Field Ready Survey

01 · CONSENT

Hello, my name is Meymuna, and I’m part of [Fieldready]. We’re conducting this short survey to better understand your experiences and needs, so we can improve our programs and services. Your participation is completely voluntary, and your answers will remain confidential — they won’t affect any support you receive. This should only take about [5] minutes. Do you feel comfortable to continue? Optional

Yes No

02 · AFFECTED PERSON

AFFECTED PERSON RECEIVING: Optional

Access to essential services Protection

1. Gender: Optional

Male Female Other Prefer not to say

2. Age group: Optional

Under 18 18–59 60+

3. Residential Status: Optional

Host Community Refugee Internally displaced Migrant

03 · SUSTAINABILITY

4. To what extent do you feel that the support you received through this project addressed your access to essential services needs? Optional

You may include the specific types of services provided by your organization here for your guidance.

Not at all To a small extent To some extent To a large extent Completely

4.1 To what extent do you think this improved access to services or your needs are being addressed will be sustained in the medium to long term? Optional

Up to 1,500 characters

4.2 For how long do you think the improved access to services will be sustained? Optional

Only during the project period Less than one year after the project ends One to two years after the project ends More than two years after the project ends I don’t know

Your answers will remain confidential and won’t affect any support you receive.

Help us improve our programs and services

Thank you for your time.