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Horizon 1 Quantitative Template -Form Fill

Interview Details
Q01

GPS Coordinates 

Q02

State

Q03

District

Q04

Project Code

Q05

GP Name  

Q06

Village name 

Q07

Interviewer code 

Q08

Interviewer Name 

Q09

Supervisor Name 

Q10

Date of Interview 

Q11

Interview Start Time 

Q12

Interview End Time 

Respondent profile
A01

Name of the respondent  

A02

Respondent’s phone number 

A03

What is the gender of the respondent? 

A04

What is your age? (in completed years) 

A05

How many members are there in your household? 

A06

What is the highest level of education that you have completed?  

A07

Which ID is used to verify the identity of the respondent? 

A08

Please specify which card you have. 

A09

What is your social category? 

A10

What is your household’s main source of income?  

A11

What is your household annual income range- Farm Activities (Agriculture)?

A12

What is your household's annual income range- Non-farm Activities (Livestock, businesses etc.)?

A13

Are you or any of your family members currently a member of any SHG? 

A14

Are you or any of your family members currently a member of any Agri-business centres? 

A15

How is the membership in SHG/ Agri-business centres supported? 

A16

Are you covered by any social security schemes? 

A17

What type of social security scheme? 

A18

Are you member of FPO/ CBOs in your neighbourhood ?

A19

If yes, what are the benefits you are availing from FPOs

A20

Any expectations from/ suggestions to FPO

Plot and Crop Profile
B01

On how many plots do you practice agriculture? 

B02

How many plots are owned? 

B03

What is the land size of the owned plots? 

B04

How many plots are Leased-in? 

B05

What is the land size of the Leased-in? 

B06

How many plots are Leased-out? 

B07

What is the land size of the leased out? 

B08

During which months of the year is this plot kept fallow?  

Crop Profile
C01

What was your MAIN CROP in the plot Season-wise? 

C01A

Kharif

C01B

Rabi

C01C

Summer

C02

How much did you earn by selling the crops? 

Practices of Natural Farming/Residue-Free Farming/ Organic Farming
D01

Are you aware of CSA practices? 

D02

What CSA best practices are promoted under the intervention? 

D03

What kind of crops are promoted under CSA under the Intervention? 

D04

Do you practice CSA in your plot? 

D05

What CSA practices are practised in your plot? 

D06

Area and crop under CSA practice in your plot 

D07

How long have you been practising CSA on this plot? 

D08

Have you faced any challenges in transitioning to CSA farming? 

D09

What challenges have you faced in transitioning to CSA farming?  

D10

Have taken up any Seed related Have taken up any Seed related CSA practice (Stress tolerant/ drought tolerant)/Were you provided with seeds as part of the intervention? 

D11

What are the seeds you are provided with under the intervention? 

D12

Have you noticed any improvements in soil health since practising CSA practices? 

D13

Do you practice any specific techniques to enhance soil fertility in your CSA practices? 

D14

Have you observed any increase in crop yields when CSA is compared with conventional farming practices? 

D15

What are the NF inputs you use in the field? 

D16

Would you say that CSA has higher profitability than conventional farming? 

D17

Is the excreta of the livestock in the form of dung and urine used for preparing natural inputs for the intervention?  

D18

Is there a provision for certification of the plot or the final product for better price discovery due to CSA practice

D19

What are the main end markets, the produce can be sold at? 

D20

Have you participated in any other programs or initiatives aimed at promoting CSA farming in your area apart from the main intervention? 

D21

From whom did you receive training or capacity building related to CBA farming techniques? 

D22

Do you perceive CSA as a viable option for smallholder farmers to improve their livelihoods? 

D23

What do you perceive as the main benefits of practising CBA farming? 

D24

How has the adoption of CSA impacted your household income? 

D25

Have you observed any reduction in input costs incurred since switching to CSA? 

D26

Would you recommend CSA to other farmers in your community? 

D27

Have you adopted any coping mechanisms in the last two years to address any specific issues? 

D28

What are those coping mechanisms? 

D29

Have you observed any changes in the local ecosystem since adopting CSA farming practices? 

D30

What are the changes in the local ecosystem observed after starting CSA? 

D31

What are the potential risks associated with conventional practices in your understanding? 

D32

What additional support or resources would you need to further enhance your CSA practices? 

