NAHMS 333 VMO Questionnaire

January 26, 2021

Animal and Plant Health

Inspection Service

Veterinary Services

Equine 2015

National Animal Health Monitoring System

2150 Centre Ave Bldg B

Fort Collins, CO 80526

Form Approved

OMB Number 0579-0269

EXP. DATE XX/20XX

VMO Questionnaire

INTRODUCTION

Beginning time _____

Section A—Inventory

The next several questions relate to equids that are considered “residents” of this operation. A resident equid is one that has spent, or is expected to spend, more time at this operation than at any other operation throughout the year. In other words, this operation may be considered the animal’s “home base.” Resident equids will be referred to throughout this questionnaire.

1. How many of the following equids, including foals, are considered residents of this

operation as of today (whether or not they are present on the operation today)?

a. Donkeys or burros _____

b. Mules _____

c. Ponies _____

d. Miniature horses _____

e. Horses (excluding miniature horses) _____

f. Other resident equids (specify: _________________________) _____

g. Total [Add questions 1a–1f.] _____

[If question 1g = 0, SKIP to Office Use Only section.]

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 0579-0269. The time required to complete this information collection is estimated to average 1 hour per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collected.

NAHMS-333

Aug 2014

2. As of today, how many resident equids are:

a. Less than 6 months _____

b. 6 months through 1 year (23 months) _____

c. 2 to 3 years _____

d. 4 to 5 years _____

e. 6 to 10 years _____

f. 11 to 15 years _____

g. 16 to 20 years _____

h. 21 years or older _____

i. Total [should equal question 1g] _____

[If questions 2c through 2h = 0, SKIP to section B.]

3. As of today, how many resident equids 2 years of age or older are:

a. Broodmares _____

b. Stallions _____

4. How many nonresident equids were on this operation for longer

than 30 days during the previous 12 months? [Enter 0 if none.] _____

Section B—Vaccination Practices

1. Were any resident equids vaccinated in the previous 12 months? ₁ Yes ₃ No

[If question 1 = No, SKIP to question 8.]

2. Were any resident equids 1 year of age or

less vaccinated in the previous 12 months? ₁ Yes ₃ No ₄ NA (no resident equids ≤1 yr)

[If question 2 = No or NA, SKIP to question 4.]

3. How many of the resident equids 1 year of age or less were

vaccinated for the following diseases in the previous 12 months?

All Some None Don’t know

a. Flu (influenza) ₁ ₂ ₃ ₄

b. Strangles (Strep equi) ₁ ₂ ₃ ₄

c. Herpesvirus (also called EHV or rhino) ₁ ₂ ₃ ₄

d. Rabies ₁ ₂ ₃ ₄

e. West Nile virus ₁ ₂ ₃ ₄

f. Eastern and Western encephalitis (sleeping

sickness) [EEE and WEE] ₁ ₂ ₃ ₄

g. Tetanus ₁ ₂ ₃ ₄

h. Equine viral arteritis (EVA) ₁ ₂ ₃ ₄

i. Venezuelan equine encephalitis (VEE) ₁ ₂ ₃ ₄

j. Clostridium perfringens (C&D) ₁ ₂ ₃ ₄

k. Potomac horse fever (PHF) ₁ ₂ ₃ ₄

l. Rotavirus ₁ ₂ ₃ ₄

m. Anthrax ₁ ₂ ₃ ₄

n. Lyme disease ₁ ₂ ₃ ₄

o. Botulism ₁ ₂ ₃ ₄

p. Snake venom ₁ ₂ ₃ ₄

q. Other (specify: _____________________) ₁ ₂ ₃ ₄

4. Were any resident broodmares vaccinated

in the previous 12 months? ₁ Yes ₃ No ₄ NA (no resident broodmares)

[If question 4 = No or NA, SKIP to question 6.]

5. How many of the resident broodmares were vaccinated

for the following diseases in the past 12 months?

All Some None Don’t know

a. Flu (influenza) ₁ ₂ ₃ ₄

b. Strangles (Strep equi) ₁ ₂ ₃ ₄

c. Herpesvirus (also called EHV or rhino) ₁ ₂ ₃ ₄

d. Rabies ₁ ₂ ₃ ₄

e. West Nile virus ₁ ₂ ₃ ₄

f. Eastern and Western encephalitis (sleeping

sickness) [EEE and WEE] ₁ ₂ ₃ ₄

g. Tetanus ₁ ₂ ₃ ₄

h. Equine viral arteritis (EVA) ₁ ₂ ₃ ₄

i. Venezuelan equine encephalitis (VEE) ₁ ₂ ₃ ₄

j. Clostridium perfringens (C&D) ₁ ₂ ₃ ₄

k. Potomac horse fever (PHF) ₁ ₂ ₃ ₄

l. Rotavirus ₁ ₂ ₃ ₄

m. Anthrax ₁ ₂ ₃ ₄

n. Lyme disease ₁ ₂ ₃ ₄

o. Botulism ₁ ₂ ₃ ₄

p. Snake venom ₁ ₂ ₃ ₄

q. Other (specify: _____________________) ₁ ₂ ₃ ₄

6. Were any resident equids over 1 year of age

(excluding resident broodmares) vaccinated

in the previous 12 months?

₁ Yes ₃ No ₄ NA (no resident equids, excluding broodmares, >1 year)

[If question 6 = No or NA, SKIP to question 8.]

7. How many of the resident equids over 1 year of age

(excluding resident broodmares) were vaccinated for

the following diseases in the past 12 months?

All Some None Don’t know

a. Flu (influenza) ₁ ₂ ₃ ₄

b. Strangles (Strep equi) ₁ ₂ ₃ ₄

c. Herpesvirus (also called EHV or rhino) ₁ ₂ ₃ ₄

d. Rabies ₁ ₂ ₃ ₄

e. West Nile virus ₁ ₂ ₃ ₄

f. Eastern and Western encephalitis (sleeping

sickness) [EEE and WEE] ₁ ₂ ₃ ₄

g. Tetanus ₁ ₂ ₃ ₄

h. Equine viral arteritis (EVA) ₁ ₂ ₃ ₄

i. Venezuelan equine encephalitis (VEE) ₁ ₂ ₃ ₄

j. Clostridium perfringens (C&D) ₁ ₂ ₃ ₄

k. Potomac horse fever (PHF) ₁ ₂ ₃ ₄

l. Rotavirus ₁ ₂ ₃ ₄

m. Anthrax ₁ ₂ ₃ ₄

n. Lyme disease ₁ ₂ ₃ ₄

o. Botulism ₁ ₂ ₃ ₄

p. Snake venom ₁ ₂ ₃ ₄

q. Other (specify: _____________________) ₁ ₂ ₃ ₄

Note to data collector: Cross check answers to question 8 (vaccines administered) against those for same vaccines (a through p) in questions 3, 5, and 7.

8. We would like to understand why people do not use specific equine vaccines. For the vaccines listed below, indicate whether the vaccine was administered to any resident equid on the operation during the previous 12 months. If not administered, give the primary reason for not administering the vaccine.

Reason codes for question 8
1 = Concern of adverse reaction to vaccine	5 = Financial constraints on equine expenditures
2 = Vaccine considered ineffective	6 = Did not get around to it
3 = Little risk of disease exposure	7 = Unaware this vaccine was available
4 = Not recommended by veterinarian	8 = Other reason (specify: )

Administered? Code

a. Flu (influenza) ₁ Yes ₃ No _____

b. Strangles (Strep equi) ₁ Yes ₃ No _____

c. Herpesvirus (also called EHV or rhino) ₁ Yes ₃ No _____

d. Rabies ₁ Yes ₃ No _____

e. West Nile virus ₁ Yes ₃ No _____

f. Eastern and Western encephalitis (sleeping

sickness) [EEE & WEE] ₁ Yes ₃ No _____

g. Tetanus ₁ Yes ₃ No _____

h. Equine viral arteritis (EVA) ₁ Yes ₃ No _____

9. If question 8c = Yes (herpesvirus), for those animals vaccinated against

EHV/rhino, how often in the previous 12 months did you vaccinate the

following resident equids?

a. Age 1 year or less _____ # times/yr ₁ NA

b. Broodmares _____ # times/yr ₁ NA

c. Equids over 1 year (excluding resident broodmares) _____ # times/yr ₁ NA

10. Which EHV vaccine product(s) was used? (See attached sheet for code(s).)

[Enter all product codes that apply for each category.]

a. Age 1 year or less __________

b. Broodmares __________

c. Equids over 1 year (excluding resident broodmares) __________

Section C—Internal Parasite Control and Management

1. In the previous 12 months, were any resident equids dewormed

at least once? ₁ Yes ₃ No

[If question 1 = No, SKIP to question 6.]

2. In the previous 12 months, were any resident equids dewormed

for the following reasons?

a. General prevention measure ₁ Yes ₃ No

b. Equids had previous colic problem ₁ Yes ₃ No

c. Worms were seen ₁ Yes ₃ No

d. Equids were thin or doing poorly ₁ Yes ₃ No

e. Rubbing tail ₁ Yes ₃ No

f. Fecal test results indicated a need ₁ Yes ₃ No

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

3. Of the reasons for deworming in the previous question, what

was the primary reason for deworming resident equids in

the previous 12 months? [Check one only.]

₁ General prevention measure

₂ Equids had previous colic problem

₃ Worms were seen

₄ Equids were thin or doing poorly

₅ Rubbing tail

₆ Fecal test results indicated a need

₇ Other

Codes for question 4

1 = Dewormer product rotation (e.g., ivermectin then pyrantel)

2 = Fecal egg count, treat according to results

3 = Regular use of same dewormer

4 = Daily deworming

5 = Equids are not dewormed (skip “# times” column)

6 = NA (do not have the category of equid)

4. What deworming program is currently in use for

the following equids? [Enter all codes that apply.]

# times majority of

equids dewormed in

Code previous 12 months

a. Less than 6 months old _____ _____

b. 6 months through 1 year old (23 months) _____ _____

c. Broodmares _____ _____

d. Stallions _____ _____

e. All other equids 2 to 3 years old _____ _____

f. All other equids 4 years or older _____ _____

5. What types of deworming products were used in the previous

12 months and what was the maximum number of times they

were used? [For products used, circle the maximum number

of times administered to any equid.]

Maximum number of times

administered to any equid

in the last 12 months

a. Ivermectin ₁ Yes ₃ No 1 2 3 4 5 6+

b. Ivermectin/praziquantel

(e.g., Equimax, Zimecterin Gold) ₁ Yes ₃ No 1 2 3 4 5 6+

c. Moxidectin (e.g., Quest) ₁ Yes ₃ No 1 2 3 4 5 6+

d. Moxidectin/praziquantel (e.g., Quest +) 1 2 3 4 5 6+

e. Fendendazole (e.g., Panacur,

Panacur, Safe-Guard) ₁ Yes ₃ No 1 2 3 4 5 6+

f. Power Pack or Safeguard Powerdose

(e.g., Fendendazole double dose given

5 days in a row; count a 5-day course

of treatment as one time.) ₁ Yes ₃ No 1 2 3 4 5 6+

g. Oxibendazole (e.g., Anthelcide EQ) ₁ Yes ₃ No 1 2 3 4 5 6+

h. Piperazine ₁ Yes ₃ No 1 2 3 4 5 6+

i. Pyrantel pamoate

(e.g., Strongid paste, Exodus) ₁ Yes ₃ No 1 2 3 4 5 6+

j. Pyrantel tartrate

(e.g., Strongid C 2X daily dewormer) ₁ Yes ₃ No 1 2 3 4 5 6+

k. Levamisol ₁ Yes ₃ No 1 2 3 4 5 6+

l. Other (specify: ______________) ₁ Yes ₃ No 1 2 3 4 5 6+

6. In the previous 5 years, have you ever had a fecal egg count

performed on feces from resident equids? ₁ Yes ₃ No ₄ Don’t know

[If question 6 = No or DK, SKIP to question 8.]

Codes for question 7

1 = More often than annually

2 = Annually

3 = Less often than annually

4 = Not done

5 = NA (do not have this category of equid)

7. For the following category of equids, how often do you typically

have fecal egg counts done? [Count pre- and post-fecal egg count

for fecal egg reduction test as one time.]

Code

a. Less than 6 months old _____

b. 6 months through 1 year old (23 months) _____

c. Broodmares _____

d. Stallions _____

e. All other equids 2 to 3 years old _____

f. All other equids 4 years or older _____

8. In the previous 5 years, did you consult your veterinarian about a

parasite control strategy tailored specifically for your farm/operation? ₁ Yes ₃ No

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

9. Did your veterinarian recommend:

a. Fecal testing predeworming? ₁ Yes ₃ No

b. Fecal testing postdeworming? ₁ Yes ₃ No

c. Frequent removal of manure from pasture/grazing area? ₁ Yes ₃ No

d. Rotating pastures? ₁ Yes ₃ No

e. Combination deworming (using two or more dewormers at once?) ₁ Yes ₃ No

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

10. How concerned are you about drug resistance in equine internal parasites?

[Check one only.]

