Attached is a sample questionnaire which considers each BZH indicator and the questions which might enable a group to collect useful data from households within a defined geographic area to measure each. The way in which the questions are structured and the range of responses provided are just examples, each needs to be reviewed carefully for their appropriateness to the specific social and cultural context. The questionnaire is a starting point, and can be expanded as groups identify additional indicators of well-being as part of the community and company BZH dialogue process