Plant Disease Identification Survey
Help us identify and track plant diseases by providing detailed information about observed symptoms and conditions.
Your Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Location of Affected Plant (Address or GPS coordinates)
*
Plant Species or Variety
*
Upload Clear Photos of the Affected Plant (close-up and overall view)
*
Upload a File
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Choose a file
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When did you first notice the symptoms?
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Which parts of the plant are affected?
*
Leaves
Stems
Roots
Flowers
Fruits
Other
Describe the symptoms you observed (e.g., spots, discoloration, wilting, mold)
*
Rate the severity of the symptoms observed
*
1
2
3
4
5
Environmental Conditions (last 2 weeks)
*
Rows
Temperature
Rainfall
Humidity
Week 1
Below 10°C
10-20°C
21-30°C
Above 30°C
None
Low
Moderate
Heavy
Low
Moderate
High
Week 2
Below 10°C
10-20°C
21-30°C
Above 30°C
None
Low
Moderate
Heavy
Low
Moderate
High
Have you noticed similar symptoms in neighboring plants?
*
Yes
No
Not Sure
What actions have you taken so far to address the issue?
Removed affected parts
Applied pesticide/fungicide
Changed irrigation/fertilization
No action taken
Other
How frequently have the symptoms appeared?
*
Once
Occasionally
Regularly
Continuously
Any additional comments or observations?
Submit Survey
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