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Process Monitoring Template 5 -Form Fill
Identification Information
Q01
State Name
Q02
State Code
Q03
District Name
Q04
District Code
Q05
Block Name
Q06
Block Code
Survey Information
A01
Name of the Respondent
A02
Designation of the Respondent
A03
Name of the Local Group
A04
Out of the total members what proportion of members do you have in the following categories
SC
ST
OBC
Extreme Backward Class
General
Others
Local Group Functioning
B01
What is the date of formation of this group?
B02
Number of villages in the group
B03
Total number of members in LG
B04
How much land does each member own (ha)?
B05
No. of women who are LG members
B06
Number of PG members in the group
B07
Number of PE members in the group
B08
How many members within the local group have agriculture as their main occupation/source of income?
B09
What is the major source of revenue for the local group?
B10
No. of LG members who have not taken the organic pledge?
B11
What are the different registers and worksheets that are being maintained by the group?
Attendance Register
Proceedings Register
Field attendance register
Training attendance register
Peer Inspection / Field Inspection Appraisal Worksheet
Local Group Summary Worksheet
Others, Specify
B12
Have the group faced any problem or challenges in maintaining the mentioned registers and worksheets?
Yes
No
B13
If yes, what have been the major challenges that the group has faced
B14
What is the number of meetings conducted every season?
B15
What are the major points discussed in these meetings?
B16
Are the meeting minutes regularly noted down in meeting registers?
Yes
No
B17
What were the various challenges faced while forming the local groups?
B18
Is there a peer appraisal group in the local group?
Yes
No
B19
What are the various activities conducted by the Peer Appraisal Group?
Monitoring visits
Cross visits for verification
Conflict Resolution
Group Performance Review
Others, please specify
B20
Are reciprocal peer reviews conducted (A reviews B, B reviews A)?
Yes
No
B21
Can you tell us the process and the duration of peer appraisals?
B22
How often are the group leader and peer review team rotated?
B23
Does your cluster have a Farmer Field School (FFS)?
Yes
No
B24
If yes, according to you how beneficial has the learning been that has been received from FFS?
Adoption of Organic Practices
C01
What are the different kind of crops grow in your LG?
C01_1
Kharif (June to October)
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
Other (specify)
C01_2
Rabi (November to April)
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
Other (specify)
C01_3
Zaid (October to November)
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
Other (specify)
C02
Which of these cropping techniques are practiced by farmers in your LG?
Mono-cropping
Mixed cropping
Intercropping
Relay cropping
Rotation with legumes
Other
C03
Is Livestock rearing also practiced in your LG?
Yes
No
C04
How is the livestock produce used in your LG?
C05
How many farmers have attained full conversion of agriculture and poultry within the stipulated time period of 24 months?
C06
Do the organic farms within your LG have a biological fence/maintain a buffer zone?
Yes
No
C07
Are any measures taken to preserve the soil and water quality? Can you please tell us about them?
C08
Are any practices used to clear the land to prepare the land?
C09
Were any primary forests cleared to gain access to agricultural land?
Yes
No
C10
Are any genetically modified seeds/pollen/planting material used in the farms?
Yes
No
C11
What kind of inputs are used for fertilization of plants?
C12
What are the procedures followed to store and transport organic produce?
Storage containers are labelled ‘organic only’
containers are transported is isolation with non-organic produce
No chemical or pesticides or fumigants are used
C13
What all do you take care of while setting up a rearing environment for animals?
space for adequate movement
access to fresh air
access to sunlight and rain
access to water
access to a lying and resting place
protection again excessive sunlight
C14
Are the breeds owned by the LG local breeds/ adaptable to local conditions?
C15
From where is the feed given to the livestock sourced?
From self farm
From other’s farm
Buy products from market (organic)
Buy products from market (chemical)
C16
What kind of doctors are preferably approached when livestock fall sick?
Natural medicine/unani/ayurveda/homeopathy/acupuncture
Quacks
Conventional allopathic doctors
C17
Are livestock ever given any kind of synthetic growth promoters/artificial hormones/substances for production/stimulation or suppression of natural growth?
No, not at all
Yes, all the time
Maybe, sometimes
C18
If Yes, why?
C19
Do you also own bee-hives?
Yes
No
C20
What are some practices you follow to ensure the PGS National Standards are followed for beekeeping?
beehives are made of toxic free/natural materials
beehives are grown in areas away from where chemical agriculture is practices/toxic substances are used
veterinary medicines/antibiotics are not used in beekeeping
Other
C21
How has your experience been in the adoption of organic practices? Has it helped you in any way?
C22
Did you/Do you face any troubles in following any of the mandated practices required under PGS norms? Can you please tell us more about your concerns?
C23
Do you have any suggestions of feedback to improve the PGS certification system?
PGS Certification
D01
Are you aware of PGS Certification?
Yes
No
D02
Has the local group applied for the certificate?
Yes
No
D03
Have the group received the certificate?
Yes
No
D04
Did the group have any farmers who are not eligible for the certificate?
Yes
No
D05
If yes were there any sanctions/penalties imposed against these farmers.
D06
Has the group updated its complete details on the PGS India Portal?
Yes
No
D07
Can you tell us about the steps followed by the group to receive the PGS certification?
Form a local group comprising of 5 farmers at least
Local groups shares copies of PGS Standards and PGS operational documents from the nearest RC and distribute to all the members.
Farmer adopts organic farming practices after hearing/reading about it.
Farmer signs PGS pledge committing to adhere to standards
Regularly participates in group meetings and key field training
Farmer maintains a farm and livestock dairy recording farm operations
Farmer peer appraisal takes place
Local Group/Certification committee decides farmer certification status
Decision goes to approval to RC
RC issues certificates and distributes them to the farmers
Others
Don’t’ Know
D08
What are the challenges or barriers faced during the PGS Certification process?
Training and Capacity Building Activities
E01
Has there been any training conducted in the group?
Yes
No
E02
What was the number of trainings conducted in every season?
E02_1
Rabi
E02_2
Kharif
E02_3
Zaid
E03
What was the duration of the training?
0.5 days
Full day
1.5 Days
3 days
5 days
E04
Where were the trainings held?
In the village
At the block level
At the district level
At the State Level
Online
Other
Don’t Know
E05
What are the major topics covered in this training?
E06
Who received the training?
E07
Who conducted this training?
SRLMs
Agricultural universities
Other state agencies
Technical Support Agency
Regional Council
Krishi Sakhi
Others
E08
Are the details of the training regularly updated in the book of records?
Yes
No
E09
How would you rate the quality of the training on a scale of 1-5?
Very Unsatisfied
Unsatisfied
Neither Satisfied Nor Unsatisfied
Satisfied
Very Satisfied
E10
What can be done to improve these training?
Community Cadre Management
F01
Does the group have a CRP who is engaged in the activities of the group?
Yes
No
F02
How does the CRP support, the local groups?
Conducts Farmer Field Schools
Collection of farmer information for organic certification
Conducts demonstrations
Others
F03
Have the CRPs received training?
Yes
No
F04
How many meetings are organized by the CRP as part of the FFS?
F05
What are some barriers farmers faced by the CRPs in organizing FFS training?
F06
What can be done to improve this training?
F07
How many Lead Resource Persons (LRP) help your LG?
F08
In what ways do the LRPs assist the PG?
Farmer registration
Documentation of group members
Upload data on the PGS website
Handholding group members to uphold PGS standards on Field/nutrient and pest management
Organizing group meetings
Helping/Supervising peer appraisals
Help prepare peer appraisal reports
Summary sheet development
Yield assessment
Provide data to the cluster coordinator for uploading
Other
Market Linkage
G01
Has the group been successful in providing market linkages to the members?
Yes
No
G02
If yes, what are the steps taken to improve the market linkages?
G03
What is the total number of members who have been certified PGS–Green?
G04
What is the total number of members who have been certified PGS – Organic?
G05
Can you tell us about the names, and quantity of products sold under PGS - Green certification?
G05_1
Name of Product
G05_2
Quantity (Kgs)
G06
Can you tell us about the names, and quantity of products sold under PGS – Organic certification?
G06_1
Name of Product
G06_2
Quantity (Kgs)
G07
Total revenue generated from marketing PGS - Green
G08
Total revenue generated from marketing PGS - Organic
G09
Have you received any incentives to help you adopt organic farming practices? (Probe: Marketing Incentives, organic conversion incentives, on-farm and off-farm input incentive) How many farmers have received it in your PG?
G09_1
Market Incentives
G09_2
Organic Conversion
G09_3
On-farm and off-farm inputs
G10
Have these incentives helped farmers? If yes – how? If not – why?
G11
In your group, what are the different marketing and brand-building activities you undertake?
No such activity undertaken
Set up stalls in national/international trade fairs
Marketing material (brochures, leaflets, etc.)
Branding products (labels, holograms, printing packing materials)
Linkages and Partnerships
H01
Are you aware of the Jaivik Kheti Portal?
Yes
No
H02
Has your local group make use of the Jaivik Kheti Portal?
H03
How does the Jaivik Kheti Portal help the LGs?
Farmer-to-customer linkage
Knowledge platform
Other
H04
Are there any additional government schemes that the local group benefits from?
H04_1
Parampragati Krishi Vikas Yojana (PKVY)
Yes
No
H04_2
MGNREGS
Yes
No
H04_3
The mission for Integrated Development of Horticulture
Yes
No
H04_4
National Food Security Mission
Yes
No
H04A
How many farmers have availed help?
H04A_1
Parampragati Krishi Vikas Yojana (PKVY)
H04A_2
MGNREGS
H04A_3
The mission for Integrated Development of Horticulture
H04A_4
National Food Security Mission
H05
Is there an MIS system on which data is regularly uploaded?
Yes
No
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