Surveypoint

Q01

Name of School

Q02

School Code:

Q03

District

Q04

State

Q05

Type of School

Co-ed

Only boys

Only girls

Q06

Level of school

Upper primary

Secondary

Higher secondary

Q07

No. of Teachers

Q07_1

Male

Q07_2

Female

Q07_3

Total

Q08

Students’ Enrollment

Q09A

Class-9

Q09A_1

Male

Q09A_2

Female

Q09A_3

Total

Q09B

Class-10

Q09B_1

Male

Q09B_2

Female

Q09B_3

Total

Q09C

Total number of students enrolled in the school (All classes)

Q09C_1

Male

Q09C_2

Female

Q09C_3

Total

A01

Auditorium

Yes

No

A02

Student access to Computer

Yes

No

A03

Separate functional toilets for boys and girls

Yes

No

A04

Playground

Yes

No

A05

Library

Yes

No

A06

Canteen

Yes

No

A07

Student Access to Television

Yes

No

A08

Sanitary tank

Yes

No

A09

Doctor/Nurse

Yes

No

A10

Counselor

Yes

No

A11

School transport for students

Yes

No

A12

Access to sports for both Boys & Girls

Yes

No

A13

Bulletin Board

Yes

No

A14

Population Education IEC Material on Display

Yes

No

A15

Access to clean drinking water

Yes

No

A16

Access to internet for students

Yes

No

A17

Access to internet for Teachers

Yes

No

B01

Recycling drive

Yes

No

B02

Tree plantation

Yes

No

B03

Environment day

Yes

No

B04

Water and Sanitation program

Yes

No

B05

Cleaning drive

Yes

No

B06

World population day

Yes

No

B07

National science day

Yes

No

B08

World AIDS day

Yes

No

B09

World No Tobacco day

Yes

No

B10

Women’s Day celebration

Yes

No

B11

AIDS Education Program

Yes

No

B12

Health/physical education camp

Yes

No

B13

Blood donation camp

Yes

No

C01

The following are some co-curricular activities that might have been conducted in your school during the last academic year in separate themes. Provide your response about themes covered against each activity.

C01_1

Quiz Competition

Yes

No

C01_2

Debate

Yes

No

C01_3

Folk Dance

Yes

No

C01_4

Role Play

Yes

No

C01_5

Painting/ Poster

Yes

No

C01_6

Essay writing

Yes

No

C02

If yes, select the theme

C02_1

Quiz Competition

Sustainable Development

Gender Issues

HIV/AIDS

Drug Abuse

Growing Up related issues

Respect and Care for Elders

C02_2

Debate

Sustainable Development

Gender Issues

HIV/AIDS

Drug Abuse

Growing Up related issues

Respect and Care for Elders

C02_3

Folk Dance

Sustainable Development

Gender Issues

HIV/AIDS

Drug Abuse

Growing Up related issues

Respect and Care for Elders

C02_4

Role Play

Sustainable Development

Gender Issues

HIV/AIDS

Drug Abuse

Growing Up related issues

Respect and Care for Elders

C02_5

Painting/ Poster

Sustainable Development

Gender Issues

HIV/AIDS

Drug Abuse

Growing Up related issues

Respect and Care for Elders

C02_6

Essay writing

Sustainable Development

Gender Issues

HIV/AIDS

Drug Abuse

Growing Up related issues

Respect and Care for Elders

D01

Parents Teachers Association

Exist

Don’t Exist

Functional

D02

Sports Association

Exist

Don’t Exist

Functional

D03

Eco Club

Exist

Don’t Exist

Functional

D04

Mothers-Teachers Association (MTA)

Exist

Don’t Exist

Functional

D05

Children’s Parliament

Exist

Don’t Exist

Functional

D06

NSS

Exist

Don’t Exist

Functional

D07

NCC

Exist

Don’t Exist

Functional

School Checklist Template -Form Fill

Name of School

School Code:

District

State

Type of School

Level of school

No. of Teachers var statement=document.write(localStorage.getItem('total'));

Male

Female

Total

Students’ Enrollment var statement=document.write(localStorage.getItem('total'));

Class-9 var statement=document.write(localStorage.getItem('total'));

Male

Female

Total

Class-10 var statement=document.write(localStorage.getItem('total'));

Male

Female

Total

Total number of students enrolled in the school (All classes) var statement=document.write(localStorage.getItem('total'));

Male

Female

Total

Auditorium

Student access to Computer

Separate functional toilets for boys and girls

Playground

Library

Canteen

Student Access to Television

Sanitary tank

Doctor/Nurse

Counselor

School transport for students

Access to sports for both Boys & Girls

Bulletin Board

Population Education IEC Material on Display

Access to clean drinking water

Access to internet for students

Access to internet for Teachers

Recycling drive

Tree plantation

Environment day

Water and Sanitation program

Cleaning drive

World population day

National science day

World AIDS day

World No Tobacco day

Women’s Day celebration

AIDS Education Program

Health/physical education camp

Blood donation camp

The following are some co-curricular activities that might have been conducted in your school during the last academic year in separate themes. Provide your response about themes covered against each activity. var statement=document.write(localStorage.getItem('total'));

Quiz Competition

Debate

Folk Dance

Role Play

Painting/ Poster

Essay writing

If yes, select the theme var statement=document.write(localStorage.getItem('total'));

Quiz Competition

Debate

Folk Dance

Role Play

Painting/ Poster

Essay writing

Parents Teachers Association

Sports Association

Eco Club

Mothers-Teachers Association (MTA)

Children’s Parliament

NSS

NCC

No. of Teachers

Students’ Enrollment

Class-9

Class-10

Total number of students enrolled in the school (All classes)

The following are some co-curricular activities that might have been conducted in your school during the last academic year in separate themes. Provide your response about themes covered against each activity.

If yes, select the theme