Date :
2nd January 2025
House Survey Form
Name of the Chief person in family
*
No. of Males
*
0
1
2
3
4
5
6
7
more than 7
No. of Females
*
0
1
2
3
4
5
6
7
more than 7
Educationa Level-Illiterate
*
0
1
2
3
4
5
6
7
8
9
10
Primary
*
0
1
2
3
4
5
6
7
8
9
10
Upto 4th class
*
0
1
2
3
4
5
6
7
8
9
10
Upto 7th class
*
0
1
2
3
4
5
6
7
8
9
10
Upto 10th class
*
0
1
2
3
4
5
6
7
8
9
10
Upto 12th class
*
0
1
2
3
4
5
6
7
8
9
10
Graduation
*
0
1
2
3
4
5
6
7
more than 7
Post Graduation
*
0
1
2
3
4
5
6
7
8
9
10
Doctors
*
0
1
2
3
4
5
Engineers
*
0
1
2
3
4
5
6
7
more than 7
No. of Persons – Government Employee
*
0
1
2
3
4
5
6
7
more than 7
Private Employees
*
0
1
2
3
4
5
6
7
8
Pensioners
*
0
1
2
3
4
5
6
7
8
more than 8
Trade & Business
*
0
1
2
3
4
5
6
7
8
9
10
Entrepreneur
*
0
1
2
3
4
5
6
7
8
9
10
Traditional Profession
*
0
1
2
3
4
5
6
7
8
9
Dairy / Poultry /Fishing
*
0
1
2
3
4
5
6
7
8
more than 8
Own farms
*
0
1
2
3
4
5
6
7
8
9
10
Agricultural Labour
*
0
1
2
3
4
5
6
7
8
more than 8
Others
*
0
1
2
3
4
5
more than 5
Solar Panel
*
Yes
No
Electrical Vehical
*
Yes
No
No. of Persons using having mobile phone(Above 18)
*
Yes
No
No. of Persons using having mobile phone(Below18)
*
0
1
2
3
4
5
6
more than 6
No. of Persons using Computer/ Laptop
0
1
2
3
4
5
6
7
more than 7
No. of person migrated job
*
0
1
2
3
4
5
6
7
more than 7
No. of childrean about dropout school (4 to 14 year)
*
0
1
2
3
4
5
6
7
more than 7
No. of persons using online platform for shopping
*
0
1
2
3
4
5
6
7
more than 7
Submit
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