MEMBER’S QUESTIONNAIRE

“SHIVA CREDIT CO-OPERATIVE SOCIETY Ltd”, HONNALI

Secretary Signature Date:

1. Name :
2. Residing At :
3. Contact No :
4. Age : 18-22 [ ] 22-35 [ ] 35-60 [ ] 60
&above [ ]
5. Sex : Male [ ] Female [ ]
6. Occupation : Agricultural
[ ]
Businessman [ ]
Employee [
]
House Wife [
]
Retired Person [ ]
Other [ ]

7. Annaul Incom : Up to 10,000 [ ]

10,000 to 50,000 [
]
50,000 to 1,00,000 [
]
Above 1,00,000
8. How do you come to know about the society?
a) Friends [ ]
b) Relatives [ ]
c) Advertisements [ ]
d) Others [ ]

9. From how many years you are dealing with this society?
_______________

10. Have you made any deposits in society : Yes [ ]

No [ ]
a) If yes, what type of deposit you have made :
i. Savings Deposit
[ ]
ii. Current Account
[ ]
iii. Fixed Deposit
[ ]
iv. Recurring Deposit
[ ]
v. Shiva Yojana Nidhi
[ ]
vi. Pigmy Deposit
[ ]
vii. Safe Locker Deposit
[ ]
11. Have you taken loan from the society: Yes [ ]
No [ ]
a) If Yes, Which type of loan?
i) Self Loan [ ]
ii) Vehicle loan [ ]
• Two/Three Wheeler loan [ ]
• Four Wheeler loan [ ]
iii) Business Improvement Loan [ ]
iv) Loan on fixed deposit [ ]
v) Loan on Salary [ ]
vi) Ornament Loan [ ]
vii) Building construction/Expansion/Purchase loan[ ]
viii) Loan on recurring deposit [ ]
ix) Shiva yojana Nidhi loan [ ]
x) Loan on Pigmy Deposit [ ]

b) For which purpose :

1. Agriculture [ ]
2. Business [ ]
3. Employee [ ]
4. Construction of House [ ]
5. Marriage [ ]
6. Others [ ]

12. What is your opinion about rate of interest charged

on loans?
13. Hight [ ] b) Considerable [ ] c) Low [ ]

14. Time period of your loan : 6 Months [ ] 1

Year [ ]
2 Years [ ] 3 Year or
more [ ]

15. Reasons to take loan in this society :

Low rate of interest [ ]
Easy to get loan [ ]
Easy installment [ ]
Other [ ]

16. Are you making use of lockers provided by the

society : Yes [ ] No [ ]

17. Do you get prompt service at the counter :

Yes [ ] No [ ]

18. What is your opinion on service provided by the society?

a) Excellent [ ]
b) Good [ ]
c) Satisfactory [ ]
d) Not satisfactory [ ]

19. What is your opinion on the punctuality of staff

members of the society?
a) Excellent [ ]
b) Good [ ]
c) Satisfactory [ ]
 d) Not satisfactory [ ]

20. Any other complaints on society functioning

21. suggestions on society functioning-

Signature:
Date: