AGRA2016 identification
Region
District
Village
Consent
Day
Month
Year
Start Time
Hour
Minutes
Household Name
Respondent Name
Supervisor
Enumerator
Zone
Location
Phone
Language of Interview
Did this household have any cropping activity during MAIN season
How many plots of land did the HH farm in the main cropping season?
In the last major farming season, did you apply any chemical such as fertiliser,
Are there other [target crop] seed varieties that you were growing in the past b
In this HH, who is usually responsible for selection of [target crop] seed culti
HHMID
In this HH, who is usually responsible for deciding on the source for [target cr
In this HH, who is usually responsible for obtaining the planting materials for
Are you or any household member aware or familiar with the hybrid/improved seed
Does anyone in this household engage in crop production other than target crops?
Do you have access to electricity?
In the last 12 months, did anyone in the receive any of these any agricultural a
In the last 12 months, did any household member try to get credit (in cash or in
Why did you try to get credit
if you were certain that a lender would approve your application (at the standar
If NO, why would you not apply?
Does any member of the household have a bank account (including cooperatives, RO
Why doesn't any of the household members have a bank account
other
Are you or anyone in the household a member of any farmer's group or producer's
Are there types of information that you sought and never received the advice? 1s
2nd source
3rd source
OTH
COMMENT
LANGUAGE
Specify other
did your household replensih or renew seed variety on any of the cultivated plot
Primary respondent
Secondary respondent
ps name
Is secondary respondent selected for this household
ss name
EA Serial
Pays
Is secondary respondent availanle for interview
crop sales
did the h  use chemical
End Time
END Hour
END Minute
Longitude
Latitude
Ready to take GPS
Crop sample