SOCIO Economic Survey Modified[1]

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    SOCIO- ECONOMIC SURVEY OF STUDENTS

    ST.XAVIERS COLLEGE VAIKOM

    I) Personal Details

    1. Name of the student:

    2. Course 2.a) Semester

    3. Village

    4.Age 4.a) Date of birth

    5. Religion ( tick mark) a) Hindu b) Christian c)Muslim d) Others

    6. Caste

    7. Blood group

    II) Family Details

    1. Total number of family members :

    2. Head of the house hold :

    3. Do you have any medical insurance : Yes/ No

    a. If yes, specify :

    4. Average monthly income of the family :

    5. Do you have any bank account : Yes/ No

    a. If yes, name of the bank :

    6. Do you have any bank deposit : Yes/ No

    a. If yes, name of the Scheme :

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    b. Amount :

    7. Do you have any loan : Yes/ No

    a. If yes, amount :

    b. Purpose :

    c. From where :

    d. Interest Rate :

    8. Status of repayment :

    a. Amount paid :

    b. Outstanding Amount :

    9. Do you have own house : Yes / No

    a) If yes, type of house ( tick mark) a) Thatched b) Tiled c) Concrete d ) Others

    b) Total plinth area :

    10.Do you have electricity Connection : Yes / No

    a. Electricity Charge (By- monthly) :

    11. Do you have toilet facility : Yes/ No

    a. If yes specify type (put tick mark) a) Septic b)Single c) Others

    12.Drinking water facility available a) Well b) Public tap c) water connection

    d) Others

    13.Do you regularly take three time meal per day :

    14.Household equipment a) refrigerator b) Television c) Computer d) Air Conditioner

    15. Total land property : cents/ Acres

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    a) Type of land Area Type of cultivation

    wet land -

    Dry land -

    16.Do you have any cattle : Yes / No

    a. If yes specify

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    FAMILY MEMBERS DETAILS

    4

    Sl.

    No

    Name Relationship Sex Age Marital

    status

    Education Occupation Health

    status

    Diseases Physical

    challenges

    1

    2

    3

    4

    5

    6

    7

    8

    9

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    III) Educational Facilities

    1. How much time is required to reach the college -

    2. Mode of travel -

    3. Are you a regular student

    4. How do you feel about college? (i) Mostly desperate (ii) Desperate (iii) No feelings

    (iv) Interesting (v) Very interesting

    5. How many intimate friends do you have in your college (a) More than Five (b) Five to Three

    (c) Three to One (d) One (e) Nil

    6. How many intimate good boy friendship you have?

    7. How many intimate good girl friendship you have?

    8. Have any bad experiences in your friendship? (i) Most often (ii) Often (iii) Rarely (iv)

    Very Rarely (v) Not at all.

    9. Major time in a day spend for the...... good intimate friendship matters? (use fie point scale)

    10.How do they help you for study, project work, etc. five point scale (most often.......)

    11.What do you often discuss with the friends (put tick mark) (i)study matters (ii) politics

    (iii) cinema(iv) family matters/ future plans/others

    a. If others specify.......

    12. Do you share your personal feelings - with friends/ keep as secret/Share with family

    members

    13.How many Subject/topic do you think easy for you

    14.How many Subject/topic do you think difficult for you

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    15.What do you plan to improve these difficult topics

    16.What kind of help from teachers do you require for this

    17.Do you understand the topics in the class itself(use fie point scale)

    18.Are the teachers sufficiently explain the topics in the class room

    (i) Strongly Disagree (ii) Disagree (iii) No Opinion (iv) Agree (v) Strongly Agree

    19.Do you follow the teachers in the class room (use fie point scale)

    If not specify the reason

    20.Are the teachers using teaching aids in the class room

    (i) Most Often (ii) Often (iii) Rarely (iv) Very Rarely (v) Not at all.

    21.Is your notes are up to date? (change question) start with do you (use fie point scale)

    22.Do you periodically revise your notes? (use fie point scale)

    23. What study material do you use for study purpose- Texts/Guides/Notes/Reference texts

    24. How often do you visit the library

    (i) Most often (ii) Often (iii) Rarely (iv) Very Rarely (v) Not at all.

    25.Do you take books from Library

    (i) Most often (ii) Often (iii) Rarely (iv) Very Rarely (v) Not at all.

    26. If yes specify the kind of book - General/Reference texts

    27.Do you take additional notes from the reference texts

    (i) Most often (ii) Often (iii) Rarely (iv) Very Rarely (v) Not at all.

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    28.Will you revise the topics as per the next days time table

    (i) Most often (ii) Often (iii) Rarely (iv) Very Rarely (v) Not at all.

    29.Do you get any assistance from your family for your studies?

    (i) Most often (ii) Often (iii) Rarely (iv) Very Rarely (v) Not at all.

    30.Do you think that if more support is given, you can perform better in studies (use fie point

    scale)

    31.How much time do you spend for studies at home? (use fie point scale)

    32. Which time do you prefer for study- Evening/Morning

    33.Do you get a good learning environment at home (use fie point scale)

    If no, specify reason

    34.Do you have the habit of studying at the time of Examination only (use fie point scale)

    35.Is your study at the examination point of view? (use fie point scale)

    36.Do you make selective study based on previous years question papers. (use fie point scale)

    37.How much time do you spend for watching TV (use five point scale)

    38. Which is the most interested programme in TV

    39.How much you spend on that programme one day (use five point scale)

    40.How much time do you spend for playing (use five point scale)

    41.What time do you sleep regularly? (use five point scale)

    42.What time you awake up ? (use five point scale)

    43. Do you have any goal in our life?

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    44.What are the efforts do you take to achieve this goal? (use five point scale)

    45.What kind of assistance do you require from teacher for attaining this goal? (use five point

    scale)

    46. Do you feel that you lack teachers personal care?

    47. Are the teachers your Role model

    48. Do you like to get special attention in difficult subjects?

    49.Do you raise doubts in the class room?

    (i) Most often (ii) Often (iii) Rarely (iv) Very Rarely (v) Not at all.

    50.If yes, do you get sufficient clarification for the doubts in the class room itself? (use fie point

    scale)

    51.Have you ever received any negative comments from teachers or friends on raising such

    doubts: (i) Most often (ii) Often (iii) Rarely (iv) Very Rarely (v) Not at all.

    52. Do you think that you will be able to improve the difficult portions if you get proper support?

    53. Are you ready to put some extra effort to learn the difficult areas

    54.Do you get enough time to interact with your teachers in the campus? (use five point scale)

    55. Do you have mobile phone?

    56.How much time you talk through the mobile?

    (i) Nil (ii) less than 15min (iii) 15 to 30 min (iv) 30 to 60 min (v) more than 60 min

    57.Do you prefer communicative English classes for better prospects? (use five point scale)

    (i) Strongly Disagree (ii) Disagree (iii) No Opinion (iv) Agree (v) Strongly Agree

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    58. Please specify your suggestions for improvement of :

    a. Teaching

    b. College facilities

    c. Any other.

    59. Do you read news paper regularly?

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