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10X BASELINE SURVEY COHORT (April-June)
Which Cohort are you in?
*
Cohort 1
Cohort 2
Do you consent to participate in this survey?
*
Yes
No
Are you a person with disability
*
Yes
No
Are you a refugee?
*
Yes
No
SECTION A: DEMOGRAPHIC/BACKGROUND INFORMATION
Name of the Implementing Partner?
*
Maarifasasa
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
*
Uganda
South Sudan
Democratic Republic of Congo
Burundi
Somalia
Rwanda
Eritrea
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
*
Male
Female
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?
*
Central
Northern
Western
Eastern
Highest education level of the participant
*
Primary
Secondary O-Level
Secondary A-Level
Bachelors Degree
Masters Degree
Tertiary/Vocational
Are you currently a student?(ask if the participant is enrolled in another institution of learning)
*
Yes
No
SECTION B: EMPLOYMENT STATUS AND DIGINIFIED WORK
Which statement best describes your employment status?
*
Employed (participant currently has paid employment in any form)
Unemployed (the person is unemployed, either looking for work or not)
Type of employment of the Participant?
*
Wage Employed (includes part-time, seasonal, full-time employment with an organization)
Self employment (includes part-time or full-time working for a person's enterprise or on a freelance basis)
Unemployment
Which sector are you currently employed in?
*
Agriculture
Climate Adaptation and resilience
Digital Economy
Health
Manufacturing
Education
Enterprise/Business development
Youth engagement
Refugees and displaced persons
Innovation
Tourism and Hospitality
Finance/Financial services
Security
Not applicable (if not working)
What is your current income per month (in Uganda shillings)?
*
Less than 250000
260000-300000
310000-500000
510000-1000000
1010000-1500000
1510000 and above
Not applicable (if not working)
SECTION C: DIGITAL SKILLS AND TRAINING
Which of the following describes dignified and fulfilling work according to you?
*
Basic computer skills
Graphics Design
Data Analysis
Web Development
*
Virtual Assistance
Secretarial Service
Videography
Photography
Deejaying
Have you ever attended any online training?
*
Yes
No
What type of digital work would you be looking for?
*
How would you rate your current digital skills level?
*
Non
Beginner
Intermediate
Advanced
SECTION D: CHALLENGES AND OPPORTUNITIES
What challenges have you faced in acquiring digital skills?(check all that apply)
*
High cost of training
Limited internet access
Lack of assisted technology(for persons with disability)
Cultural barriers
*
What challenges have you faced in securing employment in the digital ecosystem?(check all that apply)
*
Limited job opportunity
Lack of professional network
Discrimination (e.g gender, disability, refugee status e.t.c)
*
Do you feel confident about your ability to overcome challenges?
*
Yes
No
Do you believe acquiring digital skills will improve your quality of life?
*
Yes
No
What additional support do you need to live a dignified and resilient life?
*
Submit
