SURVEY - FORM RSS RW - 2

New form (v. 6.
0)
Question
Approval of collection of personal information and data
1. I hereby agree that PT. ABP & SNV to collect and use the following data and
information for a period of five years. I give this consent voluntarily and understand
that my consent can be withdrawn at any time after written notification to PT. ABP &
SNV.
Interview Information
2. Name of Interviewer
3. Date of interview
4. Photos of respondents
5. Location of the interview
General information about respondents

6. What is your full name?
7. Gender
8. How old are you?

9. Name of respondent's village
10. What farmer organizations do you participate in?
Only answer if you responded to the Farmers Group to Q10

11. What is the name of your farmer group?
12. What was your last education level?
13. What is your main job?
Only answer if you responded to Others to Q13

14. If other major occupations, specify!
15. What is your side job?
15. What is your side job?

16. If any other side job, please specify!
17. Apart from planting rubber, what other plants are there other sources of income?

18. If there is other crop income, mention it!
19. What is your tribe?

20. If other terms, specify!
21. How many family members do you depend on? (excluding the head of the family)
22. Who are the decision makers in your family?
23. What is the mark of ownership of your rubber plantation?

24. Other rubber plantation ownership marks, please specify!
25. What is the area of your house (in square meters)?
26. Where is your home address?
27. What is your telephone number?
Information on Knowledge of Farmers and Farmer Groups

28. Have you ever attended any training on rubber cultivation and quality
improvement?
28. Have you ever attended any training on rubber cultivation and quality
improvement?
Only answer if you responded Yes to Q28

29. If yes, state the name of the training!
30. Who conducted the training?

31. If other, please specify!
32. Who was in the training at that time?
33. Do you feel there are obstacles in participating in the trainings?

34. If there are obstacles to attending the training, mention them!
35. Have you ever tried to increase your rubber production yourself?

36. If yes, what have you done?
37. Are there regular farmer group meetings?
Only answer if you responded to Q37

38. If there are regular meetings, how often are they held?

40. If there are regular meetings, what are discussed?
41. Are you a member of a women farmer group?

42. Are there any benefits obtained from farmer groups?

43. What things can be considered beneficial for the farmer group?
44. If there are other benefits, mention them!
45. Are there any problems with the farmer groups?

46. If yes, what effort is needed to solve the problem?
47. Are there representatives of women in farmer groups?

48. Are there representatives of various ethnic origins in the farmer groups?

49. Are there any barriers to participating in farmer groups?
Information about labor

50. Who is tapping in the rubber plantation?
51. Who collects the bokar?
52. Who brings the bokar to the collector?

52. Who brings the bokar to the collector?
53. Who holds the money from the sale of the box and regulates the use of the
money?
54. Is there a field that is tapped using a profit sharing system?

55. Mention the sharing system! (How much is the revenue share for the owner and
how much for the worker)
56. If other revenue-sharing systems, please specify!
57. Do you hire other people to work the rubber plantation?

58. How many people do you pay?
59. What work do they usually do?
60. Do any of your children like to help out in the garden?

61. If yes, how old is the child?
62. What did the child usually do?

64. Do you have certain preferences in selecting farm workers, for example gender
and ethnicity?
65. Do you ask workers for an identity card / NIK to ensure that the worker is a legal
citizen?
66. Do you provide personal protective equipment for farm workers?
67. Do you provide shelter / shelter for farm workers?
68. Do you provide information regarding rights and obligations to farm workers?
68. Do you provide information regarding rights and obligations to farm workers?
69. Do you provide health insurance to farm workers?
70. Do you set farm workers working hours in 1 week?

71. If yes, how many days / hours in 1 week? (Hours / Week)
General information about rubber fields

72. Are you planting rubber trees yourself in the garden at this time?
73. What was the condition of your land before planting rubber trees?
74. Did you plant any other crops before planting rubber trees in your current garden?
75. How much of your land is planted with rubber? (field)
Only answer if you responded 1 field | 2 fields | 3 fields | 4 fields | 5 fields | more than 5 fields to Q75
76. What is the area of your plot 1? (in ha)
Only answer if you responded 2 fields | 3 fields | 4 fields | 5 fields | more than 5 fields to Q75
77. What is the area of your plot 2? (in ha)
Only answer if you responded to 3 fields | 4 fields | 5 fields | more than 5 fields to Q75
78. What is the area of your 3rd plot? (in ha)
Only answer if you responded to 4 fields | 5 fields | more than 5 fields to Q75
79. What is the area of your 4 plots? (in ha)
Only answer if you responded to 5 fields | more than 5 fields to Q75
80. What is your 5 plot area? (in ha)
81. How old was your field 1 planted? (in years)
86. How many rubber trees are there in your area 1? (tree unit)
87. How many rubber trees are there in your field 2? (tree unit)
88. How many rubber trees are there in your 3rd plot? (tree unit)
89. How many rubber trees are there in your 4th plot? (tree unit)
90. How many rubber trees are there in your 5th plot? (tree unit)
91. How do you plant your garden in Field 1?
Only answer if you responded Mix 2 types of plants to Q91

92. If mixed with 2 types of plants, say!
Only answer if you responded Like a rubber forest (many other plants grow) to Q91
93. Mention the types of plants in the rubber plantation!
94. How do you plant your garden in Field 2?

95. If mixed with 2 types of plants, state!
97. How do you plant your garden in 3rd field?

100. How do you plant your garden in a 4 field?

103. How do you plant your garden in field 5?

Only answer if you responded Mix with 2 types of plants | Like a rubber forest (many other plants grow) t
106. Are there any benefits of this plant? (in field 1)

107. Mention the benefits of these plants!


Only answer if you responded Mix with 2 types of plants | Like a rubber forest (many other plants grow) to

Only answer if you responded Mix with 2 types of plants | Like a rubber forest (many other plants grow) to

116. Mention the type of land planted with rubber for plot 1!
117. Mention the type of land planted with rubber for area 2!

121. Do you know about peatlands?

122. If you know, are there any peatlands around your garden?

123. Are you aware of the dangers of peatlands to fire?
Production, quality and market information

124. How many times did you sell bokar?

126. How much weight do you sell bokar per market day during the dry season? (in kg
per sale)
127. How much weight do you sell bokar per market day during the rainy season? (in
kg per sale)
128. Where do you usually get information on daily rubber prices?

130. What is the current selling price of rubber? (per kg)
131. What is the selling price of rubber that you expect? (per kg)
132. Where do you sell rubber?
132. Where do you sell rubber?
133. How was the sale made?
134. How many times is the number of tappings per week during the dry season?
135. How many times is the number of tapping per week during the rainy season?
136. Do you use a rubber freezer?

137. If you use a rubber freezer, mention it!
Only answer if you responded Torch vinegar | Vinegar stamp 61 | Alum | Pupuk SP to Q137
138. Why don't you use the ant acid freezer and Deorub?
Only answer if you responded to ant acid to Q137

139. If you use Ants Acid, how much is it? (per 500ml)
Only answer if you responded to ant acid to Q137
140. What measure is used for ant acid? (ml per 100kg of rubber)
141. Do you know the dry rubber content?
Only answer if you responded to Know to Q141

142. If you know the dry rubber content, state what percentage!
Only answer if you responded Don't know | Don't care about Q141
143. Why don't you know the dry rubber content?
144. What is usually mixed in rubber?

144. What is usually mixed in rubber?

146. Where do you freeze rubber?

147. If you saved anywhere else, please specify!
148. Where was the rubber stored before you sold it?
Only answer if you responded Soaked to Q148

149. Why did you soak the rubber?
150. In your opinion, what is the most important criterion for good rubber?
BMP - Rubber planting material

151. Mention the types of rubber seedlings planted in field 1!
155. Mention the type of rubber seedlings planted in field 5!
Only answer if you responded Superior | Mixed to Q151

156. If you planted high-yielding rubber seeds, what type of clone did you plant in field
1?

157. If other clone seeds are in field 1, please specify!
158. If you planted high-yielding rubber seeds, what type of clone would you plant in
field 2?

160. If you planted high-yielding rubber seedlings, what types of clone seeds would
you plant in field 3?

162. If you plant high-yielding rubber seeds, what type of clone do you plant in field 4?
164. If you planted high-yielding rubber seeds, what type of clone would you plant in
field 5?

166. Where did the rubber seedlings come from?
167. Can you graft rubber?
Only answer if you responded Superior to Q151

168. What is the shape of the seed planted in field 1?

169. What was the shape of the seed planted in field 2?

170. What are the shapes of the seedlings planted in field 3?

171. What was the shape of the seed planted in field 4?

172. What is the shape of the seed planted in field 5?
BMP - Tapping
173. At what age was your tree tapped for the first time? (in years)
174. What is the circumference of the first rubber stem tapping?
174. What is the circumference of the first rubber stem tapping?
175. In what direction are you tapping slices?
176. When did you do wiretapping?
177. What containers are used to collect the sap?

178. If using other containers, please specify!
179. What types of tapping gutters are used?

180. If using other tapping gutters, please specify!
181. What kind of tapping knife is used?

182. If using other types of tapping knives, specify!
183. Have you ever done top skin tapping?
Only answer if you responded No to Q183

184. Why don't you do the top tapping?

185. If there is another reason for not doing top tapping, please state!
186. Have you ever used a rubber stimulant?

187. If you've heard, have you ever used it?

188. If you have used it, how many times have you applied it?

189. Is there an effect on rubber production?

190. Mention the effect on rubber production!
Only answer if you responded yet to Q186
191. Why have you never used a rubber stimulant?
BMP - Maintenance
192. What is the spacing for the rubber?

193. If making other spacing, please specify!
194. What is the distance of the first fork from the ground?
195. Do you clean rubber gardens before being tapped?

196. Why don't you clear the rubber plantation before tapping?
197. If so, how many times do you clean it per year? (times / year)
198. In doing weeding, what tools do you use?

199. If weeding using other tools, mention it!
200. After rubber production, do you do weeding?

201. How many times per year is weeding done after tapping?
202. Why don't you do the weeding after wiretapping?
203. Did you fertilize before tapping?

204. If you do fertilization, what fertilizer do you use?
205. How many times do you fertilize? (per year)
206. Why don't you fertilize before tapping?
207. Do you fertilize after tapping?

208. If you do fertilization, what fertilizer do you use?
209. How many times do you fertilize? (per year)
210. Why don't you fertilize after tapping?
211. Do you have sewerage from the rubber store?
212. Do you understand about the dangers of chemical waste to the environment?
213. Do you use pesticides to get rid of pests?

214. What kinds of pesticides do you use?
215. How many times have you used pesticides? (times / month)
BMP - Rubber disease

216. Does your rubber have any disease?
216. Does your rubber have any disease?

217. What kind of disease affects your rubber plant?

218. If there are other diseases, name them!
219. Do you take care / prevent disease rubber trees?

220. How do you prevent or control the disease?
221. Why did you not take medication / prevention?
BMP - Farm assessment

222. Have you ever done garden checks?

223. If you check, what do you check?
224. Did you take any action after checking the garden?
Home Businesses Apart from Rubber

225. Do you have any other business besides rubber farming?

226. Mention your type of business other than rubber gardening!
227. Do you have employees or employees?

228. If yes, how many people have your employees?
229. Approximately how much is the revenue per month from businesses other than
rubber?
Land rights and conflicts

230. Do you know the boundaries between your garden and your neighbor's garden?
230. Do you know the boundaries between your garden and your neighbor's garden?

231. What are the boundaries of your garden with your neighbors? please mention!
232. Have there ever been any disputes over land boundaries in this village?

233. If so, how do you resolve land boundary disputes?
234. Is your village bordering the forest?
235. Does your rubber plantation border the forest?
236. Have you ever seen a boundary mark between production forest / protected
forest and village / garden areas?
Land legality
237. Does your garden land have a certificate / SKT / Girik?

238. How long have you held the land rights for your current garden? (in years)
239. Where did you get the land rights you currently have?
240. Why don't you have land legality?
Deforestation and land conversion

241. Is your garden land bordering protection forest / production forest?
242. Is there a garden in your garden?
243. Have you recently cleared any new land? (range 2019-2021)

244. When do you open new land?
245. How is clearing done when you clear new land?
246. Do farmers burn to clear agricultural land?
247. Have you ever seen rare animals such as orangutans, elephants, tigers, Surili
monkeys in the garden?
247. Have you ever seen rare animals such as orangutans, elephants, tigers, Surili
monkeys in the garden?
248. Is there a river or water source used for drinking / bathing / washing or fishing in
this village?
249. Are there any customary or village rules governing the use of water sources?
250. Is your garden area on a steep area?

251. How do you manage your garden in steep areas?
252. Are there soil conservation measures?
253. Do you understand the importance of conservation?
254. Have you ever consulted with stakeholders at the Village / Kecamatan level
regarding land use?

255. When did you last hold consultations with stakeholders at the Village /
Kecamatan level?
256. Have the government and local stakeholders ever conducted outreach related to
land use to local farmers?

257. When was the last time you attended a counseling regarding land use?
Needs of farmers
258. Is there a need for land expansion?

259. Will anyone manage if the land is expanded?
260. Do you have sufficient information and technical knowledge to prepare for
clearing land, including prohibiting forest burning?
261. Are you interested in planting rubber together with other crops?
262. Do you have problems getting a loan / capital? (related to the rubber business)
262. Do you have problems getting a loan / capital? (related to the rubber business)

263. If yes, what problems did you encounter?
264. What is needed to solve this loan and capital assistance problem?
265. How much is your ability to repay the loan per month?
266. When did these financial problems or capital difficulties arise?
267. Is there a financial or bookkeeping system in place for you?
268. Were there any issues reported?

