Post Distribution Monitoring_Voucher_for_cash_questionnaire_Aug2015

Voucher for cash questionnaire
No. Questions Options Indicator / purpose
Assessor ID
Date
Location (governorate, district, sub-district, community/village)
Introduction and informed consent section
Did your household receive vouchers / cash in the last XX days?
1. Yes
2. No (Stop questionnaire)
Type of voucher received:
1. Voucher for cash
2. Voucher for commodities
Type of beneficiary:
1. Not voucher for work (unconditional)
2. Voucher for work (conditional)
Section 1: Respondent profile
1.1. Registered beneficiary ID number Text MDR
1.2. Name of respondent Text MDR
1.3. Sex of respondent
1. Male
2. Female
MDR
1.4. Age of respondent Integer MDR
1.5.
Relationship of respondent to registered beneficiary: (Read
choices)
1. Respondent is registered beneficiary
2. Spouse
3. Child (son/daugher)
4. Parent
5. Extended family
6. Other (specify):_____
MDR
Section 2: Beneficiary selection process
2.1.
Was the beneficiary registration/selection criteria explained by
IRC/(name of partner organization) to your household before
registration?
1. Yes
2. No
3. Don't know
Registration / selection criteria dissseminated

2.2.
Why do you think your household was selected for this program?
(Don't read choices) (Select all that apply)
Hint: From beneficiary's view
1. Live close to organization / entity in charge of activity
2. Member of my household is working for organization / entity in
charge of activity
3. Member of my household is related to, a member of, or friend
of local council
4. Paid, gave or did something in exchange for assistance
5. Have access to land
6. Have access to sufficient water for irrigation
7. Have farming experience or agricultural background
8. Household size is large
9. Household has many children under 15 years
10. Head of my household is unemployed / doesn't earn money
11. Head of my household is a woman / widow
12. Head of my household is elderly (60+)
13. Head of my household is under 18
14. Disabled people live in my household
15. Chronically ill people live in my household
16. Household is internally displaced (IDP)
17. Household has low or no income / support / assets
18. Live in a collective or sub-standard shelter
19. Have not received this type of assistance before, or in a long
time
20. Other (specify):____
21. Don't know
Perception of selection process/criteria
2.3.
In your opinion, why do you think the other households
participating in this program were selected? (Don't read
choices) (Select all that apply)
Same options as above Selection process/criteria (perception)
2.4.
To your knowledge, was your household asked to provide
something in order to be selected for this program?
1. Yes
2. No (Go to section 3)
Exploitation of beneficiaries
2.5.
If YES, please specify what was asked for in exchange for
selection: (Don't read choices) (Select all that apply)
1. Cash (specify amount)
2. In-kind items (specify)
3. Service / labor (specify)
4. Unethical request (specify, if respondent feels comfortable to do
so)
2.6.
For each option selected, ask:
Who asked for this (if you feel comfortable to reveal this)? (Don't
read choices) (Select all that apply)
1. Staff in charge of distribution / activity
2. Local council / camp leaders
3. Government authority
4. Neighbor / friend
5. Mosque / religious leader
6. Other (specify)
7. Don’t know / refuse to answer
Section 3: Voucher distribution process
3.1.
Were you the person who collected the vouchers at the
distribution point?
1. Yes (Skip next question)
2. No
To filter out those with no experience at
distribution point
3.2.
Did your household receive any information about the date, time
and place of the voucher distributions?
1. Yes
2. No (Skip next two questions)
3. Don't know (Skip next two questions)
IRC's information dissemination practice

3.3.
If YES, how many days later was the distribution held after your
household was informed? (Don't read choices) (Select one)
1. Less than one day
2. One day
3. Two days
4. Three days
5. More than three days
3.4.
In your opinion, how acceptable was the number of days you said
your household was notified before the distribution happened:
(Read choices)
1. Acceptable
2. Neutral
3. Not acceptable
4. No opinion / undecided
(perception)
3.5.
Did your household ever receive any instructions / information on
how and where to use the vouchers (e.g. before, during or after
distribution)?
1. Yes
2. No (Skip next two questions)
3. Don't know (Skip next two questions)
Instruction / training on voucher use
3.6.
If YES, how did your household receive the instructions /
information on how to use the vouchers? (Don't read choices)
(Select all that apply)
1. Face to face communication
2. Pamphlet
3. Phone / whatsapp message
Mode of instruction / training on voucher use
3.7.
In your opinion, how clear/understandable were the instructions /
information on how to use the vouchers were? (Read choices)
1. Very clear / understandable
2. Somewhat clear / understandable
3. Not clear / understandable
Clarity of instruction / training on voucher use
(perception)
3.8. Where was the distribution point? (Read choices) (Select one)
1. Inside my village
2. Outside my village
Accessibility: Distance to distribution point
3.9.
If inside your village, how far was the distribution point from your
home, in kilometers?
integer (km) Distance
3.10.
If outside your village, how far was the distribution point from your
home, in kilometers?
3.11.
In your opinion, how acceptable was this distance to the
distribution point from your home? (Read choices)
1. Acceptable
2. Neutral
3. Not acceptable
Accessibility: Distance to distribution point
(perception)
3.12.
How did you mainly travel to and/or from the distribution point?
(Don't read choices) (Select one)
1. Public transport - bus, car, motorcycle
2. Private motorized transport - car, motorcycle
3. Privatre non-motorized transport - bicycle
4. By foot
Mode of transport to distribution point
3.13.
Did you pay any transportation costs to reach, and/or return from,
the distribution point?
1. Yes
2. No (Skip next question)
Accessibility: Costs incurred to reach
distribution point
3.14. If YES, please specify cost, one way: integer (Syrian pounds)
distribution point
3.15.
Did you ever feel unsafe / insecure while traveling to and from the
distribution point (both ways)?
1. Yes
Accessibility: Safety / security of route to reach
distribution point (perception)
3.16.
In your opinion, how acceptable was the location of the
distribution point for you? (Read choices)
1. Acceptable
2. Neutral
3. Not acceptable
Accessibility: Location of distribution point
(perception)

3.17.
If NOT ACCEPTABLE, why was the location not acceptable to
you? (Don't read choices) (Select all that apply)
1. Difficult / risky to access location
2. Time-consuming to access location
3. Costly to access location
4. No public transportation to access location
5. Location not secure from fighting, shelling, etc.
6. Location near crowded areas
7. Location not protected / shaded from harsh weather (heat, rain,
wind, cold, etc.)
8. Other (specify):_______
Accessibility: Location of distribution point
(perception)
3.18.
How long did you have to wait at the distribution point before
receiving the vouchers?
1. Less than 30 minutes
2. 30 minues ≤ time < 1 hour
3. 1 hour ≤ time < 1.5 hours
4. 1.5 hours ≤ time < 2 hours
5. 2 hours or more
Waiting time at distribution point
3.19.
In your opinion, how acceptable was the amount of time you said
you waited to receive the vouchers? (Read choices)
1. Acceptable
2. Neutral
3. Not acceptable
Waiting time at distribution point (perception)
3.20.
Did you ever feel unsafe or at increased risk while waiting to
receive the vouchers?
1. Yes
Safety / security at distribution point
(perception)
3.21.
If YES, why did you feel unsafe / at increased risk while waiting to
receive the voucher? (Don't read choices) (Select all that
apply)
1. Site too crowded
2. Had to wait in same line / crowd with beneficiaries of opposite
sex
3. Faced harassment / abuse from other beneficiaries at site
4. Shelling / airstrikes happening near site
5. Military / armed groups present / active near site
6. Not protected from harsh weather (sun, wind, rain, etc.) at site
7. Other (specify):__________
Safety / security at distribution point
3.22.
Were you required to provide identification documentation in
order to receive the vouchers at the distribution point?
1. Yes
2. No
Compliance: Beneficiary identification
3.23.
Did you finger-print or sign in order to receive the vouchers at the
distribution point?
1. Yes
2. No
Compliance: Beneficiary signature
3.24.
What was the overall treatment of distribution staff at the
distribution point towards you? (Read choices)
1. Friendly / polite
2. Somewhat friendly / polite
3. Not friendly / polite
Staff conduct at distribution point (perception)
3.25.
If NOT FRIENDLY, why or how was the staff NOT FRIENDLY /
POLITE?
text Staff conduct at distribution point (perception)
3.26.
In your opinion, how was the overall level of organization of the
distribution process at the distribution point? (Read choices)
1. Well organized
2. Somewhat organized
3. Not organized
Organization of distribution process
(perception)
3.27.
Do you have any additional comments about your experience
collecting the voucher at the distribution point? If Yes, please
explain:
text Additional comments
Section 4: Voucher redemption process
4.1.
Do you know the total value of the vouchers that your household
received?
1. Yes
2. No
Total value of vouchers
4.2.
If YES, how much was the total value of the vouchers that your
household recently received?
integer (SYP) Total value of vouchers
4.3. What did you do with the vouchers you received?
1. Used it
2. Gave it away (Move to section 6)
Use of voucher

4.4.
If USED, after your household was selected to receive the
vouchers, did your household buy goods on credit (with the
promise of the vouchers as payment) before the redemption
period started?
1. Yes
Use of voucher as credit
4.5.
If YES, why did your household use the vouchers as credit to buy
goods before the redemption period started?
text Use of voucher as credit
4.6.
Were you the person who went to the center/vendor to
redeem/exchange the vouchers?
1. Yes (Skip next question)
2. No
To filter out those with no experience at
center/vendor
4.7.
Your household was given four days to redeem/exchange the
vouchers. How sufficient was this amount of time for your
household to redeem/exchange the vouchers? (Read choices)
1. Sufficient
2. Neutral
3. Insufficient
4. Don't know
Redemption period
4.8.
If INSUFFICIENT, how many days would you suggest instead (in
days)?
integer (days) Suggested period
4.9.
Name / location of center/ vendor(s) you used to
redeem/exchange your vouchers? (Select all that apply)
Options Location of center/vendor
4.10.
Where was the center/vendor that you used to redeem/exchange
your vouchers? (Read choices) (Select one)
1. Inside my village
2. Outside my village
3. Both (inside and outside my village)
Accessibility: Distance to center/vendor
4.11.
If INSIDE your village, how far away was the center/vendor from
your home, in kilometers?
4.12.
If OUTSIDE your village, how far away was the center/vendor
from your home, in kilometers?
4.13.
In your opinion, how acceptable was this distance to the
center/vendor from your home? (Read choices)
1. Acceptable
2. Neutral
3. Not acceptable
Accessibility: Distance to center/vendor
(perception)
4.14.
How did you mainly travel to and/or from the center/vendor?
(Don't read choices) (Select one)
1. Public transport - bus, car, motorcycle
2. Private motorized transport - car, motorcycle
3. Privatre non-motorized transport - bicycle
4. By foot
Mode of transport to center/vendor
4.15.
Did you pay any transportation costs to and/or from the
center/vendor that you used?
1. Yes
center/vendor
4.16. If YES, please specify the cost, one way: integer (Syrian pounds)
Accessibility: Costs incurred to reach money
transfer agent/vendor
4.16.
Did you ever feel unsafe / insecure while traveling to and/or from
the center/vendor that you used?
1. Yes
Accessibility: Safety / security of route to
center/vendor (perception)
4.17.
Did you face any difficulties finding the center/vendor that you
used?
1. Yes
Accessibility: Ease of locating center/vendor
(perception)
4.18. If YES, why was it difficult to find the center/vendor? Text
Accessibility: Ease of locating center/vendor
(perception)
4.19.
In your opinion, how acceptable was the location of the
center/vendor that you used? (Read choices)
1. Acceptable
2. Neutral
3. Not acceptable (Go to next question)
Accessibility: Location of
center/vendor(perception)
4.20.
If NOT ACCEPTABLE, why was the location of the center/vendor
you used not acceptable?
text
Accessibility: Location of money transfer
agent/vendor (perception)

4.21.
How long did you have to wait to redeem/exchange the vouchers
at the center/vendor you used?
1. Less than 30 minutes
2. 30 minues ≤ time < 1 hour
3. 1 hour ≤ time < 1.5 hours
4. 1.5 hours ≤ time < 2 hours
5. 2 hours or more
Waiting time at center/vendor
4.22.
In your opinion, the amount of time you said you waited before
redeeming/exchanging the vouchers was: (Read choices)
1. Acceptable
2. Neutral
3. Not acceptable
Waiting time at center/vendor (perception)
4.23.
Did you ever feel unsafe or at increased risk while waiting to
redeem/exchange the vouchers at the center/vendor you used?
1. Yes
Safety / security at center/vendor
4.24.
If YES, why did you feel unsafe / at increased risk while waiting?
(Don't read choices) (Select all that apply)
1. Site too crowded
2. Had to wait in same line / crowd with beneficiaries of opposite
sex
3. Faced harassment / abuse from other beneficiaries at site
4. Shelling / airstrikes happening near site
5. Military / armed groups present / active near site
6. Not protected from harsh weather (sun, wind, rain, etc.) at site
7. Other (specify):____________
Safety / security at center/vendor
4.25.
What was the overall treatment of vendor staff towards you?
(Read choices)
1. Friendly / polite
2. Somewhat friendly / polite
3. Not friendly / polite (Go to next question)
Staff conduct at center/vendor (perception)
4.26.
If NOT FRIENDLY, why or how were the staff NOT FRIENDLY /
POLITE?
text Staff conduct at center/vendor (perception)
4.27.
Were you asked to provide anything to the center/vendor in order
for them to redeem/exchange your vouchers?
1. Yes
4.28.
If YES, what were you asked to provide: (Read choices)
(Multiple choice)
1. Money/fees/tax (specify amount)
2. In-kind item (specify)
3. Service / labor (specify)
4. Unethical request (specify, if respondent feels comfortable to do
so)
5. Other (specify):______
4.29.
Did you experience any other issues with redeeming/exchanging
your vouchers at the center/vendor you used?
1. Yes
Other potential issues
4.30. If YES, what issues did you face: text Other potential issues
4.31.
To your knowledge, did you receive the amount of cash you
expected from the vendor/center when you redeemed/exchanged
the vouchers?
1. Yes
2. No
3. Not applicable - Did not receive vouchers for cash (Go to
section 5)
Amount of cash received against expected
4.32.
To your knowledge, did you receive any counterfeit (fake) money
when you redeemed/exchanged the voucher at the center/vendor
you used?
1. Yes
2. No
Counterfeit money
4.33.
Did you ever feel unsafe / insecure while transporting the cash
back home?
1. Yes
Safety / security of transporting cash back
home (perception)
4.34.
If YES, why did you feel unsafe / insecure transporting the cash
back home?
text
Safety / security of transporting cash back
home (perception)
Section 5: Use of cash

5.1.
On what did your household spend/use the recent cash received
from IRC/(partner)?
(Don't read choices) (Multiple choice)
1. Food
2. Clothes / shoes
3. Bedding and linen (sheets, towels, blankets, etc.)
4. Kitchen utensils
5. Hygiene / personal care consumable items (e.g. shampoo,
laundrey detergent, soap, toothpaste, etc.)
6. Electronics
7. Celebrations
8. Income-generating tools / equipment / tools
9. Medical care / medications
10. Education
11. Rent
12. Shelter material for repairs / construction
13. Fuel
14. Utilities (water, gas, heating, electricity)
15. Debt repayment
16. Saved some or all the cash
17. Gave away some or all the cash
18. Loaned some or all the cash
19. Other (specify)
20. Refuse to answer
Use of cash
5.2.
Of the ways you mentioned how cash was used/spent, what was
largest way the cash was used, if any: (Don't read choices)
(Select one)
1. Food
2. Clothes / shoes
4. Kitchen utensils
6. Electronics
7. Celebrations
10. Education
11. Rent
13. Fuel
15. Debt repayment
16. Saved some or all of cash
17. Gave some or all away
18. Loaned some or all away
19. Other (specify)
Use of cash

5.3.
the second largest way the cash was used, if any: (Don't read
choices) (Select one)
1. None - There was no second use/expense of the cash
2. Food
3. Clothes / shoes
5. Kitchen utensils
7. Electronics
8. Celebrations
11. Education
12. Rent
14. Fuel
16. Debt repayment
18. Gave away or all the cash
20. Other (specify)
Use of cash
5.4.
the third largest way the cash was used, if any: (Don't read
choices) (Select one)
1. None - There was no third use/expense of the cash
2. Food
3. Clothes / shoes
5. Kitchen utensils
7. Electronics
8. Celebrations
11. Education
12. Rent
14. Fuel
16. Debt repayment
18. Gave some or all the cash
20. Other (specify)
Use of cash
5.5.
In your opinion, was the total value of the recent voucher / cash
received from IRC/(partner name) sufficient to meet your
household's basic needs for one month?
1. Yes
2. No
3. Don't know Sufficiency of cash for one month

5.6.
If NO, what needs were not sufficiently covered by the voucher /
cash? (Don't read choices) (Multiple choice)
1. Food
2. Clothes / shoes
4. Kitchen utensils
6. Electronics
7. Celebrations
10. Education
11. Rent
13. Fuel
15. Debt repayment
16. Other (specify)
Needs not covered for one month
5.7.
Would you prefer to receive in-kind items instead of vouchers for
cash?
1. Yes
2. No
3. Don't know
Type of assistance preferred
5.8.
If YES, why do you prefer receiving in-kind items instead of
vouchers for cash?
Text Type of assistance preferred
Section 6: Household / community / market changes
6.1.
Who decided how the voucher / cash received was spent / used
in your household? (Don't read choices) (Select all that apply)
1. Head of household only
2. Spouse of head of household
3. Child (son/daughter) of head of household
4. Parents of head of household
Cash decision-making dynamic
6.2.
To your knowledge, did the voucher / cash cause any negative
effect within your household?
1. Yes
Issues with household dynamics as result of
voucher
6.3. If YES, what issues did the cash / voucher cause? text
Issues with household dynamics as result of
voucher
6.4.
To your knowledge, has your household experienced any issues
with others in your community as a result of receiving the
vouchers?
1. Yes
Community relations / tensions
6.5. If YES, what issues did your household experience? text Community relations / tensions
6.6.
Have you noticed any other changes in your community as a
result of this program?
1. Yes
Community changes
6.7. If YES, what type of change(s) have you noticed? text Community changes
Since your household started receiving the cash, please indicate
if you have seen any noticeable changes in the cost of the
following goods in the market you use / where you reside:
6.8. Food (Read choices)
1. Increased a lot
2. Increased a little
3. No change
4. Decreased a little
5. Decreased a lot
6. No opinion / undecided / not sure
Cost of living / purchasing power

6.9. Clothes / shoes (read choices)
1. Increased a lot
3. No change
5. Decreased a lot
6.10. Kitchen utensils (read choices)
1. Increased a lot
3. No change
5. Decreased a lot
6.11.
Bedding and linens (sheets, towels, blankets, etc.) (read
choices)
1. Increased a lot
3. No change
5. Decreased a lot
6.12.
Hygiene / personal care consumable items (e.g. shampoo, soap,
laundry detergent, etc.) (Read choices)
1. Increased a lot
3. No change
5. Decreased a lot
6.13. Medications / human drugs (Read choices)
1. Increased a lot
3. No change
5. Decreased a lot
6.14. Income-generating tools / equipment / inputs (Read choices)
1. Increased a lot
3. No change
5. Decreased a lot
6.15. Shelter material for repairs/construction (Read choices)
1. Increased a lot
3. No change
5. Decreased a lot
6.16. Rent (Read choices)
1. Increased a lot
3. No change
5. Decreased a lot

6.17. Fuel (Read choices)
1. Increased a lot
3. No change
5. Decreased a lot
6.18. Utilities (e.g. water, electricity, heating, gas, etc.) (Read choices)
1. Increased a lot
3. No change
5. Decreased a lot
Since your household started receiving the cash, please indicate
if you have seen any noticeable changes in the availability /
quantity of the following goods in the market you use / where you
reside:
6.19. Food (Read choices)
1. Increased a lot
3. No change
5. Decreased a lot
Supply
6.20. Clothes / shoes (read choices)
1. Increased a lot
3. No change
5. Decreased a lot
Supply
6.21. Kitchen utensils (read choices)
1. Increased a lot
3. No change
5. Decreased a lot
Supply
6.22.
Bedding and linens (sheets, towels, blankets, etc.) (read
choices)
1. Increased a lot
3. No change
5. Decreased a lot
Supply
6.23.
Hygiene / personal care consumable items (e.g. shampoo, soap,
laundry detergent, etc.) (Read choices)
1. Increased a lot
3. No change
5. Decreased a lot
Supply
6.24. Medications / human drugs (Read choices)
1. Increased a lot
3. No change
5. Decreased a lot
Supply

6.25. Income-generating tools / equipment / inputs (Read choices)
1. Increased a lot
3. No change
5. Decreased a lot
Supply
6.26. Shelter material for repairs/construction (Read choices)
1. Increased a lot
3. No change
5. Decreased a lot
Supply
6.27. Fuel (Read choices)
1. Increased a lot
3. No change
5. Decreased a lot
Supply
6.28. Utilities (e.g. water, electricity, heating, gas, etc.) (Read choices)
1. Increased a lot
3. No change
5. Decreased a lot
Supply
Section 7: Coping strategies
During the last 7 days, how many days did your household have
to use one of the following strategies to cope with a lack of food
and/or money to buy food:
7.1. Rely on less preferred, less expensive foods? 0-7
7.2. Borrow food, or rely on help from a friend or relative? 0-7
7.3. Purchase food and or other items on credit? 0-7
7.4. Send household members to eat elsewhere? 0-7
7.5. Send household members to beg? 0-7
7.6. Limit portion size at mealtimes? 0-7
7.7. Reduce the number of meals eaten in a day? 0-7
7.8. Restrict consumption by adults in order for young children to eat? 0-7
7.9.
Ask if respondent has any additional comments, if any. Thank
respondent and end questionnaire
text End of questionnaire

Post Distribution Monitoring_Voucher_for_cash_questionnaire_Aug2015

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