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Sheet 1: (8) NON-WAGE REVENUE
| MODULE 8: OTHER REVENUE | |||
| (1) | (2) | ||
| Did anyone in your household receive funds from listed sources during the last 30 days? | How much was the payment from [SOURCE] that your household received during the last 30 days? | ||
| FOR ALL SOURCES WRITE THE TOTAL AMOUNT IN SO'M | |||
| YES 1 | SO'M | ||
| SOURCE | NO 2 | ||
| 1 Allowances | |||
| ALW1 | Child care allowance | ||
| ALW2 | Family Allowance (with children 2-14 years old) | ||
| ALW3 | Low income family allowance | ||
| ALW4 | Allowance to families in need (for Karakalpakstan and Khorezm regions) | ||
| 2 Remittances | |||
| INC4 | Remittances from inside Uzbekistan | ||
| INC5 | Remittances from outside Uzbekistan | ||
| 3 Soclal Transfers | |||
| INC1 | Other Household Transfers (not mentioned in section 7) | ||
| 4 Gifts and Charity | |||
| INC2 | Monetary Gifts Received (not accounted for elsewhere) | ||
| INC3 | Charity Transfers Received (not accounted for elsewhere) | ||
| 5 Other Incomes | |||
| INC6 | Income from selling agricultural products (crops, eggs, meat, milk etc.) | ||
| INC7 | Income from selling domesticated animal | ||
| INC8 | Income from selling real estate | ||
| INC9 | Income from renting | ||
| INC10 | Income from property | ||
| INC11 | Income from selling securities | ||
| INC12 | Increasing deposit in bank (Interest accrual) | ||
| MODULE 9: FOOD CONSUMPTION DURING THE LAST 7 DAYS | ||||||||||||
| (1) | (2) | (3) | (4) | (5) | (6) | |||||||
| Item Code | What products did your household consume during the last 7 days? READ EACH ITEM RECORD RESPONSE FOR EACH ITEM THEN GO ON TO THE NEXT ITEM BEFORE COMPLETING QUESTIONS 2 THROUGH 7 Yes 1 No 2 (Must select at least 7 or more products) |
Please identify the total amount of [ITEM] consumed by your household in the last 7 days. | Identify the total amount and cost of [ITEM] purchased by your household members in the last 7 days. If none was purchased >> 5 |
How much of the [ITEM] that was purchased was actually consumed by your household in the last 7 days? | How much of [ITEM] consumed during the last 7 days was obtained from the following sources ? RECORD THE AMOUNT IN THE UNIT FOR THE ITEM |
Estimate the total cost of [ITEM] in Question 5 in current prices | ||||||
| If all of item consumed was purchased go to next item | 1. Produced in the household | 2. Received as a gift or humanitarian aid | 3. Received as part of salary/ business | 4. Taken from Stocks | ||||||||
| FOOD PRODUCTS (with COICUP) | UNIT | CODE | AMOUNT | AMOUNT | SO'M | AMOUNT | SO'M | |||||
| Food_1 | 01.1.1.1.0.3 - Rice (kg) | Kg | ||||||||||
| Food_2 | 01.1.1.2.1.3 - Wheat flour (kg) | Kg | ||||||||||
| Food_3 | 01.1.1.2.2.1 - Wheat groats (kg) | Kg | ||||||||||
| Food_4 | 01.1.1.2.2.2 - Semolina (kg) | Kg | ||||||||||
| Food_5 | 01.1.1.2.2.3 - Pearl barley (kg) | Kg | ||||||||||
| Food_6 | 01.1.1.2.2.4 - Millet (kg) | Kg | ||||||||||
| Food_7 | 01.1.1.3.1.4 - Bread from wheat flour (kg) | Kg | ||||||||||
| Food_8 | 01.1.1.3.1.5 - national bread (kg) | Kg | ||||||||||
| Food_9 | 01.1.1.4.1.5 - Cakes, Cupcakes, Gingerbread (kg) | Kg | ||||||||||
| Food_10 | 01.1.1.5.1.1 - Macaronies and production from macaronies (kg) | Kg | ||||||||||
| Food_11 | 01.1.1.6.1.1 - Dumplings (kg) | Kg | ||||||||||
| Food_12 | 01.1.2.1.2.1 - Beef (kg) | Kg | ||||||||||
| Food_13 | 01.1.2.3.1.1 - Pork (kg) | Kg | ||||||||||
| Food_14 | 01.1.2.4.0.1 - Lamb (kg) | Kg | ||||||||||
| Food_15 | 01.1.2.5.0.1 - Goat meat (kg) | Kg | ||||||||||
| Food_16 | 01.1.2.6.1.1 - Chicken (kg) | Kg | ||||||||||
| Food_17 | 01.1.2.1.3.1 - Canned meat (kg) | Kg | ||||||||||
| Food_18 | 01.1.2.6.3.1 - Minced meat (kg) | Kg | ||||||||||
| Food_19 | 01.1.2.8.1.1 - Sausage, Sausage rolls (kg) | Kg | ||||||||||
| Food_20 | 01.1.3.1.1.1 - Fish, Salted fish, canned fish (kg) | Kg | ||||||||||
| Food_21 | 01.1.4.1.1.1 - Fresh milk, unpasteurized (l) | Lt | ||||||||||
| Food_22 | 01.1.4.2.1.1 - Dry milk (powder) and condensed milk with sugar, dry infant formula (kg) | Kg | ||||||||||
| Food_23 | 01.1.4.3.1.3 - Yogurt, Sour cream (kg) | Kg | ||||||||||
| Food_24 | 01.1.4.3.4.2 - Kefir (l) | Kg | ||||||||||
| Food_25 | 01.1.4.3.7.2 - Chakka, cheese, cottage cheese (kg) | Kg | ||||||||||
| Food_26 | 01.1.4.5.1.1 - Eggs (count) | Nos | ||||||||||
| Food_27 | 01.1.5.1.0.3 - Dairy butter (kg) | Kg | ||||||||||
| Food_28 | 01.1.5.2.0.3 - Margarine (kg) | Kg | ||||||||||
| Food_29 | 01.1.5.3.0.1 - Cottonseed and Sunflower oil (kg) | Kg | ||||||||||
| Food_30 | 01.1.5.4.0.2 - Mutton fat (kg) | Kg | ||||||||||
| Food_31 | 01.1.6.1.1.1 - Apple (kg) | Kg | ||||||||||
| Food_32 | 01.1.6.1.1.2 - Pear (kg) | Kg | ||||||||||
| Food_33 | 01.1.6.1.2.1 - Peach (kg) | Kg | ||||||||||
| Food_34 | 01.1.6.1.2.2 - Cherries (kg) | Kg | ||||||||||
| Food_35 | 01.1.6.1.2.6 - Grape (kg) | Kg | ||||||||||
| Food_36 | 01.1.6.1.3.1 - Lemons, tangerines/mandarins, Oranges (kg) | Kg | ||||||||||
| Food_37 | 01.1.6.1.4.4 - Bananas (kg) | Kg | ||||||||||
| Food_38 | 01.1.6.1.6.1 - Water melon, Melon (kg) | Kg | ||||||||||
| Food_39 | 01.1.6.2.1.1 - Raisin, Dried apricot (kg) | Kg | ||||||||||
| Food_40 | 01.1.6.2.1.4 - Walnuts (shelled) (kg) | Kg | ||||||||||
| Food_41 | 01.1.1.7.0.1 - Cabbage (kg) | Kg | ||||||||||
| Food_42 | 01.1.1.7.0.3 - Onion (kg) | Kg | ||||||||||
| Food_43 | 01.1.1.7.0.4 - Carrot (kg) | Kg | ||||||||||
| Food_44 | 01.1.1.7.0.5 - Cucumbers (kg) | Kg | ||||||||||
| Food_45 | 01.1.1.7.0.7 - Tomatoes (kg) | Kg | ||||||||||
| Food_46 | 01.1.1.7.0.9 - Beet (kg) | Kg | ||||||||||
| Food_47 | 01.1.1.7.0.13 - Garlic (kg) | Kg | ||||||||||
| Food_48 | 01.1.1.7.0.14 - Pumpkin (kg) | Kg | ||||||||||
| Food_49 | 01.1.1.7.0.15 - Green onions, dill, coriander, etc. (kg) | Kg | ||||||||||
| Food_50 | 01.1.1.7.0.16 - Sweet bell peppers (kg) | Kg | ||||||||||
| Food_51 | 01.1.1.7.0.18 - Eggplant (kg) | Kg | ||||||||||
| Food_52 | 01.1.1.7.1.1 - Potato, Potato chips (kg) | Kg | ||||||||||
| Food_53 | 01.1.1.7.3.1 - Green Pea, Haricot, Mung bean (kg) | Kg | ||||||||||
| Food_54 | 01.1.7.4.0.3 - Pickled cucumbers in a jar (kg) | Kg | ||||||||||
| Food_55 | 01.1.7.4.0.4 - Salted and marinated tomatoes (kg) | Kg | ||||||||||
| Food_56 | 01.1.8.1.0.2 - Granulated sugar (kg) | Kg | ||||||||||
| Food_57 | 01.1.8.2.0.1 - Jam (kg) | Kg | ||||||||||
| Food_58 | 01.1.8.2.0.6 - Natural honey (kg) | Kg | ||||||||||
| Food_59 | 01.1.8.3.1.2 - Chocolate bar, сhocolate candies, сaramel (kg) | Kg | ||||||||||
| Food_60 | 01.1.8.3.6.1 - Ice cream (kg) | Kg | ||||||||||
| Food_61 | 01.1.9.2.1.1 - Salt, black pepper, sauce (kg) | Kg | ||||||||||
| Food_62 | 01.1.9.4.1.1 - Mayonnaise, Ketchup in plastic packaging (kg) | Kg | ||||||||||
| Food_63 | 01.1.9.5.2.1 - Soda for cooking, Vinegar (kg) | Kg | ||||||||||
| Food_64 | 01.1.9.7.1.1 - Dry yeast in packaging (kg) | Kg | ||||||||||
| Food_65 | 01.1.9.8.2.1 - Meat extract in cubes (kg) | Kg | ||||||||||
| Food_66 | 01.1.9.8.3.1 - Instant noodles (kg) | Kg | ||||||||||
| Food_67 | 01.2.1.1.0.3 - Coffee (kg) | Kg | ||||||||||
| Food_68 | 01.2.1.2.0.4 - Black and green tea (kg) | Kg | ||||||||||
| Food_69 | 01.2.2.1.0.2 - Mineral water, Liminad, Apple juise (liter) | Liter | ||||||||||
| Food_70 | 02.1.1.0.1.1 - Vodka (liter) | Liter | ||||||||||
| Food_71 | 02.1.2.2.0.1 - Wine (liter) | Liter | ||||||||||
| Food_72 | 02.1.2.2.0.10 - Champagne (liter) | Liter | ||||||||||
| Food_73 | 02.1.3.0.0.1.1 - Beer (liter) | Liter | ||||||||||
| Food_74 | 02.1.3.0.0.1.2 - ALCOHOLIC DRINKS CONSUMED OUTSIDE HOME (liter) | Liter | ||||||||||
| MODULE 10 A: NON-FOOD EXPENDITURES | ||||
| (1) | (2) | |||
| In the following questions, I want to ask about all purchases made for your household, regardless of which person made them. | Have the members of your household bought any items from following list in the last 30 days? Please exclude from your answer any item purchased for processing or resale in a household. | How much did your household spend in the last 30 days for [item]? | ||
| RECORD YES/NO RESPONSE FOR EACH ITEM THEN GO ON TO THE NEXT ITEM BEFORE COMPLETING QUESTIONS 2 | ||||
| YES..1 | ||||
| CODE | COICOP | NO..2 >> Next Item | SO'M | |
| A1 | 03.1.1 | Cloth and sewing/knitting supplies | ||
| A2 | 03.1.2.1 | Garments for men: (winter coat, half-woolen, chapan, bathrobe, light coat, cloak, jacket, tracksuit, sleeve shirt, underwear, socks) | ||
| A3 | 03.1.2.2 | Garments for women: (winter coat and demi-season ,nightie, suit and skirt, tracksuit, skirt, trousers, pajunette) | ||
| A4 | 03.1.2.3 | Garments for infants: (kombinzion, suit, shirt, pajamas, baby sliders, diapers for newborns, diapers) | ||
| A5 | 03.1.3 | Other articles of clothing and clothing accessories: (scarves, gloves, belts, hats) | ||
| A6 | 03.1.4 | Cleaning, repair and hire of clothing (sewing of men's suit, sewing of men's trousers, sewing of women's dress) | ||
| A7 | 03.2 | Shoes and other footwear (Leather demi-season short boots, portswear, Rubbers, Demi-season boot, Leather sandals, kalish, mahsi). Repair and hire of footwear. | ||
| A9 | 05.6.1.1 | Cleaning and Maintenance Products (Detergent, Dish Soap, Window Cleaning, Insecticide ect) | ||
| A10 | 05.6.1.2 | Other Non Durable Household Articles (Brooms, Needles, Aluminum foil, Matches, Candles, ect) | ||
| A11 | 05.6.2.1 | Domestic services by paid staff (child care, babysitting, cooks, cleaners, drivers, etc) | ||
| A14 | 06.1 | Medical products, including: Clinical thermometers, bandages, syringes, first-aid kits, pregnancy tests, condoms and other contraceptive devices. Therapeutic appliances and equipment: eyeglasses and contact lenses, hearing aids, glass eyes, wheelchairs, etc. | ||
| A17 | 06.2.2 | Dental services | ||
| A20 | 11.1.1 | Catering services (Restaurants and canteens) | ||
| A21 | 11.1.2 | Accommodation services (hotels and camping) | ||
| A22 | 12.1.1 | Hairdressing salons and personal grooming establishments | ||
| A23 | 12.1.2 | Electric appliances for personal care | ||
| A24 | 12.1.3 | Appliances, articles and products for personal hygiene (shaving cream, toothpaste, lipstick, perfume, shampoo) | ||
| A25 | 12.3.1 | Jewellery, clocks and watches | ||
| A26 | 12.3.2.1 | Travel goods (suitcases, travel bags, handbags, etc.) | ||
| A27 | 12.3.2.2 | Articles for babies | ||
| A28 | 12.5.1 | Insurance (housing, medical, auto) | ||
| A29 | 12.6.1 | Charges for bank services or money transfer (money orders, etc.) | ||
| A30 | 12.7.0.1 | Administrative fees (Fees for legal and notary services, birth certificates, etc.) | ||
| A31 | 12.7.0.2 | Legal services and accountancy | ||
| A32 | 12.7.0.3 | Funeral services | ||
| A33 | 7.3 | Daily commute by car or bus. Daily commute by other paid mode of transportation. | ||
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