Form NAHMS 299 NAHMS 299 Layers 2013 Questionnaire

Animal and Plant Health

Inspection Service

Veterinary Services

Layers 2013

National Animal Health Monitoring System

2150 Centre Ave Bldg B

Fort Collins, CO 80526

Form Approved

OMB Number 0579-xxxx

Expires xxxx

Questionnaire

State FIPS:	Operation #:	Interviewer:	Date:
2 digits	4 digits	Initials	(mm/dd/yy)

Arrival time at operation: ___________

Section 1—Farm Management

1. Which of the following best describes this farm’s production and marketing arrangement?

₁ Company-owned farm

₂ Contract farm—company owns birds and markets eggs

₃ Contract farm—producer owns birds; company markets eggs

₄ Independent producer—producer owns birds and markets eggs

2. Are pullets raised on this layer premises? ₁ Yes ₃ No

3. How many layer houses are on this farm? _____ #

4. How many of these houses are:

a. Less than 5 years old? _____

b. 5 to 9 years old? + _____

c. 10 to 19 years old? + _____

d. 20 or more years old? + _____

Total must equal Question 3 = _____

5. At maximum capacity, how many of these houses would hold:

a. Fewer than 30,000 layers? _____

b. 30,000 to 69,999 layers? + _____

c. 70,000 to 119,999 layers? + _____

d. 120,000 to 199,999 layers? + _____

e. 200,000 or more layers? + _____

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 0.5 hour 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.

NAHMS-298

Sept 2012

Total must equal Question 3 = _____

NAHMS-299

SEP 2012

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 1.0 hour per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collected.

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 0.5 hour 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.

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 0.5 hour 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.

NAHMS-298

Sept 2012

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 0.5 hour 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.

NAHMS-298

Sept 2012

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 0.5 hour 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.

NAHMS-298

Sept 2012

6. How many houses have the following number of rows of cages?

a. One _____

b. Two to three + _____

c. Four to five + _____

d. Six or more + _____

e. Cage free + _____

Total must equal Question 3 = _____

7. How many houses are:

a. Traditional cage housing? _____

b. Enriched cage housing? + _____

c. Certified organic? + _____

d. Cage free (not organic)? + _____

Total must equal Question 3 = _____

8. How many houses have locks on the doors? _____ #

9. How many houses have outdoor access for birds? _____ #

[If Question 9 = 0, SKIP to Question 12.]

10. Do the following animals have access to the poultry outdoor area?

a. Stray poultry ₁ Yes ₃ No

b. Wild birds ₁ Yes ₃ No

c. Cats ₁ Yes ₃ No

d. Other animals ₁ Yes ₃ No

11. What type of outdoor access is provided?

1. Porch system ₁ Yes ₃ No

2. Covered outdoor area ₁ Yes ₃ No

3. Uncovered outdoor area ₁ Yes ₃ No

4. Rotating pasture system (e.g,. mobile poultry house) ₁ Yes ₃ No

12. Which of the following is the primary manure-handling method on this operation?

[Check one only and follow the SKIP pattern.]

₁ High rise (pit at ground level with house above) [Go to Question 13.]

₂ Deep pit (below ground) [Go to Question 13.]

₃ Shallow pit (ground level) [Go to Question 13.]

₄ Flush system to a lagoon [Go to Question 14.]

₅ Manure belt [Go to Question 15.]

₆ Scraper system (not flush or pit) [Go to Question 15.]

Code for Question 13

1 = After each flock removed or more frequently

2 = After 2 to 3 flocks

3 = After 4 to 5 flocks

4 = After 6 or more flocks

5 = Never

13. ANSWER this question if Question 12 = 1, 2, or 3 (a high rise, deep, or shallow pit is used).
If a high rise, deep, or shallow pit is used, what is the frequency of manure disposal?

[Check one only.]

Code

a. Complete removal with no organic material left _____

b. Leave a base _____

[Go to Section 2.]

14 ANSWER this question if Question 12 = 4 (a flush system is used).

What is the minimum distance (in feet) from the lagoon to the nearest layer house? _____ feet

[Go to Section 2.]

15. ANSWER this question if Question 12 = 5 or 6 (manure belt or scraper system is used).
If a manure belt or scraper system is used, once the manure is removed from

the house, is it usually:

[Check one only.]

