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Household Template 41 -Form Fill
Identification
Q01
Household No
Q02
Structure No
Q03
Village (Hamlet Name)
Q04
Block
Q05
District
Q06
State
Q06A
Name of the respondent
Q07
Are you the head of your HH?
Yes
No
Q07A
Name of the household head
Q08
Gender of the head of the household
Male
Female
Transgender
Q09
Religion of the respondent
Muslim
Hindu
Christian
Buddhist
Sarna
Sikh
Other [specify]
Q10
Caste of the respondent
General
Scheduled caste
Scheduled tribe
Other backward class
Q11
Date of interview
Q12
Interviewer ID
Q13
Interviewer name
Q14
Household category
Only female
Female and farming
Female and male
Q15
Is the HH part of consumption panel?
Yes
No
Q16
SHG type
Non- SHG
Only SHG
SHG plus training
HOUSEHOLD COMPOSITION
A01
Name
A02
Relation to respondent woman.
Head of Household
Husband/wife
Son or daughter
Son in-law or daughter-in-law
Grand father or grand mother
Grand son or grand daughter
Father or mother
Father in law or mother in law
Brother or sister
Brother in law or sister in law
Uncle or aunt
Other relatives
Step/adopted children
Not related
A03
Sex
Male
Female
Transgender
A04
Age
A05
Education
Currently in class I
Completed class 1
Completed class 2
Completed class 3
Completed class 4
Completed class 5
Completed class 6
Completed class 7
Completed class 8
Completed class 9
Completed Secondary School
Completed Higher Secondary
BA/BSC pass
BA/BSC honors (Hons)
MA/MSC/Kamil & above
Hafezia/Kiratia madrasa
Never attended school
A06
Marital status?
Unmarried
Married
Widowed
Divorced
Separated
Deserted by spouse
A07
Main Occupation
Farming/Agriculture (Crops)
NTFP Collection
Livestock (goats, poultry, piggery, fishery & dairy)
Unskilled wage labour (agricultural labour, MGNREGA labour, construction work, brick kiln labour etc.)
Skilled worker (tailoring, masonry, electrician, plumbing, carpentry, welding, driving, etc.)
Salaried worker (teachers, AWW, ANM, etc.)
Contractual or task-based work (ASHAs, CSPs, Tuitions, para-teachers etc.)
Micro-enterprises (kirana shops, dhabas, mobile shops, ferry shops etc)
Housework
Unemployed
Old age/pensioner
Differently abled
Student
Other
Land ownership; use of land for farming and irrigation practices
B01
Does your household own or cultivate any agricultural land?
Yes
No
B02
How much land does your household own?
B02A
Units
Decimal
Biswa
Katha
Bigha
Acre
Hectare
Guntha
Others (specify)
B03
How much of this land is appropriate for agriculture?
B03A
Units
Decimal
Biswa
Katha
Bigha
Acre
Hectare
Guntha
Others (specify)
B04
How much of your owned land do you cultivate?
B04A
Units
Decimal
Biswa
Katha
Bigha
Acre
Hectare
Guntha
Others (specify)
B05
Have you also taken any land on lease from others?
Yes
No
B06
How much land have you leased in?
B06A
Units
Decimal
Biswa
Katha
Bigha
Acre
Hectare
Guntha
Others (specify)
B07
Have you mortgaged or leased out your land to someone else?
Yes
No
B08
How much land have you leased/mortgaged out?
B08A
Units
Decimal
Biswa
Katha
Bigha
Acre
Hectare
Guntha
Others (specify)
B09
How much of the following agricultural land is owned/controlled by the woman?
B09A
HH owned land
B09A1
Units
Decimal
Biswa
Katha
Bigha
Acre
Hectare
Guntha
Others (specify)
B09B
Leased-in land
B09B1
Units
Decimal
Biswa
Katha
Bigha
Acre
Hectare
Guntha
Others (specify)
B09C
Leased-out land
B09C1
Units
Decimal
Biswa
Katha
Bigha
Acre
Hectare
Guntha
Others (specify)
B10
Do you have any source of irrigation on your land/the land that you cultivate?
Yes
No
B11
What are the sources?
B11_1
Farm pond
Yes
No
B11_2
Dugwell
Yes
No
B11_3
Lift/Flow irrigation
Yes
No
B11_4
Canal/River
Yes
No
B11_5
Earthern dam/Check dams
Yes
No
B11_6
Borewell
Yes
No
B11A
Was it created under any govt. scheme?
B11A_1
Farm pond
Yes
No
B11A_2
Dugwell
Yes
No
B11A_3
Lift/Flow irrigation
Yes
No
B11A_4
Canal/River
Yes
No
B11A_5
Earthern dam/Check dams
Yes
No
B11A_6
Borewell
Yes
No
B12
What is the land area irrigated
B12A
Units
Decimal
Biswa
Katha
Bigha
Acre
Hectare
Guntha
Others (specify)
B13
Is your land bunded and levelled?
Yes
No
B14
How much area is bunded and levelled?
B14A
Units
Decimal
Biswa
Katha
Bigha
Acre
Hectare
Guntha
Others (specify)
Cultivated crops, Women’s participation in different activities of agriculture, Package of practices adopted and trainings received
C01
Crop Code
Paddy
Wheat
Maize
Millet
Sorghum
Barley
Oat
Groundnut
Mustard
Rapeseed
Nizer
Sunflower
Soyabean
Linseed
Til
Pigeonpea
Blackgram
Chickpea
Greengram
Horsegram
Lentil
Lathyrus
Potato
Tomato
Cabbage
Cauliflower
Chilli
Capsicum
Spongegourd
Bittergourd
Bottlegourd
Spinegourd
Snakegourd
Pointed gourd
Ridge gourd
Leafy vegetable
Sweet Potato
Brinjal
Cucumber
french bean
Green pea
Broccoli
Radish
Carrot
Coriander
Ladiesfinger
Coccinia (kundru)
Elephant foot yam
Colocasia (Kacchu)
Aru
Flat bean ( Saim)
Drumstick
Beet root
Pupmkin
Cowpea
Bean
Kakri
Ashgourd
Guava
Mango
Lemon/Lime
Orange
Papaya
Water Melon
Litchi
Apple
Berries
Banana
sugarcane
Beal(woodapple)
Pomelo
pomegranate
Pineapple
Onion
Garlic
Turmeric
Ginger
Tobacco
jute
dhaincha
Makhana
water chetsnut
Bamboo
Marigold
Cotton
Arrrow root
Yambean
Tamrind
Coconut
Lemon grass
Eucalyptus
Supari
Jackfruit
Jamun
C02
How much of the agricultural land was used in the cultivation of this crop?
C02A
Units
Decimal
Biswa
Katha
Bigha
Acre
Hectare
Guntha
Others (specify)
C03
What is the total quantity produced? (Quantity in KG.)
C04
What was the average market rate you got for this crop? (price per kg)
C05
Where do you normally sell the crop?
Local market in the village
Middlemen
Retail market in block town
Wholesale market
Did not sell
Farmer Producer Company
Others (specify)
C06
What was/would be the income from the sale of ___?
C07
To what extent are male and female members of the household involved in the following activities?
C07A
Extent male members are involved ?
C07A_1
Nursery preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07A_2
Main field preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07A_3
Sowing/transplanting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07A_4
Irrigation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07A_5
Weeding
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07A_6
Harvesting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07A_7
Selling
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07B
Extent female members are involved ?
C07B_1
Nursery preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07B_2
Main field preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07B_3
Sowing/transplanting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07B_4
Irrigation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07B_5
Weeding
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07B_6
Harvesting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07B_7
Selling
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07C
Extent male members are involved ?
C07C_1
Nursery preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07C_2
Main field preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07C_3
Sowing/transplanting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07C_4
Irrigation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07C_5
Weeding
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07C_6
Harvesting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07C_7
Selling
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07D
Extent female members are involved ?
C07D_1
Nursery preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07D_2
Main field preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07D_3
Sowing/transplanting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07D_4
Irrigation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07D_5
Weeding
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07D_6
Harvesting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07D_7
Selling
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07E
Extent male members are involved ?
C07E_1
Nursery preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07E_2
Main field preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07E_3
Sowing/transplanting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07E_4
Irrigation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07E_5
Weeding
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07E_6
Harvesting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07E_7
Selling
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07F
Extent female members are involved ?
C07F_1
Nursery preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07F_2
Main field preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07F_3
Sowing/transplanting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07F_4
Irrigation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07F_5
Weeding
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07F_6
Harvesting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07F_7
Selling
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07G
Extent male members are involved ?
C07G_1
Nursery preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07G_2
Main field preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07G_3
Sowing/transplanting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07G_4
Irrigation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07G_5
Weeding
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07G_6
Harvesting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07G_7
Selling
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07H
Extent female members are involved ?
C07H_1
Nursery preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07H_2
Main field preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07H_3
Sowing/transplanting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07H_4
Irrigation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07H_5
Weeding
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07H_6
Harvesting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07H_7
Selling
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07I
Extent male members are involved ?
C07I_1
Nursery preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07I_2
Main field preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07I_3
Sowing/transplanting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07I_4
Irrigation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07I_5
Weeding
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07I_6
Harvesting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07I_7
Selling
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07J
Extent female members are involved ?
C07J_1
Nursery preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07J_2
Main field preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07J_3
Sowing/transplanting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07J_4
Irrigation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07J_5
Weeding
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07J_6
Harvesting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07J_7
Selling
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07K
Extent male members are involved ?
C07K_1
Nursery preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07K_2
Main field preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07K_3
Sowing/transplanting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07K_4
Irrigation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07K_5
Weeding
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07K_6
Harvesting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07K_7
Selling
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07L
Extent female members are involved ?
C07L_1
Nursery preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07L_2
Main field preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07L_3
Sowing/transplanting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07L_4
Irrigation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07L_5
Weeding
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07L_6
Harvesting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07L_7
Selling
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07M
Extent male members are involved ?
C07M_1
Nursery preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07M_2
Main field preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07M_3
Sowing/transplanting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07M_4
Irrigation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07M_5
Weeding
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07M_6
Harvesting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07M_7
Selling
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07N
Extent female members are involved ?
C07N_1
Nursery preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07N_2
Main field preparation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07N_3
Sowing/transplanting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07N_4
Irrigation
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07N_5
Weeding
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07N_6
Harvesting
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C07N_7
Selling
1
80-100%
60-80%
40-60%
20-40%
0-20%
Not applicable
C08
We now have questions about the practices you use for four key crops.
C08_1
First, please tell me the names of the crops that are mostly grown by you______?
C08_2
What type of seed was primarily used for production of ____?
Improved seeds
Local seeds
Don’t know
C08_3
Do you treat the seeds in some way before planting?
Yes
No
C08_4
Do you raise nursery for the crop ( raised bed , line sowing, use of fertilizer, Use of pesticide, net covering, irrigation)
Yes
No
C08_5
In how many days do you transplant the seedling?
C08_6
For this crop, are you mostly using line sowing/transplanting or do you broadcast the seeds in the main field or both?
Line sowing
Transplanting
Broadcastings
Don’t know
C08_7
Did you apply fertilizer in the main field?
Organic
K (Potash)
P(Phosphate)
N (Nitrogen/ Urea)
Composite (DAP, NPK, Gromor etc.)
Organic and inorganic both
Other
None
Don’t know
C08_8
How do you prepare the field before transplanting/sowing?
