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Farmer Template 1 -Form Fill
HH unique identification details
Q01
Name of the State
Q02
Name of the District
Q03
Name of the Block
Q04
Name of Panchayat
Q05
Name of the Village (PSU)
Q06
Village Census Code (Auto Fill)
Q07
Household Structure Number
Q08
Address
Q09
Contact number of the HH head
Q10
Investigator Name
Q11
Investigator Code
Q12
Start Time
Q13
End Time
Q14
Date
Q15
Result
Completed
Not at home
Postponed
Refused
Partly Completed
No Eligible Person
Eligible Person Incapacitated
Others (specify)
Farmer’s HH details
A01
Name of the farmer
A02
Age of the farmer?
A03
What is the sex of the farmer?
Male
Female
Transgender
A04
Does the farmer belong to a scheduled caste, scheduled tribe, other backward class or general class?
Scheduled Caste
Scheduled Tribe
Other Backward Caste
General
Other (Specify)
A05
What is the type of your family?
Nuclear
Joint
Extended
A06
Please specify whether you belong to APL/BPL?
APL
BPL
Don’t have any card
Don’t know/can’t say
A07
Does your household have a bank account?
Yes
No
A08
Whether your household is women headed?
Yes
No
A09
How many members are there in your household?
Males above 15 years
Females above 15 years
Children below 15 years
A10
How many working members are there in your household?
A11
What are the different occupations that the HH members engage in?
Agriculture (family farm)
Agriculture (employed on other’s farm)
Allied activities (agricultural related)
Local labour (other than agriculture)
Migrant labour
Small business/shop
Petty Trader
Skilled worker (earning regular salary)
Others (if any)
A11A
How many members are involved in this occupation
A11A_1
Agriculture (family farm)
A11A_2
Agriculture (employed on other’s farm)
A11A_3
Allied activities (agricultural related)
A11A_4
Local labour (other than agriculture)
A11A_5
Migrant labour
A11A_6
Small business/shop
A11A_7
Petty Trader
A11A_8
Skilled worker (earning regular salary)
A12
Monthly income from this occupation
A12_1
Agriculture (family farm)
A12_2
Agriculture (employed on other’s farm)
A12_3
Allied activities (agricultural related)
A12_4
Local labour (other than agriculture)
A12_5
Migrant labour
A12_6
Small business/shop
A12_7
Petty Trader
A12_8
Skilled worker (earning regular salary)
A13
How many months in a year do you earn income from this occupation?
A13_1
Agriculture (family farm)
A13_2
Agriculture (employed on other’s farm)
A13_3
Allied activities (agricultural related)
A13_4
Local labour (other than agriculture)
A13_5
Migrant labour
A13_6
Small business/shop
A13_7
Petty Trader
A13_8
Skilled worker (earning regular salary)
A14
In the last 12 months, has anyone in your household migrated?
Yes
No
A15
How many members in your household have migrated because of work? Please tell me how many female and how many male.
A16
What was/were the reason(s) for migration?
We go every year during the dry season for additional earning
Intense climate incidence (such as drought/flood) had destroyed all scope for agriculture
Education
Due to some family member or relative falling ill
Income from agriculture was not enough
To look for better employment opportunities
Other (specify)
HH assets
B01
Does your family own this house?
Yes
No
B02
What is the type of your house?
Pucca
Semi-pucca
Kuccha
B03
How many rooms are there in your house?
B04
What is the source of drinking water for members in the house?
Piped water in residence/yard/plot
Hand pump in residence/yard/plot
Well water in the residence/yard/plot
Public tap
Public hand-pump
Public well
Bore-well
Canal
Other (specify)
B05
Is the water available throughout the year
Yes
No
B06
During which months do you experience scarcity of water?
January to April
May to August
September to December
Never
B07
What is type of toilet facility available in your house?
