MCS-6
Questionnaire for children age 5-17
Montenegro 2018
5-17 Child information panel: FS
FS1. Cluster number: _ _ _
FS2. Household number: _ _
FS3. Child's name and line number:
Name ____ _ _
FS4. Mother's/caretaker's name and line number:
Name ____ _ _
FS5. Interviewer's name and number:
Name ____ _ _
FS6. Supervisor's name and number:
Name ____ _ _
FS7. Day/month/year of interview
_ _ / _ _ / 201 _
FS8. Record the time
Hours : minutes_ _ : _ _
Check respondent's age in HL6 in list of household members, household questionnaire:
If age 15-17, verify that adult consent for interview is obtained (HH33 or HH39) or not necessary (HL20=90). If consent is needed and not obtained, the interview must not commence and '06' should be recorded in FS17. The respondent must be at least 15 years old. In the very few cases where a child age 15-17 has no mother or caretaker identified in the household (HL20=90), the respondent will be the child him/herself.
FS9. Check completed questionnaires in this household: Have you or another member of your team interviewed this respondent for another questionnaire?
[] 1 Yes, interviewed already (Go to FS10B)
[] 2 No, first interview (Go to FS10A)
[] 2 No, first interview (Go to FS10A)
FS10A. Hello, my name is (your name). We are from Statistical Office of Montenegro-MONSTAT. We are conducting a survey about the situation of children, families and households. I would like to talk to you about (child's name from FS3)'s health and well-being. This interview will take about 20 minutes. All the information we obtain will remain strictly confidential and anonymous. If you wish not to answer a question or wish to stop the interview, please let me know. May I start now?
FS10B. Now I would like to talk to you about (child's name from FS3)'s health and well-being in more detail. This interview will take about 20 minutes. Again, all the information we obtain will remain strictly confidential and anonymous. If you wish not to answer a question or wish to stop the interview, please let me know. May I start now?
[] 1 Yes (Go to child's background module)
[] 2 No/not asked (Go to FS17)
[] 2 No/not asked (Go to FS17)
FS17. Result of interview for child age 5-17 years
Codes refer to the respondent. Discuss any result not completed with Supervisor.
[] 01 Questionnaire Completed
[] 02 Mother/Caretaker Not at home
[] 03 Mother/Caretaker Refused
[] 04 Partly completed
[] 05 Incapacitated (specify) ____
[] 06 No adult consent for mother/caretaker age 15-17
[] 96 Other (specify) ____
[] 02 Mother/Caretaker Not at home
[] 03 Mother/Caretaker Refused
[] 04 Partly completed
[] 05 Incapacitated (specify) ____
[] 06 No adult consent for mother/caretaker age 15-17
[] 96 Other (specify) ____
Child's background: CB
CB1. Check the respondent's line number (FS4) in 5-17 child information panel and the respondent to the household questionnaire (HH47):
[] 1 FS4=HH47 (Go to End)
[] 2 FS4 does not equal HH47
[] 2 FS4 does not equal HH47
CB2. In what month and year was (name) born?
Month and year must be recorded.
Date of birth
_ _ Month
_ _ _ _ Year
_ _ _ _ Year
CB3. How old is (name)?
Probe: How old was (name) at (his/her) last birthday? Record age in completed years. If responses to CB2 and CB3 are inconsistent, probe further and correct.
Age (in completed years) _ _
CB4. Has (name) ever attended school or any early childhood education programme?
[] 1 Yes
[] 2 No (Go to End)
[] 2 No (Go to End)
CB5. What is the highest level and grade or year of school (name) has ever attended?
[] 000 Early childhood education (Go to CB7)
[] 1 Primary (Grades 1-5) _ _
[] 2 Primary (Grades 6-9) _ _
[] 3 Secondary _ _
[] 4 Higher _ _
[] 1 Primary (Grades 1-5) _ _
[] 2 Primary (Grades 6-9) _ _
[] 3 Secondary _ _
[] 4 Higher _ _
CB6. Did (he/she) ever complete that (grade/year)?
[] 1 Yes
[] 2 No
[] 2 No
CB7. At any time during the [current] school year did (name) attend school or any early childhood education programme?
[] 1 Yes
[] 2 No (Go to CB9)
[] 2 No (Go to CB9)
CB8. During this [current] school year, which level and grade or year is (name) attending?