269. Do you know who can provide capital assistance?

270. If you know, state!
271. Do you know the conditions for getting access to capital / loans?
(v. 6.0)
Response
sonal information and data
Yes______
Not______
formation
_________________________
_________________________
_________________________
_________________________
about respondents
_________________________
Man______
Female______
_________________________
Stone Water______
Markeh______
Martha VI______
Martha X______
N. Bali______
UPPB______
Cooperative______
KTH (Forest Farmers Group) ______
Farmers______
Nothing______
to the Farmers Group to Q10
_________________________
No school______
SD______
SMP______
SMA______
D1 - D3______
Bachelor degree)______
Master / Doctor (S2 / S3) ______
Farmer______
PNS______
Trading (rubber trader) ______
Others______
nded to Others to Q13
_________________________
Construction workers______
Garden worker______
Driver______
Farmer ______
PNS-Honorary ______
Own business______
Others______
_________________________
Rice Field______
Palm oil______
Coconut______
Coffee______
Corn______
Cassava______
Others______
Nothing______
_________________________
Java______
Malay______
Bali______
Batak______
Minang______
Others______
_________________________
_________________________
Husband______
Wife______
Together______
Certificate______
SKT (Land Certificate) ______
Girik______
Others______
Do not have______
_________________________
_________________________
_________________________
_________________________
Farmers and Farmer Groups

Yes______
Not______
sponded Yes to Q28
_________________________
sponded Yes to Q28
Government - DInas Plantation______

NGO______
Community organization______
Others______
_________________________
sponded Yes to Q28
Father______
Mother______
Child______
Yes______
Not______
sponded Yes to Q33
_________________________
Yes______
Not______
sponded Yes to Q35
_________________________
There is______
Nothing______
responded to Q37
1 time a week______
1 time a month______
2 times a month______
Others______
_________________________
responded to Q37
_________________________
Yes______
Not______
Yes______
Not______
Fertilizer______
Plantation equipment______
Seed______
Transportation______
Capital loan______
Harvesting______
Others______
_________________________
Yes______
Not______
sponded Yes to Q45
_________________________
Yes______
Not______
Yes______
Not______
Yes______
Not______
about labor
Father______
Mother______
Girl______
Boys______
Female farm worker______
Male farm worker ______
Father______
Mother______
Girl______
Boys______
Father______
Mother______
Girl______
Boys______
Father______
Mother______
Girl______
Boys______
There is______
Nothing______
responded to Q54
_________________________
responded to Q54
_________________________
Yes______
Not______
sponded Yes to Q57
_________________________
sponded Yes to Q57
_________________________
Yes______
Not______
sponded Yes to Q60
_________________________
sponded Yes to Q60
Tap______
Gathering the bokar______
Cleaning the garden______
Cultivate ______
Others______
_________________________
Yes______
Not______
Yes______
Not______
Yes______
Not______
Yes______
Not______
Yes______
Not______
Yes______
Not______
Yes______
Not______
sponded Yes to Q70
_________________________
about rubber fields
Yes______
Not______
_________________________
_________________________
1 field______
2 fields______
3 fields______
4 fields______
5 fields______
more than 5 fields ______
elds | 4 fields | 5 fields | more than 5 fields to Q75
_________________________
| 4 fields | 5 fields | more than 5 fields to Q75
_________________________
fields | 5 fields | more than 5 fields to Q75
_________________________
s | 5 fields | more than 5 fields to Q75
_________________________
fields | more than 5 fields to Q75
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
Only plant rubber (no other crops) ______

Mix with 2 kinds of plants ______
Like a rubber forest (many other plants grow) ______
Mix 2 types of plants to Q91
_________________________
r forest (many other plants grow) to Q91
_________________________

_________________________
_________________________

_________________________
_________________________

_________________________
_________________________

_________________________
_________________________
| Like a rubber forest (many other plants grow) to Q91
Yes______
Not______
ponded Yes to Q106
_________________________
Yes______
Not______
ponded Yes to Q108
_________________________
Yes______
Not______
ponded Yes to Q110
_________________________
Yes______
Not______
ponded Yes to Q112
_________________________
Yes______
Not______
ponded Yes to Q114
_________________________
Dry soil______
Sandy soil______
Peat______
Clay______
Dry soil______
Sandy soil______
Peat______
Clay______
Dry soil______
Sandy soil______
Peat______
Clay______
Dry soil______
Sandy soil______
Peat______
Clay______
Dry soil______
Sandy soil______
Peat______
Clay______
Yes______
Not______
ponded Yes to Q121
Yes______
Not______
ponded Yes to Q122
_________________________
d market information
1 time per week______

2 times per week______
3 times per week______
Every day______
Others______
_________________________
_________________________
_________________________
Collecting traders______
Neighbor______
Radio / Television______
Newspaper______
Social media______
Do not know______
Others______
_________________________
_________________________
_________________________
Traders in the village______

Traders outside the village______
Auction market in the village______
The auction market in the sub-district______
Cooperative / UPPB ______
Collectors who come to the village______
Bring directly to the factory______
Each ______
As a group ______
_________________________
_________________________
Yes______
Not______
ponded Yes to Q136
Torch vinegar______
Vinegar stamp 61______
Alum______
SP______ Fertilizer
Formic acid______
Deorub (liquid smoke) ______
Vinegar stamp 61 | Alum | Pupuk SP to Q137
Hard to find______
Nobody sells ______
Don't understand the form______
Expensive______
Buyer doesn't want to ______
Prices do not match ______
I used the ant / Deorub______ acid freezer
nded to ant acid to Q137
_________________________
nded to ant acid to Q137
_________________________
Do not know______
Tofu______
Does not matter______
nded to Know to Q141
_________________________
n't know | Don't care about Q141
Don't understand what dry rubber is ______

Don't know how to count ______
Don't care about the dry rubber content______
Tatal (skin tapping) ______

______ leaves
Stone______
Sand______
Plastic______
Others______
Nothing mixed ______
_________________________
Bucket______
Basin______
Plastic basket______
A hole in the ground______
Others______
_________________________
Dry place______
Soaked______
Stay in the garden______
onded Soaked to Q148
_________________________
Clean______
Dry______
Clean and dry______
Dry and slightly dirty______
Wet and clean______
Dirty and dry______
anting material
Superior______
Local rubber______
Mix______
Superior______
Local rubber______
Mix______
Superior______
Local rubber______
Mix______
Superior______
Local rubber______
Mix______
Superior______
Local rubber______
Mix______
d Superior | Mixed to Q151
PB 260______
RRIC 100______
BPM 1______
GT 1______
IRR 118______
Do not know______
Others______
_________________________
PB 260______
RRIC 100______
BPM 1______
GT 1______
IRR 118______
Do not know______
Others______
_________________________
PB 260______
RRIC 100______
BPM 1______
GT 1______
IRR 118______
Do not know______
Others______
_________________________
PB 260______
RRIC 100______
BPM 1______
GT 1______
IRR 118______
Do not know______
Others______
_________________________
PB 260______
RRIC 100______
BPM 1______
GT 1______
IRR 118______
Do not know______
Others______
_________________________
Buy at a rubber seed breeder______

Government assistance______
Do your own nursery ______
Uprooted from forests / gardens ______
Yes______
Not______
nded Superior to Q151
Rubber grown in a polybag______

Sleep eye stum______




apping
_________________________
<45 cm______
45 cm______
> 45cm______
Do not know______
From top right to bottom left______

From top left to bottom right______
Left and right direction V______
Irregular______
Do not know______
Morning 05-09 ______

Noon at 10 and above______
In the afternoon 3______
Morning 05-09 and evening hours 04______
All times can ______
Plastic tapping bowl______

Used beverage bottles______
Coconut shell______
Bamboo______
Others______
_________________________
Zinc______
Plastic______
Leaf______
Others______
_________________________
Concave tapping knife______

