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Household Template 43 -Form Fill

Farmer’s HH details
Q01

Name of the respondent farmer

Q02

What is your age in completed years?

Q03

What is the gender of the respondent?

Q04

What is your religion?

Q05

Do you belong to a scheduled caste, scheduled tribe, other backward castes, or general class?

Q06

Are you involved in Unnat Kheti? 

Q07

Have you attended any sessions in the farmer field school (FFS) in your village?

Q08

Is the FFS presently active?

Q09

When was your first session in the FFS?

Q10

When did you last attend a session at the FFS?

Q11

How many total sessions have you attended at the FFS?

Q12

What topics have you learnt in sessions at the FFS?

Q13

Does your household have a bank account?

Q14

Does your household have a post-office account?

Q15

What is the gender of the head of your household?

Q16

How many members are there in your household?

Q17

What is the highest level of education achieved by the head of the household?

Q18

Do you have a ration card?

Q19

Please specify which card do you have?

Q20

Is your name on the ration card?

HH assets and income
A01

Does your family own this house?

A02

What is the type of your house?

A03

How many rooms are there in your house?

A04

What is the main source of drinking water for members in the house?

A05

Is the water available throughout the year

A06

What is type of toilet facility available in your house?

A07

What is the main source of lighting in your house?

A08

What type of fuel does your HH use mainly for cooking?

A09

Does your HH own the following?

A09_1

Electricity connection

A09_2

Pressure cooker

A09_3

Mixer/grinder

A09_4

Motorcycle/scooter

A09_5

Car/Jeep

A09_6

Tractor

A09_7

Bicycle

A09_8

Animal-drawn cart

A09_9

Chair

A09_10

Table

A09_11

Cot/ Bed

A09_12

Mattress

A09_13

Clock or watch

A09_14

Electric fan

A09_15

Water pump

A09_16

Thresher

A09_17

Radio/Transistor

A09_18

Sewing machine

A09_19

Refrigerator

A09_20

B & W television

A09_21

Colour television

A09_22

Telephone

A09_23

Computer

A09_24

Cell Phone (Basic)

A09_25

Cell Phone (Smart)

A09_26

Laser land leveller

A09_27

Rotavator

A09_28

Disc harrow

A09_29

Cultivator

A09_30

Seed drill

A09_31

Power Sprayer

A09_32

Combine harvester

Land & Irrigation Profile
B01

What is the total size of your owned, leased-in, lease-out and mortgaged agricultural land?

B01_1

Owned land (excluding leased-out and leased-in)

B01_2

Leased in land / sharecropping in / rented in

B01_3

Leased-out land / sharecropping out / rented out

B02

How much income do you draw from you leased-out land?

B03

What is the time period on which you lease your land?

B04

Do you use chemical inputs on your field during crop cultivation?

B05

Is your land bunded?

B06

Why have you not bunded your land?

B07

In which year did you first bund your land?

B08

In which year did you last bund your land?

B09

Out of your total cultivated land how much is irrigated?

B10

Area of land covered under method

B10_1

Surface (Flooded) irrigation

B10_2

Drip irrigation

B10_3

Sprinkler

B11

Did you use this method before December 2020?

B11_1

Surface (Flooded) irrigation

B11_2

Drip irrigation

B11_3

Sprinkler

B12

What is the source of water for this method?

B12_1

Surface (Flooded) irrigation

B12_2

Drip irrigation

B12_3

Sprinkler

B13

What was the water source used for irrigation before December 2020?

B13_1

Surface (Flooded) irrigation

B13_2

Drip irrigation

B13_3

Sprinkler

B14

What is the source of energy that you use for your irrigation pumps?

B14_1

Surface (Flooded) irrigation

B14_2

Drip irrigation

B14_3

Sprinkler

B15

What was the energy source for your irrigation pumps before December 2020?

B15_1

Surface (Flooded) irrigation

B15_2

Drip irrigation

B15_3

Sprinkler

B16

What is the capacity of pump (HP) used to irrigate your field?

B16_1

Surface (Flooded) irrigation

B16_2

Drip irrigation

B16_3

Sprinkler

B17

How much time do each of these pumps take to flood one __ of your land?

B17_1

Surface (Flooded) irrigation

B17_2

Drip irrigation

B17_3

Sprinkler

B18

How old is the pump used for irrigiation by your household?

