FARM NESTING SURVEY 
Year                              Route  _   _    _  _    _ 
State                             Farm No,              ,4 - 
County                            Farmer',s Name__ 
Location of farm 
Acreages: 
Total farm          legume hay     ; alf.R, cl.         ; Sw. cl. 
Total crop_____     grass hay_; upland          ; marsh 
Total pasture        ixed hays     ; mostly quack & weeds 
Total woodlot       small grains      ; corn ___,_. 
Total brush     '   upland pasture          ;bog pasture_____ 
Misc. wasteland___   isc. block cover           ; orchard______ 
Strip cover: 
Reports obtained: 
Crop acres out              Nests found to this date 
Date         1                                   R 3_ _ un  Pheas.    1Quail

..._ Cs co  hrop.             galn --    1  2  3 12             6 3 
out of___ ___out of        out of 
out of_   _out of_         out of 
Aout of         out of       lout of 
Misc. cutting and nests found:      ,____,__                        ....

Other nests found:_      _     _     _     _     __           _      _ 
Broods seen: 
Winter census:____ 
Crop damage: 
Remarks: