Agriculture Production Risk Assessment Form
Complete this form to evaluate key risks in agricultural production. All questions are focused on identifying and assessing potential risks affecting crops and farming operations.
Assessment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Farm or Field Location
*
Primary Crop Type
*
Please Select
Grains (e.g., wheat, corn, rice)
Vegetables
Fruits
Legumes
Oilseeds
Other
Which of the following risk factors apply to your production? (Select all that apply)
*
Drought
Flooding
Pests or disease
Market price volatility
Input supply disruption
Labor shortage
Other
How likely are you to experience significant production loss this season?
*
Very Unlikely
1
2
3
4
Very Likely
5
1 is Very Unlikely, 5 is Very Likely
Estimate the potential percentage of production loss due to identified risks
*
Have you experienced any major losses in the past 3 years?
*
Yes
No
Which risk management practices do you currently use? (Select all that apply)
*
Crop rotation
Irrigation management
Integrated pest management
Crop insurance
Diversification
Other
Rate the effectiveness of your current risk management strategies
*
1
2
3
4
5
Additional comments or observations regarding production risks
Submit Assessment
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