The Second Gross National Happiness Survey

Questionnaire
April 2010
Int Interviewer Enter Code
IntDat InterviewDate Enter MM/DD/YYYY
dzcode Dzongkhag Enter Code
cbcode Gewog/Town Enter Code
newcbcod
e
Chiwog/Block
Code
Enter Code
villcode Village Enter Code

eacode Enueration !rea Enter Code
"tnu #tructure $ Enter Code
chuu Cen"u" %oe $ Enter Code
hhnu %ou"ehold #erial
$
Enter Code
&
'e"(onde
nt $
This page is intentionally left blank
)
DEMOGA!H"#S
Q1. *ote "e+ o, the re"(ondent- .Please circle appropriate number below/
Se$
Male %e&ale
& )
Q2. 0hat i" 1our age2
A'e
Please enter your age in
years
Q3. 0hat i" 1our current arital "tatu"2 .Please circle appropriate number
below/
Marita
l
Never
&arried
Marrie
d
Divorce
d
Separat
ed
(ido)e
d
& ) 3 4 5
Q4. 0hat i" 1our highe"t level o, education2
!ostSec
Note the highest level of
education
Q5. %ave 1ou had an1 non6,oral education2
N%E
Record number of years of
NFE
Q6. %ave 1ou had ona"tic education2
MonE
d
Record years of monastic
education
Q7. 0hich o, the ,ollowing language" can 1ou read and write2
*es No
+it1 Dzongkha & )
+it2 *e(ali & )
+it, Engli"h & )
+it- 7ther" .(lea"e "(eci,1888888888-
8-/
& )
Q8. 0hat i" 1our religion2
eli'ion
.uddhi
s&
Hinduis
&
#hristiani
ty
Othe
rs
None
& ) 3 4 9
7ther" .(lea"e "(eci,188 8888888888888888
Q9. 0hat i" 1our current e(lo1ent "tatu"2 :Enter appropriate code
from below;
Occap Record appropriate code from below
3
& < =ne(lo1ed
) < >arer
3 < Trader/"ho(kee(er/bu"ine""an
4 < #chool "tudent/VTI trainee/Trainee"/=niver"it1 "tudent"
5 < Civil "ervant"
? < GYT/DYT eber
@ < 'B!/'BA/'BG
B < Monk/Anim
9 < Gomchen
&C < Cor(orate e(lo1ee
&& < *G7 "taD
&) < *ational 0ork >orce
&3 < 7ther" .(lea"e "(eci,1888888-8888888888888888-/
Q10. %ou"ehold #ize
HHSi/
e
Record total number of members currently in the
household including respondent
4
10 !S*#HO+OG"#A+ (E++.E"NG
Sense o1 Satis1action
Q11. 0hat are the "i+ or "even thing" that 1ou con"ider to be o"t
i(ortant that lead" to a ha((1 and content li,e2
ecord Ans)er .elo) #od
e
HapSc1
HapSc2
HapSc,
HapSc-
HapSc2
HapSc3
HapSc4
Q12. 7n a "cale o, zero to &CE I con"ider 1"el,
Ha
p
Not a very
happy
person
5ery
Happy
!erson
C ) 3 4 5 ? @ B 9 &C
Q13. %ow would 1ou rate the Fualit1 o, 1our li,e2
+i1eQu
a1
5ery
poor
!o
or
Neither poor nor
'ood
Goo
d
5ery
'ood
& ) 3 4 5
Q14. %ow uch do 1ou enGo1 li,e2
+i1eQu
a2
Not at
all
A
little
Quite a
lot
An e$tre&e
a&ount
& ) 3 4
Q15. %ow "ati"Hed are 1ou with the ,ollowing a"(ect" o, 1our li,e2
5ery
satis6
ed
Satis6
ed
Neither
satis6ed
nor
dissatis6
ed
Dissatis
6ed
5ery
dissatis
6ed
Don7
t
8no
)
Sa
t1
Your health 5 4 3 ) & B
Sa
t2
Your "tandard
o, living
.livelihood/
5 4 3 ) & B
Sa
t,
The aGor
occu(ation"
in 1our dail1
li,e .could be
1our Gob i,
,orall1
e(lo1edE
,ar workE
hou"eworkE
"choolwork /
5 4 3 ) & B
5
Sa
t-
The
relation"hi(
1ou have with
1our
iediate
,ail1
eber"-
5 4 3 ) & B
Sa
t3
Iocal
environent
5 4 3 ) & B
Sa
t4
0ork Ii,e
balance
5 4 3 ) & B
Meanin' in li1e
Q16. Alea"e take a ,ew inute" to think about 1our li,e- Do 1ou agree with
the ,ollowing "tateent"2
Stron'
ly
a'ree
A'r
ee
Neithe
r a'ree
nor
disa're
e
Disa'r
ee
Stron
'ly
disa'r
ee
Don7t
8no)
Mv
1
I have ,ound a
"ati",actor1 eaning
in li,e
5 4 3 ) & B
Mv
2
I generall1 ,eel ,ree
to e+(re"" 1 idea"
and o(inion"
5 4 3 )
&
B
Mv
,
Mo"t o, the tie I
,eel a "en"e o,
acco(li"hent
,ro what I do
5 4 3 )
&
B
Mv
-
Aeo(le in 1 li,e
care about e
5 4 3 ) & B
Social support
Q17. %ow an1 (eo(le are "o clo"e to 1ou that 1ou can count on the i,
1ou8-
More
than
9
3:9
,:
2
1:2
Non
e
Don7t
8no)
SS
1
!re "ick 5 4 3 ) & B
SS
2
%ave Hnancial (roble" 5 4 3 ) & B
SS
,
%ave eotional (roble" 5 4 3 ) & B
SS
-
%ave to attend to i(ortant
(er"onal event" .childbirthE
,uneralE wedding etc-/
5
4 3 )
&
B
Stress
Q18. During the la"t 1earE would 1ou de"cribe 1our li,e a"6
Stre
ss1
5ery
Stress1ul
Moderately
Stress1ul
So&e)hat
Stress1ul
Not At All
Stress1ul
Don7t
8no)
1 2 , - 9
?
If 4 or 8, Go to Q20

Q19. 0hat are 1our ain "ource" o, "tre""2
Sources o1 stress #ode
Stres
s1
Stres
s2
Stres
s,
Stres
s-
Stres
s2
Stres
s3
Stres
s4
Please consider the last four ee!s and anser the folloin" #uestions
$% selectin" and circlin" one of the four anser o&tions
Q20. Been able to concentrate on what 1ouJre doing
GHQ
1
More Than
;sual
Sa&e As
usual
+ess Than
usual
Much less Than
;sual
Don7t
8no)
& ) 3 4 B
Q21. Io"t uch "lee( over worr1
GHQ
2
Not At
All
No More
Than usual
ather &ore
Than ;sual
Much More
Than usual
Don7t
8no)
& ) 3 4 B
Q22. >elt 1ou were (la1ing a u"e,ul (art in thing"
GHQ
,
More Than
;sual
Sa&e As
usual
+ess Than
usual
Much less
Than ;sual
Don7t
8no)
& ) 3 4 B
Q23. >elt ca(able o, aking deci"ion" about thing"
GHQ
-
More Than
;sual
Sa&e As
usual
+ess Than
usual
Much less
Than ;sual
Don7t
8no)
& ) 3 4 B
Q24. >elt con"tantl1 under "train
GHQ
2
Not At
All
No More
Than usual
ather &ore
Than ;sual
Much More
Than usual
Don7t
8no)
& ) 3 4 B
Q25. >elt 1ou couldnJt overcoe 1our diDicultie"
GHQ
3
Not At
All
No More
Than usual
ather &ore
Than ;sual
Much More
Than usual
Don7t
8no)
& ) 3 4 B
Q26. Been able to enGo1 1our noral da16to6da1 activitie"
GHQ
4
More Than
;sual
Sa&e As
usual
+ess Than
usual
Much less
Than ;sual
Don7t
8no)
@
Q27. Been able to ,ace u( to 1our (roble"
GHQ
9
More Than
;sual
Sa&e As
usual
+ess Than
usual
Much less
Than ;sual
Don7t
8no)
& ) 3 4 B
Q28. Been ,eeling unha((1 and de(re""ed
GHQ
<
Not At
All
No More
Than usual
ather &ore
Than ;sual
Much More
Than usual
Don7t
8no)
& ) 3 4 B
Q29. Been lo"ing conHdence in 1our"el,
GHQ
10
Not At
All
No More
Than usual
ather &ore
Than ;sual
Much More
Than usual
Don7t
8no)
& ) 3 4 B
Q30. Been thinking o, 1our"el, a" a worthle"" (er"on
GHQ
11
Not At
All
No More
Than usual
ather &ore
Than ;sual
Much More
Than usual
Don7t
8no)
& ) 3 4 B
Q31. Been ,eeling rea"onabl1 ha((1E all thing" con"idered
GHQ
12
More Than
;sual
Sa&e As
usual
+ess Than
usual
Much less
Than ;sual
Don7t
8no)
& ) 3 4 B
Spirituality
Q32. %ow "(iritual do 1ou con"ider 1our"el, to be2
Spir
it1
5ery Moderat
ely
So&e)
hat
Not at
All

4
3 ) &
Q33. %ow o,ten do 1ou recite (ra1er"2
Spiri
t-
e'ula
rly
Occasion
ally
are
ly
Not at
All
4 3 ) &
Q34. %ow o,ten do 1ou (ractice editation2
Spiri
t2
e'ula
rly
Occasion
ally
are
ly
Not at
All
4 3 ) &
Q35. %ow o,ten do 1ou vi"it local te(le" and other (lace" o, "(iritual
"igniHcance within 1our counit12
Spiri
t3
e'ula
rly
Occasion
ally
are
ly
Not at
All
4 3 ) &
Q36. I, 1ou are a (arentE do 1ou di"cu"" "(iritual i""ue" with 1our children2
Spiri
t3
e'ula
rly
Occasion
ally
are
ly
Not at
All
Not a
!arent
4 3 ) & 9
Q37. Do 1ou con"ider Kara in the cour"e o, 1our dail1 li,e2
B
Spiri
t11
e'ula
rly
Occasion
ally
are
ly
Not at
All
4 3 ) &
E&otional E$perience
Q38. During the (a"t ,ew week"E how o,ten have 1ou ,elt the ,ollowing
ood"/eotion"2
O1ten So&eti&
es
arel
y
Never
E&ot1 !nger & ) 3 4
E&ot, Guilt & ) 3 4
E&ot2 #elH"hne"" & ) 3 4
E&ot3 Lealou"1 & ) 3 4
E&ot4 Aride & ) 3 4
E&ot9 Calne"" 3 ) & 4
E&ot< E(ath1/Co(a""i
on
3 ) & 4
E&ot1
0
>orgivene"" 3 ) & 4
E&ot1
1
Contentent 3 ) & 4
E&ot1
2
Genero"it1 3 ) & 4
E&ot1
,
Di"a((ointent & ) 3 4
E&ot1
-
#adne"" & ) 3 4
E&ot1
2
>ru"tration & ) 3 4
E&ot1
3
>ear & ) 3 4
E&ot1
4
0orr1 & ) 3 4
E&ot1
9
7ther eotion"
.(lea"e
"(eci,1888888
--/
& ) 3 4
20 HEA+TH
Q39. In generalE would 1ou "a1 1our health i"M
HStat
us
E$cellent Good %air !oor 5ery !oor
5 4 3 ) &
Disa=ility > Activity +i&itations
Q40. Do 1ou have an1 long6ter di"abilitie"E health (roble" or ental
health (roble" .health condition" that have la"ted or are e+(ected to la"t ?
onth" or over/2
Disa=i
lit
Ye" *o
1 2
If 'o, Go to Q43
Q41. %ow long ha" it la"ted2
DisM
os
Record number of months you have been restricted
by the condition so far!
Q42. Doe" thi" long6ter di"abilit1 re"trict 1our activitie"2
9
estHo
&e
All the ti&e O1ten So&eti&
es
arely Never
5 4 3 ) &
Healthy days > short:ter& activity li&itation
Now we need information about your health over the &ast 30 da%s!
Q43. Thinking about 1our (h1"ical healthE which include" (h1"ical illne""
and inGur1E how an1 da1" during the (a"t 3C da1" wa" 1our (h1"ical health not
good2
Sic?Da
ys
'ecord number of days "Not more
than #$%
Q44. *ow thinking about 1our ental healthE which include" "tre""E
de(re""ionE and (roble" with eotion"E how an1 da1" during the (a"t 3C
da1" wa" 1our ental health not good2
MHDa
ys
Record number of days "Not more
than #$%
If (0) da%s for $oth #uestion 43 and 44, Go to Q46.
Q45. During the (a"t 3C da1"E about how an1 da1" did (oor (h1"ical or
ental health kee( 1ou ,ro doing 1our u"ual activitie"E "uch a" "el,6careE work
or recreation2
esDa
ys
Record number of days "Not more
than #$%
Alcohol
Now we need to ask you some &uestions about your alcohol consumption! This
includes any type of alcoholic drinks but does not include drinking a few sips
of alcohol for religious purposes!
Q46. In 1our entire li,eE have 1ou ever con"ued an1 kind o, alcohol2
Alc+i1
e
*es No
& )
If 'o, Go to Q51
Q47. %ow old were 1ou when 1ou Hr"t "tarted drinking2
AlcA'
e
Record Age "Enter '' for don(t
know%
Q48. %ave 1ou con"ued an1 t1(e o, alcohol during the (a"t &) onth"2
Alcur
r
*es No
& )
If 'o, Go to Q51
Q49. %ow o,ten did 1ou con"ue alcohol during the (a"t &) onth"2
Alc%r
e@
Everyd
ay
Occasion
ally
& )
Q50. During the la"t &) onth"E how o,ten did 1ou drink enough to ,eel
into+icated or drunkE that i"E when 1our "(eech wa" "lurredE 1ou ,elt un"tead1
on 1our ,eetE or 1ou had blurred vi"ion2
"nt%r
e@
Everyd
ay
Occasion
ally
Nev
er
& ) 3
&C
S&o?in'
Q51. Doe" an1one in 1our hou"ehold "oke regularl1 in"ide the hou"e2
S&?Hsl
d
*es No
& )
Q52. %ave 1ou ever "oked cigarette"2
S&?+i1
e
*es No
& )
If 'o, Go to Q57
Q53. !t what age did 1ou begin to "oke2
S&?A'
e
'ecord Age "Enter '' for
don(t know%
Q54. Did 1ou "oke during the la"t &) onth"2
S&?#ur
r
*es No
& )
If 'o, Go to Q57
Q55. Do 1ou "oke dail1 or occa"ionall12
S&?Stat
u
Daily Occasional
ly
& )
If *ccasionall%, Go to Q57
Q56. %ow an1 cigarette" do 1ou "oke each da1 now2
S&?!erD
a
Record number of cigarette sticks
per day
To=acco
+o$acco includes ,a$a, -a.a, /urti, 0eaf, snu1, others
Q57. %ave 1ou ever chewed/"nuDed tobacco2
#he)+i1e
*es No
& )
If 'o, Go to Q61
Q58. !t what age did 1ou begin to chew/"nuD tobacco2
#he)A
'e
'ecord Age "Enter '' for don(t
know%
Q59. During the la"t &) onth"E did 1ou chew/"nuD tobacco2
#he)#u
rr
*es No
& )
If 'o, Go to Q61
Q60. I, 1e"E do 1ou chew/"nuD tobacco dail1 or occa"ionall12
#he)St
at
Daily Occasional
ly
& )
2o3a
Q61. %ave 1ou ever chewed doma2
Do&a+i
1e
*es No
& )
If 'o, Go to Q66
&&
Q62. !t what age did 1ou begin to chew doma2
Do&aA
'e
)nsert age "Enter '' for don(t know or
no answer%
Q63. Did 1ou chew doma during the (a"t &) onth"2
Do&a#
urr
*es No
& )
If 'o, Go to Q66
Q64. Do 1ou chew dail1 or occa"ionall12
Do&aSt
at
Daily Occasional
ly
& )
If *ccasionall%, Go to Q66
Q65. %ow an1 khamto do 1ou chew each da1 now2
8ha&to
Record number of khamtos
per day
Hei'ht and )ei'ht
4or fe3ale res&ondents a"ed 15549 onl%.
Q66. !re 1ou (regnant2
!re'na
nt
*es No
& )
If 6es, Go +o Q69
4or all res&ondents
Q67. 0hat i" 1our height2 *measure without footwear+
Hei'ht ARecord height in
cm
Q68. 0hat i" 1our weight2 *measure without footwear +
(ei'ht ARecord weight in
kg
Suicidal thou'ht and atte&pt
Q69. %ave 1ou ever "eriou"l1 thought o, coitting "uicide2
Suic1
*es No
& )
If 'o, Go to Q73
Q70. I, 1e"E ha" it ha((ened in the (a"t &) onth"2
Suic2
*es No
& )
Q71. %ave 1ou ever atte(ted to coit "uicide2
Suic,
*es No
& )
If 'o, Go to Q73
Q72. I, 1e"E ha" thi" ha((ened in the (a"t &) onth"2
Suic-
*es No
& )
&)
.H; or Hospital Services
Q73. 7n the la"t occa"ion 1ou went to a ho"(ital or B%=E how "ati"Hed were
1ou with each o, the ,ollowing2
%actors
5ery
Satis6e
d
Satis6e
d
Neutr
al
Dissatis6
ed
5ery
Dissatis
6ed
Not
Applica
=le
H#S
1
#kill and
co(ete
nc1 o,
the "taD
5 4 3 ) & 9
H#S
2
7verall
cleanline
"" o, the
ho"(ital/
B%=
5 4 3 ) & 9
H#S
,
>riendlin
e"" and
courte"1
o, the
"taD
5 4 3 ) & 9
H#S
3
The
treaten
t/edicin
e
(re"cribe
d ,or 1ou
5 4 3 ) & 9
.arriers
Q74. 7n the la"t occa"ion 1ou needed to "ee a doctor or health care
(roviderE to what e+tent did each o, the ,ollowing ,actor" ake it diDicult ,or
1ou to do "o2
.arrier 5ery
diBicu
lt
A little
diBicult
Not diBicult
at all
Don7t
8no)
.arri
er1
Di"tance to ho"(ital/
B%=
& ) 3 B
.arri
er2
Tran"(ortation
(roble"
& ) 3 B
.arri
er,
0aiting tie to "ee
doctor or health care
(rovider
& ) 3 B
Q75. %ow long doe" it u"uall1 take 1ou to walk to the neare"t health care
centre2
.arrie
r3
A Record appro,imate number of
minutes
Q76. 0hen 1ou have a "ickne"" or health (roble"E who do 1ou contact
Hr"t2
%st#o
nta
ARecord appropriate code
from below
&3
&<Iaa
)<Paw-Pamo-.onpo
3<Tsip
4</hoep *gelong-gomchen-anim+
5< Crude healer"/hoe treatent"
?<B%="
@<%o"(ital"
B<Indigenou" health care centre
96 Village %ealth worker
&C<7ther" .(lea"e
"(eci,1888888888--88--/
&4
,0 T"ME ;SE AND .A+AN#E
Ti&e DiaryC*esterday
Q77. 0e would like to know how 1ou "(ent 1our tie 1e"terda1- Beginning
with when 1ou woke u(E can 1ou (lea"e recount variou" activitie" 1ou
(er,ored and how long the1 took2
Activity Ti&e
start
ed
Ti&
e
ende
d
Activity Ti&e
start
ed
Ti&
e
ende
d
&5
&?
-0 ED;#AT"ON
Historical literacy
Q78. Do 1ou know the nae o, an1 o, 1our great6grand(arent"2
G%na
&e
*e
s
N
o
) &
Q79. %ow would 1ou rate 1our knowledge and under"tanding o, the
,ollowing2
5ery
Good
Goo
d
Avera'
e
!oo
r
5ery
!oor
+e'end
1
Iocal legend" and
,olktale"
5 4 3 ) &
+e'end
2
%i"torical event" o, our
king"
5 4 3 ) &
+e'end
,
*ational Da1 .Gyalyong
0uechhen/
5 4 3 ) &
Q80. %ow aware are 1ou about Gro"" *ational %a((ine"" .Gyalyong Gakid
Pal1om/2
'n
h1
*esD " have heard o1 it
and have a 'ood
understandin' o1
)hat it is
*esD " have heard o1 it
and have so&e
understandin' a=out
)hat it is
*esD " have
heard o1 it
=ut "7&
unsure )hat
it is
Not
at
all
4 3 ) &
If 1, Go to Q82
Q81. Alea"e tell u" 1our under"tanding o, Gro"" *ational %a((ine""-
'nh
2
'nh
,
'nh
-
'nh
2
#ultural literacy
Q82. %ow would 1ou rate 1our knowledge and under"tanding o, the
,ollowing2
5ery
Good
Goo
d
Avera
'e
!oo
r
5ery
!oo
r
%est
1
Iocal tshechu and festivals like
kharam lha roop kharphu chodpa
etc! conducted ever1 1ear
5 4 3 ) &
%est
2
Ma"ked and other dance"
(er,ored during national tshechu
5 4 3 ) &
&@
%est
,
Traditional Bhutane"e "ong"
*1hungdra and boedra+! Do 1ou
know the l1ric" to "oe o, the
traditional "ong"2
5 4 3 ) &
%est
-
Tsangmo .>our line" traditional
Bhutane"e ,olk (oetr1/
5 4 3 ) &
Q83. Can 1ou recite a cou(le o, lo1ey line"2
Aid
s
*e
s
N
o
) &
Q84. I, 1ou witne"" a lo1ey e+changeE would 1ou under"tand it2
+o/e
y2
5ery
)ell
A=out hal1
o1 it
5ery
little
Not at
all
4 3 ) &
#ivic literacy
Q85. Do 1ou know the iniu age to be eligible to vote in the *ational
Election2
!tN&
A'e E*earsF Don7t
?no)
NNNNNNNNNNNNN 99
Q86. %ow would 1ou rate 1our knowledge and under"tanding o, the
,ollowing2
5ery
Good
Goo
d
Avera
'e
!oo
r
5ery
!oor
const1 The Con"titution 5 4 3 ) &
const2 The diDerence between
*ational Council and
*ational !""ebl1
5 4 3 ) &
candna
&
The role" and
re"(on"ibilitie" o, the
Meber o, Aarliaent"
in 1our con"tituenc1
5 4 3 ) &
Q87. 0hat i" 1our ain "ource o, (olitical in,oration2
pt"n
1o
adi
o
Ne)s:
papers
Televisi
on
!arty
&e&=ersG
Tsho'pas
"nter
net
Others
Especi1y000000000000000
00000000F
& ) 3 4 5 ?
Ecolo'ical literacy
Q88. 0hat i" 1our knowledge o, nae" o, (lant" and wild anial" in 1our
area2
TspN
&1
5ery
Good
Good Avera
'e
!oo
r
5ery !oor
5 4 3 ) &
Q89. Doe" 1our counit1 ob"erve ladam and ridam2
&B
TspN
&2
*es No Don7t
?no)
& ) 9
%ood and nutrition literacy
Q90. Do 1ou agree with the ,ollowing "tateent"2
Stron'
ly
A'ree
A'r
ee
Neither
A'ree
nor
Disa're
e
Disa'r
ee
Stron'
ly
Disa'r
ee
Don7
t
?no
)
TspN&
4
Eating green
vegetable i"
good ,or 1our
health
5 4 3 ) & B
TspN&
9
Eating
e+ce""ive
aount o, ,at
,ood" i" bad ,or
1our health
& ) 3 4 5 B
TspN&
<
It i" i(ortant
to eat eat and
H"h ,or 1our
good health
5 4 3 ) & B
TspN&
10
Eating ,ruit"
regularl1 i"
good ,or 1our
health
5 4 3 ) & B
Health literacy
Q91. )t is safe to have se, without using condom! Do 1ou agree with thi"
"tateent2
TspN&
11
A'ree Disa're
e
Don7t
?no)
& ) B
Q92. Do 1ou know how %IV/!ID# i" tran"itted2
Aid
s1
Ye"E I have heard o, it
and have a good
under"tanding o, how
it i" tran"itted
Ye"E I have heard o, it
and have "oe
under"tanding o, how
it i" tran"itted
Ye"E I have
heard o, it but I
a not "ure o,
how it i"
tran"itted
*ot
at all
4 3 ) &
Q93. %ow long "hould a child be brea"t,ed e+clu"ivel12
E$=re
ast
NNNNNNNNNN APlease enter the number of months *)f
0on(t know enter ''+
"ndi'enous ?no)led'e literacy
Q94. Do 1ou have the ,ollowing "kill"2
*es No
Arts 0eaving .Thag1o/ & )
&9
1
Arts
2
Ebroider1 .Tshen1o/ & )
Arts
,
Aainting .2ha1o/ & )
Arts
-
Car(entr1 .3hing1o/ & )
Arts
2
Carving .Par1o/ & )
Arts
3
#cul(ture .4in1o/ & )
Arts
4
Ca"ting .2ug1o/ & )
Arts
9
Black"ithing .Gar1o/ & )
Arts
<
Baboo work" .Ts1ha1o/ & )
Arts
10
Gold"ithing and #ilver"ithing .3er1o
and Nguel1o/
& )
Arts
11
Ma"onr1 .0o1o/ & )
Arts
12
Ieather work" .5o1o/ & )
Arts
1,
Aa(eraking .0e1o/ & )
%or&al education
Q95. Please ask this &uestion to students only- In the (reviou" acadeic
1ear have 1ou (artici(ated in the ,ollowing e+tra curricular activitie"2
*es No Not
Applica=le
Act
1
Gae"/"(ort" & ) 9
Act
2
Cultural (rograe" & ) 9
Act
,
Debate/Fuiz & ) 9
Act
-
#kill" acFuiring activitie" .hoe "cienceE
knittingE weavingE car(entr1E etc-/
& ) 9
Act
2
Gardening/(lantation" & ) 9
Act
3
7ther" .Alea"e
"(eci,188888888888--/
& ) 9
Q96. 0hat i" the highe"t education level 1ou a"(ire to acco(li"h2 0o not
read the list! 6ark only one response!
EdAsp 7Enter code from below
&< Ariar1 education .cla"" VI/
)< Iower "econdar1 education .cla"" VIII/
3< Middle "econdar1 education .cla"" O/
4< %igher "econdar1 education .cla"" OII/
5< #oe Di(loa
?< College Degree
@< Ao"t Graduate and above
)C
9< DonJt know
Q97. 7verallE ,ro what 1ou know or heard how "ati"Hed are 1ou with the
Fualit1 o, education "tudent" receive in "chool" in 1our counit12
5ery
Satis6ed
So&e)h
at
Satis6e
d
Neither
Satis6ed
nor
Dissatis6e
d
So&e)ha
t
Dissatis6
ed
5ery
Dissatis6
ed
Don7t
?no)
Ed@
ua
5 4 3 ) & B
Q98. >ro what 1ou know or heardE how "ati"Hed are 1ou with the ,ollowing
a"(ect" o, education "1"te in 1our counit12
5ery
Satis6
ed
So&e
)hat
Satis6
ed
Neither
Satis6ed
nor
Dissatis6
ed
So&e)h
at
Dissatis6
ed
5ery
Dissatis6
ed
Don
7t
?no
)
Sc
h1
Are(are "tudent"
,or e(lo1ent
5 4 3 ) & B
Sc
h2
Content" o,
cour"e"
5 4 3 ) & B
Sc
h,
Cultivating
co(a""ion
5 4 3 ) & B
Sc
h-
Cultivating
Di"ci(line
5 4 3 ) & B
Sc
h2
Cultivating
hone"t1
5 4 3 ) & B
Sc
h3
Cultivating hard
work
5 4 3 ) & B
Sc
h4
Cultivating
re"(ect ,or
environent and
nature
5 4 3 ) & B
Q99. >ro what 1ou know or heardE how "ati"Hed are 1ou with the ,ollowing
a"(ect" in "chool" in 1our counit12
5ery
Satis6
ed
So&e
)hat
Satis6
ed
Neither
Satis6ed
nor
Dissatis6
ed
So&e)h
at
Dissatis6
ed
5ery
Dissatis6
ed
Don
7t
?no
)
Sch
9
Cla""roo"
.ventilationE "ize
and lighting/
5 4 3 ) & B
Sch
<
Toilet ,acilitie"
.adeFuac1E
cleanline""/
5 4 3 ) & B
Sch
10
Iibrar1 ,acilitie"
.librar1 book"E
reading "(ace"/
5 4 3 ) & B
)&
Sch
11
#(ort ,acilitie"
.including
,ootball ground
etc-/
5 4 3 ) & B
Sch
12
Drinking water
.adeFuate and
"a,e/
5 4 3 ) & B
Sch
1,
>urniture
.adeFuate chair"E
table"E black
board" etc-/
5 4 3 ) & B
Sch
1-
Te+t book"
."uDicient and in
good condition"/
5 4 3 ) & B
Q100. >ro what 1ou know and heardE are the ,ollowing i""ue"E a concern in
the "chool" in 1our counit12
A
MaHor
concer
n
O1
So&e
#oncer
n
A
Minor
#oncer
n
Not a
#oncer
n
Don7t
?no)
Sch
12
#oking
& ) 3 4 B
Sch
13
!lcohol
& ) 3 4 B
Sch
14
Drug u"e
& ) 3 4 B
Sch
19
Aregnanc1
& ) 3 4 B
Sch
1<
Iack o, re"(ect ,or
tradition" and
cu"to"
& ) 3 4 B
Sch
20
Iack o, re"(ect ,or
teacher"
& ) 3 4 B
Sch
21
Iack o, (h1"ical
Htne""
& ) 3 4 B
Sch
22
Aovert1 in "tudent"J
,ailie"
& ) 3 4 B
Sch
2,
'agging/bull1ing/Hgh
ting
& ) 3 4 B
Q101. Do 1ou agree or di"agree with the "tateentE Pwhat your children
learn in the classroom is applicable to their day8to8day life9:
EdAp
p1
Stron'l
y A'ree
A'r
ee
Neither
A'ree nor
Disa'ree
Disa'r
ee
Stron'ly
Disa'ree
Don7t
8no)
No
children
in school
5 4 3 ) & B 9
Q102. Do 1ou agree or di"agree with the "tateentE ;<hat ) learn in the
classroom is applicable in my day8to8day life9:
EdAp
p
Stron'l
y A'ree
A'ree Neither
A'ree nor
Disa'ree
Disa'r
ee
Stron'l
y
Disa're
e
Not
Applica=l
e
5 4 3 ) & 9
))
Q103. In the (a"t 1earE have 1our ever oved 1our child ,ro a "chool 1ou
,ound un"ati",actor1 to another "chool in Bhutan2
Edsc
h
*e
s
N
o
Not a parentGNo children
in school
& ) 9
20 #;+T;A+ D"5ES"T* > ES"+"EN#E
+an'ua'e
Q104. 0hat i" 1our other tongue2
!ri&+
a1
7Please record appropriate number from below
&< Dzongkha
3< Cho6cha6nga6cha6kha .Kurichu
valle1/
4< T"hangla .#harcho(/
5< Buthangkha
?< Khengkha
@< Kurto(
B< *1enkha .%enkha or
Mangdebikha/
9< Dzala
&C< Dak(a
&&< Chali kha
&)< Mon(ahka
&3< Brok(a
&4< Brokkat
&5< Iakha
&?< BQokha .Tibetan/
&@< *e(ali .Ihot"hakha/
&B< Ihok(u
&9< Gongduk
)C< Ie(cha
)&< Engli"h
Q105. %ow well can 1ou "(eak 1our other tongue now2
!ri&+
a,
5ery (ell Quite
(ell
Only a
+ittle
Not at all
4 3 ) &
"dentity
Q106. %ow i(ortant i" it to 1ou to aintain Bhutane"e tradition" in 1our
ever1da1 li,e2
"den
t1
Not
"&portant
"&port
ant
5ery
i&portant
Don7t
8no)
& ) 3 B
#ore 5alues
Q107. To what e+tent do 1ou agree with the ,ollowing "tateent"2
A're
e
Neither
a'ree or
disa'ree
Disa'r
ee
Don7t
8no)
5alue1
7ne u"t alwa1" love and
re"(ect (arent"E even i, the1
are wrong
3 ) & B
#5alue
2
Both hu"band and wi,e
"hould aintain a ,aith,ul
and ha((1 arriage
3 ) & B
#5alue
10
7ne u"t alwa1" aintain
tha damtshig between pon
and yog
3 ) & B
Q108. Alea"e indicate the i(ortance that 1ou a""ign to each o, the
,ollowing2
Not So&e)hat 5ery
)3
i&portant i&portant i&portant
5alue
2
>ail1 li,e
&
) 3
5alue
,
>riend"hi(
&
) 3
5alue
-
Genero"it1
&
) 3
5alue
2
#(iritual
,aith
&
) 3
5alue
3
Co(a""ion
&
) 3
5alue
4
#el,6
develo(ent
&
) 3
5alue
9
'eci(rocit1
&
) 3
5alue
<
'e"(on"ibilit
1
&
) 3
5alue
10
>reedo
&
) 3
5alue
11
Material
wealth
&
) 3
5alue
1,
Career
"ucce""
&
) 3
5alue
1-
Alea"ure
&
) 3
Q109. Alea"e indicate the i(ortance 1ou think other Bhutane"e a""ign to the
"ae li,e (rioritie" or goal"M
Not
i&portant
So&e)hat
i&portant
5ery
i&portant
5alue
12
>ail1 li,e
&
) 3
5alue
13
>riend"hi(
&
) 3
5alue
14
Genero"it1
&
) 3
5alue
19
#(iritual
,aith
&
) 3
5alue
1<
Co(a""ion
&
) 3
5alue
20
#el,6
develo(ent
&
) 3
5alue
21
'eci(rocit1
&
) 3
5alue
22
'e"(on"ibilit
1
&
) 3
5alue
2,
>reedo
&
) 3
5alue
2-
Material
wealth
&
) 3
5alue Career & ) 3
)4
23 "ucce""
5alue
24
Alea"ure
&
) 3
Q110. Alea"e tell eE whether 1ou think each o, the ,ollowing "tateent" can
be Gu"tiHedM
#an
Al)ays .e
Iusti6ed
#an
So&eti&es
.e Iusti6ed
#an never
.e
Iusti6ed
Don7t
8no)
#5alue
21
Killing
& ) 3 B
#5alue
22
#tealing
& ) 3 B
#5alue
23
I1ing
& ) 3 B
#5alue
24
Creating
di"haron1 in
huan relation"
& ) 3 B
#5alue
29
%ar"h and
oDen"ive "(eech
& ) 3 B
#5alue
2<
Go""i( .aliciou"
"(eech/
& ) 3 B
#5alue
,1
%ar,ul thought"
& ) 3 B
#5alue
30
#e+ual
i"conduct
& ) 3 B
#5alue
31
>al"e/wrong
view"
& ) 3 B
#5alue
32
Covetou"ne""
& ) 3 B
Q111. %ere i" a li"t o, Fualitie" that children can be encouraged to learn at
hoe- To what e+tent do 1ou think children (ractice the2
Not
at all
A
+ittl
e
Quite
a lot
A
lot
Don7t
8no)
#5alue
,2
'e"(ect ,or elder"
& ) 3 4 B
#5alue
,3
'e"(ect ,or (arent"
& ) 3 4 B
#5alue
,4
Di"ci(line .drig/
& ) 3 4 B
#5alue
,9
%one"t1
& ) 3 4 B
#5alue
,<
Tolerance .1oepa/
& ) 3 4 B
#5alue
-0
%ard work
& ) 3 4 B
#5alue
-1
7bedience to authorit1
& ) 3 4 B
#5alue
-,
Caring ,or ,ail1 eber"
and relative"
& ) 3 4 B
#5alue
--
%el(ing other"
& ) 3 4 B
#5alue I(artialit1 toward" richE & ) 3 4 B
)5
-2 (oorE diDerent "tatu"E etc
Q112. Do 1ou agree with the ,ollowing "tateent"2
A're
e
Neither
A'ree or
Disa'ree
Disa'r
ee
Don7t
8no)
#5alue
-3
0oen are ore "uited ,or
doe"tic work/ hou"ework
than en-
& ) 3 B
#5alue
-<
!n education i" ore
i(ortant ,or a bo1 than a
girl-
& ) 3 B
#5alue
20
7n the wholeE en ake
better leader" than woen do-
& ) 3 B
#5alue
2,
>eale" tend to carr1 dripE "o
certain cu"to" like entr1
re"triction into certain (art" o,
lhakhang or touching the bow
be,ore an archer1 atch are
valid-
& ) 3 B
!articipation in #o&&unity Events
Q113. Do 1ou take (art in local ,e"tival" and counit1 event" .mangi
rimdro lha sol bon sol and other t1(e" o, ,e"tival"/ in 1our village or
counit12
!art2
Al)ay
s
So&eti
&es
Never No such event in &y
co&&unity
3 ) & 9
Q114. 7n an averageE how an1 da1" do 1ou "(end in a 1ear attending "ocial
and cultural activitie"E "uch a" counit1 ,e"tival" or choku o, neighbour"2
+ocal
2<
Non
e
1:2
days
3:12
days
1,:20
days
J20
days
Don7t
8no)
& ) 3 4 5 B
Q115. %ow i(ortant i" it ,or 1ou to (artici(ate in "uch counit1 ,e"tival"
and gathering"2
!art
12
"&port
ant
So&e)hat
"&portant
Not
"&portant
Don7t
?no)
3 ) & B
Q116. In 1our o(inionE have "uch (ractice" 82
!art
1,
Mostly died
out
Got
)ea?er
Are )ell:
&aintained
Don7t
?no)
& ) 3 B
If 3 or 8, Go to Q118
Q117. I, 1ou know o, an1 "uch (ractice" that have died out/been di"continued
or i" getting weakerE what do 1ou think are the rea"on" ,or it2
)?
ecord easons .elo) #od
e
part
1-
part
12
part
13
part
14
part
19
part
1<
part
20
+ocal #usto&s > Traditions
Q118. Ii"t the wa1" b1 which 1ou ob"erve due1ang or au"(iciou" da1" .e-g- b1
vi"iting lhakhangs/-
ecord ho) you o=serve due7an" #ode
part21
part22
part2,
part2-
part22
part23
part24
Q119. Do 1ou con"ult the a"trologer ,or atter" related to 1ou and 1our
,ail1J" well6being2
Astro
*es No
) &
Q120. Do 1ou (a1 hoage/(ro(itiate the local deit1 in 1our village or
counit12
+ocal
1<
*es No There is no deity local to &y villa'e or
co&&unity
) & 9
Q121. During the (a"t &) onth"E how o,ten have 1ou (la1ed traditional
"(ort" .archer1E khuruE degorE etc-/2
More than once
a )ee?
Once or t)ice a
&onth
A 1e) ti&es a
year
Nev
er
Spor
t1
4 3 ) &
Q122. During the (a"t &) onth"E how o,ten have 1ou (la1ed odern
gae"/"(ort" .e-g- ,ootball/2
More than once
a )ee?
Once or t)ice a
&onth
A 1e) ti&es a
year
Nev
er
Spor
t2
4 3 ) &
)@
Eti@uette
Q123. I" 0riglam Nam1ha .Bhutane"e code o, etiFuette and conduct/
i(ortant2
Na&/h
a1
Not
"&portant
"&port
ant
5ery
i&portant
Don7t
8no)
& ) 3 B
Q124. %ow do 1ou (erceive the change in (ractice and ob"ervance o,
0riglam Nam1ha during the la"t ,ew 1ear"2
Na&/h
a2
Gettin'
)ea?er
Stayed the
sa&e
Gettin'
stron'er
Don7t
?no)
& ) 3 B
5alue #han'es
Q125. During the la"t ,ew 1ear"E o"t (eo(le in Bhutan have becoe
#han'
e2
More
co&passionate
Stayed the
sa&e
+ess
co&passionate
Don7t
8no)
3 ) & B
#han'
e,
More concerned
a=out &aterial
)ealth
Stayed the
sa&e
+ess concerned
a=out &aterial
)ealth
Don7t
8no)
& ) 3 B
#han'
e-
More sel6sh Stayed the
sa&e
+ess sel6sh Don7t
8no)
& ) 3 B
#han'
e2
More honest Stayed the
sa&e
+ess honest Don7t
8no)
3 ) & B
#han'
e3
More spiritual Stayed the
sa&e
+ess spiritual Don7t
8no)
3 ) & B
#han'
e4
More tolerant Stayed the
sa&e
+ess tolerant Don7t
8no)
3 ) & B
Q126. 0hat t1(e o, Hl" have 1ou watched in the (a"t &) onth"2
Non
e
1:10 11:
20
More than
20
>il& Bhutane"e ovie" 1 2 , -
>il) %indi ovie" 1 2 , -
>il3 Engli"h ovie" 1 2 , -
>il4 7ther" .Alea"e
"(eci,1888888--/
1 2 , -
Architecture
Q127. 7ver the la"t 5 1ear"E i" there an1 deterioration o, traditional
architectural designs in the hou"e"/building" in 1our counit12
Arche
1
A lot o1 Moderate +ittle None Don7t ?no)
& ) 3 4 B
)B
Q128. Do 1ou agree with the ,ollowing "tateent2
Stron
'ly
A'ree
A'r
ee
Neith
er
a'reeD
neith
er
disa'r
ee
Stron
'ly
Disa'r
ee
Disa'r
ee
Don
7t
?no
)
Arch
e2
De"ign o, new hou"e"
and building" which
deviate widel1 ,ro
the traditional
architectural de"ign"
"hould not be allowed
5 4 3 ) & B
)9
30 GOOD GO5ENAN#E
!olitical !articipation
Q129. In the (a"t &) onth"E have 1ou attended a 1omdue2
Ko&
1
*es No
) &
If 'o, Go +o Q133
Q130. %ow an1 tie" have 1ou attended 1omdue at
Ko&
2
Village/chiwo
g level
Record number of times during past => months*)f
not Applicable enter ''+
Ko&
,
Gewog level 7Record number of times during past => months*)f
not Applicable enter ''+
Ko&
3
Thromdue
level
7Record number of times during past => months
*)f not Applicable enter ''+
Q131. Did 1ou "(eak at the 1omdue2
Ko&
-
*es No
) &
If 'o, Go to
Q133
Q132. %ow o,ten2
Ko&
2
Every
ti&e
Most o1 the
ti&es
So&eti
&es
Nev
er
4 3 ) &
EBective Govern&ent
!er1or&ances o1 'overn&ent at national and local level
Q133. >or each o, the ,ollowingE (lea"e rate the (er,orance" o, the governent
in the (a"t &) onth"-
5ery
Goo
d
Goo
d
Avera
'e
!oo
r
5er
y
!oo
r
Don7
t
8no
)
#entra
1
Creating Gob" 5 4
3
)
&
B
#entra
2
'educing ga( between
rich R (oor
5 4
3
)
&
B
#entra
,
Aroviding educational
need"
5 4
3
)
&
B
#entra
-
I(roving health "ervice" 5 4
3
)
&
B
#entra
3
>ighting corru(tion 5 4
3
)
&
B
#entra
9
Arotecting environent 5 4
3
)
&
B
#entra
<
Aroviding road 5 4
3
)
&
B
#entra
10
Aroviding electricit1 5 4
3
)
&
B
#entra
11
Are"erving culture and
tradition"
5 4
3
)
&
B
3C
Q134. >or each o, the ,ollowingE (lea"e rate the (er,orance" o, the dzongkhag
adini"tration in the (a"t &) onth"-
5ery
Goo
d
Goo
d
Avera
'e
!oo
r
5er
y
!oo
r
Don7
t
8no
)
D/on'
1
Aroviding educational
need"
5 4 3 ) & B
D/on'
2
I(roving "anitation 5 4 3 ) & B
D/on'
,
I(roving health "ervice" 5 4 3 ) & B
D/on'
-
Aroviding agricultural
i(leent" and "eed"
5 4 3 ) & B
D/on'
3
Aroviding clean drinking
water
5 4 3 ) & B
D/on'
4
!((roving allocation o,
tiber (erit"
5 4 3 ) & B
D/on'
11
Aroviding ,ar and ,eeder
road"
5 4 3 ) & B
+eadership per1or&ance
Q135. %ow would 1ou rate the (er,orance" o, the ,ollowing leader" in 1our area
in the (a"t &) onth"2 .Thrompon a((lie" to urban re"ident" onl1/-
5ery
Good
Goo
d
Avera
'e
!o
or
5ery
!oor
Don7t
8no)
+eade
r2
01ongdag 5 4
3
)
&
B
+eade
r,
/himi 5 4
3
)
&
B
+eade
r-
Gup 5 4
3
)
&
B
+eade
r2
Tshogpa 5 4
3
)
&
B
+eade
r3
Thrompon 5 4
3
)
&
B
+eade
r4
Meber o, *ational
!""ebl1
5 4
3
)
&
B
+eade
r9
Meber o, *ational
Council
5 4
3
)
&
B
Overall satis1action )ith 'overn&ent institutions
Q136. 0hat about the overall direction o, the governent2 0ould 1ou "a1
that the governent i"M
Gov
1
Goin' in the ri'ht
direction
Goin' in the )ron'
direction
Don7t
8no)
) & B
3&
Q137. 7verallE how "ati"Hed are 1ou with the ,unctioning o,M .Munici(al
adini"tration a((lie" onl1 to urban re"ident"/-
5ery
Satis6e
d
Satis6e
d
Neither
Satis6ed
nor
Dissatis6
ed
Dissatis6
ed
5ery
Dissatis
6ed
Don7
t
8no
)
Gov
2
Central
ini"trie"
5 4 3 ) & B
Gov
,
01ongkhag
!dini"tra
tion
5 4 3 ) & B
Gov
-
Gewog
adini"trat
ion
5 4 3 ) & B
Gov
2
Thromde
2ey1in
*6unicipal
administra
tion+
5 4 3 ) & B
%air and E@ual +a)
!erception o1 electoral process
Q138. Did 1ou vote ,or GupE 6P or Thromdey re(re"entative in the la"t election2
Elect1
*es No
& )
Q139. 7n the wholeE how would 1ou rate the ,reene"" and ,airne"" o, "uch
election (roce""2
Elec
t2
%ree and
1air
Not 1ree
and 1air
Don7t
8no)
& ) B
Q140. In the recent (a"tE did an1one ,ro 1our area or out"ide 1our area
a((roach 1ou to vote ,or a (articular (art1 or an individual2
Elec
t3
*es No Don7t
8no)
& ) B
Q141. 0ill 1ou (artici(ate in the ne+t general election2
Elec
*es No Don7t
?no)
& ) B
Iudicial independenceD 1airnessD speediness and aBorda=ility
Q142. >ro what 1ou know and heardE how inde(endent are our court" ,ro
e+ternal inSuence and inter,erence2
#our
t1
Hi'hly
"ndependent
Quite
"ndependent
Not
"ndependent
Don7t
8no)
3 ) & B
Q143. Alea"e rate our court" inM
5ery
Goo
d
Goo
d
Avera
'e
!oo
r
5ery
!oor
Don7
t
8no
)
#our Aroviding Fuick Gu"tice 5 4 3 ) & B
3)
t2
#our
t,
Aroviding a ,air and
i(artial trial
5 4 3 ) & B
#our
t-
Making Gudicial (roce""
tran"(arent
5 4 3 ) & B
Q144. In the (a"t Hve 1ear"E were 1ou involved in an1 ca"e be,ore the court2
#ourt
3
*es No
& )
If 'o, Go to Q147
Q145. %ow an1 onth" did the ca"e take to "ettle2
#our
t4
7Enter ? of
months
Q146. Alea"e e"tiate the co"t o, 1our litigation-
#ourt
9
Nu LLLLLLLLLLLLLLLLLL
espect 1or 1unda&ental ri'hts
Q147. Do 1ou ,eel that 1ou M
*es No Don7t
?no)
i'ht
s2
%ave right to ,reedo o, "(eech and o(inion
) & B
i'ht
s,
%ave right who to vote
) & B
i'ht
s-
%ave right to Goin (olitical (art1 o, 1our choice
) & B
i'ht
s3
%ave right to ,or tshogpa or be a eber o,
tshogpa
) & B
i'ht
s4
%ave right to eFual acce"" and o((ortunit1 to
Goin (ublic "ervice
) & B
i'ht
s9
%ave right to eFual (a1 ,or work o, eFual
value
) & B
i'ht
s<
!re ,ree ,ro di"criination ba"ed on raceE
"e+E religionE languageE (olitic" or other "tatu"
) & B
!erception o1 police
Q148. %ow "ati"Hed are 1ou with the (er,orance o, (olice inM
5ery
Satis6
ed
Satis6
ed
Neither
Satis6ed
nor
Dissatis6
ed
Dissatis
6ed
5ery
Dissatis
6ed
Don
7t
?no
)
!olic
e1
En,orcing
law
5 4 3 ) & B
!olic
e2
Areventing
crie
5 4 3 ) & B
!olic
e2
'e"(onding
(ro(tl1 to
a (roble
5 4 3 ) & B
33
!olic
e,
Inve"tigatin
g and
"olving a
crie
5 4 3 ) & B
!olic
e-
Being
a((roachabl
e and ea"1
to talk to
5 4 3 ) & B
Media 1reedo&GindependenceD access > @uality
Q149. To what degree i" edia .BB# TV and radioE *ew"(a(er"E etc-/ ,ree ,ro
governent inSuence"2
Medi
a1
#o&pletely
%ree
Quite
%ree
Not
%ree
Don7t
8no)
3 ) & B
Q150. Do 1ou have acce"" to the ,ollowing2 .Mark all that a((l1/-
*es No
Media
2
BB# 'adio
) &
Media
,
BB# Televi"ion
) &
Media
1<
*ew"(a(er"
) &
Media
4
Internet
) &
Q151. Alea"e rate the Fualit1 o, edia .content"E coverage/M
5ery
Good
Goo
d
Avera
'e
!oo
r
5ery
!oor
Don7t
8no)
Media
1-
BB# 'adio 5 4 3 ) & B
Media
12
BB#
Televi"ion
5 4 3 ) & B
Media
20
*ew"(a(er
"
5 4 3 ) & B
TransparencyD Accounta=ility and Honesty
Trust in institutions and leaders
Q152. To what e+tent do 1ou tru"t the ,ollowing2
Tru
st
So&e)
hat
Distr
ust
Don7t
8no)
GovTr
,
Court"
3
)
& B
GovTr
2
Aolice
3
)
& B
GovTr
3
Central Mini"trie"
3
)
& B
GovTr
<
01ongkhag adini"tration
3
)
& B
GovTr
10
Gewog adini"tration
3
)
& B
GovTr
12
Munici(al !dini"tration
*Thromdey+
3
)
& B
34
GovTr
13
Media
3
)
& B
GovTr
1<
>inancial in"titute"
3
)
& B
GovTr
4
01ongdag
3
)
& B
GovTr
11
Gup
3
)
& B
GovTr
1,
6angmi
3
)
& B
GovTr
1-
Tshogpa
3
)
& B
GovTr
12
*ational Council
3
)
& B
GovTr
13
*ational !""ebl1
3
)
& B
Accounta=ility
Q153. Doe" 1our Gup i(leent activitie" according to the deci"ion" o, GYT2
!ccoun
t5
Al)a
ys
Most o1 the
ti&es
So&eti
&es
Nev
er
Don7t
8no)
Not
Applica=le
4 3 ) & B 9
Q154. Doe" 1our Gup or Tshogpa con"ult 1ou in (ro(o"ing agenda ,or the GYT
eeting2
!ccoun
t)
Al)a
ys
Most o1 the
ti&es
So&eti
&es
Nev
er
Not
Applica=le
4 3 ) & 9
Q155. !re 1ou in,ored o, the deci"ion" taken b1 the GYTE "uch a" the (lanned
develo(ental activitie" in 1our counit12
!ccoun
t3
Al)a
ys
Most o1 the
ti&es
So&eti
&es
Nev
er
Not
Applica=le
4 3 ) & 9
Q156. !re 1ou in,ored o, the deci"ion" taken b1 the unici(al adini"tration
.Thromdey Tshogde+2
Accou
nt-
Al)a
ys
Most o1 the
ti&es
So&eti
&es
Nev
er
Not
Applica=le
4 3 ) & 9
!erception o1 corruption
Q157. In 1our o(inionE how coon i" corru(tion in the countr12
#orru
p1
#o&&
on
Not
#o&&on
Don7t
8no)
& ) B
Q158. Do 1ou agree with the ,ollowing "tateent"2
Activities o1
corruption
Stron
'ly
A'ree
A'r
ee
Neither
A'ree
nor
Disa're
e
Disa're
e
Stron'l
y
Disa're
e
Don7
t
?no)
#orrup Mi"u"e o, & ) 3 4 5 B
35
2
governent
one1
#orrup
,
Mi"u"e o,
"ubordinate "taD
& ) 3 4 5 B
#orrup
-
Mi"u"e o,
governent (ool
vehicle
& ) 3 4 5 B
#orrup
2
Mi"u"e o,
governent
con"truction
eFui(ent .dozerE
(a1 loaderE
e+cavatorE etc/
& ) 3 4 5 B
#orrup
3
>avour in
i""uance o,
tiberE iningE
"and or Fuarr1
licen"e"
& ) 3 4 5 B
#orrup
-2
>avour in
i""uance o, trade
licen"e"
& ) 3 4 5 B
#orrup
4
>avour in
e(lo1ent
& ) 3 4 5 B
#orrup
9
>avour in training
& ) 3 4 5 B
#orrup
<
>avour in
(rootion
& ) 3 4 5 B
#orrup
10
>avour in tran",er
& ) 3 4 5 B
#orrup
11
>avour in award
o, contract"
& ) 3 4 5 B
#orrup
1,
Mal(ractice in
(rocureent o,
good" and
"ervice"
& ) 3 4 5 B
#orrup
1-
Dela1 o, (a1ent
,or corru(t
otive"
& ) 3 4 5 B
#orrup
14
!llocate budget
and i(leent
activitie" that are
not (art o,
regular (lan and
(rogra
& ) 3 4 5 B
#orrup
19
Doing ,avour or
giving one1 or
gi,t" to bu1 vote"
& ) 3 4 5 B
Q159. Do 1ou agree that ,ollowing are the rea"on" ,or corru(tion in the
countr12
easons Stron
'ly
A'ree
A're
e
Neithe
r A'ree
nor
Disa'r
ee
Disa'r
ee
Stron'l
y
Disa're
e
Don7
t
8no
)
#orru Iack o, clear rule" & ) 3 4 5 B
3?
p1< and law"
#orru
p21
Coon (ractice
o, giving gi,t" to
e(lo1er"E
"u(erior"E and
other inSuential
(eo(le
& ) 3 4 5 B
#orru
p2,
0eak en,orceent
o, law
& ) 3 4 5 B
#orru
p-,
Co(licated and
length1
(rocedure"
& ) 3 4 5 B
#or&e
d
0eak edia
& ) 3 4 5 B
"nsuB In"uDicient incoe & ) 3 4 5 B
Q160. >ro what 1ou knowE (lea"e tell u" how an1 o, the in the ,ollowing
"ector" are involved in corru(tionM
Al
l
Mo
st
A
%e)
None Don7t
?no)
#orru
p2-
Govern
ent
& ) 3 4 B
!rivat
e
Arivate & ) 3 4 B
#orp Cor(orati
on
& ) 3 4 B
3@
40 #OMM;N"T* 5"TA+"T*
+en'th o1 stay
Q161. %ow long have 1ou lived in 1our current village/town2
Mo=il
1
7Record number of years
5olunteerin'
Q162. During the (a"t &) onth"E how o,ten did 1ou give (eo(le un(aid
voluntar1 hel( .do not con"ider woola/2
5ol1
*es No
) &
If 1, Go to Q165

Q163. 0hat kind o, hel( did 1ou (rovide2
5olunteeris& *e
s
N
o
5ol2
Iabour contribution toward" con"truction/renovation o,
religiou" e"tabli"hent" .e-g- goendey shedra lhakhang and
chorten/
) &
itu
al
Iabour during ritual" ) &
e6
'
Iabour contribution ,or religiou" Hgure" ) &
5ol, Iabour to hou"e con"truction ) &
5ol- Iabour to hou"e re(air ) &
5ol9 Iabour during annual choku in a hou"ehold in village ) &
5ol< Iabour contribution during tie" o, death in a ,ail1 ) &
5ol1
1
Iabour contribution during (add1 (lantation and harve"t ) &
5ol1
-
Clean6u( ca(aign ) &
5ol1
2
>und6rai"ing ) &
5ol1
4
Teaching ) &
Thu
n'
Iabour ,or thungchu ) &
"rri'
a
Iabour ,or con"truction/re(air o, irrigation channel ) &
5ol1
9
I, P7ther"T (lea"e "(eci,1 ) &
Q164. 7n averageE about how an1 da1" did 1ou "(end during the (a"t &)
onth" doing voluntar1 activit1 on 1our own2
5olda
ys
7Enter number of
days
Donations
Q165. In the (a"t &) onth"E did 1ou donate one1 to the ,ollowing2
Activities *e
s
N
o
Don 'eligiou" e"tabli"hent" ) &
3B
1
Don
2
'eligiou" ritual" ) &
Don
,
To other ,ailie" .e-g- during tie"
o, deathE etc/
) &
Don
-
Individual" .other than 1our
relative"/
) &
Don
2
Educational in"titute" ) &
Don
3
*G7" .e-g- Tara1anaE V!#TE etc/ ) &
Don
4
7ther" ) &
I, Pother"T (lea"e "(eci,18888888888888--
If 'o to all, Go to Q167
Q166. %ow uch one1 did 1ou donate2
Activities A&ount o1 donation
in Nu
Don
9
'eligiou" e"tabli"hent" *uNNNNNNNNNNNNNNN
Don
<
'eligiou" ritual" *uNNNNNNNNNNNNNNN
Don
10
To other ,ailie" .e-g- during tie"
o, deathE etc/
*uNNNNNNNNNNNNNNN
Don
11
Individual" .other than 1our
relative"/
*uNNNNNNNNNNNNNNN
Don
12
Educational in"titute" *uNNNNNNNNNNNNNNN
Don
1,
*G7" .e-g- Tara1anaE V!#TE etc/ *uNNNNNNNNNNNNNNN
Don
1-
7ther" *uNNNNNNNNNNNNNNN
I, Pother"T (lea"e "(eci,1NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN
Q167. In the (a"t &) onth"E did 1ou donate good" to the ,ollowing2
Activities *es No
Don1
2
'eligiou" E"tabli"hent" ) &
Don1
3
'eligiou" ritual" ) &
Don1
4
To other ,ailie" .e-g- during tie" o,
deathE etc/
) &
Don1
9
Individual" .other than 1our relative"/ ) &
Don1
<
Educational in"titute" ) &
39
Don2
0
*G7" .e-g- Tara1anaE V!#TE etc/ ) &
Don2
1
7ther" ) &
I, Pother"T (lea"e
"(eci,1NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN
If 'o to all, Go to 169
Q168. 0hat wa" the a((ro+iate value o, the good" that 1ou donated2
Activities Appro$i&ate value o1 'oods
in Nu
Don
22
'eligiou" E"tabli"hent"
*uNNNNNNNNNNNNNNN
Don
2,
'eligiou" ritual"
*uNNNNNNNNNNNNNNN
Don
2-
To other ,ailie" .e-g- during tie" o,
deathE etc/
*uNNNNNNNNNNNNNNN
Don
22
Individual" .other than 1our
relative"/
*uNNNNNNNNNNNNNNN
Don
23
Educational in"titute"
*uNNNNNNNNNNNNNNN
Don
24
*G7" .e-g- Tara1anaE V!#TE etc/
*uNNNNNNNNNNNNNNN
Don
29
7ther"
*uNNNNNNNNNNNNNNN
I, Pother"T (lea"e "(eci,1NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN
Sense o1 .elon'in'
Q169. %ow would 1ou de"cribe 1our "en"e o, belonging to 1our local
counit12
.elon
' 1
5ery
Stron'
So&e)hat
Stron'
(ea
?
Don7t
8no)
3 ) & B
Sense o1 Trust
Q170. %ow uch do 1ou tru"t Bhutane"e (eo(le in general2
T'e
ne
Trust &ost
o1 the&
Trust so&e
o1 the&
Trust a 1e)
o1 the&
Trust none
o1 the&
Don7t
8no)
4 3 ) & B
Q171. %ow uch do 1ou tru"t 1our neighbour"2
Trus
t-
Trust &ost
o1 the&
Trust so&e
o1 the&
Trust a 1e)
o1 the&
Trust none
o1 the&
Don7t
8no)
4 3 ) & B
#o&&unity 5itality
Q172. Aeo(le in thi" counit1 treat 1ou ,airl1-
#o&&
-
Al)ays So&eti&e
s
arely Never Don7t
8no)
4 3 ) & B
Q173. 0ould 1ou "a1 thi" i" a neighbourhood where neighbour" hel( one
another2
#o&&
4
Al)ays So&eti&e
s
arely Never Don7t
8no)
4C
4 3 ) & B
Q174. Did 1ou e$chan'e labour with an1 counit1 eber" during the
(a"t &) onth"2
E$chan
'e
*es No Not
Applica=le
) & 9
Q175. In the la"t onthE how o,ten did 1ou "ocialize with 1our neighbour"2
T;So
c2
%e) ti&es
per )ee?
%e) ti&es a
&onth
Once a
&onth
Not in last
&onth
Don7t
8no)
4 3 ) & B
Q176. In the la"t onthE how o,ten did 1ou "ocialize with 1our relative"
.out"ide o, the (eo(le 1ou live with/2
T;So
c-
%e) ti&es
per )ee?
%e) ti&es a
&onth
Once a
&onth
Not in last
&onth
Don7t
8no)
4 3 ) & B
%a&ily elationships
Q177. Do 1ou agree with the ,ollowing "tateent"2
Disa'r
ee
Neut
ral
A'r
ee
%a&
1
The eber" o, 1our ,ail1 reall1 care
about each other-
& ) 3
%a&
,
You wi"h 1ou were not (art o, 1our ,ail1
3 ) &
%a&
-
Meber" o, 1our ,ail1 argue too uch
3 ) &
%a&
3
You ,eel like a "tranger in 1our ,ail1
3 ) &
%a&
4
You have enough tie to "(end with 1our
,ail1
& ) 3
%a&
9
There i" a lot o, under"tanding in 1our
,ail1
& ) 3
%a&
10
Your ,ail1 i" a real "ource o, co,ort to
1ou-
& ) 3

#ri&e and Sa1ety
Q178. %ave 1ou been a victi o, crie in the la"t twelve onth"2
#ri&e1
*es No
& )
If 'o, Go to Q180
Q179. I, 1e"E what wa" the nature o, the oDence2
The1t1 The,t Record number of
o@ences
o==ery
1
'obber1 Record number of
o@ences
#ri&e, Vandali" Record number of
o@ences
#ri&e- >ail1
Violence
Record number of
o@ences
#ri&e2 #e+ual
!""ault
Record number of
o@ences
4&
#ri&e4 >raud Record number of
o@ences
#ri&e9 7ther" Record number of
o@ences
Alea"e "(eci,1M
88888888888888888888888-
Q180. Did 1ou "ee/know other (eo(le being victiized o, crie in the la"t
twelve onth"2
#ri&e<
*es No
& )
If 'o, Go +o Q182
Q181. I, 1e"E what wa" the nature o, the oDence2
The1t2 The,t *es No
o==er
y2
'obber1 & )
#ri&e1
0
Vandali" & )
#ri&e1
1
>ail1 Violence & )
#ri&e1
2
#e+ual !""ault & )
#ri&e1
,
>raud & )
#ri&e1
-
7ther & )
I, other"E (lea"e
"(eci,1NNNNNNNNNNNNNNNNNNNNNNNNNN
Q182. %ow "a,e do 1ou ,eel when walking alone in 1our neighbourhood or
village a,ter dark ,ro8-2
Al)ays
Sa1e
;sually
Sa1e
arely
sa1e
Sa1et
y1
%uan
har
3 ) &
Sa1et
y2
0ild
anial"
3 ) &
Sa1et
y,
Gho"t/#(i
rit"
3 ) &
Q183. Did enit1 ari"e in the counit1 during the la"t twelve onth"2
En&ity
1
*es No
& )
If 6es, Go +o Q186
Q184. #tate on how an1 occa"ion"/tie" enit1 arou"ed in the counit1
in the (a"t &) onth"-
Enti&
es
7Record number of times
Q185. I, 1e"E "tate the rea"on/rea"on"-
4)
ecord easons .elo) #ode
En&it
y2
En&it
y,
En&it
y-
En&it
y2
En&it
y3
43
90 E#O+OG"#A+ D"5ES"T* AND ES"+"EN#E
#onnection to nature
Q186. Do 1ou agree with the ,ollowing "tateent"2
State&ent Stron'
ly
A'ree
A're
e
Neithe
r a'ree
nor
disa're
e
Disa'r
ee
Stron
'ly
Disa'r
ee
Don
7t
8no
)
Ecol5a
l1
*ature i" the
doain o, "(irit"
and deitie"
5 4 3 ) & B
Q187. Do 1ou ,eel re"(on"ible ,or con"erving the natural environent2
Hi'hly
responsi=
le
So&e)h
at
responsi
=le
A little
responsi=l
e
Not at all
responsi=l
e
Enres
1
4 3 ) &
Environ&ental policies
Q188. #tate whether 1ou agree or di"agree with the ,ollowingM
Stron
'ly
A'ree
A'r
ee
Neith
er
a'ree
nor
disa'r
ee
Disa'r
ee
Stron
'ly
Disa'r
ee
Don7
t
8no
)
Envi!r
o1
There "hould be
tougher anti6
(ollution law"-
5 4 3 ) & B
Envi!r
o2
Bu"ine""e" that do
not eet
environental
regulation" "hould
be clo"ed down-
5 4 3 ) & B
Envi!r
o,
Governent "hould
i(o"e heav1 ta+e"
on tho"e who
i(ort
environentall1
daaging good"-
5 4 3 ) &
B
Environ&ental ?no)led'e and a)areness
Q189. !re the ,ollowing environental i""ue"E a concern in 1our counit12
*3ome issues here are urban speciAc so it might not apply to rural dwellers+
Please do not run over the list! 6ake sure you give su@icient time for the
respondents to reply!
44
"ssues A
MaHor
conce
rn
O1
So&e
#once
rn
A
Minor
#once
rn
Not a
#once
rn
Don7t
?no)
a=out
the issue
Not
Applica=
le
envi"ssu
e1
Aollution o,
river" and
"trea"
1 2 , - 9 <
envi"ssu
e2
!ir (ollution
1 2 , - 9 <
envi"ssu
e10
*oi"e
(ollution
1 2 , - 9 <
envi"ssu
e,
!b"ence o,
wa"te
di"(o"al "ite"
1 2 , - 9 <
envi"ssu
e-
Decrea"ing
wild anial"
1 2 , - 9 <
envi"ssu
e2
Iand"lide"
1 2 , - 9 <
envi"ssu
e3
#oil ero"ion
1 2 , - 9 <
envi"ssu
e<
Decrea"ing
(lant "(ecie"
1 2 , - 9 <
envi"ssu
e4
>lood"
1 2 , - 9 <
envi"ssu
e9
Erratic
weather
(attern"
1 2 , - 9 <
envi"ssu
e11
Iittering
1 2 , - 9 <
"ssues
A
MaHor
conce
rn
O1
So&e
#once
rn
A
Minor
#once
rn
Not a
#once
rn
Don7t
?no)
a=out
the issue
Not
Applica=
le
envi"ssu
e12
TraDic
conge"tion
1 2 , - 9 <
envi"ssu
e1,
!b"ence/
inadeFuate
green "(ace"
1 2 , - 9 <
envi"ssu
e1-
Iack o,
(ede"trian
,riendl1
"treet"
.#idewalk"E
lane" etc-/
1 2 , - 9 <
envi"ssu
e12
=rban "(rawl
1 2 , - 9 <
Q190. >ro the li"t above and ,ro what 1ou know and heardE what i" the
o"t i(ortant environental i""ue ,acing Bhutan currentl12
Envi"ssu
e13
NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN
Eco:1riendly =ehaviours
Q191. In the la"t &) onth"E how o,ten did 1ou882
Al)a Most So&eti Nev
45
ys o1 the
ti&es
&es er
En1re
n1
'eu"e aterial" .Ala"tic bottle"E
Ala"tic bag"E tin" etc-/
4 3 ) &
En1re
n2
Tr1 to reduce wa"te
4 3 ) &
En1re
n,
#egregate wa"te .#ort
biodegradable and non6
biodegradable wa"te and di"(o"e
it in "(ecial container"/
4 3 ) &
En1re
n-
Con"erve energ1 .bu1ing energ1
eDicient bulb" and a((liance"E not
leaving the TV/co(uter/light" on
etc-/
4 3 ) &
En1re
n2
Con"erve water .*ot leaving the
water ta( on etc-/
4 3 ) &
Q192. During the (a"t &) onth" did 1ou (lant tree"2
plantr
ee
*es No
& )
Q193. Bnly for urban dwellersC In the (a"t &) onth"E how o,ten did 1ou8-
Al)ay
s
%re@uen
tly
So&eti
&es
Neve
r
Not
applica
=le
En1ren
4
Vi"it green "(ace" or
nature re"erve"
4 3 ) & 9
En1ren
9
Travel "u"tainabl1
.0alk/bic1cle/(ublic
tran"(ort/
4 3 ) & 9
En1ren
<
>acilitate and
(artici(ate in clean6
u( activitie"
4 3 ) & 9
A'ricultural land lost to develop&ent
Q194. In the (a"t Hve 1ear"E have 1ou lo"t 1our agricultural land to
develo(ent2
*Ask this only to farmer respondents+
A'ri+a
nd
*e
s
N
o
Not
Applica=le
& ) 9
+and Environ&ent
+and lost as a result o1 naturally 'ro)in' trees
Q195. %ave 1ou lo"t land a" a re"ult o, growing tree" naturall1 on 1our land2
*Ask this only to farmer respondents+
NatTree+
and
*e
s
N
o
& )
(ater
Q196. Do 1ou have adeFuate acce"" to water "u((l12
NatTree+
and
*e
s
N
o
& )
4?
