ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module GENERAL FARM CHARACTERISTICS & SPECIES SPECIFIC MODULE Date: _______ Time started: ______ Time stopped: _____ Interviewer:_______________________ Species being assessed: Fill out table prior to arrival and confirm in Q.101. Order Family Genus Common Name Carnivora Viverridae Paraloxurus Primate Any Any Rodentia Any Any Artiodactyla Suidae Sus Scientific Name Paraloxurus _________________ Sus ________________________ IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 1 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module SECTION 1: First, I would like to ask about the animals on this farm. 101. What types of animals are being raised on this farm today? Probe: Any other wild animals? If species being Animal 1 assessed is not mentioned, probe [animal]? (Use Showcard of species, check name and code) Probe: Any other domestic animals? Write animal name to the right, one per column: Ask questions 102 – 109 for Animal 1, then Animal 2, etc. 102. How many of each kind of animal are on the farm today? Write #: 103. Of [animal #] how many of those are female? Write# 104. Of [animal #] female how many have given birth? Write# 105. Of [animal #] how many of those are male? Write# Animal 2 Animal 3 Animal 4 Animal 5 1.For income 2.For food 3.To help with work 4.As a pet 5.To make products 6. Traditional Medicine 7.Other __________ 1.For income 2.For food 3.To help with work 4.As a pet 5.To make products 6. Traditional Medicine 7.Other __________ 1.For income 2.For food 3.To help with work 4.As a pet 5.To make products 6. Traditional Medicine 7.Other __________ 1.For income 2.For food 3.To help with work 4.As a pet 5.To make products 6. Traditional Medicine 7.Other __________ 106. Of [animal #] males how many have been used for breeding? Write# 107. Of [animal #] males how many will be used for breeding? Write# 108. How many animals is the sex unidentified? Write# 109. What are some reasons why you keep/raise _____ animal? (DO NOT ASK FOR [ANIMAL]). For each animal, circle all the reasons that the animal is kept or raised. Use raising 10 showcard. 110. 1.For income 2.For food 3.To help with work 4.As a pet 5.To make products 6. Traditional Medicine 7.Other __________ Are there other animals that you’ve raised in the past year, but currently do not have any here? Check all that apply. 1. Civet 2. Macaque 3. Wild Boar 4. Porcupine 5. Crocodile 6. Other (specify):____________ IF SPECIES BEING ASSESSED IS NO LONGER RAISED ON THE FARM, STOP INTERVIEW. THANK FARMER FOR THEIR TIME AND GO TO NEXT ASSIGNED FARM. SECTION 2: Now, I would like to ask you a little about yourself and the people on this farm. SECTION 2: Now, I would like to ask you a little about yourself and the people on this farm. IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 2 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module 201. How many years have you been working in wildlife farming? 1. ______________ (years) 202. Do you manage animal farms at other locations? 1. Yes 2. No 203. How many people live on this farm? (1B) 1. _____(number of people) (If none write 0 – Skip to 205) 204. How many of these people are in your own household? (Definition of household: people or group of people that share at least one meal daily, and have resided there for at least six months prior to today). 1. _____(number of people) 205. How many household members currently work on the farm full time? (Write in the number; if none write 0) 1. Household members: ___ 206. How many non-household members currently work on the farm full time? (Write in the number; if none write 0) 1. Non-household members: ___ 207. How many household members regularly work on the farm part time? (Write in the number; if none write 0) 1. Household members: ___ 208. How many non-household members regularly work on the farm part time? (Write in the number; if none write 0)(13A) 1. Non-household members: ____ SECTION 3: Now I would like to ask some questions about the type of farm and animal housing on the farm. 301. What type of farm is this? (Read. Check all that apply.) 1. Breeding commercial farm 2. Commercial meat farm 3. Small scale farm 4. Other, specify:___________________ 302. How large is your farm?(Write) ........................m2 How large is the area for raising animals?(Write) 303. IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 3 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module ........................m2 304. What are the different types of [animal] housing used on this farm? (Use housing showcard. Check all that apply). 305. IF ONLY 1 SPECIES RAISED AT Q. 101, SKIP TO Q 306 What housing is used for other animals? (12B) 304. Used for [animal] 1. Wire cages Yes=1 No=2 2. Solid partition/wall Yes=1 No=2 3. Wood cages Yes=1 No=2 4. Bamboo cages Yes=1 No=2 5. Cardboard enclosure Yes=1 No=2 6. Plastic cages Yes=1 No=2 7. Other Yes=1 No=2 (specify):___________ 8. Other Yes=1 No=2 (specify):____________ 306. SS Are animals ever….. read rows 1- 3 below (12C) Are [animals] ever: 1. Contained (such as in a pen or in housing)? 2. Allowed to roam free within farm property? 3. Allowed to roam free outside of farm property? 4. Other (specify):______________ 305. Used on this farm Yes=1 No=2 Yes=1 No=2 Yes=1 No=2 Yes=1 No=2 Yes=1 No=2 Yes=1 No=2 Yes=1 No=2 Yes=1 No=2 YES=1 YES=1 YES=1 YES=1 No=2 No=2 No=2 No=2 IF ONLY 1 SPECIES RAISED AT Q.101 SKIP TO Q 312. 307. SS Are different animal species currently housed together on this farm? (12A) 1. Yes 2. No (Skip to 309) 3. Some species, not all 308. SS Which animals are housed together? Probe: Are [animal] housed with other species? NOTE: make sure to check if two species of same type are housed together. If yes, specify. (12A) 1. ______________________(List animals housed together) 2. ______________________(List animals housed together) 3. ______________________(List animals housed together) 4. ______________________(List animals housed together) 5. ______________________(Species housed with [animal]) 309. SS IF NO OTHER WILD ANIMAL SPECIES RAISED AT Q 101, SKIP TO 309 Do [animals] ever come into contact with other wild animals raised on the farm? 1. Yes 2. No – Skip to 311 310. SS Which wild animals raised on the farm do [animals] come into contact with? ___________________________________ ___________________________________ IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 4 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module 311. Use shared spaces showcard. (12D) a. What are some spaces and/or items that [animal] and other wild animals raised on the farm both use/share? Probe: What other spaces and/or items? Mark under column A. After finished with all answers for question A, ask question B for each one coded Yes at A. b. Do [animals] use the same [insert shared space/item from rows at the left] at the same time as or at different times with other raised wild animals? Mark under column B. Shared space/items: 1. 