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Dartmoor Tick Watch
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Sample
Dartmoor Tick Watch
record sheet
Collector (name, farm, stables, kennels or practice):
Date:
u
Collector details will not be passed on - only ticks & their locations
Collector�s tel. or email:
IMPORTANT - Location tick
found � map reference or name area e.g.
village, tor, common, wood etc:
u
Important also for Health Protection Agency survey - for tick statistics,
pathogen analysis & health warnings
Please �tick� appropriate boxes for host & habitat:
Tick on
animal: sheep c
cow c
pony c
dog c
cat c
hedgehog c
other:
Tick on person: boy
c
girl c
man c
woman c
(under/over 16)
Tick on vegetation: bracken
c
tall grass c
or other c
please state:
Tick on ground: bare soil
c
grazed grass
c
leaf-litter
c
May I
acknowledge your participation on the web site �Thanks� page? Yes
c
No
c
Please add any comments or notes here or on the back of this sheet.
