COMMUNITY QUESTIONNAIRE

PSU

NAME OF DISTRICT

NAME OF MUNICIPALITY/COMMUNE

NAME OF COMMUNITY

CODES FOR CORRESPONDING CODES:

ENUMERATION AREA(S)
(FOR URBAN ONLY)

NAME OF SUPERVISOR CODE:

NAME OF DATA
ENTRY OPERATOR CODE:

COMMENTS

RECORD OF VISITS
FIRST SECOND THIRD
DATE OF VISIT(S)
 SECTION 1: RESPONDENT CHARACTERISTICS
Could you please answer a few questions about yourselves before we begin the interview?

(1) (2) (3) (4) (5) (6) (7)

What is your full name? How old are you? SEX What position do you have in this How many years have you What is the highest grade you have completed How long have you lived in this
community? held this position? in school? In which level? community?

I
D

C
O
ELECTED LEADER 1 NONE 0
D
APPOINTED LEADER 2 8 YEARS SCHOOL 1 1-8 IF LESS THAN 1 YEAR WRITE "0"
E
TEACHER/PRINCIPAL 3 SECONDARY GENERAL 2 1-4
AGRIC. EXT. WORKER 4 VOCATIONAL 2 YEARS 3 1-2
HEALTH PROVIDER 5 VOCATIONAL 4/5 YEARS 4 1-5
DEPT. OF EDUC. REPRESENTATIVE 6 UNIVERSITY 5 1-6
MALE 1 OTHER (SPECIFY__) 7 POST-UNIVERSITY 6 1-5
FEMALE 2
YEARS YEARS LEVEL GRADE YEARS

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 SECTION 2: BASIC CHARACTERISTICS OF THE COMMUNITY

1. I would like to start by explaining the area we would like to collect information on, which is the 6. What are the major problems affecting this community?
(Please rank the three most important problems)
IN RURAL AREAS: 1. Village of __________________ and the inhabited area around it
IN URBAN AREAS: 2. The neighborhood of________________________ 1. Safety/crime 1st
3. Mini bashkia__________________________________ 2. Water 2nd
4. Bashkia______________________________________ 3. Electricity 3rd
5. Other, specify____________________________________ 4. Poor access to health care
5. Poor access to education
6. Bad transport
2. How many people live in this community? 7. Poor environment
8. Lack of employment opportunities
NUMBER OF PEOPLE: 9. Other (specify)________

3. Since 1997 (in the last 5 years), the number of people in this community has: 7. Which of the following transport access types (a. to h.) are available to the community?

1. Increased YES ...1

2. Decreased NO ...2
3. Remained the same
a. Paved road
b. Unpaved road
4. Let's talk now about the housing conditions in the community. c. Paths
Since 1997 (in the last 5 years), would you say that housing conditions have: d. Sea, lake or river
e. Train
1. Improved f. Other (specify)________
2. Worsened
3. Remained the same

8. Let's talk about the roads that are available in the community. In your opinion,
5. IN RURAL AREAS ASK: since 1997 (in the last 5 years), have the the conditions of these….
How would you compare the living conditions in the community
with those prevailing in the rest of the Country? 1. Improved
IN URBAN AREAS ASK: 2. Worsened
How would you compare the living conditions in the community 3. Remained the same
with those prevailing in the rest of the city/town?

1. Much better
2. Better
3. Neither better nor worse
4. Worse
5. Much worse

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SECTION 3: ACCESS TO PUBLIC SERVICES MODULE A: COMMUNITY INFRASTRUCTURE AND TRANSPORTATION

(1) (2) (3) (4) (5)

For each of the following Is there a (...) in this How far is the closest (...) to How much time does it By what mean of transportation? How much does it cost (one-way)
items ask Q.1 to Q.5, then go community? this community? take to go to (...)? to go to (…) with?
to next item Walking 1 >> NEXT LINE
IF NO SUCH SERVICE Horse/Mule/Donkey 2 >> NEXT LINE
AVAILABLE TO PEOPLE Bicycle 3 >> NEXT LINE
FROM THE COMMUNITY Private Car/Motorcycle 4 >> NEXT LINE
WRITE 55 AND >>NEXT Bus 5
YES 1>> NEXT LINE LINE Taxi 6
NO 2 IF LESS THAN 1 KM USE Boat 7
DECIMAL NUMBER Other (specify_______) 8
KILOMETERS HOURS MINUTES Choose only one. NEW LEKS

SCHOOL
Pre-school
Primary (8 Yr School)
Secondary
HEALTH
Ambulantia/Health center
Public hospital
Private hospital
Private clinic
Private doctor/Specialist
Midwives
Pharmacy
COMMUNICATIONS
Public phone
Post office
Bus/Minibus stop
OTHER PLACES
Bank
Police station
Labor office
Market
Mosque or Church
Community room
Fire brigade

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SECTION 3.B - EDUCATION SERVICES

Note for the interviewer: Check question 2 for primary and secondary schools on the previous sheet. For each one, if the respondent(s) answered No (i.e. if there is a '55' recorded in
the corresponding cell) do not ask questions. Otherwise ask questions 1-11.

