HUMAN DEVELOPMENT PROFILE OF INDIA – II 2004 …ihds.umd.edu/sites/default/files/ihds1isq.pdfHUMAN DEVELOPMENT PROFILE OF INDIA – II 2004-05 HOUSEHOLD QUESTIONNAIRE Confidential

STATE: DISTRICT: PSU: HOUSEHOLD:

HUMAN DEVELOPMENT PROFILE OF INDIA – II

2004-05

HOUSEHOLD QUESTIONNAIRE

Confidential

NATIONAL COUNCIL OF APPLIED ECONOMIC RESEARCHPARISILA BHAWAN

11 I.P. ESTATENEW DELHI - 110 002.

STATE: DISTRICT: PSU: HOUSEHOLD:

HUMAN DEVELOPMENT PROFILE OF INDIA – II

2004-05

NATIONAL COUNCIL OF APPLIED ECONOMIC RESEARCH

&

UMCP

HOUSEHOLD QUESTIONNAIRE

1 STUDY CODE HC1 10 Number of Visits to Complete QuestionnaireHC10

2 Deck Number HC2 11 Completion Status Complete =1

Incomplete=2 HC11

3 Interviewer IDHC3 12 Whether Additional Booklet Attached No=0

Yes=1 HC12

4 Interviewer Name 13 Learning Completion StatusNot done=1 Fully Done=3

5 Interviewer Signature Partially Done=2 Not Applicable=4 HC13

6 Supervisor ID 14 Whether Additional Learning Sheet Attached No=0

HC6 Yes=1 HC14

7 Supervisor Name 15 Data Entry IDHC15

8 Supervisor Signature16 Data Entry Name

9 Is this a RE-INTERVIEW Household? No=0

Yes=1 HC9

17 Data Entry Signature

Page 1 of 31

0 2 2

1

CONSENT STATEMENT

[Approximately nine years ago, we interviewed your household for a research study.] We would like to

[update the information and] interview you and some members of your household about your health and family life.

The study is conducted by the 'National Council of Applied Economic Research' in co-operation with the UMCP.

We are asking many people all over the country to participate in this same interview.

The interview is voluntary. During our visit, we would like to ask you

[to update the information you provided during our last visit] about various aspects of health and family life.

In addition, we may ask to measure the height and weight of women and children in the household and

administer a short reading, writing and math exercise to some children.

If you choose not to reply any of the questions in this questionnaire, you are free to do so.If you decide to answer some or all of the questions,

we will use the information you give us only for the purpose of research.

People will be able to learn about the health and well-being of the people of India,

but not what you personally said.

1. Do you agree to be interviewed?

No=0 Interviewer'sYes=1 HS1 Initials

2. First Interview Date 3. Interview Start Time AM=1

HS2 HS3 PM=2 HS3b

Day Month Year

Page 2 of 31

:

HDPI-2 (household questionnaire)

1. Household Identification

ENTER BEFORE GOING TO HOUSEHOLD: 1.11 Name of the Household Head

1.1 Stratum No.STRATUM ID1 ID11

1.12 Which caste do you belong to?

1.2 Listing Sheet No.LISTING ID2 ID12

1.3 Name of state 1.13 Is it Brahmin, OBC, SC, ST or Others? Brahmin= 1 SC= 3 Other= 5

or Union Territory STATE ID3 OBC= 2 ST= 4 ID13

1.14 What is the religion of the head of Hindu=1 Sikh=4 Tribal=7

1.4 Name of district DISTRICT ID4 household? Muslim=2 Buddhist=5 Others=8 ID14

Christian=3 Jain=6 None=9

1.5 Name of tehsil/taluka TEHSIL ID5 1.15 What is the principal source of income for the household?Cultivation=01 Organized trade/business=07

Allied agr.=02 Salaried employment=08 ID15

1.6 Name of village/town VILLAGE/TOWN ID6 Agricultural Wage labor=03 Profession NEC=09

Non Agricultural Wage labor=04 Pension/rent/dividend, etc.=10

Artisan/indepdendent work= 05 Others (specify)=11

1.7 Name of post office Petty shop/other trade=06

POST OFFICE ID7a

1.16 How many years ago did your family first cometo this village/town/city?

ID7b IF MORE, THAN 90 = 90 (includes 'forever') YEARS ID16

IF LESS, THAN 90:1.17 From where did the family come? Same state= 1

1.8 Name of Mohalla/HAMLET ID8a Another state= 2 ID17

(include Pakistan or Bangladesh even if before partition) Another country= 3

1.18 Was this another village, a town, Same=1 Another town= 3

ID8b or a city? Another village= 2 Another large city= 4 ID18

Rural= 1 1.19 What was the occupation of the household head's

1.9 Rural/Urban/Slum Urban= 2 father/husband (for most of his life)? OCCUPATION CODE ID19

Urban Slum= 3 ID9

Description ID19b

1.10 1993-1994 1.20 And how many standards/years of education had

Household ID ID10 he completed? YEARS ID20

e.g., 5th class=5; Bachelors degree and over=15

Page 3 of 31

HDPI-2 (household questionnaire) STATE: DISTRICT: PSU: HOUSEHOLD:

2. Household RosterHousehold = all those who live under the same Now I would like to ask a few questions about [NAME OF FIRST PERSON].roof and share the same kitchen for 6+ months [CONTINUE FOR EACH PERSON IN THE HOUSEHOLD.]

2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 2.9

ASK IF MORE THAN ASK IF MORE THAN ONE PAIR OF PARENTS

Sex Relationship AGE Marital ONE MARRIED COUPLE Father's ID of Mother's ID of

M=1 to head of How old is Status ID of Name Father name Mother

F=2 household he/she? spouse IF IN HH from 2.1 IF IN HH from 2.1

2004 NAMES under 1 =00

1 RO0a RO1a RO3a RO4a RO5a RO6a RO7a RO8a RO9a

2 RO0b RO1b RO3b RO4b RO5b RO6b RO7b RO8b RO9b

3 RO0c RO1c RO3c RO4c RO5c RO6c RO7c RO8c RO9c

4 RO0d RO1d RO3d RO4d RO5d RO6d RO7d RO8d RO9d

5 RO0e RO1e RO3e RO4e RO5e RO6e RO7e RO8e RO9e

6 RO0f RO1f RO3f RO4f RO5f RO6f RO7f RO8f RO9f

7 RO0g RO1g RO3g RO4g RO5g RO6g RO7g RO8g RO9g

8 RO0h RO1h RO3h RO4h RO5h RO6h RO7h RO8h RO9h

9 RO0i RO1i RO3i RO4i RO5i RO6i RO7i RO8i RO9i

10 RO0j RO1j RO3j RO4j RO5j RO6j RO7j RO8j RO9j

11 RO0k RO1k RO3k RO4k RO5k RO6k RO7k RO8k RO9k

12 RO0l RO1l RO3l RO4l RO5l RO6l RO7l RO8l RO9l

13 RO0m RO1m RO3m RO4m RO5m RO6m RO7m RO8m RO9m

14 RO0n RO1n RO3n RO4n RO5n RO6n RO7n RO8n RO9n

15 RO0o RO1o RO3o RO4o RO5o RO6o RO7o RO8o RO9o

PROMPT AT END: Is there anyone else who lives here?

Head=1 Grandchild=5 Nephew/niece=9 Currently Married=1 Supervisor's Name

Wife/Husband=2 Father/Mother=6 Brother-in-law / Never Married=2

Son/Daughter=3 Brother/Sister=7 or Sister-in-law=10 Widowed=3 Supervisor's ID CodeDaughter-in-law Father-in-law or Other relatives=11 Separated/ Divorced=4

or Son-in law=4 Mother-in-law=8 Servant/other=12 Married no gauna=5 Signature & Date

Page 4 of 31

name

from 2.1

Please tell me the names of

Spouse's

1993

ID

code

of all the people who live and

take meals in this house

WRITE IN ENGLISH/ HINDI


3. Non-Resident Family Members3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 3.9 3.10 3.11 3.12 3.13

ID Code of Name of the Relationship Sex Age Marital State of Place of Number of Occupation Money How much money has NAME sent/

TYPE HH Resident Non-resident Relative of nonresident Status Residence Residence classes/yrs. 0=No received the hh in past 12 months?

Member to HH 1= Sent

member 2= Received RUPEES

Do any women in the household have husbands who do not live in the household? (3.2 = ID code of his resident wife from 2.1)

1NR2a NR3a

2NR4a

1NR5a NR6a NR7a NR8a NR9a NR10a NR11a NR12a NR13a

1NR2b NR3b 2 NR4b 1 NR5b NR6b NR7b NR8b NR9b NR10b NR11b NR12b NR13b

Do any men in the household have wives who do not live in the household now? (3.2 = ID code of her resident husband from 2.1)

2NR2c NR3c

2NR4c

2NR5c NR6c NR7c NR8c NR9c NR10c NR11c NR12c NR13c

2NR2d NR3d 2 NR4d 2 NR5d NR6d NR7d NR8d NR9d NR10d NR11d NR12d NR13d

Do any children under age 15 in the household have parents who do not live in the household? (3.2 = ID code of eldest resident child from 2.1)

3NR2e NR3e

6NR4e NR5e NR6e NR7e NR8e NR9e NR10e NR11e NR12e NR13e

3NR2f NR3f 6 NR4f NR5f NR6f NR7f NR8f NR9f NR10f NR11f NR12f NR13f

Are there any family members who are students living away at college or school? (3.2 = ID code of student's father in 2.1)

4NR2g NR3g

3NR4g NR5g NR6g NR7g NR8g NR9g NR10g NR11g NR12g NR13g

4NR2h NR3h 3 NR4h NR5h NR6h NR7h NR8h NR9h NR10h NR11h NR12h NR13h

Are there any other family members who send money to this household or receive it on a regular basis? What is their relationship to the household's head?

5NR2i NR3i NR4i NR5i NR6i NR7i NR8i NR9i NR10i NR11i NR12i NR13i

5NR2j NR3j NR4j NR5j NR6j NR7j NR8j NR9j NR10j NR11j NR12j NR13j

USE THESE LINES, IF EXTRA LINES ARE NEEDED FOR ANY CATEGORIES ABOVE

NR2k NR3k NR4k NR5k NR6k NR7k NR8k NR9k NR10k NR11k NR12k NR13k

NR2l NR3l NR4l NR5l NR6l NR7l NR8l NR9l NR10l NR11l NR12l NR13l

NR2m NR3m NR4m NR5m NR6m NR7m NR8m NR9m NR10m NR11m NR12m NR13m

Head=1 Grandchild=5 Nephew/niece=9 Currently Married=1 Same state=1 Same village/town=1 For example:

Wife/Husband=2 Father/Mother=6 Brother-in-law / Never Married=2 Another state=2 Another village=2 5th class=5

Son/Daughter=3 Brother/Sister=7 or sister-in-law=10 Widowed=3 Abroad=3 Another small city=3 Secondary=10

Daughter-in-law Father-in-law or Other relatives=11 Separated/Divorced=4 Another large city=4 Bachelor's +=15

or son-in law=4 Mother-in-law=8 Servant/other=12 Married no gauna=5

Page 5 of 31

(see codes)M=1

F=2


4. Household Farm: Land

4.1 EDITOR: WHAT IS THE NAME OF THE LOCAL UNIT OF LAND? 4.8a Total agricultural land rented inor sharecropped: LOCAL UNITS (TENTHS) . FM8a

ALPHABETIC NAME FM1

4.8b Do you pay cash for this land or do you divide Cash = 1

4.2 EDITOR: ONE ACRE EQUALS … the crop between you and the land owner? Crop= 2 FM8b

1 acre= Both=3

LOCAL UNITS (HUNDREDTHS) . FM2 4.8c [IF CASH]: About how much do youpay during a year for this land? RUPEES FM8c

4.3 Does this household (GO TO ANIMALS, SECTION 5, PAGE 10) No= 0 [Interviewer: If the payment is in crops, note on own or cultivate any agricultural land? Yes= 1 FM3 the next page with crop production]

4.4 Total agricultural land ownedLOCAL UNITS (TENTHS) . FM4 4.9a Of all the land you cultivate, including No= 0 (Go To 4.10)

rented land, is any land irrigated at any time of the year? Yes= 1 FM9a

4.5 How much of your own land do you cultivate?(INCLUDE ORCHARDS/ LOCAL UNITS (TENTHS) . FM5 4.9b What are the two most important modes of irrigation?SINGLE SEASON FALLOWS? Tubewell=1 Private canal=4

4.6a Total agricultural land rented out Other well=2 Tank/pond/nala=5 Most Imp. FM9b

or sharecropped out: LOCAL UNITS (TENTHS) . FM6a Government=3 Other=6

[Interviewer: Remember to probe for land that is farmed by other family members, particularly in urban areas] Secondary FM9c

4.6b Do you receive cash for this land or do you divide Cash = 1

the crop between you and the tenant? Crop= 2 FM6b 4.9d How much of land that you cultivate is Both=3 irrigated by all sources?

4.6c [IF CASH]: How much cash do you receiveduring a year for this land? RUPEES FM6c LOCAL UNITS (TENTHS) . FM9d

4.6d [IF CROP]: What portion of the cropdo you receive? PERCENT FM6d

4.6e About how much was thatworth last year? RUPEES FM6e

4.7 Land under orchards or plantationsLOCAL UNITS (TENTHS) . FM7

Page 6 of 31


4. Household Farm: ProductionNow, I would like to ask you about what crops Now, I would like to ask you a little more about each of these crops.you grew in the last 12 months. ASK ALL SIX QUESTIONS ABOUT EACH CROP AND THEN GO TO NEXT CROP.First, what did you grow in kharif?

4.10 4.11 4.12 4.13 4.14 4.15 4.16 4.17 4.18

[For interviewes conducted before Area IF RENTED Did you sell any of What price Dec. 2004, ask questions grown on, How much LAND did Total IN - What (your share of) crop? did you get for about July 2003-June 2004 irrigated? you plant in [CROP] Production share (IF YES): How this crop?otherwise Dec 2003-Nov 2004] Crop ID No=0 during [SEASON] [INCLUDE LANDLORD'S went to much did you sell?

(see codes) Yes=1 (IN LOCAL UNITS SHARE, IF RENTED IN] landlord? (IF NO, ENTER 0) (IF NO, ENTER 0)

Season Name of Crop TENTHS) (IN TENTHS OF QUINTALS) PERCENT (IN TENTHS OF QUINTALS) IN RUPEES PER QUINTAL

1FM10a FM11a FM12a FM13a . FM14a . FM15a FM16a . FM17a FM18a

1FM10b FM11b FM12b FM13b . FM14b . FM15b FM16b . FM17b FM18b

1FM10c FM11c FM12c FM13c . FM14c . FM15c FM16c . FM17c FM18c

1FM10d FM11d FM12d FM13d . FM14d . FM15d FM16d . FM17d FM18d

1FM10e FM11e FM12e FM13e . FM14e . FM15e FM16e . FM17e FM18e

PROMPT: Did you grow any other kharif crops? Even for your own use?

Next, what crops did you grow in rabi?

2FM10f FM11f FM12f FM13f . FM14f . FM15f FM16f . FM17f FM18f

2FM10g FM11g FM12g FM13g . FM14g . FM15g FM16g . FM17g FM18g

2FM10h FM11h FM12h FM13h . FM14h . FM15h FM16h . FM17h FM18h

2FM10i FM11i FM12i FM13i . FM14i . FM15i FM16i . FM17i FM18i

2FM10j FM11j FM12j FM13j . FM14j . FM15j FM16j . FM17j FM18j

Finally, what did you grow in summer ?

3FM10k FM11k FM12k FM13k . FM14k . FM15k FM16k . FM17k FM18k

3FM10l FM11l FM12l FM13l . FM14l . FM15l FM16l . FM17l FM18l

3FM10m FM11m FM12m FM13m . FM14m . FM15m FM16m . FM17m FM18m

3FM10n FM11n FM12n FM13n . FM14n . FM15n FM16n . FM17n FM18n

FOR INTERMIXED CROPS, DIVIDE LAND AREA AMONG THE CROPS.

4.19 What is the value of the crop residue?4.19a Value of the crop residue sold?

RUPEES FM19a

4.19b Value of the crop residue kept for own use?(e.g.) for fuel, animal fodder, etc. RUPEES FM19b

Page 7 of 31

Is land


4. Household Farm: Expenses ROUGH WORKSHEET

4.20 During the last 12 months did you hire anylabor from outside your household?

4.20a [IF YES]: How many total mandays of labor did you hire?[IF NONE, ENTER ZERO AND GO TO 4.21] DAYS FM20a

4.20b How many rupees did you spend all last year on hired labor? RUPEES FM20b

4.20c Did you also usually give these workers a meal? MEALS PER DAY

[IF YES] How many meals each day did you give? IF NONE, ENTER ZERO FM20c

APART FROM THE INPUTS PAID FOR BY THE LANDLORD/ OTHERs4.21 What was the value of the seeds you used home grown?= 1

last year? [IF NONE, ENTER ZERO] RUPEES FM21 purchased? = 2 FM21b

both?= 3

4.22 How many rupees did you spend all last yearon fertilizer and manures? [IF NONE, ENTER ZERO] RUPEES FM22

4.23 How many rupees did you spend all last year onpesticides and herbicides? [ IF NONE, ENTER ZERO] RUPEES FM23

4.24 Did you purchase any water for irrigation for your crops? How many rupees did you spend all last yearon water? [IF NONE, ENTER ZERO] RUPEES FM24

4.25 Did you hire any tractors or equipment or hire any animalsfor working on your farm?[IF YES] How many rupees did you spend all last yearon animals and equipment? [IF NONE, ENTER ZERO] RUPEES FM25

4.26 Did you make any agricultural loan installment payments last year?How many rupees did you spend all last yearon loan repayments? [IF NONE, ENTER ZERO] RUPEES FM26

4.27 Did you spend any other money for your farm last year?for instance, on maintaining your machines,transporting crops, on diesel, electricity, etc.?[IF YES] How many rupees did you spend all last yearon these expenses? [IF NONE, ENTER ZERO] RUPEES FM27

EDITOR CHECKTOTAL

Page 8 of 31


4. Household Farm: Household LaborNow I would like to ask about people in your household who helped to work on the farm the last 12 months.Please remember to include women and children.

4.31 Who is the primary decision maker about

First, thinking about the crops 4.28 4.29 4.30 farm matters in your house? ID code FM31

you grew, in all the work for [IF WORKED] [Mark ID number from the household roster.]those crops - that is, planting, About how How many hours 4.32 Does this household own any…weeding, harvesting, or any many days a day did [IF YES, RECORD NUMBER OF EACH TYPE:]

other kind of work - who are the last year did [NAME] 4.32a Tubewells?people in your household who did any [PERSON] help? usually work? FM32a

of the work? 4.32b Electric pumps?FM32b

4.32c Diesel pumps?NAME NOTE ACTUAL FM32c

HOURS 4.32d Bullock Cart?FM32d

FM28a FM29a FM30a 4.32e Tractor?FM32e

FM28b FM29b FM30b 4.32f Thresher?FM32f

FM28c FM29c FM30c 4.32g Bio-gas plant?FM32g

FM28d FM29d FM30d

4.32h How much money did you spend buying new equipmentFM28e FM29e FM30e last year?

RUPEES FM32h

FM28f FM29f FM30f

4.32i How much money did you makeFM28g FM29g FM30g renting out any equipment?

RUPEES FM32i

FM28h FM29h FM30h

FM28i FM29i FM30i

FM28j FM29j FM30j

FM28k FM29k FM30k

FM28l FM29l FM30l

FM28m FM29m FM30m

PROMPT AT END: Any other women in your household that helped?Any children in your household that helped?Not even during harvest?

Page 9 of 31

HO

US

EH

OL

D ID


5. Animals5.1 Does this household own any livestock such as 5.4 How much was the cost of feeding, maintaining, and grazing the animals?

cows, buffalo, goats, or chickens? Value of home grown grain?[IF YES, RECORD NUMBER OF ANIMALS OF EACH TYPE:] Rs. AN4a

[IF NO, ENTER ZERO IN FIRST LINE AND

GO TO WAGE AND SALARY WORK, SECTION 6, PAGE 11] Value of home grown crop 5.1a Milch cows? residue? Rs. AN4b

AN1a

5.1b Milch buffalo? Value of purchased AN1b residue/grains? Rs. AN4c

5.1c Draft animals?bullocks, donkeys, buffalo AN1c 5.5 5.6

5.1d Goats? [IF ANY ANIMALS]

AN1d Next, who in the How often did [PERSON]5.1e Sheep? household help take care of

AN1e ever helped take the animals?5.1f Poultry, chickens, ducks? care of the animals?

AN1f 1= never5.1g Others? 2= sometimes

(calves, pigs, camels, AN1g NAME 3= usually etc.)

5.2 How much money did you make selling milk, eggs, chicken, or livestock in the last year? AN5a AN6a

5.2a Milk & Eggs Rs. AN2a AN5b AN6b

5.2b Chicken & AN5c AN6c

Livestock Rs. AN2b

AN5d AN6d

5.3 How much money did you spend buying animals last year? AN5e AN6e

Rs. AN3 AN5f AN6f

ROUGH WORKSHEET AN5g AN6g

Cows & Milch Buffaloes Rs. AN5h AN6h

Draft animals Rs. AN5i AN6i

PROMPT: Anybody else? Any men? women? children?Goats and Sheep Rs.

5.7 Who is the primary person responsiblePoultry or Other Rs. for taking care of the animals AN7

in your household?TOTAL Rs. [Mark ID number from the household roster.]

Page 10 of 31

HO

US

EH

OL

D ID


6. Wage and Salary WorkNow, [besides work on the household farm or in any of the household's businesses,] what work for pay or goods did [NAME] DO LAST YEAR?ASK SEPARATELY FOR EVERYONE. IF A PERSON WORKED AT DIFFERENT TYPES OF JOBS, ENTER EACH ON A SEPARATE LINE.

6.1 6.2 6.3 6.4 6.5 6.6 6.7 6.8 6.9 6.10 6.11 6.12

What kind of work For how How many How much was Did Did [NAME] Is [NAME] Was

does NAME do? many days hours did [NAME] paid [NAME] receive a Casual this a

did [NAME] [NAME] in cash for this work? receive any bonus? or a GOVT.

do this work in a (include DA, housing allowance meals and/ clothes? Permanent job?

work last usual given in cash, etc.) or housing or any other worker?

year? day? from the items? No = 0

[per day / month / year ] employer? Regular

(See code sheets) No = 0 IF YES: govt./public

Yes meal=1 What was the job=1

Per Yes hse=2 total value Casual=1 SGRY = 2

Day= 1 Yes both=3 over the Perm.=2 Food for

HOUSEHOLD Month=2 last year? work=3

ROSTER OCCUPATION INDUSTRY Year=3 NO = 0 Other govt.=4

ID CODE DESCRIPTION OF WORK CODE CODE DAYS HOURS RUPEES RUPEES

WS1a WS3a WS4a WS5a WS6a WS7a WS8a WS9a WS10a WS11a WS12a

WS1b WS3b WS4b WS5b WS6b WS7b WS8b WS9b WS10b WS11b WS12b

WS1c WS3c WS4c WS5c WS6c WS7c WS8c WS9c WS10c WS11c WS12c

WS1d WS3d WS4d WS5d WS6d WS7d WS8d WS9d WS10d WS11d WS12d

WS1e WS3e WS4e WS5e WS6e WS7e WS8e WS9e WS10e WS11e WS12e

WS1f WS3f WS4f WS5f WS6f WS7f WS8f WS9f WS10f WS11f WS12f

WS1g WS3g WS4g WS5g WS6g WS7g WS8g WS9g WS10g WS11g WS12g

WS1h WS3h WS4h WS5h WS6h WS7h WS8h WS9h WS10h WS11h WS12h

WS1i WS3i WS4i WS5i WS6i WS7i WS8i WS9i WS10i WS11i WS12i

WS1j WS3j WS4j WS5j WS6j WS7j WS8j WS9j WS10j WS11j WS12j

WS1k WS3k WS4k WS5k WS6k WS7k WS8k WS9k WS10k WS11k WS12k

WS1l WS3l WS4l WS5l WS6l WS7l WS8l WS9l WS10l WS11l WS12l

WS1m WS3m WS4m WS5m WS6m WS7m WS8m WS9m WS10m WS11m WS12m

WS1n WS3n WS4n WS5n WS6n WS7n WS8n WS9n WS10n WS11n WS12n

WS1o WS3o WS4o WS5o WS6o WS7o WS8o WS9o WS10o WS11o WS12o

PROMPT: Did [NAME] do any other work for a wage or salary last year? IF NO, ASK ABOUT NEXT PERSON ON ROSTER

AFTER COMPLETING EVERYONE, PROMPT: Besides the work listed above, did anyone work in any other government organized programs?

Page 11 of 31


7. Household Nonfarm Business: First business

Does anybody in this household run their own business, however big or small? Who in the household worked in this business last year?Does anybody make something for sale, such as cloth or some food like pickles? Please include women and children.Or does anybody sell something in a market or to customers of any sort?

Or does anybody provide a service to others for a price, either a skilled service 7.7 7.8 7.9

like a doctor or an unskilled service like a barber? How many days How many

[IF NO, SKIP TO SECTION, 8 page 15; ELSE, BEGIN WITH FIRST BUSINESS] did [NAME] work hours did

7.1 Please describe this activity NAME in the last year? [NAME]

usually

NF1 work in a day?

INDUSTRY CODE NF1a

NF7a NF8a NF9a

OCCUPATION CODE NF1b NF7b NF8b NF9b

7.2 Where does this work mainly take place? Home= 1 NF7c NF8c NF9c

Other ffixed place =2 NF2

Other moving place= 3 NF7d NF8d NF9d

7.3 What was the gross receipt from this business NF7e NF8e NF9e

over the last 12 months?Do not consider expenses Rs. NF3 NF7f NF8f NF9f

However, if respondent gives net income, enter in 7.6, but also ask 7.4NF7g NF8g NF9g

Did you hire any workers last year? IF NO, enter "0"7.4 IF YES, How much was paid to all the NF7h NF8h NF9h

workers in TOTAL over all of last year? Rs. NF4

NF7i NF8i NF9i

7.5 How much was paid in all other expenses,such as the costs of materials, rent,interest on loans, etc. Rs. NF5

CALCULATE Q7.6 = Q7.3 - Q7.4 - Q7.5

7.6 So, that means your household earnedabout [AMOUNT] rupees last year.Does that sound right? Rs. NF6

Page 12 of 31

Household

ID


7. Household Nonfarm Business: Second business

Who in the household worked in this business last year? Is there any other kind of business that this household runs? Please include women and children. However small?

7.16 7.17 7.18

[IF NO, SKIP TO SECTION, 8 page 15; ELSE, BEGIN WITH SECOND BUSINESS] How many days How many

7.10 Please describe this activity did [NAME] work hours did

NAME in the last year? [NAME]

NF10 usually

INDUSTRY CODE NF10a work in a day?

NF16a NF17a NF18a

OCCUPATION CODE NF10b

NF16b NF17b NF18b

7.11 Where does this household work mainly take place? Home= 1

Other ffixed place =2 NF11 NF16c NF17c NF18c

Other moving place= 3

NF16d NF17d NF18d




Did you hire any workers last year? IF NO, enter "0"7.13 How much total was paid to all these NF16h NF17h NF18h

workers over all of last year? Rs. NF13

NF16i NF17i NF18i


CALCULATE Q7.15 = Q7.12 - Q7.13 - Q7.14


Page 13 of 31

Household

ID


7. Household Nonfarm Business: Third businessWho in the household worked in this business last year?

Is there any other kind of business that this household runs? Remember to include women and children. However small?

7.25 7.26 7.27

[IF NO, SKIP TO SECTION, Q 8, PAGE 15; ELSE, BEGIN WITH THIRD BUSINESS] How many days How many

7.19 Please describe this activity did [NAME] work hours did

NAME in the last year? [NAME]

NF19 usually

INDUSTRY CODE NF19a work in a day?

NF25a NF26a NF27a

OCCUPATION CODE NF19b

NF25b NF26b NF27b

7.20 Where does this household work mainly take place? Home= 1

Other fixed place =2 NF20 NF25c NF26c NF27c

Other moving place= 3

NF25d NF26d NF27d




Did you hire any workers last year? IF NO, enter "0"7.22 How much total was paid to all these NF25h NF26h NF27h

workers over all of last year? Rs. NF22

NF25i NF26i NF27i


CALCULATE Q7.24 = Q7.21 - Q7.22 - Q7.23


Page 14 of 31

Household

ID


8. Income from Other Sources

Has anyone in the household received any income Now, I would like to ask, if anyone in the household has participatedfrom any other source last year? in the following programs?For instance, from … [IF NO, ENTER "0"]

IF YES: Who all received it? How much did the household 8.1 Income from renting (combining all benefits) receive in the last 12 months?

property? Rs. IN1 HH HH Total BenefitPROGRAM: ID ID Rs.

8.2 Income from interest, 8.7 National Old Age dividends, or capital gains? Rs. IN2 Pension Scheme IN7a IN7b IN7r

8.3 Income from pensions? 8.8 Widows' Pension Scheme (WPS) IN8a IN8b IN8r

8.3a govt. work, including military? Rs. IN3a 8.9 National Maternity Scheme (NMBS) IN9a IN9b IN9r

8.3b from any private work?Rs. IN3b 8.10 National Disability

Pension IN10a IN10b IN10r

8.4 Income from the sale of8.4a non-agricultural land or IN4a 8.11 Annapurna

other property? Rs. (note value of grain) IN11a IN11b IN11r

8.12 Other Government 8.4b agricultural land Rs. IN4b Programmes IN12a IN12b IN12r

(including income generation)8.13 Assistance from NGOs

8.5 Income from scholarships /Charities IN13a IN13b IN13r

or gifts? Rs. IN5

8.6 Income from any govt. sources, such 8.14 In the last two years, has anyone in the household received as IRDP or Insurance payout? Rs. IN6 land from the government?

IF NO, ENTER "0"

a IF YES, How much land?IN LOCAL AREA UNITS LOCAL AREA UNIT IN14a

b IF YES, About how much was that land worth?

Rs. IN14b

Page 15 of 31


8. Income from Other Sources 9. Ration Card and Other Programs

8.15 Did your household receive any support from the 9.1 Does the household have a ration card? Skip to 9. No=0

government for house construction, latrines, or chulha? Yes=1 RC1

No=0 IF YES,IF YES, Did you get … Yes=1 IN15 9.1a What type of card is this? BPL=1

Standard/APL=2 RC1a

8.15a Built house Value Antodaya=3

IF NO, ENTER "0" Rs. IN15a

9.1b How many household members are listed on it?8.15b Money to build house RC1b

IF NO, ENTER "0" Rs. IN15b

No=0

8.15c Materials to build house 9.1c Have you used it in the last six months? Yes=1 RC1c

IF NO, ENTER "0" Rs. IN15c

9.1 IF NO: Why not? Too Far=1 Irregular supply=4

8.15d Sanitary latrines No time=2 Poor Quality=5

IF NO, ENTER "0" Rs. IN15d Financial Constraints=3 Other=6 RC1d

8.15e Smokeless/ improved chulha [IF NO RATION CARD]:IF NO, ENTER "0" Rs. IN15e 9. What is the main reason for not having a ration card?

Not needed=1

Lost=2

Bureaucratic difficulties=3 RC2

Moved but not transferred=4

8.16 Income from any other source? Other=5

Rs. IN16

9.3 Does anybody in the household have No=0

health insurance? Yes=1 RC3

SPECIFY: IN16a

8.17 Compared to 10 years ago, would Same= 1 9.4 Does anybody in the household have No=0

you say your household is economically Better= 2 IN17 LIC / life insurance? Yes=1 RC4

doing the same, better or worse today? Worse= 3

9.5 Does anybody in the household have a No=0

KISAN credit card? Yes=1 RC5

Page 16 of 31


10. Education: All Household MembersNow, I would like to ask you some questions about the education of each member of your family.DETACH THE HOUSEHOLD ROSTER CARD FROM THE ROSTER, ALIGN WITH THIS PAGE AND FOR EACH INDIVIDUAL ASK:

10.1 10.2 10.3 ASK ONLY WHO EVER ATTENDED 10.7 10.8 ASK ONLY FOR PEOPLE WHO HAVE STUDIED 10th CLASS & MORE

ID CODE Can [NAME] Has [NAME] 10.4 10.5 10.6 Can NAME IF LESS 10.9 10.10 10.11 IF COLLEGE / TECH

read and ever Is [NAME] How many Has NAME converse THAN 5th std, What class/ What Did [NAME] 10.12 10.13

write a attended currently standard ever failed in Did NAME division did subject did ever attend What is What

sentence? school? enrolled years or repeated English? attend [NAME] get NAME study college or NAME's class/div.

in school has [NAME] a class? NFEP? in secondary? after 10/11th technical highest did NAME

or completed? [10/11 std.] class? vocational degree/ get? college? board exam.? school? diploma?

1.ED1a ED2a ED3a ED4a ED5a ED6a ED7a ED8a ED9a ED10a ED11a ED12a ED13a

2.ED1b ED2b ED3b ED4b ED5b ED6b ED7b ED8b ED9b ED10b ED11b ED12b ED13b

3.ED1c ED2c ED3c ED4c ED5c ED6c ED7c ED8c ED9c ED10c ED11c ED12c ED13c

4.ED1d ED2d ED3d ED4d ED5d ED6d ED7d ED8d ED9d ED10d ED11d ED12d ED13d

5.ED1e ED2e ED3e ED4e ED5e ED6e ED7e ED8e ED9e ED10e ED11e ED12e ED13e

6.ED1f ED2f ED3f ED4f ED5f ED6f ED7f ED8f ED9f ED10f ED11f ED12f ED13f

7.ED1g ED2g ED3g ED4g ED5g ED6g ED7g ED8g ED9g ED10g ED11g ED12g ED13g

8.ED1h ED2h ED3h ED4h ED5h ED6h ED7h ED8h ED9h ED10h ED11h ED12h ED13h

9.ED1i ED2i ED3i ED4i ED5i ED6i ED7i ED8i ED9i ED10i ED11i ED12i ED13i

10.ED1j ED2j ED3j ED4j ED5j ED6j ED7j ED8j ED9j ED10j ED11j ED12j ED13j

11.ED1k ED2k ED3k ED4k ED5k ED6k ED7k ED8k ED9k ED10k ED11k ED12k ED13k

12.ED1l ED2l ED3l ED4l ED5l ED6l ED7l ED8l ED9l ED10l ED11l ED12l ED13l

13.ED1m ED2m ED3m ED4m ED5m ED6m ED7m ED8m ED9m ED10m ED11m ED12m ED13m

14.ED1n ED2n ED3n ED4n ED5n ED6n ED7n ED8n ED9n ED10n ED11n ED12n ED13n

15.ED1o ED2o ED3o ED4o ED5o ED6o ED7o ED8o ED9o ED12o ED11o ED12o ED13o

No=0 No=0 No=0 5th class=5 No=0 No=0 No=0 I=1 Science= 1 No= 0

Yes=1 Yes=1 Yes=1 BA/B.Sc.=15 Yes=1 Yes=1 II=2 Arts= 2 College= 1

Yes, fluent=2 III=3 Commerce= 3 Technical= 2

Vocational= 4

Others=5 Others= 5

Page 17 of 31

Vocational= 4

Yes, little=1

None= 0

Bachelors= 1

Professional= 3

Master's= 2

YesNNNNN NNNNNN


11. Exposure to Mass MediaNow, I want to ask about how often people in the household listen to the radio, read newspapers and watch TV.

11.1 11.2 ASK ONLY, IF WATCH TV

11.4 11.5 People in the How often do How often do How often do On an average How often do Household people in your people in your people in your day, about how they watch

household household household many hours News, talk listen to the read the watch TV? per day do they shows, radio? newspaper? watch TV? educational

or agricul- Never=0 Never=0 Never=0 Less than half tural shows?

Sometimes=1 Sometimes=1 Sometimes=1 hour = 0

Regularly = 2 Regularly = 2 Regularly = 2 Never=0

Sometimes=1

Regularly = 2

MM1a MM2a MM3a MM4a MM5a

MM1b MM2b MM3b MM4b MM5b

MM1c MM2c MM3c MM4c MM5c

ASK EVERYBODY:11.6 Does anybody in the household know No=0

how to use computers? Yes, Write ID MM6a

No=0

Anybody else? Yes, Write ID MM6b

No=0

Anybody else? Yes, Write ID MM6c

No=0

Anybody else? Yes, Write ID MM6d

No=0

Anybody else? Yes, Write ID MM6e

No=0

Anybody else? Yes, Write ID MM6f

Page 18 of 31

11.3

Men

Women

Children

N

N

N

N

N

N

N

N

N

N

N

N

N

N

N

N

NN

N

N

N

N

NN

NN

N

N

N

N

N

N

N

N

N

N

N

N

N

N

N

N

NN

N

N

N

N

NN

NN

NN

N

N

N

N

N

NN N


12. Household Consumption12 Please tell me how much of these 12a 12b 12c 12d 12e

items have been consumed by this How much? Was this Over the past 30 days, How much Over the past 30 days,household in past 30 days: home grown?= 1 what was the average did you buy how much did you pay

purchased? = 2 market price of one from ration/ in the RATION shop for one

HOME PRODUCED ITEMS SHOULD BE INCLUDED IN TOTALS. both?= 3 [kilo/liter/dozen] of… ? PDS shop? [kilo/litres/dozen] of… ?QUANTITY RUPEES QUANTITY/Kgs RUPEES

12.1 RiceKILOGRAMS CO1a CO1b Price CO1c CO1d Price CO1e

12.2 WheatKILOGRAMS CO2a CO2b Price CO2c CO2d Price CO2e

12.3 SugarKILOGRAMS CO3a CO3b Price CO3c CO3d Price CO3e

12.4 KeroseneLITRES CO4a CO4b Price CO4c CO4d Price CO4e

12.5 Other CerealsKILOGRAMS CO5a CO5b Price CO5c CO5d Price CO5e

OR TOTAL VALUE IF PRICE AND QUANTITY NOT POSSIBLE

12.6 Cereal products like bread, muri, chira, maida, suji, noodles, KILOGRAMS CO6a CO6b Price CO6c OR Total CO6T

12.7 Pulses and pulse products(includes soyabean, gram) KILOGRAMS CO7a CO7b Price CO7c OR Total CO7T

12.8 Meat, Chicken and FishKILOGRAMS CO8a CO8b Price CO8c OR Total CO8T

12.9 Gur and other sweetners(includes candy, misri, honey, etc.) KILOGRAMS CO9a CO9b Price CO9c OR Total CO9T

12.10 Edible Oil and vanaspatiLITRES CO10a CO10b Price CO10c OR Total CO10T

12.11 EggsDOZENS CO11a CO11b Price CO11c OR Total CO11T

12.12 MilkLITRES CO12a CO12b Price CO12c OR Total CO12T

12.13 Milk products like ghee, butter, ice cream,

milk powder, dahi, paneer, etc. KILOGRAMS CO13a CO13b Price CO13c OR Total CO13T

12.14 Vegetables(including garlic, ginger) KILOGRAMS CO14a CO14b Price CO14c OR Total CO14T

Page 19 of 31

2


12. Household Consumption

12. Over the past 30 days , what was the total rupee valueof the following items that the household consumed?

TOTAL VALUE TOTAL VALUE

12.15 Salt and spices 12.23 Personal care (includes dry chillies, curry powder, Rs. CO15 (includes spectacles, torch, umbrella, Rs. CO23

oilseeds, etc.) lighter, etc.)

12.16 Other food items like tea, coffee, 12.24 Toilet articlesprocessed foods, such Rs. CO16 (includes toothpaste, hair oil, Rs. CO24

as biscuits, cake, pickles, sauce shaving blades, etc.

12.17 Paan, tobacco, intoxicants 12.25 Household itemsRs. CO17 (includes electric bulb, tubelight, Rs. CO25

glassware, bucket, washing soap agarbati, insecticide, etc.)

12.18 Fruits and Nuts 12.26 Conveyance(includes mango, banana, Rs. CO18 (includes railway, bus, taxi, rickshaw, air fares, Rs. CO26

coconut, dates, kishmish, monacca, porter charges, diesel, petrol, school other dried fruits.) bus/van, etc.)

12.19 Food at restaurants, eating out, etc. 12.27 House rent, rentRs. CO19 (also for rented household appliances, Rs. CO27

furniture, etc)

12.20 Fuel and light 12.28 Consumer taxes, cesses, and fees(LPG, electricity, firewood) Exclude kerosene Rs. CO20 (includes water charges) Rs. CO28

12.21 Entertainment 12.29 Services(includes cinema, picnic, sports, club fees, Rs. CO21 (domestic servants, other) Rs. CO29

video cassettes.)

12.22 Telephone, cable, internet 12.30 Medical expensesRs. CO22 (out patient services) Rs. CO30

Page 20 of 31


12. Household Consumption Expenditure

12. For the following expenses, about how much did you spend in the past 365 days?

TOTAL VALUE TOTAL VALUE

12.31 Medical (in-patient) 12.40 Jewelry and ornamentsRs. CO31 Rs. CO40

12.32 School / Private Tuition fees 12.41 Personal transport equipment(includes private tutor, school / Rs. CO32 (includes bicycle, scooter, car Rs. CO41

college fees) tyres, etc.)

12.33 School books & other 12.42 Therapeutic applianceseducational articles Rs. CO33 (includes glass eye, hearing aids, Rs. CO42

(includes newspaper, library charges, stationery, internet charges) orthopaedic equipment, etc.)

12.34 Clothing and bedding 12.43 Other personal goodsRs. CO34 (includes clock, watch, PC, Rs. CO43

telephone, mobile, etc.)

12.35 Footwear 12.44 Repair and maintenanceRs. CO35 (of residential buildings, Rs. CO44

bathroom equipment, etc.)

12.36 Furniture and fixtures 12.45 Insurance premiums(includes bedstead, almirah, suitcase, Rs. CO36 Rs. CO45

carpet, paintings, etc.)

12.37 Crockery and utensils 12.46 Vacations(includes stainless steel utensils, Rs. CO37 Rs. CO46

casseroles, thermos, etc.)

12.38 Cooking and Household Appliances 12.47 Social functions: (includes electric fan, AC, sewing machine, Rs. CO38 (marriage, funerals, Rs. CO47

washing machine, pressure cooker, refrig. ? gifts, etc.)

12.39 Goods for Recreation(includes TV, radio, Tape recorder, Rs. CO39

musical instruments)

Page 21 of 31


13. Ownership of consumer goods

13.1 Do you own your own home? Owned= 1

If not, do you have Rental agreement= 2 CG1

a rental agreement? Neither= 3

Now, I would like to ask you about what things your household owns.Do you own a …

13.2 Cycle / Bicycle No=0 13.11 Electric Fan No=0 ASK ONLY, IF HOUSEHOLD HAS AT LEAST 6 Yes=1 CG2 Yes=1 CG11 OR MORE OF THE PREVIOUS ITEMS:

13.3 Sewing Machine No=0 13.12 Chair or table No=0 13.18 Car No=0

Yes=1 CG3 Yes=1 CG12 Yes=1 CG18

13.4 Generator Set No=0 13.13 Cot No=0 13.19 AC: Air Conditioner No=0


13.5 Mixer / Grinder No=0 13.14 Telephone No=0 13.20 Washing Machine No=0


13.6 Motor Cycle/Scooter No=0 13.15 Cell Phone No=0 13.21 Computer No=0


13.7 Black & White No=0 13.16 Fridge / Refrigerator No=0 13.22 Credit Card No=0

Television Yes=1 CG7 Yes=1 CG16 Yes=1 CG22

13.8 Colour Television No=0 13.17 Pressure cooker No=0

Yes=1 CG8 Yes=1 CG17

ASK ONLY, IF HOUSEHOLD HAS LESS THAN13.9 Air Cooler No=0 4 ITEMS IN THE PREVIOUS LIST:

Yes=1 CG9

13.23 Does everyone in the No=0

13.10 Clock or watch No=0 household have at least Yes=1 CG23

Yes=1 CG10 two pairs of clothes?

13.24 Does everyone in the No=0

household have Yes=1 CG24

shoes or chappals?

Page 22 of 31


14. Debt (Bank, Government, and Personal)14.1 Did you borrow or take any financial loan in the last 5 years? 14.3 In the last five years have you sold… No=0

IF NO: ENTER 00 AND SKIP TO Q 14.3 14.3a land to pay off expenses or pay off a loan? Yes=1 DB3a

IF YES: How many loans have you taken in the past 5 years?NUMBER OF LOANS DB1 No=0

14.3b jewelry to pay off expenses or pay off a loan? Yes=1 DB3b

ASK FOR THE LARGEST LOAN LARGEST LOAN

14.2a How many years ago did you 14.4 How much in total does your household currently owe othersobtain this loan? YEARS DB2 (include all types of loans currently outstanding)?

14.2b How much did Rs. DB4

you borrow? RUPEES DB2b

14.5a Do you have an outstanding balance for longer than No=0

14.2c For what purpose was this loan taken? a month's purchases with any shopkeeper? Yes=1 DB5a

Buy/Improve a house=1 Agriculture / business=4 Educational=7

Buy land=2 Daily consumption=5 Medical Expense=8 DB2c

Marriage expenses=3 Car/Appliance, etc.=6 Other=9 14.5b IF YES: How much?DB5b

14.2d From where did you obtain the loan?Employer=1 Relative = 4 Community Credit Group = 7 14.6 How much in total is owed by

Local Money lender = 2 Bank = 5 Govt. Program =8 DB2d others to your household?Friend=3 NGO=6 Other Credit Org./Co-op.= 9 Rs. DB6

14.2e What was the monthly interest rate on this loan?. DB2e

14.2f Has the loan been paid off as yet? No=0

Yes=1 DB2f

Page 23 of 31


15. Social Networks

a b c d e fIF, YES

Among your acquaintances Any? What does Is this person Is he / she Is his / her Does the personand relatives, are there any who … he/she do? male related community / live in the

[code the or female? to you? jati the same same villagehighest] as yours? or neighbourhood

as you?Not family= 0

Male= 1 Family, not hh= 1 Different jati =0 Other place=0

Female= 2 In household= 2 Same jati =1 Same=1

Doctors=1

15.1 … are doctors or nurses or No=0 Nurses=2

who work in hospitals and clinics? Yes= 1 SN1a Technician=3 SN1b SN1c SN1d SN1e SN1f

Other=4

15.2 … are teachers, school officials, No=0 Teachers/Principal=1

or anybody who works in a school? Yes= 1 SN2a Clerk=2 SN2b SN2c SN2d SN2e SN2f

Other lower=3

15.3 ... are in government service? No=0 Officer and above=1

[other than doctors, teachers, above] Yes= 1 SN3a Clerk=2 SN3b SN3c SN3d SN3e SN3f

Other lower=3

Page 24 of 31


16. Memberships and political activity 17. Local Trust and Conflict16. Now, I would like to know about the groups or organizations that

you and others in the household belong to. 17.1 In this village / neighborhood, do peopleDoes anybody in the household belong to a … generally get along with each other or is Lot of conflict = 1

16.1 Mahila mandal? No=0 there some conflict or a lot of conflict? Some conflict = 2 TR1

Yes=1 ME1 Get along = 3

17.2 In some communities, when there is a water supply16.2 Youth club, sports group, or reading room? No=0 problem, people bond together to solve the problem.

Yes=1 ME2 In other communities, people take care of theirown families individually. Bond together to solve problem = 1

16.3 Trade union, business or professional group? No=0 What is your community like? Each family solves individually = 2 TR2

Yes=1 ME3

16.4 Self Help Groups No=0 17.3 In this village / neighborhood, how much conflict wouldYes=1 ME4 you say there is among the communities / jatis that live here?

Lot of conflict? = 1

16.5 Credit or savings group No=0 Some conflict? = 2 TR3

Yes=1 ME5 Not much conflict? = 3

16.6 Religious or social group or festival society? No=0

Yes=1 ME6

18. Local Crime16.7 Caste association? No=0

Yes=1 ME7 Now, I would like to ask you some questions about the safety of your village/ neighbourhood

16.8 Development group or NGO? No=0

Yes=1 ME8

18.1 During the last twelve months, was anything No=0

16.9 Agricultural, milk, or other co-operative? No=0 stolen that belonged to you or to somebody Yes=1 LC1

Yes=1 ME9 in your household?

16.10 Many people find it difficult to get to vote when there is 18.2 During the last twelve months, did anyone No=0

an election. In the most recent national election, No=0 break into your home or illegally get Yes=1 LC2

did you vote yourself? Yes=1 ME10 into your home?

16.11 Have you or anyone in the household attended a public 18.3 During the last twelve months, did anyone attack No=0

meeting called by the village panchayat / nagarpalika / No=0 or threaten you or someone in your household? Yes=1 LC3

ward committee in the last year? Yes=1 ME11

16.12 Is anyone in the household an official of the 18.4 How often are unmarried girls Rarely / Never=0

village panchayat / nagarpalika / ward committee ? harassed in your Sometimes=1 LC4

IF NO: Is there someone close to the household, who is village / neighborhood? Often=2

a member? Nobody close to household is a member = 0

Somebody close to household is a member = 1

Someone in household is a member = 2 ME12

Page 25 of 31


19. Confidence in Institutions 20. Deaths

I am going to name some institutions in the country.As far as the people running these institutions are concerned, 20.1 Has anybody in the household died in the last one year? No=0

would you say you have Yes=1 DE1

A great deal of confidence?=1Only some confidence?=2

or Hardly any confidenc at all in them?=3 ASK ONLY, IF PERSON WAS

IF YES: Please tell me a little about them. A WOMAN AGED 12-4919.1 Politicians – to fulfil promises

CI1 20.2 20.3 20.4 20.5 20.6

Relation Was Was she19.2 Military – to defend the country to current NAME How old was What was pregnant, or

CI2 household a male or he/she when the cause did she diehead female? died? of death? within 6 weeks

19.3 Police – to enforce the law Male=1 of childbirth?CI3 Female= 2 AGE IN YEARS

19.4 State government – to look after the people DE2a DE3a DE4a DE5a DE6a

(eg. UP, AP, etc.) CI4

DE2b DE3b DE4b DE5b DE6b

19.5 Newspapers – to print the truthCI5 DE2c DE3c DE4c DE5c DE6c

19.6 Village Panchayats/ Wife/Husband=2 Accident=1 No=0

Nagarpalika – to implement public projects CI6 Son/Daughter=3 Childbirth=2 Yes, pregnant=1

Daughter- or Fever=3 Yes, during delivery=2

19.7 Schools – to provide good education Son-in law=4 Diarrhea=4 Yes, within 6 weeks=3

CI7 Grandchild=5 Cancer=5

Father/Mother=6 Heart Attack=6

19.8 Hospitals and Brother/Sister=7 TB=7

doctors – to provide good treatment CI8 Father-in-law or HIV-AIDS=8

Mother-in-law=8 Other =9

19.9 Courts – to meet out justice Nephew/Niece=9

CI9 Brother/Sister in law=10

Other relatives=11

19.10 Banks to keep money safe Servant/Other=12

CI10

Page 26 of 31

NN

N N


21. Household Identification

Thank you very much for spending so much time talking to us. The information you have provided will be combined in reports and used without revealing your name. We expect that in a few years, we will again try to collect this information to see, if people's lives have improved.

We would like to collect some information that will help us recontact you at that time.

PLEASE WRITE CLEARLY- THIS PAGE WILL BE SCANNED21.1 Name of the Head

of the household

21.2 Exact postal address[post office]

21.3 PIN

21.4 Left hand neighbor's name

21.5 Right hand neighbor's name

21.6 Name of the nearest relative in the village/town

21.7 Exact postal addressof relative

21.8 PIN of relative

21.9 Best contact CC9a

phone number STD Code IF NO PHONE CONTACT, ENTER 0

Self=1

21.10 Phone number belongs to: Neighbor=2

Relative=3

Page 27 of 31


22. Interviewer Observation-Respondent Behaviour

22.1 Who was the primary respondent who answered ANSWER THE FOLLOWING QUESTIONS FOR THE PRIMARY RESPONDENT:

a most of the questions? HH ID CODE: OH1a

22.4 Did you have any difficulty in the beginning No=0

b NAME OF PRIMARY RESPONDENT conveying the purpose of this interview Some difficulty=1 OH4

to the respondent? A lot of difficulty=2

OH1b

22.5 Did the respondent have any difficulty No=0

22.2 Who else from the household answered understanding the questions? Some difficulty=1 OH5

some questions or offered advice? HH ID CODE: OH2a A lot of difficulty=2

HH ID CODE: OH2b 22.6 Did the respondent look at you and clearly respond No=0

to the questions? Sometimes=1 OH6

HH ID CODE: OH2c Usually=2

HH ID CODE: OH2d 22.7 Was the respondent knowledgeable Very little knowledge=0

about consumption expenditure Somewhat=1 OH7

22.3 Were there non-household members present No=0 questions? Very knowledgeable=2

at the interview at any time? Yes=1 OH3

22.8 Was the respondent confident? No=0

Sometimes=1 OH8

Ususally=2

22.9 Interview End Time: AM=1

OH9 PM=2 OH9b

Page 28 of 31

:


23. Rough Anthropometry- Now I would like to take the weight and height of all household members as an indicator of health.

HOWEVER, INTERVIEWER MUST TAKE ANTHROPOMETRIC MEASUREMENTS FOR THE FOLLOWING MEMBERS. (1) ELIGIBLE WOMAN(2) ALL CHILDREN AGE 5 AND UNDER(3) ALL CHILDREN BETWEEN THE AGES OF 8 AND 11 YEARS OLD

DATE MEASUREMENTS TAKEN APd

Day Month Year

23.1 23.2 23.3 23.4 23.5

ID Name Height Taken Weight Weightfrom first time second timeHH Lying=1

roster ORStanding=2

In centimeters KGS GRAMS KGS GRAMS

AP1a AP2a AP3a AP4a AP5a

AP1b AP2b AP3b AP4b AP5b

AP1c AP2c AP3c AP4c AP5c

AP1d AP2d AP3d AP4d AP5d

AP1e AP2e AP3e AP4e AP5e NOTE: PLEASE TRANSFER TO

AP1f AP2f AP3f AP4f AP5f OTHER QUESTIONNAIRE AFTER

AP1g AP2g AP3g AP4g AP5g INTERVIEW

AP1h AP2h AP3h AP4h AP5h

AP1i AP2i AP3i AP4i AP5i

AP1j AP2j AP3j AP4j AP5j

AP1k AP2k AP3k AP4k AP5k

AP1l AP2l AP3l AP4l AP5l

AP1m AP2m AP3m AP4m AP5m

AP1n AP2n AP3n AP4n AP5n

AP1o AP2o AP3o AP4o AP5o

Page 29 of 31


24. Learning

ADMINISTER TO ALL CHILDREN BETWEEN THE AGES OF 8 AND 11 YEARS OLD:

24.1 NAME OF CHILD TA1a 24.10 Please write your answer in full sentences

24.2 ID Code of child ID TA2a

No=0

24.3 Have you ever attended school? Yes, currently=1 TA3a

Yes, in the past=2

24.4 Upto which class/standard have you completed? TA4a

No=0

24.5 Do (did) you enjoy school? Yes=1 TA5a

24.6 Does (did) the teacher treat you…. Nicely?=1Somewhat nicely?=2 TA6a

Not nicely?= 3

SkillsLanguage Level

Can not read=0

24.7 Reading Hindi=1 Letter=1

Assamese=2 TA7langa Word=2 TA7lvla

Bangla=3 Paragarph=3

Gujarathi=4 Story=4

Marathi=5

24.8 Math Oriya=6 Can not=0

Kannad=7 TA8langa Number=1 TA8lvla

Malyalam=8 Subtraction=2

Tamil=9 Division=3

Telegu=10

24.9 Writing English=11 Can not=0

Punjabi=12 TA9langa Writes with TA9lvla

Urdu=13 2 or less mistakes=1

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24. Learning (2nd child)

ADMINISTER TO ALL CHILDREN BETWEEN THE AGES OF 8 AND 11 YEARS OLD:

24.11 NAME OF CHILD TA1b 24.20 Please write your answer in full sentences

24.12 ID Code of child ID TA2b

No=0

24.13 Have you ever attended school? Yes, currently=1 TA3b

Yes, in the past=2

24.14 Upto which class/standard have you completed? TA4b

No=0

24.15 Do (did) you enjoy school? Yes=1 TA5b

24.16 Does (did) the teacher treat you…. Nicely?=1Somewhat nicely?=2 TA6b

Not nicely?= 3

SkillsLanguage Level

Can not read=0

24.17 Reading Hindi=1 Letter=1

Assamese=2 TA7langb Word=2 TA7lvlb

Bangla=3 Paragarph=3

Gujarathi=4 Story=4

Marathi=5

24.18 Math Oriya=6 Can not=0

Kannad=7 TA8langb Number=1 TA8lvlb

Malyalam=8 Subtraction=2

Tamil=9 Division=3

Telegu=10

24.19 Writing English=11 Can not=0

Punjabi=12 TA9langb Writes with TA9lvlb

Urdu=13 2 or less mistakes=1

Page 31 of 31

Documents

HUMAN DEVELOPMENT PROFILE OF INDIA – II 2004 …ihds.umd.edu/sites/default/files/ihds1isq.pdfHUMAN DEVELOPMENT PROFILE OF INDIA – II 2004-05 HOUSEHOLD QUESTIONNAIRE Confidential