Q197. %ow would 1ou rate the Fualit1 o, 1our drinking water .di"colourationE
odourE "edientE ta"te etc-/2
5ery
Good
Goo
d
Neither Good
nor !oor
!o
or
5ery
!oor
Don7t
8no)
(atQu
a1
5 4 3 ) & B
Transportation
Q198. Do 1ou own a vehicle2
+rans1
*es No
& )
Q199. In the la"t &) onth"E which o, the ,ollowing ode" o, tran"(ortation
have 1ou u"ed o"tl1 to get ,ro one (lace to another or to get to work2
Tran
s2
Drove
your car
ode as a
passen'er
!u=lic
transportation
E=usF
Ta$
i
.icyc
le
(al
?
Othe
rs
& ) 3 4 5 ? @
Q200. %ow an1 tie" do 1ou u"e a"" (ublic tran"(ort .bu"/ in the la"t
onth2
Tran
s,
Everyd
ay
Once
a
)ee?
More than
once a
)ee?
Once a
&onth
Hardly
ever
5 4 3 ) &
Q201. I, 1ou have u"ed the (ublic tran"(ortE how "ati"Hed are 1ou with it"E
5ery
satis6
ed
Satis6
ed
Neither
Satis6ed
nor
Dissatis6e
d
Dissatis
6ed
5ery
dissatis
6ed
Don
7t
?no
)
Tran
s-
!cce""ibili
t1
5 4 3 ) & B
Tran
s2
>reFuenc1
."chedule"
/
5 4 3 ) & B
Tran
s3
!Dordabilit
1
5 4 3 ) & B
Tran
s4
Tieline""
5 4 3 ) & B
Tran
s9
Cleanline"
"
5 4 3 ) & B
Q202. I, all the above a"(ect" o, (ublic tran"(ort are ,ulHlledE would 1ou give
u( 1our (er"onal vehicle or reduce the u"e o, 1our (er"onal vehicle2 .Duestion
pertains to respondents who owns cars/-
Trans
<
*es No Don7t
8no)
Not
Applica=le
) & B 9
Q203. %ow ea"1 or diDicult i" it to walk/bic1cle in 1our counit12
5ery
easy
Eas
y
Neither easy nor
diBicult
DiBic
ult
5ery
diBicult
Not
applica=le
4@
(al?
2
5 4 3 ) & 9
.icy
c2
5 4 3 ) & 9
Ener'y
Q204. 0hat ,uel do 1ou u"e o"t o,ten ,or cooking2
Ener'y
1
Electricity +!G (ood 8erosen
e
Solar Others
? 5 4 3 ) &
Q205. %ow do 1ou u"uall1 heat 1our dwelling2
Ener'y
4
Electric
heater
,u!hari
G(ood
8erosen
e heater
Solar
Othe
rs
Not
Applica
=le
5 4 3 ) & 9
#li&ate chan'e
Q206. %ow aware are 1ou about cliate change2
#chan
'e1
*esD " have heard
o1 it and have a
'ood
understandin' o1
)hat it is
*esD " have heard o1
it and have so&e
understandin'
a=out )hat it is
*esD " have
heard o1 it =ut
a& unsure
)hat it is
Not
at
all
4 3 ) &
Q207. %ow "eriou" do 1ou con"ider the cliate change2
#chan'
e2
5ery
serious
pro=le&
So&e)hat
serious
pro=le&
Not very
serious
pro=le&
Not a
serious
pro=le& at
all
Don7t
8no)
& ) 3 4 B
.iodiversity
Q208. %ave 1ou noticed an1 increa"e in the vegetation cover around 1our
region a" co(ared to (reviou" 1ear"2
.i
o1
"ncrea
sed
Stayed
sa&e
Decrea
sed
Don7t
8no)
5 4 ) B
Q209. %ow "ati"Hed are 1ou with 1our acce"" to the non6wood ,ore"t
(roduct" "uch a" ,ernE pachaE u"hroo etc-2
Non(oodSa
t
5ery
Satis6
ed
Satis6
ed
Neither
Satis6ed
nor
Dissatis6
ed
Dissatis
6ed
5ery
Dissatis
6ed
Not
Applica
=le
5 4 3 ) & 9
Q210. %ow "ati"Hed are 1ou with 1our acce"" to wood (roduct" "uch a"
tiberE ,uel wood etc-2
(oodS
at
5ery
Satis6e
d
Satis6
ed
Neither
Satis6ed nor
Dissatis6ed
Dissatis
6ed
5ery
Dissatis6
ed
Not
Applica
=le
4B
5 4 3 ) & 9
Q211. %a" the di"tance increa"ed in collecting Hrewood2
(oodDi
st2
*e
s
N
o
Don7t
8no)
& ) B
Q212. %ow ,ar do 1ou travel in collecting Hrewood2
(oodDi
st,
+ess than 1
hour
1:,
hours
-:3
hours
More than 4
hours
& ) 3 4
Household (aste
Q213. %ow do 1ou di"(o"e 1our hou"ehold wa"te2
(ast
e-
#o&post
in'
.urni
n'
Munici
pal
'ar=a'
e pic?:
up
Du&p in
riversGstre
a&s
Du&p
in
1orest
Du&
p on
open
land
OthersD
please
speci1yM
M
@ ? 5 4 3 ) &
A'riculture E8s! this onl% to far3er res&ondents9
Quality o1 a'ricultural land
Q214. %ow would 1ou rate the Fualit1 o, 1our agricultural land2
A'riQ
ua
5ery
Good
Goo
d
Neither Good
nor !oor
!o
or
5ery
!oor
Don7t
8no)
Not
Applica=le
5 4 3 ) & B 9
Q215. %ow o,ten do 1ou u"e the ,ollowing in 1our ,ar/garden/Held2
e'ula
rly
So&eti
&es
are
ly
Nev
er
Not
Applica=le
%er
t1
7rganic ,ertilizer
.anure/
& ) 3 4 9
%er
t2
Inorganic ,ertilizer"
.Cheical ,ertilizer"/
& ) 3 4 9
%er
t,
*atural (e"ticide"
.vinegar/
& ) 3 4 9
%er
t-
Inorganic (e"ticide"
.cheical/
& ) 3 4 9
A'ricultural #onstraints
Q216. 0hich o, the ,ollowing were con"traint" to 1our cro(" during the la"t
1ear2
MaHor
constrai
nt
So&e
constra
int
Minor
constra
int
Not a
constra
int
Not
Applica
=le
#rop#o
1
0ild anial"
& ) 3 4 9
#rop#o
2
Ae"t" and
di"ea"e"
& ) 3 4 9
#rop#o
,
Drought
& ) 3 4 9
#rop#o
-
E+ce""ive rain
& ) 3 4 9
#rop#o %ail"tor & ) 3 4 9
49
2
#rop#o
3
Iate "u((l1 o,
a((roved "eed
b1 agenc1
& ) 3 4 9
#rop#o
4
Daage b1
doe"tic
anial"
& ) 3 4 9
#rop#o
9
#oil ero"ion
& ) 3 4 9
#rop#o
<
Iand"lide"
& ) 3 9
#rop#o
10
Iabour "hortage
& ) 3 4 9
#rop#o
11
Iack o, "table
water
"u((l1/irrigation
"1"te
& ) 3 4 9
#rop#o
12
Iack o,
cheical
,ertilizer
& ) 3 4 9
#rop#o
1,
Iack o, anure
& ) 3 4 9
#rop#o
1-
7ther
& ) 3 4 9
Hu&an:)ildli1e conNict
Q217. In the (a"t one 1earE ha" 1our cro(" been daaged b1 wild anial"2
Hu&an(i
ld1
A lot So&e +ittle Not at
all
Not
Applica=le
& ) 3 4 9
Q218. Do 1ou have an1 land that 1ou have not been cultivated speci6cally
becau"e o, the wildli,e threat" in the (a"t one 1ear2
Hu&an(i
ld2
*es No Not
Applica=le
& ) 9
)f yes please record acreage *in
decimals+EEE!!

Q219. In the (a"t one 1earE have 1ou lo"t an1 live"tock to (redator"2
Hu&an(i
ld,
More
than 2
-:2 2:, 1:2 Not at
all
Not
applica=le
& ) 3 4 5 9
5C
<0 +"5"NG STANDADS
1101 "nco&e
Q220. !((ro+iatel1 how uch ca"h incoe did 1ou receive during the (a"t
twelve onth" ,ro each o, the ,ollowing "ource"2 .NoteO "nco&e o1
respondent/
)f no income is received from a source enter $! 2eave blank only in case of the
respondent(s refusal to answer!
Sources o1 "nco&e "nco&e in Nu
"nco&e
1
0age"/"alar1
*uMNNNNNNNNNNNNNNN
N
"nco&e
2
7wn bu"ine""
*uMNNNNNNNNNNNNNNN
N
"nco&e
,
7wn ,ar enter(ri"e
*uMNNNNNNNNNNNNNNN
N
"nco&e
3
'eittance"
*uMNNNNNNNNNNNNNNN
N
"nco&e
4
Aen"ion"
*uMNNNNNNNNNNNNNNN
N
"nco&e
9
'ental/real e"tate
*uMNNNNNNNNNNNNNNN
N
"nco&e
<
Inheritance
*uMNNNNNNNNNNNNNNN
N
"nco&e
12
#ale o, land or other
a""et"
*uMNNNNNNNNNNNNNNN
N
"nco&e
1,
7ther
*uMNNNNNNNNNNNNNNN
N
I, P7therT (lea"e "(eci,1NNNNNNNNNNNNNNNNNNNNNNNNNN
Q221. 0hat wa" the a((ro+iate total ca"h incoe ,or 1our hou"ehold
during the (a"t &) onth"2
H"nco&e 'ecord a((ro+iate incoe in *u "enter F for
0on(t 5now%
elative "nco&e
Q222. 0ithin 1our counit1E do 1ou con"ider 1our ,ail1 to beM
"nco&e
1-
E$tre&el
y
(ealthie
r than
&ost
1a&ilies
A little
(ealthie
r than
&ost
1a&ilies
A=out the
sa&e as
&ost
1a&ilies
A little
!oorer
than
&ost
1a&ilies
E$tre&ely
!oorer
than &ost
1a&ilies
Don7t
8no)
5 4 3 ) & B
Q223. %ow ha" 1our ,ail1J" Hnancial (o"ition changed over the (a"t ,ew
1ear"E co(ared to other ,ailie" in 1our counit12
5&
"nco&
e12
%inancial
position
has
i&proved
drasticall
y than
&ost
1a&ilies
%inancial
position
has
i&proved a
little &ore
than &ost
1a&ilies
%inancial
position
has
chan'ed
a=out the
sa&e as
&ost
1a&ilies
%inancial
position
has
i&proved
sli'htly
less than
&ost
1a&ilies
%inancial
position
has
i&proved
considera
=ly
lesser
than
&ost
1a&ilies
Don7
t
8no
)
5 4 3 ) & B
%inancial Security
Q224. In the ne+t two 1ear"E do 1ou think 1our ,ail1J" Hnancial "ituation will
get betterE wor"e or "ta1 the "ae2
%inSe
c1
Get
.etter
Stay The
Sa&e
Get
(orse
Don7t
8no)
& ) 3 B
Q225. %ow well doe" 1our total hou"ehold incoe eet 1our ,ail1J"
ever1da1 need" ,or ,oodE "helter and clothing2
%inSc
e2
Not
enou'h
Iust
enou'h
More than
enou'h
& ) 3
5)
Q226. I, 1ou or "oeone in 1our hou"ehold had to ake an une+(ected
(a1ent o, *u 5ECCC toda1E would 1ou
%inSe
c11
;se
savin
's
.orro
)
1ro&
relativ
es
.orro
)
1ro&
a
1riend
.orro)
1ro& a
6nancial
institution
.orro) 1ro&
other
in1or&al
lenders
Sell
an
asse
t
Othe
rs
@ ? 5 4 3 ) &
Q227. I, 1ou or "oeone in 1our hou"ehold had to ake an une+(ected
(a1ent o, *u )5ECCC toda1E would 1ou
%inSec
12
;se
savin
's
.orro
)
1ro&
relativ
es
.orro
)
1ro&
a
1riend
.orro)
1ro& a
6nancial
institution
.orro) 1ro&
other
in1or&al
lenders
Sell
an
asse
t
Othe
rs
& ) 3 4 5 ? @
Q228. In the (a"t &) onth"E did an1 o, the ,ollowing ha((en to 1our ,ail12
Al)a
ys
Most
o1 the
ti&es
So&eti
&es
Nev
er
%inSec
,1
Bought "econd hand clothe"
in"tead o, new one" to kee( co"t"
down-
1 2 , -
%inSec
,2
Continued wearing clothe" and
"hoe" that were worn out becau"e
1ou couldnJt aDord re(laceent"-
1 2 , -
%inSec
,2
%ad diDicult1 in contributing to
counit1 ,e"tival"
1 2 , -
%inSec
,3
Could not "end children to "chool
due to co"t"
1 2 , -
%inSec
,9
Could not re(a1 loan" or
ortgage" on tie-
1 2 , -
%inSec
,<
%ad diDicult1 (roviding Hnancial
a""i"tance to (arent" and
e+tended ,ail1 eber"-
1 2 , -
%inSec
-0
Ao"t(oned urgent re(air" and
aintenance o, 1our hou"ehold-
1 2 , -
%inSec
-1
#old eFui(entE land or other
a""et" to rai"e ca"h ,or ba"ic
e+(en"e"-
1 2 , -
%ood Security
Q229. In the (a"t &) onth"E have 1ou ever cut the "ize o, 1our eal or
"ki((ed eal" becau"e there wa"nJt enough ,ood or one1 to bu1 ,ood2
%S
1
Nev
er
So&eti
&es
Most o1 the
ti&es

Al)ays
4 3 ) &
De=t
Q230. 0hat i" 1our current debt2
)f there is no debt from a source enter $! 2eave blank only in case of the
respondent(s refusal to answer! .e sure to enter Total in 0ebt'
53
De=t
1
%ou"ing Ioan" Please record amount in
Nu
De=t
2
Vehicle Ioan" Please record amount in
Nu
De=t
,
Iand (urcha"e
Ioan"
Please record amount in
Nu
De=t
-
!gricultural
Ioan"
Please record amount in
Nu
De=t
2
Bu"ine"" Ioan" Please record amount in
Nu
De=t
3
Educational
Ioan"
Please record amount in
Nu
De=t
4
Aer"onal Ioan" Please record amount in
Nu
De=t
9
7ther Ioan" Please record amount in
Nu
De=t
<
Total 7Please record a3ount
in 'u
Q231. >ro who did 1ou borrow2
*e
s
N
o
De=t
10
>ail1 & )
De=t
11
>riend" & )
De=t
12
Bank"/>inancial In"titution" & )
De=t
1,
In,oral lender" & )
De=t
1-
7ther"
."(eci,1/NNNNNNNNNNNNNNNNNNNN
& )
Q232. !re 1ou co,ortable with 1our current level o, hou"ehold debt2
De=t
1-
*es No
& )
Housin'
Q233. I" the dwelling in which 1ou live rented or owned2
HTenur
e
ent
ed
O)ne
d
& )
If *ned, Go to Q235
Q234. I, rentedE what i" the current onthl1 rent2
Hent Record amount in Nu
Q235. Do 1ou have electricit1 in 1our hou"ehold2
Elec
*esD 1ro& the
'rid
*esD 1ro& solar
panel
No
3 ) &
Q236. 0hat t1(e o, roo,6aterial i" ainl1 u"ed ,or 1our dwelling2
54
The enumerator can All this space from observation after conArming with the
respondent
o
o1
#oncrete
G
=ric?GSt
one
#G"GMet
al
Mu
d
(oo
d
Stra
)G
leave
s
.a&=
oo
Sla
te
Others
Especi1yF
MMMM
B @ ? 5 4 3 ) &
Q237. 0hat i" the Soor o"tl1 ade o,2
The enumerator can All this from direct observation and conArm with the
respondent!
%lo
or
!er&anent
Noorin'
Epar@uetD
tiledD )oodenD
&ar=leD
carpetD
ce&ent etcF
;ncovere
d
concrete
1oundatio
n
(ooden
Noorin'
on the
earth
#layD
plastic
or &ud
directly
on the
earth
Dirt
Noor
Eearthe
n NoorF
Others
Especi1
yF
? 5 4 3 ) &
Q238. %ow an1 roo" are there in the dwelling2 .E,clude bathrooms and
toilets/
Hoo
&s
7Record number of rooms
Q239. 0hat i" the ain "ource o, water ,or 1our hou"ehold2
%loo
r
!iped:
in
d)ellin
'
!iped
)ater
outsi
de
house
!u=l
ic
outd
oor
tap
!rote
ct:ed
)ell
;npr
ot:
ected
)ell
Spri
n'
iverD
!ondD
+a?eD
Strea&sD
ain)ater
Other
source
Especi1y
FMMMM
B @ ? 5 4 3 ) &
Q240. 0hat kind o, toilet ,acilit1 doe" 1our hou"ehold u"e .circle all that
apply/2
Toil
et
%lush
toilets
!it latrine
E(ith septic
tan?F
!it latrine
ENo septic
tan?F
No toilet 1acility
Euse open
spacesF
Others
Especi1y
FM
MMMM00
5 4 3 ) &
Q241. I" 1our hou"e in need o, a re(air2
Hep
air
No
repair
s
*esD
&inor
repairs
*esD
so&e
repairs
*esD &aHor repairs E: lea?in' roo1D
de1ective plu&=in'D )irin'D
structural repairs to )allsD ceilin'sD
roo1 etc F
4 3 ) &
"n:8ind "nco&e
Q242. During the (a"t 1earE did 1ou receive an1 contribution" o, ,ood ,ro
,ail1 or ,riend"2
*es No
"n8ind
1
>ood & )
55
"n8ind
,
Clothe"E hou"ehold ite"E live"tock
anial"
& )
"n8ind
2
Iabour & )
Q243. I, 1e"E what wa" the a((ro+iate value o, the"e contribution"2
"n8in
d2
>ood NuLLLLLLLLLLLLLLL 7Please enter appro,imate
value in Nu
"n8in
d-
Clothe"E hou"ehold
ite"E live"tock
NuLLLLLLLLLLLLLLL 7Please enter appro,imate
value in Nu
"n8in
d3
Iabour NuLLLLLLLLLLLLLLL 7Please enter appro,imate
value in Nu
Assets O)nership
Q244. %ow an1 acre" o, land do 1ou own2
Type o1 land Acres
+and
1
Dr1 land
+and
2
Pang1hing
+and
,
Tseri
+and
-
0etland
+and
2
7rchard
+and
3
3okshing
+and
4
Total
Q245. %ow an1 live"tock do 1ou own2 )f the respondent has no such
livestock animals then enter $!
Type o1
ani&als
Nu&=e
r
+ivest
1
Yak"
+ivest
2
Cow"
+ivest
,
Bull"
+ivest
-
Goat"
+ivest
2
#hee(
+ivest
3
%or"e"
+ivest
4
Donke1"
+ivest
9
Mule"
+ivest
<
Chicken"
+ivest
10
Aig"
5?
Q246. 0hich o, the ,ollowing (iece" o, eFui(ent doe" 1our hou"ehold own2
Could 1ou kindl1 give the total nuber2
Please do not read the list! 6ake sure the respondent has time to respond for
each of the individual items listed! )f the respondent has no such items then
enter $!
Nu&=er
E@uip1 Tractor
E@uip2 Aower tiller
E@uip, Aower thre"her
E@uip- Aaddle thre"her
E@uip3 'ice ill "et
E@uip4 7il ill "et
E@uip9 Aower rea(er
E@uip< Mobile
tele(hone
E@uip10 >i+ed line
tele(hone
E@uip11 Aer"onal
co(uter
E@uip12 'e,rigerator
E@uip1, 0a"hing
achine
E@uip1- 'adio or
tran"i"tor
E@uip12 Colour televi"ion
E@uip13 >our wheel
vehicle"
E@uip
14
Two6wheel
vehicle"
E@uip
19
7ther"
Q247. During the (a"t &) onth"E have each o, the ,ollowing increa"edE
decrea"ed or "ta1ed the "ae2 The following set of &uestions might be
applicable to farmers only
"ncrea
sed
Stayed
the
Sa&e
Decreas
ed
Not
Applica
=le
AGTren
d1
*uber o, acre" 1ou own
& ) 3 4
AGTren *uber o, acre" (lanted & ) 3 4
5@
d2
AGTren
d,
!ount o, live"tock 1ou
own
& ) 3 4
AGTren
d-
#ize o, 1our cereal"
harve"t
& ) 3 4
AGTren
d2
#ize o, 1our ,ruit" harve"t
& ) 3 4
AGTren
d3
#ize o, 1our vegetable"
harve"t
& ) 3 4
AGTren
d4
*uber o, kg o, eat
(roduced
& ) 3 4
AGTren
d9
*uber o, kg o, dair1
(roduct (roduced
& ) 3 4
AGTren
d<
Ca"h Incoe
& ) 3 4
Household E$penditure
Q248. In the (a"t one 1earE how uch did 1our hou"ehold "(end on8
E$p
1
>oodE including "uch thing a" .rice/E eatE ,ruitE vegetableE
and cooking oil- Include the value o, an1 ,ood that wa"
(roduced and con"ued b1 the hou"ehold
*u-
88888
E$p
2
%ou"ing *u-
88888
E$p
,
Energ1 "ource" like ga"olineE electricit1 and ,uel wood *u-
88888
E$p
-
0ater *u-
88888
E$p
2
Tele(hone *u-
88888
E$p
3
Education e+(en"e" *u-
88888
E$p
4
Voluntar1 in"urance (reiu or (re(aid health (lan *u-
88888
E$p
9
!n1 other"88888- *u-
88888

Q249. The enuerator a1 hel( with calculation ba"ed on the above
"tateent-
TotE$p
1
In the la"t one 1earE how uch did 1our hou"ehold
"(end in total2
*u-M
88888-
5B