Republic of the Philippines
DEPARTMENT OF AGRICULTURE
Regional Field Office No. 6, Iloilo City
National Urban and Peri-Urban Agriculture Program
MONITORING FORM
Name of Partner:
____________________________________________________________
Complete Address (mention nearest landmark, if applicable)
_____________________________________________________________
Type of Organization:
National Government Private
Local Government Unit Non-Government Organization
Academe Civil Society Organization
Homeowners Other (pls.name)_____________________
Total Land Area of Location (sqm.):
__________________________________________________________________
No. of Manpower maintaining the garden:
__________________________________________________________________
Years farmed at the location:
____________________________________________________________________
Contact Person & Number:________________________________________________
Is the site,
Leased/rented(_); owned (_): contracted(_)
UA Technology present:
Containerized Hydroponics Greenhouse
Vertical Gardening No Conventional Edible landscaping
Rooftop Garden
Mushroom Production Raised beds
Homeowners Other (pls.name)_____________________
Do you sell your harvest?
Yes(_); No(_)
Are the growers/farmers trained?
Yes(_); No(_)
If yes, what are the training attended?
_________________________________________________________________________
_________________________________________________________________________
Please check applicable fields:
Total Weight of Harvest: Marketable Weight (kgs)
≥500 grams to 1 kg ≥500 grams to 1 kg
1 kg to 3 kgs 1 kg to 3 kgs
5 kgs to 10 kgs 5 kgs to 10 kgs
11 to 20 kgs 11 to 20 kgs
21 to 50 kgs 21 to 50 kgs
51 kgs and above (specify weight):______ 51 kgs and above (specify weight):______
Live Animals Present:
(_) Chicken (_) Worms
(_) Bees (_) Rabbit
(_) Horse (_) Goat
(_) Duck
(_)Others, _______________________________________
Did you apply fertilizers?
(_) if yes, specify,____________________________________
(_)No
Did you apply pesticides?
(_) if yes, specify,____________________________________
(_)No
No. of Beneficiaries:__________________________________
Crops Date Date of Alloted Volume of Problems/ Intervention
Grown/Plante Planted Harvest space Harvest Challenges Performed
d (sqm) (kgs) Encountered
Other Additional Remarks:
_____________________________________________________________________________________
_____________________________________________________________________________________
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