Household Interview Schedule Template - Kerala India

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Performance of National Rural Employment Guarantee Scheme in Kerala
An Appraisal
(Study sponsored by Ministry of Rural Development, Govt. of India. Funded by UNDP New Delhi)
Household Interview Schedule
1.
Identification
1.1. Name of the respondent
1.2. Community
SC/ST/Others
1.3. Village
1.4. Block
1.5. Panchayat
1.6. District
2.
Socio-economic Profile
2.1 Family Details
Age
if
Relationship
S. No
Sex
Main
Subsidiary
SHG
Name
in
Disabled;
Education
with HH
Code
occupation
occupation
Membership
yrs
type
head
1
2
3
4
5
6
7
8
FD1
FD2
FD3
FD4
FD5
FD6
FD7
FD8
FD9
FD10
Column 2: 1 - Male; 2 - Female
Column 3: 1 - Visual; 2 - Hearing/and/ or speech; 3 - Orthopaedic; 4 - Mentally ill; 5 - Mentally retarded; 6 - Cerebral Palsy;
Column 4: 1 - illiterate; 2 - Informal education; 3 - Primary; 4 - Middle; 5 - Secondary; 6 - Higher Secondary; 7 - Graduate;
8 - Professional; 99 - not applicable [not of school going age]
Column 5 & 6: 999 - Not Applicable; 1 - Housewife; 2 - Retired/old age; 3 - farmer;/Tiller; 4 - Agriculture labour;
5 - Skilled labour /e.g. carpenter, plumber, driver, mason, etc; 6 - Unskilled labour / e.g. construction
labourer, loader, house help, caretaker; watchman, etc; 7 - Traditional Artisan; 8 - Services e.g. barber;
milkman, dhobi; cobbler; etc; 9 - Petty shop; 10 - Vendor; 11 - Business;(e.g., shop - owner); 12 - Collection
of NTFP; MFP; 13 - Government service; 14 - Private service; 15 - Others _________________________
Column 7: 1 - Head; 2 - Spouse of head; 3 - Mother; 4 - Father; 5 - Son; 6 - Daughter; 7 - Daughter-in-law; 8 - Son-in-law;
9 - Grand son; 10 - Grand daughter; 11 - Grand mother; 12 - Grand father; 13 - Brother; 14 - Sister; 15 - Sister
in law; 16 - Brother in law; 17 - Relatives; 18 - Other specify: _____________________
Column 8: 1 - Yes; 2 - No
146
Performance of National Rural Employment Guarantee Scheme in Kerala
An Appraisal
(Study sponsored by Ministry of Rural Development, Govt. of India. Funded by UNDP New Delhi)
Household Interview Schedule
1.
Identification
1.1. Name of the respondent
1.2. Community
SC/ST/Others
1.3. Village
1.4. Block
1.5. Panchayat
1.6. District
2.
Socio-economic Profile
2.1 Family Details
Age
if
Relationship
S. No
Sex
Main
Subsidiary
SHG
Name
in
Disabled;
Education
with HH
Code
occupation
occupation
Membership
yrs
type
head
1
2
3
4
5
6
7
8
FD1
FD2
FD3
FD4
FD5
FD6
FD7
FD8
FD9
FD10
Column 2: 1 - Male; 2 - Female
Column 3: 1 - Visual; 2 - Hearing/and/ or speech; 3 - Orthopaedic; 4 - Mentally ill; 5 - Mentally retarded; 6 - Cerebral Palsy;
Column 4: 1 - illiterate; 2 - Informal education; 3 - Primary; 4 - Middle; 5 - Secondary; 6 - Higher Secondary; 7 - Graduate;
8 - Professional; 99 - not applicable [not of school going age]
Column 5 & 6: 999 - Not Applicable; 1 - Housewife; 2 - Retired/old age; 3 - farmer;/Tiller; 4 - Agriculture labour;
5 - Skilled labour /e.g. carpenter, plumber, driver, mason, etc; 6 - Unskilled labour / e.g. construction
labourer, loader, house help, caretaker; watchman, etc; 7 - Traditional Artisan; 8 - Services e.g. barber;
milkman, dhobi; cobbler; etc; 9 - Petty shop; 10 - Vendor; 11 - Business;(e.g., shop - owner); 12 - Collection
of NTFP; MFP; 13 - Government service; 14 - Private service; 15 - Others _________________________
Column 7: 1 - Head; 2 - Spouse of head; 3 - Mother; 4 - Father; 5 - Son; 6 - Daughter; 7 - Daughter-in-law; 8 - Son-in-law;
9 - Grand son; 10 - Grand daughter; 11 - Grand mother; 12 - Grand father; 13 - Brother; 14 - Sister; 15 - Sister
in law; 16 - Brother in law; 17 - Relatives; 18 - Other specify: _____________________
Column 8: 1 - Yes; 2 - No
146
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
2.4 Expenditure
What is your monthly HH expenditure? Mention the amount against each item.
Particular
Unit.(Period)
Amount Spent Total [not to be filled in]
1 - Monthly; 2 - Quarterly;
3 - Half yearly; 4 - Annual
1
2
3
4
Consumption Expenses
1. Food
2. Fuel and electricity
3. Education
4. Tobacco, Alcohol, gambling
5. Entertainment
6. Cosmetics, Toiletries, etc.
7. Clothing
8. Medical: Medicines/ Doctor
9. Transport
10. Festivals, religious ceremonies
11. House maintenance
12. Interest on loans, debts, etc.
13. Others (Specify)
2.5 ASSETS
1. Land
Description
Options
Response
1. Do you own land?
1 - Yes; 2 - No
If ‘No’, GOTO Q No. 3
2. If ‘Yes’, specify the extent of land do you possess?
1. Dry
2. Wet
3. Farm Land (Garden)
(In Acres)
4. Housing
3. Have you purchased / taken on lease any land during last 1 year?
1 - Yes; 2 - No
4. If ‘Yes’, specify the extent of land purchased/ taken on lease?
Specify in Acres
148
2.6 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
1. Has any member of the family migrated?
1 – Yes; 2 – No
If yes How many members?
Specify the reason
2. If ‘yes’ specify the reasons for migration?
3. for what duration
4. Where do they migrate normally?
Code: For Row 2: 1 - Seeking employment in lean season; 2 - better wage earning; 3 - Better amenities;
4 - Children education; 5 - Others ___________
For Row 3: 1 - <2 Month; 2 - 2-4 Months; 3 - 4-6 Months; 4 - 6-12 Months; 5 - Above 12 months
2.10 Social Participation of the Members
Particulars
Office Bearer
Member only
1.
Local Panchayat
2.
Caste Association
3.
Youth Association
4.
Local Cooperatives
5.
NGOs
6.
SHGs
7.
SHG Federation
8.
Temple committees
9.
Others
i)
ii)
iii)
3.
Participation in NREGA
3.1 Awareness about NREGA
3.1.1 How do you come to know about NREGA in your area?
i)
News papers
ii)
Radio
iii) Television
iv) NGO Representative
v)
Panchayat
vi) Govt. officials
vii) SHG
viii) Friends / Relatives / Neighbours
ix) Any other specify
3.1.2 Are you aware of the important provisions of NREGA?
Yes / No
150

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