ANNEX 2 (QUESTIONNAIRE ON SAMPLE SURVEY OF AGRICULTURE) RA NATIONAL STATISTICAL SERVICE QUESTIONNAIRE ON STATE STATISTICAL OBSERVATION QUESTIONNAIRE ON SAMPLE SURVEY OF AGRICULTURE Confirmed by the Resolution N 07-A of 17 March 2004 of the State Council on Statistics of the Republic of Armenia The information will be used only for statistical summaries and it is not subject for publication. TO BE COMPLETED BY INTERVIEWER 1. MARZ _________________________ 2. RURAL COMMUNITY ______________ 3. PEASANT FARM name name Part A. Plant growing A.1. What is the total area of your agricultural land (including land adjoining the farm house, let out on lease and leased territories)? (ha 0,0) N 1 A Total of which private Cultivated from the total land 1 2 3 Land area, total including 2 3 4 5 6 arable land fruit garden and berry-field vineyard natural hayfield pastures A. 2. If you didn’t use your private or leased arable land (or part of it), then why? 1. It is far from settlement 5. Cannot get necessary inputs for cultivation 2.Poor quality land 6. I’m short-handed 3.No irrigation available 7. I’m not in good health 4.Leased 8.Other (specify) -------------------------------------- 70 A.3. Area under perennial plants (including land adjoining the farm house, leased territories) Total, (ha) N 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 A Fruit, of which trees in fruit-bearing age, unit 3 4 including including Apple-tree Pear-tree Quince-tree Other (specify) Stone-fruits including Apricot-tree Peach-tree Sweet cherry-tree Plum-tree Cheery-tree Cornel Other (specify) Nuts including Nut-tree Hazelnut-tree Other (specify) Subtropical 25 26 27 28 29 30 31 Mulberry tree Berries 38 1 Total number of trees, unit Seed-bearing fruits 19 20 21 22 23 24 32 33 34 35 36 37 of which in fruitbearing age (ha) 2 including Fig tree Pomegranate Blood orange Other (specify) including Strawberry Currant Other (specify) Grape, total of which Industrial 71 x x x x x x x x x x x x Part B. Cattle-breeding B.1. Did you deal with cattle-breeding during the last 12 months? Yes No B.2. If no, then why? 1. Unprofitable 2. Shortage of fodder 3. There are no appropriate livestock farms 4. Don’t want to deal with cattle-breeding 5. I’m not in good health 6. Other (specify)------------------------------------------------- B.3. Livestock and poultry realized for slaughter (01.01.2004 – 01.07.2004) Livestock realized for slaughter, head N 1 2 3 4 5 6 7 8 9 10 A Poultry all types, total Cattle, total of which cows bull-calf other Pigs, total Sheep and goats, total Rabbits Other (specify) including Average live Average weight per slaughter livestock weight per head, kg livestock head, kg 2 3 1 x x Poultry realized for slaughter, head 4 including, average slaughter weight per head of poultry, kg 5 x x x x x x x x x x x x x x x x x x x B.4. Average annual productivity per livestock and poultry B.4.1 Milk yield per cow (0.0) kg B.4.2 Milk yield per sheep (0.0) kg B 4.3 Wool clip per sheep (0.0) kg B.4.4 Egg-laying ability of 1 laying hen piece B.4.5 Honey on average received from 1 beehive (0.0) kg 72 Part D. Realization and Loses of Agricultural Product D .1. Realization (Use) of Agricultural Product by Directions Produced in Your Farm in 2003 (centner) N 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 A Produced, total Sold Provided for barter Provided in kind for hired work and other services Used in the farm of which processed Loses Remainder in the farm 1 2 3 4 5 6 7 8 Grain of which wheat barley Potato Fruit and berry Grape Vegetable Melon and water melon Meat (slaughter weight) of which beef mutton and goat meat pork poultry meat rabbit meat Milk and dairy products (transformed to milk) Egg Wool Honey Other product (specify) 20 73 Part E. Structure of Current Expenditures on Output of Agricultural Product for 2003 E I. Plant-growing (ths. drams) 1 2 3 4 5 6 Transport expenditures Other expenditures 3 Payment for irrigation water On lease of machinery 2 On fertilizers and pesticides 1 On fuel and lubricating oil A Grain Tobacco Geranium Potato Vegetable Melon and water melon Fruit Grape One-year grasses Perennial grasses Fodder root crops On seeds and planting stock N On hired work Expenditures, total including 4 5 6 7 8 9 7 8 9 10 11 Notes: In the column 4, the value of acquired seeds and planting stock is calculated in acquisition prices, and value of seeds and planting stock of domestic production is calculated at market prices. E II. Cattle-breeding 1 3 5 6 Other expenditures 4 Transport expenditures (including domestic production) On fodder 2 On medicine A On fuel and lubricating oil N 12 13 14 15 16 17 On hired work Expenditures, total (ths. drams ) including 7 Cattle of which cows Sheep and goats Pigs Poultry Other animals (specify) 18 19 Notes: In the column 3, the value of acquired fodder is calculated in acquisition prices, and value of fodder of domestic production is calculated at market prices. INTERVIEWER ____________________ name ____________________ surname THANK YOU FOR CO-OPERATION! 74
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