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Institution Template 1 -Form Fill
IDENTIFICATION PARTICULARS
Q01
Do you agree to participate in the survey?
Yes
No
Q02
Interviewer Name
Q03
NFID
Q04
Supervisor Name
Q05
NFID
Q06
State name
Q07
State code
Q08
District name
Q09
District code
Q10
Block name
Q11
Block code
Q12
Gram panchayat name
Q13
Gram Panchayat code
Q14
Revenue village name
Q15
Village census code
Q16
Type of District – aspirational or developed?
Aspirational
Laggard
Q17
Is the institution located in the main village or hamlet?
Main village
Hamlet
Q18
What is the name of the hamlet?
Q19
Number assigned to institutional consumer.
Q20
Address
Q21
Date of visit
Q22
Time of visit (Railway Time)
Q23
GPS Coordinates for the Location:
RESPONDENT & INSTITUTION PARTICULARS
A01
Name of respondent
A02
Please mention your designation
A03
Contact telephone number (11 digits)
A04
Age (in completed years)
A05
Sex of respondent
Male
Female
Transgender
Others
A06
What is the type of institution is being interviewed?
Panchayat Bhawan
Library
Sports complex
Party office
Government health sub-centre
Primary Health Centre
Hospital/Nursing home
Private clinic
Private nursing home/hospital
Anganwadi centre
School
Colleges
Coaching centres
Other educational institutions
Temple
Church
Mosque
Others, specify
A07
Type of building where your institution is located (for most of the housing structure, in case there is a mix of kutcha and pucca building material).
Kutcha (floor, walls and roof made of natural materials like wood, straw, mud, thatch, stones, etc.)
Semi-pucca (one of which either the roof or the walls but not both is made of pucca materials like burnt bricks, stone, cement, concrete or timber. Floor can be pucca or kutcha)
Pucca (means that the structure is solid and permanent and the floor, walls and roof is made of stone, brick, cement, concrete, or timber)
A08
Is this building owned or rented?
Owned
Rented
Premise is free of rent, but not owned
Government building
A09
How many floors does the building have?
Ground floor only
Ground plus 1 floor
Ground plus 2 floors
Others, specify
A10
How many rooms does building have?
A11
Does your building have a separate kitchen?
Yes
No
A12
If there are cooking/heating fuels used by your institution, what are these?
Firewood
Agricultural/crop residues
Cattle dung cakes
LPG
Solar cook stoves
Electric cook stove/Induction stove/Hot plate
Kerosene stove
Coal
Electricity
Others, specify
A13
How much is the total amount spent monthly on fuels for cooking/heating for the institution?
A14
Does the building have toilets?
Yes
No
A15
Is/are the toilet(s) functional and currently in use?
Yes
No
A16
Does the toilet(s) have a functional electric light connection?
Yes
No
A17
Does the building have a piped water (tap) connection?
Yes
No
A18
What are the current sources of drinking water for this building?
Piped water into dwelling, yard/plot (institution tap connection)
Piped water connected to public standposts
Tubewell or borewell
Handpump
Dug well – protected
Spring – protected
Rainwater
Water ATM/community RO plant
Unprotected spring
Unprotected dug well
Cart with small tank / drum
Tanker /truck
Surface water (river/dam/lake/pond/canal)
Bottled water
Others specify
DETAILS OF ELECTRICITY CONNECTION, USAGE, BILLING AND PAYMENTS
B01
Does the institution have an electricity connection?
Yes
No
B02
Do you have a single electricity connection or a dual connection?
Single electricity connection
Dual connection
B03
What is the reason for taking a dual/second electricity connection
The main grid connection was not reliable or had low hours of electricity supply
Alternate electricity connection was available as assured/reliable back-up
Needed more load
Others, specify
B04
What is the tariff category of your connection?
Domestic connection rates
Commercial connection rates
Different rates for institutions
Other, specify
Don’t Know
B05
Is your institution benefitting from any of the following government schemes related to rural electrification?
B05_1
Pradhan Mantri Sahaj Bijli Har Ghar Yojana (Saubhagya)
Yes
No
B05_2
Deen Dayal Upadhyaya Gram Jyoti Yojana (DDUGJY)
Yes
No
B05_3
Pradhan Mantri Ujjwala Yojana (PMUY) – LPG connection
Yes
No
B06
For how many years has your institution been using an electricity connection?
B07
Is the electricity connection currently functional?
Yes
No
B08
Do you have a single electricity connection or a dual connection?
Single electricity connection
Dual connection
B09
What is the reason for taking a dual/second electricity connection?
The main grid connection was not reliable or had low hours of electricity supply
Alternate electricity connection was available as assured/reliable back-up
Needed more load
Others, specify
B10A
Please tell me which of the following electrical assets are currently owned by your institution? In case your institution owns other electrical assets, please mention these.
B10A_1
Lights
Yes
No
B10A_2
Ceiling Fans
Yes
No
B10A_3
Table fan
Yes
No
B10A_4
Pedestal fan
Yes
No
B10A_5
Cooler(s)
Yes
No
B10A_6
Air conditioners
Yes
No
B10A_7
Electric stove/induction stove
Yes
No
B10A_8
Mobile phones and other chargeable devices
Yes
No
B10A_9
Refrigerator
Yes
No
B10A_10
Television
Yes
No
B10A_11
Water pump
Yes
No
B10A_12
Drinking water filter
Yes
No
B10A_13
Computer/laptop
Yes
No
B10A_14
Photocopier/printer
Yes
No
B10B
Please tell me what electrical assets you would like to buy/own in the future. It could also be more quantity of the assets you currently own.
B10B_1
Lights
Yes
No
B10B_2
Ceiling Fans
Yes
No
B10B_3
Table fan
Yes
No
B10B_4
Pedestal fan
Yes
No
B10B_5
Cooler(s)
Yes
No
B10B_6
Air conditioners
Yes
No
B10B_7
Electric stove/induction stove
Yes
No
B10B_8
Mobile phones and other chargeable devices
Yes
No
B10B_9
Refrigerator
Yes
No
B10B_10
Television
Yes
No
B10B_11
Water pump
Yes
No
B10B_12
Drinking water filter
Yes
No
B10B_13
Computer/laptop
Yes
No
B10B_14
Photocopier/printer
Yes
No
B11
Can you tell me what are the various electrical appliances used regularly in your institution?
Lights
Ceiling Fans
Table fan
Pedestal fan
Cooler(s)
Air conditioners
Electric stove/induction stove
Mobile phones and other chargeable devices
Refrigerator
Television
Water pump
Drinking water filter
Computer/laptop
Photocopier/printer
Others, specify
B12
Which appliances did you have before you had an electricity connection?
Lights
Ceiling Fans
Table fan
Pedestal fan
Cooler(s)
Air conditioners
Electric stove
Mobile phones and other chargeable devices
Refrigerator
Television
Water pump
Drinking water filter
Computer/laptop
Photocopier/printer
None
Others, specify
B13
Do all rooms in the institution have electric points with active connections?
Yes
No
B14
How many lights and fans are there in the institution?
B14_1
Lights
B14_2
Fans
B15
Usually, how many lights and fans are used on a regular basis?
B15_1
Lights
B15_2
Fans
B16
How many two pin and three pin plug points/charging points are there in the institutional building?
B16A
Number of two pin plugs
B16B
Number of three pin plugs
B17
Do you use an extension cord to increase the number of charging points?
Yes
No
B18
Is the electricity requirement the same throughout the year, or are there times when the electricity load requirement is more?
Electricity load requirement is same throughout the year
Electricity load requirement increases for some months
B19
In which months is there a higher electricity load requirement?
January
February
March
April
May
June
July
August
September
October
November
December
B20
From which sources does this institution receive electricity from the main grid (state electricity supply board) or from a mini grid/solar plant?
Main grid (state electricity supply board)
Mini Grid/Solar Plant supply
Others, specify
B21
Which is your primary connection?
Main grid
Mini grid/solar plant
B22
Is your mini grid/solar plant connection prepaid?
Yes
No
B23A
Main grid
B23A_1
One time connection cost
B23A_2
Monthly fixed charge/Monthly recharge amount
B23A_3
Cost per unit
B23B
Mini grid/solar plant
B23B_1
One time connection cost
B23B_2
Monthly fixed charge/Monthly recharge amount
B23B_3
Cost per unit
B24
Do you have a single phase or three phase connection?
Single phase
Three phase
Don’t know
Others, specify
B25
What was the source of funds for the connection cost?
Institution’s budget from the government
Institution’s revenue
Charged to users of the institution
Help from Panchayat
Loan from bank/financial institution
Others, specify
B26
Who did the electrical wiring inside the institutional premises?
Self/owner
Electricity company
Others, specify
B27
Are you supposed to get electricity on a daily basis or on some days of the week?
