1
Student’s Survey
Thank you for agreeing to take part in this research survey organized by The Catholic University of
America in Washington D.C. The purpose of this survey is to measure the overall impact on the students
and their families after the intervention of Education Sector Plan 2010-2025 in cooperation with the
Islamic Development Bank. Be assured that your answers will be confidential and will not be published
under any circumstances. Your participation in this survey is very important for us. Please read and
follow the instructions carefully. This survey should not take more than 30 minutes. Thank you for your
participation.
A. Identification
1. Student’s Identification Code: ___________
2. Please select the university that you applied for:
University of Lomé
University of Kara
3. Please check the region of your secondary school:
1)
2)
3)
4)
5)
Maritime
Central
Plateaux
Kara
Savanes
4. What was your secondary school GPA?
A+
A
B
C
D
5. How old were when you graduated from secondary school?
▪
__________
6. What is the student’s state now?
Enrolled
Registered in the waitlist
2
7. Please select your major specialization from the following options:
1) Civil Engineering
2) Mechanical Engineering
3) Electrical Engineering and Industrial Computing
4) Biochemistry
5) Plant Department
6) Chemistry
7) Geology
8) Mathematics
9) Animal Physiology
10) Physics
11) Zoology and Animal Biology
12) Other, please specify
8. How advanced you are in the university?
Waitlisted
First year
Second year
Third year
Fourth year
Other, please specify
9. Have you ever transferred from another school or major? (If No, please skip question 10)
Yes
No
10. Please write the name of the school or major that you had transferred from:
▪
_______________________________
11. Do you have a scholarship?
Yes
No
3
B. Academic Performance
12. Do you find studying your major hard?
Yes
No
13. Please rank the following courses from easiest to hardest:
1
Is easiest
5
Is hardest
1) Calculus
2) Introductory Physics
3) Introductory Analytical Chemistry
4) General Chemistry
5) Physical Chemistry
6) Organic Chemistry
7) Computing for Engineers
8) General Biology
9) Genetics
10) Microbiology and Immunology
11) Pharmacology and Toxicology
12) Other please specify
14. What have most of your grades been up to now at the university?
A+
1) Calculus
2) Introductory Physics
3) Introductory Analytical Chemistry
4) General Chemistry
5) Physical Chemistry
6) Organic Chemistry
7) Computing for Engineers
8) General Biology
9) Genetics
10) Microbiology and Immunology
11) Pharmacology and Toxicology
12) Other please specify
A
B
C
D/F
Not
Taken
4
15. To what extent would you agree with the following statements?
Strongly
Agree
Somewhat
Agree
Neither
Agree nor
Disagree
Somewhat Strongly
Disagree Disagree
1) Professor’s performance is bad
2) Unclear syllabus and difficult to
follow
3) Circumstances make me too
busy to study
4) Not interested in studying some
subjects
5) Unfriendly classmates
6) Other, please specify
16. How often do you perform the following skills?
Always
a. Reading a required book
I start reading summaries before
1
reading any chapters
I start highlighting on the introduction
2
and conclusion
I give more attention to the concepts
3
that I am interested in
Other, please specify
4
b. Taking notes
I take notes in the class
5
I rewrite these notes.
6
I ask my classmates for their notes
7
I link my notes with a required book
8
Other, please specify
9
c. Studying
10 I study anywhere anytime
11 I study for a while then I take a short
break then I return studying
12 I set study goals before I started
13 I study just a day before the exam
14 Other, please specify
Most of the
time
Sometimes Rarely
Never
5
17. If you have an assignment, what are you doing?
Always
Most of the
time
Sometimes
Rarely
Never
1) Finish it immediately with
intention
2) Finish it immediately
without intention
3) Finish it, but takes long time
4) Wait until the last moment of
due to
5) Ask the professor to explain
it more
6) Ask my classmates for
assistance
7) Ask my family for
assistance
8) Use internet for more
explanation
9) Other, please specify
18. Which methods does your professors use in the class?
Yes
No
Don’t know
1) Lecture discussion
2) Brainstorming
3) E-learning method
4) Project method
5) Case studies
6) Presentations
7) Group work
8) Assignments
9) Watching movies
10) Other, please specify
19. Please evaluate your professor’s performance through the following statements:
Always
1) Comes to the class on time
2) Gives the class's grade on good
time
3) Gives a good answer for your
question
4) Follows the syllabus accurately
5) Is enthusiastic about the course
6) Shows respect to all students
7) Gives a grade fairly
Most of the
time
Sometimes
Rarely
Never
6
20. Have you ever cheated on exam?
Yes
No
21. Have you ever cheated on assignment?
Yes
No
22. If so, how often do you cheat?
Always
Most of the time
Sometimes
Rarely
7
C. School Environment
23. Do you have academic advisor? (If No, please skip question)
Yes
No
24. To what extent do you satisfy with academic advisor?
Extremely
Satisfied
Somewhat
Satisfied
Neither
Satisfied nor
Dissatisfied
Somewhat
Dissatisfied
Extremely
Dissatisfied
1) Consultation
2) Meeting time
3) Behavior
25. Please specify the classroom material that your school has:
Yes
1)
2)
3)
4)
5)
6)
7)
8)
No
Tables and chairs
Blackboard or whiteboard and its materials
Air conditioning
Interior lighting of the classroom
Smartboard and its material
Wi-Fi connection
Screen
Other, please specify
26. Please describe the classroom's state?
Excellent
1)
2)
3)
4)
5)
6)
7)
8)
Tables and chairs
Blackboard or whiteboard and its materials
Air conditioning
Interior lighting of the classroom
Smartboard and its material
Wi-Fi connection
Screen
Other, please specify
Good
Average
Poor
Terrible
8
27. Please indicate how much you agree or disagree with the following statement about the
classroom materials:
Strongly
Disagree
Disagree
Agree
Strongly
Agree
1)
2)
3)
4)
5)
Tables and chairs are comfortable
The classroom is crowded
Air conditioning works well
Interior lighting works well
Smartboard makes the class more
excited
6) Wi-Fi connection works perfectly
28. What do you like the most about the class environment?
Like
1)
2)
3)
4)
5)
6)
7)
Neither Like
nor Dislike
Your classmates
Your professors
The materials of the class
The curriculum
The university facilities
The food courts
Other, please specify
29. What makes the learning so hard to you?
1
1)
2)
3)
4)
5)
6)
Less hard
The curriculum
The size of the classroom
The laboratories
The university facilities
The professor
Other, please specify
5
Is hardest
Dislike
Don’t
Know
9
30. How often do use laboratories in a week?
Not
at all
Once
Twice
Three
Four
More
than
four
1) Calculus
2) Introductory Physics
3) Introductory Analytical Chemistry
4) General Chemistry
5) Physical Chemistry
6) Organic Chemistry
7) Computing for Engineers
8) General Biology
9) Genetics
10) Microbiology and Immunology
11) Pharmacology and Toxicology
12) Other please specify
31. Please indicate how much you agree or disagree with the following statement about the
laboratories:
Strongly
Disagree
Disagree
Agree
Strongly
Agree
1) The laboratories are quiet and clean.
2) Laboratories are equipped very well
3) It is easy to access and to use
laboratories.
4) Software is new and works as I
want.
5) The laboratory’s size is adequate
and enough for all students
6) I find the necessary software that
relates to my major
32. How do you use laboratories in the classes?
Doing homework
Group study
Personal use
Use printer
All of the above
33. Do you have an assistant teacher for laboratories? (If No, please skip question)
Yes
No
Don’t
Know
10
34. To what extent do you satisfy with assistant teacher?
Extremely
Satisfied
Somewhat
Satisfied
Neither
Satisfied nor
Dissatisfied
1) Manner of teaching
2) Behavior
3) Helpful in particular
class
4) Other, please specify
35. Overall, how satisfied you are with the university facilities?
Extremely satisfied.
Somewhat satisfied.
Neither satisfied nor dissatisfied.
Somewhat dissatisfied.
Extremely dissatisfied.
