Veterinarian Survey for Poultry Health Planning

This survey is a joint effort with Illinois USDA APHIS Veterinary Services and Illinois Department of Agriculture (IDOA) staff. The goal of this survey is to identify veterinarians who include chickens and other non-poultry avian species in their practice. The Illinois Department of Agriculture will use this information to determine outreach needs necessary to increase veterinarian interest in poultry medicine. If given permission, we would like to maintain a list of these veterinarians for outreach, to share with owners who inquire to the department, and possibly as additional response capacity during poultry disease events that may necessitate the assistance of veterinarians in Illinois. We appreciate your participation and if there are further comments or questions, please reach out to us at agr.bahw@illinois.gov.

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* 1. Does your practice include ANY poultry (chickens or turkeys) or non-poultry avian species (waterfowl, gamebirds, ratites)?

YES

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* 2. If you do not currently include poultry and non-poultry avian species in your practice, what are your reasons for choosing not to? *If you do not see these species, you may hit "submit" after answering this question. Thank you!

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* 3. If you currently include poultry or non-poultry avian species in your practice, please list species you include (see, examine, treat, test, etc.):

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* 4. If your practice includes poultry or non-poultry avian species do you go on farm calls or do you have an "office only" policy?

Farm/House Calls Only

Office Only

Both farm/house calls and in-office

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* 5. If your practice includes poultry or non-poultry avian species AND does farm calls, what is the maximum distance you travel (approximate mile radius)?

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* 6. If you includes poultry or non-poultry avian species in your practice, do you give the Illinois Department of Agriculture permission to maintain your clinic information on a list that we can share with producers?

NO, please do not share my information.

Yes, but please do not post it online or share directly. You can share with producers who make an inquiry.

Yes, I give my permission to share my information with direct inquiries as well as on the IDOA website and in public outreach.

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* 7. Please enter your contact information below if you answered "yes" to Q6 above.

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number