| Enumerator |
| village |
| Household |
| Date of Visit A |
| Date of Visit B |
| Chicks | Growers | Hens | Cocks | |
|---|---|---|---|---|
| Previous recording | ||||
| Sold | - | - | - | - |
| Gifted | - | - | - | - |
| Consumed | - | - | - | - |
| Died | - | - | - | - |
| Lost | - | - | - | - |
| Transferred out a | - | - | - | - |
| Purchased | + | + | + | + |
| Entrusted | + | + | + | + |
| Transterred inb | + | + | + | + |
| Number at Visit A | ||||
| Observed Check | ||||
| Sold | - | - | - | - |
| Gifted | - | - | - | - |
| Consumed | - | - | - | - |
| Diet | - | - | - | - |
| Lost | - | - | - | - |
| Transferred outa | - | - | - | - |
| Purchased | + | + | + | + |
| Entrusted | + | + | + | + |
| Tansferred inb | + | + | + | + |
| Number at visit B | ||||
| Observed Check |
aMoved from one age category to another,i.e. chicks become growers once they are independent of thier mother.
bMoved from the previous age category, which for chicks is hatched eggs.
| Hens in lay | Hens sitting on eggs | Hens looking after chicks | Idle hens | |
|---|---|---|---|---|
| Visit A | ||||
| Visit B |
Observe the number of eggs in nests and the number of eggs being incubated. Check the number of eggs sold, eaten, hatched and wasted since the last visit.
| Eggs in nests | Eggs being incubated | |
|---|---|---|
| Previous visit | ||
| Consumed | - | |
| Sold | - | |
| Hatched | - | |
| Wasted | - | |
| Laid | + | |
| Begun incubation | - | + |
| Number at Visit A | ||
| Consumed | - | |
| Sold | - | |
| Hatched | - | |
| Wasted | - | |
| Laid | + | |
| Begun incubation | - | + |
| Number at Visit B |
Record feed inputs purchased since the last visit.
| Type | Quantity | Price | |
|---|---|---|---|
| Visit A | |||
| Visit B | |||
Record the veterinary medicine and other inputs for poultry since the last visit.
| Veterinary medicine purchased | Other inputs purchased | |||||
|---|---|---|---|---|---|---|
| Type | Quantity | Price | Type | Quantity | Price | |
| Visit A | ||||||
| Visit B | ||||||
