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Process Monitoring Template 22 -Form Fill
General Information
Q01
State Name
Q02
State Code
Q03
District Name
Q04
District Code
Q05
Block Name
Q06
Block Code
Q07
Enterprise Name
Q08
Enterprise Identification Code
Q09
Interviewer name
Q10
Interviewer code
Q11
Interview code
Q12
Date of the interview
Q13
Record time when you start the interview
Q14
Record time when you end the interview
Q15
GPS coordinates
Personal Information
A01
Name of the respondent
A02
Are you the owner of the enterprise?
Yes
No
A03
If not, how are you associated with the enterprise?
Business Partner/Financer
Full-time employee
SHG member (SHG-owned enterprise)
Other (Specify)
A04
What is your religion?
Hindu
Muslim
Christian
Sikh
Buddhist/Neo-Buddhist
Jain
Jewish
Parsi/Zoroastrian
No religion
Other (Specify)
A05
What is your caste category?
Scheduled Caste
Scheduled Tribe
Other Backward Caste/Class
General
Other (Specify)
A06
How many male members are there in your household?
A07
How many female members are there in your household?
A08
What is your marital status?
Married
Unmarried or single
Widowed
Divorced or separated
Others (Specify)
A09
Gender of the respondent
Male
Female
Others
A10
What is your educational qualifications?
Never educated
Completed Primary education
Completed secondary education
Completed higher secondary education
Completed graduate level
Completed Masters level or above
Others (Specify)
A11
Name of the owner
A12
Gender of the owner
Male
Female
Others
A13
Education of the owner
Never educated
Completed Primary education
Completed secondary education
Completed higher secondary education
Completed graduate level
Completed Masters level or above
Others (Specify)
A14
Marital status of the owner
Married
Unmarried or single
Widowed
Divorced or separated
Others (Specify)
Enterprise Information
B01
Name of the enterprise
B02
What is the date of formation of the enterprise? (MM/YYYY)
B03
Who formed/ started this enterprise?
Started by the present owner/owners
Family business with joint ownership held by members of a single household
Bought from the previous owner
Formed through association with SHG
Formed under an NGO/ Foundation
Formed through PG, PC, Farmer groups, VOs, etc. (Cooperative/ collective)
Others (Specify)
Don’t know
B04
Is your enterprise registered?
Yes, registered
Not registered
Did not know/disclose
Other (Specify)
B05
What is the type of enterprise?
Shop
Sweetshop
Medical store
Grain/Oil processing mill
Ice Factory
Brick factory
Welding units
Sawmill/ Carpenter unit/ Bamboo work/ handicrafts
Poultry units
Computer/Xerox shop
Computer Coaching centre (used for computer classes)
Mobile repair shops/ TV Repair Shops/ Other Repair Shop
Tailoring/sewing shop including Bag, saree, mini-garments manufacturing (multi-machine tailoring)
Stitching training center
Saloons (barbershops)
RO water filter plant
The small food processing unit
Jewellery and allied products making
providing services (physiotherapist, cook, trained attendants, restaurant/eatery management)
tourism services (including renting space, catering, guide, etc.)
Spice processing unit
Livestock rearing, processing unit
Freshwater aquaculture
Fruits, vegetables, and plantation crop processing unit
Producer Company
Cooperative
Others (Specify)
B06
What is the ownership structure?
Private ownership
Partnership
Family business (ownership shared with one or more members of the respondent’s family)
Owned by SHG members
Owned collectively/cooperatively (PG, PC, etc.)
Leased from another person
Others (Specify)
B07
What kind of services do you provide through your enterprise?
Manufacture products
Manufacture and sell of products
Buy and resell products
Provide services
Provide services as well as sell products
Others (Specify)
B08
What are the customer bases for this enterprise?
Local/community
Block-level
District level
State-level
National
International
B09
Is your enterprise associated with an SHG?
Yes
No
B10
If yes, who formed this SHG?
Formed under SRLM/NRLM
Formed under NRETP
Formed under some other NGO
Others (specify)
Don’t know
B11
Is the SHG a member of the village organization (VO)?
Yes
No
B12
Who has set up this enterprise?
Cluster Level Federations (CLFs)
CMRC
Village Organizations (VOs)
Producer Groups (PGs) or Producer Organizations (POs)
Micro Livelihood Plan (MLP)
Joint Liability Group (JLG)
No such organization
Don’t know
Others (Specify)
B13
Usually, who is engaged in the enterprise?
Male family members
Female family members
Male employees (besides household members)
Female employees (besides household members)
SHG members
Others (Specify)
B14
How many members or employees are engaged permanently?
B15
Do you also hire seasonal labour?
Yes
No
B16
In which month do you engage seasonal labour?
January
February
March
April
May
June
July
August
September
October
November
December
B17
How many members or employees are engaged on a seasonal basis (employed for less than a year) in 2022?
B18
Daily, how many hours do you keep your enterprise open?
B19
Daily, how many hours is the enterprise operational?
B20
Daily what is the break time ?
B21
How many days in a month is your enterprise operational on average?
B22
How many customers do you get daily on average?
Less than 3
Less than 5 more than 3
Less than 10 more than 5
Less than 15 more than 10
Less than 25 more than 15
Less than 30 more than 25
Less than 50 More than 30
More than 50
B23
What are the challenges faced in enterprise operations?
Inadequate availability of electricity
Limited availability of clean water
Competition from national/international companies
Low availability of skilled and semi-skilled labor
Inadequate availability of pucca roads
Limited options of transportation
Inadequate availability of high-quality inputs and machinery
More cost of transportation
Inadequate availability of loans
Less credit period from suppliers
Others (Specify
Don’t know
B24
Where is the business located?
Within the household (in the living area)
In the household (outside the living area) premise
Market/Commercial area
Farmland
Other fixed places
Mobile location
B25
Does the owner or owners own the location or space occupied by the business or activity?
Yes
No
B26
Does this business or activity pay any rent for the location or space it occupies?
Yes
No
B27
How much did the business or activity pay for rent in the last month?
B28
How much did the business or activity pay for rent in the last month?
B29
In the last 12 months, how many months did this enterprise operate?
B30
What is the average income/revenue in the months the enterprise operates?
B31
In any month over the last year, how many full-time individuals are working in this enterprise?
B32
In any month over the last year, how many full-time individuals in this enterprise were female?
Enterprise, Expenditure & Profits
C01
What is the average monthly expenditure for the enterprises?
C01_1
Labour
C01_2
Rent
C01_3
Repairs and Maintenance
C01_4
Raw materials (Purchase of inputs for the enterprise)
C01_5
Electricity taken from the grid
C01_6
Electricity taken from diesel generator (owned/supplier)
C02
Daily, how much revenue does your enterprise generate?
C03
On average, how much revenue do you earn from this enterprise in a month?
C04
On average, how much profit do you earn from this enterprise in a month?
C05
Where do you utilize your savings/profits from the enterprise?
Save in the bank/ post office /SHG
Use it for household purposes
Invest in the enterprise
Invest in some other business
Invest in real estate
Invest in the education of children
Invest in gold and other ornaments
Others (Specify)
Access to Markets
D01
What is the distance between the local mandi from the enterprise/ owner’s house (in case of services)?
D02
What is the distance to the APMC from the enterprise/ owner’s house (in case of services)?
D03
What is the distance to the Village panchayat from the enterprise/ owner’s house (in case of services)?
D04
What is the distance to the CMRC from the enterprise/ owner’s house (in case of services)?
D05
From where do you procure your raw material?
Local weekly markets (haat)
APMC/ district mandi
Local dealers connected to CMRC
Local dealers not connected to CMRC
Directly from HH within or nearby villages
Market in the nearest town
Market in block/district headquarters
Service-based enterprise- does not procure raw material
Others (Specify)
D06
What is the distance from which raw materials are procured for your enterprise?
D07
What are the market-level challenges faced by the enterprise?
Excessive competition owing to inadequate options to access better markets
Low customer base
Competition from national/international companies
Inadequate access to raw materials
Inadequate availability of high-quality inputs and machinery
Lack of access to urban and semi-urban markets
More cost of transportation
Inadequate number of storage and warehouses
Others (Specify)
Don’t know
D08
From where does your customer belong to?
From within the village
From nearby villages
From distant villages
From different blocks
From different districts
From different states
From different countries
Don’t know
Others (Specify)
D09
How many similar enterprises are in the village catering to the same demand?
D10
How many competitors do you have in the block?
D11
How many do you feel you have in the district?
D12
What do you feel is the impact of the competition on your business?
Competition affects revenue
Competition gives access to better inputs and raw materials
Competition improves efficiency
Village and block-level competitors lead to the creation of clustered markets and give access to distant markets for selling the products and services
Others (specify)
Don’t know
D13
Why do you feel your customers come to you for repeat purchases?
Customers come because they like the quality of my products/services
Customers come because they get a variety of goods and services
Customers come because of my honest business practices
Customers come because I provide goods and services on a credit
Customers come because of my good behavior
Others (specify)
Don’t know
D14
What do you feel about the assistance provided by OSF for developing your enterprise?
Not at all useful
Not useful
Can’t say/neutral
Useful
Quite useful
D15
According to you how useful is the assistance provided by the VOs?
Not at all useful
Not useful
Can’t say/neutral
Useful
Quite useful
D16
According to you how useful is the assistance provided by the panchayats?
Not at all useful
Not useful
Can’t say/neutral
Useful
Quite useful
Access to Credit
E01
Do you have a personal bank account?
Yes
No
E02
Type of personal bank account?
Current Account
Savings Account
Salary Account
Pension Account
Other (Specify)
E03
Does anyone in your household have a bank account?
Yes
No
E04
Type of the bank account?
Current Account
Savings Account
Salary Account
Pension Account
Other (Specify)
E05
What has been the initial investment in the enterprise?
E06A
Received money for the initial investment from the source
E06A_1
Bank
Yes
No
E06A_2
MFIs
Yes
No
E06A_3
SRLM
Yes
No
E06A_4
Government scheme/compensation
Yes
No
E06A_5
CMRC aid/assistance
Yes
No
E06A_6
Friends/Relative
Yes
No
E06A_7
Informal moneylenders
Yes
No
E06A_8
SHG
Yes
No
E06A_9
Own Savings
Yes
No
E06B
Amount received from each source
E06B_1
Bank
E06B_2
MFIs
E06B_3
SRLM
E06B_4
Government scheme/compensation
E06B_5
CMRC aid/assistance
E06B_6
Friends/Relative
E06B_7
Informal moneylenders
E06B_8
SHG
E06B_9
Own Savings
E07
Has a bank account been opened in the name of the enterprise?
Yes
No
E08
When was the bank account opened?
E09
What is the distance to the bank from the enterprise/ owner’s house (in case of services)?
E10
Have you taken a loan for the development of your enterprise?
Yes
No
E11
How many times have you taken a loan for the enterprise?
E12
Source of the loan
E12A
Did you avail of the loan from this source?
E12A_1
Bank
Yes
No
E12A_2
MFIs
Yes
No
E12A_3
Friends/Relative
Yes
No
E12A_4
Informal moneylenders
Yes
No
E12A_5
SHG
Yes
No
E12B
What was the loan amount taken
E12B_1
Bank
E12B_2
MFIs
E12B_3
Friends/Relative
E12B_4
Informal moneylenders
E12B_5
SHG
E12C
What was the interest amount charged?
E12C_1
Bank
E12C_2
MFIs
E12C_3
Friends/Relative
E12C_4
Informal moneylenders
E12C_5
SHG
E12D
How much loan has been repaid
E12D_1
Bank
E12D_2
MFIs
E12D_3
Friends/Relative
E12D_4
Informal moneylenders
E12D_5
SHG
E12E
How much loan is outstanding?
E12E_1
Bank
E12E_2
MFIs
E12E_3
Friends/Relative
E12E_4
Informal moneylenders
E12E_5
SHG
E12F
How do you repay the loan?
E12F_1
Bank
EMI
Quarterly/half-yearly payments
Yearly payments
Share of profits
Others
E12F_2
MFIs
EMI
Quarterly/half-yearly payments
Yearly payments
Share of profits
Others
E12F_3
Friends/Relative
EMI
Quarterly/half-yearly payments
Yearly payments
Share of profits
Others
E12F_4
Informal moneylenders
EMI
Quarterly/half-yearly payments
Yearly payments
Share of profits
Others
E12F_5
SHG
EMI
Quarterly/half-yearly payments
Yearly payments
Share of profits
Others
E13
Have you faced any challenges while repaying the loan?
Yes
No
E14
What are the challenges faced?
High interest rate
Lack of cash flow
Unforeseen expenses
Others
E15
According to you has COVID-19 affected the repayment of the loan?
Yes
No
E16
If yes, how has COVID-19 affected the loan repayment?
E17
Have you received any loan assistance from banks?
Yes
No
E18
What do you feel about banks' loan assistance for developing your enterprise?
Not at all useful
Not useful
Can’t say/neutral
Useful
Quite useful
E19
Have you received any loan assistance provided by microfinance institutions?
Yes
No
E20
What do you feel about the loan assistance provided by Microfinance institutions for developing your enterprise?
Not at all useful
Not useful
Can’t say/neutral
Useful
Quite useful
E21
Have you received any loan assistance provided by OSFs?
Yes
No
E22
How useful did OSFs provide the loan assistance for the development of your enterprise?
Not at all useful
Not useful
Can’t say/neutral
Useful
Quite useful
Participation of Women
F01
Does any female family member assist you in your enterprise operations?
Yes
No
F02
The number of female family members assisting in the enterprise operations?
F03
How do they get their compensation?
No compensation
Share of profits
Fixed Salary
Part ownership/ partnership
Monetary compensation (not fixed)
Compensation for goods or kinds of food
Others (specify)
F04
Do you employ females (other than family members) in your enterprise?
Yes
No
F05
How are they employed?
Part-time/ seasonally
Full time
Others (Specify)
F06
How many females (other than family members) are employed?
Less than 3
Less than 5 more than 3
Less than 10 more than 5
Less than 15 more than 10
Less than 25 more than 15
Less than 30 more than 25
More than 30
Others (Specify)
F07
How are the hired female workers paid their compensation?
No compensation
Share of profits
Fixed Salary
Part ownership/ partnership
Monetary compensation (not fixed)
Compensation for goods or kinds of food
Others (specify)
F08
Will you hire females in the enterprises if the need arises?
Yes
No
F09
If No, why will you not hire women?
Females are not suited for this type of work
Customers/community do not prefer if females are employed in this work
Females in the region are not keen to do this work
I prefer employing males only
Others (Specify)
Don’t know
F10
What is the level of involvement of female family members in the following activities
F10_1
In deciding the product be sold/service to be provided
No engagement
Equally involved as the entrepreneur
Involved when asked for
The female member is the sole decision-maker
F10_2
In deciding the amount of investment
No engagement
Equally involved as the entrepreneur
Involved when asked for
The female member is the sole decision-maker
F10_3
In deciding from which market raw materials need to be procured
No engagement
Equally involved as the entrepreneur
Involved when asked for
The female member is the sole decision-maker
F10_4
In deciding the pricing of the product/service
No engagement
Equally involved as the entrepreneur
Involved when asked for
The female member is the sole decision-maker
F10_5
In deciding the market where the final product is to be sold
No engagement
Equally involved as the entrepreneur
Involved when asked for
The female member is the sole decision-maker
F10_6
In deciding if and when the additional loan needs to be taken
No engagement
Equally involved as the entrepreneur
Involved when asked for
The female member is the sole decision-maker
F10_7
Looking after the daily operations of the enterprise
No engagement
Equally involved as the entrepreneur
Involved when asked for
The female member is the sole decision-maker
F10_8
In deciding where the profit can be spent or invested
No engagement
Equally involved as the entrepreneur
Involved when asked for
The female member is the sole decision-maker
Expansion Plans, Feedback, and Suggestions
G01
Do you plan to expand your business?
Yes
No
G02
What are your plans for the expansion of the enterprise?
Increase shop/ establishment capacity
Avail own transportation facilities to access better markets for both selling and raw materials
Improve production technology to reduce the cost of production
Improve production technology to improve quality
Diversify into other businesses
Hire more employees
Others (specify)
G03
What are the suggestions you can help your enterprise to expand further?
Diversify into products or services which are currently not catered to in the existing market
Greater access to a better customer base or geographic region
Improved awareness among the existing customer base
Improved quality of products
Greater access to raw materials
Availability of low-cost raw materials
Availability of high-quality inputs and machinery
Access to urban and semi-urban markets
Better availability of transportation
Better availability of loans
Better credit period from suppliers
Availability of easy loans at lower interest rates
Availability of EMI options for loan repayments
Availability of short-term loans at no interest rates
Development of cluster markets
Others (specify)
G04
Have you received any assistance from SHG structure/network?
Yes
No
G05
How useful is the assistance the existing SHG structure/network provides for developing your enterprise?
Not at all useful
Not useful
Can’t say/neutral
Useful
Quite useful
G06
Have you received any assistance from OSF?
Yes
No
G07
How useful does OSF assist in the development of your enterprise?
Not at all useful
Not useful
Can’t say/neutral
Useful
Quite useful
G08
What additional support do you need from OSF for expansion?
Easy access to markets
Easy availability of loans from banks
Improved condition of roads
Improved condition of mandis and APMCs
Better warehouses and storage space
Access to better input and raw materials
Others (specify)
G09
Have you received any assistance from a government-provided loan?
Yes
No
G10
How useful does the government provide loan assistance for the development of your enterprise?
