Case ID
10% subsample
Baseline municipality
Baseline barangay
Duration in mins
Date/time submitted
Day of the week
Graduation recipient
Treatment assignment
Control
Group LH / Group Coach
Ind LH / Group Coach
Ind LH / Ind Coach
1 = Group livelihood, 0 = otherwise
1 = Group coaching, 0 = otherwise
1 = Individual livelihood, 0 = otherwise
1 = Individual coaching, 0 = otherwise
DEMOGRAPHICS
[1.1] What is your gender?
[1.2] What is your age?
[1.3] Have you moved houses in the last two years?
[1.5] Are you still living in ${barangay}, ${municipality}, ${province}?
[1.6] In what region do you currently live?
[1.7] In what province do you currently live?
[1.8] In what municipality do you currently live?
[1.9] In what barangay do you currently live?
[1.10] Did you move houses since the lockdown last March 30?
[1.11] The head of your household is your...?
[1.12] How many people, including yourself, live in your current household?
[1.13] How many functional phone numbers do you personally own?
[1.14] Are you currently living with your spouse or partner?
WORK AND INCOME I would like to ask you about your household’s sources of income
[2.2] Has your household had other sources of income in the past 3 months?
[2.3] Has your household had other sources of income in the past 3 months beside
[2.4] Was ${income1a_ref} also your main source of income in March before the q
[2.5] What was your main source of income in March before the quarantine started
[2.6] Are you currently operating or receiving income from ${income1b_ref}?
[2.7] Was ${income2a_ref} also your second source of income in March before the
[2.8] What was your second source of income in March before the quarantine?
What was your second source of income in March? [Enumerator] Choose short descri
[2.9] Are you currently operating or receiving income from ${income2b_ref}?
[2.10] Was ${income3a_ref} also your third source of income in March before the
[2.11] What was your third source of income in March before the quarantine?
What was your third source of income in March? [Enumerator] Choose short descrip
[2.12] Are you currently operating or receiving income from ${income3b_ref}?
[2.13] Have you sold asset/s from your business that you didnt plan to sell?
[2.14] Which one?
[2.15] Stopped business operations at some point due to the quarantine?
[2.16] Which one?
[2.17] Employer stopped operations at some point due to the quarantine?
[2.18] Which one?
[2.19] HH's earnings of the past 30 days compared to pre-quarantine earnings
[2.20] In the past 7 days, how many hours did you personally work?
[2.21] Personal labor hours in past 7 days compared to pre-quarantine
[2.22] HH labor hours in past 7 days compared to pre-quarantine
Earns income from employment
FOOD SECURITY
N days limited portion size at mealtimes in past 7 days
N days reduced number of meals in past 7 days
N days reduced kinds of food eaten in past 7 days
N kgs of rice consumed in past 7 days
N kgs of meat consumed in past 7 days
N meals included meat in past 7 days
Experienced increase in food expenditure since quarantine
DOLE livelihood asset
LIVELIHOOD DISCUSSIONS
In the past 3 months, have you discussed with anyone from another household in y
..Securing resources or inputs for your livelihood
..Finding markets or customers for your livelihood
..Dealing with problems with your livelihood
..Keep track of your accounts related to your livelihood
..Adapting your livelihood for Covid
..Other business practices
N discussion topics
Maximum N times discussed topic/s in past 3 months
Average times discussed topics in past 3 months
Maximum N people outside HH discussed topics with
Average N people outside HH discussed topics with
How many times have you discussed ${liv1_label} in the past 3 months?
With how many different people from your barangay?
FINANCIAL HEALTH Now I have a few questions for you about financial challenges F
Imagine that you have an emergency and you need to pay Php 5,000. What would be
How difficult would it be for you to come up with Php 5,000 within the NEXT 30 D
How difficult would it be for you to come up with Php 5,000 within the NEXT 7 DA
Since the quarantine started in end of March, have you or someone in your househ
..None
..Sell off assets
..Deplete your savings
..Borrow money unsure can pay back
..Skip required loan payments
..Buy fewer inputs than planned
..Loan from NGO/institution
..Don't know
..Refuse to answer
..Reduce food consumption
..Skip/delay health care visit
..Reduced business investment
..Purchase cheaper food
..Had children work
SOCIAL SAFETY NET Now I'm going to ask some questions about your household's acc
Is your household a beneficiary of the DSWD social amelioration program (SAP)?
How many SAP payments has your household received?
Besides SAP, has HH received any new transfers/assistance after quarantine?
N sources of transfers
.. Barangay
.. Local Government Unit (LGU) or City Hall
..DOLE
..DSWD
.. Other government body
.. Community groups (such as NGO, CSO, church, etc.)
.. Family outside your household
.. Neighbors and friends
.. Other, specify
Other, specify - transfers received
Cash from Barangay
Cash from Local Government Unit (LGU) or City Hall
Cash from DOLE
Cash from DSWD
Cash from Other government body
Cash from Community groups (such as NGO, CSO, church, etc.)
Cash from Family outside your household
Cash from Neighbors and friends
Did the help your household received from ${net2_label} come as goods, as cash,
How much cash did your household receive?
Has your household provided any transfers or assistance (such as cash, rice, oth
Did you provide goods, cash, or both?
How much cash did you send?
MENTAL HEALTH
Feeling nervous, anxious or on edge
Not being able to stop or control worrying
Little interest or pleasure in doing things
Feeling down, depressed, or hopeless
PHQ-4 Sum
COVID MITIGATION [Enumerator] This will skip for some cases.
In the past 7 days, how many days have you stayed at home all day , without goin
Does your household have access to soap and clean water to allow for frequent ha
In the past 7 days, have you washed your hands with soap and water more often, l
In the last 7 days, have you ALWAYS worn a face mask or other nose/mouth coverin
In the last 7 days, why have you not worn a face mask or other nose/mouth coveri
Do you feel that you or anyone in your household is at risk of contracting covid
Why do you feel that your household is protected from covid-19?
..Belief in God
..Follow preventive/protective measures (handwashing, social distancing or masks
..Does not exist where I live
..Does not exist at all
..We are strong and healthy
..We are not elderly
..Hot weather
..Because my racial or ethnic group is not affected
..Government is protecting us
..We do not go out
..We live in a rural area
..It is curable/treatable
Why do you feel that your household is protected from covid-19? OTHER
Since the start of the quarantine in the end of March, did your household experi
Does your household have health insurance in case a household member becomes sic