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Qardan Hasana Feedback Form
Please provide your feedback about the Qardan Hasana system functioning in your mauze
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Mohammedi Scheme
Taher Scheme
Husain Scheme
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General Information
Name
*
ITS ID
*
Email
Mobile
Name of your Qardan Hasana Scheme or Trust for which you are providing feedback
Are you aware about the three Qardan Hasana Schemes as follows?
*
Mohammedi Scheme
Taher Scheme
Husain Scheme
Please answer the following
Yes
No
Do you participate in Mohammedi Scheme?
*
What is the reason for not participating in Mohammedi scheme?
I don't know where and how to participate
No collectors in Masjid
No one approached me
Due to Bad Past experience with the Members
Other:
Do you participate in Taher Scheme?
*
What is the reason for not participating in Taher scheme?
I don't know where and how to participate
No one approached me
Due to Bad Past experience with the Members
Other:
Do you participate in Husain Scheme?
*
What is the reason for not participating in Husain scheme?
I don't know where and how to participate
I don't have a Bank Account
Return Process is lengthy
Process is lengthy
No one approached me
Due to Bad Past experience with the Members
Other:
Provide your feedback on how to improve the process?
Have you visited the Qardan Hasana office?
*
Yes
No
Reason for Visit
Applying for Qardan Hasana
Giving Qardan Hasana in Husain Scheme
Return Request in Husain Scheme
Giving Qardan Hasana in Taher Scheme
Other:
Kindly rate the following at the office
Excellent
Good
Fair
Location of the Office
Availability of the Members during the office timings
Approach of the Members
Availability of adequate documents (application form, procedural documents)
Do you have any feedback on how to improve the working of the office?
Mohammedi Scheme
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Top Section
Taher Scheme
Husain Scheme
Last Section
Please answer the following
Regularly
Sometimes
Never
Regular Alerts/Reminders to bring Qardan Hasana (Masjid Announcements, SMS etc)
Receipts of Envelopes with FMB Thaali
Distribution of envelopes in the Masjid on various Miqaat
Collection of Mohammedi Scheme in Masjid on Jumuoah and other Miqaats
Wearing of Blue Jackets while collecting in Masjid
Do you have any feedback on how to improve the collection of Mohammedi Scheme?
Taher Scheme
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Mohammedi Scheme
Husain Scheme
Last Section
Please answer the following
Regularly
Sometimes
Never
Announcement in masjid or SMS Alerts
Facility of Cash/Cheque or Post Dated Cheques Collection from House
Facility of Cash/Cheque or Post Dated Cheques Collection from Shop
Prompt issuance of receipts for the contribution made
Do you have any feedback on how to improve the collection of Taher Scheme?
Husain Scheme
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Top Section
Mohammedi Scheme
Taher Scheme
Last Section
Please answer the following
Yes
No
Sometimes
Clarity/Awareness about Husain Scheme
Knowledge about Husain Scheme Contribution Procedure
Facility for regular collection of cheques from house
Facility for regular collection of cheques from Shops
Prompt response to queries put up
Timely and Easy Return Facility
Prompt issuance of receipts for the contributions made
Confidence for regular participation
Please provide your feedback on how to encourage mumineen for participating in Husain Scheme regularly?
Do you have any feedback on how to improve the process of Husain Scheme?
Qardan Hasana
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Mohammedi Scheme
Taher Scheme
Husain Scheme
Have you ever applied for Qardan Hasana in your mauze?
Yes
No
How many times have you taken Qardan Hasana?
When was the last time you had taken Qardan Hasana? (Mention Year)
What was the purpose?
-Select-
Business
Education
Medical
Personal
Housing
Project
What was your application amount?
Did you receive Qardan Hasana?
Yes
No
In how many days did you receive Qardan Hasana?
7-10 Days
10-20 Days
20-30 Days
More than 30 Days
Other:
How many times on an average you had to visit the Qardan Hasana office before Qardan Hasana was sanctioned to you?
1-2 times
3-5 times
5-7 times
7-10 times
More than 10 times
What was taken in security (rehen) from you?
How many guarantors were taken from you?
0
1
2
3
4
5
6
What was the reason for not getting Qardan Hasana?
Less/No Rehen
No/inappropriate guarantors
Bad past repayment records
On going application of a member in my family
Incomplete Jamaat Formalities
Shortage of Funds in the Mauze
Non-Submission of required documents
Other:
Which documents were taken from you?
None
Business Plan
Feasibility Report of New Project/Expansion
Income Tax returns of last two years
Balance Sheet with Profit and Loss A/c
Bank Statement
Purchase Order
Agreement of Sale/MOU
Justification of Market
Photos of Existing and New House
Past Academic Records
Prospectus and Fees Details
Medical Reports
Hospital Bills/Details/Quotation
Doctor's Recommendation
Ziyarat Quotation
Other:
If you have any comments on the above selection, describe here.
Kindly rate the following
Excellent
Good
Fair
Process for applying Qardan Hasana
Approach of Members
Promptness in responding to queries
Please answer the following
Yes
No
Provision of adequate information about the policy and process
Interview Conducted
Guidance provided through Counseling
Guarantor Bond / Agreement of Pledge
Provide your feedback on how to improve the Qardan Hasana application process?
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