Form NAHMS 300 NAHMS 300 M. bovis Questionnaire

Operation Number: D

Form Approved
OMB Number 0579-0376
Expires 11/30/2014

INTERVIEW INFORMATION
1.

a. Name of herd: _________________________________________________________________
Other name(s): ________________________________________________________________
Operation Number to link to subsequent survey(s): ____________________________________
b. CAPIN: _______ Natl. ID: _______ GPS (decimal degrees) Lat _________ Long___________
c.

Address (where cattle are located): ________________________________________________
City/State/Zip: _________________________________________________________________

d. Other addresses (where cattle from this herd are located; include class of animal and numbers):
____________________________________________________________________
____________________________________________________________________
City/State/Zip: ________________________________________________________
e. Phone No: _______________________
f.

Fax: ______________________________

Email address (optional): _______________________________________________

g. Contact (1) Name: ___________________________ Contact #: _____________________
Contact (2) Name: ___________________________ Contact #: _____________________
2. Date of Interview: ___________

Interviewer: ________________________

3. Respondent: ___________________________ Title: ______________________________

This page should be removed and kept by the coordinator in each state.

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 0579-0376. The time required
to complete this information collection is estimated to average 1.5 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-300
NOV 2014

1

Operation Number: D

NAHMS DAIRY HERD MANAGEMENT QUESTIONNAIRE
Section A—Cattle Inventory
1. How many dairy cows, whether dry or in milk, are on this operation today?
[Include dairy heifers that have calved.] ............................................................. D101

_____ head

a. How many of these were milked today? ...................................................... D102

_____ head

b. What is your average milk production per cow per day? ...... D103/D103a

_____ lb OR _____ gal

How many dairy cows were milked on this operation 3 years ago? ........... D104

_____ head

d. How many dairy cows were milked on this operation 5 years ago? ........... D105

_____ head

c.

2. Cattle inventory (today):
a. Lactating cows ...................................................................................................

__________

b. Dry cows ............................................................................................................

+ __________

c.

Pregnant heifers .................................................................................................

+ __________

d. Weaned but not pregnant heifers .......................................................................

+ __________

e. Preweaned heifers .............................................................................................

+ __________

f.

Breeding bulls ....................................................................................................

+ __________

g. Other (specify: _______________________________________) ....................

+ __________

h. Total ....................................................................................................................

= __________

3. What percentage of the (Question 1) dairy cows on the operation today are:
a. Holstein? ..........................................................................................................D106

_____ %

b. Jersey? .............................................................................................................D107

+ _____ %

c.

Ayrshire? ..........................................................................................................D108

+ _____ %

d. Brown Swiss?...................................................................................................D109

+ _____ %

e. Guernsey? ........................................................................................................D110

+ _____ %

Other, including mixed dairy breeds? (specify: _____________)D111OTH ..........D111

+ _____ %

f.

Total

=100%

4. How many of the following types of dairy heifers do you have on the operation today?
[Enter 0 if no cattle of the specific type.]
# head
today
a. Preweaned dairy heifers ..................................................................................... D112

_____

b. Weaned but not pregnant dairy heifers .............................................................. D113

+ _____

c.

Pregnant dairy heifers ......................................................................................... D114

+ _____

d. Total dairy replacement heifers on site [sum of Questions 3a–3c] ..................... D115

= _____

Of these (Question 3d) dairy replacement heifers, what percentage were:
i.

Born and raised on this operation? .............................................................. D116

_____ %

ii.

Born on this operation and raised off this operation? ................................... D117

+ _____ %

iii. Born off this operation? ................................................................................ D118

+ _____ %

Total

=100%
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Operation Number: D

5. How many of the following types of dairy bulls, dairy beef, and beef cattle
do you have on the operation today? [Enter 0 if no cattle of the specific type.]
a. Preweaned dairy bulls (intended for breeding) ................................................... D119

+ _____

b. Weaned dairy bulls up to 1 year old (intended for breeding) .............................. D120

+ _____

c

Dairy bulls 1 year and older (intended or used for breeding).............................. D121

+ _____

d. Preweaned beef and dairy-beef calves
(including heifers, steers, and bulls) ................................................................... D122

+ _____

e. Weaned beef and dairy-beef calves up to 1 year
old (including heifers, steers, and bulls).............................................................. D123

+ _____

f.

Beef and dairy-beef cattle 1 year and older ........................................................ D124

+ _____

g. Total dairy bulls, dairy-beef, and beef cattle [sum of Questions 4a–4f]......... D125

= _____

6. Total the responses to Questions 3d and 4g.
Then the total number of cattle on this operation today is: ....................................... D126
(Verify this total is correct.)

_____

7. What percentage of the original herd’s cattle were?
a. Inherited ...................................................................................................................

_____ %

b. Purchased ................................................................................................................

_____ %

c.

_____ %

Other (specify: _____________________________) .............................................

Total

100%

8. How long has the current herd been at this location? .................................................

_____ years

Section B—Identification and Record Keeping Practices
1. What percentage of this operation’s cattle has the following types of identification?
[Answer all that apply.]

Identification
a.
b.
c.
d.
e.
f.

Lactating cows

Percent
Dry cows
Heifers ≥12 mo

Heifers <12 mo

Bangle (ear) tags
RFID tags
Leg bands
Collars
Brand
Other (specify)

2. Which identification method is primarily used for management and
record-keeping purposes? ......................................................................................

_____

3

Operation Number: D

3. What type(s) of record-keeping system(s) does this operation use to track
individual animals?
a. Handwritten records, such as a ledger or notebook ..........................................

1 Yes 3 No

b. Dairy Herd Improvement Association (DHIA) ....................................................

1 Yes 3 No

c.

Off-farm computer record system other than DHIA ...........................................

1 Yes 3 No

d. On-farm computer record system ......................................................................

1 Yes 3 No

e. Other systems (specify: __________________________) ...............................

1 Yes 3 No

f.

1 Yes 3 No

None ...................................................................................................................

If Question 3c or 3d = Yes,
g. What off-farm (Question 3c) or on-farm (Question 3d) computer record system
is primarily used? [Check one only.]
1 Dairy Comp 305
2 PC Dart
3 DHI Plus
4 Other (specify: _________________________)
h. Is official ID (brucellosis tags, etc.) entered into
computer system for individual animals? ..........................................................

1 Yes 3 No

4

Operation Number: D

Section C—Cattle Movement Practices
1. Were any cattle brought onto this operation in the last 12 months?
[Include purchased, leased, or borrowed cattle but exclude calves raised off-site.]D201 1 Yes 3 No
[If Question 1 = No, SKIP to Question 3.]
2. For cattle brought onto the operation (excluding calves raised off site), complete the following table.
Source code for Question 2
1 = Dairy operation
2 = Beef operation
3 = Feedlot

5 = Livestock dealer
6 = Heifer-raising operation
7 = Youth project (4-H/FFA)
8 = Other (specify:
___________ )D202OTH

4 = Market/auction

Cattle class
Preweaned calves
a.
(dairy or beef)
Weaned dairy
b.
heifers
Pregnant dairy
c
heifers
Fresh dairy
d
heifers
Lactating dairy
e.
cows
f.

Dry dairy cows

Beef heifers or
g.
cows

Brought on?

On average
during the
last
12 months,
how many
times per
month did
you bring
animals on
site*

In the last
12 months,
average
number
head
brought on
site per
month

Source

Name and State
of source(s)

D211

D221

D231

D240

1 All 2 Some
3 None D249

D212

D222

D232

D241

1 All 2 Some
3 None D250

D213

D223

D233

D242

1 All 2 Some
3 None D251

D214

D224

D234

D243

1 All 2 Some
3 None D252

D215

D225

D235

D244

D216

D226

D236

D245

D217

D227

D237

D246

D218

D228

D238

D247

D219

D229

D239

D248

D220

D230

1 Yes 3 No
D202

1 Yes 3 No
D203

1 Yes 3 No
D204

1 Yes 3 No
D205

1 Yes 3 No
D206

1 Yes 3 No
D207

1 Yes 3 No
D208

h. Beef bulls

1 Yes 3 No

i.

Dairy bulls

1 Yes 3 No

j.

Total

D209
D210

Tested for TB
before arrival?

1 All 2 Some
3 None D253
1 All 2 Some
3 None D254
1 All 2 Some
3 None D255
1 All 2 Some
3 None D256
1 All 2 Some
3 None D257

3. Excluding calves raised off-site, did any cattle leave this operation
for any purpose (show, sale, petting zoo, etc.) in the last 12 months
and then return to this operation?....................................................................... D258

1 Yes 3 No

4. Were any bull or heifer calves sold or raised off-site in the last 12 months? ..... D259

1 Yes 3 No

[If Question 4 = No, SKIP to Section D.]

5

Operation Number: D

5. In the last 12 months, how many bull calves and
heifer calves were sold or raised off-site? .......................... D260/D261

_____ #
Bull calves

_____ #
Heifer calves

Bull calves

Heifer calves

a. Raised off-site with retained ownership? ..................... D262/D269

_____ %

_____ %

b. Heifers sold and then bought back? ............................ D263/D270

NA

_____ %

Sold to a calf ranch? .................................................... D264/D271

_____ %

_____ %

d. Sold through auction? .................................................. D265/D272

_____ %

_____ %

e. Sold through a dealer? ................................................. D266/D273

_____ %

_____ %

f.

_____ %

_____ %

_____ %

_____ %

=100%

=100%

6. Of the calves in Question 5, what percentage were:
(Check the box to designate destination of bulls and heifers)

c.

Sold directly to another dairy? ..................................... D267/D274

g. Other? (specify: ______________________________)D268/D275
Total

7. At what age do the majority of dairy heifers leave the operation? ........ D276/d276a

_____ OR ______
Days
Weeks

8. At the time the majority of dairy heifers leave the operation, are they: [Check one only.]

D277

1 Preweaned?
2 Weaned but not pregnant?
3 Pregnant?
4 Other? (specify: _________________________)D277OTH
9. How many miles are the dairy heifers transported to the off-site rearing facility? D278

_____ miles

10. In the last 12 months, what percentage of dairy heifer calves were transported
off your operation by the following?
a. Picked up by personnel from the heifer-raising operation ................................ D279

_____ %

b. Delivered by this dairy operation ....................................................................... D280

+ _____ %

c.

Delivered by private/contract hauler ................................................................. D281

+ _____ %

d. Other (specify: ________________________)D282OTH ...................................... D282

+ _____ %

Total

=100%

11. In the last 12 months, were dairy heifers transported off your operation
by the following?
a. Stock trailer ................................................................................................ D283

1 Yes

3 No

b. Straight or bobtail truck .............................................................................. D284

1 Yes

3 No

c.

Semi trailer ................................................................................................. D285

1 Yes

3 No

d. Other type of trailer/vehicle (specify: __________________)D286OTH ......... D286

1 Yes

3 No

12. In the last 12 months, how many times per week,
per month, or per year were dairy heifers transported
off your operation? ............................................. D287/D287a/D287b

_____
Week

OR

_____
Month

OR

_____
Year

6

Operation Number: D

13. Do the dairy heifers ever leave the State during the off-site rearing? ....................D288
If Yes, which State(s) ..................................................... D289

1 Yes 3 No

_______________________________

14. Which of the following best describes the off-site rearing facility?
[Check one only.]

D290

1 Dairy heifers are sent to a single rearing facility and do not have
any contact with cattle from other operations.

2 Dairy heifers are sent to multiple rearing facilities and do not
have any contact with cattle from other operations.
3 Dairy heifers are sent to a single rearing facility and have
contact with cattle from other operations.

4 Dairy heifers are sent to multiple rearing facilities and have
contact with cattle from other operations.
5 Other (specify: _________________________)D290OTH
15. Do bull or steer calves ever return from the raising facility? ................. D291

1 Yes 3 No 4 NA

16. In the last 12 months, what percentage of dairy heifer calves were
transported to this operation by the following?
a. Delivered to your operation by the heifer-raising operation personnel ............. D292

_____ %

b. Picked up by your operation’s personnel .......................................................... D293

+ _____ %

c.

Picked up by private/contract hauler ................................................................. D294

+ _____ %

d. Other (specify: ________________________)D295OTH ...................................... D295

+ _____ %

Total

=100%

17. In the last 12 months, were dairy heifers transported to this operation
by the following?
a. Stock trailer .................................................................................................. D296

1 Yes

3 No

b. Straight or bobtail truck ................................................................................ D297

1 Yes

3 No

c.

