2. Has the Household received the relief offered by the Government? YES/NO 3. If “YES” explain the nature of relief in detail: ...................................... ............... ..~...................~ ............................... 4. If “NO” how did the members of the Household manage the situation ? ..................... ..................................................................... 5. Do you think whether the social tenor of your life has been affected in any way by the disaster? YES/NO 6.If”YES”how? ........................................................... 7. Remarksifany: .......................................................... 42 ANNEX IV Questionnaire II A SURVEY OF INDUSTRIAL ESTABLISHMENTS TO ASSESS THE DAMAGE CAUSED BY RECENT FLOODS AND LANDSLIDES IN THE NILGIRIS DISTRICT MANUFACTURING/SERVICING I. IDENTIFICATION AND GENERAL DESCRIPTION 1. Name of the establishment ................................................. 2. Location Q Municipality ...................................................... ii) Ward/Area ........................................................ iii) Street ........................................................... 3. Nature of ownership ......... Proprietary/Partnership/Public or Private Ltd/Co-operative/Other 4. Date of the establishment of the firm .......................................... 5. Number and type of Unit(s) ................................................ 6. Name of 4 Principal products ................................................... ii) Services ......................................................... 7. a) Number of working days (last year) ....................................... b) Number of shifts ................................................... 8. Capacity and production 4 What is the installed capacity of your establishment ............................ b) What is the annual production i) Quantity ..................................................... ii) ValueinRs.. .................................................. 4 What is your production target for the year 1978 4 Quantity ..................................................... ii) ValueinRs .................................................... 9. Raw material used: Items Quantity Value in Rs. a. b. C. d. 10. Employment Total working force employed i) Meninnumbers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ii) Womeninnumbers...................,.............................. 43 I 11. Where are your products marketed 
**Analysis**
The text appears to be a survey questionnaire, collecting data on the impact of floods and landslides on households and industrial establishments in the Nilgiris district. The questions focus on the economic and social effects of the disaster, including the relief received, management of the situation, employment, and production. The questionnaire also collects information on the nature of the establishment, products, raw materials, and marketing.

**Category**
Humanitarian aid and relief, Industry