Rapid Assessment to Understand Challenges Faced by Rural Communities

This survey is to conduct a rapid assessment of the challenges being faced by the rural communities and the support required. The survey may be undertaken for 10 households in a village (4 women, 4 men from different social and economic backgrounds, and 2 from the most disadvantaged/vulnerable group in the village, for instance, single women headed households, landless, households with specially abled person/s).

Name of the enumerator

Contact number

Name of the organization

Name of respondent

Location

State:

District:

Block/Taluk:

Village:

Age

Sex

Do you have a working Jan Dhan account?

Yes No

Is there any senior citizen / specially abled person / pregnant woman in your household?

Yes No

Is there anyone in the village who has recently returned from outside the village?

Yes No

Do you have a family member who is stranded in a different place?

Yes No

Do you have food / ration for your family for the next one month?

Yes No

Is water available in your village for drinking and other purposes?

Yes No

Do you have enough fuel wood/ LPG for cooking for another one month ?

Yes No

Do you have access to grazing land or forest to graze your livestock or collect NTFP from there?

Yes No

Do you have access to agricultural inputs?

Yes No

Are you able to sell your agricultural produce / dairy products / poultry/NTFPs?

Yes No

Are you getting any work in your village?

Yes No

Do you have access to health facility?

Yes No

Were you able to withdraw money (Rs.500) from your Jan Dhan account?

Do you have access to information on social security schemes?

Yes No

Do you have access to medical supplies (such as mask, soap, water)?

Yes No