Local aquaculture allows farmers to provide a fresh fish product for their community, but as with any cultured animal, disease issues arise; therefore, it is essential that farmers understand fish health management. To assist fish farmers in raising healthy fish, Kentucky State University (KSU) offers a fish disease diagnostic laboratory (FDDL) service to farmers in Kentucky and other states. Fish health professionals at the KSU FDDL obtain fish and/ or water samples from farmers via an E xtension visit to the farm, or farmers send samples to the KSU Aquaculture Research Center . Samples are analyzed in the FDDL and a final diagnosis is given to the farmer along with a treatment recommendation. Once a treatment option has been recommended to the farmer, a short survey will be sent inquiring what type of treatment was preferred and if the treatment chosen was successful. The objectives of this study are to 1) better understand the needs of small-scale fish farmers in Kentucky and other states, including which disease treatments are most effective, 2) help educate farmers on pathogen clinical signs and treatment options, and 3 ) evaluate which treatments are preferred among fish farmers. This information, obtained by survey, will allow researchers to better understand fish disease treatment efficacies and treatment preferences of aquaculturists.