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Household Template 2 -Form Fill
Section_1
Q01
Name of the State
Q02
Name of the District
Q03
Name of the Block (instead write Tehsil)
Q04
Name of Panchayat
Q05
Name of the Village (PSU)
Q06
Household Structure Number
Q07
Name of household head
Q08
Address of Household
Q09
Investigator Name
Q10
Investigator Code
Q11
Start Time
Q12
End Time
Q13A
Interviewer’s Visits - 1
Q13B
Interviewer’s Visits - 2
Q13C
Interviewer’s Visits - 3
Q14
Result
Completed
Not at home
Postponed
Refused
Partly Completed
No Eligible Person
Eligible Person Incapacitated
Others (specify):_________
HOUSEHOLD DEMOGRAPHIC PROFILE
A01
Name of the respondent
A02
What is the sex of respondent?
Male
Female
A03
What is the religion of respondent?
Hindu
Muslim
Christian
Sikh
Buddhist/Neo-Buddhist
Jain
Jewish
Parsi/Zoroastrian
No Religion
Other (Specify)
A04
Do you belong to a scheduled caste, scheduled tribe, other backward class or general class?
Scheduled Caste
Scheduled Tribe
Other Backward Caste
General
Other (Specify)
A05
How many members are there in your household?
A06
How many working members are there in your household?
A07
What is the type of your family?
Nuclear
Joint
Extended
A08
Whether your household is women headed household?
Yes
No
A09
What is the primary occupation of the head of the household?
AGRICULTURE
AGRICULTURAL LABOUR
NON-AGRICULTURAL LABOUR
LIVESTOCK
SALARIED
SELF-EMPLOYED
PETTY BUSINESS/SHOP
BUSINESS/TRADER
SKILLED WORKER
PENSION
JOBLESS
OTHER (SPECIFY
DON’T KNOW
A10
Please specify whether you belong to APL/BPL?
APL
BPL
Don’t know/can’t say
A11
Does your household have a bank account?
Yes
No
A12
Does your household have a post-office account?
Yes
No
A13
Does your household have electrical devices
Yes
No
A13_1
Lighting bulb
Yes
No
A13_2
An electric fan
Yes
No
A13_3
A radio or transistor
Yes
No
A13_4
A black and white television
Yes
No
A13_5
A color television
Yes
No
A13_6
A sewing machine
Yes
No
A13_7
A mobile telephone
Yes
No
A13_8
A computer/laptop
Yes
No
A13_9
A refrigerator
Yes
No
A13_10
A water pump
Yes
No
A13_11
A thresher
Yes
No
A13_12
Internet
Yes
No
A13_13
Air Conditioner or Cooler
Yes
No
A13_14
Washing Machine
Yes
No
ACCESS TO ELECTRICITY
B01
What are the current sources (after the installation of micro grid under SPRD) of lighting in your household?
Grid Electricity
Solar power
Micro grid (SPRD)
Diesel generator
Kerosene
No lighting
Others (specify)
B01A
Primary Source (Select only one)
Grid Electricity
Solar power
Micro grid (SPRD)
Diesel generator
Kerosene
No lighting
Others (specify)
B01B
Average daily supply of the following (In hours)
B01C
Other Source of Lighting (Multiple Responses)
Grid Electricity
Solar power
Micro grid (SPRD)
Diesel generator
Kerosene
No lighting
Others (specify)
B01D
Average supply of the following (In hours)
B02
What were the sources of lighting before the installation of micro-grid under SPRD in your household?
Grid Electricity
Solar power
Micro grid (SPRD)
Diesel generator
Kerosene
No lighting
Others (specify)
B02A
Primary Source (Select only one)
Grid Electricity
Solar power
Micro grid (SPRD)
Diesel generator
Kerosene
No lighting
Others (specify)
B02B
Average daily supply of the following (In hours)
B02C
Other Source of Lighting (Multiple Responses)
Grid Electricity
Solar power
Micro grid (SPRD)
Diesel generator
Kerosene
No lighting
Others (specify)
B02D
Average supply of the following (In hours)
B03
In which year, did you get the micro-grid connection?
B04
Which SPRD electricity package do you currently use
1 LED lamp +1 Mobile Charging point
2 LED lamps +1 Mobile Charging point
Fixed package for appliance (Fan/TV/Chiller/Fridge/Printer/Large appliance)
Metered connection
B05
Does the SPRD package meet your electricity requirement?
Yes
No
B05A
If not, then how do meet gaps in your electricity requirement
Through other electricity source
Want to upgrade SPRD package
Do nothing
Others, specify
B06
For what purpose does the HH require electricity?
Yes
No
B06_1
Lighting
Yes
No
B06_2
Fan
Yes
No
B06_3
Mobile charging point
Yes
No
B06_4
T.V.
Yes
No
B06_5
Other electrical appliances
Yes
No
B06A
Who are the members of the household who require this electricity (PURPOSE)?
Male members
Female members
Children
B07
Is your electricity demand being met through SPRD?
Yes
No
ELECTRICITY USAGE
C01
Has the household purchased new appliances/equipment after SPRD connection?
Yes
No
C02
Which of the following appliances at your household are connected to electricity?
Yes
No
C02_1
Light bulb
Yes
No
C02_2
Electric fan
Yes
No
C02_3
Radio or transistor
Yes
No
C02_4
Black and white television
Yes
No
C02_5
Color television
Yes
No
C02_6
Sewing machine
Yes
No
C02_7
Mobile telephone and Mobile charging point
Yes
No
C02_8
Computer/laptop
Yes
No
C02_9
Refrigerator
Yes
No
C02_10
Water pump
Yes
No
C02_11
Thresher
Yes
No
C02_12
Internet
Yes
No
C02_13
Air Conditioner or Cooler
Yes
No
C02_14
Washing Machine
Yes
No
C02A
How many of these are connected with the SPRD micro grid?
C02B
Daily running hours for each of these appliances on SPRD connection
HOUSEHOLD ELECTRICITY NEEDS
D01
Are you planning to invest in a new electrical appliance after getting connected to SPRD?
Yes
No
D02
If yes, what all appliances are you planning to buy?
Yes
No
D02_1
Light bulb
Yes
No
D02_2
Electric fan
Yes
No
D02_3
Radio or transistor
Yes
No
D02_4
Black and white television
Yes
No
D02_5
Color television
Yes
No
D02_6
Sewing machine
Yes
No
D02_7
Mobile telephone and Mobile charging point
Yes
No
D02_8
Computer/laptop
Yes
No
D02_9
Refrigerator
Yes
No
D02_10
Water pump
Yes
No
D02_11
Thresher
Yes
No
D02_12
Internet
Yes
No
D02_13
Air Conditioner or Cooler
Yes
No
D02_14
Washing Machine
Yes
No
D03
Do you plan to use SPRD electricity for the new appliance(s)?
Yes
No
D04
Do you plan to upgrade your connection and take a bigger package?
Yes
No
D05
Which package would you like to take?
1 LED lamp +1 Mobile Charging point
2 LED lamps +1 Mobile Charging point
Fixed package for appliance (Fan/TV/Chiller/Fridge/Printer/Large appliance)
Metered connection
D06
Why will you not take SPRD connection for the new appliance?
Poor Quality
Cannot run on SPRD connection
Costly
Other, specify
Electricity Quality
E01
Is the electricity available whenever required through SPRD mini-grid?
Yes
No
E02
Is the electricity more reliable than other connections?
Yes
No
E03
Rate your Experience (level of satisfaction) for the following
Very Poor
Poor
Average
Good
Very Good
E03_1
Light Fluctuation
Very Poor
Poor
Average
Good
Very Good
E03_2
Voltage Stability
Very Poor
Poor
Average
Good
Very Good
E03_3
Regularity in Supply
Very Poor
Poor
Average
Good
Very Good
E03_4
Supply Quality during Rainy season or during bad weather
Very Poor
Poor
Average
Good
Very Good
E03_5
Billing and meter System
Very Poor
Poor
Average
Good
Very Good
E04
Is there any damage to these appliances after being connected to SPRD connection
Yes
No
E05
Has the damage to appliances reduced after the SPRD connection?
Yes
No
Household Satisfaction
F01
Do you know whom to contact in case you face any problems in getting electricity from the micro-grid?
Yes
No
F02
In case of any problems in getting electricity from micro-grid, do you face any difficulty in reporting the matter?
Yes
No
Not yet faced any issue
F03
What kind of difficulty do you face in reporting the matter?
No point of contact in the village to whom complaint can be registered
Complaints are not registered until there are a number of households raising the same issue
Complaints only registered for MEs/Large customers
No response from operator
Others (specify)
F04
In case of problem with supply of electricity from micro-grid, how long does it usually take to address the problem?
F05
What is the mode of payment for the electricity?
Pre-paid
Metered
Others, specify
F06
Are you satisfied with the billing system
Yes
No
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