PABNA UNIVERSITY OF SCIENCE & TECHNOLOGY
Department of Urban & Regional Planning
Questionnaire on Industrial Revitalization of North Bengal Paper Mill, Paksi, Pabna.
(Academic Purpose Only)
For labor:
Personal Information
Name: Sex: Male
Age: Female
Marital status: Married Religion:
Unmarried Educational Background:
Previous Position: Current Profession:
Address:
Contract number:
Household Information
Total family members:
Total earning members in family:
Current monthly income:
Previous monthly income:
Total household income:
Industrial Information
1 = good, 2 = moderate, 3 = poor
Condition Description
Past Present
Transportation Network
Drainage system
Fire Protection System
Security System
Facilities for labor:
1 = good, 2 = moderate, 3 = poor
1. What was their duration of working hour?
Ans:
2. If they had any overtime?
O Yes O No
3. Were there enough machineries for their work?
O Yes O No
4. Tell about the condition of machineries?
a) good b) moderate c) poor
5. Had any emergency exit?
O Yes O No
6. How was the working environment?
a) good b) moderate c) poor
7. Had any training facilities for labor?
O Yes O No
8. Causes of breakdown:
9. Effects on labor for shutting down of industry:
Facilities Condition
Past Present
Accommodation
Educational
Health
Recreational
Sanitation
Others
Tiffin facility O Yes O No a) good b) moderate c) poor
Vacation O Yes O No a) good b) moderate c) poor
Increment O Yes O No a) good b) moderate c) poor
Bonus O Yes O No a) good b) moderate c) poor
PABNA UNIVERSITY OF SCIENCE & TECHNOLOGY
Department of Urban & Regional Planning
Questionnaire on Industrial Revitalization of North Bengal Paper Mill, Paksi, Pabna.
(Academic Purpose Only)
For staff:
Personal Information
Name: Sex: Male
Age: Female
Marital status: Married Religion:
Unmarried Educational Background:
Previous Position: Current Profession:
Address:
Contract number:
Household Information
Total family members:
Total earning members in family:
Current monthly income(own):
Previous monthly income(own):
Total household income:
Industrial Information
1. Factory establishment and area information:
Total area
Policy making period
Name of Government (taken policy of paper mill)
Construction starting period
Construction ending period
2. Workers and working hour information:
3. Machineries and raw materials information:
Types of raw materials
Amount of raw materials(per day)
Amount of raw materials(per year)
Types of chemical compounds
 Did they use any foreign chemical compounds?
O Yes O No
Please specify the country name: …………………….
Raw
materials
Chemicals machineries
Cost
Quality
Availability
1 = high, 2 = moderate, 3 = poor
4. Production Information:
Commercial production starting period
Production ability(per day)
Production ability(per year)
Paper price rate
Types of products
Amounts of export products
 How was the paper quality?
Ogood O moderate O poor
Construction company name
Scheme of project
estimate cost of project
Factory starting time
Factory ending time
Working hour started
Working hour ended
Total Workers number
Staffs number
Labor number
 How was the market demand of paper?
O high O moderate O poor
5. Infrastructure and Systems assessment:
1 = good, 2 = moderate, 3 = poor
 Had any alternate power supply?
O Yes O No
 Had any emergency exit?
O Yes O No
Water Supply system:
Source collection Treatment Distribution Condition
Past Present
Solid Waste management System:
Waste
generation
Collection Dumping Treatment Condition
Past Present
1 = good, 2 = moderate, 3 = poor
condition Description
past present
Infrastructure
Transportation
Network(Inside)
Transportation
Network(outside)
Drainage system
Storage system
Fire protection
system
Power supply
Security system
6. Facilities for staff:
1 = good, 2 = moderate, 3 = poor
7. Industrial Impact Assessment:
Impact Economic Political Social Environmental
Past Positive
Negative
Present Positive
Negative
 Describe about historical background of the industry
 Describe about causes of breakdown of the industry.
 Suggestion for reopening.
Facilities Condition
Past Present
Accommodation
Educational
Health
Recreational
Sanitation
Others
Tiffin facility O Yes O No a) good b) moderate c) poor
Vacation O Yes O No a) good b) moderate c) poor
Increment O Yes O No a) good b) moderate c) poor
Bonus O Yes O No a) good b) moderate c) poor
PABNA UNIVERSITY OF SCIENCE & TECHNOLOGY
Department of Urban & Regional Planning
Questionnaire on Industrial Revitalization of North Bengal Paper Mill, Paksi, Pabna.
(Academic Purpose Only)
For urban dwellers:
Personal Information
Name: Sex: Male
Age: Female
Marital status: Married Religion:
Unmarried Educational Background:
Previous Position: Current Profession:
Address:
Contract number:
 Have any relationship with paper mill?
O Yes O No
If yes, please specify. ……………………..
Household Information
Total family members:
Total earning members in family:
Current monthly income:
Previous monthly income:
Total household income:
Industrial Information
1 = good, 2 = moderate, 3 = poor
Condition Description
Past Present
Transportation Network
Drainage system
Water Supply
Security
Industrial Impact Assessment:
Impact Economic Political Social Environmental
Past Positive
Negative
Present Positive
Negative
 Have any other facilities of the industry?