B19

What is the size of pipeline system used in your farm (Pipe Diameter)?

B20

We want to know about the fertility of your soil. Do you ever struggle to grow main crops in your soil?

B21

Is your soil ferility better or worse than it was 5 years ago?

B22

Is your soil fertility better or worse than it was in December 2020?

INCOME AND RISK PROFILE
C01

What is the average annual income from ____ at present?

C01_1

Cultivation of main crops

C01_2

Cultivation of other crops

C01_3

Livestock rearing

C01_4

Non-farm activities (running a small business, self-employment, buy-and-sell)

C01_5

Farm labour

C01_6

Wage & salaried work (non-agri based)

C01_7

Aquaculture (fish pond, etc.)

C01_8

Apiary

C01_9

Sale of farm yard manure and organic inputs such as jeevamrit, amrit pani, etc.

C01_10

Renting out of implements, machinery and bullocks

C02

What was the average annual income from ____ before December 2020?

C02_1

Cultivation of main crops

C02_2

Cultivation of other crops

C02_3

Livestock rearing

C02_4

Non-farm activities (running a small business, self-employment, buy-and-sell)

C02_5

Farm labour

C02_6

Wage & salaried work (non-agri based)

C02_7

Aquaculture (fish pond, etc.)

C02_8

Apiary

C02_9

Sale of farm yard manure and organic inputs such as jeevamrit, amrit pani, etc.

C02_10

Renting out of implements, machinery and bullocks

C03

How many members in your household are engaged in economic activities?

CROP PRODUCTION
D01

Which crops did you cultivate in the past year?

D02

What was the seed variety grown?

D03

Was seed teatment done?

D04

Was seed treatment done before December 2020?

D05

How do you intend to treat the seeds in the next season?

D06

How did you sow the seeds or seedlings?

D07

From which venues do you source seeds/ plants?

D08

Amongst these, which source do you most prefer?

D09

Reason for preference

D10

Did you build a nursery for this crop?

D11

How many days after sowing did you transplant the seedlings to the main field?

D12

Did you directly transplant seedlings?

D13

Just to confirm, if you did not transplant any seedlings, did you directly sow the rice in the field?

D14

After how many days did you transplant the seedlings?

D15

How much of the agricultural land was used in the cultivation of this crop?

D16

Since when are you growing this crop?

D17

Did you plant single seedings or bunched seedlings?

D18

Did you strictly space the seedlings in a uniform method such as 25cm x 25cm or 20cm x 20cm?

D19

What did you do with the crop residue from previous season?

D20

Did you till the land before sowing/ transplating?

D21

How did you till the soil?

D22

Did you do the same before 2020?

D23

Do you intend to continue with this method in the next cropping season?

D24

Why do you feel farmers till their land?

D25

How many days after transplanting or sowing did you apply manure / fertiliser?

D26

What type of manure/ fertiliser did you apply?

D27

Which method did you majorly use for applying the manure / fertiliser?

D28

Which method did you majorly use for applying manure / fertiliser before December 2020?

D29

What did you do to control pests?

D30

What did you do to control pests during crop cultivation before December 2020?

D31

During cultivation of this crop, how many times did/do you spray chemical pesticides?

D32

How many times did you use biopesticides during the cultivation of this crop?

D33

Before December 2020, how many times were you using chemical pesticides during the cultivation of this crop?

D34

Before December 2020, how many times were you using biopesticides during the cultivation of this crop?

D35

Is pesticide / fungicide residue on your food crops a worry for you?

D36

Did you practice any of the following methods to combat pests in the last/ongoing crop season?

D36_1

Trap crops on the border or inter-cropped

D36_2

Bird perches

D36_3

Pheromone traps

D36_4

Mechanical methods (hand picking, nets, etc.)

D36_5

Sticky traps

D36_6

Scare crow

D37

Did you discontinue or intend to discontinue with this practice? 

D37_1

Trap crops on the border or inter-cropped

D37_2

Bird perches

D37_3

Pheromone traps

D37_4

Mechanical methods (hand picking, nets, etc.)

D37_5

Sticky traps

D37_6

Scare crow

D38

If you have discontinued, what is the reason?

D38_1

Trap crops on the border or inter-cropped

D38_2

Bird perches

D38_3

Pheromone traps

D38_4

Mechanical methods (hand picking, nets, etc.)

D38_5

Sticky traps

D38_6

Scare crow

D39

How many days after transplanting/sowing did you practice weeding?

D40

How many times did you irrigate your field during the entire cropping period?

D41

How many times did you irrigate your field during the entire cropping period before december 2020?

D42

Do you use a water pipe to help you check the ground water level?

D43

How many days before harvest did you stop irrigation?

D44

How many days after transplanting or sowing did you harvest the crop?

D45

How did you harvest your field?

D46

How many bags did you harvest?

D47

What was the avg weight of each bag?

D48

What was the total yield during last crop harvest?

D49

How many bags did you harvest in the same season before December 2020?

D50

What was the avg weight of each bag harvested in 2020?

D51

What was the total yield of this crop for a harvest of the same season before December 2020?

D52

Did your HH sell any produce from this crop?

D53

How much did you sell from the total harvest?

D54

Was the produce processed before sale?

D55

What was the avg price you had received from the sale of the processed crop?

D56

What was the avg price you had received from the sale of unprocessed crop?

D57

How much did you sell from the harvest from the same season before 2020?

D58

Reflecting back to the harvest before 2020, what was the average price you had received from the sale?

D59

At which venues do you prefer to sell your produce?

D60

Which amongst these is your most preferred venue for selling your produce?

D61

Why do you prefer __ to sell your crop produce?

D62

If the market price for the produce of this crop is low at the time of harvest, do you still immediately or wait for a better price?

D63

Were you unable to sell any portion of the produce?

D64

What was the reason for not being to sell?

D65

What was the quantity of byproduct produced?

D66

What was the market price you got or would have gotten for this byproduct?

D67

Did you till the land after harvest?

D68

What did you do with the crop residue?

D69

Did you face any crop loss before harvest?

D70

Reason for pre-harvest loss?

D71

What was the total amount lost after harvest

D72

Reason for post-harvest lost?

Labour engaged and costs of inputs
E01

Cultivation Activity

E01A

Sowing

E01A_1

What is the total labour days that was required for ___?

E01A_2

Hire charge per labourer per day___

E01A_3

What type of labour was engaged in ___?

E01A_4

Total amount spent on machinery

E01A_5

Total of other cost incurred on ___ (except labour and machinery, such as seeds, transport, treatment of seeds, etc.)

E01B

Nursery preparation and transplantation

E01B_1

Just to confirm, did you build a nursery for this plant or transplant it?

E01B_2

What is the total labour days that was required for ___?

E01B_3

Hire charge per labourer per day___

E01B_4

What type of labour was engaged in ___?

E01B_5

Total of other cost incurred on ___ (except labour and machinery, such as seeds, transport, treatment of seeds, etc.)

E01C

Tillage

E01C_1

What is the total number of times you tilled your land? 

E01C_2

Total cost incurred on tillage

E01C_3

What type of labour was engaged in ___?

E01C_4

Total of other cost incurred on ___ (except labour)

E01D

Intercultural (pesticide, fertiliser, weeding)

E01D_1

What is the total labour days that was required for ___?

E01D_2

Hire charge per labourer per day___

E01D_3

Total labour cost

E01D_4

What type of labour was engaged in ___?

E01D_5

Total amount spent on buying or preparing chemical fertilisers, pesticides and weedicides

E01D_6

Total amount spent on buying or preparing organic fertilisers, pesticides and weedicides

E01D_7

Total of other cost incurred on ___ (except labour and buying inputs)

E01E

Harvest

E01E_1

What is the total labour days that was required for ___?

E01E_2

Hire charge per labourer per day___

E01E_3

Total labour cost

E01E_4

What type of labour was engaged in ___?

E01E_5

Total amount spent on machinery

E01E_6

Total of other cost incurred on ___ (except labour)

E01F

Irrigation

E01F_1

Total cost incurred on irrigation

E01G

Other costs

E01G_1

Total of other costs

Input sourcing preferences
F01

From which venues do you source this input?

F01_1

Manure & Fertilisers

F01_2

Pesticides

F01_3

Weedicide

F02

Amongst these, which source do you most prefer?

F02_1

Manure & Fertilisers

F02_2

Pesticides

F02_3

Weedicide

F03

Reason for preference

F03_1

Manure & Fertilisers

F03_2

Pesticides

F03_3

Weedicide

Food and Other Crops
G01

Do you have a kitchen garden now?

G02

Why do you not have a kitchen garden?

G03

Since when do you have the kitchen garden?

G04

Did you use a kitchen garden kit?

G05

If yes, where did you procure/receive the kit from?

G06

Do you use any conventional inputs on crops grown in your kitchen garden?

G07

Do you intend to keep a kitchen garden next year (2023)?

G08

If you currently have a kitchen garden or intend to keep one next year, what reasons motivate you to do so?

G09

How was your field between Kharif 2021 and Rabi 2021-22?

LIVESTOCK Profile
H01

Does your household rear livestock or maintain an apiary?

H02

Did you keep the following livestock in the last 12 months?

H02_1

Milch Cattle

H02_2

Small Ruminants

H02_3

Pig

H02_4

Poultry Birds

H02_5

Apiary (beehives)

H03

How many ______ did your household own in the past 12 months?

H03_1

Milch Cattle

H03_2

Small Ruminants

H03_3

Pig

H03_4

Poultry Birds

H03_5

Apiary (beehives)

H04

How many ______ did your household own before December 2020?

H04_1

Milch Cattle

H04_2

Small Ruminants

H04_3

Pig

H04_4

Poultry Birds

H04_5

Apiary (beehives)

H05

Who owns the ____?

H05_1

Milch Cattle

H05_2

Small Ruminants

H05_3

Pig

H05_4

Poultry Birds

H05_5

Apiary (beehives)

H06

How much did your household receive for the sale livestock produce (milk & milk products, eggs, honey, dung, etc.) in the last 12 months?

H06_1

Milch Cattle

H06_2

Small Ruminants

H06_3

Pig

H06_4

Poultry Birds

H06_5

Apiary (beehives)

H07

How much did your household receive for the sale of livestock produce (milk & milk products, eggs, honey, dung, etc.) before December 2020?

H07_1

Milch Cattle

H07_2

Small Ruminants

H07_3

Pig

H07_4

Poultry Birds

H07_5

Apiary (beehives)

H08

How much did your household receive from the sale of these ___ in the last 12 months?

H08_1

Milch Cattle

H08_2

Small Ruminants

H08_3

Pig

H08_4

Poultry Birds

H08_5

Apiary (beehives)

H09

How much did your household receive for the sale of these ___ before December 2020?

H09_1

Milch Cattle

H09_2

Small Ruminants

H09_3

Pig

H09_4

Poultry Birds

H09_5

Apiary (beehives)

H10

How many ___ died in the last 12 months?

H10_1

Milch Cattle

H10_2

Small Ruminants

H10_3

Pig

H10_4

Poultry Birds

H10_5

Apiary (beehives)

H11

How many ___ died in 2020?

H11_1

Milch Cattle

H11_2

Small Ruminants

H11_3

Pig

H11_4

Poultry Birds

H11_5

Apiary (beehives)

H12

In the past 12 months, how many litres of milk was drawn per day on average?

H12_1

Milch Cattle

H12_2

Small Ruminants

H12_3

Pig

H12_4

Poultry Birds

H12_5

Apiary (beehives)

H13

Before December 2020, how many litres of milk was drawn per day on average?

H13_1

Milch Cattle

H13_2

Small Ruminants

H13_3

Pig

H13_4

Poultry Birds

H13_5

Apiary (beehives)

H14

What is the major venue for disposal of milk or milk products?

H14_1

Milch Cattle

H14_2

Small Ruminants

H14_3

Pig

H14_4

Poultry Birds

H14_5

Apiary (beehives)

H15

Why do you prefer ___ for selling of milk or milk outputs?

H15_1

Milch Cattle

H15_2

Small Ruminants

H15_3

Pig

H15_4

Poultry Birds

H15_5

Apiary (beehives)

H16

What are the major feeding practices for ___ in the past 12 months?

H16_1

Milch Cattle

H16_2

Small Ruminants

H17

What was the major feeding practices for ___ before December 2020?