[] 000 Early childhood education
[] 1 Primary (Grades 1-5) _ _
[] 2 Primary (Grades 6-9) _ _
[] 3 Secondary _ _
[] 4 Higher _ _
[] 1 Primary (Grades 1-5) _ _
[] 2 Primary (Grades 6-9) _ _
[] 3 Secondary _ _
[] 4 Higher _ _
CB9. At any time during the [previous] school year did (name) attend school or any early childhood education programme?
[] 1 Yes
[] 2 No (Go to End)
[] 2 No (Go to End)
CB10. During that [previous] school year, which level and grade or year did (name) attend?
[] 000 Early childhood education
[] 1 Primary (Grades 1-5) _ _
[] 2 Primary (Grades 6-9) _ _
[] 3 Secondary _ _
[] 4 Higher _ _
[] 1 Primary (Grades 1-5) _ _
[] 2 Primary (Grades 6-9) _ _
[] 3 Secondary _ _
[] 4 Higher _ _
Birth Registration:FBR
FBR0A. Check FS1: Is this cluster selected for the Roma Settlements Survey (cluster numbers ranging from 301 to 303)?
[] 1 Yes
[] 2 No(Go to end)
[] 2 No(Go to end)
FBR0B.Before I continue, could you please bring (name)'s Birth Certificate, passport or health card? We will need to refer to these documents.
FBR1. Does (name) have a birth certificate?
If yes, ask: May I see it?
[] 1 Yes, certificate seen (Go to end)
[] 2 Yes, certificate not seen (Go to end)
[] 3 No
[] 8 DK
[] 2 Yes, certificate not seen (Go to end)
[] 3 No
[] 8 DK
FBR1A. Does (name) have a passport or heath card?
If yes, ask: May I see it?
[] 1 Yes, passport/heath card seen
[] 2 Yes, passport/heath card not seen
[] 3 No
[] 8 DK
[] 2 Yes, passport/heath card not seen
[] 3 No
[] 8 DK
FBR2. Has (name)'s birth been registered in the birth register?
[] 1 Yes(Go to end)
[] 2 No
[] 8 DK
[] 2 No
[] 8 DK
FBR3. Do you know how to register (name)'s birth
[] 1 Yes
[] 2 No(Go to end)
[] 2 No(Go to end)
FBR4. What is the reason for non-registration of (name)'s birth?
Probe: Any other reason?
Record all mentioned
[] A Abandoned by mother/mother has no personal documents
[] B Not born in health institution
[] C Does not know any information/ facts about the birth
[] D Child born recently, planning to register soon
[] X Other(specify)____
[] Z DK
[] B Not born in health institution
[] C Does not know any information/ facts about the birth
[] D Child born recently, planning to register soon
[] X Other(specify)____
[] Z DK
Child Labour: CL
CL1. Now I would like to ask about any work (name) may do.
Since last (day of the week), did (name) do any of the following activities, even for only one hour?
A. Did (name) do any work or help on (his/her) own or the household's plot, farm, food garden or looked after animals? For example, growing farm produce, harvesting, or feeding, grazing or milking animals?
Worked on plot, farm, food garden, looked after animals
[] 1 Yes
[] 2 No
[] 2 No
B. Did (name) help in a family business or a relative's business with or without pay, or run (his/her) own business?
Helped in family/relative's business/ran own business
[] 1 Yes
[] 2 No
[] 2 No
C. Did (name) produce or sell articles, handicrafts, clothes, food or agricultural products?
Produce/sell articles/handicrafts/clothes/food or agricultural products
[] 1 Yes
[] 2 No
[] 2 No
X. Since last (day of the week), did (name) engage in any other activity in return for income in cash or in kind, even for only one hour?
Any other activity
[] 1 Yes
[] 2 No
[] 2 No
CL2. Check CL1, [A]-[X]:
[] 1 At least one 'yes'
[] 2 All answers are 'no' (Go to CL7)
[] 2 All answers are 'no' (Go to CL7)
CL3. Since last (day of the week) about how many hours did (name) engage in (this activity/these activities), in total?
If less than one hour, record '00'.
Number of hours _ _
CL4. (Does the activity/Do these activities) require carrying heavy loads?
[] 1 Yes
[] 2 No
[] 2 No
CL5. (Does the activity/Do these activities) require working with dangerous tools such as knives and similar or operating heavy machinery?
[] 1 Yes
[] 2 No
[] 2 No
CL6. How would you describe the work environment of (name)?
