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Questionnaire Survey: Socio-Economic Status
1. Name: 2. Age: 3. Ethnicity 4. Number of children: Number of males [ ] Number of females [ ] 5. Highest level of education: 6. How many people are currently living in your household, including yourself?
8. How many people are working in your household? :
9. Household income per month:
10. What are the different sources of income for the e ntire household? if any.
11. Who pays the electricity bill every month in this ho usehold? father mother children (s) relatives other (specify)
Energy source
12. What type(s) of energy do you use in your home for cooking? electricity [ ] bottle gas (LPG or propane) [ ] coal [ ] firewood [ ] kerosene [ ] solar [ ]
other (specify) 13. Which one do you prefer? electricity [ ] bottle gas (LPG or propane) [ ] coal [ ] firewood [ ] kerosene [ ] solar [ ] other (specify) 14. Why do you prefer this source of energy? convenience [ ] cheap [ ] cultural preference [ ] no choice [ ] easily accessible [ ] other (specify)
Energy Conservation at Home
15. How do you save energy at home? switching off the electric bulb when not in use [ ] putting off electric equipment’s when not in use [ ] switching off LPG gas when not in use [ ] switching off the paraffin stove when not in use [ ] use water to extinguish coal fire after in use [ ] use water to extinguish wood fire after use [ ] all of the above [ ] None of the above, state other means of saving energy
16. Which of the following appliances do you use at home? electric kettle [ ] electric iron [ ] refrigerator [ ] television [ ] radio [ ] hair dryer [ ] computer [ ] micro wave [ ] other (specify) [ ]