Questionnaire for NGO Assessment

1. Name of the Organization :

2. Address :
3. Contact details
Telephone :
Fax :
e-mail :
4. Year of establishment :
5. Registration status
a) NGO Affairs Bureau :
b) Social Welfare :
c) Others :
6. Name and designation
of the Chief Executive :

7. Names and professions of the Board Members of the organization :

SL Name(s) Profession
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

8. Brief description of the organization:

organization:

Mission:
Goal:

Issues working with:

9. Total number of staff : Total Male Female

10. How many of them are :

Working in the counter-
counter- Total Male Female
Trafficking section/project

11. Geographical coverage :

Sl. District Thana

Thana Village/Union

12. Received any training on Counter- Yes No

Counter-Trafficking:

If yes, please specify the followings :

Name of the staff Name of the training Organized/ Conducted

Member by
13. How long you are working in Counter-
Counter-trafficking field :
14. Project/Activities on Counter-
Counter-Trafficking (Previous and Present) :

Sl. Name of the Project/Activities Duration Name of Donor(s)

a.
b.
c.
d.
e.
f.
g.
h.

15. Do you need any further training on counter-

counter-trafficking : Yes No

16. If yes, please mention reason and topics :

•
•
17. Does your organization have any experience to
Yes No
work with/for the rescued victims of trafficking :

18. Does your organization have

have close contact with Yes No
Local govt. other NGOs and CBOs :

19. Does your organization have any setup for providing

training for income generating activities (if any) :

1.

2.

3.
 20. Any other achievements/ experience on Counter-
Counter-Trafficking (if
(if any) :

1.
2.
3.
4.
5.

21. What is the gender consideration within your organization:

(Gender in Project cycle management, gender policy)

22. What is the status of the organization audit :

(Please enclose audit report, management report-
report- if any)

23. What is the source of funding :

24. Who are the current donors :
25. What is the financial management system of your organization
A. Rules and regulations:

B. Procedures:

C. Accounting system:

26. Time and date of the interview :

27. Place of interview :

_____________________ ____________________________
Signature of Information Provider Signature of Information Controller
Name: Name :
Designation: Designation: