Professional Documents
Culture Documents
Village Information:
a) Village: __________________________________________
b) Para/Area: ________________________________________
Individual Information:
c) Religion: __________________________________________
(include only those members who are living with the household head at present)
(* Male M. Female - F), [** Married 1, Unmarried 2, Widowed 3, Other ___ (specify)]
Date: 16/02/2017
Activities Yes No
6. Voting
7. Shopping in Village
8. Shopping outside the Village
9. Visiting relatives in Village
10. Visiting relatives outside Village
11. Meeting unmarried male family members
12. Watching TV/DVD/Cinema
13. State Five Positive Changes* which have occurred during the post liberation period
(a)
(b)
(c)
(d)
(e)
*From the respondents point of view.
Date: 16/02/2017
14. State Five Negative Changes* which have occurred during the post liberation period
(a)
(b)
(c)
(d)
(e)
*From the respondents point of view.
(15-20)
How do you like to spend your free time? (write Y for YES & N for NO)
(Respondents Signature)
## THANK YOU for your cooperation.