1. Name: Tejas Jagannathan
2. Age[in years] No Of Persons
(a) Bellow 10
(b) 10-20
(c) 20-30
(d) 30-40
(e) 40-50
(f) Above 50
3. Gender : Male/Female
4. Number of members in the family :
(a) 1-2
(b) 3-4
(c) 5-6
(d) Above 6
5. How Many earning members are there in your family ?
6. Monthly family Income :
(a) Below 10,000
(b) 10,000-20,000
(c) 20,000-30,000
(d) Above 30,000
7. Resident of Urban/Rural area
8. Major occupation of the main bread-earner:
(a) Service
(b) Proffesional
(c) Manufactorer
(d) Trader
(e) Any Other [place specify]