QUESTIONAIRE PERSONAL DETAIL
Name: Age: Sex: Occupation: Education Qualification: Caste: Place:
PART –I 1.
2.
Do you feel comfortable to live in your village? What are the main features of the village due to which you are attached to your village?
3.What kind of problem you face in your daily life?
4.
What are the major problems that you face related to health? (A)Is their dispensary inside your village? (B)Where do you go for your minor Health Problems ? (C) Is their any educational institute in Your Village?
5.
Is their Anganwari center in your village ? (Yes/No)
(A)Are Anganwari workers doing their job properly? (B)Is there proper draining system in your village? (C) Does your village have proper water facility? (D) Have you ever face any problem due to uncleanliness? (E) Is the electricity facility properly available in your village? (F) Are there street lights in your village?
6.
How do you solve your these following problems? (select one) A: By Government B: By Panchayat C: Own Arrangements
7.What is role of Panchayat in your village progress? 8.What are the steps taken by the Government or Panchayat in recent years? 9.How these steps effect the progress of your village? What are the things that have given different identification to your village?
10.
PART -II 1.
Do you have any knowledge about the existence of Swaraj plant in your village?
2.
Are you aware about the activities that are performed by Swaraj in your village?
3.
Mention some activities that are performed earlier by Swaraj in your village?
4.Have you ever participated in those activities? 5.
Do you think that activities performed by Swaraj have benefited your village in one or other manner?
6. Is their some development in your village just because of these activities? 7.One major change that have taken place in your village due to activities performed by Swaraj? 8.Do you have any knowledge about these following topics: A: Global Warming (Yes/No) B: Waste Management (Yes/No) C: Reuse, Recycling and Reduction(Yes/No) 9.
Any activity that you want to be performed by Swaraj in your village?