ORGANIC and BIODYNAMIC INDUSTRY ELECTRONIC DATABASE FORM

This database aims to assist your business by supplying up to date information on sustainable agriculture and link you with others in the organic/biodynamic industry. This form has 10 sections and should take about 10 minutes to complete. Sections marked RED are required information while the rest are optional. Please note below whether you're happy for your information to be given to others or whether it is confidential.

please treat as confidential happy for others to see it

1. INDUSTRY SECTOR (please tick which areas apply to you)

grower processor
consumer educational
wholesaler retail
government other

2. PRIMARY CONTACT DETAILS

Surname
Given Name
Business Name
Address
City_Town
Postcode
Region
Phone
Fax
Mobile
Email
Website

3. INCOME / EMPLOYMENT (this is important information to monitor the growth of the industry and to try and provide better training or employment)

Annual net income    
Do you employ people? no    
  yes permanent (include family members) hrs_wk wks_yr
    casual wks_yr

4. CERTIFICATION

Are you certified?

yes, full certification yes, conversion no thinking about it

certified with:
other
year converted

5. PROPERTY TYPE

Type of property
Total hectares(if applicable)
Hectares under certification/conversion

6 . PRODUCTION (if applicable- 'main' indicates the production that you sell or produce the most (or are planning to), and 'secondary' indicates any production you sell or produce (or are planning to) in addition to the 'main.' If you have just one area of production, you only need to list just one. If you are just in the planning stages, please type 'planning' in the 'other' box.

  horticulture stock seedcrops orchard other
Main non-certified production
Secondary non-certified production
Main certified production
Secondary certified production

7. VALUE ADDED PRODUCTS (if applicable) Do you produce any products at home (or off premises) from what you grow? Do you work with others to make this product? Please let us know what you make.

Produced independently
Produced with a co-op/Network group
Percent of total yield (approx) into products

8. WHOLESALERS/PROCESSORS

Main product category (tax):
Approx % organic product sold domestic:
Approx % of organic product sold export:

9. RETAILERS/DISTRIBUTORS

approx % of products domestic certified organic
approx % of products non-organic

10. ADDITIONAL INFORMATION

Do you have any comments?

Tell us three things that would help you develop / expand your business.

IF YOU ARE COMPLETED WITH THE FORM PLEASE PRESS 'SUBMIT' TO SEND, OTHERWISE TO CLEAR FORM, PRESS 'RESET'

THANK YOU FOR YOUR PARTICIPATION.