Survey Instruments
CIRS is pleased to share copies of survey instruments used in past research. Please feel free to use or modify these as necessary. We offer these in the spirit of collaboration among our colleagues seeking to promote a more just and sustainable food system.
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Photo: Bill Gillette |
Agriculture and Land Based Training Association (ALBA): Small Farmer Education Program Evaluation:
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Survey instrument used to assess the impacts of ALBA's Small Farmer Education Program on aspiring organic farmers.
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To download a copy of the survey instrument, click on preferred format. Available in Spanish only.
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Mendocino County Farmworker Housing and Transportation Assessment
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Survey instrument used to assess housing and transportation conditions among farmworkers in Mendocino County, CA.
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To download a copy of the survey instrument in English, click on preferred format.
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To download a copy of the survey instrument in Spanish, click on preferred format.
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Napa County Farmworker Housing Assessment
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Survey instrument used to assess housing conditions among farmworkers in Napa County, CA.
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To download a copy of the survey instrument in English, click on preferred format.
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To download a copy of the survey instrument in Spanish, click on preferred format.
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Impacts of USDA National Organic Program on Consumer Attitudes and Organic Purchasing Patterns
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Survey instrument used to assess consumer awareness of the USDA National Organic Standards and impact on organic consumption patterns.
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To download a copy of their survey instrument, click on preferred format. Available in English only.
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Organic Agriculture Wage and Benefit Survey
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Survey instrument administered to organic growers in California to assess wages and benefits offered to workers.
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To download a copy of the survey instrument, click on preferred format. Available in English only.
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Survey of Deregistered Organic Growers
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Survey instrument administered to growers, assessing reasons for discontinuing organic registration with the California Department of Food and Agriculture Organic Program. This survey was developed and conducted in collaboration with University of California Cooperative Extension.
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To download a copy of the survey instrument, click on preferred format. Available in English only.
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California Organic Grower Survey
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Survey of principal challenges facing organic growers in California. This survey was developed and conducted in collaboration with University of California Cooperative Extension.
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To download a copy of the survey instrument, click on preferred format. Available in English only.
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California Agricultural Direct Marketing Study
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Survey instrument identifying issues affecting growers engaged in direct marketing.
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To download a copy of the survey instrument, click on preferred format. Available in English only.
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California Agricultural Worker Health Survey (CAWHS)
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Survey instrument and risk behavior questionnaires used as part of this landmark study on the health of California farmworkers. The survey encompasses: (1) levels of health care utilization; (2) current health status; (3) work history; (4) immigration status; (5) workplace conditions and training; (6) housing conditions; (7) wage rates and household income; and (8) occupational conditions, safety training, and injuries. The risk behavior questionnaire was administered to participants in conjunction with a physical exam where baseline data on blood chemistry was collected.
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Survey Instrument
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To download a copy of the survey instrument in English, click on preferred format.
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To download a copy of the survey instrument in Spanish, click on preferred format.
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Risk Behavior Questionnaire, Men
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To download a copy of the questionnaire in English, click on preferred format.
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To download a copy of the questionnaire in Spanish, click on preferred format.
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Risk Behavior Questionnaire, Women
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To download a copy of the questionnaire in English, click on preferred format.
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To download a copy of the questionnaire in Spanish, click on preferred format.
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Physical Examination and Laboratory Data Form
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To download a copy of the form, click on preferred format.
Available in English only.
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