Field Survey — Field Visit

Shop Details

Shop name *

Survey by (comma-separated if multiple) *

সার্ভে করেছেন

Address / landmark

Shop photo (JPG / PNG, max 5 MB)

Shop Assessment

Shop status today *

Open — scored Closed today Shifted to a new address Not found Permanently closed

Is the shop visible from the main road or the corner?

Yes = 1 No = 0

Exact position

Approximate shop size

Small (under 100 sq ft) Medium (100–300) Large (over 300)

Shop strength (interviewer judgement)

Strong Average Weak

Footfall, Stock & Anchor

Customers counted in a full 10 minutes

Was the full 10 minutes actually timed?

Yes — full 10 minutes No — estimated

Footfall score — is this high for this strip?

High for the strip = 1 Not high = 0

Does it stock daily necessities (biscuits, chips, cigarettes…)?

Yes = 1 No = 0

Which categories are actually present? (select all that apply)

Biscuits Chips / snacks Cigarettes Cold drinks Sundries Rice & pulses Bread Dairy Other

Is there at least one repeat-visit anchor?

Yes = 1 No = 0

Which anchor(s)? (note the type, not just yes/no) (select all that apply)

Bread / bakery Ice-cream freezer Mobile top-up counter Newspaper stand Pharmacy shelf Egg tray Cooking gas cylinder Other

Is the owner himself at the counter (not junior staff)?

Yes = 1 No = 0

Only if unclear — do they sit at the shop or does someone else manage?

Owner is there part of the day Managed by family member Managed by paid employee Unclear

Digital Payment Presence

Digital payment stickers visible at the counter (select all that apply)

bKash Nagad Rocket Upay QR code None visible

Was a QR code or MFS sticker visible at the counter?

Yes — visible and current Yes — but faded / hidden No

Did the shopkeeper prompt customers to pay digitally?

Always Sometimes Never Actively discouraged

Counter Watch — Payment Count

Total customers counted

Customers who offered to pay digitally WITHOUT being asked

Customers who paid digitally ONLY after being asked

Customers paying cash (auto: B-020 − B-021 − B-022)

Digital share at this shop % (auto: (B-021 + B-022) / B-020 × 100)

Instruments used (tally) (select all that apply)

bKash personal bKash merchant Nagad Rocket Upay QR scan Card Other

Typical ticket size observed (BDT) (BDT)

Largest single digital payment observed (BDT) (BDT)

Customers told to pay cash instead / digital refused

Interruptions or limits on the watch

Route Payment Tally

Payment mode at this shop

Full cash Full digital Part cash + part digital Nothing paid today Unpaid / deferred No visit today

If any digital, which instrument? (select all that apply)

bKash personal bKash merchant Nagad Rocket Upay QR scan Card Other

Was any amount left unpaid today?

Fully paid Yes — part unpaid Yes — fully unpaid

If unpaid, amount left (BDT) (BDT)

If unpaid, was the stock still delivered?

Yes — delivered anyway No — held back Partial delivery Not applicable

Days the DSR said this shop can pay later (days)

Any extra charge mentioned for the delay?

No extra charge Yes — fixed amount Yes — percentage Unclear / not mentioned Actively denied

Were previous dues cleared today?

No previous dues Yes — cleared in full Partially cleared Not cleared

Who handed over the money?

Shop owner Shop employee DSR collected Not applicable

Anything said at the counter, verbatim (Bangla)

Retailer Credit Behaviour

When did you last take goods without paying in full?

Date (if known)

How many days later did you pay? (days)

How much was taken on credit that time (BDT)? (BDT)

Did you pay anything extra for those days?

No — nothing extra Yes — fixed amount Yes — percentage Unclear

How many times did this happen last month?

Who allowed it?

The DSR himself DSR supervisor Company policy Nobody — just happened

Was any paper or document signed?

No document Verbal only Written note Formal receipt

Verbatim quote (Bangla)

DSR Interview

DSR name / code

How long have you been doing this route? (months) (months)

How many shops do you cover in a day?

What happens when a shop cannot pay the full amount today? (select all that apply)

I leave the goods and collect later I take back unsold stock I do not deliver until paid It comes out of my own float I report it to my supervisor I write it in my book Other

Verbatim (Bangla)

How often did that happen last week?

Never 1–2 times 3–5 times 6–10 times More than 10

Exact number

Do you leave the goods anyway?

Always Usually Sometimes Rarely Never

Does the shop pay anything extra for the delay?

No Yes — fixed amount Yes — percentage Informally, sometimes Never asked

If yes, how much? (BDT or %)

If a shop does not pay, does it come out of your own money or the company absorbs it?

My own money Company absorbs it Deducted from my salary Unclear / depends

Who decides which shop is allowed to pay late?

I decide myself My supervisor Company policy It just happens The shop decides

Is the late payment recorded anywhere?

In my book In the app Not recorded The shop keeps a note

What is the maximum number of days a shop is allowed? (days)

How much money are shops holding from you right now (BDT)? (BDT)

Verbatim quote 1 (Bangla) — what the DSR said

Verbatim quote 2 (Bangla)

Verbatim quote 3 (Bangla)

Retailer Wallet

How much is in your mobile wallet right now? (BDT)

আপনার মোবাইল ওয়ালেটে এখন কত টাকা?

Which wallet(s) do you hold? (select all that apply)

bKash Nagad Rocket Upay None Other

Is it a personal or a merchant account?

Personal only Merchant only Both Not sure

When did you last put money into it?

What do you use it for? (select all that apply)

Receive payments from customers Pay suppliers Send money to family Pay utility bills Personal savings Cash out immediately Buy airtime / mobile data Other

Additional details (verbatim)

If you had to keep BDT 4,000 in it for a week, could you?

Yes, easily Yes, but it would be tight No — I need the cash Not sure

Reason, in his own words

Who operates the wallet / knows the PIN?

Owner only Owner + spouse Employee Multiple people

Hypothetically, would a fixed-date automatic deduction be acceptable?

Acceptable Not acceptable Need to think Only if I get an SMS before

Explanation (verbatim)

Owner's View on Digital Payments

Do customers ask to pay by phone?

কাস্টমার কি মোবাইলে পে করতে চায়?

Many, every day A few every day A few every week Almost never

Does it help you, or is it extra work for you?

এটা আপনার জন্য সুবিধা, নাকি বাড়তি ঝামেলা?

Helps me Extra work Neutral It costs me money (cash-out charge)

Reason, in his own words

When digital money comes in, do you cash it out?

ডিজিটাল টাকা আসলে কি তুলে ফেলেন?

Yes — same day Yes — within the week No — I keep a balance Depends

Cash-out cost mentioned as a complaint?

Yes No Not raised

Does the shop keep any record of daily sales?

দৈনিক বিক্রির হিসাব কোথাও লেখেন?

Written register Mobile notes Nothing An app

Submitted by / কে জমা দিচ্ছেন

Select your name *

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