NAHMS 178 VS Initial Visit Questionnaire

United States
Department of
Agriculture
Animal and
Plant Health
Inspection
Service

Swine 2006
Initial VS Visit

National Animal
Health Monitoring
System
2150 Centre Ave., Bldg. B
Fort Collins, CO
80526-8117
Form Approved
OMB Number 0579Approval expires 08/31/09

Veterinary
Services

State FIPS:__________ Operation #:_________ Site #:_________ Interviewer:___________ Date:
2 digits
4 digits
2 digits
initials

/
/
mm/dd/yy

Arrival time at site: ____________

Collection Period: September 5–November 17, 2006

Section 1—Today's Inventory
INTERVIEWER'S INSTRUCTION: It is important that you and the Producer complete this questionnaire for the same
sites for which NASS completed the General Swine Farm Report (GSFR). So before your Initial visit, fill in the
shaded column below using the SITE inventory (or operation inventory if there is only one site) found on page 2, item
4 of the GSFR.
Then complete Today's Inventory column during your visit. By using the GSFR numbers as a comparison, you should
be able to confirm that you and the Producer are considering the same SITE when completing this questionnaire.
Note that the numbers may not match exactly but will probably be similar.
From GSFR questionnaire (section 1, item
4):
a Sows and bred gilts for breeding

As of
June 1:

1. As of today, how many hogs and pigs are:
a

Sows and bred gilts for breeding

b

Unmated gilts in the breeding herd
(replacements)

b

Unmated gilts in the breeding herd
(replacements)

c

Unmated gilts for breeding not yet in the
breeding herd (replacements)

c

Unmated gilts for breeding not yet in the
breeding herd (replacements)

d

Suckling pigs

d

Suckling pigs

e

Boars and young males for breeding

e

Boars and young males for breeding

f

Cull boars, sows and gilts

f

Cull boars, sows, and gilts

g

Weaned market hogs under 60 pounds

h

Market hogs 60 pounds and over
(excluding cull sows, gilts, and boars)

g
h

Weaned market hogs under 60
pounds
Market hogs 60 pounds and over
(excluding cull sows, gilts, and boars)
The total number for this site as of June
1, 2006

Today’s total number of hogs and pigs on
this site?

Î NOTE: Save the yellow copy of this page for the Second visit to compare inventories.
Î NOTE: If the Interviewee has electronic or paper records that would assist this process, ask to bring them
out now.
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it
displays a valid OMB control number. The valid OMB control number for this information collection is 0579-. The time
required to complete this information collection is estimated to average 1.0 hours per response, including the time to review
instructions, search existing data resources, gather the data needed, and complete and review the information collected.

NAHMS-178
SEP 2006

Initial VS Visit

State/Operation/Site: ___________________

Section 2—Sows and Breeding-Age Gilts
This section asks questions about sows and breeding-age gilts that are in the breeding herd. The term "Breeding
Females" is used to describe these pigs for the following questions.
2. Were there any Breeding Females on this site in the last 12 months? [Circle YES or NO in code box.]
If NO, SKIP to “Nursery-Age Pigs,” Section 3 on page 5.
3. In the last 12 months, were any of the following disease problems known or
suspected to have caused sickness or mortality in one or more females in the
breeding herd? If Yes, indicate whether the disease problem was diagnosed by a
veterinarian or a laboratory. [Circle YES, NO, or Don’t Know in code boxes a-p.]
a. APP (Actinobacillus pleuropneumoniae)
b. PRRS (Porcine Reproductive and Respiratory Syndrome)
c. Mycoplasma pneumonia
d. Influenza [If NO or Don’t Know, SKIP to item 3e.].
(i) Swine Influenza (H3N2)
(ii) Traditional swine flu (Swine Influenza H1N1)
e. Salmonella
f. Swine dysentery
g. TGE (Transmissible gastroenteritis)
h. Gastric ulcers
i. Pseudorabies
j. Ileitis (Lawsonia intracellularis)
k. Leptospirosis
l. Parvo virus
m. Erysipelas
n. Glasser's disease (Haemophilus parasuis)
o. Roundworms
p. Other disease problems in Breeding Females: (specify:______________)
4. Are Breeding Females usually vaccinated against any of the following diseases?
[Circle YES, NO, or Don’t Know in code boxes a-j.] If Yes, indicate whether the
vaccine was primarily given by feed, water or injection. [Circle 1=Feed,
2=Water, 3=Injection, 4=Other]
a. APP (Actinobacillus pleuropneumoniae)
b. Salmonella
c. Swine dysentery
d. TGE (Transmissible gastroenteritis)
e. Pseudorabies
f. Leptospirosis
g. Parvo virus
h. Erysipelas
i. Glasser's disease (Haemophilus parasuis)
j. Other vaccinations not including Mycoplasma, PRRS, or flu done in Breeding
Females: (specify:_____________)

Present in
Breeding
Females in last
12 months?
Code
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4

Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1

No3
No3
No3
No3
No3
No3
No3
No3
No3

D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4

Yes1 No3 D/K4

July 27, 2006

No3

Yes1

If Yes, was it
diagnosed by
either a veterinarian or a lab?
Code
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4

F
1
1
1
1
1
1
1
1
1

If Yes,
Code
W I
2 3
2 3
2 3
2 3
2 3
2 3
2 3
2 3
2 3

O
4
4
4
4
4
4
4
4
4

1

2

4

Code

5. Are Breeding Females usually vaccinated against Mycoplasma pneumonia during the following time
periods? [Circle YES, NO, or Don’t Know in code boxes a-g.] (Circle all NO if do not vaccinate
against Mycoplasma.)
a. Prior to entering the breeding herd, i.e., as young pigs
b. As gilts at time of entering the breeding herd
c. During gestation up to 4 weeks BEFORE farrowing
d. During the LAST 4 weeks of gestation
e. From farrowing through weaning
f. After weaning through the breeding period
g. At regular intervals, regardless of reproductive stage

Page 2

Code

3

Code
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1

No3 D/K4
No3 D/K4
No3 D/K4
No3 D/K4
No3 D/K4
No3 D/K4
No3 D/K4

Swine 2006

State/Operation/Site:______________________

Initial VS Visit

6. Are Breeding Females usually vaccinated against Porcine Reproductive and Respiratory
Syndrome during the following time periods? [Circle YES, NO, or Don’t Know in code boxes a-g.]
(Circle all NO if do not vaccinate against PRRS.)
If 6b-g are all NO or Don’t Know, SKIP to item 9.
a. Prior to entering the breeding herd, i.e., as young pigs
b. As gilts at time of entering the breeding herd
c. During gestation up to 4 weeks BEFORE farrowing
d. During the LAST 4 weeks of gestation
e. From farrowing through weaning
f. After weaning through the breeding period
g. At regular intervals, regardless of reproductive stage

Code
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1

No3
No3
No3
No3
No3
No3
No3

D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4

7. Were any of the following types of PRRS vaccines used in Breeding Females in the last 12 months?
[Circle YES, NO, or Don’t Know in code boxes a-c.]
a. Commercial modified live or killed PRRS vaccine
b. Autogenous PRRS vaccine
c. On-farm serum exposure

Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4

8. Has more than one BRAND or TYPE of PRRS vaccine been used in Breeding Females in the last
12 months? [Circle YES, NO, or Don’t Know in code box.]

Code
Yes1 No3 D/K4

9. Are any of the following measures used SPECIFICALLY to control or prevent PRRS in Breeding
Females? [Circle YES, NO, or Don’t Know in code boxes a-f.] (NOTE: Circle NO if measure is taken
but not specifically to control/prevent PRRS.)
a. Obtain replacement gilts from PRRS-negative source
b. Test replacement gilts for PRRS
c. Expose incoming gilts to PRRS
d. Closed herd to new gilt introduction (e.g., no purchased gilts)
e. Use only PRRS-negative semen or breeding boars
f. Other measures not including vaccination (specify: _________________________)
10. Regarding “new” swine flu (H3N2), are Breeding Females usually vaccinated against swine flu
H3N2 during the following time periods? [Circle YES, NO, or Don’t Know in code boxes a-g.] (Circle
all NO if do not vaccinate against this swine flu. Circle YES if H3N2 is part of a vaccine containing
H1N1. Note: If producer doesn’t know, ask to see bottle.)
If 10b-g are all NO or Don’t Know, SKIP to item 12.
a. Prior to entering the breeding herd, i.e., as young pigs
b. As gilts at time of entering the breeding herd
c. During gestation up to 4 weeks BEFORE farrowing
d. During the LAST 4 weeks of gestation
e. From farrowing through weaning
f. After weaning through the breeding period
g. At regular intervals, regardless of reproductive stage
11. Were any of the following types of swine flu H3N2 vaccines used in Breeding Females in the last
12 months? [Circle YES, NO, or Don’t Know in code boxes a-b.] (Circle YES if H3N2 is part of a
vaccine containing H1N1.)
a. Commercial killed vaccine for swine flu
b. Autogenous vaccine for swine flu

Swine 2006

July 27, 2006

Code

Code
Yes1
Yes1
Yes1
Yes1
Yes1

No3
No3
No3
No3
No3

D/K4
D/K4
D/K4
D/K4
D/K4

Yes 1 No3 D/K4

Code

Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1

No3
No3
No3
No3
No3
No3
No3

D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4

Code
Yes1 No3 D/K4
Yes1 No3 D/K4

Page 3

Initial VS Visit

State/Operation/Site: ___________________

12. Regarding “traditional” swine flu (H1N1), are Breeding Females usually vaccinated against
TRADITIONAL swine flu (H1N1) during the following time periods? [Circle YES, NO or Don’t Know
in code boxes a-g.] (Circle all NO if do not vaccinate against traditional swine flu. Circle YES if
H1N1 is part of a vaccine containing H3N2. Note: If producer doesn’t know, ask to see bottle.)
If 12b-g are all NO or Don’t Know, SKIP to item 14.
a. Prior to entering the breeding herd, i.e., as young pigs

Code

Yes1 No3 D/K4

b. As gilts at time of entering the breeding herd

Yes1 No3 D/K4

c. During gestation up to 4 weeks BEFORE farrowing

Yes1 No3 D/K4

d. During the LAST 4 weeks of gestation
e. From farrowing through weaning
f. After weaning through the breeding period
g. At regular intervals, regardless of reproductive stage

Yes1
Yes1
Yes1
Yes1

13. Were any of the following types of TRADITIONAL swine flu (H1N1) vaccines used in Breeding
Females? [Circle YES, NO, or Don’t Know in code boxes a-b.] (Circle YES if H1N1 is part of a
vaccine containing H3N2.)
a. Commercial killed vaccine for swine flu

No3
No3
No3
No3

D/K4
D/K4
D/K4
D/K4

Code
Yes1 No3 D/K4

b. Autogenous vaccine for swine flu

Yes1 No3 D/K4

14. In the last 12 months, were any Breeding Females given antibiotics to TREAT disease conditions?
[Circle YES or NO in code box.] (Circle NO if no disease in Breeding Females.)

Code
Yes1

15. Who is the primary decision maker for deciding which antibiotics are used to treat sick Breeding
Females on this site? (Enter only one code from List 1 below.)

No3

Code

List 1
1. Owner of operation
2. Farm manager on site but not the owner
3. Local veterinary practitioner
4. Consulting or second-opinion veterinarian
5. Company veterinarian or company nutritionist
6. Service manager who oversees more than one site
7. Other (specify:________________________________)
8. Don’t use antibiotics to treat sick Breeding Females
16. In the last 12 months, were any of the following disease problems known or
suspected to have caused sickness or mortality in one or more PREWEANED
(suckling) pigs? If Yes, indicate whether the disease problem was diagnosed by a
veterinarian or a laboratory. [Circle YES, NO, or Don’t Know in code boxes a-j.]

