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<html>
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<title>Self-Assessment for Global Accountability</title>
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Self-Assessment for Global Accountability<img src="images/spacer.gif" width="5" height="1">
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<td width="100%"><FONT COLOR=blue FACE=Verdana SIZE=2>
This page shows a Section of a Self-Assessment Form for Global Accountability.
This Section deals with Customer Data.
<!-- This work is supported by a <A HREeeeF="data_models/self_assessment_for_global_accountability/index.htm">Data Model</A>. --->
<BR><BR><CENTER>
</CENTER>
<HR>
<B>SECTION A : INFORMATION ABOUT YOUR CUSTOMERS</B>
<FONT SIZE=2>
<!---
<HR><B>A.1 How many sources of Customer Data do you have ?</B>
<BR><BR>
<TABLE BORDER="0" WIDTH="400">
<TR>
<TD WIDTH="5%" BGCOLOR="#EEEEEE">
<CENTER><P><INPUT TYPE="RADIO" NAME="Question_B1" VALUE="NotAtAll">
</CENTER>
</TD>
<TD WIDTH="95%" BGCOLOR="#EEEEEE"><FONT SIZE="2">Many</FONT></TD>
</TR>
<TR>
<TD WIDTH="5%" BGCOLOR="#EEEEEE">
<CENTER><P><INPUT TYPE="RADIO" NAME="Question_B1" VALUE="Limited"></CENTER>
</TD>
<TD WIDTH="95%" BGCOLOR="#EEEEEE"><FONT SIZE="2">One</FONT></TD></TR>
<TR><TD WIDTH="5%" BGCOLOR="#EEEEEE">
<CENTER><P><INPUT TYPE="RADIO" NAME="Question_B1" VALUE="ReadilyAvail">
</CENTER>
</TD>
<TD WIDTH="95%" BGCOLOR="#EEEEEE"><FONT SIZE="2">Not Applicable</FONT>
</TD></TR>
</TABLE>
--->
<HR><B>A.1 Do you have a Single View of your Customers ?</B>
<BR><BR>
<TABLE BORDER="0" WIDTH="400">
<TR><TD WIDTH="5%" BGCOLOR="#EEEEEE">
<CENTER><P><INPUT TYPE="RADIO" NAME="Question_B2" VALUE="No"></CENTER>
</TD>
<TD WIDTH="95%" BGCOLOR="#EEEEEE"><FONT SIZE="2">Yes</FONT></TD>
</TR>
<TR><TD WIDTH="5%" BGCOLOR="#EEEEEE">
<CENTER><P><INPUT TYPE="RADIO" NAME="Question_B2" VALUE="Few"></CENTER>
</TD>
<TD WIDTH="95%" BGCOLOR="#EEEEEE"><FONT SIZE="2">No</FONT>
</TD></TR>
<TR><TD WIDTH="5%" BGCOLOR="#EEEEEE">
<CENTER><P><INPUT TYPE="RADIO" NAME="Question_B2" VALUE="Many"></CENTER>
</TD>
<TD WIDTH="95%" BGCOLOR="#EEEEEE"><FONT SIZE="2">Not Applicable</FONT>
</TD></TR>
</TABLE>
<HR><B>A.2 Do you know your Good Customers ?</B>
<BR><BR>
<TABLE BORDER="0" WIDTH="400">
<TR><TD WIDTH="5%" BGCOLOR="#EEEEEE">
<CENTER><P><INPUT TYPE="RADIO" NAME="Question_B2" VALUE="No"></CENTER>
</TD>
<TD WIDTH="95%" BGCOLOR="#EEEEEE"><FONT SIZE="2">Yes</FONT></TD>
</TR>
<TR><TD WIDTH="5%" BGCOLOR="#EEEEEE">
<CENTER><P><INPUT TYPE="RADIO" NAME="Question_B2" VALUE="Few"></CENTER>
</TD>
