2008 Ministry of Agriculture Survey
Administered by: Name___________________________ City_________________
Answered by
: Name ___________________________________________________Address_________________________________________________
City/State/Zip Code________________________________________
Phone/Email Address _______________________________________
1. Do you have an active Buying Club in your city? Yes_____ No______
(Visit www.muhammadfarms.com for more information)
2 If not, would you be interested in establishing one? Yes ____ No______
3 Would you be interested in receiving (on a monthly basis) the following items?
Pounds per month
a. Fresh fruits and vegetables Yes_____ No_____ _____
b. Frozen vegetables Yes_____ No_____ _____
Fish:
c. Tilapia Yes _____ No_____ _____
d. Whiting Yes _____ No_____ _____
e. Farm Raised Chicken Yes_____ No_____ _____
f. Eggs Yes ____ No_____ _____ (doz.)
g. Squab (baby pigeons) Yes____ No_____ _____
h. Raw milk Yes____ No_____ _____ (gals.)
4. Do you own farm land? Yes____No____? Acres_____
5. Did you grow a garden this year? Yes____ No____?
6 Would you be willing to relocate to a farm community? Yes____ No_____
7. Do you have a business that you can bring with you if you
move to a new rural location? Yes____ No_____
8. Do you have marketable skills that can make extra income in a rural
setting, such as: welding, large and small equipment repair, carpentry,
plumbing, truck driving, real estate mktg. and sales? Yes____ No_____
9. If you answered "Yes" to Q.8, then list skills______________________________________.
(Fill out and return to your local Ministry of Agriculture representative (see MOA resource list) or call us at 229 995-6619)