Farm Survey
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Website Address (If applicable)
Company Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How much land do you farm?
The land you farm
Own
Lease
Do you live on the land you farm?
Yes
No
Is it a family farm?
Yes
No
Could you do additional acreage if there is a demand for it?
Yes
No
How much more land could you be farming?
What do you grow? How much? ((lbs./yr, units/yr, head/yr, etc)
Your growing practices?
Organical-certified
Organic practices-not certified
Conventional
Other
Where do you sell your product?
wholesale
Retail
Farmers markets
CSA
Other
What type of value-added product are you producing?
Approximate annual dollar value of your value-added production
Are there certifications or Eco labels you use with your farm product ?
Food Alliance Certified
Salmon Safe
Hazard Analysis and Critical Control Point/ Plan (HACCP)
Other
Do you process off-farm?
Yes
No
Address
Facility Name
Street Address Line
City
State / Province
Postal / Zip Code
Do you know of a local processing center that is presently under-utilized or that could be expanded?
Yes
No
Address
Facility Name
Street Address
City
State
Zip Code
Contact Person
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
How interested are you having access to a shared processing facility within reasonable distance from your farm?
Very Interested
Interested
Not Interested
Not Sure
Other
If there is processing facility how many miles would you be willing to transport your product for processing (round trip)?
Do you have any need for cold storage?
Yes
No
Do you need help distributing your farm product?
Yes
No
Do you need help marketing your product?
Yes
No
Do you need more farm labor help?
Yes
No
Do you need help creating business plans or other assistance aimed at securing bank loans?
Yes
No
If at present your farm product is not processed, would having the ability to process your farm products encourage you to grow other crops or start other farm enterprises?
Yes
No
If you are not already producing value-added products, are you interested in learning more about transitioning to such products?
Yes
No
What are the primary obstacles making it difficult for your farming operation to be more profitable?
What one thing would be of most value in making your farming operation more profitable?
Comments/Suggestions?
Submit
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