Surveypoint

A01

Name of the Province

A02

Province Code

A03

Name of District

A04

District Code

A05

Name of the Village/Town

A06

Village/Town Code

A07

Total Number of Households in the Village/Town

A08

Number of Households with Access to Grid Electricity

A09

Total Population

A09A

Total Population (Male)

A09B

Total Population (Female)

B01

Which of the following transport access types are available to community members?

Paved Road

Unpaved Road

Paths

Lake/River

Others (Specify)

B02

What is the most popular mode of transport used by individuals for travelling to the nearby town/city center/market

Bus

Van

Truck

Motorbike

Bicycle

Animal Driven Cart

Others (Specify)

None

B03

What kind of challenges are faced in reaching the nearest town?

Improper roads

Lack of transport facilities

Expensive

Vehicles are in bad condition

Too crowded

Too Slow

Others

None

C01

Have there been any incidents of attack such as (bomb blasts/kidnapping/vandalism) in your locality in the last 6 months?

Yes

No

C02

If yes, how many such incidents have taken place?

C03

Have there been any displacements due to extremist attacks?

Yes

No

C04

How frequently do such incidents take place?

More than Once Week

Once a Week

Once a Month

More than once a Month

Once in a fortnight

More than once in a fortnight

Lighting Village Town Information -Form Fill