Semi trailer ................................................................................................... D298

1 Yes

3 No

d. Other type of trailer/vehicle (specify: __________________)D299OTH ........... D299

1 Yes

3 No

18. In the last 12 months, how many times per week,
per month, or per year were dairy heifers transported
to this operation? ............................................................................. D300/D300a/D300b

_____
Week

OR

_____
Month

OR

_____
Year

7

Operation Number: D

19. Which of the following best describes how frequently heifer transport
vehicles owned, leased, or contracted by this operation to transport heifers
from your operation were washed/rinsed out in the last 12 months? [Check one only.]
1 After every shipment

D301

2 After 2 to 3 shipments
3 After 4 to 5 shipments
4 After more than 5 shipments
5 Other (specify: _____________________________)D301OTH
6 Not applicable—this operation’s vehicles not used to transport heifers
7 Unknown or no standard procedure
[If Question 19 = 6 or 7, SKIP to Question 21.]
20. Did washing/rinsing of vehicles usually include a disinfectant? ......................... D302

1 Yes

21. Which of the following best describes how frequently heifer transport
vehicles owned, leased, or contracted by this operation to transport heifers
to your operation were washed/rinsed out in the last 12 months? [Check one only.]
1 After every shipment

3 No

D303

2 After 2 to 3 shipments
3 After 4 to 5 shipments
4 After more than 5 shipments
5 Other (specify: _____________________________)D303OTH
6 Not applicable—this operation’s vehicles not used to transport heifers
7 Unknown or no standard procedure
[If Question 21 = 6 or 7, SKIP to Question 23.]
22. Did washing/rinsing of vehicles usually include a disinfectant? ......................... D304

1 Yes

3 No

23. In the last 12 months, were this operation’s vehicles used to transport
dairy cattle also used to transport other types of cattle or cattle
from other operations? ....................................................................................... D305

1 Yes

3 No

24. At what age do dairy heifers return to this operation
after being raised off site (months)? ........................................ .......................... D306
25. At the time dairy heifers arrive or return to this operation after being
raised off-site, are they: [Check one only.]

_____ months

D307

1 Weaned but not pregnant?
2 Pregnant?
3 Recently fresh?
4 Other? (specify: _________________________)D305OTH

8

Operation Number: D

If heifers are raised off-site, return to this operation, and then leave to be raised off-site at another
location, complete the following. If not, skip to Question 43.
26. At what age do the majority of dairy heifers leave the operation
for the second time? .............................................................................. D306/D306a

_____ OR ______
Weeks
Months

27. At the time the majority of dairy heifers leave the operation
for the second time, are they: [Check one only.] ..................... D307
1 Weaned but not pregnant?
2 Pregnant?
3 Other? (specify: _________________________)D307OTH
28. How many miles are the dairy heifers transported
to the second off-site rearing facility? D308

_____ miles

29. In the last 12 months, what percentage of dairy heifer calves were transported
to the second off-site raising facility by the following?
a. Picked up by personnel from the heifer-raising operation ................................ D309

_____ %

b. Delivered by this dairy operation ....................................................................... D310

+ _____ %

c.

Delivered by private/contract hauler ................................................................. D311

+ _____ %

d. Other (specify: ________________________)D312OTH ...................................... D312

+ _____ %

Total

=100%

30. In the last 12 months, were dairy heifers transported off your operation
to the second off-site raising facility by the following?
a. Stock trailer ................................................................................................ D313

1 Yes

3 No

b. Straight or bobtail truck .............................................................................. D314

1 Yes

3 No

c.

Semi trailer ................................................................................................. D315

1 Yes

3 No

d. Other type of trailer/vehicle (specify: __________________)D316OTH ......... D316

1 Yes

3 No

31. In the last 12 months, how many times per week,
per month, or per year were dairy heifers transported
to the second off-site raising facility? .............. D317/D317a/D317b

_____
Week

OR

_____
Month

32. Do the dairy heifers ever leave the State during the second off-site rearing? ....... D318
If Yes, which State(s) ..................................................... D319

OR

_____
Year

1 Yes 3 No

_______________________________

33. Which of the following best describes the second off-site rearing facility?
[Check one only.]

D320

1 Dairy heifers are sent to a single rearing facility and do not have
any contact with cattle from other operations.

2 Dairy heifers are sent to multiple rearing facilities and do not
have any contact with cattle from other operations.
3 Dairy heifers are sent to a single rearing facility and have
contact with cattle from other operations.

4 Dairy heifers are sent to multiple rearing facilities and have
contact with cattle from other operations.
5 Other (specify: _________________________)D320OTH
9

Operation Number: D

34. In the last 12 months, what percentage of dairy heifer calves were
transported to this operation from the second off-site rearing facility by the following?
a. Delivered to your operation by the heifer-raising operation personnel ............. D321

_____ %

b. Picked up by your operation’s personnel .......................................................... D322

+ _____ %

c.

Picked up by private/contract hauler ................................................................. D323

+ _____ %

d. Other (specify: ________________________)D324OTH ...................................... D324

+ _____ %

Total

=100%

35. In the last 12 months, were dairy heifers transported to this operation
from the second off-site rearing facility by the following?
a. Stock trailer .................................................................................................. D325

1 Yes

3 No

b. Straight or bobtail truck ................................................................................ D326

1 Yes

3 No

c.