Somewhat
Dissatisfied
Extremely
Dissatisfied
11
D. Quality of Life
36. In addition to being a student, do you have a job? (If No, please skip question 16)
Yes
No
37. Please specify the sector that you work on:
1)
2)
3)
4)
5)
6)
7)
Government Sector
Private Sector
Agricultural Sector
Industrial Sector
Service Sector
Energy Sector
Other, please specify
38. Have you or your family receive assistance? (If No, please skip question)
Yes
No
39. Please chick the assistance or subsidies that you or your family received:
1)
2)
3)
4)
5)
Overseas Assistance
Local Assistance
Religious Institutions Assistance
Relative Assistance
Other, please specify
40. How do you meet your college expenses?
Myself
Parents
Scholarships and grants
Loans
Other, please specify
12
41. Please specify the materials that you have:
Yes
No
Books and notebooks
Writing supplies
Cellphone
Computer
Laptop
Tablets
Car
Motorcycle
Bicycle
Other, please specify
42. If the class requires a book, how do you obtain it?
Take a copy of the book
Buy a new book
Buy a used book
Rent
Borrow it from classmates
Other, please specify
43. What is the distance from your place of residence to the university?
Less than 30 minutes
Less than 1 hour
Less than 1:30 hour
Less than 2 hours
Other, please specify (_______)
44. With whom do you live?
Mother or/and Father
Brothers or/and Sisters
Grandparents
Relatives
Friends
Other, please specify
45. Do you eat with your household? (If No, please skip question)
Yes
No
13
46. In a week, how many times do you eat with your family?
0 – 3 times
3 – 6 times
6 – 9 times
9 – 12 times
More than 12 times.
47. How often do you visit your family? (If you are living with your family, please skip this question)
Once per week
More than once per week
Once per month
More than once per month
Once per year
More than once per year
Holidays
Other, please specify
48. Do you bring things to your family (e.g., money, food, gifts, or flowers)?
Yes
No
49. Do you receive things from your family (e.g., money, food, gifts, or flowers)?
Yes
No
50. Which of the following physical or mental health symptoms make it hard for you to learn:
Physical well-being Symptoms
(Obesity, disability, etc.)
Mental Symptoms
(Confused thinking, memory loss, etc.)
Emotional Symptoms
(Homesick, anxiety, confusion, etc.)
Other, please specify
51. In the last month, did you go to the university hungry? (If No, please skip question 35)
Yes
No
52. If so, how often did that happen?
Always
Most of the time
Sometimes
Rarely
14
53. In the last week, how often did you perform the following activities?
Always
1
2
3
4
5
6
7
8
9
10
11
12
Talk or work with your professors
Talk or work with your friends
Talk or work with your classmates
Talk or work with your family
Talk or work with your neighbors
Provide help to your friends
Provide help to your family
Provide help to your classmates
Provide help to your neighbors
Exercise or practice sports
Practice religious worship
Volunteer in the campus or your
community
13 Read books or newspapers
14 Read academic articles
15 Research new information
Most of the
time
Sometimes Rarely Never
15
E. Demographic
54. Gender:
Male
Female
55. How old are you?
▪
__________
56. Please specify your ethnic group:
Ewe
Mina
Kable
European
Syrian-Lebanese
Other, please specify (____________)
57. What is your religion?
Christian
Muslim
Indigenous beliefs
Other, please specify (_____________)
58. Please check the language that you speak and ability level:
Writing
Speaking
French
English
Ewe and Mina
Kabye
Dagomba
Other, please specify
59. Please check the language that your household speak and ability level:
Writing
French
English
Ewe and Mina
Kabye
Dagomba
Other, please specify
Speaking
16
60. Monthly income (1 US Dollar = 534.97 CFA franc)
Yours
Your household
0 – 180,000 CFA franc
180,000 – 360,000 CFA franc
360,000 – 540,000 CFA franc
540,000 – 720,000 CFA franc
720,000 – 900,000 CFA franc
More than 900,000 CFA franc
61. What is your type of residence? (If you are living with your family, please skip this question)
Student dormitory
Apartment
Studio
House
Other, please specify
62. What type of residence does your household have?
House
Apartment
Studio
Cottage
Other, please specify
63. What is the type of residence?
Owned
Rented
Inherited
Granted
Other, please specify
64. Which of the following materials is your household’s residence made out of?
Sun-dried mud bricks and mud plaster, with wood roofs.
Cement blocks and/or bricks with brick or iron covered roofs.
Other, please specify
65. What is the main source of drinking water in your area?
Piped water into dwelling.
Tanker-truck.
Rainwater collection.
Bottled water.
Surface water (river, dam, lake, pond, etc.)
Other, please specify
17
66. What is the main type sanitation in your home?
Piped sewer system.
Septic tank.
Other, please specify.
