All forms
Retailer Visit (Mishu & Rayem)
1
Shop Identification
Shop name
*
Address / landmark
*
Shop status today
*
Open — scored
Closed today
Shifted to a new address
Not found
Permanently closed
2
Criterion 1 — Visibility
Is the shop visible from the main road or the corner?
*
Yes = 1
No = 0
Exact position
*
-- select --
Main road frontage
Corner plot
Inside lane
Inside a market building
Inside a residential block
3
Criterion 2 — Footfall
Customers counted in a full 10 minutes
*
Was the full 10 minutes actually timed?
*
Yes — full 10 minutes
No — shorter (state how long)
Footfall score — is this high for this strip?
*
High for the strip = 1
Not high = 0
4
Criterion 3 — Daily Necessities
Does it stock daily necessities (biscuits, chips, cigarettes, cold drinks, sundries)?
*
Yes = 1
No = 0
Which categories are actually present?
*
(select all that apply)
Biscuits
Chips / snacks
Cigarettes
Cold drinks
Sundries
Rice & pulses
Dairy
Bread
Personal care
5
Criterion 4 — Anchor
Is there at least one repeat-visit anchor?
*
Yes = 1
No = 0
Which anchor(s)? (note the type, not just yes/no)
(if applicable)
(select all that apply)
Ice-cream freezer
Mobile top-up counter
Bakery display
Cold drinks chiller
bKash / Nagad agent point
Photocopy or printing
Recharge / bill pay
None
6
Criterion 5 — Owner Presence
Is the owner himself at the counter (not junior staff)?
*
Yes = 1
No = 0
Only if unclear — do you sit at the shop yourself, or does staff run it?
(if applicable)
দোকানে কি আপনি নিজেই বসেন, নাকি স্টাফ থাকে?
Owner sits himself
Staff runs it
Both
Family member runs it
7
Score & Notes
Shopfront photo
(JPG / PNG, max 5 MB)
Digital payment stickers visible at the counter
*
(select all that apply)
bKash
Nagad
Rocket
Upay
QR code
None visible
Approximate shop size
*
Small (under 100 sq ft)
Medium (100–300)
Large (over 300)
Submitted by / কে জমা দিচ্ছেন
Select your name
*
আপনার নাম বেছে নিন
-- select --
Mishu
Rayem
Submit / জমা দিন