gsyksa vkink ds ckn vkids?kj vksj laifùk dks gq, uqdlku ds ckjs esa esa vkils dqn iz'u iwnuk gwaa

Transkript

1 gsyksa vkink ds ckn vkids?kj vksj laifùk dks gq, uqdlku ds ckjs esa esa vkils dqn iz'u iwnuk gwaa Hello. There are some questions I need to ask you about damage to your home and property after the disaster.

2 vkidh lqfo/kk ds fy, esaus izr;sd iz'u fy[kdj j[kk gsa vf/kdrj iz'uksa ds fy, ge vkidks mùkjksa ds fodyi nsaxsa Ñi;k mùkj dh rjq ladsr djsa ;k mùkj fy[k nsa rkfd ge ;g irk yxk ldsa fd vkidks fdl rjg dh lgk;rk pkfg,a ;fn fdlh iz'u ds ckjs esa ;k mldk mùkj fdl izdkj nsuk gs blds ckjs esa vkidks dksbz lansg gs] rks 'khv ij ÞBhd ls irk ughaß dh rjq ladsr djsaa I have each question written for you. We will give you answer choices for most questions. Please point to the answer or write an answer so we can find out what help you might need. If you are not sure about a question or how to answer the question, please point to Not sure on the sheet.

3 vkius fdl izdkj dh vkink dk lkeuk fd;k\ vkx fctyh pyh tkuk rwqku ;k pøokr ¼LVkWeZ ;k VkWjusMks½ folqksv ;k ce /kekdk ck<+ xsl fjlko jlk;u dk QSy tkuk tsfod vkink dksbz vu; vkink tks lwph esa u gks Bhd ls irk ugha What type of disaster were you involved in? Fire Gas leak Power outage Chemical spill Storm or tornado Biological disaster

4 D;k vki ;gka vdsys vk, gsa\ Did you come here alone?

5 D;k vkids lkfk ifjokj dk dkssbz vu; lnl; ;k fe= gsa\ Do you have other family member or friends with you?

6 ;fn gka] rks D;k vki muds uke vksj vk;q eq>s crk ldrs gsa\ If yes, can you tell me or write their names and ages?

7 vhkh vki dgka Bgjs gq, gsa\ vius?kj ij fdlh im+kslh ;k fe= ds lkfk vkj; esa gksvy esa Bhd ls irk ugha Where are you staying now? At our home With a neighbor or friend Shelter Hotel Not sure

8 D;k vkids ikl,slk dksbz igpku&i= gs ftl ij vkinkxzlr LFkku dk irk ntz gks\ ;fn gka & rks Ñi;k eq>s fn[kk,aa Do you have a piece of identification with the disaster address on it? If yes, please show me.

9 vki fdl izdkj dh bekjr esa jgrs gsa\ edku damksfefu;e vikvzesav vikvzesav eksckby?kj vu; Bhd ls irk ugha What kind of building do you live in? House Condominium Apartment Mobile home Other Not sure

10 vius edku ds ckjs esa eq>s crk,aa lhkh dejs 1 ry ;k 1 eafty ij gsa dejs 2 eaftyksa ij gsa dejs 3 ;k 3 ls vf/kd eaftyksa ij gsa edku esa rg[kkuk gs Tell me about your house. All rooms are on 1 floor or 1 level There are rooms on 2 levels There are rooms on 3 or more levels There is a basement

11 irk Ñi;k eq>s viuk irk crk,a ;k dksbz pht fn[kk,a ftl ij irk ekstwn gks] ;k dkxt ij irk fy[kdj nsaa Bhd ls irk ugha Address Please tell me or show me something with the address, or write the address on paper. Not sure

12 vkids?kj esa fdrus yksx jgrs gsa\ Ñi;k eq>s crk,a ;k dkxt ij,d la[;k fy[ksaa Bhd ls irk ugha How many people live in your home? Please tell me or write a number on the paper Not sure

13 D;k vkink ds ckn vius?kj ij jgus okys lhkh yksxksa ls vki ckr dj pqds gsa\ Have you been able to talk to all the people that live at your home since the disaster?

