TWO WEEKS SUMMER VACATION ACTIVITIES

Department of Electronics and Communication Engineering

UNIVERSAL COLLEGE OF ENGINEERING AND TECHNOLOGY-607
Approved by AICTE New Delhi, Affiliated to AP-SBTET NAAC Accredited with B++
Dokiparru(V), Medikondur(M), Guntur(Dt), Andhra Pradesh Promoted by Diocese of Guntur Society Guntur
COMMUNITY NEEDS ASSESSMENT SURVEY FORM
Community Name: Mandal: District:
Year-Branch: DECE AY: 2024-25 Year/Semester: FIRST YEAR
Student Name: Roll No:
Mentor Name: Batch No:
RESIDENTBASICINFORMATION
 Male Married
Resident Name: Age: Gender: Marital Status:
 Female Unmarried
Education:
 Agriculture Farmer  Self Employed
Graduated
House Number: Resident Occupation:  Employee  Student
Not
 Employer  Others
Graduated
RESIDENTSTATUSSURVEYFORM

 Kutcha House  Tent

 Own Type of
1.Habitation  Pucca House  Hut
 Rental House:
 Apartment  Others :

 Tap connection  Collection Of Water  Water Leakage

 Bore well Problem(s)  Inconvenient Timing  Water Pollution
2.Water Supply:
 Well facing:  Very Far Away  Unavailable
 Pond  Water Purity  Others:

 Connection available  Power Awareness

3.Electrification Problem(s)  Power Management
 Solar power  Power Fluctuation
availability : facing:  Others:
 Not Available  Power Measurement
  Drainage system  Stagnation
Problem(s)  Drainage indicator
4.Sanitation:  Waste Collection  Waste Collection
facing:  Others:
 Not Available  Hygiene

 Concrete roads
 No Connectivity  Drainage indications
5. Roads and  Metal roads Problem(s)
 Insufficient Capacity  Safety Measures
Connectivity:  Mud roads facing:
 Poor Side Walks  Others:
 Not available
 Awareness
 School  College
6.Education facility Problem(s)  Unavailability of Transport
 Available  Not Available
for children : facing:  Very far located
 Government  Private
 Others:

 Ambulance services  Healthcare reach ability

7. Health care  Available  Government Problem(s)  Doctor unavailability  Lack of awareness
center facility:  Not Available  Private facing:  Frequent health issues  Poor accountability
 Low quality of care  Others:

 Weeding
 Chilli  Turmeric  Weather fore casting
Farming  Harvesting
8. If Farmer,  Cotton  Vegetables  Soil preparation
Problems  Storage
Cultivating Crops  Paddy  Fruits  Sowing
facing at  Transport
:  Corn  Fisheries  Manuring
the  Electricity supply
 Tobacco  Others  Irrigation
Time of:  Others:

 Handlooms  Resources
 Metal Crafts  Financing awareness
 Wood Work Farming  Machinery
 Cane Craft  Tradeshows
9.Handy crafts:  Clay Craft Problems  Health issues
 Stone Craft  Technological advancements
 Leather Craft facing:  Marketing
 Others  Others:
 Jute Craft  Awareness of global opportunities

10.If any other,

  Problem(s)  
specify:
facing:

Signature of the Student Signature of the Mentor Signature of the HoS-DECE