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Questionnaire on Assessment of Housing Conditions, Socioeconomic Structures and Service Facilities in Methor Colony of Pabna Municipality

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This document will be worked as a guideline on assessment of housing conditions, socio economic structure and service facility for low income housing group.

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1 Questionnaire on Assessment of Housing Conditions, Socio-economic Structure and Service Facility in Methor colony of Pabna Municipality (Academic purpose only) Questionnaire No. ¡­.... Today¡¯s date: ¡­¡­¡­¡­ ? Personal information Name: Sex: Male Age: Female Marital status: Married Religion: Unmarried Educational Background: Current Profession: Monthly income : Address: Contract number: ? Household Information Total family members: No. of children (under 18 years) No. of aged members (above 50 years) No. of school going children Total earning members in family: Total household income: ? Housing Condition 1. Please answer the following questions. Housing Type (own, rent or lease) Housing Type (Kutcha, pucca, semi pucca) Housing material (roof, fence, veranda etc.) Number of room Number of window and door Have sufficient access of air and light in the room? Area of house, room space How much pay for your home? Pabna University of Science and Technology Department of Urban and Regional Planning
2 What is your satisfaction rank on your payment? (Highly satisfied=1, satisfied=2, moderate=3, dissatisfied=4, highly dissatisfied=5) Are you face any problems for licensing for your home? What are the causes of housing problem in this area? (1=migration from rural area, 2=lake of proper coordination of responsible authority, 3=poverty, 4=others. Causes of migration Tell us about the changes of settlement pattern in this area. 2. If you have any comments, suggestions about the housing conditions, please write on it. ? Service Facility SL. No Service Facilities Satisfaction Rank Highly Satisfied Satisfied Moderate Dissatisfied Highly Dissatisfied 1 Water Supply 2 Electricity Supply 3 Drainage Facility 4 Educational Facility 5 Solid Waste Management 6 Transportation Services 7 Health Facility 8 Market Facility 9 Recreation Facility 10 Gas Supply 11 Emergency services 12 Security system
3 Here, highly satisfied=1, satisfied=2, moderate=3, dissatisfied=4, highly dissatisfied=5. 1. What is the main source of your drinking water? ? Bore well ? Submersible ? Public tap ? Open well ? Household water supply (piped) ? Others 2. Which of the following sources of water does your household use? ? Tube well ? Submersible ? Public tap ? Open well ? Household water supply (piped) ? Others 3. In a day, what is the total number of hours of water supply? ? 12 hrs ? 16 hrs ? 20 hrs ? 24 hrs 4. Please answer to the following questions: Facilities Comments (if Yes=1,No=2) Is water available (from your main source) throughout the year? Is the quantity of water that you receive (from your main source of water) adequate? Do you pay for water? Generally, does the water have a taste? Is the water supply subject to any treatment or disinfection? Have any metering system to measure the amount of water?
4 Have you made a complaint related to your drinking water service in the past one year? Is your water supply and distribution system checked/serviced periodically? E.g. are the storage tanks, pipework and any treatment equipment cleaned and inspected to ensure they are in good working order? 5. Please answer the following questions. How is the condition of pedestrian facilities? How is the condition of transportation network? Have any street lighting available beside the road? 6. Please fill up the comment box. Facilities Comments Is drainage system available in your area? (if Yes=1,No=2) What kind of drainage system is it? (Kutcha nali=1, Pucca nali=2, Open=3, underground=4, Covered with steel grill=5, others=6). 7. Please answer to the following questions: Facilities Comments (if Yes=1,No=2) Are the drains blocked by boundary wall? Are the drains blocked by garbage? Are the drains cleared regularly? Is the drainage system sufficient for carrying water of that locality? Are the water Supply lines passing through the drainage? 8. Does the wastage create any pollution? O Yes O No If yes, what kind(s)? ? Water pollution ? Soil pollution ? Odor pollution ? Above all If another source and causes of pollution exists, please specify it. 9. Have any noise pollution in this area? O Yes O No. If yes, please specify the causes of it. 10. What types of waste are generally collected? O Solid waste O Liquid waste O Both solid and liquid O Others
5 11. How often do you use Pabna Municipality¡¯s recreation facilities? O Rarely O At least weekly O At least monthly, not weekly O Several times a year but not monthly 12. Have enough open spaces or green fields? O Yes O No 13. How will you rate the responsibility showed by the municipal authority? Not Satisfied 1 2 3 4 5 6 7 8 9 Highly Satisfied 14. If you have any comments, suggestions about the service facility, please write on it. Thank you for your sincere coordination Respondent¡¯s signature

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Questionnaire on Assessment of Housing Conditions, Socioeconomic Structures and Service Facilities in Methor Colony of Pabna Municipality

  • 1. 1 Questionnaire on Assessment of Housing Conditions, Socio-economic Structure and Service Facility in Methor colony of Pabna Municipality (Academic purpose only) Questionnaire No. ¡­.... Today¡¯s date: ¡­¡­¡­¡­ ? Personal information Name: Sex: Male Age: Female Marital status: Married Religion: Unmarried Educational Background: Current Profession: Monthly income : Address: Contract number: ? Household Information Total family members: No. of children (under 18 years) No. of aged members (above 50 years) No. of school going children Total earning members in family: Total household income: ? Housing Condition 1. Please answer the following questions. Housing Type (own, rent or lease) Housing Type (Kutcha, pucca, semi pucca) Housing material (roof, fence, veranda etc.) Number of room Number of window and door Have sufficient access of air and light in the room? Area of house, room space How much pay for your home? Pabna University of Science and Technology Department of Urban and Regional Planning
  • 2. 2 What is your satisfaction rank on your payment? (Highly satisfied=1, satisfied=2, moderate=3, dissatisfied=4, highly dissatisfied=5) Are you face any problems for licensing for your home? What are the causes of housing problem in this area? (1=migration from rural area, 2=lake of proper coordination of responsible authority, 3=poverty, 4=others. Causes of migration Tell us about the changes of settlement pattern in this area. 2. If you have any comments, suggestions about the housing conditions, please write on it. ? Service Facility SL. No Service Facilities Satisfaction Rank Highly Satisfied Satisfied Moderate Dissatisfied Highly Dissatisfied 1 Water Supply 2 Electricity Supply 3 Drainage Facility 4 Educational Facility 5 Solid Waste Management 6 Transportation Services 7 Health Facility 8 Market Facility 9 Recreation Facility 10 Gas Supply 11 Emergency services 12 Security system
  • 3. 3 Here, highly satisfied=1, satisfied=2, moderate=3, dissatisfied=4, highly dissatisfied=5. 1. What is the main source of your drinking water? ? Bore well ? Submersible ? Public tap ? Open well ? Household water supply (piped) ? Others 2. Which of the following sources of water does your household use? ? Tube well ? Submersible ? Public tap ? Open well ? Household water supply (piped) ? Others 3. In a day, what is the total number of hours of water supply? ? 12 hrs ? 16 hrs ? 20 hrs ? 24 hrs 4. Please answer to the following questions: Facilities Comments (if Yes=1,No=2) Is water available (from your main source) throughout the year? Is the quantity of water that you receive (from your main source of water) adequate? Do you pay for water? Generally, does the water have a taste? Is the water supply subject to any treatment or disinfection? Have any metering system to measure the amount of water?
  • 4. 4 Have you made a complaint related to your drinking water service in the past one year? Is your water supply and distribution system checked/serviced periodically? E.g. are the storage tanks, pipework and any treatment equipment cleaned and inspected to ensure they are in good working order? 5. Please answer the following questions. How is the condition of pedestrian facilities? How is the condition of transportation network? Have any street lighting available beside the road? 6. Please fill up the comment box. Facilities Comments Is drainage system available in your area? (if Yes=1,No=2) What kind of drainage system is it? (Kutcha nali=1, Pucca nali=2, Open=3, underground=4, Covered with steel grill=5, others=6). 7. Please answer to the following questions: Facilities Comments (if Yes=1,No=2) Are the drains blocked by boundary wall? Are the drains blocked by garbage? Are the drains cleared regularly? Is the drainage system sufficient for carrying water of that locality? Are the water Supply lines passing through the drainage? 8. Does the wastage create any pollution? O Yes O No If yes, what kind(s)? ? Water pollution ? Soil pollution ? Odor pollution ? Above all If another source and causes of pollution exists, please specify it. 9. Have any noise pollution in this area? O Yes O No. If yes, please specify the causes of it. 10. What types of waste are generally collected? O Solid waste O Liquid waste O Both solid and liquid O Others
  • 5. 5 11. How often do you use Pabna Municipality¡¯s recreation facilities? O Rarely O At least weekly O At least monthly, not weekly O Several times a year but not monthly 12. Have enough open spaces or green fields? O Yes O No 13. How will you rate the responsibility showed by the municipal authority? Not Satisfied 1 2 3 4 5 6 7 8 9 Highly Satisfied 14. If you have any comments, suggestions about the service facility, please write on it. Thank you for your sincere coordination Respondent¡¯s signature