Household Identification
A11
Number of Tolas/Hamlets
A12
Segment Code for Survey
A13
Self Help Group (SHG)
A16
Name of the Household Head
A17
Address with Landmark
A17A
Household GPS Co-ordinates
A21
Household Ration Card Type
A22
Name of Respondent (SHG Member)
A28
Start Time of Interview
A30
Process Monitoring Round
Household Roster
B01
How many members live in this household?
B03
Please tell me the names of all the persons who usually live in your household, starting with SHG member followed by the oldest to the youngest member of this household
B04
What is the relationship of [NAME] to the SHG member of the household?
B05
What is the sex of [NAME]?
B07
What is the educational qualification of [NAME]?
B08
Does [NAME] hold any important position in the village?
B09
What is the marital status of [NAME]?
B10
Whether the [NAME] is currently a member of SHG/ Producer Group (PG)/ Producer Organisation (PO)?
B12
Date of joining SHG/ PG/ PO
Household Occupation and Source of Income
C02
At present, what are the occupations that serve as a source of income in your household?
C03
Please specify details of your occupation
C04
In your household, who all are engaged in each of these occupations?
C05
Were any of these sources of income introduced or upgraded through your participation in SHG?
C06
When was the source of income introduced/ upgraded through your participation in SHG?
C07
How was the source of income introduced/ upgraded through your participation in SHG?
C08
What was the annual income from [C03 ] occupation prior to your participation in SHG?
C09
What is the present annual income from [C03] occupation?
Household Land ownership, Cultivation and Leasing
D01
Does your household own any agricultural land?
D02
How much total agricultural land does your household own at present?
D03
Of the total agricultural land owned, how much have your household bought after SHG membership?
D04
Do you attribute the increase in ownership of total agricultural land after SHG Membership to the efforts or support of MSRLM?
D05
What kind of support did MSRLM provide for increasing your land ownership?
D06
Of the total agricultural land owned, how much did you cultivate prior to SHG Membership?
D07
How much additional land have you leased in for cultivation prior to SHG Membership?
D07A
How much rent did you pay for leasing in land prior to SHG membership?
D08
Of the total agricultural land owned, how much did you cultivate after SHG Membership?
D09
How much additional land have you leased in for cultivation after SHG Membership?
D09A
How much rent did you pay for leasing-in land after SHG membership?
D10
What is the change in total cultivated land after SHG membership?
D11
Do you attribute the increase in total cultivated land after SHG Membership to the efforts or support of MSRLM?
D12
What kind of support did MSRLM provide for increasing your total cultivated land?
D13
What is the reason for decrease in total cultivated land after SHG Membership?
D14
Of the total cultivated land, how much area was irrigated in the past 12 months?
D15
Of the total cultivated land, how much area was irrigated prior to SHG Membership?
D16
Of the total cultivated land, how much area was irrigated after SHG Membership?
D17
What is the change in total irrigated land after SHG membership?
D18
Do you attribute the increase in an irrigated area in land cultivated after SHG Membership to the efforts or support of MSRLM?
D19
What kind of support did MSRLM provide for increasing irrigated area in land cultivated?
D20
What is the reason for decrease in total irrigated area after SHG Membership?
D21
Have you leased out your land anytime for some reason?
D22
How much rent did you receive for leased-out land for the last 12 months?
D23
How much rent did you receive for leased-out land prior to SHG membership?
D24
How much rent did you receive for leased-out land after SHG membership?
D25
What is the change in rent received on leased out land after SHG membership?
D26
Do you attribute the increase in rent you receive for leased-out land after SHG Membership to the efforts or support of MSRLM?
D27
What kind of support did MSRLM provide for boosting the rent you receive for leased-out land?
D28
What is the reason for decrease in rent received from leased out land after SHG Membership?
Household Farm practices, Management, Production and sales
E01
Which farm practices are adopted by your household for the cultivation of crops?
E02
Were any of these farm practices introduced to your household through MSRLM?
E03
Did MSRLM facilitate training on-farm practices for you or any member in the household?
E04
For which crop did your household receive training on-farm practices?
E05
Who provided you with this training?
E06
Where was the training conducted?
E07
What was the duration of the training?
E08
Did you adopt this practice for cultivation after receiving training?
E09
Why did you not adopt this practice for cultivation even after receiving training?
E10
Has the adoption of these farm practices benefitted your household in any way?
E11
In what ways has it benefitted?
E12
Has the adoption of these farm practices led to an increase in income from farm production?
E13
Why do you feel that adoption of these farm practices has not benefitted your household or led to an increase in your household income from farm production?
E14
Apart from support for training on-farm practices have you received any kind of service/ support for farm activities from MSRLM?
E15
What service/ support have you received from MSRLM apart from support for training on-farm practices?
E16
Which crop do you cultivate?
E17
Area under cultivation
E18
What was the total quantity produced?
E19
How much did you sell?
E20
What was the average market rate for this crop?
E21
Revenue from the crop
E22
How has the productivity of this crop changed since your SHG membership?
E23
Has this change happened due to the training or any other support received from MSRLM for this crop?
E24
Did you start cultivating this crop after receiving support from MSRLM?
E25
Where and how do you sell your produce at present?
E26
Where and how did you sell your produce prior to your SHG membership?
E27
Have you been able to access the markets where you sell your produce because of support from MSRLM?
E28
Have you been able to access the storage facilities (godown, cold storage) for your produce because of support from MSRLM?
E29
Have you been able to process your agricultural produce because of support from MSRLM?
E30
Are you able to secure better prices for your produce after receiving support from MSRLM?
E31
How much money did you spend last year on hired labour?
E32
How much money was spent on purchasing seeds in the last 12 months?
E33
How much money did you spend last year on fertilizer and manures?
E34
How much money did you spend last year on pesticides and herbicides?
E35
How much money did you spend last year on irrigation?
E36
How much money did you spend last year on hiring animals and renting farm machinery for working on your farm?
E37
How much money did you spend on buying or hiring farm tools?
E38
How much money did you spend on the maintenance of farm equipment and machinery?
E39
How much money did you spend on transporting produce or inputs?
E40
Any other/ miscellaneous expenses apart from those mentioned above
E41
From where do you procure the agricultural inputs at present?
E42
From where did you procure the agricultural inputs prior to your SHG membership?
E43
Have you been able to access these markets from where you buy the agricultural inputs because of the support from MSRLM?
E44
Are you able to purchase any of these agricultural inputs at a lower price because of the support from MSRLM?
E45
Is the quality of inputs (includes seeds, fertilizers, pesticides etc.) procured through the support of MSRLM better?
E46
Are the required inputs (seeds, fertilizers, pesticides etc.) available timely as per your need because of the support from MSRLM?
Livestock Ownership, Management, Production and sales
F01
Which all livestock did you own at present?
F02
What is the count of each livestock you own at present?
F03
What was the count of each livestock you own before your participation in SHG?
F04
Do you attribute the increase in livestock count to efforts or support of MSRLM?
F05
Please specify the salable products you derive from each of your livestock
F06
Please specify the quantity of annual production
F07
What is the market rate per unit of each product?
F08
Has the income from the sale of these livestock products changed after receiving support from MSRLM?
F09
Which livestock management practices are adopted by your household for maintaining the livestock?
F10
Were any of these livestock management practices introduced to your household through MSRLM?
F11
Did MSRLM facilitate training on livestock management practices for you or any member in the household?
F12
For which livestock did your household receive training on livestock management practices?
F13
Who provided you with this training?
F14
Where was the training conducted?
F15
What was the duration of the training?
F16
Did you adopt this livestock management practice after receiving training?
F17
Why did you not adopt these livestock management practices even after receiving training?
F18
Has the adoption of these livestock management practices benefitted your household in any way?
F19
In what ways has it benefitted?
F20
Has the adoption of these livestock management practices led to an increase in income from the sale of livestock and livestock products?
F21
Why do you feel that adoption of these livestock management practices has not led to an increase in income from the sale of livestock products?
F22
Apart from these training have you received any service/ support for livestock management from MSRLM?
F23
What service/ support have you received from MSRLM apart from training on livestock management practices?
F24
What all livestock products have you produced in the last 12 months?
F25
How much quantity of product did you produce in the last 12 months?
F26
How much quantity of the livestock product did you sell last year?
F27
What was the market price at which the produce was sold?
F28
Total income from the sale of livestock product
F29
Has the income from the sale of these livestock products changed after receiving support from MSRLM?
F30
Where do you sell these livestock products?
F31
Where did you sell these livestock products prior to your SHG membership?
F32
Have you been able to access the markets where you sell your products through the support from MSRLM?
F34
How much did you spend on feed and fodder in the last 12 months?
F35
How much was the cost of veterinary services in the last 12 months?
F36
How much was the cost of hired labour (if any) in the last 12 months?
F39
From where do you get the veterinary services for your livestock?
F40
From where did you get the veterinary services prior to your SHG membership?
F41
From where do you buy the feed and fodder?
F42
From where did you buy the feed and fodder prior to your SHG membership?
F43
Have you been able to access the markets from where you procure feed and fodder through the support from MSRLM?
F44
Are you able to purchase feed and fodder at a lower price after receiving support from MSRLM?
F45
Is the quality of feed and fodder procured through the support of MSRLM better?
F46
Has the availability of feed and fodder improved after receiving support from MSRLM?
F47
Is your household engaged in rearing fish?
F48
What was the quantity of fish produced in the last 12 months?
F49
How much fish did you sell in the last 12 months?
F50
What was the value of sale for the last 12 months?
F51
Income from renting pond in the last 12 months
F52
Total income (Auto calculate)
F53
How much money did you spend on buying fish seeds/ fish eggs?
F54
How much money did you spend on buying fish feed or fertilizer?
F55
How much cost did you incur in disinfectants/ antibiotics/ growth promoters?
F56
How much cost did you incur on transportation?
F57
Any other costs (Please specify)
F58
Total cost (Auto calculated)
F59
Is your HH engaged in catching fish?
F60
How much fish did you catch in the past 12 months?
F61
How much fish did you sell in the past 12 months?
F62
What was the value of the sale in the last 12 months?
F63
How much money did you spend on purchasing/renting fishing equipment (net, fishing gear, fishing line, tub etc.)?
F64
How much cost did you incur on transportation?
F65
Any other costs (Please specify _____)
F66
Total cost (Auto calculated)
F67
Where do you sell the fish reared or caught?
