Industry

Industry Fall HPAI Planning Survey

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

To help APHIS prepare for a potential HPAI outbreak this fall, please complete this survey by
August 14, 2015. Data from the survey will help APHIS assist your industry if an outbreak occurs.
Specifically, the survey will ask you to describe steps taken by you to prepare for an HPAI outbreak
this fall. Please provide as much information as possible.
The questions marked with an * must be completed. If you don’t know an answer select “Don’t know”
on the multiple choice questions; on the write-in questions write “n/a” or “Don’t know” if applicable.
Survey Monkey when accessed through the web link will not allow you to save and return to the
survey to edit or complete later. Therefore, you may want to print the pdf version and gather the
needed information before starting the survey. If you would like to have the ability to save and return
to the survey you may request a personal web link to the survey by emailing
[email protected].

Moving between pages in the survey should only be performed by using the Previous and Next
buttons located at the bottom of each page. Do not use your web browsers back button as you could
lose all your answers.
All responses must be finalized and submitted byAugust 14, 2015.
If you have questions about this survey please contact Diane Sutton at 301-851-3509 or at
[email protected]. If you have technical problems with the survey please email
[email protected].

To receive HPAI reports should new cases occur in the U.S. pleasesubscribe to the VS Animal Health
Stakeholder Registry. For more information on HPAI and biosecurity go to theAPHIS website.

1. Regarding your involvement in the poultry industry, would you describe yourself as:*
Integrator
Grower or Producer

Grower / Producer Skip to Q73

1

Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
2. Integrator - General Information
2. Respondent Information*
Name of Respondent*
Company Name*
Company Address
Company Address 2
City/Town
State/Territory*

-- select state --

ZIP/Postal Code
Email Address
Phone Number

3. Please select all States in which you have farms*
Alabama

Kansas

Ohio

Alaska

Kentucky

Oklahoma

American Samoa

Louisiana

Oregon

Arizona

Maine

Pennsylvania

Arkansas

Maryland

Puerto Rico

California

Massachusetts

Rhode Island

CNMI

Michigan

South Carolina

Colorado

Minnesota

South Dakota

Connecticut

Mississippi

Tennessee

Delaware

Missouri

Texas

District of Columbia (DC)

Montana

Utah

Florida

Nebraska

Vermont

Georgia

Nevada

Virginia

Guam

New Hampshire

Virgin Islands

Hawaii

New Jersey

Washington

Idaho

New Mexico

West Virginia

Illinois

New York

Wisconsin

Indiana

North Carolina

Wyoming

Iowa

North Dakota

2

4. What type(s) of poultry does your company have (check Y/N for each)?*
Yes

No

a. Turkey
b. Broiler
c. Layer
d. Game Birds
e. Water fowl
f. Other (specify in
comment field)
Comment:

5. How many farms does your company own or contract with (enter number)?

6. How many farms have the following types of birds (enter numbers)?
Breeder
Pullets
Growers
Layers
Other

7. At normal operating capacities, how many birds (enter numbers):
Are on your company's largest farm?
Are on all of your company’s farms?

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Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
3. Integrator - Vaccination 1
8. Would you support vaccinating US poultry for HPAI under any circumstance?
Yes
No
Don't know

If No or Don't know SKIP to Q36

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Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
4. Integrator - Vaccination 2
9. Under what circumstances would you support vaccinating US poultry for HPAI?

5

Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
5. Integrator - Depopulation, Equipment, and Supplies
10. If depopulation within 24 hours of a presumptive positive is not possible using other depopulation
methods, would you support using ventilation shut down as a means of depopulation to minimize disease
spread and animal suffering?
Yes
No
Don't know

11. Approximately 10,000 to 20,000 gallons of water are required to foam depopulate poultry houses holding
around 10,000 birds. In one case during this summer’s HPAI response, a town ran out of water affecting fire
safety. (check Y/N for each)
Yes

No

a. Have you identified sources for water for your farms?
b. Have you identified sources for water tankers that can be rapidly deployed
to your farms?

12. Do you have a plan for rapidly depopulating all poultry on each of your farms if the farms become infected
with HPAI this fall?
Yes
No

if No SKIP to Q12

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Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
6. Integrator - Depopulation, Equipment, and Supplies 2
13. Please check all methods you plan to use for rapidly depopulating all poultry on infected farm(s):
Water-based foam
Carbon dioxide (CO2)
Cervical dislocation
Captive bolt
Ventilation shutdown
Other (please specify)

14. Do you have a plan for rapidly disposing of dead poultry on each of your farms if they become infected
with HPAI this fall?
Yes
No

If No SKIP to Q15

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Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
7. Integrator - Depopulation, Equipment, and Supplies 3
15. Please check all methods you plan to use for rapidly disposing all poultry on infected farm(s):
In-house composting
Outdoor, onsite composting
Burial
Off-site composting
Landfill
Incineration
Other (please specify)

16. Have your State Environmental Protection Agencies approved your disposal plan?
Yes
No
Don't know
Comments:

17. APHIS and affected States plan to assist producers in the event of an HPAI outbreak this fall. If the
outbreak is widespread, it may be necessary for companies to do part or all of the depopulation, disposal, and
cleaning and disinfecting measures on their premises with financial assistance from APHIS.
If this were the case would your company be able to do:
None of the work
Part of the work
All of the work

If None SKIP to Q24

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Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
8. Integrator - Depopulation, Equipment, and Supplies 4
18. Please estimate how long it would take you todepopulate all of the poultry on your company's largest farm
without assistance from State or APHIS personnel or their contractors (enter number of hours)?
Hours:

19. Once depopulated, please estimate how long it would take todispose of all of the poultry on your
company's largest farm without assistance from the State or APHIS personnel or their contractors:
Estimated number of days for disposal:

20. Once depopulation and disposal was completed, please estimate how long it would take you toclean and
disinfect your company's largest farm without assistance from the State or APHIS personnel or their
contractors (enter number of days):
Estimated number of days to Clean and Disinfect:

21. Describe the methods you plan to use to clean and disinfect:

22. Please select all of the following depopulation equipment that you have access to (check all that apply):
Foaming units
CO2 carts
Whole house CO2
Other
None

If None SKIP to Q24

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Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
9. Integrator - Depopulation, Equipment, and Supplies 5
23. How many of each of the following do you have access to and if known, what is the model or capacity of
the unit?
Foaming unit

CO2 carts

Whole house CO2

Other depopulation
equipment

24. Do you own/lease the equipment listed above?
Yes
No
Comment:

If No SKIP to Q24

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Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
10. Integrator - Depopulation, Equipment, and Supplies 6
25. Would you be willing to lease your depopulation equipment if you did not need it?
Yes
No
Don't know

26. Do you have approval or a process in place to get expedited approval, for (check Y/N/DK for each):
Yes

No

Don't know

a. Outdoor composting, burial, or other disposal methods from local and/or State
Departments of Natural Resources and/or other State environmental agencies if needed?
b. Managing of runoff from foaming or cleaning and disinfecting procedures?

27. Industry participants in the State/Industry/Federal Fall Planning meeting requested that they be notified of
HPAI control areas and other areas to be avoided when routing trucks, e.g., areas likely to be included in a
control zone based on a presumptive positive. If this information was provided, would you voluntarily route
trucks around these areas?
Yes
No
Don't know

28. Do you have agreements with landfills or other disposal sites to dispose of the following items in the
amounts likely to be generated if any of the company's farms is depopulated due to HPAI infection (check all
that apply)?
HPAI infected birds
Bedding, composted birds, manure and other organic materials form quarantined premises
Personal protective equipment such as gloves, respirators, Tyvek suits, etc.
Non-organic materials from quarantined premises
Other non-organic materials form quarantined premises
No agreements currently in place
If you have checked any boxes indicating an agreement, please provide specifics in this comment box.
Include the name and location of the disposal site(s):

29. Would your company be able to compost all birds on your largest farm (check Y/N for each)?
Yes

No

a. Indoors
b. Outdoors

30. Is your company stockpiling supplies (Tyvek suits, gloves, disinfectants, foam, respirators, etc.) that could
be used during a fall HPAI outbreak?
Yes
No

If No SKIP to Q32

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Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
11. Integrator - Depopulation, Equipment, and Supplies 7
31. Please check all types of supplies being stockpiled:
Respirators (specify model in comment field)
Tyvek or similar suits
Other PPE
Disinfectant
Foam
CO2
Cleaning agents
Other (specify in comment field)
Comment:

32. Are your supplies monitored and rotated to ensure they have not expired?
Yes
No

33. How long do you believe the aforementioned supplies would last in the event of an HPAI outbreak this fall
(select one of the options)?
Days
Weeks
Months

34. Does your company have emergency contracts or sources or both in place for fall, please check all the
types of supplies or services available for rapid delivery:
Respirators (specify model in comment field)
Tyvek or similar suits
Other PPE
Disinfectant
Foam
Cleaning agents
Water in tanker trucks
Carbon sources for composting such as wood chips
Composting Thermometers
Foaming crews
Other Personnel (specify in comment field)
CO2
Other (specify in comment field)
Comment:

