Annex C

Questionnaire

Section A. Basic Background Characteristics

A01	Name of respondent
A02	What is your age?
A03	What is your marital status?	Choose one option. Not married Married Divorced Widowed
A04	What is the highest level of school that you completed?
A05	Who is the head of your household? (head of household is a person among the group of householders who is responsible for satisfying daily necessities of the household or a person who is regarded/assigned as the head of the household)	Chose all that apply. Respondent Spouse Mother/Father Mother in Law/Father in Law Joint heads: ____________________ Other: ____________________ Unsure
A06	How many individuals normally live and eat their meals together in your household, including you?	_________ people
A07	Do you have any children?	Choose one option. If a, please answer questions i, ii and iii. Yes How many children do you have? What are their ages? What is the highest level of schooling each child has completed? No
A08	Do you have a “below poverty line” (BPL) card, an “antyodaya anna yojana” (AAY) card, or an “above poverty line” (APL) card?	Choose one option. Below poverty line (BPL) Antyodaya anna yojana (AAY) Above poverty line (APL) None Unsure Other: ____________________
A09	Do you receive food rations from the government?	Choose one option. If a, please answer question i. Yes How much do you receive? No

Section B. Occupation History

B01	Have you ever been a waste picker?	Choose one option. If a, please answer question i. Yes How long had you been waste picking for? No
B02	Has anyone in your family ever been a waste picker?	Choose one option. If a, please fill in section i. Yes List all members: No
B03	Is working at Gitanjali your first job?	Choose one option. If a, please fill in section i. Yes List all other occupations: No
B04	List any other income generating activities you conduct aside from working at Gitanjali (if any).	______________________ ______________________ ______________________ ______________________ ______________________

Section C. Earnings and Savings History

C01	What was your salary per month (if any) prior to working at Gitanjali?	Rs. ___________________
C02	What was your salary per month when you first started working at Gitanjali?	Rs. ___________________
C03	What is your current salary per month?	Rs. ___________________
C04	What do you do with the salary you receive from Gitanjali monthly?
C05	Did you receive any incentive pay from Gitanjali this month? If yes, how much?	Choose one option. If a, please fill in section i. Yes Rs. ___________________ No
C06	Did you receive any incentive pay from Gitanjali any other month this year? If yes, how much incentive pay did you receive in the past year?	Choose one option. If a, please fill in section i. Yes Rs. ___________________ No
C07	If you received incentive pay, what do you do with the money?
C08	How many members of your household earn a regular income, including you?	_________ people
C09	What is the estimated income of your entire household per month?	Rs. ___________________

Section D. Knowledge and Use of SEWA Services

D01	How long have you been a member of SEWA?
D02	How did you hear about SEWA?
D03	Which of SEWA’s social services do you use? (SEWA school, bank, health care etc.)	Chose all that apply. School Child care Insurance Legal services Training Housing Bank Health care None Unsure Other: ____________________
D04	Why do you elect to use these SEWA services over private or public services?	Skip, if not applicable.
D05	What have been the main benefits of joining the SEWA community?
D06	How do you think SEWA can improve?

Section E. Gitanjali Cooperative Model

E01	How long have you been working at Gitanjali?
E02	How did you first hear of Gitanjali?
E03	When you first started at Gitanjali, what was your opinion of the work?
E04	Did you have any problems or concerns initially? If yes, how did you solve them?
E05	How satisfied are you with your current work?
E06	How satisfied are you with the performance of the other sisters in the cooperative?
E07	How do you think this work compares to the work you were doing before or the work your friends do?
E08	How many hours do you work at Gitanjali per day? How many days per month?
E09	Did you have to consult your household before starting work at Gitanjali?
E10	What type of training did you receive from Gitanjali?
E11	What skills have you acquired since working at Gitanjali?
E12	Have these skills benefited your life outside of Gitanjali?
E13	What are the main benefits of working at Gitanjali?
E14	If there is ever a dispute at work, how does the cooperative handle it?
E15	How are business decisions made at Gitanjali?
E16	If you are ever dissatisfied with the work or a business decision, do you feel comfortable in voicing it? How are your concerns addressed?
E17	How satisfied are you with Gitanjali’s current leadership structure?
E18	Are there areas in which you feel Gitanjali has room to improve?
E19	How do members of your family view your work?
E20	Compared to your life before working at Gitanjali, would you say that your life has improved, stayed the same, or worsened, overall?
E21	What are your hopes for Gitanjali?
E22	What are your hopes for your work at Gitanjali?
E23	What type of work do you want to do five years from now?
E24	What type of work would you like your children to do?

Section F. Conclusion

F01	Who has control over the money that you earn?
F02	If you have children, what are your provisions for childcare?
F03	Are you worried about your family’s health or security?	Choose one option. If a, please answer question i. Yes How concerned are you? No Unsure
F04	Do you feel comfortable advocating for yourself at work and at home?
F05	Do you attend and speak at community meetings?
F06	How has your life and your family’s life changed since working at Gitanjali?	Answer all of the following: Are you more or less confident? Do you have more or less friends? Are you more or less independent? Are you more or less busy? Are you more or less happier? Other changes (please feel free to elaborate): _______________________________
F07	How have others around you changed since you started working at Gitanjali?