Heavy tillage (sub-soiling) of field
Light tillage (ripping) of soil
Create planting basins/spots
Create ridges and furrows
Create multiple plots
Don’t know
C08_9
Do you practice intercultural operations in the main field?
Yes
No
C08_10
How many times during the crop cycle do you practice intercultural operations?
C08_11
Do you use farm tools and implements (weeders, markers, sprayers etc) in this crop?
Manual
Herbicide Sprayer
Weeder
Don’t know
C08_12
Do you apply any control measures of insect and pest?
Use organic pesticides
Use inorganic pesticide
Do not use pesticides
Don’t know
FARMING PRACTICES & TRAININGS
D01
Have you or anyone else from your household ever received any training on agriculture, poultry or livestock related work?
Yes
No
D02
Did you or anyone else from your household ever receive training on_________?
D02_1
Crop planning
Yes
No
D02_2
Cropping practices
Yes
No
D02_3
Nursery raising
Yes
No
D02_4
Pest management
Yes
No
D02_5
Composting/Vermicompost
Yes
No
D02_6
Production of bio-pesticides like agniastra, neemastra
Yes
No
D02_7
Poultry
Yes
No
D02_8
Goat rearing
Yes
No
D02_9
Marketing of produce
Yes
No
D03
Did you or anyone else from your household receive training on_________ in last 5 years?
D03_1
Crop planning
Yes
No
D03_2
Cropping practices
Yes
No
D03_3
Nursery raising
Yes
No
D03_4
Pest management
Yes
No
D03_5
Composting/Vermicompost
Yes
No
D03_6
Production of bio-pesticides like agniastra, neemastra
Yes
No
D03_7
Poultry
Yes
No
D03_8
Goat rearing
Yes
No
D03_9
Marketing of produce
Yes
No
D04
Who received the training?
D04_1
Crop planning
You
Other female member of the household
Male member of the household
D04_2
Cropping practices
You
Other female member of the household
Male member of the household
D04_3
Nursery raising
You
Other female member of the household
Male member of the household
D04_4
Pest management
You
Other female member of the household
Male member of the household
D04_5
Composting/Vermicompost
You
Other female member of the household
Male member of the household
D04_6
Production of bio-pesticides like agniastra, neemastra
You
Other female member of the household
Male member of the household
D04_7
Poultry
You
Other female member of the household
Male member of the household
D04_8
Goat rearing
You
Other female member of the household
Male member of the household
D04_9
Marketing of produce
You
Other female member of the household
Male member of the household
D05
Who provided the training?
D05_1
Crop planning
Government
NGO
PRADAN
CRP
Federation staff
Family members/friends
Don’t Know
Other (Specify)
D05_2
Cropping practices
Government
NGO
PRADAN
CRP
Federation staff
Family members/friends
Don’t Know
Other (Specify)
D05_3
Nursery raising
Government
NGO
PRADAN
CRP
Federation staff
Family members/friends
Don’t Know
Other (Specify)
D05_4
Pest management
Government
NGO
PRADAN
CRP
Federation staff
Family members/friends
Don’t Know
Other (Specify)
D05_5
Composting/Vermicompost
Government
NGO
PRADAN
CRP
Federation staff
Family members/friends
Don’t Know
Other (Specify)
D05_6
Production of bio-pesticides like agniastra, neemastra
Government
NGO
PRADAN
CRP
Federation staff
Family members/friends
Don’t Know
Other (Specify)
D05_7
Poultry
Government
NGO
PRADAN
CRP
Federation staff
Family members/friends
Don’t Know
Other (Specify)
D05_8
Goat rearing
Government
NGO
PRADAN
CRP
Federation staff
Family members/friends
Don’t Know
Other (Specify)
D05_9
Marketing of produce
Government
NGO
PRADAN
CRP
Federation staff
Family members/friends
Don’t Know
Other (Specify)
ANIMAL OWNERSHIP AND PRODUCTION AND SALE OF ANIMAL PRODUCTS
E01
During the last 12 months, did anyone in the household own any animals including livestock, poultry, fish, etc?
Yes
No
E02
How many ______ did your household own in the past 12 months?
E02_1
Cattle(buffalo/oxen/cow)
E02_2
Goat
E02_3
Sheep
E02_4
Pig
E02_5
Chicken/Guinea fowl/ Pigeons/Duck / Hen
E03
How many ________ has your household sold in the last 12 months?
E03_1
Cattle(buffalo/oxen/cow)
E03_2
Goat
E03_3
Sheep
E03_4
Pig
E03_5
Chicken/Guinea fowl/ Pigeons/Duck / Hen
E04
How much did your household receive for the sale of these__ in the last 12 months?
E04_1
Cattle(buffalo/oxen/cow)
E04_2
Goat
E04_3
Sheep
E04_4
Pig
E04_5
Chicken/Guinea fowl/ Pigeons/Duck / Hen
E05
How many ___ died in the last 12 months?
E05_1
Cattle(buffalo/oxen/cow)
E05_2
Goat
E05_3
Sheep
E05_4
Pig
E05_5
Chicken/Guinea fowl/ Pigeons/Duck / Hen
E06
Who usually takes care of the animal?
E06_1
Cattle(buffalo/oxen/cow)
Self
Spouse
Other female household member
Other male household member
Other specify
E06_2
Goat
Self
Spouse
Other female household member
Other male household member
Other specify
E06_3
Sheep
Self
Spouse
Other female household member
Other male household member
Other specify
E06_4
Pig
Self
Spouse
Other female household member
Other male household member
Other specify
E06_5
Chicken/Guinea fowl/ Pigeons/Duck / Hen
Self
Spouse
Other female household member
Other male household member
Other specify
E07
Who usually takes the decision to sell the animals/animal products?
E07_1
Cattle(buffalo/oxen/cow)
Self
Spouse
Other female household member
Other male household member
Other specify
E07_2
Goat
Self
Spouse
Other female household member
Other male household member
Other specify
E07_3
Sheep
Self
Spouse
Other female household member
Other male household member
Other specify
E07_4
Pig
Self
Spouse
Other female household member
Other male household member
Other specify
E07_5
Chicken/Guinea fowl/ Pigeons/Duck / Hen
Self
Spouse
Other female household member
Other male household member
Other specify
E08
Who keeps the income received from the sale of the animals/animal products?
E08_1
Cattle(buffalo/oxen/cow)
Self
Spouse
Other female household member
Other male household member
Other specify
E08_2
Goat
Self
Spouse
Other female household member
Other male household member
Other specify
E08_3
Sheep
Self
Spouse
Other female household member
Other male household member
Other specify
E08_4
Pig
Self
Spouse
Other female household member
Other male household member
Other specify
E08_5
Chicken/Guinea fowl/ Pigeons/Duck / Hen
Self
Spouse
Other female household member
Other male household member
Other specify
E09
Who decides how to use/spend this income?
E09_1
Cattle(buffalo/oxen/cow)
Self
Spouse
Other female household member
Other male household member
Other specify
E09_2
Goat
Self
Spouse
Other female household member
Other male household member
Other specify
E09_3
Sheep
Self
Spouse
Other female household member
Other male household member
Other specify
E09_4
Pig
Self
Spouse
Other female household member
Other male household member
Other specify
E09_5
Chicken/Guinea fowl/ Pigeons/Duck / Hen
Self
Spouse
Other female household member
Other male household member
Other specify
CONTRIBUTION OF WAGES, SERVICES, REMITTANCE AND NTFP COLLECTION TO HOUSEHOLD INCOME
F01
In the last one year did your family do this labour work for someone else?
F01_1
Agriculture operations
Yes
No
F01_2
MGNREGA
Yes
No
F01_3
Masonry
Yes
No
F01_4
Carpentry
Yes
No
F01_5
Construction labour
Yes
No
F01_6
Labour work in brick kiln
Yes
No
F02
How many months in the last 12 months did the male members engage in this labour work ?
F02_1
Agriculture operations
F02_2
MGNREGA
F02_3
Masonry
F02_4
Carpentry
F02_5
Construction labour
F02_6
Labour work in brick kiln
F03
How many days in those months did the male members engage ?
F03_1
Agriculture operations
F03_2
MGNREGA
F03_3
Masonry
F03_4
Carpentry
F03_5
Construction labour
F03_6
Labour work in brick kiln
F04
What was the daily wage rate for male?
F04_1
Agriculture operations
F04_2
MGNREGA
F04_3
Masonry
F04_4
Carpentry
F04_5
Construction labour
F04_6
Labour work in brick kiln
F05
How many months in the last 12 months did the female members engage in this labour work ?
F05_1
Agriculture operations
F05_2
MGNREGA
F05_3
Masonry
F05_4
Carpentry
F05_5
Construction labour
F05_6
Labour work in brick kiln
F06
How many days in those months did the female members engage ?
F06_1
Agriculture operations
F06_2
MGNREGA
F06_3
Masonry
F06_4
Carpentry
F06_5
Construction labour
F06_6
Labour work in brick kiln
F07
What was the daily wage rate for female?
F07_1
Agriculture operations
F07_2
MGNREGA
F07_3
Masonry
F07_4
Carpentry
F07_5
Construction labour
F07_6
Labour work in brick kiln
F08
Do you or any member of your family work as any of the following?
F08_1
ASHA/AWW
Yes
No
F08_2
Tuition
Yes
No
F08_3
Micro-enterprises
Yes
No
F08_4
CSP
Yes
No
F08_5
Govt. or Private Job
Yes
No
F09
Income in one month (female members)
F09_1
ASHA/AWW
F09_2
Tuition
F09_3
Micro-enterprises
F09_4
CSP
F09_5
Govt. or Private Job
F10
No of months in a year that the female members work
F10_1
ASHA/AWW
F10_2
Tuition
F10_3
Micro-enterprises
F10_4
CSP
F10_5
Govt. or Private Job
F11
Income in one month (male members)
F11_1
ASHA/AWW
F11_2
Tuition
F11_3
Micro-enterprises
F11_4
CSP
F11_5
Govt. or Private Job
F11A
No of months in a year that the male members work
F11A_1
ASHA/AWW
F11A_2
Tuition
F11A_3
Micro-enterprises
F11A_4
CSP
F11A_5
Govt. or Private Job
F12
Does any member of your family live outside for work and sends you money?
Yes, sends money back home
Yes, but does not send money back home
No
F13
How many adults in your household have migrated because of work? Please tell me how many women and how many men
F14
Where do they work?
Brick kiln
Paper factory
Garments factory
Agriculture labour outside the village
Construction work
Mill/refinery
Other (specify)
Don’t know
F15
In the last 12 months, has anyone in your household received remittances from a member of the family or other person who is somewhere else in India or abroad?
Yes
No
F15A
Who receives the remittance?
You
Other female member of the household
Male member of the household
F16
How often has your household received remittances in the last 12 months?
F17
On average, how much money did your household receive each time you received remittances in the last 12 months?
F18
What all NTFPs were collected last year ?
