Village Power Supply Reliability Survey Sheet
Village Name
District
Date of Survey
Respondent Name
Respondent Role (e.g., resident, Sarpanch, lineman)
Total Households in Village
Number of Households Electrified
Average Daily Power Supply Hours
Number of Outages in Last 7 Days
Typical Outage Duration (in hours)
Main Causes of Outages (if known)
Resident Satisfaction with Power Supply
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Additional Comments