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UTSA 2023 Texas Honey Biological Activity Level (BAL) ProjectÂ
Honey Sample Donation Form.
Please fill out the information with your best knowledge.
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* Indicates required question
Email
*
Your email
Beekeeper's Full Name
*
Your answer
Beekeeper's Address
*
Your answer
Beekeeper's Phone Number
*
Your answer
Beekeeper's Email Address
*
Your answer
Beekeepers Association (if you're a member)
Your answer
Date of Sample Submission
*
MM
/
DD
/
YYYY
Date of Honey Harvest (Approximate)
*
Your answer
Geographical Region and Altitude
(Preferably Zip Code)
*
Your answer
Nectar Source (if known)
Your answer
Amount of honey sample (min 4 oz)
Your answer
Pollen Filtration
Yes
No
I don't know
Clear selection
Color of Honey
Water White
Extra White
White
Extra Light Amber
Light Amber
Amber
Dark Amber
Other:
Clear selection
Bee strain
The Italian Bee (apis mellifera ligustica)
The Carniolan Bee (apis mellifera carnica)
The Caucasian Bee (apis mellifera caucasica)
The German Bee (apis mellifera mellifera)
The Africanized Bee
Minnesota Hygienic Bee
I don't know
Other:
Clear selection
OPTIONAL: Have you chemically treated your honeybees (Y/N)?
If yes, please briefly explain your treatment. (e.g. Apivar for Varroa 2 times during Summer, etc.)
Your answer
Additional Notes
Your answer
A copy of your responses will be emailed to the address you provided.
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