Agricultural Electrification Equipment Use Survey

1. Respondent Information

Name Farm/Location (Village, District, State) Contact Information

2. Farm Overview

Farm Size (in acres or hectares) Main Crops/Produce

3. Electrification Details

Is your farm connected to the electricity grid? Yes No Main source(s) of electricity Grid Diesel Generator Solar Other

4. Electrification Equipment

Equipment Name	Purpose	Power Rating (kW)	Usage Frequency (hrs/day)	Electricity Source
				Grid Diesel Generator Solar Other
				Grid Diesel Generator Solar Other
				Grid Diesel Generator Solar Other

5. Challenges & Suggestions

Main challenges faced in using electrified equipment Suggestions for improvement or comments