Wage and Salary Work
G01
Does anyone from your household earn a wage or salaried income?
G02
[NAME] of a household member
G03
What kind of work does [NAME] do?
G04
Was [NAME] employed working prior to your SHG membership?
G05
What kind of work did [NAME] do 5 years ago?
G06
For how many days did [NAME] work in the last 12 months?
G07
What is the frequency of wage/ salary payment?
G08
What was the wage/salary rate at which [NAME] got paid?
G09
Total Income (Auto-calculate)
G10
Has the total income of the [NAME] increased since your SHG membership?
G11
Do you attribute the boost in household income from [NAME] to any support received from MSRLM?
Household non-farm Activities/ Business
H01
After your SHG membership, did you or any member from your household receive any training on non-farm livelihood activities?
H02
Who provided the training?
H03
Have you been able to adopt the skillsets/ knowledge/ technology acquired during this training?
H04
How did the adoption of these training help you?
H05
Why have you not been able to adopt skillsets/knowledge/technology acquired during these training (pick from 4F01)?
H06
Has the adoption of any of these non-farm livelihood activities led to an increase in household income?
H07
Is your household engaged in any non-farm business? (E.g. Tailoring, candle making, handloom etc.)
H08
Which non-farm business unit do you have?
H09
When did you start this non-farm business?
H10
Have you started this non-farm business by using the support received from MSRLM?
H11
Did you receive any training for setting up or expansion of this non-farm business?
H12
Who provided \you this training?
H13
Did you receive any financial support for setting up or expansion of this non-farm business?
H14
Who provided you with this financial support?
H15
Apart from the training and financial support have you received any other support from MSRLM for setting up or expanding this non-farm business?
H16
What other support have you received?
H17
What was the gross receipt from this non-farm business over the last 12 months?
H18
How much did it cost to operate this non-farm business in the last 12 months for the following?
H18_1
Rent of equipment, property
H18_2
Cost of electricity, water, transport
H18_4
Cost of materials & miscellaneous inputs
H18_5
Loan (Principal + Interest)
H18_6
Any other costs including taxes
H18_7
Total cost (Auto calculate)
H19
Where do you sell the product/s from this non-farm business at present?
H20
Where did you sell the product/s from this non-farm business prior to your SHG membership?
H21
Have you been able to access the current markets where you sell your products because of the support you received from MSRLM?
Migration and Remittance
I01
Has any member from your household migrated to another place for work?
I02
Has the migrated member sent you money in the last 12 months?
I03
Relationship of the migrated member to the respondent
I04
Place of residence after migration
I05
Occupation of migrated member
I06
How much money did migrated member sent in past 12 months (INR)
I07
Was the migrated member trained and placed through support received from MSRLM?
Household Income from other sources
J01
Income from renting out property/ house (except agricultural land)?
J02
Income from interest, dividends, share sale, or capital gains?
J03
Annual income from pensions?
J04
Income from scholarships or gifts?
J05
Income from any government sources like assistance for drought/ flood, NGOs, charities, compensation, Insurance payout or any other schemes?
J06
Does your household engage in NTFP (Non-Timber Forest Produce) collection?
J06_1
What were all NTFPs collected last year?
J06_2
What was the quantity of NTFP collected?
J06_3
How much quantity of NTFP you sold last year?
J06_4
What was the total income from NTFP last year?
J07
Income from any other source? Please specify ______
Loans or investment for Upscaling Livelihood Activities
K01
Have you or any member of your household taken any loan/s after your SHG membership?
K02
When was the loan availed?
K03
What was the loan amount?
K04
From which credit agency was the loan availed?
K05
What was the rate of interest at which the loan was availed?
K06
What was the purpose for which the loan was availed?
K07
Against which type of security was the loan issues?
K08
How much of loan have you repaid?
K09
Because of some reasons, you were not able to pay instalments for this loan on time.
K10
Can you recall the difficulties you faced in repaying the loan?
K11
Do you feel that you require more credit for livelihoods from the SHG or the amount you have availed till now is sufficient?
K12
According to you, which are the most preferred sources for availing credit at present?
K13
From which sources of credit were you borrowing prior to your SHG membership?
K14
Has your household made any investment in existing livelihood activities after your SHG membership?
K14_1
Any investment in agriculture
K14_2
Any investment in livestock
K14_3
Has your HH made any investment in non-farm activities in the last 5 years?
K14_4
Any investment in any other activity
K15
What is the source of credit for this investment?
K16
Has this investment been triggered by your exposure to MSRLM interventions?
Asset Ownership and Standard of Living
L01
Is this house owned by you, rented accommodation or has been given to you by the government?
L01_1
Prior to your SHG membership, were you living in your own house, rented accommodation or a house given to you by the government?
L02_1
Did you own any land prior to your SHG membership?
L03
Do you or any member in your household have a personal bank account?
L03_1
Did you or any member in your household have a personal bank account prior to your SHG membership?
L04
Look at the floor and code the main material of the floor.
L04_1
What was the main material of the floor prior to your SHG membership?
L05
Look at the roof and code the main material of the roof.
L05_1
What was the main material of the roof prior to your SHG membership?
L06
Look at the exterior walls and code the main material of the walls
L06_1
What was the main material of the walls prior to your SHG membership?
