IV. EXAMPLES OF QUESTIONNAIRES

EXAMPLE A. RESIDENTIAL SECTOR

1. GENERAL DATA

Questionnaire number

To be completed with the supervisor

Date

Enumerator

Supervisor

Province

Municipality

Locality

Stratum

Name of interviewee

SATURATION KEY

1. What do you use for cooking food or washing clothes?

Fuelwood

Charcoal

Kerosene

Diesel

LPG

Electricity

Other__________________

2. What were you using for cooking 5 years ago?

Fuelwood

Charcoal

Kerosene

Diesel

LPG

Electricity

Other__________________

3. Number of persons eating meals in the home

Repeat the count in order to refine the data

Adults

Children

Total

(Over 15 years of age)

2. FUELWOOD

4. For what purposes do you use fuelwood?

Preparation food

Boiling drinking water

Heating bath water

Washing clothes

Preparing animal feed

Other__________________

5. How do you acquire the fuelwood you use in the home?

Purchase

Gather

Purchase and gather

6. Do you have difficulty in obtaining fuelwood?

NO

YES

7. If yes, what kind(s) of difficulty?

2.1 PURCHASES

8. From what source do you buy fuelwood?

Trader

Private source

Both

Other___________________

9. How often do you buy fuelwood and how much do you buy each time?

Check for correspondence with size of family

How often

Amount

Local unit for fuelwood

Every _____________ days

(daily=every day, weekly=every 7 days, monthly=every 30 days)

10. How much does fuelwood cost?

Price (e.g. in pesos)

Local unit for fuelwood

2.2 GATHERING

11. Who fetches fuelwood most frequently?

Man

Tick one box only

Woman

Children

12. Who owns the land you get fuelwood from?

Private

Communal

Under usufruct

State

Other___________________

13. What type of land do you get most of your fuelwood from?

Forest

State no more than three

Scrubland

Agricultural plantation

Hedge

Wasteland

Other___________________

14. How far is your source of fuelwood?

km

15. How often do you go to fetch fuelwood?

Check for correspondence with size of family

How often

Amount

Local unit for fuelwood

Every _____________ days

(daily=every day, weekly=every 7 days, monthly=every 30 days)

16. How is the fuelwood carried?

Donkey/horse

Cart

Manually

Bicycle

Pick-up

Other___________________

17. How do you obtain the fuelwood?

Cutting branches/dry

Cutting branches/green

Cutting stems/dry

Cutting stems/green

Gathering from ground

2.3 FUELWOOD CONSUMPTION

18. How many days in a month do you use fuelwood?

days/month

AT THIS POINT ASK INTERVIEWEE TO SET ASIDE AN AMOUNT OF FUELWOOD SUCH AS USED IN A NORMAL WEEKDAY

19. Weight of fuelwood used in one day

kg

SEPARATE AND CUT 3 SAMPLES OF FUELWOOD TO MEASURE MOISTURE CONTENT

Mark these samples with the questionnaire number. MEASURE MOISTURE ONLY IF FUELWOOD IS WEIGHED

20. Moisture content of 3 samples of fuelwood.

Sample

Species

Moisture

Diameter of wood (cm)

A

B

C

Ask to be shown stove

21. Type of stove

“Three stones”

Traditional enclosed

4 blocks with metal net

Nonó

Other___________________

3. CHARCOAL

22. For what purpose do you use charcoal?

Preparing food

Boiling drinking water

Heating bath water

Washing clothes

Preparing animal feed

Other___________________

23. Who do you usually buy your charcoal from?

Trader

Private source

Both

Other___________________

24. Where do you buy charcoal?

At the home of the interviewee

At the market

At the home of the vendor

Other___________________

25. How often do you buy charcoal and how much do you buy each time?

Check for correspondence with size of family

How often

Amount

Local unit for charcoal*

Every _____________ days

(daily=every day, weekly=every 7 days, monthly=every 30 days)

(*“tin”/sack”, etc)

26. How much does the fuelwood cost?

Price (e.g. pesos)

Local unit for fuelwood

27. Is the charcoal you buy of good quality?

YES

NO

28. Give reasons for saying so.

4. LIQUID PROPANE GAS

29. For what purpose do you use LPG?

Preparing food

Boiling drinking water

Heating bath water

Washing clothes

Preparing animal feed

Other___________________

30. How long does the gas last?

days

Tank

kg

5. ELECTRICITY

31. For what purpose do you use electricity?

Preparing food

Boiling drinking water

Heating bath water

Washing clothes

Preparing animal feed

Other___________________

6. KEROSENE

32. For what purpose do you use kerosene?

Preparation food

Sterilizing drinking water

Heating bath water

Washing clothes

Preparing animal feed

Other___________________

33. How many days a month do you use kerosene?

days/month

34. How much kerosene do you buy in a month?

Amount

Local unit for kerosene

35. How much does kerosene cost?

Price (e.g. pesos)

Local unit for kerosene

7. DIESEL OIL

36. For what purpose do you use diesel oil?

Preparing food

Boiling drinking water

Heating bath water

Washing clothes

Preparing animal feed

Other__________________

37. How many days a month do you use diesel oil?

days/month

38. How much do you buy in a month?

Amount

Local unit for diesel oil

39. How much does diesel oil cost?

Price (e.g. pesos)

Local unit for diesel oil

8. PERCEPTIONS ON USE AND SUPPLY OF FUELWOOD AND CHARCOAL

40. Is there anything you object to in using charcoal or fuelwood?

Fuelwood

Charcoal

YES

YES

NO

NO

41. If “Yes”, what is it that you object to and how could this be improved?

Fuelwood

Charcoal

I object to

I object to

This could be improved by

This could be improved by

42. If there were a fuelwood stove that sent smoke outside, did not heat the house and did not blacken saucepans

WOULD YOU USE IT?

YES

NO

43. If it were on sale WOULD YOU BUY ONE?

YES

NO

THANK YOU

END OF QUESTIONNAIRE

COMMENTS OF ENUMERATOR (Did the interview go well? Include additional data)

COMMENTS OF SUPERVISOR

(FAO 2000, with modifications)

EXAMPLE B. RESIDENTIAL SECTOR

MUNICIPALITY

ELECTRICITY METER NUMBER

ENUMERATOR

RURAL

URBAN

ELECTRICITY CONSUMED

DATE OF INTERVIEW

ADDRESS

No. OF PERSONS IN HOUSE

NÚMBER OF MEALS PREPARED DAILY

INCOME LEVEL

BREAKFAST

LUNCH

DINNER

FUELWOOD

UNIT QUANTITY

PERIOD

Unit Price

EQUIPMENT

WAS FUELWOOD:

WHEN BOUGHT:

Is it received in the forest?

Or at home?

BOUGHT?

WHEN GATHERED:

Is it cut?

Or assembled?

GATHERED?

WHERE GATHERED:

Own land

Land of other owner

Public

NAME SPECIES MOST FREQUENTLY USED :

(Species 1)

(Species 4)

(Species 7)

DON’T KNOW

(Species 2)

(Species 5)

(Species 8)

(Species 3)

(Species 6)

(Species 9)

CHARCOAL

UNIT QUANTITY

PERIOD

Unit Price

EQUIPMENT

IN WHAT KIND OF KILN WAS THE CHARCOAL PRODUCED?

HOW DO YOU OBTAIN CHARCOAL?

BUTANE GAS

UNIT QUANTITY

PERIOD

Unit Price

EQUIPMENT

From Zakia et al., 1992.