English - Freedom from Hunger
English - Freedom from Hunger
English - Freedom from Hunger
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appendix 2. Impact story Questionnaire<br />
Member Details<br />
name of Member<br />
_____________________________________<br />
name of Community<br />
_____________________________________<br />
name of Credit association<br />
_____________________________________<br />
age of Member<br />
_____________________________________<br />
living environment<br />
Peri-urban/semi-urban <br />
Rural <br />
size of first loan _________<br />
size of current loan _________<br />
Total number loans taken _________<br />
Interview Details<br />
First visit<br />
second visit<br />
Third visit<br />
Name of the<br />
Interviewer<br />
Date<br />
DD/MM/<br />
YR<br />
__/___/__<br />
__/___/__<br />
__/___/__<br />
Member Id:<br />
_____________________________________<br />
no. of Months/Years as a Member<br />
______________ OR ________________<br />
(months) (years)<br />
Credit association Id:<br />
_____________________________________<br />
Type of business<br />
_____________________________________<br />
name of Field agent<br />
_____________________________________<br />
Current amount in savings<br />
_____________________________________<br />
Start time<br />
(24-hour<br />
format)<br />
____:____<br />
____:____<br />
____:____<br />
End time<br />
(24-hour<br />
format)<br />
Interview<br />
Successfully<br />
Completed?<br />
____:____ 1. Yes …<br />
2. no. …<br />
____:____ 1. Yes …<br />
2. no. …<br />
____:____ 1. Yes …<br />
2. no. …<br />
aPPendICes<br />
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