Word-Import - 1 | QuestionPro

1. General Information of farm plot owner

Farmer name: .............................................................................Age: ………………….

Address: Village: .................................. District: .................................

Part 1: Rice production

2. Farm plot location

Plot area: .......................................................

	3. Crop calendar


Type of rice

	5.1. Human labor


No.

	5.2. Tractor


No.

	5.3. Machinery


No.

	5.4. Animal draft


No.

5.5. Irrigation

	Rainy season
Dry season

	6. Fertilizer application


Name of fertilizer

	7. Pest, weed and other chemical management


Name

	8. Sprayer or other implements use during the chemical application


Name

	9. Crop production


Description

	10. Income


Description

1.How do you think about quality of irrigation water in your field?

FORMCHECKBOX Very good

FORMCHECKBOX Good

FORMCHECKBOX Not so good

FORMCHECKBOX Very bad

2.How do you think about quality of soil fertility in your farm?

FORMCHECKBOX Very good

FORMCHECKBOX Good

FORMCHECKBOX Not so good

FORMCHECKBOX Very bad

	3.Did you see any changes of below components in climate compared to 10 years ago?


No

	4.Which were problems for growing rice or yield with each components change?


No

5.If it has problems with your farms. What did you do to improve or adapt to cope with climate changes?

...............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

	6.If adaptation measure then did it work or not?


No

7.What is next? Any something else?

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