Semi trailer ................................................................................................... D327

1 Yes

3 No

d. Other type of trailer/vehicle (specify: __________________)D328OTH ........... D328

1 Yes

3 No

36. In the last 12 months, how many times per week,
per month, or per year were dairy heifers transported from the
second off-site rearing facility to this operation? D329/D329a/D329b

_____
Week

OR

_____
Month

OR

_____
Year

1 Yes

3 No

37. Which of the following best describes how frequently heifer transport
vehicles owned, leased, or contracted by this operation to transport heifers
from your operation to the second off-site rearing facility were
washed/rinsed out in the last 12 months? [Check one only.]D330
1 After every shipment
2 After 2 to 3 shipments
3 After 4 to 5 shipments
4 After more than 5 shipments
5 Other (specify: _____________________________)D330OTH
6 Not applicable—this operation’s vehicles not used to transport heifers
7 Unknown or no standard procedure
[If Question 37 = 6 or 7, SKIP to Question 39.]
38. Did washing/rinsing of vehicles usually include a disinfectant? ......................... D331
39. Which of the following best describes how frequently heifer transport
vehicles owned, leased, or contracted by this operation to transport heifers
from the second off-site rearing facility to your operation were
washed/rinsed out in the last 12 months? [Check one only.]
D332
1 After every shipment
2 After 2 to 3 shipments
3 After 4 to 5 shipments
4 After more than 5 shipments
5 Other (specify: _____________________________)D332OTH
6 Not applicable—this operation’s vehicles not used to transport heifers
7 Unknown or no standard procedure
[If Question 39 = 6 or 7, SKIP to Question 41.]
10

Operation Number: D

40. Did washing/rinsing of vehicles usually include a disinfectant? ......................... D333
41. At what age do dairy heifers return to this operation
after being raised at the second off-site rearing facility (months)?..................... D334

1 Yes

3 No

_____ months

42. At the time dairy heifers arrive or return to this operation after being
raised at the second off-site rearing facility, are they: [Check one only.]

D335

1 Weaned but not pregnant?
2 Pregnant?
3 Recently fresh?
4 Other? (specify: _________________________)D335OTH

43. Comments on cattle movement/purchases:

D336

11

Operation Number: D

Section D—Breeding Management Practices
1. What percentage of heifers and cows were bred by the following
methods in the last 12 months?
Heifers

Cows

a. Artificial insemination ........................................................ D401/D403

_____ %

_____ %

b. Natural cover (bull breeding) ............................................. D402/D404

+ _____ %

+ _____ %

Total

≥100%

≥100%

[If Question 1b = 0 for heifers and cows (no natural breeding), SKIP to Question 4.]
2. What percentage of bulls used for breeding were:
a. Home raised? ...................................................................................................D405

_____ %

b. Purchased? ......................................................................................................D406

+ _____ %

c.

Leased? ...........................................................................................................D407

+ _____ %

d. Borrowed? ........................................................................................................D408

+ _____ %

e. Other? (specify: ___________________________________)D409OTH .............D409

+ _____ %

Total

=100%

3. If Question 2c or 2d is greater than 0, were leased or borrowed bulls:
a. Sent back to the owner? .............................................................................. D410

1 Yes 3 No

b. Marketed? .................................................................................................... D411

1 Yes 3 No

Other? (specify: ___________________________________)D412OTH ......... D412

1 Yes 3 No

4. Are cows ever bred off-site? ............................................................................... D413

1 Yes 3 No

c.

[If Question 4 = No, SKIP to Question 6.]
5. For cows bred off-site:
a. How often are cows taken off-site for breeding? .............................................D414

_____ times/yr

b. What percent of cows are bred off-site per year? ............................................D415

_____ %

c.

Where are cows taken off-site? (specify name and location:
________________________________________________________)D416

6. Comments on purchased/leased cattle:

D417

12

Operation Number: D

Section E—Housing
1. Of the housing types listed below, which was the primary housing type used
in the last 12 months for each of the following class of cattle while on this operation?
Housing type codes for Question 1
1 = Individual outside hutch/pen
2 = Individual inside hutch/pen—warm
(heated) calf barn
3 = Individual inside hutch/pen—cold
(nonheated) calf barn
4 = Tie stall or stanchion
5 = Pasture
6 = Freestall

7 = Freestall with access to dry lot
8 = Dry lot/multiple animal outside area
(excludes pasture)
9 = Bedded pack/open shed
10 = Multiple animal inside area/barn
11 = Other (specify:
)D501OTH
12 = Not housed on this operation
Code
_____

a. Preweaned dairy heifers ..................................................................................... D501
If preweaned heifers were housed, which of the following
describe the procedure used for hutches?
i.

Not cleaned........................................................................................... D501a

1 Yes 3 No

ii.

Turned upside down ............................................................................. D501b

1 Yes 3 No

iii. Pressure washed / scrubbed ................................................................ D501c

1 Yes 3 No

iv. Disinfected ............................................................................................ D501d

1 Yes 3 No

v.

Moved to a new location ....................................................................... D501e

1 Yes 3 No

vi. Allowed to completely dry ...................................................................... D501f

1 Yes 3 No

vii. Other? (specify: ________________________________) D501gOTH ...... D501g

1 Yes 3 No

b. Weaned dairy heifers .......................................................................................... D502

_____

c.

Pregnant dairy heifers ......................................................................................... D503

_____

d. Lactating cows .................................................................................................... D504

_____

e. Dry cows ............................................................................................................. D505

_____

2. Were the following classes of cattle ever allowed on pasture
in the last 12 months? If Yes, did they have contact with cattle not owned
by this operation?
Pasture

Contact with other cattle

a. Weaned heifers ............. D506/ D506a

1 Yes 3 No 4 NA

1 Yes 3 No

b. Pregnant heifers ............ D507/ D507a

1 Yes 3 No 4 NA

1 Yes 3 No

Lactating cows .............. D508/ D508a

1 Yes 3 No

1 Yes 3 No

d. Dry cows ....................... D509/ D509a

1 Yes 3 No 4 NA

1 Yes 3 No

c.

If pastured, where was the pasture located?______________________________________

13

Operation Number: D

3. Did this operation use a hospital pen for weaned
dairy heifers in the last 12 months? ................................ D510

1 Yes 3 No 4 NA–raised off-site

4. Did this operation use a hospital pen for pregnant
dairy heifers in the last 12 months? ................................ D511

1 Yes 3 No 4 NA–raised off-site

5. Which of the following describes how post-weaned cattle are grouped:
a. By age post-weaning? .....................................................................................D512

1 Yes

3 No

b. By size? ......................................................................................................... D512a

1 Yes

3 No

c.

