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Household Template 23 -Form Fill
HOUSEHOLD IDENTIFICATION
Q01
Village
Q02
District
Q03
Block
Q04
State
Q05
Project/Comparison area
Project
Comparison
Q06
Gram Panchayat name
Q07
Household No.
Q08
Unique Reference ID
Q09
Landmark
Q10
Mobile no.
Q11
Name of the household head
Q12
Name of the Respondent
Q13
Gender of the Respondent
Female
Male
Other
Q14
Does your household belong to APL or BPL category? (check ration card if available)
BPL
APL
Don’t know
Q15
Religion
Hindu
Muslim
Christian
Sikh
Buddhist/Neo-Buddhist
Jain
Jewish
Parsi/Zoroastrian
Sarna
No Religion
Others
Q16
Social classification (caste)
Schedule Caste
Schedule Tribe
Other Backward Caste(OBC)
General
others
Q17
Investigator Name
Q18
Date
Q19
Interview Start Time
Q20
Interview End Time
Q21
Interview Result
completed
no household member at home or no competent respondent in household at home at time of visit
entire household absent for extended period of time
postponed
refused
dwelling vacant or address not a dwelling
dwelling destroyed
dwelling not found
other
HOUSEHOLD INFORMATION AND OCCUPATION PROFILE
A01
Please tell me the names of all the people who live and take meals in this house.
A02
Sex
Male
Female
Other
A03
What is the relationship of this person with the head?
Head
Wife/Husband
Son/Daughter
Daughter-in-law/Son-in law
Grandchild
Father /Mother
Brother/Sister
Father-in law/Mother-in law
Nephew/Niece
Brother-in-law/Sister-in law
Other relatives
Domestic help
A04
What is the age of this person (in completed years)?
A05
How many years of education has this per son completed?
A06
Primary Activity Status of the person
Cultivation
Allied Agriculture (Livestock Rearing)
Agricultural Wage Labour
Non-agricultural wage labour/wage work
Artisan/Independent work
Petty shop/small business
Organized trade/business (if >5 employees)
Salaried employee
Profession NEC (specialties within a vocational group)
Retired/Pension
Household work/ Housewife
Student
Looking for work/unemployed
Too young/unfit to work
Others
A07
Was the person involved in this activity prior to May 2020?
Yes
No
A08
Household income between May 2019 and May 2020
LIVESTOCK OWNERSHIP, PRODUCTION, MAINTENANCE AND SALE
B01
Did you or anyone else from your household receive any training/information on livestock management before May 2020? (like goat, sheep, poultry, etc.)
Yes
No
B01A
For what all livestock have you received training/ information ? (MULTIPLE RESP0NSE)
Goatery
Poultry
Sheep
Others (Specify)
B02
Do you recall receiving training/information on the following livestock management practices before may 2020?
B02_1
Feeding quantity and periodicity
Yes
No
B02_2
Construction of goat/poultry shed/cattle shed, or any other structure for keeping the livestock
Yes
No
B02_3
Hygiene and sanitation of shed for better livestock management
Yes
No
B02_4
Identification of major diseases in livestock
Yes
No
B02_5
Vaccination for protecting against diseases
Yes
No
B02_6
Selection of quality breed suitable for local condition
Yes
No
B02_7
Deworming
Yes
No
B02_8
Castration
Yes
No
B02_9
Artificial Insemination
Yes
No
B02_10
Clean milk production
Yes
No
B03
Did you adopt this practice?
B03_1
Feeding quantity and periodicity
Yes
No
B03_2
Construction of goat/poultry shed/cattle shed, or any other structure for keeping the livestock
Yes
No
B03_3
Hygiene and sanitation of shed for better livestock management
Yes
No
B03_4
Identification of major diseases in livestock
Yes
No
B03_5
Vaccination for protecting against diseases
Yes
No
B03_6
Selection of quality breed suitable for local condition
Yes
No
B03_7
Deworming
Yes
No
B03_8
Castration
Yes
No
B03_9
Artificial Insemination
Yes
No
B03_10
Clean milk production
Yes
No
B04
Why did you not adopt this practice?
