Questionnaire

1. Name of Entrepreneur _*

2. Gender _*MaleFemaleOther

3. Mobile Number _*

4. Name of the Business /Shop _*

5. Type of Business _*Textile & ApparelFood Processing UnitsFMCGAgricultureConsumer Durables & ElectronicsAutomobiles (Spare Parts, Workshop etc)Others, Please Specify
   Others, Please Specify

6. Company/Business Description _*

7. Company/Business Website (URL)

8. Type of Ownership _*Sole ProprietorshipPartnershipSHG (Self Help Group)Pvt Ltd CompanyTrust / SocietyOthers, Please Specify
   Others, Please Specify

9. Business Location State _*Andhra PradeshArunachal PradeshAssamBiharChhattisgarhGoaGujaratHaryanaHimachal PradeshJharkhandKarnatakaKeralaMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttar PradeshUttarakhandWest BengalAndaman and Nicobar IslandsChandigarhDadra and Nagar Haveli and Daman and DiuDelhiJammu and KashmirLadakhLakshadweepPuducherry
   City _*
   Pincode _*

10. Year of Establishment _*

11. Annual Revenue _*Less than ₹5 Lakhs₹5 – ₹10 Lakhs₹10 – ₹15 Lakhs₹15 – ₹20 LakhsMore than ₹20 Lakhs

12. Total No. of Employees _*
    Male employees _*
    Female employees _*

13. Are you a Muthoot FinCorp customer _*YesNo

14. Udyam number (if any)

Award Category Selection

1. Which award(s) would you like to apply for? _* (Select Maximum 3)
   Lifetime Achievement AwardWomen Entrepreneur of the YearEmerging Leader of the YearInnovators of the YearTech TrailblazerSocial Impact LeaderFastest Growing MSME

2. How long have you been running this business? _* (Number of years in business)
   

3. What growth have you seen in the past 2 years? _* (Please provide inputs in terms
   of
   customer growth, revenue growth, new branches, etc)

4. What is your dream for the next 2 years? _*(Please write about your vision for the
   business and provide examples like developing new products, service enhancements or community
   impact, etc.)

5. Based on your past experience, how did you overcome challenges for your business?
   _*(Provide one example)

6. A moment of pride as a woman entrepreneur? (If Not Applicable Move to Next
   Question)
   (For example: As a women entrepreneur how do you run the business, or how women customers or
   workers
   benefit from your business)

7. What innovation or new idea have you introduced? (If Not Applicable Move to Next
   Question)Please write about a creative approach that differentiates your business from
   competitors.

8. What technology have you adopted and how did this help improve your business? (If
   Not
   Applicable Move to Next Question) (Please write about the technology / digital aspects that is an important part of
   your
   business or products.)

9. How does your business help society/community? (If Not Applicable Move to Next
   Question) (Please write how people around you gain from your business or
   products.)

10. Write a brief story of your business journey. _*(Please write about your business
    establishment, developments, people growth, etc.)