Visit us : 301, 3rd Floor, Thane-400604
Call: +91 7045 155 155
Email: info@cravve.co.in
ABOUT US
RETAIL
QSR
RESTAURANTS
FRANCHISE
Contact Us
CSR
ABOUT US
RETAIL
QSR
RESTAURANTS
FRANCHISE
Contact Us
CSR
CSR Questionnaire
Community Survey & Needs Assessment
Section A: Basic Information
Name
*
Please enter your name
Age
*
Please enter a valid age (1-120)
Gender
*
Male
Female
Other
Please select your gender
Address / Locality
Aadhaar Number
Enter 12-digit Aadhaar number
Aadhaar must be exactly 12 digits
PAN Number
Format: ABCDE1234F (5 letters, 4 digits, 1 letter)
Invalid PAN format (e.g., ABCDE1234F)
Voter ID Number
Format: ABC1234567 (3 letters + 7 digits)
Invalid Voter ID format (e.g., ABC1234567)
Driving License Number
Enter your driving license number
Please enter a valid license number
Family Size
Please enter a valid number
Monthly Income (₹)
Occupation
Education Level
No Schooling
Primary
Secondary
Higher Secondary
Graduate
Section B: Living Conditions
Type of House
Kachha
Semi-Pucca
Pucca
Electricity Access
Yes
No
Clean Water Access
Yes
No
Toilet at Home
Yes
No
Biggest Challenges (Select up to 3)
Food
Shelter
Education
Health
Employment
Sanitation
Others
Section C: Employment & Skills
Are you currently employed?
Yes
No
If yes, what kind of work do you do?
If no, would you like to get skill training for a job or small business?
Yes
No
Interest in Training?
Yes
No
Do you Own Tools/Equipment?
Yes
No
What type of training would interest you?
Tailoring
Handicrafts
Food Processing
Farming
Driving
Basic Computer
Others
Do you have any experience in working as a cook or helper in a kitchen?
Yes
No
Section D: Education & Children
Do you have school-going Children?
Yes
No
If yes, how many?
Are all your children attending school regularly?
Yes
No
What are the main challenges in continuing their education?
School fees
Distance
No interest
Need to work
Other
Section E: Health & Well-being
Do you or any family member suffer from a chronic illness?
Yes
No
Do you have access to a government or local health center?
Yes
No
Do you have access to a government or local health center?
Free medicines
Health camps
Clean water
Nutrition support
Health insurance awareness
Section F: Community Needs & Suggestions
What kind of help would you like from CSR programs?
Employment opportunities
Health care
Education support
Housing
Sanitation
Women empowerment
Others
What do you think would most improve your community's quality of life?
Would you be interested in participating in CSR programs or training sessions?
Yes
No
Section G: Feedback
Previous NGO/Govt Assistance?
Yes
No
If yes, what kind of support?
Do you have any suggestions for how CSR programs can help better?
Submit Form
