PDM - NRC

Azraq Winterization NFI Distribution - November 2014
Post Distribution Monitoring Questionnaire

Interview Date:
Interviewer Name:
Introduction
Hello, my name is ____________ and I am working for NRC. We are interviewing households that received assistance from NRC in your
community. We would like to ask you some questions to find out if you are satisfied with our services so far and to understand ways to improve
our service delivery. What you will say will be kept confidential and will not be revealed to any other group. This survey will take approximately
10 minutes to complete.
Do you agree to answer our questions?

Yes
No
R
h R
d h Background
d
Genderc
cc Male
d c Female
d d
R
Village sd number
R
h3
fsh d
R
f f6
Block number d
c
R
h f
c
h
Family d size
c
d
d
cd
HoHH ccd
cdsYes
s
f
df No
d
d
R
sf
Age of interviewee
sh
fR
ffh
Speciald Cases
fcdMental Disability
cc Physical Disability
dcRUnaccompanied Minor
d Sick/ill
d R
hOld
sdR
h
dPregnancy/Lactation
fR
sh
d
cFemale headed household
ffR
h
d
cSingle female
fR
h
d
c
c
d None
R
h
d
c
d
R h
d
c
c
d
hRd
s
d
c
d
dsh
fc
c
f Hygiene Kit Items related Questions
d
d
cs d
d
s
ff
c
1. d f Did you receive a hygiene kit from NRC distribution site?
d
s
Yes dc s
ff
No,dfs why?
sd ff Not eligible
fsWas out of camp/vacation
fRDid not know about the distribution
fRNo one available to collect items
hOther
R
h
d
R
h
d
c Page 1 of 6
R
h
d
c
c
h
d
c
d
d
c
c
2. What did you do with the items you received?
Used them Exchanged them with Sold them Other (please specify)
something else
Move to next questions - What did you - Why did you
exchange it sell it?
for? - How much is
the estimated
price for
selling the kit?
3. Was the quantity you received enough compared with the family size?
Yes
No, If No; what were the items that are not enough?
4. How was the quality of the soap?

Good
Fair
Bad, 1) Please explain and 2) what do you suggest to improve the quality?
5. How was the quality of the toothbrush?

Good
Fair
6. How was the quality of the toothpaste?

Good
Fair
7. How was the quality of the shampoo?

Good
Fair
8. How was the quality of the sanitary napkins?

Good
Fair
9. How was the quality of the towel?

Good
Fair
10. How was the quality of the plastic comb?

Good
Fair
11. How was the quality of the nail clipper?

Good
Fair
12. How was the quality of the washing line/rope?

Good
Fair
13. How was the quality of the laundry bucket?
Page 2 of 6
Good
Fair
14. How was the quality of the laundry powder/soap?

Good
Fair
15. How was the quality of the dishwashing detergent?

Good
Fair
16. How was the quality of the disinfection solution?

Good
Fair
17. How was the quality of the water jerry cans?

Good
Fair
18. Was there any item(s) you didn't use?

Yes
No, 1) Why and 2) what were the item(s)?
19. Was there any item(s) that wasn’t useful in the kit?
Yes, what were the item(s)? And why?
No
20. Was there any item you needed that wasn’t included in the kit?
Yes, what were the items?
No
21. Do you think that the distribution period for the hygiene kit is enough?
Yes
No, what do you think is the suitable period? - Less than one month
- One month
- Two months
Clothes related Questions

22. Did you receive clothes from NRC distribution site?
Yes
No, why?
Not eligible
Was out of camp/vacation
Did not know about the distribution
R
No one available to collect items
R
hOther
R
h
d
R
23.h
d
c What did you do with the clothes you received?
R
h
d
Used
c them
c Exchanged them with Sold them Other (please specify)
h
d
c something else
d
d
c
Move
d to next questions
c
d - What did you - Why did you
c
d exchange sell them?
s
c
d
d
s them for? - How much is
f the estimated
d
s
ff
d
s
f
s
ff Page 3 of 6
f
f
price for selling
the clothes?
24. What was the type of clothes received?

Winter
Summer
Mix of both
25. How was the quality of winter clothes?

Good
Fair
26. How was the quality of summer clothes?

Good
Fair
27. Were the distributed clothes appropriate to weather conditions?

Yes
No
28. Were the distributed clothes appropriate to the cultural Norms?

Yes
No
29. Were the distributed clothes sizes matches your actual body size?
Yes
No
30. If there was any special case, did the case receive the appropriate clothes?
Yes
No
Summer Shoes related Questions
31. Did you receive summer shoes from NRC distribution site?
Yes
No, why?
Not eligible
R
R
hOther
R
h
d
R
32.h
d
c What did you do with the summer shoes you received?
R
h
d
Used
c them
c Exchanged them with Sold them Other (please specify)
h
d
c something else
d
d
Move
d to next questions - What did you - Why did you
c
c
d
c
d exchange sell them?
s
c
d
d
s them for? - How much is
f the estimated
d
s
ff
d
s price for
f selling the
s
ff blankets?
f
33.f How was the quality of the summer shoes in general?
Good
Fair
Page 4 of 6
34. Did the summer shoes you received fits your foot size?
Yes
No
35. Did the summer shoes you received colour was suitable?
Yes
No
Blankets related Questions
36. Did you receive blankets from NRC distribution site?

Yes
No, why?
Not eligible
R
R
hOther
R
h
d
R
37.h
d
c Which blankets did you prefer? And why?
R
h
d
- Saudi
c blankets
c
h
d
- Medium
c thermal blankets
d
d
- High
c
c
d thermal blankets
d
c
d
s
38.c
d
d What did you do with the thermal blankets you received?
s
f
Used
d them Exchanged them with something Sold them Other (please specify)
s
ff
d else
s
f
Move to next questions - What did you exchange - Why did you sell them?
s
ff them for? - How much is the
f estimated price for
f selling the blankets?
39. How was the quality of the Saudi blankets?

Good
Fair
40. How was the quality of the medium thermal blankets?

Good
Fair
41. How was the quality of the high thermal blankets?

Good
Fair
Gas Heater related Questions
42. Did you receive a gas heater from NRC distribution site?
Yes
No, why?
- Not eligible
- Was out of camp/vacation
- Did not know about the distribution
- No one available to collect items
- Other
43. What did you do with the gas heater you received?
Page 5 of 6
Used it Exchanged it with something Sold it Other (please specify)
else
Move to next questions - What did you - Why did you sell it?
exchanged them - How much is the estimated
for? price for selling the gas
heater?
44. Did NRC connect your heater?

Yes, after how many days it was connected?
No, do you know the reason? How did you solve it?
45. Did you face any difficulty using the gas heater?
Yes, what was the problem? How did you solve it? - Contacted NRC
No - Solved it by myself
-Other
46. How is the quality of the gas heater?
Good
Fair
47. Are you aware of fire safety minimum standards?

Yes, how did you know about them? - Pamphlet/posters
- Regular checks
- Awareness sessions
No
48. Do you know what to do if there is a leakage in gas connections?

Yes
No
49. Do you know how to connect/disconnect the gas heater by yourself if you have the required tools?
Yes
No
Messaging and Complaint Mechanism related Questions
50. Did you know about all distributions time in advance?

Yes
No, what are the distribution cycles you didn't know about?
51. How did you know about the distributions?

- NRC Staff/Leaflet
- Care Community Center
- Relatives/friends
- Other, explain
52. Are you aware of any complaint mechanism?

Yes, which ones do you know?
No
53. Do you know how to submit a complaint?

Yes
No
54. Have you ever submitted a complaint?

Yes, how did you do that?
No
End of Questionnaire
Thank you!
Page 6 of 6

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PDM - NRC

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Azraq Winterization NFI Distribution - November 2014

Post Distribution Monitoring Questionnaire

Do you agree to answer our questions?

4. How was the quality of the soap?

5. How was the quality of the toothbrush?

6. How was the quality of the toothpaste?

7. How was the quality of the shampoo?

8. How was the quality of the sanitary napkins?

9. How was the quality of the towel?

10. How was the quality of the plastic comb?

11. How was the quality of the nail clipper?

12. How was the quality of the washing line/rope?

13. How was the quality of the laundry bucket?

14. How was the quality of the laundry powder/soap?

15. How was the quality of the dishwashing detergent?

16. How was the quality of the disinfection solution?

17. How was the quality of the water jerry cans?

18. Was there any item(s) you didn't use?

Clothes related Questions

24. What was the type of clothes received?

25. How was the quality of winter clothes?

26. How was the quality of summer clothes?

27. Were the distributed clothes appropriate to weather conditions?

28. Were the distributed clothes appropriate to the cultural Norms?

Summer Shoes related Questions

Blankets related Questions

36. Did you receive blankets from NRC distribution site?

39. How was the quality of the Saudi blankets?

40. How was the quality of the medium thermal blankets?

41. How was the quality of the high thermal blankets?

Gas Heater related Questions

44. Did NRC connect your heater?

47. Are you aware of fire safety minimum standards?

48. Do you know what to do if there is a leakage in gas connections?

Messaging and Complaint Mechanism related Questions

50. Did you know about all distributions time in advance?

51. How did you know about the distributions?

52. Are you aware of any complaint mechanism?

53. Do you know how to submit a complaint?

54. Have you ever submitted a complaint?

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