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Process Monitoring Template 21 -Form Fill
General Information
Q01
State Name
Q02
State Code
Q03
District Name
Q04
District Code
Q05
Block Name
Q06
Block Code
Q07
Enterprise Name
Q08
Enterprise Identification Code
Q09
Interviewer name
Q10
Interviewer code
Q11
Interview code
Q12
Date of the interview
Q13
Record the time when you start the interview
Q14
Record the time when you end the interview
Q15
GPS coordinates
Personal Information
A01
Name of the respondent
A02
The contact number of the respondent
A03
What is your religion?
Hindu
Muslim
Christian
Sikh
Buddhist/Neo-Buddhist
Jain
Jewish
Parsi/Zoroastrian
No religion
Other (Specify) text response)
A04
What is your caste category?
Scheduled Caste
Scheduled Tribe
Other Backward Caste/Class
General
Other (Specify) text response)
A05
What is your marital status?
Married
Unmarried or single
Widowed
Divorced or separated
Others (Specify) text response)
A06
Gender of the respondent
Male
Female
Others
A07
What is your educational qualification?
Never educated
Completed Primary education
Completed secondary education
Completed higher secondary education
Completed graduate level
Completed post-graduation or above
Others (Specify)
A08
Are you the owner of the enterprise?
Yes
No
A09
If not, what is your role in the enterprise?
Business Partner/Financier
Full-time employee
SHG member (SHG-owned enterprise)
Other (Specify) text response)
A10
Gender of the owner
Male
Female
Others
A11
Education of the owner
Never educated
Completed Primary education
Completed secondary education
Completed higher secondary education
Completed graduate level
Completed post-graduate level or above
Others (Specify) text response)
A12
Marital status of the owner
Married
Unmarried or single
Widowed
Divorced or separated
Others (Specify) text response)
A13
Is the owner an SHG member?
Yes
No
A14
What is the name of the SHG?
A15
If no, is someone from your family an SHG member
Yes
No
A16
What is your relationship with the SHG members?
Husband
Unmarried son
Unmarried daughter
Unmarried brother
Unmarried sister
Parents
Others
Details of the enterprise
B01
Name of Enterprise
B02
When was this enterprise started?
B03
What is the enterprise ownership type?
Individual
Group
B04
Who formed/ started this enterprise?
Started by the present owner/owners
Family business with joint ownership held by members of a single household
Bought from the previous owner
Formed through association with SHG
Formed under an NGO/ Foundation
Formed through PG, PC, Farmer groups, VOs, etc. (Cooperative/ collective)
Others (Specify), text response
Don't know
B05
What was the total value of the product produced/marketed in 2022-2023?
B06
Is your enterprise registered?
Yes, registered
Not registered
Did not know/disclose
Other (Specify) text response
B07
If yes, under what act is the enterprise registered?
B08
If No, what are the obstacles in your registration?
Lack of support from BDSPs
Poor physical infrastructure
Lack of internet awareness
Document verification
Others
B09
Have you received any loan from banks after your registration?
Yes
No
B10
Which sector does your enterprise operate in?
Manufacturing
Trading
Service
B11
What are the services/ products that your enterprise produces?
Grocery Shop
Bangle/ Cosmetic shops/ Salon
Sawmill/ furniture shop / Bamboo work/ handicrafts
Cybercafe/ Photostat shop/ Mobile repair shops/ TV Repair Shops/ Other Repair Shop
Tailoring shops/ garment shops
Food processing unit/ Spice mills
Services (physiotherapy, cooking, trained attendants, restaurant/ eatery etc.)
Producer Company
Others, specify
B12
Are your products environmentally sustainable?
Yes
No
B13
What are the customer bases for this enterprise?
Local/community
Block-level
District level
State-level
National
International
B13A
Does your enterprise have an online presence?
Yes
No
B14
What are the Online Portals on which the products have been featured ?
Flipkart
Amazon
Facebook
Instagram
Meesho
Others
B15
If No, What are the obstacles ?
Lack of support from BDSPs
Poor Internet connectivity
Lack of internet awareness
Issues related to supply chain
Others
B16
Who assisted in setting up this business?
