Random sample survey: Post flood study at Kottayam – Kumarakom region

Questionnaire

Name of surveyor:
Date:
Location:
No. on the map:

How long was the family living in this location?

Occupation? _______________________________Associated with the locality ( ) Not associated with the locality ( )
Kind of damages incurred: House Structure ( ), Compound wall ( ), Animals ( ), Other: _________________________
How often does this area experience flood? Few times a year ( ), Every year ( ), Every few years ( ), Once a life time ( )
Height of flood line wrt. the road level: _____m
How far do you have to move to feel safe during the flood time?____km
What was the mode of evacuation?
How is toilet waste disposed?
How is the household refuse disposed?
Source of drinking water?_________________
Purification method? ________________________
How safe do you feel staying in the same locality? ___ (1-5 scale: negative to positive)
How much property do you hold in the locality?
Would you be happy living in an apartment in the locality?
What all infrastructure facilities do you need urgently in your locality?
1.
2.
3.
What are your recommendations to resist future flood?
1.
2.
3.

Observation of the interviewer: