AudienceScapes

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1. MOBILE PHONE
1.1. How often do you use a mobile phone for any purpose?

1.2. How many working mobile phones are in this household?

1.3. Do you own a working mobile phone?

1.4. How much approximately did you pay for your handset? (Gourdes)

1.5. How often do you get a new handset?

1.6. Do you let other people use your mobile phone?

1.7. How many people do you lend/hire your mobile phone to?

1.8. Who do you lend your phone to?

1.9. Who do you lend your phone to most often?

1.10. How many SIM cards do you have for use in your phone?

1.11. Can you put more than one SIM card in your phone at the same time?

1.12. What is the name of the company or companies that you use for mobile phone service/mobile operator?

1.13. What is the name of the company or companies that you use most often?

1.14. How satisfied are you with the mobile operator that respondent uses most often?

1.15. What is the main reason you are unsatisfied with [mobile operator that respondent used most often]?

1.16. How often do you use a mobile phone for the following activities?

1.17. Main reason why you do not use a mobile phone?

1.18. From whom can you borrow one if you need to use one?

1.19. Do you have a SIM card(s) to use in other people’s phone?

2. FINANCIAL SERVICES
2.1. Is there a bank available to you if you need to use one?

2.2. If bank available, what services do you use?

2.3. How far away is the nearest bank from your home? (meters)

2.4. How long does it take you to get to a bank/ATM/transact and return? (minutes)

2.5. How much does it cost to get there and back? (Gourdes)

2.6. Do you, either by yourself or together with someone else, currently have an account at any of the following places?

2.7. What is your average account balance? (Gourdes)

2.8. Do you use your account(s) for personal transactions, business purposes, or both?

2.9. How many other household members have a bank account?

2.10. How often do you use an automated teller machine (ATM)

2.11. In a typical month, about how many times is money deposited into your personal account(s)?

2.12. In a typical month, about how many times is money taken out of your personal account(s)?

2.13. When you need to get cash (paper or coins) from your account(s), do you usually get it?

2.14. When you put cash (paper or coins) into your account(s), do you usually do it)?

2.15. In the past 12 months, have you used any of the following to make payments on bills or to buy things using money from your account(s)?

2.16. In the past 12 months, have you used your account(s) to:

2.17. Please tell me whether each of the following is a reason why you, personally, DO NOT have an account at a bank, credit union or other financial institution:

2.18. In the past 12 months, have you saved or set aside any money?

2.19. In the past 12 months, have you saved for:

2.20. In the past 12 months, have you saved or set aside money by?

2.21. In the past 12 months, have you borrowed any money from?

2.22. Do you currently have a loan you took out for any of the following reasons?

2.23. In the past 12 months, have you used a mobile phone to?

2.24. Who makes financial decisions in your household for the following….:

2.25. How much trust do you have in the following institutions/services?

2.26. When the earthquake occurred in Haiti, were you able to access the money or savings that you needed?

2.27. Did you lose cash or savings in the earthquake?

2.28. If you had needed to access money in case of an emergency, how would you do so?

3. PAYMENTS, TRANSFERS AND REMITTANCES
3.1. How many payments have you made to someone else or for something, in the last 24 hours/48 hours/7 days?

3.2. Of this total number, how many payments were made in cash?

3.3. Of this total number, how many of these payments were made electronically/remotely?

3.4. Did you RECEIVE money sent by people from other parts of the country in the last 12 months?

3.5. Did you RECEIVE money sent by people from outside the country in the last 12 months?

3.6. Why did you NOT receive money in the last 12 months?

3.7. How often do you receive it?

3.8. About how much money on average do you receive on each occasion? (Gourdes)

3.9. Which areas is the money sent from?

3.10. In the past 12 months, in what way have you received money from other people?

3.11. And how have you received it most often?

3.12. How much did it cost you (a fee, a charge, etc.) to receive this money?

3.13. Did you SEND money to people in other parts of the country in the last 12 months?

3.14. Did you SEND money to people outside the country in the last 12 months?

3.15. Why did you NOT send money or pay bills or a loan in the last 12 months?

3.16. How much on average did it cost to send? (Gourdes)

3.17. How much time on average did it take? (minutes)

3.18. How often do you send money?

3.19. About how much money on average do you receive on each occasion? (Gourdes)

3.20. Which areas is the money sent to?

3.21. In the past 12 months, in what way have you sent money to other people?

3.22. And how have you sent it most often?

3.23. Do the persons you send/receive money from have access to mobile phones?

3.24. Would you use a mobile phone to receive/send money?

3.25. Do you currently receive payments, a salary (cash-for-work) or other disbursement, from any international organization?

