Irrigation Survey

Introductory Section

Basic interview and location information

Date of InterviewAuto-filled with today's Nepali date

Number of Participants

Please enter number of participants

Name of Irrigation System

Please select an irrigation system

Name of the System

How old is the system?

District

Please select a district

Location Details

Municipality

Please select municipality type

Ward

Required

Village

FGD Type

Please select FGD type

Key Informant

Name of Key Informant

Please enter informant name

Position / Designation

Sex

Required

Mobile Number10 digits, starts with 9

Must be 10 digits starting with 9

Irrigation System

Information about the irrigation system and its condition

1 Functionality Assessment

How would you assess the functionality of this irrigation system?

Please select a functionality assessment

2 Reasons for Assessment

Select all that apply

System is very old No timely repair and maintenance Canal is not regularly cleaned Waste materials / debris thrown in canals Others

Please specify:

Water Distribution

Water availability, distribution, and reliability data

1 Water Availability Across Canal Sections

⟵ Scroll table horizontally if needed

Canal Section	Monsoon (Jun–Sep)	Winter (Oct–Feb)	Spring/Pre-monsoon (Mar–May)
Head (Near Headworks)
Middle Section
Tail Section

2 Main Reasons for inequitable Water Distribution

3 Average Water Discharge by Season

⟵ Scroll table horizontally if needed

Season	Discharge/ Delivery (m³/s)	Max. Irrigated Area (Ha)	Est. Water Utilization (Ha)
Monsoon (Jun–Sep)
Winter (Oct–Feb)
Pre-monsoon (Mar–May)

4 Is water supply reliable each season?

Please select an option

5 Do tail-end farmers receive proportionate water?

Please select an option

Provide reasons:

8 Water Availability Duration

Days per week (max 7) and hours per day (max 24)

⟵ Scroll table horizontally if needed

Season	Days per Week	Hours per Day
Monsoon (Jun–Sep)
Winter (Oct–Feb)
Pre-monsoon (Mar–May)

Agriculture

Cropping systems, seed management, inputs, and agricultural machinery

1 Dominant Cropping System in Your Area

Irrigation System command area — total must not exceed 100%

Total exceeds 100% — please adjust values

Cropping System	% Coverage
Rice-based
Maize-based
Vegetable-based
Sugarcane-based
Fruits-based
Total	0%

2 Major Cereal Crop Varieties

Select crop, enter variety name, and estimate coverage area.

Cereal Type

Variety Name

Coverage Area

Please fill all fields (type, variety, and coverage)

3 How Farmers Generally Manage Seeds

Enter % per strategy per crop — each column must not exceed 100%

⟵ Scroll table horizontally if needed

Strategy	Rice (%)	Wheat (%)	Maize (%)
Self-Saving
Procurement
Farmer to Farmer
Total	0%	0%	0%

One or more columns exceed 100% — please adjust

4 Source of Seed Procurement

Enter % per source per crop — each column must not exceed 100%

⟵ Scroll table horizontally if needed

Source of Procurement	Rice (%)	Wheat (%)	Maize (%)
Seed Producer Cooperatives
WUA
Private Producers
Agrovets
Farmers
Total	0%	0%	0%

One or more columns exceed 100% — please adjust

5 Source of Procurement for Chemical Fertilizers

Enter % per source — total must not exceed 100%

Total exceeds 100% — please adjust values

Source	% Share
Cooperative (Coop)
Agro-vet
Self-management
Total	0%

6 Proportion of Farmers Using Pesticides

Value must be between 0 and 100

7 Utilization of Agricultural Machinery

Check all machinery types used in the area (multiple selections allowed)

Machinery	% of Farmers
Total	0%

10 Estimated Crop Yield (Last Season)

Enter yield in Mt/Ha for each crop type

⟵ Scroll table horizontally if needed

Crop	Yield (Mt/Ha)
Rice (OP varieties)
Rice (Local)
Rice (Hybrid)
Maize (Modern/C/P)
Maize (Hybrid)
Wheat (OP)
Wheat (Hybrid)

Climate Change, Impact on Agriculture, Adaptation & Government Support

Events experienced in 2022–2026, agricultural impacts, and response measures

1 Crop Loss / Production Problems Due to Extreme Climate Events

In the past five years (2022–2026), has your household experienced any crop loss or production problems due to extreme climate-related events (drought, floods, heatwaves, untimely rainfall, strong winds, or other extreme weather)?

Yes No

Please select Yes or No

Fill details for each year where an event occurred — leave blank if none.

⟵ Scroll table horizontally if needed

Details	2026	2025	2024	2023	2022
When (Month/s)
Name of Event
Severity
Duration (days)

2 Farmers' Perception

Do farmers perceive these events as a result of climate change?

3 Agricultural Impact

Fill for your household and your community

⟵ Scroll table horizontally if needed

Level	Crop Type Affected	Area	Yield Loss (%)	Crop Stage
On your HH
On your Community

4 Farmers' Response to the Events

Enter % for each response — total must equal 100%

Total exceeds 100% — please adjust values

Response Action	% of Farmers
No action
New crops planted
Replaced affected area by other varieties
Irrigation
Any other
Total	0%

5 Compensation / Support from Government

Did you / your community receive any compensation or support from the government?

Local Government No support

Nature of support received:

Provincial Government No support

Nature of support received:

Federal Government No support

Nature of support received:

Category	Market 1	Market 2	Market 3
Market Name
Approx. Distance
Market Type
Management Type

🌾 Irrigation Survey