B04_1
Feeding quantity and periodicity
Couldn’t understand the content of the training
No follow-up training happened
Did not have enough money to invest in this practice
I have received training recently and will adopt the recommended practice
Livestock too young for Artificial Insemination
Others (specify)
B04_2
Construction of goat/poultry shed/cattle shed, or any other structure for keeping the livestock
Couldn’t understand the content of the training
No follow-up training happened
Did not have enough money to invest in this practice
I have received training recently and will adopt the recommended practice
Livestock too young for Artificial Insemination
Others (specify)
B04_3
Hygiene and sanitation of shed for better livestock management
Couldn’t understand the content of the training
No follow-up training happened
Did not have enough money to invest in this practice
I have received training recently and will adopt the recommended practice
Livestock too young for Artificial Insemination
Others (specify)
B04_4
Identification of major diseases in livestock
Couldn’t understand the content of the training
No follow-up training happened
Did not have enough money to invest in this practice
I have received training recently and will adopt the recommended practice
Livestock too young for Artificial Insemination
Others (specify)
B04_5
Vaccination for protecting against diseases
Couldn’t understand the content of the training
No follow-up training happened
Did not have enough money to invest in this practice
I have received training recently and will adopt the recommended practice
Livestock too young for Artificial Insemination
Others (specify)
B04_6
Selection of quality breed suitable for local condition
Couldn’t understand the content of the training
No follow-up training happened
Did not have enough money to invest in this practice
I have received training recently and will adopt the recommended practice
Livestock too young for Artificial Insemination
Others (specify)
B04_7
Deworming
Couldn’t understand the content of the training
No follow-up training happened
Did not have enough money to invest in this practice
I have received training recently and will adopt the recommended practice
Livestock too young for Artificial Insemination
Others (specify)
B04_8
Castration
Couldn’t understand the content of the training
No follow-up training happened
Did not have enough money to invest in this practice
I have received training recently and will adopt the recommended practice
Livestock too young for Artificial Insemination
Others (specify)
B04_9
Artificial Insemination
Couldn’t understand the content of the training
No follow-up training happened
Did not have enough money to invest in this practice
I have received training recently and will adopt the recommended practice
Livestock too young for Artificial Insemination
Others (specify)
B04_10
Clean milk production
Couldn’t understand the content of the training
No follow-up training happened
Did not have enough money to invest in this practice
I have received training recently and will adopt the recommended practice
Livestock too young for Artificial Insemination
Others (specify)
B05
Who provided you these trainings/information?
Pashu Sakhi/SLBC coordinator
Animal husbandry department
Veterinary doctor/ Para vet
Informed person/Lead livestock farmer in the village
Block Programme Manager (SRLM/NRLM)
Community Resource Person
Others
Don’t know
B06
Has adoption of these practices benefitted you?
Yes, to a large extent
Yes, somewhat
Not benefitted
Don’t know
B07
In what ways have you benefitted?
Improved productivity of livestock
Better health condition of livestock
Lower cost of health management
Others__________
B08
Has adoption of these practices led to increase in income from sale of livestock and livestock products?
Yes, very much
Yes, to some extent
No increase in income
B09
Did you own [livestock name] in May 2020?
B09_1
Cow
Yes
No
B09_2
Bullock
Yes
No
B09_3
Buffalo
Yes
No
B09_4
Chicken
Yes
No
B09_5
Duck
Yes
No
B09_6
Goat
Yes
No
B09_7
Sheep
Yes
No
B10
How many [livestock] did you own in May 2020?
B10_1
Cow
B10_2
Bullock
B10_3
Buffalo
B10_4
Chicken
B10_5
Duck
B10_6
Goat
B10_7
Sheep
B11
How many [livestock] did you buy between May 2019 - May 2020?