67. Which of the following materials and services are available in the residence?
Water
Gas
Electric lights
Air conditioning
Couch
Table
Bed
Fridge
Dish washer
Washing machine
Water heater
Cleaning tools
Books
Internet
Computer
TV
Video games
Cell phone
Telephone line
68. Overall, what is the state of the residence?
Very good
Good
Average
Bad
Terrible
69. How safe is your neighborhood?
Very safety
Safety
Not safety not dangerous
Dangerous
Very dangerous
18
70. If you or your household are sick, which kind of medicine do you use?
Yes
Western medicine
Folk medicine
Other, please specify
71. What is your parent’s marital status?
Single
Married
Widowed
Divorced
Separated
72. What is your marital status?
Single
Married
Widowed
Divorced
Separated
73. How many siblings and children do you have?
Brothers
Sisters
Children
74. What is your parent’s education level?
Illiterates.
Primary school completion.
Secondary school completion.
Some college.
Associate’s degree.
Bachelor’s Degree or higher.
No
Impact Evaluation of Support Higher Education in Togo
1
Professor’s Survey
Thank you for agreeing to take part in this research survey organized by The Catholic University of
America in Washington D.C. The purpose of this survey is to measure the overall impact on the students
and their families after the intervention of Education Sector Plan 2010-2025 in cooperation with the
Islamic Development Bank. Be assured that your answers will be confidential and will not be published
under any circumstances. Your participation in this survey is very important for us. Please read and
follow the instructions carefully. This survey should not take more than 30 minutes. Thank you for your
participation.
A. Identification
1. Professor’s Identification Code: ___________
2. Please select the university that you teach at:
University of Lomé
University of Kara
3. Please check the region of your secondary school:
1)
2)
3)
4)
5)
Maritime
Central
Plateaux
Kara
Savanes
4. Which of the following best describes you?
I am Architecture professor
I am Anthropology professor
I am Archaeology professor
I am Astronomy professor
I am Chemistry professor
I am Physics professor
Other, please specify
5. What is your job status as a professor?
Full-time
Part-time
6. How long have you been teaching at the recent university?
I just started
One year
Two years
Three years
Four years
More than four years, please specify (____)
Impact Evaluation of Support Higher Education in Togo
7. How many years is your experience of teaching?
I just started
One year
Two years
Three years
Four years
More than four years, please specify (____)
8. Which academic qualification do you have?
Bachelor's Degree
Master's Degree
PHD
Other, please specify
9. Which of the following institutions you graduated from?
University of Lomé
University of Kara
Catholic University of West Africa
African Union University
University of Science and Technology of Togo
African Crafts School of Architecture and Urbanism
Other, please specify
2
Impact Evaluation of Support Higher Education in Togo
B. School Environment
10. Have you attend to any faculty meeting? (If No, please skip question)
Yes
No
11. What was the date of the last faculty meeting?
•
___\___\_____
12. What were the main topics of the last faculty meeting?
University finance.
Professors training.
Professors attendance or punctuality.
Students attendance.
Students performance.
Students discipline.
Curriculum improvement.
Other, please specify.
13. Have you been substitute for another professor? (If No, please skip question)
Yes
No
14. How many times in a semester do you have to substitute for another professor?
Once
Twice
Three times
Four times
More than four times, please specify (______)
15. In the last two years, have you received any training program? (If No, please skip the question)
Yes
No
16. How many training programs do you receive?
Once
Twice
Three times
Four times
More than four times, please specify (______)
