Assembly Constituency
Polling Station Number
Locality
Respondent number
Q1: Assembly elections are going to be held in Madhya Pradesh in next few weeks. Will you vote in this election?
Q1a: (If yes in Q1) Will you definitely vote in this election or there is a possibility that you may not be able to vote for some reason?
Q2: If assembly elections in Madhya Pradesh are held tomorrow, then which party will you vote for?
Q2a: (If voted in Q2) The party which you just voted for, will you vote for the same party on day of voting almost two months later or your decision can change?
Q3: the coming election, who would you like to see as the Chief Minister of Madhya Pradesh?
Q4: What will be the most important issue for you while voting in the coming assembly election?
Q5: Are you satisfied or dissatisfied with the performance of BJP Government of Madhya Pradesh during last five years?
Q6: Are you satisfied or dissatisfied with the performance of your area’s current MLA?
Q7: While deciding whom to vote for in the assembly election, what would matter to you the most –party, local candidate or Chief Ministerial candidate of a party?
Q8: Are you satisfied or dissatisfied with the performance of the Narendra Modi-led BJP/NDA Government at the Centre during the last four and half years?
Q9a: Do you like or dislike Shivraj Singh Chouhan?
Q9b: Do you like or dislike Jyotiraditya Scindia?
Q9c: Do you like or dislike Narendra Modi?
Q9d: Do you like or dislike Kamal Nath?
Q9e: Do you like or dislike Rahul Gandhi?
Q10: In the coming assembly election, will you cast your vote by keeping Shivraj government’s work in mind or Modi government’s work in mind?
Q11: Thinking of how you (or your family in the case of first time voter) have voted in the last three/four assembly elections in Madhya Pradesh, how would you describe yourself? Which party’s supporter have you been mostly?
Q12: In your opinion should the Congress and the Bahujan Samaj Party (BSP) have formed an alliance in Madhya Pradesh for this assembly election?
Q13a: How important will the issue of cow protection be for you in the coming election – very, somewhat, very little or not at all?
Q13b: How important will the SC-ST Act controversy issue be for you in the coming election – very, somewhat, very little or not at all?
Q13c: How important will the Ayodhya temple-mosque dispute issue be for you in the coming election – very, somewhat, very little or not at all?
Q13d: How important will the issue of reservation be for you in the coming election – very, somewhat, very little or not at all?
Q13e: How important will the issue of making triple talaaq a crime be for you in the coming election – very, somewhat, very little or not at all?
Q14: (To be asked only in villages) Are you satisfied or dissatisfied with the crop support prices determined by the government?
Q15: Have you heard of the Nirav Modi/PNB scam?
Q16: Have you heard of the controversy surrounding the Rafale aircraft deal between India and France?
Q17: Have you heard of the Vyapam scam?
Q18a: Have you heard of the Bhavantar Bhugtaan Yojana?
Q18a(a): (If heard) Have you or your family benefitted from the Bhavantar Bhugtaan Yojana?
Q18b: Have you heard of the Deen Dayal Antyodaya Upchaar Yojana?
Q18b(a): (If heard) Have you or your family benefitted from the Deen Dayal Antyodaya Upchaar Yojana?
Q18c: Have you heard of the Sambal Yojana?
Q18c(a): (If heard) Have you or your family benefitted from the Sambal Yojana?
Q18d: Have you heard of the Mukhyamantri Awaas Yojana?
Q18d(a): (If heard) Have you or your family benefitted from the Mukhyamantri Awaas Yojana?
Q18e: Have you heard of the Ujjwala Yojana?
Q18e(a): (If heard) Have you or your family benefitted from the Ujjwala Yojana?
Q18f: Have you heard of the Saubhagya Yojana?
Q18f(a): (If heard) Have you or your family benefitted from the Saubhagya Yojana?
Q19: Have you heard of Ayushman Bharat or the Pradhan Mantri Jan Arogya Yojana?
Q20: Are you aware of any person whose job or occupation was badly affected because of demonetization or GST?
Q21a: According to you has the Madhya Pradesh government succeeded or failed in looking after the interests of Farmers?
Q21b: According to you has the Madhya Pradesh government succeeded or failed in looking after the interests of Traders?
Q21c: According to you has the Madhya Pradesh government succeeded or failed in looking after the interests of Youth?
Q21d: According to you has the Madhya Pradesh government succeeded or failed in looking after the interests of Women?
Q21e: According to you has the Madhya Pradesh government succeeded or failed in looking after the interests of your Caste-community?
Q22a: How corrupt do you consider the Shivraj government in the State – very, somewhat, very little or not at all?
Q22b: How corrupt do you consider the Modi government at the Centre – very, somewhat, very little or not at all?
Q23a: Have facilities in schools and colleges improved or deteriorated during last five years of BJP rule in Madhya Pradesh?
Q23b: Have facilities in hospitals improved or deteriorated during last five years of BJP rule in Madhya Pradesh?
Q23c: Has the supply of electricity improved or deteriorated during last five years of BJP rule in Madhya Pradesh?
Q23d: Has the condition of roads improved or deteriorated during last five years of BJP rule in Madhya Pradesh?
Q23e: Has the supply of drinking water improved or deteriorated during last five years of BJP rule in Madhya Pradesh?
Q23f: Have relations between Hindus and Muslims improved or deteriorated during last five years of BJP rule in Madhya Pradesh?
Q23g: Has the security of women/girls improved or deteriorated during last five years of BJP rule in Madhya Pradesh?
Q24a: Has the establishment of new industries increased or decreased in Madhya Pradesh in the last five years?
Q24b: Has corruption increased or decreased in Madhya Pradesh in the last five years?
Q24c: Have prices/mehengai increased or decreased in Madhya Pradesh in the last five years?
Q24d: Have employment opportunities increased or decreased in Madhya Pradesh in the last five years?
Q25: In your estimate, which party will win or be a leading party in Madhya Pradesh in the coming election?
Q26: If Lok Sabha elections take place in the country tomorrow, then which party will you vote for?
Q27: Have you heard about SAPAKS (Samanya Pichhda Alpasankhyak Kalyan Samaj) party?
Q27a: (If heard) If SAPAKS party fields a candidate from your area then how likely is it that you will vote for it – very likely, somewhat likely, very less likely or not at all likely?
Q28: Have you heard about JAYS (Jai Adivasi Yuva Shakti) party?
Q28a: (If heard) If JAYS party fields a candidate from your area then how likely is it that you will vote for it – very likely, somewhat likely, very less likely or not at all likely?
Q29: Suppose the Congress party forms the government in Madhya Pradesh after the election, then in such a situation who should be the Chief Minister?
Q30: Did Shivraj Singh Chouhan’s Jan Ashirwad Yatra go past your area or the area close to it?
Q31: Did Congress’ Sankalp Yatra go past your area or the area close to it?
Q32: Should the 15-year tenure of Shivraj Singh government and the 10-year tenure of the Digivijay Singh government in Madhya Pradesh be compared with each other in the present?
Q33a: How often do you watch news on television – daily, sometimes, very less or never?
Q33b: How often do you listen to news on radio – daily, sometimes, very less or never?
Q33c: How often do you read the newspaper/s – daily, sometimes, very less or never?
Q33d: How often do you read news on internet – daily, sometimes, very less or never?
Q34a: How often do you use Facebook - many times a day, once or twice a day, a few days a week, a few days a month, very less or never?
Q34b: How often do you use Twitter - many times a day, once or twice a day, a few days a week, a few days a month, very less or never?
Q34c: How often do you use Whatsapp - many times a day, once or twice a day, a few days a week, a few days a month, very less or never?
Q35: Should the current Shivraj/BJP government in Madhya Pradesh get another chance?
Z1: What is your age?
Z2: Gender
Z3: Up to what level have you studied?
Z4: What is your Occupation?
Z4a: Are you the main earner of your household?
Z4b: (If No in Z4a) What is the occupation of the main earner of your household?
Z5: Are you married?
Z6a: What is your caste group – SC, ST, OBC or General?
Z6b: And what is your Caste/Jati-biradari/Tribe name?
Z7: What is your religion?
Z8a: How often do you do pooja/namaz/prayer/read path – daily, weekly, only on festivals or never?
Z8b: How often do you keep fasts (vrat, roza, upwaas) – daily, weekly, only on festivals or never?
Z8c: How often do you go to a temple/mosque/gurudwara/church – daily, weekly, only on festivals or never?
Z9: Which ration card do you have?
Z10: What kind of mobile phone do you have- a simple phone or a smart phone with a touch screen?
Z10a: (If respondent has a mobile phone) Does you phone have an internet connection?
Z10b: (If respondent has a mobile phone) Have you got this phone under a government scheme?
Z11a: Are you or any member of your family a member of the RSS?
Z11b: Are you or any member of your family a member of the VHP?
Z11c: Are you or any member of your family a member of the Bajrang Dal?
Z12: Area/locality
Z12a: (If Town/City/Metropolitan) Type of house where Respondent lives (own or rented)
Z12b: (If village) Type of house where Respondent lives (own or rented)
Z13: Total number of family members (Adults)
Z13: Total number of family members (Children)
Z14: Total agricultural land of household
Z15: In normal circumstances, what is your monthly household expenditure?
Z16a: Do you or your household have a Car/Jeep/Van?
Z16b: Do you or your household have a Scooter/Motorcycle/Moped?
Z16c: Does your household have an Air conditioner?
Z16d: Do you or your household have a Computer/laptop/IPad?
Z16e: Does your household have an Electric fan/cooler?
Z16f: Does your household have a Washing machine?
Z16g: Does your household have a Fridge?
Z16h: Does your household have a Television?
Z16i: Do you or a household member have a bank/post office account?
Z16j: Do you or a household member have an ATM/Debit/Credit Card?
Z16k: Do you or your household have LPG gas?
Z16l: Do you have a Internet connection in the house?
Z16m: Do you have a toilet inside your house?
Z16n: Do you or your household have a Pumping set?
Z16o: Do you or your household have a Tractor?
Z17a: Total number of Goat/Sheep
Z17b: Total number of Ox/Buffalo
Z17c: Total number of Cow
Z18: What’s your monthly household income after putting together the income of all members?
Z19: Mobile/ Telephone number of the respondent
E1: During the interview did you at any time feel that the respondent was answering the questions under some fear or pressure?