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Questions marked with a * are required Exit Survey
 
 
* Name of the Respondent
   
 
 
 
* Village
   
 
 
 
Tehsil
 
Option 1
 
Option 2
 
 
 
Block
 
Option 1
 
Option 2
 
 
 
Type of Family
 
Nuclear
 
Joint
 
Extended
 
 
 
* Religion
 
Hindu
 
Christian
 
Muslim
 
Bhuddhist
 
Sikh
 
Other
 
 
 
 
Caste
 
General
 
Scheduled Caste
 
Scheduled Tribe
 
OBC
 
Other
 
 
 
 
Family member Migrated
 
Yes
 
No

 
 
 
Migrated (Logic questionnaire)
 
Option 1
 
Option 2