SCHEDULED-I QUESTIONNAIRE
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1 Section-I FOOD JOINTS Owner s Name: - a) Address: - SCHEDULED-I QUESTIONNAIRE APPENDIX-I b) Education: - c) Religion: - d) Caste: - e) Other Occupation if any: - Place of origin: - Location of Food Joints: - Why you have preferred this location? Year of Establishment: - a) Previous Owner of land: - b) Purchasing Year of land: - c) Land Value at that time: - d) Land Value at present: - Status of Food Joint: Own/ Rented If rented, what is the monthly rent paid? Do you have more than one Food Joints? If yes give the number and address/ location: - Why these locations are preferred? How you manage food joints? Size of Food Joints including open space and parking: - Total covered area of FJ: - Distance of Covered Area from the P.W.D. Pillar or Board of Highway: - Distance of the Encroached Area from the P.W.D. Pillar or Board of Highway: - Space Utilization of Covered Area in Food Joints: - (In square yards or meters) 231
2 a) Kitchen: - b) Rest Rooms: - c) Bathroom: - d) Shops: - e) Sitting Space: - ~ Common Hall: - ~ Front Lawn: - ~ Back Lawn: - Material used in Building: - a) Roof: - b) Floor: - c) Walls: - Boundary Wall: - If yes then: - a) Material used b) Height yes/no Number of Stories in Building: - Type of Food Joint: - a) Hotel: - If yes then status of Hotel: - b) Restaurant: - c) Dhaba: - d) Other: Number of Rest Rooms: - a) A/C: - b) Ordinary: - Desert Cooler: - Sufficient / Not Sufficient Fan: - Sufficient / Not Sufficient Ventilation of Covered Area: - Sufficient / Not Sufficient Parking Facilities: - a) Within Food Joints Premises Sufficient / Not Sufficient b) Outside Food Joints Premises Sufficient / Not Sufficient Food Cuisine: - a) Fast Food: - b) North Indian (Traditional): - c) South Indian: - d) Continental: - Average Cost of Meal: - Service: - a) Self Services: - b) Aided Services: - If yes then average time taken for providing food: - _ 232
3 Weightage: - (On 0-5 Scales) Esthetic Environment of Food Joints: - (On 0-5 Scales) Status : Poor : Average : Good : Very Good : Excellent (Why) Hygienic and Sanitary Condition of food: - (On 0-5 Scales) a) Kitchen: - (Chimney, exhaust fan, drainage, cleanliness) b) Toilet: - c) Bathroom: - d) Seating Area: - e) Building Condition: - (Why) Utensil Cleanliness: - (On 0-5 Scales) Source of water: - a) Public Tap water supply: - b) Ground Water: - Hand Pump / Tubewell c) Others: - Quality of Water (On 0-5 Scale): - a) Safe & Pure b) Hard & Salty Do you use Tubewell? - Yes / No If yes then a) Do you use motor to withdraw ground water? - Yes / No If yes then b) Number of hours Tubewell /Motor run: - Quantity of water withdraw / consumed (per day in liters): - Depth of water(feet): Number of costumers visiting per day: - Total income per day: - Any holiday: - Yes / No If yes then - Weekly / Occasionally Timing of Food Joints: - Do you have waste disposal and treatment facilities if yes how it is disposed? 233
4 What is the total quantity of waste disposed off daily from this site? STAFF STATEMENT Total number of workers: - Their duty hours (timings): - Do you provide any leave to workers: - Yes / No If yes then - Average per month: - Characteristics of Staff Staff Manager Numbers Place of origin Duration of stay Monthly salary Qualification Age at the time of appointment Cook Waiter Security Sweeper Other Covered Area: -(% of plot) Height of the building: - Parking space: - (% of plot) LEGAL STATUS OF FOOD JOINTS Do you have approval from following department: - a) No objection certificate from District Authority: - b) Town and Country Planning: - c) Forest: - d) Electricity: - e) Fire: - f) Pollution: - g) Ministry of Road Transport & Highways (MORTH): - Access: - Floor Area Ratio: - Facilities offered on site: - 234
5 Drug supply: - a) Wine: - b) Other: - c) Prostitution: - Are you Paying any tax on FJ: - Yes / No If yes then total annual tax paid during the last financial year: - Electricity: - Yes / No If no then what is the alternate: - If you are using generator set, what is average hours it runs? If yes then give following information: a) Electricity Connection: - Legal / Illegal b) Electricity Supply: - Regular / Irregular c) Electricity Supply hours: - d) Is there any generator / inverter facilities: - yes / no e) Per unit rate of electricity: - f) Total monthly bill: - g) Do you pay electricity bill regularly: - yes / no Water Supply bill: - yes / no If yes then Total Bill: - a) Monthly: - b) Annually: - Is there any Entertainment Facilities: - If yes then which sort has: - Fire Extinguisher Facilities: - yes / no yes / no First Aid Facilities: - yes / no Do you have proper security arrangement for Vehicles & other things? What are your further planning to improve quality, service & convenience for passenger: - Section-I PASSENGER / COSTOMER SATISFACTION INDEX Name: - Age: - Sex: - Qualification: - Occupation: - Place of origin: - The questions given below are for calculating Satisfaction index Level of the passengers about quality and availability of wayside facilities on highways. Kindly respond your Answers on 0-5 scale in the light of following grading: - 235
6 (On 0-5 Scale) Status : Poor : Average : Good : Very Good : Excellent Sr. No. Facilities Satisfied Unsatisfied Weightage (on 0-5 scale) 1 Parking 2 Toilet: - Flush, Katcha 3 Bathroom: -Katcha, Pucca 4 Hygienic Conditions 5 Quality of Food 6 Quality of Utensils 7 Water Purification 8 Sitting Arrangement 9 Cuisine / Menu 10 Rate 11 Security 12 Privacy 13 Employees Manners 14 Utensil Cleanliness 15 First Aid Facilities 16 Entertainment 17 Interior Decoration 18 Esthetic Environment 19 Others, if any Remarks Suggestions if Any for improvement: 236
7 SCHEDULED-II, QUESTIONNAIRE APPENDIX-II FUEL FILLING STATION Section-I Owner s Name: - a) Address: - b) Education: - c) Religion: - d) Caste: - e) Other Occupation: - Location of Fuel Filling Station: - Place of origin: Why you have preferred this location? Year of Establishment: - a) Previous Owner of land: - b) Purchasing Year of land: - c) Land Value at that time: - d) Land Value at present: - Size of Fuel Filling Station: - Status of Fuel station: Own/ Rented If rented, what is the monthly rent paid? : Do you have more than one Filling station If yes give the number and address/ location: - Why these locations are preferred? How you manage fuel station? Size of Fuel station including open space and parking: - Covered Area of Pump: - Covered Area of Office: - Distance of Covered Area from the P.W.D. Pillar or Board of Highway: - Distance of the Encroached Area from the P.W.D. Pillar or Board of Highway: - Space Utilization of Plot: - (In square yards or meters) a) Fuel pumps: - 237
8 b) Rest Rooms: - c) Bathroom: - d) Shops & Kiosk: - e) Office: - f) Park: - Material used in Building: - a) Roof: - b) Floor: - c) Walls: Boundary Wall: - yes/no If yes then: - c) Material used: d) Height in feet: Parking Facilities: - c) Within Fuel Filling Station Premises (sufficient / not sufficient) d) Outside Fuel Filling Station Premises (sufficient / not sufficient) Fuel Supply: - a) Source of Fuel Supply: - b) Mode of Transportation: - c) Rate per Liter: - d) Mode of payment: - _ Weightage: - (On 0-5 Scales) Status : Poor : Average : Good : Very Good : Excellent Service of Fuel Filling Station (on 0-5 scales): - Drainage system (on 0-5 scale): - Disposal of waste material (on 0-5 scale): - Share of different type of vehicles among the total customers per day: - Time Truck car Tractor two Others wheeler Day Night Total 238
9 Total income per day: - Proportion of income generated during: - day / night Proportion of income generated from different type of vehicles per day: - Time Truck Tractor Two wheeler Day Night Total Others Is there any seasonal variation in your income? Timing of Fuel Filling Station: - Any holiday: - If yes then specify- Yes / No Weekly / Occasionally/festivals STAFF STATEMENT Total number of workers: - Their duty hours (timings): - Do you provide any leave to workers: - Yes / No If yes then Average per month: - Characteristics of Staff Staff Manager Service personnel Security Helper Sweeper Other Numbers Place of origin Duration of stay Monthly salary Qualification / Do they have formal training Age at the time of appointment 239
