AgEd 450 Farm Air Quality Sampling PRE-Survey- February 2017

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* 1. Enter your Identification Number (ID#)

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* 2. Do you work with animals in confined spaces (for example, enclosed hog, poultry, cattle buildings)?

Yes

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* 3. Which types of confinement building do you work in? check all that apply

hogs

poultry

cattle

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* 4. Does working in your confinement building cause you to have any of these symptoms? If Yes, check all that apply:

Throat irritation (itching, burning, sore)

Stuffy nose or head congestion

Headache

Wheezing

Dry cough

Muscle aches

Occasional low grade fever (temperature over 99 degrees)

Chest tightness

Cough with mucous or phlegm

Shortness of breath

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* 5. Are you concerned about air quality in confinement building(s) for your animals, yourself or both?

Animals

Self/Workers

Both

Neither

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* 6. Has any testing of the environment (air quality - measuring dust or gas concentrations; measuring ventilation rates, temperature or humidity levels ) been done in your confinement buildings through air sampling?

Yes

Unsure

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* 7. If you answered YES to Question 6, please answer the following.

How many buildings?

What type of buildings?

How often? ( Once, twice or more than twice a year)

Why did you do the testing?

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* 8. If you answered yes to Question 6 regarding performing testing in building, what type of testing was done? Check all that apply.

Measuring gases with diffusion or detector tubes

Measuring gases with hand-held gas monitor

Wearing a personal gas monitor

Testing of ventilation system or performance

Measuring temperature and/or humidity

Measuring dust concentrations

Other

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* 9. How often do you use respiratory protection (two strap mask or half mask) when working in the confinement operation?

Always

Sometimes

Never