12

35. Considering the substantial amount of sawdust or other carbon sources required for composting poultry, is
your company stockpiling sources of carbon for use in composting?
Yes
No

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Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
12. Integrator - Employee Respirator Use and Vaccination
36. Do you have a process in place for workers on your farms to be cleared for respirator use?
Yes
No

37. Do you have a process in place for workers on your farms to be fit-tested for respirator use?
Yes
No

38. Have employees identified as potential responders been medically cleared for respirator use?
Yes, some of our potential responders have been medically cleared for respirator use
Yes, most of our potential responders have been medically cleared for respirator use
Yes, all of our potential responders have been medically cleared for respirator use
No

39. Are you recommending workers on your farms get vaccinated for seasonal human flu?
Yes
No

40. Do you reimburse employees for getting vaccinated for seasonal flu?
Yes
No

41. Do you hold no cost vaccination clinics for seasonal flu for your employees?
Yes
No

42. Do you have protocols in place (or a point of contact to turn to) should a human illness occur on your
farms during an HPAI outbreak?
Yes
No

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Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
13. Integrator - Mapping and Data Management
43. Participants in the State/Industry/Federal Fall Planning meeting identified National Premises ID (PIN) or
equivalent State location identifiers (LID) as critical to response operations.
Do any of your premises have PINs or LIDs?
Yes
No
Don't know

If No SKIP to Q45, if Don't know SKIP to Q46

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Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
14. Integrator - Mapping and Data Management 2
44. Approximately what percentage of your premises have PINs or LIDs?

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Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
15. Integrator - Mapping and Data Management 3
45. Do you have a plan to obtain PINs or LIDs for your premises?
Yes
No

17

Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
16. Integrator - Mapping and Data Management 4
46. Participants in the State/Industry/Federal Fall Planning meeting identified the pre-outbreak assignment
and entry of PINs in Veterinary Services Emergency Management Response System (EMRS) as critical to
efficient reporting of test results and to the issuance of permits for moving animals and products.
Has your company participated in these activities?
Yes
No

If Yes SKIP to Q48

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Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
17. Integrator - Mapping and Data Management 5
47. Since you have not had your PINs entered in EMRS would you like our EMRS group to contact you to
work on this?
Yes (If you would like to start promptly, please email [email protected])
No

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Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
18. Integrator - Biosecurity 1
48. Have any of your farm(s) implemented a biosecurity plan (e.g., a site-specific document developed by a
producer to define the measures taken by employees to prevent disease introduction to the production
facility)?
Yes
No

If No SKIP to Q51

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Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
19. Integrator - Biosecurity 2
49. Do your biosecurity plans include standard operating procedures (SOPs) that clearly describe (check Y/N
for each):
Yes

No

a. How biosecurity procedures will be
performed to manage disease risk?
b. Performance measures?
c. Site specific plans for each contract
grower?

50. Do your biosecurity plans address these issues (check Y/N for each):
Yes

No

a. Proximity to other poultry farms
b. Proximity to another poultry farms litter/manure spreading
c. Distance to other risk factors such as public roads
d. Separation of clean and dirty areas for barns or other facilities
e. General cleaning and disinfection protocols
f. Vehicle traffic
g. Foot traffic/personnel
h. Employee exposures to any birds not on the farm on which
they work
i. Employees family members that may work at a different poultry
farm
j. Entry by service persons (e.g. no multiple visits on same day,
sanitation, clothing, vehicle cleaning and disinfection entering
and exiting the facility, etc.)
k. Contract crews biosecurity
l. Water source sanitation
m. Air/wind spread, i.e. use of filters or geographical separation
n. Dead bird disposal
o. Pets, birds, wild birds, livestock, wild and/or domestic animals
p. Pest control (e.g., rodents, flies, bats, etc.)
q. Policies for shared equipment
r. Other (specify in comment field)
Comment:

21

51. Which of the following potential disease pathways are the most difficult to manage for your farms (Pick three)?
a. Proximity to other poultry farms
b. Proximity to another poultry farms litter/manure spreading
c. Distance to other risk factors such as public roads
d. Separation of clean and dirty areas for barns or other facilities
e. General cleaning and disinfection protocols
f. Vehicle traffic
g. Foot traffic/personnel
h. Employee exposures to any birds not on the farm on which they work
i. Employees family members that may work at a different poultry farm
j. Entry by service persons (e.g. no multiple visits on same day, sanitation, clothing, vehicle cleaning and disinfection entering and exiting the
facility, etc.)
k. Contract crews biosecurity
l. Water source sanitation
m. Air/wind spread, i.e. use of filters or geographical separation
n. Dead bird disposal
o. Pets, birds, wild birds, livestock, wild and/or domestic animals
p. Pest control (e.g., rodents, flies, bats, etc)
q. Policies for shared equipment
r. Other (specify in comment field)
Select an answer from each of the drop-downs below:

1st

2nd
3rd
Other (please specify)

52. What are you doing to mitigate the three problem areas identified in the previous question?

53. What are the top-three things you have done since the start of the HPAI outbreak to increase biosecurity?
1st
2nd
3rd

54. Have you implemented protocols for monitoring farm biosecurity compliance?
Yes
No

22

55. Which of the following do you believe would be the most appropriate for helping you create or update a
biosecurity plan for your farm(s)?
Poultry industry
Federal government
State government
Academia
Other (specify in comment field)
Comment:

56. What percentage of your farms has had biosecurity audits (total of all answers must equal 100):
% Quarterly or more often
% Semi annually
% Annually
% Less than once/year
% Never

57. Have company and other service personnel (e.g., field service persons, flock service technicians, etc.)
been (check Y/N for each):
Yes

No

a. Instructed on biosecurity expectations?
b. Prohibited from visiting multiple farms on the same day?
c. Required to take vehicle precautions (e.g., park away from barns, clean /
disinfect, etc.)?
d. Required to take personal biosecurity precautions (e.g., shower, clothing,
footwear, etc.)?

58. Do biosecurity auditors receive the following training (check Y/N for each)?
Yes

No

a. ISO 9001 Auditor training
b. Industry training program
c. State-sponsored auditor training
d. On job training
e. Others (specify in comment field)
Comment:

59. Which of the following do you believe would be the most appropriate for helping you create a biosecurity
audit program for your farms?
Poultry industry
Federal government
State government
Academia
Other (specify in comment field)
Comment:

23

60. Who conducts farm biosecurity audits?
Farm personnel
Other Company personnel
3rd party
Regulatory official
Other (specify in comment field)
Comment:

61. In the last 12 months, what percentage of your farms passed the biosecurity audits?

62. Does your company take action when a farm fails a biosecurity audit (e.g., retrain, remove contract,
reaudit, financial penalty)?
Yes (specify the type(s) of penalty in comments field)
No
Comment:

63. Are audits conducted as a (select one):
Unannounced or unscheduled / random on farm visit
Scheduled on farm visit
Record check (no visit)
Other (specify in comment field)
Comment:

If Record check (no visit) Skip to Q65

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Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
20. Integrator - Biosecurity 3
64. Are biosecurity practices observed and verified during the on-farm audit?
Yes
No

65. Has your company implemented any of the following measures to increase biosecurity awareness (check
Y/N for each)?
Yes

No

a. Appointed one individual to be responsible for biosecurity training and
implementation
b. Conducted meetings to address biosecurity with employees, co-op
members, contract growers, etc.
c. Conducted biosecurity webinars for employees, co-op members, contract
growers, etc.
d. Develop producer or company site-specific biosecurity plans
e. Established biosecurity communications with employees, co-op members,
contract growers, etc. by email or mail
f. Sent biosecurity messages through media (print, radio, etc.)
g. Conducted paper audits of biosecurity plans
h. Conducted site audits of biosecurity plans
i. Conducted site visits to assist in development or implementation of
biosecurity plans
j. Conducted hands-on training
k. Other (specify in comment field)
Comment:

66. Do you have a communication system that ensures contract growers and farm employees receive timely
information regarding the disease status of the farm or operation?
Yes
No

67. Is there a communication/education plan in place to inform visitors and service providers of the farm's
disease status and biosecurity requirements?
Yes
No

68. Do you have protocols for growers to report disease or increased mortality?
Yes
No

69. Is your biosecurity plan communicated to personnel who are not fluent in English in their native
language?
Yes
No

25

70. Would having bilingual biosecurity educational materials provided by APHIS be helpful?
Yes
No

If No SKIP to Q72

26

Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
21. Integrator - Biosecurity 4
71. Materials in what language(s) would be most helpful?

27

Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
22. Integrator - Comments:
72. Is there anything else you would like to share with us about your level of preparedness for a possible HPAI
outbreak this fall?

28

Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
23. Grower / Producer - General Information
73. Respondent Information:
Name of Respondent*
Address of farm
Address 2
City/Town
State/Territory*

-- select state --

ZIP/Postal Code
Email Address
Phone Number

74. What company are you affiliated with, if any?*

75. Do you have the following type(s) of poultry (check Y/N for each)?*
Yes

No

a. Turkey
b. Broiler
c. Layer
d. Game birds
e. Waterfowl
f. Other (specify in comment field)
Comment:

76. Do you own more than one farm with poultry?
Yes
No

If No, SKIP to Q80

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Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
24. Grower / Producer - Multiple farms
77. How many farms do you own (enter numbers only)?

78. How many birds are on your largest farm (enter numbers only)?

79. Briefly describe your operation(s) in the field below:

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Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
25. Grower / Producer - Single farm
80. How many birds are on this farm?
Enter total number:

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Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
26. Grower / Producer - Depopulation 1
81. Do you have a plan for rapidly depopulating all your poultry if they become infected with HPAI this fall?
Yes
No

If No SKIP to Q83

32

Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
27. Grower / Producer - Depopulation 2
82. Please check all methods you plan to use for rapidly depopulating all poultry on infected farm(s):
Water-based foam
Carbon dioxide (CO2)
Cervical dislocation
Captive bolt
Ventilation shutdown
Other (please specify)

83. Do you have a plan for rapidly disposing of all your poultry if they become infected with HPAI this fall?
Yes
No

If No SKIP to Q85

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Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
28. Grower / Producer - Depopulation 3
84. Please check all methods you plan to use for rapidly disposing all poultry on infected farm(s):
In-house composting
Outdoor, onsite composting
Burial
Off-site composting
Landfill
Incineration
Other (please specify)

34

Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
29. Grower / Producer - Biosecurity
85. Are your regular employees (check Y/N for each):
Yes

No

a. Instructed on biosecurity expectations?
b. Prohibited from visiting multiple farms on the same day?
c. Required to take vehicle precautions (e.g., park away from barns,
clean/disinfect, etc.)?
d. Required to take personal biosecurity precautions (e.g., shower, clothing,
footwear, etc.)?

86. How often does your farm(s) have biosecurity audits:
Quarterly or more often
Semi annually
Annually
Less than once/year
Never

87. What are the top-three things you have done since the start of the 2015 HPAI outbreak to increase
biosecurity?
1st

2nd
3rd

35

88. Which of the following potential disease pathways are the most difficult to manage for your farm(s) (Pick three)?
a. Proximity to other poultry farms
b. Proximity to another poultry farms litter/manure spreading
c. Distance to other risk factors such as public roads
d. Separation of clean and dirty areas for barns or other facilities
e. General cleaning and disinfection protocols
f. Vehicle traffic
g. Foot traffic/personnel
h. Employee exposures to any birds not on the farm on which they work
i. Employees family members that may work at a different poultry farm
j. Entry by service persons (e.g. no multiple visits on same day, sanitation, clothing, vehicle cleaning and disinfection entering and exiting the
facility, etc.)
k. Contract crews biosecurity
l. Water source sanitation
m. Air/wind spread, i.e. use of filters or geographical separation
n. Dead bird disposal
o. Pets, birds, wild birds, livestock, wild and/or domestic animals
p. Pest control (e.g., rodents, flies, bats, etc.)
q. Policies for shared equipment
r. Other (specify in comment field)
Select an answer from each of the drop-downs below:

1st
2nd
3rd
Other (please specify)

89. Have you implemented a site-specific biosecurity plan?
Yes
No

90. Is biosecurity information communicated to personnel who are not fluent in English in their native
language?
Yes
No

91. Would having bilingual biosecurity educational materials provided by APHIS be helpful?
Yes
No

If No SKIP to Q93

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Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
30. Grower / Producer - Biosecurity follow-up
92. Materials in what language(s) would be most helpful?

37

Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
31. Grower / Producer - Comments:
93. Is there anything else you would like to share with us about your level of preparedness for a possible HPAI
outbreak this fall?

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Copy of Working Copy of Draft - Industry Fall HPAI Planning Survey
32. End of Survey
Thank you for helping APHIS prepare for a potential HPAI outbreak in the fall. Responses to this
survey will help APHIS better understand how we can assist your industry and will also highlight
areas on your operation in need of improvement. Your involvement is critical to preventing HPAI
infection in your flocks and ensuring a swift response to any future outbreaks.

To receive HPAI reports should new cases occur in the United States pleasesubscribe to the VS
Animal Health Stakeholder Registry. For more information on HPAI and biosecurity go to theAPHIS
website. If you have any questions about this survey, please contact Diane Sutton at 301-851-3509 or
[email protected]

39