Faculty of Disaster Management

Patuakhali Science and Technology University

Dumki, Patuakhali-8602, Bangladesh
[Questionnaire for the preparation of report on Social Aspects of Disaster Management Course]
(Dated :..)
[N.B.: All the information collected under this module only for the research purpose of B.Sc. (Honors.) in Disaster Management of
Faculty of Disaster Management of Patuakhali Science and Technology University.]

Report title: Role of Women in Disaster Management: a case study on Angaria Union, Dumki,
Patuakhali
1) Interviewee Name:

Village
:
Upazila:

Union:
Age

Sex
M.

F.

District:

Education
Under
SSC

Word No.:

Occupation

HSC

Marital status

Service line

BA
HO.

2) How long you are living here? Year .

3) How many family members in your family?
Total
Members

Male

Female

0-5 Years

6-10 Years

11-18
Years

19-30
Years

31-60
Years

4) Total land size (Decimal):

5) Annual income (BDT):..
6) Questions about food
a. What are your main foods?
b. Have you ever had a food shortage or shortage of certain types of food? Yes
c. Do you preserve any foods? Yes

No-

No-

a. If yes, what foods?

d. How do you preserve them? (e.g., traditional, modern, drying, salting, recovery and preserving
before and after cyclone damage to crops)
e. Do you store food or maintain food stocks in your home? Yesa. If yes, how do you store food?

No-

60+ Years

f.

What fuel does you for cooking? A. Firewood-

b. Gas-

3.Electric-

4.Others-

7) Question about farming and livestock

a. Farming/Agriculture Type: %/Number
a. Poultry-

Commercial-

Piggery-

b. Crops:

GoatOthers

c. None
b. Value of farm (if applicable):
c. Where is your growing activity? Close household-

Away from household-

d. Where is your livestock activity? Close household-

Away from household-

8) Major or common disasters in the area:

a)b)..c)d)..e).f)

9) Name some of the devastating natural disaster that your community ever experienced?
a)b)..c)d)..e).f)

10) What are problems do you face due to different disasters?

11) What types of measures do you take to solve the problems/ challenges?

12) No. of cyclone shelters:Distance of the shelter:Have you ever taken shelter in cyclone
center?..YN.
13) What types of problems do you have face in the shelter?

14) What types of actions do you think may be taken to overcome these problems?

15) What types of preparedness measures do you take in different disasters?

16) Do you understand the meaning of different cyclone signals? Yes; No..

17) What do you do when notice any severe natural disaster is approaching towards your community?

18) Do you have taken part any training programs regarding the disaster management or associated
others?
Yes/No, if yes denote the organizations.
19) Name of the organizations?
a)b)..c)d)..e).f)

20) Mention some sources of family income where you directly or indirectly contributed?

21) What type constraints do you have face to move cyclone shelter in the disaster period?

22) What type of activities do you play as disaster response? Please mention below:

23) Do you prefer to go to cyclone shelter during different disasters?

Yes/ No if no why(please
mention):

24) Have you ever borrow loans from your neighbor and what types of stuff it
was?.....................................................................................................................................................
.............................................................................................................................................................
..........................................................
25) Recovery stage activities:
Mention some of the recovery stage
activities:..
26) Do you have got enough chance to make your own
decision?........................................................................................
27) Do you take any external support in the time of disasters? If yes (Please
mention)...............................................................................................................................................
.............................................................................................................................................................
.........................................................
28) Development stages activities?

Mention some of the development stage

activities:

29) Prevention and mitigation activities:

Mention some of the development stage
activities:

30)
I.
II.
III.
IV.

Questions regarding natural disasters

Do your house or homestead submersed by the flood water?
What is the water height?......
What kinds of problems do you face in the time of disasters?.....................................................
What types of measures do you have taken when your house or homestead submersed by flood
water?

a) Property....
b) People...
c) Livestock..
d) Crops. ..
e) House....
f) Others ...
I.
What is the normal time of flooding and what frequency?..........................................................
II.
Do you experience any other disaster like drought?....................................................................
III.
What is the season and frequency of the particular disaster?......................................................
IV.
What are the effects of that particular disaster?...........................................................................
V.
Do you get the access to pure drinking water during the time of different disasters?.................
VI.
Who collect the water for your family and what is the distance of the source?..........................
Sources of water.
1) Normal source
2) Source during different disasters period.
What types of health problems do your family face during different
disasters?...........................................................................................................................................................
................................................................................................................................
Is there any problems of salinity?................................................................................................
31) Disaster knowledge level: a) Satisfactory b) Non-satisfactory c) Very Satisfactory

Thank you very much for your patience hearing and kind response to the inquiry

........
Signature of the interviewer with the date