We've detected that Javascript is not enabled. It is required for an optimal survey taking experience.
Please check your browser's settings and make sure Javascript is turned on. Learn how to enable Javascript.

Skip survey header

JO COX WOMEN IN LOCAL ECONOMIC DEVELOPMENT NETWORK

Thank you for taking the time to fill in this questionnaire, please tick (cross or highlight) what is relevant to you.

1. Name *This question is required.

2. Surname *This question is required.

3. Sex *This question is required.

Please describe Other sex or gender identity *This question is required.

4. Name of business *This question is required.

5. Designation *This question is required.

7. Province/Region *This question is required.

8. City/ Town/ Village *This question is required.

9. Urban or rural *This question is required.

10. Do you spend less than $57 (R850) per month on you and your dependents subsistence (food, accommodation, transport)? *This question is required.

11. Email address *This question is required. This question requires a valid email address.

12. Telephone number e.g. 00 27 11 622 2877 *This question is required. This question requires a valid number format.

13. Cell phone number e.g. 00 27 82 622 2877 *This question is required. This question requires a valid number format.

14. Age Group *This question is required.

15. Education level *This question is required.

16. Are you living with a disability *This question is required.

17. Type of disability *This question is required.

What other type of disability? *This question is required.

Financial position and income. Please use SA Rands or local currency. (State currency)

18. Are you using local currency or Rands? *This question is required.

19. Have you had any income in the last 12 months? *This question is required.

20. What was the source of this income? *This question is required.

What was your average income each month? *This question is required.

If you run a business, please answer these questions based on a monthly average. *This question is required.

Total income generated by the business from sales (monthly average)
Total expenses related to the business e.g. stock, rent, water and own salary (monthly average)
How much did you have left each month ( profit) Subtract expenses from income? (monthly average)

Nature of the business

21. What capacity building have you had in the last two years? Please select all that apply? *This question is required.

Production (please specify nature of business)
Service (please specify nature of business)
Trade (please specify nature of business)
Other (please specify nature of business)

22. Please specify the nature of your business. *This question is required.

23. How long has your business been in operation? *This question is required.

24. What are your current assets? *This question is required.

Total savings
Land you bought
Land you were given
House, you bought or built
Vehicle you bought
Premises you bought or built for a business
	Total : 0

25. IT: Do you *This question is required.

Space Cell	Yes	No
Use a computer	Use a computer: Yes	Use a computer: No
Have an E Mail address	Have an E Mail address: Yes	Have an E Mail address: No
Surf the Internet eg for google	Surf the Internet eg for google: Yes	Surf the Internet eg for google: No
Have a Facebook account	Have a Facebook account: Yes	Have a Facebook account: No
Have a Twitter account	Have a Twitter account: Yes	Have a Twitter account: No
Have a website or space on a website	Have a website or space on a website: Yes	Have a website or space on a website: No

26. Do you have a cellphone? *This question is required.

If your answer is yes, do you use your cell phone for: *This question is required.

Space Cell	Yes	No
Marketing/communicating via SMS	Marketing/communicating via SMS: Yes	Marketing/communicating via SMS: No
Marketing/ communicating via Whats App	Marketing/ communicating via Whats App: Yes	Marketing/ communicating via Whats App: No
Internet searches e.g. google	Internet searches e.g. google: Yes	Internet searches e.g. google: No
Banking and money transfers	Banking and money transfers: Yes	Banking and money transfers: No

27. Other sources of income

Space Cell	R1 – R1000	R1001 – R2000	R2001 – R3000	R3001 – R4000	R3001 - R5000	R5001 – R10000	R10000 plus
Family	Family: R1 – R1000	Family: R1001 – R2000	Family: R2001 – R3000	Family: R3001 – R4000	Family: R3001 - R5000	Family: R5001 – R10000	Family: R10000 plus
Pension or government grant	Pension or government grant: R1 – R1000	Pension or government grant: R1001 – R2000	Pension or government grant: R2001 – R3000	Pension or government grant: R3001 – R4000	Pension or government grant: R3001 - R5000	Pension or government grant: R5001 – R10000	Pension or government grant: R10000 plus
Job	Job: R1 – R1000	Job: R1001 – R2000	Job: R2001 – R3000	Job: R3001 – R4000	Job: R3001 - R5000	Job: R5001 – R10000	Job: R10000 plus
Other	Other: R1 – R1000	Other: R1001 – R2000	Other: R2001 – R3000	Other: R3001 – R4000	Other: R3001 - R5000	Other: R5001 – R10000	Other: R10000 plus

28. What business support have you received in the past two years? *This question is required.

Access to finance
Business development skills (including a business plan)
Accounting and record-keeping
Marketing and sales
Using IT more effectively
Other (please specify)

What other business support have you received in the past two years? *This question is required.

29. What business support do you currently get from your council? *This question is required.

Access to finance
Business development skills (including a business plan)
Accounting and record-keeping
Marketing and sales
Using IT more effectively
Applying for local council tenders
Other (please specify)

30. What are your short to medium term (1-2 years) goals? Provide one goal per area. *This question is required.

Personal growth:
Business growth:
Mentoring and coaching others:
Contributing to my community:

What other business support do you currently get from your council? *This question is required.

31. What business support do you need to grow your business? Tick all that is relevant. *This question is required.

Access to finance
Business development skills (including a business plan)
Accounting and record-keeping
Marketing and sales
Using IT more effectively
Other (please specify)

What other business support do you need to grow your business? *This question is required.

32. I consent to join the Women in Local Economic Development (WLED) Network *This question is required.

33. What three things should WLED focus on? *This question is required.

Provide a network for women to share to learning and innovation on entrepreneurship
Share opportunities for tenders and joint ventures
Share information about trade shows and potential markets
Link with other national, regional and global WLED networks.
Share information on access to finance and business development
Find mentors within the WLED Network women entrepreneurs
Influence policies and legislation on WLED
Other (please specify)

What other things should WLED focus on? *This question is required.