Cluster Level Federations (CLFs)
CMRC
Village Organizations (VOs)
Producer Groups (PGs) or Producer Organizations (POs)
Micro Livelihood Plan (MLP)
Joint Liability Group (JLG)
No such organization
Don't know
Others (Specify), text response
B17
Usually, who is engaged in the enterprise?
Male family members
Female family members
Male employees (besides household members)
Female employees (besides household members)
SHG members
Others (Specify), text response
B18
How many members or employees are engaged full-time?
B18_1
Male
B18_2
Female
B18_3
Male child
B18_4
Female child
B18A
No. of days of employment (in a month)
B18A_1
Male
B18A_2
Female
B18A_3
Male child
B18A_4
Female child
B18B
Remuneration (monthly)
B18B_1
Male
B18B_2
Female
B18B_3
Male child
B18B_4
Female child
B19
How many members are employed full-time in the enterprise (other than family members)?
B19_1
Male
B19_2
Female
B19_3
Male child
B19_4
Female child
B19A
No. of days of employment (in a month)
B19A_1
Male
B19A_2
Female
B19A_3
Male child
B19A_4
Female child
B19B
Remuneration (monthly)
B19B_1
Male
B19B_2
Female
B19B_3
Male child
B19B_4
Female child
B20
How many members are employed part-time in the enterprise (other than family members)?
B21
Do you also hire seasonal labour?
Yes
No
B22
What is the reason for not hiring seasonal labour?
We do not need it
The remuneration cannot be paid through our earnings
We are at an early stage right now
Others, specify
B23
In which month do you engage seasonal labour?
January
February
March
April
May
June
July
August
September
October
November
December
B24
How many members or employees are engaged on a seasonal basis (employed for less than a year) in 2023?
B25
Daily, how many hours is the enterprise operational?
B26
How many days in a month is your enterprise operational on average?
B27
How many customers do you get daily on average?
Less than 3
Less than 5 more than 3
Less than 10, more than 5
Less than 15, more than 10
Less than 25, more than 15
Less than 30, more than 25
Less than 50, more than 30
More than 50
B28
What are the challenges faced in enterprise operations?
Inadequate availability of electricity
Limited availability of clean water
Competition from national/international companies
Low availability of skilled and semi-skilled labour
Inadequate availability of pucca roads
Limited options for transportation
Inadequate availability of high-quality inputs and machinery
More cost of transportation
Inadequate availability of loans
Less credit period from suppliers
Others (Specify
Don't know
B29
Where is the business located?
Within the household (in the living area)
In the household (outside the living area) premise
Market/Commercial area
Farmland
Other fixed places
Mobile location
B30
Does the owner or owners own the location or space occupied by the business or activity?
Yes
No
B31
Does this business or activity pay any rent for its location or space?
Yes
No
Training received by the entrepreneur
C01
Did you receive any Entrepreneur Development training or orientation before/ after starting up the business?
Yes
No
C02
If not, why have you not received any training in business development?
C03
If yes, was the BDSP involved in training/ business idea validation etc.?
Yes
No
C04
If BDSP was not involved, who imparted the training?
C05
What were some of the topics covered in the training?
Business operations
Financial management
Book-keeping
Packaging
Marketing
Storage
Banking processes
Market linkage
Use of technology
Others, specify
C06
How helpful were these training in your day-to-day business operations
Very useful
Somewhat useful
Did not make much difference
Not very useful
Not at all useful
C07
What topics do you think training would have helped develop your business?
C08
What was the duration of the training?
C09
Did you receive any refresher training?
Yes
No
C10
What was the duration of the refresher training?
C11
If not, do you feel there is a need for refresher training?
Yes
No
C12
What are the topics on which refresher training is required?
Business operations
Financial management
Book-keeping
Packaging
Marketing
Storage
Banking processes
Market linkage
Use of technology
Others, specify
C13
Who provided the refresher training?
Enterprise- expenditure, profits, and book of records
D01
What is the average monthly cost of operations?
D01_1
Raw material
D01_2
Wages
D01_3
Rent
D01_4
Electricity (from the grid)
D01_5
Electricity (from diesel)
D01_6
Transportation
D02
What is the total monthly revenue generated- before becoming part of OSF?
D02_1
Peak Season – INR
D02_2
Off-season – INR
D03
What is the total monthly revenue generated- after becoming part of OSF
D03_1
Peak Season – INR
D03_2
Off-season – INR
D04
Please provide the revenue and expenditure details for the last 3 months-
D04A
May '23
D04A_1
Revenue
D04A_2
Expenditure
D04B
June '23
D04B_1
Revenue
D04B_2
Expenditure
D04C
July '23
D04C_1
Revenue
D04C_2
Expenditure
D05
What is the average monthly profit from this enterprise?
D06
How are the profits used?
Household expenses
Purchase of assets/ land
Repayment of loans
Re-investment in business
Savings
Starting a new business
Others, specify
D07
Do you maintain records?
Yes
No
D08
If not, why do you not maintain the book of records?
D09
What are the types of records that you maintain?
D10
Is the book of records properly updated?
Yes
No
D11
Do you face any challenges in updating the book of records?
Yes
No
D12
If yes, what type of challenges do you face?
D13
Are the book of records reviewed?
Yes
No
D14
What is the frequency of review of the book of records?
Weekly
Fortnightly
Monthly
Quarterly
Half-yearly
Annually
Other, specify
D15
Who reviews these books?
BDSP
OSF
Others, specify
D16
Do you receive any assistance from BDSPs in maintaining the Book of records?
Yes
No
D17
What type of assistance do you receive from BDSPs in maintaining records?
D18
Do you find the assistance useful?
Yes
No
D19
What are the other areas where you need assistance?
Access to Funds
E01
Do you have a personal bank account?
Yes
No
E02
If not, why did you not open the bank account?
E03
Type of personal bank account?
Current Account
Savings Account
Salary Account
Pension Account
Other (Specify)
E04
Does anyone in your household have a bank account?
Yes
No
E05
Do you use the account for business/ personal purposes?
Yes
No
E06
Type of bank account?
Current Account
Savings Account
Salary Account
Pension Account
Other (Specify)
E07
What has been the initial investment in the enterprise?
E08
How did you arrange for the initial investment?
E08_1
Savings
E08_2
Loan from bank
E08_3
Loan from MFI
E08_4
Friends/ relatives
E08_5
Moneylenders
E08_6
SHGs
E09
Have you taken a loan for the development of your enterprise?
Yes
No
E10
How many times have you taken a loan for the enterprise?
E11
What was the process of application for loans followed by the enterprises?
E12
Were you provided any assistance during the application for loans?
Yes
No
E13
If not, what was the reason?
E14A
Was the loan availed from this source
E14A_1
Bank
Yes
No
E14A_2
MFIs
Yes
No
E14A_3
Friends/Relative
Yes
No
E14A_4
Informal moneylenders
Yes
No
E14A_5
SHG
Yes
No
E14A_6
CBOs
Yes
No
E14B
What was the loan amount?
E14B_1
Bank
E14B_2
MFIs
E14B_3
Friends/Relative
E14B_4
Informal moneylenders
E14B_5
SHG
E14B_6
CBOs
E14C
What was the rate of interest?
E14C_1
Bank
E14C_2
MFIs
E14C_3
Friends/Relative
E14C_4
Informal moneylenders
E14C_5
SHG
E14C_6
CBOs
E14D
How much amount has been repaid?
E14D_1
Bank
E14D_2
MFIs
E14D_3
Friends/Relative
E14D_4
Informal moneylenders
E14D_5
SHG
E14D_6
CBOs
E14E
How do you repay the loan?
E14E_1
Bank
EMI
Quarterly/half-yearly payments
Yearly payments
Share of profits
Others
E14E_2
MFIs
EMI
Quarterly/half-yearly payments
Yearly payments
Share of profits
Others
E14E_3
Friends/Relative
EMI
Quarterly/half-yearly payments
Yearly payments
Share of profits
Others
E14E_4
Informal moneylenders
EMI
Quarterly/half-yearly payments
Yearly payments
Share of profits
Others
E14E_5
SHG
EMI
Quarterly/half-yearly payments
Yearly payments
Share of profits
Others
E14E_6
CBOs
EMI
Quarterly/half-yearly payments
Yearly payments
Share of profits
Others
E14F
What was the time taken from the application to disbursement
E14F_1
Bank
E14F_2
MFIs
E14F_3
Friends/Relative
E14F_4
Informal moneylenders
E14F_5
SHG
E14F_6
CBOs
E14G
Was the whole amount given at once or in instalment
E14G_1
Bank
E14G_2
MFIs
E14G_3
Friends/Relative
E14G_4
Informal moneylenders
E14G_5
SHG
E14G_6
CBOs
E15
From the total loans received, what was repaid in the last 3 months
E15_1
May '23
E15_2
June '23
E15_3
July '23
E16
Have you faced any challenges while repaying the loan?
