Annexure - Shodhganga

Annexure
288
Empowering Women through Micro Financing and Micro
Enterprising
(A study of „Kudumbashree‟ in Kerala)
Questionnaire for Individual Beneficiaries
PART: A
GENERAL INFORMATION
1. Name
:
______________________________
2. Address
:
______________________________
______________________________
______________________________
______________________________
3. Telephone/Mobile, if any
:
______________________________
4. Religion
:
1=Hindu, 2= Muslim, 3= Christian,
4=Others
5. Caste
:
1= General, 2=OBC, 3=SC/ST,
4=Others
6. Age in years
:
_______
7. Educational qualification
:
1=No education, 2=Primary
education,3=Secondary education,
4=
Pre Graduation,5=Graduation, 6=Postgraduation and other, 7= any others,
specify_______________
8. Family income per annum
:
1= Below Rs. 50,000/-, 2= Rs. 50,000/- to
(from all sources)
Rs.1,00,000/-,
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3=Rs.1,00,000/- to Rs.2,00,000/-,
4=Rs. 2,00,000/- and above
9. Whether Below Poverty Line:
Yes /No
10. Number of Children
______________
:
PART: B
INFORMATION REGARDING NHGs
1. Name of the NHG you belong to
:____________________________
2. Year of joining the NHG
: ____________________________
3. Total number of members in the NHG now : ______________________
4. Frequency of the meeting
: 1=Weekly, 2=fortnightly, 3=monthly
5. Attendance in meetings
: 1=Regular, 2= some times, 3=rarely,
4=Never
6. Major activities you are involved in: a._______________________________
b._____________________________
c._____________________________
7. Monthly Contribution to the NHG
:
Rs._____________________
8. How much loan is given to you by the NHG :
(Specify latest five events)
Sr. No.
Purpose*
Year
1
2
3
4
5
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Loan amount (Rs.)
* Purpose of loan:
1=Day-to-day expenditure, 2=children‘s education,
3=healthcare, 4=marriage of daughter or son, 5=house construction, 6= repayment of
old loan, 7=festival celebration, 8=for purchase of household items, 9=for starting
any income generating activity, 10=others (specify)
9. If the loan is obtained for any Income Generating Activity,
(Specify recent five)
Sr. No.
Activity
Year
Loan amount
(Rs.)
1
2
3
4
5
10. Rate of interest on the loan
:____________________________
11. Mode of the repayment of the loan
:1=Monthly, 2=Quarterly, 3=Annual,
4=any other specify ______________
12. Is there any default in repayment?
:
1=Yes, 2=No
13. If yes, please explain the reasons
:_______________________________
_______________________________
_______________________________
14. Amount outstanding
15. Have you got any government
assignment with Kudumbasree
programme
:
Rs.______________________
:1=Anganwadi, 2=Survey, 3=any other,
specify _________________________
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16. Annual income from such assignments :
Rs
_____________________
17. Average annual income from income
generating activities associated with
Kudumbashree
:
Rs.
____________________
PART: C
IMPACT ANALYSIS
18. Family‘s average annual income
(Before joining the NHG)
:
Rs. ________________
:
Rs. ________________
:
Rs. ________________
:
Rs. ________________
:
Rs. ________________
:
Rs._________________
19. Family‘s average annual income
(After joining the NHG)
20. Monthly expenditure on
Children‘s education
(Before joining the NHG)
21. Monthly expenditure on
Children‘s education
(After joining the NHG)
22. Monthly expenditure on
Family‘s health care
(Before joining the NHG)
23. Monthly expenditure on
Family‘s health care
(After joining the NHG)
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24. Do you experience any
:
1=Considerable improvement,
Change in general standard
2=Moderate improvement,
of living after joining the NHG
3=No change, 4=Deterioration
PART: D
BANK LINKAGES AND GOVERNMENT SUBSIDY
25. Do you get any subsidy by the
government on loan amount?
: Yes / No
26. If yes, in what form?
:1=Interest subsidy, 2=any others,
Specify___________________
27.If yes, purpose of loan
: a._________________________
on which subsidy is given
b. _________________________
c. _________________________
28.Details regarding the loan and subsidy
amount for Income Generating Activities
in the last five years
Sr.
