemia 11 May face general exhaustion 12 May drown 13 Other Have Operated Machine/Equipment at Work: Form 2 Have Operated Machine/Equipment at Work: Form 2 Have Operated Machine/Equipment at Work: Form 2 Have Operated Machine/Equipment at Work: Form 2 Have Operated Machine/Equipment at Work: Form 2 Have _____ operated any machine/equipment at work? 2=No (Go to next child/Q11.11) Children 5-17 years old who have worked at anytime [f2p3c03=1] 1 Yes 2 No Machine/Equipment 1 Operated at Work: Form 2 Machine/Equipment 1 Operated at Work: Form 2 Machine/Equipment 1 Operated at Work: Form 2 Machine/Equipment 1 Operated at Work: Form 2 Machine/Equipment 1 Operated at Work: Form 2 Which of the following? Can be more than one. Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p4c12=1 1 Power Press 2 Milling machines/equipment 3 Sawing machine/equipment 4 Plate printing machine/equipment 5 Vehicle machines 6 Other Machine/Equipment 2 Operated at Work: Form 2 Machine/Equipment 2 Operated at Work: Form 2 Machine/Equipment 2 Operated at Work: Form 2 Machine/Equipment 2 Operated at Work: Form 2 Machine/Equipment 2 Operated at Work: Form 2 Which of the following? Can be more than one. Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p4c12=1 1 Power Press 2 Milling machines/equipment 3 Sawing machine/equipment 4 Plate printing machine/equipment 5 Vehicle machines 6 Other Machine/Equipment 3 Operated at Work: Form 2 Machine/Equipment 3 Operated at Work: Form 2 Machine/Equipment 3 Operated at Work: Form 2 Machine/Equipment 3 Operated at Work: Form 2 Machine/Equipment 3 Operated at Work: Form 2 Which of the following? Can be more than one. Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p4c12=1 1 Power Press 2 Milling machines/equipment 3 Sawing machine/equipment 4 Plate printing machine/equipment 5 Vehicle machines 6 Other ID Number: Form 2 ID Number: Form 2 ID Number: Form 2 ID Number: Form 2 ID Number: Form 2 Please copy all IDs from page 4. ID Number: Form 2 Have been Hurt/Suffered Illnesses/Injuries Due to Work: Form 2 Have been Hurt/Suffered Illnesses/Injuries Due to Work: Form 2 Have been Hurt/Suffered Illnesses/Injuries Due to Work: Form 2 Have been Hurt/Suffered Illnesses/Injuries Due to Work: Form 2 Have been Hurt/Suffered Illnesses/Injuries Due to Work: Form 2 Has _____ ever been hurt at work/workplace or suffered from illnesses/injuries due to work at any time? 2=No (Go to next child/Q11.18) Children 5-17 years old who have worked at anytime [f2p3c03=1] 1 Yes 2 No Frequency of Getting Hurt/Suffering Illnesses/Injuries Due to Work: Form 2 Frequency of Getting Hurt/Suffering Illnesses/Injuries Due to Work: Form 2 Frequency of Getting Hurt/Suffering Illnesses/Injuries Due to Work: Form 2 Frequency of Getting Hurt/Suffering Illnesses/Injuries Due to Work: Form 2 Frequency of Getting Hurt/Suffering Illnesses/Injuries Due to Work: Form 2 How often was _____ hurt or suffered from illnesses/injuries? Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 Often/Frequently 2 Occasionally 3 Seldom/Rarely ISCO Code for Economic Activity 1: Form 2 ISCO Code for Economic Activity 1: Form 2 ISCO Code for Economic Activity 1: Form 2 ISCO Code for Economic Activity 1: Form 2 ISCO Code for Economic Activity 1: Form 2 What were the occupation or jobs held by _____ when the accident happened or from which _____ suffered illness? And what were the activities (industries) in which _____ was injured/hurt or from which _____ suffered illness? [Main economic activity, ISCO] Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 ISIC Code for Economic Activity 1: Form 2 ISIC Code for Economic Activity 1: Form 2 ISIC Code for Economic Activity 1: Form 2 ISIC Code for Economic Activity 1: Form 2 ISIC Code for Economic Activity 1: Form 2 What were the occupation or jobs held by _____ when the accident happened or from which _____ suffered illness? And what were the activities (industries) in which _____ was injured/hurt or from which _____ suffered illness? [Main economic activity, ISIC] Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 ISCO Code for Economic Activity 2: Form 2 ISCO Code for Economic Activity 2: Form 2 ISCO Code for Economic Activity 2: Form 2 ISCO Code for Economic Activity 2: Form 2 ISCO Code for Economic Activity 2: Form 2 What were the occupation or jobs held by _____ when the accident happened or from which _____ suffered illness? And what were the activities (industries) in which _____ was injured/hurt or from which _____ suffered illness? [Second economic activity, ISCO] Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 ISIC Code for Economic Activity 2: Form 2 ISIC Code for Economic Activity 2: Form 2 ISIC Code for Economic Activity 2: Form 2 ISIC Code for Economic Activity 2: Form 2 ISIC Code for Economic Activity 2: Form 2 What were the occupation or jobs held by _____ when the accident happened or from which _____ suffered illness? And what were the activities (industries) in which _____ was injured/hurt or from which _____ suffered illness? [Second economic activity, ISIC] Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 ISCO Code for Economic Activity 3: Form 2 ISCO Code for Economic Activity 3: Form 2 ISCO Code for Economic Activity 3: Form 2 ISCO Code for Economic Activity 3: Form 2 ISCO Code for Economic Activity 3: Form 2 What were the occupation or jobs held by _____ when the accident happened or from which _____ suffered illness? And what were the activities (industries) in which _____ was injured/hurt or from which _____ suffered illness? [Third economic activity, ISCO] Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 ISIC Code for Economic Activity 3: Form 2 ISIC Code for Economic Activity 3: Form 2 ISIC Code for Economic Activity 3: Form 2 ISIC Code for Economic Activity 3: Form 2 ISIC Code for Economic Activity 3: Form 2 What were the occupation or jobs held by _____ when the accident happened or from which _____ suffered illness? And what were the activities (industries) in which _____ was injured/hurt or from which _____ suffered illness? [Third economic activity, ISIC] Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 Work Related Illness 1, Main Economic Activity: Form 2 Work Related Illness 1, Main Economic Activity: Form 2 Work Related Illness 1, Main Economic Activity: Form 2 Work Related Illness 1, Main Economic Activity: Form 2 Work Related Illness 1, Main Economic Activity: Form 2 If _____ was hurt or suffered from illnesses/injurie, what type were they? (More than one answer is acceptable.) [Illnesses (Work related), Main Economic Activity] Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 General, such as fever, cold, etc. 2 Skin diseases (skin allergy, eczema, etc.) 3 Body aches/pains (head, neck, back, hand, wrist, joints) 4 Eye strain/Eyesight impairment 5 Hearing impairment/Ear infection 6 Respiratory (e.g. asthma, TB, pneumonia, etc.)/Breathing problem 7 Gastro intestinal (e.g. ulcer, hepatitis, etc.) 8 Anemia 9 General exhaustion 10 Other Work Related Illness 2, Main Economic Activity: Form 2 Work Related Illness 2, Main Economic Activity: Form 2 Work Related Illness 2, Main Economic Activity: Form 2 Work Related Illness 2, Main Economic Activity: Form 2 Work Related Illness 2, Main Economic Activity: Form 2 If _____ was hurt or suffered from illnesses/injurie, what type were they? (More than one answer is acceptable.) [Illnesses (Work related), Main Economic Activity] Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 General, such as fever, cold, etc. 2 Skin diseases (skin allergy, eczema, etc.) 3 Body aches/pains (head, neck, back, hand, wrist, joints) 4 Eye strain/Eyesight impairment 5 Hearing impairment/Ear infection 6 Respiratory (e.g. asthma, TB, pneumonia, etc.)/Breathing problem 7 Gastro intestinal (e.g. ulcer, hepatitis, etc.) 8 Anemia 9 General exhaustion 10 Other Work Related Illness 3, Main Economic Activity: Form 2 Work Related Illness 3, Main Economic Activity: Form 2 Work Related Illness 3, Main Economic Activity: Form 2 Work Related Illness 3, Main Economic Activity: Form 2 Work Related Illness 3, Main Economic Activity: Form 2 If _____ was hurt or suffered from illnesses/injurie, what type were they? (More than one answer is acceptable.) [Illnesses (Work related), Main Economic Activity] Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 General, such as fever, cold, etc. 2 Skin diseases (skin allergy, eczema, etc.) 3 Body aches/pains (head, neck, back, hand, wrist, joints) 4 Eye strain/Eyesight impairment 5 Hearing impairment/Ear infection 6 Respiratory (e.g. asthma, TB, pneumonia, etc.)/Breathing problem 7 Gastro intestinal (e.g. ulcer, hepatitis, etc.) 8 Anemia 9 General exhaustion 10 Other Work Related Illness 1, Second Economic Activity: Form 2 Work Related Illness 1, Second Economic Activity: Form 2 Work Related Illness 1, Second Economic Activity: Form 2 Work Related Illness 1, Second Economic Activity: Form 2 Work Related Illness 1, Second Economic Activity: Form 2 If _____ was hurt or suffered from illnesses/injurie, what type were they? (More than one answer is acceptable.) [Illnesses (Work related), Second Economic Activity] Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 General, such as fever, cold, etc. 2 Skin diseases (skin allergy, eczema, etc.) 3 Body aches/pains (head, neck, back, hand, wrist, joints) 4 Eye strain/Eyesight impairment 5 Hearing impairment/Ear infection 6 Respiratory (e.g. asthma, TB, pneumonia, etc.)/Breathing problem 7 Gastro intestinal (e.g. ulcer, hepatitis, etc.) 8 Anemia 9 General exhaustion 10 Other Work Related Illness 2, Second Economic Activity: Form 2 Work Related Illness 2, Second Economic Activity: Form 2 Work Related Illness 2, Second Economic Activity: Form 2 Work Related Illness 2, Second Economic Activity: Form 2 Work Related Illness 2, Second Economic Activity: Form 2 If _____ was hurt or suffered from illnesses/injurie, what type were they? (More than one answer is acceptable.) [Illnesses (Work related), Second Economic Activity] Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 General, such as fever, cold, etc. 2 Skin diseases (skin allergy, eczema, etc.) 3 Body aches/pains (head, neck, back, hand, wrist, joints) 4 Eye strain/Eyesight impairment 5 Hearing impairment/Ear infection 6 Respiratory (e.g. asthma, TB, pneumonia, etc.)/Breathing problem 7 Gastro intestinal (e.g. ulcer, hepatitis, etc.) 8 Anemia 9 General exhaustion 10 Other Work Related Illness 3, Second Economic Activity: Form 2 Work Related Illness 3, Second Economic Activity: Form 2 Work Related Illness 3, Second Economic Activity: Form 2 Work Related Illness 3, Second Economic Activity: Form 2 Work Related Illness 3, Second Economic Activity: Form 2 If _____ was hurt or suffered from illnesses/injurie, what type were they? (More than one answer is acceptable.) [Illnesses (Work related), Second Economic Activity] Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 General, such as fever, cold, etc. 2 Skin diseases (skin allergy, eczema, etc.) 3 Body aches/pains (head, neck, back, hand, wrist, joints) 4 Eye strain/Eyesight impairment 5 Hearing impairment/Ear infection 6 Respiratory (e.g. asthma, TB, pneumonia, etc.)/Breathing problem 7 Gastro intestinal (e.g. ulcer, hepatitis, etc.) 8 Anemia 9 General exhaustion 10 Other Work Related Illness 1, Third Economic Activity: Form 2 Work Related Illness 1, Third Economic Activity: Form 2 Work Related Illness 1, Third Economic Activity: Form 2 Work Related Illness 1, Third Economic Activity: Form 2 Work Related Illness 1, Third Economic Activity: Form 2 If _____ was hurt or suffered from illnesses/injurie, what type were they? (More than one answer is acceptable.) [Illnesses (Work related), Third Economic Activity] Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 General, such as fever, cold, etc. 2 Skin diseases (skin allergy, eczema, etc.) 3 Body aches/pains (head, neck, back, hand, wrist, joints) 4 Eye strain/Eyesight impairment 5 Hearing impairment/Ear infection 6 Respiratory (e.g. asthma, TB, pneumonia, etc.)/Breathing problem 7 Gastro intestinal (e.g. ulcer, hepatitis, etc.) 8 Anemia 9 General exhaustion 10 Other Work Related Illness 2, Third Economic Activity: Form 2 Work Related Illness 2, Third Economic Activity: Form 2 Work Related Illness 2, Third Economic Activity: Form 2 Work Related Illness 2, Third Economic Activity: Form 2 Work Related Illness 2, Third Economic Activity: Form 2 If _____ was hurt or suffered from illnesses/injurie, what type were they? (More than one answer is acceptable.) [Illnesses (Work related), Third Economic Activity] Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 General, such as fever, cold, etc. 2 Skin diseases (skin allergy, eczema, etc.) 3 Body aches/pains (head, neck, back, hand, wrist, joints) 4 Eye strain/Eyesight impairment 5 Hearing impairment/Ear infection 6 Respiratory (e.g. asthma, TB, pneumonia, etc.)/Breathing problem 7 Gastro intestinal (e.g. ulcer, hepatitis, etc.) 8 Anemia 9 General exhaustion 10 Other Work Related Illness 3, Third Economic Activity: Form 2 Work Related Illness 3, Third Economic Activity: Form 2 Work Related Illness 3, Third Economic Activity: Form 2 Work Related Illness 3, Third Economic Activity: Form 2 Work Related Illness 3, Third Economic Activity: Form 2 If _____ was hurt or suffered from illnesses/injurie, what type were they? (More than one answer is acceptable.) [Illnesses (Work related), Third Economic Activity] Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 General, such as fever, cold, etc. 2 Skin diseases (skin allergy, eczema, etc.) 3 Body aches/pains (head, neck, back, hand, wrist, joints) 4 Eye strain/Eyesight impairment 5 Hearing impairment/Ear infection 6 Respiratory (e.g. asthma, TB, pneumonia, etc.)/Breathing problem 7 Gastro intestinal (e.g. ulcer, hepatitis, etc.) 8 Anemia 9 General exhaustion 10 Other Work Related Injury 1, Main Economic Activity: Form 2 Work Related Injury 1, Main Economic Activity: Form 2 Work Related Injury 1, Main Economic Activity: Form 2 Work Related Injury 1, Main Economic Activity: Form 2 Work Related Injury 1, Main Economic Activity: Form 2 If _____ was hurt or suffered from illnesses/injurie, what type were they? (More than one answer is acceptable.) [Injuries (Work related), Main Economic Activity] Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 Contusion, bruises, hematoma, abrasion 2 Cuts/wounds/punctures 3 Amputation, loss of body parts 4 Crushing injuries 5 Dislocations, fractures, sprains 6 Burns 7 Bite by animal/snake/insect 8 Chemist 9 Other Work Related Injury 2, Main Economic Activity: Form 2 Work Related Injury 2, Main Economic Activity: Form 2 Work Related Injury 2, Main Economic Activity: Form 2 Work Related Injury 2, Main Economic Activity: Form 2 Work Related Injury 2, Main Economic Activity: Form 2 If _____ was hurt or suffered from illnesses/injurie, what type were they? (More than one answer is acceptable.) [Injuries (Work related), Main Economic Activity] Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 Contusion, bruises, hematoma, abrasion 2 Cuts/wounds/punctures 3 Amputation, loss of body parts 4 Crushing injuries 5 Dislocations, fractures, sprains 6 Burns 7 Bite by animal/snake/insect 8 Chemist 9 Other Work Related Injury 3, Main Economic Activity: Form 2 Work Related Injury 3, Main Economic Activity: Form 2 Work Related Injury 3, Main Economic Activity: Form 2 Work Related Injury 3, Main Economic Activity: Form 2 Work Related Injury 3, Main Economic Activity: Form 2 If _____ was hurt or suffered from illnesses/injurie, what type were they? (More than one answer is acceptable.) [Injuries (Work related), Main Economic Activity] Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 Contusion, bruises, hematoma, abrasion 2 Cuts/wounds/punctures 3 Amputation, loss of body parts 4 Crushing injuries 5 Dislocations, fractures, sprains 6 Burns 7 Bite by animal/snake/insect 8 Chemist 9 Other Work Related Injury 1, Second Economic Activity: Form 2 Work Related Injury 1, Second Economic Activity: Form 2 Work Related Injury 1, Second Economic Activity: Form 2 Work Related Injury 1, Second Economic Activity: Form 2 Work Related Injury 1, Second Economic Activity: Form 2 If _____ was hurt or suffered from illnesses/injurie, what type were they? (More than one answer is acceptable.) [Injuries (Work related), Second Economic Activity] Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 Contusion, bruises, hematoma, abrasion 2 Cuts/wounds/punctures 3 Amputation, loss of body parts 4 Crushing injuries 5 Dislocations, fractures, sprains 6 Burns 7 Bite by animal/snake/insect 8 Chemist 9 Other Work Related Injury 2, Second Economic Activity: Form 2 Work Related Injury 2, Second Economic Activity: Form 2 Work Related Injury 2, Second Economic Activity: Form 2 Work Related Injury 2, Second Economic Activity: Form 2 Work Related Injury 2, Second Economic Activity: Form 2 If _____ was hurt or suffered from illnesses/injurie, what type were they? (More than one answer is acceptable.) [Injuries (Work related), Second Economic Activity] Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 Contusion, bruises, hematoma, abrasion 2 Cuts/wounds/punctures 3 Amputation, loss of body parts 4 Crushing injuries 5 Dislocations, fractures, sprains 6 Burns 7 Bite by animal/snake/insect 8 Chemist 9 Other Work Related Injury 3, Second Economic Activity: Form 2 Work Related Injury 3, Second Economic Activity: Form 2 Work Related Injury 3, Second Economic Activity: Form 2 Work Related Injury 3, Second Economic Activity: Form 2 Work Related Injury 3, Second Economic Activity: Form 2 If _____ was hurt or suffered from illnesses/injurie, what type were they? (More than one answer is acceptable.) [Injuries (Work related), Second Economic Activity] Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 Contusion, bruises, hematoma, abrasion 2 Cuts/wounds/punctures 3 Amputation, loss of body parts 4 Crushing injuries 5 Dislocations, fractures, sprains 6 Burns 7 Bite by animal/snake/insect 8 Chemist 9 Other Work Related Injury 1, Third Economic Activity: Form 2 Work Related Injury 1, Third Economic Activity: Form 2 Work Related Injury 1, Third Economic Activity: Form 2 Work Related Injury 1, Third Economic Activity: Form 2 Work Related Injury 1, Third Economic Activity: Form 2 If _____ was hurt or suffered from illnesses/injurie, what type were they? (More than one answer is acceptable.) [Injuries (Work related), Third Economic Activity] Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 Contusion, bruises, hematoma, abrasion 2 Cuts/wounds/punctures 3 Amputation, loss of body parts 4 Crushing injuries 5 Dislocations, fractures, sprains 6 Burns 7 Bite by animal/snake/insect 8 Chemist 9 Other Work Related Injury 2, Third Economic Activity: Form 2 Work Related Injury 2, Third Economic Activity: Form 2 Work Related Injury 2, Third Economic Activity: Form 2 Work Related Injury 2, Third Economic Activity: Form 2 Work Related Injury 2, Third Economic Activity: Form 2 If _____ was hurt or suffered from illnesses/injurie, what type were they? (More than one answer is acceptable.) [Injuries (Work related), Third Economic Activity] Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 Contusion, bruises, hematoma, abrasion 2 Cuts/wounds/punctures 3 Amputation, loss of body parts 4 Crushing injuries 5 Dislocations, fractures, sprains 6 Burns 7 Bite by animal/snake/insect 8 Chemist 9 Other Work Related Injury 3, Third Economic Activity: Form 2 Work Related Injury 3, Third Economic Activity: Form 2 Work Related Injury 3, Third Economic Activity: Form 2 Work Related Injury 3, Third Economic Activity: Form 2 Work Related Injury 3, Third Economic Activity: Form 2 If _____ was hurt or suffered from illnesses/injurie, what type were they? (More than one answer is acceptable.) [Injuries (Work related), Third Economic Activity] Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 Contusion, bruises, hematoma, abrasion 2 Cuts/wounds/punctures 3 Amputation, loss of body parts 4 Crushing injuries 5 Dislocations, fractures, sprains 6 Burns 7 Bite by animal/snake/insect 8 Chemist 9 Other ID Number: Form 2 ID Number: Form 2 ID Number: Form 2 ID Number: Form 2 ID Number: Form 2 Please copy all IDs from page 6. ID Number: Form 2 Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 Gravity of Most Serious Accident/Illness/Injury: Form 2 Gravity of Most Serious Accident/Illness/Injury: Form 2 Gravity of Most Serious Accident/Illness/Injury: Form 2 Gravity of Most Serious Accident/Illness/Injury: Form 2 Gravity of Most Serious Accident/Illness/Injury: Form 2 Referring to the most serious accident/illness/injury, how serious was it? If response is 1 (Did not need any medical treatment), go to Q11.18. If code=3 in col. 51, enter number days into col 52. Otherwise, go to col. 53. Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 Did not need any medical treatment 2 Medically treated and released immediately 3 Stopped work temporarily 4 Hospitalized 5 Prevented work permanently 6 Other Number of Days Stopped Working/Hospitalized: Form 2 Number of Days Stopped Working/Hospitalized: Form 2 Number of Days Stopped Working/Hospitalized: Form 2 Number of Days Stopped Working/Hospitalized: Form 2 Number of Days Stopped Working/Hospitalized: Form 2 Referring to the most serious accident/illness/injury, how serious was it? Enter number of days if col. 51 = 3 or 4. Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 and f2p8c51=3,4 Place of Consultation 1 with a Doctor: Form 2 Place of Consultation 1 with a Doctor: Form 2 Place of Consultation 1 with a Doctor: Form 2 Place of Consultation 1 with a Doctor: Form 2 Place of Consultation 1 with a Doctor: Form 2 Where did _____ consult a doctor? (More than one answer is acceptable.) Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 At home 2 At work place 3 At hospital 4 Dispensary 5 Clinic/Health Care Center 6 Kru Khmer's house 7 Other Place of Consultation 2 with a Doctor: Form 2 Place of Consultation 2 with a Doctor: Form 2 Place of Consultation 2 with a Doctor: Form 2 Place of Consultation 2 with a Doctor: Form 2 Place of Consultation 2 with a Doctor: Form 2 Where did _____ consult a doctor? (More than one answer is acceptable.) Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 At home 2 At work place 3 At hospital 4 Dispensary 5 Clinic/Health Care Center 6 Kru Khmer's house 7 Other Place of Consultation 3 with a Doctor: Form 2 Place of Consultation 3 with a Doctor: Form 2 Place of Consultation 3 with a Doctor: Form 2 Place of Consultation 3 with a Doctor: Form 2 Place of Consultation 3 with a Doctor: Form 2 Where did _____ consult a doctor? (More than one answer is acceptable.) Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 At home 2 At work place 3 At hospital 4 Dispensary 5 Clinic/Health Care Center 6 Kru Khmer's house 7 Other Financer 1 for Medical Treatment Expenses: Form 2 Financer 1 for Medical Treatment Expenses: Form 2 Financer 1 for Medical Treatment Expenses: Form 2 Financer 1 for Medical Treatment Expenses: Form 2 Financer 1 for Medical Treatment Expenses: Form 2 Who paid for medical treatment? (More than one answer is acceptable.) Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 Employer/Boss 2 Parents/Guardian 3 Brother/Sister 4 Other relative 5 Self 6 Free 7 Other Financer 2 for Medical Treatment Expenses: Form 2 Financer 2 for Medical Treatment Expenses: Form 2 Financer 2 for Medical Treatment Expenses: Form 2 Financer 2 for Medical Treatment Expenses: Form 2 Financer 2 for Medical Treatment Expenses: Form 2 Who paid for medical treatment? (More than one answer is acceptable.) Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 Employer/Boss 2 Parents/Guardian 3 Brother/Sister 4 Other relative 5 Self 6 Free 7 Other Financer 3 for Medical Treatment Expenses: Form 2 Financer 3 for Medical Treatment Expenses: Form 2 Financer 3 for Medical Treatment Expenses: Form 2 Financer 3 for Medical Treatment Expenses: Form 2 Financer 3 for Medical Treatment Expenses: Form 2 Who paid for medical treatment? (More than one answer is acceptable.) Children 5-17 years old who have worked at anytime [f2p3c03=1] and f2p5c17=1 1 Employer/Boss 2 Parents/Guardian 3 Brother/Sister 4 Other relative 5 Self 6 Free 7 Other Presently Working: Form 2 Presently Working: Form 2 Presently Working: Form 2 Presently Working: Form 2 Presently Working: Form 2 Please provide the following information for all working children aged 5-17 years from page 3 for column 3/Q11.1=1. Is _____ presently working? 2=No (Go to next child/Form III) Children 5-17 years old who have worked at anytime [f2p3c03=1] 1 Yes 2 No Aware of Likely Health Problems Related to Work: Form 2 Aware of Likely Health Problems Related to Work: Form 2 Aware of Likely Health Problems Related to Work: Form 2 Aware of Likely Health Problems Related to Work: Form 2 Aware of Likely Health Problems Related to Work: Form 2 Please provide the following information for all working children aged 5-17 years from page 3 for column 3/Q11.1=1. Is _____ aware of any likely helath problem in connection with his/her work? Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 1 Yes 2 No In Protective Wear while Working: Form 2 In Protective Wear while Working: Form 2 In Protective Wear while Working: Form 2 In Protective Wear while Working: Form 2 In Protective Wear while Working: Form 2 Please provide the following information for all working children aged 5-17 years from page 3 for column 3/Q11.1=1. Does _____ use any protective wear while working? 2=No (Go to Q11.23) 3=Don't know (Go to Q11.23) Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 1 Yes 2 No Protective Wear 1 at Work: Form 2 Protective Wear 1 at Work: Form 2 Protective Wear 1 at Work: Form 2 Protective Wear 1 at Work: Form 2 Protective Wear 1 at Work: Form 2 Please provide the following information for all working children aged 5-17 years from page 3 for column 3/Q11.1=1. Does _____ use any of the following protective wear while working? (More than one answer is acceptable.) Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 and f2p8c62=1 1 Mask 2 Glasses 3 Helmet 4 Earplugs 5 Special shoes 6 Gloves 7 Protective clothing 8 Simple hat/Krama/Towel 9 Other Protective Wear 2 at Work: Form 2 Protective Wear 2 at Work: Form 2 Protective Wear 2 at Work: Form 2 Protective Wear 2 at Work: Form 2 Protective Wear 2 at Work: Form 2 Please provide the following information for all working children aged 5-17 years from page 3 for column 3/Q11.1=1. Does _____ use any of the following protective wear while working? (More than one answer is acceptable.) Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 and f2p8c62=1 1 Mask 2 Glasses 3 Helmet 4 Earplugs 5 Special shoes 6 Gloves 7 Protective clothing 8 Simple hat/Krama/Towel 9 Other Protective Wear 3 at Work: Form 2 Protective Wear 3 at Work: Form 2 Protective Wear 3 at Work: Form 2 Protective Wear 3 at Work: Form 2 Protective Wear 3 at Work: Form 2 Please provide the following information for all working children aged 5-17 years from page 3 for column 3/Q11.1=1. Does _____ use any of the following protective wear while working? (More than one answer is acceptable.) Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 and f2p8c62=1 1 Mask 2 Glasses 3 Helmet 4 Earplugs 5 Special shoes 6 Gloves 7 Protective clothing 8 Simple hat/Krama/Towel 9 Other Protective Wear 4 at Work: Form 2 Protective Wear 4 at Work: Form 2 Protective Wear 4 at Work: Form 2 Protective Wear 4 at Work: Form 2 Protective Wear 4 at Work: Form 2 Please provide the following information for all working children aged 5-17 years from page 3 for column 3/Q11.1=1. Does _____ use any of the following protective wear while working? (More than one answer is acceptable.) Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 and f2p8c62=1 1 Mask 2 Glasses 3 Helmet 4 Earplugs 5 Special shoes 6 Gloves 7 Protective clothing 8 Simple hat/Krama/Towel 9 Other Provider of Protective Wear: Form 2 Provider of Protective Wear: Form 2 Provider of Protective Wear: Form 2 Provider of Protective Wear: Form 2 Provider of Protective Wear: Form 2 Please provide the following information for all working children aged 5-17 years from page 3 for column 3/Q11.1=1. Who provided them? Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 and f2p8c62=1 1 Employer/Boss 2 Parents/Guardian 3 Brother/Sister 4 Other relative 5 Self 6 Other Others in Protective Wear: Form 2 Others in Protective Wear: Form 2 Others in Protective Wear: Form 2 Others in Protective Wear: Form 2 Others in Protective Wear: Form 2 Please provide the following information for all working children aged 5-17 years from page 3 for column 3/Q11.1=1. Do other people doing the same work use protective wear while working? 2=No (Go to next child/XII) 3=Don't know (Go to next child/XII) Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 1 Yes 2 No 3 Don't know Protective Wear 1 at Work, Others: Form 2 Protective Wear 1 at Work, Others: Form 2 Protective Wear 1 at Work, Others: Form 2 Protective Wear 1 at Work, Others: Form 2 Protective Wear 1 at Work, Others: Form 2 Please provide the following information for all working children aged 5-17 years from page 3 for column 3/Q11.1=1. Which of the following do they usually use? (More than one answer is acceptable.) Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 and f2p8c68=1 1 Yes 2 No Protective Wear 2 at Work, Others: Form 2 Protective Wear 2 at Work, Others: Form 2 Protective Wear 2 at Work, Others: Form 2 Protective Wear 2 at Work, Others: Form 2 Protective Wear 2 at Work, Others: Form 2 Please provide the following information for all working children aged 5-17 years from page 3 for column 3/Q11.1=1. Which of the following do they usually use? (More than one answer is acceptable.) Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 and f2p8c68=1 1 Yes 2 No Protective Wear 3 at Work, Others: Form 2 Protective Wear 3 at Work, Others: Form 2 Protective Wear 3 at Work, Others: Form 2 Protective Wear 3 at Work, Others: Form 2 Protective Wear 3 at Work, Others: Form 2 Please provide the following information for all working children aged 5-17 years from page 3 for column 3/Q11.1=1. Which of the following do they usually use? (More than one answer is acceptable.) Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 and f2p8c68=1 1 Yes 2 No Protective Wear 4 at Work, Others: Form 2 Protective Wear 4 at Work, Others: Form 2 Protective Wear 4 at Work, Others: Form 2 Protective Wear 4 at Work, Others: Form 2 Protective Wear 4 at Work, Others: Form 2 Please provide the following information for all working children aged 5-17 years from page 3 for column 3/Q11.1=1. Which of the following do they usually use? (More than one answer is acceptable.) Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 and f2p8c68=1 1 Yes 2 No Employer at Current Work, Employed by Own Family: Form 2 Employer at Current Work, Employed by Own Family: Form 2 Employer at Current Work, Employed by Own Family: Form 2 Employer at Current Work, Employed by Own Family: Form 2 Employer at Current Work, Employed by Own Family: Form 2 If _____ is currently working for own family/parents, grandparents/guardians or spouse, please indicate the location were _____ usually works. Enter code in column 2 and spcify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 1 Own house 2 Other person's house/Employer's house 3 Other person's house 4 Office 5 Factory/Enterprise/Handicraft 6 Farm 7 Street 8 Market Place 9 Water area 10 Sexual service place 11 Mine/Underground site/Quarry site/Construction site 12 Hotel/Restaurant 13 Other Place of Work, Name, Employed by Own Family: Form 2 Place of Work, Name, Employed by Own Family: Form 2 Place of Work, Name, Employed by Own Family: Form 2 Place of Work, Name, Employed by Own Family: Form 2 Place of Work, Name, Employed by Own Family: Form 2 If _____ is currently working for own family/parents, grandparents/guardians or spouse, please indicate the location were _____ usually works. [Name] Enter code in column 2 and spcify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 Place of Work, Number, Employed by Own Family: Form 2 Place of Work, Number, Employed by Own Family: Form 2 Place of Work, Number, Employed by Own Family: Form 2 Place of Work, Number, Employed by Own Family: Form 2 Place of Work, Number, Employed by Own Family: Form 2 If _____ is currently working for own family/parents, grandparents/guardians or spouse, please indicate the location were _____ usually works. [No.] Enter code in column 2 and spcify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 Place of Work, Street, Employed by Own Family: Form 2 Place of Work, Street, Employed by Own Family: Form 2 Place of Work, Street, Employed by Own Family: Form 2 Place of Work, Street, Employed by Own Family: Form 2 Place of Work, Street, Employed by Own Family: Form 2 If _____ is currently working for own family/parents, grandparents/guardians or spouse, please indicate the location were _____ usually works. [St.] Enter code in column 2 and spcify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 Place of Work, Village, Employed by Own Family: Form 2 Place of Work, Village, Employed by Own Family: Form 2 Place of Work, Village, Employed by Own Family: Form 2 Place of Work, Village, Employed by Own Family: Form 2 Place of Work, Village, Employed by Own Family: Form 2 If _____ is currently working for own family/parents, grandparents/guardians or spouse, please indicate the location were _____ usually works. [VIL] Enter code in column 2 and spcify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 Place of Work, District, Employed by Own Family: Form 2 Place of Work, District, Employed by Own Family: Form 2 Place of Work, District, Employed by Own Family: Form 2 Place of Work, District, Employed by Own Family: Form 2 Place of Work, District, Employed by Own Family: Form 2 If _____ is currently working for own family/parents, grandparents/guardians or spouse, please indicate the location were _____ usually works. [DIS] Enter code in column 2 and spcify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 Place of Work, Commune, Employed by Own Family: Form 2 Place of Work, Commune, Employed by Own Family: Form 2 Place of Work, Commune, Employed by Own Family: Form 2 Place of Work, Commune, Employed by Own Family: Form 2 Place of Work, Commune, Employed by Own Family: Form 2 If _____ is currently working for own family/parents, grandparents/guardians or spouse, please indicate the location were _____ usually works. [COM] Enter code in column 2 and spcify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 Place of Work, Province, Employed by Own Family: Form 2 Place of Work, Province, Employed by Own Family: Form 2 Place of Work, Province, Employed by Own Family: Form 2 Place of Work, Province, Employed by Own Family: Form 2 Place of Work, Province, Employed by Own Family: Form 2 If _____ is currently working for own family/parents, grandparents/guardians or spouse, please indicate the location were _____ usually works. [PRO] Enter code in column 2 and spcify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 1 Banteay Meanchey 2 Battambang 3 Kampong Cham 4 Kampong Chhnang 5 Kampong Speu 6 Kampong Thom 7 Kampot 8 Kandal 9 Koh Kong 10 Kratie 11 Mondul Kiri 12 Phnom Penh 13 Preah Vihear 14 Prey Veng 15 Pursat 16 Ratanak Kiri 17 Siemreap 18 Sihanoukville 19 Stung Treng 20 Svay Rieng 21 Takeo 22 Oddar Meanchey 23 Kep 24 Pailin Employer at Current Work, Outside of Family: Form 2 Employer at Current Work, Outside of Family: Form 2 Employer at Current Work, Outside of Family: Form 2 Employer at Current Work, Outside of Family: Form 2 Employer at Current Work, Outside of Family: Form 2 If _____ currently working for someone other than own family/parents or guardians, do you know where and for whom _____ works, please give the name and address of employer. Enter code in column 10 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, spcify name of the country in Province column. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 1 Own house 2 Other person's house/Employer's house 3 Other person's house 4 Office 5 Factory/Enterprise/Handicraft 6 Farm 7 Street 8 Market Place 9 Water area 10 Sexual service place 11 Mine/Underground site/Quarry site/Construction site 12 Hotel/Restaurant 13 Other Place of Work, Name, Outside of Family: Form 2 Place of Work, Name, Outside of Family: Form 2 Place of Work, Name, Outside of Family: Form 2 Place of Work, Name, Outside of Family: Form 2 Place of Work, Name, Outside of Family: Form 2 If _____ currently working for someone other than own family/parents or guardians, do you know where and for whom _____ works, please give the name and address of employer. [Name] Enter code in column 10 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, spcify name of the country in Province column. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 Place of Work, Number, Outside of Family: Form 2 Place of Work, Number, Outside of Family: Form 2 Place of Work, Number, Outside of Family: Form 2 Place of Work, Number, Outside of Family: Form 2 Place of Work, Number, Outside of Family: Form 2 If _____ currently working for someone other than own family/parents or guardians, do you know where and for whom _____ works, please give the name and address of employer. [No.] Enter code in column 10 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, spcify name of the country in Province column. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 Place of Work, Street, Outside of Family: Form 2 Place of Work, Street, Outside of Family: Form 2 Place of Work, Street, Outside of Family: Form 2 Place of Work, Street, Outside of Family: Form 2 Place of Work, Street, Outside of Family: Form 2 If _____ currently working for someone other than own family/parents or guardians, do you know where and for whom _____ works, please give the name and address of employer. [St.] Enter code in column 10 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, spcify name of the country in Province column. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 Place of Work, Village, Outside of Family: Form 2 Place of Work, Village, Outside of Family: Form 2 Place of Work, Village, Outside of Family: Form 2 Place of Work, Village, Outside of Family: Form 2 Place of Work, Village, Outside of Family: Form 2 If _____ currently working for someone other than own family/parents or guardians, do you know where and for whom _____ works, please give the name and address of employer. [VIL] Enter code in column 10 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, spcify name of the country in Province column. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 Place of Work, District, Outside of Family: Form 2 Place of Work, District, Outside of Family: Form 2 Place of Work, District, Outside of Family: Form 2 Place of Work, District, Outside of Family: Form 2 Place of Work, District, Outside of Family: Form 2 If _____ currently working for someone other than own family/parents or guardians, do you know where and for whom _____ works, please give the name and address of employer. [DIS] Enter code in column 10 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, spcify name of the country in Province column. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 Place of Work, Commune, Outside of Family: Form 2 Place of Work, Commune, Outside of Family: Form 2 Place of Work, Commune, Outside of Family: Form 2 Place of Work, Commune, Outside of Family: Form 2 Place of Work, Commune, Outside of Family: Form 2 If _____ currently working for someone other than own family/parents or guardians, do you know where and for whom _____ works, please give the name and address of employer. [COM] Enter code in column 10 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, spcify name of the country in Province column. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 Place of Work, Province, Outside of Family: Form 2 Place of Work, Province, Outside of Family: Form 2 Place of Work, Province, Outside of Family: Form 2 Place of Work, Province, Outside of Family: Form 2 Place of Work, Province, Outside of Family: Form 2 If _____ currently working for someone other than own family/parents or guardians, do you know where and for whom _____ works, please give the name and address of employer. [PRO] Enter code in column 10 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, spcify name of the country in Province column. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 1 Banteay Meanchey 2 Battambang 3 Kampong Cham 4 Kampong Chhnang 5 Kampong Speu 6 Kampong Thom 7 Kampot 8 Kandal 9 Koh Kong 10 Kratie 11 Mondul Kiri 12 Phnom Penh 13 Preah Vihear 14 Prey Veng 15 Pursat 16 Ratanak Kiri 17 Siemreap 18 Sihanoukville 19 Stung Treng 20 Svay Rieng 21 Takeo 22 Oddar Meanchey 23 Kep 24 Pailin Employer at Current Work, Independent Worker: Form 2 Employer at Current Work, Independent Worker: Form 2 Employer at Current Work, Independent Worker: Form 2 Employer at Current Work, Independent Worker: Form 2 Employer at Current Work, Independent Worker: Form 2 If _____ curently working for someone other than own family/parents or guardians, do you know where and for whom _____ works, please give the name and address of employer. Location as precise as possible. Enter code in column 18 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 1 Own house 2 Other person's house/Employer's house 3 Other person's house 4 Office 5 Factory/Enterprise/Handicraft 6 Farm 7 Street 8 Market Place 9 Water area 10 Sexual service place 11 Mine/Underground site/Quarry site/Construction site 12 Hotel/Restaurant 13 Other Place of Work, Name, Independent Worker: Form 2 Place of Work, Name, Independent Worker: Form 2 Place of Work, Name, Independent Worker: Form 2 Place of Work, Name, Independent Worker: Form 2 Place of Work, Name, Independent Worker: Form 2 If _____ is currently working independently somewhere, please give the location where _____ usually works. Location (as precise as possible) __________ [Name] Location as precise as possible. Enter code in column 18 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 Place of Work, Number, Independent Worker: Form 2 Place of Work, Number, Independent Worker: Form 2 Place of Work, Number, Independent Worker: Form 2 Place of Work, Number, Independent Worker: Form 2 Place of Work, Number, Independent Worker: Form 2 If _____ is currently working independently somewhere, please give the location where _____ usually works. Location (as precise as possible) __________ [No.] Location as precise as possible. Enter code in column 18 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 Place of Work, Street, Independent Worker: Form 2 Place of Work, Street, Independent Worker: Form 2 Place of Work, Street, Independent Worker: Form 2 Place of Work, Street, Independent Worker: Form 2 Place of Work, Street, Independent Worker: Form 2 If _____ is currently working independently somewhere, please give the location where _____ usually works. Location (as precise as possible) __________ [St.] Location as precise as possible. Enter code in column 18 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 Place of Work, Village, Independent Worker: Form 2 Place of Work, Village, Independent Worker: Form 2 Place of Work, Village, Independent Worker: Form 2 Place of Work, Village, Independent Worker: Form 2 Place of Work, Village, Independent Worker: Form 2 If _____ is currently working independently somewhere, please give the location where _____ usually works. Location (as precise as possible) __________ [VIL] Location as precise as possible. Enter code in column 18 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 Place of Work, District, Independent Worker: Form 2 Place of Work, District, Independent Worker: Form 2 Place of Work, District, Independent Worker: Form 2 Place of Work, District, Independent Worker: Form 2 Place of Work, District, Independent Worker: Form 2 If _____ is currently working independently somewhere, please give the location where _____ usually works. Location (as precise as possible) __________ [DIS] Location as precise as possible. Enter code in column 18 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 Place of Work, Commune, Independent Worker: Form 2 Place of Work, Commune, Independent Worker: Form 2 Place of Work, Commune, Independent Worker: Form 2 Place of Work, Commune, Independent Worker: Form 2 Place of Work, Commune, Independent Worker: Form 2 If _____ is currently working independently somewhere, please give the location where _____ usually works. Location (as precise as possible) __________ [COM] Location as precise as possible. Enter code in column 18 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 Place of Work, Province, Independent Worker: Form 2 Place of Work, Province, Independent Worker: Form 2 Place of Work, Province, Independent Worker: Form 2 Place of Work, Province, Independent Worker: Form 2 Place of Work, Province, Independent Worker: Form 2 If _____ is currently working independently somewhere, please give the location where _____ usually works. Location (as precise as possible) __________ [PRO] Location as precise as possible. Enter code in column 18 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 1 Banteay Meanchey 2 Battambang 3 Kampong Cham 4 Kampong Chhnang 5 Kampong Speu 6 Kampong Thom 7 Kampot 8 Kandal 9 Koh Kong 10 Kratie 11 Mondul Kiri 12 Phnom Penh 13 Preah Vihear 14 Prey Veng 15 Pursat 16 Ratanak Kiri 17 Siemreap 18 Sihanoukville 19 Stung Treng 20 Svay Rieng 21 Takeo 22 Oddar Meanchey 23 Kep 24 Pailin Relationship with Employer: Form 2 Relationship with Employer: Form 2 Relationship with Employer: Form 2 Relationship with Employer: Form 2 Relationship with Employer: Form 2 If _____ is working for someone, how was his/her relationship with the employer? 1=Good (Go to Q13.3) 3=Indifferent (Go to Q13.3) Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 and Q12.2 [or any of f2p10c10 - f2p10c17] was filled up 1 Good 2 Bad 3 Indifferent Reason 1 for Bad Relationship with Employer: Form 2 Reason 1 for Bad Relationship with Employer: Form 2 Reason 1 for Bad Relationship with Employer: Form 2 Reason 1 for Bad Relationship with Employer: Form 2 Reason 1 for Bad Relationship with Employer: Form 2 Give main reasons. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 and Q12.2 [or any of f2p10c10 - f2p10c17] was filled up and f2p10c02=2 1 Wants too much work done 2 Wants work done for long hours 3 Pays poorly 4 Does not pay in time 5 Abuses physically/mentally 6 Other Reason 2 for Bad Relationship with Employer: Form 2 Reason 2 for Bad Relationship with Employer: Form 2 Reason 2 for Bad Relationship with Employer: Form 2 Reason 2 for Bad Relationship with Employer: Form 2 Reason 2 for Bad Relationship with Employer: Form 2 Give main reasons. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 and Q12.2 [or any of f2p10c10 - f2p10c17] was filled up and f2p10c02=2 1 Wants too much work done 2 Wants work done for long hours 3 Pays poorly 4 Does not pay in time 5 Abuses physically/mentally 6 Other Reason 3 for Bad Relationship with Employer: Form 2 Reason 3 for Bad Relationship with Employer: Form 2 Reason 3 for Bad Relationship with Employer: Form 2 Reason 3 for Bad Relationship with Employer: Form 2 Reason 3 for Bad Relationship with Employer: Form 2 Give main reasons. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 and Q12.2 [or any of f2p10c10 - f2p10c17] was filled up and f2p10c02=2 1 Wants too much work done 2 Wants work done for long hours 3 Pays poorly 4 Does not pay in time 5 Abuses physically/mentally 6 Other Reason 4 for Bad Relationship with Employer: Form 2 Reason 4 for Bad Relationship with Employer: Form 2 Reason 4 for Bad Relationship with Employer: Form 2 Reason 4 for Bad Relationship with Employer: Form 2 Reason 4 for Bad Relationship with Employer: Form 2 Give main reasons. Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 and Q12.2 [or any of f2p10c10 - f2p10c17] was filled up and f2p10c02=2 1 Wants too much work done 2 Wants work done for long hours 3 Pays poorly 4 Does not pay in time 5 Abuses physically/mentally 6 Other Benefit 1 Provided by Employer: Form 2 Benefit 1 Provided by Employer: Form 2 Benefit 1 Provided by Employer: Form 2 Benefit 1 Provided by Employer: Form 2 Benefit 1 Provided by Employer: Form 2 Which of the following benefits were prvoded by the employer? (More than one answer is acceptable.) Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 and Q12.2 [or any of f2p10c10 - f2p10c17] was filled up 1 Paid holidays 2 Paid sick leave 3 Social security insurance (health, pension etc.) 4 Bonus (regularly) 5 Free uniform 6 Subsidized uniform 7 Free meals 8 Subsidized meals 9 Free transport 10 Subsidized transport 11 Free lodging 12 Subsidized lodging 13 Education 14 Subsidized education 15 No benefit at all 16 Don't know 17 Other Benefit 2 Provided by Employer: Form 2 Benefit 2 Provided by Employer: Form 2 Benefit 2 Provided by Employer: Form 2 Benefit 2 Provided by Employer: Form 2 Benefit 2 Provided by Employer: Form 2 Which of the following benefits were prvoded by the employer? (More than one answer is acceptable.) Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 and Q12.2 [or any of f2p10c10 - f2p10c17] was filled up 1 Paid holidays 2 Paid sick leave 3 Social security insurance (health, pension etc.) 4 Bonus (regularly) 5 Free uniform 6 Subsidized uniform 7 Free meals 8 Subsidized meals 9 Free transport 10 Subsidized transport 11 Free lodging 12 Subsidized lodging 13 Education 14 Subsidized education 15 No benefit at all 16 Don't know 17 Other Benefit 3 Provided by Employer: Form 2 Benefit 3 Provided by Employer: Form 2 Benefit 3 Provided by Employer: Form 2 Benefit 3 Provided by Employer: Form 2 Benefit 3 Provided by Employer: Form 2 Which of the following benefits were prvoded by the employer? (More than one answer is acceptable.) Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 and Q12.2 [or any of f2p10c10 - f2p10c17] was filled up 1 Paid holidays 2 Paid sick leave 3 Social security insurance (health, pension etc.) 4 Bonus (regularly) 5 Free uniform 6 Subsidized uniform 7 Free meals 8 Subsidized meals 9 Free transport 10 Subsidized transport 11 Free lodging 12 Subsidized lodging 13 Education 14 Subsidized education 15 No benefit at all 16 Don't know 17 Other Benefit 4 Provided by Employer: Form 2 Benefit 4 Provided by Employer: Form 2 Benefit 4 Provided by Employer: Form 2 Benefit 4 Provided by Employer: Form 2 Benefit 4 Provided by Employer: Form 2 Which of the following benefits were prvoded by the employer? (More than one answer is acceptable.) Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 and Q12.2 [or any of f2p10c10 - f2p10c17] was filled up 1 Paid holidays 2 Paid sick leave 3 Social security insurance (health, pension etc.) 4 Bonus (regularly) 5 Free uniform 6 Subsidized uniform 7 Free meals 8 Subsidized meals 9 Free transport 10 Subsidized transport 11 Free lodging 12 Subsidized lodging 13 Education 14 Subsidized education 15 No benefit at all 16 Don't know 17 Other Usual Activity 1 Outside of Work: Form 2 Usual Activity 1 Outside of Work: Form 2 Usual Activity 1 Outside of Work: Form 2 Usual Activity 1 Outside of Work: Form 2 Usual Activity 1 Outside of Work: Form 2 What does _____ do for fun, when not working? (More than one answer is acceptable.) Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 1 Talking for fun with friends/sisters/brothers/relatives 2 Watching TV, Video, Movie 3 Playing sports 4 Reading newspaper/magazine 5 Studying/learning 6 Other Usual Activity 2 Outside of Work: Form 2 Usual Activity 2 Outside of Work: Form 2 Usual Activity 2 Outside of Work: Form 2 Usual Activity 2 Outside of Work: Form 2 Usual Activity 2 Outside of Work: Form 2 What does _____ do for fun, when not working? (More than one answer is acceptable.) Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 1 Talking for fun with friends/sisters/brothers/relatives 2 Watching TV, Video, Movie 3 Playing sports 4 Reading newspaper/magazine 5 Studying/learning 6 Other Usual Activity 3 Outside of Work: Form 2 Usual Activity 3 Outside of Work: Form 2 Usual Activity 3 Outside of Work: Form 2 Usual Activity 3 Outside of Work: Form 2 Usual Activity 3 Outside of Work: Form 2 What does _____ do for fun, when not working? (More than one answer is acceptable.) Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 1 Talking for fun with friends/sisters/brothers/relatives 2 Watching TV, Video, Movie 3 Playing sports 4 Reading newspaper/magazine 5 Studying/learning 6 Other Reason for Doing Work: Form 2 Reason for Doing Work: Form 2 Reason for Doing Work: Form 2 Reason for Doing Work: Form 2 Reason for Doing Work: Form 2 If _____ is working, what is the main reason for letting him/her work? Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 1 Household is poor 2 To supplement household income 3 To pay outstanding debt under contractual arrangement 4 To assist/help in household enterprise 5 To gain experience 6 To pay schooling 7 To start own business 8 Education/Training program is not suitable 9 School/training institutions are too far 10 Other Condition of Household if Work is Discontinued: Form 2 Condition of Household if Work is Discontinued: Form 2 Condition of Household if Work is Discontinued: Form 2 Condition of Household if Work is Discontinued: Form 2 Condition of Household if Work is Discontinued: Form 2 If _____ stops working, what will happen? Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 1 Household living standard will decline 2 Household cannot afford to live 3 Household enterprise cannot operate fully & other labor not affordable 4 No effect 5 Stop schooling 6 Other Preferred Activity if Given a Choice: Form 2 Preferred Activity if Given a Choice: Form 2 Preferred Activity if Given a Choice: Form 2 Preferred Activity if Given a Choice: Form 2 Preferred Activity if Given a Choice: Form 2 If given a choice, what would you prefer him/her do in the future? Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 1 Going to school full-time 2 Working for income full-time 3 Helping full-time in household enterprise or business 4 Working full-time in household chores or housekeeping 5 Going to school part-time and working part-time for income 6 Part-time in household enterprise or business 7 Part-time in household chores or housekeeping 8 Complete education/training and start to work 9 Full/part time(s) skill training 10 Find a better job/work than the present one 11 Want to do same work 12 Politic leader 13 Other Age Started Working, Non-Economic Activity: Form 2 Age Started Working, Non-Economic Activity: Form 2 Age Started Working, Non-Economic Activity: Form 2 Age Started Working, Non-Economic Activity: Form 2 Age Started Working, Non-Economic Activity: Form 2 At what age did _____ start to work for the first time and how long has _____ worked? [Non-economic activity, Age] Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 Length of Time Working, Years, Non-Economic Activity: Form 2 Length of Time Working, Years, Non-Economic Activity: Form 2 Length of Time Working, Years, Non-Economic Activity: Form 2 Length of Time Working, Years, Non-Economic Activity: Form 2 Length of Time Working, Years, Non-Economic Activity: Form 2 At what age did _____ start to work for the first time and how long has _____ worked? [Non-economic activity, Duration: Year(s)] Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 Length of Time Working, Months, Non-Economic Activity: Form 2 Length of Time Working, Months, Non-Economic Activity: Form 2 Length of Time Working, Months, Non-Economic Activity: Form 2 Length of Time Working, Months, Non-Economic Activity: Form 2 Length of Time Working, Months, Non-Economic Activity: Form 2 At what age did _____ start to work for the first time and how long has _____ worked? [Non-economic activity, Duration: Month(s)] Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 Age Started Working, Economic Activity: Form 2 Age Started Working, Economic Activity: Form 2 Age Started Working, Economic Activity: Form 2 Age Started Working, Economic Activity: Form 2 Age Started Working, Economic Activity: Form 2 At what age did _____ start to work for the first time and how long has _____ worked? [Economic activity, Age] Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 Length of Time Working, Years, Economic Activity: Form 2 Length of Time Working, Years, Economic Activity: Form 2 Length of Time Working, Years, Economic Activity: Form 2 Length of Time Working, Years, Economic Activity: Form 2 Length of Time Working, Years, Economic Activity: Form 2 At what age did _____ start to work for the first time and how long has _____ worked? [Economic activity, Duration: Year(s)] Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 Length of Time Working, Months, Economic Activity: Form 2 Length of Time Working, Months, Economic Activity: Form 2 Length of Time Working, Months, Economic Activity: Form 2 Length of Time Working, Months, Economic Activity: Form 2 Length of Time Working, Months, Economic Activity: Form 2 At what age did _____ start to work for the first time and how long has _____ worked? [Economic activity, Duration: Month(s)] Children 5-17 years old who have worked at anytime [f2p3c03=1] & f2p8c60=1 ID Number: Form 3 ID Number: Form 3 ID Number: Form 3 ID Number: Form 3 ID Number: Form 3 The following questions should be asked directly to the children of the household. ID Number: Form 3 Children 5-17 years of age In School/Training Institution, Past 7 Days: Form 3 In School/Training Institution, Past 7 Days: Form 3 In School/Training Institution, Past 7 Days: Form 3 In School/Training Institution, Past 7 Days: Form 3 In School/Training Institution, Past 7 Days: Form 3 The following questions should be asked directly to the children of the household. During the past 7 days, were you attending school or a training institution? 1=Yes, full-time (Go to Q15.3) 2=Yes, part-time (Go to Q15.3) Children 5-17 years of age 1 Yes, full-time 2 Yes, part-time 3 No Reason for Not Going to School/Training Insitution, Past 7 Days: Form 3 Reason for Not Going to School/Training Insitution, Past 7 Days: Form 3 Reason for Not Going to School/Training Insitution, Past 7 Days: Form 3 Reason for Not Going to School/Training Insitution, Past 7 Days: Form 3 Reason for Not Going to School/Training Insitution, Past 7 Days: Form 3 The following questions should be asked directly to the children of the household. If did not attend school/training institution during the past 7 days, what is the main reason for not going to school/training institution? Children 5-17 years of age and f3p2c05=3 1 No suitable school or no training institutions available 2 To support self 3 Cannot afford schooling or training 4 Poor in studies/not interested in schooling or training 5 Failed at school 6 Afraid of teachers 7 Illness/disabled 8 To help in household chores/housekeeping 9 To assist in household enterprise/business 10 To work for wages/salaries 11 To work in own business for income 12 Family does not permit schooling or training 13 Holiday/Vacation 14 Too far 15 Too crowded 16 Other Engaged in Economic/Non-economic Activity, Past 7 Days: Form 3 Engaged in Economic/Non-economic Activity, Past 7 Days: Form 3 Engaged in Economic/Non-economic Activity, Past 7 Days: Form 3 Engaged in Economic/Non-economic Activity, Past 7 Days: Form 3 Engaged in Economic/Non-economic Activity, Past 7 Days: Form 3 The following questions should be asked directly to the children of the household. During the past 7 days, were you engaged in an economic or non-economic activity? 4=No (Go to Q15.5) Children 5-17 years of age and f3p2c05=1, 2 1 Yes, in economic activity 2 Yes, in non-economic activity 3 Yes, in both 4 No Number of Hours of Actual Work, Non-economic Activity, Past 7 Days: Form 3 Number of Hours of Actual Work, Non-economic Activity, Past 7 Days: Form 3 Number of Hours of Actual Work, Non-economic Activity, Past 7 Days: Form 3 Number of Hours of Actual Work, Non-economic Activity, Past 7 Days: Form 3 Number of Hours of Actual Work, Non-economic Activity, Past 7 Days: Form 3 The following questions should be asked directly to the children of the household. How many hours did you actually work during the past 7 days? [Non-economic activity] Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 Number of Hours of Actual Work, Economic Activity, Past 7 Days: Form 3 Number of Hours of Actual Work, Economic Activity, Past 7 Days: Form 3 Number of Hours of Actual Work, Economic Activity, Past 7 Days: Form 3 Number of Hours of Actual Work, Economic Activity, Past 7 Days: Form 3 Number of Hours of Actual Work, Economic Activity, Past 7 Days: Form 3 The following questions should be asked directly to the children of the household. How many hours did you actually work during the past 7 days? [Economic activity] Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 Work Affects Regular Attendance/ Studies: Form 3 Work Affects Regular Attendance/ Studies: Form 3 Work Affects Regular Attendance/ Studies: Form 3 Work Affects Regular Attendance/ Studies: Form 3 Work Affects Regular Attendance/ Studies: Form 3 The following questions should be asked directly to the children of the household. If attending school or trainin institution on full-time or part-time, and also working, does you work affect your regulat attendance or studies? Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07=4 1 Yes 2 No 3 Drop out/Never attended school Works Overtime with Pay: Form 3 Works Overtime with Pay: Form 3 Works Overtime with Pay: Form 3 Works Overtime with Pay: Form 3 Works Overtime with Pay: Form 3 The following questions should be asked directly to the children of the household. If you are working for someone else other than your own parents or guardians, do you usually work overtime and get paid for it? 5=Not working (Go to next child/XVI) Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07=4 and working for someone else other than own parents or guardians 1 Yes, with pay 2 Yes, without pay 3 No overtime work 4 Not working for someone else 5 Not working Wage Payment is Same as Prevailing Wage in Locality: Form 3 Wage Payment is Same as Prevailing Wage in Locality: Form 3 Wage Payment is Same as Prevailing Wage in Locality: Form 3 Wage Payment is Same as Prevailing Wage in Locality: Form 3 Wage Payment is Same as Prevailing Wage in Locality: Form 3 The following questions should be asked directly to the children of the household. Do you receive wage payment prevalent in your locality? Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07=4 and f3p2c11 not = 5 ID Number: Form 3 ID Number: Form 3 ID Number: Form 3 ID Number: Form 3 ID Number: Form 3 Copy all children 5-17 years Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not= 4 Working for Someone Outside of Family, Economic Activity: Form 3 Working for Someone Outside of Family, Economic Activity: Form 3 Working for Someone Outside of Family, Economic Activity: Form 3 Working for Someone Outside of Family, Economic Activity: Form 3 Working for Someone Outside of Family, Economic Activity: Form 3 Copy all children 5-17 years Are you working for someone else other than your own parents/guardians? 2=No, working for own parents/guardian (Go to Q16.6) 3=No, not working (Go to Q20.1) Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not= 4 1 Yes 2 No, working for own parents/guardian 3 No, not working Relationship with Employer, Economic Activity: Form 3 Relationship with Employer, Economic Activity: Form 3 Relationship with Employer, Economic Activity: Form 3 Relationship with Employer, Economic Activity: Form 3 Relationship with Employer, Economic Activity: Form 3 Copy all children 5-17 years How is your relationship with your employer? 1=Good (Go to Q16.4) 3=Indifferent (Go to Q16.4) Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not= 4 and f3p3c02=1 1 Good 2 Bad 3 Indifferent Reason for Bad Relationship with Employer, Economic Activity: Form 3 Reason for Bad Relationship with Employer, Economic Activity: Form 3 Reason for Bad Relationship with Employer, Economic Activity: Form 3 Reason for Bad Relationship with Employer, Economic Activity: Form 3 Reason for Bad Relationship with Employer, Economic Activity: Form 3 Copy all children 5-17 years Give the main reasons. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not= 4 and f3p3c02=1 and f3p3c03=2 1 Wants too much work done 2 Wants work done for long hours 3 Pays poorly 4 Does not pay on time 5 Abuses physically 6 Abuses verbally/mentally 7 Abuses morally 8 Other Last Payment Received, Riels, Economic Activity: Form 3 Last Payment Received, Riels, Economic Activity: Form 3 Last Payment Received, Riels, Economic Activity: Form 3 Last Payment Received, Riels, Economic Activity: Form 3 Last Payment Received, Riels, Economic Activity: Form 3 Copy all children 5-17 years Referring to the latest/most recent payment, what is the approximate amount you were paid by your employer? Give amount and indicate the period for which this amount was paid. [Amount (Riels)] Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not= 4 and f3p3c02=1,2 Last Payment Received, Period, Economic Activity: Form 3 Last Payment Received, Period, Economic Activity: Form 3 Last Payment Received, Period, Economic Activity: Form 3 Last Payment Received, Period, Economic Activity: Form 3 Last Payment Received, Period, Economic Activity: Form 3 Copy all children 5-17 years Referring to the latest/most recent payment, what is the approximate amount you were paid by your employer? Give amount and indicate the period for which this amount was paid. [Period (days)] Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not= 4 and f3p3c02=1,2 Part of Earnings Given to Parents/Guardians/Relatives in Usual Place of Residence: Form 3 Part of Earnings Given to Parents/Guardians/Relatives in Usual Place of Residence: Form 3 Part of Earnings Given to Parents/Guardians/Relatives in Usual Place of Residence: Form 3 Part of Earnings Given to Parents/Guardians/Relatives in Usual Place of Residence: Form 3 Part of Earnings Given to Parents/Guardians/Relatives in Usual Place of Residence: Form 3 Copy all children 5-17 years Do you give a part or all of your earnings to your parents/guardians or other relatives you usually reside with? Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not= 4 and f3p3c02=1,2 1 Yes 2 Yes, by self 3 No Percentage of Earnings Given to Parents/Guardians/Relatives in Usual Place of Residence: Form 3 Percentage of Earnings Given to Parents/Guardians/Relatives in Usual Place of Residence: Form 3 Percentage of Earnings Given to Parents/Guardians/Relatives in Usual Place of Residence: Form 3 Percentage of Earnings Given to Parents/Guardians/Relatives in Usual Place of Residence: Form 3 Percentage of Earnings Given to Parents/Guardians/Relatives in Usual Place of Residence: Form 3 Copy all children 5-17 years Do you give a part or all of your earnings to your parents/guardians or other relatives you usually reside with? [%] Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not= 4 and f3p3c02=1,2 Part of Earnings Go to Savings: Form 3 Part of Earnings Go to Savings: Form 3 Part of Earnings Go to Savings: Form 3 Part of Earnings Go to Savings: Form 3 Part of Earnings Go to Savings: Form 3 Copy all children 5-17 years Do you save any part of your earning? 3=No (Go to Q16.8) 4=No, unpaid (Go to Q16.8) Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not= 4 and f3p3c02=1,2 1 Yes, regularly 2 Yes, occasionally 3 No 4 No, unpaid Reason for Saving: Form 3 Reason for Saving: Form 3 Reason for Saving: Form 3 Reason for Saving: Form 3 Reason for Saving: Form 3 Copy all children 5-17 years What is the main reason for saving? Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and f3p3c02=1, 2 and f3p3c09=1, 2 1 To purchase properties/personal effects 2 To start own business 3 To go to school/training institution 4 To travel 5 For incidents 6 Health care 7 For wedding 8 Other ID Number: Form 3 ID Number: Form 3 ID Number: Form 3 ID Number: Form 3 ID Number: Form 3 Please copy all ID from page 3 for column 2/Q16.1 = 1 or 2. ID Number: Form 3 Satisfied with Present Job: Form 3 Satisfied with Present Job: Form 3 Satisfied with Present Job: Form 3 Satisfied with Present Job: Form 3 Satisfied with Present Job: Form 3 The following questions should be asked of the children of the household. Are you satisfied with your present job? If response is 1 (Yes), go to Q16.10. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and f3p3c02=1, 2 and f3p3c09=1, 2 1 Yes 2 No Reason for Dissatisfaction with Present Job: Form 3 Reason for Dissatisfaction with Present Job: Form 3 Reason for Dissatisfaction with Present Job: Form 3 Reason for Dissatisfaction with Present Job: Form 3 Reason for Dissatisfaction with Present Job: Form 3 Please copy all ID from page 3 for column 2/Q16/1=1 or 2 Why not? Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and f3p3c02=1, 2 and f3p3c09=1, 2 and f3p4c12=2 1 Wages too low 2 Work too tiring/too hard 3 Employer too hard/too demanding 4 Earning from self-employment very low 5 Poor/hazardous working environment 6 Other Age Started Working, Economic Activity: Form 3 Age Started Working, Economic Activity: Form 3 Age Started Working, Economic Activity: Form 3 Age Started Working, Economic Activity: Form 3 Age Started Working, Economic Activity: Form 3 Please copy all ID from page 3 for column 2/Q16/1=1 or 2 At what age did you start to work for the first time and how long have you worked at that time? [Age, in completed years] Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and f3p3c02=1, 2 and f3p3c09=1, 2 Duration of Work, Years, Economic Activity: Form 3 Duration of Work, Years, Economic Activity: Form 3 Duration of Work, Years, Economic Activity: Form 3 Duration of Work, Years, Economic Activity: Form 3 Duration of Work, Years, Economic Activity: Form 3 Please copy all ID from page 3 for column 2/Q16/1=1 or 2 At what age did you start to work for the first time and how long have you worked at that time? [Duration: Year(s)] Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and f3p3c02=1, 2 and f3p3c09=1, 2 Duration of Work, Months, Economic Activity: Form 3 Duration of Work, Months, Economic Activity: Form 3 Duration of Work, Months, Economic Activity: Form 3 Duration of Work, Months, Economic Activity: Form 3 Duration of Work, Months, Economic Activity: Form 3 Please copy all ID from page 3 for column 2/Q16/1=1 or 2 At what age did you start to work for the first time and how long have you worked at that time? [Duration: Month(s)] Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and f3p3c02=1, 2 and f3p3c09=1, 2 ID Number: Form 3 ID Number: Form 3 ID Number: Form 3 ID Number: Form 3 ID Number: Form 3 Please copy all IDs from page 4. ID Number: Form 3 Employer at Current Work, Employed by Own Family: Form 3 Employer at Current Work, Employed by Own Family: Form 3 Employer at Current Work, Employed by Own Family: Form 3 Employer at Current Work, Employed by Own Family: Form 3 Employer at Current Work, Employed by Own Family: Form 3 Please copy all ID from page 4. If you are currently working for own family/parents, grandparents/guardians or spouse, please indicate the location where you usually work. Enter code in column 18 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and f3p3c02=2 1 Own house 2 Other person's house/Employer's house 3 Other person's house 4 Office 5 Factory/Enterprise/Handicraft 6 Farm 7 Street 8 Market Place 9 Water area 10 Sexual service place 11 Mine/Underground site/Quarry site/Construction site 12 Hotel/Restaurant 13 Other Place of Work, Name, Employed by Own Family: Form 3 Place of Work, Name, Employed by Own Family: Form 3 Place of Work, Name, Employed by Own Family: Form 3 Place of Work, Name, Employed by Own Family: Form 3 Place of Work, Name, Employed by Own Family: Form 3 Please copy all ID from page 4. If you are currently working for own family/parents, grandparents/guardians or spouse, please indicate the location where you usually work. [Name] Enter code in column 18 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and f3p3c02=2 Place of Work, Number, Employed by Own Family: Form 3 Place of Work, Number, Employed by Own Family: Form 3 Place of Work, Number, Employed by Own Family: Form 3 Place of Work, Number, Employed by Own Family: Form 3 Place of Work, Number, Employed by Own Family: Form 3 Please copy all ID from page 4. If you are currently working for own family/parents, grandparents/guardians or spouse, please indicate the location where you usually work. [No.] Enter code in column 18 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and f3p3c02=2 Place of Work, Street, Employed by Own Family: Form 3 Place of Work, Street, Employed by Own Family: Form 3 Place of Work, Street, Employed by Own Family: Form 3 Place of Work, Street, Employed by Own Family: Form 3 Place of Work, Street, Employed by Own Family: Form 3 Please copy all ID from page 4. If you are currently working for own family/parents, grandparents/guardians or spouse, please indicate the location where you usually work. [St.] Enter code in column 18 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and f3p3c02=2 Place of Work, Village, Employed by Own Family: Form 3 Place of Work, Village, Employed by Own Family: Form 3 Place of Work, Village, Employed by Own Family: Form 3 Place of Work, Village, Employed by Own Family: Form 3 Place of Work, Village, Employed by Own Family: Form 3 Please copy all ID from page 4. If you are currently working for own family/parents, grandparents/guardians or spouse, please indicate the location where you usually work. [VIL] Enter code in column 18 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and f3p3c02=2 Place of Work, District, Employed by Own Family: Form 3 Place of Work, District, Employed by Own Family: Form 3 Place of Work, District, Employed by Own Family: Form 3 Place of Work, District, Employed by Own Family: Form 3 Place of Work, District, Employed by Own Family: Form 3 Please copy all ID from page 4. If you are currently working for own family/parents, grandparents/guardians or spouse, please indicate the location where you usually work. [DIS] Enter code in column 18 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and f3p3c02=2 Place of Work, Commune, Employed by Own Family: Form 3 Place of Work, Commune, Employed by Own Family: Form 3 Place of Work, Commune, Employed by Own Family: Form 3 Place of Work, Commune, Employed by Own Family: Form 3 Place of Work, Commune, Employed by Own Family: Form 3 Please copy all ID from page 4. If you are currently working for own family/parents, grandparents/guardians or spouse, please indicate the location where you usually work. [COM] Enter code in column 18 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and f3p3c02=2 Place of Work, Province, Employed by Own Family: Form 3 Place of Work, Province, Employed by Own Family: Form 3 Place of Work, Province, Employed by Own Family: Form 3 Place of Work, Province, Employed by Own Family: Form 3 Place of Work, Province, Employed by Own Family: Form 3 Please copy all ID from page 4. If you are currently working for own family/parents, grandparents/guardians or spouse, please indicate the location where you usually work. [PRO] Enter code in column 18 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and f3p3c02=2 1 Banteay Meanchey 2 Battambang 3 Kampong Cham 4 Kampong Chhnang 5 Kampong Speu 6 Kampong Thom 7 Kampot 8 Kandal 9 Koh Kong 10 Kratie 11 Mondul Kiri 12 Phnom Penh 13 Preah Vihear 14 Prey Veng 15 Pursat 16 Ratanak Kiri 17 Siemreap 18 Sihanoukville 19 Stung Treng 20 Svay Rieng 21 Takeo 22 Oddar Meanchey 23 Kep 24 Pailin Employer at Current Work, Outside of Family: Form 3 Employer at Current Work, Outside of Family: Form 3 Employer at Current Work, Outside of Family: Form 3 Employer at Current Work, Outside of Family: Form 3 Employer at Current Work, Outside of Family: Form 3 Please copy all ID from page 4. If you are currently working for someone other than own family/parents or guardians, please give the name and address of employer. Enter code in column 26 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and f3p3c02=1 1 Own house 2 Other person's house/Employer's house 3 Other person's house 4 Office 5 Factory/Enterprise/Handicraft 6 Farm 7 Street 8 Market Place 9 Water area 10 Sexual service place 11 Mine/Underground site/Quarry site/Construction site 12 Hotel/Restaurant 13 Other Place of Work, Name, Outside of Family: Form 3 Place of Work, Name, Outside of Family: Form 3 Place of Work, Name, Outside of Family: Form 3 Place of Work, Name, Outside of Family: Form 3 Place of Work, Name, Outside of Family: Form 3 Please copy all ID from page 4. If you are currently working for someone other than own family/parents or guardians, please give the name and address of employer. [Name] Enter code in column 26 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and f3p3c02=1 Place of Work, Number, Outside of Family: Form 3 Place of Work, Number, Outside of Family: Form 3 Place of Work, Number, Outside of Family: Form 3 Place of Work, Number, Outside of Family: Form 3 Place of Work, Number, Outside of Family: Form 3 Please copy all ID from page 4. If you are currently working for someone other than own family/parents or guardians, please give the name and address of employer. [No.] Enter code in column 26 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and f3p3c02=1 Place of Work, Street, Outside of Family: Form 3 Place of Work, Street, Outside of Family: Form 3 Place of Work, Street, Outside of Family: Form 3 Place of Work, Street, Outside of Family: Form 3 Place of Work, Street, Outside of Family: Form 3 Please copy all ID from page 4. If you are currently working for someone other than own family/parents or guardians, please give the name and address of employer. [St.] Enter code in column 26 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and f3p3c02=1 Place of Work, Village, Outside of Family: Form 3 Place of Work, Village, Outside of Family: Form 3 Place of Work, Village, Outside of Family: Form 3 Place of Work, Village, Outside of Family: Form 3 Place of Work, Village, Outside of Family: Form 3 Please copy all ID from page 4. If you are currently working for someone other than own family/parents or guardians, please give the name and address of employer. [VIL] Enter code in column 26 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and f3p3c02=1 Place of Work, District, Outside of Family: Form 3 Place of Work, District, Outside of Family: Form 3 Place of Work, District, Outside of Family: Form 3 Place of Work, District, Outside of Family: Form 3 Place of Work, District, Outside of Family: Form 3 Please copy all ID from page 4. If you are currently working for someone other than own family/parents or guardians, please give the name and address of employer. [DIS] Enter code in column 26 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and f3p3c02=1 Place of Work, Commune, Outside of Family: Form 3 Place of Work, Commune, Outside of Family: Form 3 Place of Work, Commune, Outside of Family: Form 3 Place of Work, Commune, Outside of Family: Form 3 Place of Work, Commune, Outside of Family: Form 3 Please copy all ID from page 4. If you are currently working for someone other than own family/parents or guardians, please give the name and address of employer. [COM] Enter code in column 26 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and f3p3c02=1 Place of Work, Province, Outside of Family: Form 3 Place of Work, Province, Outside of Family: Form 3 Place of Work, Province, Outside of Family: Form 3 Place of Work, Province, Outside of Family: Form 3 Place of Work, Province, Outside of Family: Form 3 Please copy all ID from page 4. If you are currently working for someone other than own family/parents or guardians, please give the name and address of employer. [PRO] Enter code in column 26 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and f3p3c02=1 1 Banteay Meanchey 2 Battambang 3 Kampong Cham 4 Kampong Chhnang 5 Kampong Speu 6 Kampong Thom 7 Kampot 8 Kandal 9 Koh Kong 10 Kratie 11 Mondul Kiri 12 Phnom Penh 13 Preah Vihear 14 Prey Veng 15 Pursat 16 Ratanak Kiri 17 Siemreap 18 Sihanoukville 19 Stung Treng 20 Svay Rieng 21 Takeo 22 Oddar Meanchey 23 Kep 24 Pailin Employer at Current Work, Independent Worker: Form 3 Employer at Current Work, Independent Worker: Form 3 Employer at Current Work, Independent Worker: Form 3 Employer at Current Work, Independent Worker: Form 3 Employer at Current Work, Independent Worker: Form 3 Please copy all ID from page 4. If you are currently working independently somewhere, please give the location (as precise as possible). Enter code in column 34 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and currently working independently 1 Own house 2 Other person's house/Employer's house 3 Other person's house 4 Office 5 Factory/Enterprise/Handicraft 6 Farm 7 Street 8 Market Place 9 Water area 10 Sexual service place 11 Mine/Underground site/Quarry site/Construction site 12 Hotel/Restaurant 13 Other Place of Work, Name, Independent Worker: Form 3 Place of Work, Name, Independent Worker: Form 3 Place of Work, Name, Independent Worker: Form 3 Place of Work, Name, Independent Worker: Form 3 Place of Work, Name, Independent Worker: Form 3 Please copy all ID from page 4. If you are currently working independently somewhere, please give the location (as precise as possible). [Name] Enter code in column 34 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and currently working independently Place of Work, Number, Independent Worker: Form 3 Place of Work, Number, Independent Worker: Form 3 Place of Work, Number, Independent Worker: Form 3 Place of Work, Number, Independent Worker: Form 3 Place of Work, Number, Independent Worker: Form 3 Please copy all ID from page 4. If you are currently working independently somewhere, please give the location (as precise as possible). [No.] Enter code in column 34 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and currently working independently Place of Work, Street, Independent Worker: Form 3 Place of Work, Street, Independent Worker: Form 3 Place of Work, Street, Independent Worker: Form 3 Place of Work, Street, Independent Worker: Form 3 Place of Work, Street, Independent Worker: Form 3 Please copy all ID from page 4. If you are currently working independently somewhere, please give the location (as precise as possible). [St.] Enter code in column 34 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and currently working independently Place of Work, Village, Independent Worker: Form 3 Place of Work, Village, Independent Worker: Form 3 Place of Work, Village, Independent Worker: Form 3 Place of Work, Village, Independent Worker: Form 3 Place of Work, Village, Independent Worker: Form 3 Please copy all ID from page 4. If you are currently working independently somewhere, please give the location (as precise as possible). [VIL] Enter code in column 34 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and currently working independently Place of Work, District, Independent Worker: Form 3 Place of Work, District, Independent Worker: Form 3 Place of Work, District, Independent Worker: Form 3 Place of Work, District, Independent Worker: Form 3 Place of Work, District, Independent Worker: Form 3 Please copy all ID from page 4. If you are currently working independently somewhere, please give the location (as precise as possible). [DIS] Enter code in column 34 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and currently working independently Place of Work, Commune, Independent Worker: Form 3 Place of Work, Commune, Independent Worker: Form 3 Place of Work, Commune, Independent Worker: Form 3 Place of Work, Commune, Independent Worker: Form 3 Place of Work, Commune, Independent Worker: Form 3 Please copy all ID from page 4. If you are currently working independently somewhere, please give the location (as precise as possible). [COM] Enter code in column 34 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and currently working independently Place of Work, Province, Independent Worker: Form 3 Place of Work, Province, Independent Worker: Form 3 Place of Work, Province, Independent Worker: Form 3 Place of Work, Province, Independent Worker: Form 3 Place of Work, Province, Independent Worker: Form 3 Please copy all ID from page 4. If you are currently working independently somewhere, please give the location (as precise as possible). [PRO] Enter code in column 34 and specify name, house no., street no. and name of Village/Commune/District/Province. If outside Cambodia, specify name of the country in Province column. Children 5-17 years of age and f3p2c05=1, 2 and f3p2c07 not = 4 and currently working independently 1 Banteay Meanchey 2 Battambang 3 Kampong Cham 4 Kampong Chhnang 5 Kampong Speu 6 Kampong Thom 7 Kampot 8 Kandal 9 Koh Kong 10 Kratie 11 Mondul Kiri 12 Phnom Penh 13 Preah Vihear 14 Prey Veng 15 Pursat 16 Ratanak Kiri 17 Siemreap 18 Sihanoukville 19 Stung Treng 20 Svay Rieng 21 Takeo 22 Oddar Meanchey 23 Kep 24 Pailin Have been Hurt/Suffered Illnesses/Injuries Due to Work: Form 3 Have been Hurt/Suffered Illnesses/Injuries Due to Work: Form 3 Have been Hurt/Suffered Illnesses/Injuries Due to Work: Form 3 Have been Hurt/Suffered Illnesses/Injuries Due to Work: Form 3 Have been Hurt/Suffered Illnesses/Injuries Due to Work: Form 3 The following questions should be asked of the children of the household. Has _____ ever been injured at your workplace or suffered illness due to the work conditions or occupation at any time in the past, including previous work or occupation? 2=No (Go to Q17.5) Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] 1 Yes 2 No Work Related Illness 1: Form 3 Work Related Illness 1: Form 3 Work Related Illness 1: Form 3 Work Related Illness 1: Form 3 Work Related Illness 1: Form 3 The following questions should be asked of the children of the household. What was/were the nature of your illnesses/injuries? (More than one answer is acceptable.) [Illness (Work Related)] Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] and f3p6c02=1 1 General, such as fever, cold, etc. 2 Skin diseases (skin allergy, eczema, etc.) 3 Body aches/pains (head, neck, back, hand, wrist, joints) 4 Eye strain/Eyesight impairment 5 Hearing impairment/Ear infection 6 Respiratory (e.g. asthma, TB, pneumonia, etc.)/Breathing problem 7 Gastro intestinal (e.g. ulcer, hepatitis, etc.) 8 Anemia 9 General exhaustion 10 Other Work Related Illness 2: Form 3 Work Related Illness 2: Form 3 Work Related Illness 2: Form 3 Work Related Illness 2: Form 3 Work Related Illness 2: Form 3 The following questions should be asked of the children of the household. What was/were the nature of your illnesses/injuries? (More than one answer is acceptable.) [Illness (Work Related)] Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] and f3p6c02=1 1 General, such as fever, cold, etc. 2 Skin diseases (skin allergy, eczema, etc.) 3 Body aches/pains (head, neck, back, hand, wrist, joints) 4 Eye strain/Eyesight impairment 5 Hearing impairment/Ear infection 6 Respiratory (e.g. asthma, TB, pneumonia, etc.)/Breathing problem 7 Gastro intestinal (e.g. ulcer, hepatitis, etc.) 8 Anemia 9 General exhaustion 10 Other Work Related Illness 3: Form 3 Work Related Illness 3: Form 3 Work Related Illness 3: Form 3 Work Related Illness 3: Form 3 Work Related Illness 3: Form 3 The following questions should be asked of the children of the household. What was/were the nature of your illnesses/injuries? (More than one answer is acceptable.) [Illness (Work Related)] Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] and f3p6c02=1 1 General, such as fever, cold, etc. 2 Skin diseases (skin allergy, eczema, etc.) 3 Body aches/pains (head, neck, back, hand, wrist, joints) 4 Eye strain/Eyesight impairment 5 Hearing impairment/Ear infection 6 Respiratory (e.g. asthma, TB, pneumonia, etc.)/Breathing problem 7 Gastro intestinal (e.g. ulcer, hepatitis, etc.) 8 Anemia 9 General exhaustion 10 Other Work Related Injury 1: Form 3 Work Related Injury 1: Form 3 Work Related Injury 1: Form 3 Work Related Injury 1: Form 3 Work Related Injury 1: Form 3 The following questions should be asked of the children of the household. What was/were the nature of your illnesses/injuries? (More than one answer is acceptable.) [Injuries (Work Related)] Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] and f3p6c02=1 1 Contusion, bruises, hematoma, abrasion 2 Cuts/wounds/punctures 3 Amputation, loss of body parts 4 Crushing injuries 5 Dislocations, fractures, sprains 6 Burns 7 Bite by animal/snake/insect 8 Chemist 9 Other Work Related Injury 2: Form 3 Work Related Injury 2: Form 3 Work Related Injury 2: Form 3 Work Related Injury 2: Form 3 Work Related Injury 2: Form 3 The following questions should be asked of the children of the household. What was/were the nature of your illnesses/injuries? (More than one answer is acceptable.) [Injuries (Work Related)] Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] and f3p6c02=1 1 Contusion, bruises, hematoma, abrasion 2 Cuts/wounds/punctures 3 Amputation, loss of body parts 4 Crushing injuries 5 Dislocations, fractures, sprains 6 Burns 7 Bite by animal/snake/insect 8 Chemist 9 Other Work Related Injury 3: Form 3 Work Related Injury 3: Form 3 Work Related Injury 3: Form 3 Work Related Injury 3: Form 3 Work Related Injury 3: Form 3 The following questions should be asked of the children of the household. What was/were the nature of your illnesses/injuries? (More than one answer is acceptable.) [Injuries (Work Related)] Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] and f3p6c02=1 1 Contusion, bruises, hematoma, abrasion 2 Cuts/wounds/punctures 3 Amputation, loss of body parts 4 Crushing injuries 5 Dislocations, fractures, sprains 6 Burns 7 Bite by animal/snake/insect 8 Chemist 9 Other Gravity of Most Serious Accident/Illness/Injury: Form 3 Gravity of Most Serious Accident/Illness/Injury: Form 3 Gravity of Most Serious Accident/Illness/Injury: Form 3 Gravity of Most Serious Accident/Illness/Injury: Form 3 Gravity of Most Serious Accident/Illness/Injury: Form 3 The following questions should be asked of the children of the household. Referring to the most serious injury/illness, how serious was the injury/illness? If 1, 2, 5 or 6, go to Q23/Col. 11. Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] and f3p6c02=1 1 Did not need any medical treatment 2 Medically treated and released immediately 3 Stopped work temporarily 4 Hospitalized 5 Prevented work permanently 6 Other Number of Days Stopped Working/Hospitalized: Form 3 Number of Days Stopped Working/Hospitalized: Form 3 Number of Days Stopped Working/Hospitalized: Form 3 Number of Days Stopped Working/Hospitalized: Form 3 Number of Days Stopped Working/Hospitalized: Form 3 The following questions should be asked of the children of the household. Pelase give number of days. Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] and f3p6c02=3,4 Required to Operate Tools/Equipment/Machine at Work: Form 3 Required to Operate Tools/Equipment/Machine at Work: Form 3 Required to Operate Tools/Equipment/Machine at Work: Form 3 Required to Operate Tools/Equipment/Machine at Work: Form 3 Required to Operate Tools/Equipment/Machine at Work: Form 3 The following questions should be asked of the children of the household. Is _____ required to operate any tools, eqwuipment, machines, etc. at your workplace or on your job/occupation? 2=No (Go to Q17.7) Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] 1 Yes 2 No ID Number: Form 3 ID Number: Form 3 ID Number: Form 3 ID Number: Form 3 ID Number: Form 3 Please copy all ID from page 6. ID Number: Form 3 Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] Tools/Equipment/Machine 1 Operated at Work: Form 3 Tools/Equipment/Machine 1 Operated at Work: Form 3 Tools/Equipment/Machine 1 Operated at Work: Form 3 Tools/Equipment/Machine 1 Operated at Work: Form 3 Tools/Equipment/Machine 1 Operated at Work: Form 3 Please copy all ID from page 6. Which of the following machine/equipment have you operated? Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] 1 Power Press 2 Milling Machine/Equipment 3 Sawing Machine 4 Plate Printing Machine 5 Vehicle 6 Other Tools/Equipment/Machine 2 Operated at Work: Form 3 Tools/Equipment/Machine 2 Operated at Work: Form 3 Tools/Equipment/Machine 2 Operated at Work: Form 3 Tools/Equipment/Machine 2 Operated at Work: Form 3 Tools/Equipment/Machine 2 Operated at Work: Form 3 Please copy all ID from page 6. Which of the following machine/equipment have you operated? Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] 1 Power Press 2 Milling Machine/Equipment 3 Sawing Machine 4 Plate Printing Machine 5 Vehicle 6 Other Tools/Equipment/Machine 3 Operated at Work: Form 3 Tools/Equipment/Machine 3 Operated at Work: Form 3 Tools/Equipment/Machine 3 Operated at Work: Form 3 Tools/Equipment/Machine 3 Operated at Work: Form 3 Tools/Equipment/Machine 3 Operated at Work: Form 3 Please copy all ID from page 6. Which of the following machine/equipment have you operated? Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] 1 Power Press 2 Milling Machine/Equipment 3 Sawing Machine 4 Plate Printing Machine 5 Vehicle 6 Other Aware of Likely Health Problems Related to Work: Form 3 Aware of Likely Health Problems Related to Work: Form 3 Aware of Likely Health Problems Related to Work: Form 3 Aware of Likely Health Problems Related to Work: Form 3 Aware of Likely Health Problems Related to Work: Form 3 Please copy all ID from page 6. Were/are you aware of any likely health problems or possible hazards, injuries or illnesses in connection with your work? 2=No (Go to Q17.11) Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] 1 Yes 2 No Work Related Risks/Danger/Hazards Aware of: Form 3 Work Related Risks/Danger/Hazards Aware of: Form 3 Work Related Risks/Danger/Hazards Aware of: Form 3 Work Related Risks/Danger/Hazards Aware of: Form 3 Work Related Risks/Danger/Hazards Aware of: Form 3 Please copy all ID from page 6. What is the main risk/denager/hazard that you are aware of on connection with your work? Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] and f3p7c16=1 1 Prone to vehicular accident 2 Might get burned 3 May fall 4 May impair hearing 5 May face sight 6 May suffer physical mutation 7 May contract disease/get sick 8 May be bitten by animal/snake/insect 9 May face gastro intestinal (e.g. ulcer, hepatitis, etc.) 10 May face anemia 11 May face general exhaustion 12 Respiratory (e.g. asthma, TB, pneumonia, etc.)/Breathing problem 13 May drown 14 Other Work Related Illness Aware of: Form 3 Work Related Illness Aware of: Form 3 Work Related Illness Aware of: Form 3 Work Related Illness Aware of: Form 3 Work Related Illness Aware of: Form 3 Please copy all ID from page 6. What is the main illness that you are aware of on connection with your work? Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] and f3p7c16=1 1 General, such as fever, cold, etc. 2 Skin diseases (skin allergy, eczema, etc.) 3 Body aches/pains (head, neck, back, hand, wrist, joints) 4 Eye strain/Eyesight impairment 5 Hearing impairment/Ear infection 6 Respiratory (e.g. asthma, TB, pneumonia, etc.)/Breathing problem 7 Gastro intestinal (e.g. ulcer, hepatitis, etc.) 8 Anemia 9 General exhaustion 10 Other Work Related Injuries Aware of: Form 3 Work Related Injuries Aware of: Form 3 Work Related Injuries Aware of: Form 3 Work Related Injuries Aware of: Form 3 Work Related Injuries Aware of: Form 3 Please copy all ID from page 6. What is the main injury that you are aware of on connection with your work? Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] and f3p7c16=1 1 Contusion, bruises, hematoma, abrasion 2 Cuts/wounds/punctures 3 Amputation, loss of body parts 4 Crushing injuries 5 Dislocations, fractures, sprains 6 Burns 7 Bite by animal/snake/insect 8 Chemist 9 Other Faces Problems/Difficulties with Present Job: Form 3 Faces Problems/Difficulties with Present Job: Form 3 Faces Problems/Difficulties with Present Job: Form 3 Faces Problems/Difficulties with Present Job: Form 3 Faces Problems/Difficulties with Present Job: Form 3 Please copy all ID from page 6. Do you face any problems or difficulties with your present job? 2=No (Go to next child/XVIII) Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] 1 Yes 2 No Problems/Difficulties Faced with Present Job: Form 3 Problems/Difficulties Faced with Present Job: Form 3 Problems/Difficulties Faced with Present Job: Form 3 Problems/Difficulties Faced with Present Job: Form 3 Problems/Difficulties Faced with Present Job: Form 3 Please copy all ID from page 6. Do you face some problems or difficulties with your present job, what are they? Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] and f3p7c20=1 1 Work too hard/too tiring 2 Much work for long hours 3 Working condition is not good 4 Abused physically/mentally 5 Abused verbally 6 Abused morally 7 Pays poorly 8 Does not pay on time 9 Other Aware of Likely Health Problems Related to Work: Form 3 Aware of Likely Health Problems Related to Work: Form 3 Aware of Likely Health Problems Related to Work: Form 3 Aware of Likely Health Problems Related to Work: Form 3 Aware of Likely Health Problems Related to Work: Form 3 Copy all children 5-17 years from page 3 for col. 2/Q16.1=1 or 2 Are you aware of any likely health problem in connection with your work? Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] 1 Yes 2 No In Protective Wear while Working: Form 3 In Protective Wear while Working: Form 3 In Protective Wear while Working: Form 3 In Protective Wear while Working: Form 3 In Protective Wear while Working: Form 3 Copy all children 5-17 years from page 3 for col. 2/Q16.1=1 or 2 Do you use any protective wear while working? 2=No (Go to Q18.5) 3=Don't know (Go to Q18.5) Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] 1 Yes 2 No 3 Don't know Protective Wear 1 at Work: Form 3 Protective Wear 1 at Work: Form 3 Protective Wear 1 at Work: Form 3 Protective Wear 1 at Work: Form 3 Protective Wear 1 at Work: Form 3 Copy all children 5-17 years from page 3 for col. 2/Q16.1=1 or 2 Do you use any of the following protective wear while working? (More than one answer is acceptable.) Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] and f3p8c03=1 1 Mask 2 Glasses 3 Helmet 4 Earplugs 5 Special shoes 6 Gloves 7 Protective clothing 8 Simple hat/Krama/Towel 9 Other Protective Wear 2 at Work: Form 3 Protective Wear 2 at Work: Form 3 Protective Wear 2 at Work: Form 3 Protective Wear 2 at Work: Form 3 Protective Wear 2 at Work: Form 3 Copy all children 5-17 years from page 3 for col. 2/Q16.1=1 or 2 Do you use any of the following protective wear while working? (More than one answer is acceptable.) Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] and f3p8c03=1 1 Mask 2 Glasses 3 Helmet 4 Earplugs 5 Special shoes 6 Gloves 7 Protective clothing 8 Simple hat/Krama/Towel 9 Other Protective Wear 3 at Work: Form 3 Protective Wear 3 at Work: Form 3 Protective Wear 3 at Work: Form 3 Protective Wear 3 at Work: Form 3 Protective Wear 3 at Work: Form 3 Copy all children 5-17 years from page 3 for col. 2/Q16.1=1 or 2 Do you use any of the following protective wear while working? (More than one answer is acceptable.) Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] and f3p8c03=1 1 Mask 2 Glasses 3 Helmet 4 Earplugs 5 Special shoes 6 Gloves 7 Protective clothing 8 Simple hat/Krama/Towel 9 Other Protective Wear 4 at Work: Form 3 Protective Wear 4 at Work: Form 3 Protective Wear 4 at Work: Form 3 Protective Wear 4 at Work: Form 3 Protective Wear 4 at Work: Form 3 Copy all children 5-17 years from page 3 for col. 2/Q16.1=1 or 2 Do you use any of the following protective wear while working? (More than one answer is acceptable.) Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] and f3p8c03=1 1 Mask 2 Glasses 3 Helmet 4 Earplugs 5 Special shoes 6 Gloves 7 Protective clothing 8 Simple hat/Krama/Towel 9 Other Provider of Protective Wear: Form 3 Provider of Protective Wear: Form 3 Provider of Protective Wear: Form 3 Provider of Protective Wear: Form 3 Provider of Protective Wear: Form 3 Copy all children 5-17 years from page 3 for col. 2/Q16.1=1 or 2 Who provided them? Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] and f3p8c03=1 1 Employer/Boss 2 Parents/Guardian 3 Brother/Sister 4 Other relative 5 Self 6 Other Others in Protective Wear while Working: Form 3 Others in Protective Wear while Working: Form 3 Others in Protective Wear while Working: Form 3 Others in Protective Wear while Working: Form 3 Others in Protective Wear while Working: Form 3 Copy all children 5-17 years from page 3 for col. 2/Q16.1=1 or 2 Do other people doing the same work use protective wear while working? 2=No (Go to next Child/XIX) 3=Don't know (Go to next Child/XIX) Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] 1 Yes 2 No 3 Don't know Protective Wear 1 at Work, Others: Form 3 Protective Wear 1 at Work, Others: Form 3 Protective Wear 1 at Work, Others: Form 3 Protective Wear 1 at Work, Others: Form 3 Protective Wear 1 at Work, Others: Form 3 Copy all children 5-17 years from page 3 for col. 2/Q16.1=1 or 2 Which of the following do they usually use? (More than one answer is acceptable.) Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] and f3p8c09=1 1 Mask 2 Glasses 3 Helmet 4 Earplugs 5 Special shoes 6 Gloves 7 Protective clothing 8 Simple hat/Krama/Towel 9 Other Protective Wear 2 at Work, Others: Form 3 Protective Wear 2 at Work, Others: Form 3 Protective Wear 2 at Work, Others: Form 3 Protective Wear 2 at Work, Others: Form 3 Protective Wear 2 at Work, Others: Form 3 Copy all children 5-17 years from page 3 for col. 2/Q16.1=1 or 2 Which of the following do they usually use? (More than one answer is acceptable.) Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] and f3p8c09=1 1 Mask 2 Glasses 3 Helmet 4 Earplugs 5 Special shoes 6 Gloves 7 Protective clothing 8 Simple hat/Krama/Towel 9 Other Protective Wear 3 at Work, Others: Form 3 Protective Wear 3 at Work, Others: Form 3 Protective Wear 3 at Work, Others: Form 3 Protective Wear 3 at Work, Others: Form 3 Protective Wear 3 at Work, Others: Form 3 Copy all children 5-17 years from page 3 for col. 2/Q16.1=1 or 2 Which of the following do they usually use? (More than one answer is acceptable.) Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] and f3p8c09=1 1 Mask 2 Glasses 3 Helmet 4 Earplugs 5 Special shoes 6 Gloves 7 Protective clothing 8 Simple hat/Krama/Towel 9 Other Protective Wear 4 at Work, Others: Form 3 Protective Wear 4 at Work, Others: Form 3 Protective Wear 4 at Work, Others: Form 3 Protective Wear 4 at Work, Others: Form 3 Protective Wear 4 at Work, Others: Form 3 Copy all children 5-17 years from page 3 for col. 2/Q16.1=1 or 2 Which of the following do they usually use? (More than one answer is acceptable.) Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] and f3p8c09=1 1 Mask 2 Glasses 3 Helmet 4 Earplugs 5 Special shoes 6 Gloves 7 Protective clothing 8 Simple hat/Krama/Towel 9 Other ID Number: Form 3 ID Number: Form 3 ID Number: Form 3 ID Number: Form 3 ID Number: Form 3 Copy all children 5-17 years from page 8. ID Number: Form 3 Usual Activity 1 Outside of Work: Form 3 Usual Activity 1 Outside of Work: Form 3 Usual Activity 1 Outside of Work: Form 3 Usual Activity 1 Outside of Work: Form 3 Usual Activity 1 Outside of Work: Form 3 Copy all children 5-17 years from page 8. What do you do for fun when not working? (More than one answer is acceptable.) Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] 1 Talking for fun with friends/sisters/brothers/relatives 2 Watching TV, Video, Movie 3 Playing sports 4 Reading newspaper/magazine 5 Studying/learning 6 Other Usual Activity 2 Outside of Work: Form 3 Usual Activity 2 Outside of Work: Form 3 Usual Activity 2 Outside of Work: Form 3 Usual Activity 2 Outside of Work: Form 3 Usual Activity 2 Outside of Work: Form 3 Copy all children 5-17 years from page 8. What do you do for fun when not working? (More than one answer is acceptable.) Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] 1 Talking for fun with friends/sisters/brothers/relatives 2 Watching TV, Video, Movie 3 Playing sports 4 Reading newspaper/magazine 5 Studying/learning 6 Other Usual Activity 3 Outside of Work: Form 3 Usual Activity 3 Outside of Work: Form 3 Usual Activity 3 Outside of Work: Form 3 Usual Activity 3 Outside of Work: Form 3 Usual Activity 3 Outside of Work: Form 3 Copy all children 5-17 years from page 8. What do you do for fun when not working? (More than one answer is acceptable.) Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] 1 Talking for fun with friends/sisters/brothers/relatives 2 Watching TV, Video, Movie 3 Playing sports 4 Reading newspaper/magazine 5 Studying/learning 6 Other Reason for Doing Work: Form 3 Reason for Doing Work: Form 3 Reason for Doing Work: Form 3 Reason for Doing Work: Form 3 Reason for Doing Work: Form 3 Copy all children 5-17 years from page 8. If you are working, what is the main reason for working? Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] 1 Household is poor 2 To supplement household income 3 To pay outstanding debt under contractual arrangement 4 To assist/help in household enterprise 5 To gain experience 6 To pay schooling 7 To start own business 8 Education/Training program is not suitable 9 School/training institutions are too far 10 Other Condition of Household if Work is Discontinued: Form 3 Condition of Household if Work is Discontinued: Form 3 Condition of Household if Work is Discontinued: Form 3 Condition of Household if Work is Discontinued: Form 3 Condition of Household if Work is Discontinued: Form 3 Copy all children 5-17 years from page 8. if you stop working, what will happen? Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] 1 Household living standard will decline 2 Household cannot afford to live 3 Household enterprise cannot operate fully & other labor not affordable 4 No effect 5 Stop schooling 6 Other Preferred Activity if Given a Choice: Form 3 Preferred Activity if Given a Choice: Form 3 Preferred Activity if Given a Choice: Form 3 Preferred Activity if Given a Choice: Form 3 Preferred Activity if Given a Choice: Form 3 Copy all children 5-17 years from page 8. If given a choice, what would you prefer to do in the future? Working children 5-17 years of age [f3p2c07 not = 4 and f3p3c02=1,2] 1 Going to school full-time 2 Working for income full-time 3 Helping full-time in household enterprise or business 4 Working full-time in household chores or housekeeping 5 Going to school part-time and working part-time for income 6 Part-time in household enterprise or business 7 Part-time in household chores or housekeeping 8 Complete education/training and start to work 9 Full/part time(s) skill training 10 Find a better job/work than the present one 11 Want to do same work 12 Politic leader 13 Other Idle/Did not Do Anything at All in Past 7 Days: Form 3 Idle/Did not Do Anything at All in Past 7 Days: Form 3 Idle/Did not Do Anything at All in Past 7 Days: Form 3 Idle/Did not Do Anything at All in Past 7 Days: Form 3 Idle/Did not Do Anything at All in Past 7 Days: Form 3 Were you completely idle during the past 7 days (i.e., you were not attending school/training institution, not engaged in economic or non-economic activities (including housekeeping or household chores in own parents' guardian's or spouse's home)? 2=No (Go to Q20.3) Children 5-17 years old 1 Yes 2 No Reason for Being Idle in Past 7 Days: Form 3 Reason for Being Idle in Past 7 Days: Form 3 Reason for Being Idle in Past 7 Days: Form 3 Reason for Being Idle in Past 7 Days: Form 3 Reason for Being Idle in Past 7 Days: Form 3 What was the main reason(s)? Children 5-17 years old and f3p10c02=1 1 Sick 2 Disabled 3 Too young 4 Begging 5 Loitering in the streets 6 Addicted to drugs 7 Don't want 8 Other Preferred Economic Activity, Now, ISCO Code: Form 3 Preferred Economic Activity, Now, ISCO Code: Form 3 Preferred Economic Activity, Now, ISCO Code: Form 3 Preferred Economic Activity, Now, ISCO Code: Form 3 Preferred Economic Activity, Now, ISCO Code: Form 3 If given a choice, what would you like to do now and in the future? What primary occupation? [Now] Children 5-17 years old Preferred Economic Activity, Now, ISIC Code: Form 3 Preferred Economic Activity, Now, ISIC Code: Form 3 Preferred Economic Activity, Now, ISIC Code: Form 3 Preferred Economic Activity, Now, ISIC Code: Form 3 Preferred Economic Activity, Now, ISIC Code: Form 3 If given a choice, what would you like to do now and in the future? In what kind of economic activity? [Now] Children 5-17 years old Preferred Economic Activity, Other, Now, ISIC Code: Form 3 Preferred Economic Activity, Other, Now, ISIC Code: Form 3 Preferred Economic Activity, Other, Now, ISIC Code: Form 3 Preferred Economic Activity, Other, Now, ISIC Code: Form 3 Preferred Economic Activity, Other, Now, ISIC Code: Form 3 If given a choice, what would you like to do now and in the future? In what kind of economic activity? [Now, Other] Children 5-17 years old Preferred Economic Activity, Future, ISCO Code: Form 3 Preferred Economic Activity, Future, ISCO Code: Form 3 Preferred Economic Activity, Future, ISCO Code: Form 3 Preferred Economic Activity, Future, ISCO Code: Form 3 Preferred Economic Activity, Future, ISCO Code: Form 3 If given a choice, what would you like to do now and in the future? What primary occupation? [Future] Children 5-17 years old Preferred Economic Activity, Future, ISIC Code: Form 3 Preferred Economic Activity, Future, ISIC Code: Form 3 Preferred Economic Activity, Future, ISIC Code: Form 3 Preferred Economic Activity, Future, ISIC Code: Form 3 Preferred Economic Activity, Future, ISIC Code: Form 3 If given a choice, what would you like to do now and in the future? In what kind of economic activity? [Future] Children 5-17 years old Preferred Economic Activity, Future, Now, ISIC Code: Form 3 Preferred Economic Activity, Future, Now, ISIC Code: Form 3 Preferred Economic Activity, Future, Now, ISIC Code: Form 3 Preferred Economic Activity, Future, Now, ISIC Code: Form 3 Preferred Economic Activity, Future, Now, ISIC Code: Form 3 If given a choice, what would you like to do now and in the future? In what kind of economic activity? [Future, Other] Children 5-17 years old Strata Strata Strata Strata Strata Strata 1 Banteay Meanchey 2 Kampong Cham 3 Kandal 4 Takeo 5 Pursat 6 Phnom Penh 7 Kampong Chhnang/Kampong Speu 8 Battambang/Krong Pailin 9 Prey Veng/Svay Rieng 10 Kampot/Koah Kong/Sihanouk Ville/Krong Kep 11 Kracheh/Preah Vihear/Stueng Treng/M-Kiri/R-Kiri 12 Siem Reab/Kampong Thum/Oddar Meanchey Province/City Province/City Province/City Province/City Province/City Province/City 1 Banteay Meanchey 2 Battambang 3 Kampong Cham 4 Kampong Chhnang 5 Kampong Speu 6 Kampong Thum 7 Kampot 8 Kandal 9 Kaoh Kong 10 Kracheh 11 Mondol Kiri 12 Phnom Penh 13 Preah Vihear 14 Prey Veng 15 Pursat 16 Rattanak Kiri 17 Siem Reab 18 Siahnok Vile 19 Stueng Treng 20 Svay Rieng 21 Takeo 22 Oddar Meanchey 23 Krong Keb 24 Krong Pailin District/Khan District/Khan District/Khan District/Khan District/Khan District/Khan Commune/Sankat Commune/Sankat Commune/Sankat Commune/Sankat Commune/Sankat Commune/Sankat Village/Mondol Village/Mondol Village/Mondol Village/Mondol Village/Mondol Sample Village/Mondol Sector Sector Sector Sector Sector Sector 1 Urban 2 Rural Household Serial Number Household Serial Number Household Serial Number Household Serial Number Household Serial Number Household Serial Number F1Resid F1Resid F1Resid F1Resid F1Resid F2Resid F2Resid F2Resid F2Resid F2Resid Child ID Weight Weight Weight Weight Weight Family Size Family Size Family Size Family Size Family Size ID Number ID Number ID Number ID Number ID Number ID Number All persons Relationship to the Head Relationship to the Head Relationship to the Head Relationship to the Head Relationship to the Head Relationship to the head Use Relationship Codes below. All persons 1 Head 2 Spouse 3 Son/Daughter 4 Stepchild 5 Adopted Child/Foster Child 6 Parent 7 Sibling 8 Grandchild 9 Niece/Nephew 10 Son/Daughter-in-Law 11 Brother/Sister-in-Law 12 Parent-in-Law 13 Other Relative 14 Servant 15 Other Non-Relative inc. Borders Presence Status Presence Status Presence Status Presence Status Presence Status Presence or absence status Enter code All persons 1 Present 2 Absent Sex Sex Sex Sex Sex Sex Enter code All persons 1 Male 2 Female Age Age Age Age Age What is ____'s age in completed years? Enter 98 if age is 98 or over All persons Ethnicity Ethnicity Ethnicity Ethnicity Ethnicity Ethnicity Enter code All persons 1 Khmer 2 Cham 3 Other Local Group 4 Chinese 5 Vietnamese 6 Thai 7 Lao 8 Other Changed Place of Residence in Last 5 Years Changed Place of Residence in Last 5 Years Changed Place of Residence in Last 5 Years Changed Place of Residence in Last 5 Years Changed Place of Residence in Last 5 Years Has this household ever changed the usual place of residence in the last five years? Enter code If No, >> III All households 1 Yes 2 No Previous Residence: Commune Previous Residence: Commune Previous Residence: Commune Previous Residence: Commune Previous Residence: Commune What was the name of the usual place of residence in the last five years? Commune Enter "SAME" in Col. Province if same Commune, District and Province, otherwise specify Name of Province/District/Commune. If outside Cambodia, specify name of the country in Col. Province) All households who have changed their usual place of residence in the last 5 years [f1p4c1a=1] Previous Residence: District Previous Residence: District Previous Residence: District Previous Residence: District Previous Residence: District What was the name of the usual place of residence in the last five years? District Enter "SAME" in Col. Province if same Commune, District and Province, otherwise specify Name of Province/District/Commune. If outside Cambodia, specify name of the country in Col. Province) All households who have changed their usual place of residence in the last 5 years [f1p4c1a=1] Previous Residence: Province Previous Residence: Province Previous Residence: Province Previous Residence: Province Previous Residence: Province What was the name of the usual place of residence in the last five years? Province Enter "SAME" in Col. Province if same Commune, District and Province, otherwise specify Name of Province/District/Commune. If outside Cambodia, specify name of the country in Col. Province) All households who have changed their usual place of residence in the last 5 years [f1p4c1a=1] 1 Banteay Meanchey 2 Battambang 3 Kampong Cham 4 Kampong Chhnang 5 Kampong Speu 6 Kampong Thum 7 Kampot 8 Kandal 9 Kaoh Kong 10 Kracheh 11 Mondol Kiri 12 Phnom Penh 13 Preah Vihear 14 Prey Veng 15 Pursat 16 Rattanak Kiri 17 Siem Reab 18 Sihanok Vile 19 Stueng Treng 20 Svay Rieng 21 Takeo 22 Oddar Meanchey 23 Krong Keb 24 Krong Pailin Reason for Moving to Current Residence Reason for Moving to Current Residence Reason for Moving to Current Residence Reason for Moving to Current Residence Reason for Moving to Current Residence What was the main reason for coming/ changing the place of residence? All households who have changed their usual place of residence in the last 5 years [f1p4c1a=1] 1 Insecurity due to civil strife/Natural calamity 2 Family reunion/Family moved 3 Better work prospect/In search for work 4 On account of education 5 Transfer of workplace 6 On account of marriage 7 Repatriation 8 Return after displacement 9 Resettlement 10 Others Length of Stay in Current Residence, Years Length of Stay in Current Residence, Years Length of Stay in Current Residence, Years Length of Stay in Current Residence, Years Length of Stay in Current Residence, Years How long has this household been living in the present place of residence? Years All households who have changed their usual place of residence in the last 5 years [f1p4c1a=1] Length of Stay in Current Residence, Months Length of Stay in Current Residence, Months Length of Stay in Current Residence, Months Length of Stay in Current Residence, Months Length of Stay in Current Residence, Months How long has this household been living in the present place of residence? Months All households who have changed their usual place of residence in the last 5 years [f1p4c1a=1] Ownership Status of Dwelling Unit Ownership Status of Dwelling Unit Ownership Status of Dwelling Unit Ownership Status of Dwelling Unit Ownership Status of Dwelling Unit Ownership status of household dwelling: All households 1 Owned 2 Rented from private owner 3 Rented from government/Public ownership 4 Provided free by employer 5 Subsidised by employer 6 Others Amount Paid for Rental Amount Paid for Rental Amount Paid for Rental Amount Paid for Rental Amount Paid for Rental Give the amount paid per month by the household. All households and f1p06c0a=2,3,5 Type of Household Dwelling Type of Household Dwelling Type of Household Dwelling Type of Household Dwelling Type of Household Dwelling type of the household dwelling: All households 1 Single 2 Duplex/Apartment/Condominium 3 Commercial/Industrial/Agricultural Building 4 Institutional Living Quarters 5 Other Housing Unit Number of Living Rooms Number of Living Rooms Number of Living Rooms Number of Living Rooms Number of Living Rooms Number of living rooms, including drawing/ dining rooms: Enter number of rooms. All households Kind of Toilet Facility Kind of Toilet Facility Kind of Toilet Facility Kind of Toilet Facility Kind of Toilet Facility What kind of toilet facilities does your household use? Enter code All households 1 Connected to sewerage 2 Septic tank 3 Close latrine 4 Open latrine 5 Public toilet 6 Other 7 None Kitchen Kitchen Kitchen Kitchen Kitchen Kitchen: All households 1 Inside house 2 Outside house 3 None 4 Other Source of Lightning Source of Lightning Source of Lightning Source of Lightning Source of Lightning Source of lighting: All households 1 Electricity from government & other sources 2 Generator 3 Both electricity and generator 4 Kerosene oil 5 Candles 6 Battery 7 Others Source of Drinking Water Source of Drinking Water Source of Drinking Water Source of Drinking Water Source of Drinking Water Source of drinking water: All households 1 Piped in dwelling 2 Public tap 3 Tubed/Popied well or Borehold 4 Protected dug well 5 Unprotected dug well 6 Pond, River or Stream 7 Rainwater 8 Tanker truck, Vendor or Otherwise bought 9 Bottled water 10 Other Source of Fuel for Cooking Source of Fuel for Cooking Source of Fuel for Cooking Source of Fuel for Cooking Source of Fuel for Cooking Source of fuel for cooking: All households 1 Firewood 2 Charcoal 3 Liquified Petroleum Gas 4 Kerosene 5 Electricity 6 None 7 Other Television, Number Television, Number Television, Number Television, Number Television, Number Does the household own any of the following? TV Interviewer to read all options and mark all those mentioned by the respondent. Enter numbers. All households VSR, Number VSR, Number VSR, Number VSR, Number VSR, Number Does the household own any of the following? VSR Interviewer to read all options and mark all those mentioned by the respondent. Enter numbers. All households Cassette, Number Cassette, Number Cassette, Number Cassette, Number Cassette, Number Does the household own any of the following? Cassette Interviewer to read all options and mark all those mentioned by the respondent. Enter numbers. All households Radio, Number Radio, Number Radio, Number Radio, Number Radio, Number Does the household own any of the following? FM radio Interviewer to read all options and mark all those mentioned by the respondent. Enter numbers. All households FM Radio, 88 FM Radio, 88 FM Radio, 88 FM Radio, 88 FM Radio, 88 Does the household own any of the following? FM radio, 88 Interviewer to read all options and mark all those mentioned by the respondent. Enter numbers. All households 1 Yes 2 No FM Radio, 97 FM Radio, 97 FM Radio, 97 FM Radio, 97 FM Radio, 97 Does the household own any of the following? FM radio, 97 Interviewer to read all options and mark all those mentioned by the respondent. Enter numbers. All households 1 Yes 2 No FM Radio, 98 FM Radio, 98 FM Radio, 98 FM Radio, 98 FM Radio, 98 Does the household own any of the following? FM radio, 98 Interviewer to read all options and mark all those mentioned by the respondent. Enter numbers. All households 1 Yes 2 No FM Radio, 99 FM Radio, 99 FM Radio, 99 FM Radio, 99 FM Radio, 99 Does the household own any of the following? FM radio, 99 Interviewer to read all options and mark all those mentioned by the respondent. Enter numbers. All households 1 Yes 2 No FM Radio, 103 FM Radio, 103 FM Radio, 103 FM Radio, 103 FM Radio, 103 Does the household own any of the following? FM radio, 103 Interviewer to read all options and mark all those mentioned by the respondent. Enter numbers. All households 1 Yes 2 No FM Radio, 105 FM Radio, 105 FM Radio, 105 FM Radio, 105 FM Radio, 105 Does the household own any of the following? FM radio, 105 Interviewer to read all options and mark all those mentioned by the respondent. Enter numbers. All households 1 Yes 2 No FM Radio, Other FM Radio, Other FM Radio, Other FM Radio, Other FM Radio, Other Does the household own any of the following? FM radio, Other Interviewer to read all options and mark all those mentioned by the respondent. Enter numbers. All households 1 Yes 2 No Refregirator, Number Refregirator, Number Refregirator, Number Refregirator, Number Refregirator, Number Does the household own any of the following? Refrigerator(s) Interviewer to read all options and mark all those mentioned by the respondent. Enter numbers. All households Telephone, Number Telephone, Number Telephone, Number Telephone, Number Telephone, Number Does the household own any of the following? Telephone(s) Interviewer to read all options and mark all those mentioned by the respondent. Enter numbers. All households Car, Number Car, Number Car, Number Car, Number Car, Number Does the household own any of the following? Car(s) Interviewer to read all options and mark all those mentioned by the respondent. Enter numbers. All households Truck, Number Truck, Number Truck, Number Truck, Number Truck, Number Does the household own any of the following? Truck(s) Interviewer to read all options and mark all those mentioned by the respondent. Enter numbers. All households Tractor, Number Tractor, Number Tractor, Number Tractor, Number Tractor, Number Does the household own any of the following? Tractor(s) Interviewer to read all options and mark all those mentioned by the respondent. Enter numbers. All households Motorcycle, Number Motorcycle, Number Motorcycle, Number Motorcycle, Number Motorcycle, Number Does the household own any of the following? Motorcycle(s) Interviewer to read all options and mark all those mentioned by the respondent. Enter numbers. All households Cyclo, Number Cyclo, Number Cyclo, Number Cyclo, Number Cyclo, Number Does the household own any of the following? Cyclo(s) Interviewer to read all options and mark all those mentioned by the respondent. Enter numbers. All households Bicycle, Number Bicycle, Number Bicycle, Number Bicycle, Number Bicycle, Number Does the household own any of the following? Bicycle(s) Interviewer to read all options and mark all those mentioned by the respondent. Enter numbers. All households Boat, Number Boat, Number Boat, Number Boat, Number Boat, Number Does the household own any of the following? Boat(s) Interviewer to read all options and mark all those mentioned by the respondent. Enter numbers. All households Motor Boat, Number Motor Boat, Number Motor Boat, Number Motor Boat, Number Motor Boat, Number Does the household own any of the following? Motor Boat(s) Interviewer to read all options and mark all those mentioned by the respondent. Enter numbers. All households Cart, Number Cart, Number Cart, Number Cart, Number Cart, Number Does the household own any of the following? Cart(s) Interviewer to read all options and mark all those mentioned by the respondent. Enter numbers. All households Others, Number Others, Number Others, Number Others, Number Others, Number Does the household own any of the following? Others Interviewer to read all options and mark all those mentioned by the respondent. Enter numbers. All households Average Monthly Expenditure Average Monthly Expenditure Average Monthly Expenditure Average Monthly Expenditure Average Monthly Expenditure What is the estimated average monthly consumer expenditure of the present household? All households Main Expenditure of Household Main Expenditure of Household Main Expenditure of Household Main Expenditure of Household Main Expenditure of Household What is the main expenditure of the household? All households Average Monthly Income Average Monthly Income Average Monthly Income Average Monthly Income Average Monthly Income What is the estimated average monthly income of the household? All households Major Source of Income Major Source of Income Major Source of Income Major Source of Income Major Source of Income What is the main activityfrom which the household derived its major income during the last 12 months? All households 1 Self-employment: agricultural activity 2 Self-employment:non-agricultural activity 3 Agricultural labour 4 Regular employment 5 Other casual labour 6 Pensions, dividends, interests, property rent, etc 7 Others