B11_1
Cow
B11_2
Bullock
B11_3
Buffalo
B11_4
Chicken
B11_5
Duck
B11_6
Goat
B11_7
Sheep
B12
How much money did you spend to buy [livestock]? (Rs.)
B12_1
Cow
B12_2
Bullock
B12_3
Buffalo
B12_4
Chicken
B12_5
Duck
B12_6
Goat
B12_7
Sheep
B13
How many [livestock] did you sell between May 2019 - May 2020?
B13_1
Cow
B13_2
Bullock
B13_3
Buffalo
B13_4
Chicken
B13_5
Duck
B13_6
Goat
B13_7
Sheep
B14
How much money did you get by selling [livestock]? (Rs.)
B14_1
Cow
B14_2
Bullock
B14_3
Buffalo
B14_4
Chicken
B14_5
Duck
B14_6
Goat
B14_7
Sheep
B15
Have you produced [livestock product name] in the last 30 days?
B15_1
Goat Milk (Litres)
Yes
No
B15_2
Goat Milk products (e.g. khoya.) (in kg)
Yes
No
B15_3
Other cattle milk (in Liter)
Yes
No
B15_4
Other cattle milk products (Including ghee, curd, buttermilk etc.) (in Liter)
Yes
No
B15_5
Meat (in Kg)
Yes
No
B15_6
Egg (number)
Yes
No
B15_7
Wool (Kg)
Yes
No
B15_8
Farmyard manure (FYM) (Kg)
Yes
No
B15_9
Dung cake (Kg)
Yes
No
B16
How much quantity of [livestock product] did you produce in the last 30 days?
B16_1
Goat Milk (Litres)
B16_2
Goat Milk products (e.g. khoya.) (in kg)
B16_3
Other cattle milk (in Liter)
B16_4
Other cattle milk products (Including ghee, curd, buttermilk etc.) (in Liter)
B16_5
Meat (in Kg)
B16_6
Egg (number)
B16_7
Wool (Kg)
B16_8
Farmyard manure (FYM) (Kg)
B16_9
Dung cake (Kg)
B17
Did you sell any [livestock product] in the last 30 days?
B17_1
Goat Milk (Litres)
Yes
No
B17_2
Goat Milk products (e.g. khoya.) (in kg)
Yes
No
B17_3
Other cattle milk (in Liter)
Yes
No
B17_4
Other cattle milk products (Including ghee, curd, buttermilk etc.) (in Liter)
Yes
No
B17_5
Meat (in Kg)
Yes
No
B17_6
Egg (number)
Yes
No
B17_7
Wool (Kg)
Yes
No
B17_8
Farmyard manure (FYM) (Kg)
Yes
No
B17_9
Dung cake (Kg)
Yes
No
B18
How much quantity of the [livestock product] did you sell in the last 30 days?
B18_1
Goat Milk (Litres)
B18_2
Goat Milk products (e.g. khoya.) (in kg)
B18_3
Other cattle milk (in Liter)
B18_4
Other cattle milk products (Including ghee, curd, buttermilk etc.) (in Liter)
B18_5
Meat (in Kg)
B18_6
Egg (number)
B18_7
Wool (Kg)
B18_8
Farmyard manure (FYM) (Kg)
B18_9
Dung cake (Kg)
B19
Market price at which [livestock product] was sold?
B19_1
Goat Milk (Litres)
B19_2
Goat Milk products (e.g. khoya.) (in kg)
B19_3
Other cattle milk (in Liter)
B19_4
Other cattle milk products (Including ghee, curd, buttermilk etc.) (in Liter)
B19_5
Meat (in Kg)
B19_6
Egg (number)
B19_7
Wool (Kg)
B19_8
Farmyard manure (FYM) (Kg)
B19_9
Dung cake (Kg)
B20
Total income from sale of [livestock product] in the last 30 days??
B20_1
Goat Milk (Litres)
B20_2
Goat Milk products (e.g. khoya.) (in kg)
B20_3
Other cattle milk (in Liter)
B20_4
Other cattle milk products (Including ghee, curd, buttermilk etc.) (in Liter)
B20_5
Meat (in Kg)
B20_6
Egg (number)
B20_7
Wool (Kg)
B20_8
Farmyard manure (FYM) (Kg)
B20_9
Dung cake (Kg)
B21
Have you produced [livestock product name] between May 2019-May 2020?
B21_1
Goat Milk (Litres)
Yes
No
B21_2
Goat Milk products (e.g. khoya.) (in kg)
Yes
No
B21_3
Other cattle milk (in Liter)
Yes
No
B21_4
Other cattle milk products (Including ghee, curd, buttermilk etc.) (in Liter)
Yes
No
B21_5
Meat (in Kg)
Yes
No
B21_6
Egg (number)
Yes
No
B21_7
Wool (Kg)
Yes
No
B21_8
Farmyard manure (FYM) (Kg)
Yes
No
B21_9
Dung cake (Kg)
Yes
No
B22
How much quantity of [livestock product] did you produce between May 2019 - May 2020?
B22_1
Goat Milk (Litres)
B22_2
Goat Milk products (e.g. khoya.) (in kg)
B22_3
Other cattle milk (in Liter)
B22_4
Other cattle milk products (Including ghee, curd, buttermilk etc.) (in Liter)
B22_5
Meat (in Kg)
B22_6
Egg (number)
B22_7
Wool (Kg)
B22_8
Farmyard manure (FYM) (Kg)
B22_9
Dung cake (Kg)
B23
Did you sell any [livestock product] between May 2019 - May 2020?
B23_1
Goat Milk (Litres)
Yes
No
B23_2
Goat Milk products (e.g. khoya.) (in kg)
Yes
No
B23_3
Other cattle milk (in Liter)
Yes
No
B23_4
Other cattle milk products (Including ghee, curd, buttermilk etc.) (in Liter)
Yes
No
B23_5
Meat (in Kg)
Yes
No
B23_6
Egg (number)
Yes
No
B23_7
Wool (Kg)
Yes
No
B23_8
Farmyard manure (FYM) (Kg)
Yes
No
B23_9
Dung cake (Kg)
Yes
No
B24
How much quantity of the [livestock product] did you sell between May 2019 and May 2020?
B24_1
Goat Milk (Litres)
B24_2
Goat Milk products (e.g. khoya.) (in kg)
B24_3
Other cattle milk (in Liter)
B24_4
Other cattle milk products (Including ghee, curd, buttermilk etc.) (in Liter)
B24_5
Meat (in Kg)
B24_6
Egg (number)
B24_7
Wool (Kg)
B24_8
Farmyard manure (FYM) (Kg)
B24_9
Dung cake (Kg)
B25
Market price at which the [livestock product] was sold?
B25_1
Goat Milk (Litres)
B25_2
Goat Milk products (e.g. khoya.) (in kg)
B25_3
Other cattle milk (in Liter)
B25_4
Other cattle milk products (Including ghee, curd, buttermilk etc.) (in Liter)
B25_5
Meat (in Kg)
B25_6
Egg (number)
B25_7
Wool (Kg)
B25_8
Farmyard manure (FYM) (Kg)
B25_9
Dung cake (Kg)
B26
Total income from sale of [livestock product]
B26_1
Goat Milk (Litres)
B26_2
Goat Milk products (e.g. khoya.) (in kg)
B26_3
Other cattle milk (in Liter)
B26_4
Other cattle milk products (Including ghee, curd, buttermilk etc.) (in Liter)
B26_5
Meat (in Kg)
B26_6
Egg (number)
B26_7
Wool (Kg)
B26_8
Farmyard manure (FYM) (Kg)
B26_9
Dung cake (Kg)
B27
Where do you sell these livestock products?
