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FEDCO SURVEY
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Observation Questionnaire
1. Code (ID) of Field Agent
2. Name of Field Agent
3. Supplier to which famer delivers
option 1
option 2
option 3
4. Region of Farmer
AHAFO
ASHANTI
BONO EAST
BRONG AHAFO
CENTRAL
EASTERN
GREATER ACCRA
NORTH EAST
NORTHERN
OTI
SAVANNAH
UPPER EAST
UPPER WEST
WESTERN
WESTERN NORTH
VOLTA
5. District & Society
option 1
option 2
option 3
6. District & Society ID
7. Farmer ID
8. Name of Client
option 1
option 2
option 3
9. How many children under 18 are on the farm?
10. How many children under 13 are on the farm?
11. Please enter number of boys under 18 observed
12. Please enter number of girls under 18 observed
Fill in information about children observed
13. Sex of the Child
Male
Female
14.Child ID
15.Approximate age of the observed child
16.What job(s) were carried out on the farm by children under 18 ?
option1
option2
17.At what moment of the day are the children working?
option1
option2
18.Number of hours worked per day
Less than 2 hours
More than 2 hours
19.Number of hours worked per week
20. Why do you work?
option1
option2
21. Address of observation