₁ Disposed of within 7 days (spread on fields or removed from the farm)?

₂ Stored in a manure pile on farm for more than 7 days?

₃ Composted on farm (aerated and or stirred) or dehydrated on farm?

16. ANSWER this question if Question 15 is answered.

[If manure storage area is attached to layer house, enter 0.]
What is the minimum distance (in feet) from the on-site manure storage/disposal
area to the nearest layer house? _____ feet

Section 2—Employees and Visitors

1. This question asks about paid and unpaid workers including family members who

regularly work on this farm. This includes office staff and egg room and feed mill

personnel if on-site, but does not include placement, vaccination, and catch crews.

In the last 12 months, what was the highest number of paid or unpaid workers

who worked on this farm on any one day? _____ #

a. How many of these workers normally have access to the layer houses? _____ #

b. How many of these workers lived on the farm? _____ #

For the next question, “company or contract crews” include placement, vaccination,

and catch crews. If the farm does not use company or contract crews, line through

the column and indicate NA.

2. Are the following required for employees or company or

contract crews who work in the layer houses?

Company or

Employees contract crews

a. Different personnel for different houses ₁ Yes ₃ No ₁ Yes ₃ No

b. Footbaths ₁ Yes ₃ No ₁ Yes ₃ No

c. Shower ₁ Yes ₃ No ₁ Yes ₃ No

d. Change clothes/coveralls ₁ Yes ₃ No ₁ Yes ₃ No

e. Not be around other poultry at least 24 hr

(e.g., other farms, markets, slaughter plants) ₁ Yes ₃ No ₁ Yes ₃ No

f. Cannot own their own poultry or birds ₁ Yes ₃ No ₁ Yes ₃ No

3. Did any of the following provide health services for your operation

at any time during the last 12 months?

a. Company service person/company veterinarian ₁ Yes ₃ No

b. Private veterinarian ₁ Yes ₃ No

c. State diagnostic lab ₁ Yes ₃ No

d. Technical service (i.e., feed, vaccine or breeder companies) ₁ Yes ₃ No

e. University extension service ₁ Yes ₃ No

f. Other (specify: _______________________________) ₁ Yes ₃ No

Code for Question 4

1 = Visitors are allowed but are required to sign in

2 = Visitors are allowed but are NOT required to sign in

3 = No visitors are allowed inside the layer houses

4. Which of the following best describes the policy regarding

nonbusiness- and business-related visitors inside your

layer houses? [Check one only.]

a. Nonbusiness visitors _____ code

b. Business visitors (e.g., consultants, repairmen, etc.) _____ code

[SKIP applicable column in Question 5 if Question 4 = 3 (no visitors inside houses).]

5. Are any of the following required for visitors before

Entering your layer houses?

Nonbusiness Business

visitors visitors

a. Shower ₁ Yes ₃ No ₁ Yes ₃ No

b. Clean boots ₁ Yes ₃ No ₁ Yes ₃ No

c. Clean coveralls ₁ Yes ₃ No ₁ Yes ₃ No

d. Footbaths ₁ Yes ₃ No ₁ Yes ₃ No

e. If Question 5d = Yes, how long is the disinfectant

used before it is changed (in hours or days)? ____ hr OR ____ days ____ hr OR ____ days

f. If Question 5d = Yes, what kind of footbath is

used? [Check one only.] ₁ Liquid ₁ Liquid

₂ Aerosol ₂ Aerosol

₃ Dry powder ₃ Dry powder

₄ Other ₄ Other

NOTE: Do not skip both columns for Question 6. It is not part of Question 5.

Nonbusiness Business

visitors visitors

6. Are visitor vehicles allowed to enter the farm

(excluding producer’s residence)? ₁ Yes ₃ No ₁ Yes ₃ No

[SKIP corresponding column for Question 7 if Question 6 = No.]

7. Are visitor vehicles which enter the farm required to:

a. Be cleaned and disinfected upon entering? ₁ Yes ₃ No ₁ Yes ₃ No

b. Park in a restricted area away from chicken housing? ₁ Yes ₃ No ₁ Yes ₃ No

c. Not have been on another poultry farm that day? ₁ Yes ₃ No ₁ Yes ₃ No

d. Other (specify: ____________________) ₁ Yes ₃ No ₁ Yes ₃ No

8. Are any of the following barriers used to restrict or limit visitor access to the farm?

a. Gated entrance ₁ Yes ₃ No

If Question 8a = Yes, are gates locked? ₁ Always ₂ Sometimes ₃ Never

b. Fencing surrounding the farm ₁ Yes ₃ No

c. Signs posted (i.e., no trespassing) ₁ Yes ₃ No

d. Other (specify: ________________________________) ₁ Yes ₃ No

Section 3—Animals

1. Are the following domestic species located on this farm?

a. Broilers ₁ Yes ₃ No

b. Other poultry (e.g., turkeys, ducks, geese) ₁ Yes ₃ No

c. Other domestic birds (e.g., ratites, peacocks, etc.) ₁ Yes ₃ No

d. Cattle ₁ Yes ₃ No

e. Horses or other equids ₁ Yes ₃ No

f. Sheep or goats ₁ Yes ₃ No

g. Pigs ₁ Yes ₃ No

h. Cats ₁ Yes ₃ No

i. Dogs ₁ Yes ₃ No

2. How far is it (in feet or miles) to the nearest premises with poultry

(e.g., chickens, ducks, geese, turkeys)? _____ OR _____

feet miles

3. Do the following animals have access to feed in tanks, bins, lines, hoppers,

etc., prior to the feed being fed to the layers on your operation?

a. Rodents ₁ Yes ₃ No

b. Wild birds ₁ Yes ₃ No

c. Flies ₁ Yes ₃ No

d. Cats ₁ Yes ₃ No

e. Dogs ₁ Yes ₃ No

4. Do the following animals have access to feed in the layer house

(i.e., in front of birds) on your operation?

a. Rodents ₁ Yes ₃ No

b. Wild birds ₁ Yes ₃ No

c. Flies ₁ Yes ₃ No

d. Cats ₁ Yes ₃ No

e. Dogs ₁ Yes ₃ No

For Question 5

High = Seen day and night

Moderate = Seen at night, rarely, or never during day

Low = Occasional sighting at night

5. Overall, how much of an ongoing problem were the following rodents

in your layer house(s) during the last 12 months?

[Check one box for each item.]

a. Mice ₁ High ₂ Moderate ₃ Low ₄ None

b. Rats ₁ High ₂ Moderate ₃ Low ₄ None

c. Other rodents ₁ High ₂ Moderate ₃ Low ₄ None

6. Which of the following rodents caused the greatest ongoing problem
in your layer house(s) in the last 12 months?

[Check one only.]

₁ Mice

₂ Rats

₃ Other rodents

₄ No problem

7. How do you monitor for rodents?

a. Visual signs ₁ Yes ₃ No

b. Mechanical traps ₁ Yes ₃ No

c. Other (specify: _____________________________) ₁ Yes ₃ No

8. Do you monitor rodent index as part of your rodent control program? ₁ Yes ₃ No

Note: Rodent index is the equivalent of number of mice caught in 7 days with 12 traps

RI = (number mice caught) x (7 / days trapped) x (12 / number of traps)

[If Question 8 = No, SKIP to Question 10.]

9. Which of the following best describes your rodent index (RI)?

[Check one only.]
₁ 0 to 10

₂ 11 to 25

₃ 26 or more

10. Were the following rodent control methods used in the last 12 months?

a. Chemicals or bait including those used by a pest control operator ₁ Yes ₃ No

b. Traps or sticky tape ₁ Yes ₃ No

c. Cats ₁ Yes ₃ No

d. A professional pest control operator ₁ Yes ₃ No

e. Other (specify: ______________________________) ₁ Yes ₃ No

11. Which of the following was the primary method of rodent control?

[Check one only.]

₁ Chemicals or bait

₂ Traps or sticky tape

₃ Cats

₄ A professional pest control operator

₅ Other (specify: ______________________________)

12. Other than manure removal, which of the following was the primary fly control method

used in the last 12 months?

[Check one only.]

₁ Residual spray

₂ Baits

₃ Larvicide (spot treatment)

₄ Larvicide in feed

₅ Space sprays/fogger

₆ Biological predators

₇ Other (specify: ______________________________)

₈ None used

Section 4—Most Recently Placed Pullets

Now we’re going to ask questions about the production birds, moving through a production cycle.

