Profession: ___________________________________________ Do you have a Smart Phone: Yes/No
Gender: Male / Female
Debit Card : Yes/No
Credit card: Yes/No
Q1: Did you go to bank since 08/11/2016?
Yes
/
No
Q2: Were able to withdraw money using cheque or card?
Yes
/
No
Q3: Change in buying behavior i. Vegetables ii. Groceries iii. Easting out iv. Transport v. Shopping Q4: Method of buying i. ii. iii. iv. v.
Same 1 1 1 1 1 Using cash
Vegetables Groceries Easting out Transport Shopping
Q5: What is the impact of demonetization on Very Good Good You 1 2 Rich 1 2 Middle class 1 2 Poor Class 1 2
Increased 2 2 2 2 2 Credit card
1 1 1 1 1
Mobile Wallet (PayTm, Freecharge, etc.) 3 3 3 3 3
2 2 2 2 2
Nothing 3 3 3 3
Decreased 3 3 3 3 3
Bad 4 4 4 4
Very Bad 5 5 5 5
Q6: Will it have impact on Black Money?
Yes / No / I don’t Know
Q7: Will it make people less corrupt in India?
Yes
Q8: Would the demonetization affect the economy?
Yes/No / I don’t know
Which sectors would be affected i. Agriculture ii. Unorganized manufacturing iii. Organized manufacturing iv. Unorganized services v. Organized services vi. Transport vii. Real estate viii.
Yes / Yes / Yes / Yes / Yes / Yes / Yes /
No No No No No No No
/ / / / / / /
/ No / I don’t Know
I don’t know I don’t know I don’t know I don’t know I don’t know I don’t know I don’t know
Any other sector________________________________________
Q8. How long would it take for everything to return to normal? i. 2 weeks ii. 2 months iii. 6 months iv. One year v. Any other ______________________________________________ Q8: Any Comments ........................................................................................................
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