Form NAHMS 285 NAHMS 285 NAHMS Equine 2015 Needs Assessment

OMB CONTROL NO.

0579-XXXX

EXP. DATE

NAHMS Equine 2015 Needs Assessment

This survey has been developed to allow the National Animal Health Monitoring System (NAHMS) to better set priorities for the 2015 Equine Study.

1. Number of equine you currently own.

2. Select the category from the following list which best describes your primary involvement in the horse industry:

   1. Veterinarian

   2. Horse Owner

   3. Horse care provider; such as a farm or stable owner or employee

   4. Horse trainer or judge

   5. Other ____________________

3. Select the primary use for the horse(s) you own and/or are involved with from the following list:

   1. Racing for which there is pari-mutuel betting

   2. Showing or competition other than racing

   3. Breeding

   4. Farm or ranch use

   5. Pleasure use or as a companion

   6. Other __________________________________________

4. Select the primary breed of horse you own and/or are involved with from the following list:

   1. Quarter Horse

   2. Thoroughbred or Standardbred

   3. Colored Breed (Paint, Appaloosa, etc.)

   4. Arabian

   5. Any other breed or nonregistered horse­­­­­ ____________________________

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 valid 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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March 2012

5. Rank each of the following general issues as high, medium, or low priority:

   1. Determine occurrence of equine health problems

   2. Determine how often various health management practices, such as vaccination and deworming are implemented.

   3. Assess the impact of management practices on equine health

   4. Assess the impact of horses on the environment (i.e., manure handling) and the environment on horses (i.e., air quality).

   5. Study humane issues such as transport of horses, racing injuries, and geriatric horse care.

   6. Other issue ______________________________

6. Which topic in the previous question is your number one priority for the NAHMS Equine 2015 Study?

   1. Occurrence of equine health problems

   2. Use of health management practices

   3. Impact of management practices

   4. Environmental issues

   5. Humane issues

   6. Other issue __________________________

7. Rank each of the following conditions or problems as high, medium, or low priority:

   1. Respiratory problems such as infections or breathing problems

   2. Digestive problems such as colic or diarrhea

   3. Leg problems such as lameness, injuries or developmental problems

   4. Reproductive problems such as abortion or infertility

   5. Spinal problems such as wobbles

   6. Eye problems such as blindness or injuries

   7. Skin problems such as hair loss or itching

   8. Other ______________________________________________

8. Which condition from the previous question is your number one priority (list only one)?

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March 2012

9. Rank each of the following specific infectious diseases as high, medium, or low priority:

   1. Equine infectious anemia (EIA)

   2. Equine viral arteritis (EVA)

   3. Equine influenza

   4. Strangles, Streptococcus equi

   5. Rhodococcus equi

   6. Vesicular stomatitis (VS)

   7. Equine Herpesviruses, rhinopheumonitis

   8. Equine protozoal myelitis (EPM)

   9. Salmonellosis

   10. Equine rotavirus

   11. Cryptosporidia

   12. Eastern or Western Encephalitis, sleeping sickness

   13. Botulism, shaker foal syndrome

   14. Other _________________________________________

10. Which of the following diseases from the list above is your number one priority?

Thank you for devoting your valuable time to help direct the focus of the NAHMS Equine 2015 Study.

NAHMS 285

March 2012