Data Collection for the Bachwezi Households to aid the Understanding of The Clan Leaders for Possible Interventions Please enable JavaScript in your browser to complete this form.Name of House Hold Head *FirstLastMucwezi or Mucwezikati *Age *Sex *MaleFemaleClan of Head - (For Example, Wife who is Cwezi ) *Village or Cell *Parish or Ward *Sub County or Town Council or Division *Phone Number *Main Occupation *Other Economic Activity (1)Other Economic Activity (2)Have You Been Affected by Climate Change *YesNoIf Yes, in Which Ways?What Have You Done to Encounter Challenges Caused by Climatic Change? Does Your Home Have any Fruit Trees (Jack Fruit) *YesNoAvocado Fruit Trees *YesNoMango Fruit Trees *YesNoPaw Paw Fruit Trees *YesNoGuava Fruit Trees *YesNoSour Sop Fruit Trees *YesNoFig(s) Fruit Trees *YesNoOthers Fruit Trees (Specify )Do you Have any Leadership Position in Your Family? *YesNoIf Yes Describe (Leadership Position Requires Every Member in the Family not only Family Head) - Reference the Rutooro Version)What are Your Income Generating Sources or Resources? *What are the Barriers Currently Hindering Development in Your Family? *Aspiration(s) for the Next 1-3 Years *Aspiration(s) for the Next 5 YearsAspiration(s) for the Next 10 YearsWhat Precious assets do Have as a Family as Back Bone for Development? eg Land, Cattle , Plantations, Forests, Houses, Rentals) *Relatives in the House Hold, their Education Level, Age, Sex, Employment StatusName:_____________Relationship (With Bacwezi)- Mwana, Mwihwa:____________ Age:________ Sex: _______ Education Level: ____________In/Out of School:___________ Employment Status:____________ Sector of Engagement:_______________ Telephone Number: __________________Use the format provided above and then copy and paste all relatives below each other.Other Members Not BachweziName:_____________Relationship (With Bacwezi)- Mwana, Mwihwa:____________ Age:________ Sex: _______ Education Level: ____________In/Out of School:___________ Employment Status:____________ Sector of Engagement:_______________ Telephone Number: __________________Submit