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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
Male
Female
Other
Q12
Religion
Hindu
Muslim
Christian
Sikh
Buddhist/Neo-Buddhist
Jain
Jewish
Parsi/Zoroastrian
Sarna
No Religion
Others
Q13
Social classification (caste)
Schedule Caste
Schedule Tribe
Other Backward Caste(OBC)
General
others
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?
Yes
No
A01_1
Cow
Yes
No
A01_2
Bullock
Yes
No
A01_3
Buffalo
Yes
No
A01_4
Chicken
Yes
No
A01_5
Duck
Yes
No
A01_6
Goat
Yes
No
A01_7
Sheep
Yes
No
A01_8
Others (Specify)
Yes
No
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?
Yes
No
A04
Who is primarily responsible for the day-to-day care of livestock/raising the livestock in your household?
Self
Spouse
Other male member of the household
Other female member of the household
Others (specify)
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