NAHMS-455 NAHMS Goat 2019 On-site Agritourism Questionaire

National Animal Health Monitoring System; Goat 2019 Study

NAHMS-455 JUN 2019

Goat 2019 Study - Respondents

OMB: 0579-0354

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0579-0354 can be found here:

2019-10-10 - No material or nonsubstantive change to a currently approved collection

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NAHMS Goat 2019

On-site Agritourism

Questionnaire

National Animal Health Monitoring System

2150 Centre Ave, Bldg B

Fort Collins, CO 80526

Form Approved

OMB Number 0579-0354

Approval expires: xxxx

Animal and Plant

Health Inspection

Service

Veterinary

Services

NAHMS-453

Date

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0579-0326. The time required to complete this information collection is estimated to average 1.0 hour per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collected.

Farm ID:

Collector name and phone number:

Interview Date:

Start Time:

(6 digits)

(mm/dd/yy)

(hh:mm)

1. During the previous 12 months, were members of the general

public invited onto the farm other than to the home? a101 ₁ Yes ₃ No

[If question 1 = No, do not administer the questionnaire. Go to the Office Use Section and select response code 6.]

2. Did the public have access to areas or facilities on the farm that

house or contain animals, feed, manure, or farm equipment? a102 ₁ Yes ₃ No

[If question 2 = No, do not administer the rest of the questionnaire. Go to the Office Use Section and select response code 6.]

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NAHMS-453

Date

NAHMS-453

Date

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According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0579-0354. The time required to complete this information collection is estimated to average 45 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collected.

NAHMS-455
JUN 2019

NAHMS-453

Date

NAHMS-453

Date

NAHMS-453

Date

For the purposes of this questionnaire, members of the general public that are invited onto this farm are considered “visitors.” This includes individual visitors as well as organized groups, whether or not the visitors are charged admission.

3. How many days of the month, for each month, did visitors have access to the facilities on the farm that housed or contained animals, feed, manure, or farm equipment? What was the average number of visitors for each month?

Number Average number of

of days visitors per month

a. September 2018 a103/a115 _____ d _____ #

b. October 2018 a104/a116 _____ d _____ #

c. November 2018 a105/a117 _____ d _____ #

d. December 2018 a106/a118 _____ d _____ #

e. January 2019 a107/a119 _____ d _____ #

f. February 2019 a108/a120 _____ d _____ #

g. March 2019 a109/a121 _____ d _____ #

h. April 2019 a110/a122 _____ d _____ #

i. May 2019 a111/a123 _____ d _____ #

j. June 2019 a112/a124 _____ d _____ #

k. July 2019 a113/a125 _____ d _____ #

l. August 2019 a114/a126 _____ d _____ #

4. Was there designated parking for visitors away from the

regular farm traffic? a127 ₁ Yes ₃ No

[If question 4 = No, SKIP to question 7.]

5. Was the parking area downhill from any animal facilities, manure

storage areas, or crop fields that were fertilized with animal manure? a128 ₁ Yes ₃ No

6. Did the parking area share a fence line with

an animal pen or pasture? a129 ₁ Yes ₃ No

7. During the previous 12 months, did visitors have access to the following areas of the farm?

a. Milking areas a130 ₁ Yes ₃ No ₄NA

b. General goat housing areas a131 ₁ Yes ₃ No

c. Kidding areas a132 ₁ Yes ₃ No ₄NA

d. Feed or hay storage areas a133 ₁ Yes ₃ No

e. Manure piles/storage areas a134 ₁ Yes ₃ No

8. Could runoff from the manure pile or goat pens have entered

areas where visitors had access? a135 ₁ Yes ₃ No

9. During the previous 12 months, what goat types, and other animals,

were available for public visitation? For available animals, were visitors allowed

to touch the animals, and were visitors allowed in the animal pens?

If Yes,

Visitors Visitors

Available for allowed allowed

public visitation? to touch? in pens?

a. Newborn kids (≤1 day of age) a136/a142/a148 ₁ Yes ₃ No ₁ Yes ₃ No ₁ Yes ₃ No

b. Preweaned kids a137/a143/a149 ₁ Yes ₃ No ₁ Yes ₃ No ₁ Yes ₃ No

c. Weaned kids a138/a144/a150 ₁ Yes ₃ No ₁ Yes ₃ No ₁ Yes ₃ No

d. Does that are kidding a139/a145/a151 ₁ Yes ₃ No ₁ Yes ₃ No ₁ Yes ₃ No

e. Other adult goats a140/a146/a152 ₁ Yes ₃ No ₁ Yes ₃ No ₁ Yes ₃ No

f. Other animal species

(specify: __________) a141oth a141/a147/a153 ₁ Yes ₃ No ₁ Yes ₃ No ₁ Yes ₃ No

10. During the previous 12 months, did dogs or cats have access to visitor areas?

If Yes, were they vaccinated against rabies?

If Yes,

Animal Vaccinated

Present? against rabies?

a, Dogs a154/a156 ₁ Yes ₃ No ₁Yes ₃ No ₄ DK

b. Cats a155/a157 ₁ Yes ₃ No ₁Yes ₃ No ₄ DK

11. Is there a clearly defined transition area (physical or conceptual)

between animal and non-animal areas, as pictured on reference card 1? a158 ₁ Yes ₃ No

[If question 11 = No, SKIP to question 13.]

12. Is this transition area marked by signage visible and easily understood

by visitors, including what is expected of them in the animal area? a159 ₁ Yes ₃ No

13. Is each visitor group escorted through goat visitor areas

by a guide? a160 ₁ Yes ₃ No

[If question 13 = Yes, SKIP to question 16.]

14. Are there employees available throughout the goat visitor areas

to answer animal questions and direct visitors? a161 ₁ Yes ₃ No

15. How do visitors typically move through the goat visitor areas?

[Check one only.] a162

₁ One-direction flow of visitor traffic

₂ Controlled movement in more than one direction

(e.g., directed two-way traffic)

₃ Visitors move freely through the areas with no restrictions

₄Other (specify: ____________________) a162oth

16. Does this farm require any of the following policies?

If policies are used, are there signs present?

Are the policies verbally communicated?

If Yes,

Policy Signage Verbally

Policy used? present? Communicated?

a. Prohibit any food, drinks, or water

Shape19 bottles in the animal areas a163/a169/a175 ₁ Yes ₃ No ₁ Yes ₃ No ₁ Yes ₃ No

b. Prohibit strollers in the animal

areas a164/a170/a176 ₁ Yes ₃ No ₁ Yes ₃ No ₁ Yes ₃ No

c. Prohibit smoking in the barn a165/a171/a177 ₁ Yes ₃ No ₁ Yes ₃ No ₁ Yes ₃ No

d. Require supervision of children

in animal areas a166/a172/a178 ₁ Yes ₃ No ₁ Yes ₃ No ₁ Yes ₃ No

e. Require that hands be

washed after contact with

animals a167/a173/a179 ₁ Yes ₃ No ₁ Yes ₃ No ₁ Yes ₃ No

f. Require use of footbaths a168/a174/a180 ₁ Yes ₃ No ₁ Yes ₃ No ₁ Yes ₃ No

17. Does this farm warn visitors regarding the following risks?

If warnings are given, are there signs present and/or

are the warnings verbally communicated?

If Yes,

Warning

Signage verbally

Risks Warnings given? present? communicated?

a. Risk of placing anything in

the visitor’s mouth once entering

Shape20 the animal areas? a181/a185/a189 ₁ Yes ₃ No ₁ Yes ₃ No ₁ Yes ₃ No

b. Health risks related to

touching animals? a182/a186/a190 ₁ Yes ₃ No ₁ Yes ₃ No ₁ Yes ₃ No

c. Physical safety risks related to

touching animals? a183/a187/a191 ₁ Yes ₃ No ₁ Yes ₃ No ₁ Yes ₃ No

d. Higher health risks in certain

populations (e.g., children under

the age of 5, adults over the age

of 65, those immunocompromised,

and pregnant women) a184/a188/a192 ₁ Yes ₃ No ₁ Yes ₃ No ₁ Yes ₃ No

18. Are visitors allowed to feed goats? a194 ₁ Yes ₃ No

[If question 18 = No, SKIP to question 21.]

19. Which of the following methods do visitors use to feed the goats?

a. Hand or bottle feed from outside the pen and through the fence a201 ₁ Yes ₃ No

b. Hand or bottle feed inside the pen a202 ₁ Yes ₃ No

c. Feed placed in a one-way feeding tube a203 ₁ Yes ₃ No

d. Other (specify: ___________________________) a204oth a204 ₁ Yes ₃ No

20. Are high-risk populations, such as children under the age of 5,

prevented from feeding goats? a205 ₁ Yes ₃ No

21. Are hand-washing stations with soap and water available to visitors

when they exit the goat visitor areas? a206 ₁ Yes ₃ No

[If question 21 = No, SKIP to question 25.]

22. Do hand-washing stations have both hot and cold water? a207 ₁ Yes ₃ No

23. On average, how frequently (times per day/per week/per month)

when visitors are present are the hand-washing stations

checked for availability of items

such as water, soap, and paper towels? a208/a209/a210 _____ OR _____ OR _____ times

per day per week per month

24. Is a checklist used for employees to know the frequency of

inspections for hand-washing areas? a211 ₁ Yes ₃ No

25. Is hand sanitizer available to farm visitors when they exit

the goat visitor areas? a212 ₁ Yes ₃ No

26. How many times per week are goat visitor areas cleaned

of manure and debris? a213 _____ times

27. How often are goat visitor areas routinely disinfected?

(Disinfectant could be 1:10 bleach dilution, phenolic product

(1-Stroke Environ® or SynPhenol-3™), or an accelerated hydrogen

peroxide product (Intervention™) or Lime).

[Check one only.] a214

₁ After every cleaning

₂ Several times per year

₃ Once per year

₄ Only when sick animals have been removed

₅ Other frequency (specify: _________________________) a214oth

₆ Never disinfected

28. Are any employees or farm personnel trained or educated on the following topics?

a. How to communicate agricultural practices to visitors a215 ₁ Yes ₃ No

b. How to keep visitors safe in goat visiting areas a216 ₁ Yes ₃ No

c. Disease transmission risks to visitors a217 ₁ Yes ₃ No

d. Cleaning and disinfecting protocols a218 ₁ Yes ₃ No

29. Is there a protocol in place to make sure employees remove animals showing

signs of illness (e.g., diarrhea, fever, coughing) from public visitation areas? a220 ₁ Yes ₃ No

[If question 29 = No, SKIP to question 33.]

30. Was a veterinarian involved in developing this protocol? a221 ₁ Yes ₃ No

31. Is the protocol:

a. Written? a222 ₁ Yes ₃ No

b. Verbal? a223 ₁ Yes ₃ No

32. How often does the protocol require that these checks for sick animals occur?

[Check one only.] a224

₁ Daily

₂ Weekly

₃ Only on exhibit days

₄ Other (specify: _________________) a224oth

33. In the last 12 months, have pregnant does been included

in the goat visitor area? a225 ₁ Yes ₃ No

[If question 33 = No, SKIP to question 35.]

34. In the event of an abortion in the goat visitor area, would you:

[Check one only.] a226

₁Leave goats in the goat visitor area?

If Yes,

a. Are visitors prevented from contact with aborting does? a227 ₁ Yes ₃ No

b. Is there a barrier, such as glass, to prevent shared air space

with aborting does ? a228 ₁ Yes ₃ No

₂Remove aborting doe from the goat visitor area?

