Livestock Farmers Data Collection Form
This form is set up by Vet Konect to capture data of livestock farmers across Nigeria with the aim of improving the quality of animal health care coverage across the country.
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Full Name *
Phone Number
 *
Email (if available) if not enter "NA" *
Age group *
Gender (Sex)
Clear selection
State of Residence *
Local Government of Residence (E.g. Makurdi) *
Languages spoken (select all that apply) *
Required
Address *
Select the Type of livestock you rear (top 3) *
Required
If you selected Others, mention them. (Enter "NA" if it does not apply to you). *
What is your farm size *
Type of farming system *
Do you have access to Veterinary services? *
List the common disease conditions you have encountered in your farm. *
Have you ever vaccinated your animals before? *
Have you ever lost your animals due to disease outbreaks or other disease conditions on your farm? *
Are you aware of any insurance package or have you ever insured your animals? *
Have you ever been trained on livestock production practices before? *
How easy is it to access inputs like feeds, day old chicks, drugs etc in your location? *
Which type of financial support have you received before for your business? *
What is your most preferred means of receiving information? *
Are you open to receiving financial and technical support to help you grow your livestock farm? *
Do you permit Vet Konect to contact you with relevant information to help you grow your farm? *
Name of Enumerator *
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