Yes
No
E17
What were the challenges faced/for non-repayment?
High-interest rate
Lack of cash flow
Unforeseen expenses
Others
E18
Has a bank account been opened in the name of the enterprise?
Yes
No
E19
If not, how did you receive the loan amount?
E20
When was the bank account opened?
E21
What is the distance to the bank from the enterprise (accessibility in case of services)?
E22
Did you apply for any loan assistance from CBOs?
Yes
No
E23
If yes, did you receive the assistance
Yes
No
E24
If not, why haven't you received any assistance?
E25
Which of these funds did you apply for?
E25_1
CEF (Community Enterprise Fund – OSF)
Yes
No
E25_2
CIF (Community Investment Fund – CLF)
Yes
No
E25_3
SHG Bank Linkage
Yes
No
E25_4
Direct Bank Linkage
Yes
No
E25A
Amount received
E25A_1
CEF (Community Enterprise Fund – OSF)
E25A_2
CIF (Community Investment Fund – CLF)
E25A_3
SHG Bank Linkage
E25A_4
Direct Bank Linkage
E26
How useful did CBOs provide loan assistance for the development of your enterprise?
Not at all useful
Not useful
Can't say/neutral
Useful
Quite useful
E27
Have you received any financial assistance from other government schemes apart from the OSF ecosystem?
Yes
No
E28
Under what government schemes, have you received support?
Start Up India scheme
MUDRA Yojana
Prime Minister Employment Generation Programme
Stand Up India scheme
PM SVANidhi
Udyogini scheme
E29
Amount of Financial assistance Received
Support from BDSPs
F01
Do you have a business plan?
Yes
No
F02
If not, why have you not prepared a business plan?
F03
Did the BDSP assist you in preparing the business plan?
Yes
No
F04
What aspects are covered in the business plan?
F05
Did the BDSP help you in raising funds for your business?
Yes
No
F06
If not, why did the BDSP not help you in raising funds?
F07
Have you planned the expansion of your business?
Yes
No
F08
If not, why have you not planned to expand your business?
F09
What are your plans for the expansion of your enterprise?
F10
Did the BDSP provide you with support in setting up of both online and offline market linkages and business expansion ?
Yes
No
F11
If no, how did you manage market operations for your enterprise?
F12
Did you receive assistance from BDSP for getting licenses and other regulatory documents?
Yes
No
F13
If not, why did the BDSP not assist you?
F14
What type of licenses/ regulatory documentation did the BDSP assist you with?
Udyog Aadhaar
FSSAI
PAN Card
GST
Others, specify
F15
Did the BDSP connect you with Mentor/ functional experts?
Yes
No
F16
If not, did you request the BDSP to connect you with a functional expert/ mentor?
F17
What aspects of the business did the mentor/ functional expert help you with?
Business ideation
Business expansion
Packaging
Marketing
Others, specify
F18
Did the BDSP inform you about other government schemes that could help you in the business?
Yes
No
F19
Do you have insurance?
Yes
No
F20
If not, why did you not get insurance?
F21
Which type of insurance do you have?
Personal (individual/group)
Enterprise Insurance
Both
F22
Did the BDSP provide you with support in getting insurance?
Yes
No
F23
Do you pay remuneration/fees to the BDSP?
Yes
No
F24
If not, why do you not pay the BDSP for their services?
F25
What is the remuneration/fee paid to BDSP?
F26
What is the frequency of remuneration paid to BDSP?
F27
Have you received any fee structure from the SRLMs or Is there any rate card for payment of remuneration/ fees?
Yes
No
F28
If not, do you think the rate card will help you pay the BDSP's remuneration?
Yes
No
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