SOCIOECONOMICANDCASTECENSUS2011QUESTIONNAIREURBAN

SideA
BlockA:IdentificationParticulars TypeofHousehold:
State: District: Tahsil/Taluk/P.S/Dev.Block/Circle/Mandal Normal..1
Code Code Code
Institutional..2
Houseless3
Village/Town: Code WardcodeNo.(Onlyfortown) If'Houseless',isthehouseholdlivingin
shelterforhomeless?(1=Yes,2=No)
BlockB:TobepreprintedfromNPRSchedule BlockC:TobecopiedfromtheAbridgedHouselist
Houselist HouseholdNo. Enumeration SerialNumberofhousehold
BlockNumber BlockNumber& (Column8ofsection2or3orcolumn6ofsection4)
SubBlockNo. TypeofEB(Slum/NonSlum)(ForStatutoryTowns)
(Item6,Section1) (Tobeobtainedfromcol.17ofSupervisoryBookletofChargeRegisterforPopulationEnumeration)
BlockD:IndividualParticulars
Serial Nameoftheperson Relationshipto Sex Yearofbirth Maritalstatus Nameof Nameof Occupation/ Highest Mainsourceofincome/ea rnings AreWages Disability Chronic Religion Caste/TribeStatus
Number head father Mother Activity educationallevel from : earned illness (Writenameofthe GiveCode Ifcode1,2or3in
Startwiththeheadofthe (recordthe 1=Male (asperEnglish 1=Nevermarried 0=Rag-picker (givecode) 1=InSeeing religioninfull)
completed 2=InHearing
ScheduledCaste(SC)1 Col.16,
household relationshipinfull) 2=Female Calendar) 2=Currentlymarried Describethe 1=Beggar 1=Cancer ScheduledTribe(ST)2 WriteNameof
1=Illiterate 3=InSpeech
3=Widowed actualwork 2=---- Other3 Caste/Tribe
2=Literatebutbelow 2=Domesticworker 1=daily 4=InMovement
4=Separated 3=TB NoCaste/Tribe4
primary 3=Streetvendor/cobbler/hawker/other 2=weekly 5=MentalRetardation
5=Divorced 4=Leprosy Ifcode4inCol.16,
3=Primary serviceproviderworkingonstreets 3=monthly 6=MentalIllness
4=Middle 4=Constructionworker/plumber/mason/ 4=irregularly 7=Otherdisability 5=Otherillness (SCcanbeonlyamong put'X'
5=Secondary labor/painter/welder/securityguard/ 5=notwage 8=Multiple 6=Nochronic theHindus,Sikhsand
6=Highersecondary coolieandotherheadloadworker earner disability illness Buddhists.
7=Graduateor 5=Sweeper/sanitationworker/mali 9=Notdisabled STcanbefromany
higher 6=Homebasedworker/artisan/ religion)
8=Other(Specify) handicraftsworker/tailor
7=Transportworker/driver/conductor/
helpertodriversandconductors/
cartpuller/rickshawpuller
8=Shopworker/assistant/peoninsmall
establishment/helper/delivery
assistant/attendant/waiter
9=Electrician/mechanic/assembler/
repairworker
10=Washerman/chowkidar
11=Otherwork
12=Nonwork(Pension/Rent/Interest etc.)
13=Noincomefromanysource
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17)

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 SOCIOECONOMICANDCASTECENSUS2011QUESTIONNAIREURBAN
BlockE:HouseholdParticulars SideB
Section1 Section2 Section3
Housing/Dwelling Amenities Assets
Doesthehouseholdownthefollowingassets(Givecode)

MotorizedWheelers(1=Two,2=Threewheeler,3=Fourwheeler;
Waterseallatrineexclusivelyforthehousehold(1=Yes,2=No)
1=Electricity,2=Kerosene,3=Solar,4=Otheroil,5=Anyother,
Predominantmaterialofroofofthedwellingroom(s)(Give
Predominantmaterialofwallofthedwellingroom(s)(Give

Numberofdwellingroomsexclusivelyinpossessionofthis
1=Owned,2=Rented,3=Shared,4=Livingonpremiseswith
employer,5=Houseprovidedbyemployer,6=Anyother

1=Withinthepremises,2=Nearthepremises,3=Away

Separateroomusedaskitchenexclusivelyforthehousehold
1=Closeddrainage,2=Opendrainage,3=Nodrainage

Yes:1=Landlineonly,2=Mobileonly,3=Both/
Ownershipstatusofthishouse(Givecode)

Yes:1=Withinternet,2=WithoutInternet/
Availabilityofdrinkingwatersource:

Wastewateroutletconnectedto

Washingmachine(1=Yes;2=No)
household(Record0,1,2,3)

Telephone/Mobilephone:
Refrigerator(1=Yes;2=No)
Mainsourceoflighting:

A.C.(1=Yes;2=No)
Computer/Laptop:
6=Nolighting

(1=Yes,2=No)

4=No)
code)

code)

4=No

3=No
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)

CodesforBlockE

Col.1PredominantmaterialofWallofdwelling Col.2PredominantmaterialofRoofofdwelling
room room
1=Grass/thatch/bambooetc. 1=Grass/thatch/bamboo/wood/mudetc.
2=Plastic/polythene 2=Plastic/polythene
3=Mud/unburntbrick 3=Handmadetiles
4=Wood 4=Machinemadetile
5=Stonenotpackedwithmortar 5=Burntbrick
6=Stonepackedwithmortar 6=Stone
7=G.I./metal/asbestossheets 7=Slate
8=Burntbrick 8=G.I./metal/asbestossheets
9=Concrete 9=Concrete
0=Anyother 0=Anyother

Block F : Mandatory declaration