Be Counted

Owned/rented/any other

YOUR HOUSE

Census house number

Predominant material of floor,wall and roof of the Census house

Floor: Mud/wood or bamboo/burnt brick/stone/cement/ mosaic or floor tiles/any other

Wall: Grass or thatch or bamboo/plastic or polythene/mud or unburnt brick/wood/stone not packed with mortar/stone packed with mortar/G.I. or metal or asbestos sheets/burnt brick/concrete/any other

Roof: Grass or thatch or bamboo or wood or mud etc./plastic or polythene/ handmade tiles/machine-made tiles/ burnt brick/stone/slate/G.I. or metal or asbestos sheets/concrete/ any other

Ascertain use of Census house

Residence/residence-cum-other use/shop or office/school or college etc/hotel or lodge or guest house etc/hospital or dispenser etc/factory or workshop or work shed etc/place of worship/other non-residential use/vacant

Specify condition of this house: Good/livable/dilapidated

YOUR LIVING CONDITIONS

Number of dwelling rooms exclusively in possession of the household

Excluding kitchen,bathroom,latrine,store room,passageway,verandah n Including living room,bedroom,dining room,drawing room,study room,servants room and other similar rooms

Number of married couples living in the household

Main source of drinking water

Tap water from treated source/tap water from untreated source/covered well/uncovered well/handpump/ tubewell or borehole/spring/river or canal/tank or pond or lake/other sources

Availability of drinking water source

Within the premises/near the premises/away

Main source of lighting

Electricity/kerosene//solar/other oil/any other/no lighting

Latrine within the premises

Flush or pour flush latrine/pit latrine/night soil dispersed into open drain/service latrine/no latrine within premises

Waste water outlet connection

To closed drainage/open drainage/no drainage

Bathing facility available within the premises

Bathroom/enclosure without roof/no bathing facilities

Availability of kitchen

Cooking inside house/cooking outside house/no cooking

Fuel used for cooking

Firewood/crop residue/cowdung cake/coal or lignite or charcoal/kerosene/ LPG or PNG/electricity/bio-gas/any gas/no cooking

YOUR POSSESSIONS

Radio/Transistor

Television

Computer/Laptop

With internet/without internet

Telephone/mobile phone

With internet/without internet/both

Bicycle

Scooter/motorcycle/moped

Car/jeep/van

WHETHER YOU AVAIL OF BANKING SERVICES