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Sample · 2018-02-06 · Project Code _____ 3 ... Class 4=4, Class 5=5, Class 6=6, Class 7=7, Class...

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Page 1: Sample · 2018-02-06 · Project Code _____ 3 ... Class 4=4, Class 5=5, Class 6=6, Class 7=7, Class 8=8, Class 9=9, Class 10=10, Class 11=11, Class 12=12, graduate and above...13;
Page 2: Sample · 2018-02-06 · Project Code _____ 3 ... Class 4=4, Class 5=5, Class 6=6, Class 7=7, Class 8=8, Class 9=9, Class 10=10, Class 11=11, Class 12=12, graduate and above...13;
Page 3: Sample · 2018-02-06 · Project Code _____ 3 ... Class 4=4, Class 5=5, Class 6=6, Class 7=7, Class 8=8, Class 9=9, Class 10=10, Class 11=11, Class 12=12, graduate and above...13;

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RESOURCES, RISKS, RETURNS AND RESILIENCE: A MULTI-DISCIPLINARY APPROACH TO CLIMATE

CHANGE AND AGRICULTURE [to be administered to households]

UNIQUE IDENTIFICATION NUMBER 1. State Code ______ 2. Project Code ______

3. District Code ________ 4. Village Code: _______ 5. Household No. _____________

6. Respondent’s Name: ___________________________________________________________ 7. Contact Numbers: (M)_____________________________________ 8. Date of Visit: Day Month Year 9. Investigator’s Name________________________________________ 10. Contact No. _______________________

1.BASIC HOUSEHOLD INFORMATION (Please circle the option, specify the option where mentioned only) 1.1 What is your religion? Hindu……….1 Muslim………2 Christian….....3 Buddhist…..4 Other (specify)……… …………..888

Don’t know/will not say…999 1 .2 What is your caste? SC……………..1 ST………………2 OBC………………..3 OTHER……………….888

WILL NOT SAY…999 1.3. What is the Principal Occupation of the

Household? cultivation……..1 agricultural labour………2 dairy……….3 casual labour……….4 self-employment (specify) ………………………..……………5 salaried employment………..6 forestry…………….7 Horticulture 8 Floriculture 9 Sericulture 10 Fishing 11 Aquaculture …………12 Poultry …….13 bee-keeping ……14 others (specify)…………………………………….888

1.4 What is the total annual income of your household?

<25000 …… 1 25001-50000 …..2 50001 – 100000 ….3 100001-150000 …..4 150001 – 250000….5 250001-500000….6 >500000…7

1.5. How many people live in this household1? ____________________

1.6. Does the household have a MGNREGA card? Yes…….1 No……..2 1 .7. Does the household have a Ration Card? Yes……..1 No………2

                                                            1 No of members sharing the common kitchen 

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1.8. What is the type of Ration Card possessed by the household?

APL ……..1 BPL……..2 Antyodhaya …….3 Priority Household…….4, others (specify)……………..5

2. INFORMATION REGARDING LAND-HOLDING OF THE HOUSEHOLD AND IRRIGATION FACILITIES

Sl. No. Land Holding Area (in acres) 1 Owned land 2  Leased-in Land / share cropping 3  Leased-out Land / share cropping 4 Total operated area (owned+LI-LO) 6  Total irrigated area

6(a)  Irrigated Area by canal 6(b)  Irrigated Area by tubewell

6(c) Irrigated Area by Tanks

6(d)  Irrigated Area by Wells

6(e)  Irrigated Area by others

3. Annual Household Income (Rs) – excluding the costs

Farming Horticulture

Floriculture

Dairy Poultry Sericulture

Wage Labour

Forestry

Fishing Bee-keeping

Salary Other (specify) …...........

Income 2016-17

2015-16 2014-15

4. Monthly Household Consumption Expenditure (Rs)

Food Clothing Rent Medical Education

Durable goods (annual expenditure)

Other Miscellaneous expenditure

Total

Consumption expenditure during last 30 days (in Rs.)

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Page 6: Sample · 2018-02-06 · Project Code _____ 3 ... Class 4=4, Class 5=5, Class 6=6, Class 7=7, Class 8=8, Class 9=9, Class 10=10, Class 11=11, Class 12=12, graduate and above...13;

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5. HOUSEHOLD ROSTER

5.1. Name 5.2. 5.3. 5.4. 5.5. 5.6. 5.7. Start with the respondent (1), then the household head (if not respondent), the spouse, and their children. Then list the most immediate family.

What is the relationship of […] to the household head? (Codes)

Gender 1. Male 2.Female 3. Transgender

Age Highest level of schooling completed? (Codes)

Marital status 1. Unmarried 2. Married 3. Widowed 4. Divorced

Main occupation (Codes)

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15.

