Surveypoint

Q01

Name of State

Q02

Name of District

Q03

Date of interview

Q04

Name of interviewer

Q05

Location

Rural

Urban

Q06

Name of Respondent

Q07

Gender of Respondent

Male

Female

Q08

What is your age?

Q09

Telephone number

Q10

What is the highest level of education you have completed?

Illiterate

Class_1

Class_2

Class_3

Class_4

Class_5

Class_6

Class_7

Class_8

Class_9

Class_10

Class_11

Class_12

Graduate

Post-graduate

Other (specify)

Q11

What is your marital status?

Never married

Married, living with spouse

Married living away

Divorced/ Separated

Widowed

Not married but staying with someone

Other (specify)

Q12

What is your relationship to the head of household?

Head of Household

Wife

Daughter

Daughter-in-law

Grandchild

Mother

Sister

Mother-in-law

Niece

Sister-in-law

Other (specify)

Q13

In the past one year, did you ever work outside of the house for pay in cash or in kind?

Yes

No

Q14

What is your religion?

Hinduism

Islam

Christianity

Sikhism

Jainism

Buddhism

Zoroastrianism

Other (specify)

Q15

What is your caste group?

General Caste

Scheduled Tribe

Scheduled Caste

Other Backward Caste

Q16

Are you a member of an SHG?

Yes

No

A01

Have you attended a Gram Sabha or public meeting called by the village Panchayat in the last one year?

Yes

No

A02

Why not?

Do not have enough time

Care work/other responsibilities

Someone else from the household goes

Not allowed

Not interested

Other (specify)

A03

Did you vote in the most recent national election for Lok Sabha in 2019?

Yes

No

A04

Did you vote in the most recent panchayat election?

Yes

No

B01

When deciding whether to vote or whom to vote for, do you make this decision alone or with others?

I decide alone

I decide with others

B01A

Who, other than yourself, has the most say about whether you vote or whom you vote for?

male head of household

female head of household

other male household member

other female household member

male outside of household

female outside of household

B02

Imagine that you disagree with this person’s choice about who to vote for. Would you vote for the person you preferred or the person they suggested you vote for?

My preference

Their preference

B02A

Does your household usually discuss who to vote for in an election?

No

Sometimes

Always

B02B

Does your household usually all vote for the same person?

No

Sometimes

Always

B03A

If someone from your household wanted to vote differently from everyone else, would they be able to express this desire and vote as they pleased?

Yes, they can express this desire as well as vote as they want

they could express this desire but would not be allowed to vote as they want

they could not express this desire but could vote as they want

they cannot express this desire and count not vote as they want

B03B

If someone from your household wanted to vote differently from everyone else, would they be able to express this desire and vote as they pleased, even if it reduced the chances that the household’s preferred candidate won?

Yes, they can express this desire as well as vote as they want

they could express this desire but would not be allowed to vote as they want

they could not express this desire but could vote as they want

they cannot express this desire and count not vote as they want

B03C

If someone from your household wanted to vote differently from everyone else, would they be able to express this desire and vote as they pleased, even if it reduced the chances that the household would receive a benefit, such as money or the promise of program enlistment?

Yes, they can express this desire as well as vote as they want

they could express this desire but would not be allowed to vote as they want

they could not express this desire but could vote as they want

they cannot express this desire and count not vote as they want

B03D

If someone from your household wanted to vote differently from everyone else, would they be able to express this desire and vote as they pleased, even if it angered the head of the household?

Yes, they can express this desire as well as vote as they want

they could express this desire but would not be allowed to vote as they want

they could not express this desire but could vote as they want

they cannot express this desire and count not vote as they want

B04

I am going to read several factors that sometimes shape people's decision over whether or not to vote. Please tell me which of these factors most strongly shapes your decision to vote.

I vote based on what my spouse or another person in my household/community tell me to do.

I vote based on what my family or community expects and thinks is expected of me to do.

I vote based on what I personally want to do.

None of the above.

B05

If you wanted to go and vote, would you get permission if:

YES

NO

B05_1

Your household thinks you will vote for a different candidate/party than the one they support?

YES

NO

B05_2

The lines are expected to be very long and you might have to stand outside the polling station while waiting?

