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1. Food Professionals Day Out on the Farm

Thank-you for your interest in "Food Professionals Day Out on the Farm 2012." We hope to learn about everyone's interests concerning food production, to make this experience beneficial for each individual participating. To do so, please fill out this brief survey.

For participating you will receive $50 in certificates good for beef and pork, as well as be eligible to win one of four $125 certificates good for purchasing supplies at a kitchen supply store.

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* 1. What is your name? Please include first and last.

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* 2. Please leave an email address used regularly.

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* 3. Please leave a phone number you can be reached at if selected.

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* 4. Where is your place of employment?

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* 5. What is your title at your place of employment?

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* 6. How did you find out about this event?

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* 7. How long have you been in your current field of work?

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* 8. Do you participate in social media? If so please check all that apply.

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* 9. Have you been on a farm before?

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* 10. If your answer to the last question was yes, when was the last time you were on a farm? What type of farm was it? i.e crops, beef, dairy or pork.

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* 11. Do you or any members of your household live on a farm or are currently involved in agriculture?

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* 12. When purchasing a groceries, what do you look for? Please check all that apply.

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* 13. When purchasing food for your place of employment what if any of the below are considered? Please check all that apply.

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* 14. Did you participate in this tour last year?

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* 15. If selected to participate on the farm tour, do you have questions you would like answered about production agriculture? If so please name one.

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* 16. What would you hope to get out of the farm tour?

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