NAHMS 284 NAHMS Dairy 2014 Needs Assessment Survey

1. NAHMS Dairy 2014 Needs Assessment Survey

OMB Approved
0579-XXXX
EXP. XX/XXXX

Thank you in advance for providing input for the National Animal Health Monitoring System (NAHMS) study of the U.S. 
Dairy Industry in 2014. To most effectively meet the needs of the dairy industry and its allied groups we are requesting 
input to assist in establishing the study’s objectives. The study will be conducted from January through September 2014. 

1. Indicate your primary involvement with the dairy industry:
j Dairy Producer
k
l
m
n

j Veterinary practitioner / consultant
k
l
m
n
j Nutritionist
k
l
m
n

j University / extension
k
l
m
n

j Federal or State government
k
l
m
n

j Allied Industry (Pharmaceutical company, etc)
k
l
m
n
j Other (please specify)
k
l
m
n

2. If a Dairy Producer, indicate the number of milking cows.

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a valid OMB control number. The OMB control number for this information collection is 0579-XXXX. The time required
to complete this information collection is estimated to average .25 hours per response, including the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
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2. NAHMS Dairy 2014 Needs Assessment Survey

Select from the pull­down menus your top three priorities related to management issues. 

3. Select your priority for the topics of focus for management issues.
Priority 1
Topics

Priority 2

6

Priority 3

6

6

4. Note any additional management issues that are of interest and not covered in the
priority list.

Example:  
Issue #1: Udder Health 
Specific areas of interest: 
a: Mycoplasma mastitis 
b: Milking system evaluations 

5. For each of the three top priority management issues chosen, list two specific areas of
interest:
Priority #1 ­ Interest a
Priority #1 ­ Interest b
Priority #2 ­ Interest a
Priority #2 ­ Interest b
Priority #3 ­ Interest a
Priority #3 ­ Interest b

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3. NAHMS Dairy 2014 Needs Assessment Survey

Select from the pull­down menus your top three priorities related to disease, disorder or pathogens.  

6. Select your priority for the topics of focus for disease, disorder or pathogen issues.
Please scroll to right if you are unable to see all three priority boxes.
Priority 1
Options

Priority 2

6

Priority 3

6

6

7. Note any other disease, disorder or pathogen topics that are of interest and not covered
in the priority list.

Example: 
Disease#1: BVD 
Specific areas of interest:  
a: Percentage of infected herd 
b: Herd screening options 

8. For each of the three top disease, disorder or pathogen issues chosen, list two specific
areas of interest:
Priority #1 ­ Interest a
Priority #1 ­ Interest b
Priority #2 ­ Interest a
Priority #2 ­ Interest b
Priority #3 ­ Interest a
Priority #3 ­ Interest b

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4. NAHMS Dairy 2014 Needs Assessment Survey

Incentives offered to participants in the NAHMS study 

9. Select from the pull­down menus your top three incentives offered to participating
producers. Please scroll to the right if you are not able to see all three incentive lists.
Choice 1
Choices

Choice 2

6

6

10. Note any other option you might prefer.

11. Other Comments:
5
6  
THANK YOU FOR YOUR INPUT! 

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MAR 2012

Choice 3

6