Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698841330154.pdf (Saint Vincent and the Grenadines)
The following are brief details of the contents of each Section of the Economic Activity Survey INSTRUCTIONS PAGE SECTION I - GENERAL INFORMATION Name of Establishment Address Ownership of the establishment Principal Business Activity The 12 month calendar or fiscal year for which data is being reported Whether the business has ceased operations, and if so provide the date SECTION II - SALES & OTHER RECEIPTS Insert the values for the corresponding Income categories.
Include income earned locally and overseas.

SECTION III - EXPENSES Insert the values for the corresponding Expenditure categories.

Include expenditure locally and overseas.
SECTION IV - ADDITIONAL INFORMATION Please provide the following: Percentage of income earned from exports and tourists Total number of persons working for the establishment during the months of June and December SECTION V - STOCKS OF EXISTING CAPITAL Please provide the following: Amount spent for the purchase of new or second hand capital acquired during the year Amount received for the disposal of capital during the year FOR INFORMATION ONLY Private and Confidential The Census and Statistics Act No.
24 of 1983 Form: 11 ST VINCENT AND THE GRENADINES STATISTICAL OFFICE ANNUAL SURVEY OF ECONOMIC ACTIVITY, 2017 AND 2016 HUMAN HEALTH & SOCIAL WORK ACTIVITIES This form covers establishments providing various services, including ; private health, residential care, and social work services The main purpose of the survey is to obtain information for the compilation of estimates of Gross Domestic Product.
The COMPLETION OF THIS QUESTIONNAIRE IS A LEGAL REQUIREMENT UNDER the Statistics Act and is therefore MANDATORY.

All information taken from this questionnaire will be kept strictly CONFIDENTIAL, used for statistical purposes only, and published only in aggregate form.

Please complete this form and return via email to mailbox no later than December 31, 2018.

We recommend that you retain a copy of this form to consult in the event of a query.
DO NOT COMPLETE THIS QUESTIONNAIRE WITHOUT REFERRING TO THE EXPLANATORY NOTES.

If you encounter problems completing this questionnaire or find it difficult to meet the due date, please contact us at: Contact Person(s) Lavorne Williams Elthia George Telephone # (784) 457-2921 Email svg.stats@mail.gov.vc Address Statistical Office, St. Vincent and The Grenadines Name of Establishment Address SECTION I – GENERAL INFORMATION Ref #: Which of the following best describes the ownership of your establishment?
1) Local company a) Sole proprietorship b) Local Partnership 3) Overseas company/partnership 4) Exempt/permit company/partnership 5) Non-profit institution/charitable organization c) Limited Company/Incorporated 6) Other: d) Other % of foreign ownership 2) Government enterprise (please specify) Please complete the following: Principal Business Activity Data in this form refer to the period from 13 3 To 13 3 Example: Jan - 2017 To Dec - 2017 with comparisons for 2016 The period above refers to your 2017 and 2016 Financial Year, whether it be a fiscal or calendar year.
Ceased Operation Permanently (Please provide date) Please provide your contact details incase of further enquiries: Contact Name Telephone # Email Adress Position Date FOR INFORMATION ONLY Section II Sales and Other Receipts Item P1111 Sales revenue, excluding any taxes paid by purchasers (EC dollars) 2017 (EC dollars) 2016 P1112 Membership dues and subscriptions received P1108 Amount received for custom work and repair P1109 Sales of goods purchased for resale P1610 Income from rental of builidng and equipment PI189 Other operating income D4001 Interest and dividends received D7511 Grants, donations and subventions received D7600 Other non-operating income Total Revenue - - Section III Expenses D1111 Wages, salaries, benefits and employer's social contributions to NIS, Pension schemes, health schemes, and others D2990 Taxes and licences K I000 Depreciation and amortization D4009 Interest paid D7520 Bad debts, net of recoveries, and donations P2160 Cost of other goods used (office supplies, stationary) P2140 Cost of goods purchased for resale P2170 Cost of fuel used P2214 Maintenance/repair of transport, plant and other equipment P2220 Electricity and water P2240 Building maintenance and repair P2412 Transport and storage P2420 Telecommunications, computer and information services P2520 Financial charges and insurance premiums payable P2610 Rental /lease of buildings P2630 Rental/ lease of machinery, equipment and vehicles P2810 Professional, advertising, administrative and support services P2900 Other expenses Total Expenses 2017 2016 - - FOR INFORMATION ONLY Section IV Additional Information What percentage of the income earned by your establishment, in your estimate, comes directly from exports and tourists?
Specify %: Main country/market: What was the total value of goods (c.i.f.)

and services purchased directly from abroad?

