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Household Template 27 -Form Fill

Information
Q01

Name of the State

Q02

Name of the District

Q03

Name of the Block

Q04

Name of Panchayat

Q05

Name of the Village (PSU)

Q06

Village Census Code

Q07

Whether HH is a SPRD customer or not?

Q08

Household Structure Number

Q09

Address

Q10

Investigator Name

Q11

Investigator Code

Q12

Start Time

Q13

End Time

Q14

Interviewer’s Visits-1

Q14_1

Date

Q14_2

Result

Q15

Interviewer’s Visits-2

Q15_1

Date

Q15_2

Result

Q16

Interviewer’s Visits-3

Q16_1

Date

Q16_2

Result

HOUSEHOLD DEMOGRAPHIC PROFILE
A01A

Name of the head of the household

A01B

Name of the members of the household above 15 years

A01C

Phone number of a member of the household

A02

Name of the respondent

A03

What is the sex of respondent?

A04

What is the religion of HH?

A05

Do you belong to a scheduled caste, scheduled tribe, other backward class or general class?

A06

How many members are there in your household?

A07

How many working members are there in your household?

A08

What is the combined monthly income of your household?

A09

What is the type of your family?

A10

Whether your household is women headed household?

A11

What is the primary occupation of the head of the household?

A12

Please specify whether you belong to APL/BPL?

A13

Does your household have a bank account?

A14

Does your household have a post-office account?

HOUSEHOLD SPRD CONNECTION
B01

When did you get connected to SPRD?

B01A

Are you still a customer of the mini-grid plant?

B02

What is the connection package that you are currently opted for ?

B03

How much was your installation fee and how much is your monthly expense?

B04

Do you have government grid connection in your household?

B05

How many hours of electricity supply do you get from the government grid?

HOUSEHOLD ELECTRICITY SOURCE AND USAGE
C01

What are the sources of energy used in your HH?

C01A

Before SPRD

C01A1

Primary source

C01A1_1

Grid Electricity

C01A1_2

Solar panel at home

C01A1_3

Mini-grid (SPRD)

C01A1_4

Diesel generator

C01A1_5

Kerosene

C01A1_6

Others(Specify)

C01A1_7

No source

C01A2

Other sources

C01A2_1

Grid Electricity

C01A2_2

Solar panel at home

C01A2_3

Mini-grid (SPRD)

C01A2_4

Diesel generator

C01A2_5

Kerosene

C01A2_6

Others(Specify)

C01A2_7

No source

C01B

Current

C01B1

Primary source

C01B1_1

Grid Electricity

C01B1_2

Solar panel at home

C01B1_3

Mini-grid (SPRD)

C01B1_4

Diesel generator

C01B1_5

Kerosene

C01B1_6

Others(Specify)

C01B1_7

No source

C01B2

Other sources

C01B2_1

Grid Electricity

C01B2_2

Solar panel at home

C01B2_3

Mini-grid (SPRD)

C01B2_4

Diesel generator

C01B2_5

Kerosene

C01B2_6

Others(Specify)

C01B2_7

No source

C02

What are the appliances used in the HH?

C02A

Before SPRD

C02A1

Do you own?

C02A1_1

LED bulb LED

C02A1_2

CFL bulb CFL

C02A1_3

Incandescent bulb

C02A1_4

An electric fan

C02A1_5

A radio or transistor

C02A1_6

A black and white television

C02A1_7

A color television

C02A1_8

A sewing machine

C02A1_9

Mobile charging point

C02A1_10

A computer/laptop

C02A1_11

A refrigerator

C02A1_12

Water pump for home

C02A1_13

Irrigation pump

C02A1_14

A thresher

C02A1_15

Internet/Modem

C02A1_16

Air Conditioner or Cooler

C02A1_17

Washing Machine

C02B

Current

C02B1

Do you own?

