SURVEY ON FINANCIAL INCLUSION (QUESTIONNAIRE) Place of Survey: _______________ Name: ______________________ Gender: M/F No.

of family members: ___ adults Date: _____ __

Age: ______ _______ Occupation: ____ ___ children __________

A. SAVINGS: 1. Is your household having a one bank account? Yes No 2. No. of accounts in your household: 1 2 3 4 More than 4 3. Which type of account do you have? Savings Bank a/c Current a/c Recurring Deposit a/c Fixed Deposit a/c If others, (please specify) ___________________________ 4. Is the bank account with a cheque book? Yes No

5. What were the reasons that your household opened the account? To receive Govt. payments from NREGP To receive Govt. payments from schemes other than NREGP For receiving remittances For saving money To request a loan If others, (please specify) ___________________________ 6. Who helped you open the account? Village Panchayat Officials Bank Officials Neighbor Friends/Relatives If others, (please specify) ___________________________ 7. How frequently do you save in your account? dont save / never At least once a month Less than once a month I put in money as and when I can I have paid money in but not in past 12 months I have not added money since account was opened If others, (please specify) __________________________ 72

8. Reasons for not having a bank account: I have no money/little money to put in No bank in this area No point - benefits received in cash No point - paid in cash Concerned there may be too many charges Tried to open but was refused Lengthy processes Not important to me Anticipated rejection If others, (please specify) _____________________________ 9. Reasons for being refused a bank account: No ID Previous bad credit history No job, unemployed Had to have a minimum amount Had debts Thought I was not trustworthy Not lived here long enough - no credit history - use spouse's account Don't know - did not say If others, (please specify) ___________________________ 10. Are you aware that banks are opening zero min. balance accounts for everyone? Yes No 11. How did you find out that banks were opening such no-frills accounts? Bank Officials SHG Members NGOs Neighbors Village Panchayat Farmer Clubs Posters Village Meetings Newspapers/Advertisements If others, (please specify) ___________________________ 12. Do you have any grievances in your no-frills a/c? No If yes, please specify? _____________________________________ B. BORROWINGS: 13. Have your household ever borrowed or taken a loan? No If yes, from where? Banks Relatives Friends Moneylenders If others, (please specify) _________________________

73 14. If borrowed from banks, which of the following reasons led to this choice? Low rate of interest Was offered/arranged by the banks It is easy (vague) Trustworthy lender If others, (please specify) ___________________________ 15. If borrowed from sources other than banks, which of the following reasons led to this choice? Being able to borrow relatively small sums I did not need to provide security or guarantees It was available locally I can make repayments in cash in small weekly or fortnightly sums It is convenient because they come to the door to collect It is because I know the lender/collector If others, (please specify) ___________________________ 16. If ever borrowed, what was the type of the credit/loan? Housing loan Business Loan Training/Education loan Vehicle loan If personal loan, purpose of the loan Household items Computer Day to day living expenses or bills To pay off other debts If others,(please specify) ____________ __ If others, (please specify) ________________________ 17. If loan was availed, what difficulties were faced in the process? ______________________________________________________________________ ________ ____ 18. In the past three years, have you been refused a loan or credit? Yes No Not asked for any credit 19. If you were refused, do you know why you were turned down? Please give details. ______________________________________________________________________ ______________________________________________________________________

C. OTHER FINANCIAL SERVICES 20. Are you using any other form of financial service or product? No If yes, then which one: Insurance Credit card Debit card If others, (please specify) ______________________ 74 21. What were the reasons for not availing any form of insurance? Too expensive, can't afford it Just don't bother, no real reasons No need for it I don't have much, nothing valuable I am in process of doing it No insurance men coming to door now Have to have bank account If others, (please specify) ___________________________________ 21. If already having insurance, which of the following type is it? Life insurance Health insurance Vehicle insurance If others, (please specify) ____________________________ 22. Reason for using the above said financial service(s)? ______________________________________________________________________ ______________________________________________________________________ 23. What difficulties were faced in the process of accessing the above financial service(s)? ______________________________________________________________________ ______________________________________________________________________ 24. In the past three years, have you been refused any of the above financial product(s)? Yes No Not asked for any credit 25. If you were refused, do you know why you were turned down? Please give details. ______________________________________________________________________ ______________________________________________________________________ 26. Over the past couple of years, have you been anywhere for taking advice about money matters? No, no where Family/friends Bank

 Financial Adviser Social worker

Others

___________ __

27. And would you say this advice was Very helpful Helpful Neither helpful nor unhelpful Very unhelpful Not sure 28. Is there any financial advice centre/credit counseling center in your area? Yes No 29. If yes, how satisfied are you with its working and the advice it provides? Completely satisfied Satisfied Just ok Unsatisfied Completely unsatisfied 30. If you are not satisfied with its working, then please give reasons. ______________________________________________________________________ ______________________________________________________________________ 75 31. At present how worried are you about getting into debt? Very worried Fairly worried Not very worried Not at all worried Not sure 32. What would you do if you needed money in an emergency? Ask family or friends Take out a bank loan or overdraft Take out loan from other sources Use my credit card Sell something Draw on savings Don't know If others, (please specify) ___________________________________ 33. Level of interest in local financial services (1.Very interested 2.Fairly interested 3.Not very interested 4.Not at all interested 5.Not sure): Saving small amounts of money 12345 Take out a loan at reasonable interest 12345 Taking a business loan 1234 5 Advice about managing debts 12345 Advice on welfare benefits 12345 More information about financial matters 12345 34. Level of importance in the following (1. Very important 2. Fairly important 3. Not very important 4. Not at all important 5. Not sure): Bank a/c 12345 Small personal loan 12345 Credit card 12345 Financial counseling 12345 Investment advice 12345 Financial education 12345

35. Are you satisfied with the BC/BF model or you feel the need of a bank branch at your place? Yes, satisfied No, not satisfied (please give reasons) _______________________________________________ _ ______________________________________________________________________ 36. What do you think that the Government, local bodies, banks, NGOs and others might need to do to further achieve financial inclusion? ______________________________________________________________________ ______________________________________________________________________