No toilet (go for open defecation)
Flush to piped sewer system
Flush to septic tank
Flush to pit latrine
Flush to somewhere else
Ventilated improved pit biogas latrine
Pit latrine with slab
Pit latrine without slab/open pot
Twin pit composting toilet
Dry toilet
Other (specify)
B08
What is the main source of lighting in your house?
Electricity
Kerosene lamp
Candle
Solar energy
Gas lamp
Other (specify)
B09
What type of fuel does your HH use for cooking?
Wood
Crop Residues
Dung cake
Coal/charcoal
Kerosene
Electricity
LPG
Bio-gas
Others (specify
B10
Does your HH own the following?
B10_1
Electricity connection
Yes
No
B10_2
Pressure cooker
Yes
No
B10_3
Mixer/grinder
Yes
No
B10_4
Motorcycle/scooter
Yes
No
B10_5
Car/Jeep
Yes
No
B10_6
Tractor and/ or other agril. Equipment (incl. power tiller)
Yes
No
B10_7
Bicycle
Yes
No
B10_8
Animal-drawn cart
Yes
No
B10_9
Chair
Yes
No
B10_10
Table
Yes
No
B10_11
Cot/ Bed
Yes
No
B10_12
Mattress
Yes
No
B10_13
Clock or watch
Yes
No
B10_14
Electric fan
Yes
No
B10_15
Water pump
Yes
No
B10_16
Thresher
Yes
No
B10_17
Radio/Transistor
Yes
No
B10_18
Sewing machine
Yes
No
B10_19
Refrigerator
Yes
No
B10_20
B & W television
Yes
No
B10_21
Colour television
Yes
No
B10_22
Telephone
Yes
No
B10_23
Computer
Yes
No
B10_24
Cell Phone
Yes
No
B11
Does your HH own the following animals?
B11_1
Cows
Yes
No
B11_2
Buffalos
Yes
No
B11_3
Bullocks
Yes
No
B11_4
Sheep
Yes
No
B11_5
Goats
Yes
No
B11_6
Piggery
Yes
No
B11_7
Poultry
Yes
No
B11_8
Fishery (acres)
Yes
No
B11_9
Other live-stock
Yes
No
B12
Number of animals owned
B12_1
Cows
B12_2
Buffalos
B12_3
Bullocks
B12_4
Sheep
B12_5
Goats
B12_6
Piggery
B12_7
Poultry
B12_8
Fishery (acres)
B12_9
Other live-stock
Land use
C01
Does any member in your household own, lease in or mortgage any agricultural land?
Yes
No
C02
How many plots of agricultural land do you own, lease in lease-out and mortgage?
Owned land
Leased in land
Leased-out land
Mortagaged land
C03
What is the total size of your owned, leased-in, lease-out land mortgaged agricultural land?
C03A
Ownership type
Owned land
Leased in land
Leased-out land
Mortagaged land
C03B
Land area
C03C
Unit (See Code)
Decimal
Biswa
Kattha
Bigha
Acre
Hectare
Others (specify)
C04
How much income do you draw from you leased-out land?
C05
How much of your land do you cultivate?
C05A
Ownership type
Owned land
Leased in land
C05B
Land area
C05C
Unit (See Code)
Decimal
Biswa
Kattha
Bigha
Acre
Hectare
Others (specify)
Cropping Practices
D01
Crop Code
Paddy
Wheat
Maize
Millet
Sorghum
Barley
Oat
Groundnut
Mustard
Rapeseed
Nizer
Sunflower
Soya bean
Linseed
Til
Pigeon pea
Black gram
Chickpea
Green gram
Horse gram
Lentil
Lathyrus (Chickling pea)
Potato
Tomato
Cabbage
Cauliflower
Chilli
Capsicum
Sponge gourd
Bitter gourd
Bottle gourd
Spine gourd
Snake gourd
Pointed gourd
Ridge gourd
Leafy vegetable
Sweet Potato
Brinjal
Cucumber
French bean
Green pea
Broccoli
Radish
Carrot
Coriander
Ladies finger
Coccinia (Kundru)
Elephant foot yam
Colocasia (Kacchu)
Aru
Flat bean (Saim)
Drumstick
Beet root
Pumpkin
Cowpea
Bean
Kakri
Ash gourd
Guava
Mango
Lemon/Lime
Orange
Papaya
Water Melon
Litchi
Berries
Banana
Sugarcane
Bael (wood apple)
Pomelo
Pomegranate
Pineapple
Onion
Garlic
Turmeric
Ginger
Tobacco
Jute
Dhaincha
Makhana
Water chestnut
Bamboo
Marigold
Cotton
Yam bean
D02
How much of the agricultural land was used in the cultivation of this crop?
D03
Do you irrigate this crop?
Yes
No
D04
What is the total quantity produced last year?
D05
How do you measure the yield?
Weighing scale
Rough estimation based on the land size
Rough estimation based on the quantity of seeds
D06
How much did you keep for home consumption?
D07
How much did you sell?
D08
Where do you mostly sell the crop?
Local market in the village
Sold to other people in the village
Middlemen
Retail market in panchayat, block or town
Wholesale market
Producer Company
Barter
Cooperative Society
D09
What was the average market rate you got for this crop? (price per kg)
D10
How much did you exchange in barter? (kg)
D11
What value (monetary value) do you assign to this barter exhange?
D12
What was/would be the income from the sale of this crop?
D13
Did you sell any crop residue?
Yes
No
D14
What was the value of Crop residue sold?
NURSERY MANAGEMENT
E01
What was the seed variety/plant variety grown last year for your largest parcel/plot (subsistence farmer) or the one where you use hybrid seeds (for non subsistence farmers)?
E02
Did you build a nursery for this crop?
E02_1
Wheat
Yes
No
E02_2
Kharif paddy
Yes
No
E02_3
Rabi paddy
Yes
No
E02_4
Sugar cane
Yes
No
E03
What was the total cost that you incurred to buy seedlings from another farmer?
E04
What was the area of the nursery? (in Decimals)
E05
When did you build the nursery?
First week of June
Second week of June
Last fortnight of June
Don’t know/remember
E06
What was the quantity of seeds sown for builidng the nursery?
E07
Where did you buy the seeds/setts from?
Other cultivator in the village
KVK
Dealer in village
Dealer in nearby town market
Used my own stock
Don’t know/remember
E08
What was the price of the seeds/setts (in INR/kg)?
E09
How many labours did you engage for building the nursery?
E10
For how many days did you engage labourers during nursery development?
E11
What was the avg daily wage that you paid for labour? (in INR)?
E11A
How was the amount paid?
per day
per area
E12
What was paid in exchange through the barter?
Seeds
Food grains
Vegetables
Other labour services
E13
What is the value (monetary) that you assign to this exchange through barter (in INR)?
E14
What manure did you apply in the nursery? (Multiple options)
Vermicompost
FYM
Poultry/cattle manure
Legume clipplings
Azolla
Oil cakes
Did not apply
Don’t know/remember
E15
How much land area did you apply manure to (while building the nursery)?
E15A
Land area
E15B
Unit
Decimal
Biswa
Kattha
Bigha
Acre
Hectare
Others (specify)
E16
How many days after sowing did you apply manure?
E17
How much manure did you apply (in kg)?
E18
From where did you purchase manure?
Other cultivator in the village
KVK
Dealer in village
Dealer in nearby town market
Used own stock
Did not apply
Don’t know/remember
E19
What was the avg price of the manure?
TRANSPLANTATION
F01
How many days after sowing did you transplant the seedlings to the main field?
F01_1
Wheat
F01_2
Kharif paddy
F01_3
Rabi paddy
F01_4
Sugar cane
F02
How many labours did you engage for transplanting?
F02_1
Wheat
F02_2
Kharif paddy
F02_3
Rabi paddy
F02_4
Sugar cane
F03
For how many days did you engage labourers during transplanting?
F03_1
Wheat
F03_2
Kharif paddy
F03_3
Rabi paddy
F03_4
Sugar cane
F04
What was the avg daily wage that you paid for labour? (in INR)?
F04A
How was the amount paid?
per day
per area
F05
What was paid in exchange through the barter?
Seeds
Food grains
Vegetables
Other labour services
F06
What is the value (monetary) that you assign to this exchange through barter (in INR)?
TILLAGE PRACTICE (LAND PREPARATION)
G01
Did you practice tillage of the main field before transplanting?
G01_1
Wheat
Yes
No
G01_2
Kharif paddy
Yes
No
G01_3
Rabi paddy
Yes
No
G01_4
Sugar cane
Yes
No
G02
Did you practice planking?
G02_1
Wheat
Yes
No
G02_2
Kharif paddy
Yes
No
G02_3
Rabi paddy
Yes
No
G02_4
Sugar cane
Yes
No
G03
How did you till the soil?
G03_1
Wheat
Plough attached to tractor
Harrow attached to tractor
Plough/harrow with help of animals
Don’t know/remember
G03_2
Kharif paddy
Plough attached to tractor
Harrow attached to tractor
Plough/harrow with help of animals
Don’t know/remember
G03_3
Rabi paddy
Plough attached to tractor
Harrow attached to tractor
Plough/harrow with help of animals
Don’t know/remember
G03_4
Sugar cane
Plough attached to tractor
Harrow attached to tractor
Plough/harrow with help of animals
Don’t know/remember
G04
How many labours did you engage any labourer for tillage?
G05
For how many days did you engage labourers during tillage?
G06
What was the avg daily wage that you paid for labour? (in INR)?
G06A
How was the amount paid?
per day
per area
G07
What was paid in exchange through the barter?
Seeds
Food grains
Vegetables
Other labour services
G08
What is the value (monetary) that you assign to this exchange through barter (in INR)?
MANURE & FERTILIZER APPLICATION
H01
How many days after transplanting did you apply manure?
H01_1
Wheat
H01_2
Kharif paddy
H01_3
Rabi paddy
H01_4
Sugar cane
H02
What type of manure did you apply? (Multiple options)
H02_1
Wheat
Vermicompost
FYM
Poultry/cattle
Legume clipplings
Azolla
Oil cakes
Don’t know/remember
H02_2
Kharif paddy
Vermicompost
FYM
Poultry/cattle
Legume clipplings
Azolla
Oil cakes
Don’t know/remember
H02_3
Rabi paddy
Vermicompost
FYM
Poultry/cattle
Legume clipplings
Azolla
Oil cakes
Don’t know/remember
H02_4
Sugar cane
Vermicompost
FYM
Poultry/cattle
Legume clipplings
Azolla
Oil cakes
Don’t know/remember
H03
How much manure did you apply (in kg/bigha)?
H03_1
Wheat
H03_2
Kharif paddy
H03_3
Rabi paddy
H03_4
Sugar cane
H04
How many times have you applied manure during the entire cropping cycle?
H04_1
Wheat
H04_2
Kharif paddy
H04_3
Rabi paddy
H04_4
Sugar cane
H05
How much land area did you apply manure to?
H05A
Land area
H05B
unit
Decimal
Biswa
Kattha
Bigha
Acre
Hectare
Others (specify)
H06
From where did you purchase manure?
Other cultivator in the village
KVK
Dealer in village
Dealer in nearby town market
Used own stock
Don’t know/remember
H07
What was the avg price of the manure?
H08
How many days after transplanting did you apply fertilizer?