F18_1
Mahua Flowers
Yes
No
F18_2
Mahua Fruit
Yes
No
F18_3
Mahua seeds
Yes
No
F18_4
Kossum fruit
Yes
No
F18_5
Kossum seeds
Yes
No
F18_6
Karanj fruit
Yes
No
F18_7
Chiraunjee
Yes
No
F18_8
Lac
Yes
No
F18_9
Honey
Yes
No
F18_10
Aonla
Yes
No
F18_11
Ber
Yes
No
F18_12
Tendu leaves
Yes
No
F18_13
Harra
Yes
No
F18_14
Baher
Yes
No
F18_15
Tasar
Yes
No
F18_16
Custard Apple
Yes
No
F18_17
Tamrind
Yes
No
F18_18
Jackfruit
Yes
No
F18_19
Sal Seed
Yes
No
F18_20
Sakhua leaf and stem
Yes
No
F19
Quantity collected (Kg)
F19_1
Mahua Flowers
F19_2
Mahua Fruit
F19_3
Mahua seeds
F19_4
Kossum fruit
F19_5
Kossum seeds
F19_6
Karanj fruit
F19_7
Chiraunjee
F19_8
Lac
F19_9
Honey
F19_10
Aonla
F19_11
Ber
F19_12
Tendu leaves
F19_13
Harra
F19_14
Baher
F19_15
Tasar
F19_16
Custard Apple
F19_17
Tamrind
F19_18
Jackfruit
F19_19
Sal Seed
F19_20
Sakhua leaf and stem
F20
Quantity sold (Kg)
F20_1
Mahua Flowers
F20_2
Mahua Fruit
F20_3
Mahua seeds
F20_4
Kossum fruit
F20_5
Kossum seeds
F20_6
Karanj fruit
F20_7
Chiraunjee
F20_8
Lac
F20_9
Honey
F20_10
Aonla
F20_11
Ber
F20_12
Tendu leaves
F20_13
Harra
F20_14
Baher
F20_15
Tasar
F20_16
Custard Apple
F20_17
Tamrind
F20_18
Jackfruit
F20_19
Sal Seed
F20_20
Sakhua leaf and stem
F21
Unit price (INR)
F21_1
Mahua Flowers
F21_2
Mahua Fruit
F21_3
Mahua seeds
F21_4
Kossum fruit
F21_5
Kossum seeds
F21_6
Karanj fruit
F21_7
Chiraunjee
F21_8
Lac
F21_9
Honey
F21_10
Aonla
F21_11
Ber
F21_12
Tendu leaves
F21_13
Harra
F21_14
Baher
F21_15
Tasar
F21_16
Custard Apple
F21_17
Tamrind
F21_18
Jackfruit
F21_19
Sal Seed
F21_20
Sakhua leaf and stem
F22
To what extent are the female members of the househld involved in this activity ?
F22_1
Mahua Flowers
1
80-100%
60-80%
40-60%
20-40%
0
Not applicable
F22_2
Mahua Fruit
1
80-100%
60-80%
40-60%
20-40%
0
Not applicable
F22_3
Mahua seeds
1
80-100%
60-80%
40-60%
20-40%
0
Not applicable
F22_4
Kossum fruit
1
80-100%
60-80%
40-60%
20-40%
0
Not applicable
F22_5
Kossum seeds
1
80-100%
60-80%
40-60%
20-40%
0
Not applicable
F22_6
Karanj fruit
1
80-100%
60-80%
40-60%
20-40%
0
Not applicable
F22_7
Chiraunjee
1
80-100%
60-80%
40-60%
20-40%
0
Not applicable
F22_8
Lac
1
80-100%
60-80%
40-60%
20-40%
0
Not applicable
F22_9
Honey
1
80-100%
60-80%
40-60%
20-40%
0
Not applicable
F22_10
Aonla
1
80-100%
60-80%
40-60%
20-40%
0
Not applicable
F22_11
Ber
1
80-100%
60-80%
40-60%
20-40%
0
Not applicable
F22_12
Tendu leaves
1
80-100%
60-80%
40-60%
20-40%
0
Not applicable
F22_13
Harra
1
80-100%
60-80%
40-60%
20-40%
0
Not applicable
F22_14
Baher
1
80-100%
60-80%
40-60%
20-40%
0
Not applicable
F22_15
Tasar
1
80-100%
60-80%
40-60%
20-40%
0
Not applicable
F22_16
Custard Apple
1
80-100%
60-80%
40-60%
20-40%
0
Not applicable
F22_17
Tamrind
1
80-100%
60-80%
40-60%
20-40%
0
Not applicable
F22_18
Jackfruit
1
80-100%
60-80%
40-60%
20-40%
0
Not applicable
F22_19
Sal Seed
1
80-100%
60-80%
40-60%
20-40%
0
Not applicable
F22_20
Sakhua leaf and stem
1
80-100%
60-80%
40-60%
20-40%
0
Not applicable
F23
Does someone in the household receive pension?
Yes
No
F24
Who gets the pension?
You
Spouse
Other female member of the household
Other male member of the household
F25
What type of Pension?
Old age pension
Widow pension
Disability pension
Retirement pension
Other (specify)
F25A
Amount received in last 12 months
F25A_1
Old age pension
F25A_2
Widow pension
F25A_3
Disability pension
F25A_4
Retirement pension
F25B
Who linked/facilitated the pension
F25B_1
Old age pension
PRI Member
SHG/Federation
No one
Other
F25B_2
Widow pension
PRI Member
SHG/Federation
No one
Other
F25B_3
Disability pension
PRI Member
SHG/Federation
No one
Other
F25B_4
Retirement pension
PRI Member
SHG/Federation
No one
Other
Food consumption score, Household food security using coping strategy index
G01
Have you received any trainings around nutrition?
Yes
No
G02
If yes, by whom?
NGO
PRADAN Staff
SHG leader
VO member
Federation staff
Others
G03
Have you attended any BMI camps/nutrition awareness camps?
Yes
No
G04
How many such BMI camps/nutrition awareness camps have you attended in last 3 years?
G05
How many such BMI camps/nutrition awareness camps have you attended in last 1 year?
G06
What were topics discussed during these events?
About importance of nutrition
Which foods are nutritious
Ways of growing nutritious crops
Others
G07
Can you please tell us about the food habits of your family members?
G08
Was yesterday a special day (celebration, feast day, or fasting) where anyone in the HH ate special foods or more or less than usual)?
Yes
No
G09
How many meals did you eat yesterday during the day and night?
G10
How many meals did the adult members (18+) of your household eat yesterday during the day and night?
G11
How many meals did the children 6 to18 years in this household eat yesterday during the day and night?
G12
Over the last 7 days, how many days did you consume following foods?
G12_1
Maize, maize porridge, daal Other cereal (rice, sorghum, millet, wheat etc), Roots and Tubers (cassava, potatoes, sweet potatoes)
G12_2
Beans and peas, groundnuts and cashew nuts
G12_3
Vegetables (including relish and leaves)
G12_4
Fruits
G12_5
Beef, goat, or other red meat and pork, Poultry and eggs, Fish
G12_6
Milk/yogurt/other dairy product
G12_7
Sugar or sugar products, honey
G12_8
Oils/fats/butter
G13
Over the last 7 days, how many days did the children of 6 to18 years in this household consume following foods?
G13_1
Maize, maize porridge, daal Other cereal (rice, sorghum, millet, wheat etc), Roots and Tubers (cassava, potatoes, sweet potatoes)
G13_2
Beans and peas, groundnuts and cashew nuts
G13_3
Vegetables (including relish and leaves)
G13_4
Fruits
G13_5
Beef, goat, or other red meat and pork, Poultry and eggs, Fish
G13_6
Milk/yogurt/other dairy product
G13_7
Sugar or sugar products, honey
G13_8
Oils/fats/butter
G14
Over the last 7 days, how many days did other household members consume following foods?
G14_1
Maize, maize porridge, daal Other cereal (rice, sorghum, millet, wheat etc), Roots and Tubers (cassava, potatoes, sweet potatoes)
G14_2
Beans and peas, groundnuts and cashew nuts
G14_3
Vegetables (including relish and leaves)
G14_4
Fruits
G14_5
Beef, goat, or other red meat and pork, Poultry and eggs, Fish
G14_6
Milk/yogurt/other dairy product
G14_7
Sugar or sugar products, honey
G14_8
Oils/fats/butter
G15
What was the main source(s) of the food?
G15_1
Maize, maize porridge, daal Other cereal (rice, sorghum, millet, wheat etc), Roots and Tubers (cassava, potatoes, sweet potatoes)
Own production
Casual labour
Borrowed
Gift
Purchases
Food assistance
Barter
Hunting/gathering/catching
PDS
Mid day Meal (MDM)
ICDS
G15_2
Beans and peas, groundnuts and cashew nuts
Own production
Casual labour
Borrowed
Gift
Purchases
Food assistance
Barter
Hunting/gathering/catching
PDS
Mid day Meal (MDM)
ICDS
G15_3
Vegetables (including relish and leaves)
Own production
Casual labour
Borrowed
Gift
Purchases
Food assistance
Barter
Hunting/gathering/catching
PDS
Mid day Meal (MDM)
ICDS
G15_4
Fruits
Own production
Casual labour
Borrowed
Gift
Purchases
Food assistance
Barter
Hunting/gathering/catching
PDS
Mid day Meal (MDM)
ICDS
G15_5
Beef, goat, or other red meat and pork, Poultry and eggs, Fish
Own production
Casual labour
Borrowed
Gift
Purchases
Food assistance
Barter
Hunting/gathering/catching
PDS
Mid day Meal (MDM)
ICDS
G15_6
Milk/yogurt/other dairy product
Own production
Casual labour
Borrowed
Gift
Purchases
Food assistance
Barter
Hunting/gathering/catching
PDS
Mid day Meal (MDM)
ICDS
G15_7
Sugar or sugar products, honey
Own production
Casual labour
Borrowed
Gift
Purchases
Food assistance
Barter
Hunting/gathering/catching
PDS
Mid day Meal (MDM)
ICDS
G15_8
Oils/fats/butter
Own production
Casual labour
Borrowed
Gift
Purchases
Food assistance
Barter
Hunting/gathering/catching
PDS
Mid day Meal (MDM)
ICDS
G16
Normally, how many months does the food produced from your land suffice your household’s requirement?
G17
In the last 12 months, did your household face food shortage in any month?
Yes
No
G17_1
Did your household adopt any of these coping strategies during the period of food shortage?
Never
Rarely
Sometimes
Often
Daily
G17_2
Did you Skip entire days without eating?
Never
Rarely
Sometimes
Often
Daily
G17_3
Did you Limit portion size at mealtimes?
Never
Rarely
Sometimes
Often
Daily
G17_4
Did you Reduce number of meals eaten per day?
Never
Rarely
Sometimes
Often
Daily
G17_5
Did you Borrow food or rely on help from friends or relatives?
Never
Rarely
Sometimes
Often
Daily
G17_6
Did you Rely on less expensive or less preferred foods?
Never
Rarely
Sometimes
Often
Daily
G17_7
Did you Purchase/borrow food on credit?
Never
Rarely
Sometimes
Often
Daily
G17_8
Did you Gather unusual types or amounts of wild food / hunt?
Never
Rarely
Sometimes
Often
Daily
G17_9
Did you Send household members to eat elsewhere?
Never
Rarely
Sometimes
Often
Daily
G17_10
Did you Send household members to beg?
Never
Rarely
Sometimes
Often
Daily
G17_11
Did you You or other female members eat less?
Never
Rarely
Sometimes
Often
Daily
G17_12
Did you Have you sold any household assets to buy food?
Never
Rarely
Sometimes
Often
Daily
WOMEN’S TIME USE
H01
In the previous 24 hours, how much time did you spend on
H01_1
Spend resting or sleeping?
H01_2
Spend on domestic work including cooking, cleaning, shopping, fetching water, etc.?
