Name: Jhon Lloyd D.

Flores Section: BSA 4a4 Animal Science

George John Ford A. Mosqueda
RESEARCH SURVEY QUESTIONAIRE
Date: _________________

PART I. Personal Information

Name: ____________________________ Age: ____ Sex: Male Female
Address: __________________________ How many are you in the family? ____
Occupation: ________________________ Religion: ___________
Political Attainment: ______________ Highest Educational Attainment: _______________
What is your position in the family? Father Mother Son Daughter
If others please specify __________ How long are you living in your community: ____ years
_________________________________________________________________________
PART II. System of Farming
DIRECTION: MARK  ON THE CORRESPONDING BOX
YES NO
1. Are you a bonified farmer?
2. Do you owned the land you tilled?
3. Do farming is the main source of income in your family?
4. Did all family members help in the farm?
5. Do you receive any government assistance?

_________________________________________________________________________
PART III. Farming Information
PLEASE ANSWER THE FOLLOWING:
1. Farm size ___________________________________________________________
2. Commodity used _____________________________________________________
3. Years in farming ______________________________________________________
4. Selling price _________________________________________________________
5. Cost production ______________________________________________________
6. Profit (income-expenses) _______________________________________________
7. Where do you market your produce? _____________________________________
8. What technology/technologies you used in your farm? ________________________
___________________________________________________________________
 9. What seminar/s did you attend? _________________________________________
___________________________________________________________________

_________________________________________________________________________
PART IV. Problem ranking
Direction: Rank the problem/s you encounter in your farm

RANK 1

RANK 2

RANK 3

RANK 4

RANK 5

NOTE: We assure that the data given/gathered will be kept confidential and will be used for
the study for the fulfilment in Ag Ext 2 subject as one of the requirements in the course.