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Questions marked with a * are required Exit Survey
 
 
* Name of district?
   
 
 
 
* Do the HFA beneficiaries have a metered power connection? (distribute percentages - eg. 50% yes, 50% no)
Yes
No
0
Values must add up to 100
 
 
 
* How many hours of power available on an average out of 24 hrs in the rural households of HFA beneficiaries? (Type 18 if 18/24 hours of power is available)
   
 
 
How many electricity points being used currently by HFA beneficiaries for their rural households on an average.(eg. for 3 tubelights, 1 fan and 1 TV,1 Fridge - slide answers to 3,1,2)
* Tubelight
-
* Fan
-
* Others (appliances, mobile charger etc.)
-
 
 
 
* Distribute percentages for most commonly used water source for household needs of the HFA rural beneficiaries.
Personal Tube well/ Personal Well (Kuaan)
Community Hand pump/ Community Well
Water body - River, lake, pond, canal etc.
Govt water supply - pipeline, tanker etc.
Other
0
Values must add up to 100
 
 
 
* Mention most commonly used 3 overhead water tank brands being used by beneficiaries / in their respective Gram Panchayats. (mention 3 brands with space in between)
   
 
 
 
* Capacity of plastic overhead water tank being used / to be used by HFA rural beneficiaries in litres (type 500 for 500 Litres capacity)
   
 
 
 
* How are the beneficiaries managing a plan for house construction? Distribute percentages.
No House plan being used
Plan of existing neighbour/relative
Draftsmen designs
Architect design
Govt. approved designs of HFA
0
Values must add up to 100
 
 
 
* Do the HFA beneficiaries have piped drinking water supply connection.(distribute percentages)
Yes
No
0
Values must add up to 100
 
 
 
* Are the HFA rural beneficiaries planning to build their own toilets ? Distribute percentages.
Yes
No
0
Values must add up to 100