Livelihood Impact Assessment Questionnaire
Please complete this form to help us understand how your livelihood has changed. Your responses will be used to assess the impact of recent events on your well-being and economic situation.
How would you describe the overall change in your livelihood over the past year?
*
Significantly improved
Somewhat improved
No change
Somewhat worsened
Significantly worsened
Please rate your satisfaction with your current livelihood situation.
*
1
2
3
4
5
Which of the following best describes your current primary source of income?
*
Formal employment
Self-employment/business
Casual labor
Agriculture/farming/fishing
Support from family/friends
Government or NGO assistance
Other
Have you experienced any change in your employment status in the past year?
*
Gained employment
Lost employment
No change
Changed type of employment
How would you rate your access to the following resources compared to last year?
*
Rows
Much easier
Somewhat easier
No change
Somewhat harder
Much harder
Food and essentials
1
2
3
4
5
Healthcare services
6
7
8
9
10
Education/training
11
12
13
14
15
Financial services
16
17
18
19
20
Safe housing
21
22
23
24
25
Please indicate your agreement with the following statements about your current livelihood.
*
Rows
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
I feel confident about my future livelihood.
26
27
28
29
30
I have enough resources to meet my daily needs.
31
32
33
34
35
I have support networks I can rely on.
36
37
38
39
40
I am able to cope with unexpected challenges.
41
42
43
44
45
What is the biggest challenge you currently face in maintaining your livelihood?
Have you adopted any new strategies or activities to support your livelihood in the past year?
*
Yes
No
If yes, please briefly describe any new strategies or activities you have adopted.
How optimistic are you about your livelihood improving in the next year?
*
Not at all optimistic
1
2
3
4
Very optimistic
5
1 is Not at all optimistic, 5 is Very optimistic
Submit Assessment
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