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    13 views6 pages

    Baseline Survey Shedule

    Uploaded by

    Ankit Kumar
    hdthfgjgfgj

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 6

    BASELINE SURVEY SHEDULE

    Questionnaire Schedule

    Serial no.

    Date of survey

    Place of survey House no.

    1.

    ................... .................

    2. /
    ......................................................................... ...............................

    3.

    .................................................................... ....................................

    .................................................................. .......................................

    ................................................................... ......................................

    4. / :.................................................
    5. :......................................................
    6. :...........................................................
    7. /
    a. :............................
    :.............................

    b. : :............................
    :.............................
    8. ( )

    9.
    /

    10.
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    ................

    b. ?
    ..................................................

    11.
    ....................
    .........................

    12.
    a. ............................
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    c. ..............................................
    13.
    a. ?
    ................ ......................

    14.
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    b. ................................
    15. ? ....... ............
    ..................

    ...................

    ..................

    16. ? ........... ................


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    17. ? ............ ...............

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    18.
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    19.






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    23. ?
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    35. ?
    ........

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    37. / ?


    38. ?


    ...........................................
    39. ?

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    ....................

    41. ?
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    .....................
    52. ?

    ...........................

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