H08_1
Wheat
H08_2
Kharif paddy
H08_3
Rabi paddy
H08_4
Sugar cane
H09
What type and quantity of fertilizers did you apply? (Multiple options)
H09_1
Wheat
H09_2
Kharif paddy
H09_3
Rabi paddy
H09_4
Sugar cane
H10
How many times have you applied fertilizer during the entire cropping cycle?
H10_1
Wheat
H10_2
Kharif paddy
H10_3
Rabi paddy
H10_4
Sugar cane
H11
How much land area did you apply fertilizers to?
H11A
Land area
H11B
unit
Decimal
Biswa
Kattha
Bigha
Acre
Hectare
Others (specify)
H12
From where did you purchase fertilizers?
Other cultivator in the village
KVK
Dealer in village
Dealer in nearby town market
Used own stock
Don’t know/remember
H13
What was the total amount/ value (if on credit) you spent on fertilizers?
H14
How many labours did you engage for manure/fertilizer application?
H15
For how many days did you engage labourers for manure/fertilizer application?
H16
What was the avg daily wage that you paid for labour? (in INR)?
H16A
How was the amount paid?
per day
per area
H17
What was paid in exchange through the barter?
Seeds
Food grains
Vegetables
Other labour services
H18
What is the value (monetary) that you assign to this exchange through barter (in INR)?
PEST INCIDENCE & CONTROL MEASURES
I01
Was the crop affected by any of these diseases?
Sheath blight
Bacterial leaf blight
Sheath rot
Leaf blast
False smut
Insect infestation
No diseases
Don’t know/remember
I02
What do you do to control these diseases? (Multiple options)
Treated seeds with fungicide (carbendazim/propiconazole)
Spray carbendazim, thiram, mancozeb mixture
Sprayed Chlorothalonil
Regularly removed infected plants
Sprayed carbaryl
Don’t do anything
Don’t know/remember
I03
From where did you purchase fungicides/ insecticides?
Other cultivator in the village
KVK
Dealer in village
Dealer in nearby town market
Used own stock
Did not apply
Don’t know/remember
I04
What was the total quantity of insecticides/fungisides that you used ?(in kg)
I05
How much land area did you apply pestiicdes/insecticides to?
I05A
Land area
I05B
unit
Decimal
Biswa
Kattha
Bigha
Acre
Hectare
Others (specify)
I06
What was the total amount you spent on insecticides?
I07
How many labours did you engage any labourer for fungicides/insecticides application?
I08
For how many days did you engage labourers for fungicides/insecticides application?
I09
What was the avg daily wage that you paid for labour? (in INR)?
I09A
How was the amount paid?
per day
per area
I10
What was paid in exchange through the barter?
Seeds
Food grains
Vegetables
Other labour services
I11
What is the value (monetary) that you assign to this exchange through barter (in INR)?
WEEDING
J01
How many days after transplanting did you practice weeding?
J02
How did you mostly carry out weeding?
Used weedicides
Manual weeding using wheel hoe
Manual weeding using basic tools (hasua, sickle, nirani)
Used harrow attached to cultivator
Don’t know/remember
J03
How many labours did you engage for tillage?
J04
For how many days did you engage labourers during tillage?
J05
What was the avg daily wage that you paid for labour? (in INR)?
J05A
How was the amount paid?
per day
per area
J06
What was paid in exchange through the barter?
Seeds
Food grains
Vegetables
Other labour services
J07
What is the value (monetary) that you assign to this exchange through barter?
WATER MANAGEMENT
K01
Did you irrgate your crop?
Yes
No
K02
How many times did you irrigate your field in a seasonday?
K03
Did you use any of the irrigation practices for your crop?
Drip irrigation
Sprinkler irrigation
Flood Irrigation
Others (specify)
No method
K04
How much does the farm flood (above the soil level) during one irrigation event?
5cm
10cm
15cm
20cm
Don’t know/remember
K05
After one irrigation event, how much time (days/hours) does it take for the flooded water level to come down below soil level?