A. Is (he/she) exposed to dust, fumes or gas?
[] 1 Yes
[] 2 No
[] 2 No
B. Is (he/she) exposed to extreme cold, heat or humidity?
[] 1 Yes
[] 2 No
[] 2 No
C. Is (he/she) exposed to loud noise or vibration?
[] 1 Yes
[] 2 No
[] 2 No
D. Is (he/she) required to work at heights?
[] 1 Yes
[] 2 No
[] 2 No
E. Is (he/she) required to work with chemicals, such as pesticides, glues and similar, or explosives?
[] 1 Yes
[] 2 No
[] 2 No
X. Is (name) exposed to other things, processes or conditions bad for (his/her) health or safety?
[] 1 Yes
[] 2 No
[] 2 No
CL7. Since last (day of the week), did (name) fetch water for household use?
[] 1 Yes
[] 2 No (Go to CL9)
[] 2 No (Go to CL9)
CL8. In total, how many hours did (name) spend on fetching water for household use, since last (day of the week)?
If less than one hour, record '00'.
Number of hours _ _
CL9. Since last (day of the week), did (name) collect firewood for household use?
[] 1 Yes
[] 2 No (Go to CL11)
[] 2 No (Go to CL11)
CL10. In total, how many hours did (name) spend on collecting firewood for household use, since last (day of the week)?
If less than one hour, record '00'.
Number of hours _ _
CL11. Since last (day of the week), did (name) do any of the following for this household?
A. Shopping for the household?
Shopping for household
[] 1 Yes
[] 2 No
[] 2 No
B. Cooking?
Cooking
[] 1 Yes
[] 2 No
[] 2 No
C. Washing dishes or cleaning around the house?
Washing dishes/cleaning house
[] 1 Yes
[] 2 No
[] 2 No
D. Washing clothes?
Washing clothes
[] 1 Yes
[] 2 No
[] 2 No
E. Caring for children?
Caring for children
[] 1 Yes
[] 2 No
[] 2 No
F. Caring for someone old or sick?
Caring for old/sick
[] 1 Yes
[] 2 No
[] 2 No
X. Other household tasks?
Other household tasks
[] 1 Yes
[] 2 No
[] 2 No
CL12. Check CL11, [A]-[X]:
[] 1 At least one 'yes'
[] 2 All answers are 'no' (Go to end of module)
[] 2 All answers are 'no' (Go to end of module)
CL13. Since last (day of the week), about how many hours did (name) engage in (this activity/these activities), in total?
If less than one hour, record '00'
Number of hours _ _
Child discipline: FCD
FCD1. Check CB3: Child's age?
[] 1 Age 5-14 years
[] 2 Age 15-17 years (Go to end of module)
[] 2 Age 15-17 years (Go to end of module)
FCD2. Now I'd like to talk to you about something else.
Adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used. Please tell me if you or any other adult in your household has used this method with (name) in the past month.
A. Took away privileges, forbade something (name) liked or did not allow (him/her) to leave the house.
Took away privileges
[] 1 Yes
[] 2 No
[] 2 No
B. Explained why (name)'s behaviour was wrong.
Explained wrong behavior
[] 1 Yes
[] 2 No
[] 2 No
C. Shook (him/her).
Shook him/her
[] 1 Yes
[] 2 No
[] 2 No
D. Shouted, yelled at or screamed at (him/her).
Shouted, yelled, screamed
[] 1 Yes
[] 2 No
[] 2 No
E. Gave (him/her) something else to do.
Gave something else to do
[] 1 Yes
[] 2 No
[] 2 No
F. Spanked, hit or slapped (him/her) on the bottom with bare hand.
Spanked, hit, slapped on bottom with bare hand
[] 1 Yes
[] 2 No
[] 2 No
G. Hit (him/her) on the bottom or elsewhere on the body with something like a belt, hairbrush, stick or other hard object.
Hit with belt, hairbrush, stick or other hard object
[] 1 Yes
[] 2 No
[] 2 No
H. Called (him/her) dumb, lazy or another name like that.
Called dumb, lazy or another name
[] 1 Yes
[] 2 No
[] 2 No
I. Hit or slapped (him/her) on the face, head or ears.
Hit/slapped on the face, head or ears
[] 1 Yes
[] 2 No
[] 2 No
J. Hit or slapped (him/her) on the hand, arm, or leg.
Hit/slapped on hand, arm or leg
[] 1 Yes
[] 2 No
[] 2 No
K. Beat (him/her) up, that is hit him/her over and over as hard as one could.
Beat up, hit over and over as hard as one could
[] 1 Yes
[] 2 No
[] 2 No
FCD3. Check FS4: Is this respondent the mother or caretaker of any other children under age 5?
