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FOR OFFICIAL USE ONLY.
 Please do not write in this box.
Altitude
Incline
Aspect
Farmer's Code
Crop Code
Ex Officer Code
Full Name of Farmer:
PART 1: PLANTING DETAILS
Plot Number
Variety
Number of Sub-Plots:
Size of each Sub-Plot:
square feet
Q1. Are crops planted in an open field or greenhouse?
Q2. Number of acres devoted to this crop?
Acres
Q3. Date crop was planted (day/month/year):
Q4. Total number planted:
Plants
Q5. Space between plants (in feet):
Feet
Q6. Provide the planting and land preparation costs for the following items, in EC Dollars:
Seeds/Seedlings:
Fertilizers:
Herbicides:
Pesticides:
Water:
Employed Labour:
Own Labour:
Total Cost:
FARM DATA COLLECTION FORM
HOT PEPPERS
Form Image
PART 2: CROP DEVELOPMENT, DISEASES & PESTS
Q7. Provide details concerning the crop development of each of the 12 plant samples(begin with plant number 1 and stop with number 12):
Q8. Place an "X" in the box indicating all of the following diseases that affected each of the 12 samples:
Colour
of
leaves:
Height
of
plant:
Width
of
plant:
Any flowers?
Any
fruits?
Number of
Grade A
Fruits
Harvested:
1.None
2.Yes, first
time
3.Yes, more
flowers
1.Brown
2.Yellow
3.Green
4.Solid
1.None
2.Yes, first
time
3.Yes, more
fruits
P
L
A
N
T
N
O
Number of
Grade B
Fruits
Harvested:
1
3
4
5
8
9
10
11
12
1.Bacterial
Spots
2.Gemini
Virus
3.Potty
Virus
4.Other
Disease
6
2
HINT: Complete sample 1, by moving downwards through the list of diseases, then continue column by column to sample 12
7
Q9. Place an "X" in the box indicating all of the following pests that affected each of the 12 samples:
PART 2: CROP DEVELOPMENT, DISEASES & PESTS (continued)
HINT: Complete sample 1, by moving downwards through the list of pests, then continue column by column to sample 12
2.Cut
Worms
3.Fruit
Worms
4.Fruit
Bugs
5.Leaf
Miner
1
3
4
5
8
9
10
11
12
6
2
1.Birds
6.Leaf
Mites
7.Mole
Crikets
8.Flower
Moths
9.White
Flies
13.Cater-
pillars
10.Spider
Mites
11.Stink
Bugs
12.Weevils
14.Aphids
15.Thrips
16.Other
7
PART 3: LABOUR
Q10. For each activity, state the total labour cost and the total number of hours worked by yourself (OH) and by employed labourers (EH):
one of the following activities
Transportation
Pruning
Fertilizing
Plot
Manual
Weeding
Chemical
Weeding
Pest
Control
Harvest
Plot
Data
Collection
Watering
DAY
DAY
Day#
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
Day#
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
Day#
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
Day#
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
Day#
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
Day#
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
Day#
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
Day#
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
Day#
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
Day#
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
Day#
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
Day#
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
Day#
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
Day#
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
0H
EH
Cost
NOTE: Sunday = 1, Monday = 2, Tuesday = 3, Wednesday = 4
Thursday = 5, Friday = 6, Saturday = 7
1.RAINFALL (see below)
7.Urea
5.NPK 16.8.24
3.NPK 12.24.12
4.NPK 13.13.21
8.Vitazime
6.Nutrient Express
1.Greenhouse 2.8.14
FERTILIZERS
PESTICIDES
2.Manure
9.OTHER
3.Banrot
10.Rizolex
6.Mankocide
1.Acrobat 69
9.Pyton 27
2.Azadirect
8.Pirate 24
7.New Mectin
4.Bavesin
5.Calmax
11.OTHER
Rainfall: 1 = No rain, 2 = Little rain, 3 = Heavy rain, 4 = Flooding
Sunlight: 1 = No sun (only clouds), 2 = Little sun (many clouds),
3 = Sunny (few clouds), 4 = Only sun (no clouds)
Q11. State the daily amount of the following that was used on the entire plot.
2.SUNLIGHT (see below)
SUN
MON
TUE
WED
THU
FRI
SAT
PART 4: TECHNOLOGICAL & CLIMATIC INPUTS
PART 4: TECHNOLOGICAL & CLIMATIC INPUTS (continued)
WATER
HERBICIDES
3.Gramoxzone
2.Gramoxile
1.Basta
5.Touch Down
2.Manual:
(in gallons)
6.OTHER
1.Irrigation:
(in minutes)
3. Place an 'X' in the box that shows how water was applied to the plot.
4.Round-up
END OF QUESTIONNAIRE
SUN
MON
TUE
WED
THU
FRI
SAT
hrs
2.Fuel
3.Computer Equipment
4.Data Collection
5.Other Expenses
6.Time spent at agricultural
meetings
Q12. State the daily amount of money (EC$) and time spent on the following:
1.Farm Equipment
hrs
hrs
hrs
hrs
hrs
hrs
SUN
MON
TUE
WED
THU
FRI
SAT
PART 5: ECONOMIC COSTS & FEATURES
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