LETS' TALK ABOUT THE SCHOOLS THAT ARE ATTENDED BY THE CHILDREN WHO LIVE IN THIS COMMUNITY, EVEN IF THE SCHOOLS ARE NOT LOCATED IN
THE COMMUNITY.

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
In the last five How many How many Please provide the name and location of the The (…) teacher(s) turn up
How many days a Does the school have (….)? Are there sufficient In this community attend (…
years have there teachers are children are there (…) children from this community attend. for classes:
week did children [primary or secondary]
been new (…) there in the in the main [ ] receive classes during schools available to the
built that serve main [ ] school that IF THERE IS MORE THAN the last month? children of this
this community, school that serves the ONE SCHOOL, ASK FOR community?
or have there serves this community? THE MOST IMPORTANT
been substantial community? IF THERE IS MORE THAN ONE SCHOOL,
improvements in IF THERE IS MORE ASK FOR THE MOST IMPORTANT
IF THERE IS MORE THAN ONE PRIMARY OR
existing ones? IF THERE IS MORE THAN
SECONDARY SCHOOL, REPORT ON THE THAN ONE SCHOOL,
ONE TEACHER REFER TO
MOST IMPORTANT ONE ASK FOR THE MOST
MAJORITY
IMPORTANT
EVERY DAY 1 More boys than girls 1
YES 1 ALMOST EVERY DAY 2 YES 1 YES 1 More girls than boys 2
NO 2 RARELY 3 NO 2 NO 2 Equally boys and girls 3

Toilet or Green or
Running
SCHOOL TYPE NAME OF SCHOOL MUNICIPALITY DAYS latrine Electricity recreationa
water
(WC) l areas

Primary school
If does not exist write
= 55 then >> next
line

Secondary school
If does not exist write
55 then >> next section

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SECTION 3.C - HEALTH:
Note for the interviewer: Check question 2 in Section 3A for health center/ambulantia. If the respondent(s) answered No (i.e. if there is a '55'
recorded in the corresponding cell) >>Next Section, otherwise ask questions 1-3.

We will now ask about the health center/ambulantia that people in this community use. If there is more than one health center/ambulantia, I would like to ask about the one most used by this community.
(1) (2) (3)
In the last five years have How often is the health center/ambulantia Does the community health center/ambulantia normally have sufficient (…) for the need of
there been new health open for people from this community use and the local people?
centers/ambulantia built working?
that people from this
community use, or have
there been substantial
improvements in existing
ones?

EVERY DAY 1 YES, SUFFICIENT 1

A FEW DAYS A WEEK 2 NO, INSUFFICIENT 2
YES 1 ONE DAY A WEEK 3 NEVER AVAILABLE 3
NO 2 OTHER, SPECIFY
__________________________ 4

A. INSTRUMENTS AND EQUIPMENT B. MEDICAL PERSONNEL

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SECTION 3.D - QUALITY OF PUBLIC TRANSPORT SERVICES

Instruction to the interviewer: Here we are not interested in local public transport but in transport between the community
and more distant places. If you are in a rural area public transport will typically not be local. But in urban areas it is
important to be clear with the respondent that we are NOT talking now about urban public transport.

1. Since 1997 (in the last 5 years), has 2. Which of these modes of public transport 3. What are the two main problems with public transport
public transport service ... do people in the community use the most to services? (to travel outside this community or urban area)
go to places outside the city/community?
IN RURAL AREAS: ...between your 1. Not frequent enough 1st (Main)
community and places outside the 2. Stops are far away
community...: 3. No night service
1. Bus 4. Vehicles/carriages are in bad/unsafe condition
IN URBAN AREAS: ... to places outside the 2. Minibus 5. No schedule or schedule is not followed
city boundaries... 3.Taxi 6. Fares are too expensive
4. Boat 7. Too crowded 2nd
1. Improved? 5. Train 8. Too slow
2. Worsened? 6. Other public, describe _________ 9. Other, specify____________
3. Remained the same? 10. No problem
4. The community does not have access to
public transport >>SECTION 4

4. How often is this service available to the 5. Public transport is the main means of transport for:
community?
1. Entire community
1. Several times a day 2.More than half of the community
2. Once a day 3. Half of the community
3. Two-three days a week 4. Less than half of the community
4. Once a week
5. Other, specify____________

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SECTION 4 – COMMUNITY SERVICES

SECTION 4.A – SERVICE AVAILABILITY, QUALITY, AND COVERAGE - GENERAL

(1) (2) (3) (4)

Does the community have (…)? The quality of In the last 5 years, has (…) What portion of the community
this service is: service: is covered by (…) service?