₁ Never heard of it

₂ Not concerned

₃ Slightly concerned

₄ Moderately concerned

₅ Very concerned

11. Have you ever had your equids examined for drug-resistant parasites

using fecal egg count reduction test (also called FECRT, egg

reappearance test, or other test)? ₁ Yes ₃ No

12. Have you ever had a documented case of drug-resistant

equine internal parasites on your farm? ₁ Yes ₃ No

If Yes, which drugs? [See list of anthelmintic/dewormer codes.] _____________

13. Have you ever changed your deworming plan based on

drug-resistant parasites? ₁ Yes ₃ No

If Yes, why?

a. Known problem ₁ Yes ₃ No

b. Concern about potential problem ₁ Yes ₃ No

Section D—Tick Control and Management

1. Do you check your equids for ticks? ₁ Yes ₃ No

[If question 1 = No, SKIP to question 11.]

2. How often do you or others check your equids for ticks? [Check one only.]

₁ Daily

₂ After a specific activity (e.g., trail riding)

₃ Several times a week

₄ No specific routine

₅ Never

3. What method do you use to check for ticks? [Check all that apply.]

 Routine grooming

 Palpate in mane

 Palpate in tail head and under tail

 Visual inspection

 Other (specify: ________________________________)

4. In the previous 12 months, have you observed ticks on any of your equids? ₁ Yes ₃ No

[If question 4 = No, SKIP to question 11.]

5. In what location(s) on your equids did you identify ticks? [Check all that apply.]

 Ears (A)

 Crest/mane (B)

 Jaw line (C)

 Elbow/girth area (D)

 Sheath or udder (E)

 Between upper thighs (F)

 Tail and under tail (G)

 Other (specify: ______________________________)

6. Where is the most common location you find ticks on your equids?

[Enter letter from question 5 horse diagram.] _____ letter

7. After which activities do you most often observe equids with ticks?

[Check one only.]

₁ On pasture

₂ Trail riding

₃ Cross-country competitions

₄ Other (specify: __________________________________)

8. Were the ticks you observed on your equids in the previous

12 months identified by type (species of tick)? ₁ Yes ₃ No ₄ Don’t know

[If question 8 = No or Don’t know, SKIP to question 11.]

9. Who definitively identified the type or species of tick in question 8?

[Check one only.]

₁ Owner

₂ Stable manager

₃ Extension agent

₄ Veterinarian

₅ Diagnostic laboratory

₆ Other (specify: _____________________________)

Codes for question 10

1 = American dog tick (Dermacentor variabilis)

2 = Winter tick (Dermacentor albipictus)

3 = Lone Star tick (Amblyomma americanum)

4 = Brown dog tick (Rhipicephalus sanguineus)

5 = Deer tick (also called black-legged tick) [Ixodes scapularis]

6 = Spinose ear tick (Otobius megnini)

7 = Rocky Mountain wood tick (Dermacentor andersoni)

8 = Western black-legged tick (Ixodes pacificus)

9 = Gulf Coast tick (Amblyomma maculatum)

10 = Other (specify)

10. What type of ticks were found on equids? [Enter code(s) for all types identified.] __________ code(s)

11. In the previous 12 months, have any equids on this operation

had the following tick-borne disease(s) and, if Yes, how was

the disease diagnosed?

Diagnosis by:

Laboratory

confirmation Veterinarian

a. Lyme disease ₁ Yes ₃ No ₁ Yes ₃ No ₁ Yes ₃ No

b. Anaplasmosis ₁ Yes ₃ No ₁ Yes ₃ No ₁ Yes ₃ No

c. Equine piroplasmosis (EP) ₁ Yes ₃ No ₁ Yes ₃ No ₁ Yes ₃ No

d. Tick paralysis ₁ Yes ₃ No ₁ Yes ₃ No ₁ Yes ₃ No

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

12. In the previous 5 years, approximately how often have you observed

ticks on your equids during the following time periods?

Never Monthly Weekly Daily

a. December–February ₁ ₂ ₃ ₄

b. March–May ₁ ₂ ₃ ₄

c. June–August ₁ ₂ ₃ ₄

d. September–November ₁ ₂ ₃ ₄

[If questions 12a–12d ALL = 1, SKIP to question 14.]

13. What was the typical level of tick infestation for the following

time periods over the previous 5 years:

Level of infestation (ticks/equid)

Low Medium High

None (1–4) (5–20) (>20)

a. December–February? ₁ ₂ ₃ ₄

b. March–May? ₁ ₂ ₃ ₄

c. June–August? ₁ ₂ ₃ ₄

d. September–November? ₁ ₂ ₃ ₄

14. Do you treat your equids in order to control ticks? ₁ Yes ₃ No

If Yes, enter codes for products used: __________ (code(s)

[If question 14 = No, SKIP to question 16.]

15. How often do you treat equids to control ticks? [Check one only.]

₁ Daily (regardless of location or activity)

₂ When on pasture

₃ When trail ridden

₄ When you see ticks

₅ Other (specify: ____________________)

16. Which of these habitats has your equid(s) spent time in over

the previous 12 months?

a. Developed (residential, commercial, or areas with a high

percentage of constructed materials) ₁ Yes ₃ No

b. Shrubland (shrubland, mixed shrubs/grasses/young trees,

areas with vegetation less than 20 ft high) ₁ Yes ₃ No

c. Forested (deciduous, evergreen, mixed areas with tree coverage) ₁ Yes ₃ No

d. Grasslands (majority of coverage related to upland grasses,

might be used for grazing, not intensively managed) ₁ Yes ₃ No

e. Wetlands (areas where the area is periodically saturated or

covered with water) ₁ Yes ₃ No

f. Cultivated (pastures, agricultural crops, areas that are

intensively managed) ₁ Yes ₃ No

g. Recreational areas (urban parks, trails) ₁ Yes ₃ No

17. Do you use landscape modifications (e.g., weed control,

pasture mowing, vegetation-free zones) to reduce the

tick populations on your operation? ₁ Yes ₃ No

18. Do you prevent equids from grazing in forested/

wooded areas by fencing these areas? ₁ Yes ₃ No ₄ NA (no forested/wooded areas)

19. Where do you obtain your information on ticks and tick control

on equids? [Rank your top three with the numbers 1, 2, and 3.]

a. Veterinarian _____

b. Diagnostic laboratory _____

c. Books _____

d. Internet _____

e. Equine magazines _____

f. Feed store _____

g. Veterinary product store _____

h. Extension agent _____

i. Scientific peer-reviewed literature _____

j. Other owners/trainer, etc. _____

k. Other (specify: ____________________________________) _____

Section E—Lameness Occurrence and Management

A lameness problem is defined as an abnormality in gait such that

the equid cannot be used for its intended purpose or can only be used

with intervention (e.g., medication, corrective shoeing, rest). Horses

that receive intervention to prevent lameness would not be included.

1. How many resident equids have a lameness problem today? _____ #

2. In the table below, enter the number of resident equids that

had any lameness problem during the previous 12 months even if they

died or are no longer on the premises. For this table, use the age of the

animal today. [Count each equid only one time even if it had more than one episode

of lameness during the past 12 months and even if the equid was affected by

more than one cause of lameness.]

	Age (years)
	<2	2–5	6–10	11–15	16–20	21+
a. Number of resident equids with lameness in the last 12 months

b. Total number of resident equids that have been lame in the previous 12 months (sum of 2a) _____ #

[If question 2b = 0, SKIP to question 14 column 1 only.]

3. In the table below, enter the number of resident equids in each age group affected

at any time during the previous 12 months by the conditions listed. For equids

with more than one type of problem, count each problem separately, but do not count a

recurrence of the same problem in the same individual more than once per equid.

The same condition affecting more than one leg/foot should be counted only one

time per animal. For this section, use the age of the animal today.

