Household Interview Schedule Template Page 4
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102.6 Livestock
S. No
Livestock
Number
Total Value
Income derived
1
2
3
4
1
He buffalo
2
She buffalo
3
Cow
4
Bullock
5
Goat
6
Sheep
7
Pigs
8
Poultry
9
Donkey
10
Others Specify
2.7
Household Assets
S. No
Asset
Yes/ No
S No.
Asset
Yes/ No
1
Grinder
8
Cart
2
LPG Connection
9
Cycle
3
Television
10
Two Wheeler
4
Air conditioner
11
Three Wheeler
5
Fans
12
Tractor
6
Personal Computer
13
Tiller
7
Cell Phone
14
Others Specify
2.8 LOANS
1. Do you or your family member have an account
1 - Yes; 2 - No
in any bank?
If No, GOTO Q No.3
2. Have you taken any loan in last one year?
1 - Yes; 2 - No
3. If ‘Yes’, give details.
Last one year
Any
How did
Current
From Whom
No. of
Loan
Interest
Mode of
Purpose
repayments
you mange
out-
Times
amount
rate
repayment
in Rs
to get loan
standing
[1]
[2]
[3]
[4]
[5]
[6]
[7]
[8]
[9]
Code:
1 - Construction of house; 2 - Purchase of land; 3 - Purchase of household assets; 4 - Purchase of food grains; 5 -
Column 3:
Marriage of daughter/ son/brother;/sister; 6 - Medical treatment; 7 - Repayment of old loan; 8 - Death
Ceremony; 9 - Other social ceremony; 10 - Education; 11 - Celebration of festivals; 12 - Others ______________
Column 6:
1 - Installment; 2 - Lumpsum; 3 - Any other specify ________________
1 - Mortgage immovable property; 2 - Mortgage assets; 3 - Promissory note; 4 - Through a guarantor;
Column 8:
5 - SHG membership; 6 - Any other specify ______________________
2.9 Migration
149
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