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Shg Template -Form Fill
IDENTIFICATION
Q01
Village (Hamlet Name)
Q02
GP Name
Q03
Block
Q04
District
Q05
State
Q06
Name of the respondent
Q07
Name of the SHG
Q08
Position held by the respondent in the SHGs
Q09
Religion of the respondent
Q10
Caste of the respondent
Q11
How many of the SHG members belong to
Q11A
Caste
Q11A_1
SC
Q11A_2
ST
Q11A_3
OBC
Q11A_4
General
Q11B
Religion
Q11B_1
Hindu
Q11B_2
Muslim
Q11B_3
Christian
Q11B_4
Others
Q11C
Highest Educational level completed
Q11C_1
Read only
Q11C_2
Read and Write
Q11C_3
Read, write and calculate
Q11C_4
None
Q12
Interviewer
Q13A
Date of Interview - first visit
Q13B
Date of Interview - second visit
BACKGROUND INFORMATION
A01
When was this group formed?
A02
Was this SHG formed by NERLP?
Yes
No
Co-opted by NERLP
A03
Who asked/convinced you to join this group?
NERLP staff
Friends/ Family
Members of other SHGs in the village
Others (specify)
A04
Why did you form/join this group?
To obtain financial support
To promote savings habit
For improved social status
For improved economic status
To initiate group level economic activities
To engage in community development activities
Others (specify)
A05
What kind of rules and regulations does your SHG has for running the group?
Verbal
Written
A06
Do you update rules and regulations from time to time?
Yes
Not until now but we plan to do it
No
A07
What post do you hold in this SHG?
President
Treasurer
Secretary
Others
A08
Since when you have been appointed to the current role?
A09
How do you select group leaders?
Nominated by members
By election
Rotating System
A10
Are you aware of the rotation policy in electing leaders in the SHG?
Yes
No
A11
How were you appointed to the current position?
Through voting
Through common consensus
It was my turn according to the rotation system
Others (Specify)
A12
What are some of your roles in the SHG?
Convene meetings
Maintain meeting notes
Coordinate savings and withdrawal of funds
Maintain SHG books
Set agenda for discussion
Contact NERLP/other trainers for training
Disseminate information received in trainings to the group
Reach out to SHG Federation for livelihood fund
Managing the SHG bank account
Others (please specify)
A13
What kind of support have you received form NERLP?
Received trainings
Facilitated market linkages
Helped establish credit linkages with banks, MFIs etc
Facilitated formation of SHG Federation
Providing handholding support in maintenance of books/record keeping
Helped SHG members in increasing awareness on other Government flagship schemes
Helped create a cadre of Bank Sakhi to establish linkage with formal institutions such as banks
Helped us in recognizing the importance of collective activity
Others (please specify)
A14
Apart from savings and credit, does your group discuss on other issues as well?
Yes
No
A15
What are the key issues that your group discusses in the meetings?
Issues related to livelihoods challenges and opportunities in the community
Agriculture and non-farm related issues
Quality of service delivery at public and private institutions (such as schools, post-offices, etc., hospitals
Issues related to family and community health
Problem of waste disposal and cleanliness
Problem of drinking water availability
Alcohol addiction
Access to government schemes
Issues related to the functioning of the local government (Panchayat, Village Councils, etc.)
Others (Specify)
ADHERENCE TO PANCHSUTRA
B01
How often does your group meet?
Weekly
Twice a month
Monthly
Whenever required
Other (specify)
B02
How many days ago did your group meet?
B03
Was your group able to meet as per the agreed frequency in last six months?
Yes, always
Yes, almost regularly except for a few times
The group met regularly only for a few months
Not regular
B04
How many members are there in your group?
B05
What has been the average attendance percentage per meeting during last six months ( average attendance % from all weeks)
B06
How many members saved regularly in last six months?
B07
Does your SHG revise the savings amount ?
Yes
No
B08
How the SHG members deposit savings?
Collect house to house
Deposit in SHG account
Contribute in regular meetings
B09
How many members have taken a loan in the last six months?
B10
Who decides the loan amount?
Group leader
Through consultations with other SHG members
Others (please specify)
B11
What is the nature of interest paid?
Uniform
Vary according to purpose
B12
How is the interest rate calculated?
Flat (fixed interest is calculated on the principal amount)
Diminishing (the interest amount reduces with reduction in principal amount)
Others (specify)
B13
Does your SHG keep any emergency fund?
Yes
No
B14
How many people repaid the agreed installments on time in last six months?
B15
Are the following basic records regularly maintained in the SHG ?
Yes
No
B15_1
Minutes book
Yes
No
B15_2
Attendance register
Yes
No
B15_3
Loan ledger
Yes
No
B15_4
Cash book
Yes
No
B15_5
Bank passbook
Yes
No
B15_6
Individual passbook
Yes
No
B15_7
Repayment particulars
Yes
No
B16
How are the records maintained in your SHG?
Computerized
Manual
Both computerized and manual
None
B17
Who maintains the records in your SHG?
Dedicated group member/s
External Service provider for free
External service provider at fee
B18
Who is the external person responsible to maintain these records?
Bank Sakhi
CRP
SHG Federation
Other NERLP staff
Others (specify)
B19
How much does the group pay him/her per month for providing this book keeping service?
B20
Has your group ever been audited (internally or externally)?
Yes, every four months
Yes, once in six months
Never carried out
Don’t know
EXPOSURE TO TRAININGS
C01
Is your group in regular touch with any NERLP staff/CRP?
Yes
No
C02
Did you or any group member receive any of these trainings:
Yes
No
C02_1
Organizational management
Yes
No
C02_2
Financial management
Yes
No
C02_3
Book of records keeping (BoR)
Yes
No
C02_4
Basics of livelihood
Yes
No
C02_5
Leadership
Yes
No
C02_6
Bank credit linkage (how to open bank account, avail loans, documentation, etc.)
Yes
No
C02_7
Environmental and social safeguards
Yes
No
C03
Who provided you this training?
NERLP staff
SHG Federation
CRP/Para professionals
KVK
Horticulture department
Lead farmer
Other govt. organization
NGO
Private agency
Others (please specify)
C04
According to you, were these trainings helpful for you and your group members?
Very useful
Somewhat useful
Not at all useful
C05
How were these trainings helpful?
Enabling efficient functioning of the SHG
Managing finances efficiently
Improved capacity of the group
Improved skills for adopting livelihood activities
Improved leadership skills
Improved awareness on banking (such as savings, availing loans, etc.)
Others (please specify)
C06
Why were these trainings not useful?
I could not recall what was taught
I was not able to follow the training module
Follow-up trainings were not conducted
Training duration was very small
Others (specify)
C07
Which areas do you think remained unattended and there is a need of training in these areas?
Issues related to savings & credit
Book keeping
Package of agricultural practices
Livestock rearing
Non- farm livelihood activities
Food processing
NTFP collection related activities
Issues around village infrastructure
Issues around government schemes
Water Sanitation and Hygiene
Enterprise development
Leadership
Gender issues at home
Gender issues outside home
INTERACTION WITH VILLAGE FEDERATION
D01
Has a SHG Village federation (SHGF) been formed in your village?
Yes
No
D02
Is your SHG linked to this village federation?
Yes
No
D03
In which year was your SHG Federated?
D04
What is the name of your SHG Federation?
D05
Do you hold any position in this SHG Federation?
Yes
No
D06
Which position do you hold in your SHG Federation?
President
Treasurer
Secretary
Others(A dang)
D07
How many village federation meetings have you attended in the last six months?
Attended all the meetings
Attended few meetings
Not attended any meeting
D08
In the village federation meetings, what topics are discussed?
Issues related to savings & credit
Book keeping
Process of giving seed fund and livelihood plan funds to SHGs
Schedule and loan repayment terms
Criteria for grading of SHGs
Package of agricultural practices
Livestock rearing
Issues around village infrastructure
Issues around government schemes
Enterprise development
Leadership
Gender issues at home
Gender issues outside home
Others (Specify)
D09
What kind of support have your SHG received from Federation?
Received trainings
Helped establish credit linkages with banks, MFIs etc
Facilitated market linkages
Provided handholding support in maintenance of books/record keeping
Provided information on flagship government schemes
Helped in establishing group-level livelihood activity
Others (please specify)
D10
Does your SHG pay any fees to the SHG Federation?
Yes
No
D11
For which services do you pay this fee to the Federation?
For membership
Books of record keeping (BOR)
To receive trainings
Monthly contributions for functioning of the Federation
Fined for violation of rule
Bank interest earned on the account of the federation
Donations from any source
Contributions from other institutions for programs within the scope of the Federation’s objectives
Service charges (when the federation’s services are used for any work)
Income earned from any income generating program taken up by the federation
Others (please specify)
D12
How often does the village federation review the activities of your SHG?
Weekly
Fortnightly
Monthly
Once in two months
No predetermined frequency
Never reviewed
Others
D13
Has your SHG being graded by the project till date?
Yes
No
Don’t know
D14
After how many months of formation was your SHG graded?
Months
Don’t know
D15
How many times has your group been graded under the project so far?
Once
Twice
Thrice
More than thrice
D16
Are you aware about the criteria for this grading?
Yes
No
D17
What are these criteria?
Homogeneity and conflict resolution among members
average attendance
Regularity in savings
Frequency of inter-loaning
Timely repayment of loans
Maintenance of books of accounts
Receipt of productive loans from commercial banks
Timely and fair elections
Others (Specify)
D18
Do you feel that the support your SHG received from the Federation was helpful?
Yes
No
D19
If yes, how was it helpful?
Inter-group lending
Ability to negotiate with higher level structures (such as banks, MFIs, etc.)
Greater bargaining power for collective livelihood activities
Greater access to formal institutions for savings, credit, etc.
Platform for sharing learnings/best practices form other SHGs
Received seed fund/livelihood funds on time
Received trainings which helped in proper functioning of SHG
Others (please specify)
D20
If no, why was it not helpful?
No frequent interactions with the Federation
Did not receive seed fund/livelihood funds on time
Did not receive any trainings from Federation
Our voice and concerns were not heard
Others (please specify)
D21
Why is your group not linked to the Village federation?
Not aware of village federation and its presence
Nobody told about linkage with village federation
Village federation refused to include us
Others (specify)
ACCESS TO CAPITAL
E01
Does your SHG have a bank account?
Yes
No
E02
How long did it take to open a bank account after forming the SHG?
E03
Who mostly manages this bank account?
President
Treasurer
Secretary
Jointly (by two or more office bearers)
Others
E04
Has your group taken any loan from this bank?
Yes, once
Yes, twice
Yes, more than twice
No
E05
How many months after opening the bank account did your SHG take the first loan?
E06
How much loan is taken till date?
E07
What is the purpose of taking these loans?
For other consumption
For repaying old debt
For individual economic activities
For group activities
E08
For the current loan/s has your group been able to repay the installments on time?
Yes
No
E09
If no, what are the reasons?
Loan based business activity was not profitable
Used loan amount for personal consumption/other activities
Sold the product on credit but did not get paid back on time
Loss of acquired by the loan
Used loan to repay the old debt
Others(specify)
E10
What are the challenges faced by your group in taking loans from the bank/MFI?
Lack of information
Issues in documentation
High interest rates
Stringent rules and regulations
Lengthy procedures, hence loan not available on time
Banks/Financial institutions are located far away from the village
Lack of cooperation by the bank/financial institution officials and other officials
Others (please specify)
E11
Has your SHG received seed fund from the village federation?
Yes
No
E12
How many months after formation of the SHG did you receive the seed fund?
E13
How much amount did you receive as seed fund (in INR)?
E14
How did you utilize the seed fund received?
Fund management
Inter-loaning
Others (specify)
E15
Has your SHG received livelihood development fund from the village federation?
Yes
No
E16
What all fund did your SHG receive?
Livelihood fund 1
Livelihood fund 2
Livelihood fund 3
Others
E17
How many months after formation of the SHG did you receive Livelihood Fund 1?
E18
How much amount did you receive under Livelihood fund 1?
E19
Has your SHG repaid the livelihood fund-1 received from the federation?
Yes, repaid against accepted repayment schedule
Yes, repaying against accepted repayment schedule
Yes, repaying but there are deviations from the repayment schedule
Not yet started repaying
E20
How many months after formation of the SHG did you receive Livelihood Fund 2?
E21
How much amount did you receive under Livelihood fund 2?
E22
Has your SHG repaid the livelihood fund-2 received from the federation?
Yes, repaid against accepted repayment schedule
Yes, repaying against accepted repayment schedule
Yes, repaying but there are deviations from the repayment schedule
Not yet started repaying
E23
How many months after formation of the SHG did you receive Livelihood Fund 3?
E24
How much amount did you receive under Livelihood fund 3?
E25
Has your SHG repaid the livelihood fund-3 received from the federation?