YES

NO

B05_3

There’s a chance of fights breaking out at the polling station?

YES

NO

B05_4

It will interfere with your household duties?

YES

NO

B06

Imagine there is a discussion about which political party or candidate is worth supporting in the next election amongst members in your household.

YES

NO

B06_1

Would you openly express your preference in this discussion about who to support?

YES

NO

B06_2

Would you openly express your preference in this discussion about who to support, even if it conflicts with preferences of others in your household?

YES

NO

B06_3

Would you openly express your preference in this discussion about who to support, even if it would anger a male household member?

YES

NO

B07

If you and your spouse or the head of your household disagreed about politics, would you adopt their preferences?

I would keep my own preferences

I would adopt their preferences

B08A

If you wanted to go to a Gram Sabha meeting but you had to take care of the cooking, would you go?

YES

NO

B08B

If you wanted to go to a Gram Sabha meeting but your spouse or the head of your household was already going, would you go?

YES

NO

B08C

If you wanted to go to a Gram Sabha meeting but your spouse or the head of your household was already going and did not want you to go, would you go?

YES

NO

B09

I am going to read several factors that sometimes shape people's decision over whether or not to attend Gram Sabha meetings. Please tell me which of these factors most strongly shapes your decision to attend or not attend Gram Sabha meetings.

I attend based on what my spouse or another person in my household/community tell me to do.

I attend based on what my family or community expects and thinks is expected of me to do.

I attend based on what I personally want to do.

None of the above.

B10

How interested are you in politics?

Not at all

Somewhat

Very

C01

Which statement do you agree with most strongly?

Women should attend the Gram Sabha even if a male member of their household is already attending.

Women should stay at home and not attend the Gram Sabha if a male member of their household is already attending.

C02

Do you think it's appropriate for women to speak their minds in discussions about politics?

Yes

No

C03

To what extent do you agree that a good woman always supports her husband’s opinions?

Strongly agree

Somewhat agree

Somewhat disagree

Strongly disagree

C04

To what extend do you agree that the husband should make all the decisions in the household about

Strongly agree

Somewhat agree

Somewhat disagree

Strongly disagree

C04A

how to manage household assets and income.

Strongly agree

Somewhat agree

Somewhat disagree

Strongly disagree

C04B

Politics.

Strongly agree

Somewhat agree

Somewhat disagree

Strongly disagree

D01

Thinking about your village, how many women out of 10, would state that women should attend the Gram Sabha even if a male member of their household is already attending.

D01A

Thinking about your village, how many men out of 10, would state that women should attend the Gram Sabha even if a male member of their household is already attending.

D03

How much do you agree with the following statement "The women in my village have no say in government decisions"?

YES

NO

D04

In your village, are women ever stopped from participating in politics, such as attending a gram sabha or speaking with a political representative.

YES

NO

E01

Who are the main people you discuss political issues or topics with?

None

My husband

Some other male member in the house

Some other female member in the house

Women outside the household

Men outside the household

Other (specify)

F01

During the last elections, did anybody offer someone in your household personally anything (food, money, materials, promise of enlistment in a government program) in exchange for your vote?

YES

NO

don't know

refuse to say

F02

During the last elections, did anybody offer you personally anything in exchange for your vote?

YES

NO

refuse to say

F03

If in the next election someone in the village were to offer you something in exchange for your vote, how likely would you be to accept it?

not at all

somewhat likely

very likely

G01

In the past week, how many times have you gone somewhere outside the village by yourself?

H01

Do you and your husband or the head of your household agree on politics?

Strongly agree

Somewhat agree

Somewhat disagree

Strongly disagree

I01

When you disagree with your husband or the head of your household, do you feel afraid to tell them that you disagree?

YES

NO

SOMETIMES

I02

In your opinion, is a husband justified in hitting or beating his wife if she neglects their children or argues with her husband?

YES

NO

SOMETIMES

I03

If a man were to hit or beat his wife and she reported this to her local community leaders, will her husband be punished?

YES

NO

don't know

I04

How would he be punished?

community leaders will speak to him

other community punishment (specify)

police/law enforcement will confront him

other punishment (specify)

All India Survey Template -Form Fill

Name of State

Name of District

Date of interview

Name of interviewer

Location

Name of Respondent

Gender of Respondent

What is your age?

Telephone number

What is the highest level of education you have completed?

What is your marital status?

What is your relationship to the head of household?

In the past one year, did you ever work outside of the house for pay in cash or in kind?

What is your religion?

What is your caste group?

Are you a member of an SHG?

Have you attended a Gram Sabha or public meeting called by the village Panchayat in the last one year?

Why not?

Did you vote in the most recent national election for Lok Sabha in 2019?

Did you vote in the most recent panchayat election?

When deciding whether to vote or whom to vote for, do you make this decision alone or with others?

Who, other than yourself, has the most say about whether you vote or whom you vote for?

Imagine that you disagree with this person’s choice about who to vote for. Would you vote for the person you preferred or the person they suggested you vote for?

Does your household usually discuss who to vote for in an election?

Does your household usually all vote for the same person?

If someone from your household wanted to vote differently from everyone else, would they be able to express this desire and vote as they pleased?

If someone from your household wanted to vote differently from everyone else, would they be able to express this desire and vote as they pleased, even if it reduced the chances that the household’s preferred candidate won?

If someone from your household wanted to vote differently from everyone else, would they be able to express this desire and vote as they pleased, even if it reduced the chances that the household would receive a benefit, such as money or the promise of program enlistment?

If someone from your household wanted to vote differently from everyone else, would they be able to express this desire and vote as they pleased, even if it angered the head of the household?

I am going to read several factors that sometimes shape people's decision over whether or not to vote. Please tell me which of these factors most strongly shapes your decision to vote.

If you wanted to go and vote, would you get permission if:

Your household thinks you will vote for a different candidate/party than the one they support?

The lines are expected to be very long and you might have to stand outside the polling station while waiting?

There’s a chance of fights breaking out at the polling station?

It will interfere with your household duties?

Imagine there is a discussion about which political party or candidate is worth supporting in the next election amongst members in your household.

Would you openly express your preference in this discussion about who to support?

Would you openly express your preference in this discussion about who to support, even if it conflicts with preferences of others in your household?

Would you openly express your preference in this discussion about who to support, even if it would anger a male household member?

If you and your spouse or the head of your household disagreed about politics, would you adopt their preferences?

If you wanted to go to a Gram Sabha meeting but you had to take care of the cooking, would you go?

If you wanted to go to a Gram Sabha meeting but your spouse or the head of your household was already going, would you go?

If you wanted to go to a Gram Sabha meeting but your spouse or the head of your household was already going and did not want you to go, would you go?

I am going to read several factors that sometimes shape people's decision over whether or not to attend Gram Sabha meetings. Please tell me which of these factors most strongly shapes your decision to attend or not attend Gram Sabha meetings.

How interested are you in politics?

Which statement do you agree with most strongly?

Do you think it's appropriate for women to speak their minds in discussions about politics?

To what extent do you agree that a good woman always supports her husband’s opinions?

To what extend do you agree that the husband should make all the decisions in the household about

how to manage household assets and income.

Politics.

Thinking about your village, how many women out of 10, would state that women should attend the Gram Sabha even if a male member of their household is already attending.

Thinking about your village, how many men out of 10, would state that women should attend the Gram Sabha even if a male member of their household is already attending.

How much do you agree with the following statement "The women in my village have no say in government decisions"?

In your village, are women ever stopped from participating in politics, such as attending a gram sabha or speaking with a political representative.

Who are the main people you discuss political issues or topics with?

During the last elections, did anybody offer someone in your household personally anything (food, money, materials, promise of enlistment in a government program) in exchange for your vote?

During the last elections, did anybody offer you personally anything in exchange for your vote?

If in the next election someone in the village were to offer you something in exchange for your vote, how likely would you be to accept it?

In the past week, how many times have you gone somewhere outside the village by yourself?

Do you and your husband or the head of your household agree on politics?

When you disagree with your husband or the head of your household, do you feel afraid to tell them that you disagree?

In your opinion, is a husband justified in hitting or beating his wife if she neglects their children or argues with her husband?

If a man were to hit or beat his wife and she reported this to her local community leaders, will her husband be punished?

How would he be punished?