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In order to send you a free copy of our
mycotoxin manual, we kindly ask you to
please fill out the questionnaire
below completely:
Mycotoxins Questionnaire
 
1) Contact Information:
Company Name Email
Contact Name Fax Number
Address Phone Number
 
 
2) Please mark the box that best describes your business/industry
If other, please indicate:
 
 
3) What species do you work with?
If other, please indicate:
 
 
4) How much knowledge do you think you have about mycotoxins?
       Please mark your reply: 1= Low Knowledge and 10= High Knowledge
Low Knowledge   High Knowledge
 
 
5) How significantly are the following mycotoxins affecting your feed?
       Please mark your reply, 10 being the most significant
  1 2 3 4 5 6 7 8 9 10
Aflatoxins:
T-2:
Ochratoxin:
Zearalenone:
Fumonisin:
Vomitoxin:
 
 
6) Please indicate which mycotoxins do you currently test for, and how often
  Every Day 1/Week 1/Month 1/Year Other
 
 
7) Which method do you use?
 
 
8) Are you currently using a toxin binder? If yes, please indicate product name and doses:
Name: Dosage:
Name: Dosage:
 
 
9) On a scale of 1-10, how satisfied are you with your toxin binder?
Low Satisfaction   High Satisfaction
 
 
10) As part of your quality control (GMP/ISO) does the mycotoxin binder you are buying certifing each lot's efficay against mycotoxins?
             
 
 
11) What parameters are you evaluating to know if your toxin binder is working:
1
2
3
4
5
 
 
12) How much influence do you think mycotoxins have in the failure of vaccination programs?
       Please mark your reply: 1= Least significant 10= Most significant
Low Significant   High Significant
 
 
 
 
     
 
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