10 LEGAL STATUS OF FUEL FILLING STATION Area where the Fuel Filling Station located: - rural / urban Terrain type: - plain / hilly Distance of Fuel Filling Station from intersection: - Intersection type: - a) Intersection with N.H. s / S.H. s b) Intersection with rural road: - c) Intersection with rural road & other earth tracks: - Is it a part of rest area complex: - yes / no Distance from nearest Fuel Filling Station: - Distance from check barrier / toll plaza: - Length of buffer strip: - Is there any structure or hording in buffer strip: - yes / no Is there provision of separate a) Entry length 70mtrs & width 5.5mtrs b) Exit length 100mtrs & width 5.5mtrs Do you have approval from following department: - a) No objection certificate from District Authority: - b) Town and Country Planning: - c) Forest: - d) Electricity: - e) Fire: - f) Pollution: - g) Ministry of Road Transport & Highways (MORTH): - Are you Paying Income Tax: - If yes then total annual taxes: - Yes / No Electricity: - Yes / No If no then what is the alternate: - If yes then h) Electricity Connection: - Legal / Illegal i) Electricity Supply: - Regular / Irregular 240
11 j) Electricity Supply hours: - k) Is there any generator / inverter facilities: - yes / no l) Per unit rate of electricity: - m) Total monthly bill: - n) Do you pay electricity bill regularly: - yes / no Fire Extinguisher Facilities: - yes / no Do you have these facilities: - Air, Water, Toilet, First Aid Facilities: - yes / no Do you have proper security arrangement for Vehicles & other things? What is your way for checking Quality & Quantity of Fuel: - If customer wants to check the quality & quantity of Fuel then, what is the facility you have provided? Is there any Grading System of Fuel Filling Station by Govt. / Oil companies / other organization: - yes / no If yes then o What are the basis of this Grading System: - o Then what is your Grade: - What are your further planning to improve quality, service & convenience for passenger: - Section-II PASSANGER / COSTUMER SATISFACTION INDEX Name: - Age: - Sex: - Qualification: - Occupation: - Place of origin: - 241
12 The questions given below are for calculating Satisfaction index Level of the passengers about quality and availability of wayside facilities on highways. Kindly respond your Answers on 0-5 scale in the light of following grading: - (On 0-5 Scales) Status of Fuel Filling Station : Poor : Average : Good : Very Good : Excellent Sr. No. 1 Parking 2 Toilet: - Flush, Katcha 3 Bathroom: -Katcha, Pucca 4 Water Facility 5 Air Facilities 6 Service 7 Employees Manners 8 First Aid Facilities 9 Cleanliness 10 Rest Room 11 Plaza / Rest room / Fast Food 12 Quality of fuel 13 Quantity of Fuel 14 Availability of fuel Satisfied Unsatisfied Weightage (on 0-5 scale) Remarks 242
13 SCHEDULED-III QUESTIONNAIRE Section-I SECURITY POST & HEALTH FACILITIES APPENDIX-III The responsibility for security and health facilities along National Highways lies with: - a) Central Govt. b) State Govt. c) Both d) None of them Location of security and health post: - Year of establishment: - Staff Statement: - a) Incharge of security post b) Total security posts: - Rank Number Regular Contract Vacant Duty timing Any holiday yes / no If yes then weekly / monthly / yearly Limit of jurisdiction on National Highway: - Tick mark the facilities available at security & health post (traffic police post) S.No. Facilities Yes No Numbers Remarks 1. Gipsy / Van / Jeep / 2. Mobile / Landline 3. Ambulance 4. Stretcher 5. Doctor 6. Nurse 7. Oxygen 8. Medicine 9. Blood 10. Bed 11. Others How do you manage your security and health arrangements: - a) Sitting in your security post b) Rounds of prescribed area 243
14 If (b) then a) How many rounds are taken? b) Is there any fixed no. of rounds? c) Is there any fixed time for rounds? d) How many rounds are taken during night? Mode of information regarding accidents and violations on N.H.: - a) General public b) Traffic Police itself c) C.I.D. d) Any other means What is the first action taken by you after an accident? Where do you take the injured when accident takes place? a) Nearby hospital b) Civil hospital c) Private hospital After giving medical aid to the injured person what legal formalities are persuaded? What will you do in case of a major bus accident in which causality is very high? From whom do you seek cooperation? a) Local communities b) Passengers c) N.G.O s d) Other deptt. At what distance should there be a security and health facilities established at National Highways What minimum facilities should be provided at a security and health post Details of accidents in last calendar year 2007 Season Time Type of vehicles Summer Day Truck/ Tempo Two W. Other Causes of accidents 244 Other Number of casualties Manual Technical Climatic Manual Technical Climatic Other
15 Night Truck/ Tempo Two W. Other Winter Day Truck/ Tempo Night Two W. Other Truck/ Tempo Two W. Other Rainy Day Truck/ Tempo Night Two W. Other Truck/ Tempo Two W. Other Note: -Manual causes are: - a) Driver s carelessness; Wrong parking; Under / Over taking; Red Light Crossing; b) Drugs / Drinking; c) Reckless Driving; d) Diversion of Attention (Mobile, Music, other); Tired; Ignorance from Traffic Rules etc. Technical Causes are: - a)vehicle technical fault; b) Road condition; Shape of road; c) Opposite Vehicle etc Climatic Causes are:- Mist & Fog (visibility factors); Rainfall; Dust Strom etc. Other Causes are: - Animals; Two W. = Two Wheeler 245
16 What precautions do you suggest to reduce the number of road accidents? Number & Type of Traffic Violations in the calendar year 2007 Season Ti-me Type of vehicle Summer Day Truck / tempo TwoW. Others Night Truck / tempo TwoW. Others Rainy Day Truck / tempo TwoW. Others Night Truck / tempo TwoW. Others Winter Day Truck / tempo TwoW. Others Night Truck / tempo TwoW. Others Witho-ut helmet Incomplete document Tempering of goods Type and number of violations Over load Drinking / drugs Reckless driving Drug trafficking. Other Section-II How will you operate the above cases after knowing What steps do you suggest to reduce the number of cases mentioned above? Name: - Qualification: - Age: - Occupation: - Sex: - Place of origin: The questions given below are for calculating Satisfaction index Level of the passengers about quality and availability of wayside facilities on highways. Kindly respond your Answers on 0-5 scale in the light of following grading: (On 0-5 Scales) PASSANGERS SATISFACTION INDEX 246
17 Status of Fuel Filling Station : Poor : Average : Good : Very Good : Excellen Sr. No. Facilities Satisfied Unsatisfied Weightage (on 0-5 scale) 1. Number of security posts 2. Number of health posts 3. Did you get any help at the time of technical fault in your vehicle yes / no a) If yes then: - their cooperation / behavior b). Time taken 4. Did you get any help at the time of accidents yes / no a). If yes then: - their cooperation / behavior b). Time taken c). Ambulance d). Medicine e). Others 5. At the time of robbery did you get any help yes / no a). If yes then: - their cooperation / behavior b). Time taken c). Recovery of lost items 6. The level overall cooperation of traffic police 7. In case of accident/ roberry the legal procedure: - a) time consumption b). Convenience 8. Traffic signs & marking system on National Highway Remarks 247