1. How many different farm sites did the pullets that made up the most
recently placed layer flock originate from? _____ sites

2. What percentage of the replacement pullets came from the following sources?

a. Purchased from a different company _____ %

b. Obtained from a different farm site, same company + _____ %

c. Raised on this farm site

[Include pullets originating from this company’s hatcheries

or from another company.] + _____ %

= 100%

[If Question 2c = 0%, SKIP to Question 4.]

3. What is the distance (in feet) from the pullet house to the nearest laying house? _____ feet

4. What percentage of pullets were:

a. Primarily cage reared? _____ %

b. Primarily floor reared? + _____ %

= 100%

5. What percentage of the replacement pullets came from a breeding flock
monitored by National Poultry Improvement Plan (NPIP)? _____ %

6. Which of the following method(s) are used to monitor

Salmonella enteritiditis (S.e.) in pullets?

a. Testing of dead on arrival chicks or chick box paper ₁ Yes ₃ No

b Culture environment/manure ₁ Yes ₃ No

c. Culture live birds ₁ Yes ₃ No

d. Serology ₁ Yes ₃ No

7. Which of the following best describes what is done if Salmonella enteriditis (S.e.)

is found in the pullet houses or chicks? [Check one only.]

₁ Treat with antibiotics

₂ Destroy flock

₃ Increase monitoring during growing period

₄ No changes in production practices

Section 5—Layer Management

1. As of today, how many layers 20 weeks or older are on this farm? _____ #

2. Which of the following best describes the routine molting methods used on this operation?

[Check one only.]

₁ Do not usually molt

₂ Withhold or restrict feed a set number of days
If checked, for how many days is feed withheld or restricted? _____ days

₃ Withhold or restrict feed until a certain weight is achieved (monitor weight)

₄ Feed alternative diet during molting
If checked, for how many days is the alternative diet fed? _____ days

₅ Other (specify: ___________________________)

3. Which of the following best describes the feed currently being fed to laying hens?

[Check one only.]

₁ Mash

₂ Pelleted

₃ Crumbled

₄ Other (specify: ________________________________)

4. What is the primary method used to deliver feed to the layers within the house? [Check one only.]

₁ Chain

₂ Auger cable or paddle system

₃ Traveling hopper system

₄ Hand cart system

₅ Other (specify: ______________________________)

5. Are the following water delivery systems used?

a. Nipple drinker ₁ Yes ₃ No

b. Cup drinker ₁ Yes ₃ No

c. Troughs ₁ Yes ₃ No

d. Other (specify: ________________________________) ₁ Yes ₃ No

6 Of the following, which is the primary source of drinking water for layers? [Check one only.]

₁ Municipal water [Go to Section 6.]

₂ Well water less than 300 feet deep [Go to Question 7.]

₃ Well water 300 feet deep or more [Go to Question 7.]

₄ Other (specify: _______________________________) [Go to Question 7.]

7. If the primary source is not municipal, are the following water treatments

used in drinking water for the layers?

a. Chlorination ₁ Yes ₃ No

b. Water softeners ₁ Yes ₃ No

c. Ionizers ₁ Yes ₃ No

Section 6—Egg Handling

1. How many eggs were produced on this farm in June 2013? _____ eggs

2. What percentage of eggs produced in June 2013 were:

a. Eggs for breaking? _____ %

b. Shell eggs (whole eggs for packing, not for breaking)? _____ %

Note: The remaining questions in this section refer to shell eggs (table eggs) only.

3. What percentage of the eggs produced in June 2013 were gathered by:

a. Hand? _____ %

b. Belt? + _____ %

= 100%

4. Which of the following best describes the primary way eggs are

processed (washed, graded, cartoned)?

[Check one only and follow SKIP pattern.]

₁ On-farm in-line [Go to Section 7.]

₂ On-farm off-line [Go to Section 7.]

₃ Off-farm

[ANSWER Questions 5–8 if eggs are processed off-farm.]

5. When processed off-farm, what is the:

a. Average number of days between egg pickups on-farm? _____ days

b. Usual temperature for egg storage on-farm? _____ °F

c. Usual percent humidity for egg storage on-farm? _____ %

d. Distance to processing plant where the majority of eggs are processed? _____ miles

6. Do you prewash the eggs before sending them off-farm to be processed? ₁ Yes ₃ No

7. Which of the following best describes the type of flats primarily used for

storage and transportation of the eggs when processed off-farm?

[Check one only.]

₁ Disposable fiber

₂ Reusable plastic, cleaned and disinfected

₃ Reusable plastic, not cleaned and disinfected

8. Are the racks (or pallets) usually returned to the same farm? ₁ Yes ₃ No

9. Are the racks (or pallets) usually:

a. Cleaned before reusing (at this or another farm)? ₁ Yes ₃ No

b. Disinfected before reusing (at this or another farm)? ₁ Yes ₃ No

Section 7—End of Production

1. At the end of production, do you remove layers which have
escaped from their cages (e.g., pits, top of cages)? ₁ Yes ₃ No

2. How many days are layer houses usually empty between flocks (down time)? _____ days

3. Are the following procedures performed in the layer houses during “down time”
between each flock, after two or more flocks, or never? Exclude procedures performed

while layers are present. [Check NA only if the farm doesn’t have the item.]

Between After two or

each flock more flocks Never NA

a. Empty feeders  ₁  ₂  ₃  ₄

b. Wash feeder  ₁  ₂  ₃  ₄

c Disinfect feeders  ₁  ₂  ₃  ₄

d Empty feed hoppers  ₁  ₂  ₃  ₄

e. Wash feed hoppers  ₁  ₂  ₃  ₄

f. Disinfect feed hoppers  ₁  ₂  ₃  ₄

g. Empty water tanks  ₁  ₂  ₃  ₄

h. Wash water tanks  ₁  ₂  ₃  ₄

i. Disinfect water tanks  ₁  ₂  ₃  ₄

j. Flush water lines  ₁  ₂  ₃  ₄

k. Disinfect water lines  ₁  ₂  ₃  ₄

l. Bacterial culture water source  ₁  ₂  ₃  ₄

m. Wash egg belts/elevators  ₁  ₂  ₃  ₄

n. Disinfect egg belts/elevators  ₁  ₂  ₃  ₄

o. Replace egg belts/elevators  ₁  ₂  ₃  ₄

p. Dry clean (blow down) cages, walls, ceilings  ₁  ₂  ₃  ₄

q. Wash cages, walls, ceilings  ₁  ₂  ₃  ₄

r. Disinfect cages, walls, ceilings  ₁  ₂  ₃  ₄

s. Fumigate cages, walls, ceilings  ₁  ₂  ₃  ₄

t. Clean fans, ventilation system, cool cells  ₁  ₂  ₃  ₄

Section 8—Last Completed Layer Flock

This section asks specifically about management practices performed for the last completed layer flock.

1. For the last completed layer flock, were the pullets placed tested

for Salmonella enteriditis (S.e.)? ₁ Yes ₃ No

If Yes, at what age (in weeks) were the pullets tested? _____ weeks

2. For the last completed layer flock, was the flock molted? ₁ Yes ₃ No

If Yes, was the flock tested for S.e. post-molt? ₁ Yes ₃ No

If Yes, how many weeks post-molt was it tested? _____ weeks

[Consider end of molt to be when hens reach 50% production.]

3. For the last completed layer flock, was the flock treated with

any antibiotics at any time during the laying cycle? ₁ Yes ₃ No

Reason code for question below.
1 = Improve egg production	3 = Disease prevention
2 = Disease treatment	4 = Other

If Yes, what antibiotics were used, for how many days, and what was the route and reason for use?

Antibiotic	Used	Number of days	Route	Reason (Select code from above.)
Bacitracin methylene disalicylate (BMD)	1 Yes 3 No		1 feed 2 water 3 injection 4 other
Bacitracin zinc	1 Yes 3 No		1 feed 2 water 3 injection 4 other
Tylosin	1 Yes 3 No		1 feed 2 water 3 injection 4 other
Chlortetracycline	1 Yes 3 No		1 feed 2 water 3 injection 4 other
Oxytetracycline	1 Yes 3 No		1 feed 2 water 3 injection 4 other
Tetracycline	1 Yes 3 No		1 feed 2 water 3 injection 4 other
Penicillin	1 Yes 3 No		1 feed 2 water 3 injection 4 other
Erythromycin	1 Yes 3 No		1 feed 2 water 3 injection 4 other
Other (specify: _______________)__	1 Yes 3 No		1 feed 2 water 3 injection 4 other

4. For the last completed layer flock, what percentage of dead birds (daily mortality)

were disposed of by the following methods?

