Semen Collection Worksheet Directions for Use: (1) Record semen analysis information in the INPUT boxes. (2) Make ratio adjustments to achieve adequate dose volume. (3) Print out immediately to keep for your records. (input information will not be preserved by saving)

/2004 - Date - AV To	Time AM PM
Stallion	Preparer

Analysis of the Collection

INPUT	RESULTS
ml Volume (gel-free)  % Progressive Motile Sperm  Concentration (# Million Sperm/ml)  :1 Extender : Semen Ratio  Extender (Used)  Million Live Cells/Dose	# Million Live Cells/ml  ml Raw Insemination Dose  Number of Doses  ml Extended Total Volume  ml Extended Ins. Dose

....REMINDER: YOU MUST PRINT THIS FORM TO KEEP FOR YOUR RECORDS....

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