COCONUT DEVELOPMENT BOARD

Questionnaire for Baseline survey

1.General Information
Panchayath _____________
Ward _____ House No:
Name of farmer
Age:
Address: ________________________________________________
________________________________________________
________________________________________________
Whether belong to SC\ST_____________
Family details

Male

Female

Adult
Children
Total

2.Agricultural land details

Survey No:________________

Total Area
Ha

Coconut Area
Ha

3. Professional Details
a) Professional:
1. Agriculture 2. Agriculture Salary 3. Agriculture Business 4.Others
b)Annual income Rs. ________________
(Including in are from members employed outside state or foreign countries)
4. Information on Coconut Palm
Non bearing
Local

Hybrid

Bearing
Dwarf

Local

Senile
Hybrid

Dwarf

Local

Total
Hybrid

Dwar

Local

Hybrid

Dewed

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

f (9)

(1+4+7)

(2+5+8)

3+6+5)

5. Number of harvests in a year:_______________________

Total nuts in a year
6. Number of diseased palms
Disease
Local

Non Bearing
Hybrid Dwarf

Loca

Bearing
Hybri
Dwar

Senile
Loca Hybri

Dwar

Total
Loca

Hybri

Root wilt
Bud rot
Stem
bleeding
Pencil
point
BC\RW
Leaf Rot
Yellowing
Mite
Other

a) Steps taken against mite infestation

If spraying done
How many times: __________

Pesticide used: _____________

Intensity of mite infestation : Mild\Medium\ Severe

b)Other Operational Expenses

Item
Manuring
Opening\Closing Basins
Irrigation
Harvesting
Ploughing
Cultural practices

Frequency

Amount spent

Dwarf

d) Whether irrigation facilities available: Yes\No

If Yes,
e) Source of water: Pond\Well\ Canal\ Bore Well
f) Mode of irrigation: Pump\ Drip/Sprinkler\Flood Irrigation
h)Intercrops
Seasonal Crops
Crop

Area\Nos

Income(Rs)

Perennial Crops
Crop

Area \ nos

i) Number of trees given for toddy tapping:______

j) Income per month per palm: Rs._________
k) Disposal of leaf\ husk etc: Domestic/ Sale

7. Monthly consumption of coconut products

Coconut(No)
Tender nut(No)
Coconut oil (kg)
Other vegetable oil(kg)

Number of nuts sold per harvest:__________

If copra processed, number of nuts converted:_________

Income(Rs)

Period:_______

Whether Copra Drier installed: Yes\No

If Yes,
Whether any financial assistance received from Board:
a) Quality of copra from 100 nuts:_______ kg. Oil:_____kg
b) Whether financial assistance received for area expansion: Yes\No
8. Details of financial assistance received from the Board
Scheme
Amount Received
Year in which received
Area Expansion
Copra Drier
Wormy Compost
9. Details of financial assistance received from other aagencies
Item

Agency

Year

Amount

Cutting and removel

Seedlings
Fertiliser
Compost Unit
Spraying
Irrigation
Others
a)Area intended to use for integrated coconut development:_________Acre______Cent
b)Interested intercrops
Crops

Area\Nos

1.
2.
3.
4.
5
c)Details of domestic animals
Items
Number
Diary Animal
Poultry
Honey Bee
10. Basic infrastructure available
1. Biogas Plant

: Yes\No

Income

2.Wormy Compost

: Yes\No

3.Compost Unit

: Yes\No

4. Solar Panel

: Yes\No

5. Fish farming

: Yes\No

6. Asola cultivation

: Yes\No

7. Medicinal Plants cultivation : Yes\No

Place

Name of enumerator

Date

Signature:
Signature of farmer: