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Household Template 35 -Form Fill
Identification
Q01
Household Number
Q02
Village (Hamlet Name)
Q03
Block
Q04
District
Q05
State
Q06
Name of the Respondent
Q07
Name of the Household Head
Q08
Religion of the Respondent
Muslim
Hindu
Christian
Buddhist
Sarna
Sikh
Other [specify]
Q09
Caste of the Respondent
General
Scheduled Caste
Scheduled Tribe
OBC
Q10
Interviewer
Q11
Supervisor
HOUSEHOLD COMPOSITION
A01
Please tell me the name of all the persons who live in your house, starting with your name
A02
Relation to respondent woman.
Respondent woman
Husband
Son or daughter
Son in-law or daughter-in-law
Grand father or grand mother
Grand son or grand daughter
Father or mother
Father in law or mother in law
Brother or sister
Brother in law or sister in law
Uncle or aunt
Other relatives (including cousins)
Foster/step/adopted children
Not related
A03
Sex
Male
Female
Transgender
A04
Age
A05
Education
Currently in class I
Completed class 1
Completed class 2
Completed class 3
Completed class 4
Completed class 5
Completed class 6
Completed class 7
Completed class 8
Completed class 9
Completed class 10
Completed Higher Secondary
BA/BSC pass/Fazil
BA/BSC honors/Fazil (Hons)
MA/MSC/Kamil & above
Hafezia/Kiratia/Nurani madrasa
Child less than 5 years
Never attended school
Currently in Aanganwadi/Pre-school Education
A06
Marital status?
Unmarried
Married
Widowed
Divorced
Separated
Deserted by spouse
A07
Main Occupation
Farming/Agriculture (Crops)
NTFP Collection
Livestock (goatery, poultry, piggery, fishery & dairy)
Unskilled wage labour (agricultural labour, MGNREGA labour, construction work, brick kiln labour etc.)
Skilled worker(tailoring, masonry, electrician, plumbing, carpentry, welding, driving, etc.)
Salaried worker (teachers, AWW, ANM, etc.
Contractual or task based work ( ASHAs, CSPs, BC Agents, Tuitions, para-teachers etc.)
Micro-enterprises (kirana shops, dhabas, mobile shops, ferry shops etc.)
House Work
Unemployed
Old age
Differently abled
Student
Child (age <5)
Other
HOUSEHOLD CHARACTERISTICS
B01
Is this house your own or a rented accommodation or has been given to you by the government?
Own house
Rented
Provided by the Govt
Other (specify)
B02
LOOK AT THE FLOOR AND CODE THE MAIN MATERIAL OF THE FLOOR
Mud/clay/earth
Sand
Dung
Raw wood planks
Palm/bamboo
Brick
Stone
Parquet or polished wood
Vinyl or asphalt
Ceramic tiles
Cement
Carpet
Polished tone/marble/granite
Other (specify)
B03
LOOK AT THE ROOF AND CODE THE MAIN MATERIAL OF THE ROOF
Mud/clay/earth
Sand
Dung
Raw wood planks
Palm/bamboo
Brick
Stone
Parquet or polished wood
Vinyl or asphalt
Ceramic tiles
Cement
Country made tiles (Khaprail)
Polished tone/marble/granite
Other (specify)
B04
LOOK AT THE EXTERIOR WALLS AND CODE THE MAIN MATERIAL OF THE WALLS
Mud/clay/earth
Sand
Dung
Raw wood planks
Palm/bamboo
Brick
Stone
Parquet or polished wood
Vinyl or asphalt
Ceramic tiles
Cement
Carpet
Polished tone/marble/granite
Other (specify)
B05
How many rooms in total is there in this house?
B06
Do you have a separate room for cooking?
Yes
No
B07
Do you have a window in your house?
Yes
No
B08
Type of window
Any windows
Windows with glass
Windows with screens
Windows with curtains or shutters
B09
Do you have a homestead?
Yes
No
B10
What type of toilet facility do you have?
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
Other (specify)
B11
What is the main source of lighting
Lantern
Kerosene lamp
Candle
Electric
LPG/Battery
Solar Energy
None
Others (Specify)
B12
What type of fuel does your household mainly use for cooking?
Electricity
LPG
Natural gas
Biogas
Kerosene
Charcoal
Wood / straw/leaves
Animal dung
Other (specify)
B13
Does your household own any of the following items
B13_1
Mattress
Yes
No
B13_2
Pressure cooker
Yes
No
B13_3
Chair
Yes
No
B13_4
Cot/ Bed
Yes
No
B13_5
Table
Yes
No
B13_6
Electric fan
Yes
No
B13_7
Radio/Transistor
Yes
No
B13_8
Sewing machine
Yes
No
B13_9
Clock or watch
Yes
No
B13_10
Bicycle
Yes
No
B13_11
Animal-drawn cart
Yes
No
B13_12
Black & White television
Yes
No
B13_13
Colour television
Yes
No
B13_14
Mobile Phone
Yes
No
B13_15
Landline Phone
Yes
No
B13_16
Water pump
Yes
No
B13_17
Thresher
Yes
No
B13_18
Refrigerator
Yes
No
B13_19
Air conditioner / Cooler
Yes
No
B13_20
Washing Machine
Yes
No
B13_21
Internet
Yes
No
B13_22
Computer
Yes
No
B13_23
Motorcycle/scooter
Yes
No
B13_24
Car/Jeep
Yes
No
B13_25
Tractor
Yes
No
B14
For each of the following seasons, what is the main source of drinking water for members of your household?
B14_1
Summer
Piped water into dwelling
Piped water into yard/plt
Public tap/standpipe
Tube well/borehole
Protected spring
Unprotected spring
Surface water (river/canal/lake)
Protected dug well
Unprotected dug well
Rainwater collection
Other (specify)
B14_2
Monsoon
Piped water into dwelling
Piped water into yard/plt
Public tap/standpipe
Tube well/borehole
Protected spring
Unprotected spring
Surface water (river/canal/lake)
Protected dug well
Unprotected dug well
Rainwater collection
Other (specify)
B14_3
Winter
Piped water into dwelling
Piped water into yard/plt
Public tap/standpipe
Tube well/borehole
Protected spring
Unprotected spring
Surface water (river/canal/lake)
Protected dug well
Unprotected dug well
Rainwater collection
Other (specify)
B15
How long does it take to go to the water source, get water, and come back during the rainy season?
B16
How long does it take to go to the water source, get water, and come back during the dryseason?
B17
Have you constructed any Goat shed/Cattle shed for your livestock?
Yes
No
B18
If yes, what kind of flooring does it have?
Stone / Brick
Soil/Dry Straw Material
Wooden or Bamboo
Concrete
LAND OWNERSHIP AND USE OF LAND FOR FARMING
C01
Does your household own any land?
Yes
No
C02
How much land does your household own?
C02A
Unit
Decimal
Biswa
Katha
Bigha
Acre
Hectare
Others Specify
C03
How much of this land is appropriate for agriculture?
C03A
Unit
Decimal
Biswa
Katha
Bigha
Acre
Hectare
Others Specify
C04
How much of your owned land do you cultivate?
C04A
Unit
Decimal
Biswa
Katha
Bigha
Acre
Hectare
Others Specify
C05
Have you also taken any land on lease from others?
Yes
No
C06
How much land have you leased in?
C06A
Unit
Decimal
Biswa
Katha
Bigha
Acre
Hectare
Others Specify
C07
Have you mortgaged or leased out your land to someone else?
Yes
No
C08
How much land have you leased/mortgaged out?
C08A
Unit
Decimal
Biswa
Katha
Bigha
Acre
Hectare
Others Specify
C09
Do you have any source of irrigation on your land?
Yes
No
C10
What are the sources
C10_1
Farm pond (Hapa, other local names)
Yes
No
C10_2
Dugwell
Yes
No
C10_3
Lift/Flow irrigation
Yes
No
C10_4
Canal
Yes
No
C10_5
Earthern dam/Check dams
Yes
No
C10_6
Borewell
Yes
No
C11
Is your land bunded and levelled?
Yes
No
C12
How much area is bunded and levelled?
C12A
Unit
Decimal
Biswa
Katha
Bigha
Acre
Hectare
Others Specify
C13
Are you aware of any land reform provisions of government?
Yes
No
C14
If yes, which all government schemes are you aware of?
Ceiling surplus land
Government wasteland
Bhoodan land
Homestead land
C15
Have you or anyone in your household received any training/workshop on land rights and allocation?
Yes
No
C16
Who had provided the training?
PRADAN staff
SHG members
VO members
Other NGO
C17
Have you ever received any land from government?
Yes
No
C17A
If yes, under
Ceiling surplus land
Government wasteland
Bhoodan land
Homestead land
Never received any such land
No/Don’t know
C18
Do you have a patta for the land?
Yes
No
C19
On whose name is the land claim?
Joint patta
On the name of male member of household
On the name of female member of household
Others (specify)
Don’t know
C20
Do you have the possession of the land?
Yes
No
C21
Is your name present in State Government’s record of rights?
Yes
No
CROP PRODUCTION, FARMING PRACTICES AND TRAININGS
D01
Crop Code
Rice
Wheat
Maize
Sorghum
Millets
Buckwheat
Barley
Groundnut
Soybeans
Lent
Peas
Chickpeas
Beans
Sugarcane
Cotton
Sunflower
Tobacco
Tea
Oil seeds
Sweet potatoes
Potatoes
Carrots
Cucumber
Chili
Eggplant
Green leafy vegetables
Okra/Lady Finger
Onion
Capsicum
Cabbage can
Cauliflower
Bottle gourd
Sponge gourd
Bitter gourd
Green Beans
Garlic
Ginger
Pumpkin
Tomato
Avocado
Guava
Mango
Lemon/Lime
Orange
Papaya
Melon
Lychee
Apple
Berries
Bananas
D02
How much of the agricultural land was used in the cultivation of this crop?
D03
What is the total quantity produced? (Quantity in KG.)
D04
What was the average market rate you got for this crop? (price per kg)
D05
What was the income from the sale of ___?
D06
First, please remind me whether you currently produce ______?
Yes
No
D07
What type of seed was primarily used for production of ____?
Improved seeds
Local seeds
Don’t know
D08
Do you treat the seeds in some way before planting?
Yes
No
D09
Do you raise nursery for the crop ( raised bed , line sowing, use of fertilizer, Use of pesticide, net covering, irrigation) (If any two is practised then put yes)
Yes
No
D10
In how many days do you transplant the seedling?
D11
For this crop, are you mostly using line sowing/transplanting or do you broadcast the seeds in the main field or both?
Line sowing
Transplanting
Broadcastings
Don’t know
D12
Did you apply fertilizer in the main field?
Organic
K (Potash)
P(Phosphate)
N (Nitrogen/ Urea)
Composite (DAP, NPK, Gromor etc.)
Other
None
D13
How do you prepare the field before transplanting/sowing?
Heavy tillage (sub-soiling) of field
Light tillage (ripping) of soil
Create planting basins/spots
Create ridges and furrows
Create multiple plots
D14
Do you practice intercultural operations in the main field?
Yes
No
D15
How many times during the crop cycle do you practice intercultural operations?
D16
Do you use farm tools and implements (weeders, markers, sprayers etc) in this crop?
Manual
Herbicide
Weeder
D17
Do you apply any control measures of insect and pest?
Use organic pesticides
Use inorganic pesticide
Do not use pesticides
FARMING PRACTICES & TRAININGS
E01
Have you or anyone else from your household ever received any training on agriculture, poultry or livestock related work?
Yes
No
E02
Did you or anyone else from your household ever receive training on_________?
E02_1
Crop planning
Yes
No
E02_2
Cropping practices
Yes
No
E02_3
Nursery raising
Yes
No
E02_4
Pest management
Yes
No
E02_5
Composting/Vermicompost
Yes
No
E02_6
Production of bio-pesticides like agniastra, neemastra
Yes
No
E02_7
Poultry
Yes
No
E02_8
Goat rearing
Yes
No
E02_9
Marketing of produce
Yes
No
E03
Who provided the training?
E03_1
Crop planning
Government
NGO
PRADAN
CRP
Family members/friends
Don’t Know
Other (Specify)
E03_2
Cropping practices
Government
NGO
PRADAN
CRP
Family members/friends
Don’t Know
Other (Specify)
E03_3
Nursery raising
Government
NGO
PRADAN
CRP
Family members/friends
Don’t Know
Other (Specify)
E03_4
Pest management
Government
NGO
PRADAN
CRP
Family members/friends
Don’t Know
Other (Specify)
E03_5
Composting/Vermicompost
Government
NGO
PRADAN
CRP
Family members/friends
Don’t Know
Other (Specify)
E03_6
Production of bio-pesticides like agniastra, neemastra
Government
NGO
PRADAN
CRP
Family members/friends
Don’t Know
Other (Specify)
E03_7
Poultry
Government
NGO
PRADAN
CRP
Family members/friends
Don’t Know
Other (Specify)
E03_8
Goat rearing
Government
NGO
PRADAN
CRP
Family members/friends
Don’t Know
Other (Specify)
E03_9
Marketing of produce
Government
NGO
PRADAN
CRP
Family members/friends
Don’t Know
Other (Specify)
ANIMAL OWNERSHIP AND PRODUCTION AND SALE OF ANIMAL PRODUCTS
F01
During the last 12 months, did anyone in the household own any animals including livestock, poultry, fish, etc?
Yes
No
F02
Which all animals do you have?
F02_1
Cattle(buffalo/oxen/cow)
Yes
No
F02_2
Goat
Yes
No
F02_3
Sheep
Yes
No
F02_4
Pig
Yes
No
F02_5
Chicken/ Guinea fowl/Pigeons/Duck/ Hen
Yes
No
F02A
How many ______ does your household currently own?
F02A_1
Cattle(buffalo/oxen/cow)
F02A_2
Goat
F02A_3
Sheep
F02A_4
Pig
F02A_5
Chicken/ Guinea fowl/Pigeons/Duck/ Hen
F02B
How many ________ has your household sold in the last 12 months?
F02B_1
Cattle(buffalo/oxen/cow)
F02B_2
Goat
F02B_3
Sheep
F02B_4
Pig
F02B_5
Chicken/ Guinea fowl/Pigeons/Duck/ Hen
F02C
How many ___ died in the last 12 months?
F02C_1
Cattle(buffalo/oxen/cow)
F02C_2
Goat
F02C_3
Sheep
F02C_4
Pig
F02C_5
Chicken/ Guinea fowl/Pigeons/Duck/ Hen
F02D
How much did your household receive for the sale of these ___ in the last 12 months?
F02D_1
Cattle(buffalo/oxen/cow)
F02D_2
Goat
F02D_3
Sheep
F02D_4
Pig
F02D_5
Chicken/ Guinea fowl/Pigeons/Duck/ Hen
CONTRIBUTION OF WAGES, SERVICES, REMITTANCE AND NTFP COLLECTION TO HOUSEHOLD INCOME
G01
What type of work were you engaged in?
G01_1
Agriculture operations
Yes
No
G01_2
MGNREGA
Yes
No
G01_3
Masonry
Yes
No
G01_4
Carpentry
Yes
No
G01_5
Construction labour
Yes
No
G01_6
Labour work in brick kiln
Yes
No
G02
No. of days-Male
G02_1
Agriculture operations
G02_2
MGNREGA
G02_3
Masonry
G02_4
Carpentry
G02_5
Construction labour
G02_6
Labour work in brick kiln
G03
No of days-female
G03_1
Agriculture operations
G03_2
MGNREGA
G03_3
Masonry
G03_4
Carpentry
G03_5
Construction labour
G03_6
Labour work in brick kiln
G04
What was the daily wage rate?
G04_1
Agriculture operations
G04_2
MGNREGA
G04_3
Masonry
G04_4
Carpentry
G04_5
Construction labour
G04_6
Labour work in brick kiln
G05
Total wages (Interviewer to check the figure with the respondent)
G05_1
Agriculture operations
G05_2
MGNREGA
G05_3
Masonry
G05_4
Carpentry
G05_5
Construction labour
G05_6
Labour work in brick kiln
G06
Income in one month (female members)
G06_1
ASHA/AWW
G06_2
Tuition
G06_3
Micro-enterprises
G06_4
CSP
G07
No of months in a year that the female members work
G07_1
ASHA/AWW
G07_2
Tuition
G07_3
Micro-enterprises
G07_4
CSP
G08
Income in one month (male members)
G08_1
ASHA/AWW
G08_2
Tuition
G08_3
Micro-enterprises
G08_4
CSP
G09
No of months in a year that the male members work
G09_1
ASHA/AWW
G09_2
Tuition
G09_3
Micro-enterprises
G09_4
CSP
G10
In the last 12 months, have any adults (people aged at 15 years or more than 15 years) in your household migrated?
Yes
No
G11
How many adults in your household have migrated because of work? Please tell me how many women and how many men
G11A
Number of men
G11B
Number of women
G12
What was/were the reason(s) for migration?
Temporary work/job
Permanent work/job
Entire family relocation
Due to some family member or relative falling ill
Marriage/divorce
Don’t know
Other (specify)
G13
In the last 12 months, has anyone in your household received remittances from a member of the family or other person who is somewhere else in India or abroad?
Yes
No
G14
How often has your household received remittances in the last 12 months?
Each month
Many times/year
Twice a year
Once a year
Less than once a year
Don’t know
G15
On average, how much money did your household receive each time you received remittances in the last 12 months?
G16
What all NTFPs were collected last year ?
G16_1
Mahua Flowers
Yes
No
G16_2
Mahua Fruit
Yes
No
G16_3
Processed
Yes
No
G16_4
Kossum fruit
Yes
No
G16_5
Kossum Oil
Yes
No
G16_6
Karanj fruit
Yes
No
G16_7
Chiraunjee
Yes
No
G16_8
Lac
Yes
No
G16_9
Honey
Yes
No
G16_10
Aonla
Yes
No
G16_11
Ber
Yes
No
G16_12
Tendu leaves
Yes
No
G16_13
Harra
Yes
No
G16_14
Baher
Yes
No
G16_15
Tasar
Yes
No
G16_16
Custard Apple
Yes
No
G16_17
Tamrind
Yes
No
G16_18
Jackfruit
Yes
No
G16_19
Sal Seed
Yes
No
G17
Amount collected (Kg)
G17_1
Mahua Flowers
G17_2
Mahua Fruit
G17_3
Processed
G17_4
Kossum fruit
G17_5
Kossum Oil
G17_6
Karanj fruit
G17_7
Chiraunjee
G17_8
Lac
G17_9
Honey
G17_10
Aonla
G17_11
Ber
G17_12
Tendu leaves
G17_13
Harra
G17_14
Baher
G17_15
Tasar
G17_16
Custard Apple
G17_17
Tamrind
G17_18
Jackfruit
G17_19
Sal Seed
G18
Amount sold (Kg)
G18_1
Mahua Flowers
G18_2
Mahua Fruit
G18_3
Processed
G18_4
Kossum fruit
G18_5
Kossum Oil
G18_6
Karanj fruit
G18_7
Chiraunjee
G18_8
Lac
G18_9
Honey
G18_10
Aonla
G18_11
Ber
G18_12
Tendu leaves
G18_13
Harra
G18_14
Baher
G18_15
Tasar
G18_16
Custard Apple
G18_17
Tamrind
G18_18
Jackfruit
G18_19
Sal Seed
G19
Unit price (INR)
G19_1
Mahua Flowers
G19_2
Mahua Fruit
G19_3
Processed
G19_4
Kossum fruit
G19_5
Kossum Oil
G19_6
Karanj fruit
G19_7
Chiraunjee
G19_8
Lac
G19_9
Honey
G19_10
Aonla
G19_11
Ber
G19_12
Tendu leaves
G19_13
Harra
G19_14
Baher
G19_15
Tasar
G19_16
Custard Apple
G19_17
Tamrind
G19_18
Jackfruit
G19_19
Sal Seed
HOUSEHOLD NUTRITION, FOOD SECURITY AND COPING STRATEGY
H01
Have you received any trainings around nutrition?
Yes
No
H02
If yes, by whom?
NGO
PRADAN Staff
SHG leader
VO member
Others
H03
Have you attended any BMI camps/nutrition awareness camps?
Yes
No
H04
What were topics discussed during these events?
H05
Was yesterday a special day (celebration, feast day, or fasting) where anyone in the HH ate special foods or more or less than usual)?
Yes
No
H06
How many meals did you eat yesterday during the day and night?
H07
How many meals did the adult members (18+) of your household eat yesterday during the day and night?
H08
How many meals did the children 6 to18 years in this household eat yesterday during the day and night?
H09
Over the last 7 days, how many days did you consume following foods?
H09_1
Maize, maize porridge, Other cereal (rice, sorghum, millet, wheat etc), Roots and Tubers (cassava, potatoes, sweet potatoes)
H09_2
Beans and peas, groundnuts and cashew nuts
H09_3
Vegetables (including relish and leaves)
H09_4
Fruits
H09_5
Beef, goat, or other red meat and pork, Poultry and eggs, Fish
H09_6
Milk/yogurt/other dairy product
H09_7
Sugar or sugar products, honey
H09_8
Oils/fats/butter
H10
Over the last 7 days, how many days did the children in this household consume following foods?
H10_1
Maize, maize porridge, Other cereal (rice, sorghum, millet, wheat etc), Roots and Tubers (cassava, potatoes, sweet potatoes)
H10_2
Beans and peas, groundnuts and cashew nuts
H10_3
Vegetables (including relish and leaves)
H10_4
Fruits
H10_5
Beef, goat, or other red meat and pork, Poultry and eggs, Fish
H10_6
Milk/yogurt/other dairy product
H10_7
Sugar or sugar products, honey
H10_8
Oils/fats/butter
H11
Over the last 7 days, how many days did other household members consume following foods?
H11_1
Maize, maize porridge, Other cereal (rice, sorghum, millet, wheat etc), Roots and Tubers (cassava, potatoes, sweet potatoes)
H11_2
Beans and peas, groundnuts and cashew nuts
H11_3
Vegetables (including relish and leaves)
H11_4
Fruits
H11_5
Beef, goat, or other red meat and pork, Poultry and eggs, Fish
H11_6
Milk/yogurt/other dairy product
H11_7
Sugar or sugar products, honey
H11_8
Oils/fats/butter
H12
What was the main source(s) of the food?
H12_1
Maize, maize porridge, Other cereal (rice, sorghum, millet, wheat etc), Roots and Tubers (cassava, potatoes, sweet potatoes)
Own production
Casual labour
Borrowed
Gift
Purchases
Food assistance
Barter
Hunting/gathering/catching
PDS
Mid day Meal (MDM)
ICDS
H12_2
Beans and peas, groundnuts and cashew nuts
Own production
Casual labour
Borrowed
Gift
Purchases
Food assistance
Barter
Hunting/gathering/catching
PDS
Mid day Meal (MDM)
ICDS
H12_3
Vegetables (including relish and leaves)
Own production
Casual labour
Borrowed
Gift
Purchases
Food assistance
Barter
Hunting/gathering/catching
PDS
Mid day Meal (MDM)
ICDS
H12_4
Fruits
Own production
Casual labour
Borrowed
Gift
Purchases
Food assistance
Barter
Hunting/gathering/catching
PDS
Mid day Meal (MDM)
ICDS
H12_5
Beef, goat, or other red meat and pork, Poultry and eggs, Fish
Own production
Casual labour
Borrowed
Gift
Purchases
Food assistance
Barter
Hunting/gathering/catching
PDS
Mid day Meal (MDM)
ICDS
H12_6
Milk/yogurt/other dairy product
Own production
Casual labour
Borrowed
Gift
Purchases
Food assistance
Barter
Hunting/gathering/catching
PDS
Mid day Meal (MDM)
ICDS
H12_7
Sugar or sugar products, honey
Own production
Casual labour
Borrowed
Gift
Purchases
Food assistance
Barter
Hunting/gathering/catching
PDS
Mid day Meal (MDM)
ICDS
H12_8
Oils/fats/butter
Own production
Casual labour
Borrowed
Gift
Purchases
Food assistance
Barter
Hunting/gathering/catching
PDS
Mid day Meal (MDM)
ICDS
H13
Normally, how many months does the food produced from your land suffice your household’s requirement?
H14
In the last 12 months, did your household face food shortage in any month?
Yes
No
H15
In the past four weeks did you worry that your household would not have enough food?
Yes
No
H16
Did your household adopt any of these coping strategies during the period of food shortage?
H16_1
Skip entire days without eating?
Never/No
Rarely
Sometimes
Often
Daily
H16_2
Limit portion size at mealtimes?
Never/No
Rarely
Sometimes
Often
Daily
H16_3
Reduce number of meals eaten per day?
Never/No
Rarely
Sometimes
Often
Daily
H16_4
Borrow food or rely on help from friends or relatives?
Never/No
Rarely
Sometimes
Often
Daily
H16_5
Rely on less expensive or less preferred foods?
Never/No
Rarely
Sometimes
Often
Daily
H16_6
Purchase/borrow food on credit?
Never/No
Rarely
Sometimes
Often
Daily
H16_7
Gather unusual types or amounts of wild food / hunt?
Never/No
Rarely
Sometimes
Often
Daily
H16_8
Send household members to eat elsewhere?
Never/No
Rarely
Sometimes
Often
Daily
H16_9
Send household members to beg?
Never/No
Rarely
Sometimes
Often
Daily
H16_10
You or other female members eat less?
Never/No
Rarely
Sometimes
Often
Daily
H16_11
Have you sold any household assets to buy food?
Never/No
Rarely
Sometimes
Often
Daily
H16_12
Had to eat a limited variety of food due to lack of resources?
Never/No
Rarely
Sometimes
Often
Daily
H16_13
Was there ever in your HH no food of any kind to eat because of lack of resources?
Never/No
Rarely
Sometimes
Often
Daily
H16_14
Did you or any HH member go to sleep at night hungry because there was not enough food?
Never/No
Rarely
Sometimes
Often
Daily
H16_15
Did you or any HH member go whole day and night without eating because there was not enough food?
Never/No
Rarely
Sometimes
Often
Daily
H16_16
In the past 30 days were you or any household members not able to eat the kinds of foods you preferred because of a lack of resources?
Never/No
Rarely
Sometimes
Often
Daily
H17
How long did you exclusively breastfeed [CHILD NAME]?
H18
During the time you exclusively breastfeed [CHILD NAME] did you occasionally give him/her a little water from time to time?
Yes
No
H19
Apart from mother’s milk did you feed your child any solid or liquid food in the past 24 hours?
Yes
No
H20
From what age did you start feeding [CHILD NAME] solid, semi-solid, mashed or soft foods?
H21
Excluding oil for cooking, did you add oil/ghee/butter to the food you gave [CHILD NAME] in the last 24 hours?
Yes
No
WOMEN’S TIME USE
I01
In the previous 24 hours, how much time did you spend on
I01_1
Spend resting or sleeping?
I01_2
Spend on domestic work including cooking, cleaning, shopping, fetching water, etc.?
I01_3
Engage in agricultural labor including any paid or unpaid agricultural related tasks at home or working for others?
I01_4
Engage in non-agricultural labor including self-employment or working for others?
I01_5
Spend caring for children or the elderly?
I01_6
Spend on leisure, social, and religious activities?
WOMEN’S DECISION-MAKING, AUTONOMY IN PRODUCTIVE DECISIONS & INCOME CONTROL
J01
Did you yourself participate in ______ in the past 12 months?
J01_1
Food crop farming: crops that are grown primarily for household food consumption
Yes
No
J01_2
Cash crop farming: crops that are grown primarily for sale in the market
Yes
No
J01_3
Livestock raising
Yes
No
J01_4
Poultry raising (e.g. chicken, duck, pigeon)
Yes
No
J01_5
Fishing or fishpond culture
Yes
No
J01_6
Non-farm economic activities: small business, self-employment, buy-and-sell
Yes
No
J01_7
Wage and salary employment: in-kind or monetary work(both agriculture and non-ag work)
Yes
No
J01_8
Major household expenditures ( such as large appliance for the house like refrigerator)
Yes
No
J01_9
Minor household expenditures (such as food for daily consumption or other household needs)
Yes
No
J02
When decisions are made regarding _____, who is it that normally takes the decision?
J02_1
Food crop farming: crops that are grown primarily for household food consumption
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
J02_2
Cash crop farming: crops that are grown primarily for sale in the market
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
J02_3
Livestock raising
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
J02_4
Poultry raising (e.g. chicken, duck, pigeon)
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
J02_5
Fishing or fishpond culture
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
J02_6
Non-farm economic activities: small business, self-employment, buy-and-sell
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
J02_7
Wage and salary employment: in-kind or monetary work(both agriculture and non-ag work)
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
J02_8
Major household expenditures ( such as large appliance for the house like refrigerator)
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
J02_9
Minor household expenditures (such as food for daily consumption or other household needs)
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
J03
How much input did you have in making decisions about ____?
J03_1
Food crop farming: 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
J03_2
Cash crop farming: 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
J03_3
Livestock raising
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
J03_4
Poultry raising (e.g. chicken, duck, pigeon)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
J03_5
Fishing or fishpond culture
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
J03_6
Non-farm economic activities: 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
J03_7
Wage and salary employment: in-kind or monetary work(both agriculture and non-ag work)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
J03_8
Major household expenditures ( such as large appliance for the house like refrigerator)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
J03_9
Minor household expenditures (such as food for daily consumption or other household needs)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
J04
To what extent do you feel you can make your own personal decisions regarding ____, if you wanted to?
J04_1
Food crop farming: crops that are grown primarily for household food consumption
Not at all
Small extent
Medium extent
To a high extent
J04_2
Cash crop farming: crops that are grown primarily for sale in the market
Not at all
Small extent
Medium extent
To a high extent
J04_3
Livestock raising
Not at all
Small extent
Medium extent
To a high extent
J04_4
Poultry raising (e.g. chicken, duck, pigeon)
Not at all
Small extent
Medium extent
To a high extent
J04_5
Fishing or fishpond culture
Not at all
Small extent
Medium extent
To a high extent
J04_6
Non-farm economic activities: small business, self-employment, buy-and-sell
Not at all
Small extent
Medium extent
To a high extent
J04_7
Wage and salary employment: in-kind or monetary work(both agriculture and non-ag work)
Not at all
Small extent
Medium extent
To a high extent
J04_8
Major household expenditures ( such as large appliance for the house like refrigerator)
Not at all
Small extent
Medium extent
To a high extent
J04_9
Minor household expenditures (such as food for daily consumption or other household needs)
Not at all
Small extent
Medium extent
To a high extent
J05
How much input did you have in decisions on the use of income generated from ___?
J05_1
Food crop farming: 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
J05_2
Cash crop farming: 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
J05_3
Livestock raising
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
J05_4
Poultry raising (e.g. chicken, duck, pigeon)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
J05_5
Fishing or fishpond culture
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
J05_6
Non-farm economic activities: 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
J05_7
Wage and salary employment: in-kind or monetary work(both agriculture and non-ag work)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
J05_8
Major household expenditures ( such as large appliance for the house like refrigerator)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
J05_9
Minor household expenditures (such as food for daily consumption or other household needs)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
WOMEN’S ACCESS TO CAPITAL AND CREDIT
K01
Does anyone in your household currently have any _____?
K01_1
Agricultural land
Yes
No
K01_2
Other land not used for agriculture
Yes
No
K01_3
Large livestock (e.g. oxen, cattle, buffalo, horse)
Yes
No
K01_4
Small livestock (e.g. goats, pigs, sheep)
Yes
No
K01_5
Chickens, ducks, turkeys, pigeons
Yes
No
K01_6
Fish pond or fishing equipment
Yes
No
K01_7
Farm equipment (non-mechanized)
Yes
No
K01_8
Farm equipment (mechanized e.g. tractor)
Yes
No
K01_9
Non farm business equipment
Yes
No
K01_10
House (and other structures)
Yes
No
K01_11
Large consumer durables (Fridge, TV, sofa)
Yes
No
K01_12
Small consumer durables (radio, cookware)
Yes
No
K01_13
Cell phone
Yes
No
K01_14
Means of transportation (bicycle, motorcycle, car)
Yes
No
K02
Who would you say owns most of the _____?
K02_1
Agricultural land
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other hh member
Self, spouse and other hh member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside People
K02_2
Other land not used for agriculture
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other hh member
Self, spouse and other hh member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside People
K02_3
Large livestock (e.g. oxen, cattle, buffalo, horse)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other hh member
Self, spouse and other hh member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside People
K02_4
Small livestock (e.g. goats, pigs, sheep)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other hh member
Self, spouse and other hh member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside People
K02_5
Chickens, ducks, turkeys, pigeons
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other hh member
Self, spouse and other hh member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside People
K02_6
Fish pond or fishing equipment
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other hh member
Self, spouse and other hh member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside People
K02_7
Farm equipment (non-mechanized)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other hh member
Self, spouse and other hh member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside People
K02_8
Farm equipment (mechanized e.g. tractor)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other hh member
Self, spouse and other hh member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside People
K02_9
Non farm business equipment
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other hh member
Self, spouse and other hh member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside People
K02_10
House (and other structures)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other hh member
Self, spouse and other hh member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside People
K02_11
Large consumer durables (Fridge, TV, sofa)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other hh member
Self, spouse and other hh member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside People
K02_12
Small consumer durables (radio, cookware)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other hh member
Self, spouse and other hh member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside People
K02_13
Cell phone
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other hh member
Self, spouse and other hh member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside People
K02_14
Means of transportation (bicycle, motorcycle, car)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other hh member
Self, spouse and other hh member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside People
K03
Do you own any of the ____?
K03_1
Agricultural land
Yes
No
K03_2
Other land not used for agriculture
Yes
No
K03_3
Large livestock (e.g. oxen, cattle, buffalo, horse)
Yes
No
K03_4
Small livestock (e.g. goats, pigs, sheep)
Yes
No
K03_5
Chickens, ducks, turkeys, pigeons
Yes
No
K03_6
Fish pond or fishing equipment
Yes
No
K03_7
Farm equipment (non-mechanized)
Yes
No
K03_8
Farm equipment (mechanized e.g. tractor)
Yes
No
K03_9
Non farm business equipment
Yes
No
K03_10
House (and other structures)
Yes
No
K03_11
Large consumer durables (Fridge, TV, sofa)
Yes
No
K03_12
Small consumer durables (radio, cookware)
Yes
No
K03_13
Cell phone
Yes
No
K03_14
Means of transportation (bicycle, motorcycle, car)
Yes
No
K04
Do you have a bank account?
Yes
No
K05
What type of bank account do you have? Individual or joint? If it is joint, with whom?
Individual
Joint with husband
Joint with SHG
Joint with others
K06
For how many years do you have this bank account?
K07
What were the reasons for opening this bank account?
To receive payments from govt. schemes
To receive payments from MNREGA
To receive remittances
To save money
To request a loan
Other (Specify)
K08
Who operates your bank account?
Herself
Husband
Other family/ SHG members
Self and spouse
K09
Did you make any transaction from your bank account in the past three months?
Yes
No
K10
What are the reasons for not having a bank account?
I have no money/little money to put in account
There is no bank in this area
Benefits were received only in cash so far, hence did not open account
Too many charges are there for opening a bank account
Tried to open but was refused
Lengthy process for opening account
Having a bank account is not important
Anticipated rejection from bank staff
Other (specify)
K11
Has anyone in your household taken any loans or borrowed cash/in-kind from _____ in the past 12 months?
K11_1
Non-governmental organization (NGO)
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
Don’t know
K11_2
Money lender
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
Don’t know
K11_3
Formal lender (direct credit from bank/financial institution)
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
Don’t know
K11_4
Friends or relatives or neighbours
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
Don’t know
K11_5
Self - Help Group (SHG)
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
Don’t know
K12
Who made the decision to borrow from _____?
K12_1
Non-governmental organization (NGO)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
K12_2
Money lender
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
K12_3
Formal lender (direct credit from bank/financial institution)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
K12_4
Friends or relatives or neighbours
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
K12_5
Self - Help Group (SHG)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
K13
Who makes the decision about what to do with the money/item borrowed from _____?
K13_1
Non-governmental organization (NGO)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
K13_2
Money lender
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
K13_3
Formal lender (direct credit from bank/financial institution)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
K13_4
Friends or relatives or neighbours
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
K13_5
Self - Help Group (SHG)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
K14
Has such a situation ever occurredwhere you wanted to take loan but you couldn’t take?
K14_1
Non-governmental organization (NGO)
Yes
No
K14_2
Money lender
Yes
No
K14_3
Formal lender (direct credit from bank/financial institution)
Yes
No
K14_4
Friends or relatives or neighbours
Yes
No
K14_5
Self - Help Group (SHG)
Yes
No
WOMEN’S GROUP MEMBERSHIP AND LEADERSHIP
L01
Is there a ____ in your village?
L01_1
Agricultural/livestock/fisheries producer group (including marketing groups)
Yes
No
L01_2
Water users’ group
Yes
No
L01_3
Land/forest users’ groups
Yes
No
L01_4
Credit or microfinance group (SHG)
Yes
No
L01_5
Mutual help or insurance group (including burial societies) (not-self-help group)
Yes
No
L01_6
Trade and business association
Yes
No
L01_7
Civic group (improving community) or charitable group (helping others)
Yes
No
L01_8
Religious group
Yes
No
L01_9
Mother’s group
Yes
No
L01_10
School management committee
Yes
No
L01_11
Watershed committee
Yes
No
L01_12
Village health and sanitation committee
Yes
No
L01_13
Other women’s group like VO and federation (only if it does not fit into one of the other categories)
Yes
No
L02
Are you a member/active member of any ______?
L02_1
Agricultural/livestock/fisheries producer group (including marketing groups)
Yes member
Yes active member
No
L02_2
Water users’ group
Yes member
Yes active member
No
L02_3
Land/forest users’ groups
Yes member
Yes active member
No
L02_4
Credit or microfinance group (SHG)
Yes member
Yes active member
No
L02_5
Mutual help or insurance group (including burial societies) (not-self-help group)
Yes member
Yes active member
No
L02_6
Trade and business association
Yes member
Yes active member
No
L02_7
Civic group (improving community) or charitable group (helping others)
Yes member
Yes active member
No
L02_8
Religious group
Yes member
Yes active member
No
L02_9
Mother’s group
Yes member
Yes active member
No
L02_10
School management committee
Yes member
Yes active member
No
L02_11
Watershed committee
Yes member
Yes active member
No
L02_12
Village health and sanitation committee
Yes member
Yes active member
No
L02_13
Other women’s group like VO and federation (only if it does not fit into one of the other categories)
Yes member
Yes active member
No
L03
Why are you not a member of ________?
L03_1
Agricultural/livestock/fisheries producer group (including marketing groups)
None available in my community
I was never interested
I used to be involved and quit
My husband doesn’t allow me
I don’t have time
Religious/cultural reasons
Other (Specify)
Don’t know
No reason
L03_2
Water users’ group
None available in my community
I was never interested
I used to be involved and quit
My husband doesn’t allow me
I don’t have time
Religious/cultural reasons
Other (Specify)
Don’t know
No reason
L03_3
Land/forest users’ groups
None available in my community
I was never interested
I used to be involved and quit
My husband doesn’t allow me
I don’t have time
Religious/cultural reasons
Other (Specify)
Don’t know
No reason
L03_4
Credit or microfinance group (SHG)
None available in my community
I was never interested
I used to be involved and quit
My husband doesn’t allow me
I don’t have time
Religious/cultural reasons
Other (Specify)
Don’t know
No reason
L03_5
Mutual help or insurance group (including burial societies) (not-self-help group)
None available in my community
I was never interested
I used to be involved and quit
My husband doesn’t allow me
I don’t have time
Religious/cultural reasons
Other (Specify)
Don’t know
No reason
L03_6
Trade and business association
None available in my community
I was never interested
I used to be involved and quit
My husband doesn’t allow me
I don’t have time
Religious/cultural reasons
Other (Specify)
Don’t know
No reason
L03_7
Civic group (improving community) or charitable group (helping others)
None available in my community
I was never interested
I used to be involved and quit
My husband doesn’t allow me
I don’t have time
Religious/cultural reasons
Other (Specify)
Don’t know
No reason
L03_8
Religious group
None available in my community
I was never interested
I used to be involved and quit
My husband doesn’t allow me
I don’t have time
Religious/cultural reasons
Other (Specify)
Don’t know
No reason
L03_9
Mother’s group
None available in my community
I was never interested
I used to be involved and quit
My husband doesn’t allow me
I don’t have time
Religious/cultural reasons
Other (Specify)
Don’t know
No reason
L03_10
School management committee
None available in my community
I was never interested
I used to be involved and quit
My husband doesn’t allow me
I don’t have time
Religious/cultural reasons
Other (Specify)
Don’t know
No reason
L03_11
Watershed committee
None available in my community
I was never interested
I used to be involved and quit
My husband doesn’t allow me
I don’t have time
Religious/cultural reasons
Other (Specify)
Don’t know
No reason
L03_12
Village health and sanitation committee
None available in my community
I was never interested
I used to be involved and quit
My husband doesn’t allow me
I don’t have time
Religious/cultural reasons
Other (Specify)
Don’t know
No reason
L03_13
Other women’s group like VO and federation (only if it does not fit into one of the other categories)
None available in my community
I was never interested
I used to be involved and quit
My husband doesn’t allow me
I don’t have time
Religious/cultural reasons
Other (Specify)
Don’t know
No reason
SELF HELP GROUPS & SOCIAL COHESION
M01
Do you currently belong to a self-help group?
