Beneficiary Name:

Name of individual / organization / school under which Nutri-Garden is cultivated:

Name of Village:

Name of District:

Name of State:

Enter Pincode:

Latitude:

Longitude:

Type of Nutri-Garden:

Individual level-self made

Individual level-got help from local NGO

Community level- without external support

Individual level-through Government support

Community level - with support from external agency

School Nutri-Garden

Anganwadi level Nutri-Garden

Others:

If getting support from local NGO, name the NGO and locality of NGO

If getting support from Government, name of the Department/ Ministry providing support

Level of Nutri-Garden

For self consumption

Selling surplus

Selling surplus with value addition

Others:

Nutri-garden scale

Only for vegetables and fruits

Backyard Poultry

Backyard Fishery

Others:

Are you selling the surplus from Nutri-Garden

Yes

No

What standard area of Nutri-Gardens?

Less than 1000 sq.ft model

1000 to 2000 sq.ft model

2000 to 3000 sq.ft model

3000 to 4000 sq.ft model

More than 4000 sq.ft model

Others:

Does the NGO/ supporter provide seeds every year?

Yes

No

Name the Seasonal vegetables grown in Nutri-Garden

Name the Perennial vegetables grown in Nutri-Garden

Name the Fruits grown in Nutri-Garden

Average daily Fruit output from Nutri-Garden in Kg/Day

Type of Seeds used in Nutri-Garden

Indigeous

Hybrid

Others:

What is the average monthly income from a Nutri-Garden?

0 to 500 Rs

500 to 2000 Rs

2000 to 5000 Rs

5000 to 10000 Rs

More than 10000 Rs

Others:

Type of Cultivation method in Nutri-Garden

Open Cultivation

Open Cultivation with multilayer croping

Protected Cultivation using Shed-Net

Protected Cultivation using Polyhouse

Others:

Average per month expenses on Nutri-Garden

Less than 250

250 to 500

500 to 1000

1000 to 2000

Less than 2000

Source of Water for irrigation

Well

Bore well

Pond

River

Canel

Nal coup (Sarkari Nal), grey /wastewate

Others:

Irrigation Water Availability

No water available for irrigation

Very less water available

Sufficient Water available for Nutri-Garden

Excess Water Availablity

Name the organizations / government schemes supporting the school Nutri-Garden

Any weekly classes/course work dedicated to Nutri-Garden and training to students?

Weekly time spent by students in Nutri-Garden

Weekly 1 hr

Weekly 2 hr

Weekly 3 hr

Weekly 4 hr

Weekly 5 hr

More than 5 hr

At what scale School Nutri-Garden is operating:

Using output in school Mid-day-meal

Selling the surplus produce from Nutri-Garden

Using Nutri-Garden as a open field science laboratory

Using Nutri-Garden output in hot cooked meal of Anganwadi

sharing the excess produce from Nutri-Garden to families of school children

Others:

Any Innovative practices in School Nutri-Garden

Category

AFIF

Poshanvatika