Appendix - II

Interview Schedule
 APPENDIX – II
INTERVIEW SCHEDULE

NAME :

ADDRESS :

I. Family Composition : Joint / Nuclear

Name of the Income
Caste /
members of Age Education Occupation from
Sex
the family occupation
1
2
3
4
5
6

II. LAND HOLDING PATTERN

Leased Leased Operatio
Area Owned Area Area Total Type
Type of in out n 1 area
Extent Value Extent extent Extent of
Land value value Value
(Acre) (Rs.) (Acre) (Acre) (Acre) Land
(Rs.) (Acre) (Rs.)
1. Wet
2. Dry
3. Garden
Total
III. CROPPING PATTERN
S.No Crop Variety Acreage Season Irrigated Dry Remarks
I
II
III
IV III
Total

IV. VALUE OF ASSETS : (A) LAND AND BUILDING

Land Building Its
Value Present
S.No possessed possessed original
(Rs) value (Rs)
(Acres) (Nos) value (Rs)
1
2

B. IRRIGATION STRUCTURE
Annual
Annual
Particulars Present Expected income
Original Expenditure
of Nos. Value Life from sale
value (Rs) (Repair &
irrigation (Rs) (Years) of water
Maintenance)
(Rs)
Canals
Tanks
Wells
C. MISCELLANEOUS ASSETS
Original Present Maintenance
Particulars Nos. Value Value expenditure Remarks
(Rs) (Rs) (Rs)
1. Fence & Compound
2. Threshing floor
3. Manure pit
4. Roads
5. Others
Total

D. IMPLEMENTS AND MACHINES USED

Purchase Present Expected
S. Maintenance
Particulars Nos Price Value life Remarks
No of Repair cost
(Rs) (Rs) (years)

V. FINANCIAL ASSETS
S.No Description Value (Rs)
1 Cash on hand
2 Cash in bank or post office
3 Prize Bonds
4 N.S.S.
5 L.I.C
6 Loans / Advances
7 Jewellery
 VI. SOURCE OF FINANCE
Sl. No Description Amount (Rs)
1 Co – operative Bank
2 Other Bank
3 Private Loan

VII. HUMAN LABOUR

No. of Wage Annual
Nature
Type Nos. Age days per day income
of work
worked (Rs) (Rs)
Men
Women
Children
Total

VIII. PERMANENT LABOUR

Payment per Annum
Total Periodicity Nature No.of
S. days
Name Age Sex Kind Cash Perquisite value of of
No worked
payment work
(Rs.) annual

1
 IX. PATTERN OF INVESTMENT
S.No Particular Nos. Value (Rs) Total (Rs)
1 Land
2 Farm Buildings
3 Irrigation Structure
4 Raads & Birds
5 Live stocks & Birds
Machinery &
6
Implements
7 Vehicles
Total

X. A. INCOME PATTERN
S.No Particulars Total Income (Rs)
1 Crops
2 Live stock
3 Labour
4 Occupation
5 Miscellaneous
Total

B. INCOME FROM CROPS

Main Bye –
Name Main and Bye - products
S. Product Product
of the Variety
No Value Value House Sales
Crops Yield Yield Seed Feed
(Rs) (Rs) consumption (Value)

Total
XI EXPENDITURE PATTERN
A. CONSUMPTION EXPENDITURE
S.No Particulars Quantity Value (Rs.)
1 Consumption of food

2 Clothing

3 Fuel & Lighting

4 Medical Expenses

5 Education

6 Recreation

7 Social & Religious

8 Consumer durables

Total

B. INVESTMENT EXPENDITURE
S.No Particulars Value (Rs)
1 Agricultural Income – Tax

2 Land Tax 180+180+140

3 Maintenance of Dead Stock

4 Maintenance of Buildings

5 Maintenance of Live Stock

6 Other charges (Politics)

Total
XII. GENERAL INFORMATION
i) Water scarcity.
ii) Programme offices not clearly given that ideas.
iii) Govt. project (cement canal) is waste one, because not properly
alone.
iv) Procurement officers is not enough.
v) This modern method yielding high (Profit).
vi) All real must be do in time
vii) Source of mass media for irrigation.
Appendix - II

Interview Schedule