Official No. of A.C. Official No. of P.S. Respondent No.

ABP-LOKNITI, CSDS POST POLL STUDY - 2017 As in voter list F1. A.C. Name: ______F2. P.S. Name: ______F3. Name and address of the respondent______F4. Name of the investigator ______INVESTIGATOR’S INTRODUCTION AND STATEMENT OF INFORMED CONSENT My name is ______and I have come from the Centre for the Study of Developing Societies (also give your university’s reference), a social science research organization in Delhi. We are conducting a survey on the recently held Assembly election and interviewing hundreds of people across Goa to guage their attitudes and opinions on political issues. This survey is an independent study and is not linked to any political party or government agency.Whatever information you provide will be kept strictly confidential. Participation in this survey is voluntary and it is entierly up to you to answer or not answer any question that I ask. We hope that you will take part in this survey since your participation is important. It usually takes 30 to 35 minutes to complete this interview. Please spare some time for the interview and help me in sucessfully completing the survey. F6. May I begin the interview now? 1. Respondent agrees to be interviewed 2. Respondent does not agree to be interviewed INTERVIEW BEGINS: Q1. While talking to people about the recent elections to the Vidhan Sabha, we find that some people were not able to vote. How about you - were you able to vote or not? 1. Could not vote (Go to Q1f.) 2. Voted 8. No response Q1a. (If Voted in Q1) Whom did you vote for? I am giving you this slip which has names and election symbols of all the candidates that you saw on the voting machine. On this slip please put a mark in front of the same symbol against which you pressed the button. (Supply dummy ballot and explain procedure) ______98. No response (NR) 99. Not aplicable (NA) Q1b. (If Voted in Q1) When did you finally make up your mind about whom to vote for? 1. On the day of voting 2. A day or two before voting 3. Earlier, during the campaign 4. Even before the campaign started 5. After candidates were declared 8. Can't say (CS) 9. NAa Q1c. (If Voted in Q1) Did the election officer correctly put the mark on your finger? (Please observe marking on the index finger and record the answer accordingly) 2. Checked and mark found 1. Checked, but mark not found 8. Could not check the mark 9. NA Q1d. (If Voted in Q1) In deciding whom to vote for did you take anyone's advise? 2. Yes 1. No 8. Can't say 9. NA Q1e. (If Yes in Q1d) Whose advice mattered to you the most? (Don’t read answer categories) 01. Local Political Leader 02. Husband/wife 03. Other family members 04. Caste/community leaders/church 05. Friends/neighbours 06. Co-workers/colleagues 07. No one, I voted on my own 08. Village Pradhan/Sarpanch 09. Others (Specify)______98. Can’t say 99. NA Q1f. (If Not Voted in Q1) What was the main reason due to which you could not vote in this election? 01. Out of station 02. Not well 03. No interest/did not feel like voting 04. Prevented /Fear of violence 05. No identity card/ identity proof 06. No good choice 07. Someone had voted in place of me before I went to vote 08. My village boycotted the election 09. My name was not in voter list 10. Others(Specify) ______98. CS 99. NA Q2. After this election who would you prefer as the next Chief Minister of Goa? (Do not offer any name & record exact answer)______(Consult code book for coding) Q3. During the elections people participate in various activities related to election. Did you participate in any of the following activities during the recent election campaign? a. Activities Yes No No Opinion a. Attended election meetings? 2 1 8 b. b. Participated in processions/rallies? 2 1 8 c. c. Went home to home for canvassing? 2 1 8 d. d. Collected or gave funds? 2 1 8 e. e.Distributed Pamphlets/ Put up posters? 2 1 8 Centre for the Study of Developing Societies (CSDS), 29 Rajpur Road, Delhi- 54. Ph: (011) 23942199 1 Q4. Thinking about the just concluded assembly election in Goa - What was the most important issue for you while deciding who to vote for? (Record the exact answer & Consult Codebook) ______98. Can't say 99. NA. Q5. Did any candidate, party worker or canvasser come to your house during the campaign to ask for your vote? 1. No 2. Yes 8. Don't remember/Did not tell Q6. Did any party or candidate contact you or a family member through a phone call or recorded voice or SMS or Whatsapp during the campaign? 2. Yes 1. No 8. NR Q6a. (If yes) From which party/parties? (Write down first two answers and consult codebook) i. i.______98. NR 99. NA ii. ii.______98. NR 99. NA Q7. While deciding whom to vote for in the upcoming assembly elections, what mattered to you the most - party, chief ministerial candidate of a party or the local candidate? (Don’t read answer categories) 1. Party 3. CM Candidate 3. Local candidate 4. Modi 5. Sonia/ Rahul/Priyanka/Manmohan 6. Kejriwal 7. Other______8. No opinion Q8. Who did you vote for during the elections held in 2014? I mean the MP elections for electing the Central Government in Delhi. (Record name of party & consult Codebook for coding) ______98. Can't say 99.NA Q9. What is your assessment of the performance of the Narendra Modi-led NDA Government at the Centre during the last three years – would you say that you are satisfied or dissatisfied with it? (Probe further whether ‘fully’ or ‘somewhat’ satisfied or dissatisfied). 1. Fully satisfied 2. Somewhat satisfied 3. Somewhat dissatisfied 4. Fully dissatisfied 8. No response Q10. What is your assessment of the work done by the BJP government in Goa in the last five years? Would you say that you are satisfied or dissatisfied with it? (Probe further whether ‘fully’ or ‘somewhat’ satisfied or dissatisfied). 1. Fully satisfied 2. Somewhat satisfied 3. Somewhat dissatisfied 4. Fully dissatisfied 8. No opinion/DK Q11. During the last two- three years have you or any of your family members benefited from any Government scheme ? 2. Yes 1. No (If no, go to Q12) 8. No response Q11a. (If yes in Q11) Which scheme did you benefit from the most? (Write down name of scheme. This answer will be post-coded.) ______98. CS 99. NA Q11b. (If yes in Q11) And who would you give credit for it - the Central govt., the State govt., local politicians / party worker, or local bureaucrat/government officer? 1. Central govt. 2. State govt. 3. Local politician/party worker 4. Local bureaucrat/govt. officer 8. NR 9.NA Q11c. (If yes to Q11) Whose help did you get? (Don’t read out the answers) 01. Any Government servant 02. Social Worker 03. Local leader/party worker 04. Sarpanch/ Gram Panchayat Member 05. Any other elected representative 06. Relative 07. NGO 08. No one's help 09. Any other______98. NR 99.NA Q12. Thinking of how you (or your family, in the case of first time voters) have voted in the last 4 to 5 assembly elections in Goa, how would you describe yourself? Which party’s traditional supporter are you? Record party and consult codebook for coding) ______97. Not a supporter of any one party 98. Can’t say Q13. What is your opinion about the performance of the your MLA during the last five years would you say that you are satisfied or dissatisfied with it? (Probe further whether ‘fully’ or ‘somewhat’ satisfied or dissatisfied). 1. Fully satisfied 2. Somewhat satisfied 3. Somewhat dissatisfied 4. Fully dissatisfied 8. No response Q14. In your opinion how much development has taken place in Goa in the last 5 years - a lot, somewhat or none at all? 1. A lot 2. Somewhat 3. None at all 8. CS Centre for the Study of Developing Societies (CSDS), 29 Rajpur Road, Delhi- 54. Ph: (011) 23942199 2 Q15. Now I will ask you about the assessment of the work done by the BJP government in the state in the last a. five years. Do you think that the following have improved or deteriorated? Improved Remained-same Deteriorated CS b. a. Medical facilities in government hospitals 1 2 3 8 c. b. Condition of roads 1 2 3 8 c. Supply of electricity 1 2 3 8 d. d. Quality of education in government schools 1 2 3 8 e. e. Supply of drinking water 1 2 3 8 f. f. Public bus/Public transportation services 1 2 3 8 g. g. Law and order 1 2 3 8 h. h. Curbing of corruption 1 2 3 8 Q16 Q16a. Have you heard about the following schemes? Q16a. (If heard) Have you or any of your family members a. benefited from them? Heard Not-heard Benefited Not benefited NA a. Scheme for making home (Indira/Rajiv Awas Yojna) 1 2 1 2 9 b. b. Rozgar Guarantee Yojana (MNREGA) 1 2 1 2 9 c. c. Free medical facilities (National Rural Health Mission) 1 2 1 2 9 d. d. Pension money (old age, widow, disabilities etc.) 1 2 1 2 9 e. e. Prime Minister Suraksha Bima Yojana 1 2 1 2 9 f. f. Jan Dhan Yojana 1 2 1 2 9 g. g. Swachh Bharat scheme 1 2 1 2 9 h. h. Digital India scheme 1 2 1 2 9 i. i. Skill India scheme 1 2 1 2 9 j. j. Make in India 1 2 1 2 9 k. k. Prime Minister Crop Insurance scheme 1 2 1 2 9 Q17. There is the view that voters vote for a party or candidate because he/she has received personal gift such as money/food/liquor from that party or candidate. In your area/locality/mohalla/village, how many poeple accepted the distribution of such gifts in this election? 1. No one 2. Very few 3. Some 4. Many 5. Almost every one 8. Don't know (DK) Q18. Do people who receive such gifts feel obliged to vote for the party or candidate that provided them or do they finally vote as they wish regardless of the benefits they receive from parties and candidates? 1. Feel obliged 2. Vote as they wish 8. No opinion Q19. The MGNREGA guarantees that the government will provide up to 100 days paid manual employment a year for any household in a rural area which demands it. To what extent do you think it helps the poor - not at all, to some extent or a great deal? 1. Not at all 2. To some extent 3. Great deal 8. CS/DK Q20. Have you heard about the following schemes? Q20a. (If heard) Have you or any of your family members a. benefited from them? Heard Not-heard Benefited Not benefited NA a. Griha Adhar Scheme/allowance to housewifes. 1 2 1 2 9 b. b. Ladli Laxmi/ financial assistance to girls, married women. 1 2 1 2 9 c. c. Dayanand Social Security/monthly allowance to senior citizens. 1 2 1 2 9 d. d. Deen Dayal Swasthya Seva Yojaja/health insurance cover. 1 2 1 2 9 Q21. Now I will read out two statements to you. Please tell me whether you agree more with statement 1 or statement 2? a. a1.Statement 1: Even though people faced trouble on account of demonitisation in the last few months, it will benefit the nation and the people in the coming years. a2.Statement 2: Not only have people faced trouble on account of demonitisation, the nation too has suffered losses. 1. Agree with one (1) 2. Agree with two (2) 8. No Opinion Centre for the Study of Developing Societies (CSDS), 29 Rajpur Road, Delhi- 54. Ph: (011) 23942199 3 b. b1.Statement 1: Aam Admi Party is only capable of cutting Congress and BJP’s votes and they will not be able to win much in terms of seats . b2.Statement 2: Aam Admi Party is a strong contender in Goa and will do well in the elections. 1. Agree with one (1) 2. Agree with two (2) 8. No Opinion Q22. Now I will read out a few statements. Please tell me whether you agree or disagree with each one of them? (Probe further whether ‘fully’ or ‘somewhat’ agrees or disagrees). Agree Disagree NR Fully Somewhat Somewhat Fully a. a. Narendra Modi has not lived up to his promise of bringing acche din. 1 2 3 4 8 b. b. For the development of Goa, it is nessesary that the ruling party at the Centre and the State should be the same. 1 2 3 4 8 c. c. Even though Laxmikant Parsekar is the chief minister, Goa is being indirectly ruled by Manohar Parrikar. 1 2 3 4 8 d. d. Sanatan Sanstha should be banned in Goa. 1 2 3 4 8 e. e. Only Goans should be allowed to buy land in Goa. 1 2 3 4 8 f. f. Outsiders have contributed to Goa’s development. 1 2 3 4 8 g. g. There is nothing wrong with some Goans identifying h. themselves as more Portuguese then Indian. 1 2 3 4 8 h. There should be no restrictions on local citizens entering casinos. 1 2 3 4 8 Q23. Keeping in mind the work done by the Modi government over the last three years, would you say that it has taken care of the interests of the rich people more or has it taken care of the interests of the common man and poor people more? 1. Rich 2. Common man and poor 3. Both 4. Neither 8. DK Q24. How much do these things influence your voting decision - not at all, a little bit or a lot? Not at all Little bit A lot Can't say a. a. Party posters/banners/hoardings 1 2 3 8 b. b. Political discussions on television 1 2 3 8 c. c. Crowds at party rallies 1 2 3 8 d. d. Speeches of political leaders 1 2 3 8 e. e. Election surveys 1 2 3 8 Q25. Goa has had two chief ministers from BJP over the last five years - Manohar Parrikar and Laxmikant Parsekar. In you assessment, whose tenure has been better? 1. Manohar Parrikar 2. Laxmikant Parsekar 3. Both good 4. Both bad 8. Can’t say Q26. If you had to compare the present BJP govt in Goa with the previous Cong govt., which govt according to you performed better? 1. Present BJP govt. 2. Previous Cong govt. 3. Both good 4. Both bad 8. Can’t say Q27. How important were these issues for you when you cast your vote - Very important, Somewhat important or Not at all important? Very Somewhat Not at all Can't say a. a. Mining ban that was imposed in the state 1 2 3 8 b. b. Mopa airport construction 1 2 3 8 c. c. Medium of instruction in primary schools 1 2 3 8 d. d. Preservation of Goa’s culture 1 2 3 8 e. e. Issue of Casinos 1 2 3 8 f. f. Special status to Goa 1 2 3 8 g. g. Regional Plan 2021 1 2 3 8

