Animal Defect Survey

Congenital defect reporting questionnaire

Thank you for participating in this programme. We hope that through data collection such as this we will be able to identify animals that carry various congenital defects and eradicate the defects that reduce farmer profitability. After the 8 mandatory questions (denoted by a *) in the beginning and 3 at the end, feel free skip any questions that do not apply to the animal you're reporting. If you have any questions about this survey please e-mail Health@ICBF.com Thank you again for your participation!

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* 1. What is the status of the animal?

Alive

Dead

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* 2. Are you the animal's owner?

Yes

If no, what is your role with the calf (Veterinarian, farm worker, knackery, etc)?

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* 3. What is your herd number?

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* 4. What is the dam's tag number?

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* 5. What is the sire's tag or ID number? (If unknown leave blank)

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* 6. What is the animal's tag number?

I am not tagging this animal

Calf tag number

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* 7. If the animal is a calf, was it aborted?

Yes, premature (Approximately < 200 days)

Yes, premature (Approximately 200-240 days)

Yes, premature (Approximately 240-260 days)

Yes, at term (260-270 days)

Yes, over term (>270 days)

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* 8. How was the animal calved?

Aborted

Without help

With help

Difficult

Caesarean section

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* 9. Is the animal alive?

Yes

If no, how long after birth did it live?

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* 10. Was the animal a single birth?

Yes

No, it was a twin

No, it was a triplet

No, it was conjoined

Other (please specify)

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* 11. Where do you see abnormalities?

Skin, Hair coat

Whole body

Head and Neck

Spine, Shoulders, Hips, Limbs

Abdomen, Internal organs, Genitalia, Anus

Behavior

Specific diagnosis

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* 12. Are you planning on sending the animal for a postmortem examination?

Yes

If yes, which laboratory?