1. Gender? Male.

Female

2. How old are you?

3. Profession is missing?

4. What is your average monthly income?

5. How long have you been living near this drain?

6. How many people are there in your house?

7. How many male members are living in your family?

8. Do you have your own house or are you living on rent?

9. Add the question about land value if the person is owner of the house or ask question about
how much monthly rent does he pay?

10. There were many other places to stay in Karachi, why did you prefer to stay near the drain?

11. How much education do you have?

12. Where are you from? (native region).

13. How much time duration does electricity available in your house/area ?

14. How you manage in time of power failure? (UPS, generator or Solar Panels??)

15. Do electrical appliances in your home such as computers, and TVs messed up quickly?

16. Where do you get fresh/drinking water from?

17. How much you pay monthly for drinking/fresh water if you buy water?

18. Where do you throw your household waste?

19. Does garbage cause any disease in your family?

20. What types of problems you faced due to garbage?

21. Has there ever been a flood in this drain?

22. If yes, has drain water ever entered into your home?

23. How did you evacuate the flood water from your house?

24. What damages caused due to flood water in your house?

 25. What problems caused due to flood water in your home or nearby area?

26. What measures you take to fight against flood in next years?

27. Do you notice an odor coming from the drain?

28. Are there more mosquitoes in your house because of the drain?

29. Do you have any rodents or insects coming from the drain in your house?

30. Do you or your family get sick easily due to living near the drain?

You need to increase more questions about impact of flood and the measures taken from the people to
reduce the impact of flood caused due to heavy rain.

Break the questionnaire into different sections.

e.g. Socio-economic impact of flood in nearby drain

health impact

pollution caused

other impact crimes etc..