Please enable JavaScript in your browser to complete this form.1Please provide the standard contact information below.2Land Available3Customer Satisfaction SurveyName *FirstLastGender *MaleMaleFemaleFarm/CompanyAddress *Address Line 1CityState / Province / RegionPhone *Email *NextCoffee Farm Coverage (Acres) * 1 - 5 acres6 - 10 acres11 - 20 acres21 - 50 acresAbove 50 Total Land AvailableTotal Land Available 1 - 5 acresTotal Land Available 6 - 10 acresTotal Land Available 11 - 20 acresTotal Land Available 21 - 50 acresTotal Land Available Above 50Total Land under CoffeeTotal Land under Coffee 1 - 5 acresTotal Land under Coffee 6 - 10 acresTotal Land under Coffee 11 - 20 acresTotal Land under Coffee 21 - 50 acresTotal Land under Coffee Above 50Extra Land for Coffee ExpansionExtra Land for Coffee Expansion 1 - 5 acresExtra Land for Coffee Expansion 6 - 10 acresExtra Land for Coffee Expansion 11 - 20 acresExtra Land for Coffee Expansion 21 - 50 acresExtra Land for Coffee Expansion Above 50 Number of trees 0 to 1 year? *Number of trees 1 to 3 year? *Number of trees above 3 year? * Do you live on the land you farm (is it a family farm)? *YesNoMembership to Farmer Organization or Cooperative Society? *YesNoName of Farmer Group / Organization / Cooperative Society? *Access to Water for Farming? *YesNoPlease select the water source *Groundwater from wellsReservoirs / Ponds / irrigation DitchesSwamp / Stream / River / LakeThe Uganda Coffee Development Authority (UCDA) and MAAIF have launched a campaign titled “Renovate and Rehabilitate your Coffee; Every Tree Counts” were they will train farmers on good agricultural practices (GAPs) such as stumping overgrown coffee trees to increase their yield, distribute fertilizers to coffee farmers who comply etc. Select all services you are interested in as a Coffee Farmer? *Free CWDr KR ClonesFree FertilizersGAPs TrainingFree farm tools eg Hoes, Secateurs, water drums etcNone, Not interested in the participationNOTE: MIGGADDE YOUTH FARM only collects interested farmers' information and forwards it to UCDA. We neither participate in the approval process nor influence any decisions from UCDA. PreviousNextHow long have you been a customer of MIGGADDE YOUTH FARM? *Less than 6 months6 months to a year1 - 2 yearsMore than 2 yearsI am not a customerWhich of the following products / services have you purchased from MIGGADDE YOUTH FARM before? (Please select all that apply.) *Coffee Wilt Disease resistant (CWDr) KR clonesClonal Mother Garden / Nursery OperationsExtension servicesHow satisfied are you with MIGGADDE YOUTH FARM? * Very UnsatisfiedUnsatisfiedNeutralSatisfiedVery Satisfied ProductsProducts Very UnsatisfiedProducts UnsatisfiedProducts NeutralProducts SatisfiedProducts Very SatisfiedServicesServices Very UnsatisfiedServices UnsatisfiedServices NeutralServices SatisfiedServices Very SatisfiedResponse to questionsResponse to questions Very UnsatisfiedResponse to questions UnsatisfiedResponse to questions NeutralResponse to questions SatisfiedResponse to questions Very Satisfied How likely are you to * Very UnlikelyUnlikelyNeutralLikelyVery Likely Buy from us againBuy from us again Very UnlikelyBuy from us again UnlikelyBuy from us again NeutralBuy from us again LikelyBuy from us again Very LikelyRecommend our product to othersRecommend our product to others Very UnlikelyRecommend our product to others UnlikelyRecommend our product to others NeutralRecommend our product to others LikelyRecommend our product to others Very LikelyRecommend our company to othersRecommend our company to others Very UnlikelyRecommend our company to others UnlikelyRecommend our company to others NeutralRecommend our company to others LikelyRecommend our company to others Very Likely Additional comments or suggestionsPreviousSubmit Share this:FacebookX
