Poultry Producer Questionnaire

Farm Name *

Please describe the physical location and size of each farm which will produce products for CLG and please give directions to each farm.

Please list the where you purchase your chicks. *

Please list the varieties of poultry and breeds you raise? *

Please list the ingredients in your ration. If any of the ingredients are Organic or GMO free, please note. *

Does your ration contain any antibiotics or growth hormones? *

Yes No

Please describe living conditions and how often they are moved to fresh pasture. *

If selling poultry for meat, where is it processed? *

Wufoo