2. 3. 4. 5. 6. 7. Drinking stalls Feeding bins Grazing fields Slaughter house Pathways Transport cages Playing ground/ sun bath 8. Grooming equipment 9. Cleaning implements 10. Other (specify)________ Column A Column B A. What are some spaces and/or items that [animal] and other wild animals raised on the farm both use and/or share? Probe: What other spaces/items? B. Do [animals] use the same [insert shared space and/or item from rows at the left] at the same or different times as other raised wild animals? Yes=1 Yes=1 Yes=1 Yes=1 Yes=1 Yes=1 Yes=1 No=2 No=2 No=2 No=2 No=2 No=2 No=2 Yes=1 No=2 Yes=1 No=2 Yes=1 No=2 Same=1 Same=1 Same=1 Same=1 Same=1 Same=1 Same=1 Different2 Different2 Different2 Different2 Different2 Different2 Different2 Both=3 Both=3 Both=3 Both=3 Both=3 Both=3 Both=3 Same=1 Different2 Both=3 IF NO DOMESTIC ANIMALS RAISED AT Q101, SKIP TO Q. 315 312. Do [animals] come into contact with raised domestic animals on the farm? 1. Yes 2. No – Skip to 315 313. SS Which raised domestic animals do [animal] come into contact with on the farm? ___________________________________ ___________________________________ 314. SS Use shared spaces showcard. (12D) a. What are some spaces and/or items that [animal] and domestic animals raised on the farm both use and/or share? Probe: What other spaces and/or items? Mark under column A. After finished with all answers for question A, ask question B for each one coded Yes at A. b. Do [animals] use the same [insert shared space/item from rows at the left] at the same time as or at different times with other raised domestic animals? Mark under column B. IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 5 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module Column A Shared space/items: What are some spaces/items that [animal] and other domestic animals raised on the farm both use/share? Probe: What other spaces/items? 1. Drinking stalls Yes=1 No=2 2. Feeding bins Yes=1 No=2 3. Grazing fields Yes=1 No=2 4. Slaughter house Yes=1 No=2 5. Pathways Yes=1 No=2 6. Transport cages Yes=1 No=2 7. Playing ground/ sun Yes=1 No=2 bath 8. Grooming equipment Yes=1 No=2 9. Cleaning implements Yes=1 No=2 10. Other Yes=1 No=2 (specify):________ Column B Do [animals] use the same [insert shared space/item from rows at the right] at the same time as raised domestic animals? Same=1 Same=1 Same=1 Same=1 Same=1 Same=1 Same=1 Different=2 Different=2 Different=2 Different=2 Different=2 Different=2 Different=2 Both=3 Both=3 Both=3 Both=3 Both=3 Both=3 Both=3 Same=1 Different=2 Both=3 315. SS How often are [animals] separated from other [animals] into small, sub-divided groups? (14A) 1. Never (Skip to SECTION 4) 2. Sometimes 3. Always 316. For what reasons are [animals] separated from other [animals]? (READ. Check all that apply) (14A) 1. According to different stages of production 2. Breeding pairs 3. Small batches of animals 4. Age 5. Cages/pens too small for all 6. Other (specify):__________ 317. SS How are they physically separated? (READ. Check all that apply) (14A) 1. In different buildings/houses that are physically separated 2. In separate small groups in the same room or house/building 3. Other (specify):______ IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 6 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module SECTION 4: Next, I would like to ask about maintenance of [animal] housing on the farm. 401.SS When is the [animal]’s housing cleaned? (READ. Check all that apply.) (18B) 1. Never (Skip to 404) 2. At a regularly scheduled time 3. When housing is empty 4. When housing is dirty 5. Other (specify):________________ 402.SS How frequently is the [animal’s] housing cleaned? (Use frequency 1 showcard). (18C) 1. Daily 2. Several times a week 3. Once a week 4. Once every 2 weeks 5. Once a month 6. Once every 2-3 months 7. Once every 4-5 months 8. Once every half-year (6 months) 9. Less than twice a year 10. Never IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 7 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module 403.SS I am going to read out loud a list of ways people clean animal housing. For each material or method used, ask: How often is [material or method] used when [animal]’s housing is cleaned on the farm? (Use frequency 2 showcard). Probe twice: Is anything else used? (Write answer in for “other”) What else? Material or method used: 1. 2. 3. 4. 5. 6. 7. Water only Sunshine Soaps/detergents Liquid disinfectants Lime powder Other (specify):________ Other (specify):________ All of the time 1 1 1 1 1 1 1 Most of the time 2 2 2 2 2 2 2 Sometimes Rarely Never 3 3 3 3 3 3 3 4 4 4 4 4 4 4 5 5 5 5 5 5 5 404.SS When is the [animal’s] bedding changed? (READ. Check all that apply) (16A) 1. Never (Skip to 407) 2. At a regularly scheduled time 3. When housing is empty 4. When bedding is dirty 5. Other (specify):________________ 405.SS How frequently is the [animal’s] bedding changed? (Use frequency 1 showcard). (16A) 1. Daily 2. Several times a week 3. Once a week 4. Once every 2 weeks 5. Once a month 6. Once every 2-3 months 7. Once every 4-5 months 8. Once every half-year (6 months) 9. Less than twice a year 10. Never IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 8 of 36 ID #___________________ 406. [Priority Species] General Farm Characteristics & Species Specific Module What is done with soiled and/or used bedding? (Use waste showcard. Check all that apply.) (22B) 1. Piled up\stored 2. Composted (piled up, water added, periodically turned, held for a minimum period of time) 3. Used in bio-gas digester 4. Burned 5. Spread on fields/garden immediately after gathering (not stored) 6. Disposed of immediately into environment (non-agricultural use) (not stored) 7. Fed to animals 8. Other (specify):__________ 407.SS How frequently do you or your workers observe wild rodents inside of [animal’s] housing? (Use frequency 1 showcard.) (27D) 1. Daily 2. Several times a week 3. Once a week 4. Once every 2 weeks 5. Once a month 6. Once every 2-3 months 7. Once every 4-5 months 8. Once every half-year (6 months) 9. Less than twice a year 10. Never 408.SS How frequently do you or your workers observe wild rodents near or around [animal’s] housing? (Use frequency 1 showcard). (27D) 1. Daily 2. Several times a week 3. Once a week 4. Once every 2 weeks 5. Once a month 6. Once every 2-3 months 7. Once every 4-5 months 8. Once every half-year (6 months) 9. Less than twice a year 10. Never 409. What is done, if anything, to control rodents/vermin on the farm? (DO NOT READ. Check all that apply. PROBE: Anything else?) (27B) 1. Use of baits/poisons 2. Use traps 3. Cover feed bins 4. Other(specify):____________________ 5. Nothing IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 9 of 36 ID #___________________ 410. [Priority Species] General Farm Characteristics & Species Specific Module What is done, if anything, to control insects on the farm? (DO NOT READ. Check all that apply. PROBE – Anything else?) 1. Use insecticide sprays 2. Use traps 3. Other(specify):____________________ 4. Nothing 411.SS How frequently have you observed dogs and/or cats inside of [animal's] housing? (Use frequency 1 showcard). (27E) 1. Daily 2. Several times a week 3. Once a week 4. Once every 2 weeks 5. Once a month 6. Once every 2-3 months 7. Once every 4-5 months 8. Once every half-year (6 months) 9. Less than twice a year 10. Never 412.SS How frequently have you observed dogs and/or cats near or around [animal's] housing? (Use frequency 1 showcard). (27E) 1. Daily 2. Several times a week 3. Once a week 4. Once every 2 weeks 5. Once a month 6. Once every 2-3 months 7. Once every 4-5 months 8. Once every half-year (6 months) 9. Less than twice a year 10. Never 413. How is animal food/feed stored? (Check all that apply) (28A) 1. Sealed containers 2. Open containers 3. Rice bags 4. Buckets 5. Other (specify):__________________________ IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 10 of 36 ID #___________________ 414. [Priority Species] General Farm Characteristics & Species Specific Module a. Which of these (use food showcard) foods, if any, are fed to [animal] raised on the farm? (Check all that apply) (28C) SKIP TO STATEMENT BEFORE 415 IF ONLY ONE SPECIES RAISED AT Q 101 b. Which of these (use food showcard) foods, if any, are fed to other animals raised? (Check all that apply) Foods: 1. 2. 3. 4. 5. 6. 7. 8. Live day old birds Hatchery waste (dead day olds/unhatched eggs) Abattoir waste Small rodents Swill/human food waste Meat from market Dead animals from other farms Other (specify):_________ A. Foods fed to [animal] on the farm? Yes=1 No=2 Yes=1 Yes=1 Yes=1 Yes=1 Yes=1 Yes=1 Yes=1 No=2 No=2 No=2 No=2 No=2 No=2 No=2 B. Foods fed to other raised animals? Yes=1 No=2 Yes=1 Yes=1 Yes=1 Yes=1 Yes=1 Yes=1 Yes=1 No=2 No=2 No=2 No=2 No=2 No=2 No=2 Farms deal with a lot of different kinds of waste. I am going ask you some questions about how the farm deals with different types of waste. 415. How does this farm deal with animal feces? (Use waste showcard. Check all that apply.) (22B) 1. Just piled up\stored 2. Composted (piled up, water added, periodically turned, held for a minimum period of time) 3. Used in bio-gas digester 4. Burned 5. Spread on fields/garden immediately after gathering (not stored) 6. Disposed of immediately into environment (non-agricultural use) (not stored) 7. Fed to animals 8. Other (specify):__________ 416. How does this farm use or dispose of stored solid waste, such as feces, bedding, refuse from butchering animals, etc.? (Check all that apply). (22B) 1. Used in field as a crop fertilizer 2. Used in household garden (vegetable/flower/fruit trees) 3. Used in aquaculture 4. Discharged into the environment as a waste product 5. Sold to traders (taken off-farm) 6. Does not store solid waste 7. Other (specify):__________ IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 11 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module SECTION 5: Now I would like to ask you some questions specifically about raising [animal]. 501. How long has this farm been raising [animal]? 1. __________ years ________ months 2. Don’t know 502. For what reasons is [animal] good for this farm to raise? a._____________________________________________________________________________ b._____________________________________________________________________________ c._____________________________________________________________________________ d._____________________________________________________________________________ 503. Here are some reasons that have been mentioned for why certain animals are good to raise. Including the reasons you just mentioned PLUS the ones on this card, (Show participant the list of responses on reason for raising7 showcard, ASK “which one do you believe is the most important reason that [animal] is good for this farm to raise?” Write a 1 next to that answer. Then ASK “what is the next most important reason to you?” Write a 2 next to that answer. Finally, ASK “what is the third most important reason?” Write a 3 next to that.) 1. Profitable: _______________ 2. Easy to sell (favorable marketing opportunities, strong demand): _______________ 3. Less work than domestic animal farming/ lower labor requirement: _______________ 4. Low land requirement: _______________ 5. Few disease problems: _______________ 6. A from above question (specify): _______________ 7. B from above question 8. C from above question 9. D from above question 504. When was the last time there were new [animals] brought to the farm? ___ Years _____________ months _________ days ago IF OVER ONE YEAR AGO, SKIP TO Q 517. 505. How many [animals] were brought the last time? ___________ # of animals 506. Where did the last [animals] come from? 1. From traders 2. From someone capture from wild 3. From public sale exhibit of illegal trading/ movement 4. From other registered farms 5. Other, specify:___________________________ 507. What were the reasons for getting new [animals]? (Check all that apply) Probe: anything else? 1. Needing a breeding female IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 12 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module 2. Expanding business 3. Good price 4. Other (specify):__________________ 508. The last time that new [animals] were brought onto the farm, how many [animal] were already on the farm? _______________ (Write number; if none write) 509. The last time new [animals] were brought onto the farm, how were they transported? (READ) 1. Motorbike belonging to the farm 2. Motorbike belonging to seller/seller’s agent 3. Car/truck belonging to the farm 4. Car/truck belonging to seller/seller’s agent 5. Other (specify): _________________________________ 510. Did the cage or container the new [animals] were transported in last time belong to the farm or to the seller? 1.Farm 2. Seller 3. Other (specify):_______________________ 511. What type of cage/container was used last time to transport [animal]? (READ) 1. Metal/wire 2. Wood/bamboo 3. Cardboard 4. Plastic 5. Other (specify):__________________ 512. In the past 12 months, how many different times have new [animals] been obtained from a trader or from another farm? (3B) 1. Write number (if none write 0):_____________ 513. How many different traders and/or different farms supplied [animal(s)] to the farm in the past 12 months? (3A) 1. Write number (if none write 0):_____________ 514. In the last twelve months, were [animal(s)] obtained from any other sources? 1. Yes 2. No Skip to 516 515. What other sources? (List) _______________________ _______________________ 516. In the past 12 months, how many times have new [animals] been obtained from that/those sources? 1. Write number (if none write 0):_____________ IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 13 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module 517. What specific activities took place the last time a new animal arrived on the farm? RECORD RESPONSE. ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ 518. The last time a new [animal] arrived on the farm? Was it/were they: (READ)(7A, 7B) 1. Immediately introduced to main housing with other animals ) – Skip to Section 6 2. Immediately put in an empty cage/pen ) – Skip to Section 6 3. Held in a special place/pen for a period, then mixed with other animals 4. Held in a special place/pen for a period then moved into an empty pen 5. Other (specify):__________________ 519. The last time, how long was new [animal] kept in that special place/pen? (7C) Length of time_____________ Specify: hours days weeks months _________________________________________________________________________________ IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 14 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module SECTION 6: Now I’d like to ask about all [animals] on this farm. 601.SS What routine health procedures are followed for all [animal]? (21B) (DO NOT READ.) Probe twice: Anything else? Circle 1 beside the first response, and circle 2 beside all other volunteered responses. When the respondent stops answering, read the remaining responses. Circle 3 for “yes”, 4 for “no”, and “9” for don’t know. First response 1. Routine observation by farmer/workers to check that animals are in good health 2. Visual inspection of individual animals 3. Regular use of vitamins/nutritional supplements 4. Regular use of antibiotics 5. Regular use of other medicines 6. Regular visit by a veterinarian 7. Vaccination(specify): 8. Routine blood sampling (disease screening) 9. Other (specify): 10. Other (specify): 1 1 1 1 1 1 1 1 1 1 Response to All other spontaneous direct question responses Yes No DK 2 3 4 9 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 9 9 9 9 9 9 9 9 9 602.SS In taking care of [animal] in the last year, how many times have you been bitten or scratched, either when handing the [animal] or at other times? 1. ____________ (write number) 2. Don’t remember IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 15 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module 603.SS In taking care of [animal] in the last year, how many times have other people on this farm been bitten or scratched, either when handing the [animal] or at other times? 3. ____________ (write number) 4. Don’t remember SKIP TO Q. 605 IF ONLY 1 SPECIES RAISED ON THIS FARM. 604. In taking care of other raised animals on the farm, how often have people, including yourself, on this farm been bitten or scratched, either when handing the animals or at other times? 1. ____________ (write number) 2. Don’t remember 605.SS What , if anything, was done the last time an [animal(s)] fell ill? (DO NOT READ. Check all that apply). Probe: Anything else? (23D) 1. Improve nutrition of the animal(s) 2. Separate the sick animal(s) 3. Self-administer medication 4. Contact breeder or other adviser (non-veterinarian) 5. Contact animal health services (government or private veterinarian) 6. Increase general hygiene measures (cleaning and disinfection) 7. Increase human hygiene measures (washing, protective clothing) 8. Slaughter and eat at home 9. Slaughter and sell to restaurant 10. Restrict non-farm personnel from entering the farm 11. Nothing 12. Other (specify):_______________ 606. After a sick animal gets well, what, if anything, is done to/with its housing? (DO NOT READ. Check all that apply) (23E) 1. Nothing 2. Change the bedding 3. Wash with water 4. Wash with disinfectant 5. Spray entire area with disinfectant 6. Other (specify):_______________________ 607.SS What does this farm do with [animals] that die? (DO NOT READ. Check all that apply)(23C) 1. Eat 2. Sell to restaurant 3. Bury 4. Incinerate 5. Pile up /store 6. Compost (piled up, water added, periodically turned, held for a minimum period of time) 7. Use in bio-gas digester 8. Dispose of immediately into environment (non-agricultural use) (not stored) 9. Feed to animals on the farm 10. Other (specify):_________ IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 16 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module 608. After an animal has died, what is done to/with its housing? (DO NOT READ. Check all that apply)(23F) 1. Nothing 2. Change the bedding 3. Wash with water 4. Wash with disinfectant 5. Other (specify):_______________________ 609. How long the until the animal that die’s housing was reused for another animal? (Write in days/months) …………………………….(Specify days/months) IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 17 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module SECTION 7: Now I’d like to ask some questions about raising [animals]. 701. In the past 12 months, how many [animals] were born on the farm? (29A) __________ IF 0 - Skip to Q. 703 702. In the past 12 months, how many litters did mature breeding female [animals] on this farm produce? (29A) Number of litters:_______________ 703. How many months does it take for the young [animal] to grow into animals ready to sell/ or ready for sale or slaughter? (If more than one age, write youngest) (29A) _______________(in months) 704. For every 10 new [animals] born, about how many survive to the age that they are ready for sale or slaughter? (29A) _________ 705. What is the average litter size of [animals]? (29A) ___________ 706. What, if anything, is done to increase breeding success of [animal] on this farm? Check all that apply. 1. Bringing in new stock from outside (New male); ratio of male/female 2. Keeping mating pairs together and away from other animals, keep quiet 3. Change the bedding frequently 4. Frequent cleaning 5. Feeding fresh food 6. Use medicine 7. Other (specify):_______________________ 707. Which of the things you just mentioned to increase breading have been successful? Check all that apply. 1. Bringing in new stock from outside 2. keeping mating pairs together and away from other animals 3. Change the bedding frequently 4. Frequent cleaning 5. Feeding fresh food 6. Other (specify):_______________________ IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 18 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module 708. To increase breeding of [animal], in the last 12 months did you borrow or hire a male from a different farm? 1. Yes 2. No 709. To increase breeding of [animal], in the last 12 months did you borrow or hire equipment from a different farm? 1. Yes 2. No IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 19 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module SECTION 8: Now let’s talk about slaughtering [animal]. 801. Do you have slaughtering facilities at the farm? (Check all that apply). 1- Have separate facilities for slaughtering at the farm 2- Use any space at the farm for slaughtering 3- Slaughter in living area, kitchen, administrative areas of the farm 4- Other, specify:___________________ 802. What types of animals are slaughtered at this farm? 1- Wild animals raised at the farm 2- Domestic animals raised at the farm 3- Animals brought in from outside of the farm 4- Other, specify:_______________________ Now let’s talk about slaughtering [animal] at this farm. 803.SS What are the criteria for deciding when to sell or slaughter an [animal]? 1. When price is best 2. When a customer contacts farm and requests animals or products 3. When have to because need money 4. Have too much stock/not enough space 5. At the age of slaughter 6. Other (specify):_________ 804.SS Are [animals] slaughtered on the farm? 1. Yes 2. No -Skip to 815 805.SS How many [animals] were slaughtered on the farm since [this month] last year? __________________(Write number if none, write 0). 806.SS How often are [animals] slaughtered? (Use frequency 1 showcard). 1. Daily 2. Several times a week 3. Once a week 4. Once every 2 weeks 5. Once a month 6. Once every 2-3 months 7. Once every 4-5 months 8. Once every half-year (6 months) 9. Less than twice a year 10. Never 807.SS How are [animals] slaughtered? (DO NOT READ. Check all that apply.) 1. Electric stun 2. Captive bolt/ Pistol 3. Instrument to penetrate brain/spinal cord 4. Cut throat/bleeding out 5. Decapitation IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 20 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module 6. Other (specify):__________ 808.SS What does the farm do with dead [animals] after they are slaughtered? 1. Store on farm (specify for how long):______________ 2. Immediately transport off farm 3. Other (specify):_______________ 809.SS Where do most slaughtered [animals] transported off the farm go? (READ RESPONSES. Check all that apply.) 1. Trader’s farm/holding premises 2. Restaurant 3. Direct to consumers for consumption 4. Other (specify):___________ 5. Don’t Know 810. What does this farm do with slaughter waste from any animal?(DO NOT READ. Check all that apply). 1. Never slaughters any animal Q 815 2. Piled up /stored 3. Composted (piled up, water added, periodically turned, held for a minimum period of time) 4. Used in bio-gas digester 5. Disposed of immediately into environment (non-agricultural use) (not stored) 6. Fed to animals on the farm 7. Fed to fish on farm 8. Commodity waste 9. Other (specify):_________ 811. How often do any live animals on this farm have contact with slaughter waste? (19D) (Use frequency 2 showcard). 1. All the time 2. Most of the time 3. Sometimes 4. Rarely 5. Never 812. When is the slaughter area cleaned? (READ RESPONSES. Check all that apply). (19C) 1. Before an animal is slaughtered 2. After an animal is slaughtered 3. On a schedule, specify how often______________________ 4. Other (specify):____________________ IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 21 of 36 ID #___________________ 813. Water only Sunshine Soaps/detergents Liquid disinfectants Lime powder Other (specify): ___________ 7. Other (specify): ___________ 814. General Farm Characteristics & Species Specific Module I am going to read out loud a list of materials or methods that are sometimes used to clean a slaughter area. For each material or method used, ask: When the slaughter area is cleaned, how often is [material or method] used? (Use frequency 2 showcard). Probe twice: Is anything else used? (Write it in for “other”) Anything else? Material or method used: 1. 2. 3. 4. 5. 6. [Priority Species] All of the time 1 1 1 1 1 1 Most of the time 2 2 2 2 2 2 1 2 Sometimes Rarely Never 3 3 3 3 3 3 4 4 4 4 4 4 5 5 5 5 5 5 3 4 5 What special gear, if any, does the slaughterer wear while slaughtering any animal? (DO NOT READ. Check all that apply) (BC) 1. No special gear 2. Special clothes 3. Special boots/shoes/shoe coverings 4. Gloves 5. Goggles 6. Other (specify): __________________ 815.SS Are there ever times when the farm periodically destocks? By destock I mean a time that is intentionally removes all the [animals], for a set period of time. (15A) 1. Yes, all [animals] are periodically removed from the farm [animals] 2. No, there are always some [animals] on farm Skip to 819 3. Don’t know 816.SS After destocking, or intentionally removing all [animals] from the farm, how much time usually passes before new [animals] are brought onto the farm? (15A) ______________________________ 817.SS What are some of the reasons that this farm destocks, or intentionally removes all [animals] from the farm? (15A) 1. ____________________________________ 2. ____________________________________ 3. ____________________________________ 818.SS What, if anything is done when this farm destocks, or intentionally removes all [animals] from the farm? (15A) (Check all the apply). IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 22 of 36 ID #___________________ 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. [Priority Species] General Farm Characteristics & Species Specific Module Disinfect all walls Use white wash on walls Clean floors with water Use lime power for floor Change/clean bedding Spray entire farm with disinfectant Clean animal house with disinfectant Nothing Don’t know Other (specify):_____________________________ 819.SS Does this farm ever sell live [animals]? (24A) 1. Yes 2. No - Skip to 822 820.SS Where do most live [animal] transported off the farm go? (READ RESPONSES. Check all that apply) 1. Trader’s farm/holding premises 2. Another farm 3. Restaurant 4. Slaughtering location 5. Other (specify):___________ 6. Don’t know 821.SS What types of persons does the farm sell live [animals] to? (DO NOT READ. Check all that apply) 1. Restaurant owner 2. Household consumer 3. Other wildlife farmer 4. Trader 5. Exporter 6. Other (specify):______________ 822.SS The last time you sold a live [animal] what type of person did you sell it to? 1. Restaurant owner 2. Household consumer 3. Other wildlife farmer 4. Trader 5. Exporter 6. Other (specify):______________ 823.SS What is the most recent month and year you sold [animal]? 1. __________________(MONTH and YEAR) 824.SS The last time a live [animal] was sold what price did the farm get? Price Unit 1. Total Price IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 23 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module 825.SS What (other) products from [animal] does this farms sell, if any? 1. Meat 2. Skins 3. Other (specify): _______________ 4. No other products Skip to Section 9 826.SS What types of persons does the farm sell [animal] products to? (DO NOT READ. Check all that apply) 1. Restaurant owner 2. Household consumer 3. Other wildlife farmer 4. Trader 5. Exporter 6. Other (specify):______________ 827.SS The last time you sold dead [animal] meat or other products, what type of person did you sell it to? 1. Restaurant owner 2. Household consumer 3. Other wildlife farmer 4. Trader 5. Exporter 6. Other (specify):______________ 828.SS The last time a product from [animal] was sold what specifically was sold? 829. What price did the farm get for it? 830.What product from Dead [animal]/meat? [animal] specifically was sold last? Other product(specify): __________________ 831. What price did the farm Price get for it: 1. Total Price Price Unit Unit (provide per unit price in the rows below) 2. Price per animal 3. Price per kg 4. Price for other units (Specify each unit used and corresponding price for each product) IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 24 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 25 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module SECTION 9: Now, I would like to know about the movement of vehicles on the farm. (4E,4F,4G,4H) SECTION 9: Now, I would like to know about the movement of vehicles on the farm. (4E,4F,4G,4H) 901. Ask the following set of questions for the first row, then the next, etc. In the past one week: A. Did [ ] go anywhere on the farm? B. Were [ ] restricted to a designated area? C. Did [ ] only use designated vehicle pathways on the farm? D. Did [ ] go to other animal farms? E. Did [ ] go to any markets? Vehicle A. Did [ ] go anywhere on the farm during the past one week? Vehicles owned by the farm? 1. Farm’s trolley Yes=1 No=2 2. Animal carried Yes=1 No=2 vehicle 3. Owner’s vehicle Yes=1 No=2 4. Worker’s vehicle Yes=1 No=2 Vehicle’s not owned by the farm? 5. Visitor’s vehicle Yes=1 No=2 6. Transport feed Yes=1 No=2 7. Waste collector Yes=1 No=2 8. Trader/collector Yes=1 No=2 902. B. Were [ ] restricted to a designated area during the past one week? C. Did [ ] only use designated vehicle pathways on the farm during the past one week? D. Did [ ] go to other animal farms during the past one week? E. Did [ ] go to any markets during the past one week? Yes=1 No=2 Yes=1 No=2 Yes=1 No=2 Yes=1 No=2 Yes=1 No=2 Yes=1 No=2 Yes=1 No=2 Yes=1 No=2 Yes=1 No=2 Yes=1 No=2 Yes=1 No=2 Yes=1 No=2 Yes=1 No=2 Yes=1 No=2 Yes=1 No=2 Yes=1 No=2 Yes=1 Yes=1 Yes=1 Yes=1 Yes=1 Yes=1 Yes=1 Yes=1 Yes=1 Yes=1 Yes=1 Yes=1 Yes=1 Yes=1 Yes=1 Yes=1 No=2 No=2 No=2 No=2 No=2 No=2 No=2 No=2 No=2 No=2 No=2 No=2 No=2 No=2 No=2 No=2 When are the vehicles owned by the farm cleaned? (READ. Check all that apply.) 1. Never cleaned – Skip to 904 2. No farm owned vehicles - Skip to 904 3. On a schedule – how often? ________ 4. Before animals are put onto the vehicle 5. When animals are taken off the vehicle 6. When cage becomes empty 7. Other (specify):________________ IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 26 of 36 ID #___________________ 903. [Priority Species] General Farm Characteristics & Species Specific Module I am going to read a list of vehicle parts for farm owned vehicles and ask you about their cleaning. Read the name of the part in column one then ask the questions a, b, and c for that part. REPEAT for each vehicle part. a. For each, tell me if it is cleaned. What other parts are cleaned? (Write it in for “other”) Anything else? (17C) b. Is -------- cleaned with anything other than water? c. How frequently is ______________ cleaned? (Use frequency 3 showcard). Vehicle part a. Cleaned [ ] ? 1. Tires Yes=1 No=2 b. Is it cleaned with products/detergent other than water? Yes=1 No=2 2. Vehicle frame Yes=1 No=2 Yes=1 No=2 3. Animal cages Yes=1 No=2 Yes=1 No=2 4. Passenger Area Yes=1 No=2 Yes=1 No=2 5. Other (specify): ___________ Yes=1 No=2 Yes=1 No=2 6. Other (specify): ___________ Yes=1 No=2 Yes=1 No=2 c. Frequency of cleaning? 1. 2. 3. 4. 5. 6. 7. 1. 2. 3. 4. 5. 6. 7. 1. 2. 3. 4. 5. 6. 7. 1. 2. 3. 4. 5. 6. 7. 1. 2. 3. 4. 5. 6. 7. 1. 2. 3. 4. 5. Never cleaned On a schedule – how often?_____ Before animals are put onto the vehicle? When animals are taken off the vehicle When vehicle is empty When the vehicle is dirty Other (specify):_______________ Never cleaned On a schedule – how often?_____ Before animals are put onto the vehicle? When animals are taken off the vehicle When vehicle is empty When the vehicle is dirty Other (specify):_______________ Never cleaned On a schedule – how often?_____ Before animals are put onto the vehicle? When animals are taken off the vehicle When vehicle is empty When the vehicle is dirty Other (specify):_______________ Never cleaned On a schedule – how often?_____ Before animals are put onto the vehicle? When animals are taken off the vehicle When vehicle is s empty When the vehicle is dirty Other (specify):_______________ Never cleaned On a schedule – how often?_____ Before animals are put onto the vehicle? When animals are taken off the vehicle When vehicle is empty When the vehicle is dirty Other (specify):______________ Never cleaned On a schedule – how often?_____ Before animals are put onto the vehicle? When animals are taken off the vehicle When vehicle is empty IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 27 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module 6. 7. 904. How often are vehicles not owned by the farm cleaned at the farm? 1. Any time they enter 2. If they carry certain things 3. Other, specify:___________ 4. Never – Skip to Section 10 905. When are non-farm owned vehicles cleaned? (READ. Check all that apply.) 1. Before animals are put onto the vehicle 2. When animals are taken off the vehicle 3. When vehicle is empty 4. Other (specify):________________ 906. I am going to read a list of vehicle parts for non-farm owned vehicles and ask you about their cleaning. Read the name of the part in column one then ask the questions a, b, and c for that part. REPEAT for each vehicle part. a. For each, tell me if it is cleaned. What other parts are cleaned? (Write it in for “other”) Anything else? (17C) b. Is -------- cleaned with anything other than water? c. How frequently is ______________ cleaned? [Use frequency 3 showcard] Vehicle part 1. Tires Yes=1 No=2 b. Is it cleaned with products other than water? Yes=1 No=2 2. Vehicle frame Yes=1 No=2 Yes=1 No=2 a. Cleaned [ ] ? c. Frequency of cleaning? 1. 2. 3. 4. 5. 6. 2. 3. 4. 5. 6. 3. Animal cages Yes=1 No=2 Yes=1 No=2 2. 3. 4. 5. 6. 4. When the vehicle is dirty Other (specify):_______________ Passenger Area Yes=1 No=2 Yes=1 No=2 2. 3. 4. Never cleaned On a schedule – how often?_____ Before animals are put onto the vehicle? When animals are taken off the vehicle When vehicle is empty Other (specify):_______________ 1. Never cleaned On a schedule – how often?_____ Before animals are put onto the vehicle? When animals are taken off the vehicle When vehicle is empty Other (specify):_______________ 1. Never cleaned On a schedule – how often?_____ Before animals are put onto the vehicle? When animals are taken off the vehicle When vehicle is empty Other (specify):_______________ 1. Never cleaned On a schedule – how often?_____ Before animals are put onto the vehicle? When animals are taken off the vehicle IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 28 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module 5. 6. 5. 6. Other (specify): ___________ Yes=1 No=2 Other (specify): ___________ Yes=1 No=2 Yes=1 No=2 2. 3. 4. 5. 6. Yes=1 No=2 2. 3. 4. 5. 6. When vehicle is s empty Other (specify):_______________ 1. Never cleaned On a schedule – how often?_____ Before animals are put onto the vehicle? When animals are taken off the vehicle When vehicle is empty Other (specify):______________ 1. Never cleaned On a schedule – how often?_____ Before animals are put onto the vehicle? When animals are taken off the vehicle When vehicle is empty Other (specify):_______________ IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 29 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module SECTION 10: Now I am going to ask about different types of visitors to the farm SECTION 10: Now I am going to ask about different types of visitors to the farm 1001. How frequency do [type of visitor] ever visit this farm? PROBE: Any other people? (Use frequency 1 showcard and mark the appropriate box). If ever visited, how frequently? (Use frequency 1 showcard and mark the appropriate box). Do [type of visitor] ever visit this farm? PROBE: Any other people? Write response below Daily Several times per week Once a week Once every 2 weeks Once a month Once every 2-3 months Once every 4-5 months Once every HalfYear (6 months) Less than twice a year Never in the last year 1. Household members 2. Neighbors 3. Animal health services (to provide treatments, inspect/examine animals) 4. Waste collectors 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 10 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 6. Cleaning and disinfection team 1 2 3 4 5 6 7 8 9 10 7. Farm inspectors 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 5. Slaughterers 8. People delivering food 9. People delivering bedding material 10. People buying animals 11. People selling animals 12. Other farmers 13. Other (specify):________ ____ 14. Other (specify): ___________ IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 30 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module 1002. What special procedures, if any, must visitors go through before they can go to areas where animals are kept? (DO NOT READ. Check all that apply). (8A,8B,10G,11I) 1. No special procedures – Skip to 1004 2. Put on special clothes 3. Put on special boots/shoes/shoe coverings 4. Cleaning/disinfect boots/shoes 5. Put on goggles 6. Wash hands 7. Visitors not allowed where animals are kept 8. Other (specify): __________________ 1003. In what circumstances are these procedures followed? (DO NOT READ. Check all that apply). (8A,8B,10G,11I) 1. At all times 2. When remember 3. When an animal is sick 4. Other (specify):____________________ 1004. What special procedures, if any, must visitors go through after they leave areas where animals are kept? (DO NOT READ. Check all that apply). (8A,8B,10H,11J) 1. No special procedures – Skip to 1006 2. Put on special clothes 3. Put on special boots/shoes/shoe coverings 4. Cleaning/disinfect boots/shoes 5. Take off goggles 6. Wash hands 7. Other (specify): __________________ 1005. In what circumstances are these procedures followed? (DO NOT READ. Check all that apply). (8A,8B,10H,11J) 1. At all times 2. When remember 3. When an animal is sick 4. Other (specify):____________________ 1006. What special procedures, if any, must visitors go through before leaving the farm? (DO NOT READ. Check all that apply). (8A,8B,10F,11H) 1. No special procedures – Skip to 1008 2. Put on special clothes 3. Put on special boots/shoes/shoe coverings 4. Cleaning/disinfect boots/shoes 5. Take off goggles 6. Wash hands 7. Other (specify): __________________ IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 31 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module 1007. In what circumstances are these procedures followed? (DO NOT READ. Check all that apply). (8A,8B,10F,11H) 5. 6. 7. 8. At all times When remember When an animal is sick Other (specify):____________________ 1008. I am going to read four statements about farm visitors. Please tell me which one statement best summarizes the practice on this farm. (4I) Use visitors showcard. 1. All visitors can go anywhere without restriction. 2. The farm restricts movement of some, but not all visitors, into areas where animals are kept. 3. No visitors are allowed to go to areas where animals are kept 4. All visitors may be allowed to go to areas where animals are kept provided special procedures are followed by the visitors. SECTION 11: Now I would like to learn about employee procedures on the farm. 1101. What special procedures, if any, must staff go through before you can go to areas where animals are kept? (DO NOT READ. Check all that apply). 1. No special procedures – Skip to 1103 2. Put on special clothes ( farm’s clothes) 3. Put on farm’s boots/shoes/shoe coverings 4. Cleaning/disinfect boots/shoes 5. Use disinfection footbath 6. Put on goggles 7. Wash hands 8. Other (specify): __________________ 1102. In what circumstances are these procedures followed? (DO NOT READ. Check all that apply). 1. At all times 2. When remember 3. When an animal is sick 4. Other (specify):____________________ 1103. What special procedures, if any, must staff go through after you leave areas where animals are kept? (DO NOT READ. Check all that apply). 1. No special procedures – Skip to 1105 2. Put on special clothes 3. Put on special boots/shoes/shoe coverings 4. Cleaning/disinfect boots/shoes 5. Take off goggles 6. Wash hands 7. Other (specify): __________________ IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 32 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module 1104. In what circumstances are these procedures followed? (DO NOT READ. Check all that apply). 1. At all times 2. When remember 3. When an animal is sick 4. Other (specify):____________________ 1105. What special procedures, if any, must staff go through before leaving the farm? (DO NOT READ. Check all that apply). 1. No special procedures – Skip to 1108 2. Put on special clothes 3. Put on special boots/shoes/shoe coverings 4. Cleaning/disinfect boots/shoes 5. Take off goggles 6. Wash hands 7. Other (specify): __________________ 1106. In what circumstances are these procedures followed? (DO NOT READ. Check all that apply). 