Field Location

Last Name (optional)    

First Name (optional)    

Select County                  Adair Adams Allamakee Appanoose Audubon Benton Black Hawk Boone Bremer Buchanan Buena Vista Butler Calhoun Carroll Cass Cedar Cerro Gordo Cherokee Chickasaw Clarke Clay Clayton Clinton Crawford Dallas Davis Decatur Delaware Des Moines Dickinson Dubuque Emmet Fayette Floyd Franklin Fremont Greene Grundy Guthrie Hamilton Hancock Hardin Harrison Henry Howard Humboldt Ida Iowa Jackson Jasper Jefferson Johnson Jones Keokuk Kossuth Lee Linn Louisa Lucas Lyon Madison Mahaska Marion Marshall Mills Mitchell Monona Monroe Montgomery Muscatine O Brien Osceola Page Palo Alto Plymouth Pocahontas Polk Pottawattamie Poweshiek Ringgold Sac Scott Shelby Sioux Story Tama Taylor Union Van Buren Wapello Warren Washington Wayne Webster Winnebago Winneshiek Woodbury Worth Wright

Soybean Yield Data

Check 1
Yield of Treated Area?    bu/acre    Acres Checked?   

Yield of Non-Treated Area?    bu/acre   Acres Checked?   

Check 2
Yield of Treated Area?    bu/acre    Acres Checked?   

Yield of Non-Treated Area?    bu/acre    Acres Checked?   

Check 3
Yield of Treated Area?    bu/acre    Acres Checked?   

Yield of Non-Treated Area?    bu/acre    Acres Checked?   

Check 4
Yield of Treated Area?    bu/acre    Acres Checked?   

Yield of Non-Treated Area?    bu/acre    Acres Checked?   

Optional (but important) Information...

Soybean Acres

Total Farm Soybean Acres    

Total Acres Treated    

Treatment Information

Application by Air or Ground?     Select one Air Ground

Insecticide used?    

Insecticide Rate?    

Water (gallons/acre)?    

Date of Application (MM/DD/YYYY)?    

Were you satisfied with the aphid kill?  Select one Yes No

Aphid Population Estimate

Date Aphids were first notice? (MM/DD/YYYY)   

Aphids found on Select One Top of plant only Top and middle of plant Middle of plant only Entire plant section(s) of the soybean plant.

Aphids found on soybean stems  Select One Yes No

What is your best estimate on average number of aphids per
leaf?     Plant?

How many days did the aphid population persist on the non-treated check
after the insecticide treatment was made to the field?   days.

Variety Information

Variety? 

Maturity Group? 0.0 1.6 1.8 2.0 2.2 2.4 2.6 2.8 3.0 3.2 3.4 >3.4

Planting Date? (MM/DD/YYYY)

Additional Comments welcome...

Any data or information gleaned from this survey will not be singled out or used alone.  Only area wide averages will be reported if needed.  Names and locations of farmers and fields will not be given out under any condition.

Print a blank form as a PDF Document and mail or fax it in.

Thank you for your information.