Sample of Questionnaire 1. Respondent ID: 2. Name of respondent: 3. Place of respondent: 4. Age of respondent (years): 5. Gender: 1. Male 2. Female 6. Educational level of respondent: 1. Primary level 2. Secondary level 3. Higher level 7. Ethnicity 1. hindu 2 . Muslim 3. Buddhism 4.other(………………)please specify. 8. Civic status: 1. Single 2.married 3. Widowhood 4.separated 9. Family structure: 1.joint family 2.nuclear family 3. Joint extended family 10. ...
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