working day
ID01 Household number
PSU type
PSU number
Form Number
Number of family members who lived with you in the same house on October 6, 2023
Name of locality
Start time - hour
Start time - minute
END time - hour
END time - minute
TIME interview
Very important: For the researcher, please make sure that you have activated the phone data and location data and updated the program so that you have the latest version of the form. If so,
Supervisor Attended Interview
Area
Governorates
ID06 GPS coordinates of the interview location
CO01Are you comfortable with us starting the interview? Would you like to refrain from answering? or do you have any questions before we start?
HR00In what governorate of the Gaza Strip did your household live on October 6, 2023?
HR08 I have recorded that you were XX persons living together on October 6. Is that correct?
HR09I have recorded that xx,yy,zzz (read list of persons, or say "no one has left your household") have left your household. Is that correct?
HR10I have recorded that xx,yy,zzz (read list of persons or say "no one has died in your household") have died since October 6,2023. Is that correct?
HR11 I have recorded that xx,yy,zzz (read list of persons or say "no one has gone missing in your household") have gone missing since October 6,2023. Is that correct?
HR12Between October 6, 2023 and today were any children born to any woman you have just listed as a household member?
HR13: Has any member of your family, other than those who lived with you in the same house on October 6, been killed during the current war that started on October 7?