[animals] on this farm.

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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
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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
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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
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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
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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):__________________________
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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):__________
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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
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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):_____________
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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
_________________________________________________________________________________
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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
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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):_________
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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)
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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):_______________________
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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
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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
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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):____________________
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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).
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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
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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)
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General Farm Characteristics & Species Specific Module
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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):________________
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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
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ID #___________________
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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
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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):_______________
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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):
___________
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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): __________________
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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): __________________
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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
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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
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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
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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:
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