SL#

Question

Answer

Remarks

1

Resident’s name

:

2

Address

:

3

Total no. of resident

:

4

Ages of resident

:

5

Education status

:

6

Old residence

:

7

Duration of living

:

8

Settlement of service

:

9

Utility

:

10

Type of enterprise

:

11

Knowledge of environment and climate change

:

12

Environment pollution defined by ME’s

:

13

Use of safety measures

:

14

Sanitary latrine

:

15

Fire resistance

:

16

House safety

:

17

Workplace safety

:

18

The nature of waste

:

19

The nature of solid waste

:

20

The ways of waste management

:

21

Knowledge of reducing pollution

:

22

result on water issue

:

23

result on diseases and treatment

:

24

Management capacity

:

25

Knowledge about COVID-19

:

26

Depending on treatment

: