SVF Foundation, Heritage Breeds, Endangered Livestock and Rare Breed Conservation

Breeder and Farm Questionnaire

Are you an organic producer?	Yes No
Do you have any other heritage breeds?
How did you hear about SVF?
Are you a member of the ALBC or NEHBC?	Yes No
Breed Association affiliation:
Is this herd/flock registered?	Yes No
Number of years you have been involved with this breed?
Transaction details (charitable donation to SVF, trade, purchase) value:
Total number of animals in your herd/flock:	Male: Female:
Have you ever had animals test positive to any of the diseases listed in our testing protocol (if so when and was the heard/flock affected)? Yes No
Have you had any contagious diseases in your herd/flock over the last several years? Yes No
What birth defects have you seen in your herd/flock over the last several years?
Can you describe your biosecurity program?
Do you participate in a scrapie eradication program?	Yes No
If so, how long have you participated and what is your current status?
Name, address and phone number of your veterinarian:
May we contact your veterinarian?	Yes No
Do you have adequate restraint facilities for blood testing of animals?	Yes No
Have you ever tried to improve your herd/flock by cross breeding?	Yes No
Name of person filling out form: