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Household Listing Template 3 -Form Fill

HOUSEHOLD IDENTIFICATION
Q01

Village

Q02

District

Q03

Block

Q04

State

Q05

Gram Panchayat name

Q06

Household No.

Q07

Landmark

Q08

Mobile no.

Q09

Name of the household head

Q10

Name of the Respondent

Q11

Gender of the Respondent

Q12

Religion

Q13

Social classification (caste)

Q14

Which tribe do you belong to? (ask if coded 2 in the previous question)

Q15

Investigator Name

Q16

Date

HOUSEHOLD LISTING
A01

Do you own any livestock?

A01_1

Cow

A01_2

Bullock

A01_3

Buffalo

A01_4

Chicken

A01_5

Duck

A01_6

Goat

A01_7

Sheep

A01_8

Others (Specify)

A02

How many of [this livestock] do you own?

A02_1

Cow

A02_2

Bullock

A02_3

Buffalo

A02_4

Chicken

A02_5

Duck

A02_6

Goat

A02_7

Sheep

A02_8

Others (Specify)

A03

Are you currently involved in commercial farming of goat?

A04

Who is primarily responsible for the day-to-day care of livestock/raising the livestock in your household?