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Pg Template 1 -Form Fill
Village Information
Q01
State Name
Q02
State Code
Q03
District Name
Q04
District Code
Q05
Block Name
Q06
Block Code
Q07
Gram Panchayat Name
Q08
Gram Panchayat Code
Q09
Village Name
Q10
Village Code
Q11
Village Unique ID
Survey Information
A01
FIRST VISIT
A01_1
Interviewer name
A01_2
Interview code
A01_3
Date of the interview
A01_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)
A01_5
Interview start time
A01_6
Interview finish time
A01_7
GPS coordinates
A02
SECOND VISIT
A02_1
Interviewer name
A02_2
Interview code
A02_3
Date of the interview
A02_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)
A02_5
Interview start time
A02_6
Interview finish time
A02_7
GPS coordinates
A03
THIRD VISIT
A03_1
Interviewer name
A03_2
Interview code
A03_3
Date of the interview
A03_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)
A03_5
Interview start time
A03_6
Interview finish time
A03_7
GPS coordinates
Basic Information of the Producer Group
B01
What is the name of the PG?
B02
The contact number of the President of the PG
B03
Contact number of the Secretary of the PG
B04
Basic details of the PG
B05
When was the PG formed?
B06
Who all supported the formation of the PG?
SRLM/ project staff
CLF
VO
SHG
Others (please specify)
B07
What are the main activities of the PG?
Agriculture
Horticulture (including vegetable)
Livestock
Fishery
NTFP
Non-farm Enterprise
B08
Does this PG have a management committee?
Yes
No
B09
What are the reasons for not having a management committee in this PG? (Text response)
B10
If yes, what are the major roles and responsibilities of the management committee?
B11
Has this PG rotated or changed its management committee formed during the PG formation?
Yes
No
B12
Why has not this PG rotated or changed its management committee members since its formation? (Text response)
B13
What is the frequency of rotation of the management committee decided by this PG?
Annually
Biannually
Not decided yet
B14
Cadres in the PG
B15
Is the <Udhyog Sakhi> presented in this PG?
B15_1
Krishi Sakhi
Yes
No
B15_2
Krishi Jaivik Sakhi
Yes
No
B15_3
Pashu Sakhi
Yes
No
B15_4
Van Sakhi
Yes
No
B15_5
Matsya Sakhi
Yes
No
B15_6
Krishi Udyog Sakhi
Yes
No
B16
What are the activities have been performed by the <cadre> in the PG? (Text response)
B16_1
Krishi Sakhi
B16_2
Krishi Jaivik Sakhi
B16_3
Pashu Sakhi
B16_4
Van Sakhi
B16_5
Matsya Sakhi
B16_6
Krishi Udyog Sakhi
B17
On Average, how much service fee is paid to the <cadre> every month for rendering their services? (INR)
B17_1
Krishi Sakhi
B17_2
Krishi Jaivik Sakhi
B17_3
Pashu Sakhi
B17_4
Van Sakhi
B17_5
Matsya Sakhi
B17_6
Krishi Udyog Sakhi
B18
Who pays the <cadre> for her services?
B18_1
Krishi Sakhi
Project staff
PG
Other’s specify
B18_2
Krishi Jaivik Sakhi
Project staff
PG
Other’s specify
B18_3
Pashu Sakhi
Project staff
PG
Other’s specify
B18_4
Van Sakhi
Project staff
PG
Other’s specify
B18_5
Matsya Sakhi
Project staff
PG
Other’s specify
B18_6
Krishi Udyog Sakhi
Project staff
PG
Other’s specify
B19
What are the reasons for low payments to the cadre?
B19_1
Krishi Sakhi
B19_2
Krishi Jaivik Sakhi
B19_3
Pashu Sakhi
B19_4
Van Sakhi
B19_5
Matsya Sakhi
B19_6
Krishi Udyog Sakhi
B20
What are the reasons for not paying the service fee of the <cadre>? (Text response)
B20_1
Krishi Sakhi
PG management committee
All PG members
project staff (block level)
others specify
B20_2
Krishi Jaivik Sakhi
PG management committee
All PG members
project staff (block level)
others specify
B20_3
Pashu Sakhi
PG management committee
All PG members
project staff (block level)
others specify
B20_4
Van Sakhi
PG management committee
All PG members
project staff (block level)
others specify
B20_5
Matsya Sakhi
PG management committee
All PG members
project staff (block level)
others specify
B20_6
Krishi Udyog Sakhi
PG management committee
All PG members
project staff (block level)
others specify
B21
Who reviews the activity of the <cadre>?
B21_1
Krishi Sakhi
Project staff
PG
Other’s specify
B21_2
Krishi Jaivik Sakhi
Project staff
PG
Other’s specify
B21_3
Pashu Sakhi
Project staff
PG
Other’s specify
B21_4
Van Sakhi
Project staff
PG
Other’s specify
B21_5
Matsya Sakhi
Project staff
PG
Other’s specify
B21_6
Krishi Udyog Sakhi
Project staff
PG
Other’s specify
B22
What is the frequency of review of the <cadre>
B22_1
Krishi Sakhi
No regular frequency
Monthly
Quarterly
Half yearly
Annual
After each agricultural season
B22_2
Krishi Jaivik Sakhi
No regular frequency
Monthly
Quarterly
Half yearly
Annual
After each agricultural season
B22_3
Pashu Sakhi
No regular frequency
Monthly
Quarterly
Half yearly
Annual
After each agricultural season
B22_4
Van Sakhi
No regular frequency
Monthly
Quarterly
Half yearly
Annual
After each agricultural season
B22_5
Matsya Sakhi
No regular frequency
Monthly
Quarterly
Half yearly
Annual
After each agricultural season
B22_6
Krishi Udyog Sakhi
No regular frequency
Monthly
Quarterly
Half yearly
Annual
After each agricultural season
B23
Is this cadre involved in the business operation (sale/ purchase/ packaging of produce) of this PG?
B23_1
Krishi Sakhi
Yes
No
B23_2
Krishi Jaivik Sakhi
Yes
No
B23_3
Pashu Sakhi
Yes
No
B23_4
Van Sakhi
Yes
No
B23_5
Matsya Sakhi
Yes
No
B23_6
Krishi Udyog Sakhi
Yes
No
B24
What are the reasons cadre absence?
B24_1
Krishi Sakhi
Already in the process
Activity not started in the PG
others specify
B24_2
Krishi Jaivik Sakhi
Already in the process
Activity not started in the PG
others specify
B24_3
Pashu Sakhi
Already in the process
Activity not started in the PG
others specify
B24_4
Van Sakhi
Already in the process
Activity not started in the PG
others specify
B24_5
Matsya Sakhi
Already in the process
Activity not started in the PG
others specify
B24_6
Krishi Udyog Sakhi
Already in the process
Activity not started in the PG
others specify
Membership in the PG
C01
How many members have joined this PG at the time of formation?
C02
What is the current number of members in this PG?
C03
Among the PG members, how many belong to SC/ST community?
C04
What is the membership fee per member taken for joining the PG? (INR)
C05
What is the membership fee taken from the SC/ST community members? (INR)
C06
How many members are there in the management committee of the PG?
C07
How many members in the management committee belongs to SC/ST community?
C08
Is the PG or its members linked to any FPO/PO /FPC?
Yes
No
C09
If yes, what are the advantages /benefits of the same experienced by the group/members?
Better technical inputs and awareness
Access to government schemes and benefits
Availability of equipment/infrastructure
Others, specify
Review and processes
D01
Is there a mechanism to review the performance of the PG?
Yes
No
D02
If yes, can you tell us who reviews the performance of the PGs?
CLF
VO livelihood subcommittee
SRLM
PG Management Committee
Other’s specify
D03
How frequently has this PG been reviewed?
Monthly
Quarterly
Half Yearly
Annually
Not yet reviewed
D04
Can you tell us the processes undertaken to carry out the following activities?
D04_1
Market Intelligence
D04_2
Price Negotiations / Supply terms
D04_3
Collection and aggregation of produce
D04_4
Quantitative Reconciliation (purchased quantity, sales quantity, returns, etc.)
D04_5
Management of packing material
D04_6
Payment to the members
D04_7
What was the mode of transfer
Training and Capacity Building
E01
Did the management committee of this PG receive any training?
Yes
No
E02
Why haven’t the PG management committee received training yet?
Udyog sakhi not trained
PG newly started
PG activity not started
Other’s specify
E03
Who trained the management committee of this PG?
SRLM/project staff
Krishi Udyog Sakhi
Other’s specify
E04
What are the topics on which the management committee received training?
Business planning and management
Institutional Processes
Management of PG
Books of records
Internal Control and Checks
Mitigation measures to safeguard the environment.
Outreach plan
Product knowledge
Others, specify
E05
How many days of training have been received by the management committee of this PG?
E06
Has the management committee of this PG demanded any refresher training?
Yes
No
E07
Has the management committee of this PG received any refresher trainings?
Yes
No
E08
How many days of refresher trainings have been received the management committee of this PG?
E09
In which all topics did the management committee receive refresher trainings?
Business planning and management
Institutional Processes
Management of PG
Books of records
Internal Control and Checks
Mitigation measures to safeguard the environment
Outreach plan
Product knowledge
Other’s specify
Books of records
F01
Has the PG received this register?
F01_1
Cash Book
Yes
No
F01_2
Daily Business Register – Daily Procurement
Yes
No
F01_3
Daily Business Register – Daily Sales
Yes
No
F01_4
Member Ledger
Yes
No
F01_5
Member passbook
Yes
No
F01_6
Assets Register
Yes
No
F01_7
Membership fees register
Yes
No
F01_8
Voucher
Yes
No
F02
Has the PG started using the register?
F02_1
Cash Book
Yes
No
F02_2
Daily Business Register – Daily Procurement
Yes
No
F02_3
Daily Business Register – Daily Sales
Yes
No
F02_4
Member Ledger
Yes
No
F02_5
Member passbook
Yes
No
F02_6
Assets Register
Yes
No
F02_7
Membership fees register
Yes
No
F02_8
Voucher
Yes
No
F03
Why has not this PG started using the register?
F03_1
Cash Book
F03_2
Daily Business Register – Daily Procurement
F03_3
Daily Business Register – Daily Sales
F03_4
Member Ledger
F03_5
Member passbook
F03_6
Assets Register
F03_7
Membership fees register
F03_8
Voucher
F04
When is the last date of update of the register?
F04_1
Cash Book
F04_2
Daily Business Register – Daily Procurement
F04_3
Daily Business Register – Daily Sales
F04_4
Member Ledger
F04_5
Member passbook
F04_6
Assets Register
F04_7
Membership fees register
F04_8
Voucher
Funding and support
G01
Has the PG received any financial support from the CLF for setting up infrastructure since its inception?
Yes
No
G02
Has the PG demanded for any working capital since its formation?
Yes
No
G03
If yes, how many times?
G04
What was the process of demanding working capital?
The PG developed business plan
The business plan was assessed and analysed
We raised the plan to the CLF/block team
The loan was approved
Others, specify
G05
Who all were involved throughout the process?
CLF
Livelihood subcommittee
Block staff
Krishi Sakhi
Management committee PG
Others specify
G06
Has there been a situation that the WC was rejected?
NO
Yes, because the business plan was not properly developed
Yes, but we do not know the reasons
Others, specify
G07
What is the maximum amount you can demand from CLF/block/Project as Working Capital?
There is no limit
Yes there is a limit
G08
Enter the following details
G08_1
Demanded
G08_2
Disbursed
G08_3
Year of receipt
G09
From where you got the WC?
M-CLF
Block
District
Others, specify
G10
What is the interest rate charged by M-CLF for working capital?
G11
What was the purpose for which the working capital was utilised by this PG?
Procurement of commodities
Operational costs/expenses
Remuneration of the Udyog Sakhi
Transportation cost
Others (please specify)
G12
How much amount of Working Capital was utilized in the last year?
G13
Can you tell us who manages the funds allocated to the PG?
PG management committee
Project staff (BPO)
President
Secretary
Treasurer
Other’s specify
G14
Who takes the final call on the funds usage?
PG management committee
Project staff (BPO)
President
Secretary
Treasurer
Other’s specify
G15
Who operates the bank account?
PG management committee
Project staff (BPO)
President
Secretary
Treasurer
Other’s specify
G16
How often is the bank balance reconciled?
Weekly
Bi-weekly
Monthly
Every two months
Quarterly
Half-yearly
Others
G17
Please let us know the routine operations of PGs and how is the business managed
We do not engage on daily basis
We meet regularly and plan for production and selling activities
We conduct market analysis
We take regular feedback from Krishi sakhi/CLF
We/CLF regularly review/s our processes.
Others, specify
G18
Has this prepared profit and loss statement for the last year?
Yes
No
G19
What are the reasons for not preparing the profit and loss statement? (Text response)
G20
Do all the members participate in PG activities?
Yes
No
G21
Please elaborate on the participation and distribution of roles
G22
Has this PG distributed the profits among the PG members?
Yes
No
G23
What are the reasons for not distributing the profits in the last year?
G24
How was the distribution of profits done among the members?
Equal distribution
Proportionate distribution
Distributed to only those who participated
Others, specify…….
G25
How much amount have been received as profit in the last year April 2023-Mar 2024)?
G25A
PG level
G25B
Member level
G26
How much of the profit earned has been distributed to PG members in the last year (April 2023-Mar 2024)?
G27
How much of the profit earned has been set aside/kept with PG in the last year (April 2023-Mar 2024)?
Production and Infrastructure
H01
What is the type of business activities of this PG?
No activity started
Production
Rearing
Collection and sales
Aggregation and sales
Value addition
Other’s specify
H02
What are the products produced/collected/aggregated by this PG in the last year (April 2021- Mar 2022)?
Cereals
Pulses
Vegetables
Oil seeds
Fruits
Sugar crops
Fibre crops
Flowers
Spices and condiments
Mushroom
Non-Timber Forest Produce
Poultry
Goatery
Dairy
Piggery
Fishery
Nursery
Non farm enterprises
Other’s specify
H03
Name the five main products that are produced/collected/value added and marketed from the PG in the last year (Apr 2022 to Mar 2023)?
H03_1
Product 1
Farm gate
Own Village market
Market in the nearby village
Block market
District market
Other’s specify
H03_2
Product 2
Farm gate
Own Village market
Market in the nearby village
Block market
District market
Other’s specify
H03_3
Product 3
Farm gate
Own Village market
Market in the nearby village
Block market
District market
Other’s specify
H03_4
Product 4
Farm gate
Own Village market
Market in the nearby village
Block market
District market
Other’s specify
H03_5
Product 5
Farm gate
Own Village market
Market in the nearby village
Block market
District market
Other’s specify
H04
How far (in km) is the nearest market where the products were sold?
H05
How far (in km) is the farthest market where the products weresold?
H06
How did the PG members market their product] in the markets?
On their own
Collectively sold to traders
Collectively sold through PG
Sold to PE
Other’s specify
H07
Do the members face any challenges with respect to access to transport to the market?
Yes
No
H08
What are the challenges faced by the PG members with respect to access to transport to the market? (Text response)
H09
Where are the products stored?
Own house
Community building
Storage space in PG
Storage space in PE
Village Level Aggregation Centre
Not applicable
No storage space available
Others specify
H10
Does the PG have access to a storage facility?
Yes
No
H11
How far is the storage facility from the village? (km)
H12
What is the mode of transport to access the storage facility?
Own transport
Transport arranged by PG
Transport arranged by PE
Other’s specify
H13
Do the members face any challenges with respect to access to storage?
Yes
No
H14
What are the challenges faced by PG members with respect to access to storage?
H15
Do the Krishi Udyog Sakhi help the PG in marketing the produce?
Yes
No
H16
What are the activities of the Krishi Udyog Sakhi in marketing produce to the market?
Price negotiation
transportation of produce
identification of potential buyers
Market rate analysis
Branding, packaging and marketing
Others, specify
Business generated by the PG in the last year (April 2023-Mar 2024)
I01
Expenses incurred for productive inputs like seeds, manures, fertilisers, pesticides, livestock feed, bio fertilisers etc. (INR)
I02
Expenses incurred for labour (manual and machine labour) (INR)
I03
Expenses incurred for renting of machinery- including ploughing, harvesting, fishing etc. (INR)
I04
Expenses incurred for electricity and diesel (INR)
I05
Expenses incurred for transportation and marketing (INR)
I06
Rent payment (INR)
I07
Loan amount repaid (INR)
I08
Miscellaneous expenses (INR)
I09
Gross revenue from sales of main product (INR)
I10
Gross revenue from sales of by-product (INR)
I11
Other incomes (loan, membership fee, interest income) (INR)
I12
Amount paid to the members against the supply of the commodities /product.
I13
Profit earned in the last year (Apr 2022 to Mar 2023)
Farm Value Chain Development
J01
Is this PG engaged in value addition of any produce (includes processing, sorting, and grading)?
Yes
No
J02
Is the PG using any equipment/machinery for value addition?
Yes
No
J03
If yes, who procured this equipment?
J04
if yes, who is the owner of this asset?
J05
Does the PG have an SOP in place for the procurement of commodities
Yes
No
J06
If yes, what are the processes mentioned in the SOP?
J07
Who all were included in the process of preparing the SOP?
J08
Did the PG initially receive support from SRLM to develop a procurement manual for the procurement process?
Yes
No
J09
Is any training or guidance provided for using the equipment?
Yes
No
J10
How satisfied are you with training?
Very satisfied
Satisfied
Neutral
Not satisfied
J11
Has this PG established Village Level Aggregation Centre (VLAC)?
Yes
No
J12
What facilities are available at the Village Level Aggregation centre?
Crates
Weighing scale
Moisture meter
Drying unit
Other’s specify
J13
Have the PG members started utilizing the facilities of the Village Level Aggregation Centre?
Yes
No
J14
Why have not the PG members utilised the facilities of the Village Level Aggregation Centre? (Text response)
J15
Has the PG requested any equipment for value addition/production?
Yes
No
J16
Name the supplier of the equipment (s)
SRLM identified contractor
CLF
PE identified contractor
Another government department
others, specify
J17
Why has not this PG requested any equipment for value addition? (Text response)
J18
Mention the name of the equipment requested by the PG?
J19
Did the PG receive the equipment (s) requested?
Yes
No
J20
Has the PG received training for handling/use/repair of equipment?
Yes
No
J21
Why has not the PG received any training on the use of equipment? (Text response)
J22
Who received the training?
PG management committee
Udog Sakhi
Krishi Sakhi
Pashu Sakhi
Matsya Sakhi
Van Sakhi
All members
Other’s specify
J23
Date of training (DD/MM/YYYY)
J24
No. of days of trainings received
J25
How satisfied are you with the trainings?
Very satisfied
Satisfied
Neutral
Not satisfied
J26
Why is the PG not satisfied with the trainings on equipment received by them? (Text response)
J27
Is there a need for refresher training?
Yes
No
J28
Has this PG any refresher training?
Yes
No
J29
No. of days of refresher training received
Management of the PG and Relations with the CLFs
K01
Has this PG prepared any business plans?
Yes
No
K02
Why did not the PG prepare any business plan? (Text response)
K03
Where did you submit the business plan?
SRLM
CLF
Others, specify
K04
When did you submit the business plan?
K05
Has this PG reviewed or modified the business plan?
Yes
No
K06
What have been the changes made to the business plan?
K07
Who supports the development of the Business plan?
K08
How frequently are business plans developed by the PG?
K09
What is the role of CLF in the development of the business plan?
K10
Can you tell us how long it took for the CLFs to accept your business plan? (Months)
K11
How long after the approval by the CLFs did you get the funds? (Months)
K12
Did you experience any delays or challenges in getting the approved funds?
Yes
No
K13
What proportion of the proposed fund was sanctioned by the CLFs?
Less than 30% of the proposed fund
30-50% of the proposed fund
50-70% of the proposed fund
More than 70% of the proposed fund
The entire amount was sanctioned
K14
Did the CLFs provide any reasons for withholding some amount?
Yes
No
K15
If yes, what was the reason provided?
K16
Has the PG been able to repay the loans taken from the CLF after the business cycle or end of last financial year (Apr 2021 to Mar 2022)?
Yes
No
K17
What is the expected repayment by this PG in the last 3 months (expected repayment to principal and interest)? (INR)
K18
What is the actual repayment by this PG in the last 3 months (actual repayment to principal and interest)? (INR)
Qualitative Tool
L01
Basic information
L01_1
How has being a part of the PG benefitted you? What changes have you observed in your income and business after joining PG
L01_2
What are some of the challenges you have faced in managing the day-to-day operations of the PG?
L01_3
What do you think could be some of the possible suggestions for improvement?
L01_4
Is there a system in place for monitoring and review? If yes, what systems are in place? Please provide details on the same.
L02
Funding and support
L02_1
What kind of support is provided by the SRLM for setting up the PG? How is the CLF involved in availing the working capital to you?
L03
Business Plan
L03_1
How was the business plan developed? Who supported developing the business plan? How was the fund accessed from CLF against the business plan?
L03_2
Once the business plan was finalized, who was responsible for submitting it to the SRLM? Please describe the process that the SRLM undertook to evaluate your business plan? Were you asked to revise the business plan? What inputs did the SRLM have on your business plan? Were you able to successfully incorporate the changes requested by the SRLM?
L03_3
What expectations do you have from the collective business in the next three years? What are your expected revenue and profits in the next three years? What is your strategy to reach sustainability? (Probe: product diversification, market expansion, increasing shareholders?) Do you have a plan to leverage funds beyond SRLM funds? If yes, what funds are you interested in tapping? What existing government schemes can you try to leverage?
L04
Value Chain Mapping
L04_1
Please describe (i) how you went about identifying the type of equipment you needed, (ii) what was the process of procurement of equipment, (iii) what were the main challenges you faced in procurement (iv) did you have any say in the identification of suppliers?
L04_2
What are some of the challenges faced in terms of operating the equipment that was received?
L04_3
If the machine/equipment gets damaged or isn't working, what is the procedure for fixing it?
L04_4
What were some of the challenges you faced while trying to build market linkages? How did you overcome these challenges?
L04_5
What are some of the advantages of selling in the market and better market linkages in general?
L05
Implementation challenges
L05_1
What is the process followed to mobilize women into PGs? What are the main challenges in mobilizing members? How many members are active, i.e., involved in production activities? What are the constraints to identifying active members?
L05_2
What are the processes and main challenges? How did you overcome these challenges?
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