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Soil Survey Template 2 -Form Fill
Informed Consent
Q01
Name of the interviewer
Q02
Whether soil is being collected from a privately owned plot or common land?
Privately owned plot
Common land
Q03
Do you provide consent to collect approximately 300-400 g of soil from your plot?
Yes
No
Village Profile
A01
Name of the State
Jharkhand
Madhya Pradesh
A02
Name of the District
A03
Name of the Block
A04
Name of the Village
A05
Name of the Plot Owner
A06
GPS Coordinates of the Plot/ Land
Soil Profile
B01
What is the area of the plot?
B01A
Unit:
hectare
acre
sq. feet
sq. meter
sq. yard
B02
What is the topography of the plot?
Level plot/land
Slope
Terraced
Undulating
Rolling Hills
Steep
Valley
B03
Which crops were cultivated in the last season on this plot?
Paddy
Jowar
Bajra
Maize
Ragi
Wheat
Barley
Small millets
Other cereals
Gram
Tur (arhar)
Urad
Moong
Masur
Horsegram
Beans (pulses)
Peas (pulses)
Other pulses
Sugarcane
Other sugar crops
Pepper
Chillies
Ginger
Turmeric
Garlic
Coriander
Cumin seed
Nutmeg
Fenugreek
Other condi. & spices
Mangoes
Lemon / acid lime
Other citreous fruits
Banana
Table grapes
Wine grapes (black)
Pear
Peaches
Papaya
Guava
Cashewnuts
Jackfruit
Lichi
Pineapple
Watermelon
Musk melon
Ber
Bel
Mulberry (sahatoot)
Other fruits
Other perennial crops
Potato
Elephant foot yam
Colocasia/arum
Other tuber crop
Onion
Carrot
Radish
Beetroot
Turnip (shalgam)
Tomato
Spinach
Amaranths (chaulai)
Cabbage
Other leafy vegetable
Brinjal
Peas (vegetable) (green)
Lady’s finger (bhindi)
Cauliflower
Cucumber
Bottle gourd
Pumpkin
Bitter gourd
Other gourds
Vench (guar)
Beans (green)
Drumstick
Capsicum
Green chillies
Cowpea
Other vegetables
Oilseeds
Groundnut
Castorseed
Sesamum
Rapeseed & mustard (toria/ taramira)
Linseed
Coconut
Sunflower
Safflower
Soyabean
Oil palm
Other oilseeds
Cotton
Jute
Sunhemp
Other fibres
Indigo
Other dyes & tan. Materials
Tea
Other plantation crops
Other flowers
Other aromatic plant
Other non-food crops
B04
Which inputs were being used in this plot?
B05
Is there a standing main crop in the plot?
Yes
No
B06
What is the primary irrigation method used in your plot?
Flood water
Sprinklers
Drip or trickle irrigation
No irrigation (only rainfed)
Other (specify)
B07
Can you describe the soil drainage characteristics?
Good
Moderate
Poor
B08
Does the plot have water flow from any upper stream plots?
Yes
No
B09
Display UID
B10
Note down the UID on paper and insert into the bag in which soil sample is being collected. Also write the UID on top of the bag. Make sure you collect soil sample.
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