NAHMS 382 Weaned Pig Antibiotic Use Questionaire

NAHMS ID: _____________________

National Animal Health
Monitoring System

Animal and
Plant Health
Inspection
Service

Weaned Pig
Antibiotic Use Questionnaire

2150 Centre Ave Bldg B
Fort Collins, CO 80526

Veterinary
Services

Beginning time (military) ...........................................

_______

State FIPS:______ Operation #:_________ Site #:__________ Interviewer:_______ Date:
/
2 digits
4 digits
2 digits
initials
mm/dd/yy

/

Introduction
[Rephrase in your own words.]
We would like to ask you some questions about the hogs and pigs, regardless of ownership, on
the land you operate. To understand important issues in the hog industry, we need to obtain
information about the health management of your hogs. Unless otherwise noted all questions
refer to the period between July 1 and December 31, 2016.
You may find it easier to answer some of the questions if you have your records available.
Response is voluntary and not required by law. However, your report is needed to make
regional and National estimates as accurate as possible.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not
required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB
control number for this information collection is 0579-XXXX. The time required to complete this information collection
is estimated to average 1 hour per response, including the time to review instructions, search existing data
resources, gather the data needed, and complete and review the information collected.

OMB Approved
0579-XXXX
EXP.: XX/XXXX

NAHMS-382
MAR 2017

1

NAHMS ID: _____________________

Section A—Site Inventory
1. Of the total hogs and pigs on this site on December 1, 2016, how many were:
a. Sows and gilts, either bred or unmated, intended for breeding? .............................

_____ #

b. Suckling pigs? ..........................................................................................................

_____ #

c.

Boars and young males for breeding, including teaser boars? ...............................

_____ #

d. Cull sows, gilts, and boars? .....................................................................................

_____ #

e. Weaned market hogs under 60 pounds? .................................................................

_____ #

f.

Market hogs 60 pounds and over, excluding cull cows, gilts, and boars? ...............

_____ #

g. Total .........................................................................................................................

_____ #

 NOTE: If the interviewee has electronic or paper records from 2016 that would assist this process,
ask him/her to bring them out now.

Section B—Nursery-age Pigs
Nursery-age pigs are weaned market hogs approximately weighing under 60 pounds. They may be
housed in either a nursery unit or a wean-to-finish unit.
1. Between July 1 and December 31, 2016, how many nursery-age pigs entered
the nursery phase on this site? [Include pigs weaned on this site,
purchases,and movements from other facilities.] ...........................................................

_____ #

[If question 1 = 0, SKIP to question 3.]
2

In number of days, what was the average age of the (question 1) nursery-age pigs when they:
a. Entered the nursery phase? ...................................................................................

_____ #

b. Left the nursery phase? ..........................................................................................

_____ #

3. Between July 1 and December 31, 2016, how many nursery-age pigs entered
a wean-to-finish phase on this site? [Include pigs weaned on this site,
purchases,and movements from other facilities.] ...........................................................

_____ #

[If questions 1 AND 3 both equal 0, SKIP to section C. If question 3 = 0, skip to question 5]
4

In number of days, what was the average age of the (question 1) nursery-age pigs when they:
a. Entered the wean-to-finish phase? ........................................................................

_____ #

b. Left the wean-to-finish phase? ...............................................................................

_____ #

5. Add the numbers from questions 1 and 3: ....................................................................

_____ #

6. Of the (question 1 or question 3) nursery-age pigs that entered the nursery or wean-to-finish phase
on this site, how many died while they were nursery-age? ........................................
_____ #
7. Between July 1 and December 31, 2016, were any medications given
by water for any reason to nursery-age pigs? ..........................................................

1 Yes 3 No

2

NAHMS ID: _____________________

[If question 7 = No, SKIP to question 10.]
Reason codes for question 8
1 = Prevention, control, or treatment of
4 = Prevention, control, or treatment of cervical
bacterial pneumonia (respiratory
lymphadenitis (jowl abscesses)
disease)
2 = Prevention, control, or treatment of
bacterial enteritis, swine dysentery,
5 = Prevention, control, or treatment of
ileitis, or other enteric (intestinal or GI)
meningitis/polyserositis/arthritis
diseases (diarrheal diseases)
6 = Other disease prevention, control, or
3 = Prevention, control, or treatment of
treatment
atrophic rhinitis
(specify disease: _____________________)
8.
[Show medication list to respondent.] For any medications given by water for any reason
between
July 1 and December 31, 2016, to nursery-age pigs, enter the reason(s) given [enter code(s) from list
above], the percentage of nursery age pigs that received the medication, and the average number of
days medication was given in the water.

