Survey to measure effectiveness of Election Campaign to increase

women's representation in Local Government

Questionnaire
1. District:________________________________________
2. Name of Urban Council/Pradeshiya Sabha _____________
_____________________________________________________
3. Do you know if there are any women members in your Urban
Council or Pradeshiya Sabha Yes - No
If yes,
_________________________________________________
_________________________________________________
_________________________________________________
4.do you know this?
_________________________________________________
Have you had any interaction with her?
_________________________________________________
5.Do you know if any women have been nominated to contest the
March 7th Urban Council/Local Council elections?
If yes,
_________________________________________________
_____________________________________________________
6.Do you know from which political parties/independent groups this
woman/women have been nominated?
_____________________________________________________
_____________________________________________________
Do you know their names?
_____________________________________________________
_____________________________________________________

______________________________________________________
7. How did you get to know about her/them?
- Saw in the media Radio [ ] Newspaper [ ] TV [ ] Handbill [ ]
Poster [ ] banner [ ] from an organization [ ] from a friend
[ ] other________________________________________________
______________________________________________________
______________________________________________________
8. Do you think this/these woman/women are suitable candidates for
you Urban Council/Pradeshiya Sabha?
If yes, why?
______________________________________________________
______________________________________________________
If no, why?
______________________________________________________
______________________________________________________
9. Have you read, listened to or seen anything on TV about the issue of
womens political representation in the last six month
Newspapers? [ y ] [n ] Which ones?
Radio? [ y ] [n ] Which service?
TV? [ y ] [n ] Which channels?
Other
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
10. Did you sign any petition asking for more women to be nominated
Yes

No

If yes, do you know who administered the petition?

______________________________________________________
11. What is your personal view about women entering politics
Excellent V. Good Good
- Local Government Level

Not good

- Provincial Level
- National / Parliamentary Level
If not good, please indicate why not
______________________________________________________
______________________________________________________
______________________________________________________
12. Have you heard of the quota system for womens political
No
participation Yes
13. Will you vote for a woman at the forthcoming Urban
Council/Pradeshia Sabha elections? Yes - No
14. Any other comments?
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
Optional Your Name:___________________________________
Sex:______ Age____
Address:______________________________
______________________________________________________
Date and Name of Enumerator