3.26. Do you receive payment from this organization in…?

3.27. If you are not already receiving this payment through a mobile phone, would you like to?

4. MOBILE MONEY
4.1. Have you heard of new mobile phone services in Haiti for sending and receiving money?

4.2. How did you hear about this service?

4.3. Which mobile phone operators are offering mobile money services in Haiti?

4.4. Have you signed up for one of the mobile money services that the mobile phone operators have recently introduced?

4.5. What mobile money services did you sign up for?

4.6. About how long ago did you sign up for any of these services?

4.7. How easy was it to sign up for the service?

4.8. What was difficult about signing up for this service?

4.9. With which operator/operators did you sign up to get mobile money services?

4.10. When did you first use the mobile money service?

4.11. How often do you use this service?

4.12. How often do you think you will be using this mobile money service in the future?

4.13. Since you started using a mobile money service do you send money…

4.14. What Services have you used?

4.15. What services do you plan to use in the future?

4.16. In your opinion, what are the advantages of using mobile money?

4.17. Have you had any problems using the mobile money service?

4.18. If yes, what kinds of problems?

4.19. How satisfied are you with your experience using mobile money

4.20. Sharing information about mobile money services with other people in your community:

4.21. Who or where do you turn when you hear about new financial services in general, including mobile money services:

4.22. Discusses about mobile money services with how many:

4.23. Do you believe your money is safe in the mobile money system?

4.24. Can you tell me what is the main reason you have not used a mobile money service (such as from Digicel or Voila)?

4.25. What factors would be most important in persuading you to use mobile money?

4.26. How likely are you to sign up for mobile money services in the future?

4.27. What financial services would you like to see offered now and in the future:

5. MOBILE MONEY OUTLETS
5.1. Have you had any experience with a mobile money outlet?

5.2. How do you rate the service provide by outlets?

5.3. I am going to read some statements about mobile money outlets. Tell me how much you agree that they are…

5.4. F4. How far must you travel to reach an outlet from your home (meters)?

5.5. How long does it take to get to the outlet? (minutes)

5.6. How much does it cost you to travel to the outlet you use most often (Gourdes)

5.7. Did you experience any problems with this outlet?

5.8. If yes, what type of problems did experience with this outlet?

5.9. In your opinion, how trustworthy are mobile money outlets?

6. MARKETING MOBILE MONEY
6.1. How do you usually learn about new products, services and technologies?

6.2. When a new technology (like smartphones) is released, how long do you wait to get it?

6.3. Which of the following sources do you think provides the best advice on financial/money issues?

6.4. Thinking of money and finance, which of the following topics would you like to get more information about:

6.5. Do you recall listening to or seeing advertisements about mobile money?

6.6. Where did you see or listen to these advertisements?

6.7. From what mobile phone provider was the last advertisement you saw?

7. GENERAL DEMOGRAPHIC INFORMATION
7.1. H1. Which category best describes your current marital status?

7.2. Which languages do you speak and understand?

7.3. Which language do you speak most frequently?

7.4. Can you read and write a simple message in any language or dialect

7.5. Can you compute for your change when buying at stores?

7.6. How well can you read?

7.7. What is your present employment status?

7.8. If you are not working, what is your status?

7.9. Regarding the place where you get your main salary/income, in what economic sector or field of work are you currently working?

7.10. Do you have at least one of these items: a national identification card, a driver’s license, or a passport?

7.11. Are you living in the same residence as you were prior to the earthquake?

7.12. If not, are you planning to return to the residence you lived in previously?

7.13. Are you planning to be in the same house 12 months from now?

7.14. Please look at this card and tell me which answer best reflects your family's financial situation.

7.15. How many other family members earn income in your household?

7.16. Approximately how much do they earn every month? (Gourdes)

7.17. Which income range fits best your current total monthly household income?

7.18. Which of the following do you have in your household?

7.19. Would you be willing to take part n further research?

7.20. Urban / Rural

7.21. Population size of settlement

7.22. Primary sampling unit

7.23. Region

7.24. District

7.25. Department/County

7.26. City/Village

8. SOCIO DEMOGRAPHICS
8.1. Sex of respondent

8.2. Age of respondent

8.3. What is the highest level of education you have attained?

8.4. How many people live in your household including yourself?

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