Professional Documents
Culture Documents
Sr. Location Ward Name of the shop Name of the owner Use/ Activity Contact details
no. No. or building
a. Address ________________________________________________________
_________________________________________________________
b. No. of employees in shop – _______
3. Business information
a) Business timings (a) 9am to 4pm (b) 9am to 6pm (c)9am to 8pm (d)9am to 10pm
b) Working days per week (a) 4 (b) 5 (c) 6 (d) 7
c) Peek business hours(a) 10am to 12pm (b) 12pm to 3pm (c)3pm to 6pm (d)6pm to 9pm
d) Monthly profits (a) Up to 10,000 (b)10,000-20,000 (c)20,000-30,000 (d)30,000 and above
4. Building information
a) Shop typology – (a) public outlet (b) private outlet
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b) Plot size - ________________m
c) Plinth size - ________________m2
d) Land value - ________________
e) Shop ownership - (a) owned (b) rent If (b), rent per month, ______________
f) Shop typology – (a)single (b)complex (c)mall (d)others(specify)_______________
g) Age of shop - ______________
h) Material finish
(a) Foundation (b) floor (c) walls (d) roof
i) Parking facility – Yes No if yes, how many ___________
Is parking adequate? __________________________
5. Customer information
a) Approx. no. of customers per hour - (a) up to 5 (b) 5-10 (c) 10-15 (d) more than 15
b) Age group of customers - (a) 0-18 (b) 18-30 (c) 30-45 (d) above 45
6. Physical Infrastructure:
a. Water supply
1. Source of water supply - (a)Municipal (b) Wells (c) Others (specify)_________________
2. Frequency of supply - (a) Daily (b) Alternate (c) Once in three days
3. Duration of supply - (a) 1/2 hrs (b) 1-2 hrs (c) 2-3 hrs (d) > 3 hrs
4. Average monthly bill (In Rs.) _______________________
5. Quality of water - (a) Good (b) Average (c) Bad
c. Solid Waste:
1. Collection Method – (a) Self (b) Other (specify) _______________
2. Where is garbage dumped? - (a) Garbage bins (b) Road side (c) Open land (d) Others _____________
3. At what distance do you dispose (approx.) - (a) Up to 10 mts (b) 10-20 mts (c) 20-50 mts (d)>50 mts
4. Frequency of collection - (a) Daily (b) Alternate (c) Once in a week
5. Monthly payment for collection: ________________________
d. Electricity:
1. Service provider - (a) Government (b) Private (c) Others
2. Power cuts - (a) Once in day (b) Twice in a day (c) Frequently (d) Rarely
No. of hrs: ________ (a) Summer_________ (b) Winter ___________
3. Average monthly bill (In Rs.) (a) up to 5,000 (b)5,000-10,000 (c)10,000-15,000 (d)above 15,000
Observations:
1. Drains: Open Covered
2. Garbage on the roads: Yes No
3. Presence of Street Lights: Yes No
4. Trees along the Roads: Yes No
5. Nearest bus-stop ________________________________________
6. Electrical transformer_____________________________________
7. Nearest substation _______________________________________