NPS Health & Recreation Trail Intercept Survey

National Park Service’s Evaluation of Pilot Interventions to Increase Healthful Physical Activity in Parks

AttachE_Intercept Survey

NPS Health & Recreation Trail Intercept Survey

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Expiration date:

Interviewer: _______________
Trail name and location (parking lot, trailhead, other?):
_______________
Date:
_______________
Begin Time: _______________
Weather:
Temp: ________  sunny  sun/overcast  cloudy
 humid  dry

 rain/drizzle

 fog

National Park Service Health & Recreation Intercept Survey
Introductory script:
Hello, I’m [NAME] __________________ from [UNIVERSITY] __________________. We are
collecting information on people who use the [TRAIL] __________________. We would like to ask you
some questions about your experience on the trail. We will try to get through the questions as quickly as
possible. The interview should take about 15 minutes. All of the information that you provide in this
conversation will be kept anonymous.
The Paperwork Reduction Act requires approval of all federal government surveys by the Office of
Management and Budget. This survey has been approved under this Act. Additional information about this
survey and its approval is available at your request.*
Are you willing to answer a few questions? Are you at least 18 years old? [ONLY ASK IF UNSURE]
1.

[Interviewer] Check type of
physical activity person is doing:

 walking  jogging or running
 bicycling
 in-line skating, roller skating, or skateboarding
 other (please specify) __________

2.

[Interviewer] Check if the person
was on the trail:
[If applicable, check more than
one.]

 alone  with pet
 with baby stroller
 with others (indicate #) __________

3.

[Interviewer] Record person’s sex:

 female
 male
 don’t know/not sure

4.

What different sources of
information helped make you aware
of the __________ trail?
[Check all that apply]

 word of mouth
 local newspaper article
 saw trail
 local newspaper ad
 roadside signage
 brochure
 bike shop
 posters
 workplace
 park map
 park ranger
 tourist weekly article
 internet web site
 tourist weekly “Trail of the Week”
 television
 bus placard
 e-mail
 other (please specify): _____________________

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5.

What were some specific locations
where you obtained information
about the __________ trail?
[Check all that apply]

 driving
 park shuttle/bus
 dock
 trailhead
 bike shop: ___________  store: ____________________
 online: _____________  hotel: ____________________
 workplace: __________  visitor center: ______________
 gym:_______________  retirement center: ___________
 other (please specify): ______________________

6.

How did you get to this trail?

 walk  jog or run
 bicycle
 park bus
 automobile
 bus other than park shuttle
 in-line skate, roller skate, or skateboard
 other (please specify) __________

7.

[Read]: Below is a list of possible experiences you may have on [TRAIL] ________________.
Please indicate how important each experience is to you on this visit.

a.
b.
c.
d.
e.
f.
g.
h.
i.

Physical Health
To get exercise
To keep physically fit
To improve my cardiovascular
health
To tone up my muscles
To lose weight
Mental Health
To relax physically
To reduce mental stress
To experience new and different
things
To think about my personal values

Very
Unimportant

Unimportant

Undecided

Important

Very
Important

1
1

2
2

3
3

4
4

5
5

1

2

3

4

5

1
1

2
2

3
3

4
4

5
5

1
1

2
2

3
3

4
4

5
5

1

2

3

4

5

1

2

3

4

5

1
1

2
2

3
3

4
4

5
5

1

2

3

4

5

1

2

3

4

5

1
1

2
2

3
3

4
4

5
5

[Optional Domains]

j.
k.
l.
m.
n.
o.

Social Experience
To do something with my family
To be with members of my group
To be with people who enjoy the
same things I do
To meet new people
Nature Experience
To experience nature
To be close to nature

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Escape Experience
To be away from other people
To experience solitude
To get away from the usual
demands of life
s.
To be on my own
Creative Experience
t.
To do something creative, such as
paint, sketch, or take photographs

p.
q.
r.

1
1

2
2

3
3

4
4

5
5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

8.

How much time did you (do you
expect to) spend on the trail today
for exercise or recreational
purposes?

 < 15 minutes
 15-29 minutes
 30-44 minutes
 45-59 minutes

 between 1-2 hours
 between 2-3 hours
 between 3-5 hours
 more than 5 hours

9.

When was the first time you used
this trail?

 today
 sometime in August 07
 sometime in July 07
 sometime in June 07
 sometime in May 07
 sometime in April 07

 sometime in March 07
 1-3 months ago
 4-6 months ago
 7-11 months ago
 1-3 years ago
 more than 3 years ago

[If respondent answers today, skip
to Question 13.]

10.

How many times per week or month
do you use this trail?

__ times per week
__ times per month

11.

How much time do you usually
spend on the trail per visit when you
use it for exercise or recreational
purposes?