[] 1 Yes
[] 2 No (Go to FCD5)
[] 2 No (Go to FCD5)
FCD4. Check FS4: Has this respondent already responded to the following question (UCD5) for another child?
[] 1 Yes (Go to end of module)
[] 2 No
[] 2 No
FCD5. Do you believe that in order to bring up, raise, or educate a child properly, the child needs to be physically punished?
[] 1 Yes
[] 2 No
[] 8 DK/no opinion
[] 2 No
[] 8 DK/no opinion
Child functioning: FCF
FCF1. I would like to ask you some questions about difficulties (name) may have. Does (name) wear glasses or contact lenses?
[] 1 Yes
[] 2 No
[] 2 No
FCF2. Does (name) use a hearing aid?
[] 1 Yes
[] 2 No
[] 2 No
FCF3. Does (name) use any equipment or receive assistance for walking?
[] 1 Yes
[] 2 No
[] 2 No
FCF4. In the following questions, I will ask you to answer by selecting one of four possible answers. For each question, would you say that (name) has: 1) no difficulty, 2) some difficulty, 3) a lot of difficulty, or 4) that (he/she) cannot at all.
Repeat the categories during the individual questions whenever the respondent does not use an answer category:
Remember the four possible answers: Would you say that (name) has: 1) no difficulty, 2) some difficulty, 3) a lot of difficulty, or 4) that (he/she) cannot at all?
Remember the four possible answers: Would you say that (name) has: 1) no difficulty, 2) some difficulty, 3) a lot of difficulty, or 4) that (he/she) cannot at all?
FCF5. Check FCF1: Child wears glasses or contact lenses?
[] 1 Yes, FCF1=1 (Go to FCF6A)
[] 2 No, FCF1=2 (Go to FCF6B)
[] 2 No, FCF1=2 (Go to FCF6B)
FCF6A. When wearing (his/her) glasses or contact lenses, does (name) have difficulty seeing?
[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot see at all
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot see at all
FCF6B. Does (name) have difficulty seeing?
[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot see at all
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot see at all
FCF7. Check FCF2: Child uses a hearing aid?
[] 1 Yes, FCF2=1 (Go to FCF8A)
[] 2 No, FCF2=2 (Go to FCF8B)
[] 2 No, FCF2=2 (Go to FCF8B)
FCF8A. When using (his/her) hearing aid(s), does (name) have difficulty hearing sounds like peoples' voices or music?
[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot hear at all
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot hear at all
FCF8B. Does (name) have difficulty hearing sounds like peoples' voices or music?
[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot hear at all
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot hear at all
FCF9. Check FCF3: Child uses equipment or receives assistance for walking?
[] 1 Yes, FCF3=1
[] 2 No, FCF3=2 (Go to FCF14)
[] 2 No, FCF3=2 (Go to FCF14)
FCF10. Without (his/her) equipment or assistance, does (name) have difficulty walking 100 meters on level ground?
Probe: That would be about the length of 1 football field. Note that category 'No difficulty' is not available, as the child uses equipment or receives assistance for walking.
[] 2 Some difficulty
[] 3 A lot of difficulty (Go to FCF12)
[] 4 Cannot walk 100 M at all (Go to FCF12)
[] 3 A lot of difficulty (Go to FCF12)
[] 4 Cannot walk 100 M at all (Go to FCF12)
FCF11. Without (his/her) equipment or assistance, does (name) have difficulty walking 500 meters on level ground?
Probe: That would be about the length of 5 football fields. Note that category 'No difficulty' is not available, as the child uses equipment or receives assistance for walking.
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot walk 500 M at all
[] 3 A lot of difficulty
[] 4 Cannot walk 500 M at all
FCF12. With (his/her) equipment or assistance, does (name) have difficulty walking 100 meters on level ground?
Probe: That would be about the length of 1 football field.
[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty (Go to FCF16)
[] 4 Cannot walk 100 M at all (Go to FCF16)
[] 2 Some difficulty
[] 3 A lot of difficulty (Go to FCF16)
[] 4 Cannot walk 100 M at all (Go to FCF16)
FCF13. With (his/her) equipment or assistance, does (name) have difficulty walking 500 meters on level ground?
Probe: That would be about the length of 5 football fields.