Selling at local market
Selling at TGT’s pashu bazaar/Livestock Business Centre
Selling at market outside my village
Selling at milk collection center/dairy
Selling to traders
Selling to government buyers
Selling to corporate retail outlets/ buyers
Exporting/sending produce out of the state
Sell it on my own in the village
Others (Specify)______________
B28
Where did you sell these livestock products before May 2020?
Selling at local market
Selling at market outside my village
Selling at milk collection center/dairy
Selling to traders
Selling to government buyers
Selling to corporate retail outlets/ buyers
Exporting/sending produce out of the state
Sell it on my own in the village
Others (Specify)______________
B29
Did you own [livestock name] in the last 30 days?
B29_1
Cow
Yes
No
B29_2
Bullock
Yes
No
B29_3
Buffalo
Yes
No
B29_4
Chicken
Yes
No
B29_5
Duck
Yes
No
B29_6
Goat
Yes
No
B29_7
Sheep
Yes
No
B30
How much did you spend on feed and fodder in the last 30 days?
B30_1
Cow
B30_2
Bullock
B30_3
Buffalo
B30_4
Chicken
B30_5
Duck
B30_6
Goat
B30_7
Sheep
B31
How much was the cost of Veterinary services in the last 30 days?
B31_1
Cow
B31_2
Bullock
B31_3
Buffalo
B31_4
Chicken
B31_5
Duck
B31_6
Goat
B31_7
Sheep
B32
How much was the cost of Hired labor (if any) in the last 30 days?
B32_1
Cow
B32_2
Bullock
B32_3
Buffalo
B32_4
Chicken
B32_5
Duck
B32_6
Goat
B32_7
Sheep
B33
Other costs in the last 30 days? (transportation, ropes, chains etc.)
B33_1
Cow
B33_2
Bullock
B33_3
Buffalo
B33_4
Chicken
B33_5
Duck
B33_6
Goat
B33_7
Sheep
B34
Total expense
B34_1
Cow
B34_2
Bullock
B34_3
Buffalo
B34_4
Chicken
B34_5
Duck
B34_6
Goat
B34_7
Sheep
B35
Livestock
B35_1
Cow
Yes
No
B35_2
Bullock
Yes
No
B35_3
Buffalo
Yes
No
B35_4
Chicken
Yes
No
B35_5
Duck
Yes
No
B35_6
Goat
Yes
No
B35_7
Sheep
Yes
No
B36
How much did you spend on feed and fodder between May 2019 - May 2020?
B36_1
Cow
B36_2
Bullock
B36_3
Buffalo
B36_4
Chicken
B36_5
Duck
B36_6
Goat
B36_7
Sheep
B37
How much was the cost of Veterinary services May 2019 - May 2020?
B37_1
Cow
B37_2
Bullock
B37_3
Buffalo
B37_4
Chicken
B37_5
Duck
B37_6
Goat
B37_7
Sheep
B38
How much was the cost of Hired labor (if any) between May 2019 - May 2020?
B38_1
Cow
B38_2
Bullock
B38_3
Buffalo
B38_4
Chicken
B38_5
Duck
B38_6
Goat
B38_7
Sheep
B39
Other costs (transportation, ropes, chains etc.)
B39_1
Cow
B39_2
Bullock
B39_3
Buffalo
B39_4
Chicken
B39_5
Duck
B39_6
Goat
B39_7
Sheep
B40
Total expense
B40_1
Cow
B40_2
Bullock
B40_3
Buffalo
B40_4
Chicken
B40_5
Duck
B40_6
Goat
B40_7
Sheep
B41
From where do you get the veterinary services for your livestock?
Community Resource Person
Local veterinary Doctor
Veterinary Hospital
LBC Health Camp/Pashu sakhi
Did not seek for any veterinary services
Others
B42
From where did you get the veterinary services before May 2020?
Community Resource Person
Local veterinary Doctor
Veterinary Hospital
Did not seek for any veterinary services
Others
B43
From where do you buy the feed and fodder?
