FORM 1 BSN; HUSN; HSN;

HH Name;________________________

Address;_________________________
________________________
Contact;_________________________

Email;__________________________

Male;_____Female;____

Crop Engage
1Operate__ 3Hired manager non-H___
2Hired manager__ 4Laborer__

How many H Member engage in crop __

Name:_____________________ Crop SN#_______
_____________________ “ _______
_____________________ “ _______

Live stock Engage

1Operate__ 3Hired manager non-H___
2Hired manager__ 4Laborer__

How many H Member engage in live stock/poultry __

Name:_____________________ Crop SN#_______
_____________________ “ _______
_____________________ “ _______

Aquaculture Engage
1Operate__ 3Hired manager non-H___
2Hired manager__ 4Laborer__

How many H Member engage in Aquaculture

Name:_____________________ Crop SN#_______
_____________________ “ _______
_____________________ “ _______

Fishing Engage
1Operate__ 3Hired manager non-H___
2Hired manager__ 4Laborer__

How many H Member engage in Aquaculture

Name:_____________________ Crop SN#_______
_____________________ “ _______
_____________________ “ _______

Other info: Call back info:

____________________ ___________________
____________________
 FORM 2
BSN______ HUSN______ HSN_____

Respondent Name:____________________ Relationship to Respondent;___________________

Household member Name Sex Age Status Educational Attainment PHIL ID

________________________________ __ ___ _____ ___________________ ____ ____________ ______
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Farm Care taker_____________________________ ____________________________ ________________

Name Address Contact

Aqua Care taker_____________________________ ____________________________ ________________

Name Address Contact
Growing of crops
Land preparation __ Caring of crops/ applying fertilizer etc. __ Selling of crops __
Fertilizer __ Harvesting __ Record keeping __
Seed propagation __ Packaging of crops (drying, Milling) __ Other crop farm activities __

Livestock/poultry
Breeding __ Milking of livestock __ Fattening Piglet etc. __
Feed prep __ Harvesting of Egg,honey etc __ Selling of livestock for slaughter __
Shepherding livestock __ Butchering, Hatching of egg __ Record Keeping __
Other activities __

Land for crop

Fully own with title __
Without title yet __ Formal document for agricultural
Under CLOA etc __ household own or hold _____
Tenanted __ Ducument as owner holder of secure right _____
Lease/rented __ right to beneath to another person _____
Under land tenure ___________

Aquaculture
Preparing aquafarm ___ Harvesting __
Brood Stocking __ Buying fingerlings ___
Rearing Fry fingerlings ___ Cleaning ___
Preparing foods ___ Record keeping ___

Receive insurance
SSS ___
Phil health ___
Senior citizen ___
4ps ___
 FORM 3

__Growing of corps __Raising livestock/poultry __For sale __individual

__Contract Grower __Contract grower livestock/poultry __Consumption __Partner w/ agreement
__Gardening Flower etc __Raising of breeder Dog/cat __For sale/Consumption __Partner w/o agreement
__Hydoponics __Raising birds
__Aquaponics __Urban farming

Household operator_______________________ __________________________ _______________________

Partner operator _______________________ __________________________ _______________________
Name name name
Parcel___ Hectar___________ Irrigated__
Address_______________________

Temporary _______ ________ ________ _________ _________

Corp name _______ ________ ________ _________ _________
Plant harvest plant harvest
Permanent _______ __ Compact _____________ _________ ___________
Corp Name_______ __Scattered Hectar Number of trees Ilang klasing puno

Livestock
Parcel___ Hectar___________ Homelot
Address_______________________

Name of animal
___________ _____________ ________ ___ ___________
___________ _____________ ________ ___ ___________
Breeding/fattening With house/free range House # Sukat SQM

September 1 _____How many? ___Male# __Female#

_____How many? ___Male# __Female#

POULTRY

Name of animal
___________ _____________ ________ ___ ___________
___________ _____________ ________ ___ ___________
Breeding/egg production With house/free range House # Sukat SQM

September 1 _____How many? ___Male# __Female#

_____How many? ___Male# __Female#

Machineries _________ _________ __________ __________ ___________ ___________ ___________

Assistant receive __Cash __Fertilizer, feeds etc ___Training

member of Agricultural association __________________

Problem Encounter____________ _______________ ______________ ________________ _______________

____________ _______________ ______________ ________________ _______________

National Id use in ____________ ______________ ______________

 FORM 4

__For sale __individual Other tenure________

__Consumption __Partner w/ agreement ___Owner like possesion
__For sale/Consumption __Partner w/o agreement ___Lease/rented

Household operator_______________________ __________________________ _______________________

Partner operator _______________________ __________________________ _______________________
Name name name

How many aquafarm you operate? ___

Fish pond Fish tank Fish pen

Address_______________________ ____ 01 Fully owned 04 Other tenure________

Address_______________________ ____ 02 Owner like possesion
03 Lease/rented

Sukat ____________ _____________ ___________

____________ _____________ ___________
Square meter Feet Broodstock/Hatchery

How many Hole? __

Name of fish
_________ __________ ___________ __________ __________
_________ __________ ___________ __________ __________
Plant Harvest Plant Harvest

Machineries _________ _________ __________ __________ ___________ ___________ ___________

Assistant receive __Cash __Fertilizer, feeds etc ___Training

member of Agricultural association __________________

Problem Encounter____________ _______________ ______________ ________________ _______________

____________ _______________ ______________ ________________ _______________

National Id use in ____________ ______________ ______________