QUESTIONNAIRE

Identity of Respondents

Name :
Handphone / Telephone :
Name of Farm :
Address of Farm :
Number of Hens Population
Early :
Currently :
Today's Hens Age :
Number of Egg Production/day :
Transport Vehicle used for Eggs
Distribution :

A. EXPLORATION OF FACTORS AFFECTING LOSS EGG PRODUCTION

Conduct interviews to farmer, and make a record your interview results in the table below. Please
give a (checklist) mark on the answer column !.

Answer
NO. Question Information*
Yes No
Pullet Quality
1. Does the age of the pullet that you maintain uniformly ?
2. Is there any monitoring of feed intake and pullet weight ?
Feed and Drink Factors
3. Does the chicken get enough drink ( - 1 liter per day) ?
4. Does the chicken get enough mineral intake (3.5%) ?
5. Is the chicken getting enough protein intake (16 - 18%) ?
Environment
6. Do chickens get lighting for 14-17 hours per day ?
Do chickens get the optimal environmental temperature
7.
of the cage to produce (11-26 C) ?
Do chickens get optimal indoor cage humidity to produce
8.
(75%) ?
Health Program
Has the chicken been vaccinated against ND (New Castle
9.
Desease) ?
Has the chicken been vaccinated against IB (Infectious
10
Bronchitis) ?
Has the chicken received EDS (Egg Drop Syndrome)
11.
vaccination?
12. Has the chicken got Anthelmetics ?
13. Has the chicken been treated for anti-coccidiosis ?
14. Has the chicken been getting the vitamin ?
15. Is there a cage disinfection program ?

*Information Column can be filled with :

number of feeding (feed)
write the temperature and humidity in the place
brand of feed and its contents
brand of vaccines, medications and vitamins that have been given
B. EXPLORATION OF FACTORS AFFECTING LOSS EGG PRODUCTION (EXTERNAL)

INSTRUCTIONS : Do observation for 3 days on Poultry Farm nearby, observe the defect of chicken egg shell, and than please make a record your
observation results in the table below. Please give a (checklist) mark on Yes or No answer !.

Date/Days to- :____________________

No in the Farmer/Breeder in the Collector In the Reseller

Type of the Shell Deffect Amount Amount Amount
Yes No % Yes No % Yes No %
(pieces) (pieces) (pieces)
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1

Gross cracks : The term gross cracks

refers to large cracks and holes, which
usually result in a broken shell membrane
2

Pimples : small lumps of calcified material

on the egg shell. Some can be broken off
easily without damage to the shell while
others may leave a small hole in the shell.
1 2 3 4 5 6 7 8 9 10 11 12 13 14
3

Thin-shelled eggs and shell-less

eggs : Eggs with very thin shells, or no shell
at all around the shell membrane, look
unattractive and are highly susceptible to
damage
4

Flat-sided eggs : Eggs are said to be flat-

sided when part of the shell is flattened or
indented. Often the adjoining part of the
shell is wrinkled.
5

Body-checked eggs : The shells of

body-checked eggs are marked by grooves
and ridges called checks. These are usually
at the ends of the egg, especially the pointed
end.
1 2 3 4 5 6 7 8 9 10 11 12 13 14
6

Sandpapaer or rough shells : The

terms sandpaper shells and rough shells
refer to eggs with rough-textured areas, often
unevenly distributed over the shell.
7

Misshapen eggs : Misshapen eggs are

those whose shells differ obviously from the
smooth, normal shape. They include eggs
with shells marred by flat sides or body checks
(ribs or grooves), and eggs that are too large
or too round.
8

Pinholes : very small holes in the egg shell

1 2 3 4 5 6 7 8 9 10 11 12 13 14
9

Stained eggs : All or part of egg shell may

become stained by variuos substance, e.g
blood,faeces
10

Fungus or mildew on shell : Eggs

affected by a fungus may have a green coating
of powdery material or a black, beard-like
growth on the shell. Sometimes such eggs are
said to be affected by mildew
TOTAL NUMBER