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?*

Were you aware of the National Dairy FARM Environmental Stewardship program prior to your evaluation?**

Yes
No

Did you receive a copy of the Environmental Stewardship User Guide, Prep 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 or share what data was required to complete the FARM Environmental Stewardship evaluation?**

Yes
No

Did your evaluator review and discuss the data that you provided to ensure accuracy and completeness of the evaluation?**

Yes
No

Did your evaluator share and review the results of your FARM Environmental Stewardship evaluation with you?**

Yes
No

Were you aware of the National Dairy FARM Workforce Development program prior to your evaluation?**

Yes
No

Did you receive a copy of the Workforce Development Prep Guide or any other resource to assist in preparation for your evaluation?**

Yes
No

Did your evaluator explain the FARM Workforce Development program before conducting the evaluation?**

Yes
No

Did your evaluator explain or share what information was required to complete the FARM Workforce Development evaluation?**

Yes
No

Did your evaluator review and discuss the information that you provided to ensure accuracy and completeness of the evaluation?**

Yes
No

Did your evaluator share and review your responses and goals (if any were set) for your FARM Workforce Development evaluation with you?**

Yes
No

Additional Feedback

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