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Socio-Economic Survey for Housing

This document contains a socio-economic survey with questions about a household's characteristics, income, land use, housing/infrastructure, education, and health. It collects information such as the number of family members, their ages, occupations, income sources, ownership of agricultural land, type of housing, access to water/sanitation, electricity access, children's school attendance, and local health facilities used. The survey aims to understand the demographics, economic situation, living conditions, and access to services for the household.

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SivaRaman
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61 views4 pages

Socio-Economic Survey for Housing

This document contains a socio-economic survey with questions about a household's characteristics, income, land use, housing/infrastructure, education, and health. It collects information such as the number of family members, their ages, occupations, income sources, ownership of agricultural land, type of housing, access to water/sanitation, electricity access, children's school attendance, and local health facilities used. The survey aims to understand the demographics, economic situation, living conditions, and access to services for the household.

Uploaded by

SivaRaman
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

SOCIO-ECONOMIC SURVEY

Household no:

District:

Date:

1. HOUSEHOLD CHARACTERISTICS

Total number of household members

No of male.....................
08

8 -16

30 50

above 50

16 30

30 50

above 50

No of female.....................
08

16 30

8 -16

Marital status
1. Married

2 unmarried

Is the family member literate or illiterate?


1. literate
2 illiterate

2. INCOME

What is/are the household members occupations?

How long have you been living here as household/family? .. years

Have you -as a household- ever lived in another place, such as another village, another
town, or abroad, for three or more months at one time?
1. Yes

2. No

What are the main income sources of your family?

What is the average yearly income of the household?

How do you consider yourself?


1 ( ) Very poor
2 ( ) Poor
3 ( ) Lower middle income level
4 ( ) Middle income level
5 ( ) Higher middle income level
6 ( ) Rich

7 ( ) Very rich

3. LAND USE AND AGRICULTURE.

Do you or a member of your household has any agricultural land or do farming?


1. Yes

2. No

4. HOUSING AND INFRASTRUCTURE

What is your ownership status of your house?


1(

) Owner of the house

2(

) Renter

3(

) Provided by employer s

4(

) User not paying rent

5(

) Other

6(

) I do not know

What is the main building material?


1 ( ) Brick
2 ( ) Concrete
3 ( ) Wooden
4 ( ) Stone
5 ( ) Soil
6 ( ) Other
7 ( ) I do not know

What is the domestic water source in your house?


1(

) Plumbing inside the house (bathroom, kitchen, WC)

2(

) Water pump

3(

) Well water

4(

) Village fountain

5(

) Water tank

6(

) Interior tap water (one tap)

7(

) Interior water supply system (multiple taps)

8(

) Plumbing outside the house

9(

) Other

Do you have any problems with drinking water supply?


1. Yes

2. No

What are your problems with drinking water supply


1 ( ) Not clean
2 ( ) Expensive
3 ( ) Difficult to access
4 ( ) Law quality (hardness)
5 ( ) Other

What type of sanitation facility do you have?


(

) Interior WC with toilet flush tank

) Exterior WC with toilet flush tank

) Interior toilet without flush tank

) Exterior toilet without flush tank

) Public WC

) Other

What type of wastewater system do you have in your house?


1(

) Common sewerage system

2(

) Septic tank disposed regularly by municipality

3(

) Septic tank disposed regularly by him/herself

4(

) Discharged directly to a river / land

5(

) Other

6(

) I do not know

How are the solid wastes disposed?


1(

) Municipality collects regularly

2(

) Disposed to a predefined landfill

3(

) Disposed to a wild disposal area

4(

) Disposed irregularly

5(

) Disposed to the river/lake

6(

) Burning

7(

Do you have electricity in your house?


1. Yes

) Other

2. No

Do you experience any problems with electricity supply?


1. Yes

2. No

5. EDUCATION

Do all your children go to school?


1. Yes

2. No

Are you satisfied with these education facilities? Do you have any problems/issues?

6. HEALTH

When you experience a health problem, which health facility do you go?

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