Pollinator-friendly Farm Pest-Beneficial Balance Form
Farm Name
Farm Location
Date
Pollinator Habitat Features
Describe existing pollinator habitat features (e.g., wildflower strips, hedgerows, cover crops):
Pest Management Practices
Are pesticides used on your farm?
Yes
No
If yes, list types of pesticides and target pests:
Describe any integrated pest management (IPM) strategies in use:
Beneficial Insects and Observations
List observed beneficial insects (e.g., bees, butterflies, ladybugs, lacewings):
Have you noticed any changes in pollinator or beneficial insect populations?
Additional Comments
Additional comments or notes: