Questinare
Questinare
Questinare
• Religion: (A) Hindu (B) Muslim (C) Christian (C) Well water
(D) Buddhist (E) Jain (F)Others_______ (D) Interior water supply system
• Language: (A) Tamil (B) Malayalam (C) Telugu (E) Metro water source
(D) Hindi (E) Others_________ • Do you have rain water harvesting? yes/no
• Educational status: (A) below 10th (B) 12thabove • Type of fuel used for cooking: (A) LPG/gas (B)
(C) Graduate (D) post graduate induction (C) others ___________
2. INCOME • Solid wastes disposal:
• Occupation: (A) Public (B) Private (C)Self-emp (A) Metro-poli collects regularly
(D) domestic work (B) Disposed to a predefined landfill
• Sectors of work: (A) job (B) business (C) Pension (C) Disposed to a wild disposal area
• How long have you been living here as (D) Disposed irregularly / burning
place, such as another town, or abroad, for three • Whether happy with the public services provided
or more months at one time? (A) yes (B) no by the civic authority: yes/no
• Rate the following services/amenities in the city: • Do they easily collect water from the roads during
{(A)good (B) average (C) poor} rain: yes/no
public transport: (A) (B) (C) 9. SOLID WASTE MANAGEMENT
sewage management: (A) (B) (C) • How far is the garbage bin from your house:
solid waste management: (A) (B) (C) (A) <100m (B) 100m<500m (C) >500m
electricity supply: (A) (B) (C) • Does the garbage bin overflow/spillover: yes/no
drinking water supply: (A) (B) (C) • How often the garbage collector vehicle comes to
5. EDUCATION take the garbage: (A) twice weekly (B) once
• Do all your children go to school? yes/no weekly (C) less once in 2 week (D) frequent
(A) State board/central board (B) pada salai 10. DRINKING WATER SUPPLY
• Are you satisfied with these education facilities? • Do you have public supply for drinking water to
Do you have any problem/issues? the house: yes/no
6. PUBLIC TRANSPORT • Are there any public drinking facility near your
• How often do you use public transport: (A) daily home/office: yes/no
(B) weekly once (C) less often • If yes specify type: (A) bore well (B) fixed duration
• Means of public transport you use: (A) bus pipe (C) water atm (D) can water
(B)shared auto rickshaw (C)others ____________ 11. ELECTRIC SUPPLY
• What are commercial options for you: (A) local • Do you have frequent power cuts in electric
markets (B) supermarkets (C) road-side vendors provision in your home: yes/no
7. RECREATIONAL FACILITIES • Power fluctuation in supply: yes/no
• What are the different recreation facilities, • Any alternative energy resources used: yes/no
available? (A) parks (B) cinema theatres (C) drama • Monthly current consumption: ___________units
or play theatre (D) others ___________________ 12. PUBLIC INFRASTRUCTURE
8. SEWAGE MANAGEMENT • Are you satisfied with existing roads: yes/no
• Is your house/office connected to the city-based • How often are they repaired? (A) every 6 months
drainage network: yes/no (B) every 1 year (C) less frequently
• If yes, how often is it maintained: (A) weekly once • Quality/standard of railway station (city):
(B) monthly once (C) less frequent (A) Good (B) fair (C) bad
• Are the drains covered: yes/no • Quality/standard of bus stand (city):
• Do the drains overflow during rains: yes/no (A) Good (B) fair (C) bad
• Problems faced during natural disaster _______