Active ingredient
Bacitracin methylene
a.
disalicylate
b. Bacitracin zinc
c. Chlortetracycline
d.

Chlortetracyline/
sulphamethazine

e. Florfenicol
f.

Gentamicin

g. Lincomycin
h.

Lincomycin/
spectinomycin

i.

Neomycin

j.

Oxytetracycline

k. Penicillin G
l.

Spectinomycin

Example trade names

Percent of
nursery pigs
from
Reason section B, Average
code
question 5 days in
[Enter all that received water
that
this product
per
apply.] during 2016 group

BMD® soluble, solutracin
Baciferm® soluble
Aureomycin soluble powder, Chlortet-Soluble-O,
Chloronex® soluble
Chloronex® Sulmet® soluble powder, Aureo sulfa
soluble powder
Nuflor® concentrate solution, Florvio™ 2.3%
concentration solution
Garacin® oral solution, Gentocin® oral solution,
Gentoral®, GentaMed™ soluble powder
LinxMed-SP®, Linco soluble, Lincosol soluble
powder, Lincomix® soluble powder
L-S 50 Water soluble® powder, SpecLinx-50®
Neosol, Neomix® soluble powder, Biosol® Liquid,
Neo-Sol 50®, Neo 200 oral solution, Neomycin oral
solution
Terramycin® soluble powder, Oxytet® soluble,
Tetroxy®
PenAqua Sol G®, Solu-Pen
Spectam®, Spectogard Scour-Chek™,
Spectinomycin oral liquid

3

NAHMS ID: _____________________

m. Sulfachlorpyridazine
n. Sulfadimethoxine
o. Sulfamethazine
p. Sulfaquinoxaline
q. Tetracycline
r. Tiamulin
s. Tilmicosin
t. Tylosin
u. Tylvalosin
v.

Vetisulid®, Prinzone oral suspension, Pyradan oral
suspension
Albon® oral suspension, Agribon soluble powder,
Sulfasol®, Sulforal®, Di-Methox soluble powder
Sulmet®, Purina® sulfa, SMZ-Med™ 454 soluble
powder
S.Q. 20% Solution, Sul-Q-Nox, Sulfanox liquid,
Sulquin®
Tet-Sol® 324, Duramycin-10, Polyotic®, Tetra-Bac
324 soluble powder
Denagard® liquid concentrate, TiaGard™,
Triamulux™
Pulmotil® AC
Tylan® soluble, Tylovet® soluble
Avlosin®

Other medications
(specify: _____________________________)
9. What is the role of the person who answered question 7?
[Check all that apply.]
1 Owner of operation
2 Farm manager on site, but not the owner
3 Company veterinarian
4 Private or other veterinarian
5 Employee of feed mill supplying feed
6 Company nutritionist or other nutritionist
7 Other (specify_____________________)
10. Between July 1 and December 31, 2016, were any medications given
by feed for any reason to nursery-age pigs? .............................................................

1 Yes 3 No

[If question 10 = No, SKIP to section C.]
Reason codes for question 11
1 = Prevention, control, or treatment of
4 = Prevention, control, or treatment of cervical
bacterial pneumonia (respiratory
lymphadenitis (jowl abscesses)
disease)
2 = Prevention, control, or treatment of
bacterial enteritis, swine dysentery,
5 = Increased rate of gain and improved feed
ileitis, or other enteric (intestinal or GI)
efficiency (growth promotion)
diseases (diarrheal diseases)
6 = Other disease prevention, control, or
3 = Prevention, control, or treatment of
treatment
atrophic rhinitis
(specify disease: _____________________)

4

NAHMS ID: _____________________

11. [Show medication list to respondent.] For any medications given by feed for any reason between
July 1 and December 31, 2016, to nursery-age pigs, enter the reason(s) given [enter code(s) from list
above], the percentage of nursery age pigs that received the medication, and the average number of
days medication was given in feed. If you pulse-dosed an antibiotic (i.e., used the same antibiotic on
the same pen of hogs multiple times during the feeding period), estimate the average number of days
in total that the antibiotic was used.

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

Active ingredient
Avilamycin
Bacitracin methylene
disalicylate
Bacitracin methylene
disalicylate/
Chlortetracycline
Bacitracin zinc
Bambermycin
Carbadox
Carbadox/
oxytetracycline

h. Chlortetracycline

Example trade name
Kavault®

Albac®, Baciferm®,
Flavomycin®
Mecadox
Mecadox®/
Terramycin®
Aureomycin®, ChlorMax™,
Pfichlor™, CLTC,
Pennchlor™, Chloratet™
Aureomix® S

j.

Chlortetracycline/
tiamulin

Denagard® Plus CTC®,
Pennchlor™/
Denagard®

q. Oxytetracycline
r. Tiamulin
s. Tilmicosin
t. Tylosin
u. Tylosin/sulfamethazine
Tylvalosin
v. Virginiamycin

Total
days
in feed
per
group

BMD®/
Aureomycin®

Chlortetracycline/
sulfamethazine

p. Neomycin/terramycin

Average age
of pigs (in
days) when
product was
first added
to feed

BMD®

i.

Chlortetracycline/
k. sulfathiazole/
penicillin
Chlortetracycline/
l.
sulfamethazine/penicillin
m. Florfenicol
n. Lincomycin
o. Narasin

Percent of nursery
Reason
pigs from
code section B, question
[Enter all 5 that received this
that
product during
apply.]
2016

CSP™ 250, CSP™ 500
ChlorMax™-SP, Pennchlor
SP
Nuflor®
Lincomix®
Skycis®
Neo-Oxy 100/100®, NeoTerramycin
Terramycin®, OXTC®, TM50®,
TM-100®, Pennox™
Denagard®
Pulmotil ® 90, Tilmovet® 90
Tylan®, Tylovet®
Tylan® Sulfa-G
Avlosin® 17%
Stafac®

5

NAHMS ID: _____________________

12. What is the role of the person who answered question 9?
[Check all that apply.]
1 Owner of operation
2 Farm manager on site, but not the owner
3 Company veterinarian
4 Private or other veterinarian
5 Employee of feed mill supplying feed
6 Company nutritionist or other nutritionist
7 Other (specify_____________________)

Section C—Grower/Finisher Pigs
Grower/finisher age pigs are weaned market hogs approximately 60 pounds and over. They may be
housed in either a grower/finisher unit or a wean-to-finish unit.

1. Between July 1 and December 31, 2016, how many grower/finisher-age pigs entered
the grower/finisher phase or remained in the wean-to-finish unit on this site?
[Include those that came from the nursery phase
purchases, and movements from other facilities.]
_____ #
[If question 1 = 0, SKIP to section D.]

2. For those grower/finisher age pigs not in a wean-to-finish unit, what was the average age of the
grower/finisher-age pigs when they:
a. Entered the grower/finisher phases? ..........................................................................

_____ #

b. Left the grower/finisher phases? ................................................................................

_____ #

3. Of the (question 1) grower/finisher age pigs,on this site,
how many died while they were grower/finisher age? ...............................................

_____ #

4. Between July 1 and December 31, 2016, were any medications
given by water for any reason to grower/finisher-age pigs? ...................................

1 Yes 3 No

[If question 4 = No, SKIP to question 6.]
Reason codes for question 5
1 = Prevention, control, or treatment of
4 = Prevention, control, or treatment of cervical
bacterial pneumonia (respiratory
lymphadenitis (jowl abscesses)
disease)
2 = Prevention, control, or treatment of
bacterial enteritis, swine dysentery,
5 = Prevention, control, or treatment of
ileitis, or other enteric (intestinal or GI)
meningitis/polyserositis/arthritis
diseases (diarrheal diseases)
6 = Other disease prevention, control, or
3 = Prevention, control, or treatment of
treatment
atrophic rhinitis
(specify disease: _____________________)

6

NAHMS ID: _____________________

5. [Show medication list to respondent.] For any medications given by water for any reason between
July 1 and December 31, 2016, to grower/finisher age pigs, enter the reason(s) given [enter code(s)
from list above], the percentage of grower/finisher age pigs that received the medication, and the
average number of days medication was given in the water.

