Developing a pig farm model towards international integration in Dong Nai

APPENDIX 2: Survey form

Ho Chi Minh City National University SOCIALIST REPUBLIC OF VIETNAM

University of Economics and Law

……….  ……….

Independence – Freedom – Happiness

……….   ……….

Ho Chi Minh City, date month year 2015

SURVEY FORM

In order to understand the current production and business situation of pig farms in Dong Nai province, we conducted a survey to collect actual data on the production situation at the unit. We kindly ask agencies and individuals to provide information according to the questionnaire below. All information in this survey will be used solely for research purposes. We pledge not to disclose the information provided by the farm.

We sincerely thank you!

Farm owner name: …………………………………… � Male� Female Age: …………………………………………………

Address: …………………………………………………… Phone: ……………………………………………….

Farm model: Industrial (closed barn) Normal

PART I: GENERAL INFORMATION

1. Please indicate the farm owner's educational level: Grade…………………………………………………………………………..

2. Please indicate the farm owner's professional qualifications:

Untrained

�	First	grant		�
Secondary, college	�	Grand	learn	and above	�

Maybe you are interested!

3. Please indicate the number of years your farm has been operating pig farming:……………………years

4a. Could you please tell me if the farm has been certified?

Yes � No� Waiting

If the answer is NO, ask question 5. If YES, ask question 6.

4b. Could you please tell me why the certificate has not been issued?

................................................................ ................................................................ ..............................................

5a. How do you manage your farm?

Direct

takeover

reason

Rent

People

management

reason

5b. Qualifications of the farm manager ( if any )

No training

Elementary

Secondary, college

University degree or higher

6. How much land does your farm have? ……….. m 2

7. Could you please tell me the origin of the farm's land? Transferred land � …………… m 2

Family's available land � …………… ..m 2 Rented land � …………………… m 2

8a. Please let us know

some information about the land

/farm?

8b. Please let us know your land Does your farm have a red book yet?
Soil type	Area (m 2 )	Already have	Not yet	Waiting
Residential land		�	�	�
Farm land		�	�	�
Agricultural land		�	�	�
Other land		�	�	�

9 Please tell us about the working situation of the members of the farm 9a. Number of people:…………………..people; of which: Female ………people

Number of people of working age……………people.; of which: Female…….…people (Male from 16 to 60; Female from 16 to 55 years old)

9b. Farm labor situation

Number

-Family labor

-Regular hired labor

- Seasonal labor

………………………………………….

…………………………………………..

………………………………………….

10. Please let us know if you sign a contract for regular hired workers?

3 months � 6 months � 12 months � No contract

11. Do you have difficulty hiring workers? Yes � No

If so, what are the difficulties and at what time of year:

……………………………………………………………………………………

12. Please provide some basic information about the regular hired labor at the farm.

STT

Sex	Year old	Cultural level	Professional qualifications

PART II. PRODUCTION AND BUSINESS SITUATION AND OTHER FACTORS

I. COSTS OF PIG FARMING

13. Housing costs:

Item

Total amount (VND)
1. Initial construction costs
2. Annual repair
Total

14. Estimated time of using the barn:…….years

15. Land rental cost for pig farm …………………VND

16. Farm feed costs

Food type

Homegrown			Buy from outside		Total amount
SL(kg)	D. Price (VND/Kg)	T. Money (copper)	SL (kg)	T. Money (copper)	Total amount
1. CN root
2. Corn (Grinded)
3. Cassava starch
4. Rice
5. Rice bran
6. Other

17. Seed costs

Item

Guitar 1		Guitar 2		Guitar 3		Piano 4
SL child	T. Money (VND)	SL (child)	T. Money (VND)	SL child	T. Money (VND)	SL (child)	T. Money (VND)
1. Self-production
2.Buy Seeds
3.Shipping costs transfer
Total

18. What breed of pig are you raising? 19. Veterinary medicine costs

Item

Guitar 1	Guitar 2	Guitar 3	Piano 4
1. Vaccination
2.KST removal
3.B/s supplements
4. Cure disease
5. Other costs
Total

20. Labor costs for raising pigs

Labor

Number (people)	Unit price (VND/month)	Total amount
- Outsourced labor
- Housework

II. PIG FARMING RESULTS

21. Revenue from selling pigs

Target

Unit	Guitar 1	Guitar 2	Guitar 3	Piano 4
1. Breeding time	Month
2. Weight of breeding pigs initial average	Kg/head
3. Average weight when leaving the barn	Kg/head
4. Unit price	VND/kg
5. Revenue	Copper

22. Other income from pig farming

Item

Quantity	Price (VND)	Value (VND)	Note
1. Selling fertilizer
2. Gas
3. Other
Total revenue

III. CAPITAL SOURCES FOR PRODUCTION AND BUSINESS

23. Could you please let us know if the farm borrows capital from the state banking system and project funds for production and business?

Yes� No

24. If not, please state the reason why:

................................................................ ................................................................ ..............................................

25. If yes, please provide the following information.

Loan purpose

Where to borrow

Loan amount 1000 VND

Interest rate

Loan period

Interest payable in 2015

Remaining amount

1. Pig farming

26. Please tell us about the difficulties you encountered when borrowing money from the above organizations? ( Note: there may be multiple options )

Short loan term � High interest rate � Complicated procedures

Travel many times � Must have collateral � Takes a lot of time

Other reasons

27. Could you please let us know if the farm has borrowed money from other sources ( relatives, hot loans on the market.... ) for production and business?

Yes� No

28. If not, please state the reason why:

................................................................ ................................................................ ..............................................

29. If yes, please provide the following information.

Loan purpose

Where to borrow

Loan Amount 1000 VND

Interest rate

Loan period

Amount of interest payable in

year

Remaining amount

1. Pig farming

30. Please let us know if your farm has ever received production support policies from the government or other organizations?

Yes� No

Question 32. If yes, please provide the following information:

Team name

function

Purpose

Amount

borrow 1000 VND

Time

point

Amount

loan/support (1,000 VND)

Interest rate

Duration

loan (month)

IV. AGRICULTURAL KNOWLEDGE

31. Please tell us from what sources does your farm obtain and learn agricultural production technical information? ( Note: there may be multiple options )

Self- study and experience accumulation � Friends , farmers in the area

Agricultural officer � Agricultural extension officer

Organizations , groups � Radio , television, newspapers and magazines

Demonstration points � Agricultural materials and products trading company

Other sources

32. Please let us know if you have ever come into contact with or learned production techniques and production management from an agricultural extension officer/agricultural extension worker ?

Yes� No

33. If yes , please tell us the level of contact with Agricultural Extension Officers / Agricultural Extension Workers ?

Weekly� Monthly� Quarterly� Yearly

34. Please let me know which of the following information and communication methods were introduced and instructed to you by the Agricultural Extension Officer/Agricultural Extension Worker?

Form of communication

Information

Discussion

Training , seminars

Contact at home

Contact at demonstration site, field

Other forms

Technical recommendations

Recommendations for selecting technical processes

Production management skills recommendations

Recommendations and introduction of new varieties

Issues of environmental hygiene, food safety and hygiene

35. When introduced to new information and techniques, do you feel they are useful for your production?

Very useful � Useful� Neutral� Not useful � Don't know

36. Please let us know if you participate in activities of Farmers' Club, production cooperative, or farmer association?

Yes� No

37 Do you follow programs on agriculture and international integration in the media?

Yes� No

V. PRODUCT CONSUMPTION

38. Where are your products mainly consumed?

In the province

Out of province

Don't know

39. Who buys your products? ( multiple options are possible)

Local traders � Cooperatives

Traders from other provinces come to � Agricultural and livestock processing companies and

Other …………………………………………………………………..

................................................................ ................................................................ ..............................................

40. Do agricultural processing companies and facilities sign contracts to consume your products?

Yes� No

41. Do you want to sign a contract to consume products with agricultural processing companies and facilities?

Really want � Also want

Don't know � Don't want to

VI. LINKING AND COOPERATION IN PRODUCTION AND BUSINESS

42. Do you participate in association and cooperation in production with other organizations?

Otherfarms � Cooperatives

Agricultural products and agricultural materials trading company

Other (specify) ……………………………………………………………

................................................................ ................................................................ ..............................................

VII. SOCIAL AND ENVIRONMENTAL IMPACTS

43. Has anyone complained about environmental pollution caused by your pig farming?

Yes� No

44. Do you use pig manure to make BIOGA gas?

Yes� No

45. If you don't raise pigs, do you have other production plans?

Yes� No

VIII OTHER

46. Could you please tell us about the difficulties in the production and trading of the above livestock products? (Note: there may be multiple options)

Unstable prices � Low prices � High prices

† � Lack of capital † � Lack of consumption sources � Lack of technical knowledge

† � Lack of labor † � Lack of market information � Lack of land

† � Lack of water resources � Natural disasters, epidemics � Polluted environment