Daily basis
Some days of the week
B28
How many hours per day (minimum) is the electricity to be supplied?
B29
Usually, is the electricity supply provided on a daily basis?
Yes
No
B30
If not daily, usually on how many days in a week is electricity supplied?
B31
In the last 7 days, how many days did the institution receive electricity supply?
B32
Usually, is the electricity supply reliable on the days of supply?
Yes
No
B33
Usually, how long is electricity supplied (on the days of supply)?
B33A
Duration during the day
B33B
Duration of supply during night
B34
Usually, is the electricity voltage adequate/good?
Yes
No
B35
Usually is there low voltage during the day or evening/night?
Day
Evening/night
Both
No
B36
Are there frequent electricity outages/disruptions?
Yes
No
B37
What are the different reasons for disruptions in electricity supply?
Thunder and lightning
Strong winds
Heavy cloud cover
Heavy rainfall
Uninformed heavy load usage by one/some businesses
Don’t know
Others, specify
B38
Do electricity outages/disruptions occur throughout the year, or are they more in some seasons?
Throughout the year
Summer
Rainy season
Winter
B39
How often do you face electricity outages/disruptions?
Daily
Weekly/every few days
Infrequently
Others, specify
B40
Usually, how long does an outage last?
Few minutes – less than half an hour
30 minutes to an hour
1 – 2 hours
2 – 4 hours
Others, specify
B41
Can activities which are dependent on electricity be undertaken in a planned manner in your institution, or are the activities unplanned due to unpredictable electricity availability?
Activities are undertaken as planned
No schedule of work due to unpredictable electricity
Mostly, activities get disrupted during the day
Mostly, activities get disrupted during the night
Others, specify
B42
Which appliances are most affected by low voltage or electricity disruptions?
Lights
Ceiling Fans
Table fan
Pedestal fan
Cooler(s)
Air conditioners
Electric stove
Mobile phones and other chargeable devices
Refrigerator
Television
Water pump
Drinking water filter
Computer/laptop
Photocopier/printer
Drilling machine
Polishing machine
Others, specify
B43
Does your institution have the following devices?
B43_1
Generator
Yes
No
B43_2
Inverter
Yes
No
B43_3
Single solar plate and battery
Yes
No
B43_4
Petromax (LPG lantern)
Yes
No
B43_5
Kerosene lantern/hachak
Yes
No
B43_6
Solar lantern
Yes
No
B44
Which of the following statements are true?
Electricity is available for 24 hours in a day
Electricity is available for 12 hours in a day or more
Electricity services are affordable
Power cuts happen rarely, and electricity gets restored within a few hours
B45
What are the different challenges you face in the electricity supply?
Not reliable in terms of time/duration
Not adequate in terms of capacity/load (not adequate to operate the required electrical appliances)
High electricity bills – not value for money
Frequent breakdown of electrical assets and costs of repair
Frequent power outages/disruptions due to weather factors
Frequent outages/disruptions due to old infrastructure
Others, specify
B46
What are the different coping arrangements in your institution during the times when the electricity supply is inadequate?
Use of candles and recurring cost
Use of lanterns and running cost of kerosene
Use of solar lights/emergency lights
Use of generator/inverter and running cost
Taking alternative electricity back-up service with associated cost (mini grid/solar plant)
Increase of manual tasks
Charging appliances such as phones and lanterns in places where emergency connections/back-up electricity services are available
Renting of solar lanterns
Other, specify
B47
What is the monthly cost incurred for these coping arrangements?
B47A
Before mini-grid installation:
B47B
After mini-grid installation
B48
On a scale of 1 to 5 (1=extremely dissatisfied and 5=extremely satisfied) can you rate the quality (hours of supply, voltage, load capacity, outages and the purposes for which the electricity can be used at home) of electricity that you receive for institutional use purposes?
Extremely dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied
Satisfied
Extremely satisfied
B49
Is your electricity connection metered?
Yes
No
B50
What is the type of meter installed?
Single-phase meter
Three-phase meter
Prepaid meter
Smart meter
Other, specify
B51
Does anyone come to read the meter regularly?
Yes
No
B52
If not on meter readings, on what basis are electricity bills generated?
Fixed rate for domestic connections
Different for single phase or three phase connections as per usage
Don’t know
Others, specify
B53
Does the institution pay electricity bills, or is electricity supplied for free?
