COMMUNE QUESTIONNAIRE SURVEY Name of enumerators: Date of collection:...... Commune ID:.. Section 1: General information of commune 1.1.

Name of commune: 1.2. Name of district: 1.3. Land Resources in 2010: Type of land Unit Total area (ha) TOTAL AREA 1 Agricultural land a Agricultural land by irrigation system Agricultural land with irrigation Agricultural land without irrigation b Agricultural land by number of crops Area of agricultural land in ONE CROP/year Area of agricultural land in TWO CROPs/Year 2 Annual Cereal Land 3 Long term industrial crops 4 Aquaculture land 5 Forest land 6 Residual land 7 Special used land 8 Non-used land 1.4. Population and labor of commune in 2010? A 1 2 B 1 2 Population TOTAL POPULATION Population by gender Male Female Population by Ethnicity Kinh people Other ethnicity (please speicify: . TOTAL LABOR FORCE Total labor by gender Male labor Female labor Total labor force by sector Unit Number

C D E 1 2 3 4 5 I

Agricultural production Industry and construction Services TOTAL MIGRATED LABOR NUMBER OF UNEMPLOYMENT LABOR TOTAL HOUSEHOLDS OF COMMUNE Total households in agricultural sector Total households in fishing Total households in aquaculture Total households in Industry and construction Total households in services TOTAL POVERTY HOUSEHOLDS

SECTION 2: ADAPTIVE CAPACITY I. Commune Infrastructure (2010) 1.1. Total length of road of commune (km):..km 1.2. Total length of paved road of commune (km):..km 1.3. Total density of paved/concreted road (ha)km 1.3 Percentage of irrigated land of household(%)% 1.3. Average area of permanent dwelling per head (or household)m2/person 1.4. Percentage of agricultural area with active irrigation (%).% 1.3. Number of households access to tap water:households 1.4. Percentage of households by type of house: a. Permanent house ..% b. Semi-permanent:% c. Temporary house:% 1.5. Percentage of two-storey house in commune:% 1.6. Number of machinery in agricultural production: a. Pump:.set b. Tractorset c. Harvestset d. Transportation.. II. Economic Issues (in 2010) 2.1. Total commune gross output (Mil VND):. 2.2. Total commune gross output by sectors Gross output Unit Amount A Total Gross output of commune Mil VND B Total Gross Output by Sector 1 Agricultural Production 2 Industry and construction 3 Services C Economic Growth Rate from 2005 % 1 2006 % 2 2007 % 3 2008 %

4 5

2009 2010

% %

2.3. Commune crop productivity 1 2 3 4 5 6 7 8 9 10 11 12 13 Type of crops Rice Maize Sweet potato Cassava Vegetables Peanut Production forests (acacia Shrimp Crap Fish Others. Others: Others: Unit Ta/sao 1000/ha Ta/sao 1000/ha 1000/ha 1000/ha 1000/ha Productivity

2.3. Per Capita Income (1000 VND/person):.? 2.4. Average income per capital ($).$ 2.5. Percentage of income from off-farming earnings (%)..% 2.6. Income per head ..$/person 2.7. Number of livestock..head 2.8. Number of fridge owned. 2.9. Amount of remittance per year ($)..($)/year 3.1. Growth rate of agricultural sector during last 5year (%)..% III. Technology Issues 3.1. Number of village in commune with loudspeakers:set 3.2. Number of households in commune line/cell phone:. Households/% 3.3. Percentage of household has Radio (%).% 3.4. Percentage of household has TV (%).% 3.5. Number of motorcycle/households 3.6. Number of boats 3.3. Percentage of agricultural area using seeds (F 1): % 3.4. Percentage of cattle by level 1 breed (%): Cattle % 1 Pig 2 Cow 3 Buffalo 4 Others:.. 5 Others:

