School Need Identification Survey

thyssenkrupp Industries India

School Need Identification Survey

Implementation Partner NGO: Sewa Sahayog

Date of Survey:

Name of Surveyor /s:

1)
School Name:

2) School Representative name with Designation and contact number;

a)

b)

3) School Address

4) School type:

Rural Taluka Urban

5) Student Division wise:

Male Female Total Remarks
1st to 2nd

3rd to 4th

5th to 7th

8th to 10th

6) Kindly tick and fill in details whereever applicable;

a) School aided by government Yes No

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 School Need Identification Survey

b) Nature of School Co-education

Only Boys

Only Girls

c) Is separate toilet there for Boys? Yes No

d) Is separate toilet there for Girls? Yes No

e) Does Girls toilet has overhead tank Yes No

g) Does Boys toilet has overhead tank Yes No

h) Drinking water facility available Yes No

i) Which type of teaching boards are Black Green

there?

j) Sufficient Quantity of benches? Yes No

k) Total number of class rooms in school

l) Type of Room ceiling RCC Roof Tiles

m) If Roof Tiles, then is there water

seppage? Yes No

n) Approx cost of blocking seppages

Rooms

Cost

o) Is there science lab in school? Yes No

p) Is there library for students Yes No

Number of Book in collection

q) Is there power connection? Yes No

r) Are fans there in each room? Yes No

If no, quantity required

s) Are tube lights there in each room? Yes No

If no, quantity required

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 School Need Identification Survey

t) Is there of battery / Generator? Yes No

How many hrs load shedding per day

u) E- learning facility available? Yes No

v) Are computers available? Yes No

Number of computers in working condition

w) Is the school residential? Yes No

x) How many KM student travel to reach school

y) Number of orphans / single parent students

z) Any other requirement apart from above required by school

Signature of School Representative

Signature of Surveyor / s Place:

Date:

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