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Survey Questionnaire

The document is a survey questionnaire with questions about the socioeconomic impacts of the COVID-19 pandemic on nutrition and living costs of low-income families. It collects information on respondents' demographics, employment status, number of dependents, effects of the pandemic such as job/income loss, extra costs and caring responsibilities. Respondents are also asked about coping mechanisms used, including applying for government support, running down savings, borrowing money, cutting spending and relying on food banks or charitable grants.

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Whitney Cabangan
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26 views2 pages

Survey Questionnaire

The document is a survey questionnaire with questions about the socioeconomic impacts of the COVID-19 pandemic on nutrition and living costs of low-income families. It collects information on respondents' demographics, employment status, number of dependents, effects of the pandemic such as job/income loss, extra costs and caring responsibilities. Respondents are also asked about coping mechanisms used, including applying for government support, running down savings, borrowing money, cutting spending and relying on food banks or charitable grants.

Uploaded by

Whitney Cabangan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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SURVEY QUESTIONNAIRE

Part I. Socio-demographic profile of respondents

Direction: Please put a check (/) mark which describe yourself.


Gender: ______ Male _________Female _______ Age
Education: ___ Elementary level ____ College level
___ Elementary graduate ____ College graduate
___ High School level ____ Post Graduate (MA, Ph.D)
___ High Graduate
Occupation: ______________________________________________
Part II .
1.Please put a check (/) mark which describe the covid-19 pandemic to nutrition affecting
you and your family.

Q1. How many dependent children do you have living at home?


__ 1 ___ 2 ___ 3 or more
Q2. Are you a single parent or living as a couple?
o Single
o Couple
o Other (please specify) _____
Q3. Before the coronavirus, were you in paid work?
o Self-employed
o Employed part time
o Employed full time
o Not in paid work

2. Factors affecting the nutrition of the low income families during the COVID-19 Pandemic?

Q1. Has the coronavirus affected your own working hours or income?
o Reduction in hours
o Reduction in income
o Job loss or redundancy
o No significant change P
Q2. Before the coronavirus, was your partner in paid work (if you have a partner living with
you)?
o Self-employed
o Employed part time
o Employed full time
o Not in paid work
Q3. Has the coronavirus affected your partner’s working hours or income (if you have a
partner living with you)?
o Reduction in hours
o Reduction in income
o Job loss or redundancy
o No significant change
Q4. As a result of coronavirus, have you as family experienced any of the following? (Please
tick all that apply)
o Extra caring responsibilities
o Physical or mental health problems
o Relationship issues at home o New or worse debt problem
o Difficulty accessing key services o Additional costs (e.g. food, heating)
o Other (please specify)
Q5. Has the coronavirus affected your ability to meet your essential living costs? (Please tick all
that apply)
o Rent or mortgage
o Food o Utilities (e.g. heating, electricity, water, internet)
o Travel costs (including car, if you have one
o Costs related to children (e.g. nappies or baby products, children’s clothes)
o Other (please specify)

3.Coping mechanisms you use to improve their nutrition in the course of the pandemic.
o Applying for government schemes or support.
o Running down their savings (if they had any to start with).
o Borrowing from family and friends
o Looking for alternative employment (if made redundant).
o Cutting spending where they could.
o Asking companies to be flexible with (re)payments
o Juggling and/or missing rent payments and other bills.
o Relying on charitable grants and food banks.

Thank you for your time.


THE RESEARCHES

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