Baseline survey questionnaire template for Niger
A programme baseline with a results framework, indicator table, sampling guide, consent script and a questionnaire you can repeat at endline. This version is set up for Niger.
Monitoring and evaluation officers, programme managers and evaluators who need a baseline they can repeat later to measure change.
- Word document
- Editable, no password
- Includes consent script and reporting guide
Already set up for Niger
| Interview languages | Hausa, Zarma, Songhai, Tamasheq, Fulfulde and Kanuri |
|---|---|
| Currency | West African CFA franc (XOF) |
| First-level divisions | Regions: Agadez, Diffa, Dosso, Maradi, Niamey, Tahoua, Tillabéri and Zinder |
| Mobile money | Orange Money |
| Data protection law | Law n°2022-59 of December 16, 2022 relating to the protection of personal data (2022). Regulator: High Authority for the Protection of Personal Data (source) |
We checked these details against the public sources linked on this page. This is not legal advice: have your consent script reviewed against the law before you interview.
What is inside
- A results framework and indicator table to fill before you write questions.
- A sampling and sample size section, including comparison groups.
- An informed consent script, a pre-field checklist and a questionnaire with knowledge, attitudes and practice items.
- An analysis and reporting guide for baseline versus endline.
How long it takes
| Mode | Interview length | Questions to keep |
|---|---|---|
| Face to face, full version | About 35 to 50 minutes | About 55, each traceable to an indicator |
| Phone | Cap the call at 20 to 25 minutes | Only the modules you need |
How to use it
- Start with indicators, not questions. List what the programme expects to change and how you will measure it. Every question should serve an indicator. If it does not, remove it.
- Define the population and the unit. Write down who the programme serves and what you are counting: individuals, households or groups. This decides your sample frame.
- Plan the endline now. Use the same wording, the same recall periods and the same sampling approach at endline, or you cannot compare. Keep the questionnaire version number on every form.
- Consider a comparison group. If you want to attribute change to the programme, you need a comparison group. If you cannot have one, say so and describe the results as change over time.
- Report honestly. Give the sample size, the method, the dates and the margin of error next to every figure, and describe any group you could not reach.
Sample questions
A few of the questions as they appear in the template. Items in square brackets are for you to fill.
- Do you own or use a mobile phone?
- What are the ways [TOPIC RISK, e.g. a disease] can be prevented? Do not read the options.
- It is acceptable for a child to miss school to help with work at home. Do you agree or disagree?
- In the last 12 months, did you use [SERVICE]?
- Which is the main source?
- Do you have any money of your own that you can spend as you choose?
- Do you feel you are treated fairly by your community?
- In the last 30 days, about how much did your household earn in total in West African CFA franc (XOF)?
Check your sample size first
Before you field, work out how many completed interviews you need with the sample size calculator and check the precision with the margin of error calculator.
See the master version for use in any country, or switch country: Angola, Burkina Faso, Burundi, Cameroon, Comoros, Congo, Democratic Republic of the Congo, Equatorial Guinea, Eritrea, Ethiopia, Ghana, Guinea, Kenya, Libya, Madagascar, Mali, Morocco, Mozambique, Nigeria, Senegal, Seychelles, Somalia, South Africa, Tanzania, Togo, Uganda.
Frequently asked questions
What is the difference between a baseline and a household survey?
A baseline is built around a programme's indicators and is repeated at endline to measure change. A household survey is a general picture of living conditions.
Can I use the knowledge, attitudes and practice items for any topic?
Yes. Replace the topic placeholders with your programme topic and keep the structure, so the questions stay clear and comparable.
How large should the baseline sample be?
Large enough to detect the change you expect. The guide explains how to think about it, and our sample size calculator gives a starting number.
What is already filled in for Niger?
The country name, the local currency (West African CFA franc), the main interview languages, the list of regions, the main mobile money services and the data protection law we found. Everything else, such as your company and product, is left in square brackets for you.
Which data protection law applies in Niger?
We found Law n°2022-59 of December 16, 2022 relating to the protection of personal data (2022), overseen by High Authority for the Protection of Personal Data. Check it against your own study and, for sensitive topics, get the consent script reviewed by a local professional.
Does it cover ethics approval?
It includes a consent script and notes on child protection and confidentiality. Many programmes also need approval from an ethics committee, which you must arrange yourself.
Is it free?
Yes. Leave your name and email and we send you the file.