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Process Monitoring Template 9 -Form Fill
Identifying Information
Q01
Please select the stakeholder
Mentor
Functional expert
Q02
State Name
Q03
State Code
Q04
District Name
Q05
District Code
Q06
District Unique ID
Q07
Block Name
Q08
Block Code
Q09
GPS coordinates
Survey Information
A01
Name of the respondents
A02
Designation of the respondent
A03
The contact number of respondent
A04
Respondent identification code
A05
FIRST VISIT
A05_1
Interviewer's name
A05_2
Interviewed code
A05_3
Date of the interview
A05_4
Result of the interview
Interview complete
Visit rescheduled
Interview incomplete
Refused
Respondent is out of station for an extended period
Respondent is temporarily away
Other (specify)
A05_5
Record time when you start the interview
A05_6
Record time when you end the interview
A06
SECOND VISIT
A06_1
Interviewer's name
A06_2
Interviewed code
A06_3
Date of the interview
A06_4
Result of the interview
Interview complete
Visit rescheduled
Interview incomplete
Refused
Respondent is out of station for an extended period
Respondent is temporarily away
Other (specify)
A06_5
Record time when you start the interview
A06_6
Record time when you end the interview
A07
THIRD VISIT
A07_1
Interviewer's name
A07_2
Interviewed code
A07_3
Date of the interview
A07_4
Result of the interview
Interview complete
Visit rescheduled
Interview incomplete
Refused
Respondent is out of station for an extended period
Respondent is temporarily away
Other (specify)
A07_5
Record time when you start the interview
A07_6
Record time when you end the interview
Profile of Mentor
B01
Gender
Male
Female
Prefer not to say
B02
Age
18 to 25
26=45
46-60
61-70
B03
Educational Qualification
Primary education
Secondary education
Higher secondary education
Graduation
Post Graduation
Signature literate
Others, specify
B04
Enterprise type
Manufacturing
Trading
Service
B05
Please explain the type of business/es.
B06
Number of years of experience running an enterprise
B07
Are you an SHG member?
Yes
No
B08
Did the Mentor receive any kind of training or orientation?
Yes
No
B09
If yes, what were the topics that were covered in the training? If no what were the reasons for no training
B10
How many days of training was conducted?
Roles and Responsibilities of Mentors
C01
How many days do you give as a part of being a mentor in 2022-2023?
C02
Did you review the viability assessment plan of the enterprises?
Yes
No
C03
Did you review the business plans of the enterprise?
Yes
No
C04
What are the next steps post-review of business plans?
C05
Have you supported the enterprise in establishing market linkage?
C06
What are the activities/support by the mentors to establish market linkage?
C07
Were they successful?
C08
What is the per diem of the Mentor for travel and communication?
C09
What is the frequency of receiving the per diem for travel and communication?
C10
What has been the amount received in the last 3 months?
C11
What is the monthly remuneration paid to the Mentor?
C12
Are they receiving the same every month?
C13
Did the Mentor submit a work report to DTE-EP monthly? In the last 3 months, how many days were taken by the mentors to support the enterprises?
C14
What other support is provided for enterprise growth and development?
C15
Did the Mentor participate in the technical committee for the business plan? What are their contributions?
C16
What are their contributions?
Profile of functional expert
D01
Gender
Male
Female
Prefer not to say
D02
Age
18 to 25
26=45
46-60
61-70
D03
Educational Qualification
Primary education
Secondary education
Higher secondary education
Graduation
Post Graduation
Signature literate
Others, specify
D04
Professional qualification
Chartered accountant
Business expert
Food technician
Lawyer
Skill trainer
Designer
Retired professional
Banking expert
D05
Number of years of experience in the relevant industry
D06
Are you an SHG member?
Yes
No
D07
Did the functional experts receive any kind of training or orientation? If no what were the reasons for no training
Yes
No
D08
If yes, what were the topics that were covered in the training?
D09
How many days of training was conducted?
Roles and Responsibilities of the functional expert
E01
Please explain your daily roles and responsibilities with the OSF ecosystem.
E02
Please mention the number of days per month that you take out for OSFs
E03
How do you offer support to the BDSPs?
E04
Please explain the support in line with your professional qualifications.
E05
What is the amount of remuneration given to you?
E06
What are the challenges that you face while extending support?
E07
Do you receive adequate support from the DTE-EP? In what form do they support you?
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