Name

Farm Name

Address

What type of farming do you engage in?

• Crop Farming

• Livestock Farming

• Mixed Farming

Crops or Livestock Raised

What challenges have you faced this year in farming?

How would you rate the quality of farming support services?

e.g., extension services, training programs

Are there any additional resources or support you need to improve your farm?

How has the weather or climate affected your farm this year?

Suggestions for improving agricultural support or farming practices:

Would you be interested in receiving information on new farming techniques or government programs?