H17_1

Milch Cattle

H17_2

Small Ruminants

H18

Details of average daily feed used in the past 12 months (in kg)

H18A

Milch Cattle

H18A_1

Dry fodder (kg)

H18A_2

Green fodder (kg)

H18A_3

Chunni, bran Kapila, grain (grain)

H18B

Small Ruminants

H18B_1

Dry fodder (kg)

H18B_2

Green fodder (kg)

H18B_3

Chunni, bran Kapila, grain (grain)

H19

Do you use mineral mixture?

H19_1

Milch Cattle

H19_2

Small Ruminants

H20

What are the key challenges faced in feed and fodder procurement and storage?

H21

Have you heard of the concept “ration balancing”?

H22

Where or how did you hear about it?

H23

Do your feed management and fodder practices differ from the rational balancing concept?

H24

Do you expect changes if you followed ration balancing?

H25

Do you feel that vaccination of livestock against diseases is important?

H26

Have any livestock been vaccinated in the past 12 months?

H27

Who administered the vaccine and where?

H28

Have any livestock been dewormed in the past 12 months?

H29

Who administered the dewormer and where?

H30

Have you lost any livestock to disease in the past 12 months?

H31

When was the last time you interacted with a Pashu Sakhi?

H32

How many times in total have you been helped by a Pashu Sakhi?

H33

In what areas have Pashu Sakhis helped you?

H34

Have you started rearing any new/additional livestock because of interactions with Pashu Sakhis?

H35

Overall, how helpful are the Pashu Sakhis?

Dietary diversity
I01

Was yesterday a special day (celebration, feast day, or fasting) where anyone in the HH ate special foods or more or less than usual)?

I02

Over the last 7 days, how many days did MALE members HOUSEHOLD consume following foods?

I02_1

Maize, maize porridge, daal, Other cereal (rice, sorghum, millet, wheat etc), Roots and Tubers (cassava, potatoes, sweet potatoes)

I02_2

Beans and peas, groundnuts and cashew nuts

I02_3

Vegetables (including relish and leaves)

I02_4

Fruits (Custard apple, sapota, melons, bananas, mangoes, papayas, apple, etc.)

I02_5

Non-veg such as eggs, chicken, fish, goat, beef or other red meat and pork

I02_6

Milk/yogurt/other dairy product

I02_7

Sugar or sugar products, honey

I02_8

Oils/fats/butter

I03

Over the last 7 days, how many days did the children in this household consume following foods?

I03_1

Maize, maize porridge, daal, Other cereal (rice, sorghum, millet, wheat etc), Roots and Tubers (cassava, potatoes, sweet potatoes)

I03_2

Beans and peas, groundnuts and cashew nuts

I03_3

Vegetables (including relish and leaves)

I03_4

Fruits (Custard apple, sapota, melons, bananas, mangoes, papayas, apple, etc.)

I03_5

Non-veg such as eggs, chicken, fish, goat, beef or other red meat and pork

I03_6

Milk/yogurt/other dairy product

I03_7

Sugar or sugar products, honey

I03_8

Oils/fats/butter

I04

Over the last 7 days, how many days did FEMALE HOUSEHOLD members consume following foods?

I04_1

Maize, maize porridge, daal, Other cereal (rice, sorghum, millet, wheat etc), Roots and Tubers (cassava, potatoes, sweet potatoes)

I04_2

Beans and peas, groundnuts and cashew nuts

I04_3

Vegetables (including relish and leaves)

I04_4

Fruits (Custard apple, sapota, melons, bananas, mangoes, papayas, apple, etc.)

I04_5

Non-veg such as eggs, chicken, fish, goat, beef or other red meat and pork

I04_6

Milk/yogurt/other dairy product

I04_7

Sugar or sugar products, honey

I04_8

Oils/fats/butter

I05

WHAT WAS THE MAIN SOURCE(S) OF THE FOOD?

I05_1

Maize, maize porridge, daal, Other cereal (rice, sorghum, millet, wheat etc), Roots and Tubers (cassava, potatoes, sweet potatoes)

I05_2

Beans and peas, groundnuts and cashew nuts

I05_3

Vegetables (including relish and leaves)

I05_4

Fruits (Custard apple, sapota, melons, bananas, mangoes, papayas, apple, etc.)

I05_5

Non-veg such as eggs, chicken, fish, goat, beef or other red meat and pork

I05_6

Milk/yogurt/other dairy product

I05_7

Sugar or sugar products, honey

I05_8

Oils/fats/butter

I06

HAS THE CONSUMPTION OF THIS FOOD GROUP CHANGED FROM DECEMBER 2020?

I06_1

Maize, maize porridge, daal, Other cereal (rice, sorghum, millet, wheat etc), Roots and Tubers (cassava, potatoes, sweet potatoes)

I06_2

Beans and peas, groundnuts and cashew nuts

I06_3

Vegetables (including relish and leaves)

I06_4

Fruits (Custard apple, sapota, melons, bananas, mangoes, papayas, apple, etc.)

I06_5

Non-veg such as eggs, chicken, fish, goat, beef or other red meat and pork

I06_6

Milk/yogurt/other dairy product

I06_7

Sugar or sugar products, honey

I06_8

Oils/fats/butter

Assessment of Knowledge, Attitude, and perception of farmers
J01

Pests can be managed without using chemicals

J02

Pheromone traps are effective in combatting pests

J03

Some pests like beetles and bees are good for crops.

J04

Chemical pesticides affect human health (cancer, rashes, adverse effect on fecundity

J05

Kashayas such as amrit pani are a very strong and harmful chemical pesticide

J06

Intercropping leads to reduced weeding and chemical usage

J07

In the long-term, monocropping is sustainable and profitable

J08

Chemical pesticides are bad for the environment (contamination of water streams, groundwater, etc.)

J09

Use of chemical pesticides and fertilisers will damage the yields of my land in the long run

J10

The source of energy for irrigation pumps does not matter. There is not much difference between diesel and solar.

J11

Intensive tillage is necessary for suitably growing crops

J12

It is necessary to clear most if not all crop residue from previous harvest before the next cultivation season

J13

Overturning and aerating the soil through tillage is necessary for effective weed & pest management

J14

If given the choice, it is always better to use more chemical fertilisers

J15

Improper livestock feed management has an effect on livestock output

J16

It is not possible to grow rice at an optimal level without flooding the field

J17

Smart use of water and sustainable use of land by you will have an influence on the local water resource and ecosystem

J18

Have your views on the above changed in the last 18 months? (Since December 2020)

J19

Which questions would you have answered differently before December 2020?

J20

Where do you go to find out information on the following

J21

Most common source of information

J21_1

Pesticide, fertiliser and weedicide use (choice of pesticide/ fertiliser/ weedicide, frequency of application, quantity of use, etc.)

J21_2

Tillage (choice of tillage method, intensity of tillage, when to till, etc.)

J21_3

Livestock rearing (which livestock to rear, feed composition, feeding frequency and quantity)

J21_4

Crop cultivation (choice of crops, sowing time, intercropping, etc.)

J22

Most trusted source of information

J22_1

Pesticide, fertiliser and weedicide use (choice of pesticide/ fertiliser/ weedicide, frequency of application, quantity of use, etc.)

J22_2

Tillage (choice of tillage method, intensity of tillage, when to till, etc.)

J22_3

Livestock rearing (which livestock to rear, feed composition, feeding frequency and quantity)

J22_4

Crop cultivation (choice of crops, sowing time, intercropping, etc.)

Involvement in AGRI & ECONOMIC activities and Decisions
K01

Who does the majority of work during nursery preparation?

K02

Who does the majority of work for main field preparation?

K03

Who does the majority of work during sowing/transplantation?

K04

Who does the majority of work during irrigation?

K05

Who does the majority of work during weeding activities?

K06

Who does the majority of work during harvesting the crop?

K07

Who does the majority of work related to selling of crop produce?

K08

Who does the majority of work related to  livestock rearing (grazing and feed provision)?

K09

Who normally takes the decision related to income from agricultural activities?

K10

Who normally takes decisions related to machinery to be used on field (during tillage, sowing, weeding, fertiliser application, harvesting, etc.)?

K11

Who normally takes decisions regarding which crops are to be grown in a season?

K12

Who normally takes decisions related to which fertilisers, pesticides, weedicides, etc. are to be used on field?

K13

Who normally takes decisions regarding non-farm economic activities?

K14

Who normally takes decisions regarding harvest and selling of produce (when to sell, where to sell, for how much, etc.)