Ideally every questionnaire has major two parts:

Part-1: Details about respondent with livelihood

information
Part-2: Main questionnaire
In main questionnaire you have to have some research
questions according to your objectives. Based on your
research question you should incorporate different
questions.

Sample:
Questionnaire on
Food Waste Assessment

Part-1
A. NAME, ADDRESS AND CONTACT

Sl. No. Variable name Responses

1. Name :
2. Address :

3. Upazilla Code :
4. District Code :
5. GPS Information :
6. Telephone/Mobile :
7. Email :

B. SOCIO-ECONOMIC INFORMATION

Sl. No. Variable name Responses

 1. Gender : (A)
(B)
2. Please indicate the no. : …………………………….
of household members

3 What is your household :

composition?
4. Level of education :
5. ..... : ......
6. ..... : ………………………….

So on

Part-2: QUESTIONS RELATED HOUSEHOLD FOOD WASTE

1. Where generally do you buy food? (choose one answer)?

(A) Hypermarket/supermarket
(B) Mini market/small market (butcheries, dairies, bakeries…)
(C) At the market (once a week/daily)
(D) Directly from farmer/at the farm
(E) Others (please specify)-

2. How often you do food shopping? (choose one answer)?

(A) Every day
(B) Once every 2 days
(C) Twice a week
(D) Once a week
(E) Every 2 weeks
(F) Once a month
(G) Others (please specify)-

3. When buying food, do you use a list?

(A) Yes
(B) No
(C) Sometimes
(D) Others (please specify)-

4. Do you feel attracted to the special offers when you buy food?
(buy one get one free, half price, etc.)
(A) Yes
(B) No
(C) Sometimes
5. In regard to food labels, which of the following do you think
best describes what is meant by the “use by” date? (choose
one answer)
(A) Foods must be eaten or thrown away by this date
(B) Foods are still safe to eat after this date as long as they are not damaged,
deteriorated or perished
(C) Foods must be sold at a discount after this date
(D) Others (please specify)-

6. Please estimate the percentage of the following purchased

commodity groups that your household throws away
Food groups Waste (%)
<2 3-5 6-10 11-20 20-40 >40
(A) Cereals and Bakery
products (bread, rice,
pasta, etc)
(B) Roots and tubers
(potatoes, etc.)
(C) Pulses and oil seeds (e.g.
peas, chickpeas, olives,
sunflowers)
(D) Fruits

(E) Vegetables

(F) Meat and meat products

(G) Fish and seafood

(H) Milk and dairy products

(I) Others (please specify)

7. ..............
8. .............
So on
Name and signature of Data
Enumerator
Date and time of data
collection
Farmer Satisfaction Survey: Sample questions:
 If you sell your agricultural produce, please answer the questions from 4 to 6.

1. Which type of agricultural produce/crop do you sell?

a) Wheat b) Paddy c) Cotton d) Mustard seed e) Jute

f) Sugarcane g) Any other, (please specify)

2. Please give following information regarding the mode of sale:

a) Reason of sale through the mode:

i) Immediate payment ii) Less chance of malpractices iii) Right price

iv) Time saving v) Any other, (please specify)

b) Days you have to wait for the sale of agricultural produce to the mode:

i) 1 day ii) 1-3 days iii) 3-5 days iv) More than 5 days

c) Do you get bill when you sell produce? Yes No

d) Is there proper facility for keeping the produce when it is kept for sale? Yes No

If yes, give the following information:

i) Sheds/space provided is proper Yes No

ii) Any money charged Yes No

iii) Satisfaction level

iv) Problems

v) Suggestions

e) Problems regarding the mode

f) Do you sell entire crop to the mode? Yes No

If no, what is done with rest of the crop and why?

 3. How would you rate the following on the basis of your satisfaction level?
(Please tick the appropriate box)
Particulars Highly Satisfied SatisfiedNeither SatisfiedDissatisfiedHighly Nor DissatisfiedDissatisfied

ction of produce/crop
ment of produce/crop Procedure for weighing of produce Price paid for produce/crop
selling of produce/crop Packing facility(bags) provided for produce