SURVEY QUESTIONNAIRE A. BASIC FAMILY DETAILS 1. Name of the respondent _____________________ 2.

Name of the Head of the Household __________________________ 3. Relationship of the respondent with the Head of the Household a. Self b. Spouse c. Others (please specify ___________________)

4. Socio-economic profile of the household (Please encircle the choice applicable) SOCIAL CATEGORY a. General b. OBC c. SC d. ST VULNERABILITY RELIGION

a. Female headed a. Muslim household b. Below Poverty Line b. Hindu c. Disabled d. Elderly e. Multiple vulnerability f. Not Applicable c. Christian d. Sikh e. Others specify (Please

5. Family Size and Composition 5.1. Family Type a. Nuclear Family b. Joint Family c. Extended Family 5.2. Family size Total members in the household (i.e. living and eating together) 5.3. Adults (aged 18 and Total Men Wom over) en 5.4. Children (aged less than 18) B. ENLISTMENT Total Boys Girls

6. Does the household head/spouse has a voter ID card?

No

A. Yes

b.

7. Does the household have a ration card?

7.1. If yes, type of ration card: a. BPL

A. Yes b. APL

b. No

C. EDUCATIONAL FACILITIES 8. Education status of the Household Educated adults (18 years and over) in the family No. of Educated Out of the total educated adults, no. of Men Women

8.1. Are all the children of school going age in the family attending school? A. Yes B. No

8.2.

If yes, type of school attended by children: b. Private school c. Madrassa

a. Government school
d. Any other (specify

8.3. 8.4.
8.5.

If NO, number of dropouts in the family: ________________ Out of this, number of: b. Girls Reason for dropout: b. Quality of e. No interest g. Social i. Any other (please A. Boys .

a. Poverty-economic condition of the family

education c. Marriage d. Household responsibility in studies f. Failure in a particular class / grade taboos (in case of girls etc.) h. Non availability of educational institutions specify ______________

D. ECONOMIC STATUS OF THE HOUSEHOLD 9. What is the main source of income of the household? a. Agriculture c. Weaving e. Small vendors g. Salaried - Private Service b. Allied Agriculture d. Trade/Business f. Salaried - Government h. Wage labour

i. Skilled Labour (Electrical, plumber, mechanic) dependent k. Any Other (Please specify.............................)

j. Remittance

10.

How many members of the household (above 14 years) are income earners?

11.Who is the main income earner in the household? a. Male Child/Children b. Female c. Both d.

12.What is the education status of the main income earner of the family?

a. Primary: Class 0 V

b. Middle: Class VI VIII e. Graduate h. Illiterate

c. f. Posti. No

Secondary: IX X d. Higher Secondary: Class XI XII Graduate g. Functional Literacy Response

13.In case female of the household are also involved in income generation, what occupation are they involved in?

E.

INCOME DETAILS

14.

What is the total income of the household each month?(from all sources): Rs............

15.Out of this, average income earned through weaving and, or weaving related activities each month? Rs. 16.Is the income regular? 1. Yes 2. No

17.

Months during which work is not available or erratic thus affecting income:

18. What is the total daily/monthly expenditure of the household? (Measure against the following items) S.No . 1 2 3 4 5 ITEM Food Energy (Petrol, electricity) Health care Education Transportation gas, DAILY EXPENDITURE MONTHLY EXPENDITURE

6 7 8

Clothing Cosmetics

Festivals and social ceremonies 9 House maintenance and repair work 10 House rent 11 Cell phone expense 12 Entertainment 13 Others ) (Please specify

F. INCIDENCE OF CHILD LABOUR IN THE HOUSEHOLD 19.Are any children below 14 years of age involved in income generation work? a. Yes b. No 19.2. If yes, how many income earners in the family are children aged under 14? .. 19.3. Out of these how many are: .. 20.Education status of working children c. Never went to school GIRLS:. BOYS:

a. Going to school b. Drop outs A. Yes

21.Are the employed children engaged in weaving related activities? b. No

21.2. If yes, what is the type of work undertaken by children in weaving?

21.3. If NO, what occupation are the children engaged in?

22.

Place of work of children: a. At home b. With contractor / employer within community c. Outside community (please specify__________________) d. Any other (please specify_______________

23.Daily hours of work of children: .hours/day

24.No. of work days of children per month

25.Daily wage of the child: per/day

26.

Engagement of children in income activities? Part- Time

A. Full-time

b.

G. UNEMPLOYMENT

27.

Are there any family members above the age of 18 who are currently unemployed? a. Yes b. No

27.1. If yes, number of family members who are unemployed: .

27.2. Reason for Unemployment, 1. Lack of Employment opportunities employment 3. Not willing to work 5. Any other (Please specify. H. S.N o. 1 ASSET OWNERSHIP STATUS TYPE OF ASSET Agricultural Land Ownership Status 1. Yes 2. No 1. Yes 2. No 1. Yes 2. No (cow, 1. 2. 1. 2. Yes No Yes No If yes, type of Size/No. Asset 1. Irrigated land 2. Unirrigated land In acres 1. Kutcha 2. Semi Kutcha 3. Pucca In no. In no. 4 5 6. 7 8. Livestock buffalo etc.) Vehicles TV Radio Mobile Phone In No. 1. Motorized 2. Non motorized 2. Lack of Appropriate skills for 4. Not physically fit for work

House

Pond

1. Yes 2. No 1. Yes 2. No 1. Yes 2. No

I. SAVINGS AND CREDIT

28.

Does the household make any savings each month? b. No

a. Yes

28.1. If yes, what is the average savings per month?

29. During past 2 years, have you taken any credit?

b. No 29.1. If yes, for what purpose? 1. Marriage and/or Social function Medical Emergency 3. For buying land/asset 5. Any Other .

a. Yes

2. Illness in the family and/or 4. For Weaving related work 6. Not Applicable

30. In case took loan for weaving, please specify for what purpose? A. Buying Raw Material weavers employed C. For dyeing B. Paying to the D. For repair of loom etc

E. Any Other (specify F. Not Applicable

31. What was the source of credit?

1. Bank 2. Cooperative Moneylender 4. Contractor 5. Employer Relative /Friend 7. Any other 8. Not applicable 3. 6.

32. Did you pay any interest for the loan taken?
c. Not Applicable 32.1. If yes, please specify the rate of interest:

a. Yes

b. No

33. Did you have to keep anything mortgaged for the loan? a. Yes `
Not Applicable 33.1. If yes, what did you mortgage?

b. No

c.

J.

MIGRATION (LABOUR MOBILITY) A. Yes B. No

34. Have any of your family members migrated for work?

34.1. If yes, for many months in a year? 34.2. Place of Migration: Outside the State c. Outside the Country

a. Another District/City within the state d. Not Applicable

b.

34.3.

What kind of job is being undertaken? b. Non-Agri. Labour d. Factory worker Rs 1. Yes 2. No. 3. Not c. Trade &

A. Agri. Labour Business e. Not Applicable 34.4. Annual earning:

34.5. Is migration an annual event?

Applicable K. HEALTH RELATED

35. Please give details of the major ailments/diseases in your family during past one year

36. In case of illness, where do you most frequently go for treatment?

1. Govt facility (hospital/PHC) Doctor 2. Local quacks 3. Pvt.

4. Private Hospital

37. Is there any member in your family who is suffering from any chronic/serious illness? (Diabetes, Asthama, Arthritis,) a. Yes b. No 37.1. If yes, what? _________________________________ L. QUALITY OF LIFE 38. What is the source of drinking water for the household? 1. House Connection Tubewell/Handpump 4. Dugwell River 7. Private Vendor Others (Specify. 8. Corporation Tanker 9. 5. Pond 6. 2. Public Standpost 3.

39. Do you get adequate quantity of safe drinking water everyday? 1. Yes 2. No 40. What kind of toilet arrangement is used most regularly by the men, women and children in your household? A. Use a toilet in the house B. Use a public toilet C. Open defecation

D. Other (Specify 41. Do you have an electricity connection? 1. Yes 2. No.

M. WEAVING RELATED QUESTIONS 42. Type of weaver: ...............................................

43. Type of product made:

A. Sarees specify ....................... D. All of the above 44. Do you work throughout the year? a. Yes b. No B. Scarves C. Anything else (please

44.1. If NO, which months do you receive maximum work? 45. How many hours per day do you work for? 46. Do you get any weekly offs? a. Yes b. In kind b. No c. Do not get

47. How are you paid?

paid

A. In cash

47.1. If response is C, what is the reason behind it?

48. How often are you paid? 1. Daily 2. Weekly 3. Bi-weekly 4. Monthly 5. One time payment for a set period of work 6. Any other (please specify. 49. Are there any deductions from your wages? 49.1. If yes, what? 50. Are the daily wages same for men and women for the same kind of work? Yes b. No 50.1. If no, why? 51. Are there any instances of injury and accidents during any of the weaving processes? a. Yes b. No a. a. Yes b. No

52. If yes, are any safety / protective gear required while weaving to prevent these injuries? a. Yes b. No c. NA

52.1. If YES, what are these safety gears?

52.3. If YES, do you wear any of these safety / protective gear during weaving? a. Yes b. No a. Yes c. NA b. No c. NA

52.3. If YES, do you have to pay for them?

53. In case of non-usage of safety equipments, please give us a reason why is it so?

N. FORCED LABOUR AND HARASSMENT

59. Are you aware of any situations of weavers working against their will (forced, bonded, indentured labour, including both past or present cases)? A. Yes b. No

59.1. If yes, describe ________________________________

60. Have you ever faced any harassment from your employer / contractor? a. Yes b. No

60.1 If yes, what kind of harassment a. Verbal b. Physical c. Mental d. Intimidation

O. FREEDOM OF ASSOCIATION

61. Are there any union of weavers in the area?

a. Yes

b. No

61.1. If yes, are you a members of this Union? a. Yes Not Applicable

b. No

c.

61.2. If yes, what are the benefits of being part of this Union?

61.3. If NO, reason for not joining the Union?

62. Are there any cooperative society of weavers in the area? b. No

a. Yes

62.1. If yes, are you a member of this Cooperative? a. Yes Not Applicable

b. No

c.

62.1. If yes, what are the benefits of being part of this Union?

62.3. If NO, reason for not joining the Cooperative?

P.

SUGGESTIONS

63. What kind of support and developmental interventions are needed for the development of the weavers households in your area?