Respondent number
Household back-checked?
Urban or Rural Primary Sampling Unit
Region/Department
Province
Ville/Commune
EA-SVC-A. Electricity grid in the PSU/EA
EA-SVC-B. Piped water system in the PSU/EA
EA-SVC-C. Sewage system in the PSU/EA
EA-SVC-D. Health Clinic in the PSU/EA
EA-FAC-A. Post office in the PSU/EA
EA-FAC-B. School in the PSU/EA
EA-FAC-C. Police station in the PSU/EA
EA-FAC-D. Health Clinic in the PSU/EA
EA-FAC-E. Market stalls in the PSU/EA
EA-SEC-A. Police in the PSU/EA
EA-SEC-B. Soldiers/army in the PSU/EA
EA-ROAD. Tarred/ paved road
Reason for Unsuccessful Call Household 1
Reason for Unsuccessful Call Household 2
Reason for Unsuccessful Call Household 3
Reason for Unsuccessful Call Household 4
Reason for Unsuccessful Call Household 5
Reason for Unsuccessful Call Household 6
Reason for Unsuccessful Call Household 7
Previous interview, gender
This interview, gender
Number of adult women/men in household
Number of calls
Date of Interview
Time interview started
Q1. Age
Q2. Head of household
Q3. Language of respondent
Q3other. Language of respondent (verbatim)
Q4a. Country's present economic condition
Q4b. Your present living conditions
Q5. Your living conditions vs. others
Q6a. Country's economic condition compared to 12 months ago
Q6b. Your living conditions compared to 12 months ago
Q7a. Country's economic condition in 12 months time
Q7b. Your living conditions in 12 months time
Q8a. How often gone without food
Q8b. How often gone without water
Q8c. How often gone without medical care
Q8d. How often gone without cooking fuel
Q8e. How often gone without cash income
Q9a. How often feared crime in home
Q9b. How often something stolen from house
Q9c. How often physically attacked
Q10. Abandon economic reforms vs. accept hardships
Q11. Economic policies helped most vs. hurt most
Q12a. Radio news
Q12b. Television news
Q12c. Newspaper news
Q13. Interest in public affairs
Q14. Discuss politics
Q15a. Freedom to say what you think
Q15b. Freedom to join any political organizations
Q15c. Freedom to choose who to vote for
Q16. Question actions of leaders vs. respect authority
Q17. Leaders treat all equally vs. help own community
Q18. Government like a parent vs. an employee
Q19. Government bans organizations vs. join any
Q20. Government close newspapers vs. free to publish
Q21. Govt. suppress expression vs. people speak minds
Q22a. Member of religious group
Q22b. Member of voluntary association or community group
Q23a. Attend a community meeting
Q23b. Join others to raise an issue
Q23c. Attend a demonstration or protest march
Q23d. Voted last election
Q24a. Make local government councilors listen
Q24b. Make representatives to national assembly listen
Q25a. Contact local government councillor
Q25b. Contact representative to national assembly
Q25c. Contact official of a government agency
Q26a. Contact formal leader alone or with group
Q26b. Contact formal leader: community or personal problem
Q27a. Contact religious leader
Q27b. Contact traditional ruler
Q27c. Contact some other influential person
Q28a. Contact informal leader alone or with group
Q28b. Contact informal leader: community or personal problem
Q29a. Reject one-party rule
Q29b. Reject military rule
Q29c. Reject one-man rule
Q30. Support for democracy
Q31. Choose leaders through elections vs. other methods
Q32. Political parties divisive vs. many parties needed
Q33. President monitored by national assembly vs. free to act on own
Q34. Opposition parties examine government vs. cooperate
Q35. Media checks government vs. avoid negative reporting
Q36. National Assembly makes laws vs. president does
Q37. President free to act vs. obey the laws and courts
Q38. Presidential two term limit vs. no term limits
Q39. Time to deal with problems vs. try another form
Q40a. Most important national priority
Q40b. Second most important national priority
Q41a1. Identify MP (verbatim)
Q41a2. Identify MP (code)
Q41b1. Identify Minister of Finance (verbatim)
Q41b2. Identify Minister of Finance (code)
Q42a. Extent of democracy
Q42b. Extent of democracy: Vignette A
Q42c. Extent of democracy: Vignette B
Q42d. Extent of democracy: Vignette C
Q43. Satisfaction with democracy
Q44a. Courts make binding decisions
Q44b. People must obey the law
Q44c. People must pay taxes
Q45a. How often party competition leads to conflict
Q45b. How often president ignores laws
Q45c. How often people treated unequally
Q45d. How often officials unpunished
