Name - (HH, CHIEF WAGE EARNER) Occupation Age Family Size Educational Qualification No. of employed members Family Income 1. Do you have Electricity connections? a. Yes ( ) b. No 2. Do you have ceiling fan? a. Yes ( ) b. No 3. Which brand of ceiling fan do you have? -------------------------------------------------4. Do you have Colour TV? a. Yes ( ) b. No 5. Which brand of Colour TV do you have? -------------------------------------------------6. Do you have refrigerator? a. Yes ( ) b. No 7. Which brand of refrigerator do you have? -------------------------------------------------8. Do you have Motorbike/Scooter? a. Yes ( ) b. No 9. Which brand of Motorbike/Scooter do you have? -------------------------------------------------10.Do you have washing machine? a. Yes ( ) b. No 11.Which brand of washing machine do you have? --------------------------------------------------
12.Do you have air conditioner?
a. Yes ( ) b. No ( 13.Which brand of air conditioner do you have? -------------------------------------------------14.Do you have personal computer/laptop? a. Yes ( ) b. No ( 15.Which brand of personal computer/laptop do you have? -------------------------------------------------16.Do you have four wheeler? a. Yes ( ) b. No ( 17.Which brand of four wheeler do you have? -------------------------------------------------18.Do you have LPG stove? a. Yes ( ) b. No (