Trial Request Form

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The characteristics of the facility:

Every animal compartment contains 24 up to 32 floor pens of minimal 1,4 m2 and maximal 2,0 m2
Every floor pen is equipped with a feeder (Roxell Minimax) and a drinking line (Impex)
The drinking line can be replaced by al drinking bucket for measuring daily water intake
Basic trial: measurement of feed intake and body weight at day 0 – 14 – 28 – 35
One visit of the monitor/representative per trial is included
Short update after each study event per email during the trial

Name sponsor/company:(Required)

Address(Required)

Street Address City ZIP / Postal Code Country

Name representative:(Required)

First Last

Phone(Required)

Email(Required)

The characteristics of the facility:

Every animal compartment contains 24 up to 32 floor pens of minimal 1,4 m2 and maximal 2,0 m2
Every floor pen is equipped with a feeder (Roxell Minimax) and a drinking line (Impex)
The drinking line can be replaced by al drinking bucket for measuring daily water intake
Basic trial: measurement of feed intake and body weight at day 0 – 14 – 28 – 35
One visit of the monitor/representative per trial is included
Short update after each study event per email during the trial

1. What kind of product would you like to test?(Required)

feed additive

drinking water additive

vaccine

other

What kind of product would you like to test: Other

2. How may floor pens do you need?(Required)

one compartment

two compartments

three compartments

One Compartment

24 pens

26 pens

28 pens

30 pens

32 pens

Two Compartments

48 pens

54 pens

56 pens

60 pens

64 pens

Three Compartments

72 pens

81 pens

84 pens

90 pens

96 pens

3. Which mean performance values would you like to realize?(Required)

Body weight

Feed conversion

Other

Body weight: grams

On day:

Feed conversion rate:

On day:

Other

4. How many chickens would you like to use per pen?(Required)

20 (1,4 m2 per pen)

17 (1,2 m2 per pen)

4. How many chickens would you like to use per pen?(Required)

17 (1,2 m2 per pen)

If the option of 24, 48 or 72 pens is not chosen in question 2 then the option with 20 chickens per pen is not selectable

5. Do you want necropsies to be performed?(Required)

Yes

(In accordance with the law on Experimental Animals)

nr of chickens for necropsy: ….. per pen

6. What kind of gender would you like to use?(Required)

male

female

male + female (mixed, as hatched)

Only males results in a lower CV

7. What kind of hybrid would you like to use?(Required)

Ross 308

Cobb

Hubbard

Other

8. Which way of hatching would you like to apply?(Required)

Hatchery hatched

On-farm hatched

Hatchery hatched results in a lower CV

9. How many feeding phases would you like to apply?(Required)

Three: starter (day 0-14) + grower (day 14-28) + finisher (> day 28)

Four: starter (day 0-14) + grower-1 (day 14-21) + grower-2 (day 21-28) + finisher (> day 28)

10. What kind of coccidiosis prevention would you like to apply?(Required)

Coccidiostats: as research variable

No coccidiostats, but coccidiosis vaccination on day 0

No coccidiostats, but coccidiosis challenge on day ….. (usually day 11 + 18)

coccidiosis challenge on day ….. (usually day 11 + 18)

11. What kind of vaccinations/inoculation would you like to be performed?(Required)

IB Primer (infectious bronchitis virus)

Nemovac (avian metapneumovirus)

Avinew Neo (Newcastle disease virus)*

ND Clone 30 (Newcastle disease virus)*

IB QX (infectious bronchitis virus)

Bursa Plus (infectious bursal disease)

Other vaccine: ….. on day …..

Inoculation with pathogen: ….. on day: …. with: ….. units/colonies per chicken

IB Primer (infectious bronchitis virus) on day:

Nemovac (avian metapneumovirus) on day:

Avinew Neo, on day:

ND Clone 30, on day:

IB QX, on day:

Bursa Plus, on day:

Other vaccine, name:

Other vaccine, on day:

Inoculation with pathogen, name:

Inoculation with pathogen, on day:

Inoculation with pathogen, units/colonies per chicken:

12. Which additional parameters would you like to be measured?(Required)

Water intake

Blood samples on day(s)

Fecal samples + OPG (mixed sample) per pen on day(s)

Cloacal swabs from ….. bird per pen on day(s)

Litter score per pen on day(s): 21+28+35

Foot pad lesion score on day(s)

Hock dermatitis score on day(s)

Individual body weight instead of body weight of the chickens per pen

Apply individual wing marks to measure individual performance

Other

Water intake:

per feeding phase

daily from

Water intake, daily from day …

Water intake, until day …

Blood samples on day(s) …..

Blood samples from ….. birds per pen

Fecal samples + OPG (mixed sample) per pen on day(s)

Cloacal swabs from ….. bird per pen

Cloacal swabs on day(s): …..

Litter score per pen on day(s)

Foot pad lesion score on day(s) (usually on day 35)

Hock dermatitis score on day(s) (usually on day 35)

Individual body weight on day … instead of body weight per pen

Other:

If you selected necropsies which option would you be interested in?

Dysbacteriosis score and coccidiosis score

Tissue collection for histology

Intestinal content for microbiome analysis

Other

Dysbacteriosis score and coccidiosis score on day(s) …..

Dysbacteriosis score and coccidiosis score on ….. chickens per pen

Tissue collection for histology on day(s) …..

Tissue collection for histology on ….. chickens per pen

Intestinal content for microbiome analysis on day(s) …..

Intestinal content for microbiome analysis on ….. chickens per pen

Other: ….

Other: ….. on day(s) …..

Other: on ….. chickens per pen

14. Which environmental conditions do you prefer?

Dry and wet cleaning before the start of the trial:

Yes

Disinfection before the start of the trial:

Yes

Application of reused litter on day 7:

Yes

15. What kind of statistics do you want us to perform?(Required)

Statistics

Report

Statistics:

basic Excel statistics

Extended statistics

Scientific statistics

Report:

No report

Basic report

Scientific report

16. Please feel free to send additional information/questions per email or below:

Trial Request Form