APPENDIX-A

SURVEY INSTRUMENT
Label Information No. Response Area
QD1 Gender Male Female
QD2 Residence Rural Urban
QD3 Marital Status Married Single Separated/
divorced
QD4 No. of Family
member aged 18
and above
QD5 No. of Family
member Below 18
QD6 Age Bands 18-19 20-29 30-39 40-49 50-59 60-69 70-79 80 &Above
QD7 Educational Level Post Graduation Graduation Senior secondary Below
secondary secondary
QD8 Work Situation Self employed In paid Retired Student Searching Unable to Not working
(work for employment for work work due to and not
yourself) sickness or ill- looking for
health work
QFB1 Is your family Yes, we keep Yes. But not No, but No, and
used to keeping records of all revenues have an have no
records of income everything and idea. idea.
and expenditures? expenditures
.
QFB2 Before I buy Completely Agree Neutral Disagree Completely
something I Agree Disagree
carefully consider
whether I can
afford it
QFB3 I pay my bill on Completely Agree Neutral Disagree Completely
time Agree Disagree
QFB4 I keep a close Completely Agree Neutral Disagree Completely
personal watch on Agree Disagree
my financial
affairs
QFB5 I set long term Completely Agree Neutral Disagree Completely
financial goals Agree Disagree
and strive to
achieve them
QFB6 Sometimes people Yes No
find that their
income does not
quite cover their
living costs. In the
last 12 months,
has this happened
to you?

QFB7 What did you do Existing Creating Access Borrow Access Fall behind
to make ends resources/own resources credit by from new line of
meet the last time savings using existing credit
this happened? existing credit
contacts line(overdr
or aft/ credit
resources card)
QFB8 In the past 12 Saving cash at Building up Giving Saving in Buying Buying Has not been
months have you home in your a balance of money to an informal bonds, livestock or actively
been (personally) wallet money in family to savings investment property saving
saving money in your bank save on club s, stocks
any of the account your and shares
following ways, behalf
whether or not
you still have the
money?
QFK1 Imagine that five Record
brothers are given response
a gift of Rs. numerically
1,000. If the
brothers have to
share the money
equally how much
does each one
get?
QFK2 Now imagine that More with their The same Or, less It depends
the brothers have share of the amount than they on the
to wait for one money than could buy types of
year to get their they could today things that
share of the Rs. today they want
1,000 and to buy
inflation stays at
10 percent. In one
year’s time will
they be able to
buy:
QFK3 You lend Rs. 25 Record
to a friend one response
evening and he numerically
gives you Rs.25
back the next day.
How much
interest has he
paid on this loan?
QFK4 Suppose you put Record
Rs. 100 into a <no response
fee> savings numerically
account with a
guaranteed
interest rate of 2%
per year. You
don’t make any
further payments
into this account
and you don’t
withdraw any
money. How
much would be in
the account at the
end of the first
year, once the
interest payment
is made?
QFK5 and how much More than Rs. Exactly Rs. Less than Less
would be in the 110 110 Rs. 110 informatio
account at the end n given
of five years?
Would it be:
QFK6 An investment TRUE FALSE
with a high return
is likely to be
high risk Or If
someone offers
you the chance to
make a lot of
money there is
also a chance that
you will lose a lot
of money.
QFK7 High inflation TRUE FALSE
means that the
cost of living is
increasing rapidly
QFK8 It is usually TRUE FALSE
possible to reduce
the risk of
investing in the
stock market by
buying a wide
range of stocks
and shares. Or It
is less that you
will lose all of
your money if you
save it in more
than one place.
QFK9 Imagine that the More than Exactly the Less than
interest rate on today same today
your savings
account was 1%
per year and
inflation was 2%
per year. After 1
year, how much
would you be able
to buy with the
money in this
account?
QFK1 A 15-year TRUE FALSE
0 mortgage
typically requires
higher monthly
payments than a
30-year mortgage,
but the total
interest paid over
the life of the loan
will be less.
QFK1 If a single man Rs.10 000 Less than More than Don’t
1 currently has an Rs. 10 000 Rs.10 000 understand
income of Rs.10 the
000 a year, and question
inflation is 4%,
how much income
will he need in
five years time to
be able to have
the same living
standard?
QFA1 Money is there Completely Agree Neutral Disagree Completely
only to be spent Agree Disagree
QFA2 I tend to live for Completely Agree Neutral Disagree Completely
today and let Agree Disagree
tomorrow take
care of itself
QFA3 I find it more Completely Agree Neutral Disagree Completely
satisfying to Agree Disagree
spend money than
to save it for the
long term
QFA4 I’ve got a clear Completely Agree Neutral Disagree Completely
idea of the sorts Agree Disagree
of financial
products or
services that I
need without
consulting a
financial adviser
QFA5 I always research Completely Agree Neutral Disagree Completely
my choices Agree Disagree
thoroughly before
making any
decisions about
financial products
or services
QFA6 Overall, thinking Not at all Poorly Moderatel very extremely
of your assets, satisfied satisfied y satisfied satisfied satisfied
debts and savings,
how satisfied are
you with your
current personal
financial
condition?
QFA7 What would you Not at all A little Knowledg Sufficient very
rate your level of knowledgeable knowledgea elable knowledge knowledge
financial ble able able
knowledge?
QD9 Household ≤Rs. 5000 Rs. 5000 to Rs. 10000 Rs. 20000 More than
income(per 10000 to 20000 to 30000 RS. 30000
month)
QD10 Is your household Yes No
income regular
and reliable?
QIB1 Which type of Pension fund Mutual Credit Current Saving A/C
financial Fund Card A/C
instrument/produc
t you currently
have?
Bonds Insurance Stock and PPF NSC
shares
QIB2 How you last I considered I considered I did not I looked
chose a product? several the various consider around but
products from products any other there were
different from one products no other
companies company at all product to
consider
QIB3 Which sources of Product- Best buy General Media General My own
information do specific guidance advice coverage Advertisem previous
you feel most information ents experience
influenced your
decision about
which one to take
out?
QIB4 Who influences Spouse Parents Siblings Children Relatives Friends Financial Colleagues My own
your decision adviser experience
about which one
to take out?
QIB5 What are your For unexpected For To get To leave To increase I like saving For tax To speculate No particular
personal reasons expenses retirement income something my living rather than saving on the stock reason, this is a
to have made for children standards spending exchange family
savings or to inherit in the money tradition
investments? future
QIB6 I am prepared to Completely Agree Neutral Disagree Completely
risk some of my Agree Disagree
own money when
saving or making
an investment
QIB7 Suppose you have A guaranteed A five year A five
Rs. 10 000 of return of Rs. 12 investment year
your own money 000 in five with an investmen
available to invest years time expected t with an
in savings or (capital plus return in the expected
investment. interest) range of 0 to return in
Which of the Rs. 100 000. the range
following savings Rs. 8 000
or investment to Rs. 14
offers would 000
appeal to you
most?
QIB8 How often do you At least once a At least At least Never
personally check quarter once in six once a
whether your months year
product/instrumen
t still meets your
needs?
QIB9 Do you currently YES NO N.A
earn return on
your investments?
QIB10 Do you know how Yes – you Yes, you NO
much return your know exactly know
investments are what the approximate
currently earning? interest rate(s) ly what the
is/are interest
rate(s) is/are
QIB11 In the last 12 YES NO N.A
months, did you
invest in any
financial product
for which you
later regretted?
QIB12 What did you do Nothing stopped submitted submitted a Any other
after you using the a claim to measure
discovered the service/With grievance the
problem? drawn the to the appropriate
amount company governmen
t
authority
QIB13 If a conflict with Completely Rather sure Fifty-fifty Not quite Not at all
a financial sure sure sure
organization
(bank, insurance
company or the
like) arises
regarding your
financial product,
how sure are you
in the quick and
just resolution of
the dispute?
QIB14 Have you YES NO
completed any
financial literacy
course/programm
e?
QIB15 Do you feel the YES NO
need of attending
a financial literacy
education
programme?

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