Assessing the impact of climate change on livelihood security of ethnic minority communities in Dak Lak - 13

APPENDIX 1

SAMPLE INTERVIEW QUESTIONNAIRE

I. INTRODUCTION

Ho Chi Minh City, date….

May…..

1. Full name: ……………………………… Year of birth: ………………………..

2. Address: …....………………………………………………………………….. 3. Gender: ………………………..

4. Number of family members: ……… members.

5. Use of common language (Vietnamese): 1.  Proficiency (listening, speaking, reading, writing)

2.  Know a little (listen, speak)

3.  Don't know

6. Education level:

Peoplein the household

word

Small

oncology

MinusCS student

Minushigh school student

High

than

Head of household

Wife/husbandhead of household

Maybe you are interested!

Number of other family members:

Home

young

Small

oncology

MinusCS student

Minushigh school student

Grand

learn

Afteruniversity

Number of children not going to school: …………… Reason: …………………………………………………

7. Housing location:

 near the road  near the river, stream  near the forest

 in residential areas, villages  near factories, enterprises

8. Land status:

Does the household owner have private land for cultivation?  Yes 

Are not

If no land , please state the reason :

……………………………………

If yes, please continue: Total area: …………….. (m2 or sao),

in there:

Area of land for growing rice/vegetables/colors …………….. (m 2 ), aquaculture land:

………………. (m 2 )

Area of fruit garden land: …………… (m 2 ), industrial tree land:

………………….. (m 2 )

Other land area (including abandoned land) (if any): …………… (m 2 )

Reasons for not using land (if any):

………………………………………….

9. Economic status: Main source of income for the family in recent years: (rank in order of priority)

 Cultivation (coffee, rubber, vegetables, rice, ...)  Animal husbandry (pigs,

chicken, …)

 Aquaculture (fish, frogs, etc.)  Hunting/exploitation in

forest

 Services , trade, side jobs , etc.  Self -employment

 civil servant, monthly salary  Other occupations

…………

10. Families are classified by local authorities:

1. 

poor household

2.  Near poor households

3.  Average household

4.  Rich households

II. CONTENT

Question 11. Please let me know if your family knows (has heard of)about the concept of climate changeor not?

1.  Yes 2.  No

any?

IfYes , you know about climate change through news sources.

1.  From other households 2.  Media (TV, newspapers, etc.)

3. Organizations (wards, communes, etc.), environmental associations.4.  Other: .............................

Question 12.Your family exploits and uses various types of resources and benefits.

which nature?

1.  Land (fields , fields...)2.  Water sources (rivers, lakes, etc.)3.  Forest (for firewood, hunting, etc.)

4.  Other types

Question 13. Please tell me what the forest brings (to your family)what benefit

1.  Providing natural bushmeat resources2.  Water retention, flood prevention 3.  Providing raw materials for craft villages and secondary occupations

4.  Is a suitable place to develop eco-tourism and entertainment for the community andvisitors

5.  It is a suitable place to grow long-term industrial crops, rice, fruit trees, etc.6.  Other

Question 14. The family's source of drinking water and daily activities is:1.  River and lake water

2.  Rainwater

3.  Well water

4.  Tap water Water source problems , if any (water shortage in dry season, alum water, ...)

…………………………………………………………………………………………………………………

………………………………………………………………………………………

……

Question 15. According to you, has the area of local natural forests changed?not in the last 10 years?

1.  Yes 2.  No 3.  Don't know

If YES, please indicate what changed and why:

4.  Increase 5.  Decrease/less

Reason for change :

………………………………………………………………………………………

Sentence16.According to you, in the last 5 years, has the place where your family lives encountered any natural disasters or unusual weather? ( Mark X in the months when they occurred )

.1	.2	.3	.4	.5	.6	.7	.8	.9	.10	.11	.12
Temperature High
Drought
Infection alum

Thunder

Unexpected rain

often

Flood

Tornado

Temperature

short

Erosion,

landslide

The b

other ( listed below )

…………………………………………………………………………………………………………………

………………………………………………………………………………………

…..

Question 17. If comparing 5-10 years ago, do you think the weather was unusual?How does it change?

Ta more than	fine determine	Gi go dark	Private notes individual
Temperature high (hot)
Drought
alum contamination
Thunder
Unexpected rain often
Flood

Tornado


Temperature short
Erosion, landslide
Other abnormalities (listed below)

…………………………………………………………………………………………………………………

………………………………………………………………………………………

……

Question 18: Damages to production and life due to unusual weatherin the last 5 years

1	2	3	4	5	6	7	8	9	10	11	12
Productivity reduce ( put up sentence) 17)
Lost season (take up sentence 17)
drink	Lack of water
sick	dead cattle,
plant	Plant disease
People	Disease in
door	home damage

Job loss

Must evacuate

accommodation

Interruption

job

Loss of capital/loss

capital

The damages

other (including hang)below)

…………………………………………………………………………………………………………………

………………………………………………………………………………………

……………………

Question 19: Does any member of your family have attended training courses?

about disaster preparedness or related classes? 1.  Yes 2.  No

If YES, please specify:

Name

course

Inside

main content

Time

space

Who is the nest?

function?

Who studies?

(who participates)

Question 20. Does your family have information about natural disasters and climate change?

in the future?

1.  Yes

2.  No

If YES, please provide source:

1.  Press

5.  Internet

2.  Radio

6.  Listen

others say

3.  Television 7.  Attend

training

4.  Government

Question 21. If we have to change the crop calendar and livestock structure, according toHow should you convert according to the following seasonal calendar: convert month => convertservice