2010 AgriSource Acreage Survey with Farm Show

Welcome to the AgriSource 2010 Acreage Survey in conjuntion with the Iowa Power Farming Show being held Feb 2 - 4, 2010. Please post your results by 5 pm Friday February 10th. Results will be sent out Monday morning Feb 15th via email. Thank you for your participation.

AgriSource Inc

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1. Please enter your Name and Address

Please enter your Name and Address Name:
County
City/Town:
State:
Email Address:

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2. 2009 Corn Acres Planted (Enter 0 if none planted)

2009 Corn Acres Planted (Enter 0 if none planted)

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3. 2009 Soybean Acres Planted (Enter 0 if none planted)

2009 Soybean Acres Planted (Enter 0 if none planted)

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4. 2009 Wheat Acres Planted (Enter 0 if none planted)

2009 Wheat Acres Planted (Enter 0 if none planted)

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5. Estimated 2010 Corn Acres to Plant (Enter 0 if if you plan to plant no corn)

Estimated 2010 Corn Acres to Plant (Enter 0 if if you plan to plant no corn)

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6. Estimated 2010 Soybean Acres to Plant (Enter 0 if you plan to plant no beans)

Estimated 2010 Soybean Acres to Plant (Enter 0 if you plan to plant no beans)

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7. Estimated 2010 Wheat Acres to Plant or Planted (Enter 0 if you plan to plant no wheat)

Estimated 2010 Wheat Acres to Plant or Planted (Enter 0 if you plan to plant no wheat)

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8. On a scale of 1-5, with 1 being the lowest confidence, and 5 being the highest confidence, how confident are you of your 2010 planting intentions?

On a scale of 1-5, with 1 being the lowest confidence, and 5 being the highest confidence, how confident are you of your 2010 planting intentions? 1

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9. What % of corn remains unharvested in your county?

What % of corn remains unharvested in your county?

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10. Who is your AgriSource Contact?

	Choose your Consultant Here
Consultant	Who is your AgriSource Contact? Consultant Choose your Consultant Here

11. Are you using AgriSource for your crop insurance?

Are you using AgriSource for your crop insurance? Yes, already a crop insurance customer.

No, but would be willing to meet with an agent.

No, happy where I am currently.

12. Would you like for us to email you a summary of "What's New in 2010 for Crop Insurance?" and "Choosing the Right Risk Management Plan for 2010?"

Would you like for us to email you a summary of "What's New in 2010 for Crop Insurance?" and "Choosing the Right Risk Management Plan for 2010?" Yes

Thanks for taking the time to complete our survey.

AgriSource Inc.

2010 AgriSource Acreage Survey with Farm Show

1. AgriSource 2010 Acreage Survey

*1. Please enter your Name and Address

*2. 2009 Corn Acres Planted (Enter 0 if none planted)

*3. 2009 Soybean Acres Planted (Enter 0 if none planted)

*4. 2009 Wheat Acres Planted (Enter 0 if none planted)

*5. Estimated 2010 Corn Acres to Plant (Enter 0 if if you plan to plant no corn)

*6. Estimated 2010 Soybean Acres to Plant (Enter 0 if you plan to plant no beans)

*7. Estimated 2010 Wheat Acres to Plant or Planted (Enter 0 if you plan to plant no wheat)

*8. On a scale of 1-5, with 1 being the lowest confidence, and 5 being the highest confidence, how confident are you of your 2010 planting intentions?

*9. What % of corn remains unharvested in your county?

*10. Who is your AgriSource Contact?