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3. WARD / SHEHIA
FORM _____ OF ____
4. VILLAGE/STREET
11. DOES THIS HOUSEHOLD REPLACE ANOTHER SAMPLE HOUSEHOLD CHOSEN FOR THE SURVEY? YES….1 NO....2
12. WHICH HOUSEHOLD IN THIS CLUSTER DOES IT REPLACE? HOUSEHOLD NUMBER OF ORIGINALLY SELECTED HOUSEHOLD
CROP NAME CROP CODE KGs KGs TSH KGs TSH TSH
2
SECTION 23: CROPS
23.9 23.10 23.11 23.12 23.13 23.14 23.15 23.15A 23.15B 23.16
What was the How much ORGANIC What was the How much INORGANIC FERTILIZER did What was the total How much pesticide/ herbicide What was the total What was the total What was the total Did you receive any seeds,
total value of FERTILIZER did you total value of you use on [CROP] in the last 12 value of inorganic did you use on [CROP] in the last value of this value of seeds value used to fertilizers, pesticides or
this [CROP] was use on [CROP] in the organic months? fertilizer purchased? 12 months? pesticides/herbicides purchased in the last purchase other herbicides for [CROP] on
given as a gift? last 12 months? fertilizer purchased/used in the 12 months? agricultutral inputs in credit to be paid later on
purchased? last 12 months? the last 12 months? during the last 12 months?
IF RESPONSE IS 0 GO TO Q23.14 IF RESPONSE IS 0 GO TO
23.16
IF RESPONSE IS 0
GO TO Q23.12 THE PURCHASE THE PURCHASE DOES THE PURCHASE DOES THE PURCHASE DOES
LITRE...........1
DOES NOT NOT INCLUDE LOAN NOT INCLUDE LOAN NOT INCLUDE LOAN
KG................2 LITRE...........1
INCLUDE LOAN
MIL LTS........3 KG................2 YES...1
GRAM..........4
MIL LTS........3 NO....2 ► 23.19
GRAM..........4
KGS TSH UNIT QUANTITY TSH UNIT QUANTITY TSH TSH TSH
3
SECTION 23: CROPS
4
Crop Codes
5
SECTION 24. LIVESTOCK
24A: OWNERSHIP AND REVENUE FROM LIVESTOCK
24.1. Does your household currently own any livestock, including chickens, rabbits etc? YES…….1
NO……..2 GO TO SECTION 25
Improved
CODE LIVESTOCK Indigenous Improved Beef Dairy/Poultry NUMBER NUMBER TSH NUMBER NUMBER
1 BULLS
2 COWS
3 STEERS
4 HEIFERS
5 MALE CALVES
6 FEMALE CALVES
7 OX
8 BILLY GOATS
9 SHE GOATS
10 MALE KIDS
11 FEMALE KIDS
13 EWES
14 MALE LAMBS
15 FEMALE LAMBS
18 MALE PIGLETS
19 FEMALE PIGLETS
20 INDIGENOUS CHICKENS
21 LAYERS
22 BROILER
23 DUCKS
24 RABBITS
25 DONKEYS
26 DOGS
27 GUINEA PIGS
28 OTHER
6
SECTION 24. LIVESTOCK
1 BULLS
2 COWS
3 STEERS
4 HEIFERS
5 MALE CALVES
6 FEMALE CALVES
7 OX
8 BILLY GOATS
9 SHE GOATS
10 MALE KIDS
11 FEMALE KIDS
13 EWES
14 MALE LAMBS
15 FEMALE LAMBS
18 MALE PIGLETS
19 FEMALE PIGLETS
20 INDIGENOUS CHICKENS
21 LAYERS
22 BROILER
23 DUCKS
24 RABBITS
25 DONKEYS
26 DOGS
27 GUINEA PIGS
28 OTHER
7
SECTION 24. LIVESTOCK
1 INDIGENOUS CATTLE/DONKEY
2 IMPROVED BEEF/DAIRY
3 INDIGENOUS GOATS/SHEEP
4 IMPROVED GOATS/SHEEP
5 PIGS
6 INDIGENOUS CHICKEN/DUCK
7 IMPROVED CHICKEN/DUCK
8 RABBIT
9 DOGS
10 GUINEA PIGS
11 OTHER (MENTION)……………………………….…
6
SECTION 25A. LIVESTOCK BY-PRODUCTS
YES....1
NO...2 ► NEXT SERVICE
CODE SERVICE NUMBER TSH
10
SECTION 26: FOOD SECURITY
Yes…...1 Yes…………….....1
No……..2 ►Qn. 26.4 No……………...….2
Don't know…....3
Meat Never……………………………………… 1
Fish Seldom…………………………………… 2
Eggs Sometimes…………………………... 3