Centre for the Study of Developing Societies (CSDS), 29 Rajpur Road, Delhi- 54. Ph: (011) 23942199 4 Q28. Now I will read out a few statements. Please tell me whether you agree or disagree with each one of them? (Probe further whether ‘fully’ or ‘somewhat’ agrees or disagrees). Agree Disagree NR Fully Somewhat Somewhat Fully a. a. State govt should continue giving grants to English medium primary schools. 1 2 3 4 8 b. b. Mopa airport project should be investigated for speculative land deals. 1 2 3 4 8 c. c. Marathi should be made the official language of the state along with Konkani. 1 2 3 4 8 d. d. In the last five years, Goan society has become more communally polarized.. 1 2 3 4 8 e. e. Goa should continue with the policy of a Uniform Civil Code (Goa Family Law). 1 2 3 4 8 Q29. Now I will read out two statements to you. Which one do you agree with? 1. Goa doesn’t require Special Status as State govt. has enough power to preserve its land and people by passing laws and amendments. 2. Special Status to Goa is the only option to preserve Goan land and identity. 1. Agree with (1) 2. Agree with (2) 8. No Opinion Q30. In your opinion, how serious a threat do outsiders pose to Goa’s culture - very serious, somewhat serious, not much serious or not at all serious? 1. Very serious 2. Somewhat serious 3. Not much serious 4. Not at all 8. Can’t say Q31. In your opinion, which region has the BJP govt. paid more attention to in the last five years - North Goa or South Goa? 1. North Goa 2. South Goa 3. Both 4. Neither 8. DK Q32. Now I will read out two statements to you. Which one do you agree with? 1. Fish is being sold at affordable prices in Goa these days. 2. Fish is going beyond the reach of the common man in Goa due to rising prices. 1. Agree with (1) 2. Agree with (2) 8. No Opinion Q33. Now I will read out three statements to you. Which one do you agree with? 1. All existing Casinos, offshore and onshore, should be banned 2. Only offshore casinos should be banned not onshore ones 3. There should be no ban on casinos whatsoever 1. Agree with (1) 2. Agree with (2) 3. Agree with (3) 8. No Opinion Q34. Which language should be the medium of teaching in primary schools in your view - Konkani, Marathi or English ? 1. Konkani 2. Marathi 3. English 4. Konkani or Marathi 5. Konkani or English 6. Marathi or English 8. Can't say Q35. Do you support or oppose the construction of the Mopa airport? (Probe further whether ‘fully’ or ‘somewhat’ support or oppose). 1. Fully support 2. Somewhat support 3. Somewhat oppose 4. Fully oppose 8. No response Q36. Which party is best for the following? (Record name of party & consult Codebook for coding)

a. a. For religious harmony in Goa ______98. Can't say b. b. For development of Goa ______98. Can't say c. c. For protection of Goa's environment ______98. Can't say

d. d. For preserving Goa’s culture ______98. Can't say e. For creation of jobs ______98. Can't say e. f. Rectification of Regional Plan 2021 ______98. Can't say f. g. For the fishermen community ______98. Can't say g. And which party is ...... ? (Record name of party & consult Codebook for coding) h. h. Most corrupt ______98. Can't say

i. i. Most nepotistic ______98. Can't say j. j. Most communal ______98. Can't say Centre for the Study of Developing Societies (CSDS), 29 Rajpur Road, Delhi- 54. Ph: (011) 23942199 5 Q37. Now I will read out four statements to you. Which one do you agree with? 1. Mining should be banned completely in Goa once again 2. Mining should continue but with the existing extraction cap of 20 million tonnes 3. Mining should continue and the extraction cap of 20 million tonnes should be increased 1. Agree with (1) 2. Agree with (2) 3. Agree with (3) 8. No Opinion Q38. Were you affected by the ban on mining in the state between 2012 and 2014? 1. Yes, a lot 2. Yes,somewhat 3. No 8. DK Q38a. (If yes in Q38) Did you receive any financial aid/debt relief from the state government? 2.Yes 1. No 8.Can’t say 9. NA Q39. Whenever developmental projects come in conflict with environmental concerns, which of the two according to you should get precedence - development or environment? 1. Development 2. Environment 3. Both 8. Can’t say Q40. Please tell me how often do you practice these religious activities – daily, weekly, only on festivals or a. never? Daily Weekly On festivals Never a. Prayer/puja/namaz, etc 1 2 3 4 b. b. Visiting temple/mosque/church/gurudwara, etc. 1 2 3 4 Q41. Are you a member of any caste or religious organisation or do you follow any community or religious leader? 2. Yes 1. No 8. CS Q41a. (If yes in Q41) Has the organisation or the community leader you follow, appealed to you to vote for any particular party or front in this election? 2. Yes 1. No 8. NR 9. NA Q41b. (If yes in Q41a) How much influence did this appeal have on the way you voted in this election - a lot, somewhat or none at all? 1. A lot 2. Somewhat 3. None at all 8. CS 9. NA Q42. How regularly do you do the following to obtain news/information on politics – daily, sometimes, rarely or never? Daily Sometimes Rarely Never CS/NR a. a. Watch TV 1 2 3 4 8 b. b. Read newspaper 1 2 3 4 8 c. c. Listen to radio 1 2 3 4 8 d. d. Use internet/news website 1 2 3 4 8 Q43. In your opinion, which party will win in your assembly seat?______(Record party and consult party codes) 98. Can’t Say Q44. In your locality...... ? (Record name of party & consult Codebook for coding) a. a. Which party's rallies drew the maximum crowds? ______98. Don't know b. b. Which party's leaders speeches did you like the most? ______98. Don't know

c. c. Which party's candidates posters did you see the most? ______98. Don't know

d. d. Which party spent the most on its election campaign? ______98. Don't know Q45. How often do you use the following? Daily, Some days a week, Some days a month, Very rarely or never? Daily Weekly Monthly Rarely Never Don’t have an account No Answer a. a. Facebook 1 2 3 4 5 6 8 b. b. Twitter 1 2 3 4 5 6 8 c. c. Whats App 1 2 3 4 5 6 8 Q46. (If respondent uses Whats App) Are you a member of any leader’s or party’s Whats App group in your area? 2.Yes 1. No 8.Can’t say 9. Not Applicable Q47. Should the current BJP government in Goa get another chance? 2.Yes 1. No 8.Can’t say

