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231
APPENDIX-I
SCHEDULED-I
QUESTIONNAIRE
Section-I
FOOD JOINTS
Owner’s Name: -
a) Address: -
b) Education: -
c) Religion: -
d) Caste: -
e) Other Occupation if any: -
Place of origin: -
Location of Food Joints: -
Why you have preferred this location?
Year of Establishment: -
a) Previous Owner of land: -
b) Purchasing Year of land: -
c) Land Value at that time: -
d) Land Value at present: -
Status of Food Joint: Own/ Rented
If rented, what is the monthly rent paid?
Do you have more than one Food Joints? If yes give the number and address/
location: -
Why these locations are preferred?
How you manage food joints?
Size of Food Joints including open space and parking: -
Total covered area of FJ: -
Distance of Covered Area from the P.W.D. Pillar or Board of Highway: -
Distance of the Encroached Area from the P.W.D. Pillar or Board of Highway: -
Space Utilization of Covered Area in Food Joints: -
(In square yards or meters)
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a) Kitchen: -
b) Rest Rooms: -
c) Bathroom: -
d) Shops: -
e) Sitting Space: -
~ Common Hall: -
~ Front Lawn: -
~ Back Lawn: -
Material used in Building: -
a) Roof: -
b) Floor: -
c) Walls: -
Boundary Wall: - yes/no
If yes then: -
a) Material used
b) Height
Number of Stories in Building: -
Type of Food Joint: -
a) Hotel: -
If yes then status of Hotel: -
b) Restaurant: -
c) Dhaba: -
d) Other:
Number of Rest Rooms: -
a) A/C: -
b) Ordinary: -
Desert Cooler: - Sufficient / Not Sufficient
Fan: - Sufficient / Not Sufficient
Ventilation of Covered Area: - Sufficient / Not Sufficient
Parking Facilities: -
a) Within Food Joints Premises Sufficient / Not Sufficient
b) Outside Food Joints Premises Sufficient / Not Sufficient
Food Cuisine: -
a) Fast Food: -
b) North Indian (Traditional): -
c) South Indian: -
d) Continental: -
Average Cost of Meal: -
Service: -
a) Self Services: -
b) Aided Services: -
If yes then average time taken for providing food: -
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ _
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Weightage: - (On 0-5 Scales)
≤1
2
3
4
5
Status
: Poor
: Average
: Good
: Very Good
: Excellent
Esthetic Environment of Food Joints: -
(On 0-5 Scales) (Why)
Hygienic and Sanitary Condition of food: -
(On 0-5 Scales) (Why)
a) Kitchen: -
(Chimney, exhaust fan, drainage, cleanliness)
b) Toilet: -
c) Bathroom: -
d) Seating Area: -
e) Building Condition: -
Utensil Cleanliness: -
(On 0-5 Scales)
Source of water: -
a) Public Tap water supply: -
b) Ground Water: - Hand Pump / Tubewell
c) Others: -
Quality of Water (On 0-5 Scale): -
a) Safe & Pure
b) Hard & Salty
Do you use Tubewell? - Yes / No
If yes then
a) Do you use motor to withdraw ground water? - Yes / No
If yes then
b) Number of hours Tubewell /Motor run: -
Quantity of water withdraw / consumed (per day in liters): -
Depth of water(feet):
Number of costumers visiting per day: -
Total income per day: -
Any holiday: - Yes / No
If yes then - Weekly / Occasionally
Timing of Food Joints: -
Do you have waste disposal and treatment facilities if yes how it is disposed?
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What is the total quantity of waste disposed off daily from this site?
STAFF STATEMENT
Total number of workers: -
Their duty hours (timings): -
Do you provide any leave to workers: - Yes / No
If yes then - Average per month: -
Characteristics of Staff
LEGAL STATUS OF FOOD JOINTS
Covered Area: -(% of plot)
Height of the building: -
Parking space: - (% of plot)
Do you have approval from following department: -
a) No objection certificate from District Authority: -
b) Town and Country Planning: -
c) Forest: -
d) Electricity: -
e) Fire: -
f) Pollution: -
g) Ministry of Road Transport & Highways (MORTH): -
Access: -
Floor Area Ratio: -
Facilities offered on site: - __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Staff
Numbers Place of
origin
Duration of
stay
Monthly
salary
Qualification Age at the
time of
appointment
Manager
Cook
Waiter
Security
Sweeper
Other
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Drug supply: -
a) Wine: -
b) Other: -
c) Prostitution: -
Are you Paying any tax on FJ: - Yes / No
If yes then total annual tax paid during the last financial year: -
Electricity: - Yes / No
If no then what is the alternate: -
If you are using generator set, what is average hours it runs?