H01_3
Engage in agricultural labor including any paid or unpaid agricultural related tasks at home or working for others?
H01_4
Engage in non-agricultural labor including self-employment or working for others?
H01_5
Spend caring for children or the elderly?
H01_6
Spend on leisure, social, and religious activities?
WOMEN’S DECISION-MAKING, AUTONOMY IN PRODUCTIVE DECISIONS & INCOME CONTROL
I01
Did you yourself participate in ______ in the past 12 months?
I01_1
Food crop farming: crops that are grown primarily for household food consumption
Yes
No
I01_2
Cash crop farming: crops that are grown primarily for sale in the market
Yes
No
I01_3
Livestock raising
Yes
No
I01_4
Poultry raising (e.g. chicken, duck, pigeon)
Yes
No
I01_5
Fishing or fishpond culture
Yes
No
I01_6
Non-farm economic activities: small business, self-employment, buy-and-sell
Yes
No
I01_7
Wage and salary employment: in-kind or monetary work(both agriculture and non-ag work)
Yes
No
I01_8
Major household expenditures ( such as large appliance for the house like refrigerator)
Yes
No
I01_9
Minor household expenditures (such as food for daily consumption or other household needs)
Yes
No
I02
When decisions are made regarding _____, who is it that normally takes the decision?
I02_1
Food crop farming: crops that are grown primarily for household food consumption
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
I02_2
Cash crop farming: crops that are grown primarily for sale in the market
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
I02_3
Livestock raising
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
I02_4
Poultry raising (e.g. chicken, duck, pigeon)
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
I02_5
Fishing or fishpond culture
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
I02_6
Non-farm economic activities: small business, self-employment, buy-and-sell
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
I02_7
Wage and salary employment: in-kind or monetary work(both agriculture and non-ag work)
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
I02_8
Major household expenditures ( such as large appliance for the house like refrigerator)
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
I02_9
Minor household expenditures (such as food for daily consumption or other household needs)
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
I03
How much input did you have in making decisions about ____?
I03_1
Food crop farming: crops that are grown primarily for household food consumption
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
I03_2
Cash crop farming: crops that are grown primarily for sale in the market
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
I03_3
Livestock raising
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
I03_4
Poultry raising (e.g. chicken, duck, pigeon)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
I03_5
Fishing or fishpond culture
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
I03_6
Non-farm economic activities: small business, self-employment, buy-and-sell
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
I03_7
Wage and salary employment: in-kind or monetary work(both agriculture and non-ag work)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
I03_8
Major household expenditures ( such as large appliance for the house like refrigerator)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
I03_9
Minor household expenditures (such as food for daily consumption or other household needs)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
I04
To what extent do you feel you can make your own personal decisions regarding ____, if you wanted to?
I04_1
Food crop farming: crops that are grown primarily for household food consumption
Not at all
Small extent
Medium extent
To a high extent
I04_2
Cash crop farming: crops that are grown primarily for sale in the market
Not at all
Small extent
Medium extent
To a high extent
I04_3
Livestock raising
Not at all
Small extent
Medium extent
To a high extent
I04_4
Poultry raising (e.g. chicken, duck, pigeon)
Not at all
Small extent
Medium extent
To a high extent
I04_5
Fishing or fishpond culture
Not at all
Small extent
Medium extent
To a high extent
I04_6
Non-farm economic activities: small business, self-employment, buy-and-sell
Not at all
Small extent
Medium extent
To a high extent
I04_7
Wage and salary employment: in-kind or monetary work(both agriculture and non-ag work)
Not at all
Small extent
Medium extent
To a high extent
I04_8
Major household expenditures ( such as large appliance for the house like refrigerator)
Not at all
Small extent
Medium extent
To a high extent
I04_9
Minor household expenditures (such as food for daily consumption or other household needs)
Not at all
Small extent
Medium extent
To a high extent
I05
How much input did you have in decisions on the use of income generated from ___?
I05_1
Food crop farming: crops that are grown primarily for household food consumption
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
I05_2
Cash crop farming: crops that are grown primarily for sale in the market
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
I05_3
Livestock raising
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
I05_4
Poultry raising (e.g. chicken, duck, pigeon)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
I05_5
Fishing or fishpond culture
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
I05_6
Non-farm economic activities: small business, self-employment, buy-and-sell
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
I05_7
Wage and salary employment: in-kind or monetary work(both agriculture and non-ag work)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
I05_8
Major household expenditures ( such as large appliance for the house like refrigerator)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
I05_9
Minor household expenditures (such as food for daily consumption or other household needs)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
WOMEN’S ACCESS TO CAPITAL AND CREDIT
J01
Does anyone in your household currently have any _____?
J01_1
Agricultural land
Yes
No
J01_2
Other land not used for agriculture
Yes
No
J01_3
Large livestock (e.g. oxen, cattle, buffalo, horse)
Yes
No
J01_4
Small livestock (e.g. goats, pigs, sheep)
Yes
No
J01_5
Chickens, ducks, turkeys, pigeons
Yes
No
J01_6
Fish pond or fishing equipment
Yes
No
J01_7
Farm equipment (non-mechanized)
Yes
No
J01_8
Farm equipment (mechanized e.g. tractor)
Yes
No
J01_9
Non farm business equipment
Yes
No
J01_10
House (and other structures)
Yes
No
J01_11
Large consumer durables (Fridge, TV, sofa)
Yes
No
J01_12
Small consumer durables (radio, cookware)
Yes
No
J01_13
Cell phone
Yes
No
J01_14
Means of transportation (bicycle, motorcycle, car)
Yes
No
J02
Do you own any of the ____?
J02_1
Agricultural land
Yes
No
J02_2
Other land not used for agriculture
Yes
No
J02_3
Large livestock (e.g. oxen, cattle, buffalo, horse)
Yes
No
J02_4
Small livestock (e.g. goats, pigs, sheep)
Yes
No
J02_5
Chickens, ducks, turkeys, pigeons
Yes
No
J02_6
Fish pond or fishing equipment
Yes
No
J02_7
Farm equipment (non-mechanized)
Yes
No
J02_8
Farm equipment (mechanized e.g. tractor)
Yes
No
J02_9
Non farm business equipment
Yes
No
J02_10
House (and other structures)
Yes
No
J02_11
Large consumer durables (Fridge, TV, sofa)
Yes
No
J02_12
Small consumer durables (radio, cookware)
Yes
No
J02_13
Cell phone
Yes
No
J02_14
Means of transportation (bicycle, motorcycle, car)
Yes
No
J03
Do you have a bank/Post Office account?
Yes
No
J04
What type of bank account do you have? Individual or joint? If it is joint, with whom?
Individual
Joint with husband
Joint with SHG
Joint with others
J05
For how many years do you have this bank account?
J06
Who facilitated opening this account?
Bank mitra
SHG
No One
Other (specify)
J07
What do you use your bank account for?
To receive payments from govt. schemes (DBT)
To receive payments from MNREGA
To receive remittances
To save money
To request a loan
Other (Specify)
Do not use
J07A
What are the reasons for not using your bank account?
I have no money/little money to put in account
Bank is too far from here
Benefits were received only in cash so far, hence did not use the account
Tried to use but was refused
Lengthy process for operating account
Anticipated rejection from bank staff
Other (Specify)
J08
Who mostly operates your bank account?
Herself
Husband
Other family/ SHG members
Self and spouse
J09
Did you make any transaction from your bank account in the past three months?
Yes
No
J10
What are the reasons for not having a bank account?
I have no money/little money to put in account
There is no bank in this area
Benefits were received only in cash so far, hence did not open account
Too many charges are there for opening a bank account
Tried to open but was refused
Lengthy process for opening account
Having a bank account is not important
Anticipated rejection from bank staff
Other (specify)
J11
Did you receive any message/information about any transaction (debit/credit) (for eg. Like DBT) in your mobile phone?
Yes
No
J12
During the last 3 months, did you use a mobile phone at least once a week, more than once a week or not at all?
Not at all
Once a week
More than once a week (2-6 days)
Every day/Daily
J13
How freely can you use the mobile phone present in your house?
Can use it all the time without taking anybody’s permission
Can use it all the time but have to borrow
Can use it sometime with permission
Can never use it/permission denied all the time
J14
What are the primary reasons do you use a mobile phone for?
Basic features like call and messages
Productive/business use
Improving general knowledge/awareness related to health, education, agriculture, govt. services, etc.
Phone/mobile banking like paytm, phonepe, etc.
Access online services (Amazon, booking tickets, registrations, Aadhaar card, etc.)
Entertainment/Media
Others (specify)
J15
Which phone banking features have you used?
Send/receive money
Availing credit/loan
Making payments
Using e-wallet like paytm
Others (specify)
J16
Please tell us if you have used mobile phone for the following services
J16_1
To receive update on weather
Yes
No
J16_2
To receive technical information on practices of farming and allied activities
Yes
No
J16_3
To check prices of farm and other livelihood inputs
Yes
No
J16_4
To connect to buyers and sellers
Yes
No
J16A
Did somebody help you in accessing ___ service?
J16A_1
To receive update on weather
Yes, information was shown to me on somebody else’s mobile phone
Yes, information was shown on my mobile phone with somebody’s
No, I accessed the service on my own
J16A_2
To receive technical information on practices of farming and allied activities
Yes, information was shown to me on somebody else’s mobile phone
Yes, information was shown on my mobile phone with somebody’s
No, I accessed the service on my own
J16A_3
To check prices of farm and other livelihood inputs
Yes, information was shown to me on somebody else’s mobile phone
Yes, information was shown on my mobile phone with somebody’s
No, I accessed the service on my own
J16A_4
To connect to buyers and sellers
Yes, information was shown to me on somebody else’s mobile phone
Yes, information was shown on my mobile phone with somebody’s
No, I accessed the service on my own
J16B
Who helped you in getting the information?
J16B_1
To receive update on weather
PRADAN
Other NGO
Government
Friends/relatives
Others (specify)
Don’t know
J16B_2
To receive technical information on practices of farming and allied activities
PRADAN
Other NGO
Government
Friends/relatives
Others (specify)
Don’t know
J16B_3
To check prices of farm and other livelihood inputs
PRADAN
Other NGO
Government
Friends/relatives
Others (specify)
Don’t know
J16B_4
To connect to buyers and sellers
PRADAN
Other NGO
Government
Friends/relatives
Others (specify)
Don’t know
J17
Has anyone in your household taken any loans or borrowed cash/in-kind from _____ in the past 12 months?
J17_1
Non-governmental organization
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
Don’t know
J17_2
Money lender
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
Don’t know
J17_3
Formal lender (direct credit from bank/financial institution)
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
Don’t know
J17_4
Friends or relatives or neighbours
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
Don’t know
J17_5
Self - Help Group (SHG)
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
Don’t know
J18
Who made the decision to borrow from _____
J18_1
Non-governmental organization
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
J18_2
Money lender
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
J18_3
Formal lender (direct credit from bank/financial institution)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
J18_4
Friends or relatives or neighbours
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
J18_5
Self - Help Group (SHG)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
J19
Who makes the decision about what to do with the money/item borrowed from _____ most of the time?
J19_1
Non-governmental organization
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
J19_2
Money lender
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
J19_3
Formal lender (direct credit from bank/financial institution)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
J19_4
Friends or relatives or neighbours
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
J19_5
Self - Help Group (SHG)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
J20
Has such a situation ever occurredwhere you wanted to take loan but you couldn’t take?
J20_1
Non-governmental organization
Yes
No
J20_2
Money lender
Yes
No
J20_3
Formal lender (direct credit from bank/financial institution)
Yes
No
J20_4
Friends or relatives or neighbours
Yes
No
J20_5
Self - Help Group (SHG)
Yes
No
WOMEN’S GROUP MEMBERSHIP AND LEADERSHIP
K01
Is there a ____ in your village?
K01_1
Agricultural/livestock/fisheries producer group (including marketing groups)
Yes
No
K01_2
Water users’ group
Yes
No
K01_3
Land/forest users’ groups
Yes
No
K01_4
Credit or microfinance group (SHG)
Yes
No
K01_5
Mututal help or insurance group (including burial societies) (not-self-help group)
Yes
No
K01_6
Trade and business association
Yes
No
K01_7
Civic group (improving community) or charitable group (helping others)
Yes
No
K01_8
Religious group
Yes
No
K01_9
Mother’s group
Yes
No
K01_10
School management committee
Yes
No
K01_11
Watershed committee
Yes
No
K01_12
Village health and sanitation committee
Yes
No
K01_13
Other group like VO and federation (only if it does not fit into one of the other categories)
Yes
No
K02
Are you a member/active member of any ______?
K02_1
Agricultural/livestock/fisheries producer group (including marketing groups)
Yes member
Yes active member
No
K02_2
Water users’ group
Yes member
Yes active member
No
K02_3
Land/forest users’ groups
Yes member
Yes active member
No
K02_4
Credit or microfinance group (SHG)
Yes member
Yes active member
No
K02_5
Mututal help or insurance group (including burial societies) (not-self-help group)
Yes member
Yes active member
No
K02_6
Trade and business association
Yes member
Yes active member
No
K02_7
Civic group (improving community) or charitable group (helping others)
Yes member
Yes active member
No
K02_8
Religious group
Yes member
Yes active member
No
K02_9
Mother’s group
Yes member
Yes active member
No
K02_10
School management committee
Yes member
Yes active member
No
K02_11
Watershed committee
Yes member
Yes active member
No
K02_12
Village health and sanitation committee
Yes member
Yes active member
No
K02_13
Other group like VO and federation (only if it does not fit into one of the other categories)
Yes member
Yes active member
No
SELF HELP GROUPS & GROUP COHESION
L01
Do you currently belong to a self-help group?
Yes
No
L01_1
What is the name of your SHG?
L01_2
What is the ID of your SHG?
L01_3
Can you tell me name of your SHG President?
L01_4
Can you tell me the name of secretary of your SHG?
L01_5
Can you tell me the name of your SHG treasurer?
L02
When you expressed desire to become SHG member, did you have to face any challenges?
Yes
No
L03
What challenges did you have to overcome to become SHG member?
Opposition from mother-in-law
Scolding from husband
Violence or beating by husband
Violence or beating by other female member of the HH
Violence or beating by other male member of the HH
Others (specify)
L04
For how long have you belonged to the self-help group to which you belong?
L05
Are you an active member of this group, meaning that you participate in meetings, conducted in last 3 months?
Yes
No
L06
Have you participated in meetings conducted in last 1 months?
Yes
No
L07
Which organization started or supports this self-help group?
PRADAN
Other NGO
Government
Federation
Don’t know
Other (Specify)
L08
Name of the NGO
L09
Has a representative from this NGO/organisation visited you and talked about agricultural practices?
Yes
No
L10
Has the NGO/organisation conducted any training on livelihood practices?
Yes
No
L11
Does your self-help group have savings and credit activities?
Yes
No
L12
Do you personally participate in these savings and credit activities?
Yes
No
L13
Do you take leadership roles in this self-help group?
Yes
No
L14
Are you currently a portfolio-holder?
Yes
No
L15
Which position do you hold?
President
Treasurer
Secretary
Other (specify)
L16
What issues do you discuss in the self-help group meeting ?
Livelihoods/socio-economic problems in the community
Agriculture problems
Education problems
Health and nutrition problems
Gender dynamics in society
Violence against women
Rights and entitlements
Savings and loans
Sanitation
Other
L17
How often does your group meet for discussions or activities in a month?
Weekly
Bi-monthly
Monthly
Occasionally
Never met so far
L18
How often do you participate in group meetings in a month?
Weekly
Bi-monthly
Monthly
Occasionally
Never met so far
L19
When was the last time that you participated in a group
L20
Did you attend the most recent meeting of your group?
Yes
No
L21
Do you save money in SHG?
Yes
No
L22
How much money do you save in each meeting?
L23
How often do you save?
Weekly
Bi-monthly
Monthly
Occasionally
Never met so far
L24
Are group members provided credit regularly and whenever required ?
Yes
No
L25
Do the group members repay their loan regularly at decided terms ?
Yes
No
L26
How often does your group update account books ?
Weekly
Bi-monthly
Monthly
Occasionally
Whenever saving/lending activity is done
Never
L27
How the accounts are being maintained in last six months?
Computerized
Manual
L28
Does any trained accountant help your group in maintaining group accounts ?
Yes
No
L29
Have you participated in the maintenance of books of accounts of the SHG?
Yes
No
L30
How responsible do you feel for achieving the objectives of your group?
Not at all
Somewhat
Very much
Completely
L31
How much do you agree or disagree with the following statements
L31_1
I can count on fellow SHG members if I need to borrow money
Agree
Neither agree nor disagree
Disagree
L31_2
I can count on fellow SHG members to talk about my problems
Agree
Neither agree nor disagree
Disagree
L31_3
SHG members worry about themselves only
Agree
Neither agree nor disagree
Disagree
L31_4
I can count on fellow SHG members to help me address the problems I am unable to solve on my own. (E.g. Violence)
Agree
Neither agree nor disagree
Disagree
L32
Do you think the activities of your SHG or federation has resuled in a positive change in
L32_1
You
Yes
No
L32_2
Members of your group
Yes
No
L32_3
Members of other groups in your village
Yes
No
L32_4
People who are not members
Yes
No
L33
How much do you think the activities of your SHG or federation have contributed to a positive change in
L33_1
You
Somewhat
Very much
Completely
L33_2
Members of your group
Somewhat
Very much
Completely
L33_3
Members of other groups in your village
Somewhat
Very much
Completely
L33_4
People who are not members
Somewhat
Very much
Completely
L34
Were you previously a member of a self-help group?
Yes
No
L35
Were you previously a portfolio holder?
Yes
No
L36
Why do you not belong to a self-help group?
None available in my community
I was not involved in the activities by the members
I was never interested
My husband doesn’t allow me
I don’t have time
Religious/cultural reasons
Don’t know
Other (Specify)
WOMEN’S STATUS & SOCIAL NORMS AND BELIEFS
M01
Do you currently live with your partner or husband?
Yes
No
M02
At what age did you get married?
M03
At what age did you first get pregnant?
M04
How many times have you been pregnant?
M05
At what age did you first give birth?
M06
How many times have you given birth (including babies who are no longer alive)?
M07
Do you have your own money that you can use for what you want to use it?
Yes
No
M08
Do you talk to someone when you have any problem?
Yes
No
M09
If yes, whom do you talk to in case of any problem?
SHG members
VO members
Friends
Relatives
Husband
Neighbours
M10
How often do you see or talk to somebody from your own family other than the one who live in the same house?
Several times per week
About once per week
Several times per month
Less than once per month but more than once a year
About once per year or less
Never
No Response
M11
How often can you visit the following spaces freely?
M11_1
To the market?
Yes, always
Yes, sometimes
No, never
M11_2
To a friend or family member’s house less than one hour away?
Yes, always
Yes, sometimes
No, never
M11_3
To the temple, church or mosque?
Yes, always
Yes, sometimes
No, never
M11_4
To a public village meeting?
Yes, always
Yes, sometimes
No, never
M11_5
To a meeting of any association of which you are a member including a self-help group?
Yes, always
Yes, sometimes
No, never
M11_6
Outside your village?
Yes, always
Yes, sometimes
No, never
M11_7
To see a health care provider for your own treatment?
Yes, always
Yes, sometimes
No, never
M11_8
Going to a movie
Yes, always
Yes, sometimes
No, never
M11_9
Buying new clothes for yourself
Yes, always
Yes, sometimes
No, never
M11_10
Taking child to health care center
Yes, always
Yes, sometimes
No, never
M11_11
Shopping within the village
Yes, always
Yes, sometimes
No, never
M11_12
Shopping outside the village
Yes, always
Yes, sometimes
No, never
M11_13
Attending a religious festival/social function within the village
Yes, always
Yes, sometimes
No, never
M12
When you leave home to go to the market or visit people, etc. do you take your youngest child (NAME) with you or do you leave the child with someone else?
Always brings with her
Always leaves with Someone else
Both
Not applicable
M13
For these types of activities, how many times a week do you usually leave the child with someone else to take care of him/her?
M14
For how long each time do you usually leave the child with someone else at home?
ACCESS TO AND KNOWLEDGE OF GOVERNMENT SCHEMES
N01
Have you ever heard about_______?
N01_1
Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA)
Family member
Friends/neighbors
Media (TV, radio, newspaper, etc.)
Government officials
PRADAN
Other NGO
Members of my SHG
Other
N01_2
Pradhan Mantri Ujjwala Yojana
Family member
Friends/neighbors
Media (TV, radio, newspaper, etc.)
Government officials
PRADAN
Other NGO
Members of my SHG
Other
N01_3
Antyodaya Anna Yojana (AAY)
Family member
Friends/neighbors
Media (TV, radio, newspaper, etc.)
Government officials
PRADAN
Other NGO
Members of my SHG
Other
N01_4
Swachh Bharat Abhiyan (SBA)
Family member
Friends/neighbors
Media (TV, radio, newspaper, etc.)
Government officials
PRADAN
Other NGO
Members of my SHG
Other
N01_5
ICDS
Family member
Friends/neighbors
Media (TV, radio, newspaper, etc.)
Government officials
PRADAN
Other NGO
Members of my SHG
Other
N01_6
Janani Suraksha Yojana (JSY)
Family member
Friends/neighbors
Media (TV, radio, newspaper, etc.)
Government officials
PRADAN
Other NGO
Members of my SHG
Other
N01_7
Janani Shishu Suraksh Karykaram (JSSK)
Family member
Friends/neighbors
Media (TV, radio, newspaper, etc.)
Government officials
PRADAN
Other NGO
Members of my SHG
Other
N01_8
Pradhan Mantri Jeevan Jyoti Bima Yojna (PMJJBY)
Family member
Friends/neighbors
Media (TV, radio, newspaper, etc.)
Government officials
PRADAN
Other NGO
Members of my SHG
Other
N01_9
Social Security Pension
Family member
Friends/neighbors
Media (TV, radio, newspaper, etc.)
Government officials
PRADAN
Other NGO
Members of my SHG
Other
N01_10
Protection of Women against Domestic Violence Act
Family member
Friends/neighbors
Media (TV, radio, newspaper, etc.)
Government officials
PRADAN
Other NGO
Members of my SHG
Other
N02
Does anyone in your household have a MGNREGA job card? If yes, please show me.
Yes
No
N03
In the past year, how many days did members of your household work for MGNREGA?
N04
For this total number of days worked by household members, how many days were worked by men and how many days were worked by women?
N05
Do you feel that MGNREGA provides you minimum number of days of work that is required by your HH?
Yes
No
N06
Does anybody in the household have an Aadhaar card?
Yes
No
N07
Does your household have a ration card?
Yes
No
N08
Which card do you have?
Antyodhya Anna Yojna
ANNAPURNA
BPL
Other (specify)
Don’t know
N09
How many HH members are listed on the ration card?
N10
Have you used it in past six months?
Yes
No
N11
Why did you not use your ration card in past 6 months?
N12
What is the main reason for not having ration card?
Not needed
Lost
Bureaucratic difficulties
Moved but not transferred
Other (specify)
N13
In the past 30 days, did you buy anything from a fair price shop?
Yes
No
N14
Which items did you buy from the fair price shop (PDS) in the last 30 days and in what quantity?
N15
Whether purchased
N15_1
Rice
Yes
No
N15_2
Wheat
Yes
No
N15_3
Sugar
Yes
No
N15_4
Kerosene
Yes
No
N15_5
Cooking oil
Yes
No
N15_6
Salt
Yes
No
N15_7
Cloth
Yes
No
N15A
Quantity Purchased
N15A_1
Rice
N15A_2
Wheat
N15A_3
Sugar
N15A_4
Kerosene
N15A_5
Cooking oil
N15A_6
Salt
N15A_7
Cloth
N16
Do you feel that fair price shops provide enough quantity of food grains required for your household in a month?
Yes
No
N17
Did you or any member of your household ever receive any food from Anganwadi centre in the past 5 years?
Yes
No
N18
Who received food from an Anganwadi centre
Pregnant woman in the household
Lactating woman in the household
Child 6 to 24 months of age
Child 2 to 5 years of age
Don’t know
Other (specify)
N19
Do you know how much money the beneficiary is supposed to get under the JSY scheme?
N20
Does anybody in the HH have health Insurance?
Yes
No
N21
Does anybody in the HH have LIC/Life Insurance?
Yes
No
N22
Does anybody in the HH have Kisan credit card?
Yes
No
N23
Compared to 10 years ago, do you say your HH is economically doing the same, better or worse?
Same
Better
Worse
PARTICIPATION IN SOCIAL SPHERE
O01
Have you ever raised personal or community issues on your own in village/gram sabha/SHG meetings?
Yes
No
O02
Have you ever participated in any mass events like rallies, campaigns, vigils, etc. for social change or to demand something (for ex. Against alcoholism)?
Yes
No
O03
If yes, for what?
Demand for MNREGA
Demand for PDS/ration card
Demand for opening bank account
On-time delivery of services meant for poor from the government
Supply of safe drinking water
Supply of sufficient water for household purposes
Supply of sanitation services e.g. latrine facilities/construction of toilets
Preparation of village development plans
Demand for better school facilities
Demand for better angandwadi facililties
Addressing liquor consumption issues in village
O04
Was this inititated by SHG or federation?
O04_1
Same
Yes
No
O04_2
Better
Yes
No
O04_3
Worse
Yes
No
O04_4
Demand for MNREGA
Yes
No
O04_5
Demand for PDS/ration card
Yes
No
O04_6
Demand for opening bank account
Yes
No
O04_7
On-time delivery of services meant for poor from the government
Yes
No
O04_8
Supply of safe drinking water
Yes
No
O04_9
Supply of sufficient water for household purposes
Yes
No
O04_10
Supply of sanitation services e.g. latrine facilities/construction of toilets
Yes
No
O04_11
Preparation of village development plans
Yes
No
O04_12
Demand for better school facilities
Yes
No
O04_13
Demand for better angandwadi facililties
Yes
No
O04_14
Addressing liquor consumption issues in village
Yes
No
O05
Do you have voter identification card?
Yes
No
O06
Did you vote in the last election?
Yes
No
O07
Why did you vote?
My husband had asked me to do so
It is my right
Political party requested to cast vote
Political party distributed incentives to cast vote
I believe in the manifesto the party presented
Others specify
O08
In your house who decides to vote?
Self
Husband
Elder family member
Village level influential
Others specify
DK/CS
O09
Why did not you vote?
Do not feel this to be necessary
Stopped from going by husband/family members
Fearful
Not aware of the process
Others specify
DK/CS
O10
Have you or any other woman from any SHG in your village contested in the recent elections?
Yes
No
O11
Have you ever participated in gram sabha meeting?
Yes
No
O12
Did you attend last gram sabha meeting?
Yes
No
O13
What was the reason to attend Gram sabha meeting?
I was given incentive to attend the meeting
To keep myself updated with the political happening
It is my right to share my views and concern
Issue to be discussed was of interest to me
Issue to be discussed was of interest to my SHG/federation
Other, Specify
O14
What was the reason for not attending gram sabha meeting?
I did not get information about the meeting
Date or time was not convenient
Gram Sabha is not of interest to me
Issue to be discussed in the meeting was not of interest to me
Other (specify)
O15
Have you ever raised any concern or given your opinion in any gram sabha meeting?
Yes
No
O16
Do you feel comfortable speaking up in public to help decide on infrastructure (like small wells, roads, water supplies) to be built in your community?
No, not at all comfortable
Yes, but with a great deal of difficulty
Yes, but with a little difficulty
Yes, mostly comfortable
Yes, very comfortable
O17
Do you feel comfortable speaking up in public to ensure proper payment of wages for public works or other similar programs?
No, not at all comfortable
Yes, but with a great deal of difficulty
Yes, but with a little difficulty
Yes, mostly comfortable
Yes, very comfortable
O18
Do you feel comfortable speaking up in public to protest the misbehavior of authorities or elected officials?
No, not at all comfortable
Yes, but with a great deal of difficulty
Yes, but with a little difficulty
Yes, mostly comfortable
Yes, very comfortable
O19
How comfortable do you feel speaking your opinion in any training or SHG meeting?
No, not at all comfortable
Yes, but with a great deal of difficulty
Yes, but with a little difficulty
Yes, mostly comfortable
Yes, very comfortable
O20
How comfortable do you feel when you have to talk to a bank officer / manager / teacher / AWW?
No, not at all comfortable
Yes, but with a great deal of difficulty
Yes, but with a little difficulty
Yes, mostly comfortable
Yes, very comfortable
O21
How comfortable do you feel when you have to talk to Sarpanch/Pradhan?
No, not at all comfortable
Yes, but with a great deal of difficulty
Yes, but with a little difficulty
Yes, mostly comfortable
Yes, very comfortable
HOUSEHOLD CHARACTERISTICS
P01
Is this house your own or a rented accommodation or has been given to you by the government?
Own house
Rented
Provided by the Govt
Other (specify)
P02
LOOK AT THE FLOOR AND CODE THE MAIN MATERIAL OF THE FLOOR
Mud/clay/earth
Sand
Dung
Raw wood planks
Palm/bamboo
Brick
Stone
Parquet or polished wood
Vinyl or asphalt
Ceramic tiles
Cement/RCC
Carpet
Polished stone/marble/granite
Other (specify)
P03
LOOK AT THE ROOF AND CODE THE MAIN MATERIAL OF THE ROOF
Mud/clay/earth
Sand
Dung
Raw wood planks
Palm/bamboo
Brick
Stone
Parquet or polished wood
Vinyl or asphalt
Ceramic tiles
Cement/RCC/Asbestose
Country made tiles (Khaprail)
Polished tone/marble/granite
Other (specify)
P04
LOOK AT THE EXTERIOR WALLS AND CODE THE MAIN MATERIAL OF THE WALLS
Mud/clay/earth
Sand
Dung
Raw wood planks
Palm/bamboo
Brick
Stone
Parquet or polished wood
Vinyl or asphalt
Ceramic tiles
Cement/RCC
Carpet
Polished tone/marble/granite
Other (specify)
P05
How many rooms in total is there in this house?
P06
Do you have a separate room for cooking?
Yes
No
P07
Do you have a window in your house?
Yes
No
P08
Type of window
Windows with glass
Windows with screens
Windows with curtains or shutters
P09
Do you have a homestead?
Yes
No
P10
What type of toilet facility do you have?
Flush to piped sewer system
Flush to septic tank
Flush to pit latrine
Flush to somewhere else
Flush, don't know where
Ventilated improved pit (VIP)/Biogas Latrine
Pit latrine with slab
Pit latrine without slab/ open pit
Twin pit/Composting toilet
No facility/uses open space or field
Other (specify)
P10A
Under normal conditions, where does each member of your household defecate?
Toilet
Open
P11
What is the main source of lighting
Lantern
Kerosene lamp
Candle
Electric
LPG/Battery
Solar Energy
None
Others (Specify)
P12
What type of fuel does your household mainly use for cooking?
Electricity
LPG
Natural gas
Biogas
Kerosene
Charcoal
Coal
Wood / straw/leaves
Animal dung
Other (specify)
P13
Does your household own any of the following items:
P13_1
Mattress
Yes
No
P13_2
Pressure cooker
Yes
No
P13_3
Chair
Yes
No
P13_4
Cot/ Bed
Yes
No
P13_5
Table
Yes
No
P13_6
Electric fan
Yes
No
P13_7
Almirah
Yes
No
P13_8
Radio/Transistor
Yes
No
P13_9
Sewing machine
Yes
No
P13_10
Clock or watch
Yes
No
P13_11
Bicycle
Yes
No
P13_12
Animal-drawn cart/Bullock Cart
Yes
No
P13_13
Black & White television
Yes
No
P13_14
Colour television
Yes
No
P13_15
Mobile Phone
Yes
No
P13_16
Landline Phone
Yes
No
P13_17
Water pump
Yes
No
P13_18
Thresher
Yes
No
P13_19
Power Tiller
Yes
No
P13_20
Spray Machine/Sprayer
Yes
No
P13_21
Refrigerator
Yes
No
P13_22
Air conditioner / Cooler
Yes
No
P13_23
Washing Machine
Yes
No
P13_24
Internet
Yes
No
P13_25
Computer
Yes
No
P13_26
Motorcycle/scooter
Yes
No
P13_27
Car/Jeep
Yes
No
P13_28
Tractor
Yes
No
P14
For each of the following seasons, what is the main source of drinking water for members of your household?
P14_1
Summer
Piped water into dwelling
Piped water into yard/plot
Public tap/standpipe
Own Tube well/borehole / handpump
P14_2
Monsoon
Piped water into dwelling
Piped water into yard/plot
Public tap/standpipe
Own Tube well/borehole / handpump
P14_3
Winter
Piped water into dwelling
Piped water into yard/plot
Public tap/standpipe
Own Tube well/borehole / handpump
P15
How long does it take to go to the water source, get water, and come back during the rainy season?
P16
How long does it take to go to the water source, get water, and come back during the dryseason?
P16A
Who usually goes to this source to fetch the water for your household?
Adult woman
Adult male
Female child (<15yrs)
Male child (<15yrs)
Other (specify)
P17
Have you constructed any Goat shed/Cattle shed for your livestock?
Yes
No
P18
If yes, what kind of flooring does it have?
Stone / Brick
Soil/Dry Straw Material
Wooden or Bamboo
Concrete
WEAI-Men
R01
Male respondent line number
R02
Male respondent name
R03
Did you yourself participate in ______ in the past 12 months?
R03_1
Food crop farming: crops that are grown primarily for household food consumption
Yes
No
R03_2
Cash crop farming: crops that are grown primarily for sale in the market
Yes
No
R03_3
Livestock raising
Yes
No
R03_4
Poultry raising (e.g. chicken, duck, pigeon)
Yes
No
R03_5
Fishing or fishpond culture
Yes
No
R03_6
Non-farm economic activities: small business, self-employment, buy-and-sell
Yes
No
R03_7
Wage and salary employment: in-kind or monetary work(both agriculture and non-ag work)
Yes
No
R03_8
Major household expenditures ( such as large appliance for the house like refrigerator)
Yes
No
R03_9
Minor household expenditures (such as food for daily consumption or other household needs)
Yes
No
R04
When decisions are made regarding _____, who is it that normally takes the decision?
R04_1
Food crop farming: crops that are grown primarily for household food consumption
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
R04_2
Cash crop farming: crops that are grown primarily for sale in the market
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
R04_3
Livestock raising
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
R04_4
Poultry raising (e.g. chicken, duck, pigeon)
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
R04_5
Fishing or fishpond culture
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
R04_6
Non-farm economic activities: small business, self-employment, buy-and-sell
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
R04_7
Wage and salary employment: in-kind or monetary work(both agriculture and non-ag work)
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
R04_8
Major household expenditures ( such as large appliance for the house like refrigerator)
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
R04_9
Minor household expenditures (such as food for daily consumption or other household needs)
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
R05
How much input did you have in making decisions about ____?
R05_1
Food crop farming: crops that are grown primarily for household food consumption
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R05_2
Cash crop farming: crops that are grown primarily for sale in the market
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R05_3
Livestock raising
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R05_4
Poultry raising (e.g. chicken, duck, pigeon)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R05_5
Fishing or fishpond culture
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R05_6
Non-farm economic activities: small business, self-employment, buy-and-sell
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R05_7
Wage and salary employment: in-kind or monetary work(both agriculture and non-ag work)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R05_8
Major household expenditures ( such as large appliance for the house like refrigerator)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R05_9
Minor household expenditures (such as food for daily consumption or other household needs)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R06
To what extent do you feel you can make your own personal decisions regarding ____, if you wanted to?
R06_1
Food crop farming: crops that are grown primarily for household food consumption
Not at all
Small extent
Medium extent
To a high extent
R06_2
Cash crop farming: crops that are grown primarily for sale in the market
Not at all
Small extent
Medium extent
To a high extent
R06_3
Livestock raising
Not at all
Small extent
Medium extent
To a high extent
R06_4
Poultry raising (e.g. chicken, duck, pigeon)
Not at all
Small extent
Medium extent
To a high extent
R06_5
Fishing or fishpond culture
Not at all
Small extent
Medium extent
To a high extent
R06_6
Non-farm economic activities: small business, self-employment, buy-and-sell
Not at all
Small extent
Medium extent
To a high extent
R06_7
Wage and salary employment: in-kind or monetary work(both agriculture and non-ag work)
Not at all
Small extent
Medium extent
To a high extent
R06_8
Major household expenditures ( such as large appliance for the house like refrigerator)
Not at all
Small extent
Medium extent
To a high extent
R06_9
Minor household expenditures (such as food for daily consumption or other household needs)
Not at all
Small extent
Medium extent
To a high extent
R07
How much input did you have in decisions on the use of income generated from ___?
R07_1
Food crop farming: crops that are grown primarily for household food consumption
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R07_2
Cash crop farming: crops that are grown primarily for sale in the market
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R07_3
Livestock raising
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R07_4
Poultry raising (e.g. chicken, duck, pigeon)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R07_5
Fishing or fishpond culture
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R07_6
Non-farm economic activities: small business, self-employment, buy-and-sell
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R07_7
Wage and salary employment: in-kind or monetary work(both agriculture and non-ag work)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R07_8
Major household expenditures ( such as large appliance for the house like refrigerator)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R07_9
Minor household expenditures (such as food for daily consumption or other household needs)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R08
Does anyone in your household currently have any _____?
R08_1
Agricultural land
Yes
No
R08_2
Other land not used for agriculture
Yes
No
R08_3
Large livestock (e.g. oxen, cattle, buffalo, horse)
Yes
No
R08_4
Small livestock (e.g. goats, pigs, sheep)
Yes
No
R08_5
Chickens, ducks, turkeys, pigeons
Yes
No
R08_6
Fish pond or fishing equipment
Yes
No
R08_7
Farm equipment (non-mechanized)
Yes
No
R08_8
Farm equipment (mechanized e.g. tractor)
Yes
No
R08_9
Non farm business equipment
Yes
No
R08_10
House (and other structures)
Yes
No
R08_11
Large consumer durables (Fridge, TV, sofa)
Yes
No
R08_12
Small consumer durables (radio, cookware)
Yes
No
R08_13
Cell phone
Yes
No
R08_14
Means of transportation (bicycle, motorcycle, car)
Yes
No
R09
Do you own any of the ____?
R09_1
Agricultural land
Yes
No
R09_2
Other land not used for agriculture
Yes
No
R09_3
Large livestock (e.g. oxen, cattle, buffalo, horse)
Yes
No
R09_4
Small livestock (e.g. goats, pigs, sheep)
Yes
No
R09_5
Chickens, ducks, turkeys, pigeons
Yes
No
R09_6
Fish pond or fishing equipment
Yes
No
R09_7
Farm equipment (non-mechanized)
Yes
No
R09_8
Farm equipment (mechanized e.g. tractor)
Yes
No
R09_9
Non farm business equipment
Yes
No
R09_10
House (and other structures)
Yes
No
R09_11
Large consumer durables (Fridge, TV, sofa)
Yes
No
R09_12
Small consumer durables (radio, cookware)
Yes
No
R09_13
Cell phone
Yes
No
R09_14
Means of transportation (bicycle, motorcycle, car)
Yes
No
R10
Has anyone in your household taken any loans or borrowed cash/in-kind from _____ in the past 12 months?
R10_1
Non-governmental organization (NGO)
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
R10_2
Money lender
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
R10_3
Formal lender (direct credit from bank/financial institution)
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
R10_4
Friends or relatives or neighbours
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
R10_5
Self - Help Group (SHG)
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
R11
Who made the decision to borrow from _____?
R11_1
Non-governmental organization (NGO)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R11_2
Money lender
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R11_3
Formal lender (direct credit from bank/financial institution)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R11_4
Friends or relatives or neighbours
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R11_5
Self - Help Group (SHG)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R12
Is there a ____ in your community?
R12_1
Agricultural/livestock/fisheries producer group (including marketing groups)
Yes
No
R12_2
Water users’ group
Yes
No
R12_3
Land/forest users’ groups
Yes
No
R12_4
Credit or microfinance group (SHG)
Yes
No
R12_5
Mutual help or insurance group (including burial societies) (not-self-help group)
Yes
No
R12_6
Trade and business association
Yes
No
R12_7
Civic group (improving community) or charitable group (helping others)
Yes
No
R12_8
Religious group
Yes
No
R12_9
School management committee
Yes
No
R12_10
Watershed committee
Yes
No
R12_11
Village health and sanitation committee
Yes
No
R12_12
Other group like VO and federation (only if it does not fit into one of the other categories)
Yes
No
R13
Are you a member/active member of any ______?
R13_1
Agricultural/livestock/fisheries producer group (including marketing groups)
Yes member
Yes active member
No
R13_2
Water users’ group
Yes member
Yes active member
No
R13_3
Land/forest users’ groups
Yes member
Yes active member
No
R13_4
Credit or microfinance group (SHG)
Yes member
Yes active member
No
R13_5
Mutual help or insurance group (including burial societies) (not-self-help group)
Yes member
Yes active member
No
R13_6
Trade and business association
Yes member
Yes active member
No
R13_7
Civic group (improving community) or charitable group (helping others)
Yes member
Yes active member
No
R13_8
Religious group
Yes member
Yes active member
No
R13_9
School management committee
Yes member
Yes active member
No
R13_10
Watershed committee
Yes member
Yes active member
No
R13_11
Village health and sanitation committee
Yes member
Yes active member
No
R13_12
Other group like VO and federation (only if it does not fit into one of the other categories)
Yes member
Yes active member
No
MEN’S TIME USE
S01
In the previous 24 hours, how much time did you spend on
S01_1
Spend resting or sleeping?
S01_2
Spend on domestic work including cooking, cleaning, shopping, fetching water, etc.?
S01_3
Engage in agricultural labor including any paid or unpaid agricultural related tasks at home or working for others?
S01_4
Engage in non-agricultural labor including self-employment or working for others?
S01_5
Spend caring for children or the elderly?
S01_6
Spend on leisure, social, and religious activities?
HH food consumption
T01
Please tell how much of these items have been consumed by your HH in past 30 days?
T01_1
Rice
T01_2
Wheat
T01_3
Sugar
T01_4
Kerosene
T01_5
Other cereals
T01_6
Cereal products like bread,muri, chira, maida, suji, noodles,
T01_7
Pulses and pulse products
T01_8
Meat, Chicken and Fish
T01_9
Gur and other sweetners
T01_10
Edible Oil and vanaspati
T01_11
Eggs
T01_12
Milk
T01_13
Milk products like ghee, butter, ice cream, milk powder, dahi, paneer, etc.
T01_14
Vegetables (including garlic, ginger)
T01_15
Salt and spices
T01_16
Fruits and nuts
T01_17
Other food items like tea , coffee, processed food such as cake, pickles,sauce
T02
Was this
T02_1
Rice
Home grown?
Purchased
T02_2
Wheat
Home grown?
Purchased
T02_3
Sugar
Home grown?
Purchased
T02_4
Kerosene
Home grown?
Purchased
T02_5
Other cereals
Home grown?
Purchased
T02_6
Cereal products like bread,muri, chira, maida, suji, noodles,
Home grown?
Purchased
T02_7
Pulses and pulse products
Home grown?
Purchased
T02_8
Meat, Chicken and Fish
Home grown?
Purchased
T02_9
Gur and other sweetners
Home grown?
Purchased
T02_10
Edible Oil and vanaspati
Home grown?
Purchased
T02_11
Eggs
Home grown?
Purchased
T02_12
Milk
Home grown?
Purchased
T02_13
Milk products like ghee, butter, ice cream, milk powder, dahi, paneer, etc.
Home grown?
Purchased
T02_14
Vegetables (including garlic, ginger)
Home grown?
Purchased
T02_15
Salt and spices
Home grown?
Purchased
T02_16
Fruits and nuts
Home grown?
Purchased
T02_17
Other food items like tea , coffee, processed food such as cake, pickles,sauce
Home grown?
Purchased
T03
Over past 30 days what was the total rupee value that you spent? (in INR)
T03_1
Rice
T03_2
Wheat
T03_3
Sugar
T03_4
Kerosene
T03_5
Other cereals
T03_6
Cereal products like bread,muri, chira, maida, suji, noodles,
T03_7
Pulses and pulse products
T03_8
Meat, Chicken and Fish
T03_9
Gur and other sweetners
T03_10
Edible Oil and vanaspati
T03_11
Eggs
T03_12
Milk
T03_13
Milk products like ghee, butter, ice cream, milk powder, dahi, paneer, etc.
T03_14
Vegetables (including garlic, ginger)
T03_15
Salt and spices
T03_16
Fruits and nuts
T03_17
Other food items like tea , coffee, processed food such as cake, pickles,sauce
T04
How much did you buy from ration shop (PDS) ? (Kg/Liter)
T04_1
Rice
T04_2
Wheat
T04_3
Sugar
T04_4
Kerosene
T04_5
Other cereals
T04_6
Cereal products like bread,muri, chira, maida, suji, noodles,
T04_7
Pulses and pulse products
T04_8
Meat, Chicken and Fish
T04_9
Gur and other sweetners
T04_10
Edible Oil and vanaspati
T04_11
Eggs
T04_12
Milk
T04_13
Milk products like ghee, butter, ice cream, milk powder, dahi, paneer, etc.
T04_14
Vegetables (including garlic, ginger)
T04_15
Salt and spices
T04_16
Fruits and nuts
T04_17
Other food items like tea , coffee, processed food such as cake, pickles,sauce
T05
Over past 30 days how much did you pay to ration shop (PDS) for one Kg/Liter?
T05_1
Rice
T05_2
Wheat
T05_3
Sugar
T05_4
Kerosene
T05_5
Other cereals
T05_6
Cereal products like bread,muri, chira, maida, suji, noodles,
T05_7
Pulses and pulse products
T05_8
Meat, Chicken and Fish
T05_9
Gur and other sweetners
T05_10
Edible Oil and vanaspati
T05_11
Eggs
T05_12
Milk
T05_13
Milk products like ghee, butter, ice cream, milk powder, dahi, paneer, etc.
T05_14
Vegetables (including garlic, ginger)
T05_15
Salt and spices
T05_16
Fruits and nuts
T05_17
Other food items like tea , coffee, processed food such as cake, pickles,sauce
T06
Over the past 30 days , what was the total rupee value of the food at restaurants , eating out etc.
HH non-food consumption
U01
Over the past 30 days , what was the total rupee value of the following items that the household consumed?
U01_1
Fuel and light (LPG, Electricity, Firewood) Exclude kerosene
U01_2
Pan, tobacco and intoxicants
U01_3
Entertainment
U01_4
Telephone, cable, internet
U01_5
Personal care (includes torch, umbrella, oilseeds, etc.) lighter, etc.)
U01_6
Toilet articles (toothpaste, hairoil, cream shaving blade , etc.)
U01_7
Conveyance (includes railways, bus, taxi, school bus/van etc.)
U01_8
House rent
U01_9
HH items(includes electric bulb, tube light, glassware, bucket, washing soap agarbati, insecticide, etc.)
U01_10
Services(Domestic workers etc.)
U01_11
Consumer taxes, cesses and fees(includes water charges)
U01_12
Medical expenses in public Hospitals(out-patient)
U01_13
Medical expenses in private Hospitals(out-patient)
U01_14
Medicines
U01_15
Medical expenses in Public Hospitals(in-patient)
U01_16
Medical expenses in Private Hospitals(in-patients)
U01_17
School fees
U01_18
Tuition fees
U01_19
School books and other educational articles like newspaper, library charges, stationery
U01_20
Clothing, Footwear and bedding
U01_21
Furniture and fixtures
U01_22
Crockery and utensils (includes stainless steel utensils, casseroles, thermos, etc.)
U01_23
Cooking and Household Appliances (includes electric fan, AC, sewing machine, washing machine, pressure cooker, refrigerator?
U01_24
Goods for Recreation (includes TV, radio, Tape recorder, musical instruments)
U01_25
Jewellery and ornaments
U01_26
Personal transport equipment (includes bicycle, scooter, car tyres, etc.)
U01_27
Therapeutic appliances educational articles (includes glass eye, hearing aids, orthopaedic equipment, etc.)
U01_28
Other personal goods (includes clock, watch, telephone, mobile, etc.)
U01_29
Repair and maintenance of residential buildings, bathroom equipment, etc.
U01_30
Insurance premiums
U01_31
Vacations
U01_32
Social functions: (marriage, funerals, gifts, etc.)
HH- Debt
V01
Did anyone in your household take any debt in last 5 years?
Yes
No
V02
Borrowings
V02_1
Month
V02_2
Year
V02_3
Period of loan
less than 1 montht
1 month and above but less than 3 months
3 months and above but less than 6 months
6 months & above but less than 1 year
one year & above
V02_4
Amount borrowed
V02_5
Credit agency
Government
Co-operative bank
Commercial bank / RRB
SHG bank linked
SHG -NBFC
landlord
Money lender
Relatives or friends
Others (Specify)
V02_6
Scheme of lending
Differential Rate of Interest (DRI) scheme
PM’s Rozgar Yojana (PMRY)
NRLM/Swarnjayanti Gramin Swarozagar Yojana (SGSY)
advances to minority communities
scheme for liberalization and rehabilitation of scavengers
exclusive state schemes
Kisan credit card
crop loan
not covered under any scheme
Others
V02_7
Type of loan
Short term – pledged
Short term non-pledged
Medium term
Long term
V02_8
Nature of interest rate
Free of interest
Simple interest
V02_9
Rate of interest
V02_10
Purpose of loan
Capital expenditure in farm
Current expenditure in farm
Capital expenditure in non-farm
Current expenditure in non-farm
Repayment of debt
Car/Appliance, etc
Educational
Medical Expense
Financial investment
For other HH expenditure
For housing/land
Others
V02_11
Type of security
surety security or guarantee by third party
crop
mortgage of immovable property
bullion/ornaments
agricultural commodities
no mortgage
Others
V02_12
Type of mortgage
simple mortgage
usufructuary mortgage
mortgage by conditional sale
no mortgage
Other type of mortgage
V02_13
Amount repaid (including interest rate)
V02_14
Amount written off (including interest rate)
V02_15
Amount outstanding (including interest rate)
HH Savings
W01
Does the HH have saving habit?
Yes
No
W02
On average, how much of your income did you save per month.
W02A
SHG Savings
W02B
House Savings
W03
What do you do with the amount saved?
Deposit in bank in savings account
Deposit it in financial instruments
Re-invest in agriculture/micro enterprise
Invest in real estate or other personal assets
SHG savings
Others
Migration
X01
Does your household currently have a member not living within the household?
Yes
No
X02
What is the sex of (NAME) who is currently living outside your household?
Male
Female
X03
How old is (NAME) who is currently living outside your household?
X04
What is the relationship of (NAME) to the respondent woman?
Respondent woman
Husband
Son or daughter
Son in-law or daughter-in-law
Grandfather or grand mother
Grandson or granddaughter
Father or mother
Father in law or mother in law
Brother or sister
Brother in law or sister in law
Uncle or aunt
Other relatives (including cousins)
Foster/step/adopted children
Not related
X05
What is the primary reason why (NAME) is currently living outside your household?
Education
Search for work
Job transfer /job opportunity
Marriage
Divorce/marriage dissolution
Death of spouse or partner
Family problems
Moved to join other family members
Return to original or previous home
Do not own agricultural land to work here / don’t have enough land
Poor quality of land or depleted soils
Health problems
Drought
Political factors
Others(Specify)
X06
Is (NAME) who is currently living outside your household working or looking for work?
Yes, currently working
Yes, currently looking for work
No
Don’t Know
X07
How long has (NAME) lived in his/her current location?
X08
What is the present marital status of (NAME)?
Unmarried
Married
Widowed
Divorced
Separated
Deserted by spouse
X09
Who does (NAME) live with in his/her current location?
Alone
Spouse
Children
Brother/sister
Other relatives
Others (Specify)
X10
What was the highest level of schooling that (NAME) completed before he/ she left the household?
Currently in class I
Completed class 1
Completed class 2
Completed class 3
Completed class 4
Completed class 5
Completed class 6
Completed class 7
Completed class 8
Completed class 9
Completed class 10
Completed Higher Secondary
BA/BSC pass
BA/BSC (honors)
MA/MSC/Kamil & above
Hafezia/Kiratia/Nurani madrasa
Child less than 5 years
Never attended school
Currently in Aanganwadi/Pre-school Education
X11
Before (NAME) left the household, what was his/ her work situation?
Paid employment – full time
Paid employment – part time
Self employment
Full time student
Part time student
Unemployed / looking for work
Retired from work all together
Housewife
Long term sick /physically challenged
Agriculture Labourer
X12
What is (NAME)’s current work situation?
Paid employment – full time
Paid employment – part time
Self employment
Full time student
Part time student
Unemployed / looking for work
Retired from work all together
Housewife
Long term sick /physically challenged
Agriculture Labourer
X13
What is (NAME)’s current occupation?
Brick Kiln
Paper Factory
Garments factory
Agriculture labour outside village
Construction work
Mill/Refinery
Salaried job (govt./Private Job)
Others (specify)
Don’t know
X14
Does (NAME) send any money to your household?
Yes
No
X15
In the past 12 months, how many times has (NAME) sent money to your household?
X16
How does (NAME) usually send money to your household?
Bank
Post office
Informal Agencies
Formal NGO agencies
Friends/Relatives
Others(Specify)
X17
In the past 12 months, how much money in total has (NAME) sent to your household?
X18
Does your household currently have a member who lived in another place for at least 6 months
Yes
No
X19
What was the last place that (NAME) lived in before he/she returned to your household?
Urban area within the country
Rural area within the country
Outside
X20
When did (NAME) last move to (PLACE)?
X21
When did (NAME) return to this household?
X22
What was the primary reason why (NAME) left the household in the last migration episode?
Education
Search for work
Job transfer /job opportunity
Marriage
Divorce/marriage dissolution
Death of spouse or partner
Family problems
Moved to join other family members
Return to original or previous home
Do not own agricultural land to work here / don’t have enough land
Poor quality of land or depleted soils
Health problems
Drought
Political factors
Others(Specify)
X23
What was the highest level of schooling that (NAME) completed before he/she left the household?
Currently in class I
Completed class 1
Completed class 2
Completed class 3
Completed class 4
Completed class 5
Completed class 6
Completed class 7
Completed class 8
Completed class 9
Completed class 10
Completed Higher Secondary
BA/BSC pass/Fazil
BA/BSC honors/Fazil (Hons)
MA/MSC/Kamil & above
Hafezia/Kiratia/Nurani madrasa
Child less than 5 years
Never attended school
Currently in Aanganwadi/Pre-school Education
X24
Did (NAME) go to school in (Place)
Yes
No
X25
What was (NAME’s) last work situation while residing in (PLACE)?
Paid employment – full time
Paid employment – part time
Self employment
Full time student
Part time student
Unemployed / looking for work
Retired from work all together
Housewife
Long term sick /physically challenged
Agriculture Labourer
X26
What is (NAME’s) last occupation while residing in (PLACE)?
Brick Kiln
Paper Factory
Garments factory
Agriculture labour outside village
Construction work
Mill/Refinery
Salaried job (govt./Private Job)
Others (Specify)
Don’t know
X27
Why did (NAME) return?
Could not get residence there
Could not get work there
No intention to stay there longer
Had accumulated enough money while living there
Temporary work there had come to an end for the season
Got expelled from there
Family reasons/problems here/there
Missed family/partner/friends here
Others(Specify)
X28
Did (NAME) send any money to this household when he/she was in (PLACE)?
Yes
No
X29
How did (NAME) usually send money to this household?
Bank
Post office
Informal Agencies
Formal NGO agencies
Friends/Relatives
Others (specify)
X30
Did (NAME) send money to this household for particular purposes when he/she was in (PLACE)?
Yes
No
X31
If yes, what were the main categories that (NAME) specified?
Education
Health
Rent(House/Land)
Marriage/Funeral
Cars/Trucks
Rebuild house
Build new house
Business
Land purchase
Others (Specify)
X32
Was the money that (NAME) sent used in the way that he/she specified?
Yes
No
X33
Has (NAME) ever sent money to your household for expenses specifically in response to the following events?
Drought
Flood
Earthquake
Cyclone/Storm
None
Others(Specify)
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