Convex tapping knife______
Others______
_________________________
Yes______
Not______
sponded No to Q183
Fear of dying______
Don't know how to do it______
Too high______
Her skin has been damaged all______
Others______
_________________________
Yes______
Not yet______
ponded Yes to Q186
Yes______
Not______
ponded Yes to Q186
Every day______
1 time per week______
Once in 10 days______
Once a month______
Do not know______
ponded Yes to Q186
Yes______
Not______
ponded Yes to Q189
_________________________
ponded yet to Q186
Don't know how to use it______

Nobody sells ______
The price is expensive______
Afraid the rubber will die ______
ntenance
3m x 6m______
3m x 7m______
4m x 5m______
Irregular______
Others______
_________________________
2 meters from the ground ______

2.5 meters from the ground ______
3 meters from the ground ______
Less than 2 meters ______
Irregular______
Yes______
Not______
sponded No to Q195
_________________________
ponded Yes to Q195
_________________________
Spraying herbicides ______
Using a machete / hoe ______
Using a lawn mower______
Others______
_________________________
Yes______
Not______
ponded Yes to Q200
_________________________
sponded No to Q200
_________________________
Yes______
Not______
ponded Yes to Q203
_________________________
ponded Yes to Q203
_________________________
sponded No to Q203
_________________________
Yes______
Not______
ponded Yes to Q207
_________________________
ponded Yes to Q207
_________________________
sponded No to Q207
_________________________
Yes______
Not______
Yes______
Not______
Yes______
Not______
ponded Yes to Q213
_________________________
ponded Yes to Q213
_________________________
er disease
Yes______
Not______
ponded Yes to Q216
White Root Mushroom______

Upas______ Mushroom
Dry Groove Tapping (Dead Wind) ______
______ leaf disease
Fusarium (black discharge on the tapping area) ______
Others______
_________________________
Yes______
Not______
ponded Yes to Q219
_________________________
sponded No to Q219
_________________________
ssessment
Yes______
Not______
ponded Yes to Q222
_________________________
ponded Yes to Q222
Yes______
Not______
Apart from Rubber
Yes______
Not______
ponded Yes to Q225
_________________________
ponded Yes to Q225
Yes______
Not______
ponded Yes to Q227
_________________________
ponded Yes to Q225
_________________________
nd conflicts
Yes______
Not______
ponded Yes to Q230
_________________________
Yes______
Not______
ponded Yes to Q232
_________________________
Yes______
Not______
Yes______
Not______
Yes______
Not______
gality
Yes______
Not______
ponded Yes to Q237
_________________________
ponded Yes to Q237
_________________________
sponded No to Q237
_________________________
land conversion
Yes______
Not______
Yes______
Not______
Yes______
Not______
ponded Yes to Q243
_________________________
ponded Yes to Q243
_________________________
Yes______
Not______
Yes______
Not______
Yes______
Not______
Yes______
Not______
Yes______
Not______
Do not know______
ponded Yes to Q250
_________________________
Yes______
Not______
Do not know______
Yes______
Not______
Do not know______
Yes______
Not______
ponded Yes to Q254
_________________________
Yes______
Not______
ponded Yes to Q256
_________________________
farmers
Yes______
Not______
ponded Yes to Q258
There is______
Do not know______
Yes______
Not______
Yes______
Not______
Yes______
Not______
ponded Yes to Q262
_________________________
ponded Yes to Q262
_________________________
_________________________
ponded Yes to Q262
At certain times ______

