Surveypoint

Q01

Code of the Interviewer

Q02

Name of the Interviewer

Q03

Start Time

Q04

End Time

Q05

GPS coordinates

A01

State Code

Madhya Pradesh

Uttar Pradesh

Gujarat

A02

District Code

A03

District Name

A04

Block Name

A05

Village code

A06

Village name

A07

UID

A08

Segment number

A09

Structure number

A10

Household number

A11

Type of village

Project

Comparison

A12

Name of the Respondent

A13

Is the respondent the household head?

Yes

No

A14

Phone number of the respondent

A15

Gender of the respondent

Male

Female

Other

A16

Respondent status

Same respondent as during listing

Different respondent

B01

Plot size from which sample has been collected

Decimal

Biswa

Katha

Bigha

Acre

Hectare

Others (Specify)

B02

Were any inputs applied in the last week on this plot?

Pesticides

Fertilisers

Weedicides

Fungicides

Manure

No inputs

B03

Is there a standing crop in the plot?

Yes

No

B04

Years of cultivation on this plot

1-5 years

5-15 years

>15 years

B05

Can you describe the soil drainage characteristics?

Good

Moderate

Poor

B06

Is the plot lowland or upland?

Lowland

Upland

B07

Does the plot have any water flow from other plots?

Yes

No

B08

What was the last main crop cultivated in this plot?

B09

Soil Survey Template 3 -Form Fill