Yes
No
M02
When you expressed desire to become SHG member, did you have to face any challenges?
Yes
No
M03
What challenges did you have to overcome to become SHG member?
Opposition from mother-in-law
Scolding from husband
Violence or beating
Others (specify)
M04
How did they finally agree to you becoming an SHG member?
On my persistent request
Explained to them the advantages of SHG membership
Other SHG members convinced husband/MIL
Other family members helped and convinced
They didn’t agree, I joined against their will
Other (specify)
M05
Why is SHG membership important for you?
To get financial support and loan
To bring economic welfare in family
To have self-respect in the family
To work outside home
To work for welfare of village women and group
Personal empowerment
People suggested and put my name
Neighbors/known families joined
To learn new things/receive knowledge information
To get opportunity to go out of home
To receive social support from group members
Other (specify)
M06
For how long have you belonged to the self-help group to which you belong?
M07
Are you an active member of this group, meaning that you participate in meetings, for example?
Yes
No
M08
Which organization started or supports this self-help group?
PRADAN
Other NGO
Government
Don’t know
Other (Specify)
M09
Name of the NGO
M10
Has a representative from this NGO visited you and talked about agricultural practices?
Yes
No
M11
Has the NGO conducted any training on livelihood practices?
Yes
No
M12
Does your self-help group have savings and credit activities?
Yes
No
M13
Do you personally participate in these savings and credit activities?
Yes
No
M14
Do you take leadership roles in this self-help group?
Yes
No
M15
Are you currently a portfolio-holder?
Yes
No
M16
Which position do you hold?
Treasurer
Secretary
Other (specify)
M17
Do you discuss any of the following in the self-help group?
M17_1
Livelihoods/socio-economic problems in the community
Yes
No
M17_2
Agriculture problems
Yes
No
M17_3
Education problems
Yes
No
M17_4
Health and nutrition problems
Yes
No
M17_5
Gender dynamics
Yes
No
M17_6
Rights and entitlements
Yes
No
M17_7
Savings and loans
Yes
No
M17_8
Sanitation
Yes
No
M18
How often does your group meet for discussions or activities in a month?
Weekly
Bi-monthly
Monthly
Occasionally
Never met so far
M19
How often do you participate in group meetings in a month?
Weekly
Bi-monthly
Monthly
Occasionally
Never met so far
M20
When was the last time that you participated in a group meeting?
M21
Do you save money in SHG?
Yes
No
M22
How much money do you save in each meeting?
M23
How often do you save?
Weekly
Bi-monthly
Monthly
Occasionally
Never met so far
M24
Have you participated in the maintenance of books of accounts of the SHG?
Yes
No
M25
How responsible do you feel for achieving the objectives of your group?
Not at all
Somewhat
Very much
Completely
M26
How much do you agree or disagree with the following statements
M26_1
I feel that I belong to this SHG
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
M26_2
I would rather go with a different SHG
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
M26_3
I would rather prefer this SHG than any others I know of
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
M26_4
Members in this SHG are all striving for the same goals
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
M26_5
Everyone in our SHG wants to pursue their own goals rather than working for the good of the community
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
M26_6
I can count on fellow SHG members if I need to borrow money
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
M26_7
I can count on fellow SHG members to talk about my problems
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
M26_8
SHG members worry about themselves only
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
M26_9
I can count on fellow SHG members if I need advice
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
M26_10
I can count on fellow SHG members to help me in accessing services
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
M26_11
I can count on fellow SHG members to help me address the problems I am unable to solve on my own. (E.g. Violence)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
M27
Were you previously a member of a self-help group?
Yes
No
M28
Were you previously a portfolio holder?
Yes
No
M29
Why do you not belong to a self-help group?
None available in my community
I was not involved in the activities by the members
I was never interested
My husband doesn’t allow me
I don’t have time
Religious/cultural reasons
Don’t know
Other (Specify)
WOMEN’S STATUS & SOCIAL NORMS AND BELIEFS
N01
Do you currently live with your partner or husband?
Yes
No
N02
At what age did you get married?
N03
At what age did you first get pregnant?
N04
How many times have you been pregnant?
N05
At what age did you first give birth?
N06
How many times have you given birth?
N07
Now, I would like to have your opinion on some ideas regarding how people live within a household.
N07_1
In a household, the man should take the important decisions
Yes, agree
No, don’t agree
No Response
Don’t know
N07_2
If the woman works outside home, her husband or partner should help her with the daily housework.
Yes, agree
No, don’t agree
No Response
Don’t know
N07_3
A husband should not let his wife work outside home, even if she would like to do it.
Yes, agree
No, don’t agree
No Response
Don’t know
N07_4
A woman has the right to express her opinion if she does not agree with what the husband or partner says.
Yes, agree
No, don’t agree
No Response
Don’t know
N07_5
A woman must accept that her husband or partner beats her in order to keep the family together.
Yes, agree
No, don’t agree
No Response
Don’t know
N07_6
It is better to send a son to school than a daughter.
Yes, agree
No, don’t agree
No Response
Don’t know
N08
Do you have your own money that you can use for what you want to use it?
Yes
No
N09
Do you talk to someone when you have any problem?
Yes
No
N10
Whom do you talk to in case of any problem?
SHG members
VO members
Friends
Relatives
Husband
Neighbours
N11
How often do you see or talk to somebody from your own family other than the one who live in the same house?
Several times per week
About once per week
Several times per month
Less than once per month but more than once a year
About once per year or less
Never
No Response
N12
How often can you visit the following spaces freely?
N12_1
To the market?
Yes, always
Yes, sometimes
No, never
N12_2
To a friend or family member’s house less than one hour away?
Yes, always
Yes, sometimes
No, never
N12_3
To the temple, church or mosque?
Yes, always
Yes, sometimes
No, never
N12_4
To a public village meeting?
Yes, always
Yes, sometimes
No, never
N12_5
To a meeting of any association of which you are a member including a self-help group?
Yes, always
Yes, sometimes
No, never
N12_6
Outside your village?
Yes, always
Yes, sometimes
No, never
N12_7
To see a health care provider for your own treatment?
Yes, always
Yes, sometimes
No, never
N12_8
Going to a movie
Yes, always
Yes, sometimes
No, never
N12_9
Buying new clothes for yourself
Yes, always
Yes, sometimes
No, never
N12_10
Taking child to health care center
Yes, always
Yes, sometimes
No, never
N12_11
Shopping within the village
Yes, always
Yes, sometimes
No, never
N12_12
Shopping outside the village
Yes, always
Yes, sometimes
No, never
N12_13
Attending a religious festival/social function within the village
Yes, always
Yes, sometimes
No, never
N13
First, I am going to ask you about some situations which happen to some women. Please tell me if these apply to your relationship with your husband/last husband.
N13_1
He is jealous or angry if you talk to other men.
Yes
No
N13_2
He frequently accuses/accused you of being unfaithful.
Yes
No
N13_3
He does/did not permit you to meet your female friends.
Yes
No
N13_4
He tries/tried to limit your contact with your family.
Yes
No
N13_5
He (insists/insisted) on knowing where you (are/were) at all times.
Yes
No
N13_6
He does/did not trust you with any money.
Yes
No
N14
Now if you will permit me, I need to ask some more questions about your relationship with your husbandlast husband. Does/did your husband/last husband ever
N14_1
Say or do something to humiliate you in front of others?
Yes
No
N14_2
Threaten to hurt or harm you or someone close to you?
Yes
No
N14_3
Insult you or make you feel bad about yourself?
Yes
No
N15
How often did this happen in the last 12 months: often, only sometimes, or not at all?
N15_1
Say or do something to humiliate you in front of others?
Often
Sometimes
Not in the last 12 months
N15_2
Threaten to hurt or harm you or someone close to you?
Often
Sometimes
Not in the last 12 months
N15_3
Insult you or make you feel bad about yourself?
Often
Sometimes
Not in the last 12 months
N16
Does/did your (last) husband ever do any of the following things to you
N16_1
Push you, shake you, or throw something at you
Yes
No
N16_2
Twist your arm or pull your hair
Yes
No
N16_3
Slap you
Yes
No
N16_4
Punch you with his fist or with something that could hurt you
Yes
No
N16_5
Kick you, drag you or beat you up
Yes
No
N16_6
Try to choke you or burn you on purpose
Yes
No
N16_7
Threaten or attack you with a knife, gun, or any other weapon
Yes
No
N16_8
Physically force you to have sexual intercourse with him even when you did not want to
Yes
No
N16_9
Physically force you to perform any other sexual acts you did not want to
Yes
No
N16_10
Force you with threats or in any other way to perform sexual acts you did not want to
Yes
No
N17
How often did this happen in the last 12 months
N17_1
Push you, shake you, or throw something at you
Often
Sometimes
Not in the last 12 months
N17_2
Twist your arm or pull your hair
Often
Sometimes
Not in the last 12 months
N17_3
Slap you
Often
Sometimes
Not in the last 12 months
N17_4
Punch you with his fist or with something that could hurt you
Often
Sometimes
Not in the last 12 months
N17_5
Kick you, drag you or beat you up
Often
Sometimes
Not in the last 12 months
N17_6
Try to choke you or burn you on purpose
Often
Sometimes
Not in the last 12 months
N17_7
Threaten or attack you with a knife, gun, or any other weapon
Often
Sometimes
Not in the last 12 months
N17_8
Physically force you to have sexual intercourse with him even when you did not want to
Often
Sometimes
Not in the last 12 months
N17_9
Physically force you to perform any other sexual acts you did not want to
Often
Sometimes
Not in the last 12 months
N17_10
Force you with threats or in any other way to perform sexual acts you did not want to
Often
Sometimes
Not in the last 12 months
N18
Has your husband ever prohibited you from getting a job, going to work, trading, earning money or participating in income generating projects?
Yes
No
N19
Did he try to stop you from working for earning in the last 12 months?
Yes
No
N20
Does/did your husband drink alcohol?
Yes
No
N21
How often does (did) he get drunk: often, only sometimes, or never?
Often
Sometimes
Not in the last 12 months
N22
Are/Were you afraid of your husband/last husband: most of the time, sometimes, or never?
Most of the time afraid
Sometimes afraid
Never afraid
N23
Have you ever tried to seek help to stop your husband from doing this to you again?
Yes
No
N24
From whom have you sought help to stop this?
Own family
Husband's family
Current/last husband
Current/former boyfriend
Friend
Neighbor
Religious leader
Doctor/medical personnel
Police
Lawyer
Social service organization
SHG members
Other (specify)
N25
Did you report to someone about the violence that you have experienced?
Yes
No
N26
Have you ever hit, slapped, kicked or done anything else to hurt your husband physically when he was not already beating or physically hurting you?
Yes
No
N27
In the last six months, how often have you done this to your husband?
Often
Sometimes
Not in the last 12 months
N28
Do you usually do your work for your main occupation at home or outside the home?
Home
Away from home
Both
Don’t work
N29
How much do you contribute to the total household expenses?
Nothing
Some of it
Most of it
All
N30
For this work, how many days a week do you work outside the home?
N31
For this work, when you work outside the home, how many hours do you stay away from home each day?
N32
When you work outside, do you take your youngest child (NAME) with you or do you have someone to take care of him/her?
Always brings with her
Always leaves with Someone else
Both
N33
When you leave home to go to the market or visit people, etc. do you take your youngest child (NAME) with you or do you leave the child with someone else?
Always brings with her
Always leaves with Someone else
Both
N34
For these types of activities, how many times a week do you usually leave the child with someone else to take care of him/her?
N35
For how long each time do you usually leave the child with someone else at home?
N36
When you leave your youngest child with someone, with whom do you leave him/her with, most often?
Adult (>15 year) family member Within household
Adult(>15 year) family member Outside household
Child (<15 year) family memberWithin household
Child (<15 year) family member Outside household
N37
Do you breastfeed your youngest child?
Yes
No
N38
Did you breastfeed this youngest child in the previous 24 hours?
Yes
No
N39
What else, if anything, was given to this youngest child to eat or drink in the previous 24 hours?
Nothing else
Water
Other liquid
Formula/baby food
Soft or semi-soft foods
ACCESS TO AND KNOWLEDGE OF GOVERNMENT SCHEMES
O01
Have you ever heard about_______?
O01_1
Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA)
Family member
Friends/neighbors
Media (TV, radio, newspaper, etc.)
Government officials
PRADAN
Other NGO
Members of my SHG
Other
O01_2
Pradhan Mantri Awas Yojana (PMAY)
Family member
Friends/neighbors
Media (TV, radio, newspaper, etc.)
Government officials
PRADAN
Other NGO
Members of my SHG
Other
O01_3
Antyodya Yojna (AYY)
Family member
Friends/neighbors
Media (TV, radio, newspaper, etc.)
Government officials
PRADAN
Other NGO
Members of my SHG
Other
O01_4
Swachh Bharat Abhiyan
Family member
Friends/neighbors
Media (TV, radio, newspaper, etc.)
Government officials
PRADAN
Other NGO
Members of my SHG
Other
O01_5
ICDS
Family member
Friends/neighbors
Media (TV, radio, newspaper, etc.)
Government officials
PRADAN
Other NGO
Members of my SHG
Other
O01_6
Janani Suraksha Yojana (JSY)
Family member
Friends/neighbors
Media (TV, radio, newspaper, etc.)
Government officials
PRADAN
Other NGO
Members of my SHG
Other
O01_7
Janani Shishu Suraksh Karykaram (JSSK)
Family member
Friends/neighbors
Media (TV, radio, newspaper, etc.)
Government officials
PRADAN
Other NGO
Members of my SHG
Other
O01_8
Pradhan Mantri Jeevan Jyoti Bima Yojna (PMJJBY)
Family member
Friends/neighbors
Media (TV, radio, newspaper, etc.)
Government officials
PRADAN
Other NGO
Members of my SHG
Other
O01_9
Social Security Pension
Family member
Friends/neighbors
Media (TV, radio, newspaper, etc.)
Government officials
PRADAN
Other NGO
Members of my SHG
Other
O01_10
Protection of Women against Domestic Violence Act
Family member
Friends/neighbors
Media (TV, radio, newspaper, etc.)
Government officials
PRADAN
Other NGO
Members of my SHG
Other
O02
Is your household / anyone in your household eligible for this scheme?
O02_1
Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA)
Yes
No
O02_2
Pradhan Mantri Awas Yojana (PMAY)
Yes
No
O02_3
Antyodya Yojna (AYY)
Yes
No
O02_4
Swachh Bharat Abhiyan
Yes
No
O02_5
ICDS
Yes
No
O02_6
Janani Suraksha Yojana (JSY)
Yes
No
O02_7
Janani Shishu Suraksh Karykaram (JSSK)
Yes
No
O02_8
Pradhan Mantri Jeevan Jyoti Bima Yojna (PMJJBY)
Yes
No
O02_9
Social Security Pension
Yes
No
O02_10
Protection of Women against Domestic Violence Act
Yes
No
O03
Has anyone in your household ever availed this scheme?
O03_1
Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA)
Yes
No
O03_2
Pradhan Mantri Awas Yojana (PMAY)
Yes
No
O03_3
Antyodya Yojna (AYY)
Yes
No
O03_4
Swachh Bharat Abhiyan
Yes
No
O03_5
ICDS
Yes
No
O03_6
Janani Suraksha Yojana (JSY)
Yes
No
O03_7
Janani Shishu Suraksh Karykaram (JSSK)
Yes
No
O03_8
Pradhan Mantri Jeevan Jyoti Bima Yojna (PMJJBY)
Yes
No
O03_9
Social Security Pension
Yes
No
O03_10
Protection of Women against Domestic Violence Act
Yes
No
O04
When was the last time someone in your household used this scheme?
O04_1
Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA)
O04_2
Pradhan Mantri Awas Yojana (PMAY)
O04_3
Antyodya Yojna (AYY)
O04_4
Swachh Bharat Abhiyan
O04_5
ICDS
O04_6
Janani Suraksha Yojana (JSY)
O04_7
Janani Shishu Suraksh Karykaram (JSSK)
O04_8
Pradhan Mantri Jeevan Jyoti Bima Yojna (PMJJBY)
O04_9
Social Security Pension
O04_10
Protection of Women against Domestic Violence Act
O05
Does anyone in your household have a MGNREGA job card? If yes, please show me.
Yes
No
O06
In the past year, how many days did members of your household work for MGNREGA?
O07
For this total number of days worked by household members, how many days were worked by men and how many days were worked by women?
O08
Do you feel that MGNREGA gives you employment security?
Yes
No
O09
Does anybody in the household have an Aadhar card?
Yes
No
O10
Does your household have a ration card?
Yes
No
O11
Which card do you have?
Antyodhya Anna Yojna
ANNAPURNA
BPL
Other (specify)
Don’t know
O12
In the past 30 days, did you buy anything from a fair price shop?
Yes
No
O13
Which items did you buy from the fair price shop in the last 30 days and in what quantity?
O13A
Whether purchased
O13A_1
Rice
Yes
No
O13A_2
Wheat
Yes
No
O13A_3
Sugar
Yes
No
O13A_4
Kerosene
Yes
No
O13B
Quantity Purchased
O13B_1
Rice
O13B_2
Wheat
O13B_3
Sugar
O13B_4
Kerosene
O14
Do you feel that fair price shops help your household be food secure?
Yes
No
O15
Did you or any member of your household ever receive any food from Anganwadi centre?
Yes
No
O16
Who received food from an Anganwadi centre
Pregnant woman in the household
Lactating woman in the household
Child less than 6 months of age
Child 6 to 24 months of age
Child 2 to 5 years of age
Don’t know
Other (specify)
O17
Do you know how much money the beneficiary is supposed to get under the JSY scheme?
O18
Did anyone ever tell you/your HH members about constructing a toilet?
Yes
No
O19
Can you tell us from where did you/ any HH get to hear about constructing toilet for the first time?
PRADAN staff
SHG member
Sarpanch/ PRI
Neighbor
TV ad
Wall painting
Health worker(ASHA/ANM)
Teacher
AWW
Doctor
Any other (please specify)
O20
Does your household have a toilet?
Yes
No
O21
Who paid for construction of toilet?
Hh paid for it entirely on its own
Partly subsidized by the government
Completely paid by government
Partly subsidized by NGO/CBO
Completely paid by NGO/CBO
Given/offered by relative or friend
Already existed in the house
Loan
Don’t know
Others(please specify)
O22
Do you think there is any disadvantage of having a toilet?
Yes
No
O23
What are the disadvantages of having a toilet?
Takes up space in the house
Construction cost is high
Maintenance cost is high
It is not hygienic to have the toilet inside
Requires sewerage system
Requires water facility
It is against our traditions
It is unnecessary
Others(please specify)
O24
How satisfied are you with your toilet facility?
Very satisfied
Satisfied
Unsatisfied
Very dissatisfied
Don’t know
O25
What are the main reasons for the dissatisfaction?
No water supply
Gives bad odour
It is wet all the time
Sludge overflows in the toilet
Vermin infestation
Toilet has no roof
Pit gets full
Improper sewerage system
Number of toilets is not sufficient
Don’t know
Others(please specify)
O26
What is the main reason that your HH did not construct a toilet?
Do not feel it is required
Do not have money
Do not want to sit in the toilet/ claustrophobic
It smells
There is no water
No one cleans the toilet (burden on women)
There is no benefit of using the toilet
Used to going out in the open
Not covered under sbm scheme
Migrate from place to place
No space
Other (specify)
O27
Would you be willing to contribute money towards the construction of toilet in your house?
Yes
No
O28
Are there any public toilet in your locality?
Yes
No
O29
Do members of your HH use the community toilet facility?
Yes
No
O30
Do all female members of your HH use the toilet?
Yes
No
O31
Do all male members of your HH use the toilet?
Yes
No
O32
Do all children (above 4 years) of your HH use the toilet?
Yes
No
O33
Have you washed your hands with soap since this time yesterday?
Yes
No
O34
On what occasions, did you wash your hands with soap since this time yesterday?
Before cooking
After handling food
Before eating
Before feeding the infant
After cleaning infant faeces
When i wash clothes
When i bathe
When i wash dishes
After using toilet
Other specify
O35
Why did you not wash hands with soap before/after doing any activity?
Lack of water
No soap available
Did not feel the need to wash hands
Other specify
O36
In general, what do you wash your hands with?
Only water
Soap and water
Ash
Sand
Mud
Other specify
O37
Do you think there can be any ill effects of not washing hands with soap before/after doing certain activities?
Yes
No
O38
What do you think are the ill effects of not washing hands with soap before/after doing certain activities?
Spreading of germs
Spreading of diseases
Hands look dirty
Getting sick
Getting diarrhea
Other specify
O39
From where did you get information about ill effects of not washing hands before/after certain activities?
PRADAN worker
SHG member
Sarpanch/ PRI
Neighbour
TV ad
Wall painting
ANM
ASHA
AWW
Teacher
Other specify
O40
Do you know about six steps of washing hands?
Yes
No
O41
Did any one demonstrate to you the 6 steps of handwashing?
Yes
No
O42
Did you receive any training on Protection of Women aginst Domestic Violence Act?
Yes
No
O43
Who provided the training?
PRADAN Staff
SHG Member
VO member
Govt. representatives
Panchayat representatives
Others
O44
Did you know whom to approach when you/HH member filed a complaint under the Act?
Yes
No
O45
Have you or any woman you know ever been a victim of domestic violence?
Yes
No
O46
Who helped you/her file the complaint?
Filed on my/her own
SHG members
VO members
Police
Panchayat members
PRADAN staff
Did not file any complaint
O47
Why did you not file a complaint?
Didn’t know who to approach
We were scared of public shaming
Authorities don’t help us
I don’t feel there is anything wrong with this
Others
O48
Did the protection officer take immediate action when you filed the complaint?
Yes
No
O49
After how long did the hearing take place?
Within 1 week
7-15 days
Nearly a month
More than a month
Hearing never took place
O50
Do you think filing the complaint with help of a group helps/will help get better response from the authorities than when filed individually?
Yes
No
PARTICIPATION IN SOCIAL SPHERE
P01
Have you ever raised voice for any concern or issue in the community?
Yes
No
P02
Have you ever participated in any mass events like rallies, campaigns, vigils, etc. for social change or to demand something (for ex. Against alcolosim)?
Yes
No
P03
If yes, for what?
Demand for MNREGA
Demand for PDS/ration card
Demand for opening bank account
On-time delivery of services meant for poor from the government
Supply of safe drinking water
Supply of sufficient water for household purposes
Supply of sanitation services e.g. latrine facilities/construction of toilets
Preparation of village development plans
Demand for better school facilities
Demand for better angandwadi facililties
Addressing liquor consumption issues in village
P04
Do you have voter identification card?
Yes
No
P05
Did you vote in the last election?
Yes
No
P06
Why did you vote?
My husband had asked me to do so
It is my right
Political party requested to cast vote
Political party distributed incentives to cast vote
I believe in the manifesto the party presented
Others specify
P07
In your house who decides to vote?
Self
Husband
Elder family member
Village level influential
Others specify
DK/CS
P08
Why did not you vote?
Do not feel this to be necessary
Stopped from going by husband/family members
Fearful
Not aware of the process
Others specify
DK/CS
P09
Have you or any other woman from any SHG in your village contested in the recent elections?
Yes
No
P10
Have you ever participated in gram sabha meeting?
Yes
No
P11
Did you attend last gram sabha meeting?
Yes
No
P12
What was the reason to attend Gram sabha meeting?
I was given incentive to attend the meeting
To keep myself updated with the political happening
It is my right to share my views and concern vius
Issue to be discussed was of interest to me
Other, Specify
P13
What was the reason for not attending gram sabha meeting?
I did not get information about the meeting
Date or time was not convenient
Gram Sabha is not of interest to me
Issue to be discussed in the meeting was not of interest to me
Other (specify)
P14
Have you ever raised any concern or given your opinion in any gram sabha meeting?
Yes
No
P15
Has ever your concern or suggestion resulted in resolution being adopted at gram sabha?
Yes
No
P16
Does gram Panchayat take action to address a complaint or suggestion raised collectively by women/SHGs?
Yes
No
P17
Have you ever participated in the preparation of the village plan for your village under
P17_1
MGNREGA
Yes
No
P17_2
Yojana Banao Abhiyan?
Yes
No
P17_3
IPPE
Yes
No
P18
Do you feel comfortable speaking up in public to help decide on infrastructure (like small wells, roads, water supplies) to be built in your community?
No, not at all comfortable
Yes, but with a great deal of difficulty
Yes, but with a little difficulty
Yes, mostly comfortable
Yes, very comfortable
P19
Do you feel comfortable speaking up in public to ensure proper payment of wages for public works or other similar programs?
No, not at all comfortable
Yes, but with a great deal of difficulty
Yes, but with a little difficulty
Yes, mostly comfortable
Yes, very comfortable
P20
Do you feel comfortable speaking up in public to protest the misbehavior of authorities or elected officials?
No, not at all comfortable
Yes, but with a great deal of difficulty
Yes, but with a little difficulty
Yes, mostly comfortable
Yes, very comfortable
P21
How confident do you feel speaking your opinion in any training or SHG meeting?
No, not at all comfortable
Yes, but with a great deal of difficulty
Yes, but with a little difficulty
Yes, mostly comfortable
Yes, very comfortable
P22
How confident do you feel when you have to talk to a bank officer/manager/teacher/AWW?
No, not at all comfortable
Yes, but with a great deal of difficulty
Yes, but with a little difficulty
Yes, mostly comfortable
Yes, very comfortable
P23
How confident do you feel when you have to talk to Sarpanch/Pradhan?
No, not at all comfortable
Yes, but with a great deal of difficulty
Yes, but with a little difficulty
Yes, mostly comfortable
Yes, very comfortable
WEAI-Men
R01
Did you yourself participate in ______ in the past 12 months?
R01_1
Food crop farming: crops that are grown primarily for household food consumption
Yes
No
R01_2
Cash crop farming: crops that are grown primarily for sale in the market
Yes
No
R01_3
Livestock raising
Yes
No
R01_4
Poultry raising (e.g. chicken, duck, pigeon)
Yes
No
R01_5
Fishing or fishpond culture
Yes
No
R01_6
Non-farm economic activities: small business, self-employment, buy-and-sell
Yes
No
R01_7
Wage and salary employment: in-kind or monetary work(both agriculture and non-ag work)
Yes
No
R01_8
Major household expenditures ( such as large appliance for the house like refrigerator)
Yes
No
R01_9
Minor household expenditures (such as food for daily consumption or other household needs)
Yes
No
R02
When decisions are made regarding _____, who is it that normally takes the decision?
R02_1
Food crop farming: crops that are grown primarily for household food consumption
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
R02_2
Cash crop farming: crops that are grown primarily for sale in the market
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
R02_3
Livestock raising
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
R02_4
Poultry raising (e.g. chicken, duck, pigeon)
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
R02_5
Fishing or fishpond culture
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
R02_6
Non-farm economic activities: small business, self-employment, buy-and-sell
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
R02_7
Wage and salary employment: in-kind or monetary work(both agriculture and non-ag work)
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
R02_8
Major household expenditures ( such as large appliance for the house like refrigerator)
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
R02_9
Minor household expenditures (such as food for daily consumption or other household needs)
Self
Spouse
Other Household member
Other Non-Household member
Not applicable
R03
How much input did you have in making decisions about ____?
R03_1
Food crop farming: 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
R03_2
Cash crop farming: 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
R03_3
Livestock raising
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R03_4
Poultry raising (e.g. chicken, duck, pigeon)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R03_5
Fishing or fishpond culture
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R03_6
Non-farm economic activities: 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
R03_7
Wage and salary employment: in-kind or monetary work(both agriculture and non-ag work)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R03_8
Major household expenditures ( such as large appliance for the house like refrigerator)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R03_9
Minor household expenditures (such as food for daily consumption or other household needs)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R04
To what extent do you feel you can make your own personal decisions regarding ____, if you wanted to?
R04_1
Food crop farming: crops that are grown primarily for household food consumption
Not at all
Small extent
Medium extent
To a high extent
R04_2
Cash crop farming: crops that are grown primarily for sale in the market
Not at all
Small extent
Medium extent
To a high extent
R04_3
Livestock raising
Not at all
Small extent
Medium extent
To a high extent
R04_4
Poultry raising (e.g. chicken, duck, pigeon)
Not at all
Small extent
Medium extent
To a high extent
R04_5
Fishing or fishpond culture
Not at all
Small extent
Medium extent
To a high extent
R04_6
Non-farm economic activities: small business, self-employment, buy-and-sell
Not at all
Small extent
Medium extent
To a high extent
R04_7
Wage and salary employment: in-kind or monetary work(both agriculture and non-ag work)
Not at all
Small extent
Medium extent
To a high extent
R04_8
Major household expenditures ( such as large appliance for the house like refrigerator)
Not at all
Small extent
Medium extent
To a high extent
R04_9
Minor household expenditures (such as food for daily consumption or other household needs)
Not at all
Small extent
Medium extent
To a high extent
R05
How much input did you have in decisions on the use of income generated from ___?
R05_1
Food crop farming: 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
R05_2
Cash crop farming: 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
R05_3
Livestock raising
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R05_4
Poultry raising (e.g. chicken, duck, pigeon)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R05_5
Fishing or fishpond culture
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R05_6
Non-farm economic activities: 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
R05_7
Wage and salary employment: in-kind or monetary work(both agriculture and non-ag work)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R05_8
Major household expenditures ( such as large appliance for the house like refrigerator)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R05_9
Minor household expenditures (such as food for daily consumption or other household needs)
No Input or Input in Few Decisions
Input into Some Decisions
Input into Most or All Decisions
No Decision Made
R06
Does anyone in your household currently have any _____?
R06_1
Agricultural land
Yes
No
R06_2
Other land not used for agriculture
Yes
No
R06_3
Large livestock (e.g. oxen, cattle, buffalo, horse)
Yes
No
R06_4
Small livestock (e.g. goats, pigs, sheep)
Yes
No
R06_5
Chickens, ducks, turkeys, pigeons
Yes
No
R06_6
Fish pond or fishing equipment
Yes
No
R06_7
Farm equipment (non-mechanized)
Yes
No
R06_8
Farm equipment (mechanized e.g. tractor)
Yes
No
R06_9
Non farm business equipment
Yes
No
R06_10
House (and other structures)
Yes
No
R06_11
Large consumer durables (Fridge, TV, sofa)
Yes
No
R06_12
Small consumer durables (radio, cookware)
Yes
No
R06_13
Cell phone
Yes
No
R06_14
Means of transportation (bicycle, motorcycle, car)
Yes
No
R07
Who would you say owns most of the _____?
R07_1
Agricultural land
Self
Spouse
Self and spouse
Other male HH member
Other female HH member
Self and other HH member
Spouse and other HH member
Self, spouse and other HH member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R07_2
Other land not used for agriculture
Self
Spouse
Self and spouse
Other male HH member
Other female HH member
Self and other HH member
Spouse and other HH member
Self, spouse and other HH member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R07_3
Large livestock (e.g. oxen, cattle, buffalo, horse)
Self
Spouse
Self and spouse
Other male HH member
Other female HH member
Self and other HH member
Spouse and other HH member
Self, spouse and other HH member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R07_4
Small livestock (e.g. goats, pigs, sheep)
Self
Spouse
Self and spouse
Other male HH member
Other female HH member
Self and other HH member
Spouse and other HH member
Self, spouse and other HH member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R07_5
Chickens, ducks, turkeys, pigeons
Self
Spouse
Self and spouse
Other male HH member
Other female HH member
Self and other HH member
Spouse and other HH member
Self, spouse and other HH member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R07_6
Fish pond or fishing equipment
Self
Spouse
Self and spouse
Other male HH member
Other female HH member
Self and other HH member
Spouse and other HH member
Self, spouse and other HH member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R07_7
Farm equipment (non-mechanized)
Self
Spouse
Self and spouse
Other male HH member
Other female HH member
Self and other HH member
Spouse and other HH member
Self, spouse and other HH member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R07_8
Farm equipment (mechanized e.g. tractor)
Self
Spouse
Self and spouse
Other male HH member
Other female HH member
Self and other HH member
Spouse and other HH member
Self, spouse and other HH member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R07_9
Non farm business equipment
Self
Spouse
Self and spouse
Other male HH member
Other female HH member
Self and other HH member
Spouse and other HH member
Self, spouse and other HH member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R07_10
House (and other structures)
Self
Spouse
Self and spouse
Other male HH member
Other female HH member
Self and other HH member
Spouse and other HH member
Self, spouse and other HH member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R07_11
Large consumer durables (Fridge, TV, sofa)
Self
Spouse
Self and spouse
Other male HH member
Other female HH member
Self and other HH member
Spouse and other HH member
Self, spouse and other HH member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R07_12
Small consumer durables (radio, cookware)
Self
Spouse
Self and spouse
Other male HH member
Other female HH member
Self and other HH member
Spouse and other HH member
Self, spouse and other HH member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R07_13
Cell phone
Self
Spouse
Self and spouse
Other male HH member
Other female HH member
Self and other HH member
Spouse and other HH member
Self, spouse and other HH member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R07_14
Means of transportation (bicycle, motorcycle, car)
Self
Spouse
Self and spouse
Other male HH member
Other female HH member
Self and other HH member
Spouse and other HH member
Self, spouse and other HH member
Someone (or group) outside the hh
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R08
Do you own any of the ____?
R08_1
Agricultural land
Yes
No
R08_2
Other land not used for agriculture
Yes
No
R08_3
Large livestock (e.g. oxen, cattle, buffalo, horse)
Yes
No
R08_4
Small livestock (e.g. goats, pigs, sheep)
Yes
No
R08_5
Chickens, ducks, turkeys, pigeons
Yes
No
R08_6
Fish pond or fishing equipment
Yes
No
R08_7
Farm equipment (non-mechanized)
Yes
No
R08_8
Farm equipment (mechanized e.g. tractor)
Yes
No
R08_9
Non farm business equipment
Yes
No
R08_10
House (and other structures)
Yes
No
R08_11
Large consumer durables (Fridge, TV, sofa)
Yes
No
R08_12
Small consumer durables (radio, cookware)
Yes
No
R08_13
Cell phone
Yes
No
R08_14
Means of transportation (bicycle, motorcycle, car)
Yes
No
R09
Has anyone in your household taken any loans or borrowed cash/in-kind from _____ in the past 12 months?
R09_1
Non-governmental organization (NGO)
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
Don’t know
R09_2
Formal lender (direct credit from bank/financial institution)
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
Don’t know
R09_3
Informal money lender
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
Don’t know
R09_4
Friends or relatives or neighbours
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
Don’t know
R09_5
Savings and Credit cooperatives/groups
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
Don’t know
R09_6
Self - Help Group (SHG)
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
Don’t know
R10
Who made the decision to borrow from _____?
R10_1
Non-governmental organization (NGO)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R10_2
Formal lender (direct credit from bank/financial institution)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R10_3
Informal money lender
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R10_4
Friends or relatives or neighbours
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R10_5
Savings and Credit cooperatives/groups
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R10_6
Self - Help Group (SHG)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R11
Who makes the decision about what to do with the money/item borrowed from _____?
R11_1
Non-governmental organization (NGO)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R11_2
Formal lender (direct credit from bank/financial institution)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R11_3
Informal money lender
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R11_4
Friends or relatives or neighbours
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R11_5
Savings and Credit cooperatives/groups
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R11_6
Self - Help Group (SHG)
Self
Spouse
Self and spouse
Other male hh member
Other female hh member
Self and other hh member
Spouse and other household member
Self, spouse and other hh member
Someone (or group of people) outside the household
Self and other outside non hh people
Spouse and other non hh people
Self, spouse and other outside people
R12
Has such a situation ever occurredwhere you wanted to take loan but you couldn’t take?
R12_1
Non-governmental organization (NGO)
Yes
No
R12_2
Formal lender (direct credit from bank/financial institution)
Yes
No
R12_3
Informal money lender
Yes
No
R12_4
Friends or relatives or neighbours
Yes
No
R12_5
Savings and Credit cooperatives/groups
Yes
No
R12_6
Self - Help Group (SHG)
Yes
No
R13
Is there a ____ in your community?
R13_1
Agricultural/livestock/fisheries producer group (including marketing groups)
Yes
No
R13_2
Water users’ group
Yes
No
R13_3
Land/forest users’ groups
Yes
No
R13_4
Credit or microfinance group (SHG)
Yes
No
R13_5
Mutual help or insurance group (including burial societies) (not-self-help group)
Yes
No
R13_6
Trade and business association
Yes
No
R13_7
Civic group (improving community) or charitable group (helping others)
Yes
No
R13_8
Religious group
Yes
No
R13_9
Farmer’s group
Yes
No
R13_10
Other group (only if it does not fit into one of the other categories)
Yes
No
R14
Are you a member/active member of any ______?
R14_1
Agricultural/livestock/fisheries producer group (including marketing groups)
Yes member
Yes active member
No
R14_2
Water users’ group
Yes member
Yes active member
No
R14_3
Land/forest users’ groups
Yes member
Yes active member
No
R14_4
Credit or microfinance group (SHG)
Yes member
Yes active member
No
R14_5
Mutual help or insurance group (including burial societies) (not-self-help group)
Yes member
Yes active member
No
R14_6
Trade and business association
Yes member
Yes active member
No
R14_7
Civic group (improving community) or charitable group (helping others)
Yes member
Yes active member
No
R14_8
Religious group
Yes member
Yes active member
No
R14_9
Farmer’s group
Yes member
Yes active member
No
R14_10
Other group (only if it does not fit into one of the other categories)
Yes member
Yes active member
No
R15
Why are you not a member of ________?
R15_1
Agricultural/livestock/fisheries producer group (including marketing groups)
None available in my community
I was never interested
I used to be involved and quit
My husband doesn’t allow me
I don’t have time
Religious/cultural reasons
Don’t know
No reason
Other (Specify)
R15_2
Water users’ group
None available in my community
I was never interested
I used to be involved and quit
My husband doesn’t allow me
I don’t have time
Religious/cultural reasons
Don’t know
No reason
Other (Specify)
R15_3
Land/forest users’ groups
None available in my community
I was never interested
I used to be involved and quit
My husband doesn’t allow me
I don’t have time
Religious/cultural reasons
Don’t know
No reason
Other (Specify)
R15_4
Credit or microfinance group (SHG)
None available in my community
I was never interested
I used to be involved and quit
My husband doesn’t allow me
I don’t have time
Religious/cultural reasons
Don’t know
No reason
Other (Specify)
R15_5
Mutual help or insurance group (including burial societies) (not-self-help group)
None available in my community
I was never interested
I used to be involved and quit
My husband doesn’t allow me
I don’t have time
Religious/cultural reasons
Don’t know
No reason
Other (Specify)
R15_6
Trade and business association
None available in my community
I was never interested
I used to be involved and quit
My husband doesn’t allow me
I don’t have time
Religious/cultural reasons
Don’t know
No reason
Other (Specify)
R15_7
Civic group (improving community) or charitable group (helping others)
None available in my community
I was never interested
I used to be involved and quit
My husband doesn’t allow me
I don’t have time
Religious/cultural reasons
Don’t know
No reason
Other (Specify)
R15_8
Religious group
None available in my community
I was never interested
I used to be involved and quit
My husband doesn’t allow me
I don’t have time
Religious/cultural reasons
Don’t know
No reason
Other (Specify)
R15_9
Farmer’s group
None available in my community
I was never interested
I used to be involved and quit
My husband doesn’t allow me
I don’t have time
Religious/cultural reasons
Don’t know
No reason
Other (Specify)
R15_10
Other group (only if it does not fit into one of the other categories)
None available in my community
I was never interested
I used to be involved and quit
My husband doesn’t allow me
I don’t have time
Religious/cultural reasons
Don’t know
No reason
Other (Specify)
MEN’S TIME USE
S01
In the previous 24 hours, how much time did you spend on
S01_1
Spend resting or sleeping?
S01_2
Spend on domestic work including cooking, cleaning, shopping, fetching water, etc.?
S01_3
Engage in agricultural labor including any paid or unpaid agricultural related tasks at home or working for others?
S01_4
Engage in non-agricultural labor including self-employment or working for others?
S01_5
Spend caring for children or the elderly?
S01_6
Spend on leisure, social, and religious activities?
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