Repeatedly______
There is______
Nothing______
Do not know______
_________________________
Yes______
Not______
ponded Yes to Q269
_________________________
Yes______
Not______
RubberWay
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EMPLOYMENT STATUS
Is your family working with you on the farm?
Do you hire full or part time workers doing regular work on the plantation ? (profit sharing employees, tappers,
Number of workers hired:
For what type of job? (multiple choice option)
For which activities do you hire casual workers (temporary, seasonal, etc.) on your plantation ? (multiple choice option)
Do you provide health care support to workers? (multiple choice option)
Did you sign a work agreement / contract with people working on the plantation?
What is the proportion of women among workers ?
Do women working at your workplace get at least the same pay as men in the same work position?
DECENT AND MINIMUM WAGE
On average, do you earn at least the minimum wage from the revenues generated by the rubber plantation?
On average, do your workers earn at least the minimum wage from the revenues generated by the rubber plantation?
(Optional) What is your average monthly income from rubber production (in US$)?
(Optional) In average, how much do your workers earn every month (in US$)? (multiple choice option)
How do you inform your workers about how their wage is calculated? (multiple choice option)
How do you calculate your workers' wage? (multiple choice option)
Do you have other sources of income besides rubber?
What are your additional sources of revenue ? (multiple choice option)
WORKING HOURS
How many hours do you work on the plantation per day, including overtime ?
How many hours do your workers work on the plantation per day, including overtime?
WORKERS ENTITLEMENT TO REST
Do you get at least one rest day every week?
Do your workers get at least one rest day every week?
Do you allow your workers to have leave (vacation) every year? (multiple choice)
How many days?
WORKERS
Do you employ foreign workers? (from another country)
Do you have a copy of the work permit / visa of each of your foreign workers?
Do you keep foreign workers' passports?
Do foreign workers get paid at least equal to the local workers in the same work position?
Do your foreign workers have debt to repay, either to you or recruitment agencies?
CHILD LABOUR
Do any children / member(s) of your family below 15 years old* work at the farm, instead of going to school? (*or the legal
What challenges do you face in sending the children to school? (multiple choice)
HEALTH AND SAFETY
What are the most common hazards and minor injuries that occur on the plantation (health & safety)? (multiple choice
Are you / your family working on the plantation, trained on farm health and safety?
Do you train your workers on farm health and safety?
Do your workers have specific safety guidance and training for working at night?
From whom do you receive training on using chemicals and personal protective equipment ? (multiple choice option)
Do you / the workers use personal protective equipment while handling chemicals?
Which ones? (multiple choice option)
GRIEVANCE MECHANISMS
How do you handle complaints from workers? (multiple choice option)
Are your workers members of a labor union / trade union?
ENVIRONMENTAL MANAGEMENT
In the last 3 years, have you received complaints from the local community / neighbors on :
BIODIVERSITY AND DEFORESTATION
When did you plant your first rubber trees ?
Have you increased the size of your plantation over the past years?
What were the previous crops before the expansion of your plantation?
How did you clear the land to grow rubber tress ? (single choice)
What chemicals do you use? (multiple choice option)
How do you dispose of your chemical waste? (Leftover chemical, empty containers, etc.)
LAND OWNERSHIP
Do you have land ownership documents for your land/ farm?
Why don't you have land title ? (multiple choice option)
AGRICULTURAL TRAINING
From whom did you receive agricultural training ? (multiple choice option)
How often have you received agricultural training about rubber agricultural practice?
COMMERCIAL TRANSPARENCY
How do you track the price of rubber? (multiple choice option)
Do you receive receipts from your dealer(s) / buyer(s)?
The receipt contains information on: (multiple choice option)
General
Distance between the plantation and the place where you fill out this questionnaire (km)?
Size of the farm:
What do you plant ? (multiple choice option)
Do you buy rubber from other farmers ?
How many regular rubber suppliers do you buy from?
What kind of help, information, training, do you need most? (multiple choice option)
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English
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RubberWay
English
The distance of your plantation (km) from the location where you filled out this questionnaire
a. Less than 10 km
b. 10 - 50 km
c. 51 - 100 km
d. More than 100 km
Size of your rubber plantation
a. Less than 3 ha
b. 3 until 10 ha
c. 11 ha until 20 ha
d. 21 ha until 50 ha
e. More than 50 ha
How long has the plantation been established? (year)
a. Less than 10 years
b. 11 - 25 years
c. 26 - 50 years
d. More than 50 years
What plants do you grow? (may answer more than one)
a. Clone
b. Seeds
c. Don't know
Who do you receive agricultural advice from? (can choose more than one answer)
a. friends/family
b. buyer / cooperative
c. agency/administration (e.g. forestry department)
d. third parties (NGOs, consultants…)
e. self-study (books, internet…)
f. never take farm advice
How often do you receive counseling/training on rubber cultivation?
a. once in the last 3 years
b. every year for the last 3 years
c. more often
d. never in the last 3 years
Does your immediate family work with you on your plantation?
a. Yes
b. No
Do you employ people on your plantation?
a. Yes
b. No
if yes, how many people are employed:
a. 1 - 5
b. 6 - 30
c. More than 31
c. Others
for what work/activities? (can choose more than one answer)
a. tap
b. collect cuplumps, latex,…
c. spraying with chemicals (herbicides)
d. rubber shipping/transport
e. plantation care
f. rubber processing (rubber sheet...)
g. other
What activities in your plantation use wholesale labor? (may answer more than one)
a. spraying with chemicals (herbicides…)
b. plantation care
c. other
d. I don't use a contractor
Have you signed an employment agreement/contract with your workers?
a. Yes
b. No
Do you employ foreign workers?
a. Yes
b. No
if yes, do you have a work permit/visa for foreign workers?
a. Yes
b. No
if yes, do you keep the foreign worker's passport?
a. Yes
b. No
are foreign workers paid the same as local workers for the same position/job?
a. Yes
b. No
In general/average is the monthly income you receive from rubber equal to, or higher than the minimum wage?
a. Yes
b. No
c. Don't know
In general/average is the monthly income that your employess receive from rubber equal to, or higher than the minimum wa
a. Yes
b. No
c. Don't know
(optional) What is your average monthly income from rubber production (in rupiah)?
a. Less than 800.000 rupiah
b. 800.001 until 2.000.000 rupiah
c. 2.000.000 until 4.000.000 rupiah
d. 4.000.000 until 8.000.000 rupiah
e. More than 8.000.000 rupiah
(optional) What is the average income that your employees receive each month? (may answer more than one)
a. Less than 800.000 rupiah
b. 800.001 until 2.000.000 rupiah
c. 2.000.000 until 4.000.000 rupiah
d. 4.000.000 until 8.000.000 rupiah
e. More than 8.000.000 rupiah
How do you inform your workers about how their wages are calculated? (can choose more than one answer)
a. give salary slip in Indonesian
b. for foreign workers, provide payslips in each worker's mother tongue
c. verbal explanation
d. we don't do it
How many hours do you work in the garden each day (including overtime)?
a. less than 10 hours
b. between 10 and 12 hours
c. more than 12 hours
How many hours do your workers work in the garden each day (including overtime)?
How do you handle complaints from workers? (can choose more than one answer)
a. workers never complain
b. face to face
c. worker representative / worker consultation group
d. worker support groups - third parties (NGOs…)
e. Workers can protest by phone/SMS/mail
Is your worker a member of a trade union?
a. Yes
b. No
Do you get at least one day of rest every week?
a. Yes
b. No
Do your workers get at least one day of rest every week?
a. Yes
b. No
Do you give your employees time off (day off) every year?
a. yes, paid leave
b. yes, unpaid leave
c. no
if yes, how many days?
a. 1-5 days
b. 6-10 days
c. 11-15 days
d. more than 15 days
Are any of your children/family members under the age of 15 working on the plantation and not in school?
a. yes, we rely on/need their help so they don't go to school/no school near
b. yes, they help when activity levels are high
c. no, they go to school, but they may help after or before school or during school holidays
d. no, they are too young / they just go to school and don't help in the garden
e. not applicable (no children under 15)
What are the most common accidents in your garden related to occupational safety and health? (may answer more than on
a. eye infection/pink eye
b. skin rash
c. cough
d. cuts/wounds (cuts during NR processing activities…)
e. animal bite (snake…)
f. road accident (to/from work)
g. fall, impact (safety when working in the garden)
h. back pain, arm/hand pain… (ergonomics)
i. never had an accident
j. other
Have you/your family working on plantations ever received training on occupational health and safety for agricultural activiti
a. Yes
b. No
Do you provide training to your workers on occupational health and safety for agricultural activities?
a. Yes
b. No
Do your workers provide specific guidance and training on occupational health and safety for activities carried out at night?
a. Yes
b. No
c. Not applicable, we do not work at night
Have you/your workers ever received training on the use of chemicals and personal protective equipment from… (you may
a. friends/family
c. government agencies (eg: Forestry Service)
f. never
g. does not apply, I do not use chemicals
h. chemical seller
Do you / your workers / your subcontractors use personal protective equipment when using chemicals?
a. yes, we all use it
b. yes, we use it but subcontractors don't
c. yes, but only subcontractors use it
d. no we don't use it
e. does not apply, we do not use chemicals
Have you received complaints from the local community regarding water pollution in the last 3 years?
a. Yes
b. No
Have you ever received complaints from the local community regarding bad odors in the last 3 years?
a. Yes
b. No
What chemicals do you use? (can choose more than one answer)
a. paraquat / gramoxone
b. 2-4D
c. glyphosate / roundup
d. other herbicides
e. sulfuric acid / para vinegar
f. formic acid / ant acid
g. other coagulants
h. ammonia
i. TMTD/ZnO (TZ)
j. sap stimulant / ethephon
k. other stimulants
l. other chemicals / local brand names
m. I don't know
n. I don't use chemicals
Do you have land/plantation ownership documents?
a. official land certificate or lease
b. public official letter
c. traditional / family heritage
d. I don't have those documents
Have you increased the size of your plantation in the last 10 years?
a. Yes
b. No
if yes, how was the condition of the land before it was made into your rubber plantation?
a. Forest
b. damaged forest (shrub, new forest growing)
c. fallow land (dry shrubs, grass)
d. annual crops (rubber, coconut, coffee, cocoa, fruit, woody plants)
e. seasonal crops (rice, cassava, fruits)
f. open land (grassland, ex-mining, newly built area)
How do you find out the price of rubber? (may answer more than one)
a. I didn't check
b. mobile services (SMS, Internet,…)
c. Agent / dealer / buyer / rubber factory
d. cooperative price
Do you receive receipts / invoices from your agent / buyer?
a. Yes
b. No
if yes, the receipt/invoice is listed (may choose more than one answer)
a. date
b. price
c. weight (kg)
d. your name
e. name of agent/buyer
f. dry rubber content/DRC
Do you buy rubber (bokar) from other farmers?
a. Yes
b. Tidak
What type of help, information and training do you need most? (can choose more than one answer)
a. training on how to best select clones or seedlings
b. training on the proper use of fertilizers/pesticides
c. training on tapping techniques to increase productivity/maintain tree health
d. training to improve rubber quality
e. training on the prevention and elimination of rubber tree diseases
f. access to affordable input sources (clones, fertilizers, chemicals…)
g. information on market access to receive the best price
h. occupational health and safety training
i. Help/information to gain access to financial products/services
j. infrastructure improvements (other roads…)
k. assistance/information for logging, timber harvesting, and timber sales
GPS coordinates (auto)
Please answer some questions to create anonymous badge. If you are asked to complete this questionnaire/survey by one of your buy
Gender
a. man
b. woman
Birthday
Birth month
Year of birth
Two initials of your name (the first letter of your first name and the first letter of your surname. If you only have one name. P
(optional) Your telephone number (if you wish to receive additional information from us, enter your telephone number)
minimum wage?
ore than one)
tural activities?
… (you may choose more than one answer)

of your buyers/agents, you only need to fill in the following qu
ne name. Please use the first letter of your name)

RubberWay
English
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RubberWay
English
Are you
a. dealer/independent agent/broker
b. cooperative
c. farmer group representatives
d. other
Do you hire staff to help you?
a. yes
b. no
if yes, how many people are employed:
a. 1-5
b. 6-30
c. over 31
for what work/activities? (can choose more than one answer)
a. use and spraying of chemicals
b. loading cuplumps, latex…
c. rubber shipping/transport
d. spray/buy
e. other
What activities do you use wholesale labor for? (may be more than one)
a. use and spraying of chemicals
b. loading cup lumps, latex…
c. rubber shipping/transport
d. other
e. I don't use a contractor
a. Yes
b. No
a. Yes
b. No
if yes, do you have a work permit/work visa for foreign workers?
a. Yes
b. No
a. Yes
b. No
Are foreign workers paid the same as local workers for the same position/job?
a. Yes
b. No
In general/average, is the monthly income you receive from rubber trading/trading activities the same as or higher than the min
a. Yes
b. No
c. Don't know
In general/average, is the monthly income that your workers receive from rubber trading/trading activities the same as or highe
a. Yes
b. No
c. Don't know
(optional) What is the average income that your employees receive each month? (may answer more than one)
a. less than 800,000 rupiah
b. 800,001 to 2,000,000 rupiah
c. 2,000,000 to 4,000,000 rupiah
d. 4,000,000 to 8,000,000 rupiah
e. more than 8,000,000 rupiah
How do you inform your workers about how their wages are calculated? (can choose more than one answer)
d. we don't do it
How many hours do you work in the garden each day (including overtime)?
How many hours do your workers work in the garden each day (including overtime)?
b. face to face
e. workers can protest by phone/SMS/mail
a. Yes
b. No
Do you get at least one day of rest every week?
a. Yes
b. tidak
a. Yes
b. Tidak
Do you give your employees time off (day off) every year?
a. yes, paid leave
c. no
a. 1-5 days
b. 6-10 days
c. 11-15 days
Are any of your children/family members under the age of 15 working on the plantation and not in school?
a. yes, we rely on/need their help so they don't go to school/no school near
b. yes, they help when activity levels are high
c. no, they go to school, but they may help after or before school or during school holidays
d. no, they are too young / they just go to school and don't help in the garden
e. not applicable (no children under 15)
Do you sell chemicals/inputs to farmers?
a. Yes
b. tidak
if yes, what chemicals do you sell?
b. 2-4D
d. other herbicides
g. other coagulants
h. ammonia
i. TMTD/ZnO (TZ)
k. other stimulants
What are the most common accidents in your garden related to occupational safety and health? (may answer more than on
b. skin rash
c. cough
i. never had an accident
j. other
Do you provide training to your workers on occupational health and safety?
a. Yes
b. No
Are your workers given specific guidance and training on occupational health and safety for activities carried out at night?
a. Yes
b. No
c. not applicable - we don't work at night
Have you/your workers ever received training on the use of chemicals and personal protective equipment from… (you may
a. friends/family
c. government agencies (eg: Forestry Service)
f. never
g. does not apply, I do not use chemicals
h. chemical seller
Do you / your workers use personal protective equipment when using chemicals?
a. yes, we all use it
b. yes, we use it but subcontractors don't
c. yes, but only subcontractors use it
d. no we don't use it
e. does not apply, we do not use chemicals
Have you received complaints from the local community regarding the use of water for activities in rubber storage in the las
a. Yes
b. No
Have you ever received complaints from the local community regarding unpleasant odors coming from the rubber storage are
a. Yes
b. No
How do you find out the price of rubber? (may answer more than one)
a. I didn't check
b. factory rubber price
c. mobile services (SMS, Internet…)
d. agent/dealer/buyer/rubber factory
e. cooperative price
How many rubber suppliers do you buy?
a. 1-30
b. 31-100
c. 101-200
d. more than 200
Do you provide receipts/invoices for your suppliers?
a. Yes
b. No
a. date
b. price
c. weight (kg)
d. name of supplier/supplier
e. your name
Do you receive receipts/invoices from your buyers?
a. Yes
b. No
a. date
b. price
c. weight (kg)
d. name of supplier/supplier
e. your name
Do you have your own rubber plantation?
a. Yes
b. No
if yes, what is the size of your rubber plantation?
a. less than 3 ha
b. 3 to 10 ha
c. 11 ha to 20 ha
d. 21 ha to 50 ha
e. above 50 ha
What types of help, information, and training do you need most? (can choose more than one answer)
a. training to improve rubber quality
b. training on the correct use of fertilizers/pesticides
c. access to affordable input sources (clones, fertilizers, chemicals,…)
d. information on market access to receive the best price
e. occupational health and safety training
f. assistance/information to gain access to financial products/services
g. infrastructure improvements (roads, others…)
Please answer some questions to create anonymous badge. If you are asked to complete this questionnaire/survey by one of your buyers
Gender
a. man
b. woman
Birthday
Birth month
Year of birth
Bahasa
er than the minimum wage?
me as or higher than the minimum wage?

Apakah anda memberikan pekerja anda cuti (hari libur) setiap tahun ?
a. Ya, cuti dibayar
b. Ya, cuti tdak dibayar
c. Tidak
Jika Ya, berapa hari ?
a. 1-5 hari
b. 6-10 hari
c. 11-15 hari
d. Lebih dari 15 hari
Apakah anak-anak / anggota keluarga anda yang berusia di bawah 15 tahun bekerja untuk anda, bukannya bersekolah ?
a. Ya, kami mengandalkan / membutuhkan bantuan mereka sehingga mereka tidak bersekolah / tidak ada sekolah yang dekat
b. Ya, mereka membantu ketika tingkat aktivitas tinggi
c. Tidak, mereka bersekolah tetapi mereka mungkn membantu setelah atau sebelum sekolah atau selama liburan sekolah
d. Tidak, mereka terlalu muda / mereka hanya bersekolah dan tidak membantu di kebun
e. Tidak berlaku (Tidak memiliki anak di bawah 15 tahun)
Apakah anda menjual bahan kimia / input kepada petani
a. Ya
b. Tidak
Jika Ya, bahan kimia apa saja yang anda jual ?
a. Paraquat / Gramokson
b. 2-4Db
c. Glisofat / Roundup
d. Herbisida lainnya
e. Asam sulfat / cuka para
f. Asam format / asam semut
g. Penggumpal (koagulan) lainnya
h. Ammonia
i. TMTD/ZNO (TZ)
j. Stimulan getah / Ethephon
k. Stimulan lainnya
l. Bahan kimia lainnya / Nama merek lokal
Kecelakaan apa saja yang paling sering terjadi di tempat kerja anda terkait keselamata dan kesehatan kerja (Boleh jawab lebih
a, Infeksi mata / mata merah
b. Ruam kulit
c. Batuk
d. Tesayat / Luka (pada saat bongkar muat karet…)
e. Gigitan hewan (ular…)
f. Kecelakaan di jalan (saat pergi dan pulang dari bekerja)
g. Jatuh, benturan (saat bekerja di tempat kerja, kebun anda)
h. Nyeri punggung, nyeri lengan / tangan … (ergonomi)
i. Tidak prnah terjadi kecelakaan
j. Lainnya
Apakah anda memberikan pelathan kepada pekerja anda tentang kesehatan dan kemanan kerja ?
a. Ya
b. Tidak
Apakah pekerja anda diberikan panduan dan pelatihan khusus untuk kesehatan dan keselamatan kerja untuk kegiatan yang di
a. Ya
b. Tidak
c. Tidak berlaku - Kami tidak bekerja pada malam hari
Apakah anda / pekerja anda / pernah menerima pelatihan tentang penanganan dan penggunaan bahan kimia dan alat pelindu
a. Teman / Keluarga
b. Pembeli / Koperasi
c. Instansi pemerintah (misalnya : Dinas Kehutanan)
d. Pihak ketiga (LSM, konsultan)
e. Belajar sendiri dari buku
f. Tidak pernah
g. Tidak berlaku - Kami tidak menggunakan bahan kimia
h. Penjual bahan kimia
Apakah anda / pekerja anda / menggunakan alat pelindung diri saat menggunakan atau memakai bahan kimia ?
a. Ya, kami semua menggunakannya
b. Ya,kami menggunakannya tetapi subkontraktor tidak
c. Ya, tapi hanya subkontraktor yang menggunakannya
d. Tidak, kami tidak menggunakannya
e. Tidak berlaku - Kami tidak menggunakan bahan kimia
Pernahkah anda menerima keluhan dari masyarakat sekitar terkait penggunaan air untuk kegiatan di tempat penyimpanan kar
a. Ya
b. Tidak
Pernahkah anda menerima keluhan dari masyarakat sekitar terkait bau tidak sedap yang berasal dari tempat penyimpanan kar
a. Ya
b. Tidak
Apakah anda menjual bahan kimia more kepada petani
a. I Didn't / Gramokson
b. Factory Rubber / Gramokson
Jika Ma, bahan kimia apa saja yang anda jual ?
Apakah anda menjual bahan kimia do yo kepada petani
d. More / Gramokson
Apakah anda menjual bahan kimia / invoi kepada petani
a. Ya
b. Nb
a. Date
b. Price
d. Name Of Supplier / Gramokson
f. Dry Rubber Content / Gramokson
Apakah anda menjual bahan kimia / invoi kepada petani
a. Ya
b. Nb
a. Date
b. Price
d. Name Of Supplier / Gramokson
f. Dry Rubber Content / Gramokson
Apakah anda menjual bahan kimia own r kepada petani
a. Ya
b. Nb
Apakah anda menjual bahan kimia , than kepada petani
Jika Aa, bahan kimia apa saja yang anda jual ?
Jika Ia, bahan kimia apa saja yang anda jual ?

Apakah anda menjual bahan kimia (GPS c kepada petani
of your buyers/agents, you only need to fill in the following questionsTolong
(y jawab beberapa pertanyaan untuk membuat Tanda Pengenal ta
Jenis kelamin
a. Laki-laki
b. Perempuan
2. Hari Kelahiran
3. Bulan Kelahiran
4. Tahun kelahiran
Dua inisial nama anda (huruf awal nama depan anda dan huruf awal nama keluarga anda. Apabila anda hanya mempunyai sa
(opsional) Nomor telepon anda (Jika anda ingin menerima informasi tambahan dari kami,masukkan nomor telepon anda)
bukannya bersekolah ?
dak ada sekolah yang dekat
u selama liburan sekolah

atan kerja (Boleh jawab lebih dari satu)
kerja untuk kegiatan yang dilakukan pada malam hari ?
bahan kimia dan alat pelindung diri dari … (boleh pilih lebih dari satu jawaban)
bahan kimia ?
n di tempat penyimpanan karet selama kurun waktu 3 tahun terakhir ?
dari tempat penyimpanan karet anda dalam kurun waktu 3 tahun terakhir
membuat Tanda Pengenal tanpa nama. Jika Anda diminta untuk mengisi kembali kuesioner / survei ini oleh salah satu pembeli / agen anda
a anda hanya mempunyai satu nama silakan gunakan dua huruf pertama nama anda)
n nomor telepon anda)
alah satu pembeli / agen anda, anda hanya perlu mengisi pertanyaan-pertanyaan berikut ini (Anda tidak perlu mengisi kembali seluruh kues
mengisi kembali seluruh kuesioner ini).
RubberWay
1
2
3
4
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
Please answer some questions to create anonymous badge. If you are asked to complete this questionnaire/survey by one of y
1
2
3
4
5
6
RubberWay
Farm name
Address
Respondent's name
The distance of your plantation (km) from the location where you filled out this questionnaire
a. Less than 10 km
b. 10 - 50 km
c. 51 - 100 km
d. more than 100 km
Number of workers hired
a. 1-5
b. 51-100
c. 101-300
d. 301-500
e. more than 500
Size of your rubber plantation
a. less than 100 ha
b. 100-500 ha
c. 501-2000 ha
d. more than 2000 ha
How long has the plantation been established?
a. less than 10 years
b. 11-25 years old
c. 25-50 years
d. more than 50 years
What plants do you grow? (may answer more than one)
a. clone
b. seeds
c. do not know
Who do you receive agricultural advice from? (can choose more than one answer)
a. friends/family
c. agency/administration (e.g. forestry department)
f. never take farm advice
How often do workers receive agricultural advice on rubber farming practices?
a. once in the last three years
b. every year in the last three years
c. more often
d. never in the last three years
What activities in your plantation use wholesale labor? (may answer more than one)
a. tap
b. collect cuplumps, latex,…
c. load
d. send
e. spraying with chemicals (herbicides…)
f. other
g. we don't use contractors
h. plantation care
a. yes, and i can prove it
b. yes, but i can't prove it
c. no
Do you provide housing?
c. no
d. yes, but not for all workers
if yes, free or paid?
a. free
b. paid
Do you provide health care support?
c. no
d. through a health insurance program provided by the government
a. yes
b. no, but I can't prove it
c. no, and I can prove it
Do you have a work permit/visa for foreign workers?
c. no
a. yes
Are foreign workers paid at least the same as local workers for the same position/job?
c. no
Does your job have to be in debt to pay back either you or the recruitment agency?
a. yes
How do you calculate the wages of your workers? (can choose more than one answer)
a. daily
b. according to task
c. volume
d. fixed monthly
e. other
Are workers paid according to the minimum wage?
c. no
How do you inform your workers about how their salary is calculated? (can choose more than one answer)
d. we don't do it
e. other
How many hours do your workers work in your plantation area each day (including overtime)?
b. face to face
e. Workers can protest by phone/SMS/mail
c. not sure
d. no
c. no
Do you give your employees time off (day off) every year? (can you answer more than one?
a. yes, paid leave
c. no
a. 1-5 days
b. 6-10 days
c. 11-15 days
Do you have a job under the age of 15 that helps with routine plantation activities?
a. yes
What are the most common accidents on your plantation related to occupational safety and health? (may answer more than
b. skin rash
c. cough
i. other
j. never had an accident
Do you train your workers on health and safety?
c. no
Do you have specific safety guidelines and training for working at night?
c. no
d. not applicable, we do not work at night
Have you trained your workers on the use and handling of chemicals and personal protective equipment?
c. no
d. does not apply, we do not use chemicals
Do you provide personal protective equipment for your workers who use chemicals?
c. no
d. does not apply, we do not use chemicals
if yes, what personal protective equipment is provided? (can choose more than one answer)
a. face mask
b. gloves
c. protective glasses
d. boots
e. apron
Have you received complaints from the local community regarding the use of water for activities in rubber storage in the las
a. yes
Have you ever received complaints from the local community regarding unpleasant odors coming from the rubber storage a
a. yes
Have you increased the size of your plantation in the last 10 years?
a. yes
if yes, how was the condition of the land before it was made into your rubber plantation?
a. Forest
b. damaged forest (shrub, new forest growing)
c. fallow land (dry shrubs, grass)
d. annual crops (rubber, coconut, coffee, cocoa, fruit, woody plants)
e. seasonal crops (rice, cassava, fruits)
f. open land (grassland, ex-mining, newly built area)
Have you ever conducted an environmental impact analysis for your plantation?
c. no
Do you have a formalized land use plan?
c. no
What chemicals do you use? (can choose more than one answer)
b. 2-4D
d. other herbicides
g. other coagulants
h. ammonia
i. TMTD/ZnO (TZ)
k. other stimulants
m. I do not know
n. I don't use chemicals
How do you dispose/manage the chemical waste generated? (can choose more than one answer)
a. hoard it
b. throw it in a public garbage dump
c. burn it
d. feed with chemical products
e. bait in a certain safe place
f. disposed of/processed by a specialist chemical waste company
g. other
Do you have documents of your land/plantation ownership?
a. official land certificate or lease
b. community letter
c. traditional/family heritage
d. I don't have those documents
Have you ever gone through a general/provincial court to file a claim for a problem related to your land or activities on your
a. yes
Have you received complaints from local communities regarding land ownership in the last 5 years?
a. yes
Do you allow other people who are not working in your garden to pass through your garden to do certain activities? (road to
c. no
Do you follow/check rubber prices? (can choose more than one answer)
a. I didn't check
b. mobile services (SMS, Internet,…)
c. Agent/dealer/buyer/rubber factory
d. cooperative
Do you receive receipts from your buyers?
c. no
if yes, the receipt/invoice includes: (may choose more than one answer)
a. date
b. price
c. weight (kg)
d. your name/garden name
g. other
Do you also buy rubber from an external provider?
a. yes
b. no
if yes, you bought rubber from: (you can choose more than one answer)
a. intermediary/dealer
b. cooperatives/farmer groups
c. plantation
d. plasma farmers/farmers
e. other NR manufacturers
How many rubber suppliers do you buy?
a. 1-30
b. 31-100
c. 101-200
d. more than 200
Do you provide receipts/invoices for your suppliers?
c. no
if yes, the receipt/invoice includes: (may choose more than one answer)
a. date
b. price
c. weight (kg)
d. your name/garden name
g. other
What is the most important challenge you face? (can choose more than one answer)
a. lack of knowledge on how to properly select and use plant material (clones…)
b. lack of knowledge about the right fertilizer/pesticide
c. lack of knowledge about tapping methods resulting in low production/tree damage
d. lack of knowledge about rubber quality
e. lack of knowledge about disease prevention and treatment
f. lack of access to affordable inputs (clones, fertilizers, chemicals)
g. lack of knowledge about market access to receive the best price
h. difficulty in direct access/communication with rubber farmers
i. health and safety
j. adequate access to finance
k. inadequate infrastructure (roads, others)
l. lack of information for logging, and timber sales
Please answer some questions to create anonymous badge. If you are asked to complete this questionnaire/survey by one of your buy
Gender
a. man
b. woman
Birthday
Birth month
Year of birth
er more than one)
ge in the last 3 years?
er storage area in the last 3 years?

es on your land in the last 5 years?
es? (road to his garden, road to traditional/cemetery place, access to medicinal plants)
of your buyers/agents, you o
ne name. Please use the first letter of your name)

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New form (v. 6.

General information about respondents

8. How old are you?

10. What farmer organizations do you participate in?

Only answer if you responded to the Farmers Group to Q10

13. What is your main job?

Only answer if you responded to Others to Q13

Only answer if you responded to Others to Q15

Only answer if you responded to Others to Q17

Only answer if you responded to Others to Q19

22. Who are the decision makers in your family?

23. What is the mark of ownership of your rubber plantation?

Only answer if you responded to Others to Q23

Information on Knowledge of Farmers and Farmer Groups

Only answer if you responded Yes to Q28

Only answer if you responded to Others to Q30

33. Do you feel there are obstacles in participating in the trainings?

Only answer if you responded Yes to Q33

Only answer if you responded Yes to Q35

Only answer if you responded to Q37

Only answer if you responded to Others to Q38

Only answer if you responded to the Farmers Group to Q10

Only answer if you responded to the Farmers Group to Q10

Only answer if you responded Yes to Q45

Only answer if you responded to the Farmers Group to Q10

Only answer if you responded to the Farmers Group to Q10

Information about labor

51. Who collects the bokar?

52. Who brings the bokar to the collector?

54. Is there a field that is tapped using a profit sharing system?

Only answer if you responded to Q54

Only answer if you responded Yes to Q57

Only answer if you responded Yes to Q60

Only answer if you responded to Others to Q62

66. Do you provide personal protective equipment for farm workers?

67. Do you provide shelter / shelter for farm workers?

69. Do you provide health insurance to farm workers?

70. Do you set farm workers working hours in 1 week?

Only answer if you responded Yes to Q70

General information about rubber fields

75. How much of your land is planted with rubber? (field)

Only answer if you responded Mix 2 types of plants to Q91

Only answer if you responded Mix 2 types of plants to Q94

Only answer if you responded Mix 2 types of plants to Q97

Only answer if you responded Mix 2 types of plants to Q100

Only answer if you responded Mix 2 types of plants to Q103

Only answer if you responded Yes to Q106

Only answer if you responded Yes to Q108

Only answer if you responded Yes to Q110

Only answer if you responded Yes to Q112

Only answer if you responded Yes to Q114

Only answer if you responded to 5 fields | more than 5 fields to Q75

121. Do you know about peatlands?

Only answer if you responded Yes to Q121

Only answer if you responded Yes to Q122

Production, quality and market information

Only answer if you responded to Others to Q124

Only answer if you responded to Others to Q128

133. How was the sale made?

Only answer if you responded Yes to Q136

Only answer if you responded to ant acid to Q137

Only answer if you responded to Know to Q141