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Do you have Pan Card?
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Family Background
Are you living in a joint family or nuclear family?
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Number Of Family Members
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Monthly Income Range Of A Family
1 Lakh
1.5 Lakh
2 Lakh
2.5 Lakh
6 Lakh
8 Lakh
Education
Highest Education Level Completed:
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Class 2
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ITI
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Marks(Percentage)
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50% and Above
40% and Above
MAT/SAT Test With 40%
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Are you currently pursuing further education?
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Employment
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Years of Experience:
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20-30 Yrs
30-40 Yrs
40-50 Yrs
Other Question
Your either or both the parents died due to Covid-19?
Yes
No
If yes, please specify:
Are you wared of armed forces and central paramilatry forces martyred in action?
Yes
No
If yes, please specify: :
Are you dependent wards of Ex/Serving RPF/RPSF personnel and windows?
Yes
No
If yes, please specify: :
Professional Question
Health and Well Being
Do you have any health Insurance? (Yes/No)
Yes
No
If yes, please specify: :
Do you have any chronic health conditions? (Yes/No)
Yes
No
If yes, please specify: :
How would you rate your overall health?
Are you satisfied with the healthcare facilities available to you?
Yes
No
If yes, please specify: :
Disability Above 40%
-- Select Disablity --
Yes
No
Housing and Infrastructure
Type of Housing
Owned
Rented
Government Provided
How would you rate the condition of your housing?
Do you have access to clean water and sanitation facilities? (Yes/No)
Yes
No
If yes, please specify: :
Sports and Extra Curiculars
Do you play or are involved in any sports activities? (Yes/No)
Yes
No
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Are you involved in any extra circulars? (Yes/No)
Yes
No
If yes, please specify: :
Financial Assistance
Have you ever received financial assistance from the community or governmet?
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No
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Challenges and Needs
What are the biggest challenges facing the MMNF community?
What kind of support or assistance do you think the community needs?
Cultural and Social Activities
How important do you think cultural and social activities are for the community?
Are there any cultural or social events you would like to see organized in the community?
Media and Communication
How do you prefer to receive information and updates from the community?
Social Media
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Education and Skills Development
Are there any specific educational or skill development programs you would like to see implemented in the community?
Overall Satisfaction
How satisfied are you with the current state of affairs in the MMNF?
Additional Comments
Please add any additional comments or information you think is relevant.
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