Praktikum Pemberdayaan Masyarakat Dalam Agribisnis 2022

KUESIONER
POTENSI dan ASPIRASI

Nama Pemilik : …………………………………………………………… Usia : ............. tahun

Alamat : …………………………………………………………... Pendidikan : .............
Nama Usaha : ……………………………………………………………
Bidang usaha : Pemanfaatan Lahan dan Pengolahan Hasil

A. Kegiatan dalam Usaha

1. Alasan mengusahakan : memanfaatkan lahan / memanfaatkan bahan baku / kebutuhan keluarga / dijual
/ .............................
(penjelasan) ...............................................................................................................................
.............................................................................................................................
................................................................................................................................
2. Permasalahan yang ada : benih / bibit / pupuk / pemeliharaan/ bahan baku / pemasaran
/ ...................................................
(penjelasan) ................................................................................................................................
................................................................................................................................
................................................................................................................................
3. Rencana pengembangan : perluasan lahan / jenis tanaman / produk / pasar /.........................................
(penjelasan) ................................................................................................................................
................................................................................................................................
................................................................................................................................
................................................................................................................................
( lacak apakah alasan tersebut karena merupakan suatu kebiasaan secara turun temurun / atas kesepakatan
dengan Kelompok Wanita Tani / atas arahan dari petugas / atau lainnya )
 Praktikum Pemberdayaan Masyarakat Dalam Agribisnis 2022

B. Sarana prasarana
1. Input berupa : ............................................................................................................................
2. Ketersediaan input : Sangat mudah /mudah / sulit / sangat sulit
3. Asal input : Sendiri / membeli / Lainnya ............................................................................
(penjelasan) : ............................................................................................................................
............................................................................................................................
............................................................................................................................
4. Permodalan : Sendiri / Kelompok Wanita Tani / Kredit Bank / lainnya .................................
(penjelasan) ................................................................................................................................
................................................................................................................................
5. Asal tenaga kerja : Keluarga sendiri / Kelompok Wanita Tani / sewa
6. Kemudahan tenaga kerja : Sangat mudah /mudah / sulit / sangat sulit
(penjelasan) : ............................................................................................................................
............................................................................................................................
............................................................................................................................
7. Kunjungan Petugas : Rutin / Sering /Kadang-kadang / Tidak pernah
(penjelasan) : ............................................................................................................................
............................................................................................................................
............................................................................................................................
8. Informasi usaha dari : Penyuluh / Televisi / Radio / Surat kabar / Lainnya ..............
(penjelasan) : ............................................................................................................................
............................................................................................................................
............................................................................................................................
9. Penggunaan teknologi : Modern / modern dan tradisionil / Tradisionil
(penjelasan) : ............................................................................................................................
............................................................................................................................
............................................................................................................................

C. Output
1. Cara menjual : pedagang/ tengkulak / Kelompok Wanita Tani / Online / Lainnya ...........................
(penjelasan) : ............................................................................................................................
............................................................................................................................
............................................................................................................................
2. Akses pasar : mudah/ agak mudah / sulit / Lainnya ...............................................................
(penjelasan) : ............................................................................................................................
............................................................................................................................

3. Harapan cara menjual di masa yang akan datang:

 Praktikum Pemberdayaan Masyarakat Dalam Agribisnis 2022

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Catatan:
.................................................................................................................................................................................................

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Enumerator

Nama : ......................................
NIM : ……………………………………….
Kelompok : ……………………………………….