Centre for the Study of Developing Societies (CSDS), 29 Rajpur Road, Delhi- 54. Ph: (011) 23942199 6 BACKGROUND DATA Personal Information Z1. Now let us talk about this village/ town you live in. How long have you lived here? (If not all life, probe for number of years lived here) 1. Less than 5 years 2. 5 to 10 years 3. More than 10 years 4. Entire life Z1a. (If Not all life) Where did you come from? (Record state name & consult Codebook for coding) Name of State: ______Z1b. Where did your ancestors (grandparents) live? (Record state name & consult Codebook for coding) Name of State: ______

Z2. What is your age? (in completed years) ______98. No Response (Code 95 for 95 yrs & above)

Z3. Gender: 1. Male 2. Female 3. Other Z4. Up to what level have you studied? (Record exactly and consult code book)

Father Mother ______9. No response Z4a. Up to what level have your father and your mother studied? Father:______Mother:______9. No response Z5. What is your main occupation? (Record exactly and consult codebook & if retired, try to ascer tain his/her previous occupation. If student or housewife, then note down that as well) ______98. No response Z5a. Are you the main earner of your household? 2. Yes 1. No Z5b. (If No in Z5a) What is the occupation of the main earner of your household? (Record exactly and consult codebook) ______99. NA Z6. Are you married? 1. Married 2. Married (Gauna not performed, not started living together) 3. Widowed 4. Divorced 5. Separated 6. Deserted 7. Unmarried/Single 8. Live with partner but not married 9. NR Z7. Do you have a family member/members working outside Goa? 2. Yes 1. No 8. D.K. Z7a. (If Yes in Z7), Did they move out in search of employment or education or for some other work? 1. Employment 2. Education 3. Both employment and education 4. For some other work 5. Marriage 6. Did not tell the reason 9. Not Applicable Z8 Z8. What is your Caste/Jati-biradari/Tribe name?(Consult code book for code) ______Z8a. And what is your caste group? (Double check and consult code book) 1. Scheduled Caste (SC) 2. Scheduled Tribe (ST) 3. Other Backward Classes (OBC) 4. Other Z9. What is your religion? 1. Hindu 2. Muslim 3. Christian 4. Sikh 5. Buddhist/Neo Buddhist 6. Jain 7. No religion 9. Others (Specify) ______Z10. Are you a pure vegetarian, a vegetarian but eat eggs or are you a non-vegetarian who also eats chicken, meat or fish? 1. Pure vegetarian 2. Vegetarian but eat egg 3. Non-vegetarian, eat chicken, meat, fish etc. 8. Did not tell Z10a. (If Non vegetarian in Z10) How fond are you of eating fish - very fond, somewhat fond, not too fond, or not at all fond? 1. Very fond 2. Somewhat fond 3. Not too fond 4. Not at all fond 8. CS 9. NA Z11. How often do you drink alcohol - daily, few days a week, few days a month, very rarely or never? 1. Daily 2. Few day a week 3. Few day a month 4. Very rarely 5. Never 8. Can't say Z12. Generally, which language is spoken in your house?(Consult code book for coding) ______98. No response a. Z13. How fluent are you in the following languages A lot Somewhat Little Not at all CS a. Konkani 1 2 3 4 8 b. b. Marathi 1 2 3 4 8 c. c. English 1 2 3 4 8 d. d. Hindi 1 2 3 4 8 Centre for the Study of Developing Societies (CSDS), 29 Rajpur Road, Delhi- 54. Ph: (011) 23942199 7 Household Information Z14. What kind of mobile phone do you have – a normal phone or a smart phone with a touch screen? 1. Normal phone 2. Smart phone 3. Don’t have a phone 8. No answer Z14a. (If respondent has a mobile phone) Does your phone have an internet connection? 2.Yes 1. No 8. No Answer 9. Not Applicable Z15. Do you have an Aadhaar Card? 2.Yes 1. No Z16. Area/Locality: 1. Village 2. Town 3. City Z16a. (If Town/City) Type of house where Respondent lives? 1. House/Flat/Bunglow 2. House/Flat with 5 or more rooms 3. House/Flat with 4 rooms 4. Houses/Flat with 3 rooms 5. Houses/Flat with 2 rooms 6. House with 1 room 7. Mainly Kutcha house 8. Slum/Jhuggi Jhopri 9. NA. Z16b. (If Village) Type of house where Respondent lives? 1. Pucca (both wall and roof made of pucca material) 2. Pucca-Kutcha (Either wall or roof is made of pucca material and other of kutcha material) 3. Kutcha/Mud houses (both wall and roof are made of kutcha material ) Adults Childrens 4. Hut (both wall and roof made of grass, leaves, un-burnt brick or bamboo) 9. NA. Z17. Total No. of family members living in the household: Above 18 years:_____ Below 18 years :___ (If more than 9, Code 9) Z18. Total agricultural land including orchard and plantation owned by your household (as on date of survey): ______(Ask in local units, but record in standard acres. If more than 99, Code 99) Z19. In normal circumstances, what is your monthly household expenditure? (Record in Rupees, if respondent gives no answer, fill 000000 in the box)______a Z20. Do you or members of your household have the following: Yes No a. Car/Jeep/Van 1 2 b b. Scooter/Motorcycle/Moped 1 2 c c. Airconditioner 1 2 d1 (d1. If resp. has computer/laptop½ d d. Computer/laptop /Ipad 1 2 1.With Internet 2.Without Net 9. NA e e. Fan/Cooler 1 2 f f. Washing machine/Microwave 1 2

