Years lived in the house:

Name of street: House no:

No. of occupants: M: F:

Own house/rental:

Rent: Owner of house:

Sno. Name Relationship Sex Age Occupation Educational Income

qualification
(primary/secondary)

Religion/Caste:

Language:

Typical cuisine:

Clothing:

Building type: Built-up area:

Age of building: Use of surrounding area:

FAR: Set back:

Domestic animals: Farming land:

Other assets:

Median income:

Usage of income:

Communication facilities:

Transport facilities:

Source of water supply:

Type of drainage system:

Fuels used:

Conventional source of power:

Disability status:

Majority community:

Minority community:

Literacy rate:

No. of factories:

Area used for farming:

Religious buildings:

Hospitals and health centres:

Banks and post office:

Schools, colleges: Cinema halls:

Commercial space with respect to activity:

Community hall:

Library: Gathering space:

No. of electric poles, transformers:

Source and distribution:

Person density per acre:

Small scale jobs:

Large scale jobs:

Geometric planning :

Landmarks:

Lifestyle of people:

Materials used for construction:

Cost of materials:

Types of roads:

Famous festivals:

History of migration: