You are on page 1of 2

Department of Urban and Regional Planning

School of Planning and Architecture


Jawaharlal Nehru Architecture and Fine Arts University,
Masab Tank, Hyderabad.
___________________________________________________________________________
Note:This survey is conducted as part of academic project named Planning Project and the data
collected will only be used purely for the academic purpose.

Name of the enumerator: ______________

Mandal: Town/village: Street name/no: House no:

Name of the head of the household: _________________ Household size: ____


1.0 GENERAL PROFILE
S. Household Marital Workplace/
Sex Age Education Occupation Income
No. members status Education(Distance)

CODES:

1.1 Migrated a) Yes b) No


1.2 If Yes, no. of years______
1.3 Purpose of migration

2.0 LAND DETAILS


2.1Land holdings (in acres)
2.2Crops cultivated in a year
2.3Major crop cultivated
2.4 Approximate land value a) agriculture ________ b) industrial______ c) housing_________
2.5 Type of irrigation
2.6 Electricity available for irrigation
2.7 implemented any scheme _________ If yes, scheme name: ___________

INFRASTRUCTURE
4.0 WATER SUPPLY
4.1 Source of drinking water supply
a)Tap water b)Bore well c)Hand pump d)Tanker e)Other
4.2 Is the connection metered a)Yes b)No

You might also like