Q45e. How often ordinary people unpunished
Q46. How often careful what you say
Q47. How much fear political intimidation or violence
Q48a. How likely powerful find out your vote
Q48b. How likely punished for making complaints
Q49a. Trust president
Q49b. Trust national assembly
Q49c. Trust national electoral commission
Q49d. Trust your elected local government council
Q49e. Trust the ruling party
Q49f. Trust opposition political parties
Q49g. Trust police
Q49h. Trust courts of law
Q49i. Trust traditional leaders
Q50a. Corruption: office of the Presidency
Q50b. Corruption: Representatives to National Assembly
Q50c. Corruption: local government councilors
Q50d. Corruption: government officials
Q50e. Corruption: police
Q50f. Corruption: tax officials
Q50g. Corruption: judges and magistrates
Q50h. Corruption: traditional leaders
Q51a. Pay bribe for: document or permit
Q51b. Pay bribe for: water or sanitation services
Q51c. Pay bribe for: avoid problem with police
Q52. Most important responsibility of Representative to National Assembly
Q53a. Time representatives to national assembly should spend
Q53b. Time representative to national assembly does spend
Q54a. Representaives to national assembly listen
Q54b. Local government councilors listen
Q54c. Traditional leaders listen
Q55. Representatives to national assembly benefit local community vs. whole country
Q56pt1. Most important problems - 1st response
Q56pt2. Most important problems - 2nd response
Q56pt3. Most important problems - 3rd response
Q57a. Handling managing the economy
Q57b. Handling improving living standards of the poor
Q57c. Handling creating jobs
Q57d. Handling keeping prices down
Q57e. Handling narrowing income gaps
Q57f. Handling reducing crime
Q57g. Handling improving basic health services
Q57h. Handling addressing educational needs
Q57i. Handling providing water and sanitation services
Q57j. Handling ensuring enough to eat
Q57k. Handling fighting corruption
Q57l. Handling combatting HIV/AIDS
Q57m. Handling maintaining roads and bridges
Q57n. Handling providing reliable electric supply
Q57o. Handling protecting rivers and forests
Q57p. Handling empowering women
Q58a. Primary responsibility: keeping the community clean
Q58b. Primary responsibility: managing schools
Q58c. Primary responsibility: managing health clinics
Q58d. Primary responsibility: collecting income taxes
Q58e. Primary responsibility: solving local disputes
Q58f. Primary responsibility: allocating land
Q58g. Primary responsibility: protecting rivers and forests
Q58h. Primary responsibility: maintaining law and order
Q59a. Local govt. handling maintaining roads
Q59b. Local govt. handling maintaining local markets
Q59c. Local govt. handling health standards in restaurants
Q59d. Local govt. handling keeping community clean
Q59e. Local govt. handling collecting license fees
Q59f. Local govt. handling collecting rates on private houses
Q60a. How well local council making work known
Q60b. How well local council providing budget information
Q60c. How well local council allowing citizen participation
Q60d. How well local council consulting others
Q60e. How well local council handling complaints
Q60f. How well local council using government revenues
Q61. How much ordinay person can do to solve local problems
Q62a1. Any problems with how local gov't is run in the past year
Q62a. How often: discuss with others
Q62b. How often: join others to respond
Q62c. How often: discuss with community leaders
Q62d. How often: write newspaper letter or call radio show
Q62e. How often: make complaint to local government officials
Q62f. How often: make complaint to other government officials
Q63a. Local councilor qualifications: education
Q63b. Local councilor qualifications: care about community
Q63c. Local councilor qualifications: experience managing
Q63d. Local councilor qualifications: honesty handling funds
Q64a. Payments made: fees for government service
Q64b. Payments made: licence fees to local government
Q64c. Payments made: property rates or taxes
Q64d. Payments made: public utility fees
Q64e. Payments made: income taxes
Q65. Traditional leaders influence governing local community
Q66. Traditional leaders more or less influence
Q67. Traditional leaders sit on local government council
Q68. Traditional leaders non-partisan vs. allow party affiliation
Q69. Traditional leaders independent of govt. vs. receive salary
Q70a. Performance: President
Q70b. Performance: National Assembly representative.
