Appendix E. SEKI Refusal Log

APPENDIX E – SEKI REFUSAL LOG

DATE: 09/___/06 LOCATION __Lodgepole__ SURVEYORS ______________________________________________________

For each group that does not complete at least one consent-to-further-contact form, please provide the following information:

Trip Leader Name	Estimated # of Males in Group	Estimated # of Females in Group	Did the group include any children?	Explanation for refusal (if given) or conditions affecting completion of form
Time			□ Yes □ No
			□ Yes □ No
			□ Yes □ No
			□ Yes □ No
			□ Yes □ No
			□ Yes □ No
			□ Yes □ No
			□ Yes □ No
			□ Yes □ No
			□ Yes □ No
			□ Yes □ No
			□ Yes □ No
			□ Yes □ No
			□ Yes □ No
			□ Yes □ No
			□ Yes □ No
			□ Yes □ No
			□ Yes □ No
			□ Yes □ No
			□ Yes □ No
			□ Yes □ No
			□ Yes □ No
			□ Yes □ No
			□ Yes □ No