Questionnaire B – to be completed separately for each compact Roma group (district, colony, block of flats, neighborhood) living on the territory of the township/town/city The questionnaire shall be completed by the employee designated by the Mayor’s Office, preferably employed at the directorate/department/service for social assistance. If you have any questions, please contact the person in charge stipulated in the Methodological guide. Official name of the compact group (please indicate the exact street name and street numbers where the district, colony is situated)
Unofficial name of the compact group (as locals call it)
The locality from the township/town/city where the compact group is to be found
Township/ town/city
The questionnaire was completed by Mr./Mrs..................................................................................................................... Position:....................................................... Phone no.:................................................................. Date 2015|__|__||__|__| B1. What is the location of the compact Roma group? Within the At the margins of the Outside the locality locality locality 1 2 3
The entire locality (village) is populated by Roma 4
If the district/colony is situated outside the localityB2. Approximately how far (walking distance in minutes) is it from the first houses of the locality? Minute If the district/colony is situated outside the localityB3. The road to Roma group is Entirely paved or Partially paved or Dirt There is no road proper to the cobbled cobbled road colony/district 1 2 3 4 Irrespective of the location of the district/colonyB4. Is there public transportation between the compact Roma group and the centre of the locality? Yes No 1 2 B5. Are there physical obstacles impeding Roma to use the shortest way in order to get to the centre of the locality, such as Yes No 1 2 1. River without a bridge 1 2 2. Wall, fence 2 3. Private or communal land closed to traffic 1 B6. Approximately what is the distance (walking distance in minutes) from the compact Roma group to the following facilities? …less than 10-15 …15-30 …30-60 …more than minutes minutes minutes one hour 1 2 3 4 1. The closest grocery store 2. Primary school (I-IV) attended by children 1 2 3 4 from the colony/district 1 2 3 4 3. Mayor’s Office 4. Medical centre attended by Roma from the 1 2 3 4 colony/district B7. How would you characterise the situation of the compact Roma group as for the following facilities? It is to be found in the Not to be found in the compact Not to be found in the Utilities compact group or nearby group or nearby locality either