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* 1. Name

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* 2. Age

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* 3. Address

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* 4. Email and Tel. number

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* 5. County

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* 6. Gender

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* 7. Race

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* 8. Do you currently own/lease farmland?

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* 9. How long have you been farming?

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* 10. Have you adopted any of the following conservation practices on your farm?

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* 11. Do you plan to adopt soil, water and/or habitat conservation practices on your farm?

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* 12. Have you applied for any NRCS program to fund your conservation initiatives?

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* 13. If yes please list the programs you have applied for?

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* 14. Have you faced any barriers in applying for these programs? If so please explain

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* 15. Are you interested in being connected to other farmers who are interested in or have implemented conservation practices through these programs?

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