	Age (years)
	<2	2–5	6–10	11–15	16–20	21+
Foot conditions
Sole bruise or abscess
Laminitis
Coffin joint problem
Navicular problem or disease
Other foot problem (specify: )
Limb conditions
Wound or laceration causing lameness
Tendon, ligament, muscle (injury or contracture)
Bone injury (fracture, splint, bucked shins)
Angular limb deformity (crooked legs)
Other limb problem (specify: )
Joint problems
Developmental joint problem (OC, OCD)
Sudden joint injury (strain, sprain)
Joint infection
Chronic joint problem (arthiritis)
Other joint problem (specify: )
Other conditions
Back pain or soreness
Unknown problem
Other known problem (specify: )

4. During the previous 12 months, how many resident equids intended for the

following purposes were lame?

a. Pleasure _____ #

b. Show or competition _____ #

c. Breeding _____ #

d. Racing _____ #

e. Farm or ranch work _____ #

f. Lesson or school horse _____ #

g. Other (specify: _____________________________________) _____ #

h. Total [should equal question 2b] _____ #

5. During the previous 12 months, how many resident equids of the following genders were lame?

a. Intact male (stallion or colt) _____ #

b. Castrated male _____ #

c. Female, nonpregnant _____ #

d. Female, pregnant _____ #

e. Female, spayed _____ #

f. Total [should equal question 2b] _____ #

6. During the previous 12 months, how many resident equids of the following breeds were lame?

a. Appaloosa _____ #

b. Arabian _____ #

c. Draft breed _____ #

d. Morgan _____ #

e. Mustang _____ #

f. Paint horse _____ #

g. Saddlebred _____ #

h. Standardbred _____ #

i. Tennessee walking horse _____ #

j. Thoroughbred _____ #

k. Quarter horse _____ #

l. Warmblood breed _____ #

m. Mule _____ #

n. Donkey or burro _____ #

o. Miniature horse _____ #

p. Other registered breed (specify: _____________________________) _____ #

q. Other nonregistered breed (specify: _____________________________) _____ #

r. Total [should equal question 2b] _____ #

7. During the previous 12 months, how many of the lame equids

had the following outcomes?

a. Recovered or sound and remained sound _____ #

b. Recovered but same problem later recurred _____ #

c. Recovered but were affected by a different problem _____ #

d. Improved but still had lameness _____ #

e. No improvement or worse _____ #

f. Sold or given away due to lameness _____ #

g. Died or euthanized due to lameness _____ #

h. Other (specify: ________________________________________) _____ #

i. Total [should equal question 2b] _____ #

8. During the previous 12 months, how many of the lame equids had

a lameness problem that lasted:

a. Less than 1 week? _____ #

b. 1 week up to 1 month? _____ #

c. 1 month up to 6 months? _____ #

d. 6 months up to 12 months? _____ #

e. 12 months or more? _____ #

f. Total [should equal question 2b] _____ #

9. During the previous 12 months, how many of the lame equids accumulated

the following times of lost use when the equid could not be used

at all because of lameness?

a. Less than 1 week? _____ #

b. 1 week up to 1 month? _____ #

c. 1 month up to 6 months? _____ #

d. 6 months up to 12 months? _____ #

e. 12 months or more? _____ #

f. Total [should equal question 2b] _____ #

10. During the previous 12 months, for how many lame equids did the use of the equid

permanently change to each of the following as a result of lameness?

a. No change of use _____ #

b. Pleasure riding _____ #

c. Different type of show or competition (not betting) _____ #

d. Breeding _____ #

e. Racing _____ #

f. Farm or ranch work _____ #

g. Companion animal _____ #

h. Retired from all use and turned out or kept as a pet _____ #

i. Other use (specify: ___________________________________) _____ #

j. Total [should equal question 2b] _____ #

11. During the previous 12 months, for how many lame equids was a

veterinarian consulted? _____ #

12. During the previous 12 months, what was the total cost for:

a. Medical and surgical care or services for lameness (includes

veterinary services, treatments from other types of practitioners,

and prescription or over-the-counter medications and supplements)? $ _____

b. Corrective hoof trimming or shoeing for lameness? $ _____

c. Special tack and riding equipment (protective boots, bandages, leg wraps)? $ _____

d. Other lameness related? (specify: ________________________________) $ _____

13. Who was the primary provider of hoof care for the treatment of a lameness problem?

a. Farrier _____ #

b. Hoof trimmer or barefoot trimmer _____ #

c. Owner or employee _____ #

d. Veterinarian _____ #

e. Other (specify: _______________________________) _____ #

f. No hoof care provided for lameness problem _____ #

14. During the previous 12 months, how many resident equids received the following

therapies to prevent or treat lameness? [Equids may be counted more

than once.]