O Yes O No
If yes, please specify. ……………………..
 Causes of breakdown of the industry:

A Questionnaire Template for Industrial Revitalization

  • 1.
    PABNA UNIVERSITY OFSCIENCE & TECHNOLOGY Department of Urban & Regional Planning Questionnaire on Industrial Revitalization of North Bengal Paper Mill, Paksi, Pabna. (Academic Purpose Only) For labor: Personal Information Name: Sex: Male Age: Female Marital status: Married Religion: Unmarried Educational Background: Previous Position: Current Profession: Address: Contract number: Household Information Total family members: Total earning members in family: Current monthly income: Previous monthly income: Total household income: Industrial Information 1 = good, 2 = moderate, 3 = poor Condition Description Past Present Transportation Network Drainage system Fire Protection System Security System
  • 2.
    Facilities for labor: 1= good, 2 = moderate, 3 = poor 1. What was their duration of working hour? Ans: 2. If they had any overtime? O Yes O No 3. Were there enough machineries for their work? O Yes O No 4. Tell about the condition of machineries? a) good b) moderate c) poor 5. Had any emergency exit? O Yes O No 6. How was the working environment? a) good b) moderate c) poor 7. Had any training facilities for labor? O Yes O No 8. Causes of breakdown: 9. Effects on labor for shutting down of industry: Facilities Condition Past Present Accommodation Educational Health Recreational Sanitation Others Tiffin facility O Yes O No a) good b) moderate c) poor Vacation O Yes O No a) good b) moderate c) poor Increment O Yes O No a) good b) moderate c) poor Bonus O Yes O No a) good b) moderate c) poor
  • 3.
    PABNA UNIVERSITY OFSCIENCE & TECHNOLOGY Department of Urban & Regional Planning Questionnaire on Industrial Revitalization of North Bengal Paper Mill, Paksi, Pabna. (Academic Purpose Only) For staff: Personal Information Name: Sex: Male Age: Female Marital status: Married Religion: Unmarried Educational Background: Previous Position: Current Profession: Address: Contract number: Household Information Total family members: Total earning members in family: Current monthly income(own): Previous monthly income(own): Total household income: Industrial Information 1. Factory establishment and area information: Total area Policy making period Name of Government (taken policy of paper mill) Construction starting period Construction ending period
  • 4.
    2. Workers andworking hour information: 3. Machineries and raw materials information: Types of raw materials Amount of raw materials(per day) Amount of raw materials(per year) Types of chemical compounds  Did they use any foreign chemical compounds? O Yes O No Please specify the country name: ……………………. Raw materials Chemicals machineries Cost Quality Availability 1 = high, 2 = moderate, 3 = poor 4. Production Information: Commercial production starting period Production ability(per day) Production ability(per year) Paper price rate Types of products Amounts of export products  How was the paper quality? Ogood O moderate O poor Construction company name Scheme of project estimate cost of project Factory starting time Factory ending time Working hour started Working hour ended Total Workers number Staffs number Labor number
  • 5.
     How wasthe market demand of paper? O high O moderate O poor 5. Infrastructure and Systems assessment: 1 = good, 2 = moderate, 3 = poor  Had any alternate power supply? O Yes O No  Had any emergency exit? O Yes O No Water Supply system: Source collection Treatment Distribution Condition Past Present Solid Waste management System: Waste generation Collection Dumping Treatment Condition Past Present 1 = good, 2 = moderate, 3 = poor condition Description past present Infrastructure Transportation Network(Inside) Transportation Network(outside) Drainage system Storage system Fire protection system Power supply Security system
  • 6.
    6. Facilities forstaff: 1 = good, 2 = moderate, 3 = poor 7. Industrial Impact Assessment: Impact Economic Political Social Environmental Past Positive Negative Present Positive Negative  Describe about historical background of the industry  Describe about causes of breakdown of the industry.  Suggestion for reopening. Facilities Condition Past Present Accommodation Educational Health Recreational Sanitation Others Tiffin facility O Yes O No a) good b) moderate c) poor Vacation O Yes O No a) good b) moderate c) poor Increment O Yes O No a) good b) moderate c) poor Bonus O Yes O No a) good b) moderate c) poor
  • 7.
    PABNA UNIVERSITY OFSCIENCE & TECHNOLOGY Department of Urban & Regional Planning Questionnaire on Industrial Revitalization of North Bengal Paper Mill, Paksi, Pabna. (Academic Purpose Only) For urban dwellers: Personal Information Name: Sex: Male Age: Female Marital status: Married Religion: Unmarried Educational Background: Previous Position: Current Profession: Address: Contract number:  Have any relationship with paper mill? O Yes O No If yes, please specify. …………………….. Household Information Total family members: Total earning members in family: Current monthly income: Previous monthly income: Total household income: Industrial Information 1 = good, 2 = moderate, 3 = poor Condition Description Past Present Transportation Network Drainage system Water Supply Security
  • 8.
    Industrial Impact Assessment: ImpactEconomic Political Social Environmental Past Positive Negative Present Positive Negative  Have any other facilities of the industry? O Yes O No If yes, please specify. ……………………..  Causes of breakdown of the industry: