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Farm Template -Form Fill

Identification and occupational profile
Q01

State

Q02

District

Q03

Block

Q04

Village (Hamlet name)

Q05

Household No

Q06

Interviewer ‍name

Q07

Date of interview

Q08

Interview start time‍

Q09

Interview end time‍

Q10

Name of the respondent to be interviewed

Q11

Is he/she available?

Q12

If no, write the name of person giving the interview in his/her place

Q13

How are you related to the beneficiary?

Q14

Are you the head of the household?

Q15

Phone number

Q16

Gender

Q17

Age

Q18

Caste

Q19

Education

Q20

Did you pursue any other course?

Q21

What was the course pursued? Please specify.

Q22

How many members live in this household?

Q23

In 2020, did you or any other household member had any earnings from _____?

Q23_1

Agriculture/ horticulture

Q23_2

Poultry rearing

Q23_3

Dairy farming

Q23_4

Other livestock rearing (excluding dairy & poultry)

Q23_5

Pisciculture

Q23_6

Non-timber Forest Produce (NTFP) Collection

Q23_7

Wage

Q23_8

Salary/Job

Q23_9

Contractual work

Q23_10

Enterprise

Q23_11

Pension

Q23_12

Remittance

Q23_13

Rental income

Q24

In 2020, what was the share of income from ___ in your overall household income?

Q24_1

Agriculture/ horticulture

Q24_2

Poultry rearing

Q24_3

Dairy farming

Q24_4

Other livestock rearing (excluding dairy & poultry)

Q24_5

Pisciculture

Q24_6

Non-timber Forest Produce (NTFP) Collection

Q24_7

Wage

Q24_8

Salary/Job

Q24_9

Contractual work

Q24_10

Enterprise

Q24_11

Pension

Q24_12

Remittance

Q24_13

Rental income

Access to credit
A01

Did your household have a bank account in September 2020?

A02

Did you have to close any bank account permanently due to the impact of COVID after April 2021?

A03

Did anybody in the household have Kisan Credit Card (KCC) in September 2020?

A04

From what sources did you use to take loans before September 2020?

A05

Did you undertake any of the following to cope with COVID after April 2021?

A06

Which of the assets did your household have to sell/ mortgage?

A07

Who made the decision regarding securing additional financial resources?

Land ownership and cropping practices
B01

Did your household own land in 2020?

B02

Total land owned

B02A

Unit

B03

How much of your owned land did you cultivate in 2020?

B03A

Unit

B04

How much of this cultivated land was under irrigation?

B04A

Unit

B05

Had you taken any land on lease for cultivation in 2020?

B06

How much land had you taken on lease for cultivation in 2020?

B06A

Unit

B07

How much did you pay during 2020 for the leased-in land?

B08

How much of this leased-in land was under irrigation?

B08A

Unit

B09

Was your land holding pattern affected due to COVID upsurge after April 2021?

B10

How did COVID affected your landholding pattern post April 2021?

B11

Did you use any of the following practices on your land/ farm before September 2020?

B12

Have you gotten your soil tested in the last 3 years before September 2020?

B13

Did you used to take on rent any farm equipment before September 2020?

B14

From where did you get the equipment on rent?

B15

Did it ever happen that you wanted to take on rent some farm equipment before September 2020, but were unable to get them?

B16

Why were you not able to get on rent the required equipment?

B17

Were you receiving the following advisory services in 2020?

B17_1

Crop advisory (crop planning, diversification, etc.)

B17_2

Integrated pest management

B17_3

Integrated nutrient management

B17_4

Farm mechanization

B17_5

Modern & innovative farming methods

B17_6

Input supply

B17_7

Selling the produce

B17_8

Weather advisory

B18

From where were you getting crop advisory services in 2020?

Training and Capacity Building
C01

Have you, or any other household member, received any type of capacity building exercise with respect to agriculture/ horticulture/ dairy farming/ poultry rearing, before September 2020?

C02

With which of the following sectors, have you or anyone else from your household received/ been part of any __ in the last 3 years (but before September 2020)?

C02_1

Training

C02_2

Exposure visits

C02_3

Seminar/ conference or workshop

C02_4

Webinar

C02_5

Demonstration activity

C03

Who received the exercise?

C03_1

Training

C03_2

Exposure visits

C03_3

Seminar/ conference or workshop

C03_4

Webinar

C03_5

Demonstration activity

C04

What was the theme of the exercise?

C04_1

Training

C04_2

Exposure visits

C04_3

Seminar/ conference or workshop

C04_4

Webinar

C04_5

Demonstration activity

C05

Who provided the exercise?

C05_1

Training

C05_2

Exposure visits

C05_3

Seminar/ conference or workshop

C05_4

Webinar

C05_5

Demonstration activity

C06

Do you require training or capacity building in this regard?

C06_1

Crop management

C06_2

Nursery raising

C06_3

Use of modern and innovative methods (including machines)

C06_4

Making or using natural fertilizers/ insecticides

C06_5

Accessing credit

C06_6

Awareness around relevant government schemes

C06_7

Pest/ disease management

C06_8

Forming or working in collectives

C06_9

Poultry rearing/ farming

C06_10

Dairy farming

C06_11

Other livestock rearing

C06_12

Marketing of produce

Crop production
D02

What was the total quantity produced (homestead + farm)?

D03

How much of the total quantity produced did you sell? (in kg)

D04

What was the average rate you got for selling this crop? (price per kg)

D05

What was the minimum rate you got for selling this crop? (price per kg)

D06

What was the maximum rate you got for selling this crop? (price per kg)

D07

Where did you sell the crop?

D08

What was the approximate production (in kg) per unit of land?

D08A

Unit

D09

Do you think that your earning would be affected this year due to the impact of second wave of COVID after April 2021?

D10

Do you think the annual earnings in 2021 would be?

D11

What type of seeds did you buy?

D12

What was the name of the seed you bought?

D13

Where did you primarily procure the seeds from?

D14

How did you come to know of these seeds?

D15

Did you use to treat the seeds before sowing (for example, using chemical treatments, insecticide and fungicide and special treatment such as seed hardening, seed fortification, seed pelleting, seed infusion)?

Cost of cultivation
E01

Cost of buying/ using seeds

E02

Cost of buying

E02_1

Fertilizer

E02_2

Pesticide

E02_3

Weedicide

E02_4

Farm-yard manure

E03

Expenses of using (not buying) machines

E04

Labor cost

E05

Cost of transportation (fuel/ hiring etc.)

E06

Other costs (such as electricity, irrigation, storage, packaging etc.)

E07

Do you think that your annual cost from growing to selling crops would be affected this year due to the impact of second wave of COVID after April 2021?

E08

Do you think the annual cost in 2021 would be?

E08_1

What percentage of the profit from horticulture activity in last agriculture cycle in 2019-20 did you plough back towards farming?

E08_2

What percentage of the profit from horticulture activity in last agriculture cycle in 2019-20 did you use for overall household expenditure?

E08_3

What percentage of the profit from horticulture activity in last agriculture cycle in 2019-20 did you save?

E09

What were the major challenges for you in horticulture in 2020?

E10

What challenges are faced/ expected to be faced by you in your horticulture work due to COVID upsurge after April 2021?

E11

What opportunities have emerged in your horticulture work due to COVID upsurge post April 2021?

E12

Which of the two COVID waves do you think had worse impact on your livelihood from horticulture?

Poultry sub-sector
F01

Do you engage in poultry rearing?

F02

What type of poultry do you rear?

F03

Did the COVID upsurge after April 2021 affect your overall birds ownership in any manner?

F04

Where did you get your birds from?

F05

What type of poultry housing did you use in 2020?

F06

What was the initial flock size when you started?

F07

How many birds did you have in 2020?

F07_1

Chicks

F07_2

Male

F07_3

Female

F08

How many birds did you purchase in year 2020?

F08_1

Chicks

F08_2

Male

F08_3

Female

F09

What was the total cost at which you bought them?

F09_1

Chicks

F09_2

Male

F09_3

Female

F10

Which of the following categories did you procure feed for birds from in 2020?

F10_1

Get it from farm as byproduct/ wastage

F10_2

Grow on own land/ farm

F10_3

Buy from the market

F10_4

Buy from a farmer collective

F10_5

Get it from friends/ family

F11

What was the quantity of feed procured for the birds?

F11_1

Get it from farm as byproduct/ wastage

F11_2

Grow on own land/ farm

F11_3

Buy from the market

F11_4

Buy from a farmer collective

F11_5

Get it from friends/ family

F12

What cost did you incur?

F12_1

Get it from farm as byproduct/ wastage

F12_2

Grow on own land/ farm

F12_3

Buy from the market

F12_4

Buy from a farmer collective

F12_5

Get it from friends/ family

F13

Were your birds insured by 2020?

F14

Were you birds periodically dewormed in 2020?

F15

Were all your birds debeaked by 2020?

F16

Were all your birds vaccinated by 2020?

F17

How much did you spend in 2020 (excluding feed) on taking care of your birds (such as on veterinary services, setting up infrastructure etc.)?

F18

Do you think that your overall annual cost of taking care of your birds this year would be affected due to the impact of COVID second wave after April 2021?

F19

Do you think the annual cost in 2021 towards taking care of birds would be?

F20

How many eggs did your hens lay in 2020?

F21

What did you do with their eggs in 2020?

F22

How many eggs did you sell in 2020?

F23

What was the average rate of a dozen eggs at which you sold the eggs in 2020?

F24

To whom did you sell the eggs?

F25

Were some of the reared birds consumed at home in 2020?

F26

How many birds were consumed at home in 2020?

F27

Did you sell some of the birds in 2020?

F28

What is the number of birds sold last year?

F28_1

Chicks

F28_2

Male

F28_3

Female

F29

At what average cost did you sell each bird?

F29_1

Chicks

F29_2

Male

F29_3

Female

F30

To whom did you sell your birds?

F30_1

What percentage of the profit from poultry rearing activity in 2020 did you plough back towards poultry rearing?

F30_2

What percentage of the profit from poultry rearing activity in 2020 did you use for overall household expenditure?

F30_3

What percentage of the profit from poultry rearing activity in 2020 did you save?

F31

Do you think that your annual earnings from poultry rearing this year would be affected due to the impact of second wave of COVID after April 2021?

F32

Do you think the annual earnings from poultry rearing in 2021 would be?

F33

How many birds died in 2020?

F34

What were the primary reasons for their death?

F35

Did you have to borrow money to undertake poultry rearing related activity?

F36

Where did you get the required funds from?

F37

Did it ever happen that you wanted to take a loan to undertake poultry rearing related activities, but couldn’t take?

F38

Why couldn’t you take a loan/ borrow money (primary reason)?

F39

What were the major challenges for you in poultry rearing in 2020?

F40

What are the challenges faced by you in poultry rearing due to COVID upsurge post April 2021?

F41

What are the opportunities that have emerged in poultry rearing due to COVID upsurge post April 2021?

F42

Which of the two waves do you think had worse impact on your livelihood from poultry rearing?

Dairy sub-sector
G01

Did you own any animals in 2020?

G02A

How many of the animals did you buy in 2020?

G02A_1

Cow

G02A_2

Ox

G02A_3

Buffalo female

G02A_4

Buffalo male

G02A_5

Goat female

G02A_6

Goat male (Buck)

G02B

What was the total cost at which you bought them?

G02B_1

Cow

G02B_2

Ox

G02B_3

Buffalo female

G02B_4

Buffalo male

G02B_5

Goat female

G02B_6

Goat male (Buck)

G03

Did the COVID upsurge after April 2021 affect your overall animal ownership in any manner?

G04

Where did you get your animal from?

G05

What kind of animal housing did you have in 2020?

G06

In and before 2020, which of the following services did you use for livestock improvement and improving milk production?

G07

What was the total number of milch animals with you in 2020?

G08

What was the average inter-calving period (between successive deliveries) for your animals (in months) in 2020?

G09

Were your animals tagged (for the purpose of identification) by 2020?

G10

Were your animals insured by 2020?

G11

Did you get your animals periodically dewormed in 2020?

G12

Were your animals vaccinated by 2020?

G13

In 2020, where did you procure fodder for your animals from?

G14

How much dry fodder was obtained from the field in 2020?

G15

How much green fodder was grown by you in 2020?

G16

How much money did you spend in 2020 to grow fodder yourself for your animals?

G17

What was the total feed purchased in 2020 (in kg)?

G18

In 2020, how much money did you spend to buy fodder for your animals?

G19

Were you aware of the process to make silage in 2020?

G20

In 2020, did you use to make silage to feed your animals?

G21

In 2020, how much money did you spend (excluding fodder) on taking care of animals (such as on veterinary services, setting up infrastructure etc.)?

G22

Do you think that your annual cost of taking care of your animals this year would be affected due to the impact of COVID second wave after April 2021?

G23

Do you think the annual cost in 2021 towards taking care of animals would be?

G24

How many milking days in 2020 did a milch animal with you have?

G25

What was the average milk production per day (in liter) for all animals in 2020?

G26

In 2020, how much of the milk produced every day was sold?

G26A

In 2020, how many days did you sell milk?

G27

In 2020, how much of the milk produced every day was used for self-consumption?

G28

In 2020, how much of the milk produced every day was converted to milk-based products (such as curd, paneer etc.) and sold?

G28A

In 2020, how many days did you sell milk-based products?

G29

On an average, at what rate did you sell one liter of milk in 2020?

G30

In 2020, to whom did you sell the milk obtained from the animals?

G31

How much did you earn from the sale of milk-based products in 2020 (in INR)?

G32

To whom did you sell the milk-based products in 2020?

G33

Do you think that your annual earnings from dairy farming this year would be affected due to the impact of second wave of COVID after April 2021?

G34

Do you think the annual earnings from dairy farming in 2021 would be?

G35

How many animals did you sell in 2020?

G36

To whom did you sell your animals?

G37

How much money did you receive for the sale of the animals in 2020?

G38

How many animals died last year in 2020?

G39

What were the primary reasons for their death?

G39_1

What percentage of the profit from dairy farming activity in 2020 did you plough back towards dairy farming?

G39_2

What percentage of the profit from dairy farming activity in 2020 did you use for overall household expenditure?

G39_3

What percentage of the profit from dairy farming activity in 2020 did you save?

G40

Did you have to borrow money to undertake dairy farming related activities?

G41

Where did you get the required funds from?

G42

Did it ever happen that you wanted to take a loan to undertake dairy farming related activities, but couldn’t take?

G43

Why couldn’t you take a loan/ borrow money (primary reason)?

G44

What were the major challenges for you in dairy farming in 2020?

G45

What are the challenges faced by you in dairy farming due to COVID upsurge post April 2021?

G46

What are the opportunities that have emerged in dairy farming due to COVID upsurge post April 2021?

G47

Which of the two waves do you think had worse impact on your livelihood from dairy farming?

Involvement of male and female household members in economic and non-economic activities
H01

Did any adult male member from your household participate in ___ in the last year (2020)?

H01_1

Food crop farming: crops that are grown primarily for household food consumption

H01_2

Cash crop farming: crops that are grown primarily for sale in the market

H01_3

Dairy

H01_4

Poultry

H01_5

Pisciculture

H01_6

Other livestock rearing

H01_7

Non-farm economic activities: small business, self-employment, buy-and-sell

H01_8

Wage and salary employment: in-kind or monetary work (both agriculture and non-agricultural work)

H01_9

Domestic duties/ household chores only

H01_10

Domestic duties and also engaged in free collection of goods (vegetables, roots, firewood, cattle feed, etc.), sewing, tailoring, weaving, etc. for household use

H01_11

Major household expenditures (such as large appliance for the house like refrigerator)

H01_12

Minor household expenditures (such as food for daily consumption or other household needs)

H02

Does any adult male member from your household participate in ___ now?

H02_1

Food crop farming: crops that are grown primarily for household food consumption

H02_2

Cash crop farming: crops that are grown primarily for sale in the market

H02_3

Dairy

H02_4

Poultry

H02_5

Pisciculture

H02_6

Other livestock rearing

H02_7

Non-farm economic activities: small business, self-employment, buy-and-sell

H02_8

Wage and salary employment: in-kind or monetary work (both agriculture and non-agricultural work)

H02_9

Domestic duties/ household chores only

H02_10

Domestic duties and also engaged in free collection of goods (vegetables, roots, firewood, cattle feed, etc.), sewing, tailoring, weaving, etc. for household use

H02_11

Major household expenditures (such as large appliance for the house like refrigerator)

H02_12

Minor household expenditures (such as food for daily consumption or other household needs)

H03

Did any adult women from your household participate in ______ in the last year (2020)?

H03_1

Food crop farming: crops that are grown primarily for household food consumption

H03_2

Cash crop farming: crops that are grown primarily for sale in the market

H03_3

Dairy

H03_4

Poultry

H03_5

Pisciculture

H03_6

Other livestock rearing

H03_7

Non-farm economic activities: small business, self-employment, buy-and-sell

H03_8

Wage and salary employment: in-kind or monetary work (both agriculture and non-agricultural work)

H03_9

Domestic duties/ household chores only

H03_10

Domestic duties and also engaged in free collection of goods (vegetables, roots, firewood, cattle feed, etc.), sewing, tailoring, weaving, etc. for household use

H03_11

Major household expenditures (such as large appliance for the house like refrigerator)

H03_12

Minor household expenditures (such as food for daily consumption or other household needs)

H04

How much engagement did women from your household had in carrying out work in ____ in the last year (2020)?

H04_1

Food crop farming: crops that are grown primarily for household food consumption

H04_2

Cash crop farming: crops that are grown primarily for sale in the market

H04_3

Dairy

H04_4

Poultry

H04_5

Pisciculture

H04_6

Other livestock rearing

H04_7

Non-farm economic activities: small business, self-employment, buy-and-sell

H04_8

Wage and salary employment: in-kind or monetary work (both agriculture and non-agricultural work)

H04_9

Domestic duties/ household chores only

H04_10

Domestic duties and also engaged in free collection of goods (vegetables, roots, firewood, cattle feed, etc.), sewing, tailoring, weaving, etc. for household use

H04_11

Major household expenditures (such as large appliance for the house like refrigerator)

H04_12

Minor household expenditures (such as food for daily consumption or other household needs)

H05

How much input did women in your household have in making decisions about ____ in the last year (2020)?

H05_1

Food crop farming: crops that are grown primarily for household food consumption

H05_2

Cash crop farming: crops that are grown primarily for sale in the market

H05_3

Dairy

H05_4

Poultry

H05_5

Pisciculture

H05_6

Other livestock rearing

H05_7

Non-farm economic activities: small business, self-employment, buy-and-sell

H05_8

Wage and salary employment: in-kind or monetary work (both agriculture and non-agricultural work)

H05_9

Domestic duties/ household chores only

H05_10

Domestic duties and also engaged in free collection of goods (vegetables, roots, firewood, cattle feed, etc.), sewing, tailoring, weaving, etc. for household use

H05_11

Major household expenditures (such as large appliance for the house like refrigerator)

H05_12

Minor household expenditures (such as food for daily consumption or other household needs)

H06

How much input did women in your household have in making financial decisions under ___ before Sept 2020?

H06_1

Food crop farming: crops that are grown primarily for household food consumption

H06_2

Cash crop farming: crops that are grown primarily for sale in the market

H06_3

Dairy

H06_4

Poultry

H06_5

Pisciculture

H06_6

Other livestock rearing

H06_7

Non-farm economic activities: small business, self-employment, buy-and-sell

H06_8

Wage and salary employment: in-kind or monetary work (both agriculture and non-agricultural work)

H06_9

Domestic duties/ household chores only

H06_10

Domestic duties and also engaged in free collection of goods (vegetables, roots, firewood, cattle feed, etc.), sewing, tailoring, weaving, etc. for household use

H06_11

Major household expenditures (such as large appliance for the house like refrigerator)

H06_12

Minor household expenditures (such as food for daily consumption or other household needs)

H07

As compared to 2020, how has the engagement of women from your HH in ___ changed due to COVID upsurge in April 2021?

H07_1

Food crop farming: crops that are grown primarily for household food consumption

H07_2

Cash crop farming: crops that are grown primarily for sale in the market

H07_3

Dairy

H07_4

Poultry

H07_5

Pisciculture

H07_6

Other livestock rearing

H07_7

Non-farm economic activities: small business, self-employment, buy-and-sell

H07_8

Wage and salary employment: in-kind or monetary work (both agriculture and non-agricultural work)

H07_9

Domestic duties/ household chores only

H07_10

Domestic duties and also engaged in free collection of goods (vegetables, roots, firewood, cattle feed, etc.), sewing, tailoring, weaving, etc. for household use

H07_11

Major household expenditures (such as large appliance for the house like refrigerator)

H07_12

Minor household expenditures (such as food for daily consumption or other household needs)