Email address
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1. Interview Status?
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1.
Post
2.
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1. What is your gender?
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1.
Male
2.
Female
3.
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2. What is your age?
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1.
20-25
2.
25-30
3.
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3. What is your education level?
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1.
No schooling
2.
Some school (literate – can read)
3.
Primary school
4.
High School
5.
Intermediate school
6.
Bachelors and higher
7.
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4. What is your primary employment?
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1.
Government employee
2.
Military
3.
Primary school
4.
Employed by a private institution
5.
Self-employed
6.
Student
7.
Unemployed (looking for work)
8.
Retired
9.
Housewife
10.
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5. Which of the following socio-economic categories would you put yourself in?
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Affluent
2.
Not affluent but comfortable
3.
Just getting by
4.
Difficult to fulfill basic needs
5.
Very poor
6.
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6. Do you or have you ever served on any local customary institution (e.g. Jirga)or held a leadership role (e.g. Malik) in traditional institutions?
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1.
Yes
2.
No
3.
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7. Have you needed any of the following public services in the last 12 months that had/has not been provided to you?
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1.
Services related to education (a new school, classrooms added to the school etc.)
2.
Services related to health
3.
Services related to security
4.
Services related to sanitation
5.
Other
6.
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8. Who did you contact to demand this service? [If respondent has responded yes to more than one services in Q. 7, then ask the respondent to choose the service that they need most critically].
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1.
Relevant government official (from education/sanitation department etc.)
2.
Services related to health
3.
Local councilor
4.
District mayor
5.
Member of provincial assembly
6.
Member of national assembly
7.
Local customary leader
8.
No one
9.
Other
10.
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9. If you had need of this public service now, who would you go to?
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1.
Relevant government official
2.
Local councilor
3.
District mayor
4.
Member of provincial assembly
5.
Member of national assembly
6.
Local customary leader
7.
No one
8.
Other
9.
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10. Have you had a complaint about quality of or access to any of the following services in the last 12 months?
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Date
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1.
School (complaint such as absence of teaching materials, teacher’s absenteeism etc. )
2.
Health (absence of medicine in the dispensary, absenteeism of the staff)
3.
Security (behavior of the police, problems with law enforcement)
4.
Sanitation
5.
Other
6.
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10. Have you had a complaint about quality of or access to any of the following services in the last 12 months?
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Date
Time
1.
School (complaint such as absence of teaching materials, teacher’s absenteeism etc. )
2.
Health (absence of medicine in the dispensary, absenteeism of the staff)
3.
Security (behavior of the police, problems with law enforcement)
4.
Sanitation
5.
Other
6.
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11. Who did you contact to register your complaint? [If respondent has responded yes to more than one of the services listed in Q. 10, ask the respondent to think of the complaint they had about the service most critical to them].
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1.
Point of service (teacher, nurse)
2.
Relevant government official
3.
Private service provider
4.
Local councilor
5.
District mayor
6.
Member of provincial assembly
7.
Member of national assembly
8.
Local customary leader
9.
National ombudsman
10.
KP ombudsman
11.
No one (Skip to Q. 9)
12.
Other
13.
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12. Why did you go to______(answer from Q.11)? (Allow multiple answers).
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1.
This person has the responsibility to respond to my demands.
2.
This is the only person I know who has some contact with the government.
3.
This is the most influential person who can respond to my demand.
4.
This is the person who has helped me or the people in the community in the past.
5.
Other
6.
Don’t know.
7.
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13. If you had a similar complaint now, who would you contact?
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Date
Time
1.
Relevant government official
2.
Private service provider
3.
Local councilor
4.
District mayor
5.
Member of provincial assembly
6.
Member of national assembly
7.
Local customary leader
8.
No one
9.
Other
10.
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14. Have you witnessed/experienced/observed any issue of maladministration by any government official in the last 12 months?
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1.
Yes, at least once
2.
No (Skip next question)
3.
Yes, multiple times
4.
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15. Whom did you report this activity to? (If respondent says he/she has witnessed multiple acts of maladministration, then ask the respondent to choose the earliest activity from the last year when answering this question).
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Date
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1.
Superiors of the relevant government official
2.
Local councilor
3.
District mayor
4.
Member of provincial assembly
5.
Member of national assembly
6.
Local customary leader
7.
National ombudsman
8.
KP ombudsman
9.
Anti-fraud hotline
10.
Supreme court of Pakistan
11.
No one
12.
l. Other
13.
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16. If you witness a case of maladministration by a government official now, who would you report it to?
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Date
Time
1.
Superiors of the relevant government official
2.
Local councilor
3.
District mayor
4.
Member of provincial assembly
5.
Member of national assembly
6.
Local customary leader
7.
National ombudsman
8.
KP ombudsman
9.
Anti-fraud hotline
10.
Supreme court of Pakistan
11.
No one
12.
Other
13.
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17. Have you had a dispute with someone in the community in the last 12 months?
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1.
Yes
2.
No
3.
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