Industry Leafy Green/Romaine Impact Survey

1.Company Name
2.Type of business (indicate all that apply)
3.Location of Affected Division(s), (State or Province):
4.Commodity formats handled:
5.Sales Impact as a result of the outbreak (as a percent of typical sales for that product):
6.Acres of product not harvested due to the outbreak:
7.Miscellaneous Costs (Please describe cost and expand as required, also please note whether costs were in USD or CAD):
8.How many contacts (calls, emails, etc.) did you receive related to the outbreak:
9.Other Customer / Consumer Impact (Please briefly describe the impact this issue had on your customers (business) or consumers (retail / food service):
10.Please provide us with any other comments which we should bring to the government(s) attention:
11.Please provide us with any comments you have for the industry associations on how you would like future incidents to be managed, communicated, etc.
Current Progress,
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