Questionnaire No: __________

Group: __________
STUDY: FACTORS AFFECTING THE ADOPTION OF ORGANIC FARMING PRACTICES
PROMOTED BY AGRI-ESKWELA AMONG LETTUCE FARMERS IN SELECTED
MUNICIPALITIES IN QUEZON PROVINCE, 20191

Survey Questionnaire for Organic Lettuce Farmers

A. SOCIO-DEMOGRAPHIC PROFILE
1. Name: __________________________________ Age: _____ Sex: Male Female
2. Civil Status: Single Married Others ________ Number of household members: ______
3. Highest Educational Attainment
No formal Schooling
Elementary Undergraduate ________ years Elementary Graduate
High School Undergraduate ________ years High School Graduate
College Undergraduate ________ years College Graduate
Vocational ________ years Post-graduate

4. Source(s) of Income
Farm activities Non-farm activities:___________________

5. Years in organic farming: _________

B. FARM INFORMATION AND PRODUCTION

1. Farm address: ____________________________________________ Tenure: Owned Rented

2. Farm area (ha): ________
3. Distance of farm to input market (km) : ________ Distance of farm to output market (km): ________
4. Costs: (October to December,2019)

ITEMS QUANTITY
PRICE/UNIT VALUE
(kilograms or liters)
 Cash    
 
 Seeds      
 Organic Fertilizer      
Molasses       
 Processed Chicken Manure      
Vegetable
 Rice      
 Fish Gills      
Tubli       
 Hired Labor      
Others      
Non-cash      
Family Labor      
Postharvest Losses
Others
 Questionnaire No: __________
Group: __________
5. Returns: (October to December 2019)

ITEMS QUANTITY PRICE/UNIT VALUE

 Cash  (kilograms)    
Lettuce Sales      
Non-cash      
Home Consumption      
Given away
Others

6. Volume of organic lettuce harvested in one cropping cycle from October to December 2019: _________kg
C. OTHER COMMUNITY PROGRAM PARTICIPATION
1. Did you attend any other community programs except from Agri-Eskwela?
1 – Yes 2 - No

a. If Yes, fill up the table below:

TOPIC Year Agency/ Association
     
     
     
     
b. If No, what are the reasons for not attending such programs? (Answer can be more than one)
□ Availability □ Accessibility
□ No encouragement □ Emergency
□ Not informed □ Not Mandatory
□ No incentive □ Others, specify: _______________

D. ADOPTION OF THE ORGANIC FARMING PRACTICES PROMOTED BY AGRI-ESKWELA

1.1
Are you Does your
willing to family wants Did you share
adopt the you to adopt information about the Relevance of the Practice
PRACTICES practice? the practice? practice?
Yes No Yes No Yes No If yes, to Not Slightly Very
whom? relevant relevant relevant
Organic fertilizer
making
(IMO, FAA, FPJ)
Natural pesticide
making
 Questionnaire No: __________
Group: __________
1.2
Level of awareness on
the practice promoted Did you adopt the practice?
Not Slightl Very Yes No If yes, why? If no, why?
PRACTICES
aware y aware aware
Organic fertilizer making
(IMO, FAA, FPJ)
Natural pesticide
making

2. Are you open to seek new ways to practice organic farming? Yes No
Why? _____________________________________________________________________
3. Do you prefer your current practice than the practices promoted by Agri-Eskwela? Yes No
Why? _________________________________________________________________
4. Do you perceived the practices promoted by Agri-Eskwela as something that can increase your net farm
income? Yes No
Why? ____________________________________________________________________

E. Problems encountered in organic lettuce production

1.____________________________________________________
2.____________________________________________________
3._____________________________________________________
4._______________________________________________________
5.______________________________________________________