School of Management Studies
Motilal Nehru National Institute of Technology, Allahabad-211004
This Questionnaire is a component of a study being conducted for Master’s program at School
of Management Studies, MNNIT Allahabad. Your responses should be used only for academic
purpose. We thank you sincerely in advance for your valued participation.
Section A: Respondent Demographic Information
1. What is your age group?
Below 18 18-30 years 31-45 years 46-60 years Above 60
years
2. What is your gender?
Male Female Others
3. What is your highest level of education?
No formal Primary, Higher Secondary Graduate and above
education Secondary
4. What is your primary occupation?
Farmer Labourer Self-Employed Home Un-
Maker employed
5. How many people live in your household?
1-3 4-6 7-9 10 or more
6. What is your marital status?
Married Unmarried Widow/Widower Divorced/Separated
7. Do you belong to any specific social category?
General OBC SC ST
8. What is your religion?
Hindu Muslim Christian Others
9. Do you have any physical disability?
Yes No
10 How long have you been living in this village?
.
Less than 10-20 years 20-30 years More than
10 years 30 years
Livelihood Information
1. What type of house do you live in?
Kutcha Semi-Pucca Pucca Do not own
a house
2. Do you have access to clean drinking water?
Yes No
3. Do you have a toilet facility at home?
Yes No
4. Does your household have access to electricity?
Yes (24/7) Yes (irregular) No
5. What type of fuel do you use for cooking?
Firewood LPG Cowdung Other
6. Where do you go for healthcare?
Govt. Private Traditional healer
hospital clinic
7. Is there a school in your village?
Yes No
8. Do you have access to regular transportation service?
Yes No
9. Does your household own any agricultural land?
Yes No
10 Do you have access to any government welfare schemes other than MGNREGA?
.
Yes No
Economic Profile
1. What is your monthly household income (in INR)?
Less than Rs.5,000 Rs.10,000-20,000 More than Rs.20,000
Rs.5,000 -10,000
2. How many days did you work under MGNREGA in the last year?
less than 30-60 60-90 More than Did not
30 days days days 90 days worked
3 Do you receive any financial support from the government (e.g., pension, subsidies)?
Yes No
4. Do you have any outstanding loans or debts?
Yes No
5. Do you own livestock (e.g., cows, goats, chickens)?
Yes No
6. How often do you struggle to afford three meals a day?
Always Sometimes Rarely Never
7. What percentage of your income is spent on food?
less than 30-50% 51-70% More than
30% 70%
8. What is the main source of your household income?
Agriculture MGNREGA Private Other
job
9. What percentage of your income is saved each month?
less than 10-20% 21-30% More than 30%
10%
10. How many MGNREGA wage payments did you receive in the last 6 months?
0 1-3 More than 3