Survey Questionnaire on Microfinance Loan Impact

before and After

Name of the Respondent: ___________________

Date: _________

1. Age?
10-20
20-35
35-50
50-70
2. Education?
Illiterate
Primary
Secondary
Higher Secondary
Graduate/ Post Graduate
3. Marital status?
Single
Married
Divorced
Widow
4. Occupation?
Farming
Labor work
Business/ Trade
Civil Servant
5. Monthly Income before taken a loan?
Below 5000
5000-10000
10000-15000
15000-20000
6. Monthly Income after taken a loan?
Below 5000
5000-10000
10000-15000
15000-20000
7. Number of years have taken a loan?
Up to 1 year
1-4 years
5-8 years
Above 8 years
8. Did you change the business after taken loan?
Yes
No

9. Did you think of taking the loan when first started work?
Yes
No
10.

Is your work not successful without loan?

Yes
No

11.

The amount of taken loan?

Upto 5000
5000-10000
10000-15000
15000-20000
Above 20000

12.

Difficulties while taking loan?

House lease given as guarantee
Gold given as guarantee
Social Collateral
Any other

13.

Are you aware of their loan policy

Aware
Fully aware
Not aware
Any other

14.

For what did you work take a loan

To develop a present work
To pay the old loan
Run the new business
For child education
For livestock
Any other

15.

Which improvement after taken a loan?

Better children Education
Improve better run the business
Improve quality of life
Other Specify________________________

16.

Before condition taken a loan?

Low living standard
Poor business
Poor condition of house
Poor condition of childrens education
Poor health
Other Specify_________________________

17.

Dose any betterment of child education after taken a loan?

Yes

No

18.
Does any betterment to your and all family health after taken
loan?
Yes
No
19.

Your living standard before taken a loan?

Very Poor
Poor
Not good
Good

20.

Your living standard after taken a loan?

Good
Some Better
Same
Poor

21.

Which type of your house?

Mud
Semi Pacca
Pacca
Other

22.

Any changes of your house after taken a loan?

Yes
No

23.

Which type of livestock mostly purchase from a loan?

Goat
Sheep
Cow
Buffalo

24.

Number of livestock before taken a loan?

1-3
4-7
8-12
13-20

25.

Number of livestock after taken a loan?

1-3
4-7
8-12
13-20

26.

Which type of business you performed?

Shop/Cabinet
Trade
Dairy form
Small Wholesaler

27.

Earning from business before taken a loan?

1000-3000

4000-7000
8000-12000
13000-20000
28.

Earning from business after taken a loan?

1000-3000
4000-7000
8000-12000
13000-20000

29.

Which type of handicraft you perform?

Swing
Hand and Embroidery
Any other

30.

Any changes in handicraft after taken a loan?

Yes
No
Condition milk production before taken a loan?
Very Poor
Poor
Not good
Good

31.

32.

Condition milk production before taken a loan?

Good
Some Better
Same
Poor

33.
Your purchase any livestock from loan then livestock milk you
drink or sell in the market?
Sell in the market
Self