PHOTO
2X2
Farmer-Partner: _______________________________________________________(Name& Signature)
1. PRELIMINARY INFORMATION
1.1 Province: ______________ 1.2 Municipality: ____________________ 1.3 Barangay:
____________________
2. FARMER PROFILE
2.1 Household address: _________________ 2.9 Membership in farmers organization (check all that
apply)
2.2 Sex ___ Male ____Female
2.3 Household size: _____________________ Farmers association
2.4 Age of Farmer: _____________________
2.5 Educational attainment: ______________ Irrigators association
2.6 Number of years in farming: ___________ Cooperative
2.7 Tenure status
Owner None
2.10 Source of farm financing for rice
Sharecropper
Leaseholder
Others (Please specify below) Check Source Amount Interest paid for the
all that Borrowed season
apply (Peso)
_______________________________ Self
Friends & relatives
Input dealers
2.8 Rice training in last 3 years (check all that apply)
Landowners
Palay traders
Farmer Field School Bank
Others:
2.11 Credible sources of information on rice
Integrated Pest Management _____________________________
Hybrid Rice Technical Briefing _____________________________
_____________________________
Others (Please specify below)
_____________________
3. FARM RESOURCES
3.1 Total area (ha): ________________________ 3.6 Type of irrigation system
3.2 Area planted to rice (ha): _________________ Gravity (NIA) Pump/CIS
3.3 Area planted to other crops (ha): ___________ 3.7 No. of cropping season per year _________
3.4 Soil type 3.8 Crops planted other than rice (please specify)
Clay Clay-loam ______________________________
Loam Sandy ______________________________
4. SEED QUALITY
4.1 Variety: ________________________________ 4.5 Seed source
4.2 Is this recommended in your area?
Yes No Seed Grower/Cooperative
4.3 Seed class Input dealers
Certified seeds
Self
Good seeds
f
Farmers seeds Others (Please specify)
____________________
4.4 Quantity of seeds used (kg): ________________ 4.6 Seed price (peso/kg): __________
5. LAND PREPARATION
5.1 Ditches and dikes repaired and constructed _____ Yes _____ No
5.2 Stubbles and weeds well-decomposed _____ Yes _____ No
5.3 Soft soil condition _____ Yes _____ No
5.3 Soft soil condition _____ Yes _____ No
5.5
Activities Date No. of persons No. of days No. of Hours Total Cost
Repair of dikes
Plowing
Rotavating
1st Harrowing
2nd Harrowing
Leveling
6. CROP ESTABLISHMENT
6.1 Seeding age: ___________ 6.5 Did you incorporate organic material in seedbed?
6.2 No. of seedlings per hill: _______________ _____ Yes ____ No
6.3 Plant spacing
20 cm x 20 cm 6.6 If yes
Random 6.6.1 Type of organic material: ________
6.6.2 Amount (bags x kg): ____________
Other row spacing (Please specify) 6.6.3 Total cost (Peso): ______________
__________________________ 6.7 Did you follow local planting calendar?
6.4 Total size of seedbed (m2): _____________ Yes No
6.8 Was the seedbed properly located and
protected
from pest? Yes No
Activities Date No. of persons No. of Days No. of Hours Total Cost
Seed sowing
Fertilizer application
Pulling of seeds
Transplanting
Replanting
7. NUTRIENT MANAGAMENT
7.1 Performed MOET 7.2 Other method of soil analysis used (pls. Specify)
Yes No ____________________________________
7.2 Deficient nutrient: _________________ 7.2.1 Resulting recommendation: _______________
7.3
Fertilizer Date Crop Stage Quantity Price No. of No. of Total Cost
Type applied applied (bags) per bag person Hours of Labor
14-14-14
46-0-0
16-20-0
20-0-0
0-18-0
0-0-60
17-7-17
17-0-17
ZnSO4
Others
What are the varieties and the average grain yield of each during the last 2 years?
Cropping/Months Year 2010 Year 2011
Variety Area(ha) No. of cavans Variety Area No. of
(ha) cavans
1st /_____________
2nd /_____________
3rd/______________
8. PEST MANAGEMENT
Pest & Diseases, Other plant stresses encountered during the last 2 years
Pest problems: ______________________________________________________
Disease problems: ___________________________________________________
Other plant stress problems: ___________________________________________
Pesticides Used, and what for during the last 2 years
Cropping Year 2010 Year 2011
Pesticides Targets Cost (Php) Pesticides Targets Cost (Php)
Pest (s) Pest (s)
1st
2nd
3rd
9. WATER MANAGEMENT
9.1 Maintained water depth of 3-5 cm every irrigation time from early tillering hard dough stage
Yes No
9.2 If no, at what stage of the season did moisture stress significantly affect yield and growth?
Seedling Panicle initiation Grain filling
Tillering Flowering
9.3 Started draining water 1-2 weeks before harvest Yes No
9.4 Cost of water
Gravity/NIA (Peso): __________________ Pump(fuel cost; Peso): _____________
10. HARVESTING MANAGEMENT
10.1 Grain yield(Actual; bags x kg): ____________ 10.4 Grain Disposal
10.2 Estimated MC at harvest time: ____________
State Price/kg
10.3 Grain Yield (Crop cut-kg/ha @ 14% MC):
Wet
_____________________________
Dry
10.6
Activities Date No. of persons No. of days No. of hours Total cost
Harvesting
Threshing
Hauling
Drying
Permanent Labor
10.7
Factors reducing yield Estimated yield Factors reducing yield Estimated yield loss (t/ha)
Loss (t/ha)
Typhoons Nutrient
Water Stress Insects: ______________
Weeds Diseases: _____________
Snails Other pests: ___________
10.7 How much palay you are saving for your family for each month? _______cavans
10.8 What do you sell in your excess production? () Palay, Fresh; () Palay, dried; () milled rice
10.9 Where do you sell? () Trader; () miller; () tiange; () NFA
10.10 What marketing assistance do you need? ______________________________________________
_______________________________________________________________________________
