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Enterprise Template 1 -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
Q06
What is the type of village?
Project Village
Comparison Village
Q07
Enterprise Structure number
Q08
Interviewer's Name
Q09
Date
Q10
Result
Completed
Not at home
Postponed
Refused
Partly Completed
No Eligible Person
Eligible Person Incapacitated
Others (specify)
BASIC INFORMATION
A01
Name of the respondent/ entrepreneur
A02
What is the gender of the entrepreneur?
Male
Female
A03
What is the caste of the respondent?
Scheduled Caste
Scheduled Tribe
Other Backward Caste
General
Other (Specify)
A04
What is the religion of the entrepreneur?
Hindu
Muslim
Christian
Sikh
Buddhist/Neo-Buddhist
Jain
Jewish
Parsi/Zoroastrian
No Religion
Other (Specify)
A05
What is the date of formation of the enterprise?
A06
What is the category of enterprise?
Irrigation Pump
Flour Mill
Rice Huller
Daal Mill
Chaura Mill
Ice Factory
Shop
Poultry
Computer Center
Shopkeeper (Chiller)
Saw Mill
Photo Studio
Tailoring/sewing
Others (Specify)
A07
On an average, for how many hours do you run the enterprise in a day?
A08
Is this enterprise your primary source of income?
Yes
No
A09
How many people are engaged in your enterprise?
Male
Female
A10
In which months is the enterprise operational?
January
February
March
April
May
June
July
August
September
October
November
December
A11
Do you own this premise for running the enterprise?
Owned
Rented
A12
What advantage do you perceive of the location of your enterprise?
Center of village
Near to the main road
Accessible to many households
Accessible to the market
Others (Specify)
No advantage of location
A13
How many other enterprises of similar nature are present in your village?
FUEL USE
B01
What is the average daily requirement of electricity in your enterprise? (in hours per day)
B02
What is the average daily supply of electricity in your enterprise? (in hours per day)
B03
Currently, what are the source of energy used for operating the enterprise?
B03A
Primary source
Grid Electricity
Solar power
Micro grid (SPRD)
Diesel generator
Kerosene
Others(Specify)
B03B
Other sources
Grid Electricity
Solar power
Micro grid (SPRD)
Diesel generator
Kerosene
Others(Specify)
B04
In case of non-availability of major source of electricity, what do you do?
Resort to other renewable sources of energy (Bio-gas, Bio-mass pellets etc.)
Close the enterprise till fuel supply is restored
Resort to other non-renewable sources of energy (Diesel, Kerosene etc.)
Others(Specify)
B05
Do you face any of the following issues with respect to the electricity connection or the available source of energy?
B05_1
Light Fluctuation
Never
Yes, Sometimes
Yes, Frequently
Always
B05_2
Low Voltage
Never
Yes, Sometimes
Yes, Frequently
Always
B05_3
Disruption in Supply (Irregular Supply)
Never
Yes, Sometimes
Yes, Frequently
Always
B05_4
Bad or poor supply during Rainy season or during bad weather
Never
Yes, Sometimes
Yes, Frequently
Always
B05_5
Meter Availability (No meter is there and they want one)
Never
Yes, Sometimes
Yes, Frequently
Always
B05_6
Difficult to contact Operator
Never
Yes, Sometimes
Yes, Frequently
Always
COST OF PRODUCTION AND REVENUE
C01
What has been the initial investment in the enterprise?
C02
Did you take any loan for the enterprise?
Yes
No
C03
How much loan did you take for the enterprise?
C04
What was the source of the loan for the enterprise?
Bank / Commercial Lender
Money Lender
Friends/Relative
SHG
MFI
Others specify
C05
What was the monthly rate of interest for the loan?
C06
What is the average monthly expenditure for the enterprise on
C06_1
Labour
C06_2
Repairs and Maintenance
C06_3
Fuel
C06_4
Grid Electricity
C06_5
Solar power
C06_6
Micro grid (SPRD)
C06_7
Diesel generator
C06_8
Kerosene
C07
What all devices are connected to the electricity?
C07_1
Bulb
Yes
No
C07_2
Fan
Yes
No
C08
Would you like to pay for one for extra connection of the followings?
C08_1
Bulb
Yes
No
C08_2
Fan
Yes
No
C09
On an average, how much do you earn from this enterprise in a month?
C10
What is the monthly profit earned from your enterprise?
C11
How do you use the profit earned from the enterprise?
Save in the bank/ post office /SHG
Use it for household purpose
Invest in the enterprise
Invest in some other business
Others (Specify)
EXPANSION OF ENTERPRISE
D01
Is your enterprise able to fulfil the demands of its customers?
Yes
No
D02
Do you plan to expand your current enterprise?
Yes
No
D03
What are the reasons for not expanding?
Financial Issues
Lack of electricity
Lack of raw materials
Lack of technical skills
Lack of potential market
Others (Specify)
D04
Have you received any skill development training for better development of your enterprise?
Yes
No
D05
What all trainings have you undergone?
Operation Handling
Book Keeping
Marketing
Technical training
Others (Specify)
D06
Do you require any training to develop your skills for running the enterprise?
Yes
No
D07
If yes, what kind of training do you require?
Operation Handling
Book Keeping
Marketing
Technical training
Others (Specify)
D08
Have you received any support in establishing backward linkages for running your enterprise?
Yes
No
D09
What kind of backward linkage support have you received for your enterprise?
Linking with the raw material supplier
Linking with source of financing
Others (Specify)
D10
Do you require any support in establishing backward linkages for running your enterprise?
Yes
No
D11
What kind of backward linkage support do you require for your enterprise?
Linking with the raw material supplier
Linking with source of financing
Others (Specify)
D12
Have you received any support in establishing forward linkage for running your enterprise?
Yes
No
D13
If, yes What kind of forward linkage support have you received? (Multiple Response)
Helped in networking
Established new clients
Others (Specify)
D14
Do you require any support in establishing forward linkages for running your enterprise?
Yes
No
D15
What kind of forward linkage support do you require for your enterprise?
Helped in networking
Established new clients
Others (Specify)
Satisfaction Level Test
E01
On a scale of 5, how satisfied are you with the following:
E01_1
Price of electricity
Highly Satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Highly Dissatisfied
E01_2
Quality of light
Highly Satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Highly Dissatisfied
E01_3
Regularity
Highly Satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Highly Dissatisfied
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