Producer Evaluation Form
Producer Name
First Name
Last Name
Producer Age
Producer Date of Birth
-
Month
-
Day
Year
Date
Producer Gender
Please Select
Male
Female
Phone Number
-
Area Code
Phone Number
Producer Email
example@example.com
Farm Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Size of Farm
Acre
Evaluate the Vegetative Stage
Before the Harvest
-
Month
-
Day
Year
Date
Early maturity
Poor
Average
Good
Perfect
Drought Tolerance
Poor
Average
Good
Perfect
Overall Evaluation
Poor
Average
Good
Perfect
At the Harvest
-
Month
-
Day
Year
Date
Cob Size
Poor
Average
Good
Perfect
Well-filled
Poor
Average
Good
Perfect
Yield
Poor
Average
Good
Perfect
Detailed Comments
Overall Farmer Evaluation
0
1
2
3
4
5
Worst
Best
0 is Worst, 5 is Best
Signature
Evaluated by
First Name
Last Name
Date Signed
-
Month
-
Day
Year
Date
Submit
Should be Empty: