Multimedia Screener - English

OMB Control Number: 0596- nnnn

Hello, my name is _________, at California State University, San Marcos. We are conducting a survey about California and Montana forest fire management on behalf of the USDA Forest Service. Can you hear me okay? This survey will take a few moments of your time now, and then we will send you a video survey (VHS or DVD) in the mail. After you receive the video survey, please watch it and answer the self-administered survey questions in the enclosed answer sheet. Return the answer sheet to us in the enclosed postage paid pre-addressed envelope.

Before starting let me informed you that: According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596‑nnnn. The time required to complete this information collection is estimated to average 5 minutes per response for this screener and 30 minutes for the full interview, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

1. Have you read or heard about the use of prescribed burns or prescribed fires to manage wildfires?

___ Yes ___ No

1a. If No – Read them the following definition and skip to Q2:

A prescribed fire or prescribed burn is a fire purposely and carefully set in a designated area by fire management personnel to accomplish one or more specific objectives such as removal of underbrush and dead wood to reduce available fire fuel and increase the ability to control future wildfires.

1b. If Yes - What does a prescribed burn or prescribed fire mean to you?

(Do not read list, check closest definition)

____ A fire set by fire officials to remove fuels in the forest to reduce the risk of wildfire and provide habitat for wild animals.

____ A fire set by fire officials to slow or stop the spread of wildfire by removing fuel in its path.

____ Other

1c. If Yes- From what sources did you hear about prescribed burns or prescribed fire (Check all that applies):

_____ Newspaper; ___ Radio; ____ TV; ____ Neighbors; ____ School;

_____ Other (Please Specify__________________); ___ Don’t know

I would like to ask you whether you agree or disagree with the following statements:

2. All fires, regardless of their origin, should be put out as soon as possible.

____ Agree ____ Disagree ____ Don’t know

3. Prescribed fire is too dangerous to be used.

____ Agree ____ Disagree ____ Don’t know

4. Do you think prescribed burning or prescribed fire effectively reduces the amount of excess fuels in the forest?

____ Yes ____ No ____ Don’t Know

5. Has your house or other property ever been damaged by a wildfire?

____ Yes ____ No

6. Has property in your neighborhood ever been damaged by a wildfire?

____ Yes ____ No ____ Don’t Know

7. Have you ever been asked to evacuate your house because of a wildfire?

____ Yes ____ No

8. Have you ever evacuated your house because of a wildfire?

____ Yes ____ No

9. What is your age? ___ Years

Thank you for your time in answering these questions. I would now like to make arrangements to send you a video for your self-administered survey. Would you prefer a VHS or DVD?

To send the video survey to you we need your name and mailing address. May I ask for your name (repeat name), street address, city, and zip code?

Look for the video (VHS or DVD) survey in the mail in the next few days and I am looking forward to receiving your answer sheet.

Have a nice day.

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