<TD WIDTH="95%" BGCOLOR="#EEEEEE"><FONT SIZE="2">No</FONT>
</TD></TR>
<TR><TD WIDTH="5%" BGCOLOR="#EEEEEE">
<CENTER><P><INPUT TYPE="RADIO" NAME="Question_B2" VALUE="Many"></CENTER>
</TD>
<TD WIDTH="95%" BGCOLOR="#EEEEEE"><FONT SIZE="2">Not Applicable</FONT>
</TD></TR>
</TABLE>
<HR><B>A.3 Do you know your Bad Customers ?</B>
<BR><BR>
<TABLE BORDER="0" WIDTH="400">
<TR><TD WIDTH="5%" BGCOLOR="#EEEEEE">
<CENTER><P><INPUT TYPE="RADIO" NAME="Question_B2" VALUE="No"></CENTER>
</TD>
<TD WIDTH="95%" BGCOLOR="#EEEEEE"><FONT SIZE="2">Yes</FONT></TD>
</TR>
<TR><TD WIDTH="5%" BGCOLOR="#EEEEEE">
<CENTER><P><INPUT TYPE="RADIO" NAME="Question_B2" VALUE="Few"></CENTER>
</TD>
<TD WIDTH="95%" BGCOLOR="#EEEEEE"><FONT SIZE="2">No</FONT>
</TD></TR>
<TR><TD WIDTH="5%" BGCOLOR="#EEEEEE">
<CENTER><P><INPUT TYPE="RADIO" NAME="Question_B2" VALUE="Many"></CENTER>
</TD>
<TD WIDTH="95%" BGCOLOR="#EEEEEE"><FONT SIZE="2">Not Applicable</FONT>
</TD></TR>
</TABLE>
<!---
<HR>B.4. Is it socially acceptable for married Women to go out to Work ?</B>
<BR><BR><TABLE BORDER="0" WIDTH="400">
<TR><TD WIDTH="5%" BGCOLOR="#EEEEEE">
<CENTER><P><INPUT TYPE="RADIO" NAME="Question_B4" VALUE="Yes"></CENTER>
</TD>
<TD WIDTH="95%" BGCOLOR="#EEEEEE"><FONT SIZE="2">Yes</FONT></TD></TR>
<TR>
<TD WIDTH="5%" BGCOLOR="#EEEEEE">
<CENTER><P><INPUT TYPE="RADIO" NAME="Question_B4" VALUE="No"></CENTER>
</TD>
<TD WIDTH="95%" BGCOLOR="#EEEEEE"><FONT SIZE="2">No</FONT>
</TD></TR>
</TABLE>
<HR>B.5. Is it easy to find Nannies or Child-minders ?</B>
<BR><BR>
<TABLE BORDER="0" WIDTH="400">
<TR><TD WIDTH="5%" BGCOLOR="#EEEEEE">
<CENTER><P><INPUT TYPE="RADIO" NAME="Question_B5" VALUE="Yes"></CENTER>
</TD>
<TD WIDTH="95%" BGCOLOR="#EEEEEE"><FONT SIZE="2">Yes</FONT></TD></TR>
<TR>
<TD WIDTH="5%" BGCOLOR="#EEEEEE">
<CENTER><P><INPUT TYPE="RADIO" NAME="Question_B5" VALUE="No"></CENTER>
</TD>
<TD WIDTH="95%" BGCOLOR="#EEEEEE"><FONT SIZE="2">No</FONT>
</TD></TR>
</TABLE>
<HR>B.6. Do many Companies provide Baby-Minding facilities or Creches to look after babies ?</B>
<BR><BR>
<TABLE BORDER="0" WIDTH="400">
<TR><TD WIDTH="5%" BGCOLOR="#EEEEEE">
<CENTER><P><INPUT TYPE="RADIO" NAME="Question_B6" VALUE="Yes"></CENTER>
</TD>
<TD WIDTH="95%" BGCOLOR="#EEEEEE"><FONT SIZE="2">Yes</FONT></TD></TR>
<TR>
<TD WIDTH="5%" BGCOLOR="#EEEEEE">
<CENTER><P><INPUT TYPE="RADIO" NAME="Question_B6" VALUE="No"></CENTER>
</TD>
<TD WIDTH="95%" BGCOLOR="#EEEEEE"><FONT SIZE="2">No</FONT>
</TD></TR>
</TABLE>
<HR>B.7. Would a husband normally encourage his wife to go for IT Training ?</B>
<BR><BR>
<TABLE BORDER="0" WIDTH="400">