Present in
preweaned
pigs in last 12
months?
Code

If Yes, was it
diagnosed by
either a
veterinarian or
lab?
Code

a. PRRS (Porcine Reproductive and Respiratory Syndrome)

Yes1 No3 D/K4 Yes1 No3 D/K4

b. Undifferentiated pneumonia
b. TGE (Transmissible gastroenteritis)
c. Rotavirus
d. E. coli (colibacillosis)
e. Coccidiosis
f. Clostridium
g. Strep. suis (meningitis, polyserositis, arthritis)
h. Greasy pig disease (Staph. hyicus)
i. Navel Infections (perhaps with swollen joints)

Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1

j. Other disease problems in preweaned pigs (specify:________________)

Yes1 No3 D/K4 Yes1 No3 D/K4

Page 4

July 27, 2006

No3
No3
No3
No3
No3
No3
No3
No3
No3

D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4

Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1

Swine 2006

No3
No3
No3
No3
No3
No3
No3
No3
No3

D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4

State/Operation/Site:______________________

Initial VS Visit

Section 3—Nursery-Age Pigs
This section asks questions about all weaned pigs from weaning to approximately 60 pounds. The term "Nursery-Age
pigs" will be used to describe these pigs for the following questions.
17. Were there any Nursery-Age pigs on this site in the last 12 months? [Circle YES or NO in code
box.]
If NO, SKIP to “Grower/Finisher Pigs” section 4 on page 9.
18. Does this site feed most of the Nursery-Age males and females different rations (split-sex
feeding)? [Circle YES or NO in code box.]
If NO, skip to item 19.
a. If YES, how old, in weeks, are the pigs when split-sex feeding is started in the nursery phase?

19. In the last 12 months, were any of the following disease problems known or
suspected to have caused sickness or mortality in one or more of the Nursery-Age
pigs? If Yes, indicate whether the disease problem was diagnosed by a
veterinarian or a laboratory. [Circle YES, NO, or Don’t Know in code boxes a-r.]

Code
No3

Yes1
Code
Yes1

No3

Age in weeks

Present in
Nursery-Age
pigs in last 12
months?

If Yes, was it
diagnosed by

either a
veterinarian or
a lab?

Code

Code

a. APP (Actinobacillus pleuropneumoniae)

Yes1 No3 D/K4 Yes1 No3 D/K4

b. Glasser's disease (Haemophilus parasuis)
c. Mycoplasma pneumonia
d. Influenza [If NO or Don’t Know, SKIP to item 19e.]
(i) Swine Influenza (H3N2)
(ii) Traditional swine flu (Swine Influenza H1N1)
e. PRRS (Porcine Reproductive and Respiratory Syndrome)
f. Salmonella
g. Swine dysentery
h. TGE (Transmissible gastroenteritis)
i. E. coli diarrhea
j. Other diarrhea
k. Edema disease (E. coli enterotoxemia)
l. Postweaning Multisystemic Wasting Syndrome (PMWS aka PCVAD)
m. Porcine dermatitis and nephropathy syndrome (PDNS)
n. Greasy pig disease (Staph. hyicus)
o. Strep. suis (Strep. meningitis)
p. Roundworms
q. Lice
r. Other disease problems in Nursery-Age pigs (specify:_______________)

Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1

No3
No3
No3
No3
No3
No3
No3
No3
No3
No3
No3
No3
No3
No3
No3
No3
No3
No3
No3

D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4

20. Are pigs usually vaccinated against Mycoplasma pneumonia while in the nursery phase? [Circle
YES, NO, or Don’t Know in code box.] (This response MUST agree with items 22g and 44h.)
If NO or Don’t Know, SKIP to item 22.

Swine 2006

July 27, 2006

Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1

No3
No3
No3
No3
No3
No3
No3
No3
No3
No3
No3
No3
No3
No3
No3
No3
No3
No3
No3

D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4

Code
Yes1 No3 D/K4

Page 5

Initial VS Visit

State/Operation/Site: ___________________

21. At what age in weeks do Nursery-Age pigs typically receive doses of Mycoplasma vaccine?

Age in weeks

a. 1st dose
b. 2nd dose (Write in “N/A” if only one dose given.)
c. 3rd dose (Write in “N/A” if only one or two doses given.)
22. Are any of the following measures used SPECIFICALLY to control or prevent Mycoplasma
pneumonia in Nursery-Age pigs? [Circle YES, NO, or Don’t Know in code boxes a-k.] (Circle NO if
measure is taken but not specifically to control/prevent Mycoplasma pneumonia.)

Code

a. Early weaning at 16 days or less with no antibiotics

Yes1 No3 D/K4

b. Early weaning at 16 days or less with antibiotics in feed or water or by injection

Yes1 No3 D/K4

c. Early weaning at more than 16 days with antibiotics in feed or water or by injection

Yes1 No3 D/K4

d. All-in, all-out in farrowing phase

Yes1 No3 D/K4

e. All-in, all-out in nursery phase

Yes1 No3 D/K4

f. Vaccinate sows and gilts with Mycoplasma vaccine (This response MUST agree with item 5.)

Yes1 No3 D/K4

g. Vaccinate Nursery-aged pigs with Mycoplasma vaccine (This response MUST agree with items 20
and 44h.)
h. Treat pigs showing clinical signs of pneumonia with antibiotics
i. Treat healthy pigs that share pen or air space with ill pigs as preventive measure
j. Treat sows to reduce or prevent infection of piglets
k. Other measures taken (specify: __________________________)
23. Are pigs usually vaccinated against PRRS while in the nursery phase? [Circle YES, NO, or Don’t
Know in code box.]
If NO or Don’t Know, SKIP to item 27.
24. At what age, in weeks, do Nursery-Age pigs typically receive doses of PRRS vaccine?

Yes1 No3 D/K4
Yes1
Yes1
Yes1
Yes1

No3
No3
No3
No3

D/K4
D/K4
D/K4
D/K4

Code
Yes1 No3 D/K4
Age in weeks

a. 1st dose
b. 2nd dose (Write in “N/A” if only one dose given.)
c. 3rd dose (Write in “N/A” if only one or two doses given.)
25. Were any of the following types of PRRS vaccines used in Nursery-Age pigs in the last 12 months?
Code
[Circle YES, NO, or Don’t Know in code boxes a-c.]
a. Modified live PRRS vaccine
Yes1 No3 D/K4
b. Autogenous PRRS vaccine
Yes1 No3 D/K4
c. On-farm serum vaccination
Yes1 No3 D/K4
26. Has more than one BRAND or TYPE of PRRS vaccine been used in the last 12 months in NurseryAge pigs? [Circle YES, NO, or Don’t Know in code box.]

Code
Yes1 No3 D/K4

27. Are any of the following measures used SPECIFICALLY to control or prevent PRRS in NurseryAge pigs? [Circle YES, NO, or Don’t Know in code boxes a-g.] (Circle NO if measure is taken but
not specifically to control/prevent PRRS.)
a. Obtain weaned pigs from PRRS-negative sow herd
b. Obtain early weaned pigs from stable PRRS-positive sow herds
c. Single (limited) source of weaned pigs
d. Matched source of weaned pigs for PRRS status
e. Nursery depopulation (unit completely emptied and cleaned/disinfected)
f. Obtain weaned pigs from farrowing rooms that limit cross-fostering
g. Other measures not including vaccinations (specify: ___________________________)
28. Are pigs usually vaccinated against swine flu (H3N2) while in the nursery phase? [Circle YES, NO,

Page 6

July 27, 2006

Code
Yes1 No3 D/K4
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1

No3
No3
No3
No3
No3
No3

Code

Swine 2006

D/K4
D/K4
D/K4
D/K4
D/K4
D/K4

State/Operation/Site:______________________

Initial VS Visit

or Don’t Know in code box.] (Circle YES if H3N2 is part of a vaccine containing H1N1. Note: If
producer doesn’t know, ask to see bottle.)
If NO or Don’t Know, SKIP to item 31.
29. At what age, in weeks, are Nursery-Age pigs usually vaccinated against swine flu (H3N2)?

Yes1 No3 D/K4

Age in Weeks

a. 1st dose
b. 2nd dose (Write in “N/A” if only one dose given.)
c. 3rd dose (Write in “N/A” if only one or two doses given.)
30. Were any of the following types of swine flu (H3N2) vaccines used in Nursery-Age pigs
in the last 12 months? [Circle YES, NO, or Don’t Know in code boxes a-b.]
a. Commercial killed vaccine for swine flu
b. Autogenous vaccine for swine flu

Code
Yes1 No3 D/K4
Yes1 No3 D/K4

31. Are pigs usually vaccinated against TRADITIONAL swine flu (H1N1) while in the nursery phase?
[Circle YES, NO, or Don’t Know in code box.] (Circle YES if H1N1 is part of a vaccine containing
H3N2. Note: If producer doesn’t know, ask to see bottle.)
If NO or Don’t Know, SKIP to item 34.
32. At what age, in weeks, are Nursery-Age pigs usually vaccinated against TRADITIONAL swine flu
(H1N1)?
a. 1st dose
b. 2nd dose (Leave blank if only one dose given.)
c. 3rd dose (Leave blank if only one or two doses given.)

Code
Yes1 No3 D/K4

Age in Weeks

33. Were any of the following types of TRADITIONAL swine flu (H1N1) vaccines used in Nursery-Age
pigs in the last 12 months? [Circle YES, NO, or Don’t Know in code boxes a-b.]
a. Commercial killed vaccine for swine flu
b. Autogenous vaccine for swine flu

Code
Yes1 No3 D/K4
Yes1 No3 D/K4

34. Who is the primary decision maker for deciding which antibiotics are used to treat sick Nursery-Age
pigs? (Enter only one code from List 2 below.)

Code

35. Who is the primary decision maker for deciding which antibiotics are used for growth promotion of
Nursery-Age pigs? (Enter only one code from List 2 below.)

Code

List 2
1. Owner of operation
2. Farm manager on site but not the owner
3. Local veterinary practitioner
4. Consulting or second-opinion veterinarian
5. Company veterinarian or company nutritionist
6. Service manager who oversees more than one site
7. Other (specify:________________________________)
8. Don’t use antibiotics for sickness or growth promotion in Nursery-Age pigs
36. For the MOST RECENT occurrence of a respiratory disease outbreak in Nursery-Age pigs that
happened in the last 12 months, which of the following best describes the action taken? (Antibiotics
can be in water/feed or by injection.) (Enter only one code from List 3 below.)

Code

List 3
1. Did not treat any pigs with antibiotics
2. Treated only clinically ill pigs with antibiotics
3. Treated all pigs in same pen with clinically ill pigs with antibiotics
4. Treated all pigs in same pen and pens adjacent to clinically ill pigs with antibiotics
5. Treated all pigs in entire room with clinically ill pigs with antibiotics (all pigs with shared airspace)
6. Haven't had clinical respiratory disease in Nursery-Age pigs in last 12 months

Swine 2006

July 27, 2006

Page 7

Initial VS Visit

State/Operation/Site: ___________________

37. Show this question to the Producer and for any antibiotics or parasite treatments given by INJECTION for any
reason in the last 6 months to Nursery-Age pigs, enter the primary reason given. (Enter only one code from List
4 on next page.) Note: If NO antibiotics or parasite treatment given by injection, draw a line across the
whole question and write “None Given.”
Primary
Active Ingredient
Trade Name (example)
Reason
a. Ampicillin
Polyflex
b. Amoxicillin
Amoxi-Inject
c. Ceftiofur
Excenel, Naxcel, Excede
d. Erythromycin
Erythro
e. Florfenicol
Nuflor
f. Gentamicin
Garacin
g. Lincomycin
Lincocin
h. Oxytetracycline
LA200, Oxytet, Biomycin
i. Procaine Penicillin G
Pen-G
j. Penicillin Benzathine
BP48, long-acting pen
k. Spectinomycin
Spectam
l. Tylosin
Tylan
m. Doramectin
Dectomax
n. Ivomectin
Ivomec
o. Levamisole
Tramisole, Levasole
p. Tulathromycin
Draxxin
q. Other (specify:________________________ )
38. Show this question to the Producer and for any antibiotics, parasite treatments, or feed additives put in the FEED or
WATER for Nursery-Age pigs in the last 6 months, enter the primary reason given from List 4 and the number of
days (number of days of total use if started, stopped, and started again) used in feed or water. (Enter only one code
from List 4.) (If antibiotic was used but Don’t Know the number of days write “D/K” for Don’t Know.)
Note: If NO antibiotics or treatments given in feed or water, draw a line across the whole question and write
“None Given.”
Active Ingredient
Trade Name (example)
Primary Reason Days in Feed Days in Water
a. Amoxicillin
b. Arsanilic acid
Progen 20%
c. Bacitracin
BMD
d. Bacitracin Zinc
Albac, Baciferm
e. Bambermycins
Flavomycin
f. Carbadox
Mecadox
g. Chlortetracycline
Aureofac, CTC, Chlormax
h. Chlortetracycline/
CSP250
Sulfathiazole/Penicillin
i. Chlortetracycline/
ASP250, Chlormax 250
Sulfamethazine/Penicillin
j. Florfenicol
Nuflor
k. Lincomycin
Lincomix
l. Neomycin & Terramycin
NeoTerra
m. Oxytetracycline
Oxytet, TM50
n. Ractopamine
Paylean
o. Roxarsone
3-Nitro
p. Tiamulin
Denagard
q. Tilmicosin
Pulmotil
r. Tylosin
Tylan
s. Tylosin & Sulfamethazine
Tylan 40 Sulfa-G
t. Virginiamycin
Stafac
u. Other (specify:___________________)

Page 8

July 27, 2006

Swine 2006

State/Operation/Site:______________________

Initial VS Visit

List 4
1. Growth promotion
2. Disease prevention
3. Respiratory disease treatment
4. Enteric (intestinal or GI) disease treatment
5. Polyserositis/meningitis treatment
6. Parasite treatment
7. Other treatments (specify: ___________________)

Section 4—Grower/Finisher Pigs
This section asks questions about all weaned pigs from approximately 60 pounds to market weight. The term
"Grower/ Finisher pigs" will be used to describe these pigs for the following questions.
39. Were there any Grower/Finisher pigs on this site in the last 12 months? [Circle YES or NO in
code box.]
If NO, SKIP to “General Information,” section 5, page 14.
40. Does this site feed most of the Grower/Finisher males and females different rations (split-sex
feeding)? [Circle YES or NO in code box.]
If NO, go to item 41.
a. If YES, how old, in weeks, are the pigs when split-sex feeding is started while
in the grower/finisher phase?
41. In the last 12 months, were any of the following disease problems known or
suspected to have caused sickness or mortality in one or more of the
Grower/Finisher pigs? If Yes, indicate whether the disease problem was
diagnosed by a veterinarian or a laboratory. [Circle YES, NO, or Don’t Know in
code boxes a-r.]
a. APP (Actinobacillus pleuropneumoniae)
b. Glasser's disease (Haemophilus parasuis)
c. Mycoplasma pneumonia
d. Influenza [If NO or Don’t Know, SKIP to item 41e.].
(i) Swine Influenza (H3N2)
(ii) Traditional swine flu (Swine Influenza H1N1)
e. PRRS (Porcine Reproductive & Respiratory Syndrome)
f. Salmonella
g. Pseudorabies
h. Atrophic rhinitis
i. Hemorrhagic bowel syndrome
j. Ileitis (Lawsonia intracellularis)
k. Swine dysentery (bloody scours)
l. Gastric ulcers
m. Erysipelas
n. Postweaning Multisystemic Wasting Syndrome (PMWS aka PCVAD)
o. Porcine Dermatitis and Nephropathy Syndrome (PDNS)
p. Roundworms
q. Mange
r. Other disease problems in Grower/Finisher pigs (specify:_____________)

Present in
Grower/
finisher pigs in
last 12
months?
Code
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4

42. Are pigs usually vaccinated against Mycoplasma pneumonia while in the grower/finisher phase?
[Circle YES, NO, or Don’t Know in code box.] (This response MUST agree with item 44i.)
If NO or Don’t Know, SKIP to item 44.

Swine 2006

July 27, 2006

Code
Yes1

No3

Code
Yes1

No3

Age in Weeks

If Yes, was it
diagnosed by

either a
veterinarian or
lab?
Code
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1 No3 D/K4
Code
Yes1 No3 D/K4

Page 9

Initial VS Visit

State/Operation/Site: ___________________

43. At what age, in weeks, do Grower/Finisher pigs typically receive doses of Mycoplasma vaccine?

Age in Weeks

a. 1st dose
b. 2nd dose (Write in “N/A” if only one dose given.)
c. 3rd dose (Write in “N/A” if only one or two doses given.)
44. Are any of the following measures used SPECIFICALLY to control or prevent Mycoplasma
pneumonia in Grower/Finisher pigs? [Circle YES, NO, or Don’t Know in code boxes a-m.] (Circle
NO if measure is taken but not specifically to control/prevent Mycoplasma pneumonia.)

Code

a. Early weaning at 16 days or less with no antibiotics
b. Early weaning at 16 days or less with antibiotics in feed or water or by injection
c. Early weaning at more than 16 days with antibiotics in feed or water or by injection
d. All-in, all-out in farrowing phase
e. All-in, all-out in nursery phase
f. All-in, all-out in Grower/Finisher phase
g. Vaccinate sows and gilts with Mycoplasma vaccine (This response MUST agree w/ items 5 & 22f.)
h. Vaccinate Nursery-aged pigs with Mycoplasma vaccine (This response MUST agree with items 20
and 22g.)
i. Vaccinate Grower/Finisher pigs with Mycoplasma vaccine (This response MUST agree with item
42.)
j. Treat pigs showing clinical signs of pneumonia with antibiotics
k. Treat healthy pigs that share pen or air space with ill pigs as preventive measure
l. Treat sows to reduce or prevent infection of piglets
m. Other measures taken (specify: __________________________)
45. Are pigs usually vaccinated against PRRS while in the grower/finisher phase? [Circle YES, NO, or
Don’t Know in code box.]
If NO or Don’t Know, SKIP to item 49.
46. At what age, in weeks, do Grower/Finisher pigs typically receive doses of PRRS vaccine?

Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1

No3
No3
No3
No3
No3
No3
No3

D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4

Yes1 No3 D/K4
Yes1 No3 D/K4
Yes1
Yes1
Yes1
Yes1

No3
No3
No3
No3

D/K4
D/K4
D/K4
D/K4

Code
Yes1 No3 D/K4
Age in Weeks

a. 1st dose
b. 2nd dose (Write in “N/A” if only one dose given.)
c. 3rd dose (Write in “N/A” if only one or two doses given.)
47. Were any of the following types of PRRS vaccines used in Grower/Finisher pigs in the last 12
months? [Circle YES, NO, or Don’t Know in code boxes a-c.]

Code

a. Modified live PRRS vaccine

Yes1 No3 D/K4

b. Autogenous PRRS vaccine
c. On-farm serum vaccination

Yes1 No3 D/K4
Yes1 No3 D/K4

48. Has more than one BRAND or TYPE of PRRS vaccine been used in the last 12 months in
Grower/Finisher pigs? [Circle YES, NO, or Don’t Know in code box.]

Code
Yes1 No3 D/K4

49. Are any of the following measures used SPECIFICALLY to control or prevent PRRS in
Grower/Finisher pigs? [Circle YES, NO, or Don’t Know in code boxes a-g.] (Circle NO if measure is
taken but not specifically to control/prevent PRRS.)
a. Obtain weaned pigs from PRRS-negative sow herd
b. Obtain early weaned pigs from stable PRRS-positive sow herds
c. Single (limited) source of weaned pigs
d. Matched source of weaned pigs for PRRS status
e. Nursery depopulation (unit completely emptied and cleaned/disinfected)
f. Obtain weaned pigs from farrowing rooms that limit cross fostering
g. Other measures excluding vaccinations (specify: ___________________________)

Page 10

July 27, 2006

Code
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1

Swine 2006

No3
No3
No3
No3
No3
No3
No3

D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4

State/Operation/Site:______________________

Initial VS Visit

50. Are pigs usually vaccinated against swine flu (H3N2) while in the grower/finisher phase? [Circle
YES, NO, or Don’t Know in code box.] (Circle YES if H3N2 is part of a vaccine containing H1N1.
Note: If producer doesn’t know, ask to see bottle.)
If NO or Don’t Know, SKIP to item 53.
51. At what age, in weeks, are Grower/Finisher pigs usually vaccinated against swine flu (H3N2)?

Code
Yes1 No3 D/K4
Age in Weeks

a. 1st dose
b. 2nd dose (Write in “N/A” if only one dose given.)
c. 3rd dose (Write in “N/A” if only one or two doses given.)
52. Were any of the following types of swine flu (H3N2) vaccines used in Grower/Finisher pigs in the
last 12 months? [Circle YES, NO, or Don’t Know in code boxes a-b.]
a. Commercial killed vaccine for swine flu
b. Autogenous vaccine for swine flu

Code
Yes1 No3 D/K4
Yes1 No3 D/K4

53. Are Grower/Finisher pigs usually vaccinated against TRADITIONAL swine flu (H1N1) while in the
grower/finisher phase? [Circle YES, NO, or Don’t Know in code box.] (Circle YES if H1N1 is part of
a vaccine containing H3N2. Note: If producer doesn’t know, ask to see bottle.)
If NO or Don’t Know, SKIP to item 56.
54. At what age, in weeks, are Grower/Finisher pigs usually vaccinated against TRADITIONAL swine
flu (H1N1)?
a. 1st dose
b. 2nd dose (Write in “N/A” if only one dose given.)
c. 3rd dose (Write in “N/A” if only one or two doses given.)

Code
Yes1 No3 D/K4

Age in Weeks

55. Were any of the following types of TRADITIONAL swine flu (H1N1) vaccines used in
Grower/Finisher pigs in the last 12 months? [Circle YES, NO, or Don’t Know in code boxes a-b.]
a. Commercial killed vaccine for swine flu
b. Autogenous vaccine for swine flu

Code
Yes1 No3 D/K4
Yes1 No3 D/K4

56. Who is the primary decision maker for deciding which antibiotics are used to treat sick
Grower/Finisher pigs? (Enter only one code from List 5 below.)

Code

57. Who is the primary decision maker for deciding which antibiotics are used for growth promotion of
Grower/Finisher pigs? (Enter only one code from List 5 below.)

Code

List 5
1. Owner of operation
2. Farm manager on site but not the owner
3. Local veterinary practitioner
4. Consulting or second-opinion veterinarian
5. Company veterinarian or company nutritionist
6. Service manager who oversees more than one site
7. Other (specify:________________________________)
8. Don’t use antibiotics for sickness or growth promotion in
Grower/Finisher pigs
58. For the MOST RECENT occurrence of a respiratory disease outbreak in Grower/Finisher pigs that
happened in the last 12 months, which of the following best describes the action taken? (Antibiotics
can be in water/feed or by injection.) (Enter only one code from List 6 below.)
List 6
1. Did not treat any pigs with antibiotics
2. Treated only clinically ill pigs with antibiotics
3. Treated all pigs in same pen with clinically ill pigs with antibiotics
4. Treated all pigs in same pen and pens adjacent to clinically ill pigs with antibiotics
5. Treated all pigs in entire room with clinically ill pigs with antibiotics (all pigs with shared airspace)
6. Haven't had clinical respiratory disease in Grower/Finisher pigs in last 12 months

Swine 2006

July 27, 2006

Code

Page 11

Initial VS Visit

State/Operation/Site: ___________________

59. The term "re-sorted" means rearranging individuals in groups of pigs, for example, sorting by size.
This includes moving some finisher pigs from one group/pen to another group/pen but not
individuals to a sick pen. Keeping a group of pigs together and moving them from one pen to
another is not re-sorting.
a. For Grower/Finisher pigs from 60 pounds to market weight, how many times are pigs usually RESORTED? (If wean-to-finish in same pen, the answer would be 0.)
60. Are any of the following supplements or feed types (including premix) in any of the Grower/Finisher
diets? [Circle 1 for YES, 3 for NO, or 4 for Don’t Know in code boxes a-g.]
a. Fish meal
b. Meat or bone meal
c. Soybean meal or other vegetable protein source
d. Other PROTEIN sources (specify: ____________________)
e. Bakery/food manufacture byproducts (not table waste)
f. Animal and/or vegetable fat
g. Distiller’s dried grain (e.g., product of ethanol production)

Number of
times

Code
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1

No3
No3
No3
No3
No3
No3
No3

D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4

61. Show this question to the Producer and for any antibiotics or parasite treatments given by INJECTION for any
reason in the last 6 months to Grower/Finisher pigs, enter the primary reason given. (Enter only one code from
List 7 below.)
Note: If NO specific antibiotics or parasite treatment given, draw a line across the whole question and write
“None Given.”
Primary
Active Ingredient
Trade Name (example)
Reason Code
a. Ampicillin
Polyflex
b. Amoxicillin
Amoxi-Inject
c. Ceftiofur
Excenel, Naxcel, Excede
d. Erythromycin
Erythro
e. Florfenicol
Nuflor
f. Gentamicin
Garacin
g. Lincomycin
Lincocin
h. Oxytetracycline
LA200, Oxytet, Biomycin
i. Procaine Penicillin G
Pen-G
j. Penicillin Benzathine
BP48, long-acting pen
k. Spectinomycin
Spectam
l. Tylosin
Tylan
m. Doramectin
Dectomax
n. Ivomectin
Ivomec
o. Levamisole
Tramisole, Levasole
p. Tulathromycin
Draxxin
q. Other (specify:________________________ )
List 7
1. Growth promotion
2. Disease prevention
3. Respiratory disease treatment
4. Enteric (intestinal or GI) disease treatment
5. Polyserositis/meningitis treatment
6. Parasite treatment
7.Other treatments (specify: _______________)

Page 12

July 27, 2006

Swine 2006

State/Operation/Site:______________________

Initial VS Visit

62. Show the Producer the list below. For any antibiotics or parasite treatments put in the WATER for Grower/Finisher
pigs in the last 6 months, enter the primary reason given from List 7 (previous page) and the number of days
(number of days of total use if started, stopped, and started again) used in water. (Enter only one code from List
7.) (If antibiotic was used but Don’t Know the number of days write “D/K.”) Note: If NO antibiotics or treatments
given, draw a line across the question and write “None given.”
Primary Reason Days in Water
Active Ingredient
Trade Name (example)
a. Bacitracin
BMD soluble
b. Chlortetracycline
CTC, Aureomycin solub
c. Florfenicol
Nuflor
d. Lincomycin & Spectinomycin
LS50
e. Neomycin
Neosol, NeoMix
f. Oxytetracycline
Oxytet solub, Terramycin
g. Penicillin G Potassium
h. Spectinomycin
Spectam sol, Spectogard
i. Sulfachlorpyridazine
Sulid
j. Sulfadimethoxine
Albon
k. Sulfamethazine
Sulmet
l. Tetracycline
Polyotic
m. Tiamulin
Denagard soluble
n. Tylosin
Tylan
o. Levamisole
Tramisole
p. Piperazine
q. Virginiamycin
Stafac
r. Other (specify: ____________________)
63. Show the Producer the list below. For any antibiotics, parasite treatments, or feed additives put in the FEED for
Grower/Finisher pigs in the last 6 months, enter the primary reason given from List 7 (previous page) and the number
of days used in feed. (Enter only one code from List 7.) (If antibiotic was used but Don’t Know the number of days
write “D/K.”) Note: If NO antibiotics or treatment given, draw a line across the question and write “None given.”
Active Ingredient
a. Amoxicillin
b. Arsanilic acid
c. Bacitracin
d. Bacitracin Zinc
e. Bambermycins
f. Carbadox
g. Chlortetracycline
h. Chlortetracycline/Sulfathiazole/Penicillin
i. Chlortetracycline/ Sulfamethazine/Penicillin
j. Florfenicol
k. Lincomycin
l. Neomycin & Terramycin
m. Oxytetracycline
n. Ractopamine
o. Roxarsone
p. Tiamulin
q. Tilmicosin
r. Tylosin
s. Tylosin & Sulfamethazine
t. Dichlorvos
u. Fendbendazole
v. Hygromycin B
w. Ivermectin
x. Levamisole
y. Pyrantel Tartrate
z. Virginiamycin

Trade Name (example)

Primary Reason

Days in Feed

Progen 20%
BMD
Albac, Baciferm
Flavomycin
Mecadox
Aureofac, CTC, Chlormax
CSP250
ASP250, Chlormax250
Nuflor
Lincomix
NeoTerra
Oxytet, TM50
Paylean
3-Nitro
Denagard
Pulmotil
Tylan
Tylan 40 Sulfa-G
Atgard
Safeguard
HygroMix
Ivomec
Tramisol
Banmith
Stafac

ab. Other (specify: __________________)
Swine 2006

July 27, 2006

Page 13

Initial VS Visit

State/Operation/Site: ___________________

Section 5—General Information
64. In the last 12 months, have any weaned market pigs shown any
of the following signs? If Yes, indicate the percentage of Head
affected (in the middle column) and circle the highest level of
response taken (Circle number of response from List 8
below in the right column).
[Circle YES, NO, or Don’t Know in code box for a-f.]
If NO weaned pigs circle N/A, SKIP to Office Use Only, and
be sure items 17 and 39 are both No.
a. Combination of skin blotches, matted eyes, and diarrhea
b. Unusually high number of pigs unwilling to eat or stand up
c. Unusually high number of pigs that have died
d. Difficulty breathing
e. Lame pigs with reddened areas above the hooves
f. Blisters on snouts
Note: If ALL NO or Don’t Know, SKIP to item 66.

Present in
weaned market
pigs in the last
12 months

If Yes, what
was the
percent of
Head affected?

If Yes, what
was the highest
level of
response or
action taken?

N/A
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1

No3
No3
No3
No3
No3
No3

D/K4
D/K4
D/K4
D/K4
D/K4
D/K4

%
%
%
%
%
%

1
1
1
1
1
1

2
2
2
2
2
2

3
3
3
3
3
3

4
4
4
4
4
4

List 8
1. Did nothing
2. Self-treated on the operation
3. Sought non-veterinarian assistance off the operation (e.g., field manager)
4. Sought veterinarian or veterinary diagnostic laboratory assistance

65. Which of the following best describes the outcome of antibiotic treatment for the majority of the
cases in the previous question? [Enter only one code from list 9 below]

Code

List 9
1. Symptoms responded positively with antibiotics
2. Symptoms unresponsive to given antibiotics
3. Antibiotics not given
4. Don’t know if treated with antibiotics

66. Did you have any Grower/Finisher pigs with ileitis in the last 12
months? [Circle YES, NO, or Don’t Know in the code box.] If
YES what was the earliest and latest age in weeks you
observed ileitis’s first onset in these pigs?
Note: This should agree with item 41j.

Code

Earliest Age

Latest Age

Yes1 No3 D/K4
weeks

67. In the last 12 months, was Postweaning Mortality and Wasting Syndrome (PMWS aka PCVD)
present in one or more weaned pigs in your herd? Note: This should agree with items 19l and 41n.
[Circle YES, NO, or Don’t Know in code box.]
If NO or Don’t Know, SKIP to Office Use Only section.
68. What percentage of all Weaned pigs were affected (morbidity) by PMWS in the last 12 months?

weeks

Code
Yes1 No3 D/K4
Percent
%

69. What was the earliest and latest age in weeks you observed PMWS first onset in
weaned pigs?

Page 14

July 27, 2006

Earliest Age

Latest Age
weeks

Swine 2006

State/Operation/Site:______________________

Initial VS Visit

70. In weaned pigs with PMWS, which of the following clinical signs did you observe? [Circle YES,
NO, or Don’t Know in code boxes a-h.]
a. Difficulty breathing
b. Rapid weight loss (wasting)
c. Enlargement of mandibular or inguinal lymph nodes
d. Diarrhea
e. CNS signs (including stereotypic activity)
f. Yellowing of skin
g. Off feed
h. Death

Code
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1
Yes1

71. The USDA is currently planning a 2-3 year study of swine that includes quarterly visits by data.
collectors. Participation would be voluntary and confidential. Incentives for you to participate
might include free testing for certain pathogens within your herd. Would you be interested in
obtaining more information about this project when it becomes available?

No3
No3
No3
No3
No3
No3
No3
No3

Yes1

Concordance Worksheet
The following table lists the questions that need to have matching answers. You can use this worksheet to help
record the answers as you go through the survey or as a validation check at the end. Use whatever method works
best for you to ensure that the answers agree, but note that this is just a worksheet for your use and is not a part of
the survey.
Topic

Question

Page #

Vacc Sows/Gilts for
Mycoplasma

5
22f
44g

2
6
10

Vacc Nursery Pigs
for Mycoplasma

20
22g
44h

5
6
10

Vacc
Grower/Finishers for
Mycoplasma

42

9

44i

10

17
39

5
9

64

14

19l
41n

5
9

67

14

41j
66

9
14

Presence of
Weaned Pigs on site

Suspicion of PMWS

Presence of ileitis in
Grower/Finishers

Response

Comments

Nursery Pigs
Grower/Finishers
Weaned market pigs—must be
“yes” if either 17 or 39 is “yes”
in Nursery Pigs
in Grower/Finishers
in Weaned Pigs—must be “yes” if
either 19l or 41n is “yes”

Continue to next page to complete the Office Use Only section

Swine 2006

July 27, 2006

Page 15

D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4
D/K4

No3

Initial VS Visit

State/Operation/Site: ___________________

Office Use Only
State FIPS:______ Operation #:_________ Site #:__________ Interviewer:_______ Date:
2 digits
4 digits
2 digits
initials

/
/
mm/dd/yy

72.

Total time for interview including time to discuss the program and complete the questionnaire.
If more than 1 data collector present, enter the combined time.
_______ min

73.

Total travel time round-trip.
If more than 1 data collector present, enter the combined travel time.

74.

Data collector(s)
(Enter the number for each category)

_______ min

_____ Federal VMO
_____ Federal AHT
_____ State personnel _____ Other (specify in margin)

75. Enter response code 99 if questionnaire is completed or enter one code (00–07) that
best describes the reason why the owner is not participating

_______ code

99 = Survey completed
00 = Producer not contacted by VMO
01 = Poor time of year to contact or no time available to participate
02 = Doesn’t want anyone on operation
03 = Bad experience with government veterinarian(s)
04 = Doesn’t want to do another survey or divulge information
05 = Told NASS they didn’t want to be contacted by VS
06 = Ineligible (no longer in operation)
07 = Other (explain in the comments section below)
76.

Will blood samples be taken?

1

Yes

77.

Is the Producer willing to participate in the fecal sampling if selected?

1

Yes

78.

Which of the following best describes interviewee’s position with this site?

2

Not offered

3

No

3

No

_______ code

1 = owner
2 = manager
3 = family member (other than owner or manager)
4 = other hired employee
5 = other (specify: _______________)
79.

Producer data quality

80.

Comments regarding this questionnaire or operation:

1

Good/Excellent

2

OK

3

Poor

VMO or AHT Signature:___________________________________________________

TO BE COMPLETED BY COORDINATOR:
81.

Field data quality

Page 16

1

Good/Excellent

2

OK

July 27, 2006

3

Poor

Swine 2006