Survey Questionnaire
- Age
- Gender
- Location (Province/State/Prefecture)
- Location (District/sub-prefecture)
- Did you or members of your household receive aid in the past year?
- Were you or members of your household in need of aid in the past year?
- If you or your family received aid, what type of aid was it?
- Cash or vouchers
- Food
- Clean water/sanitation
- Shelter items
- Medical care or medicines
- Household items
- Children's education
- Seeds and tools
- Protection from violence
- Other
- I don’t know
- Who provided the aid you or your household received?
- Local authorities / government
- National NGO
- Foreign NGO
- National Red Cross / Red Crescent Society
- UN agency
- ICRC [International Committee for the Red Cross]
- Religious group
- Military group
- Local business
- Other
- I don’t know
- Did the aid you or your family received last year cover your priority needs?
- Not at all
- Not really
- Neutral
- Mostly yes
- Yes - very much
- Was there a time during the last year when people in your area were unable to access assistance for any of the following reasons?
- Unable to access aid due to it being distributed / located too far from where you live
- Unable to access aid due to a fear of it being unsafe to reach it
- Aid was meant for you / your family but local officials took it instead
- Aid was meant for you / your family but was taken by the military / army to help them
- None
- I don’t know
- In your [province/state/prefecture], does the aid reach the areas where it is needed the most?
- Not at all
- Not really
- Neutral
- Mostly yes
- Yes - very much
- I don’t know
- What prevents aid reaching where it is needed the most?
- It is not safe for people to come work in the areas where aid is most needed
- The roads are poor / it is difficult to reach the areas most in need
- The government restricts aid to areas most in need
- Other military actors restrict aid to areas most in need
- The most affected areas are not a priority for aid providers
- None
- I don’t know
- Which type of aid providers have been best able to reach populations in need in the last year?
- Local authorities / government
- National NGOs
- Foreign NGOs
- National Red Cross / Red Crescent Society
- UN agencies
- ICRC [International Committee for the Red Cross]
- Religious groups
- Military groups
- Local businesses
- Other
- I don’t know
- Which national/local NGO (non-governmental organization) aid providers have been best able to reach populations in need of aid in the last year? [Open-ended response]
- Which foreign or international NGO (non-governmental organization) aid providers have been best able to reach populations in need of aid in the last year? [Open-ended response]
- Which UN agency aid providers has been best able to reach populations in need of aid in the last year? [Open-ended response]
- Which religious group aid provider, if any, has been best able to reach populations in need of aid in the last year?
- Which military group aid provider, if any, has been best to reach populations in need of aid in the last year?
- Which local business aid provider, if any, has been best to reach populations in need of aid in the last year?
- What could aid providers do to improve getting assistance to areas where it is most needed?
- Work through local businesses
- Work with local [church/mosque]
- Work with the local authorities
- Negotiate with armed groups
- Consult more with our community
- Be more respectful of our customs
- Other
- I don’t know
- Who else could potentially provide aid that you could reach safely?
- Has the presence of aid providers in your district changed in the last year?
- Reduced a lot
- Reduced
- Neutral / stayed the same
- Increased
- Increased a lot
- I don't know
- Why do you think the presence of aid providers in your area changed in the last year? [Open-ended response]