3
Impact Evaluation of Support Higher Education in Togo
4
17. Who was the organizer of the training program you received?
Yes
No
The Ministry of Higher Education and Research
The University
IDB Members Countries Centers
Local organization
International organization
Other, please specify
18. Which of the following describes your workplace?
I do not have an office
I have my own office and fully equipped
I have my own office and not fully equipped
I share the office with other professors and fully equipped
I share the office with other professors and not fully equipped
Other, please specify
19. Please specify the classroom material that your school have it:
Yes
No
Tables and chairs
Blackboard or whiteboard and its materials
Air conditioning
Interior lighting of the classroom
Smartboard and its material
Wi-Fi connection
Screen
Other, please specify
20. Please describe the classroom's state?
Excellent
Tables and chairs
Blackboard or whiteboard and its materials
Air conditioning
Interior lighting of the classroom
Smartboard and its material
Wi-Fi connection
Screen
Other, please specify
Good
Average
Poor
Terrible
Impact Evaluation of Support Higher Education in Togo
5
21. Which of the following statements do you think make it hard to teach in the class?
Yes
No
Overload students
Not enough devices
Lack of eagerness from the students
Class's time
Other, please specify
22. How often do you use technology in teaching?
Always
Most of the time
Sometimes
Rarely
Hard
Very Hard
23. How easy using the technology?
Very easy
Easy
24. In the last week, how much time did you spend in each of the following activities?
Preparing for class
Teaching Activity
Office hours
Correcting assignments
Other, please specify
_______ Hours
_______ Hours
_______ Hours
_______ Hours
_______ Hours
25. Which of the following language do you mostly use in the class?
French
English
Ewe and Mina
Kabye
Dagomba
Other, please specify
26. How many students are there in your class?
_____________
27. How many students passed the last test that you gave?
Male
Female
Never
Impact Evaluation of Support Higher Education in Togo
6
28. To what extent would you agree with the following statements?
Strongly
agree
Somewhat
agree
Neither
agree nor
disagree
Somewhat
disagree
Strongly
disagree
Students are well prepared for my
courses.
Students understand me well
enough.
Students follow my lectures
effectively.
Student attendance is good.
Students submit their homework on
time.
29. How would you describe the ability of students?
Much
lower than
average
Slightly
lower than
average
Average
Slightly
higher than
average
Compared to other students in
this year
Compared to other students in
the previous year
30. Which of the following best describes your relationship with students?
Argumentative
Moody
Careless
Friendly
Very kind
31. Which of the following best describes your relationship with faculty members?
Argumentative
Moody
Careless
Friendly
Very kind
Much
higher than
average
Impact Evaluation of Support Higher Education in Togo
7
32. Which of the following methods do you use in teaching?
Always
Most of the time
Sometimes
Rarely
Never
Lecture discussion
Brainstorming
E-learning method
Project method
Case studies
Presentations
Group work
Assignments
Watching movies
Other, please specify
33. During a semester, how often do you apply the following statements in the class?
Always
Most of the
time
Sometimes
Rarely
I focus on real-world problems
and link it by the lecture.
I focus on precise math and
science content.
I immerse students in practical
training.
I encourage students to read a
modern exploration.
I immerse students in
productive teamwork.
I focus on precise math and
science content.
I allow for students to rewrite a
wrong answer.
34. How many instructional hours per semester are needed to cover the curriculum?
I don't know
20-30 hours
30-40 hours
40-50 hours
Other, please specify
Never
Impact Evaluation of Support Higher Education in Togo
8
35. To what extent would you agree with the curriculum?
Strongly
agree
Somewhat
agree
Neither
agree nor
disagree
Somewhat
disagree
Strongly
disagree
Curriculum is too long and not
enough time to cover it
Curriculum is not related to the
field
Curriculum is very old and it's
needed to be revised
Curriculum is very hard to
student's level
Other, please specify
36. Does the class require a laboratory? (If No, please skip question)
Yes
No
37. Please indicate how much you agree or disagree with the following statement about laboratories:
Strongly
Disagree
The laboratories are quiet and clean.
Laboratories are equipped very well
It is easy to access and to use
laboratories.
Software is new and work as I want.
The laboratory’s size is adequate and
enough for all students.
I find the necessary software that related
to my major.
Disagree
Agree
Strongly Don’t
Know
Agree
Impact Evaluation of Support Higher Education in Togo
9
38. Which of the following skills do you think it’s hard to you?
1
Is easiest
5
1
2
Is hardest
3
4
5
Don’t
Know
Strong writer
Oral communication skills.
Excellent research skills.
Leadership and motivational ability.
Organizational skills.
Analytical and interpreting skills.
A passion for and commitment to teaching
39. Please specify material and services that the university provided to you?
Yes
No
Free books and notebooks
Free writing supplies
Free / custody computer
Free / custody laptop
Free / custody tablet
Other, please specify
40. Overall, how satisfied are you with the following?
Extremely
satisfied
Somewhat
satisfied
Neither satisfied
nor dissatisfied
Somewhat
Extremely
dissatisfied dissatisfied
Workload
Work environment
Health insurance
Support from the Ministry
of Higher Education and
Research
Social status in the
society
Overall job satisfaction
41. In the last two years, did you obtain Certificate of Honor or Incentive Bonus?
Yes
No
Impact Evaluation of Support Higher Education in Togo
C. Quality of life
42. In addition to being a professor, do you have a job?? (If No, please skip question)
Yes
No
43. Please specify the sector that you work on:
1)
2)
3)
4)
5)
6)
7)
Government Sector
Private Sector
Agricultural Sector
Industrial Sector
Service Sector
Energy Sector
Other, please specify
44. On average, how many hours per week do you spend in this job?
___________
45. Do you own business, stocks, or farmland?
Yes
No
46. Do you or your family receive assistance recently? (If No, please skip question)
Yes
No
47. Please chick the assistance or subsidies that you or your family received:
1)
2)
3)
4)
5)
Overseas Assistance
Local Assistance
Religious Institutions Assistance
Relative Assistance
Other, please specify
10
Impact Evaluation of Support Higher Education in Togo
11
48. Please specify the materials that you have:
Yes
No
Books and notebooks
Writing supplies
Cellphone
Computer
Laptop
Tablets
Car
Motorcycle
Bicycle
Other, please specify
49. What is the distance from your place of residence to the university?
Less than 30 minutes
Less than 1 hour
Less than 1:30 hour
Less than 2 hours
Other, please specify (_______)
50. With whom do you live?
Mother or/and Father
Brothers or/and Sisters
Grandparents
Relatives
Friends
Other, please specify
51. Do you eat with your household? (If No, please skip question)
Yes
No
52. In a week, how many times do you eat with your family?
0 – 3 times
3 – 6 times
6 – 9 times
9 – 12 times
More than 12 times.
Impact Evaluation of Support Higher Education in Togo
53. How often do you visit your family? (If you are living with your family, please skip this question)
Once per week
More than once per week
Once per month
More than once per month
Once per year
More than once per year
Holidays
Other, please specify
54. Do you bring things to your family (e.g., money, food, gifts, or flowers)?
Yes
No
55. Do you receive things from your family (e.g., money, food, gifts, or flowers)?
Yes
No
56. Which of the following physical or mental health symptoms make it hard for you to learn:
Physical well-being Symptoms
(Obesity, disability, etc.)
Mental Symptoms
(Confused thinking, memory loss, etc.)
Emotional Symptoms
(Homesick, anxiety, confusion, etc.)
Other, please specify
12
Impact Evaluation of Support Higher Education in Togo
13
57. How often do you do the following activities?
Always
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Talk or work with your students
Talk or work with your friends
Talk or work with your family
Talk or work with your faculty
members
Talk or work with your neighbors
Provide help to your students
Provide help to your friends
Provide help to your family
Provide help to your faculty members
Provide help to your neighbors
Attend conferences, seminars,
workshops
Exercise or practice sports
Religious worship
Being a volunteer in the campus or
your community.
Reading books or newspapers
Reading academic articles
Searching for a new information
Most of the
time
Sometimes Rarely
Never
Impact Evaluation of Support Higher Education in Togo
14
A. Demographic
58. Gender:
Male
Female
59. How old are you?
▪
__________
60. Please specify your ethnic group:
Ewe
Mina
Kable
European
Syrian-Lebanese
Other, please specify (____________)
61. What is your religion?
Christian
Muslim
Indigenous beliefs
Other, please specify (_____________)
62. Please check the language that you speak and ability level:
Writing
Speaking
French
English
Ewe and Mina
Kabye
Dagomba
Other, please specify
63. Please check the language that your household speak and ability level:
Writing
French
English
Ewe and Mina
Kabye
Dagomba
Other, please specify
Speaking
Impact Evaluation of Support Higher Education in Togo
15
64. Monthly income (1 US Dollar = 534.97 CFA franc)
Yours
Your household
0 – 180,000 CFA franc
180,000 – 360,000 CFA franc
360,000 – 540,000 CFA franc
540,000 – 7200,000 CFA franc
720,000 – 900,000 CFA franc
More than 900,000 CFA franc
65. What is your type of residence? (If you are living with your family, please skip this question)
Apartment
Studio
House
Other, please specify
66. What type of residence does your household have?
House
Apartment
Studio
Cottage
Other, please specify
67. What is the type of residence?
Owned
Rented
Inherited
Granted
Other, please specify
68. Which of the following materials is your household’s residence made out of?
Sun-dried mud bricks and mud plaster, with wood roofs.
Cement blocks and/or bricks with brick or iron covered roofs.
Other, please specify
69. What is the main source of drinking water in your area?
Piped water into dwelling.
Tanker-truck.
Rainwater collection.
Bottled water.