Buying from Local Level retail supplier
Buying from wholesaler outside my village
Buying from PO/PG/Federation
The Goat Trust’s Livestock Business Centre/From Pashu Sakhi
Use feed obtained from my own farm
Collect NTFP from forest as feed
Other person/neighbour’s farm
Others
B44
From where did you buy the feed and fodder before May 2020?
Buying from Local Level retail supplier
Buying from wholesaler outside my village
Buying from PO/PG/Federation
Use feed obtained from my own farm
Collect NTFP from forest as feed
Other person/neighbour’s farm
Others
INVESTMENT FOR UPSCALING LIVELIHOOD ACTIVITIES
C01
Had you or your household member taken any loan before May 2020?
Yes
No
C01A
When was the loan taken?
C02
What was the amount borrowed?
C03
Credit agency from which the loan was taken?
Bank
MFI
SHG
SHG Federation
Producer group
Money lender
Relatives or friends
Others (Specify)
C04
Rate of interest at which the loan was given?
C05
Purpose of loan?
Medical Expenses
Education of children
Social events like funerals, marriage, festivals etc.
Repayment of another loan
Purchase of agriculture inputs (seeds, fertilizer)
Purchase of Agriculture Assets
Purchase other household Assets
Repair and maintenance of house and other assets
For setting up goatery unit/buying goats
For setting up poultry unit/buying chicks
Buying other livestock
Opening of Small Shop
Setting Up Small Business
Buying inventory for the shop
Buying cow/milch animal
Others
C06
Type of security
surety security or guarantee by third party
mortgage of immovable property
ornaments
agricultural commodities
Livestock
Others
None
C07
Have you repaid the loan?
Fully repaid
Partially repaid
Not paid
C08
Because of some reasons have you not been able to pay installments for this loan on time?
Yes, sometimes
Yes, often
No
C09A
Why did you face difficulty in repaying the loan?
Installment amount is high
Interest rate is high
Crop failure
Installment is monthly, but my income is seasonal
Unexpected expenses came up
Unexpected loss of income
Others (specify)
I did not face any difficulty
C09B
What is your most preferred source for availing credit currently?
SHG
Bank
MFI (microfinance)
Money lender
Relatives or friends
Others (Specify)
C10
Did your HH make any investment in livestock between May 2019 and May 2020?
Yes
No
C11
What was the source of this investment?
Bank
MFI
SHG
SHG Federation
Producer group (PG)
Own savings
Money lender
Relatives or friends
Others (Specify)
ASSET OWNERSHIP AND STANDARD OF LIVING
D01
Is this house owned by you, a rented accommodation or has been given to you by the government?
D01A
Current
Own house
Rented
Provided by the Govt
Others (specify) ________
D01B
Before May 2020
Own house
Rented
Provided by the Govt
Others (specify) ________
D02
Do own any land?
D02A
Current
Yes
No
D02B
Before May 2020
Yes
No
D03
Do you or any one in your household have a personal Bank Account?
D03A
Current
Yes, I own it individually
Yes, I own it jointly
Yes, a family member has
No account owned
D03B
Before May 2020
Yes, I own it individually
Yes, I own it jointly
Yes, a family member has
No account owned
D04
Look at the floor and code the main material of the floor.
D04A
Current
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)
D04B
Before May 2020
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)
D05
Look at the roof and code the main material of the roof.
D05A
Current
Mud/clay/earth
Thatch / palm leaf / reed / grass
Sod / mud and grass mixture
Plastic / polythene sheeting
Rustic mat
Raw wood planks / timber
Unburnt brick
Loosely packed stone
Metal / GI
Wood
Calamine / cement fiber
Asbestos sheets
RCC / RBC / cement / concrete
Roofing shingles
Tiles
Slate
Burnt brick
No roof
Other (specify)
D05B
Before May 2020
Mud/clay/earth
Thatch / palm leaf / reed / grass
Sod / mud and grass mixture
Plastic / polythene sheeting
Rustic mat
Raw wood planks / timber
Unburnt brick
Loosely packed stone
Metal / GI
Wood
Calamine / cement fiber
Asbestos sheets
RCC / RBC / cement / concrete
Roofing shingles
Tiles
Slate
Burnt brick
No roof
Other (specify)
D06
Look at the exterior walls and code the main material of the walls.
D06A
Current
No walls
Cane / palm / trunks / bamboo
Mud
Grass / reeds / thatch
Bamboo with mud
Stone with mud
Plywood
Cardboard
Unburnt brick
Raw wood / reused wood
Cement / concrete
Stone with lime / cement
Burnt bricks
Cement blocks
Wood planks / shingles
GI/metal/asbestos sheets
Other
D06B
Before May 2020
No walls
Cane / palm / trunks / bamboo
Mud
Grass / reeds / thatch
Bamboo with mud
Stone with mud
Plywood
Cardboard
Unburnt brick
Raw wood / reused wood
Cement / concrete
Stone with lime / cement
Burnt bricks
Cement blocks
Wood planks / shingles
GI/metal/asbestos sheets
Other
D07
How many rooms are there in this house?
D07A
Current
D07B
Before May 2020
D08
Do you have a separate room for cooking?
D08A
Current
Yes
No
D08B
Before May 2020
Yes
No
D09
Do you have a window in your house?
D09A
Current
Yes
No
D09B
Before May 2020
Yes
No
D10
What type of window(s)?
D10A
Current
Open Windows
Windows with glass
Windows with screens
Windows with curtains or shutters
D10B
Before May 2020
Open Windows
Windows with glass
Windows with screens
Windows with curtains or shutters
D11
What type of toilet facility do you have?
D11A
Current
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
Dry toilet
No facility/uses open space or field
Shared/community toilet
Other (specify)
D11B
Before May 2020
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
Dry toilet
No facility/uses open space or field
Shared/community toilet
Other (specify)
D12
What is the main source of lighting?
D12A
Current
Lantern
Kerosene lamp
Candle
Electric
LPG/Battery
Solar Energy
None
Others (Specify)
D12B
Before May 2020
Lantern
Kerosene lamp
Candle
Electric
LPG/Battery
Solar Energy
None
Others (Specify)
D13
What type of fuel does your household mainly use for cooking?
D13A
Current
Electricity
LPG
Natural gas
Biogas
Kerosene
Charcoal
Coal
Wood / straw/leaves
Agricultural crop waste
Animal dung
No food cooked in the house
Other (specify)
D13B
Before May 2020
Electricity
LPG
Natural gas
Biogas
Kerosene
Charcoal
Coal
Wood / straw/leaves
Agricultural crop waste
Animal dung
No food cooked in the house
Other (specify)
D14
Does your household own any of the following items?
D14_1
Electricity
Yes
No
D14_2
Mattress
Yes
No
D14_3
Pressure cooker
Yes
No
D14_4
Chair
Yes
No
D14_5
Cot/ Bed
Yes
No
D14_6
Table
Yes
No
D14_7
Electric fan
Yes
No
D14_8
Radio/Transistor
Yes
No
D14_9
Sewing machine
Yes
No
D14_10
Clock or watch
Yes
No
D14_11
Bicycle
Yes
No
D14_12
Almirah
Yes
No
D14_13
Black & White television
Yes
No
D14_14
Colour television
Yes
No
D14_15
Mobile Phone
Yes
No
D14_16
Landline Phone
Yes
No
D14_17
Refrigerator
Yes
No
D14_18
Air conditioner / Cooler
Yes
No
D14_19
Washing Machine
Yes
No
D14_20
Internet
Yes
No
D14_21
Computer
Yes
No
D14_22
Motorcycle/scooter
Yes
No
D14_23
Car/Jeep
Yes
No
D14_24
Water pump
Yes
No
D14_25
Thresher
Yes
No
D14_26
Tractor
Yes
No
D14_27
Animal drawn cart
Yes
No
D14_28
Tiller/ Cultivator
Yes
No
D14_29
Power sprayer
Yes
No
D15
What is the main source of drinking water for members of your household?
