6. Which room(s) do the displaced people occupy now?
Description (quality, size in sqm, previous function; water?; electricity?; toilet?)
________________________________________________________________
________________________________________________________________
________________________________________________________________
7. Way of making a living before and after destruction: _____________________
________________________________________________________________
________________________________________________________________
8. School attendance before and after destruction: __________________________
________________________________________________________________
________________________________________________________________
9. Health care before and after destruction: _______________________________
________________________________________________________________
________________________________________________________________
10. Any (other) disruptions – social, spiritual, etc. – as a result of the destruction/
displacement? ____________________________________________________
________________________________________________________________
________________________________________________________________
11. If displaced people were one family: did family remain united?
Yes/No
12. If ‘No’, who was separated from family? _______________________________
13. Where does this family member stay now? (specify income, school, health care as
applicable; follow up?) _____________________________________________
________________________________________________________________
Date
__________
Source(s) of information _______________________________________________
___________________________________________________________________
(circle ‘anonymous’ if informant does not want to identify her/himself)
(use blank sheets of paper to record answers to qualitative questions that could not be
accommodated on lines below the question; e.g., record as ‘6, continued: ………….’)
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