2012 AgriSource Acreage Survey with Farm Show

1. AgriSource 2012 Acreage Survey

Welcome to the AgriSource 2012 Acreage Survey in conjuntion with the Iowa Power Farming Show being held Jan 31 - Feb 2, 2012. Please post your results by 5 pm Friday February 3rd. Results will be sent out Monday morning Feb 13h via email. Thank you for your participation.

AgriSource Inc

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* 1. Please enter your Name and Address

Name: *

County *

City/Town: *

State: *

Email Address:

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* 2. 2011 Corn Acres Planted (Enter 0 if none planted)

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* 3. 2011 Soybean Acres Planted (Enter 0 if none planted)

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* 4. 2011 Wheat Acres Planted (Enter 0 if none planted)

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* 5. Estimated 2012 Corn Acres to Plant (Enter 0 if if you plan to plant no corn)

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* 6. Estimated 2012 Soybean Acres to Plant (Enter 0 if you plan to plant no beans)

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* 7. Estimated 2012 Wheat Acres to Plant or Planted (Enter 0 if you plan to plant no wheat)

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* 8. On a scale of 1-5, with 1 being the lowest confidence, and 5 being the highest confidence, how confident are you of your 2012 planting intentions?

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* 9. At what price for December 2012 corn futures on the Chicago Board of Trade would you consider planting more corn acres for 2012? (Select 1)

$5.50

$5.75

$6.00

$6.25

$6.50

$6.75

$7.00

I am not planting more corn acres at any price.

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* 10. Who is your AgriSource Contact?

	Choose your Consultant Here
Consultant	Consultant Choose your Consultant Here menu

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* 11. Are you using AgriSource for your crop insurance?

Yes, already a crop insurance customer.

No, but would be willing to meet with an agent.

No, happy where I am currently.

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* 12. Would you like for us to email you a summary of "What's New in 2012 for Crop Insurance?" and "Choosing the Right Risk Management Plan for 2012?"

Yes

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Thanks for taking the time to complete our survey.

AgriSource Inc.

Thanks for taking the time to complete our survey.<br><br>AgriSource Inc.

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* 1. Please enter your Name and Address

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* 2. 2011 Corn Acres Planted (Enter 0 if none planted)

Question Title

* 3. 2011 Soybean Acres Planted (Enter 0 if none planted)

Question Title

* 4. 2011 Wheat Acres Planted (Enter 0 if none planted)

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* 5. Estimated 2012 Corn Acres to Plant (Enter 0 if if you plan to plant no corn)

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* 6. Estimated 2012 Soybean Acres to Plant (Enter 0 if you plan to plant no beans)

Question Title

* 7. Estimated 2012 Wheat Acres to Plant or Planted (Enter 0 if you plan to plant no wheat)

Question Title

* 8. On a scale of 1-5, with 1 being the lowest confidence, and 5 being the highest confidence, how confident are you of your 2012 planting intentions?

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* 9. At what price for December 2012 corn futures on the Chicago Board of Trade would you consider planting more corn acres for 2012? (Select 1)

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* 10. Who is your AgriSource Contact?

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* 11. Are you using AgriSource for your crop insurance?

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* 12. Would you like for us to email you a summary of "What's New in 2012 for Crop Insurance?" and "Choosing the Right Risk Management Plan for 2012?"

Question Title

Thanks for taking the time to complete our survey.AgriSource Inc.

Thanks for taking the time to complete our survey.

AgriSource Inc.