Questionnaire
Questionnaire
Household Survey
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!= kl/ro
!=! cGtjf{tf lbg] AolQmsf] gfd 7]ufgfM
===========================================
===================
-v_ hftLM -u_ pd]/M -3_ lnËM □ k'?if
dlxnf □
1/10
Checklist for EIA Study of Saiti Khola Small Hydroelectric Project
hDdf
#= s[lif -e'–pkof]u_
#=! tkfO{ jf kl/jf/ ;b:osf] gfddf uf=lj=;=/j8f leq hUuf 5 ?
5 □ 5}g □
#=@ olb 5 eg] slt 5 < /f]kgLdf eGg'xf]; M
s| :jfldTj v]t af/L v/jf/L jg s}lkm
=+ ot
;=
! cfkm\g}
@ ;uf]nsf]
# sdfO{ cfPsf]
$ sdfpg lbPsf]
% hDdf
2/10
Checklist for EIA Study of Saiti Khola Small Hydroelectric Project
#=$ tkfO{sf] hUuf cfof]hgf leq k5{ ? (Please mention the component of project where
HH falls)
3/ v]t
□ nDafO{ -lkm6df_ □ kfvf] af/L
□ rf}8fO{ -lkm6df_ □ h+un
□ 5fgf □ cGo
□ tNnf
□ sf]if □ cGbfhL d"No -rngrNtLdf_ g]?=
-s_ cfof]hgf If]q leq tkfO{sf] sltj6f 3/ / uf]7 5g\ .
3/ uf]7
-!_ sRrL–v/n] 5fPsf] -@_ kSsL -9'Ëf, O{6fsf] kvf{n / 9nfg lemu6L jf l6gsf] 5fgf] _
;+Vof If]qkmn
uf]7
cGo -v'nfpg]_
#=% -s_ tkfO{sf] cfof]hgf If]q leq kg{] hldgdf s'g s'g km;n nufpg' x'G5 <
s| vfBfGg jfnL nufPsf] pTkfbg kl/0ffd
+; jfnL If]qkmn
+=
!= vfBfGg afnL
wfg
ux'
ds}
sf]bf]
bfn
u]8fu'8L
3/10
Checklist for EIA Study of Saiti Khola Small Hydroelectric Project
cGo
@= gub] jfnL
cfn'
tf]/L
t/sf/L
cGo
-v_ pQm hUufdf nufPsf] kmnkm"n / cGo af]6 lj?jfsf] ljj/0f lbg'xf];
s| af]6lj?jf lj?jf ;+Vof hDdf
+; kmn kmn
+= nfPsf] gnfPsf]
! kmnkm"n
@ sfutL
# ;'Gtnf
% cfFk
^ d]jf
& cDaf
* lnRrL
( s6x/
!) s]/f
!! cf?
!@ gf:kftL
!# cf?jv8f
!$ cGo
!% 8fn] 3fF;
!^ kfv'/L
!& sfe|f]
!* j8x/
!( vgfof]
4/10
Checklist for EIA Study of Saiti Khola Small Hydroelectric Project
eof] ePg
#=& olb ck|of{Kt eof] eg] slt dlxgfsf] nflu k'u]g < dlxgf
-s_ ltg dlxgf -v_ 5 dlxgf
-u_ gf} dlxgf -3_ afx| dlxgf
#=* cfˆgf] pTkflbt vfBfGg ck|of{Kt ePsf] a]nf cfˆgf] kl/jf/nfO{ s;/L v'jfpg'
x'G5 <
5/10
Checklist for EIA Study of Saiti Khola Small Hydroelectric Project
=
! ufO{
@ uf]?
# e};L
$ af5f
% afl5
^ kf8f
& kfl8
* /fFuf]
( 3f]8f
!) afv|f
!! af]sf
!@ v;L
!# kf7f÷kf7L
!$ ;'Fu'/÷a+u'/
!% xfF;
!^ s'v'/f
!* cGo -v'nfpg]_
6/10
Checklist for EIA Study of Saiti Khola Small Hydroelectric Project
÷afv|f lals|
;'u+/÷a+u'/
lals|
s'v'/f÷xfF; ljls|
hDdf -@_
hDdf cfo -!+@+#_M
^=kfgLsf] cfk"lt{
-s_ tkfO{n] o; vf]nfsf] kfgL pkof]u ug'{ x'G5 ls x'b}g ?
u5'{ □ ulb{g □
-v_ olb vf]nfsf] kfgL k|of]u ug'{ x'G5 eg] s'g k|of]hgsf] nflu k|of]u
ug'{x'G5 ?
l;+rfO{ □ g'xfpg], sk8f w'g] □
lkpg] □ cGo □
&=:jf:Yo ;DalGwM
-s_ tkfO{sf] kl/jf/df s'g} ;b:o ljut jif{df lj/fdL ePsf lyP ?
lyP □ lyPgg\ □
-v_olb lyP eg] lgDg ljj/0f lbg'xf];\ ?
s|;+ gftf k'?if dlxnf pd]/ /f]u
!
7/10
Checklist for EIA Study of Saiti Khola Small Hydroelectric Project
@
#
$
*=dlxnfsf] cj:yfM
-s_ >dsf] jlu{s/0f
s| sfdsf] ljj/0f lx:;f k|ltztdf
+=; k'?if dlxnf
+
! vghf]t
@ dn /fVg]
# hldg tof/L
% /f]Kg]
^ uf]8d]n
8/10
Checklist for EIA Study of Saiti Khola Small Hydroelectric Project
9/10
Checklist for EIA Study of Saiti Khola Small Hydroelectric Project
(= d'cfAhf ;DaGwLM
!)= k|:tfj sfof{Gjog ubf{ s] s:tf] k|efj kg{ ;Sb5 ;f] ;DaGwL /fo ;'emfj 5 ?
;sf/fTdsM gsf/fTdsM
10/10