NUMBER OF PEOPLE IN

DATE PROFORMA NO. ENUMERATOR'S NAME AREA WARD NO. COLONY NAME OF STREET HOUSE NO. NAME OF THE HEAD OF HOUSEHOLD SEX TYPE OF OWNERSHIP TYPE OF HOUSEHOLD WHETHER MIXED USE IF YES, SPECIFY TYPE AGE OF THE BUILDING NO. OF STOREYS CONDITION OF THE BUILDING
FAMILY
 ROOFING WALLING FLOORING
PLOT AREA BUILT-UP AREA AREA/HOUSEHOLD PARKING FACILITY SECURITY PROVISION HOUSE CONDITION FAMILY CONDITION
PUCCA SEMI-PUCCA KUTCHHA OTHERS PUCCA SEMI-PUCCA KUTCHHA OTHERS PUCCA SEMI-PUCCA KUTCHHA OTHERS RELATION WITH HEAD M/F MARITAL STATUS 0-5 5-8 9-18 18-25 25-60 >60 EDUCATION
 Water Supply
P1
TRANSPORTATION WHERE DO
WATER TANK STORAGE DISTANCE TRAVELLED IF FREQUENCY OF
MIGRATED MODE CHILDREN PLAY SOURCE TAX AVG. MONTHLY BILL DURATION (HOURS) TREATED/UNTREATED
OCCUPATION NATURE OF OCCUPATION RESIDING HERE SINCE CAPACITY (LTS.) APPLICABLE SUPPLY PER DAY
FROM REASON TO REASON
 Sewerage & Sanitation

FREQUENCY OF FACILITY OF PAY & USE TOILET IN NO. OF HH DRAINAGE SEWERAGE NETWORK/ WATER LOGGING (PERIOD &
WATER PURIFIER GREY WATER REUSE RAINWATER HARVESTING SATISFACTION LEVEL TYPE OF TOILET SEWAGE DISPOSAL TYPE OF DRAIN MAINTENANCE OF DRAINS SATISFACTION LEVEL NO. OF DUSTBINS
MAINTENANCE OF PIPELINE NEIGHBOURHOOD SHARING TOILET CONDITION SEPTIC TANK SYSTEM NO. OF DAYS)
 Solid Waste
EDUCATION
DISTANCE OF DISPOSAL FREQUENCY OF SWM TAX (IF
CAPACITY OF BIN WASTE SEGREGATION WILLINGNESS TO SEGREGATE COLLECTION METHOD FREQUENCY OF COLLECTION COMPOSTING SATISFACTION LEVEL
(IN MTS) ROAD SWEEPING ANY) LOCATION DISTANCE TRAVEL TIME TRAVEL COST MODE OF TRAVEL SATISFACTION LEVEL LOCATION DISTANCE TRAVEL TIME
 Social Infrastructure
HEALTH RECREATION/CULTURAL CIVIC AMENITIES ANY AMENITIES
MAJOR PROBLEMS IN THE SECTOR
REQUIRED
TRAVEL COST MODE OF TRAVEL SATISFACTION LEVEL LOCATION DISTANCE TRAVEL TIME TRAVEL COST MODE OF TRAVEL SATISFACTION LEVEL LOCATION DISTANCE TRAVEL TIME TRAVEL COST MODE OF TRAVEL SATISFACTION LEVEL