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Farmers Template Template 2 -Form Fill
Village Information
Q01
State Name
Q02
District Name
Q03
District Code
Q04
Block Name
Q05
Block Code
Q06
Village Name
Q07
Gram Panchayat Code
Q08
Gram Panchayat Name
Survey Information
Q09
Interviewer name
Q10
Date of the interview
Respondent Information
A01
Name of the Respondent
A02
Phone number
A03
Age of the respondent in completed years
A04
Gender of respondent
Female
Male
Others
A05
Which caste category you belong to?
Scheduled Caste
Scheduled Tribe
Other Backward Class
General
Others (Specify)
Don’t know
A06
Number of earning members of family.
A07
Number of dependent members of family.
A08
Family members engaged in farming related activities.
A09
Details of agricultural land holding (In Acres)
A09A
Total ___ ___ In acres
A09B
Owned
A09C
Leased in
A09D
Irrigated
A09E
Un irrigated
A10
Major crops grown during Kharif
A11
Major crops grown during Rabi
A12
Percentage of produce sold in the market
A12A
Retained for consumption
A12B
Sold immediately
A12C
Stored and sold after months 2-3 months
A13
Do you also do livestock rearing? Please mention allied sectors you are involved in
No, only agriculture
Yes, agriculture and dairy
Fisheries
Poultry
A14
What are different sources of income for you? ( Can choose multiple options)
Agriculture/ fishery/ orchard/ animal husbandry (self-employed)
Allied enterprises (Dairy/fishery/poultry)
Non‐agriculture (self-employed)
Casual labor in agriculture
Casual wage labor (e.g., MGNREGA)
Salaried/wage employment in government/private sector
Others (Specify)
A15
Annual family Income from different sources
A15A
Agriculture
A15B
Allied enterprises
A15C
Non Agri (Self-employed)
A15D
Agri Labor wage
A15E
Non- Agri Labor wages
A15F
Salaried/wage employment in government/private sector
A15G
Others
Access to Credit and Insurance
B01
Does your household have Kisan Credit Card?
Yes
No
B02
Rank the credit needs
B02A
Land preparation
B02B
Purchase of seeds and fertilizers
B02C
For Fertilizers and pesticide purchase, during mid-production period
B02D
Purchase/Hiring of Machinery
B02E
Harvesting operations
B02F
Warehouse/Storage
B02G
Primary Processing of produce
B02H
Sales, transportation, storage of produce
B02I
Credit Not needed
B02J
Any other, please specify
B03
What kind of credit did you avail?
Could not avail credit
Crop loan /Input loan
Term loans
Warehouse receipt loan
Others (Specify)
B04
From which source did you access credit?
Money Lender/ Arthiya
Scheduled Commercial Bank/Rural Regional Banks/NABARD
Micro-Finance institution
FinTech
Friends & Family
Input Dealer
SHG
FPOs
Any other, Please Specify
B05
Why did you access credit from this source? Assign the rank based on the importance.
B05A
Lower Interest rate
B05B
Lack of collateral and other documentation
B05C
Easy access to money
B05D
Had taken credit from this source before
B05E
Any other, please specify
B06
What was the credit amount and duration from different sources?
B06A
Name of the Credit Source
B06B
Amount
B06C
Duration
B07
Why did you not access credit from a formal source?
Lack of collateral security
Lack of specific documents
Long processing time
Lack of land ownership
Lack of Financial Institutions
Due to pending loans
Others, please specify
B08
How did you use the credit?
Input purchase (Fertilizers and pesticides, seeds)
Purchase/lease of Machinery
Warehouse/Storage
Processing of produce
Sale, transportation, storage of produce
Other non-agricultural activities
Any other, please specify-------
B09
Did you repay the loan? What’s the status of repayment?
Yes, fully
Yes, ongoing
No, not yet
No, couldn’t repay the loan
B10
Why were you unable to repay the loan?
Crop production loss due to unsuitable climatic conditions
Used money earned in other activity
Did not get enough profit after sale of produce (price fluctuation)
Others, please specify------
B11
Did you use any digital platform (mobile application or internet-based platform) to access credit?
Yes
No
B12
What digital platform did you use?
B13
Would you be comfortable using an app-based or internet-based application to avail credit?
Yes
No
B14
What are the reasons for you not using an app-based or internet-based application to avail credit?
Not aware of any such platform
Do not trust the digital platform
Don’t know how to use the digital platform
Don’t have access to mobile phone or internet
Any other, please specify-------
B15
Challenges in accessing credit
Don’t know where to access credit from
Lack of farmer-friendly products and Services
Did not have collateral for the loans
Don’t have proper documentation of the owned land
Don’t have land ownership
Didn’t get loan of choice
FIs do not lend them
Others, please specify-----
B16
Have you faced crop loss in the agriculture cycle/season?
Yes
No
B17
What crop did you lose?
B18
What was the reason for crop loss?
Input quality (Seeds / Fertz/ pesticide)
Lack of irrigation facility
drought or inadequate rains/ unseasonal rains
other Adverse climatic conditions
Pest and disease
Others, please specify-----
B19
Did you avail crop insurance in the last agricultural cycle?
Yes
No
B20
What type of insurance did you avail?
Weather based insurance
Crop based insurance
Credit cum insurance-based scheme (blended finance)
Others, please specify-----
B21
Name the crops which were insured?
B22
Where did you avail insurance from?
Government
Private
B23
If government, what scheme did you avail?
Pradhan Mantri Fasal Bima Yojana (PMFBY)
Revenue Insurance Scheme for Plantation Crops (RISPC-weather based crop insurance)
Others, please specify--------
B24
If private, what scheme did you avail?
