RMAT-1 Assignment

Questionnaire for
Public Institutional Services

GATTIM PRAVEEN KRISHNA

BATCH 13RDM14
Mapping Public Institutional Services in Rural Areas:
Institutions play an very important role in bringing a change in people
lives.The more effective institutions are run the better standards of people will be.

Outcome that can be obtained:

Institutions function/role in local development.
Impact, Delivery Mechanism ,Performance Measurement.

Anganwadi Center:
Interviewee: Anganwadi Worker
Questionnaire
1. Total No. of children in the Aanganwadi :
No. of boys = No. of girls =
2. Number of pregnant and lactating women =
3. Number of adolescent girls =

4.Do the pregnant women come to Aanganwadi every day or once in a month?
o Yes, regularly
o No
o Yes, sometimes
5.Are there any functional related problems?
o Yes(Specify )
o No
6.How much percentage of population are preferring Institutional delivery?
o More than 80%
o More than 50%
o Below 50%
7.Are the vaccines given to the children in time?
o Yes No
Questionnaire for service available in Aanganwadi in group discussion with
deprieved people
1.Is there separate building for Aanganwadi?
o Separate room / building present
o Separate room in public place like Grampanchayat, temple
o Aanganwadi in ICDS workers house or some one elses house
2.Is there facility for drinking water available?
o Yes
o No
3.Is there toilet facility in the Aanganwadi
o Yes (Since when?)
o No
4. Availability of Asha Worker in a month and during times of emergency
o Yes
o No
5.How is the food quality being given at Anganwadi?
o Good
o Average
o Poor

6.How do you rate the services provided at the center on a scale of 10.
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7. During Delivery Period free Ambulance service is provided or not?
o Yes
o Sometimes
o No
Primary School
Questionnaire for the school children
1.Provision for Separate Toilet Facility
o Yes
o No
2.Mid-day meals served according to menu with quality?
o Yes , regularly
o No

3.Do the teachers come all through the year?

o Yes
o No
4.Is the syllabus taught effectively?
o Yes
o No
5.Do you have play ground and Physical Education Trainer?
o Yes
o No
6.Are the Text books and pair of uniform given ?
o Yes
o No
Panchayat Office:
Questionnaire to Public
1. Any Development Activities carried by the panchayat in recent 1 year?
o Yes (Specify)
o No
2.Sarpanch is making conscious efforts for improvement of facilities?

o Yes
o No
3.Are the beneficiaries receiving pensions in time?
o Yes (In Time)
o Yes but takes time
o No
4.Is the Gram Sabha is conducted regularly?
o Yes
o No
5.Are there any cases of Bribe?
o Yes(In number)
o No
6.Are people using toilets?
o Yes
o No