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Ldf Template -Form Fill
Identification
Q01
Household No
Q02
Village (Hamlet Name)
Q03
Block
Q04
District
Q05
State
Q06
Self-help group (SHG) name
Q07
Village Organization (VO) name
Q08
Cluster Level Federation (CLF) name
Q09
Name of the respondent
Q10
Are you the head of your HH?
Yes
No
Q11
Name of the household head
Q12
Gender of the head of the household
Male
Female
Transgender
Q13
Relationship with the household head
Self
Husband/wife
Son or daughter
Son in-law or daughter-in-law
Grandfather or grandmother
Grandson 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
Step/adopted children
Not related
Q14
Caste of the respondent
General
Scheduled caste
Scheduled tribe
Other backward class
Q15
Date of interview
Q16
Interviewer ID
Q17
Interviewer name
Q18
SHG membership type
Only SHG member
SHG member and selected for LDF livelihood training
HOUSEHOLD COMPOSITION
A01
Number of male children (less than 18 years)
A02
Number of female children (less than 18 years)
A03
Number of Male (18 years or above)
A04
Number of Female (18 years or above)
A05
Number of Transgender
A06
Total number of earning members
A07
Highest education of the respondent
Class 1-5
Class 6-8
Class 9-10
Class 11-12
Graduation and above
Never attended school
A08
Are any of the household members engaged in ___ occupation?
A08_1
Farming/Agriculture (Crops)
Yes
No
A08_2
NTFP Collection
Yes
No
A08_3
Livestock rearing (goats, poultry, piggery, fishery & dairy)
Yes
No
A08_4
Unskilled wage labor (agricultural labor, MGNREGA labor, construction work, brick kiln labor etc.)
Yes
No
A08_5
Skilled worker (tailoring, masonry, electrician, plumbing, carpentry, welding, driving, etc.)
Yes
No
A08_6
Salaried worker (teachers, ASHA, AWW, ANM, etc.)
Yes
No
A08_7
Contractual or task-based work (CSPs, Tuitions, para-teachers etc.)
Yes
No
A08_8
Micro-enterprises (kirana shops, dhabas, mobile shops, ferry shops etc.)
Yes
No
A08_9
Pensioner
Yes
No
A09
How many male members are involved in the occupation in the last one year?
A09_1
Farming/Agriculture (Crops)
A09_2
NTFP Collection
A09_3
Livestock rearing (goats, poultry, piggery, fishery & dairy)
A09_4
Unskilled wage labor (agricultural labor, MGNREGA labor, construction work, brick kiln labor etc.)
A09_5
Skilled worker (tailoring, masonry, electrician, plumbing, carpentry, welding, driving, etc.)
A09_6
Salaried worker (teachers, ASHA, AWW, ANM, etc.)
A09_7
Contractual or task-based work (CSPs, Tuitions, para-teachers etc.)
A09_8
Micro-enterprises (kirana shops, dhabas, mobile shops, ferry shops etc.)
A09_9
Pensioner
A10
How many female members are involved in the occupation in the last one year?
A10_1
Farming/Agriculture (Crops)
A10_2
NTFP Collection
A10_3
Livestock rearing (goats, poultry, piggery, fishery & dairy)
A10_4
Unskilled wage labor (agricultural labor, MGNREGA labor, construction work, brick kiln labor etc.)
A10_5
Skilled worker (tailoring, masonry, electrician, plumbing, carpentry, welding, driving, etc.)
A10_6
Salaried worker (teachers, ASHA, AWW, ANM, etc.)
A10_7
Contractual or task-based work (CSPs, Tuitions, para-teachers etc.)
A10_8
Micro-enterprises (kirana shops, dhabas, mobile shops, ferry shops etc.)
A10_9
Pensioner
A11
What is the engagement of female members in the occupation in the last one year? (see the code list below)
A11_1
Farming/Agriculture (Crops)
1-20%
21-40%
41-60%
61-80%
81-100%
None
A11_2
NTFP Collection
1-20%
21-40%
41-60%
61-80%
81-100%
None
A11_3
Livestock rearing (goats, poultry, piggery, fishery & dairy)
1-20%
21-40%
41-60%
61-80%
81-100%
None
A11_4
Unskilled wage labor (agricultural labor, MGNREGA labor, construction work, brick kiln labor etc.)
1-20%
21-40%
41-60%
61-80%
81-100%
None
A11_5
Skilled worker (tailoring, masonry, electrician, plumbing, carpentry, welding, driving, etc.)
1-20%
21-40%
41-60%
61-80%
81-100%
None
A11_6
Salaried worker (teachers, ASHA, AWW, ANM, etc.)
1-20%
21-40%
41-60%
61-80%
81-100%
None
A11_7
Contractual or task-based work (CSPs, Tuitions, para-teachers etc.)
1-20%
21-40%
41-60%
61-80%
81-100%
None
A11_8
Micro-enterprises (kirana shops, dhabas, mobile shops, ferry shops etc.)
1-20%
21-40%
41-60%
61-80%
81-100%
None
A11_9
Pensioner
1-20%
21-40%
41-60%
61-80%
81-100%
None
A12
For how many of your family members’ education, is your family spending money ?
A13
What is your average monthly expense on education of all the above members?
A14
What is your average monthly medical expense?
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/RCC
Carpet
Polished stone/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/RCC/Asbestos
Country made tiles
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/RCC
Carpet
Polished tone/marble/granite
Other (specify)
B05
How many rooms in total are there in this house?
B06
Do you have a separate room for cooking?
Yes
No
B07
Do you have a homestead?
Yes
No
B08
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)
B09
What is the main source of lighting?
Lantern
Kerosene lamp
Candle
Electric
LPG/Battery
Solar Energy
None
Others (Specify)
B10
What type of fuel does your household mainly use for cooking?
Electricity
LPG
Natural gas
Biogas
Kerosene
Charcoal
Coal
Wood / straw/leaves/agriculture waste
Animal dung
Other (specify)
B11
Does your household own any of the following items?
B11_1
Mattress
Yes
No
B11_2
Pressure cooker
Yes
No
B11_3
Chair
Yes
No
B11_4
Cot/ Bed
Yes
No
B11_5
Table
Yes
No
B11_6
Electric fan
Yes
No
B11_7
Almirah
Yes
No
B11_8
Radio/Transistor
Yes
No
B11_9
Sewing machine
Yes
No
B11_10
Clock or watch
Yes
No
B11_11
Bicycle
Yes
No
B11_12
Animal-drawn cart/Bullock Cart
Yes
No
B11_13
Black & White television
Yes
No
B11_14
Colour television
Yes
No
B11_15
Mobile Phone
Yes
No
B11_16
Landline Phone
Yes
No
B11_17
Water pump
Yes
No
B11_18
Thresher
Yes
No
B11_19
Power Tiller
Yes
No
B11_20
Spray Machine/Sprayer
Yes
No
B11_21
Refrigerator
Yes
No
B11_22
Air conditioner / Cooler
Yes
No
B11_23
Washing Machine
Yes
No
B11_24
Internet
Yes
No
B11_25
Computer
Yes
No
B11_26
Motorcycle/ scooter
Yes
No
B11_27
Car/Jeep
Yes
No
B11_28
Tractor
Yes
No
B12
What is the main source of drinking water for members of your household?
Piped water into dwelling
Piped water into yard/plot
Public tap/standpipe
Own Tube well/borehole / handpump
Protected spring
Unprotected spring
Surface water (river/canal/lake)
Protected dug well
Unprotected dug well
Rainwater collection
Public handpump
Water canal
Other (specify)
Information regarding cultivated crops
C01
Crop Code
Paddy
Wheat
Maize
Millet
Sorghum
Barley
Oat
Groundnut
Mustard
Rapeseed
Nizer
Sunflower
Soyabean
Linseed
Til
Pigeonpea
Blackgram
Chickpea
Greengram
Horsegram
Lentil
Lathyrus (Cheakling pea)
Potato
Tomato
Cabbage
Cauliflower
Chilli
Capsicum
Spongegourd
Bittergourd
Bottlegourd
Spinegourd
Snakegourd
Pointed gourd
Ridge gourd
Leafy vegetable
Sweet Potato
Brinjal
Cucumber
french bean
Green pea
Broccoli
Radish
Carrot
Coriander
Ladiesfinger
Coccinia (kundru)
Elephant foot yam
Colocasia (Kacchu)
Aru
Flat bean (Saim)
Drumstick
Beet root
Pupmkin
Cowpea
Bean
Kakri
Ashgourd
Guava
Mango
Lemon/Lime
Orange
Papaya
Water Melon
Litchi
Apple
Berries
Banana
sugarcane
Beal (woodapple)
Pomelo
pomegranate
Pineapple
Onion
Garlic
Turmeric
Ginger
Tobacco
jute
dhaincha
Makhana
water chetsnut
Bamboo
Marigold
Cotton
Arrrow root
Yambean
Tamrind
Coconut
Lemon grass
Eucalyptus
Supari
Jackfruit
Jamun
Other (specify)
C02
How much of the agricultural land was used in the cultivation of this crop?
C03
How much input cost[1] (in INR) was incurred in growing the crops in a season?
C04
What is the total quantity produced in the last year? (Quantity in kg)
C05
How much of the total quantity produced last year did you sell? (in kg)
C06
What was the average market rate you got for this crop? (price per kg)
C07
Was the market price received equal to or more than the Minimum Support Price (MSP) for that crop?
Yes
No
C08
Where do you normally sell the crop?
Local market in the village
Middlemen
Retail market in block
Wholesale market
Did not sell
Farmer Producer Company
Others (specify)
C09
How much do women contribute in production of agricultural crops in your family?
1-20%
21-40%
41-60%
61-80%
81-100%
None
ANIMAL OWNERSHIP, PRODUCTION AND SALE OF ANIMAL PRODUCTS
D01
During the last 12 months, did anyone in the household own any animals including Cow/ Buffalo/ Ox; Goat; Sheep; Pig; Chicken/ fowl/ duck?
Yes
No
D02
How many animals do you have since the last 1 year?
D03
What was the source of money to buy the animals?
Own money
Loan from friends/ relatives
Bank loan
Loan from moneylender
Loan from SHG
Microfinance loan
Loan from other sources
Others
D04
How much money do you spend every month in taking care of your animals (in INR)?
D05
What is the contribution of women in taking care of these animals?
1-20%
21-40%
41-60%
61-80%
81-100%
None
D06
How many of your animals died in the last 1 year?
D07
Are your animals insured?
Yes
No
D08
Who informed you about insurance of animals?
LDF or LDF Associate
Friends/ family
SHG/ VO/ CLF
Other organizations
Read in newspaper
Heard on radio/ TV
Government
Bank
Not aware
D09
Are your animals vaccinated?
Yes
No
D10
How many of your animals has your household sold in the last 12 months?
D11
How much money did your household receive for the sale of your animals in the last 12 months?
D12
How much milk do they produce everyday (in Litre)?
D13
How much milk from these animals do you sell every day (in Litre)?
D14
How much do you earn from sale of this milk every day?
D14A
Do you convert milk to milk-based products and sell them?
Yes
No
D15
For the purpose of sale, how much milk is converted to milk-based products (in Litre) and sold, on a day to day basis ?
D16
How much do you earn from the sale of milk-based products in a month (INR)?
D17
To whom do you sell these milk-based products?
Directly to customer
Middlemen (such as to a milkman or shopkeeper)
Organization (such as a Federation or Amul)
E-tailer (e.g. amazon, milk-based startups)
Others
CONTRIBUTION OF WAGES, SERVICES, REMITTANCE AND NTFP COLLECTION TO HOUSEHOLD INCOME
E01
In the last one year, did your family do this labour work for someone else?
E01_1
Agriculture labor operations
Yes
No
E01_2
MGNREGA
Yes
No
E01_3
Carpentry labor
Yes
No
E01_4
Construction labor
Yes
No
E01_5
Labor work in brick kiln
Yes
No
E01_6
Labor in other work
Yes
No
E02
How many days in the last one year did the male members engage in this work?
E02_1
Agriculture labor operations
E02_2
MGNREGA
E02_3
Carpentry labor
E02_4
Construction labor
E02_5
Labor work in brick kiln
E02_6
Labor in other work
E03
What was the daily wage rate for male?
E03_1
Agriculture labor operations
E03_2
MGNREGA
E03_3
Carpentry labor
E03_4
Construction labor
E03_5
Labor work in brick kiln
E03_6
Labor in other work
E04
How many days in the last one year did the female members engage in this labor work?
E04_1
Agriculture labor operations
E04_2
MGNREGA
E04_3
Carpentry labor
E04_4
Construction labor
E04_5
Labor work in brick kiln
E04_6
Labor in other work
E05
What was the daily wage rate for female?
E05_1
Agriculture labor operations
E05_2
MGNREGA
E05_3
Carpentry labor
E05_4
Construction labor
E05_5
Labor work in brick kiln
E05_6
Labor in other work
Services
F01
Do you or any member of your family work as any of the following?
F01_1
ASHA/AWW
Yes
No
F01_2
Tuition
Yes
No
F01_3
Micro-enterprises
Yes
No
F01_4
Community service providers (CSP)
Yes
No
F01_5
Govt. or Private Job
Yes
No
F02
Income in one month (female members)
F02_1
ASHA/AWW
F02_2
Tuition
F02_3
Micro-enterprises
F02_4
Community service providers (CSP)
F02_5
Govt. or Private Job
F03
No of months in a year that the female members work
F03_1
ASHA/AWW
F03_2
Tuition
F03_3
Micro-enterprises
F03_4
Community service providers (CSP)
F03_5
Govt. or Private Job
F04
Income in one month (male members)
F04_1
ASHA/AWW
F04_2
Tuition
F04_3
Micro-enterprises
F04_4
Community service providers (CSP)
F04_5
Govt. or Private Job
F05
No. of months in a year that the male members work
F05_1
ASHA/AWW
F05_2
Tuition
F05_3
Micro-enterprises
F05_4
Community service providers (CSP)
F05_5
Govt. or Private Job
Remittance
G01
Does any member of your family live outside for work and sends you money?
Yes
No
G02
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
G03
How often has your household received remittances in the last 12 months?
G04
On average, how much money did your household receive each time you received remittances in the last 12 months?
G05
Does your household engage in Non-timber Forest Produce (NTFP) collection?
Yes
No
G06
How much NTFP collection is carried out by women in your household?
1-20%
21-40%
41-60%
61-80%
81-100%
None
G07
How much did the household earn from the sale of NTFP in last year?
G08
Does someone in the household receive pension?
Yes
No
G09
Who gets the pension?
You
Spouse
Other female member of the household
Other male member of the household
G10
Which type of Pension?
Old age pension
Widow pension
Disability pension
Retirement pension
Other (specify)
G11
Amount received in last 12 months
G11_1
Old age pension
G11_2
Widow pension
G11_3
Disability pension
G11_4
Retirement pension
G12
Who linked/facilitated the pension?
G12_1
Old age pension
Community Member
SHG/Federation
LDF
Self
Bank
Government Official
Other
G12_2
Widow pension
Community Member
SHG/Federation
LDF
Self
Bank
Government Official
Other
G12_3
Disability pension
Community Member
SHG/Federation
LDF
Self
Bank
Government Official
Other
G12_4
Retirement pension
Community Member
SHG/Federation
LDF
Self
Bank
Government Official
Other
WOMEN’S DECISION-MAKING, AUTONOMY IN PRODUCTIVE DECISIONS & INCOME CONTROL
H01
Did you yourself participate in ______ in the past 12 months?
H01_1
Food crop farming: crops that are grown primarily for household food consumption
Yes
No
H01_2
Cash crop farming: crops that are grown primarily for sale in the market
Yes
No
H01_3
Cattle rearing
Yes
No
H01_4
Goat rearing
Yes
No
H01_5
Poultry raising (e.g. chicken, duck, pigeon)
Yes
No
H01_6
Fishing or fishpond culture
Yes
No
H01_7
Non-farm economic activities: small business, self-employment, buy-and-sell
Yes
No
H01_8
Wage and salary employment: in-kind or monetary work (both agriculture and non-agri work)
Yes
No
H01_9
Major household expenditures (such as large appliance for the house like refrigerator)
Yes
No
H01_10
Minor household expenditures (such as food for daily consumption or other household needs)
Yes
No
H01_11
Education of family members
Yes
No
H01_12
Health of family members
Yes
No
H02
When decisions are made regarding _____, who normally takes the decision?
H02_1
Food crop farming: crops that are grown primarily for household food consumption
Self
Spouse
Other Household member
Other Non-Household member
Self with others
Not applicable
H02_2
Cash crop farming: crops that are grown primarily for sale in the market
Self
Spouse
Other Household member
Other Non-Household member
Self with others
Not applicable
H02_3
Cattle rearing
Self
Spouse
Other Household member
Other Non-Household member
Self with others
Not applicable
H02_4
Goat rearing
Self
Spouse
Other Household member
Other Non-Household member
Self with others
Not applicable
H02_5
Poultry raising (e.g. chicken, duck, pigeon)
Self
Spouse
Other Household member
Other Non-Household member
Self with others
Not applicable
H02_6
Fishing or fishpond culture
Self
Spouse
Other Household member
Other Non-Household member
Self with others
Not applicable
H02_7
Non-farm economic activities: small business, self-employment, buy-and-sell
Self
Spouse
Other Household member
Other Non-Household member
Self with others
Not applicable
H02_8
Wage and salary employment: in-kind or monetary work (both agriculture and non-agri work)
Self
Spouse
Other Household member
Other Non-Household member
Self with others
Not applicable
H02_9
Major household expenditures (such as large appliance for the house like refrigerator)
Self
Spouse
Other Household member
Other Non-Household member
Self with others
Not applicable
H02_10
Minor household expenditures (such as food for daily consumption or other household needs)
Self
Spouse
Other Household member
Other Non-Household member
Self with others
Not applicable
H02_11
Education of family members
Self
Spouse
Other Household member
Other Non-Household member
Self with others
Not applicable
H02_12
Health of family members
Self
Spouse
Other Household member
Other Non-Household member
Self with others
Not applicable
H03
How much input did you have in making decisions about ____?
H03_1
Food crop farming: crops that are grown primarily for household food consumption
I alone take all decisions
Decision are taken by everyone together
Spouse or family members take most of the decisions
H03_2
Cash crop farming: crops that are grown primarily for sale in the market
I alone take all decisions
Decision are taken by everyone together
Spouse or family members take most of the decisions
H03_3
Cattle rearing
I alone take all decisions
Decision are taken by everyone together
Spouse or family members take most of the decisions
H03_4
Goat rearing
I alone take all decisions
Decision are taken by everyone together
Spouse or family members take most of the decisions
H03_5
Poultry raising (e.g. chicken, duck, pigeon)
I alone take all decisions
Decision are taken by everyone together
Spouse or family members take most of the decisions
H03_6
Fishing or fishpond culture
I alone take all decisions
Decision are taken by everyone together
Spouse or family members take most of the decisions
H03_7
Non-farm economic activities: small business, self-employment, buy-and-sell
I alone take all decisions
Decision are taken by everyone together
Spouse or family members take most of the decisions
H03_8
Wage and salary employment: in-kind or monetary work (both agriculture and non-agri work)
I alone take all decisions
Decision are taken by everyone together
Spouse or family members take most of the decisions
H03_9
Major household expenditures (such as large appliance for the house like refrigerator)
I alone take all decisions
Decision are taken by everyone together
Spouse or family members take most of the decisions
H03_10
Minor household expenditures (such as food for daily consumption or other household needs)
I alone take all decisions
Decision are taken by everyone together
Spouse or family members take most of the decisions
H03_11
Education of family members
I alone take all decisions
Decision are taken by everyone together
Spouse or family members take most of the decisions
H03_12
Health of family members
I alone take all decisions
Decision are taken by everyone together
Spouse or family members take most of the decisions
H04
To what extent do you feel you can make your own decisions regarding ____, if you wanted to?
H04_1
Food crop farming: crops that are grown primarily for household food consumption
I can confidently make all decisions on my own
I will be able to take these decisions with a little help
I will be unable to take these decisions on my own and will need handholding
I do not think I can make these decisions
H04_2
Cash crop farming: crops that are grown primarily for sale in the market
I can confidently make all decisions on my own
I will be able to take these decisions with a little help
I will be unable to take these decisions on my own and will need handholding
I do not think I can make these decisions
H04_3
Cattle rearing
I can confidently make all decisions on my own
I will be able to take these decisions with a little help
I will be unable to take these decisions on my own and will need handholding
I do not think I can make these decisions
H04_4
Goat rearing
I can confidently make all decisions on my own
I will be able to take these decisions with a little help
I will be unable to take these decisions on my own and will need handholding
I do not think I can make these decisions
H04_5
Poultry raising (e.g. chicken, duck, pigeon)
I can confidently make all decisions on my own
I will be able to take these decisions with a little help
I will be unable to take these decisions on my own and will need handholding
I do not think I can make these decisions
H04_6
Fishing or fishpond culture
I can confidently make all decisions on my own
I will be able to take these decisions with a little help
I will be unable to take these decisions on my own and will need handholding
I do not think I can make these decisions
H04_7
Non-farm economic activities: small business, self-employment, buy-and-sell
I can confidently make all decisions on my own
I will be able to take these decisions with a little help
I will be unable to take these decisions on my own and will need handholding
I do not think I can make these decisions
H04_8
Wage and salary employment: in-kind or monetary work (both agriculture and non-agri work)
I can confidently make all decisions on my own
I will be able to take these decisions with a little help
I will be unable to take these decisions on my own and will need handholding
I do not think I can make these decisions
H04_9
Major household expenditures (such as large appliance for the house like refrigerator)
I can confidently make all decisions on my own
I will be able to take these decisions with a little help
I will be unable to take these decisions on my own and will need handholding
I do not think I can make these decisions
H04_10
Minor household expenditures (such as food for daily consumption or other household needs)
I can confidently make all decisions on my own
I will be able to take these decisions with a little help
I will be unable to take these decisions on my own and will need handholding
I do not think I can make these decisions
H04_11
Education of family members
I can confidently make all decisions on my own
I will be able to take these decisions with a little help
I will be unable to take these decisions on my own and will need handholding
I do not think I can make these decisions
H04_12
Health of family members
I can confidently make all decisions on my own
I will be able to take these decisions with a little help
I will be unable to take these decisions on my own and will need handholding
I do not think I can make these decisions
H05
How much input did you have in decisions on the use of income generated from ___?
H05_1
Food crop farming: crops that are grown primarily for household food consumption
I alone take all decisions
Decision are taken by everyone together
Spouse or family members take most of the decisions
H05_2
Cash crop farming: crops that are grown primarily for sale in the market
I alone take all decisions
Decision are taken by everyone together
Spouse or family members take most of the decisions
H05_3
Cattle rearing
I alone take all decisions
Decision are taken by everyone together
Spouse or family members take most of the decisions
H05_4
Goat rearing
I alone take all decisions
Decision are taken by everyone together
Spouse or family members take most of the decisions
H05_5
Poultry raising (e.g. chicken, duck, pigeon)
I alone take all decisions
Decision are taken by everyone together
Spouse or family members take most of the decisions
H05_6
Fishing or fishpond culture
I alone take all decisions
Decision are taken by everyone together
Spouse or family members take most of the decisions
H05_7
Non-farm economic activities: small business, self-employment, buy-and-sell
I alone take all decisions
Decision are taken by everyone together
Spouse or family members take most of the decisions
H05_8
Wage and salary employment: in-kind or monetary work (both agriculture and non-agri work)
I alone take all decisions
Decision are taken by everyone together
Spouse or family members take most of the decisions
H05_9
Major household expenditures (such as large appliance for the house like refrigerator)
I alone take all decisions
Decision are taken by everyone together
Spouse or family members take most of the decisions
H05_10
Minor household expenditures (such as food for daily consumption or other household needs)
I alone take all decisions
Decision are taken by everyone together
Spouse or family members take most of the decisions
H05_11
Education of family members
I alone take all decisions
Decision are taken by everyone together
Spouse or family members take most of the decisions
H05_12
Health of family members
I alone take all decisions
Decision are taken by everyone together
Spouse or family members take most of the decisions
WOMEN’S ACCESS TO FINANCIAL SERVICES AND CREDIT
I01
Do you have a bank account/ Post Office account?
Yes
No
I01A
How often do you visit bank/PO to make transactions?
Individual
Joint with husband
Joint with SHG/VO/CLF
Joint with others
I02
What type of bank account do you operate?
Bank mitra
Community cadre
SHG
LDF
Government
NGO
No One
Other (specify)
I03
Who facilitated opening your personal account?
To receive payments from govt. schemes (DBT)
To receive payments from MNREGA
To receive remittances
To save money
To request a loan
Other (Specify)
I03A
Who facilitated opening the SHG/VO/CLF bank account?
Self
Government
Bank
LDF
Others, specify
I04
What do you use your personal bank account for?
To receive payments from govt. schemes (DBT)
To receive payments from MNREGA
To receive remittances
To save money
To request a loan
Other (Specify)
I05
Who operates your personal bank account?
Self
Spouse
Other family/ SHG members
Self with others
I05A
Who accompanies you when you visit bank?
No-one but myself
Family member
Friend
SHG member
Others, specify
I05B
Do you use ATM to withdraw money?
Yes
No
I05C
How frequently do you use ATM to withdraw money?
Weekly
Fortnightly
Monthly
Quarterly
More than a quarter
I06
Has anyone in your household taken any loans or borrowed cash/in-kind from _____ in the past 12 months?
I06_1
Non-governmental organization (NGO)
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
Don’t know
I06_2
Money lender
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
Don’t know
I06_3
Formal lender (direct credit from bank/financial institution)
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
Don’t know
I06_4
Friends or relatives or neighbors
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
Don’t know
I06_5
Self – Help Group
Yes, cash
Yes, in-kind
Yes, cash and in-kind
No
Don’t know
I07
What was the purpose of borrowing?
I07_1
Non-governmental organization (NGO)
to fend off another debt
to buy livestock
to start/ sustain an enterprise
to marry a family member/ acquaintance
to repair/ construct house or other infrastructure (such as cattle shed)
to purchase asset (e.g. TV, refrigerator, vehicle etc.)
to meet household expenses (e.g. on education or health)
to help someone else in need
Other purpose, specify
I07_2
Money lender
to fend off another debt
to buy livestock
to start/ sustain an enterprise
to marry a family member/ acquaintance
to repair/ construct house or other infrastructure (such as cattle shed)
to purchase asset (e.g. TV, refrigerator, vehicle etc.)
to meet household expenses (e.g. on education or health)
to help someone else in need
Other purpose, specify
I07_3
Formal lender (direct credit from bank/financial institution)
to fend off another debt
to buy livestock
to start/ sustain an enterprise
to marry a family member/ acquaintance
to repair/ construct house or other infrastructure (such as cattle shed)
to purchase asset (e.g. TV, refrigerator, vehicle etc.)
to meet household expenses (e.g. on education or health)
to help someone else in need
Other purpose, specify
I07_4
Friends or relatives or neighbors
to fend off another debt
to buy livestock
to start/ sustain an enterprise
to marry a family member/ acquaintance
to repair/ construct house or other infrastructure (such as cattle shed)
to purchase asset (e.g. TV, refrigerator, vehicle etc.)
to meet household expenses (e.g. on education or health)
to help someone else in need
Other purpose, specify
I07_5
Self – Help Group
to fend off another debt
to buy livestock
to start/ sustain an enterprise
to marry a family member/ acquaintance
to repair/ construct house or other infrastructure (such as cattle shed)
to purchase asset (e.g. TV, refrigerator, vehicle etc.)
to meet household expenses (e.g. on education or health)
to help someone else in need
Other purpose, specify
I08
Who made the decision to borrow from _____most of the time?
I08_1
Non-governmental organization (NGO)
Self
Spouse
Self and spouse
Other male HH member
Other female HH member
Self and other HH member(s)
Spouse and other household member(s)
Self, spouse and other HH member(s)
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
I08_2
Money lender
Self
Spouse
Self and spouse
Other male HH member
Other female HH member
Self and other HH member(s)
Spouse and other household member(s)
Self, spouse and other HH member(s)
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
I08_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(s)
Spouse and other household member(s)
Self, spouse and other HH member(s)
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
I08_4
Friends or relatives or neighbors
Self
Spouse
Self and spouse
Other male HH member
Other female HH member
Self and other HH member(s)
Spouse and other household member(s)
Self, spouse and other HH member(s)
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
I08_5
Self – Help Group
Self
Spouse
Self and spouse
Other male HH member
Other female HH member
Self and other HH member(s)
Spouse and other household member(s)
Self, spouse and other HH member(s)
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
I09
Who makes the decision about what to do with the money/ item borrowed most of the time?
Self
Spouse
Self and spouse
Other male HH member
Other female HH member
Self and other HH member(s)
Spouse and other household member(s)
Self, spouse and other HH member(s)
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
I10
With whom of the following, have you ever wanted to take a loan, but couldn’t take?
Non-governmental organization (NGO)
Money lender
Formal lender (direct credit from bank/financial institution)
Friends or relatives or neighbors
Self – Help Group (SHG)
Others (Specify)
I11
Why did you borrow from money lender and not your SHG?
ACCESS TO AND KNOWLEDGE OF GOVERNMENT SCHEMES
K01
Have you ever heard about_______?
K01_1
Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA)
Family member
Community
Media (TV, radio, newspaper, etc.)
Government officials
LDF
Other NGO
Members of my SHG
Bank
Other
K01_2
Pradhan Mantri Ujjwala Yojana
Family member
Community
Media (TV, radio, newspaper, etc.)
Government officials
LDF
Other NGO
Members of my SHG
Bank
Other
K01_3
Antyodaya Anna Yojana (AAY)
Family member
Community
Media (TV, radio, newspaper, etc.)
Government officials
LDF
Other NGO
Members of my SHG
Bank
Other
K01_4
Pradhan Mantri Jeevan Jyoti Bima Yojna (PMJJBY)
Family member
Community
Media (TV, radio, newspaper, etc.)
Government officials
LDF
Other NGO
Members of my SHG
Bank
Other
K01_5
Old Age Pension Yojna
Family member
Community
Media (TV, radio, newspaper, etc.)
Government officials
LDF
Other NGO
Members of my SHG
Bank
Other
K01_6
Protection of Women against Domestic Violence Act
Family member
Community
Media (TV, radio, newspaper, etc.)
Government officials
LDF
Other NGO
Members of my SHG
Bank
Other
K01_7
National Agricultural Insurance Scheme and WBCIS
Family member
Community
Media (TV, radio, newspaper, etc.)
Government officials
LDF
Other NGO
Members of my SHG
Bank
Other
K01_8
Pradhan Mantri Kisan Samman Nidhi Yojna
Family member
Community
Media (TV, radio, newspaper, etc.)
Government officials
LDF
Other NGO
Members of my SHG
Bank
Other
K01_9
Dairy Development Scheme
Family member
Community
Media (TV, radio, newspaper, etc.)
Government officials
LDF
Other NGO
Members of my SHG
Bank
Other
K01_10
Kisan Credit Card Yojna on Animal Husbandry
Family member
Community
Media (TV, radio, newspaper, etc.)
Government officials
LDF
Other NGO
Members of my SHG
Bank
Other
K01_11
Mukhya Mantri Bhed Bakri Palak Yojna (General) 2019-20
Family member
Community
Media (TV, radio, newspaper, etc.)
Government officials
LDF
Other NGO
Members of my SHG
Bank
Other
K01_12
Mukhya Mantri Bhed Bakri Palak Yojna (SCSP) 2019-20
Family member
Community
Media (TV, radio, newspaper, etc.)
Government officials
LDF
Other NGO
Members of my SHG
Bank
Other
K01_13
Scheme for providing employment opportunities to scheduled castes 2019-20
Family member
Community
Media (TV, radio, newspaper, etc.)
Government officials
LDF
Other NGO
Members of my SHG
Bank
Other
K01_14
Scheme for the establishment of Backyard Poultry units for the year 2019-20.
Family member
Community
Media (TV, radio, newspaper, etc.)
Government officials
LDF
Other NGO
Members of my SHG
Bank
Other
K01_15
Scheme for Promotion of Cotton Cultivation
Family member
Community
Media (TV, radio, newspaper, etc.)
Government officials
LDF
Other NGO
Members of my SHG
Bank
Other
K01_16
Pradhan Mantri Kaushal Vikas
Family member
Community
Media (TV, radio, newspaper, etc.)
Government officials
LDF
Other NGO
Members of my SHG
Bank
Other
K02
Is your household / anyone in your household eligible for this scheme?
K02_1
Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA)
Yes
No
K02_2
Pradhan Mantri Ujjwala Yojana
Yes
No
K02_3
Antyodaya Anna Yojana (AAY)
Yes
No
K02_4
Pradhan Mantri Jeevan Jyoti Bima Yojna (PMJJBY)
Yes
No
K02_5
Old Age Pension Yojna
Yes
No
K02_6
Protection of Women against Domestic Violence Act
Yes
No
K02_7
National Agricultural Insurance Scheme and WBCIS
Yes
No
K02_8
Pradhan Mantri Kisan Samman Nidhi Yojna
Yes
No
K02_9
Dairy Development Scheme
Yes
No
K02_10
Kisan Credit Card Yojna on Animal Husbandry
Yes
No
K02_11
Mukhya Mantri Bhed Bakri Palak Yojna (General) 2019-20
Yes
No
K02_12
Mukhya Mantri Bhed Bakri Palak Yojna (SCSP) 2019-20
Yes
No
K02_13
Scheme for providing employment opportunities to scheduled castes 2019-20
Yes
No
K02_14
Scheme for the establishment of Backyard Poultry units for the year 2019-20.