Q70c. Performance: local government councilor
Q71. Elections free and fair
Q72a. Elections ensure national assembly reflects voters
Q72b. Elections enable voters to remove leaders
Q73a. Who responsible: national assembly representatives do jobs
Q73b. Who responsible: local councilors do jobs
Q73c. Who responsible: president does job
Q74. Voice heard between elections
Q75a- Bur. Governmental performances ZONGO/ YONLI compared: combat corruption
Q75b- Bur. Governmental performances ZONGO/ YONLI compared: combat insecurity
Q75c- Bur. Governmental performances ZONGO/ YONLI compared: combat increasment of prices
Q75d- Bur. Governmental performances ZONGO/ YONLI compared: media relations
Q75e- Bur. Governmental performances ZONGO/ YONLI compared: relation with other national political powers
Q75f- Bur. Governmental performances ZONGO/ YONLI compared: social services
Q76a- Bur. Citizens must vote during elections vs. no credible opposition party
Q76b- Bur. Citizens not registered on voting list
Q76c- Bur. How many family members/ close friends are not registered on a voting list?
Q77- Bur. The limitation clause causes that Blaise Compaoré can't be elected in 2015. Therefore, the Constitution should be modified
Q78a- Bur. Candidats of Parliamentary elections should present themselves independently from political parties vs. Candidats of Parliamentary elections should be presented by political parties
Q78b- Bur Candidats of Municipal elections should present themselves independently from political parties vs. Candidats of Municipal elections should be presented by political parties
Q79. Tribe or ethnic group
Q79OTHER. Tribe or ethnic group
Q80. Ethnic group's economic conditions
Q81. Ethnic group's political influence
Q82. Ethnic group treated unfairly
Q83. Ethnic or national identity
Q84a. Trust relatives
Q84b. Trust other people you know
Q84c. Trust other Burkinabé
Q85. Close to political party
Q86. Which party
Q87. How often receive remittances
Q88a. How often use a cell phone
Q88b. How often use a computer
Q88c. How often use the internet
Q88d. How often travel 10 km or more
Q88e. What languages do you speak well (verbatim)
Q88f. Number of languages
Q89. Education of respondent
Q90. Religion of respondent
Q91. Importantance of religion
Q92a. Own radio
Q92b. Own television
Q92c. Own motor vehicle, car or motorcycle
Q93a. Source of water for household use
Q93b. Pay for water
Q94. Employment status
Q95. Know died of AIDS
Q96. How many died of AIDS
Q97. Vote for which party
Q98a. How much help country: African Union
Q98b. How much help country: ECOWAS
Q98c. How much help country: United Nations
Q98d. How much help country: international donors/NGOs
Q98e. How much help country: International business/investors
Q98f. How much help country: Nigeria
Q98g. How much help country: South Africa
Q98h. How much help country: China
Q98i. How much help country: United States
Q98j. How much help country: France
Q98j1. How much help country: EU
Q98k.NEPAD/APRM useful initiate vs. empty one
Q99a. Influence of International donors and NGOs
Q99b. Influence of international businesses and investors
Q99c. Influence of civic organizations and NGOs
Q100. Perceived survey sponsor
Time interview ended
Length of interview
Q101. Gender of respondent
Q102. Race of respondent
Q103. Language of interview
Q104. Others present
Q105a. Check with others
Q105b. Influence by others
Q105c. Approached by community/party representatives
Q105d. Feel threatened
Q105e. Physically threatened
Q106. Proportion difficulty answering
Q107a. Trouble answering - first response
Q107b. Trouble answering - second response
Q107c. Trouble answering - third response
Q108a. Respondent friendly
Q108b. Respondent interested
Q108c. Respondent cooperative
Q108d. Respondent patient
Q108e. Respondent at ease
Q108f. Respondent honest
Q110. Interviewer's number
Q111. Interviewer's age
Q112. Interviewer's gender
Q113. Interviewer rural or urban
Q114. Interviewer's home language
Q115. Interviewer's education