PART I. PERSONAL BACKGROUND OF RESPONDENT
1.1 Age :
1.2 Gender : Male
Female 1.3 Working status
full time
part time
Experienced :
Education level less than primary junior high school
informal school senior high school
university
1.4 Household Information
No Relationship Gender
MF Age
Year Education
Occupation Farm
Labor Non
Farm Others
1 2
3 4
1.5 Media perception of IPM
Type of Media Times
Information Week
Month Year
1 Personal Media 1.1 Neighbor
1.2 Group Leader 1.3 Government Officer
1.4 Private Officer 2 Mass Media
2.1 Newspaper 2.2 Television
2.3 Radio 2.4 Internet
3 Interactive Media 3.1 Training course
Note : 1 : Rice varieties
3 : Pesticide use 5 : Economic Threshold Level
2 : Fertilizer use 4 : Water use
8 : IPM control
PART II. Input Used Factors
Component Category
Name Amount Price Total Cost
Total
Seed Multiplication
Farm save Fertilizer
Chemical Organic
Pesticide Herbicide
Fungicide Insecticide
Machinery Preparation
Plant stage Harvest
Labor Family
Hired Land use
Owner Rent
Tax Other
Water Petroleum
Electricity
PART III. BIOLOGICAL FACTOR
No Infestation of pest and disease
Percentage of damage 1
Pest specify 1 2 3 4
2 Ratsspecify
1 2 3 4 3
Weed specify 1 2 3 4
4 Disease specify
1 2 3 4 5
Others specify 1 2 3 4
Note: 1= Less than 20
2=25-50 3=51-75
4= more than 76
PART IV. SOCIAL BACKGROUND 4.1 Number of Group Belonging
No Organization
Position What kind
activity What is the
benefit? General Committee
1 Cooperatives
2 BAAC
3 Farmer’s group
4 House wife group
5 Youth group
6 Rice cultivator group
7 Others
4.2 IPM Training
No Organized by:
Information Content 1
2 3
PART V. ECONOMIC FACTOR 5.1 Land Tenure and Utilization
Please specify the related information to the land that you have been occupied in main crop year 20132014.
No Land Size
Location Ownership
Land Utilization
Owned Rented Least 1
2 3
Total
5.2 Accessibility to credit
5.2.1 Do you access any credit facilities in crop year 2013 ?YES NO 5.2.2 If YES please provided information below:
If yes, where you get the credit? BAAC
Commercial bank Agricultural Cooperatives
Others How much the amount of credit and the interest per year?
If NO why you did not access the credit?
5.3 Rice yield and income
