Name:

Address:

Occupation:

Q.1. What do you think about the land pollution level of your locality?
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Q.2. How is your daily life affected due to it?

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Q.3. If polluted, then what are the reasons for the pollution and degradation of the land
and soil in your area?
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Q.4. Do you think that the authorities responsible for the proper cleaning and
maintenance of your locality are doing their job properly?
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Q.5. Does your house lies in the region near to any industry or factory? If yes, then does
it creates any adverse effect on the nearby land and locations. How?
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Q.6 What are your expectations from the district authorities for your locality?
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Q.7. What are your contributions or help in saving and preserving the land and soil
resources around you or your locality?
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Q.8. Your extra thoughts or ideas about preserving the sustainability of land resource.
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