List all the varieties of [Product] you have in stock or have sold in the past year for this product. Other (enable if C48a = 997) Do you know if this variety is an Open Pollenated Variety (OPV)/local variety, or if it is a hybrid / improved variety? Do you sell this variety by weight from opened bulk containers in this shop? What was the market share of [product] for this variety? Container size(s) Source(s) What container size(s) did you have in stock for this variety in the past year? (list all sizes for each variety that are sold in a sealed package or container) What is the price for each size? Please use the current or most recent price How many units did you sell of this size for this variety in 1st season 2014? Name of source(s) where you purchased this product for this season (list all sources for this variety): What kind of source is this? What is the location of this source? OPV……….1 Hybrid…….2 Don’t know 3 Yes…1 No…..2 (Percent) UNIT CODE Quantity (UGX) Retail shop……1 Distributor……..2 Another farmer..3 Wholesaler..…..4 Other…………..5 (name of town/city) C52a – m C52b - m C53 – m C54 – m C55 – m C56a – m C56b – m C56c – m C56d – m C57a – m C57b – m C57c – m 1 1 2 3 2 1 2 3 3 1 2 3 4 1 2 3 5 1 2 3
3 8- Product Brands – FERTILIZER List all the brands of [Product] you have in stock or have sold in the past year for this product. Other (enable if C48a = 997) Do you sell this product by weight from opened bulk containers in this shop? What was the market share of [product] for this brand? Container size(s) Source(s) What container size(s) did you have in stock for this variety in the past year? (list all sizes for each /brand that are sold in a sealed package or container) What is the price for each size? Please use the current or most recent price How many units did you sell of this size for this brand in 1st season 2014? Name of source(s) where you purchased this product for this season (list all sources for this brand): What kind of source is this? What is the location of this source? Yes…1 No…..2 (Percent) UNIT CODE Quantity (UGX) Retail shop……1 Distributor……..2 Another farmer..3 Wholesaler..…..4 Other…………..5 (name of town/city) C52a C52b C54 C55 C56a C56b C56c C56d C57a C57b C57c 1 1 2 3 2 1 2 3 3 1 2 3 4 1 2 3 5 1
B2. HOUSEHOLD MEMBERS AGE 0-3 YEARS Respondent ID Code: Now, we would like to ask you a few questions about each member of your household under 4 years old. PREFILLED FROM PREVIOUS PAGE Ages 0-3 years only ID CODE Name Sex Relationship to household head Age What is [NAME’S] birthdate? Enter sources of [NAME’S] birthdate This means that [NAME] is [calculated months] month’s old. Is that correct? What is [NAME’S] correct age in months? Who is the biological mother of [NAME] Who is the biological father of [NAME] Who is the primary caretaker of [NAME] M F DD MM YY CODE B19 Yes No (if B20 = 1, enter calculated months. If B20 = 2 ENTER ID CODE (dropdown) 77- deceased 88- not a resident ENTER ID CODE (dropdown) 77- deceased 88- not a resident ENTER ID CODE (dropdown) B01 B02 B03 B04 B16 B17 B18 B19 B20 B21 B22 B23 B24 CODES FOR SECTION C CODE 1 (C07) From household head’s relatives From spouse’s RELATIVES given by friends Given by authorities Walked in Purchased Borrowed/Rented OTHER CODE 2 (C08) CUSTOMARY MAILO LAND LEASE HOLD FREE HOLD OTHER CODE 3 (C09) NONE LAND TITLE CERTIFICATE OF OCCUPANCY SALES AGREEMENT OTHER 999- N/A CODE 4 (C10) YES, UNRESTRICTED YES, WITH APPROVAL No 999- N/A C. LAND AREA AND TENURE Now we want to ask you questions about the agricultural land that your household had access to during the last 2 farming seasons.
CROP In which month did you first plant [CROP] on [PLOT NAME] in first season 2014? Did you harvest any [CROP] from [PLOT NAME] in first season 2014? Yes No>>next crop How much [CROP] did you harvest from [PLOT NAME] in total this season? (for each state of harvest for each crop) Was this a partial harvest? Yes No >> F13 If yes, what proportion is still in the field? More than half Half Less than half Quantity Units UNIT CODE State Fresh Dried Threshed F01 F8 F9 F10q F10u F10s F11 F12 Hybrid maize 51 Conventional maize 52 Maize (type unknown) 53 Other crop (crop code) Other crop (crop code) CROP Did you sell [CROP] harvest from [PLOT NAME] in first season 2014? Yes No >>next crop How much [CROP] did your households sell in TOTAL from [PLOT NAME] (for each state of harvest for each crop) FILL OUT ONE COLUMN ONLY Who did you sell to? Neighbor/family Informal/Bicycle trader Market trader Retail shop Farmer group Other Quant Units UNIT CODE State Fresh Dried Threshed Price per unit Total value received for quantity sold F13 F14q F14u F14s F15a F15b F17 Hybrid maize 51 Conventional maize 52 Maize (type unknown) 53 Other crop (crop code) Other crop (crop code) G1. AGRICULTURAL INPUTS ON ALL PLOTS – First Season 2014 We would like to collect information on the inputs your household used on all plots. We are interested in all inputs used on your household’s plots. Enumerator: Use a separate line for each variety/brand of each input. DURING FIRST SEASON 2014... (up to 3 varieties/brands for maize seed, herbicide, fertilizer)
R00 May I measure one of your fields? Yes No >> End interview P A R C E L I D P L O T I D Area planted under each type of maize. (Prefilled from section E) Are you able to measure this plot? YES NO PLOT INACCESSIBLE RESPONDENT REFUSED TO GO TO THAT PLOT GPS Measurement of Plot Area Enter GPS coordinates of corner of plot nearest to the homestead Hybrid maize seeds Conventional maize seeds Don’t know type of seeds AREA UNIT Latitude (D M) Longitude (D M) Accuracy (meters) Elevation (meters) E02 E03 E06a E06b E06c R01 R02a R02b R03a R03b R03c R03d Q2. PREFERENCES AND BELIEFS – QUANTITATIVE Respondent ID: