ANNEX IISupplementary provisions
ANNEX II STRUCTURED SURVEY TEMPLATE ON ESF+ DIRECT SUPPORT FOR ADDRESSING MATERIAL DEPRIVATION QUESTIONS Interviewer’s organisation: [name of the entity for which the interviewer is working] Place: [post code from where the survey is carried out] Beneficiary delivering support: [name of the organisation from which the end recipient received assistance] [type of organisation] [activity of the organisation: health, education, social protection, food, advisory, psychological support, housing support, other] Date: [date of the survey in format dd/mm/yyyy] A. Questions to the beneficiary delivering support indirectly through e.g. vouchers/cards A1. What type of assistance and population is addressed through the scheme? (reply to all) Food addressed to children under 18 years (Yes/No) Food addressed to the homeless (Yes/No) Food distribution to women (Yes/No) Food distribution to single parents (Yes/No) Food distribution to persons 65 years of age and above (Yes/No) Food distribution to persons with disabilities (Yes/No) Food distribution to third-country nationals, persons with a foreign background or a minority (Yes/No) Food addressed to other target groups (Yes/No) (and if yes, specify target group) Goods addressed to children under 18 years (Yes/No) Goods addressed to the homeless (Yes/No) Goods distributed to women (Yes/No) Goods distributed to single parents (Yes/No) Goods distributed to persons 65 years of age and above (Yes/No) Goods distributed to persons with disabilities (Yes/No) Goods distributed to third-country nationals, persons with a foreign background or a minority (Yes/No) Goods addressed to others (Yes/No) (and if yes, specify target group) A2. What does the voucher or card enable end recipients to buy? (several answers are possible) Food Basic material assistance products (such as hygiene products) Educational or audiovisual material/equipment Other items sold in supermarkets with some exceptions (alcohol, tobacco, etc.) (please specify the item) Other (please specify) A3. Estimate the total number of persons that will have been assisted through vouchers or cards co-financed by the ESF+ during the whole present calendar year ( 1 ) by your organisation {number} A4. If you also provide assistance (food/goods) to end recipients, which is not co-financed by the ESF+, what is provided and to whom? (reply to all) Food distribution to children under 18 years (Yes/No) Food distribution to the homeless (Yes/No) Food distribution to women (Yes/No) Food distribution to single parents (Yes/No) Food distribution to persons 65 years of age and above (Yes/No) Food distribution to persons with disabilities (Yes/No) Food distribution to third-country nationals, persons with a foreign background or a minority (Yes/No) Food distribution to others (Yes/No) (and if yes, specify target group) Goods distributed to children under 18 years (Yes/No) Goods distributed to the homeless (Yes/No) Goods distributed to women (Yes/No) Goods distributed to single parents (Yes/No) Goods distributed to persons 65 years of age and above (Yes/No) Goods distributed to persons with disabilities (Yes/No) Goods distributed to third-country nationals, persons with a foreign background or a minority (Yes/No) Goods distributed to others (Yes/No) (and if yes, specify target group) Do not know it as it is not traceable (Yes/No) Not applicable as we only provide support co-financed by the ESF+ (Yes/No) A5. What advice (called ‘accompanying measures’) is offered to voucher/card recipients? (several answers are possible) Advice on food preparation/storage and nutrition (cooking workshops, recipes) Health advice Redirection to competent services (e.g. social services, administrations, etc.) Individual coaching and workshops Psychological and therapeutic support Advice on job search Advice on managing a household budget Other support (to be specified) [Text box to be filled in] None (not applicable) A6. Estimate the number of voucher/card recipients that benefitted from advice/guidance funded by ESF+ (accompanying measures) during the present calendar year ( 2 ) {number} A7. What conditions must end recipients satisfy to receive vouchers or cards and advice co-financed by the ESF+? [Text box] A8. Estimate how much money in euros will have been made available to an end recipient through ESF+ vouchers/cards for obtaining food/goods in the whole present calendar year ( 3 ) {amount in EUR} [Text box if a clarification is needed] A9. In your opinion, are the administrative requirements to manage the voucher/card scheme: ‘Very easy to comply with’ ‘Easy to comply with’ ‘Neutral’ (neither easy nor hard to comply) ‘Hard to comply with’ ‘Very hard to comply with’ A9a. If your answer was ‘hard’ or ‘very hard to comply with’, can you please explain what requirement is not easy to comply with? [Text box] A10. What are the main benefits of vouchers/cards in comparison to providing food/goods directly? And what are the main challenges of vouchers/cards in comparison to providing food/goods directly? [Text box] A11. Do you have any other comments concerning the scheme for distribution of vouchers/cards to the most deprived, the collaboration between Managing Authorities and Beneficiaries or suggested solutions for difficulties/challenges encountered? [Text box] B. Questions for the end recipient of ESF+ support The interviewer should explain briefly the purpose of the survey before proceeding with the questions (to know more about the respondent’s personal situation and views about the support received). The end recipient of ESF+ indirect support should be informed that the survey is anonymous and that the results of this interview will be used solely for the purpose of this survey. The survey should respect the privacy of end recipients. B1. Which is your gender? Male Female Non-binary I do not wish to answer/know/understand the question B2. What age are you? 0-17 ( 4 ) 18-29 30-64 65 or above I do not wish to answer/know/understand the question B3. Please tell me whether you live …? Alone In a couple without