[Do not include the disposal of spent hens.]

a. Composting _____ %

b. Incineration + _____ %

c. Deep pit + _____ %

d. Rendering + _____ %

e. Other (specify: __________________________________) + _____ %

= 100%

Section 9—Salmonella prevention practices

This section asks about Salmonella prevention practices that were used in the pullet house and layer house for the last completed layer flock.

1. Was a probiotic/prebiotic product used to reduce
Salmonella Enteritidis (S.e.) in pullets? ₁ Yes ₃ No ₄ Don’t’ know

2. Were birds vaccinated against Salmonella as pullets? ₁ Yes ₃ No ₄ Don’t know

[If Question 2 = No or Don’t know, SKIP to Question 5.]

3. How many times were the pullets vaccinated against Salmonella? _____ times  Don’t know

4. The next few questions are to be answered for each time the pullets were vaccinated against Salmonella. [Data Collector: Complete a column for each vaccination indicated in Question 3. Responses can be the same between columns.]

	CHECK ONE RESPONSE ONLY FOR EACH DATA CELL
PULLETS	Vaccine 1	Vaccine 2	Vaccine 3	Vaccine 4
a. What type of vaccine was used?	1 Live S. typhimurium 2 SE bacterin 3 Autogenous 4 Don’t know type	1 Live S. typhimurium 2 SE bacterin 3 Autogenous 4 Don’t know type	1 Live S. typhimurium 2 SE bacterin 3 Autogenous 4 Don’t know type	1 Live S. typhimurium 2 SE bacterin 3 Autogenous 4 Don’t know type
b. How was the vaccine administered?	1 Water 2 Spray 3 Injection 4 Other route (specify: ______________)	1 Water 2 Spray 3 Injection 4 Other route: (specify: ______________)	1 Water 2 Spray 3 Injection 4 Other route: (specify: ______________)	1 Water 2 Spray 3 Injection 4 Other route: (specify: ______________)
c. If vaccine was injected, what was the injection site?	1 Thigh 2 Breast 3 Neck 4 Other site (specify: ______________)	1 Thigh 2 Breast 3 Neck 4 Other site (specify: ______________)	1 Thigh 2 Breast 3 Neck 4 Other site (specify: ______________)	1 Thigh 2 Breast 3 Neck 4 Other site (specify: ______________)

5. Was a probiotic/prebiotic product used to reduce
Salmonella enteritidis (S.e.) in layers? ₁ Yes ₃ No ₄ Don’t know

6. Were birds vaccinated against Salmonella as layers? ₁ Yes ₃ No ₄ Don’t know

[If Question 6 = No or Don’t know, SKIP to Section 10.]

7. How many times were the layers vaccinated against Salmonella? _____ times  Don’t know

8. The next few questions are to be answered for each time the layers were vaccinated against Salmonella. [Data Collector: Complete a column for each vaccination indicated in Question 8. Responses can be the same between columns.]

	CHECK ONE RESPONSE ONLY FOR EACH DATA CELL
Layers	Vaccine 1	Vaccine 2	Vaccine 3	Vaccine 4
a. What type of vaccine was used	1 Live S. typhimurium 2 SE bacterin 3 Autogenous 4 Don’t know type	1 Live S. typhimurium 2 SE bacterin 3 Autogenous 4 Don’t know type	1 Live S. typhimurium 2 SE bacterin 3 Autogenous 4 Don’t know type	1 Live S. typhimurium 2 SE bacterin 3 Autogenous 4 Don’t know type
b. How was the vaccine administered?	1 Water 2 Spray 3 Injection 4 Other route (specify: ______________)	1 Water 2 Spray 3 Injection 4 Other route: (specify: ______________)	1 Water 2 Spray 3 Injection 4 Other route: (specify: ______________)	1 Water 2 Spray 3 Injection 4 Other route: (specify: ______________)
c. If vaccine was injected, what was the injection site?	1 Thigh 2 Breast 3 Neck 4 Other site (specify: ______________)	1 Thigh 2 Breast 3 Neck 4 Other site (specify: ______________)	1 Thigh 2 Breast 3 Neck 4 Other site (specify: ______________)	1 Thigh 2 Breast 3 Neck 4 Other site (specify: ______________)

Section 10—Salmonella Testing Practices

The following questions ask about what your practices are today and what they were 5 years ago.