C02B1_1

LED bulb LED

C02B1_2

CFL bulb CFL

C02B1_3

Incandescent bulb

C02B1_4

An electric fan

C02B1_5

A radio or transistor

C02B1_6

A black and white television

C02B1_7

A color television

C02B1_8

A sewing machine

C02B1_9

Mobile charging point

C02B1_10

A computer/laptop

C02B1_11

A refrigerator

C02B1_12

Water pump for home

C02B1_13

Irrigation pump

C02B1_14

A thresher

C02B1_15

Internet/Modem

C02B1_16

Air Conditioner or Cooler

C02B1_17

Washing Machine

C02B2

How many do you own?

C02B2_1

LED bulb LED

C02B2_2

CFL bulb CFL

C02B2_3

Incandescent bulb

C02B2_4

An electric fan

C02B2_5

A radio or transistor

C02B2_6

A black and white television

C02B2_7

A color television

C02B2_8

A sewing machine

C02B2_9

Mobile charging point

C02B2_10

A computer/laptop

C02B2_11

A refrigerator

C02B2_12

Water pump for home

C02B2_13

Irrigation pump

C02B2_14

A thresher

C02B2_15

Internet/Modem

C02B2_16

Air Conditioner or Cooler

C02B2_17

Washing Machine

C02B3

What is the primary source of energy/electricity for this appliance

C02B3_1

LED bulb LED

C02B3_2

CFL bulb CFL

C02B3_3

Incandescent bulb

C02B3_4

An electric fan

C02B3_5

A radio or transistor

C02B3_6

A black and white television

C02B3_7

A color television

C02B3_8

A sewing machine

C02B3_9

Mobile charging point

C02B3_10

A computer/laptop

C02B3_11

A refrigerator

C02B3_12

Water pump for home

C02B3_13

Irrigation pump

C02B3_14

A thresher

C02B3_15

Internet/Modem

C02B3_16

Air Conditioner or Cooler

C02B3_17

Washing Machine

C03

What was the daily requirement of running each appliance and how many hours can you use it for?

C03A

Before SPRD

C03A1

Required (hrs)

C03A1_1

LED bulb LED

C03A1_2

CFL bulb CFL

C03A1_3

Incandescent bulb

C03A1_4

An electric fan

C03A1_5

A radio or transistor

C03A1_6

A black and white television

C03A1_7

A color television

C03A1_8

A sewing machine

C03A1_9

Mobile charging point

C03A1_10

A computer/laptop

C03A1_11

A refrigerator

C03A1_12

Water pump for home

C03A1_13

Irrigation pump

C03A1_14

A thresher

C03A1_15

Internet/Modem

C03A1_16

Air Conditioner or Cooler

C03A1_17

Washing Machine

C03A2

Used (hrs)

C03A2_1

LED bulb LED

C03A2_2

CFL bulb CFL

C03A2_3

Incandescent bulb

C03A2_4

An electric fan

C03A2_5

A radio or transistor

C03A2_6

A black and white television

C03A2_7

A color television

C03A2_8

A sewing machine

C03A2_9

Mobile charging point

C03A2_10

A computer/laptop

C03A2_11

A refrigerator

C03A2_12

Water pump for home

C03A2_13

Irrigation pump

C03A2_14

A thresher

C03A2_15

Internet/Modem

C03A2_16

Air Conditioner or Cooler

C03A2_17

Washing Machine

C03B

Current

C03B1

Required (hrs)

C03B1_1

LED bulb LED

C03B1_2

CFL bulb CFL

C03B1_3

Incandescent bulb

C03B1_4

An electric fan

C03B1_5

A radio or transistor

C03B1_6

A black and white television

C03B1_7

A color television

C03B1_8

A sewing machine

C03B1_9

Mobile charging point

C03B1_10

A computer/laptop

C03B1_11

A refrigerator

C03B1_12

Water pump for home

C03B1_13

Irrigation pump

C03B1_14

A thresher

C03B1_15

Internet/Modem

C03B1_16

Air Conditioner or Cooler

C03B1_17

Washing Machine

C03B2

Used (hrs)

C03B2_1

LED bulb LED

C03B2_2

CFL bulb CFL

C03B2_3

Incandescent bulb

C03B2_4

An electric fan

C03B2_5

A radio or transistor

C03B2_6

A black and white television

C03B2_7

A color television

C03B2_8

A sewing machine

C03B2_9

Mobile charging point

C03B2_10

A computer/laptop

C03B2_11

A refrigerator

C03B2_12

Water pump for home

C03B2_13

Irrigation pump

C03B2_14

A thresher

C03B2_15

Internet/Modem

C03B2_16

Air Conditioner or Cooler

C03B2_17

Washing Machine

C04

What is the monthly expenditure for different source of energy for the HH (if applicable)

C04A

Before SPRD

C04A_1

Grid Electricity

C04A_2

Solar panel at home

C04A_3

Mini-grid (SPRD)

C04A_4

Diesel generator

C04A_5

Kerosene

C04A_6

Others

C04B

Current

C04B_1

Grid Electricity

C04B_2

Solar panel at home

C04B_3

Mini-grid (SPRD)

C04B_4

Diesel generator

C04B_5

Kerosene

C04B_6

Others

C05

What is monthly expenditure on

C05A

Before SPRD

C05A_1

Food expenditure

C05A_2

Healthcare

C05A_3

Basic Education (Expense on books, clothes, coaching)

C05A_4

Toilet Articles (Includes toothpaste, hair oil, shaving blades etc.)

C05A_5

Household Items (Includes bulb, tube light, glassware, soaps, bucket etc.)

C05A_6

Clothing and footwear

C05A_7

Gift to relatives, ceremony, social functions

C05A_8

Travel/Transport

C05A_9

Miscelleneous

C05B

Current

C05B_1

Food expenditure

C05B_2

Healthcare

C05B_3

Basic Education (Expense on books, clothes, coaching)

C05B_4

Toilet Articles (Includes toothpaste, hair oil, shaving blades etc.)

C05B_5

Household Items (Includes bulb, tube light, glassware, soaps, bucket etc.)

C05B_6

Clothing and footwear

C05B_7

Gift to relatives, ceremony, social functions

C05B_8

Travel/Transport

C05B_9

Miscelleneous

ENERGY EFFICIENT DEVICES
D01

Have you ever replaced any of the existing appliances with a device given through mini-grid company?

D02

Which existing appliance did you replace?

D03

Have you ever purchased any new device/appliance through SPRD?

D04

Which device did you buy for the HH?

D05

Are you aware that this is an energy-efficient appliance?

D06

How did you pay for this appliance?

D07

Do you still have the device?

D08

Why don’t you have the device?

D09

Why did you buy this device?

D10

Are you satisfied using this energy efficient device?

D11

What features of the device do you find satisfactory?

D12

Why are you not satisfied with the EE device?

HOUSEHOLD ENERGY NEEDS
E01

Do you plan to purchase new electrical devices after getting connected to SPRD?

E02

Which all appliances would you like to buy?

E02_1

LED bulb LED

E02_2

CFL bulb CFL

E02_3

Incandescent bulb

E02_4

An electric fan

E02_5

A radio or transistor

E02_6

A black and white television

E02_7

A color television

E02_8

A sewing machine

E02_9

Mobile charging point

E02_10

A computer/laptop

E02_11

A refrigerator

E02_12

Water pump for home

E02_13

Irrigation pump

E02_14

A thresher

E02_15

Internet/Modem

E02_16

Air Conditioner or Cooler

E02_17

Washing Machine

E03

Do you plan to get SPRD connection for new appliance?

E03A

Why do you plan to connect it to SPRD?

E03B

How much are you willing to pay in a month, to run the appliance on SPRD Connection?.

E04

Why will you not take SPRD connection for the new appliance?

E05

Do you plan to change your connection package?

E06

Which package would you like to take?

BENEFITS OF ELECTRICITY ON EDUCATION
F01

How many children in your household go to school?

F02

For how many hours, do the children study after dark?

F03

Did children use electric light to study after dark before you connected to the mini-grid?

F03A

What was the primary source of the electricity before you availed the mini-grid connection

F03B

What is the primary source of electricity for lighting used for studying now?

F03C

Why did you change to mini-grid?

F03D

Why did you not shift to mini-grid light for studying?

F04

How has the mini-grid connection impacted the study period of children?

F05

Have schools in your village connected to the mini-grid?

F05A

Have there been new coaching centres/ training centres which have started because of the mini-grid?

F05B

Have the existing centres connected to mini-grid?

F06

What changes have you seen in these facilities after getting connected to the mini-grid?

BENEFITS OF ELECTRICITY ON HEALTH
G01

Has there been a decrease in the injuries in the dark due to availability of electricity?

G02

Has there been a decrease in the incidence of fire due to explosion of kerosene lanterns after availability of electricity?

G03

Has there been a decrease in the eye problems due to change in fuel for electricity?

G04

Has there been a decrease in coughing due to change in fuel for micro-grid electricity?

G05

Have the number of health facilities (hospitals, nursing homes etc.) in the village increased due to availability of electricity through micro-grid?

G06

What changes have you seen in these facilities after getting connected to the mini-grid?

Customer Satisfaction and Quality
H01

Which of the following issues do you have to face/did you face with respect to mini grid connection?

H01_1

Light Fluctuation

H01_2

Low Voltage

H01_3

Disruption in Supply (Irregular Supply)

H01_4

Bad or poor supply during Rainy season or during bad weather

H01_5

Meter Availability (There is no meter and they want one)

H01_6

Difficult to contact Operator

H02

Do you know whom to contact in case you face any problems in getting electricity from the micro-grid?

H03

In case of any problems in getting electricity from micro-grid, do you face any difficulty in reporting the matter?

H04

What kind of difficulty do you face in reporting the matter?

H05

In case of problem with supply of electricity from micro-grid, how long does it usually take to address the problem?

H06

Do you perceive the need for any change in supply hours of electricity from the mini-grid?

H07

How many hours do you require electricity from the mini-grid?

H08

Are you satisfied with

H08_1

Installation fees

H08_2

Installation process

H08_3

Package and service information provided at the time of installation

H08_4

Ease in changing the package

H08_5

Timely hours of electricity supply

H08_6

Consistency in terms of voltage

H08_7

Are you satisfied with theschedule at which the electricity is supplied /available

H08_8

Quality of service provided by service providers such as maintenance

H08_9

Accuracy of billing

H08_10

Tariff

H08_11

Timeliness in addressing complaints

ECONOMIC USE OF ELECTRICITY
I01

Does anyone from your family engage in any kind of economic activity from within the household?

I02

What is the activity?

I03

Do you use any kind of electricity to aid you in the work?

I04

For what purpose is electricity used in the activity?

I05

What is the primary electricity source you use for this purpose?

I06

Did you use electricity for this activity before mini-grid was installed in the village

I07

Did you ever use mini-grid connection as the primary source for this activity?

I08

Why did you stop using mini-grid as the primary connection?

I09

Why have you never used the mini-grid connection as the primary source?

I10

Why did you choose mini-grid as the primary source for this activity?

VALUE ASSIGNED TO SPRD
J01

What inspired you take the SPRD micro-grid connection?

J02

What were your expectations when you first availed the mini-grid connection?

J03

Was SPRD micro-grid connection able to meet your expectation?

J04

Why could it not meet your expectation?

J05

When did you opt out of the connection?

J06

What is the connection plan did you opt for from the mini-grid?

J07

For which of the appliances did you use the mini-grid electricity?

J08

Why did you stop using SPRD connection?

Impact of street light
K01

Are there street-lights in your village?

K02

Since when are the streetlights functional?

K03

What is the source of electricity for these streetlights?

K04

Do you perceive any benefit from street-light in your Household?

K05

What all benefits do you perceive after the street-light has come to your village?

K05A

Who usually benefits from these in the house?

K06

After street-light in your village, for what all purposes do you find yourself stepping out in the dark?

K06A

Who usually goes outside the house?

K07

Why do you not feel that the street light has not made/ will not make a difference?

K08

When do you require the street-light

K09

Do you feel overall mobility and safety has improved in your village after street lights?

K09A

To what extent do you perceive a difference?

Module 16
L01

What are the main activities that the women of the HH engage in?

L02

For which of the above mention activities do you use electricity?

L02_1

Cleaning

L02_2

Cooking

L02_3

Economic activity within home

L02_4

Economic activity outside of home

L02_5

Others, specify

L02A

What do you use electricity for?

L03

What was/is the time spent on these activities

L03A

Before Mini-grid installation

L03A_1

Cleaning

L03A_2

Cooking

L03A_3

Economic activity within home

L03A_4

Economic activity outside of home

L03A_5

Others, specify

L03B

Current

L03B_1

Cleaning

L03B_2

Cooking

L03B_3

Economic activity within home

L03B_4

Economic activity outside of home

L03B_5

Others, specify

L04

Have you purchased any new appliance to help you in these activities?

L04_1

Cleaning

L04_2

Cooking

L04_3

Economic activity within home

L04_4

Economic activity outside of home

L04_5

Others, specify

L05

What was/is the time spent on these activities after buying the new appliance?

L05A

Before Mini-grid installation

L05A_1

Cleaning

L05A_2

Cooking

L05A_3

Economic activity within home

L05A_4

Economic activity outside of home

L05A_5

Others, specify

L05B

Current

L05B_1

Cleaning

L05B_2

Cooking

L05B_3

Economic activity within home

L05B_4

Economic activity outside of home

L05B_5

Others, specify

L06

Who took the decision to buy these appliances?

L07

Do you make any decision regarding the SPRD connection?

GENDERED DECISION MAKING AND SATISFACTION LEVELS
M01

Who made the decision regarding obtaining the SPRD electricity connection?

M02

What were the reasons behind them taking the decision for the electricity connection??

M03

What are the appliances that are owned at home?

M03_1

LED bulb LED

M03_2

CFL bulb CFL

M03_3

Incandescent

M03_4

An electric fan

M03_5

A radio or transistor

M03_6

A black and white television

M03_7

A color television

M03_8

A sewing machine

M03_9

Mobile charging point

M03_10

A computer/laptop

M03_11

A refrigerator

M03_12

Water pump for home

M03_13

Irrigation pump

M03_14

A thresher

M03_15

Internet/Modem

M03_16

Air Conditioner or Cooler

M03_17

Washing Machine

M04

Who made the decision to buy them?

M04_1

LED bulb LED

M04_2

CFL bulb CFL

M04_3

Incandescent

M04_4

An electric fan

M04_5

A radio or transistor

M04_6

A black and white television

M04_7

A color television

M04_8

A sewing machine

M04_9

Mobile charging point

M04_10

A computer/laptop

M04_11

A refrigerator

M04_12

Water pump for home

M04_13

Irrigation pump

M04_14

A thresher

M04_15

Internet/Modem

M04_16

Air Conditioner or Cooler

M04_17

Washing Machine

M05

What were the reasons behind them taking the decisions regarding the appliances?

M06

Who do you feel the device benefits the most?

M07

Do you feel satisfied with the decision of buying the appliance?

HH ASSET INDEX
N01

Does your household own this house or any other house?

N02

LOOK AT THE FLOOR AND CODE THE MAIN MATERIAL OF THE FLOOR

N03

LOOK AT THE ROOF AND CODE THE MAIN MATERIAL OF THE ROOF

N04

LOOK AT THE EXTERIOR WALLS AND CODE THE MAIN MATERIAL OF THE WALLS1

N05

Do they have any window in their house?

N06

How many rooms in this house are used for sleeping?

N07

Do you have a separate room which is used as a kitchen?

N08

What type of fuel does your household mainly use for cooking?

N09

What is the main source of drinking water for members of your household?

N10

What kind of toilet facility do members of your household usually use?

N11

Does your household have

N11A

Currently

N11A_1

A pressure cooker

N11A_2

A chair

N11A_3

A cot or bed

N11A_4

A table

N11A_5

Any other type of telephone

N11A_6

A watch or clock

N11A_7

A bicycle

N11A_8

A motorcycle or scooter

N11A_9

An animal-drawn cart

N11A_10

A car

N11A_11

A tractor

N11B

Before 2015

N11B_1

A pressure cooker

N11B_2

A chair

N11B_3

A cot or bed

N11B_4

A table

N11B_5

Any other type of telephone

N11B_6

A watch or clock

N11B_7

A bicycle

N11B_8

A motorcycle or scooter

N11B_9

An animal-drawn cart

N11B_10

A car

N11B_11

A tractor