L07
How many rooms are there in this house?
L07_1
How many rooms were there prior to your SHG membership?
L08
Do you have a separate room for cooking?
L08_1
Did you have a separate room for cooking prior to your SHG membership?
L09
Do you have a window in your house?
L09_1
Did you have a window in your house prior to your SHG membership?
L10
What type of window(s)?
L10_1
What type of window(s) did you have prior to your SHG membership?
L11
What type of toilet facility do you have?
L11_1
What type of toilet facility did you have prior to your SHG membership?
L12
What is the main source of lighting?
L12_1
What was the main source of lighting prior to your SHG membership?
L13
What type of fuel does your household mainly use for cooking?
L13_1
What type of fuel did your household mainly use for cooking prior to your SHG membership?
L14
Does your household own any of the following items
L15
What is the main source of drinking water for members of your household?
L15_1
What was the main source of drinking water for the members of your household prior to your SHG membership?
Process of Social Inclusion & Institution Building
M01
Do you recall any community mobilization activity/ initiative undertaken by MSRLM staff in your village?
M02
What type of community mobilization activity/ initiative was undertaken in your village?
M03
How many such events per week/ month were conducted in your village?
M04
What was the average time spent by MSRLM staff on such events?
M05
Do you recall any corner or ward meeting/ consultation/ discussion for community mobilization undertaken by MSRLM staff in your village?
M06
With whom was the meeting/ consultation/ discussion for community mobilization conducted?
M07
How many such meetings per week/ month were organized in your village?
M08
Do you recall any exposure visits for community mobilization organized by MSRLM staff for any person in your village?
M09
How many were such exposure visits for community mobilization organized per week/ month?
M10
Who in your village were included in such exposure visit?
M11
Were you or any member of your household invited to participate in community mobilization activities/ initiatives/ meetings/ discussions/ consultation/ exposure visits?
M12
Could you please provide details of community mobilization activities/ initiatives/ meetings/ discussions/ consultation/ exposure visits of which you or your household member were part of?
M13
Do you feel the efforts taken by the MSRLM staff for community mobilization were sufficient for motivating you to join an SHG?
M14
How did MSRLM team approach your household?
M15
What communication tools/ methods were used by the MSRLM team to introduce your household to the concept of SHG?
M16
Could you please let us know the concept of SHG and objective of forming your group?
M17
Do you have any idea about how your household was selected among the list of target households considered for the formation of SHG in your village?
M18
Was the list of target households considered for the formation of SHG in your village approved in Gram Sabha?
M19
Was the list of target households considered for the formation of SHG in your village displayed in public space?
M20
Was your household included in the initial or first list of target household?
M21
Where there any other cases of non-inclusion of households in villages which are known to you?
M22
What are the major vulnerability and risk factor which affect the poverty status of the community in your villages?
M23
According to you, have all households in the village at least have one member in an SHG?
M24
According to you, how many households do you think could not be included?
M25
Could be specified any reason for non-inclusion of any household in your village?
M26
Did the Mission team conduct any start-up and de-briefing meetings for orientation at Cluster Block and District levels?
M27
If yes, how many start-up and de-briefing meetings for orientation were conducted?
Involvement in Institution Building
N01
Who encouraged/supported you to become a member of the SHG?
N02
What criteria were adopted for the formation of SHGs in your village?
N03
How many SHGs have been formed in your village?
N04
on an average, how many members are there in each SHG?
N05
How was your SHG incorporated?
N06
Did you participate in the meeting in which your SHG was incorporated?
N07
Are the rules/ norms for your SHG formulated?
N08
Do you recall who formulated the rules/ norms for your SHG?
N09
Do you recall the rules/ norms formulated for the functioning of your SHG?
N10
Do you think that the SHG rules/norms so formulated are pro-poor?
N11
Do the members and office bearer of your SHG follow its rules/ norms meticulously?
N12
Has any member of your SHG been penalized in the past according to the set rule/ norm?
N13
Do you recall how the office bearers (i.e. president, secretary, treasurer and bookkeeper) for your SHG selected and appointed?
N14
Has any member of your household ever been appointed for any position in SHG office?
N15
Is your SHG saving account opened in a bank?
N16
Do you recall procedure for opening your SHG saving account in a bank?
N17
Whether any resolution was passed prior to opening the SHG savings account in a bank?
N18
Was the SHG savings account in a bank opened within three months of passing the resolution?
N19
Is the bank branch, in which your SHG has a savings account, near to your village?
N20
Did bank issue savings accounts passbook to your SHG?
N21
Who in your SHG are authorized to operate the saving account in a bank and update the passbook?
N22
Do you recall to whom and how was the authorization to operate the saving account in bank given?
N23
Was the opening of the savings account in the bank for your SHG facilitated by a financial inclusion specialist or bank Sakhi or bank Mitra from the MSRLM?
N24
Is there any signboard installed in your village which displays your SHG name?
N25
How the persons in leadership position elected in your SHG?
N26
Do you think that there is enough transparency in selecting a person for a leadership position in your SHG?
N27
Have you or any person in your household elected for a leadership position in your SHG?
N28
If yes, how many times were you elected?
N29
What was the process followed for your appointment as a leader?
N30
Do you think that every member in your SHG has an equal chance for being elected for a leadership position?
N31
How many times a leader from household belong to SC, ST and most Vulnerable in the village were appointed to a leadership position?
N32
Which position have they been elected to?
N33
How many households belong to SC, ST and most Vulnerable in the village got an opportunity for getting elected to a leadership position?
Participation in SHG/ PG/ PO Activities
O01
Why did you join/ form this SHG?
O02
Being a member of SHG, have you received any training from MSRLM?
O03
If yes, which trainings have you received?
O04
Who provided these training?
O05
Were these training helpful?
O06
How were these training helpful?
O07
Why do you feel that these training were not helpful?
O08
How frequently was the training related to SHG conducted?
O09
How many total numbers of training have you attended?
O10
How many total days of training have you attended
O11
What was the average duration of training per day?
O12
Where did MSRLM conduct your training?
O13
What kinds of facilities were ensured during training sessions?
O14
Did MSRLM share any training material with you during the training sessions?
O15
Was training imparted to you through a training partner?
O16
Did the training partner meet your expectations from training?
O17
Can you recall ten sutras of Dashsutra?
O18
How many meetings are held usually per month in your SHG?
O19
How many meetings were held in your SHG during the lockdown?
O20
Of the total number of meetings held usually per month in your SHG, how many do you attend?
O21
Of the total number of meetings held during the lockdown in your SHG, how many did you attend?
O22
What is the reason for not attending the SHG meeting?
O23
What topics do you discuss in the self-help group meetings?
O24
Is the SHG meeting conducted as per the agenda?
O25
On average, how many agenda points are discussed in the SHG meeting?
O26
According to you, are Minutes of Meeting noted and read out to all members before ending the meeting?
O27
Is tallying of cash book, ledger and bank passbook (Savings and loan account) taken up during the SHG meeting?
O28
How many meeting was held in your SHG in the last six months?
O29
What is the average attendance in meetings of your SHG?
O30
Is the venue for conducting a meeting of your SHG changed?
O31
Usually, where are meetings of your SHG conducted?
O32
What procedures are adopted for conducting a meeting in your SHG?
O33
Do you attend gram sabha meeting?
O34
Please specify the reason why you do not attend Gram Sabha meetings?
O35
What kind of issues have you raised in Gram Sabha meetings?
O36
What types of activities are carried out by your SHG?
O37
Does your SHG have a bank account?
O38
Have you made any savings in your SHG in the last two months?
O39
How much do you save per meeting?
O40
How much have you been able to save till date?
O41
How do you plan to utilize your savings in SHG?
O42
What do you do when you are not able to contribute to savings in SHG?
O43
How was the amount to be saved by each member decided?
O44
At what frequency do members have to deposit their savings in the SHG?
O45
At what frequency do members usually deposit their savings in the SHG?
O46
When do members usually deposit their savings in the SHG?
O47
When are the savings deposited in the bank?
O48
What are the provisions for depositing savings of an absent member?
O49
How is loan disbursement prioritized?
O50
How is the loan repayment decided?
O51
Are you satisfied with the loan interest rate?
O52
In the last six months, is loan repayment being made as per schedule?
O53
Who maintains Record / Bookkeeping?
O54
Which accounting system is followed by the SHG?
O55
What was the process followed for the opening of the SHG bank account?
O56
Is the process for bank account opening, deposit and withdrawal transparent?
O57
Has any conflict occurred in your SHG?
O58
How are conflicts within the SHG resolved?
O59
At what frequency records/books of accounts updated by BookKeeper?
O60
Who keeps possession of the records / books of accounts?
O61
What type of assistance is provided from MSRLM team to SHG?
O62
How do members participate in the preparation of MCP/micro plan?
O63
Did you get access to vulnerability reduction funds?
O64
How did you utilize these funds for?
O65
How did the vulnerability status decide among the community members?
O66
What proportion of fund did you receive?
O67
How did CRPs decide for your community?
O68
How many target households attend those meetings to elect CRPs?
O69
How many meetings generally happen to elect CRPs?
O70
Do you feel that your household is given preference for public service delivery?
O71
Do you feel that your SHG extends support to you in accessing any of the following public services?
O72
What support did the SHG extend to you for accessing the public services?
O73
When you have a problem or worry, how often do you let someone else in the SHG know?
O74
If there was a problem that affected all or some of the group members, how many women would work together to deal with the problem from the SHG?
O75
If there was a problem that affected all or some of the group members, how many women would work together to deal with the problem from the village?
Participation in PG Activities
P01
When was this PG formed?
P02
Why did you (or your household member) join the PG?
P03
Does the PG meet on a regular basis?
P04
What is the interval at which this PG meets?
P05
Does your PG have a bank account?
P06
Has your PG received any fund from the MSRLM?
P07
What types of activities are carried out in this PG?
P08
What all activities have you participated in as a member of this PG?
P09
Have you or any member of your household received any training as a member of PG?
P10
What type of training have you or your HH member received?
P11
Have you or your HH member received any service/facility from MSRLM?
P12
What facility have you received?
P13
What service have you received?
P14
Do you feel you or your household members have been benefited from these service/facility?
P15
How have you or your household members been benefitted from these service/facility?
P16
Have these benefits led to higher income?
Participation in PO Activities
Q01
Is your group part of a producer organization
Q02
If yes, when was the PO formed?
Q03
What type of PO are you a member of?
Q04
What are some of the activities carried out by the PO?
Q05
How has the PO been beneficial to your group?
Q06
How do you think the PO would be beneficial to you?
Involvement in SHG Gradation
R01
Does your SHG ever carry out gradation process?
R02
Were you involved in SHG gradation process?
R03
When was the last time when you were involved in SHG gradation?
R04
On average, how many members were present in SHG gradation?
R05
How frequently is gradation done in your SHG?
R06
How was the gradation meeting conducted?
R07
Were you able to contribute to the SHG grading meeting?
R08
Did other members contribute to the SHG grading meeting?
R09
What was the point of discussion in the meeting?
R10
Who all were present in the SHG Gradation meeting?
R11
Does your SHG have any Livelihood Plan?
R12
Does your SHG has been granted any Livelihood loan?
Involvement in Micro Credit Planning
S01
Are you aware of microcredit planning?
S02
Does your SHG prepare micro-credit plans?
S03
How was sensitization done about the whole process of Microcredit planning?
S04
On average, how many members attended such training?
S05
Does your SHG do self-assessment of its performance with its members?
S06
How many members are usually present in these assessment meetings?
S07
What were the criteria on which assessment was done?
S08
How was this assessment process carried out?
S09
Have you taken any loan before micro credit plan?
S10
Does your microcredit plan got approved?
S11
For what purpose have you used that loan amount?
S12
Does the household regularly participate in Micro Investment Planning?
S13
Have you taken any loan after Household Investment plan was developed?
S14
Have you invested that amount in any income-generating activity?
S15
What was the activity in which you have invested to generate income?
S16
Do you take consent with your household members while selecting this particular income-generating activity?
S17
Was wealth ranking done for your SHG member households to determine economic vulnerability?
S18
Was ranking given to each member was unbiased and without dispute among the SHG members?
S19
What were the critical factors considered while wealth ranking of SHG household members?
S20
How frequently do you repay your loan amount?
S21
What is the time frame of complete repayment of the loan amount?
S22
Have you accessed loan again after repayment of the previous loan?
S23
Are you aware of ‘Term of partnership’ related to availing loan under micro-credit plan?
S24
Have you signed any ‘Term of partnership’ while availing loan under micro-credit plan from your SHG?
Ease of Access to Microcredit
T01
Have you ever accessed any amount of Microcredit?
T02
What was the amount of loan have you accessed?
T03
For what purpose have you received loan?
T04
What was the mode of fund transfer?
T05
For what purpose have you utilized loan?
T06
Have you been able to repay the loan on time?
T07
From where you have taken a loan?
T08
What was the reason for selecting this place to avail loan?
T09
What kind of credit do you normally request?
T10
What percentage of loan applied was granted to you?
T11
How long does it take to access credit?
T12
How often do you apply for loans?
Involvement in Fund Management
U01
Are you aware of the Revolving fund (RF) and community investment fund (CIF)?
U02
Does your SHG apply for RF/CIF?
U03
Does your SHG application got approved?
U04
Have you received any amount through RF/CIF fund?
U05
For what purpose you have utilized that fund?
Engagement in Value Chains: Farm & Non-Farm
V01
Do you supply your produce for value addition?
V02
Which products are value-added?
V03
How do you transport your produce?
V04
Do you sell your value-added products directly to consumers?
V05
On which platform do you sell?
V06
What is the volume of sale of the last 12 months?
V07
How much monthly income generated through sales of these products?
V08
Do you have access to the primary processing unit in your village?
V09
Which primary processing facility is available in your village?
V10
Are you able to access the district market to sell your products?
Engagement in Public-Private-Community Partnership
W01
In what business/ project are you involved in the partnership?
W02
Does this partnership help to expand your business/ project?
W03
Does it help to increase your income level?
W04
Have you received any training to upgrade your skills and knowledge required in this partnership business?
W05
Who facilitated training for upgrading skills and knowledge?
Engagement in Innovative Livelihood Projects
X01
Have you been part of any of these innovative livelihood projects?
X02
Is processing unit located in your village?
X03
Does this benefit you in increasing your income?
X04
Who provided you training related to the innovative livelihood project?
X05
Is there any difficulty you faced in the implementation of an innovative project?
Convergence
Y01
How do you get to know about various Government schemes?
Y02
Did you receive training in availing benefits from government schemes?
Y03
What kind of assistance do you receive from MSRLM team in availing benefits from such schemes?
Y04
What challenges do you face in availing benefits under government schemes?
Y05
What can all be done to ease down the overall process of availing benefits under government schemes?
Y06
What additional support you may require from MSRLM team in availing benefits under these schemes?
Assistance under Pradhan Mantri Jeevan Jyoti/ Suraksha Bima Yojna(PMJJBY/SBY)
Z01
Are you associated with Pradhan Mantri Jeevan Jyoti/ Suraksha Bima Yojna (PMJJBY/ SBY)?
Z02
Have you renewed your scheme last year?
Z03
How much premium do you pay every year?
Z04
How do you get to know about this scheme?
Z05
Have you received any assistance from MSRLM team in availing benefits from this scheme?
Z06
Have you faced any trouble in availing this scheme?
Z07
What kind of problems have you faced while availing this scheme?
Assistance under National Social Assistance Programme (NSAP)- Pension, death compensation & Maternity Benefits
1101
Are you associated with National social assistance Programme (NSAP)- Pension, death compensation & Maternity Benefits?
1102
Under what components have you or any other household member has enrolled under this scheme?
1103
Does female of your household receive benefit under NMBS?
1104
For how many successful deliveries have you received benefits from this scheme?
1105
How was awareness spread about this program?
1106
Have you received any handholding support from MSRLM?
1107
Have you faced any trouble in availing this scheme?
1108
What kind of problems have you faced while availing this scheme?
Assistance for Integrated Child Development Services
1109
Does any child of your household receive benefits under Integrated Child Development Services (ICDS)?
1110
What services have you received under ICDS?
1111
What kind of problems have you faced in availing these schemes?
1112
How did you come to know about this scheme?
1113
Have you received any assistance from MSRLM?
1114
Does a girl child from your household receive equal benefits under this scheme?
1115
Has the health status of children has improved?
Assistance for Food, Nutrition, Health and WASH (FNHW) Intervention
1116
Are you receiving benefits under Food, Nutrition, Health and WASH intervention (FNHW)?
1117
Do you own any nutrition garden?
1118
How many Nutri gardens do you own?
1119
How many Kgs of vegetables produced in your Nutri garden?
1120
Do you consume vegetables grown in these Nutri Gardens?
1121
How many kgs of vegetables do you consume in a week?
1122
How many kgs do you sell in a month?
1123
How much income can be generated through the sales of these vegetables? In a month
1124
Have you been sensitized about diversification in nutrient intake?
1125
Do you implement this concept in your daily food intake?
1126
Do mother till six months old child from your household exclusively do breastfeeding?
1127
Is complementary feeding has been initiated for a child older than six months?
1128
Has a pregnant lady/ lactating mother in your household have received immunization?
1129
Are children below the age of 2 years in your household have been immunized completely?
1130
Where do child deliveries happen if a lady is pregnant in your household?
1131
Have you been to any HB checkup camp organized in your village?
1132
What was your result after a checkup at HB camp?
1133
Are you able to access safe drinking water?
1134
What is the source of safe drinking water?
1135
Do you have individual latrine installed in your house?
1136
Do all members use latrines installed in your house?
1137
Have you been sensitized about handwashing practice?
1138
How frequently does your SHG conduct meetings on handwashing practices?
1139
How frequently do you wash your hand in a day?
1140
How many types of vegetable grown in your Nutri garden?
1141
Are you part of any Nutri enterprise developed in your village?
1142
What all Nutri snack products are developed in your enterprise?
1143
Does your enterprise market all those products?
1144
How many community Nutri gardens are developed in your village?
1145
How many have nutri gardens in your village undergone two cycles of production?
1146
How many nutri snacks in your village are produced with improved standardization?
1147
How many nutri snacks in your village marketed?
Assistance under ASMITA
1148
Are you registered under Asmita Yojna?
1149
Do you have Asmita card?
1150
Do you purchase Sanitary Napkins from your SHG through Asmita card?
1151
Whether you were using sanitary napkins before getting enrolled under this scheme?
1152
How was sensitization done to spread awareness about the usage of sanitary napkins?
1153
What was the reason for not using sanitary napkins before ASMITA?
1154
Are you satisfied with the quality of Sanitary napkins?
1155
How using Sanitary napkins changed your life?
1156
How many SHGs in your village are registered under the ASMITA Scheme?
1157
How many registered SHGs in your village has placed an order for ASMITA sanitary napkin?
1158
How many registered SHGs did receive the ASMITA sanitary napkins?
1159
How many SHGs were satisfied with the quality of the product?
1160
On average, how many sanitary napkin packs are sold by each SHG in the last financial year?
1161
What is the total income earned by your SHG under ASMITA Scheme in the last financial year?
1162
How many school girls (aged 11-19) in your village registered under ASMITA Yojana?
1163
How many school girls (aged 11-19) in your village hold the ASMITA card?
1164
At what unit price, did your SHG receive the sanitary napkins?
Assistance under MGNREGS
1165
Have you enrolled yourself in Mahatma Gandhi National Rural Employment Guarantee Scheme (MGNREGS)?
1166
Do you have MGNREGS job card?
1167
How many employment days you get under MGNREGS?
1168
Have you received employment under 15 days of applications?
1169
Have you received any compensation (unemployment allowances) from the government?
1170
How does MGNREGS change your life?
1171
How far is the place of employment under MGNREGS?
1172
Have you received any support from MSRLM team?
Assistance under Integrated Watershed Management Programme
1173
Are you getting benefited under the Integrated Watershed Management Programme?
1174
Does your village have any watershed project?
1175
Does this watershed help you in irrigation and harvesting?
1176
Has soil health of your farm improved?
1177
How has productivity of crops changed after watershed intervention?
1178
Does it provide you with any employment opportunity?
1179
Have you faced any difficulty in accessing benefit from the common resource (watershed)?
1180
Were you involved in developing a watershed plan in your village?
1181
What were all tools used for data collection?
1182
Does any training was conducted to sensitize about watershed?
1183
Have you attended this training?
