农村环境综合整调查问卷.doc

农村环境综合整治调查问卷 感谢您在百忙之中参与本次问卷调查，此问卷系湘阴县三塘镇农村环境综合整治调查的一部分，主要针对农村环境进行调查。题目分为单选、多选及简答题。本次问卷调查采用不记名方式，请您客观、公正、仔细地完成本卷各题。 谢谢您的配合！ 湖南理工学院南湖学院 湘阴县三塘镇农村环境综合整治调查团 2012年7月5日 1.您的性别（ ） A男 B 女 2.您的年龄（ ） A10-18岁 B19-29岁 C30-39岁 D40-49岁 E50-59岁 F60岁以上 3.您当前的职业（ ） A农民 B学生 C机关干部人员 D公司职员 E教师 F科技人员 G工人 H其他 4.家庭住址隶属哪个村（ ） 吴公村长坪村、千秋村、合华村、谢坪村、金塘村、军民村、苏仑村、岳云村、白雪村、新兴村、高仑村、来龙村蒙古村 湖南理工学院南湖学院 第一团队 第 小组 日期 地点 问卷编号 I signed with the Bank of the qilu Bank loan contract contract conventions, and I use scheme, I would request the loans in words until I opened personal settlement account with your Bank account , uses loan for 。 Loan operation, business unit name: account number: loan funds from these personal settlement account into the account of a payment. Loans in accordance with the following payment methods to pay. One, lender trustee payment. Delegate qilu Bank loan funds of the borrower to meet the stipulation of the contract the following borrowers, counterparties, commitment funds, regulatory compliance, legal, and willing to take the pay disputes, loss and other consequences of the delegate. Payee account number Bank name amount purpose II, borrowers own payment methods. Qilu Bank according to the borrowers withdrawal request to loan funds disbursed directly to the borrowers account, and independently by the borrower payments to borrowers who meet the stipulation of the contract transactions. I guarantee to your bank contracts and other prove of material submitted by real and effective. When in accordance with one payment, I agree with the above account with your bank loan funds that are not used for stop payment management,stop paid confirmed book records table single 13: lifted check pay notice records table single 14: personal loan ahead of repayment application accepted table Records table single 15: loan lines opened/cancellation application approval table records table single 16: qilu card award letter self loan lines cancellation application approval table r