Pay electricity bills
Attached to the domestic connection, which is paid
Electricity is available free of charge
Bills are raised but not paid
B54
What is the reason for non-payment?
Intentional
Unintentional
Lack of funds
One-time cost was very heavy
Other, specify
B55
Referring to your last monthly electricity bill or last bill paid, please tell me:
B55_1
Main grid monthly bill (Rs)
B55_2
Fixed cost (Rs.)
B55_3
Number of units consumed
B55_4
Rate per unit (Rs.)
B55_5
CA Number
B56
In the last one year, can you tell me
B56_1
Average monthly bill in summer months (April-June)
B56_2
Maximum monthly bill paid last year
B56_3
Minimum monthly bill paid last year
B57
Do you usually receive a hard copy bill or an online bill?
Hard copy bill
Online bill
Verbally informed
No bill received
B58
At what frequency do you get electricity bills?
Monthly
Every 2 months
No fixed frequency
Do not receive bills
Others, specify
B59
When did you get the last electricity bill?
Last month
2 months ago
Others, specify
B60
How do you usually pay the bill?
Online
Cash/cheque
Village SHG member collects the billed amount
Electricity station persons collects the billed amount
Others, specify
B61
When did you pay the last electricity bill?
Last month
Two months ago
Others, specify
B62
Are you given receipts for bill payment?
Yes
No
B63
According to you, is the electricity bill affordable?
Yes
No
B64
On a scale of 1-5 (1=Extremely dissatisfied and 5=Extremely satisfied), are you satisfied with the amount of electricity bill you receive?
Extremely dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied
Satisfied
Extremely satisfied
B65
On a scale of 1-5 (1=Extremely dissatisfied and 5=Extremely satisfied), are you satisfied with the frequency at which you receive the electricity bill?
Extremely dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied
Satisfied
Extremely satisfied
B66
If you are not satisfied, what are the reasons thereof?
Amount of billing is too high
Frequency of billing is not convenient; paying a lump sum amount is difficult
Meter reading is erroneous sometimes
Others (specify)
B67
What is the source of funds for payment of electricity bills?
Institution’s budget from the government
Institution’s revenue
Charged to users of the institution
Help from Panchayat
Loan from bank/financial institution
Others, specify
B68
Do you currently have electricity dues over a month?
Yes
No
B69
Were any bills waived off?
Yes
No
B70
Who decided to waive off the overdue amount?
Government/Electricity authority
Panchayat
Village community
Others, specify
Don’t know
B71
What kind of service improvements would you like to have in terms of number of hours of service?
Increase in the number of hours – from current to more than 12 hours a day
Increase in the number of hours – from current to more than 18 hours a day
Uninterrupted power supply during the day/business hours – 8: am to 6 pm
Uninterrupted power supply (24/7)
Others, specify
B72
What other kinds of service improvements/assurance would you like to have?
No voltage variations
Increase in the load capacity (to run more appliance/higher wattage appliances)
Reduce electricity disruptions/outages
Change from single phase to three-phase connection
Quick redressal of problems/outages
Advancement in the electricity technology for higher level service
Others, specify
B73
For your current electricity bill, what would be your expected hours of electricity supply?
B74
What are the other expectations from electricity service improvements?
Provision of a set-up for back-up services during electricity disruptions
Increase of the use of renewable energy
Increase in load capacity to be able to use multiple electrical appliances at the same time
Increase in load capacity to use machines/equipment for business
No expectations
Others, specify
B75
I am now going to read you some possible electricity service improvement scenarios. Compared with your current electricity services, please tell me whether this improvement is relevant for your institution. In case, the improvement option is relevant for your institution, please tell me the additional amount (to your current monthly bill) that you are willing to pay.
B75_1
8 – 12 hours, with adequate voltage
25% additional
20% additional
15% additional
10% additional
5% additional
Cannot pay additional bill
B75_2
12 - 16 hours, with adequate voltage
25% additional
20% additional
15% additional
10% additional
5% additional
Cannot pay additional bill
B76
What may be the source of funds for potential contribution for improvements from the institution?
Institution’s budget from the government
Institution’s revenue
Charged to users of the institution
Help from Panchayat
Loan from bank/financial institution
Others, specify
B77
Do you get electricity on a daily basis from the mini grid/solar plant?
Yes
No
B78
Do you get electricity round the clock from the mini grid/solar plant?
Yes
No
B79
Do you have problems with voltage fluctuations (when the lights are dim and the other appliances do not work so well) from the mini grid/solar plant supply?
