Household Interview Schedule Template Page 2

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2.2 Housing Details
Description
Choice
Response
1. Ownership of house
1 - Own; 2 - Rented; 3 - Others (specify)
2. If ‘Own’, is it given by
1 - Yes; 2 - No
Government?
If ‘no’ GOTO Q No. 4
3. If ‘Rented’, what is the rent
In Rs.
4. Type of Structure
1 - Hut 2 - IAY, 3 - Asbestos/Tiled/Tin Roof; 4 - Concrete
5. Do you have electricity connection?
1 - Yes; 2 - No
6. What is the source of drinking
1 - Water tap in the household premises;
water?
2 - Public stand post; 3 - Hand pump;
4 - Open well; 5 - Pond; 6 - River;
7 - Any other ________________
7. Do you have a latrine in your
1 - Yes; 2 - No 3 - using community toilet
house?
2.3 Income
What is your monthly HH income?
Sources of income
Unit.(Period)
Income (Rs.)
Total [not to
1 - Monthly;
2 - Quarterly;
be filled in]
3 - Half yearly; 4 - Annual
1
2
3
4
1. Agricultural Income
2. Salary; Wage work of all family members
(including services, crafts, etc.)
3. Income from Livestock
4. Income from Petty Shop (Small Business)
if any
5. Remittance from wards/ relatives
6. Govt. assistance (OAP, Disability
Assistance, etc.) NSAP
7. NREGA
8. Others (specify)
NSAP: National Social Security Assistance Programme
147

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