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Downtime In Rural India -Form Fill

CONSENT FROM THE RESPONDENT
Q01

Name of state

Q02

Code

Q03

Name of district

Q04

Telephone number

Q05

Name of index respondent

Q06

Gender

Q07

Date of interview

Q08

Name of caller

Q09

Respondent category

Q10

What time in the morning does your day start?

Q11

Before 9 AM, what activities are you engaged in at home as well as outside of home?

Q12

Between 9AM to 12 PM, what activities are you engaged in at home as well as outside of home?

Q13

Between 12 noon till 4:00 PM, what activities are you engaged in at home as well as outside of home?

Q14

Between 4:00 PM, till 8:00 PM, what activities are you engaged in at home as well as outside of home?

Q15

Between 8 PM till 10:00 PM, what activities are you engaged in at home as well as outside of home?

Q16

What time do you usually go to sleep?

Q17

When, during the day or night, do you have any leisure time for yourself, i.e., a period where you are not engaged in any routine work within or outside of your home and you can spend it as you please? PLEASE INDICATE IN TERMS OF MINUTES.

Q17_1

Before 9 AM

Q17_2

Between 9 AM-12 PM

Q17_3

Between 12PM-4PM

Q17_4

Between 4PM-8PM

Q17_5

Between 8PM-10PM

Q17_6

After 10 PM

Q18

How do you spend these leisure hours?

Q19

Which of these leisure activities do you enjoy the most, or which gives you the greatest pleasure?

Q20

What are some activities that you wish you could pursue during your leisure times but do not have the opportunity to do so currently?

Q21

What defines this lack of opportunity?

Q22

Do you undertake any specific physical activity to keep yourself fit?

Q23

If, no, then why not?

Q24

If yes, then what do you do to keep fit?

Q25

How many hours a week do you spend in such physical activities?

Q26

Does your village have any of the following?

Q26_1

Designated walking/jogging path

Q26_2

Playing field for public use which is maintained

Q26_3

Gym/large room for public use which contain exercise equipment