No.
Activity for which
loan is obtained
:
Loan Amount
(Rs.)
1
2
3
4
5
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Scheme under which
subsidy is given
Subsidy
amount (Rs.)
29. Does your NHG borrow from other
NHGs in your ADS/CDS for meeting
the credit demands of the members
in your NHG?
:
1=Yes, 2=No
:
1=Yes, 2=No
:
1=Yes, 2=No
30. Whether the surplus funds of your
NHG are given to other NHGs to
meet the loan requirements of other
ADS/CDS?
31. Does your CDS get funds from banks
or any other financial institutions
for giving loans to members in
your NHG?
32. If yes, specify the name of the
Institutions
:______________________________
PART: E
CURRENT STATUS OF THE ENTERPRISE
33. Status of the enterprise
:Self- Employment: 1=Group
Venture, 2=Individual Ventures,
3=any other,
specify____________________
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34. Name of the activity in the unit
:
1=Production of soap, 2= Biofertilizer,
3=Coconut oil, 4=any others,
specify
_________________________
35. Whether the activity or the
method of production is new
:
Yes / No
:
Amount in Rs._____________
:
Amount in Rs._____________
38. Repayment due
:
Amount Rs.________________
39. Net monthly earning of the unit
:
Amount Rs.________________
40. Brand name for the product/services :
__________________________
36. Total investment
37. Amount of subsidy received from
government /bank
41. Mode of marketing
:1= Door to door campaigns, 2=Local
Market, 3=nearby towns, 4=Any other,
specify_______________
42. Marketing strategy
:1=Word of mouth, 2=Using boards,
3=Pamphlets, 4=Any other,
specify___________________
43. Marketing problems
:
1=High price, 2=Better
substitute,
3=Poor packaging, 4=
Transportation problems, 5=Any
others, specify_____________
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44. How much is your net income
From different activities in last
five years
Sr. No.
Year
:
Annual Income
(Rs.)
Activity
45. Number of persons working in your unit
:
a. Household_________
b. Hired_____________
46. Have you received any training so far?
:
47. If yes, specify
:
1=Yes, 2=No
a) Name of the training organization
: ________________________
b) Nature of training
: ________________________
48. How many workers were there at the
starting of the operation?
:
No._________________
49. At present how many workers are working? :
No._________________
50. Please explain the reasons if some workers
have left the unit
:
a. _________________
b. __________________
c. __________________
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PART: F
GENERAL INFORMATION
51. How do you rate the support received
:
from family members?
1=Very Good, 2=Good,
3=Average, 4=Poor,
5=No comments
52. Are there instances of the following in your
units?
:
1=mismanagement,
2=un-utilization of
funds, 3=wastage of
funds,4=Lack of
coordination,
5=corruption,
6=any others,
specify________
53. Explain any two instances
:1. _______________________
_______________________
_______________________
2.________________________
_______________________
_______________________
54. How do you rate the support/performance
of NHGs/ADS/CDS
: 1=Very Good, 2=Good,
3=Average, 4=Poor, 5=No
comments
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55. What are the problems in Kudumbasree
micro credit schemes?
: 1. ______________________
2. ______________________
3. ______________________
56. What are the reasons of success of
Kudumbasree micro credit schemes?
: 1. ____________________
2. ____________________
3. ____________________
57. To what extent Kudumbashree schemes are
successful in reducing poverty and improving
the income of the family?
:
1=To a great extent,
2=To a limited extent,
3=Not at all successful
58. Do Kudumbasree schemes help in improving
the position of women in the family?
59. If yes, explain how
:1=Yes, 2=No, 3=Do not know
:
______________________________________________________________
______________________________________________________________
______________________________________________________________
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60. What are the innovative projects that
Kudumashree units have taken in
your area?
: 1. _______________________
2. _______________________
3. _______________________
4. _______________________
5. _______________________
61. Your comments relating to the
: _________________________
support from local government etc.
_________________________
_________________________
62. Any other comments
: ________________________
________________________
_________________________
Signature: ________________________
Place of Survey: ___________________
Date of Survey: ___________
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