Surveypoint

Q01

District Name

Q02

District Code

Q03

Block Name

Q04

Block Code

Q05

Institution Name

Q06

Institution Code

Q07

Nodal CLF/DKR

Q08

Nodal CLF/ DKR code

Q09

DKR Name

Q10

DKR Code

A01

Name of the respondents

A02

Designation of the respondent

DKR Consultant

DKR Didi

DKR Shareholder

Representative cum accountant

Others (specify)

A03

Respondent identification code

A04

FIRST VISIT

A04_1

Interviewer name

A04_2

Interviewed code

A04_3

Date of the interview

A04_4

Result of the interview

Interview complete

Visit rescheduled

Interview incomplete

Refused

Respondent is out of station for extended period

Respondent is temporarily away

Other (specify)

A04_5

Record time when you start 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

Interview complete

Visit rescheduled

Interview incomplete

Refused

Respondent is out of station for extended period

Respondent is temporarily away

Other (specify)

A05_5

Record time when you start 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

Interview complete

Visit rescheduled

Interview incomplete

Refused

Respondent is out of station for extended period

Respondent is temporarily away

Other (specify)

A06_5

Record time when you start the interview

B01

What is the name of this DKR?

B02

What is the date of the formation of this DKR?

B03

Name of the Nodal CLF/ VO?

B04

How many SHGs members are working in DKR?

B05

How many SHG members working are from the SC category?

B06

How many SHG members working from the ST category?

B07

How many SHG members working are from the OBC category?

B08

How many SHG members working are from the General category?

B09

How many SHGs members had joined the DKR as shareholders?

B10

What is the shareholders' fee?

B11

Where is the DKR established?

At block level hospital

At district level hospital

At bank

At residential school

Any institution

other

B12

Did the nodal CLF/VO signed the MOU with the hospital/institution/school?

Yes

No

B13

What was the date of MOU signing with the hospital/ institution?

B14

What was the date of the Canteen Establishment fund realized by DKR?

B15

What was the date of inauguration of the DKR?

B16

Did the DKR signed the partnership deed?

Yes

No

B17

If not, what is the reason?

B18

Did the DKR obtain the GST Number?

Yes

No

B19

If not, what is the reason?

B20

Did the DKR obtain the FSSAI license?

Yes

No

B21

If not, what is the reason?

B22

Did the DKR obtain the NOC from fire department?

Yes

No

B23

If not, what is the reason?

B24

Did the DKR obtain the Pollution certificate?

Yes

No

B25

If not, what is the reason?

B26

Did the DKR obtain the Assets Insurance?

Yes

No

B27

If not, what is the reason?

B28

Average number of customers served by the DKR on daily basis

B29

Is the branding of DKR visible (Boards/ banners etc.)?

Yes

No

B30

What is the reason for not displaying any boards/ banners for branding?

Not aware

Lack of funds to make banners

Do not feel the need, customers are aware of the presence

Others, specify

B31

Does all staff of the DKR are wearing uniforms?

Yes

No

B32

What is the reason for wearing uniforms?

Not aware

Lack of funds to provide uniforms

Others, specify

B33

Does all member working in DKR have received training from Kudumbashree?

Yes

No

B34

If no, what is the reason for not receiving the training?

B35

Do you feel the need of refresher training or any other training for the members working in the DKR?

Yes

No

B36

What are the topics/ areas in which training is required?

Communication with customers

Accounting and bookkeeping

Techniques of bulk cooking and preparation of traditional cuisines of Bihar

Maintenance of cleanliness and hygiene

Group behaviour

Crisis management

Use of operational safety gear

Waste management

Technique of purchasing raw material

Business promotion

Others, please specify

B37

Who are all take major decisions regarding running the DKR?

DPM

BPM

CLF

VO

DKR Didi

Others, please specify

B38

What kind of decisions does didi of DKR takes for the functioning of DKR?

B39

Is there any consultant in the DKR to support in functioning of the DKR activities?

Yes

No

B40

If yes, what support did DKR Didis receive from the consultant?

B41

Are the DKR Didis capable to run the DKR without the support of the consultant? What is your perception?

B42

Did you get any support in running the DKR from the BPIU and DPCU?

Yes

No

B43

What are the supports you received from the BPIU and DPCU?

C01

What are the last three months’ average sales of DKR?

C01_1

44927

C01_2

44958

C01_3

44986

C02

What are the Monthly Operating Expenses?

C02_1

Marketing

C02_2

Purchase of Raw material

C02_3

Transportation

C02_4

Rent for the DKR canteen

C02_5

Packaging of food

C02_6

Salary to the staff working with DKR

C02_7

Internet expense

C03

What is the Annual Maintenance Cost for?

C03_1

Auditor

C03_2

License Renewal

C03_3

Insurance

D01

Did DKR submit it’s monthly expenditure report to Model CLF/VO?

Yes

No

D02

Did DKR provide a quarterly asset rent fee to Model CLF/VO?

Yes

No

D03

Does DKR maintain a book of records?

D03_1

Cash ledger

Yes

No

D03_2

Meeting minutes register

Yes

No

D03_3

Procurement register

Yes

No

D03_4

Assets Register

Yes

No

D03_5

Passbook

Yes

No

D03_6

Monthly GST statement

Yes

No

D03_7

Daily Register

Yes

No

D03_8

Quarter audit report

Yes

No

D04

What is the average daily sale of DKR?

D05

Did DKR have other clients/ customers other than hospital patients/ school children/ visitors and staffs?

Yes

No

D06

Who are the other clients/ customers of DKR to which it supply food?

D07

If no, what can be done to attract other clients? Please explain.

D08

Opening balance of DKR

D09

Last updated balance in the passbook

E01

What are the supports you require from JEEViKA to further improve DKR?

Funds

Training

Market Linkage

Attract other clients/ customers

Others

E02

Have you taken any innovative initiatives by yourself to attract more customers/ clients to increase the business?

Yes

No

E03

If yes, what are those initiatives? Please explain in detail.

E04

Do you have any plans to increase the customer portfolio?

Yes

No

E05

If yes, what are the plans? Please explain in detail.

E06

Did you face any challenges in running the DKR?

Yes

No

E07

What challenges did you face in running the DKR? Please explain in detail.

E08

What are the suggestions you want to provide to improve the DKR

E09

What are the suggestions you want to give to increase the income of the DKR

E10

What kind of support do you need from JEEViKA?

E11

What are your plans for the DKR for next 5 years?

E12

What are your expectations that were fulfilled after joining the DKR?

E13

What are the aspirations that are yet to be fulfilled from DKR?

E14

Process Monitoring Template 16 -Form Fill

District Name

District Code

Block Name

Block Code

Institution Name

Institution Code

Nodal CLF/DKR

Nodal CLF/ DKR code

DKR Name

DKR Code

Name of the respondents

Designation of the respondent

Respondent identification code var statement=document.write(localStorage.getItem('total'));

FIRST VISIT var statement=document.write(localStorage.getItem('total'));

Interviewer name

Interviewed code

Date of the interview

Result of the interview

Record time when you start the interview

SECOND VISIT var statement=document.write(localStorage.getItem('total'));

Interviewer name

Interviewed code

Date of the interview

Result of the interview

Record time when you start the interview

THIRD VISIT var statement=document.write(localStorage.getItem('total'));

Interviewer name

Interviewed code

Date of the interview

Result of the interview

Record time when you start the interview

What is the name of this DKR?

What is the date of the formation of this DKR?

Name of the Nodal CLF/ VO?

How many SHGs members are working in DKR?

How many SHG members working are from the SC category?

How many SHG members working from the ST category?

How many SHG members working are from the OBC category?

How many SHG members working are from the General category?

How many SHGs members had joined the DKR as shareholders?

What is the shareholders' fee?

Where is the DKR established?

Did the nodal CLF/VO signed the MOU with the hospital/institution/school?

What was the date of MOU signing with the hospital/ institution?

What was the date of the Canteen Establishment fund realized by DKR?

What was the date of inauguration of the DKR?

Did the DKR signed the partnership deed?

If not, what is the reason?

Did the DKR obtain the GST Number?

If not, what is the reason?

Did the DKR obtain the FSSAI license?

If not, what is the reason?

Did the DKR obtain the NOC from fire department?

If not, what is the reason?

Did the DKR obtain the Pollution certificate?

If not, what is the reason?

Did the DKR obtain the Assets Insurance?

If not, what is the reason?

Average number of customers served by the DKR on daily basis

Is the branding of DKR visible (Boards/ banners etc.)?

What is the reason for not displaying any boards/ banners for branding?

Does all staff of the DKR are wearing uniforms?

What is the reason for wearing uniforms?

Does all member working in DKR have received training from Kudumbashree?

If no, what is the reason for not receiving the training?

Do you feel the need of refresher training or any other training for the members working in the DKR?

What are the topics/ areas in which training is required?

Who are all take major decisions regarding running the DKR?

What kind of decisions does didi of DKR takes for the functioning of DKR?

Is there any consultant in the DKR to support in functioning of the DKR activities?

If yes, what support did DKR Didis receive from the consultant?

Are the DKR Didis capable to run the DKR without the support of the consultant? What is your perception?

Did you get any support in running the DKR from the BPIU and DPCU?

What are the supports you received from the BPIU and DPCU?

What are the last three months’ average sales of DKR? var statement=document.write(localStorage.getItem('total'));

44927

44958

44986

What are the Monthly Operating Expenses? var statement=document.write(localStorage.getItem('total'));

Respondent identification code

FIRST VISIT

SECOND VISIT

THIRD VISIT

What are the last three months’ average sales of DKR?

What are the Monthly Operating Expenses?

What is the Annual Maintenance Cost for?

Does DKR maintain a book of records?