14 D;k vki tgka jgrs gsa ml txg ds vki ekfyd gsa ;k vki fdjk, ij jgrs gsa\ ekfyd fdjk, ij QuhZpj lfgr fdjk, ij Bhd ls irk ugha Do you own or rent where you live? Own Rent Rent with furniture Not sure

15 D;k vkids?kj ;k laifùk dks uqdlku igqapk Fkk\ Was your home or property damaged?

16 vius?kj dks gq, uqdlku dk vkdyu dhft,a u"v gks x;k cgqr vf/kd uqdlku gqvk FkksM+k uqdlku gqvk dksbz uqdlku ugha gqvk Bhd ls irk ugha Rate the amount of damage to your home. Destroyed Major Damage Minor Damage No Damage Not sure

17 D;k vkids?kj ds ckgjh fgllksa dks uqdlku igqapk gs\ Is there damage to the outside parts of your home?

18 ;fn gka] rks fdu fgllksa dks uqdlku igqapk Fkk\ Nr dks fpeuh dks lkbfmax ;k ckgjh nhokjksa dks f[km+fd;ksa dks vu; fgllksa dks tks lwph esa ugha gsa Bhd ls irk ugha If yes, what parts were damaged? Roof Chimney Siding or outside walls Windows Other parts not on this list Not sure

19 D;k?kj ds van:uh fgllksa dks Hkh uqdlku igqapk Fkk\ Was there damage inside the home?

20 D;k [kk lkexzh u"v gqbz Fkh ;k mldk uqdlku gqvk Fkk\ Was food destroyed or lost?

21 D;k jlksbz ds cjru u"v gq, Fks ;k mudk uqdlku gqvk Fkk\ Were kitchen utensils destroyed or lost?

22 D;k vfrffkd{k dk QuhZpj u"v gqvk Fkk\ Was living room furniture destroyed?

23 D;k 'k;ud{k dk QuhZpj u"v gqvk Fkk\ Was bedroom furniture destroyed?

24 D;k igus tkus okys ol= u"v gq, Fks\ Was clothing destroyed?

25 D;k pknjsa u"v gqbz Fkha\ Were bed sheets destroyed?

26 D;k Luku ds rksfy, u"v gq, Fks\ Were bathroom towels destroyed?

27 D;k vkidh nokvksa dk uqdlku gqvk Fkk\ Did you lose any medicines?

28 D;k vkidks rrdky fdugha nokvksa dh vko';drk gs\ Do you need any medicines right away?

29 D;k vkidks tynh gh fdugha nokvksa dh vko';drk gksxh\ Do you need any medicines soon?

30 D;k vki eq>s mu nokvksa ds uke crk ldrs gsa ;k mudh dksbz lwph fn[kk ldrs gsa ftudk vki lsou djrs gsa\ Can you tell me the medicines you take or show me a list of the names?

31 D;k ifjokj dk dksbz lnl; fo kfkhz gs\ ;fn gka & rks dgka\ Is anyone in the family a student? If yes, where?

32 D;k vkids edku dk chek gqvk gs\ Do you have insurance for your house?

33 D;k vkids QuhZpj vksj vu; lkeku dk chek gqvk gs\ Do you have insurance for your furniture and belongings?

34 D;k chek ds dkxtkr vkids ikl gsa\ ;fn gka] rks Ñi;k eq>s fn[kk,aa Do you have your insurance papers with you? If yes, please show them to me.

35 vkids ifjokj dh vk; fdruh gs\ $0 4,999 $5,000 9,999 $10,000 19,999 $20,000 39,999 $40,000 59,999 $60,000 ;k vf/kd Bhd ls irk ugha What is the range of income for your household? $0 $4,999 $40,000 $59,999 $5,000 $9,999 $60,000 or more $10,000 $19,999 Not sure $20,000 $39,999