Milk SA/MPO Mastitis Treatment and Prevention Survey

1. Owner & Dairy Information

(Questions with an asterix require an answer)

First Name *This question is required.

Last Name *This question is required.

Dairy Name

Legal Company Name

Closest city/town *This question is required.

Email Address *This question is required. This question requires a valid email address.

Physical Address

Phone Number

Mobile Phone

Are you able to complete the survey at this time? *This question is required.

I am voluntarily participating in this survey, providing information to the best of my knowledge for the purpose of improving mastitis treatment and control.

Would you be willing for us to visit your dairy and assist you with collecting data and completing your form?

I hereby authorize Milk SA, the MPO and the researchers to use this data, without revealing my identity, for research, education and publication purposes.

Please feel free to provide any additional information:

2. How many years in total, even if interrupted, have you been working with dairy cows (as a student, as an employee, as a manager &/or an owner)?

years

3. On a daily basis how much time do you currently spend working with and checking your dairy livestock (excluding the time needed for administrative, financial & employee needs)?

hours/day

5. Is there a part owner (with financial and management input) or an investor (with financial input only)?

What is the approximate percentage of management input that the part owner has?

0%

100%

No Opinion

What is the time commitment set aside for these activities?

Space Cell	Time Commited	Comment
Other dairy/dairies (hours/day)	Other dairy/dairies (hours/day): Time Commited	Other dairy/dairies (hours/day): Comment
Crop farming (weeks/year)	Crop farming (weeks/year): Time Commited	Crop farming (weeks/year): Comment
Other farm animal enterprise e.g. beef cattle, sheep, poultry, horses etc. (hours/day)	Other farm animal enterprise e.g. beef cattle, sheep, poultry, horses etc. (hours/day): Time Commited	Other farm animal enterprise e.g. beef cattle, sheep, poultry, horses etc. (hours/day): Comment
Off farm activity (hours/day)	Off farm activity (hours/day): Time Commited	Off farm activity (hours/day): Comment

Milk SA/MPO Mastitis Treatment and Prevention Survey

Farmer/Owner