HOUSEHOLD RESILIENCE FORM

Name of Responden :
Group Name:
Village:
Sub-Village:

answerin

ctices

Situation of the HH

Categiry Nu Question
1

Do you live here? / When?

Are you married and do you have children ?

Do you have composition of your household (adults, men-women,

children) ?

Do you have the most important agricultural activities of the farm ? And
particularly for yourself (as member of farmer household) (What ? Spesify in Resp 1.2)

Did you obtain your farm land? (How-Describe in Resp 1.2)

Do you have other economic activities, i.e. non-farm activities? (What ? Spesify in Resp 1.2)

Do you have the most important expenditures of your family? And of

yourself ? (What ? - Spesify in Resp 1.2)

Do you have the ambitions/dreams that you and your family want to
realize? (What ? - Spesify in Resp 1.2)

And you yourself, do you have specific objectives you want to achieve?
What do you want to realize in the next 2-3 years ? (What ? - Spesify in
Resp 1.2)

10

What are the changes in the use of your farmland? Have you increased or
decreased your cultivated area? (What ? - Spesify in Resp 1.2)

11

What are the crops you grow ? And the animals you keep ? (What ? Spesify in Resp 1.2)

12

Do you evaluate the importance of keeping a diversity of crops and

animals? Did you obtain your farm land? (How ? -Describe in Resp 1.2)

Resp 1.1
Y/N

Agricultural practices
Storage,
conservation andProduction et productivity
processing
g and sales

13

Do you appreciate the specialization on certain crops or animals? (How ?

-Describe in Resp 1.2)

14

Do you specialize on certain agricultural activities? Which ones ? Why?

(Describe in Resp 1.2)

15

Do you organize / run your farm and farm activities today in a different way
than before (for instance 5 years ago) ? (Describe in Resp 1.2)

16

Have the changesand the innovations? (What/How caused these

changes or what are your reasons? -Describe in Resp 1.2)

17

Do you have inputs to you use (seeds, farmyard manure, fertilizer,

chemicals, tools, machinery, ) ? (What ? - Spesify in Resp 1.2)

18

Do you have used of inputs evaluated ? (How ? -Describe in Resp 1.2)

19

Do you have specific observations to make about the seeds you

use(varieties, quality, price, availability) ? (How ? -Describe in Resp 1.2)

20

Have you management soil fertility?

21

Do you finance your agricultural activities (own capital, sales, informal

credit, formal credit - Descibe in Resp 1.2.) ?

22

Do you have a bank account ? Savings ? Credit ? (Which bank/MFIDescribe in Resp 1.2.)

23

Do you have production (diffrentes crops / animals)? How is your

production evolving (higher, lower, same)? - Describe in Resp 1.2.

24

Do you measure the production per land unit (yield)? How do you measure
this ? What is the unit of measurement (are, hectare, others) - Describe in
Resp 1.2.

25

Has the food security situation of your family improved ?

26

Have the quality of nutrition guarantee for HH and your children ?

27

Do you store your agricultural production? Which crops / products? How?

For which period? With what objective? Describe in Resp 1.2.

28

Do you get challenges related to storage and conservation? What? And

How do you address these ? Describe in Resp 1.2.

29

Do you process some of your products ? Which ones ? How ? Why? Is this
beneficial for you? Describe in Resp 1.2.

30

Do you get any challenges related to processing? How do you address

these ? Describe in Resp 1.2.

31

Do you contact persons for selling your production? Who-Describe in

Resp 1.2.

Marketing and sales

Membership
farmer
organizations
Relations and
external factors

32

Do you sell your produce (for most important sales)? When and howWho-Describe in Resp 1.2.

33

What prices do you get (different markets, different periods of the year) ?

34

Do the prices rise of decrease? Why ? Are there seasonal differences ? -Describe in Resp 1.2.

35

All in all, do you have benefits?

36

Do you see possibilities to sell your products better? -- Describe in Resp

1.2.

37

Do you perceive new markets? Or new commercial partners ? Other

modalities to sell ? - Who-Describe in Resp 1.2.

38

Did you become a member of farmer group?

39

Are you receive any support or services from any Organization? Which
services did you receive?-- Describe in Resp 1.2.

40

Have you get the result and impact of those services? (what-- Describe in
Resp 1.2.)

41

Are you get more benefitting than others ? How come ? -- Describe in
Resp 1.2.

42

Do you maintain business relations (With whom_Describe in Resp 1.2.)

43

Do you qualify these relations ? (How?_Describe in Resp 1.2.)

44

Are you have relations with research, extension, local authorities, and other
development projects?

45

Do you qualify these relations ? (How?_Describe in Resp 1.2.)

46

Have you face external factors are influencing positively against your farm
and the results (climate, market prices, government policies and
regulations)

answering
Resp 1.2. HH Detail Response

HOUSEHOLD RESILIENCE FORM

NO

First Name

Last Name

District

Sub-District

Village

Sub-Village

Involve in
Group (Spesify
Name)

Do you live here? (Curent

place)

1
Yes/No

Situation of the HH
Are you married and do you
have children ?

2
Yes/No

Do you have composition of Do you have the most

Did you obtain your farm
your household (adults, men- important agricultural
land?
women, children) ?
activities of the farm ? And
particularly for yourself (as
member of farmer household)

3
Yes/No

4
Yes/No

5
Yes/No

f the HH
Do you have other economic
activities, i.e. non-farm
activities?

6
Yes/No

Do you have the most

important expenditures of
your family? And of
yourself ?

7
Yes/No

Do you have the

ambitions/dreams that you
and your family want to
realize?

8
Yes/No

And you yourself, do you have

specific objectives you want
to achieve? What do you
want to realize in the next 2-3
years ?

9
Yes/No

What are the changes in the

use of your farmland? Have
you increased or decreased
your cultivated area?

10
Yes/No

What are the crops you

grow ? And the animals you
keep ?

11
Yes/No

Do you evaluate the

Do you appreciate the
importance of keeping a
specialization on certain crops
diversity of crops and
or animals?
animals? Did you obtain your
farm land?

12
Yes/No

13
Yes/No

Agricultural practices
Do you specialize on certain
agricultural activities?

14
Yes/No

Do you organize / run your

Have the changesand the
farm and farm activities today innovations?
in a different way than before
(for instance 5 years ago) ?

15
Yes/No

16
Yes/No

Do you have inputs to you

use (seeds, farmyard
manure, fertilizer, chemicals,
tools, machinery, ) ?

17
Yes/No

Do you have used of inputs

evaluated ?

18
Yes/No

Do you have specific

observations to make about
the seeds you use(varieties,
quality, price, availability) ?

19
Yes/No

Have you management soil

fertility?

20
Yes/No

Do you finance your

agricultural activities (own
capital, sales, informal
credit, formal credit)

21
Yes/No

Agricultural practices
Do you have a bank account ? Do you have production
Savings ? Credit ?
(diffrentes crops / animals)?
How is your production
evolving (higher, lower,
same)?

22
Yes/No

23
Yes/No

Do you measure the

Has the food security
production per land unit
situation of your family
(yield)? How do you measure improved ?
this ? What is the unit of
measurement (are, hectare,
others)

24
Yes/No

25
Yes/No

Storage, conservation and processing

Have the quality of nutrition
guarantee for HH and your
children ?

26
Yes/No

Do you store your agricultural Do you get challenges related

production?
to storage and conservation?
What? And How do you
address these ?

27
Yes/No

28
Yes/No

Do you process some of your

products ? Which ones ?
How ? Why? Is this beneficial
for you?

29
Yes/No

cessing

Marketing a
Do you get any challenges
related to processing? How
do you address these ?

30
Yes/No

Do you contact persons for

selling your production?

31
Yes/No

Do you sell your produce (for What prices do you get

most important sales)?
(different markets, different
When and how?
periods of the year) ?

32
Yes/No

33
Yes/No

Marketing and sales

Do the prices rise of
decrease? Why ? Are there
seasonal differences ?

34
Yes/No

All in all, do you have

benefits?

35
Yes/No

Do you see possibilities to sell Do you perceive new

your products better?
markets? Or new commercial
partners ? Other modalities
to sell ?

36
Yes/No

37
Yes/No

Membership farmer organizations

Did you become a member of Are you receive any support Have you get the result and
farmer group?
or services from any
impact of those services?
Organization? Which services
did you receive?

38
Yes/No

39
Yes/No

40
Yes/No

Are you get more benefitting

than others ?

41
Yes/No

Relations and external factors

Do you maintain business
relations (With whom ?)

42
Yes/No

Do you qualify these

relations ?

43
Yes/No

Are you have relations with

research, extension, local
authorities, and other
development projects?

44
Yes/No

Do you qualify these

relations ? (How?)

45
Yes/No

Have you face external

factors are influencing
positively against your farm
and the results (climate,
market prices, government
policies and regulations)

46
Yes/No