110104_fs_survey
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School of Geosciences Department of Geography
Division of Geography Faculty of Science
Faculty of Sciences University of Indonesia
Name of interviewers:
Survey Location:
Preamble
1) Gender: Male / Female
2) Age of respondent:
3) Were you born in this village?
Yes / No (if No specify )
4) How many years have you lived in the village? ( ) years
5) Numbers of member in the household ( ) people
Numbers of school / pre‐school children in the house ( ) people
6) What are your sources of income?
Sources AmountSales of agricultural produce Rp/month
Good morning/day. We are students from the University of Sydney and the University of Indonesia on a field trip
concerned with natural resource management. As part of our studies we are doing a survey on local perspectives on
resource management. We would be grateful if you could spare a few minutes of your time to answer some questions
for this survey. The survey responses are anonymous and will only be used for student learning.
Questionnaire No:
Group No:
Sales of agricultural produce Rp/month
Agricultural wage labour Rp/month
Non‐agricultural wage labour Rp/month
Remittances Rp/month
Others (specify ) Rp/month
7‐a) Do you have access to your own agricultural land? Yes / No
7‐b) If yes, how many plots of agricultural land does your household manage?
Types of land Numbers of plots Size (ha) Distance from home (km)
Dry farm landWetland
Others (specify )
8) What is the status of your agricultural land (if the household owns land, please specify tenure status)
Types of land Ownership Tenure
Dry farm land Rent / Share‐crop / own / Others ( )
Wetland Rent / Share‐crop / own / Others ( )
Others (specify Rent / Share‐crop / own / Others ( )
9) If you farm, what are the main crops you farm?
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10) If you use irrigation for agriculture, what is the source of water?
Rain‐fed / River / Natural spring / Others (Specify )
11) What is the source of your water for household use? ...........................................................
SD D N A SA
12)
13)
14)
15) Forest protection is important for the future of my village.
16)
17)
18)
19)
20)
21)
Are there any other comments that you would like to make?
Thank you for taking the time to help us students with our education.
There is currently enough land for agricultural purposes in
my village
Agriculture is an important source of income for my family
Current agricultural practices in the region are
environmentally friendly.
We are going to read out a number of statements. Please indicate whether you strongly agree (SA), agree (A),
are not sure (N), disagree (D) or strongly disagree (SD) with each statement.
Local government is active in supporting rural development
in my village
NGOs are active in supporting rural development in my
village.
In 10 years time my children will be working in agricultural
sector.
It's important to grow your own food.
Statements
Land reform is important for rural development in my
village.
Tourism is important source of income for my village.