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					VILLAGE QUESTIONNAIRE

Name of respondent 1 (Education section): _______________________________
Title: _____________________________
Living ____ 1 = in this place; 2 = in another place
(respondent is schoolteacher)

Name of respondent 2 (Village key person): _______________________________
Title: _____________________________
Living ____ 1 = in this place; 2 = in another place
Note: respondent 2 not needed if respondent 1 knows information for other sections.

II.     EDUCATION
Please list all of the schools in your village:
2a.       2b. Name                              2c. Address                                   2d. Administration:
School                                                                                        1. Government Madrasha
number                                                                                        2. Non-government Madrasha
                                                                                              3. Government School
                                                                                              4. Non-government School/
                                                                                              5. Kindergarten
                                                                                              6. BRAC School
                                                                                              7. Other NGO School
                                                                                              8. Government College
                                                                                              9. Non-government College
                                                                                              9. Other (specify)
1
2
3
4
5



Schoo    2e.        2f.      2g.       2i.     2j. Total      2k. What 2l. Total     Secondary school only
l        What       Lowest   Highest Teachin students         percent  teachers in   (primary schools and
numbe    year       class    class     g Hours                of       school        colleges >> next line)
r        was this   taught   taught at                        students
                                                                                     2m. Did any        2n.
         school     at       school                           in this
                                                                                     students in this   Number
         estab-     school                                    school
                                                                                     school take the    of student
         lished?                                              live in
                                                                                     SSC exam this      that took
                                                              this
                                                                                     current year?      SSC exam
         YYYY                                                 village?
                                                                                     1 = yes
                                                                                     2 = no (>> 2o)
1
2
3
4
5
For all of the secondary schools above:
                                    Secondary Schools only
Scho   2o.                                  Girls stipend program
ol     Number
num    of         2s.           2t.         2u.       2v.       2w.         2x.
ber    students   What year     6th grade   7th grade 8th grade 9th grade   10th grade
       that       did any       Students?   Students? Students? students    students?
       passed     students in
       SSC        this school   YYYY        YYYY       YYYY         YYYY    YYYY
       exam       begin
                  receiving
                  the
                  secondary
                  school
                  stipend?
                  YYYY
1
2
3
4
5


III. Facilities
 Name             3a. In this        3b.         3c. Time           3d. Most common      3e. Type of road
                  village?           Distance    needed to          mode of              1 = metal
                  1 = yes (>>        of          reach              transportation       2 = brick
                  next facility)     closest     Hrs    Min.        (see codes below)    3 = mud
                  2 = no             (km.)
Bus station
(Key
landmark in)
Dhaka city
Girls'
secondary
school
Boys'
secondary
school
Secondary
school for
girls and
boys
Thana health
center
Govt. district
hospital
Cart/ horse = 1, Rickshaw/ van/ bicycle= 2, Baby taxi/ tempo/ motor = 3, Bus = 4, Truck/ trolley = 5, Train = 6,
Launch/ steamer/ engine boat = 7, Country boat = 8, On foot = 9, Other (specify) = 10

IV. Employment
What are the top three major industries that men and women who work outside the home work in?
4d.Men (1) _____________________             4e. Women (1) ________________________

        (2) _____________________                               (2) ________________________

        (3) _____________________                               (3) ________________________


Please give the following daily wage rates for agricultural labour, if this type is hired in village:
                During peak season                            During lean season
                 4f. With food 4g. Without       4h. Working 4i. With food 4j. Without           4k. Working
                 (Tk.)         food (Tk.)        hours/day   (Tk.)         food (Tk.)            hours/day
Male
Female
Children
(less than age
12)

In general, in this village, are there [___] who want a job at the wages paid by factories in the EPZ, but
there aren't enough jobs for them (i.e., the factories aren't hiring)?
4m. Men? ______ (1 = yes, many; 2 = yes, a few, 3 = none)
4n. Women? _______ (1 = yes, many; 2 = yes, a few, 3 = none)

4o. If answered yes to either above, are there any sorts of people who are especially unlikely to be able
to get a job in the EPZ, even if they want one? (list up to 3 main groups)
(1) _______            (2) ________           (3) _________
Codes: 1 = Poor                                               5= Recent migrants
        2 = Young people                                      6 = Not educated
        3 = Older people                                      7 = Other (specify:                 )
        4 = People who don't know anyone currently working there

4p. Among the factories outside of the EPZ, are there factories in particular that people in this village
are especially likely to work in? (list up to 5, starting with the most common)
                 GARMENT FACTORIES (if any)                NON-GARMENT FACTORIES (if any)
                 Name                                       Name
1 (most
common)
2


3


4


5

				
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posted:6/13/2012
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