Mfi-Survey-Questionnaire
Questionnaire No. _______
NATIONAL ANTI-POVERTY COMMISSION ENHANCING ACCESS OF THE POOR TO MICROFINANCE SERVICES IN FRONTIER AREAS
Questionnaire for Microfinance Institutions( MFIs)
DATE: TIME STARTED: TIME ENDED: ENUMERATORS NAME: TO BE FILLED UP BY THE RESPONDENT(S) 1. Name of the Organization:______________________________________________________ 2. Acronym: ___________ 3. Address: ____________________________________ (building number , street, zip code 4. ________________________ City/town/municipality 5. Province: ________ 6. Telephone (Area Code) _______ (Office)_________________ (Cell )_____________________ 7. Fax Number: ____________________________________ 8. E-mail Address: __________________________________ POSITION(S) OF RESPONDENT(S) AND NAME(S): 9. 10. 11.
To be filled up by Enumerator(Branch Level): 12. What percentage of the surrounding area has electricity_______% Availability of communication facilities 13. Land line connection: yes………1 no……….2 14. Cellphone services: yes………1 no……….2 15. MFIs Branch office approximate distance (in kilometers) to nearest client(s) ______kms. 16. Is there regular land transportation (indicated by public transport such as jeepneys, tricycles, other means of road transport) yes………1 no……….2 17. What percent of your clients walk to your office or meeting location? ________%
NATIONAL ANTI-POVERTY COMMISSION TA 4544: ENHANCING ACCESS OF THE POOR TO MICROFINANCE SERVICES IN FRONTIER AREAS
1
Questionnaire No. _______
MODULE I- VISION,MISION,GOVERNANCE & MICROFINANCE OPERATIONS
I. ORGANIZATIONAL ASPECTS A. ORIGIN AND MISSION What year was your organization 18. founded? ________ 19. registered? _______ 20. Do you have a mission statement? (yes=1 no=2) _____ If yes, may I have a copy please.
B. REGISTRATION Is your organization registered with : 21. Cooperative Development Authority (yes=1 no=2) ____ 22. Securities and Exchange Commission (yes=1 no=2) ____ 23. Bangko Sentral ng Pilipinas (yes=1 no=2)
NATIONAL ANTI-POVERTY COMMISSION ENHANCING ACCESS OF THE POOR TO MICROFINANCE SERVICES IN FRONTIER AREAS
Questionnaire for Microfinance Institutions( MFIs)
DATE: TIME STARTED: TIME ENDED: ENUMERATORS NAME: TO BE FILLED UP BY THE RESPONDENT(S) 1. Name of the Organization:______________________________________________________ 2. Acronym: ___________ 3. Address: ____________________________________ (building number , street, zip code 4. ________________________ City/town/municipality 5. Province: ________ 6. Telephone (Area Code) _______ (Office)_________________ (Cell )_____________________ 7. Fax Number: ____________________________________ 8. E-mail Address: __________________________________ POSITION(S) OF RESPONDENT(S) AND NAME(S): 9. 10. 11.
To be filled up by Enumerator(Branch Level): 12. What percentage of the surrounding area has electricity_______% Availability of communication facilities 13. Land line connection: yes………1 no……….2 14. Cellphone services: yes………1 no……….2 15. MFIs Branch office approximate distance (in kilometers) to nearest client(s) ______kms. 16. Is there regular land transportation (indicated by public transport such as jeepneys, tricycles, other means of road transport) yes………1 no……….2 17. What percent of your clients walk to your office or meeting location? ________%
NATIONAL ANTI-POVERTY COMMISSION TA 4544: ENHANCING ACCESS OF THE POOR TO MICROFINANCE SERVICES IN FRONTIER AREAS
1
Questionnaire No. _______
MODULE I- VISION,MISION,GOVERNANCE & MICROFINANCE OPERATIONS
I. ORGANIZATIONAL ASPECTS A. ORIGIN AND MISSION What year was your organization 18. founded? ________ 19. registered? _______ 20. Do you have a mission statement? (yes=1 no=2) _____ If yes, may I have a copy please.
B. REGISTRATION Is your organization registered with : 21. Cooperative Development Authority (yes=1 no=2) ____ 22. Securities and Exchange Commission (yes=1 no=2) ____ 23. Bangko Sentral ng Pilipinas (yes=1 no=2)