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Micro Enterprise Template 4 -Form Fill
Information
Q01
Name of the State
Q02
Name of the District
Q03
Name of the Block
Q04
Name of Panchayat
Q05
Name of the Village (PSU)
Q06
Village Census Code
Q07
Whether ME is a SPRD customer or not?
Yes
No
Q08
ME Structure No.
Q09
Address
Q10
Investigator Name
Q11
Investigator Code
Q12
Start Time
Q13
End Time
Q14
Interviewer’s Visits - 1
Q14_1
Date
Q14_2
Result
Completed
Not at home
Postponed
Refused
Partly Completed
No Eligible Person
Eligible Person Incapacitated
Others (specify)
Q15
Interviewer’s Visits - 2
Q15_1
Date
Q15_2
Result
Completed
Not at home
Postponed
Refused
Partly Completed
No Eligible Person
Eligible Person Incapacitated
Others (specify)
Q16
Interviewer’s Visits - 3
Q16_1
Date
Q16_2
Result
Completed
Not at home
Postponed
Refused
Partly Completed
No Eligible Person
Eligible Person Incapacitated
Others (specify)
Entrepreneur Profile
A01
Name of the respondent
A02
Age of the respondent/owner
A03
Is the owner male or female?
Male
Female
Transgender
A04
Are you the owner of the enterprise?
Yes
No
A05
Name of the owner
A06
What is the religion of the owner?
Hindu
Muslim
Christian
Sikh
Buddhist/Neo-Buddhist
Jain
Jewish
Parsi/Zoroastrian
No Religion
Other (Specify)
A07
Does the owner belong to a scheduled caste, scheduled tribe, other backward class or general class?
Scheduled Caste
Scheduled Tribe
Other Backward Caste
General
Other (Specify)
A08
What is the year of formation of the enterprise?
A09
What is the type of enterprise?
Shop
Sweet
Medical store
Grain/Oil processing mill
Ice Factory
Brick factory
Welding units
Saw Mill/ Carpenter unit
Poultry units
Computer/Xerox shop
Computer Coaching centre
Mobile repair shops/ TV Repair Shops/ Other Repair Shop
Tailoring/sewing shop
Stitching training centre
Saloons (barber shops)
RO water filter plant
Others (Specify)
A10
What kind of services do you provide through your enterprise?
Sell only products
Provide services
Provide services as well as sell products
A11
On a regular basis, how many people are engaged in the enterprise?
A12
Do you also hire seasonal labour?
Yes
No
A13
In which month do you engage seasonal labour and how many?
January
February
March
April
May
June
July
August
September
October
November
December
Electricity Connection
B01
Do you have government grid connection in your enterprise?
Yes
No
B02
How many hours of electricity supply do you get from the government grid?
ELECTRICITY SOURCES & USAGE
C01
What are the sources of energy used in the enterprise?
C01A
Before 2015
C01A_1
Primary source
Grid Electricity
Solar panel at home
Diesel generator
Kerosene
Others(Specify)
C01A_2
Other sources
Grid Electricity
Solar panel at home
Diesel generator
Kerosene
Others(Specify)
C01B
Current
C01B_1
Primary source
Grid Electricity
Solar panel at home
Diesel generator
Kerosene
Others(Specify)
C01B_2
Other sources
Grid Electricity
Solar panel at home
Diesel generator
Kerosene
Others(Specify)
C02
What is/was the daily hours of supply of each of the sources of electricity?
C02A
Before 2015
C02A_1
Grid Electricity
C02A_2
Solar panel at home
C02A_3
Diesel generator
C02B
Current
C02B_1
Grid Electricity
C02B_2
Solar panel at home
C02B_3
Diesel generator
C03
What are the appliances used in the enterprise?
C03A
Before 2015
C03A_1
LED bulb
Yes
No
C03A_2
CFL bulb
Yes
No
C03A_3
Incandescent bulb
Yes
No
C03A_4
T. V
Yes
No
C03A_5
Radio/Music player
Yes
No
C03A_6
Fan
Yes
No
C03A_7
AC/Air cooler
Yes
No
C03A_8
Mobile charging point
Yes
No
C03A_9
Computer/Laptop
Yes
No
C03A_10
Enrolment device
Yes
No
C03A_11
Printer
Yes
No
C03A_12
Sewing machine
Yes
No
C03A_13
Chiller/Refrigerator
Yes
No
C03A_14
Mixer/Grinder
Yes
No
C03A_15
Metal welder/cutter
Yes
No
C03A_16
Rice huller
Yes
No
C03A_17
Atta chakki
Yes
No
C03A_18
Chura mill
Yes
No
C03A_19
Daal Mill
Yes
No
C03A_20
RO plant Filter
Yes
No
C03A_21
Oil expeller
Yes
No
C03A_22
Hair trimmer
Yes
No
C03A_23
Soldering machine
Yes
No
C03A_24
Wood planer
Yes
No
C03B
Current
C03B_1
LED bulb
Yes
No
C03B_2
CFL bulb
Yes
No
C03B_3
Incandescent bulb
Yes
No
C03B_4
T. V
Yes
No
C03B_5
Radio/Music player
Yes
No
C03B_6
Fan
Yes
No
C03B_7
AC/Air cooler
Yes
No
C03B_8
Mobile charging point
Yes
No
C03B_9
Computer/Laptop
Yes
No
C03B_10
Enrolment device
Yes
No
C03B_11
Printer
Yes
No
C03B_12
Sewing machine
Yes
No
C03B_13
Chiller/Refrigerator
Yes
No
C03B_14
Mixer/Grinder
Yes
No
C03B_15
Metal welder/cutter
Yes
No
C03B_16
Rice huller
Yes
No
C03B_17
Atta chakki
Yes
No
C03B_18
Chura mill
Yes
No
C03B_19
Daal Mill
Yes
No
C03B_20
RO plant Filter
Yes
No
C03B_21
Oil expeller
Yes
No
C03B_22
Hair trimmer
Yes
No
C03B_23
Soldering machine
Yes
No
C03B_24
Wood planer
Yes
No
C04
What was the daily electricity requirement of each appliance and how many hours can you use it for?
C04A
Before 2015
C04A_1
LED bulb
C04A_2
CFL bulb
C04A_3
Incandescent bulb
C04A_4
T. V
C04A_5
Radio/Music player
C04A_6
Fan
C04A_7
AC/Air cooler
C04A_8
Mobile charging point
C04A_9
Computer/Laptop
C04A_10
Enrolment device
C04A_11
Printer
C04A_12
Sewing machine
C04A_13
Chiller/Refrigerator
C04A_14
Mixer/Grinder
C04A_15
Metal welder/cutter
C04A_16
Rice huller
C04A_17
Atta chakki
C04A_18
Chura mill
C04A_19
Daal Mill
C04A_20
RO plant Filter
C04A_21
Oil expeller
C04A_22
Hair trimmer
C04A_23
Soldering machine
C04A_24
Wood planer
C04B
Current
C04B_1
LED bulb
C04B_2
CFL bulb
C04B_3
Incandescent bulb
C04B_4
T. V
C04B_5
Radio/Music player
C04B_6
Fan
C04B_7
AC/Air cooler
C04B_8
Mobile charging point
C04B_9
Computer/Laptop
C04B_10
Enrolment device
C04B_11
Printer
C04B_12
Sewing machine
C04B_13
Chiller/Refrigerator
C04B_14
Mixer/Grinder
C04B_15
Metal welder/cutter
C04B_16
Rice huller
C04B_17
Atta chakki
C04B_18
Chura mill
C04B_19
Daal Mill
C04B_20
RO plant Filter
C04B_21
Oil expeller
C04B_22
Hair trimmer
C04B_23
Soldering machine
C04B_24
Wood planer
ENTERPRISE ECONOMICS
D01
What has been the initial investment in the enterprise?
D02
What was the source of investment?
Bank
MFIs
ESCO
Friends/Relative
Informal moneylenders
SHG
Own Savings
Don’t Know
Others(Specify)
D03
If loan was taken, then how much loan was taken and what is the annual interest on loan (in %)?
D04
Does any female member of your family also support you in your business?
D04A
Before 2015
Yes
No
D04B
Current
Yes
No
D05
What is level of involvement of female family members in the activities?
No involvement at all
Involved when asked for
Equally involved as the entrepreneur
Is the sole decision maker
D05_1
In deciding the product to be sold/service to be provided
No involvement at all
Involved when asked for
Equally involved as the entrepreneur
Is the sole decision maker
D05_2
In deciding the amount of investment
No involvement at all
Involved when asked for
Equally involved as the entrepreneur
Is the sole decision maker
D05_3
In deciding from which market raw materials need to be procured
No involvement at all
Involved when asked for
Equally involved as the entrepreneur
Is the sole decision maker
D05_4
In deciding the pricing of the product/service
No involvement at all
Involved when asked for
Equally involved as the entrepreneur
Is the sole decision maker
D05_5
In deciding the market where the final product is to be sold
No involvement at all
Involved when asked for
Equally involved as the entrepreneur
Is the sole decision maker
D05_6
In deciding if and when additional loan needs to be taken
No involvement at all
Involved when asked for
Equally involved as the entrepreneur
Is the sole decision maker
D05_7
Looking after the daily operations of the enterprise
No involvement at all
Involved when asked for
Equally involved as the entrepreneur
Is the sole decision maker
D06
From where do you procure your raw material?
D06A
Before 2015
Local weekly markets (haat)
Local dealers connected to SPRD
Local dealers not connected to SPRD
Market in nearest town
Market in block/district headquarters
Directly from HH within or nearby villages
Service-based enterprise- does not procure raw material
D06B
Current
Local weekly markets (haat)
Local dealers connected to SPRD
Local dealers not connected to SPRD
Market in nearest town
Market in block/district headquarters
Directly from HH within or nearby villages
Service-based enterprise- does not procure raw material
D07
What is the average monthly expenditure for the enterprises?
D07A
Before 2015
D07A_1
Labour
D07A_2
Rent
D07A_3
Repairs and Maintenance
D07A_4
Raw materials (Purchase of inputs for the enterprise)
D07A_5
Electricity taken from grid
D07A_6
Electricity taken from diesel generator (owned/supplier)
D07A_7
Expense on running diesel generator engine
D07A_8
Transportation
D07B
Current
D07B_1
Labour
D07B_2
Rent
D07B_3
Repairs and Maintenance
D07B_4
Raw materials (Purchase of inputs for the enterprise)
D07B_5
Electricity taken from grid
D07B_6
Electricity taken from diesel generator (owned/supplier)
D07B_7
Expense on running diesel generator engine
D07B_8
Transportation
D08
Did/Do you use kerosene for lighting in your enterprise
D08A
Before 2015
Yes
No
D08B
Current
Yes
No
D09
What was/is the quantity of kerosene used by you, monthly, for lighting purposes?
D09A
Before 2015
D09B
Current
D10
What was/ is unit price of kerosene?
D10A
Before 2015
D10B
Current
D11
On an average, how much do you earn from this enterprise in a month?
D11A
Before 2015
D11B
Current
D12
What is the unit selling price for your product?
D12A
Before 2015
D12A_1
Flour Mill
D12A_2
Rice Huller
D12A_3
Oil expeller
D12A_4
Daal Mill
D12A_5
Chaura Mill
D12A_6
Ice Factory
D12A_7
Brick factory
D12A_8
Welding units
D12A_9
Saw Mill/ Carpenter unit
D12A_10
Poultry units
D12A_11
Computer Center
D12A_12
Computer Coaching centre
D12A_13
Photo Copy Shop
D12A_14
Photo Studio
D12A_15
Tailoring/sewing
D12A_16
Saloons (barber shops)
D12B
Current
D12B_1
Flour Mill
D12B_2
Rice Huller
D12B_3
Oil expeller
D12B_4
Daal Mill
D12B_5
Chaura Mill
D12B_6
Ice Factory
D12B_7
Brick factory
D12B_8
Welding units
D12B_9
Saw Mill/ Carpenter unit
D12B_10
Poultry units
D12B_11
Computer Center
D12B_12
Computer Coaching centre
D12B_13
Photo Copy Shop
D12B_14
Photo Studio
D12B_15
Tailoring/sewing
D12B_16
Saloons (barber shops)
D13
Where do you utilize your savings?
D13A
Before 2015
Save in the bank/ post office /SHG
Use it for household purpose
Invest in the enterprise
Invest in some other business
Others (Specify)
D13B
current
Save in the bank/ post office /SHG
Use it for household purpose
Invest in the enterprise
Invest in some other business
Others (Specify)
D14
How many days in a month is your shop operational?
D14A
Before 2015
D14B
current
D15
How many customers do you get on a daily basis?
