Chitrasen Madhyawarti Community Forest Users Group

Ratnanagar Municipality - 7, Manohara, Chitwan

User Survey Form





A) Family Details

S.N. Name Gender Age
1

B) Household Information

Number of Women: Number of Men:

House Type: Kachhi Pakki

C) Household Assets

Mobile Cycle TV

D) Source of Income

Agriculture Business

Satisfied with services? Yes No