D15A
Current
Piped water into dwelling
Piped water into yard/plot
Public tap/standpipe
Own Tube well/borehole/ handpump
Protected spring
Unprotected spring
Surface water (river/canal/lake)
Protected dug well
Unprotected dug well
Rainwater collection
Public handpump
Tanker truck
Cart with small tank
Surface water (river / dam / lake / pond / stream / canal / irrigation channel)
Bottled water
Community RO Plant
Other (specify)
D15B
Before May 2020
Piped water into dwelling
Piped water into yard/plot
Public tap/standpipe
Own Tube well/borehole/ handpump
Protected spring
Unprotected spring
Surface water (river/canal/lake)
Protected dug well
Unprotected dug well
Rainwater collection
Public handpump
Tanker truck
Cart with small tank
Surface water (river / dam / lake / pond / stream / canal / irrigation channel)
Bottled water
Community RO Plant
Other (specify)
WOMEN EMPOWERMENT SECTION
E01
Who had the most say in decision-making regarding the following issues before May 2020?
F01_1
What food items to purchase?
Respondent
Husband
Senior Male
Senior Female
No children
Not Applicable
Others
F01_2
How many children to have?
Respondent
Husband
Senior Male
Senior Female
No children
Not Applicable
Others
F01_3
What to do if you fall sick?
Respondent
Husband
Senior Male
Senior Female
No children
Not Applicable
Others
F01_4
How much money to spend on a social function such as marriage?
Respondent
Husband
Senior Male
Senior Female
No children
Not Applicable
Others
F01_5
What to do if a child falls sick?
Respondent
Husband
Senior Male
Senior Female
No children
Not Applicable
Others
F01_6
Whom your children should marry?
Respondent
Husband
Senior Male
Senior Female
No children
Not Applicable
Others
F01_7
Children’s education: whether all children should be sent to school?
Respondent
Husband
Senior Male
Senior Female
No children
Not Applicable
Others
F01_8
Nutrition of children: How many meals to have, when to eat and what to eat?
Respondent
Husband
Senior Male
Senior Female
No children
Not Applicable
Others
F02
How much input did you have before May 2020 in making decisions about [ACTIVITY]?
F02_1
Food crop farming: These are 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
F02_2
Cash crop farming: These are 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
F02_3
Livestock raising
No input or input in few decisions
Input into some decisions
Input into most or all decisions
No decision made
F02_4
Non-farm economic activities: This would include things like running a 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
F02_5
Wage and salary employment: This could be work that is paid for in cash or in-kind, including both agriculture and other wage work
No input or input in few decisions
Input into some decisions
Input into most or all decisions
No decision made
F02_6
Major household expenditures (such as buying movable and immovable assets, like jewelry, land, house, etc.)
No input or input in few decisions
Input into some decisions
Input into most or all decisions
No decision made
F02_7
Minor household expenditures (such as food for daily consumption, consumer durables or other household needs)
No input or input in few decisions
Input into some decisions
Input into most or all decisions
No decision made
F02_8
Borrowing from SHGs
No input or input in few decisions
Input into some decisions
Input into most or all decisions
No decision made
F02_9
Borrowing from MFIs/Banks
No input or input in few decisions
Input into some decisions
Input into most or all decisions
No decision made
F02_10
Borrowing from informal credit sources
No input or input in few decisions
Input into some decisions
Input into most or all decisions
No decision made
F02_11
Use of savings in the family
No input or input in few decisions
Input into some decisions
Input into most or all decisions
No decision made
F02_12
Use of income earned by you/husband in family
No input or input in few decisions
Input into some decisions
Input into most or all decisions
No decision made
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