children Alone with children In a couple with children Other, specify: [Text box to be filled in] I do not wish to answer/know/understand the question B4. How did you find out that the ESF+ support you receive was available? (several answers are possible) Through social services/non-profit organisations Through advertisement in the press, flyers, brochures, postcards Through internet/social media (Facebook, Twitter, Youtube) Through family or friends Other, specify: [Text box to be filled in] I do not wish to answer/know/understand the question B5. Please tell me which of the following you received through vouchers/cards in the present calendar year? (several boxes can be selected) Yes I do not wish to answer/know/understand the question Food Goods Advice/guidance B6. Please tell me whether the assistance received through vouchers or cards was useful to you or to the people living with you? Yes Partially No I do not wish to answer/know/understand the question B6a. If the above answer was ‘No’ or ‘Partially’, could you tell me why? [Text box] B7. If you received food through vouchers/cards funded by ESF+, please tell me what food products are most useful? (several boxes can be selected) Fresh vegetables and fruits Meat Fish Milk Other dairy products (butter, yogurt, cheese…) Basic products (flour, oil, sugar, pasta, rice...) Canned food (vegetables, fruits, meat…) or prepared meals (soups, frozen meals...) Desserts, cookies, breakfast cereals Tea or coffee Baby food (powdered milk, …) Other food [Text box to be filled in] None (not applicable as I did not receive food) B8. If you received goods through vouchers/cards funded by ESF+, please tell me which goods are most useful? (several boxes can be selected) Clothes and equipment for babies Clothes and equipment for children Clothes and equipment for adults Sleeping bags/blankets Kitchen equipment Household linen and cleaning products Hygiene articles Other goods [Text box to be filled in] None (not applicable as I did not receive goods) B9. Who are the food/goods that you received through vouchers/cards intended for? Myself Other adults who live with me Children who live with me I do not wish to answer/know/understand the question B10. If you faced any difficulties in receiving vouchers/cards, please tell me which kind of difficulties were they? (several answers possible) I had delays due to additional procedures or documents to be provided I had to travel a long distance I was ashamed, I don’t like to ask for help I had difficulties in accessing information I had technical difficulties (no mobile phone or PC, access to websites …) Lack knowledge of the language Other (to be specified) [Text box to be filled in] None (not applicable as I did not face any difficulty) I do not wish to answer/know/understand the question B11. If a year ago you could afford to purchase the food/goods you just received through vouchers/cards, please tell me why this is no longer the case? (several answers possible) A drop in income (please specify e.g. job loss, partial unemployment) Increase in my costs (please specify e.g. due to higher cost of living) Another reason (specify) Not applicable as I could also not afford it last year I do not wish to answer/know/understand the question B12. What kind of advice or guidance did you receive? (several answers possible) Advice on food preparation/storage and nutrition (cooking workshops, recipes) Health advice Redirection to competent services (e.g. social services, administrations, etc.) Individual coaching and workshops Psychological and therapeutic support Advice on job search Advice on managing a household budget Other (to be specified) [Text box to be filled in] Not applicable as I did not receive any advice or guidance I do not wish to answer/know/understand the question B12.a. How useful did you find the advice or guidance received? Very useful Somewhat useful Not very useful Not useful at all I do not wish to answer/know/understand the question or not applicable B12.b. If the advice or guidance was not useful, could you please explain why? [Text box] B13. Are you and/or other members of your household receiving assistance (food, goods or advice) from other organisations? Yes No I do not wish to answer/know/understand the question B14. Please tell me if… (select a response for all sub-questions please) Yes No I do not wish to answer/know/understand the question a. you have any income from work? b. you get any other income or benefits? c. any members of your household ( 5 ) have any income from work? d. any members of your household get any other income or benefits? e. you have the nationality of the country in which you are now? f. you have the nationality of another EU country? g. you are an asylum seeker or a refugee or beneficiary of temporary protection ( 6 ) ? h. you have any disability? B15. Where do you live now? I live in a home that I own I rent an apartment or house I am hosted by family, friends or other people I live in a home for elderly I live in accommodation for single mothers or single fathers I live in a university residence or a young workers’ hostel I live in accommodation for asylum seekers I live in a caravan or mobile home I live in the street (squat, slum, tent...) I live in a refugee camp Other (to be specified) [Text box to be filled in] I do not wish to answer/know/understand the question B16. Do you have anything else you would like to say about the support you received? [Text box] ( 1 ) For the survey due in 2025 present calendar year refers to the calendar year 2024, in which the survey is conducted. For the survey due in 2028 present calendar year refers to the calendar year 2027. ( 2 ) See footnote for question A3. ( 3 ) See footnote for question A3. ( 4 ) In case the end recipient is a child, the responses should be obtained from parent(s) or from an authorised representative. ( 5 ) A group of people, often a family, who live together. ( 6 ) To displaced persons from non-EU countries who are unable to return to their country of origin EUR-Lex - 32001L0055 - EN - EUR-Lex (europa.eu)