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Fpo Template Template 1 -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
President
Vice-president
Secretary
Treasurer
Member
Others ______
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?
Yes
No
FPO financial and business information
B01
Types of business activities undertaken by FPO (multiple selection)
Supply of inputs (seeds and fertilizers)
Aggregation of crops
Market linkages
Processing
Cultivation
Poultry
Crop sale
Value addition
Others ______
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?
Supply of inputs (seeds and fertilizers)
Aggregation of crops
Market linkages
Processing
Cultivation
Poultry
Crop sale
Value addition
Others ______
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)
Access to Credit
Market Price Fluctuations
Infrastructure Constraints
Input Cost Management
Regulatory Compliance
Other (Specify):
B06
What are the investments made by FPO in last one year? (multiple selection)
Infrastructure Development
Technology Adoption
Training and Capacity Building
Market Linkages
Diversification of Activities
Other (Specify)
B07
What are some of the key partnerships and collaborations done by FPO?
Government Agencies
NGOs or Non-profits
Private Sector
Financial Institutions
Research Institutions
Other (Specify):
FPO Participation and Village-level decision making
C01
Do women from the FPO hold leadership positions in village committees (water committee, forest committee) ?
Yes
No
Don’t know
can’t say
C02
Do you perceive any challenges or barriers preventing women from actively participating in village-level decision-making? (Select all that apply)
Lack of confidence
Social expectations
Cultural norms
Limited mobility
Time constraints
Lack of awareness
Other (specify)
C03
Do women members of the FPO actively participate in meetings and discussion?
Yes
No
Don’t know
can’t say
C04
Are there any specific topics or areas where women members input is particularly sought after within the FPO? (Select all that apply)
Crop selection
Financial management
Marketing strategies
Farming practices
Resource allocation
Other (specify)
C05
What are some of the initiatives taken by FPO to promote women’s participation? (multiple selection)
Gender-Specific Training Programs
Capacity Building
Workshops
Financial Inclusion Programs
Mentorship Programs
Other (Specify)
Input supply and market access
D01
Does your FPO provide its members with access to regenerative seed varieties?
Yes
No
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?
Yes
No
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?
Yes
No
D06
If yes, please describe the type of market access established? (multiple selection)
Direct sales contract
Local markets
Supermarkets
Online platforms
Government procurement programs
Fair trade partnerships
Other (specify)
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)
D10A
What is the quantity sold (in Kgs/Quintals)
D11
Where did you sell the crop?
Local retailer
APMC
Wholesaler
Digital market
Others (specify)
Agency and Empowerment
E01
Are women represented in any local governance bodies or committees besides the FPO? (Multiple selection)
Village councils
Panchayat
Self-help groups
Others (specify)
None
E02
Does the FPO own physical assets?
Yes
No
E03
What are the assets owned by FPO? (multiple selection)
Land
Storage facilities
Machinery and equipment
FPO office building
Others (Specify)
E04
Are women members of the FPO actively involved in decision making?
Yes
No
Don’t know
Can’t say
E05
Has the FPO organized any skill development/training sessions for women members?
Yes
No
Don’t know
Can’t say
E06
What were the topics of skill development/training sessions? (multiple selection)
Agricultural practices
Financial literacy
Leadership skills
Business skills
Other (Specify)
E07
Does your FPO has access to financial products? (multiple selection)
Bank loan
Current account
Overdraft facilities
Others (specify)
E08
Describe the ways your FPO helps women members achieve financial independence? (multiple selection)
Fair pricing for produce
Profit sharing
Access to credit
Financial literacy training
Market linkages
Government subsidies
Other (specify)
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