QUESTIONNAIRE -- ENTERPRISE ACCESS TO FINANCE Company: …

QUESTIONNAIRE -- ENTERPRISE ACCESS TO FINANCE Company: Staff interviewed: Interviewers: Date:

READ THE FOLLOWING TO THE RESPONDENT BEFORE PROCEEDING. The goal of this survey is to gather information and opinions about the sources of finance of your company, obstacles in seeking and obtaining financing for your business, and the main challenges for your business to grow. The information gathered here will help the World Bank to develop policy recommendations and programs that support private sector development and growth in Georgia.

The information obtained here will be held in the strictest confidentiality. Neither your name nor the name of your business will be used in any document based on this survey.

Please may I speak to the person with primary responsibility for taking financial decisions in your business? Verify right person.

1. Can I just confirm that you are the person who has primary responsibility for making financial

decisions in your business? 1 Yes

2 No

|__|

Interviewer: if respondent answered `Yes' in 1, continue. If respondent answered `No', ask to talk to the person with primary responsibility for handling financial matters in the business.

A. COMPANY INFORMATION

A.1. For this survey we need to talk to businesses of different sizes and in different industry sectors. Can you confirm that your business operates in _________________ (sector)?

1 Yes (GO TO A.3)

2 No (GO TO A.2)

|__|

INTERVIEWER: ASK IF RESPONDENT ANSWERED NO AT 1A

A.2. What industry sector do you operate in? PROBE TO PRECODES ? SINGLE CODE

|__| Agriculture & forestry & fishing

|__|

Manufacturing - Processing & Food from agricultural activities + manufacturing of food from non-agricultural activities ( tobacco and beverages)

|__| Manufacturing/apparel

|__|

Manufacturing - All other manufacturing (mining, paper, plastic, chemical, pharmaceutical, machinery, car assembly, electronics, home appliances, crafts, small hydropower stations, other)

|__| Construction - General construction ( including general building & civil engineering)

|__| Logistics/transportation

|__| Retail Trade & Repairs (motor only)

1

|__| Hotels & restaurants |__| Business services (auditing and accounting, financial consulting, legal, other business

consulting/services) |__| ICT and high value added sectors (cinema, industrial engineering, web design, fashion etc)

|__| Other, please specify ______________________

INTERVIEWER: ASK ALL A.3. Including yourself, how many people are currently employed in your business?

INTERVIEWER: PLEASE NOTE THAT THIS INCLUDES FULL AND PART TIME EMPLOYEES BUT SHOULD ONLY REFER TO THE Full Time Equivalent (FTE) number of EMPLOYEES. SINGLE CODE

1 1 (self-employed)

2 2-4

3 5-9

4 10-20

5 21-49

6 50-100

7 101-249

8 250+

-8 Don't know

-9 Refused

|__|

A.3.1. In the next 12 months, do you expect the number of employees working in your business to increase, decrease, or stay the same?

1 Increase 2 Decrease 3 Stay the same -8 Don't know

-9 Refused

A.4. How many of your employees are members of your family (apart from yourself)? Record number |__||__||__|

A.5. What is this firm`s current legal status? : SHOW CARD 1

1 Shareholding company with shares traded in the stock market

2 Shareholding company with non-traded shares or shares traded privately

3 Sole proprietorship (GO TO A.7)

4 Partnership

5 Limited partnership

6 Other (SPONTANEOUS?SPECIFY) ___________________

-8 Don't know (SPONTANEOUS)

-9 Refused

|__|

INTERVIEWER: PLEASE NOTE WHEN A.5 IS `3' (SOLE PROPRIETORSHIP), WRITE 100%

2

FOR QUESTION A.6. A.6. What percentage of this firm does the largest owner or owners own? 1 |__||__||__|%

-8 Don't know (spontaneous)

-9 Refused

|__|

A.7. What percentage of this firm is owned by each of the following: SHOW CARD 2

Private domestic individuals, companies or organizations

% |__||__||__|

Don't know (Spontaneous)

-8

Private foreign individuals, companies or organizations

|__||__||__|

-8

Government or State (IF 100% END INTERVIEW)

|__||__||__|

-8

Other

|__||__||__|

-8

100%

INTERVIEWER: CHECK THAT TOTAL SUMS TO 100% (UNLESS RESPONDENT DOES NOT KNOW)

A.8. Amongst the owners of the firm, are there any females?

1 Yes

2 No (GO TO A.10)

-8 Don't know (Spontaneous) (GO TO A.10)

-9 Refused (GO TO A.10)

|__|

A.9. What percentage of the firm is owned by females?

1 |__||__||__|%

-8 Don't know (spontaneous)

-9 Refused

|__|

A.10. In what year did this establishment begin operations? INTERVIEWER: PROVIDE FOUR

DIGITS FOR YEAR

1 Year establishment began operations |__||__||__||__|

-8 Don't know (spontaneous)

-9 Refused

|__|

A.11. How many people did this establishment employ when it started operations? Please include all employees and managers. INTERVIEWER: INCLUDE RESPONDENT WHEN APPLICABLE, PLEASE NOTE THAT THIS INCLUDES FULL AND PART TIME EMPLOYEES BUT SHOULD ONLY REFER TO THE Full Time Equivalent (FTE) number of EMPLOYEES.

1 Full-Time Equivalent employees at start-up |__||__||__||__|

-8 Don't know (spontaneous)

-9 Refused

|__|

A.12. Was this establishment formally registered in the National Registry when it began operations? 1 Yes

3

2 No (GO TO A.14)

-8 Don't know (Spontaneous) (GO TO A.14)

-9 Refused (GO TO A.14)

|__|

A.13. In what year was this establishment formally registered? INTERVIEWER: PROVIDE FOUR DIGITS FOR YEAR

1 Year establishment formally registered |__||__||__||__|

2 Never registered (Spontaneous)

-8 Don't know (spontaneous)

-9 Refused

|__|

A.14. How many years of experience working in this sector does the Top Manager have?

1 Manager's experience in sector (in years) |__||__|

2 Less than one year

-8 Don't know (spontaneous)

-9 Refused

|__|

A.15. What is the highest level of education of the top manager?

1 Primary Education

2 Secondary Education

3 College Degree

4 Masters

5 PhD

6 Other (specify) ______________________

-8 Don't know

-9 Refused

|__|

A.16. Is the Top Manager female?

1 Yes

2 No

-8 Don't know (Spontaneous)

-9 Refused

|__|

A.17. What best describes the location of your primary business premises? (select one)

1 Dedicated premises

2 My house

3 Marketplace

4 Other (Specify) ______________________

-8 Don't know (Spontaneous)

-9 Refused

|__|

A.18. What was your business' turnover in fiscal year [insert last complete fiscal year], as per the following bands? READ OUT - SINGLE CODE

1 Up to $$$30,000 2 $$$ 30,001 - $$$100,000

4

3 $$$ 100,001 ? $$$ 1,500,000

4 $$$ 1,500,000 ? $$$ 2,500,000

5 $$$ 2,500,000 ? $$$ 5,000,000

6 $$$ 5,000,001 ? $$$ 10,000,000

7 $$$ 10,000,001 +

-8 Don't know

-9 Refused

|__|

A.19. Does this establishment have an internationally-recognized quality certification?

(INTERVIEWER: SOME EXAMPLES ARE ISO 9000 or 14000, or HAPC) 1 Yes

2 No

3 Still in process

-8 Don't know (Spontaneous)

|__|

A.20. In fiscal year [insert last complete fiscal year], did your business export goods or services outside of Georgia or not?

1 Yes

2 No (GO TO A.22)

-8 Don't know (Spontaneous) (GO TO A.22)

|__|

INTERVIEWER: ASK A.21 IF RESPONDENT ANSWERED YES AT A.20 A.21. Which of the following bands did the total value of these exports of services or goods fall into?

1 Up to $$$ 50,000

2 $$$50,001 - $$$100,000

3 $$$100,001 - $$$500,000

4 $$$500,001 - $$$1.5 m

5 $$$1,5m +

-8 Don't know

-9 Refused

|__|

A.22. Please fill in values in the following table about your business in fiscal year [insert last complete

fiscal year]

Total annual sales for all products and services

in thousands of $$$ |__||__||__|,|__||__||__|

Don't know

-8

Refused -9

Total costs (including materials, energy, labor, etc) |__||__||__|,|__||__||__| -8

-9

Total profits

|__||__||__|,|__||__||__| -8

-9

Total debt

|__||__||__|,|__||__||__| -8

-9

Value of buildings owned

|__||__||__|,|__||__||__| -8

-9

Value of equipment and vehicles owned

|__||__||__|,|__||__||__| -8

-9

Value of inventories (raw materials, semi-finished |__||__||__|,|__||__||__| -8

-9

goods, finished goods)

5

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