CODES FOR 5.2: self………1 spouse / partner.........2 son/daughter ........3 son-in-law /daughter-in-law........4 grandchild......5 brother / sister......6 brother-in-law / sister-in- law…..7 father /mother.........8 other family member (specify)..........................................................................888 CODES FOR 5.5: Class 1=1, Class 2=2, Class 3=3, Class 4=4, Class 5=5, Class 6=6, Class 7=7, Class 8=8, Class 9=9, Class 10=10, Class 11=11, Class 12=12, graduate and above...13; other diploma...14; Did not complete class 1…..….15; never attended school……….16; can read and write………..17; can read only………..18; can count only………..19; other (specify)……………………888 CODES FOR 5.7: cultivation……..1 agricultural labour………2 dairy……….3 casual labour……….4 self-employment (specify) ………………………..……………5 salaried employment………..6 forestry…………….7 Horticulture 8 Floriculture 9 Sericulture 10 Fishing 11 Aquaculture …………12 Poultry …….13 bee-keeping ……14 Student ……15 housewife ……16 non-working…….17 others (specify)…………………………………….888

Page 7: Sample · 2018-02-06 · Project Code _____ 3 ... Class 4=4, Class 5=5, Class 6=6, Class 7=7, Class 8=8, Class 9=9, Class 10=10, Class 11=11, Class 12=12, graduate and above...13;

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6. Gross Cropped Area, value, yield, revenue and cost of cultivation of various crops for Kharif 2016, Rabi 2016-17 and Summer 2016-17

Sl. No.

Crop 2016-17 2015-16

 

Cultivated Area (in Acres) (1)

Irrigated Area (in Acres) (2)

Production (Qtls) (3)

Marketed Quantity (Qtls) in (4)

Price received per qtl (5)

Total paid-out costs (Rs.) (6)

Cultivated Area (in Acres) (7)

Irrigated Area (in Acres) (8)

Production (Qtls) (9)

Marketed Quantity (Qtls) in (10)

Price received per qtl (11)

Total paid-out costs (Rs.) (12)

1  Paddy

2  Wheat

3  Jowar

4  Bajra

5  Maize

6  Ragi

7  Tur

8  Gram

9  Masur

10  Moong

11  Urad

12  Other pulses

13  Groundnut

14  Sunflower

15  Soyabean

16  Mustard

17  Cotton

18  Other oilseeds

19  Jute & Mesta

20  Sugarcane

21  Fruit1_________

22  Fruit2_________

23  Fruit3_________

24  Vegetable1___________

25  Vegetable2___________

Page 8: Sample · 2018-02-06 · Project Code _____ 3 ... Class 4=4, Class 5=5, Class 6=6, Class 7=7, Class 8=8, Class 9=9, Class 10=10, Class 11=11, Class 12=12, graduate and above...13;

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26  Vegetable3___________

27  Spice1_______________

28  Spice2_______________

29  Spice3_______________

  30  Flower1______________

31  Flower2______________

32  Flower3______________

33  Any other ___________

7. Average monthly income from sale of other products

Sl. No.

Particulars of items Income from the item through animal husbandry

2016-17 2015-161 Milk 2 Milk Products Ghee3 Curd4 Butter5 Paneer6 Others7 Meat 8 Eggs 9 Honey 10 Skin /Hides Etc. 11 Manure

12 Dung cake 13 Animal sale (annual income) 14 Any other …………….. (specify) 15 TOTAL

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Risks in farming 1. Is income from farming generally adequate to meet household expenditure during the year? (1-Yes / 2-No) _____

2. If not, how often does your income fall below your expenditure? __________

1) Every year 2) Once in 2-3 years 3) once in 3-5 years 4) once in 5-7 years 5) more than 7 years

3. In your view, what are the reasons for inadequate income from farming? Severity of the problem (severe-1; very poor-2, poor-3)

1) Yield is going down _________ 2) Yield is fluctuating a lot _________ 3) Temperature is too high _________ 4) Temperature is too low _________ 5) Temperature is fluctuating a lot _________ 6) Rainfall is too high for crop growth _________ 7) Rainfall is too low for crop growth _________ 8) Rainfall is fluctuating a lot _________ 9) Pest problem _________ 10) Inadequate availability of pesticides _________ 11) Rodent problem _________ 12) Other animal problem (blue bull menace etc) _________ 13) Absence of irrigation _________ 14) Irrigation available but inadequate _________ 15) Absence of market facilities _________ 16) Market facilities available but poor _________ 17) Poor road connectivity _________ 18) Price is not remunerative _________ 19) Price is fluctuating a lot _________ 20) Government support is not available _________ 21) Government support is available but uncertain _________ 22) Not many sources of credit _________ 23) Bank credit not available _________ 24) Bank credit available but inadequate _________ 25) High interest rate of money lenders _________ 26) Any other (specify) ____________ _________ 27) Any other (specify) ____________ _________

4. Do you feel that the weather patterns have been changing in recent years? (1-Yes / 2-No) _____

5. If yes, which aspect of weather is causing you concern? (Rank the following in descending order of concern)

i. Continual drought _________ ii. Rainfall is too high for crop growth _________

iii. Rainfall is too low for crop growth _________ iv. Rainfall is fluctuating a lot _________ v. Very high rainfall concentrated in few months _________

vi. Temperature is too high for crop growth _________ vii. Temperature is too low for crop growth _________

viii. Temperature is fluctuating a lot _________ ix. Heavy gales frequently _________ x. Any other (specify) ____________ _________

xi. Any other (specify) ____________ _________

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6. In your view, what is the effect of climate change on production

i) Decline in yield on average (in qtls/ha) Decline in yield Normal yield

a. Crop1 ________ ______ ____________ b. Crop2 ________ ______ ____________ c. Crop3 ________ ______ ____________ d. Crop4 ________ ______ ____________ e. Fodder crops ______ ____________

ii) Decline in annual income from farming (Rs) ______ ____________ iii) Decline in milk yield (kgs) ______ ____________ iv) Decline in annual income from dairying (Rs) ______ ____________

Coping Mechanisms

I Own initiatives

1. In years when farming income is not adequate to meet household expenses, how do you supplement your income? (Rank the following in descending order of importance)

(1-Yes / 2-No) Rank 1) Migration outside the village _________ __________ 2) Wage labour in the village _________ __________ 3) Dairying _________ __________ 4) Selling forest produce _________ __________ 5) Petty business _________ __________ 6) Selling cattle _________ __________ 7) Selling household assets _________ __________ 8) Taking loan _________ __________ 9) Any other (specify) ____________ _________ __________ 10) Any other (specify) ____________ _________ __________

2. Dairying 1) Is fodder available throughout the year ? (Yes-1, No-2) __________ 2) If not, available for how many months? __________

1) Less than 3 months 2) 3-6 months 3) more than 6 months but less than one year 3) Are veterinary facilities available within the village? (Yes-1, No-2) __________ 4) If not, available at a distance of __________

1) < 2kms 2) 2-5 kms 3) 5-10 kms 4) >10 kms 5) Is market facility available within the village? (Yes-1, No-2) __________ 6) If not, available at a distance of __________

1) < 2kms 2) 2-5 kms 3) 5-10 kms 4) >10 kms 7) Are remunerative prices available within the village? (Yes-1, No-2) __________ 8) If not, where do you sell __________

1) In the nearby village 2) to an agent 3) to a collection centre 4) any other 9) Is government support available for this activity? (Yes-1, No-2) __________ 10) If yes, are you satisfied with the support? (Yes-1, No-2) __________ 11) Any other ___________ __________ 12) Annual income from this source _____________

3. Selling forest produce (Yes-1, No-2) Severity of the problem (severe-1; very poor-2, poor-3) 1) Remunerative prices ___________ __________ 2) Restrictions by forest officials ___________ __________ 3) Any other ___________ __________ 4) Annual income from this source _____________

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4. Wage labour

1) For how long is the work available? _______ 1) 1-3 months 2) 3-6 months 3) 6-9 months 4) all through the year

2) Wage rate (Rs. per day) ______ 3) Are government wage programs like MNREGS available? ________ (Yes-1, No-2) 4) If yes, for how long? _______

1) 1-3 months 2) 3-6 months 3) 6-9 months 4) all through the year 5) For how long have you worked in MNREGS? (in months) ________ 6) Wage you received (Rs. per day) ______ 7) Annual income from this source _____________

5. Taking loan 1) Is loan easily available? (Yes-1, No-2) ________ 2) Source of loan

1) Bank 2) co-operative 3) friends & neighbours 4) money lender 5) Any other ________ 3) How much is your total outstanding debt at present (in Rs)? __________ Amount Rate of interest i) Bank ___________ __________ ii) Co-operative ___________ __________ iii) Friends & neighbours ___________ __________ iv) Money lender ___________ __________ v) Any other ___________ __________

6. Petty business 1) Amount invested (in Rs.) ____________ 2) Source of funds

Amount (in Rs.) Rate of interest i) Bank ___________ __________ ii) Co-operative ___________ __________ iii) Friends & neighbours ___________ __________ iv) Money lender ___________ __________ v) Any other ___________ __________

3) Annual income from this source _____________ II Assistance sought in coping with risks in agriculture (rank in decreasing order of preference)

S.No

Assistance sought Source of assistance

Government Friends & relatives

Local communities

Caste networks

NGO s

Any other

1 Information on drought relief

2 Counseling and advice 3 Inputs on farming 4 Loan 5 Help in finding other

livelihood

6 Help in migration 7 Any other

________________


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