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Micro Enterprise Template 3 -Form Fill

Information
Q01

Name of the State

Q02

Name of the District

Q03

Name of the Block

Q04

Name of Panchayat

Q05

Name of the Village (PSU)

Q06

Village Census Code

Q07

Whether ME is a SPRD customer or not?

Q08

ME Structure No.

Q09

Address

Q10

Investigator Name

Q11

Investigator Code

Q12

Start Time

Q13

End Time

Q13A

Interviewer’s Visits - 1

Q13A_1

Date

Q13A_2

Result

Q13B

Interviewer’s Visits - 2

Q13B_1

Date

Q13B_2

Result

Q13C

Interviewer’s Visits - 3

Q13C_1

Date

Q13C_2

Result

Entrepreneur Profile
A01

Name of the respondent

A02

Age of the respondent/owner

A03

Is the owner male or female?

A04

Is respondent owner of the shop?

A05

What is the religion of the owner?

A06

Does the owner belong to a scheduled caste, scheduled tribe, other backward class or general class?

A07

What is the year of formation of the enterprise?

A08

What is the type of enterprise?

A09

What kind of services do you provide through your enterprise?

A10

On a regular basis, how many people are engaged in the enterprise?

A11

Do you also hire seasonal labour?

A12

In which month do you engage seasonal labour and how many?

ELECTRICITY SOURCES & USAGE
B01

What are the sources of energy used in the enterprise?

B01A

Before 2015

B01A_1

Grid Electricity

B01A_2

Solar panel at enterprise

B01A_3

Diesel generator

B01A_4

Kerosene

B01B

After 2015

B01B_1

Grid Electricity

B01B_2

Solar panel at enterprise

B01B_3

Diesel generator

B01B_4

Kerosene

B02

What is/was the daily hours of supply of each of the sources of electricity?

B02A

Before 2015

B02A_1

Grid Electricity

B02A_2

Solar panel at enterprise

B02A_3

Diesel generator

B02B

After 2015

B02B_1

Grid Electricity

B02B_2

Solar panel at enterprise

B02B_3

Diesel generator

B03

What are the electrical appliances used in the enterprise?

B03A

Before 2015

B03A_1

Light bulb

B03A_2

T. V

B03A_3

Radio/Music player

B03A_4

Fan

B03A_5

AC/Air cooler

B03A_6

Mobile charging point

B03A_7

Computer/Laptop

B03A_8

Enrolment device

B03A_9

Printer

B03A_10

Sewing machine

B03A_11

Chiller/Refrigerator

B03A_12

Mixer/Grinder

B03A_13

Metal welder/cutter

B03A_14

Rice huller/Atta chakki / Chura mill

B03A_15

Oil expeller

B03A_16

Hair trimmer

B03A_17

Soldering machine

B03A_18

Wood planer

B03B

After 2015

B03B_1

Light bulb

B03B_2

T. V

B03B_3

Radio/Music player

B03B_4

Fan

B03B_5

AC/Air cooler

B03B_6

Mobile charging point

B03B_7

Computer/Laptop

B03B_8

Enrolment device

B03B_9

Printer

B03B_10

Sewing machine

B03B_11

Chiller/Refrigerator

B03B_12

Mixer/Grinder

B03B_13

Metal welder/cutter

B03B_14

Rice huller/Atta chakki / Chura mill

B03B_15

Oil expeller

B03B_16

Hair trimmer

B03B_17

Soldering machine

B03B_18

Wood planer

B04

What was the daily requirement of each appliance and how many hours can you use it for?

B04A

Before 2015

B04A1

Required (hrs)

B04A1_1

Light bulb

B04A1_2

T. V

B04A1_3

Radio/Music player

B04A1_4

Fan

B04A1_5

AC/Air cooler

B04A1_6

Mobile charging point

B04A1_7

Computer/Laptop

B04A1_8

Enrolment device

B04A1_9

Printer

B04A1_10

Sewing machine

B04A1_11

Chiller/Refrigerator

B04A1_12

Mixer/Grinder

B04A1_13

Metal welder/cutter

B04A1_14

Rice huller/Atta chakki / Chura mill

B04A1_15

Oil expeller

B04A1_16

Hair trimmer

B04A1_17

Soldering machine

B04A1_18

Wood planer

B04A2

Used (hrs)

B04A2_1

Light bulb

B04A2_2

T. V

B04A2_3

Radio/Music player

B04A2_4

Fan

B04A2_5

AC/Air cooler

B04A2_6

Mobile charging point

B04A2_7

Computer/Laptop

B04A2_8

Enrolment device

B04A2_9

Printer

B04A2_10

Sewing machine

B04A2_11

Chiller/Refrigerator

B04A2_12

Mixer/Grinder

B04A2_13

Metal welder/cutter

B04A2_14

Rice huller/Atta chakki / Chura mill

B04A2_15

Oil expeller

B04A2_16

Hair trimmer

B04A2_17

Soldering machine

B04A2_18

Wood planer

B04B

After 2015

B04B1

Required (hrs)

B04B1_1

Light bulb

B04B1_2

T. V

B04B1_3

Radio/Music player

B04B1_4

Fan

B04B1_5

AC/Air cooler

B04B1_6

Mobile charging point

B04B1_7

Computer/Laptop

B04B1_8

Enrolment device

B04B1_9

Printer

B04B1_10

Sewing machine

B04B1_11

Chiller/Refrigerator

B04B1_12

Mixer/Grinder

B04B1_13

Metal welder/cutter

B04B1_14

Rice huller/Atta chakki / Chura mill

B04B1_15

Oil expeller

B04B1_16

Hair trimmer

B04B1_17

Soldering machine

B04B1_18

Wood planer

B04B2

Used (hrs)

B04B2_1

Light bulb

B04B2_2

T. V

B04B2_3

Radio/Music player

B04B2_4

Fan

B04B2_5

AC/Air cooler

B04B2_6

Mobile charging point

B04B2_7

Computer/Laptop

B04B2_8

Enrolment device

B04B2_9

Printer

B04B2_10

Sewing machine

B04B2_11

Chiller/Refrigerator

B04B2_12

Mixer/Grinder

B04B2_13

Metal welder/cutter

B04B2_14

Rice huller/Atta chakki / Chura mill

B04B2_15

Oil expeller

B04B2_16

Hair trimmer

B04B2_17

Soldering machine

B04B2_18

Wood planer

ENTERPRISE ECONOMICS
C01

What has been the initial investment in the enterprise?

C02

What was the source of investment?

C03

If loan was taken, then how much loan was taken and what is the monthly interest on loan?

C04

Does any female member of your family also support you in your business?

C05

From where do you procure your raw material?

C06

What is the average monthly expenditure for the enterprises?

C06A

Before 2015

C06A_1

Labour

C06A_2

Rent

C06A_3

Repairs and Maintenance

C06A_4

Raw materials (Purchase of inputs for the enterprise)

C06A_5

Electricity taken from grid

C06A_6

Electricity taken from diesel generator (owned/supplier)

C06A_7

Expense on running diesel generator

C06A_8

Transportation

C06B

After 2015

C06B_1

Labour

C06B_2

Rent

C06B_3

Repairs and Maintenance

C06B_4

Raw materials (Purchase of inputs for the enterprise)

C06B_5

Electricity taken from grid

C06B_6

Electricity taken from diesel generator (owned/supplier)

C06B_7

Expense on running diesel generator

C06B_8

Transportation

C07

Did/Do you use kerosene for lighting in your enterprise

C07A

Before 2015

C07B

After 2015

C08

What was/is the quantity of kerosene used by you for lighting purposes?

C09

What was/ is unit price of kerosene?

C10

On an average, how much do you earn from this enterprise in a month?

C11

What is the unit selling price for your product?

C11A

Before 2015

C11A_1

Shop

C11A_2

Shopkeeper (Chiller)

C11A_3

Flour Mill

C11A_4

Rice Huller

C11A_5

Oil expeller

C11A_6

Daal Mill

C11A_7

Chaura Mill

C11A_8

Ice Factory

C11A_9

Brick factory

C11A_10

Welding units

C11A_11

Saw Mill/ Carpenter unit

C11A_12

Poultry units

C11A_13

Computer Center

C11A_14

Computer Coaching centre

C11A_15

Photo Copy Shop

C11A_16

Photo Studio

C11A_17

Mobile repair shops/ TV Repair Shops/ Other Repair Shop

C11A_18

Tailoring/sewing

C11A_19

Saloons (barber shops)

C11B

After 2015

C11B_1

Shop

C11B_2

Shopkeeper (Chiller)

C11B_3

Flour Mill

C11B_4

Rice Huller

C11B_5

Oil expeller

C11B_6

Daal Mill

C11B_7

Chaura Mill

C11B_8

Ice Factory

C11B_9

Brick factory

C11B_10

Welding units

C11B_11

Saw Mill/ Carpenter unit

C11B_12

Poultry units

C11B_13

Computer Center

C11B_14

Computer Coaching centre

C11B_15

Photo Copy Shop

C11B_16

Photo Studio

C11B_17

Mobile repair shops/ TV Repair Shops/ Other Repair Shop

C11B_18

Tailoring/sewing

C11B_19

Saloons (barber shops)

C12

Where do you utilize your savings?

C12A

Before SPRD

C12B

After SPRD

C13

Daily, how many hours do you keep your enterprise open?

CHANGES IN ENTERPRISE
D01

When is electricity available at your enterprise?

D02

Are you planning to invest in a new electrical appliance?

D03

What appliance are you planning to invest in?

D04

Who are your primary customers?

EXPANSION PLANS
E01

Do you plan to expand your enterprise?

E02

What are the reasons for not expanding?

E03

How do you plan to expand your business?

E04

What support will be required to make your expansion plan successful?

ELECTRICITY QUALITY and SATISFACTION
F01

Do you face any of the following issues with respect to electricity from your primary source

F01_1

Light Fluctuation

F01_2

Low Voltage

F01_3

Disruption in Supply (Irregular Supply)

F01_4

Bad or poor supply during Rainy season or during bad weather

F01_5

Meter Availability/ Tariff (There is no meter and they want one)

F01_6

Difficult to contact someone to report problems

F02

Rate your satisfaction on the following parameters for electricity from your primary source

F02_1

Timely and hours of electricity supply under the package you have taken

F02_2

Provision of electricity

F02_3

Consistency in terms of voltage

F02_4

Schedule of electricity supply

F02_5

Quality of service provided by service providers such as maintenance

F02_6

Accuracy of billing

F02_7

Tariff

F02_8

Timeliness in addressing complaints

VALUE ASSIGNED TO SPRD
G01

Did you ever get SPRD connection for your enterprise?

G02

What is the connection plan did you opt for?

G03

What were your expectations when you first availed the mini-grid connection?

G04

Why did you stop using SPRD connection??

G05

Why didn’t you ever take up SPRD connection for your Enterprise?