g g. Fridge 1 2 h1 (h1. If respondent has television½ h h. TV 1 2 1.With cable 2.Without cable 9. NA i. Bank/Post office account 1 2 i j. ATM/Debit/Credit card 1 2 j k. LPG gas 1 2 k l. Toilet inside the house 1 2 l m. Motorised pumping set (only ask in village) 1 2 9. NA m n. Tractor (only ask in village) 1 2 9. NA n o. Handpump inside the house 1 2 o Z21. Livestock: Total Number a a. Goat /sheep/pig: ______

b b. Cow/Oxen /buffalo/Camel: ______c c. Any other: ______Z22. Total monthly household income - putting together the income of all members of the household? ______(Record exact amount in Rupees. If respondent does not give any amount then record 000000) Z23. Mobile/Telephone number of the respondent

Centre for the Study of Developing Societies (CSDS), 29 Rajpur Road, Delhi- 54. Ph: (011) 23942199 8 FILL AFTER COMPLETING INTERVIEW

E1. Were there any other people immediately present who might be listening during the interview? 1. No one 2. Husband 3. Other adult male family members 4. Adult female family members

5. Any male from neighborhood 6. Any Female from neighborhood 7. Small crowd 8. Any Other______E2. In how many questions did the respondent check with others for information to answer for questions? 1. None 2. One or two 3. Three to five 4. Six to ten 5. More than 10 E3. While answering the question on voting preference in the Vidhan Sabha election (Q1a), did the respondent use the ballot paper secretly or did she/he answer openly? 1. Secretly 2. Openly 3. Not voted E4. In your opinion did the respondent feel free while marking the ballot for Q1a do you think that she/he was hesitant while marking the ballot, or you can't say? 1. Felt free 2. Did not feel free 3. Can't say 4. Not voted E5. At some stage did you notice something that made you feel that the respondent was answering under some fear or pressure? 1. Yes 2. No 3. Not sure E6. Overall was the respondent cooperative? 1. Yes, very much 2. Somewhat 3. Not at all E7. Investigator's signature (Sign in box): E8. Name of the Supervisor: ______E9. Checked by the Supervisor: 1. Yes 2. No E10. Supervisor's signature (Sign in box):

Any additional notes/Cocomments ______

Centre for the Study of Developing Societies (CSDS), 29 Rajpur Road, Delhi- 54. Ph: (011) 23942199 9