YES, BUT UNFUNCTIONAL 1 GOOD 1 IMPROVED 1 ALL OF IT 1

YES, FUNCTIONAL 2 FAIR 2 WORSENED 2 MORE THAN HALF 2
NO 3 >> NEXT LINE BAD 3 REMAINED THE SAME 3 HALF 3
LESS THAN HALF 4

a. Household electricity
b. Public lighting
c. Piped water (in the household)
d. Sewage/drains
e. Garbage collection
f. Home phones
g. Public phone
h. Mail
i. Police Station

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SECTION 4.B – SERVICE QUALITY – SPECIFIC

Let’s now talk about sewage and drain.

(TO BE ASKED ONLY TO THOSE COMMUNITIES THAT HAVE REPORTED ACCESS TO THIS SERVICE - CHECK RESPONSE IN SECTION 4A,
COLUMN 1).

1. What percentage of the households are

connected to:
PERCENTAGES
1. A sewage system;

2. A septic tank

2. In this community the following methods are used for sewage waters::

YES ...1
NO ...2

a. treated and then released to the sea/river/lake

b. released untreated to the sea/river/lake
c. released to septic tank
d. released to land/field
e. released near homes

Garbage collection
(TO BE ASKED ONLY TO THOSE COMMUNITIES THAT HAVE REPORTED ACCESS TO THIS SERVICE - CHECK RESPONSE IN
SECTION 4A, COLUMN 1).

3. Which of these methods do people use to 4. Of these, which are the two methods household
dispose of the garbage? They... use the most to dispose of the garbage? They...

YES...1
NO....2
CODE
1. Burn it 1 Burn it 1ST
2. Dump into empty lots 2 Dump into empty lots
3. Dump into own patio/plot 3 Dump into own patio/plot 2ND
4. Dump into river/lake/sea 4 Dump into river/lake/sea
5. Bury it 5 Bury it
6. Dump it on the street 6 Dump it on the street
7. Dump it in community-designated area 7 Dump it in community-designated area
8. Pay a cart 8 Pay a cart
9. Other, describe ... 9 Other, describe ...

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 SECTION 5 – COMMUNITY ORGANIZATION
Now we will talk about the different organizations in the community that help solve problems within itself.
SECTION 5A: ORGANIZATIONS

1. Is there a committee or any other form of organization (e.g.

association, group, assembly, etc) whose main purpose is to discuss
the issues of importance in the community?

YES ...1

NO ...2 >> NEXT SECTION

3. Which of these organizations in your community:

2. Which of the following organizations exist in
your community? a. Works the most to solve
community problems?
YES……….1
NO…………2 IF ALL NO >>
NEXT SECTION b. Has the most members?

CODES Yes or No c. Has the least number of members?

1 Farmer’s group
2 Business association
3 Cooperative USE ORGANIZATION CODES FROM QUESTION 2
4 Women’s group
5 Political group
6 Youth group
7 Religious group
8 Cultural group
9 Parent’s association
10 School committee
11 Neighborhood/village committee
12 Sports group
13 NGO
14 Disabled Association
15 Other, specify

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SECTION 5B: COLLECTIVE ACTIONS

1. During the last 12 months, how often did community 2. Was the community successful in achieving the objectives of
members meet to: these meetings?

a. Raise funds for community projects; 1. YES, always

b. Make common proposals requesting assistance from
institutions, politicians, etc..? 2. YES, sometimes
c. Seek help from NGO, church?
3. Never
FREQUENCY CODE:
1. Never
2. Once
3. Couple of times
4. Frequently

If all answers = 1 >> 4

3. How much do people in this community work together 4. In this community, who works the most solving community 5. Do you agree or disagree with the following sentences?
to solve: problems?
CODE:
CODE: 1. Agree
1. A lot a. 2. Disagree
2. A little 1. Men
3. Nothing 2. Women a. There’s always somebody willing to help
4. Does not exist 3. Same for men and women another community member who’s having
4. None trouble.
a. School problems
b. Health center problems b. People only worry about their own
c. Conflicts between people b. well-being and not about the community.
d. Road/access problems 1. Young people
e. Problems for the neediest people. 2. Adults c. You can trust people in this community
f. Water/garbage problems 3. Same for young people and adults to borrow/lend money.
4. None

6. Have you ever heard of the NSESD (Albanian PRSP)? 7. How would you define the NSESD (Albanian PRSP)?

1. YES 1. A fund that will give money to poor

families.
2. NO >> NEXT SECTION
2. A document that outlines government policies and
programs to reduce poverty in Albania

