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Process Monitoring Template 18 -Form Fill
Identification Information
Q01
District Name
Q02
District Code
Q03
Block Name
Q04
Block Code
Q05
Village Name
Survey Information
A01
Designation of the respondent
CRP – EP
Others
A02
Contact number of the respondent
A03
FIRST VISIT
A03_1
Interviewer name
A03_2
Interviewed code
A03_3
Date of the interview
A03_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)
A03_5
Record time when you start the interview
A03_6
Record time when you end the interview
A04
SECOND 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
A04_6
Record time when you end the interview
A05
THIRD 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
A05_6
Record time when you end the interview
Basic information and selection criteria
B01
Name of the respondent
B02
Gender of the CRP-EP
Male
Female
Others
B03
Are you a member of an SHG?
Yes
No
B04
How are you related to the SHG member?
Son
Husband
Daughter
others
B05
What is your age?
B06
What is your educational qualification?
Illiterate
No Schooling (But knows to read/ write)
Primary
Secondary
High Secondary
Diploma/ ITI
Graduation
Post Graduation
Signature literate
If other, please specify
B07
What is your social category?
Scheduled Caste
Scheduled Tribe
Other Backward caste
General
B08
What is your marital status?
Unmarried
Married
Widowed
Divorced
Separated
Deserted
B09
When have you joined as CRP-EP?
B10
Are you a resident of this block?
Yes
No
B11
Are you working from the block that was assigned to you after the recruitment?
Yes
No
B12
If not, what is the reason for not working from the block that was assigned to you?
B13
How many panchayats do you cover to provide support to entrepreneurs?
B14
How many villages do you cover to provide support to entrepreneurs?
B15
Can you speak the local dialect spoken in the block?
Yes
No
B16
On average, in a month, how many days do you work in the block assigned to you?
B17
On average, in a month, how many days do you work outside the block that is assigned to you?
B18
Have you enrolled yourself with any insurance scheme?
Yes
No
B19
If no, what is the reason for not enrolling in the insurance scheme yet?
Lack of awareness
Financial constraints
Lack of support in documentation
Others, please specify
B20
Can you please tell us the insurance scheme you are enrolled in?
PMJJBY
PMSBY
Aam Aadmi Bima Yojana (AABY)
Others, please specify
B21
Have you appeared for the written exam during the selection?
Yes
No
B22
If no, what was the procedure followed during your selection for the role of CRP-EP?
B23
Were you involved in team exercises during the selection procedure?
Yes
No
B24
If yes, what kind of team exercises were conducted during the selection process?
B25
Apart from CRP-EP, what other livelihood activities are you engaged in?
Agriculture/cultivation on own/ leased-in/ shared land
Animal husbandry
Fishing
Agriculture labor
Non-agri labor, unskilled (coolie, etc.)
Non-agri labor, skilled (mason, carpenter etc.)
MGNREGS labor
Enterprise/business /shops
Salaried Govt. job
Salaried private job
Other’s Specify
Role and involvement of CRP-EP
C01
Are you part of any CRP-EP group?
Yes
No
C02
If yes, how many CRP-EPs is part of your group?
C03
Have you or your group signed M o U with Block Resource Centre?
Self MoU
Group MoU
Not signed yet
C04
What is the reason for not signing the MoU with BRC yet?
Lack of awareness
Under Process/ delayed due to documentation work
Others, Please Specify (____)
C05
What is the date of signing the MoU?
C06
What is the tenure of the MoU?
C07
What kind of activities are you involved while working as CRP-EP?
C07A
CBO Training
C07A_1
SHG's / VO's orientation on SVEP
Yes
No
C07A_2
VO's livelihoods subcommittee training on SVEP
Yes
No
C07A_3
CLF training on SVEP
Yes
No
C07A_4
BRC livelihoods subcommittee training on SVEP
Yes
No
C07B
Entrepreneur Training and Support
C07B_1
Entrepreneur triggering meeting.
Yes
No
C07B_2
General orientation training for entrepreneurs -idea generation
Yes
No
C07B_3
Soft skills training for entrepreneurs
Yes
No
C07B_4
Idea validation plan field activity by entrepreneurs
Yes
No
C07B_5
Support in the Business plan preparation for the enterprises
Yes
No
C07B_6
Business management training for entrepreneurs
Yes
No
C07B_7
Need based performance improvement plan for existing enterprises
Yes
No
C07B_8
Support in loan follow up from Community enterprise fund (CEF) and banks/MFls etc
Yes
No
C07B_9
Enterprise start-up support
Yes
No
C07B_10
Handholding support & Performance Tracking and support (PTS) for 1 year since the formation
Yes
No
C07B_11
Providing input and output market linkages to the supported enterprises
Yes
No
C08
What are the activities in which you are engaged as a CRP-EP presently?
Soft skills training for entrepreneurs
Business management training for entrepreneurs
Need based performance improvement plan for existing enterprises
Support in loan follow up from CEF and banks/MFls etc
Enterprise start-up support
Handholding support & Performance Tracking and support (PTS)
Providing input and output market linkages to the supported enterprises
Not doing anything
Others, Please Specify (____)
C09
How many enterprises/ entrepreneurs currently you are looking after?
C10
On average, how many enterprises do you provide services in a month?
C11
Out of the entrepreneurs you are looking after, how many entrepreneurs have completely repaid their loan amount (CEF amount)?
C12
Do you monitor and take updates on the CEF utilization from the entrepreneurs?
Yes
No
C13
If not, what is the reason for taking updates on CEF utilization from the entrepreneurs?
C14
Whom do you provide updates on CEF utilization by the enterprises?
BRC
CLF
VO
SHG
None
C15
If yes, what is the frequency of providing the updates?
Weekly
Fortnightly
Monthly
Bi-Monthly
C16
If none, why do you not provide updates to BRC or other CBOs?
C17
Do you provide periodic briefing to BRC regarding the work done?
Yes
No
C18
If no, what is reason for not providing frequent updates to BRC?
C19
What is the frequency of providing updates to BRC on the work done?
Weekly
Fortnightly
Monthly
Bi-Monthly
C20
How much amount of CEF corpus is available with BRC?
C21
Have you supported or prepared any business plan for the entrepreneur?
Yes
No
C22
If yes, how many business plans you have supported or prepared so far? (since you have started working as CRP-EP)
C23
If no, what is the reason for not supporting or preparing a business plan?
Don’t know the process
Did not receive any training on that
Other group members prepare it
Have joined recently as a CRP-EP
Others, Please Specify (____)
C24
What are the trainings and support you have received under SVEP?
Business Plan development
General Orientation training (GOT)
Foundation Module
Packaging training
Others, Please Specify (____)
C25
On average, how many days of training were conducted by Kudumbshree – NRO?
C26
On average, how many days of training have you attended which was organised by Kudumbshree – NRO?
C27
Please mention the topics on which you need training for improving your skills
C28
Were you also engaged in field assignments and other field-related work during training?
Yes
No
C29
Do you also co-ordinate with banks and support the bank linkage among the entrepreneurs?
Yes
No
C30
Have you generated any revenue opportunity for the BRC?
Yes
No
C31
What opportunity have you generated? Please mention the details
C32
Have you equipped yourself with additional skillset apart from CRP-EP training provided to you?
Yes
No
C33
If yes, please tell us on the skills you have acquired apart from CRP-EP
Honorarium of CRP-EP
D01
Does the BRC conduct your performance review?
Yes
No
D02
On what frequency does the BRC conduct your performance review?
Monthly
Bi-Monthly
Quarterly
Half yearly
Yearly
D03
Did you receive any honorarium last month?
Yes
No
D04
If not, what are the reasons for not receiving your honorarium?
D05
When did you receive the last honorarium?
D06
How much total honorarium did you receive? (in the last quarter (Oct-Dec, 2022))
D06_1
“October 2022”
D06_2
“November 2022”
D06_3
“December 2022 “
D07
How much total Travel Allowance did you receive? (in the last quarter (Oct-Dec, 2022))
D07_1
“October 2022”
D07_2
“November 2022”
D07_3
“December 2022 “
D08
How much total Communication Allowance did you receive? (in the last quarter (Oct-Dec, 2022))
D08_1
“October 2022”
D08_2
“November 2022”
D08_3
“December 2022 “
D09
How did you receive the honorarium and other allowances amount?
Credited on own bank account
Received cash
D10
Have you collected the service fee from the entrepreneurs based on the rate chart?
Yes
No
D11
If not, what are the reasons for not collecting service fees from the entrepreneurs?
D12
On average, what is your current monthly income?
D13
What is your current source of income?
Agriculture/cultivation on own/ leased-in/ shared land
Animal husbandry
Fishing
Agriculture labor
Non-agri labor, unskilled (coolie, etc.)
Non-agri labor, skilled (mason, carpenter etc.)
MGNREGS labor
Enterprise/business /shops
Salaried Govt. job
Salaried private job
CRP- EP cadre
BDSP Cadre
DRP
Other cadres in Jeevika
Other’s Specify
Challenges and expectation
E01
Did you face any challenges during your work with the entrepreneurs?
Yes
No
E02
What kind of challenges have you faced during your work with the entrepreneurs?
E03
Did you face any challenges while working in a group or individually?
Yes
No
E04
What are the challenges faced while working in a group or individually?
E05
Did you face any challenges while working with BRC?
Yes
No
E06
What are the challenges faced while working with BRC?
E07
Is there any issue regarding your payment from the BRC?
Yes
No
E08
What are the problems faced in receiving your honorarium?
E09
Do you have any suggestions to increase the income of the entrepreneurs?
E10
What are your suggestions that can help to increase your income as CRP-EP?
E11
What are the skills you have developed during your service as a CRP?
E12
Do you have any grievances?
Yes
No
E13
What are the grievances that you want to mention?
E14
Are there any processes to address your grievances?
E15
What were the merits of the SVEP programme that helped you to grow?
E16
What were your expectations/ aspirations that were not fulfilled through SVEP?
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