2/11/22, 5:05 PM Basic Information

Basic Information

DEMOGRAPHIC PROFILE
Enter a date:

yyyy-mm-dd

Enter a time:

hh:mm

VILLAGE?

Kotwariya Mal

DISTRICT/TALUKA?

Khandwa

STATE?

Madhya Pradesh

Household ID?

The GPS coordinates of the Location House

latitude (x.y °)

longitude (x.y °)

altitude (m)

accuracy (m)

INTERVIEWEE PROFILE

https://enketo.getodk.org/preview?form=https%3A//xlsform.getodk.org/downloads/kg0c1t2a/Basic%2520Information.xml 1/6
2/11/22, 5:05 PM Basic Information

Name of Interviewee?

Gender?

Male

Female

Other

Age of Interviewee?

Mobile No.?

No. of Male Members?

No. of Female Members?

Primary income generating activities?

Farming only

Wage labor only

Farming and wage labor

Shopkeeping

Farming and shopkeeping

Other

If Other, Please Mention?

Domestic Energy Access (COOKING)

Where cooking is Done?

Indoor

Outdoor

Both

Is Kitchen Separate from the main house?

YES

NO

https://enketo.getodk.org/preview?form=https%3A//xlsform.getodk.org/downloads/kg0c1t2a/Basic%2520Information.xml 2/6
2/11/22, 5:05 PM Basic Information

Kitchen Type?

Indoor kitchen with partition

Indoor Kitchen without partition

Outdoor enclosed kitchen

Outdoor open-air kitchen

Do stove emissions get dispersed to other parts of the house?

YES

NO

Kitchen Layout
Width of Kitchen?
(in m)

Length of Kitchen?
(in m)

Height of Kitchen?
(in m)

Total Volume: NaN m3

Ventilation Layout in Kitchen

Ventilation details?
(including stack)

YES

NO

Doors Locations?

TOP-LEFT TOP-MIDDLE TOP-RIGHT

MIDDLE-LEFT MIDDLE-MIDDLE MIDDLE-RIGHT

BOTTOM-LEFT BOTTOM-MIDDLE BOTTOM-RIGHT

Doors Area?
(in m2) (use comma for multiple doors)

https://enketo.getodk.org/preview?form=https%3A//xlsform.getodk.org/downloads/kg0c1t2a/Basic%2520Information.xml 3/6
2/11/22, 5:05 PM Basic Information

Windows Location?

TOP-LEFT TOP-MIDDLE TOP-RIGHT

MIDDLE-LEFT MIDDLE-MIDDLE MIDDLE-RIGHT

BOTTOM-LEFT BOTTOM-MIDDLE BOTTOM-RIGHT

Window Area?
(in m2) (use comma for multiple Windows)

Stoves Details
What type of Stoves is used for household cooking?

Traditional - Single Pot

Traditional - Dual Pot

Rocket Stove - Single Pot

Rocket Stove - Dual Pot

Improved - Other

Improved - NEERI

LPG

Kerosene Based

If LPG, then whether you get it under PM's Ujjwala Yojana?

YES

NO

If Improved - NEERI, then which Model?

Pavak - 1

Pavak - 2

If Pavak - 1, date?

yyyy-mm-dd

If Pavak - 2, date?

yyyy-mm-dd

Take a picture of the Stove

Click here to upload file. (< 5MB)

https://enketo.getodk.org/preview?form=https%3A//xlsform.getodk.org/downloads/kg0c1t2a/Basic%2520Information.xml 4/6
2/11/22, 5:05 PM Basic Information

Is the stove used for any purpose other than cooking food for the family?

YES

NO

If yes, then for what?

Preparing food for livestock

Water heating

Preparing food / drink for commercial sale

Any other

If Any Other, please mention?

Stoves Hnadling Traditional Prcatices

What kinds of pots are used for cooking?
(material)

Metal

Other

If Other, Please Mention?

What type of Pots?

Round

Flat

Pans

With or Without Lid on pot?

With Lid

Without Lid

How is the fire normally controlled?

(fire tending)

Fanning

Blowing

Adding fuel

other

If Other, Please Mention?

https://enketo.getodk.org/preview?form=https%3A//xlsform.getodk.org/downloads/kg0c1t2a/Basic%2520Information.xml 5/6
2/11/22, 5:05 PM Basic Information

What is the Fuel Condition while using the stoves?

Processed

Dried

Chopped

Any other (dung cakes, coal etc)

If Other, Please Mention?

Is fuel purchased?

Freely available

Purchased

If Purchased, from where?

If Purchased, what is the cost?

(in Rs. Per kg)

Where fuel if kept?

Inside

Outside

Outside under cover

Any other information about project perspective, please note.

Take a picture of the Interviewee

Click here to upload file. (< 5MB)

https://enketo.getodk.org/preview?form=https%3A//xlsform.getodk.org/downloads/kg0c1t2a/Basic%2520Information.xml 6/6