Surveypoint

Q01

State code

Q02

State name

Q03

District Name

Q04

District Code

Q05

Block Name

Q06

Block Code

Q07

Village Name

Q08

Village Code

A01

Name of the respondent (Owner)

A02

Gender of the owner

Female

Male

Prefer not to say

A03

Who operates the enterprise?

SELF

Husband/father/other male member

Self along with other female members

Self with other member

others,specify

A04

Type of the enterprise

Grocery store

Auto rikshaw

Tailoring

Garment shop

Cosmetic shop

Mechanic

food stall/restraint

Tea stall

Bangle making

Pickle making

Spice/floor mill

Computer center

Beauty Parlour

Others, specify

A05

Are you a SHG member?

Yes

No

A06

Have you taken loan for your enterprise?

Yes

No

A07

How many loans have you taken in last 5 years?

A08

How many loans have you taken in last 1 year?

A09

What was the source of loan?

Bank

MFI

BC Sakhi

CBO(SHG/VO/CLF)

Friends/relatives

Others, specify

A10

Please elaborate the process of you getting connected to this source.

A11

Why have you preferred to avail loan from the above-mentioned source?

A12

What was the amount of loan taken?

A13

What were the challenges faced in availing a loan?

No challenges

Improper documentation

Weak business plan

Low amount availed.

The amount demanded was not sanctioned.

CBO/ Bank/ BC Sakhi denied the loan

Others, specify

B01

What is the monthly revenue from the enterprise

B02

What is the monthly expenditure of the enterprise

B03

What is the monthly Income from the enterprise

B04

Have you been able to invest the money earned after starting the enterprise?

Yes

No

B05

If yes, where did you invest money earned from enterprise in last two years.

Education

Invested back in business.

Household expenses

Buying new asset (household/any other physical asset)

Invested in agriculture inputs

Invested in agriculture equipment/machine

Invested in livestock activities

Invested in buying livestock/livestock equipment

Health expenses

others, specify

B06

What is the asset bought?

B07

What is the total number of assets bought?

B08

How do you utilize it?

B09

Has it helped you generate any further income?

Yes

No

B10

If yes , how has it helped to generate income?

B11

Have you taken insurance for the asset?

Yes

No

B12

For how many assets have you taken insurance?

B13

What was the source of information for insurance?

CLF

BC Sakhi

SHG

VO

Others specify

B14

What is the total premium amount paid for the asset insurance?

B15

Are you aware of insurance claim settlement process?

Yes

No

B16

Have you claimed the asset insurance amount?

Yes

No

B17

Enterprise Template 3 -Form Fill

State code

State name

District Name

District Code

Block Name

Block Code

Village Name

Village Code

Name of the respondent (Owner)

Gender of the owner

Who operates the enterprise?

Type of the enterprise

Are you a SHG member?

Have you taken loan for your enterprise?

How many loans have you taken in last 5 years?

How many loans have you taken in last 1 year?

What was the source of loan?

Please elaborate the process of you getting connected to this source.

Why have you preferred to avail loan from the above-mentioned source?

What was the amount of loan taken?

What were the challenges faced in availing a loan?

What is the monthly revenue from the enterprise

What is the monthly expenditure of the enterprise

What is the monthly Income from the enterprise

Have you been able to invest the money earned after starting the enterprise?

If yes, where did you invest money earned from enterprise in last two years.

What is the asset bought?

What is the total number of assets bought?

How do you utilize it?

Has it helped you generate any further income?

If yes , how has it helped to generate income?

Have you taken insurance for the asset?

For how many assets have you taken insurance?

What was the source of information for insurance?

What is the total premium amount paid for the asset insurance?

Are you aware of insurance claim settlement process?

Have you claimed the asset insurance amount?

Please elaborate the process of claim settlement and challenges faced.