If Yes, is contaminated bedding also removed? a229 ₁ Yes ₃ No

₃ Close the goat visitor area

₄Other (specify: _________________________) a226oth

35. In the event of at least one goat becoming ill in the goat visitor area

with something other than abortion (for example, diarrhea), which action would be taken? Would you:

[Check one only.] a230

₁ Leave kids or goats in the area(s) open to visitors?

If Yes, are visitors prevented from contact with sick goats? a231 ₁ Yes ₃ No

₂ Remove sick animal(s) from the area(s) open to visitors?

₃ Close the goat visitor area?

₄ Other (specify: ________________________________) a231oth

36. Is any food or drink available for visitors as samples or to purchase? a232 ₁ Yes ₃ No

[If question 36 = No, SKIP to question 44.]

37. Is food and drink served in an area where animals have ever been

kept or where there is possible contact with animals? a232 ₁ Yes ₃ No

38. Are any unpasteurized products served, such as milk,

cheese, yogurt, or fruit juice? a233 ₁ Yes ₃ No

39. Are hand-washing stations with soap and water available to farm

visitors at the entry to the food service area? a234 ₁ Yes ₃ No

[If question 39 = No, SKIP to question 41.]

40. For these hand-washing stations:

a. Are visitors required to wash their hands prior to eating? a236 ₁ Yes ₃ No

b. Are there signs reminding visitors to wash their hands prior to eating? a237 ₁ Yes ₃ No

c. Are there signs indicating where visitors can wash their hands? a238 ₁ Yes ₃ No

41. Is hand sanitizer available to visitors in the food service area? a239 ₁ Yes ₃ No

42. Do employees who handle the animals also serve food or drink to visitors? a240 ₁ Yes ₃ No

[If question 42 = No, SKIP to question 44.]

43. Between handling animals and serving food or drink to visitors,
are employees required to:

a. Change clothing? a241 ₁ Yes ₃ No

b. Change footwear? a242 ₁ Yes ₃ No

c. Wash hands? a243 ₁ Yes ₃ No

d. Wear disposable gloves? a244 ₁ Yes ₃ No

44. a. Have you met with an insurance agent about protecting your

farm through policies for an agritourism operation? a245 ₁ Yes ₃ No

b. If Yes, have you added policies specific to public

visitation on your farm? a246 ₁ Yes ₃ No

Office Use Only

Farm ID:

Collector name and phone number:

Interview date:

Ending time:

(6 digits)

(mm/dd/yy)

(hh:mm)

1. Total time for interview (include time to discuss the program and

complete the questionnaire). If more than one data collector present,

enter the combined time tmin _____ min

2. Enter response code 99 if questionnaire is completed or enter

04 or 07 to best describe the reason why the owner

is not participating notpart _____ code

99 = Survey completed

04 = Does not want to do another survey or divulge information

06 = Not eligible

07 = Other reason (explain below)

3. Which of the following best describes the respondent’s position

with this operation? pos _____ code

1 = Owner

2 = Manager

3 = Family member (other than owner or manager)

4 = Other hired employee

5 = Other (specify: _______________________________) posoth

4. Producer data quality dqual ₁ Good to excellent ₂ OK ₃ Poor

5. Did the respondent use written or computerized records to

assist in answering this survey? rec ₁ Yes ₃ No

Comments regarding this questionnaire or operation:

VMO or AHT signature: ___________________________________________________

TO BE COMPLETED BY THE COORDINATOR:

Field data quality fqual ₁ Good to excellent ₂ OK ₃ Poor

Agritourism Reference Card 1- Transition Area

(Adapted from NASPHV Animal Contact Compendium Committee 2013. Compendium of

measures to prevent disease associated with animals in public settings, 2013. J Am Vet Med

Assoc 2013;243:1270–1288.)

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