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Process Monitoring Template 9 -Form Fill

Identifying Information
Q01

Please select the stakeholder

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

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

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

A07_5

Record time when you start the interview

A07_6

Record time when you end the interview

Profile of Mentor
B01

Gender

B02

Age

B03

Educational Qualification

B04

Enterprise type

B05

Please explain the type of business/es.

B06

Number of years of experience running an enterprise

B07

Are you an SHG member?

B08

Did the Mentor receive any kind of training or orientation?

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?

C03

Did you review the business plans of the enterprise?

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

D02

Age

D03

Educational Qualification

D04

Professional qualification

D05

Number of years of experience in the relevant industry

D06

Are you an SHG member?

D07

Did the functional experts receive any kind of training or orientation? If no what were the reasons for no training 

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?