Please Wait...

Bc Sakhi Template 2 -Form Fill

Village Information
Q01

State Name

Q02

State Code

Q03

District Name

Q04

District Code

Q05

Block Name

Q06

Block Code

Q07

Gram Panchayat Name

Q08

Gram Panchayat Code

Q09

Village Name

Q10

Village Code

Q11

Village Unique ID

Survey Information
A01

Name of the respondent

A02

Respondent identification code

A03

Phone number of the respondent

A04

FIRST VISIT

A04_1

Interviewer name

A04_2

Interviewed code

A04_3

Date of the interview

A04_4

Result of the interview

A04_5

Record time when you start the interview

A04_6

Record time when you end the interview

A05

SECOND VISIT

A05_1

Interviewer name

A05_2

Interviewed code

A05_3

Date of the interview

A05_4

Result of the interview

A05_5

Record time when you start the interview

A05_6

Record time when you end the interview

A06

THIRD VISIT

A06_1

Interviewer name

A06_2

Interviewed code

A06_3

Date of the interview

A06_4

Result of the interview

A06_5

Record time when you start the interview

A06_6

Record time when you end the interview

Basic Information
B01

Are you a SHG member?

B02

Why have not you joined an SHG yet?

B03

What is your name ?

B04

What is your age? (in completed years)

B05

What is your educational qualification?

B06

What is your marital status?

B07

Month/Year of Joining as BC agent?

B08

Please provide the name of the bank you work with

Identification/ Selection of BCAs
C01

What was the process adopted to select a BC agent?

C02

Have you had any experience working as a CRP/Bookkeeper/Trainer?

C03

Please provide details of prior experience.

C04

Were you given any training on joining as BC agent?

C05

Was there any refresher training organized after you joining the role?

C06

Please elaborate your experience with the training, any challenges you faced.

CBO transactions
D01

Are you aware that SHG/VO/CLF transactions could be conducted through the BC platform?

D02

Have you ever conducted SHG/VO/CLF transactions?

D03A

Total in service area

D03A1

CLF

D03A2

VO

D03A3

SHG

D03A4

SHG

D03B

Total served by BC Sakhi

D03B1

CLF

D03B2

VO

D03B3

SHG

D03B4

SHG

D03C

Total number of transactions in last three months.

D03C1

CLF

D03C2

VO

D03C3

SHG

D03C4

SHG

D03D

Top Three transactions

D03D1

CLF

D03D2

VO

D03D3

SHG

D03D4

SHG

D03E

Total value of all the transactions.

D03E1

CLF

D03E2

VO

D03E3

SHG

D03E4

SHG

D04

Please mention the number of CBOs/CBO members that permanently/regularly take services from you in past one year(2023-24)

D04_1

CLF

D04_2

VO

D04_3

SHG

D04_4

SHG

D05

What has made these CBOs loyal towards you?

D06

What are the reasons/issues you feel that prevent SHG/VO/CLF transactions through BC channel?

D07

Why don’t you conduct SHG/CLF/VO transactions?

D08

What assistance do you need to initiate transactions of SHGs/VOs/CLFs at the BC point?

Functioning and Operations
E01

Which model of service do you follow?

E01A

Has there been a shift in the model of service that you follow?

E01B

Why have you changed the model of service? (Text response)

E02A

Are you aware about the process of dual authentication?

E02B

Have you activated dual authentication process ?

E02C

Are you currently using the dual authentication process?

E03

how many SHGs / % of SHGs have you activated dual authentication.

E03A

Can you please elaborate the process of dual authentication activation.

E04

what are the barriers that are hindering the process of starting dual authentication?

E05

Please tick the following based on the availability of the following listed item at the outlet of Bank Sakhi

E06

From where do you operate?

E07

How many days a week do you work as a BC Sakhi?

E08

How many hours do you work per day as a BC Sakhi?

E09

Can you please elaborate the overall operations and timing taken for each operation. Challenges faced and potential solutions to it.

E10

Which of the following hardware/ services are available at your outlet?

E11

Please provide the number of villages you provide your services to (Villages where the BC Sakhi serves regularly)

E12

Please provide the approx. number of households you provide your services.

E13

Average number of customers receiving your services in a month( i.e through BC Sakhi)

E14

How would you define your customer segment? (Multiple Choice)

E15

What kind of services do you provide to the eligible beneficiaries?

E15A

Availability in the Bank/ CSP

E15A1

Account Opening

E15A2

Deposits

E15A3

Withdrawal

E15A4

Fund Transfer/ IMPS

E15A5

Fixed deposit

E15A6

Recurring Deposit

E15A7

Promoting and selling insurance

E15A7_1

What are the insurance products promoted?

E15A7_2

What are the insurance products availed?

E15A8

Promoting and selling pension products

E15A8_1

What are the pension products promoted

E15A8_2

What are the pension products availed

E15A9

Delivering notices for NPA on behalf of bank branches

E15A10

Recovering NPAs

E15A11

Generating eligible loan application

E15A12

Aadhar Seeding

E15A13

Payment of NREGA wages

E15B

Are these services availed by the customers?

E15B1

Account Opening

E15B2

Deposits

E15B3

Withdrawal

E15B4

Fund Transfer/ IMPS

E15B5

Fixed deposit

E15B6

Recurring Deposit

E15B7

Promoting and selling pension products

E15B8

Delivering notices for NPA on behalf of bank branches

E15B9

Recovering NPAs

E15B10

Generating eligible loan application

E15B11

Aadhar Seeding

E15B12

Payment of NREGA wages

E16

Do you have properly maintained BORs?

E16A

What was your total value of transaction that took place in the last year ?

E17

What was your total value of the transaction that took place in the last three months?

E17_1

January

E17_2

February

E17_3

March

E17A

In the last three months, out of all the transactions made by you, how many of the transactions fall under each category?

E17A_1

January

E17A_2

February

E17A_3

March

E18

What are the top 5 services availed by women?

E19

According to you how are able to help or provide support to other women in society?

Process of Fund flow
F01

Have you made any additional investment for starting the role of BC Sakhi?

F02

What is your main source of investment?

F03

How much did you invest to initiate the activity (INR)?

F04

Of the total investment, how much was the investment towards equipment?

F05

Of the total investment, how much was the investment towards the OD limit?

F06

What is the frequency with which you get your commission?

F07

How do you receive the commission?

F08

On average, what is the range of commissions you receive in a month?

F09

In which account have you received this amount?

F10

Have you received any incentives or bonuses for the services you have provided?

F11

What are the challenges regarding commissions?

F12

In which quarter did you carry out the highest number of transactions?

F13

In which quarter did you receive the highest commissions?

F14

What do you think is the reason for the same?

Detail of expenses
G01

Sources of Revenue

G01_1

Revenue from commissions

G01_2

Assistance provided by the SRLMs

G01_3

Assistance from Banks/NABARD

G01_4

Other sources of Revenue

G02

What is expenditure incurred by the Bank Sakhi under the following heads:

G02A

Establishment Cost

G02A1

Laptop/ PC / Tablet

G02A2

Printer cum scanner

G02A3

Pin Pad Device/ Micro ATM

G02A4

Biometric device

G02A5

Internet Connection

G02A6

Power Backup

G02A7

Miscellaneous

G02A8

Overdraft amount (Note to the enumerator: The overdraft allows the account holder to continue withdrawing money even when the account has no funds in it or insufficient funds to cover the amount of withdrawal)

G02B

Total Establishment Cost

G02B1

Operational Expenses

G02B2

Rent of Premises

G02B3

Electricity

G02B4

Monthly Internet Charges

G02B5

Travel Expenses

G02B6

Stationary and miscellaneous expenses

G02B7

Others, please specify