Yes
No
B80
How frequently do you have voltage fluctuations?
Daily
Infrequently
Others, specify
B81
Are you able to operate high(er) wattage equipment like heaters/water heaters, electric cookstoves, ironing machines, blender-mixer, etc. whenever you require, or are they operated during specified times of the day?
Operate when required
Operate during daylight hours
Operate only during specified hours (when machines, etc. are not being used)
Do not operate high wattage equipment
B82
Do you have an MCB (automatically operated electrical switch for a miniature circuit breaker to prevent damage to an electrical circuit due to high current usage)?
Yes
No
B83
Do you have an electricity meter supplied by the mini grid/solar plant?
Yes
No
B84
Does the meter work on a pre-paid basis (you have to charge at the beginning of the month/ before usage) or work on a post-paid basis (meter read and bills generated at the end of the month/after usage)?
Pre-paid electricity meter
Post-paid electricity meter
B85
Does someone/operator come to read the mini grid/solar plant meter every month?
Yes, an Urja Committee member
Operator
Some other person
No
B86
Usually, what are the number of electricity units that are used by your institution in a month?
B87
What was the amount of your last bill?
B88
Usually, on what day of the month is the meter reading taken?
B89
Does your institution have an electricity passbook from the mini grid/solar plant, where the meter reading, bill amount and payment is noted?
Yes
No
B90
How is the bill provided to your institution?
Hard copy bill
Verbally informed
Bill amount written down in the Urja Passbook
Others, specify
B91
Does the institution pay electricity bills, or is electricity supplied for free?
Pay electricity bills
Attached to the domestic connection, which is paid
Electricity is available free of charge
Bills are raised but not paid
B92
Usually on what day of the month is payment of the electricity bill made?
B93
What is the reason for non-payment?
Intentional
Unintentional
Lack of funds
One-time cost was very heavy
Other, specify
B94
How frequently do you pay the electricity bill?
Monthly
Every 2 months
Quarterly
Not required to pay electricity bill
No fixed date
Others, specify
B95
Currently, does your institution have any unpaid electricity bills for more than one month for the mini grid/solar plant-based supply?
Yes
No
B96
Is solar electricity adequate for all your institution needs?
Yes
No
B97
If your institution increases electricity utilization by operating electrical gadgets for a longer time, or buy additional electrical appliances, will the solar electricity be adequate?
Yes
No
B98
On a scale of 1 to 5 (1=extremely dissatisfied and 5=extremely satisfied) can you rate the quality of electricity that you receive from the mini grid/solar plant?
Extremely dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied
Satisfied
Extremely satisfied
B99
If the electricity services further improve in terms of the load that is provided to the institution, would your institution be willing to pay for the services? If yes, would you prefer to pay a higher (than domestic connection rate) fixed cost or a higher cost per unit, or both?
Higher fixed cost
Higher cost per unit
Both
Not willing to pay additional cost
B100
What would be the increase over the current total bill amount that your institution will be willing to pay?
20% higher than current bill
15% higher than current bill
10% higher than current bill
5% higher than current bill
Others, specify
B101
What may be the source of funds for potentially higher monthly bills due to improved electricity service?
Institution’s budget from the government
Institution’s revenue
Charged to users of the institution
Help from Panchayat
Loan from bank/financial institution
Others, specify
B102
If you are asked to choose an electricity service provider, what will be your criteria for selection?
Per unit rate
Per day availability of electricity (in hours)
Service guarantee
Nominal installation charges
B103
If you are asked to choose an electricity service provider from this list, which one will you select?
Option 1: a) Rs 5 Rate per unit b) Per day availability of electricity- 20 hours c) service guarantee- Uncertain d) installation charges- Rs 1000
Option 2: a) Rs 7 Rate per unit b) Per day availability of electricity- 22 hours c) service guarantee- Yes d) installation charges- Rs 1500
Option 3: a) Rs 8 Rate per unit b) Per day availability of electricity in 24 hours c) service guarantee- Yes d) installation charges- Rs 2000
INFORMATION ABOUT INSTITUTIONAL ESTABLISHMENTS WITHOUT ELECTRICITY CONNECTION
C01
Did the institutional establishment ever have an electricity connection?
Yes
No
C02
If yes, why was the connection disconnected?
Defaulting payment
Temporary discontinuation, has not been reconnected
Others, specify
C03
What is the reason for not having an electricity connection?
Institution located in remote/isolated part of the village
Unable to afford
Others, specify
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