18 APPENDIX-IV SCHEDULED-IV Questionnaire Perception of the Surrounding Communities with respect to Impact of Passenger Facilities on them or Their Communities 1. Name of the Facilities Cluster:- a) National Highway and Section:- b) Place:- 2. Name of Respondent:- 3. Age:- 4. Sex:- Male/Female 5. Education:- Section-I PHYSICAL IMPACTS 6. What is the impact of passenger facilities on the greenery of your area? I. Improved Significantly I Improved Marginally Downgraded Marginally V. Downgraded Significantly a) Is there any change in flora and fauna of your area? 7. What is the impact on water table due to passenger facilities? I. Improved Significantly I Improved Marginally Downgraded Marginally V. Downgraded Significantly 8. What is the impact of passenger facilities on the following environmental conditions? SrNo Scale I. Improved Significantly Air Pollution Water Pollution Land Pollution Sound Pollution Improved Marginally 248
19 I Downgraded Marginally V. Downgraded Significantly a) What are the causes of:- Air Pollution:- Water Pollution:- Land Pollution:- Sound Pollution:- b) Has the pollution adversely affected health:- yes/no If yes then Type of disease:- Total number of persons affected:- c) Is there any affect of pollution on crops:- d) Is there any other problem due to pollution:- Section-II ECOMOMIC IMPACTS 9. What is the impact of passenger facilities on the land value of your area? Marginally Increased I Marginally Decreased a) Is there any impact on yours/yours family land value:- b) What is the rate of land at the distance from NH of: Along NH:- 1km:- 2km:- c) Did you or your known person sell the land for providing passenger facility: yes/no if yes I. How much land was sold? At what rate did you or your known person sell? I How much amount did you or your known person receipt? How did you or your known person use that money? 10. How much is the occupational change due to passenger facilities in your area? Marginally Increased I Marginally Decreased a) Types of changes:- 249
20 11. How the passenger facilities affected the employment opportunities in your area? I Marginally Increased Marginally Decreased a) Types of employments:- b) Number of employees:- Age:- Sex:- 12. What is the impact of passenger facilities on any kind of shops in your area? I Marginally Increased Marginally Decreased a) Number and types of shops:- 13. What is the impact of passenger facilities on community s income in your area? I Marginally Increased Marginally Decreased a) Causes of this impact:- 250
21 Section-III SOCIAL IMPACTS 14. How much change in food-habits of peoples in your area due to passenger facilities? I Marginally Increased Marginally Decreased a) How often do you visit a food-joint to take food? b) Has the food-joint adversely affected health:- yes/no If yes then Type of disease:- Total number of persons affected:- 15. What is the affect of passenger facilities on the habit of drinking and smoking? I Marginally Increased Marginally Decreased a) How many people have become habitual:- b) Deaths:- Age:- Sex:- c) Diseases:- Type of disease:- Total number of persons affected:- d) How many people are involved in illegal selling of wine: 16. What is the impact of passenger facilities on the drug trafficking in your area? I Marginally Increased Marginally Decreased 251
22 a) How many people have become habitual:- b) Deaths:- Age:- Sex:- b) Diseases:- Type of disease:- Total number of persons affected:- c) How many people are involved in illegal selling of drug:- d) Name of the drugs:- 17. What is the impact of passenger facilities on theft/robbery/burglary in your area? I Marginally Increased Marginally Decreased 18. What is the affect of passenger facilities on immoral activity in your area? I Marginally Increased Marginally Decreased 19. What is the impact of passenger facilities on eve-teasing in your area? I Marginally Increased Marginally Decreased If increased then causes of this:- a) Due to facilities owner:- b) Due to staff employed on facilities:- c) Due to facilities users:- 252
23 20. What is the affect of passenger facilities to provide facilities in your area? I Marginally Increased Marginally Decreased a) Name the facilities:- 21. Is the any other impact on you and your communities due to passenger facilities? Name the impacts:- 253
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