The goal of this chapter was to contribute to a better understanding of perceptions of climate change and environmental degradation, as well as extreme weather events and their impact on households in the MENA region. The analysis was based on household surveys implemented in five countries, with a focus in each country on two areas more susceptible to be affected by adverse weather shocks. The data suggest that a substantial majority of households do perceive important changes in the climate and their environment. Some of the most commonly reported changes include more erratic rain, higher temperatures, less rain, dryer and less fertile land, and more frequent droughts. In some areas by contrast, excess rain is the issue, especially when it leads to floods. As expected, these household perceptions of changes in weather patterns and the environment are strongly correlated with the likelihood that households declare having suffered from various types of losses in livelihood due to adverse climatic events. Also as expected, the data suggest that households involved in agriculture, and especially the poor as measured through indices of wealth, are most likely to suffer from losses in crops and income, the two most frequently cited types of losses associated with adverse weather events. By contrast, households who tend to be more protected through a better education and salaried employment are much less likely to suffer from the negative effects of perceived climate change and adverse weather shocks. While none of those results are in themselves surprising, they help to set the stage for subsequent chapters devoted to an analysis of how households cope with these changes, first through migration, and then through other coping and adaptation mechanisms.