B25
What are the perceived benefits of the mentioned product?
B26
Did you use a digital platform (mobile application, app based or internet-based platform) to avail insurance?
Yes
No
B27
What digital platform did you use?
B28
Would you be comfortable using an app-based or internet-based application to avail insurance?
Yes
No
B29
Why didn’t you avail insurance? Rank the reasons based on their importance
B29A
Not aware of any insurance scheme
B29B
High premium to be paid
B29C
Could not decide on what insurance to buy
B29D
Did not know how to get insurance
B29E
Lengthy and time-taking process
B29F
Lack of paperwork
B29G
Feel insurance not needed
B29H
Others, please specify--------
Aggregation
C01
What are the different types of farm groups that exist in your village?
SHG
FPO
Cooperatives
JLG
No farm groups
C02
Are you part of any farm group?
Yes
No
C03
If yes, which farm group are you part of?
SHG
FPO
Cooperatives
JLG
Others, please specify
C04
What kinds of benefit have you availed as part of these groups (SHGS, JLG, Cooperative, FPO)?
Access to collateral free agriculture credit
Access to low-interest agricultural credit 3=Help link with financial institutions
Awareness about financial products and services
Access to cost effective timely inputs (seeds, fertilizers/machinery)
Help link with the market/sale of produce
Provide warehouse/storage facility
Provide awareness about market demand
Provide awareness on production practices
Others, please specify-------
Access to collateral free agriculture credit
C05
Do you think you have been able to increase farm productivity and income after being a part of these farm group?
Yes, definitely
Yes, to an extent
Not at all
Don’t know
C06
What are the challenges of these aggregators/farmers groups (SHG, JLG, FPO, Cooperative)?
Inability of the entity to partner with financial institutions
Inability of the farmer to partner with financial institutions
Benefits limited to non-SMFs
Lack of ownership by members
Leadership and management issues
Lack of transparency in financial management
Unable to pay membership fee/ Share capital
Limited financial resources
Lack of skill to develop business model
Others, specify
Digital Tools and Technology
D01
Do you have a smart phone with internet?
Yes
No
D02
If yes, do you use any Agri-based digital applications for payment transactions/access to credit/access to input
Yes
No
D03
What services does the digital applications facilitate? Assign the most important service the Rank 1.
D03_1
Weather information
D03_2
Purchase of inputs
D03_3
Storage
D03_4
Value addition
D03_5
Sale of produce
D03_6
Crop Advisory
D03_7
Vet
D03_8
Insurance
D03_9
Agriculture Credit
D03_10
Other please specify
D04
Name the digital applications which is much needed and are available?
D05
Name the digital applications which is much needed and are not available?
D06
If no, what are the barriers to using these applications? Rank the reasons based on their importance
D06_1
Poor internet connectivity
D06_2
Poor mobile network
D06_3
Don’t know how to use smart phones
D06_4
Don’t know the use of these applications
D06_5
Lack of trust on these applications
D06_6
Information in the app is not relevant
D06_7
Others, please specify
Women’s Section
E01
Do you have any agricultural land under your name?
Yes
No
E02
Have you availed any agricultural credit or insurance under your name in the past?
Yes
No
Don't know
E03
Did you get access to the (mentioned) agricultural credit or insurance?
Yes
No
Don't know
E04
Where did you avail credit or insurance from?
Government
Private
E05
What is the name of the scheme?
E06
Why were you not able to avail (mentioned) agricultural credit or insurance?
Did not have ownership of land
Did not have bank account
Did not give credit to women farmers
Do not know where and how to access credit
Not involved in financial issues
Other’s specify
E07
Did you try availing agricultural credit or insurance under your name in the past?
Yes
No
Don't know
E08
Are you a daily wage earner or involved in daily wage-earning activities/businesses?
Yes
No
E09
How often you are able to save money?
daily
weekly
monthly
quarterly
E10
During the last 12 months, where did you deposit your savings usually?
SHG
Bank (nationalized or rural regional banks)
At home
Post office
With Relative/Friend
E11
Will you prefer digital, easy to access saving account where you don’t need to have device or don’t need to travel to financial institutions?
Yes
No
E12
During the last 12 months, did you personally borrow money?
Yes
No
E13
During the last 12 months, where did you borrow money from?
SHG
Bank (nationalized or rural regional banks)
At home
Post office
With Relative/Friend
E14
What was the purpose of borrowing money?
Household sustenance
Health care, education, events
Purchase agriculture inputs
post-harvest processing, storage etc.
Small business
Others, specify------
E15
Do you want to have a savings account of your own?
Yes
No
Don’t know
Already have one
E16
What is your contribution in the farming operations and allied activities (% of contribution)
Nursery & land preparation -
Sowing, Transplanting
Irrigation
Weeding and pest control
harvesting
Grading &Primary processing
marketing
Input purchases
Allied activities –
Others-------
E17
In the last 12 months, did you ever receive training or attended demonstrations/ exposure visits on the following:
Yes
No
E17_1
Crop planning and cropping practices
Yes
No
E17_2
Poultry management
Yes
No
E17_3
Livestock management
Yes
No
E17_4
Horticulture cultivation and management
Yes
No
E17_5
Market demand and linkages
Yes
No
E17_6
Agriculture credit schemes
Yes
No
E17_7
Agriculture insurance schemes
Yes
No
E17_8
Use of digital tools and technology in agriculture
Yes
No
E18
Who provided the training/Awareness camps?
Agri extension officers
NGO
Private company
SHG
FPO
Others, specify----
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