 < 15 minutes
 15-29 minutes
 30-44 minutes
 45-59 minutes

 between 1-2 hours
 between 2-3 hours
 between 3-5 hours
 more than 5 hours

12
Baseline:
a Since you began using the trail, has
the number of times you
walk/bike/run per week:
[READ LIST]

 increased (why?) ____________
 decreased (why?) ____________
 stayed the same
 don’t know/not sure

Follow-up:
b Since [date the intervention
initiated], has the number of times
you walk/bike/run per week:
[READ LIST]

 increased (why?) ____________
 decreased (why?) ____________
 stayed the same
 don’t know/not sure

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13.

What do you like the most about this  place to exercise
trail?
 free to use
[Check one]
 distances are marked
 convenient location
 scenic beauty
 good surface
 lighting
 other walkers/bicyclist, etc.
 safety
 other (please specify) ________________

14.

What would you most like to see
improved?
[Check one]

 lighting
 cleanliness
 bathrooms
 drinking fountains
 smoother surface
 wider surface
 safety
 trail markers
 parking
 other (please specify) __________

15.

How would you rate the quality of
your experience on this trail today?
[READ LIST]

 very poor
 poor
 okay
 good
 very good

16.

[READ]: Experts say that getting regular physical activity means doing moderate activities such as
walking briskly, for at least 30 minutes on 5 or more days of the week.
Are you currently regularly
physically active according to the
definition above?
[PROBE TO ESTABLISH TIME
WINDOW ONCE THE YES/NO
RESPONSE IS DETERMINED]

 yes, I have been for more than 6 months
 yes, I have been for less than 6 months
 no, but I intend to in the next 30 days
 no, but I intend to in the next 6 months
 no, and I do not intend to in the next 6 months

17.

How would you rate your awareness
of the importance of being
physically active?

 High  Medium  Low

18.

How would you rate your
knowledge about how to be
physically active?

 High  Medium  Low

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19.

[READ]: I am going to read you some things that may interfere with or prevent you from exercising
or being physically active. For each one, tell me how often it interferes or prevents you from
exercising or being physically active.
Never

a.
b.
c.
d.
e.
f.
g.

I am afraid of injury
I don’t have time
I am too tired
I don’t have a safe place to exercise
I don’t have the energy to exercise
I get plenty of exercise at my job
I don’t have the motivation to
exercise
h. I don’t like to exercise
i. I have an injury or health condition
that limits my ability to exercise
20.

Rarely

Sometimes

Often

Very Often
























































[READ]: Please indicate the degree to which you agree or disagree with the following statements.

a. If you had someone, such as a friend
or family member, to exercise with,
chances are you would exercise
more.
b. Your friends encourage you to
exercise.
c. You have at least one friend who
would commit to exercise with you.
d. Relatives encourage you to exercise.
e. You have at least one relative who
would commit to exercise with you.

Strongly
Disagree

Somewhat
Disagree

Agree

Strongly
Agree

No
Relatives
Close By









N/A









N/A









N/A













N/A


21.

Are you a visitor to this park, a fulltime resident of a nearby
community, or a part-time resident?

 Full-time resident
 Part-time Resident

22.

Where did you stay last night?

 At home
 Campground
 Hotel/motel

23.

Are you Hispanic or Latino?

 yes

 no

 Visitor

 With friends or family
 B&B
 Cruise Ship
 Other:__________

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 refused
24.

Please select one or more of the
following categories to best describe
your race.

 American Indian or Alaska native
 Asian
 Black or African American
 Native Hawaiian or Pacific Islander
 White
 refused

25.

What is the highest grade in school
you have completed?

 6th grade or less
 7-11th grade
 high school graduate
 some college
 college graduate
 some graduate school
 completed graduate school
 doctoral or professional degree
 refused

26.

What is your age?

__________

27.

Is there anything else you would like __________________________________________________
to comment on?
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
______________________________________

End Time

_______________

Interviewer Notes

 refused

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PRIVACY ACT and PAPERWORK REDUCTION ACT statement:
16 U.S.C. 1a-7 authorizes collection of this information. This information will be used by park managers to better
serve the public. Response to this request is voluntary. No action may be taken against you for refusing to supply the
information requested. Your name is requested for follow-up mailing purposes only. When analysis of the
questionnaire is completed, all name and address files will be destroyed. Thus the permanent data will be anonymous.
Please do not put your name or that of any member of your group on the questionnaire. An agency may not conduct or
sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid
OMB control number.
Person collecting and analyzing information: Ross C. Brownson, Ph.D., St. Louis University School of Public Health,
3545 Lafayette Avenue, St. Louis, MO 63104, phone (314) 977-8110.
Burden estimate statement: Public reporting burden for this form is estimated to average 15 minutes per response.
Direct comments regarding the burden estimate or any other aspect of this form to: Megan McBride, National Park
Service Social Science Program, c/o Air Resource Division, PO Box 25287, Denver, CO 80225, phone (303) 9692184.


File Typeapplication/pdf
File TitleMicrosoft Word - AttachE_Intercept Survey.doc
AuthorMMcBride
File Modified2007-05-08
File Created2007-05-08

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