<TR><TD WIDTH="5%" BGCOLOR="#EEEEEE">
<CENTER><P><INPUT TYPE="RADIO" NAME="question_B7" VALUE="Yes"></CENTER>
</TD>
<TD WIDTH="95%" BGCOLOR="#EEEEEE"><FONT SIZE="2">Yes</FONT></TD></TR>
<TR>
<TD WIDTH="5%" BGCOLOR="#EEEEEE">
<CENTER><P><INPUT TYPE="RADIO" NAME="question_B7" VALUE="No"></CENTER>
</TD>
<TD WIDTH="95%" BGCOLOR="#EEEEEE"><FONT SIZE="2">No</FONT>
</TD></TR>
</TABLE>
<HR>
<B>SECTION C : GENERAL INFORMATION</B>
<BR>
<HR>C.1. Would you like to receive a copy of my Project Report when it is available ?</B>
<BR><BR>
<TABLE BORDER="0" WIDTH="400">
<TR><TD WIDTH="5%" BGCOLOR="#EEEEEE">
<CENTER><P><INPUT TYPE="RADIO" NAME="Question_C1" VALUE="Yes"></CENTER>
</TD>
<TD WIDTH="95%" BGCOLOR="#EEEEEE"><FONT SIZE="2">Yes</FONT></TD></TR>
<TR>
<TD WIDTH="5%" BGCOLOR="#EEEEEE">
<CENTER><P><INPUT TYPE="RADIO" NAME="Question_C1" VALUE="No"></CENTER>
</TD>
<TD WIDTH="95%" BGCOLOR="#EEEEEE"><FONT SIZE="2">No</FONT>
</TD></TR>
</TABLE>
--->
<BR>
<HR><A NAME="19b"></A><B>C.1 Contact Details</B></B>
<BR>If you would like to be able to answer 'Yes' to these questions, then please contact us
by providing at least your Email address
and clicking on <B>'Submit'</B>
<BR><BR>
<TABLE BORDER="0" WIDTH="400">
<TR>
<TD WIDTH="56" BGCOLOR="#EEEEEE"><FONT SIZE="2">Email Address (required)</FONT></TD>
<TD BGCOLOR="#EEEEEE"><INPUT TYPE="TEXT" NAME="email" SIZE="45"></TD>
</TR>
<TR>
<TD WIDTH="100" BGCOLOR="#EEEEEE"><FONT SIZE="2">Your name (optional)</FONT></TD>
<TD BGCOLOR="#EEEEEE"><INPUT TYPE="TEXT" NAME="realname" SIZE="45"></TD>
</TR>
<TR>
<TD WIDTH="56" BGCOLOR="#EEEEEE"><FONT SIZE="2">Organisation (optional)</FONT></TD>
<TD BGCOLOR="#EEEEEE"><INPUT TYPE="TEXT" NAME="Organisation" SIZE="45"></TD>
</TR>
<TR>
<TD WIDTH="56" BGCOLOR="#EEEEEE"><FONT SIZE="2">Phone (optional)</FONT></TD>
<TD BGCOLOR="#EEEEEE"><INPUT TYPE="TEXT" NAME="Phone" SIZE="45"></TD>
</TR>
<TR>
<TD WIDTH="56" BGCOLOR="#EEEEEE"><FONT SIZE="2">Which Country are you living in ? (optional)
</FONT></TD>
<TD BGCOLOR="#EEEEEE">
<INPUT TYPE="TEXT" NAME="Country_of_residence" SIZE="45"></TD>
</TR>
<TR>
<TD WIDTH="56" BGCOLOR="#EEEEEE"><FONT SIZE="2">How did you hear of this Questionnaire ? (optional)
</FONT></TD>
<TD BGCOLOR="#EEEEEE">
<INPUT TYPE="TEXT" NAME="referred_by" SIZE="45"></TD>
</TR>
</TABLE>
</CENTER>
<BR><BR>
<CENTER>
<A NAME="Final"></A>
<INPUT TYPE="SUBMIT" NAME="Submit" VALUE="Submit">
<INPUT TYPE="RESET" VALUE="Reset">
</CENTER>
</FORM>
<HR>
</td>
</tr>
</table>
</td>
</tr>
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<BR>
<BR>
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