1. At all times 2. When remember 3. When an animal is sick 4. Other (specify):____________________ 1107. I am going to read statements about staff on this farm. Please tell me if the statement is true or false. (4I) 1. Farm staff can go anywhere on the farm without restriction. 2. Farm staff are assigned to work in specific sections (such as housing or slaughter facilities) 3. Farm staff work with young to old animals 4. Farm staff work with well animals then sick animals 5. Farm staff are not allowed to rear animals at their home 6. Farm staff are not allowed to visit other farms, livestock markets, or slaughter houses 7. Farm staff are restricted to go where sick animals are kept 1108. The last time you washed your hands after handling [animal], what did you use? (READ. Check all that apply) (25B) 1. 2. 3. 4. Water Soap Ash Other(specify):________________ 1109. I am going to read a few statements. For each statement, please tell me if you strongly agree, agree, disagree, or strongly disagree. Neither Strongly Agree or Strongly Agree Disagree Agree disagree Disagree (neutral) Severity 1. Diseases that are transmitted from [animal] to people can make people in this community very sick. 1 2 3 4 5 2. Diseases that are transmitted from [animal] to people are 1 2 3 4 5 IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 33 of 36 ID #___________________ [Priority Species] not likely to spread quickly in this community. 3. People in this community can die from diseases that are transmitted from [animal] to humans. Susceptibility 4. My chances of getting a disease from a [animal] are high. 5. I am less likely than most people farming wildlife to get a disease from a [animal]. Response efficacy 6. Wearing protective clothing when handling [animal] does not reduce the chance of getting diseases from [animal]. 7. Washing hands frequently after handling [animal] does not prevent transmission of disease from [animal] to humans. 8. Properly disposing of [animal] waste reduces the chances of disease being transmitted from [animal] to humans. 9. Cleaning equipment used to butcher [animal] does not reduce the chances of disease being transmitted from [animal]s to humans. General Farm Characteristics & Species Specific Module 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1110. I am going to read a few more statements. For each statement, please tell me if the statement is true or false. TRUE FALSE Transmission of zoonotic diseases 1. People can get sick from eating [animal]. 1 2 2. People cannot get sick from contact with [animal] blood. 1 2 3. People cannot get sick from contact with [animal] urine. 1 2 4. People cannot get sick from contact with [animal] feces. 1 2 5. People can get sick from being bitten by an [animal]. 1 2 Prevention of zoonotic diseases 6. People cannot prevent sickness from [animal]s by properly disposing of [animal] feces 1 2 7. People can prevent sickness from [animal]s by properly disposing of [animal] entrails. 8. People can prevent sickness from [animal]s by washing hands before and after handling 1 2 [animal]s. 9. People cannot prevent sickness from [animal]s by wearing protective gear to avoid 1 2 scratches and bites. 10. People can prevent sickness from [animal]s by disinfecting the cages used to carry the 1 2 [animal]s. 11. People can prevent sickness from [animal]s by cleaning [animal] butchering equipment. 1 2 IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 34 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module SECTION 12: Thank you so much for answering our questions about the farm. Now we have a few final questions. 1201. What is the highest degree or level of school you have completed? If currently enrolled, check the previous grade or highest degree received. 1. No schooling completed 2. Primary school (GIVE AGE LEFT SCHOOL):_______________ 3. Secondary school 4. Bachelor's degree 5. Master's degree 6. Doctorate degree 7. Medical degree 8. Veterinary Degree 9. Other (specify): _______________ 1202. What, if any, specific certification or formal training related to farming, do you have? 1. Please write all:_______________ ________________ ________________ 2. No certification 1203. What, if any, specific certification or formal training related to wildlife farming do you have? 1. Please write all:_______________ _______________ 2. No certification 1204. What are the sources of income for your household in the past 12 months? (Check all that apply) 1. Wildlife farming (examples: Monkey , Porcupine, Civet, Wild boar, Crocodile, Snake, Lizard) 2. Domestic livestock (examples: Cows, Ox, Pigs, Sheep, Goats) 3. Crop production (state main crop)(Crop name):_______________________ 4. Aqua-culture (fish, shrimp, crab, other) 5. Other agricultural activity (specify): _________________________ 6. Public sector employment 7. Private business 8. Other (specify):___________________________ 1205. What are the 3 most important sources of household income during the past 12 months? 1. First (most important):___________________ 2. Second (if any): __________________ 3. Third(if any):_________________ 1206. Does the farm have a written biosecurity plan? 1. Yes (ask to see the document) a. Saw document _____ 2. No IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 35 of 36 ID #___________________ [Priority Species] General Farm Characteristics & Species Specific Module 1207. In your opinion, what does the word biosecurity mean? Check all that apply. 1. Clean 2. Safe 3. Animals separated 4. Sterilize 5. Other (specify):________________________________ 6. Don’t know. 1208. What procedures should a farm raising animals follow for good biosecurity? 1. Keep different species of animals apart 2. Keep new animals apart 3. Keep animals from having access to waste 4. Washing hands with soap before and after contact with animals 5. Using footbaths when entering and exiting animal housing 6. Cleaning vehicles before entering and before leaving 7. Other (specify):____________________ ______________ 8. Don’t know 1209. Does the farm have a written good production practices program? 1. Yes (ask to see the document) a. Saw document _____ 2. No 1210. Does the farm have a pest management plan? (27A) 1. Yes (ask to see the document) a. Saw document 2. No 1211. Does the farm have an animal farming protocol? 1. Self- developed from experience 2. Given by other farmers 3. Given by contractors/ breeder/supplier 4. From training 5. From internet or book 6. Don’t have protocol, just based on farm’s experience 1212. Do you have any questions for me? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Thank you very much for your valuable time. NOTES: IRBNet Project # 532511-1, Description of Wildlife Farm Practices, General and species specific module, Version 1.0, Last revised January 16, 2014 Page 36 of 36