QUESTIONAIRE
PERSONAL DETAIL
Name:
Age:
Sex:
Occupation:
Education Qualification:
Caste:
Place:
PART –I
1. Do you feel comfortable to live in your
village?
2. What are the main features of the village
due to which you are attached to your
village?
[Link] kind of problem you face in your
daily life?
4. What are the major problems that you face
related to health?
(A)Is their dispensary inside your village?
(B)Where do you go for your minor
Health Problems ?
(C) Is their any educational institute in
Your Village?
5. Is their Anganwari center in your village ?
(Yes/No)
(A)Are Anganwari workers doing their job
properly?
(B)Is there proper draining system in your
village?
(C) Does your village have proper water
facility?
(D) Have you ever face any problem due to
uncleanliness?
(E) Is the electricity facility properly
available in your village?
(F) Are there street lights in your village?
6. How do you solve your these following
problems? (select one)
A: By Government
B: By Panchayat
C: Own Arrangements
[Link] is role of Panchayat in your village
progress?
[Link] are the steps taken by the
Government or Panchayat in recent years?
[Link] these steps effect the progress of your
village?
10. What are the things that have given
different identification to your village?
PART -II
1. Do you have any knowledge about the
existence of Swaraj plant in your village?
2. Are you aware about the activities that
are performed by Swaraj in your village?
3. Mention some activities that are
performed earlier by Swaraj in your
village?
[Link] you ever participated in those
activities?
5. Do you think that activities performed by
Swaraj have benefited your village in one
or other manner?
6. Is their some development in your village
just because of these activities?
[Link] major change that have taken place
in your village due to activities performed
by Swaraj?
[Link] you have any knowledge about these
following topics:
A: Global Warming (Yes/No)
B: Waste Management (Yes/No)
C: Reuse, Recycling and Reduction(Yes/No)
9. Any activity that you want to be
performed by Swaraj in your village?