National Dairy FARM Evaluation Feedback Form - National Dairy FARM Program

Name*

First Last

Milk Cooperative/Processor

Date of Evaluation*

Evaluator

Evaluation Type*

Animal Care
Environmental Stewardship
Workforce Development

Animal Evaluation Type*

2nd Party (evaluation completed by your cooperative, processor or independent personnel)
3rd Party (evaluation completed by Food Safety Net Services / FSNS)

Did you receive a copy of the National Dairy Farm Animal Care Reference Manual prior to your evaluation?*

Yes
No

Were you aware of the National Dairy FARM Animal Care Standards prior to your evaluation?*

Yes
No

Did you receive a Pre-Evaluation Check-List to assist in preparation for your evaluation?*

Yes
No

Did your evaluator explain the structure of the FARM Animal Care Program before conducting the evaluation?*

Yes
No

Did your evaluator review your Protocol and/or Record Book?*

Yes
No

Did your evaluator complete animal observations and provide the associated benchmark results on your cows?*

Yes
No

Did your evaluator review their findings at the end of the evaluation providing steps to develop action plans for any standards unmet?*

Yes
No

How long was the evaluator at your farm during the evaluation?*

DID YOU RECEIVE A COPY OF THE ENVIRONMENTAL STEWARDSHIP USER GUIDE, DATA GATHERING SHEET, OR ANY OTHER RESOURCE TO ASSIST IN PREPARATION FOR YOUR EVALUATION?*

Yes
No

DID YOUR EVALUATOR EXPLAIN THE FARM ENVIRONMENTAL STEWARDSHIP PROGRAM BEFORE CONDUCTING THE EVALUATION?*

Yes
No

DID YOUR EVALUATOR EXPLAIN THE DATA REQUIRED TO COMPLETE THE ENVIRONMENTAL STEWARDSHIP EVALUATION?*

Yes
No

DID YOUR EVALUATOR REVIEW AND DISCUSS THE DATA THAT YOU PROVIDED TO ENSURE ACCURACY AND COMPLETENESS?*

Yes
No

DID YOUR EVALUATOR REVIEW THE RESULTS AT THE END OF THE EVALUATION?*

Yes
No

Additional Feedback

CAPTCHA