Active ingredient
Example trade names
Bacitracin methylene
a.
BMD® soluble, Solu-tracin
disalicylate
b. Bacitracin zinc
Baciferm® soluble
Aureomycin soluble powder, Chlortetc. Chlortetracycline
Soluble-O, Chloronex® soluble
Chlortetracyline/
Chloronex® Sulmet® soluble powder,
d.
sulphamethazine
Aureo Sulfa soluble powder
Nuflor® concentrate solution, Florvio™
e. Florfenicol
2.3% concentration solution
Garacin® oral solution, Gentocin® oral
f. Gentamicin
solution, Gentoral®, GentaMed™ soluble
powder
LinxMed-SP®, Linco soluble, Lincosol
g. Lincomycin
soluble powder, Lincomix® soluble powder
Lincomycin/
L-S 50 water soluble® powder, SpecLinxh.
spectinomycin
50®
Neosol, Neomix® soluble powder, Biosol®
i. Neomycin
Liquid, Neo-Sol 50®, Neo 200 oral
solution, Neomycin oral solution
Terramycin® soluble powder, Oxytet®
j. Oxytetracycline
soluble, Tetroxy®
k. Penicillin G
PenAqua Sol G®, Solu-Pen
Spectam®, Spectogard Scour-Chek™,
l. Spectinomycin
Spectinomycin oral liquid
Vetisulid®, Prinzone oral suspension,
m. Sulfachlorpyridazine
Pyradan oral suspension
Albon® oral suspension, Agribon soluble
n. Sulfadimethoxine
powder, Sulfasol®, Sulforal®, Di-Methox
soluble powder
Sulmet®, Purina® Sulfa, SMZ-Med™ 454
o. Sulfamethazine
soluble powder
S.Q. 20% solution, Sul-Q-Nox, Sulfa-nox
p. Sulfaquinoxaline
liquid, Sulquin®
Tet-Sol® 324, Duramycin-10, Polyotic®,
q. Tetracycline
Tetra-Bac 324 soluble powder
Denagard® liquid concentrate, TiaGard™,
r. Tiamulin
Triamulux™
s. Tilmicosin
Pulmotil® AC
t. Tylosin
Tylan® Soluble, Tylovet® soluble
u. Tylvalosin
Avlosin®

Percent of grower/
Reason finisher pigs from Average
code
section C,
days in
[Enter
question 1 that
water
all that received this product per
apply.]
during 2016
group

v. Other medications (specify: _____________________________)

7

NAHMS ID: _____________________

6. What is the role of the person who answered question 5?
[Check all that apply.]
1 Owner of operation
2 Farm manager on site, but not the owner
3 Company veterinarian
4 Private or other veterinarian
5 Employee of feed mill supplying feed
6 Company nutritionist or other nutritionist
7 Other (specify_____________________)
7. Between July 1 and December 31, 2016, were any medications given
by feed for any reason to grower/finisher-age pigs? ...............................................

1 Yes 3 No

[If question 7 = No, SKIP to section D.]
Reason codes for question 8
1 = Prevention, control, or treatment of
4 = Prevention, control, or treatment of cervical
bacterial pneumonia (respiratory
lymphadenitis (jowl abscesses)
disease)
2 = Prevention, control, or treatment of
bacterial enteritis, swine dysentery,
5 = Increased rate of gain and improved feed
ileitis, or other enteric (intestinal or GI)
efficiency (growth promotion)
diseases (diarrheal diseases)
6 = Other disease prevention, control, or
3 = Prevention, control, or treatment of
treatment
atrophic rhinitis
(specify disease: _____________________)
8.
[Show medication list to respondent.] For any medications given by feed for any reason between
July 1 and December 31, 2016, to grower/finisher pigs, enter the reason(s) given [enter code(s) from list
above], the percentage of grower/finisher age pigs that received the medication, and the average number
of days medication was given in feed. If you pulse-dosed an antibiotic (i.e., used the same antibiotic on
the same pen of hogs multiple times during the feeding period), estimate the average number of days in
total that the antibiotic was used.

Active ingredient
a. Avilamycin
Bacitracin methylene
b.
disalicylate
Bacitracin methylene
c. disalicylate/
chlortetracycline

Example trade name
Kavault®

Percent of grower/
finisher pigs from Average age
Reason
section C,
of pigs (in
code
question 1 that days) when
[Enter all
received this
product was
that
product during first added
apply.]
2016
to feed

Total
days
in
feed
per
group

BMD®
BMD®/
Aureomycin®

8

NAHMS ID: _____________________

d. Bacitracin zinc
e. Bambermycin

Albac®, Baciferm®,
Flavomycin®

f.

Mecadox
Mecadox®/
Terramycin®
Aureomycin®, ChlorMax™,
Pfichlor™, CLTC, Pennchlor™,
Chloratet™

Carbadox
Carbadox/
g. oxytetracycline
h. Chlortetracycline
i.

Chlortetracycline/
sulfamethazine

Aureomix® S

j.

Chlortetracycline/
tiamulin

Denagard® Plus CTC®,
Pennchlor™/
Denagard®

Chlortetracycline/
k. sulfathiazole/
penicillin
Chlortetracycline/
l.
sulfamethazine/penicillin
m. Florfenicol
n. Lincomycin
o. Narasin
p. Neomycin/terramycin
q. Oxytetracycline
r.
s.
t.
u.

Tiamulin
Tilmicosin
Tylosin
Tylosin/sulfamethazine
Tylvalosin

v. Virginiamycin

CSP™ 250, CSP™ 500
ChlorMax™-SP, Pennchlor SP
Nuflor®
Lincomix®
Skycis®
Neo-Oxy 100/100®, NeoTerramycin
Terramycin®, OXTC®, TM50®,
TM-100®, Pennox™
Denagard®
Pulmotil ® 90, Tilmovet® 90
Tylan®, Tylovet®
Tylan® Sulfa-G
Avlosin® 17%
Stafac®

9. What is the role of the person who answered question 8?
[Check all that apply.]
1 Owner of operation
2 Farm manager on site, but not the owner
3 Company veterinarian
4 Private or other veterinarian
5 Employee of feed mill supplying feed
6 Company nutritionist or other nutritionist
7 Other (specify_____________________)

Section D—Stewardship

9

NAHMS ID: _____________________

It is preferable for the producer or site manager to answer the questions in this section. The company
veterinarian or site veterinarian should not be needed for section. Unless noted otherwise, all questions in
this section refer to the period from July 1 through December 31, 2016.
1. Between July 1 and December 31, 2016, were any nursery or grower/finisher
pigs administered antibiotics in water? .....................................................................

1 Yes 3 No

[If question 1 = No, SKIP to question 5.]

2. Who decided when antibiotics were to be used in water on this site? (If a veterinarian provided a
protocol to be followed for this operation, select one of the veterinarian options below.)
[Check all that apply.]
1 Owner of operation
2 Farm manager on site, but not the owner
3 Local veterinary practitioner
4 Consulting or second opinion veterinarian
5 Company veterinarian
6 Company nutritionist or other nutritionist
7 Service manager who oversees more than one operation
8 Other (specify: ________________________________)
3.
Who decided which specific antibiotics were to be used in water on this site? (If a veterinarian
provided a protocol to be followed for this operation, select one of the veterinarian options below.)
[Check all that apply.]
1 Owner of operation
2 Farm manager on site, but not the owner
3 Local veterinary practitioner
4 Consulting or second opinion veterinarian
5 Company veterinarian
6 Company nutritionist or other nutritionist
7 Service manager who oversees more than one operation
8 Other (specify: ________________________________)
4. Between July 1 and December 31, 2016, how frequently was the following information recorded
(via handwritten records or records entered into a computer) for antibiotics used in water?
[Place one X per row in the appropriate column below.]
Never

Sometimes

Always

a. Date antibiotic use began
b. Date antibiotic use ended
c. Antibiotic used

10

NAHMS ID: _____________________

d. Treatment withdrawal period

5. Between July 1 and December 31, 2016, were any nursery or grower/finisher
pigs administered antibiotics in feed? .......................................................................

1 Yes 3 No

[If question 5 = No, SKIP to question 10.]

6. Who decided when antibiotics were to be used in feed on this site? (If a veterinarian provided a
protocol to be followed for this operation, select one of the veterinarian options below.)
[Check all that apply.]
1 Owner of operation
2 Farm manager on site, but not the owner
3 Local veterinary practitioner
4 Consulting or second opinion veterinarian
5 Company veterinarian
6 Company nutritionist or other nutritionist
7 Service manager who oversees more than one operation
8 Other (specify: ________________________________)

7. Who decided which specific antibiotics were to be used in feed on this site? (If a veterinarian
provided a protocol to be followed for this operation, select one of the veterinarian options below.)
[Check all that apply.]
1 Owner of operation
2 Farm manager on site, but not the owner
3 Local veterinary practitioner
4 Consulting or second opinion veterinarian
5 Company veterinarian
6 Company nutritionist or other nutritionist
7 Service manager who oversees more than one operation
8 Other (specify: ________________________________)
8. Between July 1 and December 31, 2016, how frequently was the following information recorded (via
handwritten records or records entered into a computer) for antibiotics used in feed? These records
can be kept for an individual pen or for an entire barn. If you raise pigs for a company, and you do not
keep records on antibiotics in feed but know the company keeps these records at the feed mill or
elsewhere, mark the rows according to the company records below.
[Place one X per row in the appropriate column below.]
Never

Sometimes

Always

a. Date antibiotic use began
b. Date antibiotic use ended

11

NAHMS ID: _____________________

c. Antibiotic used
d. Treatment withdrawal period

9. Did you obtain medicated feed to be fed to pigs on this site by any of the following methods?
a. Company supplied and delivered feed? .................................................

1 Yes 3 No 4 DK

b. From an off-site privately owned or cooperatively owned feed mill
that delivered feed with antibiotics mixed in? .........................................

1 Yes 3 No 4 DK

c. Type A medicated articles were delivered or brought to this
operation to be mixed into feed on-site? .................................................

1 Yes 3 No 4 DK

d. Type B or C medicated feeds were delivered or brought to this
operation to be fed or mixed in a ration on-site? .....................................

1 Yes 3 No 4 DK

10.Between July 1 and December 31, 2016, were any nursery or grower/finisher
pigs treated with injectable antibiotics? ...................................................................

1 Yes 3 No

[If question 10 = No, SKIP to question 12.]
11. Between July 1 and December 31, 2016, how frequently was the following information recorded
(via handwritten records or records entered into a computer) when individual sick
animals were treated with injectable antibiotics? These records can be kept at the individual
pig level if pigs have ear tags or other identification. These records can also be kept
at the pen (e.g., pen cards) or barn level when individual pigs within the pen or barn
receive treatment.
[Place one X per row in the appropriate column below.]
Never

Sometimes

Always

a. Date treated
b. Antibiotic given
c. Treatment withdrawal period

12. Were any individuals who work on this site Pork Quality Assurance Plus
(PQA Plus) certified? ................................................................................................

1 Yes 3 No

13. Has this site ever (not just in the last 6 months of 2016) had a PQA Plus site
assessment?.............................................................................................................

1 Yes 3 No

[If question 13 = No, SKIP to question 15.]
14. When was the last PQA Plus site assessment conducted?

Month_______

15. Has this site ever (not just in the last 6 months of 2016) been audited
under the Common Swine Industry Audit? ...............................................................

Year________
1 Yes 3 No

[If question 15 = No, SKIP to question 17.]

12

NAHMS ID: _____________________

16. When was the last PQA Plus site assessment conducted?

Month_______

Year________

17. How many times was this site visited for any purpose by the following types of veterinarians:
a. Local veterinary practitioner? ...................................................................................

_____ #

b. Consulting or second-opinion veterinarian? ............................................................

_____ #

c.

On-staff veterinarian or company vet? .....................................................................

_____ #

d. State or Federal veterinarian? .................................................................................

_____ #

e. Other type? (specify: ______________________) .................................................

_____ #

18. Did you have a veterinarian-client patient relationship (VCPR)
with a veterinarian for pigs on this operation? .............................................

1 Yes 3 No 4 DK

[If question 18 = No or DK, SKIP to question 20.]
19. How would you describe your VCPR with your veterinarian?
[Check one only.]
1 A written document signed by my veterinarian and me
2 A verbal agreement between my veterinarian and me
3 My veterinarian has not formally mentioned a VCPR but I consider that I have
one based on his relationship with my operation.

20. For your operations, how important are the following practices in preventing disease
and reducing the need to use antibiotics in pigs?
[Check one only.]
Very
Somewhat
important
important

Not
important

a. Implementing a site biosecurity plan for
employees and visitors.......................................

1

2

3

b. Implementing a vaccination plan for
disease prevention .............................................

1

2

3

Regular visits by herd health
veterinarian ........................................................

1

2

3

d. Weaning pigs at older ages
(e.g., 21 days or older) .......................................

1

2

3

e. Facility management adjustments
(e.g., adding ventilation systems or
air filtering systems, etc.) ...................................

1

2

3

All-in/all-out management of pigs at the room,
barn, or site level ................................................

1

2

3

g. Using antibiotic alternatives
(e.g., probiotics, prebiotics, etc.) ........................

1

2

3

h. Adjusting diets to meet pig’s nutritional
needs at a particular age....................................

1

2

3

i.

1

2

3

c.

f.

Other (specify: ___________________) ...........

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NAHMS ID: _____________________

21. What steps do you take to comply with withdrawal times for any
antibiotics administered to pigs on this site?
[Check all that apply.]
1 Written treatment records consulted before marketing treated pigs.
(This can include pen cards with records of antibiotic treatment.)
2 Dates signaling the end of the withdrawal period are computer generated
3 Identification (e.g., by ear tags, chalk, or paint) of pigs individually treated (e.g., by injection)
4 Individual urine samples were tested prior to marketing
5 Individual serum samples were tested prior to marketing
6 Do not administer antibiotics for a predetermined period prior to marketing
7 No special steps are taken to comply with withdrawal times
8 Other (specify: ___________________)
22. What is the role of the person who answered most or all of the questions in
section D on stewardship?
[Check all that apply.]
1 Owner of operation
2 Farm manager on site, but not the owner
3 Company veterinarian
4 Private or other veterinarian
5 Other (specify: ____________________________________)

Section E—Office Use Only
State FIPS:______ Operation #:_________ Site #:__________ Interviewer:_______ Date:
/
2 digits
4 digits
2 digits
initials
mm/dd/yy
1. Total time for interview to complete the questionnaire ........................................

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

/

VITIME

_______ min

VTTIME

_______ min

3. Data collector(s) (Enter the number for each category.)
_____ Federal VMO

_____ Federal AHT

_____ State personnel

_____ Other (specify in margin)

VFED/VAHT
VST/VOTH

4. Enter response code 99 if questionnaire is completed or enter one code (00–07)
that best describes the reason why the owner is not participating .............................. VRCO _______ code
99 = Survey completed
00 = Producer not contacted by VMO
01 = Poor time of year to contact or no time available to participate
02 = Doesn’t want anyone on operation
03 = Bad experience with government veterinarian(s)
04 = Doesn’t want to do another survey or divulge information
05 = Told NASS they didn’t want to be contacted by VS

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NAHMS ID: _____________________

06 = Ineligible (no longer in operation)
07 = Other (explain in the comments section below)
5. Which of the following best describes interviewee’s position with this site? .........VPOS

_____ code

1 = owner
2 = manager
3 = family member (other than owner or manager)
4 = other hired employee
5 = other (specify:__________________________________________) VPOSoth
6. Producer data quality ........................................................... VPDQ

1 Good/excellent 2 OK 3 Poor

7. Comments regarding this questionnaire or operation:

VMO or AHT signature: ___________________________________________________

TO BE COMPLETED BY COORDINATOR:
8. Field data quality................................................................ VFDQ

1 Good/excellent 2 OK 3 Poor

15