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0% found this document useful (0 votes)
16 views10 pages

Questionnaire

questionaire for survey
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 10

Checklist for EIA Study of Saiti Khola Small Hydroelectric Project

Household Survey
__________________________________________________________

!= kl/ro
!=! cGtjf{tf lbg] AolQmsf] gfd 7]ufgfM

-s_ lhNnfM -v_ uf=lj=;M

-u_ 6f]n /:yfgM -3_ jf8{ g+=M

!=@ kfl/jfl/s ljj/0f


-s_ 3/d'lnsf] gfdM >Ldfg\ / >LdtL

===========================================
===================
-v_ hftLM -u_ pd]/M -3_ lnËM □ k'?if
dlxnf □

-ª_ j}jflxs l:yltM -r_ wd{M -5_ Joj;fo -3/d'nLsf]_M

-h_ a;]sf] jif{M -em_ lzIff M

-`_ s'n kl/jf/ ;+Vof ========


pd]/ ;d'x k'?if k]zf dlxnf k]zf hDdf
)–% aif{
^–!) aif{
!!–!% aif{
!^–$%
aif{
$%–^)
aif{
^) eGbf
dfly
hDdf

!=# ljBfno hfg] pd]/sf afn aflnsf -^–!% aif{_


ljBfno uPsf ljBfno guPsf
k'?if dlxnf k'?if dlxnf

1/10
Checklist for EIA Study of Saiti Khola Small Hydroelectric Project

hDdf

@= ;fIf/tf M -tkfO{sf] kl/jf/df_


n]vk9 P;=Pn=;L= :gfts :gftsf]Q/ hDdf
ug{ ;Sg] plQ0f{
dlx
nf
k'?
if
hD
df

#= 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

#=# uf=lj=;= jf j8f aflx/ s'g 7fpFdf hUuf 5 ?

s|; 7fpFsf] hUuf s}lkm


= gfd v]t jf/L v/jf/L jg ot

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

s|=; lsl;d If]qkmn


+=
3/ !
3/ @
3/ #

-!_ 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

s| af]6lj?jf lj?jf ;+Vof hDdf


+; kmn kmn
+= nfPsf] gnfPsf]
@) 6fsL
@! lub/L
@ cGo
@
@# OGwgsf] nflu k|
of]u ug]{ af]6 lj?jf
@$ sf7df k|of]u x'g]
af]6lj?jf
@% jfF; lgufnf]

#=^ s] tkfO{sf] hUufdf ePsf] ut aif{sf] pTkfbgn] tkfO{sf] kl/jf/nfO{ vfg


kof{Kt eof] <

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 <

s= C0f u/]/ v= gf]s/Laf6 ePsf] cfDbfgLaf6


u= Jofkf/Lsf] cfDbfgLaf6 3= ef/L af]s]/ ePsf] cfDbfgLaf6
8= b}lgs dhb'/af6 ePsf] r= cGo
================================

#=( kz'kfng ;DaGwL M


tkfO{sf] 3/df slt ÷s:tf kz' kIfLx? kfNg' ePsf] 5 <
s| kz'k+IfL ;+Vof
=;
+

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]_

$= 3/ kl/jf/sf] jflif{s cf}ift cfDbfgL M


>f]t Jfflif{s >f]t jflif{s
cfDbfgL -?=_ cfDbfgL -?=_
s[lifaf6 cGo >f]tx?
vfBfGg gf]s/L, ;]jf
gub]jfnL Hofnf dhb'/L /
e/Lof
kmnkm'n lgj[lte/0f
hDdf -!_ Jofkf/
kz'kfngaf6 3/]n' pBf]u
b'Uw pTkfbg k]zfut ;]jf
c08f s'v'/f xfF; df5f lasL|
lasL|
af5f÷af5L÷uf]? cGo
÷lals|
e}l; ÷/fFuf] hDdf -#_
lals|
af]sf÷v;L÷e]8f

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

%= 3/ kl/jf/sf] jflif{s cf}ift vr{ M


ljj/0f hDdf /sd -?=_ ljj/0f hDdf /sd -?=_
Rf.dn lrof
bfn bfp/f
ds} lah'nL
t/sf/L dl§t]n
b'3÷bxL cf}iflw
df5f÷df;' lzIff
t]n÷Wo" sk8f
d/–d;nf rf8kj{
g'g cGo
lrgL
hDdf vr{

^=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

@
#
$

-/f]usf] k|sf/M– lb;fkvfnf, cfp+, 6fOkmfO{8, x}hf, dn]l/of, 6LjL, hG8L;,


5fnf ;DaGwL, lgdf]lgof,
bd, /Strfk, P8\; / of}g /f]u, cGo_

-u_ lj/fdL kbf{ ;j{k|yd sxfF hfg'x'G5 ?


==========================================

-3_ ToxfF lgsf] geP sxfF hfg'x'G5 ? s|dz pNn]v ug'{xf]; .

s| hfg] 7fpF /x]sf] :yfg b"/L -


+=; ls=dL=_
+
! c:ktfn
@ x]Nykf]:6
# x]Ny ;]G6/
$ cfo'a]{lbs
cf}ifwfno
% lglh
lSnlgs/cf}ifwL k;n
^ wfdL emfs|L
& cGo

*=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

s| sfdsf] ljj/0f lx:;f k|ltztdf


+=; k'?if dlxnf
& l;+rfO{
* sf6\g]
( af]Sg] / yGsfpg]
!) cGg k|;f]wg -
s'6fO{ lk;fO{_
!! 3fF; bfp/f
!@ uf]7fnf]
!# d]nfkft
!$ vfgf ksfpg]
!% kfgL kw]/f]
!^ aRrfaRrL /
a'9fa'9L x]/ljrf/

-v_ ;DklQdf clwsf/


s| sfdsf] ljj/0f lx:;f k|ltztdf
+=; k'?if dlxnf
+
! 3/
@ hUuf
# kz'
% u/uxgf
^ pBf]u wGbf
& cGo

-u_ lg0f{o k|ls|ofdf clwsf/


s| sfdsf] ljj/0f lx:;f k|ltztdf
+=; k'?if dlxnf
+
! jfnL /f]Hg]

9/10
Checklist for EIA Study of Saiti Khola Small Hydroelectric Project

s| sfdsf] ljj/0f lx:;f k|ltztdf


+=; k'?if dlxnf
@ kz' v/Lbljs|L
# u/uxgf v/Lbljs|L
% cGg v/Lbljs|L
^ kmnkm"n v/Lbljs|
L
& kz'hGo kbfy{
v/Lbljs|L
* sf7 bfp/f v/Lbljs|L
( ljxfjf/L
!) kl/jf/ lgof]hg
!! 5f]/f5f]/L
k9fO{ n]vfO{
!@ cGo

(= d'cfAhf ;DaGwLM

-s_ tkfO{sf] 3//hUufsf] d'cfAhf s] df rfxg' x'G5 ?

gub□ hUufsf] ;§f hUuf □ cGo □


-v_ olb tkfO{n] d'cfAhf gubdf kfpg' eof] eg] pQm d'cfAhf /sd s] df k|
of]u ug'{ x'G5 ?
hUuf lsGg] □ 3/ jgfpg] □ C0f ltg]{ □
Aofkf/ ug]{ □ cGo □

!)= k|:tfj sfof{Gjog ubf{ s] s:tf] k|efj kg{ ;Sb5 ;f] ;DaGwL /fo ;'emfj 5 ?

;sf/fTdsM gsf/fTdsM

10/10

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