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10X BASELINE SURVEY COHORT (April-June)

Which Cohort are you in?

Which Cohort are you in?

Do you consent to participate in this survey?

Do you consent to participate in this survey?

Are you a person with disability

Are you a person with disability

Are you a refugee?

Are you a refugee?

SECTION A: DEMOGRAPHIC/BACKGROUND INFORMATION

Name of the Implementing Partner?

Name of the Implementing Partner?

Date of the Interview

First name of the participant

Middle name of the participant

Surname of the participant

Email of the participant

Unique identifier of the participant (NIN Number on the National identity card)

Country of the participant

Country of the participant

Primary telephone number of the participant

Secondary telephone number of the participant

What is your date of birth?(DD/MM/YYY)

Gender of the participant

Gender of the participant

What is your home address (Village)?

What is the Parish of the participant?

What is the sub county or division of the Participant?

What is the County of the participant?

What is your district of residence?

In which region is your district of residence?

In which region is your district of residence?

Highest education level of the participant

Highest education level of the participant

Are you currently a student?(ask if the participant is enrolled in another institution of learning)

Are you currently a student?(ask if the participant is enrolled in another institution of learning)

SECTION B: EMPLOYMENT STATUS AND DIGINIFIED WORK

Which statement best describes your employment status?

Which statement best describes your employment status?

Type of employment of the Participant?

Type of employment of the Participant?

Which sector are you currently employed in?

Which sector are you currently employed in?

What is your current income per month (in Uganda shillings)?

What is your current income per month (in Uganda shillings)?

SECTION C: DIGITAL SKILLS AND TRAINING

Which of the following describes dignified and fulfilling work according to you?

Which of the following describes dignified and fulfilling work according to you?

Have you ever attended any online training?

Have you ever attended any online training?

What type of digital work would you be looking for?

How would you rate your current digital skills level?

How would you rate your current digital skills level?

SECTION D: CHALLENGES AND OPPORTUNITIES

What challenges have you faced in acquiring digital skills?(check all that apply)

What challenges have you faced in acquiring digital skills?(check all that apply)

What challenges have you faced in securing employment in the digital ecosystem?(check all that apply)

What challenges have you faced in securing employment in the digital ecosystem?(check all that apply)

Do you feel confident about your ability to overcome challenges?

Do you feel confident about your ability to overcome challenges?

Do you believe acquiring digital skills will improve your quality of life?

Do you believe acquiring digital skills will improve your quality of life?

What additional support do you need to live a dignified and resilient life?