University of Washington



VILLAGE QUESTIONNAIRE

Name of respondent 1 (Education section): _______________________________

Title: _____________________________

Living ____ 1 = in this place; 2 = in another place

(respondent is schoolteacher)

Name of respondent 2 (Village key person): _______________________________

Title: _____________________________

Living ____ 1 = in this place; 2 = in another place

Note: respondent 2 not needed if respondent 1 knows information for other sections.

II. EDUCATION

Please list all of the schools in your village:

|2a. School |2b. Name |2c. Address |2d. Administration: |

|number | | |1. Government Madrasha |

| | | |2. Non-government Madrasha |

| | | |3. Government School |

| | | |4. Non-government School/ |

| | | |5. Kindergarten |

| | | |6. BRAC School |

| | | |7. Other NGO School |

| | | |8. Government College |

| | | |9. Non-government College |

| | | |9. Other (specify) |

|1 | | | |

|2 | | | |

|3 | | | |

|4 | | | |

|5 | | | |

|School |2e. What |2f. Lowest |2g. Highest|2i. |2j. Total |2k. What |2l. Total |Secondary school only |

|number |year was |class |class |Teaching |students |percent of |teachers in |(primary schools and colleges >> |

| |this school|taught at |taught at |Hours | |students in |school |next line) |

| |estab-lishe|school |school | | |this school | | |

| |d? | | | | |live in this| | |

| | | | | | |village? | | |

| |YYYY | | | | | | | |

| | | | | | | | |2m. Did any |2n. Number of|

| | | | | | | | |students in this |student that |

| | | | | | | | |school take the SSC|took SSC exam|

| | | | | | | | |exam this current | |

| | | | | | | | |year? | |

| | | | | | | | |1 = yes | |

| | | | | | | | |2 = no (>> 2o) | |

|1 | | | | | | | | | |

|2 | | | | | | | | | |

|3 | | | | | | | | | |

|4 | | | | | | | | | |

|5 | | | | | | | | | |

For all of the secondary schools above:

| |Secondary Schools only |

|School |2o. Number |Girls stipend program |

|number |of students| |

| |that passed| |

| |SSC exam | |

| | |2s. |2t. |2u. |2v. |2w. |2x. |

| | |What year did |6th grade |7th grade |8th grade |9th grade |10th grade |

| | |any students |Students? |Students? |Students? |students |students? |

| | |in this school| | | | | |

| | |begin |YYYY |YYYY |YYYY |YYYY |YYYY |

| | |receiving the | | | | | |

| | |secondary | | | | | |

| | |school | | | | | |

| | |stipend? | | | | | |

| | |YYYY | | | | | |

|1 | | | | | | | |

|2 | | | | | | | |

|3 | | | | | | | |

|4 | | | | | | | |

|5 | | | | | | | |

III. Facilities

|Name |3a. In this village?|3b. Distance |3c. Time needed to |3d. Most common mode of |3e. Type of road |

| |1 = yes (>> next |of closest |reach |transportation |1 = metal |

| |facility) |(km.) | |(see codes below) |2 = brick |

| |2 = no | | | |3 = mud |

| | | |Hrs |Min. | | |

|Bus station | | | | | | |

|(Key landmark in) | | | | | | |

|Dhaka city | | | | | | |

|Girls' secondary | | | | | | |

|school | | | | | | |

|Boys' secondary | | | | | | |

|school | | | | | | |

|Secondary school for| | | | | | |

|girls and boys | | | | | | |

|Thana health center | | | | | | |

|Govt. district | | | | | | |

|hospital | | | | | | |

Cart/ horse = 1, Rickshaw/ van/ bicycle= 2, Baby taxi/ tempo/ motor = 3, Bus = 4, Truck/ trolley = 5, Train = 6, Launch/ steamer/ engine boat = 7, Country boat = 8, On foot = 9, Other (specify) = 10

IV. Employment

What are the top three major industries that men and women who work outside the home work in?

4d.Men (1) _____________________ 4e. Women (1) ________________________

(2) _____________________ (2) ________________________

(3) _____________________ (3) ________________________

Please give the following daily wage rates for agricultural labour, if this type is hired in village:

| |During peak season |During lean season |

| |4f. With food (Tk.) |4g. Without food |4h. Working |4i. With food (Tk.) |4j. Without food |4k. Working |

| | |(Tk.) |hours/day | |(Tk.) |hours/day |

|Male | | | | | | |

|Female | | | | | | |

|Children (less than | | | | | | |

|age 12) | | | | | | |

In general, in this village, are there [___] who want a job at the wages paid by factories in the EPZ, but there aren't enough jobs for them (i.e., the factories aren't hiring)?

4m. Men? ______ (1 = yes, many; 2 = yes, a few, 3 = none)

4n. Women? _______ (1 = yes, many; 2 = yes, a few, 3 = none)

4o. If answered yes to either above, are there any sorts of people who are especially unlikely to be able to get a job in the EPZ, even if they want one? (list up to 3 main groups)

(1) _______ (2) ________ (3) _________

Codes: 1 = Poor 5= Recent migrants

2 = Young people 6 = Not educated

3 = Older people 7 = Other (specify: )

4 = People who don't know anyone currently working there

4p. Among the factories outside of the EPZ, are there factories in particular that people in this village are especially likely to work in? (list up to 5, starting with the most common)

| |GARMENT FACTORIES (if any) | |NON-GARMENT FACTORIES (if any) |

| |Name | |Name |

|1 (most common) | | | |

|2 | | | |

|3 | | | |

|4 | | | |

|5 | | | |

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