Not at all useful
Not useful
Can’t say/neutral
Useful
Quite useful
G11
Do you need any additional support from the government for expansion?
Yes
No
G12
What additional support do you need from the Government for expansion?
Easy access to markets
Easy availability of loans from banks
Improved condition of roads
Improved condition of mandis and APMCs
Better warehouses and storage space
Access to better input and raw materials
Others (specify)
G13
Do you need any additional support from the VOs and SHGs for expansion?
Yes
No
G14
What additional support do you need from the VOs and SHGs for expansion?
Creation of more PGs, Pos, and SHGs for community mobilization
Assisting enterprises in marketing their products to better markets
Mobilizing more FIs and SHGs to give access to more loans
Creation of clusters of similar enterprises to generate national and international demand
Others (specify)
G15
Has the enterprise faced any challenges that are hindering expansion plans?
Yes
No
G16
What are the biggest challenges hindering expansion plans?
Inadequate access to funds
Loss of demand for the products/services
Impact of COVID-19 on reducing the stream of revenue
High cost of production
Competition from international and national firms for similar products
Lack of access to the latest production technologies
Others (specify)
G17
How will the expansion plans impact women?
More women will get hired
Emergence of women-led similar business
No Impact
Others (specify)
Don’t know
G18
What are the suggestions you that can help your enterprise to get better access to the input market?
Diversify the products to allow for accessing different demands in the same market with reduced competition
Greater access to a better customer base or geographic region
Improved awareness among the existing customer base
Better road and rail infrastructure
Greater access to raw materials
Availability of low-cost raw materials
Availability of high-quality inputs and machinery
Access to urban and semi-urban markets
Better availability of transportation
Others (Specify)
Don’t know
G19
What are the suggestions you that can help your enterprise to get better access to the output market?
Diversify the products to allow for accessing different demands in the same market with reduced competition
Greater access to a better customer base or geographic region
Improved awareness among the existing customer base
Better road and rail infrastructure
Greater access to raw materials
Availability of low-cost raw materials
Availability of high-quality inputs and machinery
Access to urban and semi-urban markets
Better availability of transportation
Others (Specify)
Don’t know
Effect of COVID-19
H01
Did the operations of the enterprise continue during the COVID-19?
Yes
No
H02
How were these operations carried out during the COVID-19?
Through digital payment
Door-to-door services
Others (specify)
H03
Has the COVID-19 disrupted the enterprise’s access to raw materials or customers?
Yes
No
H04
Effect of COVID-19
H04A
There was an effect on the revenue
H04A_1
Loss of customers
H04A_2
Loss of suppliers
H04A_3
Absence of transportation
H04A_4
Higher cost of transportation
H04A_5
Higher cost of production
H04A_6
Loss of employees/ laying off employees
H04A_7
Lack of access to raw materials
H04B
INR loss
H04B_1
Loss of customers
H04B_2
Loss of suppliers
H04B_3
Absence of transportation
H04B_4
Higher cost of transportation
H04B_5
Higher cost of production
H04B_6
Loss of employees/ laying off employees
H04B_7
Lack of access to raw materials
H05
What percentage of your staff/employees had to be laid off?
H06
What percentage of your staff/employees could not come to work due to the pandemic?
H07
What are the main financial problems that you faced due to the pandemic?
Staff wages and social security charges
Inadequate Cashflows
Rent
Repayment of loans
Payments of invoices
Other expenses
No problem
H08
How did you deal with the cash flow problems during the pandemic?
Loans by commercial banks
Loans by microfinance or SHGs
Loans by moneylenders or private individuals
Negotiating with lenders to avoid withdrawing loans
Equity financing (adding new shareholders or capital increase of former shareholders)
Reduction of operating costs (e.g., layoffs and salary reductions)
Temporary shutdown of business
No cash flow shortfalls problem
Other (Specify)
H09
What are the main means you adopted to deal with the shortage of workers?
Wage increases for existing employees
Use of machinery
Outsourcing orders
Delay in delivery
No shortage of workers problem
Other (Specify)
H10
What are the main means to deal with the shortage of raw materials during the pandemic?
Reduction of production
Outsourcing orders
Increasing the procurement prices
Seeking new procurement channels
Delaying goods delivery
No shortage
Others (Specify)
H11
What are the main means you adopted to deal with difficulties in fulfilling contracts during the pandemic?
Settlement by mutual agreement
Legal or arbitral settlement
Expect the government to coordinate and provide clear disclaimer agreements
Payment of liquidated damages
No issues
Others (Specify)
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