General ABS Questionnaire

First Name‡  
Last Name‡  
Company Name‡  
Country in which you Reside‡  
Email‡  
Phone‡    (Include Country/Area Code)
Are you a‡  
Which animals do your products/services cover?‡  
 Poultry
 Turkey
 Hatcheries
 Aquaculture
 Swine
Do you currently use any cleaners and/or disinfectants?‡  
 Yes
 No
If yes, which products are you using? ‡  
What would make you switch to a different disinfectant?‡  
 Price
 Recommendation from peer or veterinarian
 Fragrance
 Antimicrobial performance
 Color
 Other
If Other, please describe.  
What areas are you cleaning and/or disinfecting?‡  
 Hatchery
 Broiler farm
 Breeder farm
 Layer farm
 Turkey farm
 Trucks
 Equipment
 Other
If other, please describe.  
How often do you disinfect?‡  
What pathogens are most concerned with?‡  
 Aspergillus
 Salmonella
 E coli
 Avian influenza
 Pseudomonas
 Other
If Other, please describe  
Do you currently have any microbial problems?‡  
 Yes
 No
Do you do regularly do any of the following antimicrobial testing?‡  
 Plate counts
 Swab
 Other
 None
If Other, please describe  
What characteristics are you looking for
in sanitizer or disinfectant product?‡		  
How important are esthetic considerations,
i.e., scent/fragrance in making a disinfectant selection?‡		  
Are you concerned with corrosion in your facility?‡  
 Yes
 No
Why do you use the product you use today?‡  
Additional comments  
‡ Required Field

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