Surveypoint

Q01

District Name

Q02

District Code

Q03

Block Name

Q04

Block Code

Q05

Farmer Producer Organization (FPO)

Q06

Farmer Producer Organization (FPO) Unique ID

A01

Name of the respondent

A02

Designation of the respondent

Board Member

CEO

FPO Staff

If others (specify____)

A03

FIRST VISIT

A03_1

Interviewer name

A03_2

Interviewed code

A03_3

Date of the interview

A03_4

Result of the interview

Interview complete

Visit rescheduled

Interview incomplete

Refused

Respondent is out of station for extended period

Respondent is temporarily away

Other (specify)

A04

SECOND VISIT

A04_1

Interviewer name

A04_2

Interviewed code

A04_3

Date of the interview

A04_4

Result of the interview

Interview complete

Visit rescheduled

Interview incomplete

Refused

Respondent is out of station for extended period

Respondent is temporarily away

Other (specify)

A05

THIRD VISIT

A05_1

Interviewer name

A05_2

Interviewed code

A05_3

Date of the interview

A05_4

Result of the interview

Interview complete

Visit rescheduled

Interview incomplete

Refused

Respondent is out of station for extended period

Respondent is temporarily away

Other (specify)

A05_5

Record time when you start the interview

A05_6

Record time when you end the interview

A05_7

GPS coordinate of the BPIU/DPMU

B01

What is the date of formation of this FPO?

B02

How many farmers are a member of this FPO?

B03

How many farmers had joined FPO after its formation?

B04

How many farmers had left the FPO after the formation?

B05

How many farmers are joined as a shareholder?

B06

Is this FPO registered?

Yes

No

B07

What is the date of registration of this FPO?

B08

Has the office of FPO been established?

Yes

No

B09

Date of establishment of the office?

B10

Is the office of FPO functional?

Yes

No

B11

What is the target number of farmers to be included in this FPO?

B12

Is this FPO is affiliated with any CLF?

Yes

No

B13

If yes, what is the name of the CLF?

B14

Does this CLF conduct a review of the FPO?

Yes

No

B15

If yes, what is the periodicity of the review?

Monthly

Quarterly

Bi Annually

Others

C01

Has a board been appointed for this FPO?

Yes

No

C02

Has this board elected an AGM?

Yes

No

C03

How was this election conducted?

The board was elected using raising hands

The board was elected using a secret ballot

Others (please specify)

C04

The extent of Inclusion of women in board = actual number /desired number

C05

The extent of inclusion of small and marginal farmers in board = actual number /desired number * desired number of board members as small and marginal farmers=(No. of members having land less than two ha/total no. of members)

C06

The breadth of representation of board members = ( total no. of board members- (no. of board members from the same family-1)-(no. of board members from the same village-2))/ total no. of board members)

C07

No. of the board meetings held last year?

C08

On average, what is the percentage of attendance of board members in a board meeting?

C09

Does this FPO possess the required licenses for carrying out the business?

Yes

No

C10

Number of licenses possessed by the FPO?

C11

Was the Annual audit conducted for last year?

Yes

No

C12

If No, why was the annual audit not conducted?

Due to COVID-19

Board was not aware

Not eligible for audit

others (Please specify)

C13

Does the FPO maintain the MIS for Annual and Monthly Accounts?

Yes

No

C14

If o, why were these accounts not maintained?

Due to COVID-19

Board was not aware

Not eligible for audit

others (Please specify)

C15

Has the CEO been appointed?

Yes

No

C16

If yes, Date of Appointment

C17

If No, why wasn’t the CEO appointed?

Yet to appoint

Resigned

Removed

C18

Staff Strength including CEO

Only CEO

1-3 staff

4- 6 Staff

6-12 Staff

More than 12 staff

C19

The extent of Inclusion of women in staff = actual number /desired number 20 desired number of women staff members = No. of women members/total no. of members20)

C20

Does this FPO conduct staff review meetings?

Yes

No

C21

If no, why are these meetings not conducted regularly?

C22

If yes, periodicity of the review meetings?

Weekly

Fortnightly

Monthly Quarterly

Bi-annually

Others.

C23

Number of Review meetings conducted in last year?

C24

If Performance Appraisal System is available?

Yes

No

C25

If yes, how is it conducted ?

Performance of any staff is not reviewed

Performance of only field-level staff is reviewed

The performance of all staff including the CEO is reviewed

C26

Is Performance review linked with payment of staff?

Yes

No

C27

If yes, with whom is it linked?

Only for field staff?

For all Staff

C28

Has this FPO done Training Investment per board member/staff

Yes

No

C29

If yes, how many days training had been conducted?

C30

List of the Training Conducted in last year?

C31

Transportation/Road Connectivity in FPO area

National / State Highway

Connectivity to District headquarters.

Dirt Road

Availability of fright train

C32

% member households with an Electricity Connection in FPO area = Total number of households with an electricity connection / total number of shareholders

C33

Availability of Irrigation Infrastructure in the FPO area =Total area of the shareholders with assured irrigation/total area of the shareholders

C34

Accessibility of banking to the farmers in the FPO area =no. of shareholders having Kisan Credit Card (KCC) or any agricultural loan/total no. of shareholders

C35

What is the average landholding size of the stakeholders?

C36

Ratio of landholding in stakeholders.

Land less

Less than 2 hectares

2 to 5 hectare

5 to 10 hectares

More than 10 hectare

C37

Availability of Storage facility

Self

Rented

C38

If Rented, which storage facility does your FPO use?

Government

Private

C39

What is the monthly rent?

C40

Has this FPO been recognized by the government?

Yes

No

C41

Has this FPO had received government funds?

Yes

No

C42

Amount of loan received in the Year 2020-2021

C43

Did this FPO receive a grant from the government / Any other foundation?

Yes

No

C44

Amount of grant received in the Year 2020-2021

C45

Does this FPO facilitate government schemes to its members?

Yes

No

C46

Name of the schemes facilitated by FPO?

C47

No of the Members benefited from these schemes?

C48

Does this FPO involve seeds production and distribution?

Yes

No

C49

How many farmers received seeds from FPO?

C50

Does this FPO provide DAP & Urea to its members?

Yes

No

Only DAP

Only Urea

C51

Number of farmers received DAP & Urea from FPO?

C52

Does this FPO promote organic clusters?

Yes

No

C53

What is total cultivated area of organic cluster?

C54

Type of crops promoted in the organic cluster?

C55

Does dose this FPO provide technical training to its members?

Yes

No

C56

If yes, what kind of trainings are provided?

C57

Number of farmers received the training?

C58

Does dose this FPO provide market access to its members?

Yes

No

C59

Number of farmers that were able to sell their produce through government mandis?

C60

Effectiveness of Market access (mandis) =No. of shareholders sell their produce in mandis/no. of shareholders

C61

Number of farmers were able to sell their produce through Private Stakeholders?

C62

Effectiveness of Market access (Private StakeHolders) =No. of shareholders sell their produce in Private Stakeholders/no. of shareholders

D01

What are the major crops produced in the block? (In terms of produced quantity)

Paddy

Wheat

Maize

Millet

Sorghum

Barley

Oat

Groundnut

Mustard

Rapeseed

Nizer

Sunflower

Soyabean

Linseed

Til

Pigeonpea

Blackgram

Chickpea

Greengram

Horsegram

Lentil

Lathyrus(Cheakling pea)

Potato

Tomato

Cabbage

Cauliflower

Chilli

Capsicum

Spongegourd

Bittergourd

Bottlegourd

Spinegourd

Snakegourd

Pointed gourd

Ridge gourd

Leafy vegetable

Sweet Potato

Brinjal

Cucumber

french bean

Green pea

Broccoli

Radish

Carrot

Coriander

Ladiesfinger

Coccinia (kundru)

Elephant foot yam

Colocasia (Kacchu)

Aru

Flat bean ( Saim)

Drumstick

Beet root

Pupmkin

Cowpea

Bean

Kakri

Ashgourd

Guava

Mango

Lemon/Lime

Orange

Papaya

Water Melon

Litchi

Apple

Berries

Banana

sugarcane

Beal(woodapple)

Pomelo

pomegranate

Pineapple

Onion

Garlic

Turmeric

Ginger

Tobacco

jute

dhaincha

Makhana

water chetsnut

Bamboo

Marigold

Cotton

Arrrow root

Yambean

Tamrind

Coconut

Lemon grass

Eucalyptus

Supari

Jackfruit

Jamun

D02

What are the major crops produced in the block? (In terms of profit earned by the farmers)

Paddy

Wheat

Maize

Millet

Sorghum

Barley

Oat

Groundnut

Mustard

Rapeseed

Nizer

Sunflower

Soyabean

Linseed

Til

Pigeonpea

Blackgram

Chickpea

Greengram

Horsegram

Lentil

Lathyrus(Cheakling pea)

Potato

Tomato

Cabbage

Cauliflower

Chilli

Capsicum

Spongegourd

Bittergourd

Bottlegourd

Spinegourd

Snakegourd

Pointed gourd

Ridge gourd

Leafy vegetable

Sweet Potato

Brinjal

Cucumber

french bean

Green pea

Broccoli

Radish

Carrot

Coriander

Ladiesfinger

Coccinia (kundru)

Elephant foot yam

Colocasia (Kacchu)

Aru

Flat bean ( Saim)

Drumstick

Beet root

Pupmkin

Cowpea

Bean

Kakri

Ashgourd

Guava

Mango

Lemon/Lime

Orange

Papaya

Water Melon

Litchi

Apple

Berries

Banana

sugarcane

Beal(woodapple)

Pomelo

pomegranate

Pineapple

Onion

Garlic

Turmeric

Ginger

Tobacco

jute

dhaincha

Makhana

water chetsnut

Bamboo

Marigold

Cotton

Arrrow root

Yambean

Tamrind

Coconut

Lemon grass

Eucalyptus

Supari

Jackfruit

Jamun

D03

Do they sell all of it or use it for self-consumption also?

Only for selling purposes (cash crop)

Partially used for self-consumption

Used for self-consumption only

Others (please specify)

D04

What was the average market rate for these crops? (price per kg)

D05

Where are these crops usually stored?

Home

Storage at village-level

Warehouse

Cold storage

Not stored

Others (please specify)

D06

Where are these crops normally sold?

Local market in the village

Middlemen

The retail market in block

Wholesale market

Did not sell

Farmer Producer Company

Others (specify)

D07

What are the major challenges in cultivating these crops?

D08

What are the major challenges in storing these crops?

D09

Where are the major challenges in selling these crops?

E01

Agricultural Institutions or Markets

APMC/ Bazaar Samiti Market

Biggest outward mandi

Biggest inward mandi

Cold storage - government

Cold storage - private

Warehouse - government

Warehouse - private

Food processing units

Milk cooperative

FPO/ FPC/ Agro-based cooperatives

Krishi Vigyaan Kendra (KVK)

CBOs

E02

Financial institutions or markets

Banks (private/public/cooperative)

Credit societies

Micro finance institutions

Other financial institutions

Micro livelihood plan/ Joint liability group

E03

Transportation

National Highway

State Highway

Pucca Road to District Headquarters

Dirt road

E04

Mode of Transport

Railway Station

Bus Stand

Transport depot to access trucks

Access to people renting Tractors

E05

If present in FPO area?

Yes

No

E06

Number of such facilities/infrastructure present in the block

E07

Location of these facilities/infrastructure in the block

E08

Fpo Template Template 4 -Form Fill

District Name

District Code

Block Name

Block Code

Farmer Producer Organization (FPO)

Farmer Producer Organization (FPO) Unique ID

Name of the respondent

Designation of the respondent

FIRST VISIT

Interviewer name

Interviewed code

Date of the interview

Result of the interview

SECOND VISIT

Interviewer name

Interviewed code

Date of the interview

Result of the interview

THIRD VISIT

Interviewer name

Interviewed code

Date of the interview

Result of the interview

Record time when you start the interview

Record time when you end the interview

GPS coordinate of the BPIU/DPMU

What is the date of formation of this FPO?

How many farmers are a member of this FPO?

How many farmers had joined FPO after its formation?

How many farmers had left the FPO after the formation?

How many farmers are joined as a shareholder?

Is this FPO registered?

What is the date of registration of this FPO?

Has the office of FPO been established?

Date of establishment of the office?

Is the office of FPO functional?

What is the target number of farmers to be included in this FPO?

Is this FPO is affiliated with any CLF?

If yes, what is the name of the CLF?

Does this CLF conduct a review of the FPO?

If yes, what is the periodicity of the review?

Has a board been appointed for this FPO?

Has this board elected an AGM?

How was this election conducted?

The extent of Inclusion of women in board = actual number /desired number

The extent of inclusion of small and marginal farmers in board = actual number /desired number * desired number of board members as small and marginal farmers=(No. of members having land less than two ha/total no. of members)

The breadth of representation of board members = ( total no. of board members- (no. of board members from the same family-1)-(no. of board members from the same village-2))/ total no. of board members)

No. of the board meetings held last year?

On average, what is the percentage of attendance of board members in a board meeting?

Does this FPO possess the required licenses for carrying out the business?

Number of licenses possessed by the FPO?

Was the Annual audit conducted for last year?

If No, why was the annual audit not conducted?

Does the FPO maintain the MIS for Annual and Monthly Accounts?

If o, why were these accounts not maintained?

Has the CEO been appointed?

If yes, Date of Appointment

If No, why wasn’t the CEO appointed?

Staff Strength including CEO

The extent of Inclusion of women in staff = actual number /desired number *20 desired number of women staff members = No. of women members/total no. of members*20)

Does this FPO conduct staff review meetings?

If no, why are these meetings not conducted regularly?

If yes, periodicity of the review meetings?

Number of Review meetings conducted in last year?

If Performance Appraisal System is available?

If yes, how is it conducted ?

Is Performance review linked with payment of staff?

If yes, with whom is it linked?

Has this FPO done Training Investment per board member/staff

If yes, how many days training had been conducted?

List of the Training Conducted in last year?

Transportation/Road Connectivity in FPO area

% member households with an Electricity Connection in FPO area = Total number of households with an electricity connection / total number of shareholders

Availability of Irrigation Infrastructure in the FPO area =Total area of the shareholders with assured irrigation/total area of the shareholders

Accessibility of banking to the farmers in the FPO area =no. of shareholders having Kisan Credit Card (KCC) or any agricultural loan/total no. of shareholders

What is the average landholding size of the stakeholders?

Ratio of landholding in stakeholders.

Availability of Storage facility

If Rented, which storage facility does your FPO use?

The extent of Inclusion of women in staff = actual number /desired number 20 desired number of women staff members = No. of women members/total no. of members20)