You are on page 1of 12

Section B:

1 2 3 4

Personal Information

Name: Age: Sex: Male/Female: Social Category: Scheduled Caste/Scheduled Tribe/Backward Class/ General If you are not sure about your social category write the name of the Caste/Tribe you belong to:

5 6

Religion: Education Class: School/College Name: School/College Location: School/College Type: Government/Private Aided/Private Unaided School Board: State Board/CBSE/ICSE/Other

If you are not studying please answer the following: Upto which class have you passed: When did you stop studying(e.g. 1 year ago, 6 months ago): What are you doing now? Working/Working+studying (Not in a regular school)/Not working or studying/Other Why have you stopped studying?

If you are working or working +studying, answer the following questions: What work do you do? Where do you work? Nature of your work: Regular/Not regular/Self employed/Other

What is your fathers highest level of education?: Doctorate/Post graduation/Graduation/Diploma/Intermediate(Pre University)/High School/Primary

School/Cannot Read and Write


10

Fathers Occupation What is your fathers occupation?(e.g. Lawyer, Farmer, Coolie, Office Boy) What is his position/designation?i(Senior Manager, Supervisor) Which factory/company/organization does he work for? What is the nature of your fathers work?: Regular Permanent/Regular Temporary/Not Regular/Unemployed for the last one year/Other If your father is self employed or has his own business please indicate: Type of business: Number of people working under him:

11

What is your mothers highest level of education?: Doctorate/Post graduation/Graduation/Diploma/Intermediate(Pre University)/High School/Primary School/Cannot Read and Write

12

Mothers Occupation What is your mothers occupation?(e.g. Lawyer, Farmer, Coolie, Office Boy) What is her position/designation?ii(Senior Manager, Supervisor) Which factory/company/organization does she work for? What is the nature of your mothers work?: Regular Permanent/Regular Temporary/Not Regular/Unemployed for the last one year/Other If your mother is self employed or has her own business please indicate: Type of business: Number of people working under her:

13

Family income in Rupees in total per month

14

Medium of instruction in the School/College :( English/kannada/any other-specify) During High School:

During Higher Secondary: During College: Mother Tongue:

Section C
This section lists out a number of work related activities. Indicate the extent to which you would like to engage in each of the activities as part of your job. Try not to think about whether you have enough education or training to perform the activity OR how much money you would make performing the activity OR how much status or prestige would be involved. Base your answer entirely on how much would you enjoy doing this activity. Also, remember, this is not a test so there is no right or wrong answers to the items. The objective is to help you find out your personal interests related to work. Use the following rating scale: 1= A bit interested 2= Somewhat interested 3=Interested 4=Quite interested 5= Highly interested If a particular question is not clear to you please write 9 in the given space.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21

Act in a drama /film Activities that require manual work (direct use of hand) Suggest ways to beautify and decorate a house Analyze a scientific theory/concept Apply science to solve day to day problem Attend conferences on sales and marketing Be a part of a music band or a dance group Build bridges and roads Give a presentation to sell your product Calculate taxes Care for pets/domestic animals Check documents related to details of income and expenditure for accuracy Prepare a dance item. Compete in a sporting activity Compose music Provide suggestions and ideas to organizations on how to conduct business Create new procedures or plans to treat water Demonstrate to the new worker how office equipments work Describe a complex scientific concept Design cloths/furniture/homes Design the sets for a drama

22 23 24 25

Develop new ways to treat plant diseases Drive huge vehicles Edit, format and file documents in a large organization Engage in activities that require good physical co-ordination (e.g., sports, repair work) Engage in activities that require high stamina and physical exertion Engage in singing songs Engage in sketching/drawing/painting Ensure that everyone follows office procedures Enter the data into a database Fix mechanical devices Formulate and create new medicine Give guidance for people regarding career choices Identify the cause of a problem and solve it. Help people solve family issues or problems Help people solve personal and emotional problems Look at products to check whether it meets quality standards Investigate crime-related activities Keep a record of material available in the store Keep track of accounts Lay bricks or tiles for a house or a pathway Lead a department in a large organization

26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42

43 44 45 46 47 48 49 50

Lead a group of people for a common purpose Learn about past events and civilization Maintain and service machines Make a list of supplies Make presentations to people about products Make reports of expenses and incomes Manage a store on your own Meet important personalities in ones area of work ( e.g. business leaders, executives) Work with a community to solve a common problem Operate equipments available in an office Operate ones own business Organise and conduct programs in children camps Organise social activities for elderly people Paint buildings or large hoardings Participate in a social campaign Participate in physically demanding work Entertain others by performing (acting, singing or dancing) Develop an idea to sell / promote a new product or service Plan a election campaign for a political party Plan about selling new product and services Plan and conduct a research study

51 52 53 54 55 56 57 58 59 60 61 62 63

64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85

Design the look of a garden Plan schedules of events for a show Plan schedules of official meetings Prepare envelopes and packages to deliver Provide exercise for patients with disability or recovering from illness Read articles related to business Read articles related to social issues Repair things Sell a specific product to small shops Sell rights of your product Sell products needed for large companies or shops Sell products to people through telephone Start a business of your own Study articles related to music, dance, drama, art or literature Study books /journals to understand human behaviour and relationship Study human cells and genes Study natural resources Study scientific books and journals Study technical problem Supervise a group of workers Take care of a group of young children Take care of sick people by nursing them

86 87 88

Talk to people and comfort them Teach students (children/Adults) Transform thoughts and ideas into words (e.g., by writing an article) or visuals(e.g., by drawing a picture or a cartoon) Type business letters. Update financial records Use mathematical skills Use microscope to examine cells Use software / computer programs to manage accounts Use tools and equipments Validate accounts in an office Work as a announcer for a radio show or a public event Work as the personal secretary to a high-ranking official. Work for a organisation dedicated to social service Work for people who are mentally ill Work for people who are sick and suffering Work in big farms/plantations Work in a factory to assemble products Work in a farm and raise animals Work in a laboratory and conduct experiments Work in a research centre Work in fire rescue operations Work outdoors

89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107

108 109 110 111 112 113 114 115 116 117 118 119 120

Work under a famous artist Work under an experienced researcher/scientist Work under experts who understands machines Work with chemicals Work with disabled children Work with colours and designs Work with machines and equipment in a factory Work with people who are physically ill or sick Work with preschool children and teach them Write books, scripts or poems Comment on a new movie Write essays, articles or stories for newspapers or magazines Write novels/plays/stories

Section C
Section B consists of a list of occupations. Indicate the extent to which you would like to engage in each of the occupations. Try not to think about whether you have enough education or training to enter this occupation OR

how much money you would make in this occupation OR how much status or prestige would be involved. Base your answer entirely on how much would you enjoy working in this occupation. Also remember, this is not a test so there is no right or wrong answers to the items. The objective is to help you find out your personal interests related to occupations. Use the following rating scale: 1= A bit interested 2= Somewhat interested 3=Interested 4=Quite interested 5= Highly interested If a particular item is not clear to you please write 9 in the given space. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Accountant Actor Administrator Aerospace Engineer Agriculturist Animation Designer Political Scientist Architect Archivist Armed Force Personnel Athlete and sportsperson Audiologist and Speech Therapist Automobile Mechanic/Engineer Business Person Call Centre Operator Carpenter Cartoonist Cashier/Bank Teller Chartered Accountant Chemist Child Care Professional Choreographer Cinematographer Educational Counsellor

25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63

Computer scientist Copy Editor Cost Accountant Counselor Dancer Data Entry/Computer Operator Dietician Driver Economist Electrical engineer Electrician Fashion Designer Film and Video Editors Finance Fine Artist Forester Graphic designer Human Resource Manager Industrial Production Manager Insurance Sales Agent Interior Designer Investment Banker Journalist Lawyer Lawyer Librarian Management Consultant Marriage and Family Therapist Mathematician Medical Doctor Microbiologist Music Composer Nurse Art/Music Teacher Office Clerk Personal Financial Advisors Pharmacist Physical Training Instructor Physicist

64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96

Physiotherapist Pilot Plantation manager Plumber Police Officer Politician/Legislators Product Designer Proofreader Environmental Scientist Psychologist Public Relation Officer Publishing Radio and TV announcer Real Estate Agents Receptionist Researcher Retailer Sales and Marketing Professional Scientist Script writer Secretary Social Worker Sociologists Statistician Stockbroker Store Keeper Teacher ( Special Education) Teacher (School/College) Technical writer Telephone Operator Tour Guides Trainer Travel agents

You might also like