Professional Documents
Culture Documents
A- Basic Information
1. Name of respondent ------------------------------------------------2. Address --------------------------------------------------------------------------------3. Phone (optional) -------------------------------------------B- Area Characteristics
1. Availability of Infrastructure and Services
No.
Infrastructure/service
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Tap water
Sewerage
Solid waste management
Road access
Electricity
Sui gas
Public bus/Mini bus
Qingqi
Police station
Clinic/Hospital/dispensar
y
Educational facilities
Bank/ATM
11.
12.
Availability
Yes
No
2. Housing Characteristics
a) Types
(i) Single storeyed
(iv) Apartment
(v)
Others
b) Construction
(i) RCC ---------------------
d) Safety/Security Features
No.
Measures
Available
Yes
1.
2.
Window Grills
3.
CCTV
4.
5.
Electronic surveillance
6.
7.
Barriers at lane/street
8.
9.
10.
11.
Denial/restriction of
access
No
3. What are the main safety and security threats in the area
a) political activists and their affiliates
snatchers
c) under guise thieves
b) Mobile phone
d) Extortionists
e) Others
4. Are the arrangements for safety and security adequate?
Yes -------------
No -------------
-------------------------------------------------------------------------------------------------------------------------------