By sex? ...................................................................................D512b 1 Yes

3 No

d. Other? (specify: _________________________) D512c OTH ..............................D512c

4 NA—no bulls/steers

1 Yes

3 No

6. How would you best characterize the surface moisture of the ground
or flooring lactating cows stand on most of the time in summer and
winter seasons? [Enter one code only for each season.]
(1) Usually dry
(2) Wet about half the time
(3) Almost always wet, but no standing water
(4) Usually standing water or slurry .................................... D513/D514

_____ code
Summer

_____ code
Winter

7. During the summer months, were the following heat abatement
methods provided to lactating and dry cows?
Lactating

Dry

a. Covered structure (e.g., freestall, barn) ........... D515/D521

1 Yes 3 No

1 Yes 3 No

a. Shade (other than covered structure) .............. D516/D522

1 Yes 3 No

1 Yes 3 No

b. Sprinklers or misters ........................................ D517/D523

1 Yes 3 No

1 Yes 3 No

c. Fans ................................................................. D518/D524

1 Yes 3 No

1 Yes 3 No

d. Tunnel ventilation ............................................ D519/D525

1 Yes 3 No

1 Yes 3 No

e. Other (specify: ____________)D520OTH/D526OTH ... D520/D526

1 Yes 3 No

1 Yes 3 No

Lactating

Dry

8. During the last 12 months, which of the following
bedding types were used for lactating and dry cows?
(1)

Straw and/or hay ........................................... D527/D538

1 Yes 3 No

1 Yes 3 No

(2)

Sand .............................................................. D528/D539

1 Yes 3 No

1 Yes 3 No

(3)

Sawdust/wood products ................................ D529/D540

1 Yes 3 No

1 Yes 3 No

(4)

Composted/dried manure ............................. D530/D541

1 Yes 3 No

1 Yes 3 No

(5)

Rubber mats ................................................. D531/D542

1 Yes 3 No

1 Yes 3 No

(6)

Rubber tires .................................................. D532/D543

1 Yes 3 No

1 Yes 3 No

(7)

Shredded newspaper .................................... D533/D544

1 Yes 3 No

1 Yes 3 No

(8)

Mattresses .................................................... D534/D545

1 Yes 3 No

1 Yes 3 No

(9)

Corn cobs and stalks .................................... D535/D546

1 Yes 3 No

1 Yes 3 No

(10) Waterbeds..................................................... D536/D547

1 Yes 3 No

1 Yes 3 No

(11) Other (specify: ___________)D537OTH/D548OTH .. D537/D548

1 Yes 3 No

1 Yes 3 No

14

Operation Number: D

9. Enter the number of the bedding type (1-11) from Question 8 above
that was used primarily during the last 12 months for both
lactating and dry cows?
(Enter 99 if no bedding used.) ...................................... D549/D550
_____ code
Lactating

_____ code
Dry

Section F—Calf Management
1. What percentage of calvings occurred in the following areas:
a. Close-up pen? ..................................................................................................D601

_____ %

b. Multiple animal maternity area/pen (group calving)? .......................................D602

+ _____ %

c.

Individual animal area/pen cleaned between each calving?............................D603

+ _____ %

d. Individual animal area/pen cleaned after two or more calvings? .....................D604

+ _____ %

e. Individual animal area/pen that is not cleaned? ............................................. D604a

+ _____ %

Other? (specify: ___________________________________)D605OTH .............D605

+ _____ %

f.

Total

=100%

2. How soon after birth on average are dairy heifer calves separated
from their dams? [Check one only.]

D606

1 Prior to nursing
2 After nursing but less than 6 hours
3 6 hours to less than 12 hours
4 12 to 24 hours
5 More than 24 hours
3. What percentage of calves on this operation were given colostrum from
the following sources in the last 12 months?
a. Individual cow colostrum (unpasteurized) ........................................................... D607

_____ %

b. Individual cow colostrum (pasteurized) ............................................................... D608

_____ %

c.

Pooled cow colostrum (unpasteurized) ............................................................... D609

_____ %

d. Pooled cow colostrum (pasteurized) ................................................................... D610

_____ %

e. Commercial colostrum replacer (e.g., Acquire, Secure, etc.) ............................. D611

_____ %

f.

_____ %

No colostrum fed ................................................................................................. D612
Total [will be > 100% if individual calves received more than
one source of colostrum]

4. If pasteurized colostrum was fed, what temperature and length
of time (in minutes) was used to pasteurize the colostrum? ............D613/D614

≥100%

_____
Temperature

_____
Time

15

Operation Number: D

5. Which of the following do you use to monitor the effectiveness of
the pasteurization process for colostrum?
a. Post-pasteurization cultures on at least a monthly basis .......................... D615

1 Yes 3 No

b. Alkaline phosphate testing (ALP) on at least a monthly basis .................. D616

1 Yes 3 No

c.

Equipment maintenance on at least a biannual basis .............................. D617

1 Yes 3 No

d. Time and temperature recorder ................................................................ D618

1 Yes 3 No

e. Other (specify: _________________________________)D619OTH ............ D619

1 Yes 3 No

6. Did this operation have an excess of colostrum? ........................................... D620

1 Yes 3 No

If Yes,
a. Was excess colostrum sold or given to a calf ranch? .............................. D621

1 Yes 3 No

If Yes, which calf ranch? _____________________________________ D622
b. Was excess colostrum sold or given to another dairy operation? ........... D623

1 Yes 3 No

If Yes, which dairy operation? _________________________________ D624
c.

Was excess colostrum sold or given to another type of operation
(e.g., goat)? .............................................................................................. D625

1 Yes 3 No

If Yes, which operation? ______________________________________D626
7. Were any preweaned heifers housed on this operation
in the last 12 months? ..................................................................................... D627

1 Yes 3 No

[If Question 7 = No (preweaned heifers not housed), SKIP to Section G.]
8. In the last 12 months, what percentage of preweaned dairy heifer calves
received the following liquid diets prior to weaning?
a. Nonmedicated milk replacer ........................................................................ H628

_____ %

b. Medicated milk replacer ............................................................................... H629

+ _____ %

c.

Unpasteurized saleable or non-saleable (waste) milk ................................. H630

+ _____ %

d. Pasteurized saleable or non-saleable (waste) milk ..................................... H631

+ _____ %

e. Other (specify: _________________________________)H632OTH ............... H632

+ _____ %

Total [will be >100% if individual calves received more than one diet]
9. If pasteurized milk was fed, what temperature and
length of time (in minutes) was the milk treated? ............... D633/D634

≥100%

_____
Temperature

_____
Time

10. Which of the following do you use to monitor the effectiveness of
the pasteurization process for milk?
a. Post pasteurization cultures on at least a monthly basis .......................... D635

1 Yes 3 No

b. Alkaline phosphate testing (ALP) on at least a monthly basis .................. D636

1 Yes 3 No

c.

Equipment maintenance on at least a biannual basis .............................. D637

1 Yes 3 No

d. Time and temperature recorder ................................................................ D638

1 Yes 3 No

e. Other (specify: __________________________________)D639OTH .......... D639

1 Yes 3 No

16

Operation Number: D

11. In the last 12 months, how many times per day was milk or milk
replacer routinely fed to calves? [Check one only.]

H640

1 Once daily
2 Twice daily
3 Three times daily
4 Other (specify: _______________________________________)D640OTH
12. In the last 12 months, how much milk or milk replacer (in quarts)
was routinely fed to each calf at each feeding? ................................................ D641

_____ quarts

13. Which percent of calves were fed milk or milk replacer using the following equipment?
a. Bottle ........................................................................................................... D642a

+ _____ %

b. Bucket ......................................................................................................... D642b

+ _____ %

Other (specify: _____________________________________)D642cOTH ..... D642c

+ _____ %

Total [will be >100% if individual calves fed via multiple methods] .........................

≥100%

c.

14. Which best describes how the milk feeding equipment chosen above
was managed in the last 12 months? [Check one only.]

D643

1 Rinsed with water after each feeding
2 Rinsed with water once daily
3 Cleaned and disinfected after each feeding
4 Cleaned and disinfected once daily
5 Cleaned and disinfected less often than daily
6 Cleaned and disinfected after the dairy heifers were weaned and moved
7 Other (specify: ________________________________)D643OTH
15. Did this operation have an excess of waste milk? .......................................... D644

1 Yes 3 No

If Yes,
a. Was excess waste milk sold or given to a calf ranch? ............................. D645

1 Yes 3 No

If Yes, which calf ranch? _____________________________________ D646
b. Was excess waste milk sold or given to another dairy operation? .......... D647

1 Yes 3 No

If Yes, which dairy operation? _________________________________ D648
c.

Was excess waste milk sold or given to another type of operation
(e.g., goat)? .............................................................................................. D649

1 Yes 3 No

If Yes, which operation? _____________________________________ D650
16. In the last 12 months, what was the average age (in days) of
dairy heifers when they were first offered:
D651

_____ days

b. Starter grain or other concentrates? ............................................................ D652

_____ days

c.

_____ days

a. Water? .........................................................................................................

Hay or other roughages? ............................................................................. D653

17

Operation Number: D

17. In the last 12 months, what was the average age in weeks at
weaning for dairy heifers? ........................................................................................................................................ D654

_____ weeks

18. Are bull calves managed similar to heifer calves? ............................................. D655

1 Yes 3 No

If No, describe the differences (weaned earlier, etc.)

D656

Section G—Feeding Practices
1. During the last 12 months, did this operation feed any of the following
feeds (including in heifer rations), and if Yes, were any of the feeds
acquired from an outside source?
Fed

Acquired

a. Alfalfa hay/haylage .......................................... D701/D724

1 Yes 3 No

1 Yes 3 No

b. Corn silage....................................................... D702/D725

1 Yes 3 No

1 Yes 3 No

c. Clover as forage or pasture ............................. D703/D726

1 Yes 3 No

1 Yes 3 No

d. Whole cottonseed ............................................ D704/D727

1 Yes 3 No

1 Yes 3 No

e. Cottonseed meal or hulls ................................. D705/D728

1 Yes 3 No

1 Yes 3 No

f.

Whole soybeans or soybean meal .................. D706/D729

1 Yes 3 No

1 Yes 3 No

g. Bakery byproducts ........................................... D707/D730

1 Yes 3 No

1 Yes 3 No

h. Brewery byproducts ......................................... D708/D731

1 Yes 3 No

1 Yes 3 No

i.

Corn ................................................................. D709/D732

1 Yes 3 No

1 Yes 3 No

j.

Barley............................................................... D710/D733

1 Yes 3 No

1 Yes 3 No

k. Wheat (not silage) ........................................... D711/D734

1 Yes 3 No

1 Yes 3 No

l.

Oats (not silage) .............................................. D712/D735

1 Yes 3 No

1 Yes 3 No

m. Green chop ...................................................... D713/D736

1 Yes 3 No

1 Yes 3 No

n. Feather/poultry meal ........................................ D714/D737

1 Yes 3 No

1 Yes 3 No

o. Fish meal ......................................................... D715/D738

1 Yes 3 No

1 Yes 3 No

p. Fat/tallow ......................................................... D716/D739

1 Yes 3 No

1 Yes 3 No

q. Porcine meat and bone meal........................... D717/D740

1 Yes 3 No

1 Yes 3 No

r.

Blood meal ....................................................... D718/D741

1 Yes 3 No

1 Yes 3 No

s. Raisin stems .................................................... D719/D742

1 Yes 3 No

1 Yes 3 No

t.

Orange pulp ..................................................... D720/D743

1 Yes 3 No

1 Yes 3 No

u. Carrots or carrot pulp ....................................... D721/D744

1 Yes 3 No

1 Yes 3 No

v. Dog food waste ................................................ D722/D745

1 Yes 3 No

1 Yes 3 No

w. Almond hulls .................................................... D723/D746

1 Yes 3 No

1 Yes 3 No

18

Operation Number: D

2. Other feeds fed but not listed above:
Acquired
a. ____________________________________D747/D753 ........................................

1 Yes 3 No

b. ____________________________________D748/D754 ........................................

1 Yes 3 No

c. ____________________________________D749/D755 ........................................

1 Yes 3 No

d. ____________________________________D750/D756 ........................................

1 Yes 3 No

e. ____________________________________D751/D757 ........................................

1 Yes 3 No

____________________________________D752/D758 ........................................

1 Yes 3 No

3. In the last 12 months, did this operation use medicated feed
in rations for any weaned or pregnant dairy heifers to prevent
disease or promote growth? .............................................................................. D759

1 Yes 3 No

f.

4. In the last 12 months, did this operation normally use the following
preventive practices for heifers or cows?

a.
b.
c.
d.
e.
f.
g.

