Please circle as appropriate

1.

2.

3.

4.

5.

Household size;
1)

1-3

2)

4-6

3)

7 & above

How many children (below 18yrs) live in your household?

1) 0

2) 1-2

3) 3 or more

Does your household contain elderly people (> 65 years old)

1. Yes

2. No

Employment status of household head

1)

Unemployed

2)

Self-employed (Informal)

3)

Self-employed (Formal)

4)

Formal employment

Education Status: highest level of education attained

1)

No schooling

6.

7.

2)

Primary schooling

2)

Secondary Schooling

4)

Tertiary education

Type of dwelling for the household

1)

Informal Building (e.g. Wood and wattle walls, grass thatched roof)

2)

Formal Building (e.g. Brick walls, tiles/iron sheet roof)

11

Approximate age of dwelling

Specify

8.

Since how long have you lived in this place?

1)

Less than one year

2)

1-5years

9.

3)

6-15years

4)

15+

Were you aware about the threat of landslides in Chitrakoot before?

1)

Yes

2) No

10.

If you replied yes to No.9, how did you know?

1)

Already experienced it before

10

2)

By the media

3)

On the internet

4)

Others

11.

12.

11

Have you being affected by the recent landslides?

1)

Yes

12

2)

No

If yes to No.11, how were you affected?

1)

Psychologically

12

2)

Agricultural damage

3)

Property Damage

11

13.

4)

Injuries

6)

Road access difficulties

10

Who was/were the most affected by landslides in your household? (Rank 3 in the order 1-3 with 1
being most affected and 3 least affected)

14.

15.

1)

Children

2)

Elderly

3)

Disabled people

4)

Women

5)

All of the above

Is there a safe area where you can escape or run to?

1)

Yes

2)

No

If you replied yes to No.14, where is that area?

1)

Public school building

2)

Neighbors or relatives

3)

Village council

4)

Others

Specify

16.

17.

18.

Did you receive any help or compensation from the government?

1. Yes

2. No

Are you satisfied by the actions taken by the government?

1)

Yes

2)

No

10

If you were given the opportunity, by the government, to live elsewhere, what would you do?
1. Stay

2. Leave

3. Unsure