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    13 Questionnaires

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    Ramu
    This document contains a questionnaire about the performance and effectiveness of the Employees' State Insurance Corporation (ESIC) in Odisha, India. The questionnaire contains questions in two sections - a personal profile section that collects demographic information about insured persons, and a section on the effectiveness of ESIC benefits that asks about awareness of benefits, satisfaction with services, and experiences claiming benefits like sickness, maternity, and disability. The goal is to evaluate ESIC's performance in providing benefits to insured persons in Odisha, with a focus on the Choudwar region.

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    13 Questionnaires

    Uploaded by

    Ramu
    917 views4 pages
    This document contains a questionnaire about the performance and effectiveness of the Employees' State Insurance Corporation (ESIC) in Odisha, India. The questionnaire contains questions in two sections - a personal profile section that collects demographic information about insured persons, and a section on the effectiveness of ESIC benefits that asks about awareness of benefits, satisfaction with services, and experiences claiming benefits like sickness, maternity, and disability. The goal is to evaluate ESIC's performance in providing benefits to insured persons in Odisha, with a focus on the Choudwar region.

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    This document contains a questionnaire about the performance and effectiveness of the Employees' State Insurance Corporation (ESIC) in Odisha, India. The questionnaire contains questions in two sections - a personal profile section that collects demographic information about insured persons, and a section on the effectiveness of ESIC benefits that asks about awareness of benefits, satisfaction with services, and experiences claiming benefits like sickness, maternity, and disability. The goal is to evaluate ESIC's performance in providing benefits to insured persons in Odisha, with a focus on the Choudwar region.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    917 views4 pages

    13 Questionnaires

    Uploaded by

    Ramu
    This document contains a questionnaire about the performance and effectiveness of the Employees' State Insurance Corporation (ESIC) in Odisha, India. The questionnaire contains questions in two sections - a personal profile section that collects demographic information about insured persons, and a section on the effectiveness of ESIC benefits that asks about awareness of benefits, satisfaction with services, and experiences claiming benefits like sickness, maternity, and disability. The goal is to evaluate ESIC's performance in providing benefits to insured persons in Odisha, with a focus on the Choudwar region.

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    Questionnaire

    Performance Analysis of Employees State Insurance Corporation in Odisha

    (With special reference to Choudwar, Odisha)

    (Interview schedule for Insured Persons under the ESI Scheme)

    Personal Profile

    1.1 Sex - Male [ ] Female [ ]

    1.2 Age-

    18-25 year [ ] Between 25-35 year [ ] Between 35-45 [ ]

    Above 45 year [ ]

    1.3 Education –

    Illiterate [ ] Below 10th Class [ ] +2 education [ ]

    Degree [ ] Post graduate [ ] Technical/ Diploma [ ]

    1.4 Marital Status- Single [ ] Married [ ]

    1.5 Number of dependents-

    Less than 2 [ ] 2-4 [ ] 4-6 [ ]


    above 6 [ ]

    1.6 Place of residence-

    Urban [ ] Semi- urban [ ] Rural [ ]

    1.7 Nature of employment-

    Casual [ ] Temporary [ ] Permanent [ ]

    [ix]
    1.8 Period of Service-

    Less than 1 year [ ] 1-10 years [ ] 10-20 years [ ] above


    20 years [ ]

    1.9 Nature of Pay- Daily wages [ ] Monthly salary [ ]

    1.10 Monthly income from employment

    Less than Rs5,000 [ ] Rs5,000- Rs10,000 [ ]

    Rs10,000- 15,000 [ ] Above Rs15,000 [ ]

    EFFECTIVENESS OF EEMPLOYEES STATE INSURANCE BENEFITS

    2.1.Awareness of ESI benefits provided by the ESI.

    Fully aware [ ] Partially aware [ ] Not all aware [ ]

    2.2.Source of the awareness of the ESI benefits

    Brochures/ circulars of corporation [ ] Employers [ ] Trade Union

    officials [ ] Co-workers/ friends [ ] News papers/ TV/Radio [ ]

    others [ ]

    2.3.Satisfaction with measures taken by the corporation for providing information on ESI

    Scheme.

    Extremely satisfied [ ] Satisfied [ ] Partially satisfied [ ]

    Not satisfied [ ] Cannot say [ ]

    2.4.Awareness about formalities for claiming various benefits provided by ESI

    Corporation.

    Fully aware [ ] Partially aware [ ] Not all aware [ ]

    2.5.Preference to visit various ESI sponsored hospitals during sick.

    [x]
    ESI Dispensary [ ] Govt. Hospital [ ] Private Hospital [ ]

    Others (please specify) [ ]

    2.6.Continuation after retirement in the medical benefits scheme of the corporation.

    Yes [ ] No [ ] Canot Say [ ]

    2.7.Availing sickness benefit provided by the corporation under ESI scheme.

    Yes [ ] No [ ] Canot Say [ ]

    2.8.Availing maternity benefit provided by the ESI.

    Yes [ ] No [ ] Canot Say [ ]

    2.9.Availing disablement benefit.

    Yes [ ] No [ ] Canot Say [ ]

    2.10. Satisfaction with the services of the administrative staff for claiming the benefits.

    Extremely satisfied [ ] Satisfied [ ] Partially satisfied

    [ ]

    Not satisfied [ ] Cannot say [ ]

    2.11. Satisfaction with the services of the employer for claiming the benefits.

    Extremely satisfied [ ] Satisfied [ ] Partially satisfied [ ]

    Not satisfied [ ] Cannot say [ ]

    2.12. Availing any other benefit.

    Yes [ ] No [ ] Canot Say [ ]

    2.13. Satisfaction with the amount of cash benefits

    [xi]
    Extremely satisfied [ ] Satisfied [ ] Partially satisfied [ ]

    Not satisfied [ ] Cannot say [ ]

    2.14. Delay in getting benefits

    Very high Delay [ ] High Delay [ ] Moderate Delay [ ]

    No delay [ ] Canot Say [ ]

    ***Thanking You***

    [xii]

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