Assistance under Swacch Bharat Mission
1184
Have you received any assistance under Swachh Bharat Mission?
1185
Do you have access to a functional toilet?
1186
Is water available in/for the toilet?
1187
Is the toilet “Fly-Proof” or Hygienic?
1188
Where is the human waste disposed of from the toilet?
1189
Did any member of the Household defecate in the open after gaining access to a toilet?
1190
Have you faced any difficulty in accessing benefit under this scheme?
1191
What kind of difficulty have you faced?
Effect on Household Income
1192
How many people are currently earning an income in your household?
1193
Does MSRLM help to increase the overall income of your household?
1194
How an increase in income helped to improve your standard of living?
1195
Does it increase your expenditure capacity?
1196
Have you invested some amount in your livelihood to expand it?
1197
Whether you were able to repay loans (if taken) on time?
1198
Were you involved in multiple livelihood opportunities?
General Household Health Care, Nutrition, Hygiene, Immunization & Emergencies
1199
When was the last time that either you or any other household member needed health care?
1200
Was the last need for health care for you/adult member of household or child?
1201
Which reason best describes why you last needed health care?
1202
Whether you were able to access the healthcare facility or not when needed last time?
1203
Which reason best explain why you did not get health care?
1204
Of the medicines that were prescribed, How many of them were you able to get?
1205
What kind of toilets does your household member use?
1206
Does latrines in the house are used by all household members?
1207
How do you feel about cleanliness in your local environment?
1208
Do you wash your hands before having food?
1209
Do you use soap to wash your hands?
1210
Do you wash your hands after using the toilet?
1211
Do you take a bath daily?
Effect on Education- Adult and Children
1212
How many years have you taken formal education?
1213
What is your highest level of education?
1214
Are you pursuing any kind of training or Vocational course?
1215
Please specify member ID (from 302) whose age is below 18 years
1216
Which grade is he/she in currently?
1217
What is the medium of education?
1218
How far is the school which she is attending? (in Km)
1219
Has he/she been dropped out of school at any point of education?
1220
What is the main reason for dropping out?
1221
Are you satisfied with the quality of education?
Opinion on Women’s Role in Economic development
1222
Who has the most say in decision-making regarding the following issues:
1223
Has there been any change in your contribution towards decision making on this household issue after you joined SHG?
1224
What food items to purchase?
1225
How many children to have?
1226
What to do if you fall sick?
1227
How much money to spend on a social function such as marriage?
1228
What to do if a child falls sick?
1229
Whom your children should marry?
1230
Children’s education: whether all children should be sent to school?
1231
Nutrition of children: How many meals to have when to eat and what to eat?
1232
How much input did you have in making decisions about [ACTIVITY]?
1233
Has there been any change in the inputs provided by you for this activity after you joined SHG?
1234
Food crop farming: These are crops that are grown primarily for household food consumption
1235
Cash crop farming: These are crops that are grown primarily for sale in the market
1236
Non-farm economic activities: This would include things like running a small business, self-employment, buy-and-sell
1237
Wage and salary employment: This could be work that is paid for in cash or in-kind, including both agriculture and other wage work
1238
Fishing or fishpond culture
1239
Major household expenditures (such as buying movable and immovable assets, like jewellery, land, house, etc.)
1240
Minor household expenditures (such as food for daily consumption, consumer durables or other household needs)
1242
Borrowing from MFIs/Banks
1243
Borrowing from informal credit sources
1244
Use of savings in the household
1245
Use of income earned by you/husband in the household
1246
Now, I would like to ask you about going to the following places, and please tell us whether you have to ASK PERMISSION of your husband or a senior household member to go
1247
Can you go unaccompanied to the following locations?
1248
To the local health centre?
1249
To the home of relatives or friends [in the village neighbourhood?
1250
To the grocery shop?
1251
To short distance by train or bus?
1253
To natal home from in-law’s place?
1254
In the last five years, has there been any change in your freedom of mobility?
1255
What has led to this change?
1256
How much do you agree or disagree with the following statements?
1257
I can count on fellow SHG members if I need to borrow money
1258
I can count on fellow SHG members to talk about my problems
1259
SHG members worry about themselves only
1260
I can count on fellow SHG members to help me address the problems I am unable to solve on my own (E.g. Violence)
1261
Have you ever raised voice for any concern or issue in the community?
1262
Have you ever participated in any mass events like rallies, campaigns, vigils, etc. for social change or to demand something (for ex. Against alcoholism)?
1263
Did you vote in the last election?
1265
Why did you not vote?
1266
Have you ever participated in Gram Sabha meetings?
1267
What was the reason for attending a Gram Sabha meeting?
1268
What was the reason for not attending the Gram Sabha meeting?
1269
Do you feel comfortable speaking up in public to help decide on infrastructure (like small wells, roads, water supplies) to be built in your community?
1270
Do you feel comfortable speaking up in public to ensure proper payment of wages for public works or other similar programs?
1271
Do you feel comfortable speaking up in public to protest the misbehaviour of authorities or elected officials?
1272
How confident do you feel speaking your opinion in any training or SHG meeting?
1273
How confident do you feel when you have to talk to a bank officer/ manager/ teacher/ AWW?
1274
How confident do you feel when you have to talk to Sarpanch/Pradhan?