Items:

1. Does the village have access to the following energy sources…?

• Electricity
  
• Gas
  
• Gasoline
  

Response Options:
Yes - 1
No - 2

2. Are there any of the following common natural resources available to the people of this village?

• Land for cultivation
  
• Firewoodcharcoal to be collected
  
• Timber to be taken for house construction
  
• Fish to be caught from lake or river
  
• Bamboo to be taken
  
• Open land for animal grazing
  
• Fruits to be picked
  
• Wild animals for hunting
  

Response Options:

Yes, legally - 1
Not legally - 2
No, not at all - 3

3. [Describe the] availability of __ in the last 5 years?

Note: Complete for each of the “common natural resources” listed in the previous question.

Response Options:
Increased - 1
Stayed the same - 2
Diminished - 3

4. Is there depletion through overuse of this resource at present?

Note: Complete for each of the “common natural resources” listed in the previous question.

Response Options:
Yes, a lot - 1
Yes, some - 2
No - 3