Preventive practice
Dewormers
Coccidiostats in feed (e.g., Deccox®)
Ionophores in feed
(e.g., Rumensin®, Bovatec®)
Vitamin A-D-E (injectable or feed additive)
Selenium (injectable or feed additive)
Probiotics
Anionic salts

Heifers
1 Yes 3 No
1 Yes 3 No

Cows
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
1 Yes
1 Yes
1 Yes

D760/D767
D761

3 No
3 No
3 No
3 No

5. Which of the following best describes how frequently in the last 12 months
leftover feed (weigh backs) from older cattle were fed back to younger heifers?
[Check one only.]

D762/D768
D763/D769
D764/D770
D765/D771
D772

D773

1 Routinely (daily or weekly)
2 Rarely (less than once per month)
3 Never
6. Which of the following best describes how frequently in the last 12 months
leftover feed (weigh backs) from lactating cows were fed back to dry cows?
[Check one only.]

D774

1 Routinely (daily or weekly)
2 Rarely (less than once per month)
3 Never
7. In the last 12 months, did any cows ever drink from:

How many times per year
are water sources drained
and cleaned?

a. A single cup/bowl waterer used by multiple cows?D775/D775a

1 Yes 3 No

_____

b. A water tank or trough (covered or uncovered)? ... D776/D776a

1 Yes 3 No

_____

c. A lake, pond, stream, river, etc.? .................................. D777

1 Yes 3 No

N/A

e. Another source? (specify: ___________) D778OTH ... D778/D778a

1 Yes 3 No

_____

19

Operation Number: D

8. In the last 12 months, what percentage of cattle received water
from the following water sources?
a. Ground water (well) ...................................................................................... D780

_____ %

b. Surface water (ponds, lakes, streams) ........................................................ D781

+ _____ %

c.

+ _____ %

Municipal water supply ................................................................................. D782
Total [will be >100% if more than one water source]

≥100%

Section H—Biosecurity Practices
1. Which of the following animals were on this operation, or on
adjacent (fenceline contact possible) operations in the last 12 months?

Animal type

On this operation

On adjacent
operation(s)
(fence-line contact
possible)
1 Yes

3 No

D815

3 No

1 Yes

3 No

D802/D816

1 Yes

3 No

1 Yes

3 No

D803/D817

Chickens or other poultry

1 Yes

3 No

1 Yes

3 No

D804/D818

e.

Horses, donkeys, mules, etc.

1 Yes

3 No

1 Yes

3 No

D805/D819

f.

Pigs (domestic)

1 Yes

3 No

1 Yes

3 No

D806/D820

g.

Sheep

1 Yes

3 No

1 Yes

3 No

D807/D821

h.

Goats

1 Yes

3 No

1 Yes

3 No

D808/D822

i

Dogs (domestic or feral)

1 Yes

3 No

1 Yes

3 No

D809/D823

j.

Cats (domestic or feral)

1 Yes

3 No

1 Yes

3 No

D810/D824

k.

Captive deer or elk

1 Yes

3 No

1 Yes

3 No

D811/D825

l.

Llamas, alpacas

1 Yes

3 No

1 Yes

3 No

D812/D826

m.

Bison

1 Yes

3 No

1 Yes

3 No

D813/D827

n.

Other (specify: __________)D814OTH/D828OTH

1 Yes

3 No

1 Yes

3 No

D814/D828

a.

Dairy cattle

b.

Beef cattle

1 Yes

c.

Mexican-origin cattle (e.g., steers and
rodeo stock)

d.

20

Operation Number: D

2. In the last 12 months, how frequently were the following wild animals and/or
signs of wild animals (scat, tracks, etc.) observed on this operation?
a. Deer.................................................. D829

1 Never 2 Less than monthly 3 At least monthly

b. Coyotes, foxes ................................. D830

1 Never 2 Less than monthly 3 At least monthly

c.

Raccoons ......................................... D831

1 Never 2 Less than monthly 3 At least monthly

d. Opossums ........................................ D832

1 Never 2 Less than monthly 3 At least monthly

e. Skunks ............................................. D833

1 Never 2 Less than monthly 3 At least monthly

f.

Feral pigs ......................................... D834

1 Never 2 Less than monthly 3 At least monthly

g. Other wild animals ........................... D835
(specify: ________________)D835OTH

1 Never 2 Less than monthly 3 At least monthly

[If Question 2a = Never see deer, SKIP to Question 4.]
3. How frequently were deer observed in the cattle
housing areas, pastures, or lots? ........... D836
1Never 2 Less than monthly 3 At least monthly
4. In the last 12 months, were cattle tested for any diseases
prior to or after arrival at your operation? ........................................................... D837

1 Yes

3 No

a. Bovine viral diarrhea—persistently infected animals (BVD-PI)? .................. D838

1 Yes

3 No

b. Johne’s? ....................................................................................................... D839

1 Yes

3 No

c.

Brucellosis? .................................................................................................. D840

1 Yes

3 No

d. Tuberculosis? ............................................................................................... D841

1 Yes

3 No

e. Bovine leukosis virus (BLV)? ....................................................................... D842

1 Yes

3 No

f.

Bluetongue? ................................................................................................. D843

1 Yes

3 No

g. Other? (specify: ______________________________)D844OTH ................... D844

1 Yes

3 No

If Yes, were they tested for the following diseases:

5. At any time in the past, has this herd been confirmed to have the following?
a. Cattle (reactors) removed for bovine tuberculosis (M. bovis)? ................. D845 1 Yes 2 DK

3 No

b. Environmental Mycobacterium?................................................................ D846 1 Yes 2 DK

3 No

Johne’s disease? ...................................................................................... D847 1 Yes 2 DK

3 No

c.

6. In the last 12 months, how often did this operation use the same equipment
to handle manure, feed cattle, or move dead cattle (using the same loader and
changing buckets between handling feed and manure constitutes using
the same equipment)? [Check one only.]

D848

1 Routinely (daily or weekly)
2 Rarely (less than once per month)
3 Never
[If Question 6 = Never, SKIP to Question 8.]
7. If routinely or rarely used to handle manure and feed,
was the equipment including the bucket rinsed/disinfected between uses? ...... D849

1 Yes

3 No

21

Operation Number: D

8. In the last 12 months, did this operation share any equipment with
other livestock operations or manure hauler (e.g., tractors,
feeding equipment, manure spreaders, trailers, etc.)? ....................................... D850

1 Yes

3 No

If Yes, was the equipment disinfected prior to use on this operation? ............... D851

1 Yes

3 No

11. Have you purchased or received cattle from a TB-affected
herd in the past 10 years? ..........................................................

1 Yes

3 No

12. Has your herd ever been affected with TB?.................................................................

4 Don’t know
1 Yes

If YES, what year? ......................................................................................................

3 No

_____ year

[If Question 12 = Yes, SKIP to Question 14.]
13. Has your herd ever been TB tested? .......................................................................

1 Yes

3 No

[If Question 13 = No, SKIP to Question 16.]
14. What year was your herd last tested for TB? ................................................................

_____ year

15. Why was the herd tested for TB? [Check one only.]
1 Trace from slaughter
2 Trace from affected herd
3 Area test
4 Don’t remember
5 Other (specify: _____________________________)

Section I—Employee Practices
1. In the last 12 months, how many of this operation’s personnel (unpaid
and paid labor) had duties that included feeding or caring of cattle? ............................ D901

_____

2. In the last 12 months, how many of this operation’s personnel had direct
contact with cattle on another operation (include personnel who owned
cattle housed at another location)? ................................................................................ D902

_____

3. In the last 12 months, were any personnel required to be tested for
tuberculosis (TB)?............................................................................................... D903

3 No

1 Yes

4. At any time in the past, have any employees been confirmed with TB? ........... D9041 Yes 2 DK 3 No
5. In the last 12 months, did this operation inquire whether newly
hired employees had worked on TB-infected herds? ............................ D905
6. In the last 12 months, did this operation enforce a policy of no
consumption of raw milk products by employees? ................................ D906

1 Yes

3 No

4 NA

1 Yes

3 No

1 Yes

3 No

[If no preweaned dairy heifer calves on the operation, SKIP to Question 9.]
7. Does this operation have separate employees dedicated to
preweaned calves and adult cows?....................................................... D907
8. In the last 12 months, did personnel usually wear

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Operation Number: D

latex or nitrile gloves when handling/feeding
preweaned dairy heifers? ...................................................................... D908

1 Yes

3 No

9. In the last 12 months, did personnel routinely feed
younger cattle before feeding older cattle? ........................................................ D909

1 Yes

3 No

10. In the last 12 months, did personnel routinely treat/manage
younger cattle before older cattle ....................................................................... D910

1 Yes

3 No

11. In the last 12 months, did personnel routinely manage
healthy cattle before treating sick cattle? ........................................................... D911

1 Yes

3 No

Section J—Permanent Removals and Deaths
1. In the last 12 months, what were the average number of bulls and cows per month
that were permanently removed from this operation? [Do not include cattle you have
retained ownership of that are sent off-site to be raised or cattle that died .]
a. Bulls.......................................................................................................D1001

_____ head/month

b. Cows .....................................................................................................D1002

_____ head/month

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Operation Number: D

2. In the following table, describe the percent, type, and destination of permanently
removed adult cattle during the last 12 months. [Do not include cattle that died.]

a.

Destination
of cattle
Sold and sent directly to
another dairy

b.

Sold at sale yards

c.

Sent directly to slaughter

d.

Sold to dealer/broker

e.

Sent elsewhere
(specify________________)
D1007OTH

Sales?
1 Yes 3
No D1003
1 Yes 3
No D1004
1 Yes 3
No D1005
1 Yes 3
No D1006
1 Yes 3
No D1007

Percent Percent
sold that sold that
were
were
bulls
cows

Total

Name of buyer/destination

100%
D1008

D1013

D1009

D1014

D1010

D1015

D1018

100%
D1019

100%
D1020

100%
D1011

D1016

D1012

D1017

D1021

100%
D1022

3. In the last 12 months, what percentage of the following classes of cattle died?
For cattle that died, what was the primary method of disposal?
Disposal method code for Question 3
1 = Renderer
2 = Bury
3 = Compost

4 = Landfill
5 = Burn/incinerate
6 = Other (specify:

) D1002OTH
Code
_____

a. Newborn or Preweaned heifers .... D1023/D1031

Died
_____ %

b. Weaned heifers ...................... D1024/D1028/D1032

_____ %

999 Not housed on-site

_____

c.

Pregnant heifers ..................... D1025/D1029/D1033

_____ %

999 Not housed on-site

_____

d. Lactating/dry cows ........................ D1026/D1034

_____ %

e. Breeding bulls ........................ D1027/D1030/D1035

_____ %

_____
999 Not housed on-site

4. Were any cattle that died in the last 12 months
necropsied to determine the cause of death .................................................... D1036

1 Yes

_____
3 No

[If Question 4 = N0, SKIP to Interviewer notes/comments.]
5. What percentage of each of the following classes of cattle were necropsied?
a. Newborn or Preweaned heifers ................. D1037
_____ %
b. Weaned heifers .......................................... D1038

_____ %

999 Not housed on-site

c.

Pregnant heifers ......................................... D1039

_____ %

999 Not housed on-site

d. Lactating/dry cows ..................................... D1040

_____ %

e. Breeding bulls ............................................ D1041

_____ %

999 Not housed on-site

24

Operation Number: D

Office Use Only
State FIPS:__________
2-digits

Operation #:_________
4-digits

Interviewer:___________ Date:
/
/
Initials
(mm/dd/yy)

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

VITIME

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

_____ min

VTTIME

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 0-7 that best describes the reason why the owner
is not participating ...........................................................................................................

VVMO/VAHT/VST/VOTH

_____ code

VRCO

99 = Survey completed
00 = Producer not contacted by VMO
01 = Poor time of year or no time
02 = Does not want anyone on operation
03 = Bad experience with government veterinarians
04 = Does not want to do another survey or divulge information
05 = Told NASS they did not want to be contacted
06 = Ineligible (no dairy cows)
07 = Other reason (explain below)
1 Good to Excellent

3 Poor

VPDQ

6. Did the Producer use written or computerized records
to assist in answering this survey? .......................................................................

1 Yes 3 No

VREC

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

_____ code

VPOS

5. Producer data quality ..................................................

2 OK

1 = Owner
2 = Manager
3 = Family member (other than owner or manager)
4 = Other hired employee
5 = Other (specify: _______________________________)VPOSOTH
Comments regarding this questionnaire or operation:

VMO or AHT Signature:___________________________________________________

TO BE COMPLETED BY THE COORDINATOR:
Field data quality .....................................................................

1 Good to Excellent

2 OK

3 Poor

25

VFDQ