First Name*:

Last Name*:

Farm Name*:

Address*:

City*:

State*:

U.S. ZIP code*:

County*:

Have you transitioned your farming practices from a more aggressive tillage to a less aggressive tillage system on any of your fields (e.g. transition from conventional till to no-till, strip till or reduced till)?*:

Yes No

If Yes to Question Above - On average, when did you make the transition to a less aggressive tillage system?:

0 years (transitioning in fall 2021/spring 2022) 1 – 2 years ago (transitioned for crop year 2020 or 2021) 3 – 5 years ago (transitioned for crop year 2017, 2018 or 2019) 5+ years ago (transitioned for crop year 2016 or prior) I have not transitioned, but I’m interested in learning more about Truterra’s carbon program I am not interested in transitioning and not interested in Truterra’s carbon program

Have you implemented cover crops on any of your fields?*:

Yes No

If Yes to Question Above - On average, when did you make the transition to implementing cover crops?:

0 years (planted cover crops for crop year 2022) 1 – 2 years ago (planted for crop year 2020 and 2021) 3 – 5 years ago (planted for crop year 2017, 2018, 2019) 5+ years ago (planted for crop year 2016 or prior) I have not transitioned, but I’m interested in learning more about Truterra’s carbon program I am not interested in transitioning and not interested in Truterra’s carbon program

Have you made a significant change to your nutrient management practices on any of your fields (e.g. transitioned to a split application or to variable rate applications)?*:

Yes No

If Yes to Question Above - On average, when did you make the transition to your nutrient management practices?:

0 years (transitioning in fall 2021/spring 2022) 1 – 2 years ago (transitioned in 2021 or crop year 2020) 3 – 5 years ago (transitioned in 2017, 2018 or crop year 2019) 5+ years ago (transitioned in 2016 or prior) I have not transitioned, but I’m interested in exploring options I am not interested in transitioning and not in exploring options

Are you interested in learning more about soil health practices to improve the long-term profitability and yield stability of your operation?*:

Yes No

Are you interested in a soil health assessment that could help you improve the soil health of your fields?*:

Yes No

Soil health helps build yield stability and maximize nutrient return on investment. Which of the following nutrient management opportunities is most attractive to you to consider building into your operation?*:

Nitrogen Use Efficiency In-season fertility methods and products Plant Health and Disease Control Total Acre approach including all of the above

When considering implementing regenerative practices on your operation, what is your top reservation*:

Loss of Yield Cost of implementation Data management or privacy Time and or labor allocation to manage Other

Email*:

We Respect Your Privacy. By sharing my email, I authorize Great Bend Co-op and Truterra to contact me regarding this and future carbon market opportunities. I acknowledge that email will be the primary form of communication from Truterra.

Yes, please alert me to carbon and other ecosystem services market revenue opportunities in my area:

Phone Number*:

I prefer to be contacted via text message.:

Do you currently have data in the Truterra Insights Engine?*:

Security code

Carbon Offer - Survey

You're only eligible if you've changed your tillage to reduced, strip or no till and/or added cover crops to cropping systems including corn, soybeans, wheat, or cotton (in rotation) between 2019 and 2021 to any of your fields.