Interview schedule for collection of data on socio – economic parameters

Interview schedule for collection of data on socio – economic parameters

Place:                                                                                                                         Date:

1.  Name                                  :

2.  Address                              :

3.  Religion                              :

4.  Family size                         :

     Type of family                    :  Joint / Nuclear

 Educational status family:        

Sl. No.

Particulars

Age

Educational status

Employment details

1

Self

 

 

 

2

Spouse

 

 

 

3

Wards

 

 

 

 

Son / daughter

 

 

 

 

Son / daughter

 

 

 

 

Son / daughter

 

 

 

5.  Occupational status:

            Primary      : Fishing - own / Fishing - crew / Marketing / Middleman / Others

            Secondary: Fishing - own / Fishing - crew / Marketing / Middleman / Others

6.  Types of boats owned                 :

            Nos. in each type                 :

7.  Types of Nets owned                  :

            Nos. in each type                 :

            Total value                           :

8.  Other fishing materials /              :

equipments possessed and

their value

9.  Participation in Social organizations:

Sl. No.

Type of organization

Participation

Self

Spouse

Wards

Present / Past

Present / Past

Present / Past

1

Panchayat Institution

 

 

 

2

Fisherman co.op. Society

 

 

 

3

NGOs

 

 

 

4

Voluntary organizations

 

 

 

5

Others

 

 

 

10.Ownership of House           : Own/rented/free housing facility 

11.  Type of house               : Thatched / Tiled / Rc / Others

 

12. Details of Houses           : Own/rented/others

13. Other facilities available :

            - Telephone

            - TV

            - Radio

            - Two wheeler – Bike/Moped

            - Four wheeler

            - Others

Annual savings :                             

Annual Income  :

 

 

 

 

 

 

Last modified: Thursday, 1 March 2012, 11:25 AM