QID 10100 Area questionnaire

NATIONAL
AGRICULTURAL
STATISTICS
SERVICE

20XX
EQUINE SURVEY

[State] Agricultural Statistics Service
PO Box 9999
City, State ZIP99-9999
Phone: (999) 999-9999
Fax: 999-999-9999
http://w~wv.nass.usda.gov/[FIPS]

(AREA QUESTIONNAIRE MASTER)
Authority for collection of information on the Equine SuP~ey is
Title 7, Section 2204 ofthe U.S. Code. The information wilt be used
to compile and publish agricultural estimates for Virginia.
Individual reports are held confidential. Response is volunta[y.

Segment Number:
State

Form Approved
O.M.B. Number 05354)227
Approval Expires xx/xx/xx

County:

Tract Letter:

Stratum

Segment

Tract No

00000

99

OL~OL

00

925

I need to make sure we have your (the operator’s) correct name and mailing address.

Name of
Farm, Ranch,
or Operation:
Name of
Operator:
(First)

(Middle)

(Last)

Mailing
Address:
(Route or Street)
(City)

(State)

(Zip Code)

~hone: ( _)(A~a-’Code)

SECTION 1 - ACREAGE
1. How many acres are inside this blue tract boundary drawn on the photo (map)? ........ s40
Now I would like to ask about the total acres operated,
901

+
2a. On June 1, how many acres did you or this operation own? .................
902

2b. Rent from others? (Exclude land used on an animal unit month (A UM) basis) .. +
905

2c. Rent to others? .................................................... 2d. [Total ofltems 2a + 2b - 2c.]
Then the total acres operated (must be greater than or equal to Item 1) ..............

900
=

SECTION 2 - EQUINE INVENTORY
MULES~
HORSES DONKEYS OR
AND PONIES BURROS

How many of the equine [horses, ponies, mules, or donkeys] does this operation 21 l
own? ..................................................... Number

On June 1, how many equine [horses, ponies, mules, or donkeys] regardless of 209
ownership, were on the total acres operated? .....................Number
(If NONE continue, otherwise skip to Item 4)

212

208

3. If there are no equine on the total acres operated (Item 2), where are the Item 1 equine kept or boarded?
(Record name and address where boarded)
Name

Street Address
City, State, Zip

4. Which of the following best describes the MOST IMPORTANT ACTIVITY of your operation?
[] 1 - Commercial boarding, training, riding, or show/event facility
Office Use
[] 2 - Commercial or private breeding or breeding service place
213
[] 3 - Farm
[] 4 - A place to keep horses, ponies, or other equine for personal use?
[] 5 - Other (Specify:
.) ?

Enumerator:
Date:

Note. Card with burden statement is given to respondents as this is a personally enumerated questionnaire.

098Enumerator ID

I