[] 1 No difficulty (Go to FCF16)
[] 2 Some difficulty (Go to FCF16)
[] 3 A lot of difficulty (Go to FCF16)
[] 4 Cannot walk 500 M at all (Go to FCF16)
[] 2 Some difficulty (Go to FCF16)
[] 3 A lot of difficulty (Go to FCF16)
[] 4 Cannot walk 500 M at all (Go to FCF16)
FCF14. Compared with children of the same age, does (name) have difficulty walking 100 meters on level ground?
Probe: That would be about the length of 1 football field.
[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty (Go to FCF16)
[] 4 Cannot walk 100 M at all (Go to FCF16)
[] 2 Some difficulty
[] 3 A lot of difficulty (Go to FCF16)
[] 4 Cannot walk 100 M at all (Go to FCF16)
FCF15. Compared with children of the same age, does (name) have difficulty walking 500 meters on level ground?
Probe: That would be about the length of 5 football fields.
[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot walk 500 M
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot walk 500 M
FCF16. Does (name) have difficulty with self-care such as feeding or dressing (himself/herself)?
[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot care for self
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot care for self
FCF17. When (name) speaks, does (he/she) have difficulty being understood by people inside of this household?
[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot be understood
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot be understood
FCF18. When (name) speaks, does (he/she) have difficulty being understood by people outside of this household?
[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot be understood
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot be understood
FCF19. Compared with children of the same age, does (name) have difficulty learning things?
[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot learn things
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot learn things
FCF20. Compared with children of the same age, does (name) have difficulty remembering things?
[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot remember things
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot remember things
FCF21. Does (name) have difficulty concentrating on an activity that (he/she) enjoys doing?
[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot concentrate
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot concentrate
FCF22. Does (name) have difficulty accepting changes in (his/her) routine?
[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot accept changes
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot accept changes
FCF23. Compared with children of the same age, does (name) have difficulty controlling (his/her) behaviour?
[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot control behaviour
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot control behaviour
FCF24. Does (name) have difficulty making friends?
[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot make friends
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot make friends
FCF25. The next questions have different options for answers. I am going to read these to you after each question.
I would like to know how often (name) seems very anxious, nervous or worried.
Would you say: daily, weekly, monthly, a few times a year or never?
[] 1 Daily
[] 2 Weekly
[] 3 Monthly
[] 4 A few times a year
[] 5 Never
[] 2 Weekly
[] 3 Monthly
[] 4 A few times a year
[] 5 Never
FCF26. I would also like to know how often (name) seems very sad or depressed.
Would you say: daily, weekly, monthly, a few times a year or never?
[] 1 Daily
[] 2 Weekly
[] 3 Monthly
[] 4 A few times a year
[] 5 Never
[] 2 Weekly
[] 3 Monthly
[] 4 A few times a year
[] 5 Never
Parental involvement: PR
PR1. Check CB3: Child's age?
[] 1 Age 5-6 years (Go to end of module)
[] 2 Age 7-14 years
[] 3 Age 15-17 years (Go to end of module)
[] 2 Age 7-14 years
[] 3 Age 15-17 years (Go to end of module)
PR3. Excluding school text books and holy books, how many books do you have for (name) to read at home?
[] 00 None
[] 0 Number of books _
[] 10 Ten or more books
[] 0 Number of books _
[] 10 Ten or more books
PR4. Check CB7: Did the child attend any school?
Check ED9 in the education module in the household questionnaire for child if CB7 was not asked.
[] 1 Yes, CB7/ED9=1
[] 2 No, CB7/ED9=2 or blank (Go to end of module)
[] 2 No, CB7/ED9=2 or blank (Go to end of module)
PR5. Does (name) ever have homework?
[] 1 Yes
[] 2 No (Go to PR7)
[] 8 DK (Go to PR7)
[] 2 No (Go to PR7)
[] 8 DK (Go to PR7)
PR5A. Since last (day of the week), about how many hours in total did (name) spend doing homework from any subject?
If less than one hour, recode '00'.
Number of hours___
Number of hours___
PR6. Does anyone help (name) with homework?
[] 1 Yes
[] 2 No
[] 8 DK
[] 2 No
[] 8 DK
PR7A. Are you aware whether the school (name) is attending has a Parents' Council or not?
[] 1 Yes
[] 2 No (Go to PR10)
[] 8 DK (Go to PR10)
[] 2 No (Go to PR10)
[] 8 DK (Go to PR10)
PR9A.Are you aware whether any of the following topics was discussed at the Parents' Council meetings:
A. A plan for addressing key education issues faced by (name)'s school?
Plan for addressing school's issues
[] 1 Yes
[] 2 No
[] 8 DK
[] 2 No
[] 8 DK
B. School performance reports?
School performance reports
[] 1 Yes
[] 2 No
[] 8 DK
[] 2 No
[] 8 DK
PR10. In the last 12 months, have you or any other adult from your household received a school report, report card or record of achievement for (name)?