Goods Services 2017 EC$ 2016 EC$ How many persons were engaged in each of the categories below during the last pay period for the months of June and December?
Period Working Proprietors Unpaid Workers Employees 2017– June 2017- December 2016 – June 2016 - December Section V Stock of Existing Capital (EC Dollars) Item Capital Expenditure As at End 2015 Plus Acquisitions Less Disposals As At End 2016 Plus Acquisitions Less Disposals As At End 2017 P5110 Buildings and structures P5115 Machinery and equipment P5116 Transport equipment P5117 P5118 P5119 P5120 Other durables and fixed assets Cultivated biological assets Intellectual property products Computer software and databases P5300 Valuables Thank You for Your Cooperation FOR INFORMATION ONLY EXPLANATORY NOTES P1111 Sales revenue, excluding any taxes paid by purchasers P1112 Membership dues and subscriptions received P1108 Amount received for custom work and repair P1121 Sales of goods purchased for resale Revenue for services provided, net of any refunds and discounts given.
Include net receipts from any goods sold.

Exclude any VAT or other taxes payable by purchasers.

Total receipts for memberships in entertainment, cultural or sporting and health clubs.

Also included are receipts for direct and non-bulk subscriptions to newspapers, magazines and periodicals, whether by mail, electronic transmission or other means.
Revenue received for custom work and repair Goods for resale are goods acquired by enterprises, such as wholesalers or retailers, for the purpose of reselling them to their customers.

Goods for resale are not processed further by the enterprises that purchase them, except for presenting them for resale in ways that are attractive to their customers.

Thus, goods for resale may be transported, stored, graded, sorted, washed, packaged, etc.

by their owners but are not otherwise transformed.


P1610 Income from rental of builidng and equipment P1189 Other operating income Income from other sources related to the business, e.g., rental of buildings and equipment Income from other sources related to the business, e.g., commissions, ledger fees, exchange gain/loss, miscellaneous income, etc.

Exclude grants, donations and subventions received, gains or losses on the sale of fixed assets and bad debts recovered.
D4001 Interest and dividends received Interest includes income receivable from the ownership of certain types of financial assets such as deposits, loans, D7511 Grants, donations and subventions received D7600 Other non-operating income D1111 Wages, salaries, benefits and employers social contributions D2990 Taxes and licences K1000 Depreciation and amortization P2140 Cost of goods purchased for resale securities, etc.

Dividend income includes income from the ownership of shares in corporations.
Current transfers and voluntary donations from businesses, government, households or from abroad.

Income from other sources related to the busniess, e.g.

gain or losses on the sale of fixed assets Gross cash payments to employees, including overtime payments, bonuses, fees, commissions, cost of living allowances, vacation and sick pay.
Include the employer's contributions to pension, insurance and other schemes on behalf of employees, as well as the cost of meals, housing and other benefits not recovered from employees.

Include business fees, business and professional licences, property taxes, vehicle licences, stamp duties and other fees paid to government on behalf of the business.

Includes the amount allocated during the reporting period to amortize the cost of acquiring long-term assets over the useful life of the asset.
Consists of goods purchased for resale during the reporting period.

P2160 Cost of other goods used Consists of purchases plus opening stock less closing stock of stationary, office supplies and other goods used.
P2412 Transport and storage P2420 Telecommunications, computer and information services P2520 Financial charges and insurance premiums P2810 Professional, advertising, administrative and support services P2900 Other expenses P5110 Buildings and structures P5139 Machinery and equipment Local freight charges, postal and courier charges, local and overseas business travel.
Telecommunication costs, computer repairs, programming, Internet and other information services costs Financial, banking and account fees and charges; and premiums payable for motor vehicle, property and marine insurance.

Include insurance of staff under D1111.

Include cost of legal, accounting, audit, advertising, marketing, architectural, management, technical, R&D, administrative, janitorial, security, and other support services.
Include medical expenses and other expenditures such as staff training, subscriptions, etc.

Exclude bad debts, extraordinary items and other non-current items of expenditure.

Value of new and existing buildings and structures (e.g.

telecom towers, bridges, dams, grain silos) acquired during the year, less disposals of existing buildings and structures.

Include the value of extensions and major renovations to existing buildings and structures.
Value of all new or second hand machinery and equipment, including accounting machines and computer equipment; less disposals of similar items.

Value of all new or second hand transport equipment, less disposals of similar items.
P5139 Transport equipment P5139 Other durables and fixed assets Value of all new or second furniture, fixtures and furnishings and other durable goods acquired during the year, P5139 Cultivated biological assets P5139 Intellectual property products P5139 Computer software and databases P5200 Changes in inventories P5300 Changes in valuables less disposals of similar items.

Value of improved land, acquisition of fruit trees, working livestock, etc.

; less disposals of similar items.


Expenditure on mineral exploration; technical or scientific research and development; entertainment, literary or artistic originals; and other intellectual property.

Value of all computer software and databases acquired or developed; less disposals of similar items.

Value of changes in inventories between the closing inventories, less opening inventories.
Value of changes in precious metals/stones, gold/silver jewelry, and other valuables between closing inventories, less opening inventories.

FOR INFORMATION ONLY