Yes
No
K02_15
Scheme for Promotion of Cotton Cultivation
Yes
No
K02_16
Pradhan Mantri Kaushal Vikas
Yes
No
K03
Has anyone in your household ever availed this scheme?
K03_1
Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA)
Yes
No
K03_2
Pradhan Mantri Ujjwala Yojana
Yes
No
K03_3
Antyodaya Anna Yojana (AAY)
Yes
No
K03_4
Pradhan Mantri Jeevan Jyoti Bima Yojna (PMJJBY)
Yes
No
K03_5
Old Age Pension Yojna
Yes
No
K03_6
Protection of Women against Domestic Violence Act
Yes
No
K03_7
National Agricultural Insurance Scheme and WBCIS
Yes
No
K03_8
Pradhan Mantri Kisan Samman Nidhi Yojna
Yes
No
K03_9
Dairy Development Scheme
Yes
No
K03_10
Kisan Credit Card Yojna on Animal Husbandry
Yes
No
K03_11
Mukhya Mantri Bhed Bakri Palak Yojna (General) 2019-20
Yes
No
K03_12
Mukhya Mantri Bhed Bakri Palak Yojna (SCSP) 2019-20
Yes
No
K03_13
Scheme for providing employment opportunities to scheduled castes 2019-20
Yes
No
K03_14
Scheme for the establishment of Backyard Poultry units for the year 2019-20.
Yes
No
K03_15
Scheme for Promotion of Cotton Cultivation
Yes
No
K03_16
Pradhan Mantri Kaushal Vikas
Yes
No
K04
How many months ago did someone in your household used this scheme?
K04_1
Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA)
K04_2
Pradhan Mantri Ujjwala Yojana
K04_3
Antyodaya Anna Yojana (AAY)
K04_4
Pradhan Mantri Jeevan Jyoti Bima Yojna (PMJJBY)
K04_5
Old Age Pension Yojna
K04_6
Protection of Women against Domestic Violence Act
K04_7
National Agricultural Insurance Scheme and WBCIS
K04_8
Pradhan Mantri Kisan Samman Nidhi Yojna
K04_9
Dairy Development Scheme
K04_10
Kisan Credit Card Yojna on Animal Husbandry
K04_11
Mukhya Mantri Bhed Bakri Palak Yojna (General) 2019-20
K04_12
Mukhya Mantri Bhed Bakri Palak Yojna (SCSP) 2019-20
K04_13
Scheme for providing employment opportunities to scheduled castes 2019-20
K04_14
Scheme for the establishment of Backyard Poultry units for the year 2019-20.
K04_15
Scheme for Promotion of Cotton Cultivation
K04_16
Pradhan Mantri Kaushal Vikas
K05
As a result of joining SHG/VO/CLF, how has your level of awareness/ knowledge about ___ scheme changed ?
K05_1
Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA)
Increased than before as I joined SHG/VO/CLF
Increase than before but not because I joined SHG/VO/CLF
Same as before
Reduced than before but not because I joined SHG/VO/CLF
Reduced than before as I joined SHG/VO/CLF
K05_2
Pradhan Mantri Ujjwala Yojana
Increased than before as I joined SHG/VO/CLF
Increase than before but not because I joined SHG/VO/CLF
Same as before
Reduced than before but not because I joined SHG/VO/CLF
Reduced than before as I joined SHG/VO/CLF
K05_3
Antyodaya Anna Yojana (AAY)
Increased than before as I joined SHG/VO/CLF
Increase than before but not because I joined SHG/VO/CLF
Same as before
Reduced than before but not because I joined SHG/VO/CLF
Reduced than before as I joined SHG/VO/CLF
K05_4
Pradhan Mantri Jeevan Jyoti Bima Yojna (PMJJBY)
Increased than before as I joined SHG/VO/CLF
Increase than before but not because I joined SHG/VO/CLF
Same as before
Reduced than before but not because I joined SHG/VO/CLF
Reduced than before as I joined SHG/VO/CLF
K05_5
Old Age Pension Yojna
Increased than before as I joined SHG/VO/CLF
Increase than before but not because I joined SHG/VO/CLF
Same as before
Reduced than before but not because I joined SHG/VO/CLF
Reduced than before as I joined SHG/VO/CLF
K05_6
Protection of Women against Domestic Violence Act
Increased than before as I joined SHG/VO/CLF
Increase than before but not because I joined SHG/VO/CLF
Same as before
Reduced than before but not because I joined SHG/VO/CLF
Reduced than before as I joined SHG/VO/CLF
K05_7
National Agricultural Insurance Scheme and WBCIS
Increased than before as I joined SHG/VO/CLF
Increase than before but not because I joined SHG/VO/CLF
Same as before
Reduced than before but not because I joined SHG/VO/CLF
Reduced than before as I joined SHG/VO/CLF
K05_8
Pradhan Mantri Kisan Samman Nidhi Yojna
Increased than before as I joined SHG/VO/CLF
Increase than before but not because I joined SHG/VO/CLF
Same as before
Reduced than before but not because I joined SHG/VO/CLF
Reduced than before as I joined SHG/VO/CLF
K05_9
Dairy Development Scheme
Increased than before as I joined SHG/VO/CLF
Increase than before but not because I joined SHG/VO/CLF
Same as before
Reduced than before but not because I joined SHG/VO/CLF
Reduced than before as I joined SHG/VO/CLF
K05_10
Kisan Credit Card Yojna on Animal Husbandry
Increased than before as I joined SHG/VO/CLF
Increase than before but not because I joined SHG/VO/CLF
Same as before
Reduced than before but not because I joined SHG/VO/CLF
Reduced than before as I joined SHG/VO/CLF
K05_11
Mukhya Mantri Bhed Bakri Palak Yojna (General) 2019-20
Increased than before as I joined SHG/VO/CLF
Increase than before but not because I joined SHG/VO/CLF
Same as before
Reduced than before but not because I joined SHG/VO/CLF
Reduced than before as I joined SHG/VO/CLF
K05_12
Mukhya Mantri Bhed Bakri Palak Yojna (SCSP) 2019-20
Increased than before as I joined SHG/VO/CLF
Increase than before but not because I joined SHG/VO/CLF
Same as before
Reduced than before but not because I joined SHG/VO/CLF
Reduced than before as I joined SHG/VO/CLF
K05_13
Scheme for providing employment opportunities to scheduled castes 2019-20
Increased than before as I joined SHG/VO/CLF
Increase than before but not because I joined SHG/VO/CLF
Same as before
Reduced than before but not because I joined SHG/VO/CLF
Reduced than before as I joined SHG/VO/CLF
K05_14
Scheme for the establishment of Backyard Poultry units for the year 2019-20.
Increased than before as I joined SHG/VO/CLF
Increase than before but not because I joined SHG/VO/CLF
Same as before
Reduced than before but not because I joined SHG/VO/CLF
Reduced than before as I joined SHG/VO/CLF
K05_15
Scheme for Promotion of Cotton Cultivation
Increased than before as I joined SHG/VO/CLF
Increase than before but not because I joined SHG/VO/CLF
Same as before
Reduced than before but not because I joined SHG/VO/CLF
Reduced than before as I joined SHG/VO/CLF
K05_16
Pradhan Mantri Kaushal Vikas
Increased than before as I joined SHG/VO/CLF
Increase than before but not because I joined SHG/VO/CLF
Same as before
Reduced than before but not because I joined SHG/VO/CLF
Reduced than before as I joined SHG/VO/CLF
K06
Does anyone in the household have health insurance?
Yes
No
K07
Does anybody in the HH have LIC/Life Insurance?
Yes
No
WOMEN’S PARTICIPATION IN SOCIAL AND POLITICAL SPHERE
L01
Do you usually participate in Gram Sabha meetings?
Yes
No
L02
Did you attend last gram sabha meeting?
Yes
No
L03
What was the reason to attend Gram sabha meetings?
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
Issue to be discussed was of interest to my SHG/federation
Other, Specify
L04
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
Family members did not allow me to participate
Other (specify)
L05
As a result of joining SHG/VO/CLF, how much more/less comfortable do you feel speaking up in public to help decide on infrastructure (like small wells, roads, water supplies) to be built in your community?
Very much comfortably than before
Slightly more comfortably than before
Same as before
Slightly less comfortably than before
Very less comfortably than before
Question irrelevant for the respondent (e.g. because the respondent has never faced such a situation)
L06
As a result of joining SHG/VO/CLF, how much more/less comfortable do you feel speaking up in public to ensure proper payment of wages for public works or other similar programs?
Very much comfortably than before
Slightly more comfortably than before
Same as before
Slightly less comfortably than before
Very less comfortably than before
Question irrelevant for the respondent (e.g. because the respondent has never faced such a situation)
L07
As a result of joining SHG/VO/CLF, how much more/less comfortable do you feel speaking up in public to protest the injustice of authorities or elected officials?
Very much comfortably than before
Slightly more comfortably than before
Same as before
Slightly less comfortably than before
Very less comfortably than before
Question irrelevant for the respondent (e.g. because the respondent has never faced such a situation)
L08
As a result of joining SHG/VO/CLF, how much more/less comfortable do you feel speaking your opinion in any training or SHG meeting?
Very much comfortably than before
Slightly more comfortably than before
Same as before
Slightly less comfortably than before
Very less comfortably than before
Question irrelevant for the respondent (e.g. because the respondent has never faced such a situation)
L09
As a result of joining SHG/VO/CLF, how much more/less comfortable do you feel when you have to talk to a bank officer/manager/teacher/AWW?
Very much comfortably than before
Slightly more comfortably than before
Same as before
Slightly less comfortably than before
Very less comfortably than before
Question irrelevant for the respondent (e.g. because the respondent has never faced such a situation)
L10
As a result of joining SHG/VO/CLF, how much more/less comfortable do you feel when you have to talk to Sarpanch/ Pradhan?
Very much comfortably than before
Slightly more comfortably than before
Same as before
Slightly less comfortably than before
Very less comfortably than before
Question irrelevant for the respondent (e.g. because the respondent has never faced such a situation)
LIVELIHOOD TRAINING
M01
Have your ever received Pashu Sakhi training?
Yes
No
M02
Have you or anyone else from your household ever received any other livelihood enhancement training?
Yes
No
M03
What was the theme of the training?
On-farm livelihoods, specify
Off-farm livelihoods, specify
Non-farm livelihoods, specify
M04
What was the training about?
M05
Who facilitated the training?
LDF
Other NGO/ agency (specify)
Government body (specify)
Community-based organization (specify)
Others (specify)
Don’t know
M06
Did you or members of your household know about these practices before the organization provided the training?
Yes
No
M07
Did you or other members of your household found this training useful and adopted it in your livelihood activities?
Benefitted and adopted
Benefitted but not adopted
Not benefitted but adopted
Neither benefitted nor adopted
M08
What barriers do you face in adopting the training in your livelihood activities?
Access to market
Lack of resources
Training is not enough
Lack of willingness
None
Others, specify
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