D15A
Before 2015
D15B
current
D16
What is output of the machine in 1 hour?
D16A
Before 2015
D16A_1
Rice huller
D16A_2
Atta chakki
D16A_3
Chura mill
D16A_4
Daal Mill
D16A_5
Oil expeller
D16A_6
Wood planer
D16B
current
D16B_1
Rice huller
D16B_2
Atta chakki
D16B_3
Chura mill
D16B_4
Daal Mill
D16B_5
Oil expeller
D16B_6
Wood planer
D17
Daily, how many hours do you keep your enterprise open?
D17A
Before 2015
D17B
current
USAGE OF ELECTRICITY & CHANGES
E01
When is the electricity available at your enterprise?
Only Daytime
Only Evening
Few hours in the morning and few in the evening
24 hours supply
E01A
In the last 6 months have you changed or added any new electricity source in your enterprise?
Yes
No
E01B
What source have you shifted to?
Grid Electricity
Solar panel at home
Diesel generator
Others(Specify)
E02
For which of the appliances is the new electricity source used?
LED bulb
CFL bulb
Incandescent bulb
T. V
Radio/Music player
Fan
AC/Air cooler
Mobile charging point
Computer/Laptop
Enrolment device
Printer
Sewing machine
Chiller/Refrigerator
Mixer/Grinder
Metal welder/cutter
Rice huller
Atta chakki
Chura mill
Daal Mill
RO plant filter
Oil expeller
Hair trimmer
Soldering machine
Wood planer
None
E03
Which of these appliances have you purchased/added after getting connected to the new electricity source?
LED bulb
CFL bulb
Incandescent bulb
T. V
Radio/Music player
Fan
AC/Air cooler
Mobile charging point
Computer/Laptop
Enrolment device
Printer
Sewing machine
Chiller/Refrigerator
Mixer/Grinder
Metal welder/cutter
Rice huller
Atta chakki
Chura mill
Daal Mill
RO plant filter
Oil expeller
Hair trimmer
Soldering machine
Wood planer
None
E04
If Yes, how much did you spend in the purchase of new machinery?
E04_1
LED bulb
E04_2
CFL bulb
E04_3
Incandescent bulb
E04_4
T. V
E04_5
Radio/Music player
E04_6
Fan
E04_7
AC/Air cooler
E04_8
Mobile charging point
E04_9
Computer/Laptop
E04_10
Enrolment device
E04_11
Printer
E04_12
Sewing machine
E04_13
Chiller/Refrigerator
E04_14
Mixer/Grinder
E04_15
Metal welder/cutter
E04_16
Rice huller
E04_17
Atta chakki
E04_18
Chura mill
E04_19
Daal Mill
E04_20
RO plant filter
E04_21
Oil expeller
E04_22
Hair trimmer
E04_23
Soldering machine
E04_24
Wood planer
E05
What was the purpose of buying this appliance?
Replaced an old appliance/machinery
Was needed for the operations of the business
Wanted to expand to new line of business
Wanted to expand existing business
Others, specify
E06
Are you planning to invest in a new electrical appliance?
Yes
No
E07
What appliance are you planning to invest in?
LED bulb
CFL bulb
Incandescent bulb
T. V
Radio/Music player
Fan
AC/Air cooler
Mobile charging point
Computer/Laptop
Enrolment device
Printer
Sewing machine
Chiller/Refrigerator
Mixer/Grinder
Metal welder/cutter
Rice huller
Atta chakki
Chura mill
Daal Mill
RO plant filter
Oil expeller
Hair trimmer
Soldering machine
Wood planer
others
E08
Have you started a new line of business in the last six months?
Yes
No
E09
Has there been any change in your working efficiency in the last six months?
Yes
No
E10
How has the efficiency changed?
Number of units produced by the appliance in the same time has increased
Quality of product has improved
Better lighting attracts more customers
Improved lighting ensures shops stay open for a longer duration
Others (specify)
E11
Do you feel carrying out your business operations has changed in the last six months ?
Yes
No
E12
How has carrying out business operations changed?
Activities which were done manually have been mechanised
Carrying out the same activity requires lesser time
Better lighting makes moving around in the shop more comfortable
No smoke and noise from diesel generator
Others (specify)
E13
In the last six months, who has been your primary customer?
Village residents
Non-residents of village
Wholesale dealers
Others (specify)
E14
Has the customer base increased in the last six months?
Yes
No
E15
How has the customer base increased?
Increased operating hours ensures more customers from within the village
Increased operating hours ensures more customers from outside the village
Quick operations attract more customers from within the village
Quick operations attract more customers from outside the village
Improved quality of attracts more customers from within the village
Improved quality of attracts more customers from outside the village
More quantity produced enables us to sell to more customer
Others (specify)
EXPANSION PLANS
F01
Do you plan to expand your enterprise?
Yes
No
F02
What are the reasons for not expanding?
Financial Issues
Lack of electricity
Lack of raw materials
Lack of technical skills
Lack of potential market
Lack of machinery
Others (Specify)
F03
How do you plan to expand your business?
By adding a new appliance that will create a new business activity
By purchasing another unit of an existing appliance that will help increase business output
By replacing existing appliance with a more efficient appliance to increase business output
By approaching larger markets/buyers
Others (Specify)
F04
What support will be required to make your expansion plan successful?
Help in sourcing raw materials
Help in selling products of the enterprise
Credit/Loan
Help in sourcing appropriate machinery/appliance
Others (Specify)
ELECTRICITY QUALITY and SATISFACTION
G01
Do you face any of the following issues with respect to electricity from your primary source?
G01_1
Light Fluctuation
Never
Yes, Sometimes
Yes, Frequently
Always
Not Relevant
G01_2
Low Voltage
Never
Yes, Sometimes
Yes, Frequently
Always
Not Relevant
G01_3
Disruption in Supply (Irregular Supply)
Never
Yes, Sometimes
Yes, Frequently
Always
Not Relevant
G01_4
Bad or poor supply during Rainy season or during bad weather
Never
Yes, Sometimes
Yes, Frequently
Always
Not Relevant
G01_5
Meter Availability/ Tariff (There is no meter and they want one)
Never
Yes, Sometimes
Yes, Frequently
Always
Not Relevant
G01_6
Difficult to contact someone to report problems
Never
Yes, Sometimes
Yes, Frequently
Always
Not Relevant
G02
Rate your satisfaction on the following parameters for electricity from your primary source
G02_1
Hours of electricity supply under the package you have taken
Not Satisfied
Somewhat satisfied
Neutral
Satisfied
Very Satisfied
Not Relevant
G02_2
Consistency in terms of voltage
Not Satisfied
Somewhat satisfied
Neutral
Satisfied
Very Satisfied
Not Relevant
G02_3
Schedule of electricity supply
Not Satisfied
Somewhat satisfied
Neutral
Satisfied
Very Satisfied
Not Relevant
G02_4
Quality of service provided by service providers such as maintenance
Not Satisfied
Somewhat satisfied
Neutral
Satisfied
Very Satisfied
Not Relevant
G02_5
Accuracy of billing
Not Satisfied
Somewhat satisfied
Neutral
Satisfied
Very Satisfied
Not Relevant
G02_6
Tariff
Not Satisfied
Somewhat satisfied
Neutral
Satisfied
Very Satisfied
Not Relevant
G02_7
Timeliness in addressing complaints
Not Satisfied
Somewhat satisfied
Neutral
Satisfied
Very Satisfied
Not Relevant
Impact of Street lighting
H01
Are there street-lights in your village?
Yes
No
H02
Since when are the streetlights functional?
H03
What is the source of electricity for these streetlights?
National Grid Electricity
Solar Mini-grid in the village
Diesel Generator
Others, Specify
Don’t Know
H04
Do you perceive any benefit from street-light for your enterprise?
Yes
No
H05
How is it beneficial for the enterprise?
We are able to operate longer in the enterprise
We and other employees do not fear going back home at night
More customers are able to come to the shop at night
Raw materials and other things can be delivered at night now
Others, Specify
H06
Why is it not beneficial for your enterprise?
The street light is located too fa away from the enterprise
Street light is not functional
The street-light is functional, but does not operate at hours of our need
Our enterprise does not operate during hours of dark, hence do not need lighting at those hours
We do not need street light for operations of the business
There is no safety issue for us or the employees in the village
Customers usually come to the shop even if there is no streetlight
There is no hold up in the delivery of raw material and other things because of lack of street-light
Other, specify
H07
Do you feel overall mobility and safety has improved in your village after street lights?
Yes
No
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