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Office Bearers Template -Form Fill
Identification Information
Q01
District Name
Q02
District Code
Q03
Block Name
Q04
Block Code
Q05
Name of the PACS
Q06
PACS Unique ID
Q07
Date of Assessment
Survey Information
A01
Name of the respondent
A02
Designation of the respondent
President
Vice President
PACS Members
If others (specify____)
A03
FIRST VISIT
A03A
Interviewer name
A03B
Interviewed code
A03C
Date of the interview
A03D
Result of the interview
Interview complete
Visit rescheduled
Interview incomplete
Refused
Respondent is out of station for extended period
Respondent is temporarily away
Other (specify)
A04
SECOND VISIT
A04A
Interviewer name
A04B
Interviewed code
A04C
Date of the interview
A04D
Result of the interview
Interview complete
Visit rescheduled
Interview incomplete
Refused
Respondent is out of station for extended period
Respondent is temporarily away
Other (specify)
A05
THIRD VISIT
A05A
Interviewer name
A05B
Interviewed code
A05C
Date of the interview
A05D
Result of the interview
Interview complete
Visit rescheduled
Interview incomplete
Refused
Respondent is out of station for extended period
Respondent is temporarily away
Other (specify)
A05E
Record time when you start the interview
A05F
Record time when you end the interview
A05G
GPS Coordinator of the Samiti
Basic Information of the PACS
B01
Can you briefly tell us about yourself?
B02
How long have you been an office-bearer of PACS? Can you tell us about your major roles and responsibilities?
B03
Can you tell us about some of the other forms of financial institutions which is present in the block?
No other financial institutions present in the block
Central Banks
Commercial Banks
Cooperatives
Others_____
B04
What is the total number of banks present in the block?
B05
How many bank branches are currently operating in the block?
Less than 5
05 to 10
10 and above
Don’t Know/Not sure
B06
Can you tell us about other financial institutions apart from banks that are present and functional in the block?
B07
How many members does the society currently (September 2021) have?
B08
Out of the total number of members how many female members are there in the society?
B09
From the members you have currently can you give us an approximate distribution for your members in terms of how many of them are:
B09_1
large and medium farmers
B09_2
small and marginal farmers
B09_3
rural artisans
B09_4
landless laborer
B09_5
others:
B10
Has there been any initiative undertaken by the PACS to ensure that all eligible members of the block especially those belonging to the vulnerable sections also become members of the credit society?
No
Yes
Don’t Know
B10A
If yes, what are the different measures that have been adopted?
B11
On average for the period 2020-2021 what was the distribution among the various types of credit?
Short term credit
Medium-term credit
Long term credit
B12
What are the different purposes for which loans are usually borrowed from society?
Paddy and wheat cultivation
Maize and pulses cultivation
To buy machinery
Land development
Tractors and bullock carts
Consumption purposes
Others:___(please specify)
B13
Do you there have been a change in the pattern of borrowing be it in terms of the amount of money borrowed or the purpose for which the money was borrowed after the onset of the COVID-19 pandemic?
No
Yes
Don’t Know
B14
Do you think that relative to big & medium farmers, small & marginal farmers are not able to access the loans from various agricultural credit societies?
No
Yes
Don’t Know
B14A
If yes, what are some of the reasons you feel may be acting as a barrier for the small & marginal farmers to access loans from the PACS?
B15
Has the PACS faced challenges due to a shortage of funds?
B16
If yes, what are some of the mitigation strategies adopted by the PACS during such situations?
B17
What has been some of the effects on the farmers who wanted to register to become members of PACS with the application process going completely online?
B18
Are there any other formal or non-formal financial institutions that the members also rely on to borrow money?
No
Yes
B18A
If yes, what are the other institutions that the members rely on for borrowing?
B19
According to you, among the members, you have currently how many of them are aware of Kisan Credit Card (KCC)?
Everyone
Majority of the members
Very few members
No one is aware of KCC
Not sure/Don’t Know
B20
Does any of your members have a KCC account?
No
Yes
B20A
If yes, how many members have a KCC account?
B21A
Among the members that have a KCC account, can you tell us how many of them have it in: Bank
B21B
Among the members that have a KCC account, can you tell us how many of them have it in: Other financial institutions
B22
According to you, what are the major facilitators and barriers in becoming members of PACS and also especially in accessing the benefits of PACS especially for the people belonging to the backward and vulnerable sections of the society?
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