GPS QUESTIONNAIRE

JFMC NAME -------------------------------------------------VILLAGE NAME ------------------------------------------------

1) RELIGIOUS INSTITUTIONS
INFRASTRUCT
URE
NAMGHAR

WPID1 WPID2 WPID

3

WPID
4

REMARKS

WPID
4

REMARKS

CHURCH
MOSQUE
GURUDWARA
TEMPLE

2) SOCIAL INSTITUTIONS
INFRASTRUCT
URE
MAHILA
SAMITI
YOUTH CLUB

SPORTS CLUB

SHGS

OTHERS

WPID
1

WPID2 WPID
3

3) GOVERNMENT INSTITUTIONS
INFRASTRUCT
URE
ANGANWADI
CENTRE
PANCHAYAT

WPID1 WPID2 WPID

3

WPID
4

REMARKS

WPID
4

REMARKS

COMMON
SERVICE
CENTRE
4) PHYSICAL INFRASTRUCTURE
INFRASTRUCT
URE
BUS STAND
PRIMARY
HEALTH
CENTRE
PRIMARY
SCHOOL
MIDDLE
SCHOOL
HIGH SCHOOL

HS SCHOOL

COLLEGE

POST OFFICE

BANK

WPID1 WPID2 WPID

3

TELEPHONE
EXCHANGE
GRAM
PANCHAYAT
OFFICE
REVENUE
CIRCLE
OFFICE
POLICE
OUTPOST
FOREST BEAT
OFFICE
FOREST
RANGE
OFFICE
RAILWAY
STATION
DRINKING
WATER
SOURCE
COMMUNITY
HALL
STREET LIGHT

DISTRICT
HEAD
QAUARTER
NEAREST
MARKET

5) PHYSICAL INFRATRUCTRURE LINEAR

INFRASTRUCT
URE
MAIN ROAD
3

WPID
1

WPID2

WPID3

WPI
D4

REMARKS

(NH/ SH/ MDR)

VILLAGE
ROADS
IRRIGATION
CHANNELS
DRINKING
WATER
SUPPLY LINE
EMBANKMENT
LENGTH

6) PHYSICAL INFRATRUCTRURE AREA

INFRASTRUCT
URE
PLAYGROUND

CREMATION
GROUND
KABRASTHAN

PARK/
GARDEN
NURSERY

ORCHARD

FISHERY
PONDS

WPID
1

WPID2

WPID3

WPI
D4

REMARKS

7) CROP PRODUCTION
NAME OF
CROP
PADDY
WHEAT
OILSEEDS
VEGETABLE
S
PULSES
SMALL
MILLET
FRUIT
OTHERS

WPID
1

WPID2

WPID3

WPID4

REMARKS