Livestock
E01

Does the household own livestock? 

E02

What kind of Livestock do you own livestock, e.g., cows, buffalo, ox, goats etc.? 

E03

Are livestock operations commercially established?

E04

How do you manage the labour requirement for maintaining/Sustaining the livestock?

E05

Does the household include animal-based protein in their diet? 

E06

What types of animal-based protein are consumed? 

E07

How has livestock rearing helped you?

E08

Any schemes/support/ Subsidy is availed for livestock rearing

E09

Do you require any specific support/capacity building through training

E10

Are any major challenges in livestock rearing preventing you from taking it up on a big scale?

Social Forestry
F01

How much of the land is used for staple food cultivation? 

F02

Have you taken up any border plantation/ Agro-plantation on your farm?

F03

How have you done the plantation?

F04

Who supported you take up the plantation?

F05

Any support received for doing plantation?

F06

What kind of Support received

F07

What are the challenges you faced while taking up agro-forestry/ social forestry plantation?

F08

What kind of Plants are selected and taken up for plantation

F09

What are the plantations take up

F10

What is the total number of samplings planted

F11

How Old is the plantation

F12

What is the success rate of the plantation survival rate? 

F13

Do you have any annual income from the plantation

F14

What is the approximate annual amount received

F15

What is the Annual cost involved

F16

What is the estimated total income after the harvest of the plantation crop

F17

How often the household wood be harvested? 

F18

Rate the satisfaction level with the price received for wood.

F19

Specify the primary purpose for which wood is used.

F20

Are you involved in intercropping plantations? 

F21

Does the plantation affect the yield/ income of the main crop

F22

What percentage of additional income/ increase in income have you observed after practising intercropping/border plantation? 

F23

How much of the household's cooking fuel is sourced/ supplemented from the plantation? 

F24

Have you faced any challenges in managing intercropping practices? 

F25

Please specify the challenges faced. 

F26

What are the other benefits of Agroforestry/ Farm plantation/border plantation?

F27

How has the impact of plantation affected soil erosion? 

F28

Describe any observed changes in migration patterns post-plantation

F29

Rate the benefits of intercropping in improving soil health 

F30

Are there Agro-plantation committees formed/ existing?

F31

How involved are women in decision-making within plantation committees? 

F32

Are there any specific roles or responsibilities designated for women within the plantation committee? 

F33

If yes, please specify the roles or responsibilities typically assigned to women. 

F34

Rate the overall inclusivity of the plantation committee towards women's participation

F35

What are the major challenges in taking up agroforestry/ farm plantation/ social forestry

Water Stewardship
G01

What is the primary source of your household's water supply? 

G02

How far is the primary water source from your residence? 

G03

Have you experienced any water shortages in the past year? 

G04

If yes, how often did these water shortages occur? 

G05

Have you observed any changes in water availability over the past five years? 

G06

Activities Promoted under the water conservation strategies in drinking water in your village?

G07

Still is there any scope to bring changes in drinking water supply system in your area

G08

If yes, any challenges to adopt the new practices?

G09

How satisfied are you with the overall water management in your area? 

G10

Do you pay for drinking water

G11

How is it charged

G11A

Have you received any training/ awareness training on drinking water-related issues?

G11B

What kind of training/awareness was received?

G11C

Are you using any of the local water bodies for monitoring and management of drinking water?

G12

Any challenges in drinking water access and usage

G13

Do you hold land in the watershed area? 

G14

What is the area of the plot under the watershed? 

G15

Activities promoted under the water conservation strategies in Agriculture in your village?

G16

What kind of activities were undertaken?

G17

Do you have access to any water harvesting structures established close to your land under ITC’s SIP?

G18

If yes, what type of water harvesting structure do you use?

G19

How do you use water from these structures?

G20

Who is responsible for the maintenance of these water harvesting structures?

G21

Have you noticed an increase in groundwater level after using these structures?

G22

Has the water harvesting structure benefited your agricultural productivity?

G22A

What are the benefits observed/ expected using farm bunds, nala bunds and trenches?

G23

Have you observed any change in the groundwater levels after the implementation of water harvesting structures?

G24

Have you used/received support for Soil and Water measure (SMC)?

G25

How Soil and moisture conservation measures beneficial?

G26

Are there any specific challenges faced while adopting soil and moisture conservation techniques

G27

Have you received any training/ awareness sessions on water stewardship?

G28

If yes, who imparted this training?

G29

If yes, how would you rate the usefulness of the training sessions?

G30

On what topics the training/ awareness campaigns are conducted ?

G31

Are you part of a water users group/ community group formed for water stewardship?

G32

If yes, to what extent are members from such community groups involved in decision-making processes related to water management in the village?

G33

Do you share the knowledge and skills acquired through the training programs obtained as part of the water usage group with other community members?

G34

Is there a mechanism in place for community members to provide feedback or suggestions on the water stewardship activities undertaken?

G35

How often are community meetings held to discuss progress and challenges related to water stewardship activities?

G36

What are the major functions of WUGs

G37

Were you part of any FFS sessions?

G38

On what topics you attended

G39

What were major challenges?

G40

Has your agricultural productivity changed after participating in water stewardship activities?

G41

How has your household income been affected by the changes in agricultural practices or water availability due to

G42

Besides water harvesting, have you adopted any other eco-friendly practices in agriculture as a part of the water stewardship program?

G43

If yes, Specify the methods adopted

G44

What role do women play in water stewardship activities within your community?

Agro-Advisory
H01

Do you or anybody in the HH use the internet to get crop-related advisories?

H02

Are you currently getting any advisory services?

H03

Did you pay for the advisory services?

H04

What are the different types of Agro-advisories that you receive?

H05

How much did you pay for the advisory?

H06

What is the frequency of receiving the agro advisories?

H07

In what form do you receive the agro advisories?

H08

Who provided the agro advisories?

H09

Please rate your satisfaction level with the advisory services that you received

H10

What is the frequency of receiving training on cropping practices?

H11

Are you planning the management of farm resources based on weather forecasts?

H12

Do you consider weather effects when planning for farm operations?

H13

Would you be interested in receiving advice on advisory services?

H14

What are the major challenges in availing agro advisories?

Agri-Entrepreneurship
I01

Have you undertaken any business/agri-entrepreneurship (AE) activity?

I02

What business/agri-entrepreneurial activity are you engaged in? 

I03

Since when have you been engaged in this business/ entrepreneurial activity? 

I04

Has there been a change in profits of business activity since exposure to the program?

I05

Why did you choose this specific enterprise?

I06

What is your monthly income from this enterprise?

I07

How many people do you employ in your enterprise?

I08

How has starting this enterprise affected your annual income?

I09

Is the income from the enterprise stable?

I10

How frequent is the flow of earnings?

I11

Have you received any refresher training specific to your enterprise from the ITC project?

I12

What are the other sources from which you receive information related to enterprise activities ?

I13

Have you taken up any Value addition entrepreneurship?

I14

If yes, What kind of value addition ?

I15

What kind of support you have received

I16

What is the extent of value addition in financial teams

I17

How much the value addition is supplementing income

I18

Any challenges noticed during your value addition take up / what kind of support you are looking for expansion of value addition unit ?

I19

How many farmers and villages are you currently providing services to?

I20

What services are being offered to farmers by your enterprise?

I21

What are your future plans for this enterprise?

I22

What are the major challenges you face in agri entrepreneurship?

I23

Are you interested in starting an agri enterprise in the near future if you receive adequate support?

I24

What kind of additional support do you need to successfully run an agri enterprise?

I25

What is the approximate amount of funds you require for business expansion?

Awareness/Capacity Building/Training
K01

Have you gone through any awareness campaigns/training/ capacity building programs so far?

K02

What are the Themes/Topics of the awareness campaigns you attended?

K03

Who organizes the trainings/ campaigns as part of the current project?

K04

What are the focus areas which you would like to suggest/need for the trainings/ campaigns?

K05

How would you rate the current trainings/ Campaigning plans?

K06

How would you rate the awareness level of the community/organization who is conducting training/ campaigning, about the issue in discussion?

K07

Have there been part of organizing/ conducting community Campaigning?

K08

Are you trained as a resource person for designing, planning and conduct training/ community campaigning?

K09

If yes, how effective do you think these trainings/ workshops have been?

K10

As a resource person, what are the challenges in conducting the training/ campaigns?

K11

Any suggestions for community campaigning / training and to create awareness.

J12

Any challenges in availing loan ?