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Home Survey Form
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Name of the chief person in family
*
No of Males
0
1
2
3
4
5
6
7
8
No of Females
*
0
1
2
3
4
5
6
7
8
9
10
Education Levels -Illiterate
*
0
1
2
3
4
5
6
7
8
9
10
Primary
*
0
1
2
3
4
5
6
7
8
9
10
Upto 4th class
*
0
1
2
3
4
5
6
7
8
9
10
Upto 7th class
*
0
1
2
3
4
5
6
7
8
9
10
Upto 10th class
*
0
1
2
3
4
5
6
7
8
9
10
Upto 12th class
*
0
1
2
3
4
5
6
7
8
9
10
Graduation
*
0
1
2
3
4
5
6
7
8
9
10
Post graduation
*
0
1
2
3
4
5
6
7
8
9
10
Doctors
*
0
1
2
3
4
5
6
7
8
9
10
Engineers
*
0
1
2
3
4
5
6
7
8
9
10
No of Persons - Government Employee
*
0
1
2
3
4
5
6
7
8
9
10
Private Employee
*
0
1
2
3
4
5
6
7
8
9
10
Pensioners
*
0
1
2
3
4
5
6
7
8
9
10
Trade and Business
*
0
1
2
3
4
5
6
7
8
9
10
Entrepreneur
*
0
1
2
3
4
5
6
7
8
9
10
Traditional profession
*
0
1
2
3
4
5
6
7
8
9
10
Dairy/ Poultry/ Fishing
*
0
1
2
3
4
5
6
7
8
9
10
Own Farm
*
0
1
2
3
4
5
6
7
8
9
10
Agricultural Labour
*
0
1
2
3
4
5
6
7
8
9
10
Others
*
0
1
2
3
4
5
6
7
8
9
10
Solar Panel
*
Yes
No
Electric Vehical
*
Yes
No
No. of persons using having mobile phone (Above 18)
0
1
2
3
4
5
6
7
8
9
10
No. of persons using having mobile phone (Below 18)
0
1
2
3
4
5
6
7
8
9
10
No. of persons using Computer / Laptop
0
1
2
3
4
5
6
7
8
9
10
No. of persons migrated for job
0
1
2
3
4
5
6
7
8
9
10
No. of children about school dropouts (4 to 14 Years)
0
1
2
3
4
5
6
7
8
9
10
No. of persons using online platforms for shopping
0
1
2
3
4
5
6
7
8
9
10
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