Demographic Information 1. Atoll (if in Male indicate Ward) 2. Atoll Code 3. Island 4. Island Code 5. Household Number 6. Sex: a. b. c. d. 7. Male Female Refused Don’t Know/Not Applicable d. e. f. g. h. i. j. k. l. m. n. 13. a. Age …… b. Refused c. Don’t Know/Not Applicable 8. Into what age group do you fall? a. b. c. d. e. f. g. h. i. 9. a. b. c. d. e. f. g. 16 – 19 20 – 29 30 – 39 40 – 49 50 – 59 60 – 69 70 or over Refused Don’t Know/Not Applicable 14. Nationality 15. 10. Yes No Refused Don’t Know/Not Applicable 11. What is the total number of people who live in this household? 12. Relationship to Head of Household a. Household Head b. Spouse c. Child 70 Yes No (Skip to Q. 18) Refused (Skip to Q. 18) Don’t Know/Not Applicable (Skip to Q. 18) If yes, for how long? a. b. c. d. e. f. g. h. Less than 1 year 1 – 2 years 2 – 3 years 3 – 4 years 4 – 10 years Over 10 years Refused Don’t Know/Not Applicable Enumerator: “I now want to ask you some questions about this house” 16. Does the house have electricity? a. b. c. d. Do you have a valid visa for the Maldives? a. b. c. d. Adult literacy Local certificate Primary (grade 1 to 7) Low secondary (grade 8 to 10) High Secondary (grade 11 to 12) Diploma Higher Education (first degree onwards) Refused Don’t Know/Not Applicable Did you ever leave your home to further your education on Male [Were/are you a “boarder” child?] (This question is aimed to all except foreigners) a. b. c. d. Maldivian [Skip to Qu 13] Bangladeshi Indian Sri Lankan Other ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ (Specify) Refused Don’t Know/Not Applicable Enumerator: “I am now going to ask you about your immigration status. I remind you that this survey is strictly confidential and no‐one will know your answer to this question. However, knowing about peoples’ immigration status will help the Human Rights Commission protect their rights.” What is your highest education level achieved? a. b. c. d. e. f. g. h. i. Age (at last birthday) Stepchild Brother / Sister Grandchild Parent / Step parent Son‐in‐Law / Daughter in Law Other relative Non relative Domestic servant (Maldivian) Domestic servant (Foreign) Refused Don’t Know/Not Applicable 17. Do you have drinking water available at all the times? a. b. c. d. 18. Yes No Refused Don’t Know/Not Applicable Yes No Refused Don’t Know/Not Applicable From which source do you get your drinking water? [Do not prompt – more than one answer possible]