Agriculture · questionnaire

Sample questionnaire: پیمایش عملکرد برداشت

برای جهاد کشاورزی یا تعاونی: سطح زیر کشت، عملکرد، هزینه و مشکلات فصل.

7 questions · Free up to 50 responses a month

Print-ready Word and PDF files — free, no sign-up.

About this template

“پیمایش عملکرد برداشت” has 7 questions; 4 are required and 3 optional. Question types: Decimal (2), Province / City (1), Dropdown (1), Amount (1), Multiple choice (1), Long text (1). 11 ready-made options across 2 choice questions, all editable in the online version.

In the online version of this template

  • Province and city are chosen from a ready-made list.

Questions in this template

  1. 1.

    شهرستان *

    (Province / City)
  2. 2.

    محصول *

    (Dropdown)
    • گندم
    • جو
    • برنج
    • پسته
    • سیب
    • سایر
  3. 3.

    سطح زیر کشت (هکتار) *

    (Decimal)
  4. 4.

    برداشت (تن) *

    (Decimal)
  5. 5.

    هزینه‌ی کل (تومان)

    (Amount)
  6. 6.

    مشکلات فصل

    (Multiple choice)
    • کم‌آبی
    • آفت
    • قیمت پایین
    • کمبود نهاده
    • نبود بازار
  7. 7.

    توضیح

    (Long text)

Printable version (Word & PDF)

  • For filling in on paper, signing and filing by hand
  • Edit the Word file any way you like
  • Collecting and typing up the answers is up to you

Online version on Porsino

  • Answers are collected and organised automatically — no retyping
  • National ID, mobile number and dates are validated instantly
  • Ready-made reports and charts, plus Excel export in one click
  • Share a link or QR code — it works on mobile too

How do I use this template?

  1. Sign up for Porsino for free; no bank card needed.
  2. In the panel, open “Templates” and choose “پیمایش عملکرد برداشت”.
  3. Change the questions as you like, publish the form and send the link.
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