IV. Social Capital 4.1. Total commune staff:.. .. staff 4.2. Total commune staff with university degree:.staff 4.3. Total commune budget for development projects:.. billion VND. 4.4. Number of project managed by mass organizations in last 5 year: Mass organizations Number of project Budget if Available 1 Farmer Association 2 Women Union 3 Veteran Union 4 Red Cross 5 Youth Union 6 Others: 7 Others;. 4.5. Number of training courses related agricultural production conducted in commune during the last 3 years: 1 2 3 4 5 6 7 Training courses by sector Cultivation Husbandry techniques Aquaculture Forestry Agribusiness Others:.. Others:.. Number of Training courses

4.6. Number of agricultural extension staff:.. staff. 4.7. Number of saving groups in commune:.. Groups 4.8. Number of credit groups in commune. Groups 4.9. Amount of money borrowed from relative, friends ($)($) 5.1. Number of people that can be requested for help when needed .. V. Human Capital 5.1. Number of training courses related to climate changes in last 3 years: courses. 5.2. Number of doctors in commune:. Doctor 5.3. Number of health care staff (e.g. nurse) in commune:..staff 5.4. Number of hospital beds in commune:. Bed 5.4.Number of technical training held by the commune per year No.course 5.5. Percentage of household head finished high school or higher education % 5.6. Number of laborers per households No.labor

5.7. Level of education: schooling year of households head.No. of schooling year completed by head of households SECTION 3: SENSITIVITY I. Human Sensitivity 1.1. Percentage of women-headed households to total commune households:.% 1.2. Percentage of special difficulty households (e.g. solely elder households).hh 1.3. Percentage of commune malnutrition rate of under 5-year children:% 1.4. Total number of commune population density (person/km2)km2 1.5. Percentage of ethnic minorities living in commune (%)..% 1.6. Percentage of poverty rate of commune (%).% 1.7. Percentage of differentially-label household member (%)..% 1.8. Number of family laborer working in agricultural sector No. labor 1.9. Dependent ration: Ratio of dependent person (under 15 & over 60years old member per family labor..person/laborer II. Infrastructure sensitivity 2.1. Number of household access drinking water sources Type of water sources 1 2 3 4 5 6 Tap water Well/tube-well River/stream water Rain waters Others: Others:. % of commune households

2.2. Percentage of village to total commune village without early warning system? 2.3. Distance of their households to water body..m 2.4. Distance from their resident to safer shelter (m)..m 2.5.Average area of weak house family member m2/person III. Livelihood sensitivity 1.1.Percentage of commune labour/household involving in agricultural sector (%) ..%

1.2.Percentage of labour/household to total commune involving in fishing activities (%)..% 1.3.Percentage of annual income generated from aquaculture (%)% 1.4.Percentage of annual income generated from fishing activities(%)% 1.5.Percentage of annual income generated form agricultural sectors.% IV. Financial Sensitivity 1.1.Amount debt taken to totall income of household ($)$ V. Agriculture sensitivity 1.1. Percentage of one crop land to total commune agricultural land ..% 1.2. Percentage of rainfed agricultural land to total commune agri. land area ..% 1.3. Percentage of agri. Gross oustput to total commune gross output...% SECTION 3: HAZARD I. Typhoon 1.1. Description of TYPHOON in last 10 years from 2000 2010
Intensity / wind speed (c) Floo d level (d) Typhoon duration (e) damage cost ($) (f)

Year (a)

Number of typhoon (b)

Dead toll (i)

Injury (k)

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 1.2. Description of FLOODS in last 10 years from 2000 2010
Year (a) Number of Floods (b) Flood level (d) Floods duration (e) damage cost ($) (f) Dead toll (i) Injury (k)

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

2010 1.3. Description of DROUGHT in last 10 years from 2000 2010

Year (a) Number of Drought (b) Drought duration (e) damage cost ($) (d)

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 1.4. Description of LANDSLIDE in last 10 years from 2000 2010
Cubic meter of landslide (d) damage cost ($) (f)

Year (a)

Number of Floods (b)

Dead toll (i)

Injury (k)

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 1.5. Description of flashfloods in last 10 years from 2000 2010
Number of flashfloods (b) damage cost ($) (f) Dead toll (i) Injury (k) Forest cover (%)

Year (a)

2000 2001 2002 2003 2004 2005

2006 2007 2008 2009 2010