[] 1 Yes
[] 2 No
[] 8 DK
[] 2 No
[] 8 DK
PR11. In the last 12 months, have you or any adult from your household gone to (name)'s school for any of the following reasons?
A. A school celebration or a sport event?
Celebration or sport event
[] 1 Yes
[] 2 No
[] 8 DK
[] 2 No
[] 8 DK
B. To discuss (name)'s progress with (his/her) teachers?
To discuss progress with teachers
[] 1 Yes
[] 2 No
[] 8 DK
[] 2 No
[] 8 DK
C. Parents' meeting?
Parents' meeting?
[] 1 Yes
[] 2 No
[] 8 DK
[] 2 No
[] 8 DK
PR12. In the last 12 months, has (name)'s school been closed on a school day due to any of the following reasons:
A. Natural disasters, such as flood, cyclone, epidemics or similar?
Natural disasters
[] 1 Yes
[] 2 No
[] 8 DK
[] 2 No
[] 8 DK
B. Man-made disasters, such as fire, building collapse, riots or similar?
Man-made disasters
[] 1 Yes
[] 2 No
[] 8 DK
[] 2 No
[] 8 DK
C. Teacher strike?
Teacher strike
[] 1 Yes
[] 2 No
[] 8 DK
[] 2 No
[] 8 DK
X. Other?
Other
[] 1 Yes
[] 2 No
[] 8 DK
[] 2 No
[] 8 DK
PR13. In the last 12 months, was (name) unable to attend class due to (his/her) teacher being absent?
[] 1 Yes
[] 2 No
[] 8 DK
[] 2 No
[] 8 DK
PR14. Check PR12[C] and PR13: Any 'Yes' recorded?
[] 1 Yes, PR12[C]=1 or PR13=1
[] 2 No (Go to end)
[] 2 No (Go to end)
PR15. When (teacher strike / teacher absence) happened did you or any other adult member of your household contact any school officials or school governing body representatives?
[] 1 Yes
[] 2 No
[] 8 DK
[] 2 No
[] 8 DK
FS11. Record the time.
Hours and minutes _ _ : _ _
FS12. Language of the Questionnaire.
[] 2 Macedonian
[] 3 Albanian
[] 3 Albanian
FS13. Language of the Interview.
[] 2 Macedonian
[] 3 Albanian
[] 6 Other language (specify) ____
[] 3 Albanian
[] 6 Other language (specify) ____
FS14. Native language of the Respondent.
[] 02 Macedonian
[] 03 Albanian
[] 04 Turkish
[] 05 Roma
[] 06 Vlach
[] 07 Serbian
[] 08 Bosniak
[] 96 Other language (specify) ____
[] 03 Albanian
[] 04 Turkish
[] 05 Roma
[] 06 Vlach
[] 07 Serbian
[] 08 Bosniak
[] 96 Other language (specify) ____
FS15. Was a translator used for any parts of this questionnaire?
[] 1 Yes, the entire questionnaire
[] 2 Yes, parts of the questionnaire
[] 3 No, not used
[] 2 Yes, parts of the questionnaire
[] 3 No, not used
FS16. Thank the respondent and the child for her/his cooperation.
Proceed to complete the result in FS17 in the 5-17 child information panel and then go to the household questionnaire and complete HH56.
Make arrangements for the administration of the remaining questionnaire(s) in this household.
Make arrangements for the administration of the remaining questionnaire(s) in this household.
Interviewer's observations
Supervisor's observations
FL module booklet
Sam is a cat. Tina is a dog. Sam is 5. Tina is 6.
P
Moses is in class two. One day, Moses was going home from school. He saw some red flowers on the way. The flowers were near a tomato farm. Moses wanted to get some flowers for his mother. Moses ran fast across the farm to get the flowers. He fell down near a banana tree. Moses started crying. The farmer saw him and came. He gave Moses many flowers. Moses was very happy.
9
12
30
48
74
731
7 5
11 24
58 49
65 67
146 154
3+2=
8+6=
7+3=
13+6=
12+24=
1 2 ____ 4
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5 10 15 ____
P
5 6 7 ____
14 15 ____ 17
20 ____ 40 50
2 4 6 ____
5 8 11 ____