3. A new government plan to help farmers.

4. Not sure/ Don't know

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SECTION 6 – COMMUNITY SAFETY SECTION 7 – MIGRATION

I will now ask you a few questions on the personal

safety situation in this community

1. Are there any problems in this community

related to: 1. Does anybody leave the 2. Are the people who go elsewhere to work:
community temporarily to go work
YES….1 somewhere else? 1. More men than women?
NO….2 2. More women than men?
YES, a lot….. ...1 3. Equally men and women?
a. Gangs YES, occasionally……2 4. The whole family goes.
b. Drug abuse NO …3 >> 4
c. Alcohol abuse
d. Prostitution
e. Land disputes
f. Water disputes
g. Limits/borders disputes
h. Other, describe …

3. Where do they usually go to work? 4. Do people from other places come to work
2. Which of the following crimes occur in your
in this community for some time periods
community?
TIRANA………………..1 during the year?
YES ...1 OTHER URBAN AREAS………………….2
NO ...2 RURAL AREAS....................3
ITALY…………………………4
a- Thefts / assaults YES, a lot……………………....1
GREECE……………………5
b- Physical aggression YES, occasionally……..…2
OTHER ABROAD..…..6
c- Vandalism NO ………………….3 >>Next section
d- Sale of illicit drugs
e- Other, specify__________

3. Who commits these crimes?

1. People in the community

2. People that do not belong to the
5. Where do they mostly come from? 6. In what activity do they mainly come to
community.
work in?
3. Both of the above
URBAN AREAS Name 2 activities in order of importance
(OTHER THAN TIRANA)………………..1
TIRANA………………….2 PROFESSIONAL.....................1
4. Do people report these crimes RURAL AREAS....................3 CLERICAL.........................2
1st (Main)
when they occur? THEY ARE ALBANIANS FROM NEIGHBORING SALES............................3
COUNTRIES….4 SERVICE..........................4
1. YES – frequently >> Next section OTHER ABROAD..…..5 FARMING, FORESTRY, FISHING..........5
2. YES – sometimes FACTORY..........................6
2nd
3. NO TRANSPORTATION/VEHICLE
OPERATION...7
CONSTRUCTION.....................8
MINING………………………9
OTHER (SPECIFY________)..........10
5. Why don't (some) people report
crimes?

1. No use reporting them

2. Too complicated, time consuming,
bureaucratic
3. Too far
4. Fear
5. Don't trust police force
6. Other, specify_____________

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SECTION 8 - CHILD LABOUR

1. How many children under 15 year of age work in 2. Do the majority of working children work with their 3. How many of the working children are paid for
this community even for short periods of time parents/family or elsewhere? their work?
during the year??
They work with the family……..1 1. most of them
1. most of them
They work elsewhere………………2 2. more than half
2. more than half
Equally with their families and elsewhere….3 3. less than half
3. half of them
4. very few of them
4. less than half
5. None of them
5. very few of them

6. None >> NEXT SECTION

4. Do the children that work other than with their parents usually stop going 5. Do the children who work with their parents also stop going to
to school? school?

Yes, do not go to school at all……………….1 Yes, do not go to school at all……………….1

No, but they attend school only part time………………., 2 No, but they attend school only part time………………., 2

No, work only in summer and attend school regularly......3 No, work only in summer and attend school regularly......3

No, attend school regularly………..4 No, attend school regularly………..4

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SECTION 9– PROBLEMS RELATED TO THE ENVIRONMENT

1. Are there in this community 2. Have there been since 1997 3. In this community, are there any: 4. In the last 5 years, the situation of the
any serious problems related to: any case of [ ] in this environment in your community has:
community: YES………….1
YES……..1 NO……………2
NO……… 2 YES……..1
NO……… 2
a. Garbage dumps that pollute the environment? 1. Improved
a. Rats / mice 1. Cholera b. Stagnant waters? 2. Worsened
b- Cockroaches 2.Tuberculosis c. Residuals from slaughter houses in public places? 3. Remained the same
c- Bugs 3. Meningitis d. Car workshops spilling oil into rivers?
d- Fleas 4. Hepatitis e. Deforestation problems?
e- Bats 5. HIV/AIDS f. Other heavily polluting activities, specify
f- Flies 6. Polio
g- Mosquitoes

SECTION 10: CREDIT

1 2 3
If someone in this community needed What annual interest Is this source
a loan of approximately 100,000 New rate might someone in located within or
Leks to start a small business, from the community expect outside the
what sources might he or she obtain to pay for a loan of this boundaries of the
it? size from this source? community?
ALLOW UP TO THREE RESPONSES
Within…1
GOVERNMENT BANK........1 IF NONE, WRITE '0' Outside…2
PRIVATE BANK...........2
COOPERATIVE............3
COMMUNITY GROUP........4 (PERCENTAGE
FAMILY/FRIEND..........5 PER YEAR)
MONEY LENDER…………6
OTHER (SPECIFY________)..7

A
B
C

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