Today 5 years ago

1. Do you test for Salmonella enteritidis (S.e.) in

the layer house? ₁ Yes ₃ No ₁ Yes ₃ No

[If NO, go to [If NO, go to

Question 6.] Question 6.]

[SKIP the corresponding column for Questions 2–5 if they

do not test now or did not test for S.e. 5 years ago.]

2. Which of the following methods do you use to test

for Salmonella enteritidis (S.e.) in the layer house

environment? [Check NA if no egg belts or

elevator equipment in layer houses.]

Today 5 years ago

a. Manure culture (swab) ₁ Yes ₃ No ₁ Yes ₃ No

b. Egg belts culture (swab) ₁ Yes ₃ No ₄ NA ₁ Yes ₃ No ₄ NA

c. Elevator/equipment culture (swab) ₁ Yes ₃ No ₄ NA ₁ Yes ₃ No ₄ NA

d. Other (specify: ____________________) ₁ Yes ₃ No ₁ Yes ₃ No

3. Who primarily collects the layer house environment

samples for Salmonella enteritidis (S.e.) testing?

[One code in each column]

1 = Company or farm personnel

2 = State or Federal personnel

3 = Other (specify: _______________________) ______ code ______ code

4. Is testing for Salmonella enteritidis (S.e.) usually

performed in the layer house environment:\

a. Before layers are placed (empty house)? ₁ Yes ₃ No ₁ Yes ₃ No

b. 30 weeks of age? ₁ Yes ₃ No ₁ Yes ₃ No

c. 40 to 45 weeks of age? ₁ Yes ₃ No ₁ Yes ₃ No

d. 4 to 6 weeks post molt? ₁ Yes ₃ No ₁ Yes ₃ No

₄ Do not molt ₄ Do not molt

e. At end of production? ₁ Yes ₃ No ₁ Yes ₃ No

f. Any other time? (specify: _____________) ₁ Yes ₃ No ₁ Yes ₃ No

[Answer Question 5 if Questions 4b, 4c, or 4d = Yes (after placement but before end of production).]

5. What would you do if S.e. was found in the layer

house environment during the production cycle?

a. Collect and culture eggs for S.e. ₁ Yes ₃ No ₁ Yes ₃ No

b. Divert eggs until culture is negative ₁ Yes ₃ No ₁ Yes ₃ No

c. Take hens out of production ₁ Yes ₃ No ₁ Yes ₃ No

d. Other (specify: ____________________) ₁ Yes ₃ No ₁ Yes ₃ No

6. Do you routinely test finished feed or any feed ingredients for

Salmonella enteritidis (S.e):

a. Finished feed? ₁ Yes ₃ No

b. Any feed ingredients? ₁ Yes ₃ No

8. Does the feed for your laying hens come from a feed mill certified

by AFIA (safe feed/safe food)? ₁ Yes ₃ No

9. Has this farm been inspected by the FDA? ₁ Yes ₃ No

If Yes, were environmental samples collected during that inspection? ₁ Yes ₃ No

10. Other than the FDA, do you currently participate in the following

S.e. Quality Assurance Programs?

a. State program ₁ Yes ₃ No

b. Company sponsored program ₁ Yes ₃ No

c. Commodity group program (e.g., United Egg Producers) ₁ Yes ₃ No

d. NPIP SE program ₁ Yes ₃ No

e. Other (specify: _______________________________) ₁ Yes ₃ No

[If all responses in Question 10 = No, SKIP to Section 11.]

11. Does the farm have an inspection to verify compliance with S.e. Quality
Assurance Program by someone not associated with the farm or company? ₁ Yes ₃ No

Section 11—Flock Tests for Salmonella enteritidis

Consider Salmonella testing for this farm from June 1, 2012, through May 31, 2013.

1. How many flocks were tested and how many flocks had positive results for

environmental testing and egg testing during:

[Enter 0 if none tested or none positive during the time period.]

Environmental Egg

testing testing

# flocks # flocks # flocks # flocks

tested positive tested positive

a. June–August _____ _____ _____ _____

b. September–November _____ _____ _____ _____

c. December–February _____ _____ _____ _____

d. March–May _____ _____ _____ _____

Section 12—The Most Recent Flock Tests for Salmonella enteritidis

Instructions: Report information for testing events from June 1, 2012, through May 31, 2013 (do not include tests before or after this time period). Testing events may be for the same flock or for different flocks. A testing event is any flock test plus any confirmatory tests based on that test. For example, if serology is followed with PCR or positive environmental is followed with egg test.

For the most recent positive and negative flock tests for Salmonella enteritidis (S.e.):	Most recent positive test (Leave blank if no positive tests from June 1, 2012, through May 31, 2013.)		Most recent negative test
1. What was the:
a. Number of hens placed? b. Bird density (sq in/bird)?	______ hens ______ sq in/bird		______ hens ______ sq in/bird
2. Which of the following strains were in the flock (enter code)?
1 = Any variety of Hyline white 2 = Bovans 3 = Shaver 4 = Brown egg strains 5 = Other (specify: _____________________________)	______ code		______ code
3. Was the flock (enter code): 1 = Traditional cage? 2 = Enriched cage? 3 = Organic? 4 = Not caged, not organic?	______ code		______ code
	Most recent positive test (Leave blank if no positive tests from June 1, 2012, through May 31, 2013.)		Most recent negative test
4. What was the stage of production (enter code)? 1 = Before layers were placed (empty house)? 2 = 30 weeks of age 3 = 40 to 45 weeks of age 4 = 4 to 6 weeks post molt 5 = At end of production 6 = Other	______ code		______ code
5. What was the test date (enter month and year)?	______ mm/yy		______ mm/yy
Initial testing:
6. Which of the following types of samples were tested initially?
a. Layer house environment? b. Hens? c. Eggs? d. Other, specify: __________________________	1 Yes 3 No 1 Yes 3 No 1 Yes 3 No 1 Yes 3 No		1 Yes 3 No 1 Yes 3 No 1 Yes 3 No 1 Yes 3 No
7. Which of the following tests were used initially?
a. Culture b. PCR c. Serology d. Other (specify: _________________________)	1 Yes 3 No 1 Yes 3 No 1 Yes 3 No 1 Yes 3 No		1 Yes 3 No 1 Yes 3 No 1 Yes 3 No 1 Yes 3 No
Was any confirmatory or followup testing performed? 1 Yes 3 No If Yes, answer Questions 8 and 9.
8. Which of the following types of samples were tested?
a. Layer house environment? b. Hens? c. Eggs? d. Other, specify: __________________________		1 Yes 3 No 1 Yes 3 No 1 Yes 3 No 1 Yes 3 No	1 Yes 3 No 1 Yes 3 No 1 Yes 3 No 1 Yes 3 No
9. Which of the following tests were used?
a. Culture b. PCR c. Serology d. Other (specify: _________________________)		1 Yes 3 No 1 Yes 3 No 1 Yes 3 No 1 Yes 3 No	1 Yes 3 No 1 Yes 3 No 1 Yes 3 No 1 Yes 3 No

Office Use Only

1. Total time for interview (include time to discuss the program and complete the
questionnaire). If more than one data collector present, enter the combined time. _____ min

2. Total travel time (round trip).
If more than one data collector present, enter the combined time. _____ min

3. Data collector(s): (Enter the number for each category.)

____ Federal VMO ____ Federal AHT ____ State personnel ____ Other (specify: ________)

4. Enter response code 99 if questionnaire is completed or enter one code

of 0, 2, 3, 4, or 7 that best describes the reason why the owner is

not participating _____ code

99 = Survey completed

00 = Producer not contacted by VMO

02 = Does not want anyone on operation

03 = Bad experience with government veterinarians

04 = Does not want to do another survey or divulge information

07 = Other reason (explain below)

5. Producer data quality ₁ Good to Excellent ₂ OK ₃ Poor

6. Did the Producer use written or computerized records

to assist in answering this survey? ₁ Yes ₃ No

7. Which of the following best describes the respondent’s position with this operation? _____ code

1 = Owner

2 = Manager

3 = Family member (other than owner or manager)

4 = Other hired employee

5 = Other (specify: _______________________________)

Comments regarding this questionnaire or operation:

VMO or AHT Signature: ___________________________________________________

NAHMS Layers 2013 1