Surface water (river, dam, lake, pond, etc.)
Other, please specify
Impact Evaluation of Support Higher Education in Togo
70. What is the main type sanitation in your home?
Piped sewer system.
Septic tank.
Other, please specify.
71. Which of the following materials and services are available in the residence?
Water
Gas
Electric lights
Air conditioning
Couch
Table
Bed
Fridge
Dish washer
Washing machine
Water heater
Cleaning tools
Books
Internet
Computer
TV
Video games
Cell phone
Telephone line
72. Overall, what is the state of the residence?
Very good
Good
Average
Bad
Terrible
73. How safe is your neighborhood?
Very safety
Safety
Not safety not dangerous
Dangerous
Very dangerous
16
Impact Evaluation of Support Higher Education in Togo
17
74. If you or your household are sick, which kind of medicine do you use?
Yes
Western medicine
Folk medicine
Other, please specify
75. What is your parent’s marital status?
Single
Married
Widowed
Divorced
Separated
76. What is your marital status?
Single
Married
Widowed
Divorced
Separated
77. How many siblings and children do you have?
Brothers
Sisters
Children
78. What is your parent’s education level?
Illiterates.
Primary school completion.
Secondary school completion.
Some college.
Associate’s degree.
Bachelor’s Degree or higher.
No
Impact Evaluation of Support Higher Education in Togo
Relative’s Survey
Thank you for agreeing to take part in this research survey organized by The Catholic University of
America in Washington D.C. The purpose of this survey is to measure the overall impact on the students
and their families after the intervention of Education Sector Plan 2010-2025 in cooperation with the
Islamic Development Bank. Be assured that your answers will be confidential and will not be published
under any circumstances. Your participation in this survey is very important for us. Please read and
follow the instructions carefully. This survey should not take more than 30 minutes. Thank you for your
participation.
A. Identification
1. Relative’s Identification Code: ___________
2. Please select the university that your son/ daughter at:
University of Lomé
University of Kara
3. Please check the region of your son/ daughter secondary school:
1)
2)
3)
4)
5)
Maritime
Central
Plateaux
Kara
Savanes
4. What was your son/ daughter secondary school GPA?
A+
A
B
C
D
5. How old were your son/ daughter when he/ she graduated from secondary school?
▪
__________
6. Has your son/ daughter transferred from another school or major?
Yes
No
7. Please write the name of the school or major that your son/ daughter had transferred from:
▪
_______________________________
Impact Evaluation of Support Higher Education in Togo
8. What is the main reason of this transfer?
Public universities tuition is affordable
Public universities have a good quality
My son/ daughter has a scholarship
We want him to live with us
Financial circumstances.
Social circumstances.
Other, please specify
9. If your son/ daughter already enrolled, how advanced he/she is in the university?
First year
Second year
Third year
Fourth year
Other, please specify
Impact Evaluation of Support Higher Education in Togo
B. Relation of relatives with students
10. Have you or other relatives encourage your son/ daughter to enrolled in the current major?
Yes
No
11. Do you know the grades and the level of your son/daughter?
Yes
No
12. Do you know if your son/ daughter need a tutor or not?
Yes
No
13. Why your son/ daughter need a tutor?
A tutor helps him much better
The curriculum is hard
Professor's performance is poor
Other, please specify
14. Have you ever attended/communicated the university where your son/ daughter in?
Yes
No
15. How often do you attended/communicated the university where your son/ daughter in?
Always
Sometimes
Rarely
16. Does your son/ daughter have misbehavior matter in the university?
Yes
No
17. Have you provided support for your son? (e.g. university tuition, car, etc.)
Yes
No
Impact Evaluation of Support Higher Education in Togo
C. Quality of Life
18. How many jobs do you have?
Yes
No
19. Please specify the sector that you work on:
1)
2)
3)
4)
5)
6)
7)
Government Sector
Private Sector
Agricultural Sector
Industrial Sector
Service Sector
Energy Sector
Other, please specify
20. Have you or your family receive assistance? (If No, please skip question)
Yes
No
21. Please chick the assistance or subsidies that you or your family received:
1)
2)
3)
4)
5)
Overseas Assistance
Local Assistance
Religious Institutions Assistance
Relative Assistance
Other, please specify
22. How do you meet your life expenses?
Myself
Spouse
Parents
Loans
Other, please specify
Impact Evaluation of Support Higher Education in Togo
23. Please specify the materials that you have:
Yes
No
Cellphone
Computer
Laptop
Tablets
Car
Motorcycle
Bicycle
Other, please specify
24. With whom do you live?
Wife/ husband
Mother or/and Father
Brothers or/and Sisters
Grandparents
Relatives
Friends
Other, please specify
25. Do you eat with your family? (If No, please skip question)
Yes
No
26. In a week, how many times do you eat with your family?
0 – 3 times
3 – 6 times
6 – 9 times
9 – 12 times
More than 12 times.
27. Do you bring things to your son/ daughter (e.g., money, food, gifts, or flowers)?
Yes
No
28. Which of the following physical or mental health symptoms do you have?
None
Physical well-being Symptoms
(Obesity, disability, etc.)
Mental Symptoms
(Confused thinking, memory loss, etc.)
Emotional Symptoms
Impact Evaluation of Support Higher Education in Togo
(Homesick, anxiety, confusion, etc.)
Other, please specify
29. In the last week, how often did you perform the following activities?
Always
1
2
3
4
5
6
7
8
9
10
11
Talk or work with your family
Talk or work with your friends
Talk or work with your co-workers
Talk or work with your neighbors
Provide help to your family
Provide help to your friends
Provide help to your co-workers
Provide help to your neighbors
Exercise or practice sports
Practice religious worship
Volunteer in the campus or your
community
12 Read books or newspapers
13 Read academic articles
14 Research new information
Most of the
time
Sometimes Rarely
Never
Impact Evaluation of Support Higher Education in Togo
D. Demographic
30. Gender:
Male
Female
31. How old are you?
▪
__________
32. Please specify your ethnic group:
Ewe
Mina
Kable
European
Syrian-Lebanese
Other, please specify (____________)
33. What is your religion?
Christian
Muslim
Indigenous beliefs
Other, please specify (_____________)
34. Please check the language that you speak and ability level:
Writing
Speaking
French
English
Ewe and Mina
Kabye
Dagomba
Other, please specify
35. Please check the language that your household speak and ability level:
Impact Evaluation of Support Higher Education in Togo
Writing
Speaking
French
English
Ewe and Mina
Kabye
Dagomba
Other, please specify
36. Monthly income (1 US Dollar = 534.97 CFA franc)
Yours
Your household
0 – 180,000 CFA franc
180,000 – 360,000 CFA franc
360,000 – 540,000 CFA franc
540,000 – 720,000 CFA franc
720,000 – 900,000 CFA franc
More than 900,000 CFA franc
37. What type of residence your son/ daughter has? (If he/ she lives with you, please skip this
question)
Student dormitory
Apartment
Studio
House
Other, please specify
38. What type of residence do you have?
House
Apartment
Studio
Cottage
Other, please specify
39. What is the type of residence?
Owned
Rented
Inherited
Granted
Other, please specify
40. Which of the following materials is your residence made out of?
Sun-dried mud bricks and mud plaster, with wood roofs.
Cement blocks and/or bricks with brick or iron covered roofs.
Other, please specify
Impact Evaluation of Support Higher Education in Togo
41. What is the main source of drinking water in your area?
Piped water into dwelling.
Tanker-truck.
Rainwater collection.
Bottled water.
Surface water (river, dam, lake, pond, etc.)
Other, please specify
42. What is the main type sanitation in your home?
Piped sewer system.
Septic tank.
Other, please specify.
43. Which of the following materials and services are available in the residence?
Water
Gas
Electric lights
Air conditioning
Couch
Table
Bed
Fridge
Dish washer
Washing machine
Water heater
Cleaning tools
Books
Internet
Computer
TV
Video games
Cell phone
Telephone line
44. Overall, what is the state of the residence?
Very good
Good
Average
Bad
Terrible
Impact Evaluation of Support Higher Education in Togo
45. How safe is your neighborhood?
Very safety
Safety
Not safety not dangerous
Dangerous
Very dangerous
46. If you or your household are sick, which kind of medicine do you use?
Yes
Western medicine
Folk medicine
Other, please specify
47. What is your marital status?
Single
Married
Widowed
Divorced
Separated
48. How many siblings and children do you have?
Brothers
Sisters
Children
49. What is your parent’s education level?
Illiterates.
Primary school completion.
Secondary school completion.
Some college.
Associate’s degree.
Bachelor’s Degree or higher.
No
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