Yes, repaid against accepted repayment schedule
Yes, repaying against accepted repayment schedule
Yes, repaying but there are deviations from the repayment schedule
Not yet started repaying
E26
How did you utilize livelihood fund/s received?
For repaying old debt
For individual economic activities
For group activities
For personal consumption/other activities
Others (please specify)
E27
Apart from livelihood funds has your SHG taken any other loan from the Federation?
Yes, once
Yes, twice
Yes, more than twice
No
E28
How much loan has your SHG taken?
E29
How did your SHG utilized these loans?
For group activities
For repaying old debt
For individual economic activities
For personal consumption/other activities
Others (Specify)
E30
Have you been able to repay these loans?
Yes, repaid
Still repaying
Not started repaying yet
GROUP DYNAMICS AND COLLECTIVE PERFORMANCE
F01
Does anyone in your group hold any position in local government bodies like Gram Panchayat, Village Council etc.?
Yes
No
F02
Was she elected to this position after becoming part of your SHG?
Yes
No
F03
Does anyone from your SHG has taken responsibility of CRP or Bank Sakhi under NERLP?
Yes
No
F04
Has your group came together in the past 12 months to demand the following
Yes
No
F04_1
Demand for work through MNREGA
Yes
No
F04_2
Demand for PDS/ration card
Yes
No
F04_3
Demand for opening bank account
Yes
No
F04_4
On-time delivery of services meant for poor from the government
Yes
No
F04_5
Supply of safe drinking water
Yes
No
F04_6
Supply of sufficient water for household purposes
Yes
No
F04_7
Supply of sanitation services e.g. latrine facilities/construction of toilets
Yes
No
F04_8
Preparation of village development plan
Yes
No
F04_9
Demand for better school facilities
Yes
No
F04_10
Demand for better anganwadi facilities
Yes
No
F04_11
Addressing liquor consumption issues in village
Yes
No
F05
Does the SHG enable and stimulate the members to:
Yes
No
F05_1
Interact effectively in public spaces
Yes
No
F05_2
Contribute effectively in community level conflict resolutions
Yes
No
F05_3
Enhance village level awareness on societal issues like alcoholism etc
Yes
No
F05_4
Enhance awareness on entitlements and norms of government schemes
Yes
No
F05_5
Organizing community level events and campaigns for larger public goods
Yes
No
F06
Did members of SHG organize any event/function/ campaign together (in the past 12 months)?
Yes
No
F07
What was the even/function/campaign?
F08
Has your SHG undertaken any collective livelihood activities?
Yes
No
F09
What are these collective livelihood activities?
Petty shop
Processing unit
Tailoring unit
Handloom unit
Weaving unit
Candle making
Pickle making
Agarbatti making
Handicraft (bamboo work)
Nursery raising
Others
F10
Has your group received any training for taking up these activities?
Yes
No
F11
Who provided your group this training?
NERLP
KVK
Horticulture department
Lead Farmer
Another govt. agency
NGO
Private agency
Others
F12
What are the challenges faced by your SHG in carrying out the activities (refer to activities identified in G9)?
Distance of the market
Transportation of product to market
Poor marketprice for the product
Lack of technical know-how
Seasonality issues
Issues related to marketing of the product
Others
F13
How is profit sharing done?
Profit is shared equally among members
Profit is shared based on number of hours devoted by the member
Profit is shared based on number of units manufactured/produced
No profit made yet
Others
F14
How much do you agree or disagree with the following statements?
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
F14_1
Members in this SHG are all striving for the same goals
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
F14_2
SHG members worry about themselves only
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
F14_3
I can count on fellow SHG members if I need advice
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
F14_4
I can count on fellow SHG members to help me in accessing services
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
F14_5
I can count on fellow SHG members to help me address the problems I am unable to solve on my own. (E.g. Violence)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
F15
Do you feel the SHG members are interested in attending SHG meetings?
Yes, they look forward to it
No, they consider it as an interference to their routine
Not sure
F16
Do you and your group members see value in being a member of this group?
Yes, very much
Yes, somewhat
No
F17
If yes, what value do you see?
SHG has led to regular saving habit
Through SHG, members are able to meet their credit needs on time
SHG have provided platform for learning new livelihood activities
SHG has provided a common platform to discuss our problems and help each other in resolving them
Others
F18
In your opinion will the members of your group continue to be in the group and carry out the SHG activities even without the support of NERLP?
Yes, we have received enough support to run the group on our own
Yes, but will require some support
No, we will not able to run the group on our own
Others
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