Urban Socioeconomic Survey Field Log
Surveyor Information
Surveyor Name
Team/Organization
Date
Location (Area/Neighborhood)
GPS Coordinates
Household Information
Household Head Name
Total Number of Household Members
List Age Ranges (e.g., Adults, Children, Elderly)
Ethnicity (if applicable)
Socioeconomic Information
Primary Source(s) of Income
Monthly Household Income (estimate)
Highest Education Level in Household
Type of Housing
Tenure Status (own/rent/other)
Access to Services
Water Source
Electricity
Yes
No
Irregular
Sanitation Facilities
Access to Health Services
Access to Education Facilities
Observations/Remarks