SOCIO- ECONOMIC SURVEY OF STUDENTS ST.XAVIERS COLLEGE VAIKOM I) Personal Details 1. Name of the student: 2. Course 3. Village 4.

Age 5. Religion 6. Caste 7. Blood group II) Family Details 1. Total number of family members 2. Head of the house hold 3. Do you have any medical insurance a. If yes, specify 4. Average monthly income of the family 5. Do you have any bank account a. If yes, name of the bank 6. Do you have any bank deposit a. If yes, name of the Scheme : : : : : : : : : 1 Yes/ No Yes/ No Yes/ No ( tick mark) 4.a) Date of birth a) Hindu b) Christian c)Muslim d) Others 2.a) Semester

b. Amount 7. Do you have any loan a. If yes, amount b. Purpose c. From where d. Interest Rate 8. Status of repayment a. Amount paid b. Outstanding Amount 9. Do you have own house a) If yes, type of house ( tick mark) b) Total plinth area 10.Do you have electricity Connection a. Electricity Charge (By- monthly) 11. Do you have toilet facility a. If yes specify type 12.Drinking water facility available d) Others 13.Do you regularly take three time meal per day 14.Household equipment a) refrigerator 15. Total land property (put tick mark) a) Well :

: : : Yes/ No

: : : : : : a) Thatched Yes / No b) Tiled : : Yes / No : : Yes/ No a) Septic b) Public tap b)Single c) Others c) Concrete d ) Others

c) water connection

: c) Computer cents/ Acres 2 d) Air Conditioner

b) Television :

a)

Type of land wet land Dry land -

Area

Type of cultivation

16.Do you have any cattle a. If yes specify

Yes / No

FAMILY MEMBERS DETAILS

Sl. No 1 2 3 4 5 6 7 8 9 10

Name

Relationship

Sex

Age

Marital status

Education

Occupation

Health status

Diseases

Physical challenges

III)

Educational Facilities 1. How much time is required to reach the college 2. Mode of travel 3. Are you a regular student 4. How do you feel about college? (iv) Interesting (v) Very interesting 5. How many intimate friends do you have in your college (a) More than Five (b) Five to Three (c) Three to One (d) One (e) Nil 6. How many intimate good boy friendship you have? 7. How many intimate good girl friendship you have? 8. Have any bad experiences in your friendship? Very Rarely (v) Not at all. 9. Major time in a day spend for the...... good intimate friendship matters? (use fie point scale) 10.How do they help you for study, project work, etc. five point scale (most often.......) 11.What do you often discuss with the friends (put tick mark) (iii) cinema(iv) family matters/ future plans/others a. If others specify....... 12. Do you share your personal feelings - with friends/ keep as secret/Share with family members 13.How many Subject/topic do you think easy for you 14.How many Subject/topic do you think difficult for you 5 (i)study matters (ii) politics (i) Most often (ii) Often (iii) Rarely (iv) (i) Mostly desperate (ii) Desperate (iii) No feelings -

15.What do you plan to improve these difficult topics 16.What kind of help from teachers do you require for this 17.Do you understand the topics in the class itself (use fie point scale) 18.Are the teachers sufficiently explain the topics in the class room (i) Strongly Disagree (ii) Disagree (iii) No Opinion (iv) Agree (v) Strongly Agree

19.Do you follow the teachers in the class room (use fie point scale) If not specify the reason 20.Are the teachers using teaching aids in the class room (i) Most Often (ii) Often (iii) Rarely (iv) Very Rarely (v) Not at all. 21.Is your notes are up to date? (change question) start with do you (use fie point scale) 22.Do you periodically revise your notes? (use fie point scale) 23. What study material do you use for study purpose- Texts/Guides/Notes/Reference texts 24. How often do you visit the library (i) Most often (ii) Often (iii) Rarely (iv) Very Rarely (v) Not at all. 25.Do you take books from Library (i) Most often (ii) Often (iii) Rarely (iv) Very Rarely (v) Not at all. 26. If yes specify the kind of book - General/Reference texts

27.Do you take additional notes from the reference texts (i) Most often (ii) Often (iii) Rarely (iv) Very Rarely (v) Not at all. 6

28.Will you revise the topics as per the next days time table (i) Most often (ii) Often (iii) Rarely (iv) Very Rarely (v) Not at all. 29.Do you get any assistance from your family for your studies? (i) Most often (ii) Often (iii) Rarely (iv) Very Rarely (v) Not at all. 30.Do you think that if more support is given, you can perform better in studies (use fie point scale) 31.How much time do you spend for studies at home? (use fie point scale) 32. Which time do you prefer for study- Evening/Morning 33.Do you get a good learning environment at home (use fie point scale) If no, specify reason 34.Do you have the habit of studying at the time of Examination only (use fie point scale) 35.Is your study at the examination point of view? (use fie point scale) 36.Do you make selective study based on previous years question papers. (use fie point scale) 37.How much time do you spend for watching TV (use five point scale) 38. Which is the most interested programme in TV 39.How much you spend on that programme one day (use five point scale) 40.How much time do you spend for playing (use five point scale) 41.What time do you sleep regularly? (use five point scale) 42.What time you awake up ? (use five point scale) 43. Do you have any goal in our life? 7

44.What are the efforts do you take to achieve this goal? (use five point scale) 45.What kind of assistance do you require from teacher for attaining this goal? (use five point scale) 46. Do you feel that you lack teachers personal care? 47. Are the teachers your Role model 48. Do you like to get special attention in difficult subjects? 49.Do you raise doubts in the class room? (i) Most often (ii) Often (iii) Rarely (iv) Very Rarely (v) Not at all. 50.If yes, do you get sufficient clarification for the doubts in the class room itself? (use fie point scale) 51.Have you ever received any negative comments from teachers or friends on raising such doubts: (i) Most often (ii) Often (iii) Rarely (iv) Very Rarely (v) Not at all. 52. Do you think that you will be able to improve the difficult portions if you get proper support? 53. Are you ready to put some extra effort to learn the difficult areas 54.Do you get enough time to interact with your teachers in the campus? (use five point scale) 55. Do you have mobile phone? 56.How much time you talk through the mobile? (i) Nil (ii) less than 15min (iii) 15 to 30 min (iv) 30 to 60 min (v) more than 60 min 57.Do you prefer communicative English classes for better prospects? (use five point scale) (i) Strongly Disagree (ii) Disagree (iii) No Opinion (iv) Agree (v) Strongly Agree

58. Please specify your suggestions for improvement of : a. Teaching b. College facilities c. Any other. 59. Do you read news paper regularly?