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Fpo Template Template 3 -Form Fill

General Information
Q01

FPO Name

Q02

State Name

Q03

Village Name

Q04

District/town name

Q05

Paid-up capital (equity capital) of the FPO

Q06

Age of FPO

Q07

No. of members in the FPO

Q08

No. of people employed by FPO (salaried)

Respondent information
A01

Name of the respondent

A02

Position of the respondent

A03

How many years have you been working on this position?

A04

How many years have been associated with the FPO?

A05

Is your position paid?

FPO financial and business information
B01

Types of business activities undertaken by FPO (multiple selection)

B02

What was the total revenue generated by the FPO in the last fiscal year (2022-2023)?

B03

What are the primary sources of income for the FPO?

B04

What was the total profit generated by the FPO in the last fiscal year (2022-2023)?

B05

What are some of the financial challenges faced by FPO? (multiple selection)

B06

What are the investments made by FPO in last one year? (multiple selection)

B07

What are some of the key partnerships and collaborations done by FPO?

FPO Participation and Village-level decision making
C01

Do women from the FPO hold leadership positions in village committees (water committee, forest committee) ?

C02

Do you perceive any challenges or barriers preventing women from actively participating in village-level decision-making? (Select all that apply)

C03

Do women members of the FPO actively participate in meetings and discussion?

C04

Are there any specific topics or areas where women members input is particularly sought after within the FPO? (Select all that apply)

C05

What are some of the initiatives taken by FPO to promote women’s participation? (multiple selection)

Input supply and market access
D01

Does your FPO provide its members with access to regenerative seed varieties?

D02

What was the total quantity of seeds that was provided to the FPO members in the last 3 seasons?

D03

Does your FPO provide its members with access to organic fertilizers?

D04

What was the total quantity of fertilizers that was provided to the FPO members in the last 3 seasons?

D05

Has your FPO established market linkages for crops grown by your members?

D06

If yes, please describe the type of market access established? (multiple selection)

D07

What is the name of the crop/produce procured in last 12 months?

D08

What is the quantity procured (in Kgs/Quintals)

D09

Cost of procurement of the crop (per Kgs/Quintal)

D10

What was the price at which crop was sold? (per KG/Quintal)

D11

What is the quantity sold (in Kgs/Quintals)

D12

Where did you sell the crop?

Agency and Empowerment
E01

Are women represented in any local governance bodies or committees besides the FPO?

E02

Does the FPO own physical assets?

E03

What are the assets owned by FPO?

E04

Are women members of the FPO actively involved in decision making?

E05

Has the FPO organized any skill development/training sessions for women members?

E06

What were the topics of skill development/training sessions?

E07

Does your FPO has access to financial products?

E08

Describe the ways your FPO helps women members achieve financial independence?