K06
For how many days did you keep the field dry during the entire cropping period?
K07
How many days before harvest did you keep the field dry?
K08
What has been the source of water for irrigating the field?
Rain water
Ground water
Stream
Well
River
Don’t know/remember
K09
What issues did you face with the water source?
Poor rainfall
Contamination of ground water
Less water in stream/well
Polluted river water
No issue
Don’t know /remember
K10
What did you do to address the issues?
Purchased water tanks
Purchased water from other farmers
Did nothing
No issue
Don’t know /remember
K11
How do you draw water for irrigating your field?
Diesel powered boring well
Diesel powered submersible pump
Govt. grid electricity powered boring well
Govt. grid powered submersible pump
Solar powered boring well
Solar powered submersible pump
Kerosene fuelled tullu pump
K12
Do you own the pump or rent it?
Own
Rent
K13
How many times do you irrigate your field during the entire season?
K14
For which of the crops do you use the irrigation pump?
Wheat
Kharif paddy
Rabi paddy
Sugar cane
K15
What is the motor capacity (in HP) of each pump?
K16
How many hours do you use the pump for each irrigation event?
K17
What is the total expense that you incur in a month to run this pump for irrigation?
HARVEST
L01
How many days after transplanting did you harvest the crop?
L02
How many bags of ____ did you harvest? (Ask only for wheat and paddy)
L03
What was the average weight of each bag (in case of wheat/paddy) and average quantity cultivated (in case of sugarcane)?
L04
How did you measure the yield?
Weighing scale
Rough estimation based on the land size
Rough estimation based on seeds
L05
What was the total crop residue yield?
L06
What do you do with the crop residue?
Use at home
Sell it other village members
Sell it poultry units
Burn it
Don’t know /remember
L07
What % of crop residue yield do you sell?
L08
How many labours did you engage for harvest?
L09
For how many days did you engage labourers for harvest?
L10
What was the avg daily wage that you paid for labour? (in INR)?
L10A
How was the amount paid?
per day
per area
L11
What was paid in exchange through the barter?
Seeds
Food grains
Vegetables
Other labour services
L12
What is the value (monetary) that you assign to this exchange through barter (in INR)?
L13
How many labours did you engage for loading, unloading and bundling of the harvest?
L14
For how many days did you engage labourers for loading, unloading and bundling of the harvest?
L15
What was the avg daily wage that you paid for labour? (in INR)?
L15A
How was the amount paid?
per day
per area
L16
What was paid in exchange through the barter?
Seeds
Food grains
Vegetables
Other labour services
L17
What is the value (monetary) that you assign to this exchange through barter (in INR)?
L18
How many labours did you engage for threshing?
L19
For how many hours did you engage labourers for threshing?
L20
What was the avg wage that you paid for the whole field? (in INR)?
L20A
How was the amount paid?
per day
per area
L21
What was paid in exchange through the barter?
Seeds
Food grains
Vegetables
Other labour services
L22
What is the value (monetary) that you assign to this exchange through barter (in INR)?
L23
What proportion of your grain yield do you sell?
L24
Where mostly do you sell?
local weekly markets (haat)
local dealers
market in nearest town
market in block headquarters
market in district headquarters
other villagers
did not sell
Don’t know/remember
L25
What was the avg price you had received from the grain produce (per kg/per bag)?
L26
What proportion of your produce did you hull into rice & sell?
L27
Where mostly do you sell?
local weekly markets (haat)
local dealers
market in nearest town
market in block headquarters
market in district headquarters
other villagers
did not sell
Don’t know/remember
L28
What was the avg price you had received from the rice (per kg/per bag)?
L29
What was the avg rate you had received for fodder yield?
L30
What was the total labour cost you had incur during the sale of grain/rice/fodder yield?
L31
What was the total cost you had incur in transporting your harvest from field to home?
L32
What was the total transport cost you had incur during the sale of grain/rice/fodder yield?
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