If yes then give following information:
a) Electricity Connection: - Legal / Illegal
b) Electricity Supply: - Regular / Irregular
c) Electricity Supply hours: -
d) Is there any generator / inverter facilities: - yes / no
e) Per unit rate of electricity: -
f) Total monthly bill: -
g) Do you pay electricity bill regularly: - yes / no
Water Supply bill: - yes / no
If yes then Total Bill: -
a) Monthly: - b) Annually: -
Is there any Entertainment Facilities: - yes / no
If yes then which sort has: -
Fire Extinguisher Facilities: - yes / no
First Aid Facilities: - yes / no
Do you have proper security arrangement for Vehicles & other things?
What are your further planning to improve quality, service & convenience for passenger: -
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ ___
Section-I
PASSENGER / COSTOMER SATISFACTION INDEX
Name: -
Age: -
Sex: -
Qualification: -
Occupation: -
Place of origin: -
The questions given below are for calculating Satisfaction index Level of the passengers about
quality and availability of wayside facilities on highways. Kindly respond your Answers on 0-5 scale
in the light of following grading: -
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(On 0-5 Scale)
≤1
2
3
4
5
Status
: Poor
: Average
: Good
: Very Good
: Excellent
Sr.
No.
Facilities Satisfied Unsatisfied Weightage
(on 0-5 scale)
Remarks
1 Parking
2 Toilet: - Flush, Katcha
3 Bathroom: -Katcha, Pucca
4 Hygienic Conditions
5 Quality of Food
6 Quality of Utensils
7 Water Purification
8 Sitting Arrangement
9 Cuisine / Menu
10 Rate
11 Security
12 Privacy
13 Employees Manners
14 Utensil Cleanliness
15 First Aid Facilities
16 Entertainment
17 Interior Decoration
18 Esthetic Environment
19 Others, if any
Suggestions if Any for improvement:
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APPENDIX-II
SCHEDULED-II, QUESTIONNAIRE
FUEL FILLING STATION
Section-I
Owner’s Name: -
a) Address: -
b) Education: -
c) Religion: -
d) Caste: -
e) Other Occupation: -
Location of Fuel Filling Station: -
Place of origin:
Why you have preferred this location?
Year of Establishment: -
a) Previous Owner of land: -
b) Purchasing Year of land: -
c) Land Value at that time: -
d) Land Value at present: -
Size of Fuel Filling Station: -
Status of Fuel station: Own/ Rented
If rented, what is the monthly rent paid? :
Do you have more than one Filling station If yes give the number and address/ location: -
Why these locations are preferred?
How you manage fuel station?
Size of Fuel station including open space and parking: -
Covered Area of Pump: -
Covered Area of Office: -
Distance of Covered Area from the P.W.D. Pillar or Board of Highway: -
Distance of the Encroached Area from the P.W.D. Pillar or Board of Highway: -
Space Utilization of Plot: -
(In square yards or meters)
a) Fuel pumps: -
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b) Rest Rooms: -
c) Bathroom: -
d) Shops & Kiosk: -
e) Office: -
f) Park: -
Material used in Building: -
a) Roof: -
b) Floor: -
c) Walls:
Boundary Wall: - yes/no
If yes then: -
c) Material used:
d) Height in feet:
Parking Facilities: -
c) Within Fuel Filling Station Premises (sufficient / not sufficient)
d) Outside Fuel Filling Station Premises (sufficient / not sufficient)
Fuel Supply: -
a) Source of Fuel Supply: -
b) Mode of Transportation: -
c) Rate per Liter: -
d) Mode of payment: -
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Weightage: -
(On 0-5 Scales)
≤1
2
3
4
5
Status
: Poor
: Average
: Good
: Very Good
: Excellent
Service of Fuel Filling Station (on 0-5 scales): -
Drainage system (on 0-5 scale): -
Disposal of waste material (on 0-5 scale): -
Share of different type of vehicles among the total customers per day: -
Time Truck Bus car Tractor two
wheeler
Others
Day
Night
Total
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Total income per day: -
Proportion of income generated during: - day / night
Proportion of income generated from different type of vehicles per day: -
Time Truck Bus Car Tractor Two
wheeler
Others
Day
Night
Total
Is there any seasonal variation in your income?
Timing of Fuel Filling Station: -
Any holiday: - Yes / No
If yes then specify- Weekly / Occasionally/festivals
STAFF STATEMENT
Total number of workers: -
Their duty hours (timings): -
Do you provide any leave to workers: - Yes / No
If yes then – Average per month: -
Characteristics of Staff
Staff
Numbers Place of
origin
Duration of
stay
Monthly
salary
Qualification
/ Do they have
formal training
Age at the time
of appointment
Manager
Service
personnel
Security
Helper
Sweeper
Other
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LEGAL STATUS OF FUEL FILLING STATION
Area where the Fuel Filling Station located: - rural / urban
Terrain type: - plain / hilly
Distance of Fuel Filling Station from intersection: -
Intersection type: -
a) Intersection with N.H.’s / S.H.’s
b) Intersection with rural road: -
c) Intersection with rural road & other earth tracks: -
Is it a part of rest area complex: - yes / no
Distance from nearest Fuel Filling Station: -
Distance from check barrier / toll plaza: -
Length of buffer strip: -
Is there any structure or hording in buffer strip: - yes / no
Is there provision of separate
a) Entry – length 70mtrs & width 5.5mtrs
b) Exit – length 100mtrs & width 5.5mtrs
Do you have approval from following department: -
a) No objection certificate from District Authority: -
b) Town and Country Planning: -
c) Forest: -
d) Electricity: -
e) Fire: -
f) Pollution: -
g) Ministry of Road Transport & Highways (MORTH): -
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Are you Paying Income Tax: - Yes / No
If yes then total annual taxes: -
Electricity: - Yes / No
If no then what is the alternate: -
If yes then
h) Electricity Connection: - Legal / Illegal
i) Electricity Supply: - Regular / Irregular
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j) Electricity Supply hours: -
k) Is there any generator / inverter facilities: - yes / no
l) Per unit rate of electricity: -
m) Total monthly bill: -
n) Do you pay electricity bill regularly: - yes / no
Fire Extinguisher Facilities: - yes / no
Do you have these facilities: - Air, Water, Toilet,
First Aid Facilities: - yes / no
Do you have proper security arrangement for Vehicles & other things?
What is your way for checking Quality & Quantity of Fuel: -
If customer wants to check the quality & quantity of Fuel then, what is the facility you have
provided?
Is there any Grading System of Fuel Filling Station by Govt. / Oil companies / other
organization: - yes / no
If yes then
o What are the basis of this Grading System: -
o Then what is your Grade: -
What are your further planning to improve quality, service & convenience for passenger: -
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ ___
Section-II
Name: -
Age: -
Sex: -
Qualification: -
Occupation: -
Place of origin: -
PASSANGER / COSTUMER SATISFACTION INDEX
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The questions given below are for calculating Satisfaction index Level of the passengers about
quality and availability of wayside facilities on highways. Kindly respond your Answers on 0-5 scale
in the light of following grading: -
(On 0-5 Scales)
≤1
2
3
4
5
Status of Fuel Filling Station
: Poor
: Average
: Good
: Very Good
: Excellent
Sr.
No.
Satisfied Unsatisfied Weightage
(on 0-5 scale)
Remarks
1 Parking
2 Toilet: - Flush, Katcha
3 Bathroom: -Katcha, Pucca
4 Water Facility
5 Air Facilities
6 Service
7 Employees Manners
8 First Aid Facilities
9 Cleanliness
10 Rest Room
11 Plaza / Rest room / Fast
Food
12 Quality of fuel
13 Quantity of Fuel
14 Availability of fuel
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APPENDIX-III SCHEDULED-III QUESTIONNAIRE
Section-I
SECURITY POST & HEALTH FACILITIES
The responsibility for security and health facilities along National Highways lies with: -
a) Central Govt.
b) State Govt.
c) Both
d) None of them
Location of security and health post: -
Year of establishment: -
Staff Statement: -
a) Incharge of security post
b) Total security posts: - Rank Number Regular Contract Vacant
------ ------- ---------- --------- ---------
Duty timing
Any holiday yes / no
If yes then weekly / monthly / yearly
Limit of jurisdiction on National Highway: -
Tick mark the facilities available at security & health post (traffic police post)
S.No. Facilities Yes No Numbers Remarks
1. Gipsy / Van / Jeep /
Bus
2. Mobile / Landline
3. Ambulance
4. Stretcher
5. Doctor
6. Nurse
7. Oxygen
8. Medicine
9. Blood
10. Bed
11. Others
How do you manage your security and health arrangements: -
a) Sitting in your security post
b) Rounds of prescribed area
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If (b) then
a) How many rounds are taken?
b) Is there any fixed no. of rounds?
c) Is there any fixed time for rounds?
d) How many rounds are taken during night?
Mode of information regarding accidents and violations on N.H.: -
a) General public
b) Traffic Police itself
c) C.I.D.
d) Any other means
What is the first action taken by you after an accident?
Where do you take the injured when accident takes place?
a) Nearby hospital
b) Civil hospital
c) Private hospital
After giving medical aid to the injured person what legal formalities are persuaded?
What will you do in case of a major bus accident in which causality is very high?
From whom do you seek cooperation?
a) Local communities
b) Passengers
c) N.G.O’s
d) Other deptt.
At what distance should there be a security and health facilities established at National
Highways
What minimum facilities should be provided at a security and health post
Details of accidents in last calendar year 2007
Season Time Type of
vehicles
Causes of accidents Number of casualties
Man-
ual
Tech-
nical
Clim-
atic
Other Man-
ual
Tech-
nical
Clim-
atic
Other
Summer Day Truck/
Tempo
Bus
Car
Two W.
Other
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Night Truck/
Tempo
Bus
Car
Two W.
Other
Winter Day Truck/
Tempo
Bus
Car
Two W.
Other
Night Truck/
Tempo
Bus
Car
Two W.
Other
Rainy Day Truck/
Tempo
Bus
Car
Two W.
Other
Night Truck/
Tempo
Bus
Car
Two W.
Other
Note: -Manual causes are: -
a) Driver’s carelessness; Wrong parking; Under / Over taking; Red Light Crossing; b) Drugs
/ Drinking; c) Reckless Driving; d) Diversion of Attention (Mobile, Music, other); Tired;
Ignorance from Traffic Rules etc.
a)Vehicle technical fault; b) Road condition; Shape of road; c) Opposite Vehicle etc
Mist & Fog (visibility factors); Rainfall; Dust Strom etc.
Other Causes are: - Animals;
Two W. = Two Wheeler
Technical Causes are: -
Climatic Causes are:-
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What precautions do you suggest to reduce the number of road accidents?
Number & Type of Traffic Violations in the calendar year 2007
Season Ti-me Type of
vehicle
Type and number of violations
Incom-
plete
docum-
ent
Witho-ut
helmet
Temper-
ing of
goods
Over
load
Drinki-
ng /
drugs
Reckless
driving
Drug
traffic-
king.
Other
Summer Day Truck /
tempo
Bus
Car
TwoW.
Others
Night Truck /
tempo
Bus
Car
TwoW.
Others
Rainy Day Truck /
tempo
Bus
Car
TwoW.
Others
Night Truck /
tempo
Bus
Car
TwoW.
Others
Winter Day Truck /
tempo
Bus
Car
TwoW.
Others
Night Truck /
tempo
Bus
Car
TwoW.
Others
How will you operate the above cases after knowing
What steps do you suggest to reduce the number of cases mentioned above? Name: -
Age: -
Sex: -
Qualification: -
Occupation: -
Place of origin:
The questions given below are for calculating Satisfaction index Level of the passengers about
quality and availability of wayside facilities on highways. Kindly respond your Answers on 0-5 scale
in the light of following grading:
(On 0-5 Scales)
Section-II PASSANGERS SATISFACTION INDEX
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≤1
2
3
4
5
Status of Fuel Filling Station
: Poor
: Average
: Good
: Very Good
: Excellen
Sr.
No.
Facilities Satisfied Unsatisfied Weightage
(on 0-5 scale)
Remarks
1. Number of security posts
2. Number of health posts
3. Did you get any help at the
time of technical fault in your
vehicle yes / no
a) If yes then: - their cooperation /
behavior
b). Time taken
4. Did you get any help at the
time of accidents yes / no
a). If yes then: - their cooperation /
behavior
b). Time taken
c). Ambulance
d). Medicine
e). Others
5. At the time of robbery did you
get any help yes / no
a). If yes then: - their cooperation /
behavior
b). Time taken
c). Recovery of lost items
6. The level overall cooperation
of traffic police
7. In case of accident/ roberry the
legal procedure: - a) time
consumption
b). Convenience
8. Traffic signs & marking system
on National Highway
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APPENDIX-IV
SCHEDULED-IV
Questionnaire Perception of the Surrounding Communities with respect to Impact of Passenger
Facilities on them or Their Communities 1. Name of the Facilities Cluster:-
a) National Highway and Section:-
b) Place:-
2. Name of Respondent:-
3. Age:-
4. Sex:- Male/Female
5. Education:-
Section-I PHYSICAL IMPACTS
6. What is the impact of passenger facilities on the greenery of your area?
I. Improved Significantly
II. Improved Marginally
III. No Change
IV. Downgraded Marginally
V. Downgraded Significantly
a) Is there any change in flora and fauna of your area?
7. What is the impact on water table due to passenger facilities?
I. Improved Significantly
II. Improved Marginally
III. No Change
IV. Downgraded Marginally
V. Downgraded Significantly
8. What is the impact of passenger facilities on the following environmental conditions?
SrNo Scale Air
Pollution
Water Pollution Land Pollution Sound Pollution
I. Improved
Significantly
II. Improved
Marginally
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III. No Change
IV. Downgraded
Marginally
V. Downgraded
Significantly
a) What are the causes of:-
Air Pollution:-
Water Pollution:-
Land Pollution:-
Sound Pollution:-
b) Has the pollution adversely affected health:- yes/no If yes then
Type of disease:-
Total number of persons affected:-
c) Is there any affect of pollution on crops:-
d) Is there any other problem due to pollution:-
Section-II ECOMOMIC IMPACTS
9. What is the impact of passenger facilities on the land value of your area?
I. Significantly Increased
II. Marginally Increased
III. No Change
IV. Marginally Decreased
V. Significantly Decreased
a) Is there any impact on yours/yours family land value:-
b) What is the rate of land at the distance from NH of: Along NH:-
1km:- 2km:-
c) Did you or your known person sell the land for providing passenger facility: yes/no if yes
I. How much land was sold?
II. At what rate did you or your known person sell?
III. How much amount did you or your known person receipt?
IV. How did you or your known person use that money?
10. How much is the occupational change due to passenger facilities in your area?
I. Significantly Increased
II. Marginally Increased
III. No Change
IV. Marginally Decreased
V. Significantly Decreased
a) Types of changes:-
250
11. How the passenger facilities affected the employment opportunities in your area?
I. Significantly Increased
II. Marginally Increased
III. No Change
IV. Marginally Decreased
V. Significantly Decreased
a) Types of employments:-
b) Number of employees:-
Age:-
Sex:-
12. What is the impact of passenger facilities on any kind of shops in your area?
I. Significantly Increased
II. Marginally Increased
III. No Change
IV. Marginally Decreased
V. Significantly Decreased
a) Number and types of shops:-
13. What is the impact of passenger facilities on community’s income in your area?
I. Significantly Increased
II. Marginally Increased
III. No Change
IV. Marginally Decreased
V. Significantly Decreased
a) Causes of this impact:-
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Section-III SOCIAL IMPACTS
14. How much change in food-habits of peoples in your area due to passenger facilities?
I. Significantly Increased
II. Marginally Increased
III. No Change
IV. Marginally Decreased
V. Significantly Decreased
a) How often do you visit a food-joint to take food?
b) Has the food-joint adversely affected health:- yes/no If yes then
Type of disease:-
Total number of persons affected:-
15. What is the affect of passenger facilities on the habit of drinking and smoking?
I. Significantly Increased
II. Marginally Increased
III. No Change
IV. Marginally Decreased
V. Significantly Decreased
a) How many people have become habitual:- b) Deaths:-
Age:-
Sex:-
c) Diseases:-
Type of disease:-
Total number of persons affected:-
d) How many people are involved in illegal selling of wine:
16. What is the impact of passenger facilities on the drug trafficking in your area?
I. Significantly Increased
II. Marginally Increased
III. No Change
IV. Marginally Decreased
V. Significantly Decreased
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a) How many people have become habitual:- b) Deaths:-
Age:-
Sex:-
b) Diseases:-
Type of disease:-
Total number of persons affected:-
c) How many people are involved in illegal selling of drug:-
d) Name of the drugs:-
17. What is the impact of passenger facilities on theft/robbery/burglary in your area?
I. Significantly Increased
II. Marginally Increased
III. No Change
IV. Marginally Decreased
V. Significantly Decreased
18. What is the affect of passenger facilities on immoral activity in your area?
I. Significantly Increased
II. Marginally Increased
III. No Change
IV. Marginally Decreased
V. Significantly Decreased
19. What is the impact of passenger facilities on eve-teasing in your area?
I. Significantly Increased
II. Marginally Increased
III. No Change
IV. Marginally Decreased
V. Significantly Decreased
If increased then causes of this:-
a) Due to facilities owner:-
b) Due to staff employed on facilities:-
c) Due to facilities users:-
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20. What is the affect of passenger facilities to provide facilities in your area?
I. Significantly Increased
II. Marginally Increased
III. No Change
IV. Marginally Decreased
V. Significantly Decreased
a) Name the facilities:-
21. Is the any other impact on you and your communities due to passenger facilities?
Name the impacts:-