A questionnaire
prepared by
Indic Society for Education and Development (INSEED)
http://www.inseed.org/
Noise pollution is the extra, annoying, disturbing and physically harmful noise in the environment. A human can bear the noise up to certain limit (80 decibels) and if it exceeds that limit then it may spoil the nerves directly. Examples of noise pollution, (a) the noise of traffic near some hospitals which may physically and mentally disturb the patients in the hospital, (b) the noise of machines used for weaving, ginning etc. which annoy workers. Such noise is harmful to the workers and could cause hearing loss.
Another definition of noise pollution is "any noise which distracts someone's attention from the work or discussion, causes annoyance, or leads to harmfulness".
We accept and enjoy countless other sounds. However, almost every human being is affected by the unwanted, disturbing sounds. In last few decades, it has been increasing at such a high rate that it has become a major hazard to the quality of human lives. The major sources of noise can be air traffic, road traffic, parties (loud music), house-hold machinery like washing machines, grinders etc.
Since noise pollution can be considered as a health hazard, the research questions of interests are as follows.
To be able to address the above questions, we need to first collect the basic data required to understand the types of noise pollution and the problems faced by people due to them. A questionnaire-based survey can help collect the required information.
(Confidential)
Name of partcipant:
Address:
Age (in full years):
Sex (1 = men, 2 = women):
Date of survey (dd/mm/year): |__|__||__|__||__|__|__|__|
| 1 | Do you know what noise pollution is? (if no, describe to the
respondent what it means) 1 = yes 2 = no 3 = do not know 9 = missing or insufficient data |
|__| |
| 2 | How long have you lived in your current house? (in months) | |__|__|__| |
| 3 | Is there any problem of noise pollution in your area? 1 = yes 2 = no 3 = do not know 9 = missing or insufficient data |
|__| |
| 4 | Does any particular noise annoy you on a daily basis? 1 = yes 2 = no 9 = missing or insufficient data |
|__| |
| 5 | If you were to rate the degree of annoyance level from 1 (lowest) to 10 (highest level), what would you give? (1, 2, ..., 10, 88 for irrelevant, 99 for missing response) | |__|__| |
| Major sources of noise pollution in your area | ||
|---|---|---|
| 6 | Vehicles 1 = yes 2 = no 3 = do not know 9 = missing or insufficient data |
|__| |
| 7 | People (if people start noisy work early in the morning, eg. washing
utensils) 1 = yes 2 = no 3 = do not know 9 = missing or insufficient data |
|__| |
| 8 | Animals (dogs, chicken) 1 = yes 2 = no 3 = do not know 9 = missing or insufficient data |
|__| |
| 9 | Religious places (temple, church, mosque) 1 = yes 2 = no 3 = do not know 9 = missing or insufficient data |
|__| |
| 10 | House-hold items like washing machines, grinders 1 = yes 2 = no 3 = do not know 9 = missing or insufficient data |
|__| |
| 11 | Other (fire works, loud music etc.) 1 = yes 2 = no 3 = do not know 9 = missing or insufficient data |
|__| |
| 12 | Have you observed an increase in the flow of traffic in recent times? 1 = yes 2 = no 3 = do not know 9 = missing or insufficient data |
|__| |
| 13 | Have you ever lodged a complaint about a neighbour
being too noisy? 1 = yes 2 = no 9 = missing or insufficient data |
|__| |
| 14 | Are you aware that there are rules and regulations regarding noise? 1 = yes 2 = no 9 = missing or insufficient data |
|__| |
| 15 | What time of the day do you experience noise pollution? (put 8888 if not experiencing noise pollution in the day time, if experiencing it at 6 am then enter 0600 - day time till 12.00) |
|__|__|__|__| |
| 16 | What time of the night do you experience noise pollution? (put 8888 if not experiencing noise pollution in the day time, if experiencing it at 9 pm then enter 2100 - night time after 21.00) |
|__|__|__|__| |
| 17 | What is the other time of the day do you experience noise pollution
at your home? (put 8888 if not experiencing noise pollution in the day time, if experiencing it at 3 pm then enter 1500 - time between 12.00 and 21.00) |
|__|__|__|__| |
| 18 | Have you consulted and engaged in conversation with your neighbours
about the noise pollution that affects the community? 1 = yes 2 = no 9 = missing or insufficient data |
|__| |
| Problems due to noise pollution | ||
| 19 | No disturbance (can tolerate) 1 = yes 2 = no 9 = missing or insufficient data |
|__| |
| 20 | General disturbance (irritation) 1 = yes 2 = no 8 = not applicable 9 = missing or insufficient data |
|__| |
| 21 | Headache 1 = yes 2 = no 8 = not applicable 9 = missing or insufficient data |
|__| |
| 22 | Hypertension 1 = yes 2 = no 8 = not applicable 9 = missing or insufficient data |
|__| |
| 23 | Loss of sleep/insomnia 1 = yes 2 = no 8 = not applicable 9 = missing or insufficient data |
|__| |
| 24 | Stress 1 = yes 2 = no 8 = not applicable 9 = missing or insufficient data |
|__| |
Give suggestions to control the noise pollution in your area (in 2-3 lines).
Locations where this questionnaire should be used
| Updated: 2008.03.28 | © 2006-2018 INSEED |