Prevention Treatment

a. Complete rest _____ # _____ #

b. Controlled or restricted exercise _____ # _____ #

c. Routine hoof trimming without shoes _____ # _____ #

d. Routine hoof trimming with routine shoeing _____ # _____ #

e. Corrective hoof trimming without shoes _____ # _____ #

f. Corrective shoeing _____ # _____ #

g. Ice, cold hosing, cold or heat therapy _____ # _____ #

h. Nonsteroidal, anti-inflammatory medications (phenylbutazone [bute],

flunixin meglumine [Banamine®], Surpass®, etc.) _____ # _____ #

i. Corticosteroid anti-inflammatory medications _____ # _____ #

j. Other injectable medications (PSGAG, HA) _____ # _____ #

k. Nutritional supplements or nutriceuticals _____ # _____ #

l. Site-specific injections (joints, tendon sheaths, bursae, etc.) _____ # _____ #

m. Chiropractic _____ # _____ #

n. Acupuncture _____ # _____ #

o. Laser treatments _____ # _____ #

p. Therapeutic ultrasound _____ # _____ #

q. Shockwave therapy _____ # _____ #

r. Massage _____ # _____ #

s. Other alternative medicine (specify: _______________________) _____ # _____ #

t. Other treatments (specify: ____________________________) _____ # _____ #

Section F—Equine Health Care Expenses

The purpose of this section is to capture the cost of selected aspects of equine care (e.g., veterinary care, hoof/feet care, feeding costs, and insect control). Refer to the tear-off worksheet at the end of the questionnaire. Use this worksheet to summarize expenses for question 1 and questions 6 through 9.

1. What percentage of the forage fed to resident equids on

this operation in the previous 12 months was:

a. Purchased hay (including pelleted or cubed hay) _____ %

b. Operation-grown and produced hay _____ %

c. Pasture _____ %

Total 100%

[If question 1c = 0, SKIP to question 3.]

2. How many acres of pasture were used for grazing

of resident equids in the previous 12 months? _____ acres

a. For how many months were resident equids grazing pasture? _____ mo

b. On average, how many equids grazed on pasture? _____ #

3. Did you feed grain/concentrate/energy source (beyond hay or

pasture forage; excluding a vitamin/mineral or joint supplement)

during the previous 12 months? ₁ Yes ₃ No

[If question 3 = No, SKIP to question 6.]

4. What percentage of the grain/concentrate/energy source fed to

equids during the previous 12 months (excluding vitamin/mineral

or joint supplements) was from the following sources:

a. Purchased in bags (retail source)? _____ %

b. Bulk delivery from retail source? _____ %

c. Bulk delivery from nonretail source? _____ %

d. Home grown? _____ %

e. Other? (specify: ____________________________) _____ %

Total 100%

5. If question 4a >0, what was the average cost per bag? $ _____

6. How much hay did you feed equids in the previous 12 months? _____ tons OR _____ bales

If bales, what was the average weight (in pounds) per bale? _____ lb

7. What was the average cost of hay purchased for equids

in the previous 12 months? [If none purchased, enter 0.].. $ _____ /ton OR $ _____ /bale

8. What did you spend on grain/concentrate/energy source/

pelleted feeds (excluding pelleted hay) in the previous 12 months?

[If no grain concentrate was fed, enter 0.] $ _____

9. How much did you spend in the previous 12 months for the following

equine health care items/services?

a. Veterinary services and veterinary products (e.g., vaccines,

dewormers and other drugs, vitamin/mineral nutritional

supplements, joint supplements) and dental care $ _____

b. Hoof care and shoeing $ _____

c. Insect control (including sprays, roll-on, fly mask, feeding/feed-through

fly control product, fly sheet, parasitic fly predators, mosquito

dunks, barn insect spray system, bug zapper, spot-on treatments) $ _____

Section G—Office Use Only

1. Enter interview response code:

₁ Out of business

₂ Refusal

₃ Complete

₄ Partial refusal

₅ Inaccessible

₆ Out of scope

₇ No resident equids on July 1

2. Enumerator note: If item 1 = 2 or 4, check the box below that best

explains the reason for refusal.

₁ Does not want to commit time

₂ Does not have necessary records available

₃ Has participated in too many surveys

₄ A bad time of year (time-consuming horse activities, second job, etc.)

₅ Believes that this survey hurts the operator more than it helps

₆ No reason given, or other miscellaneous reasons

3. Did respondent use any of the following to answer health questions?

a. Records ₁ Yes ₃ No

b. Memory ₁ Yes ₃ No

c. Checked with veterinarian ₁ Yes ₃ No

4. Did respondent use/do any of the following to answer economic questions:

a. Records ₁ Yes ₃ No

b. Memory ₁ Yes ₃ No

c. Checked with accountant ₁ Yes ₃ No

d. Checked with veterinarian ₁ Yes ₃ No

e. Checked with hay/feed supplier ₁ Yes ₃ No

Supplemental Worksheet for Section F – Equine Health Care Expenses

The purpose of this worksheet is to provide guidance on which information should be used to calculate responses for Section F – Equine Health Care Expenses of the survey, focused on the cost of selected aspects of equine care (e.g., veterinary care, hoof/feet care, feeding costs, and insect control). This information may be available in your checkbook, bank and credit card statements, supporting tax documents, paid invoices and bills, and other financial and health records. [Question numbers refer to questions in Section F.]

6. How much hay did you feed equids in the previous 12 months? _____ tons OR _____ bales

If bales, what was the average weight (in pounds) per bale? _____ lb

7. What was the average cost for hay purchased for equids in the previous 12 months?

[Cross out the months not included in the previous 12 months.]

	# of tons purchased	Cost per ton	# of bales purchased	Average weight per bale	Cost per bale
September 2014		$			$
October 2014		$			$
November 2014		$			$
December 2014		$			$
January 2015		$			$
February 2015		$			$
March 2015		$			$
April 2015		$			$
May 2015		$			$
June 2015		$			$
July 2015		$			$
August 2015		$			$
September 2015		$			$
October 2015		$			$
November 2015		$			$
December 2015		$			$
Total		=$			=$

8. How much did you spend on grain/concentrate/energy source in the previous 12 months?

	# of bags purchased		Cost per bag
Ex: Senior feed	20	X	$15	=	$300
Oats		X	$	=	$
Regular sweet feed		X	$	=	$
Senior feed		X	$	=	$
High performance feed		X	$	=	$
Other pelleted feed		X	$	=	$
Other		X	$	=	$
Total				=	$

9a. How much did you spend in the previous 12 months on veterinary services and veterinary products and dental care?

Veterinary products	# of equids that received product		# of times equids received product		Cost per product
Ex: Dewormers	10	X	4	X	$10	=	$400
Vaccines		X		X	$	=	$
Dewormers		X		X	$	=	$
Other drugs		X		X	$	=	$
Vitamin/mineral nutritional supplements		X		X	$	=	$
Joint supplements		X		X	$	=	$
Advanced dental treatment		X		X	$	=	$
Other		X		X	$	=	$
Veterinary services	# of equids that received service		# of visits		Cost per product
Physical exam		X		X	$	=	$
EIA testing		X		X	$	=	$
Emergency call		X		X	$	=	$
Farm call		X		X	$	=	$
Routine floating		X		X	$	=	$
Tooth extraction		X		X	$	=	$
Other		X		X	$	=	$
Total						=	$

9b. How much did you spend in the previous 12 months on hoof care and shoeing?

	# of equids that received service/product		# of times equids received service/product		Cost per service
Ex: Routine trimmings	10	X	8	X	$30	=	$2,400
Routine trimmings		X		X	$	=	$
Basic shoes on 2 hooves		X		X	$	=	$
Basic shoes on 4 hooves		X		X	$	=	$
Corrective shoes on 2 hooves		X		X	$	=	$
Corrective shoes on 4 hooves		X		X	$	=	$
Hoof protectors/boots		X		X	$	=	$
Other		X		X	$	=	$
Total						=	$

9c. What did you spend in the previous 12 months on insect and tick control?

	# of product containers purchased		# of times product was purchased		Cost per container
Ex: Fly masks	10	X	1	X	$15	=	$150
Fly masks		X		X	$	=	$
Fly sheet		X		X	$	=	$
Sprays		X		X	$	=	$
Mosquito dunks		X		X	$	=	$
Roll-on		X		X	$	=	$
Spot-on treatments		X		X	$	=	$
Feeding/feed-through fly control product		X		X	$	=	$
Parasitic fly predators		X		X	$	=	$
Barn insect spray system		X		X	$	=	$
Bug zapper		X		X	$	=	$
Other		X		X	$	=	$
Total						=	$

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