{"name": "shelter_material_survey", "type": "survey", "title": "Survey on Household Characteristics", "id_string": "shelter_material_survey", "sms_keyword": "shelter_material_survey", "default_language": "default", "version": "202411290931", "children": [{"name": "start_time", "type": "start"}, {"name": "end_time", "type": "end"}, {"name": "section1", "label": "Section 1. Record this information before approaching the household", "type": "group", "children": [{"name": "hhid", "label": "Please assign a unique household ID.", "type": "integer"}, {"name": "date", "label": "What is today's date?", "type": "date"}, {"name": "state", "label": "What state are you in?", "type": "select one", "children": [{"name": "kad", "label": "Kaduna"}, {"name": "kan", "label": "Kano"}, {"name": "kat", "label": "Katsina"}, {"name": "jig", "label": "Jigawa"}, {"name": "yob", "label": "Yobe"}, {"name": "zam", "label": "Zamfara"}]}, {"name": "geo", "label": "Is this area rural, urban, peri-urban, or other?", "type": "select one", "children": [{"name": "urban", "label": "Urban"}, {"name": "peri", "label": "Peri-urban"}, {"name": "rural", "label": "Rural"}, {"name": "other_geolist", "label": "Other"}]}, {"name": "other_geo", "label": "Specify other", "type": "text", "bind": {"relevant": "${geo}='other_geolist'"}}, {"name": "address", "label": "Please enter the address or description of the home location.", "type": "text"}, {"name": "hhgps", "label": "Please record the GPS coordinates of this home.", "type": "geopoint"}, {"name": "hhpicture", "label": "If available, you may want to take a photo of the front of the house.", "type": "photo"}]}, {"name": "section2", "label": "Section 2. Household information", "type": "group", "children": [{"name": "note1", "label": "Begin the interview with a short introduction about who you are, the program, and the purpose of the survey.", "type": "note"}, {"name": "note2", "label": "Ask to interview the female in charge of the household or the oldest available female. If not available, male is ok.", "type": "note"}, {"name": "name", "label": "What is your name?", "type": "text"}, {"name": "hhposition", "label": "What is your position in the household?", "type": "select one", "children": [{"name": "f_head", "label": "Female head of household"}, {"name": "f_oldest", "label": "Oldest female in household"}, {"name": "f_other", "label": "Other female"}, {"name": "m_head", "label": "Male head of household"}, {"name": "m_oldest", "label": "Oldest male in household"}, {"name": "m_other", "label": "Other male"}]}, {"name": "hhsize", "label": "How many people live in this household most of the time?", "type": "integer"}, {"name": "hhadults", "label": "How many of the people who live here are adults (age 18 or over)?", "type": "integer"}, {"name": "hhboys", "label": "How many boys under age 18 live here?", "hint": "Don't forget babies, visitors, and household help.", "type": "integer"}, {"name": "hhgirls", "label": "How many girls under age 18 live here?", "hint": "Don't forget babies, visitors, and household help.", "type": "integer"}]}, {"name": "section3", "label": "Section 3. Contact information", "type": "group", "children": [{"name": "note3", "label": "Thank you for participating in this survey. Here is my contact information if you want to reach me.", "type": "note"}, {"name": "contact", "label": "If you're comfortable, is there any way we can get in touch with you?", "type": "select one", "children": [{"name": "yes", "label": "Yes"}, {"name": "no", "label": "No"}]}, {"name": "phone", "label": "Enter phone number or other contact.", "type": "text", "bind": {"relevant": "${contact} = 'yes'"}}]}, {"name": "section4", "label": "Section 4. Interviewer observations", "type": "group", "children": [{"name": "hh_roof", "label": "The roof of this house is made of:", "type": "select one", "children": [{"name": "metal", "label": "Metal sheets"}, {"name": "brick", "label": "Brick"}, {"name": "thatch", "label": "Thatch / Palm leaf"}, {"name": "tiles", "label": "Roofing tiles"}, {"name": "other_roof", "label": "Other"}]}, {"name": "other_hh_roof", "label": "Specify other", "type": "text", "bind": {"relevant": "${hh_roof}='other_roof'"}}, {"name": "hh_wall", "label": "The walls of the house are made of:", "type": "select one", "children": [{"name": "tin", "label": "Tin"}, {"name": "brick", "label": "Brick"}, {"name": "mud", "label": "Mud"}, {"name": "concrete", "label": "Concrete"}, {"name": "other_wall", "label": "Other"}]}, {"name": "other_hh_wall", "label": "Specify other", "type": "text", "bind": {"relevant": "${hh_wall}='other_wall'"}}, {"name": "hh_floor", "label": "The floor of the house is made of:", "type": "select one", "children": [{"name": "earth", "label": "Earth / Sand"}, {"name": "tiles", "label": "Ceramic tiles"}, {"name": "cement", "label": "Cement"}, {"name": "wood", "label": "Wood"}, {"name": "other_floor", "label": "Other"}]}, {"name": "other_hh_floor", "label": "Specify other", "type": "text", "bind": {"relevant": "${hh_floor}='other_floor'"}}, {"name": "hh_toilet", "label": "Does the house appear to have access to improved toilet facilities?", "type": "select one", "children": [{"name": "yes", "label": "Yes"}, {"name": "no", "label": "No"}]}, {"name": "hh_light", "label": "What is the main source of light in the house?", "type": "select one", "children": [{"name": "electricity", "label": "Electricity"}, {"name": "solar", "label": "Solar"}, {"name": "gas", "label": "LPG gas"}, {"name": "oil", "label": "Oil lamp"}, {"name": "dark", "label": "Dark (only natural light)"}, {"name": "other_light", "label": "Other"}]}, {"name": "other_hh_light", "label": "Specify other", "type": "text", "bind": {"relevant": "${hh_floor}='other_hh_light'"}}, {"name": "hh_other", "label": "Other identifying characteristics of house:", "type": "text"}, {"name": "hh_comparison", "label": "Compared to other houses in the community, how would you say this one compares?", "type": "select one", "control": {"appearance": "likert"}, "children": [{"name": "poorer", "label": "Poorer than others"}, {"name": "same", "label": "About the same as others"}, {"name": "wealthier", "label": "Wealthier than others"}]}, {"name": "notes", "label": "Did you see anything that should be followed up or any other notes you wish to make?", "type": "text"}]}, {"name": "meta", "type": "group", "control": {"bodyless": true}, "children": [{"name": "instanceID", "type": "calculate", "bind": {"readonly": "true()", "calculate": "concat('uuid:', uuid())"}}]}]}