Household location		I. Landslide risk zone II. Flood risk zone
GPS location of the household
Photo identity number
SECTION A – DEMOGRAPHIC INFORMATION
1. What is your gender?	I.Male II.Female III.Other, please specify
2. Specify your: Education (class) or illiterate? Where you live in Burma? (Village, District/state) Previous occupation (in Rakhine) Your avg. monthly income in Rakhine (in Kyat): Current occupation (if any) If not, mention no work/not allowed to work/unemployed
3. Specify your age (year) –
4. When did you arrive in Bangladesh?
SECTION B – ROHINGYA REFUGEES′ PERCEPTION ON NATURAL HAZARDS AND DISASTER RISK REDUCTION (DRR)
5. Have you ever faced any natural disaster in Rakhine?	I.Yes II.No
6. If yes, what were the natural disasters to which you were exposed in the Rakhine state of Burma? [You can choose more than one option]	I.Extreme rainfall II.Flooding III.Windstorm IV.Landslide V.Others, please specify VI.All of the above
7. What protective measures you had undertaken at that time in Rakhine to tackle disaster-	I.I had received education on ‘Disaster Risk Reduction (DRR)’ II.I got access to early warning systems and was able to interpret the message III.I used the nearest cyclone shelter or other ad-hoc disaster shelters (i.e., monasteries, madrasa, schools) for evacuation purpose IV.I stayed at my house when it was waterlogged V.I was, totally, dependent on humanitarian assistance VI.I was involved in reforestation and managing mangroves VII.Others, please specify
8. Have you faced any natural disasters while staying in the Cox's Bazar refugee camp?	I.Yes II.No
8.1 If Yes, can you tell me what was that?	I.Extreme rainfall II.Flooding III.Windstorm IV.Landslide V.Others, please specify VI.All of the above
9. Do you receive timely early warning (i.e., cyclone/Rainfall) message about upcoming disaster?	I.Yes II.No
10. Do you have any storage space (wooden-framed loft or shelf) above the ground where you can keep your Non-food items protected in case of waterlogging? Non-food items are blankets, floor mats, firewood, kitchen sets, winter clothing, etc.	I.Yes II.No
11. Do you store dried food in an advance before the disaster (i.e., cyclone/rainfall)?	I.Yes II.No
12. Do you store medicines in an advance before the disaster?	I.Yes II.No
13. Specify your shelter location after coming to Bangladesh this time-	I.In the low-lying area II.On the steep, unstable hillside III.At the edge of the hill IV.In a fairly well-inhabited place V.Safer from natural hazards
13.1 Do you think, the location of your shelter is prone to hazard?	I.Yes II.No
13.2 If Yes, which hazard your shelter is susceptible to? [you can choose more than one option and Please mark with circles]	I.Flooding II.Landslides/soil erosion III.Strong wind IV.Waterlogging V.All of the above VI.Others, please specify
13.3 If you are offered to be relocated to a safer place (to avoid natural disaster), would you leave your current home?	I.Yes. II.No.
13.4 If Yes, What will be the type of evacuation shelter?	I.Robust emergency shelters (in Camp 20 extension) II.Community shelter (Mosque) III.Safe place plain Land IV.Others, specify please
13.5 From whom you expect rapid assistance regarding this evacuation procedure?	I.Blockheads II.Government III.Camp officials IV.NGO officials V.Community volunteers VI.Neighbours. VII.Others, please specify
14. Have you received tarpaulins, rope, bamboo, timber, wire, sandbag and a tool kit to strengthen shelter before upcoming monsoon?	I.Yes II.No
14.1 If Yes, how did you use those materials to rebuild shelters? [You can choose more than one option]	I.Raising plinth level above flood-level II.Substituting rickety shelters with a reinforced structure using extra bamboos. III.Placing sandbags at the edge of a cluster of shacks IV.All of the above V.Others, please specify
15. Have you received and used rope, steel pegs, sandbags, IEC Material and plastic bags to provide extra security to the shelters against winds and rain?	I.Yes II.No
16. Are you aware of the landslide risk in the camp?	I.Yes II.No
17. Which of the following measure has been taken in the camp to prevent the threat of landslides?	I.Building bamboo-reinforced footpaths and stairs across the slope II.Deploying sandbags over the slope-ground III.Constructing irrigation ditches to divert water flow over the slopes IV.Constructing retaining walls V.Preventing the construction of shelters in hazard areas VI.Planting trees and grass VII.Levelling some of the steep hilltops VIII.All of the above IX.Others, please specify
18. Do government take any measures to clear the debris from roads/drains after the disaster?	I.I. Yes II.II. No
19. Have you got any disaster risk reduction (DRR) training?	I.I. Yes II.II. No
19.1 If Yes, who is the training body?	I.Government II.International Organization for Migration (IOM) III.UN Refugee Agency (UNHCR) IV.Caritas Bangladesh and Catholic Relief Services (CRS) V.Others, please specify
20. Overall, are you satisfied with the undertaken DRR initiatives in the camp?	I.Yes II.No III.Not sure
SECTION C – ROHINGYA REFUGEES′ PERCEPTION ON CURRENT LIFE-STANDARD IN COX’S BAZAR REFUGEE CAMP AND RELOCATION TO BHASHAN CHAR, HATIYA UPAZILA, NOAKHALI DISTRICT, BANGLADESH
21. Have you heard about relocating to Bhasan Char Island?	I.Yes II.No
21.1 Are you or your family voluntarily willing to move in the island?	I.Yes II.No III.Not sure
21.2 If Yes, what are the reasons for taking the decision to relocate to Bhasan Char?	I.Permanent structured house II.Deep tube-wells III.Availability of flood defence embankment and cyclone shelter IV.The ground floor of both living places and cyclone shelters are above high tide level V.Diversified income opportunities VI.Island life is far better than to return Myanmar without citizenship VII.All of the above VIII.Others, please specify
21.3 If No, Why you do not want to go there?	I.Unsuitable for human habitation II.Erratic weather III.Short-lived island which can be washed away by tidal surges IV.Isolation from neighbourhoods V.All of the above VI.Others, please specify
22. Are you satisfied in living here in the camp?	I.Yes II.No
22.1 If yes, why? What additional benefits are you getting in the camp?	I.More peaceful and secure than our habitats in Rakhine II.I receive aids from humanitarian agencies III.I receive food without doing any work IV.We are treated here with dignity; not as an illegal immigrant or danger V.All of the above VI.Others, please specify
22.2 If no, why? What were the benefits in Rakhine?	I.Property II.Access to formal schooling III.Access to health facilities IV.Employment V.It was our own land VI.All of the above VII.Others, please specify
23. What else could be provided to make things better for you?	I.Repatriation with proper citizenship of Myanmar II.Freedom of movement in Bangladesh III.If proper housing is provided, I will stay in Bangladesh IV.Access to schooling in Bangladesh V.Diversified livelihood opportunity VI.More upgraded DRR training VII.All of the above VIII.Others, please specify