Day Use on National Forests of Southern California

OMB# 0596-0129	Group #
Exp. X/XX/20XX	Date
FORM E	Site Location

Welcome to Your National Forest!

To help understand visitor preferences and provide the best services possible at day use sites on the National Forests of Southern California, we are asking if you will take about 8 minutes to fill out this questionnaire. Your participation is voluntary. All responses will be kept anonymous.

1. Have you ever been to this site before? ____ No ____ Yes

If yes, about how many times in the past 12 months? _______times

If yes, about how many years have you been coming here? _______years

2. Do you plan to return to this site again in the next 12 months?

____ No ____ Yes ____ Don’t know

3. Which of the following statements describe why you visit this recreation site? (Check all that apply)

___	Being at this site reminds me of my childhood recreation experience.	___	I am comfortable with this site because I have been here before.
___	This site is close to my home.	___	This site is peaceful and quiet.
___	Visiting here is affordable.	___	I meet my friends and/or family here.
___	This is my first visit to this site.	___	I like the activities I can do here.
___	Other (Please describe) _____________

4. Please indicate which of the following activities you participated in while on the visit to this National Forest when our field team contacted you. (Check all that apply)

___	Fishing	___	Picnicking/barbeque
___	Swimming/wading	___	Rock climbing
___	Hiking	___	Photography
___	Nature study (for example, bird watching, identifying wildflowers, rock study)	___	Collecting berries, mushrooms, or other
___	Relaxing	___	Other, please specify __________________

5. For each of the following site features below, please think about the site you are at today and indicate if you think each feature is definitely not needed, probably not needed, neither, probably needed, or definitely needed. Circle one number in each row.

Features Needed or Not Needed
Features	definitely not needed	probably not needed	neither	probably needed	definitely needed	not applicable
a. Picnic tables	1	2	3	4	5	n/a
b. Barbeque grills	1	2	3	4	5	n/a
c. Restrooms	1	2	3	4	5	n/a
d. Shrubs, trees planted nearby	1	2	3	4	5	n/a
e. Bulletin boards with area information and regulations	1	2	3	4	5	n/a
f. Bike trail	1	2	3	4	5	n/a
g. Hiking trail	1	2	3	4	5	n/a
h. Interpretive trail	1	2	3	4	5	n/a
i. Off-highway vehicle staging area	1	2	3	4	5	n/a
j. Off-highway vehicle trail	1	2	3	4	5	n/a
k. Snowplay area	1	2	3	4	5	n/a
l. Grassy area	1	2	3	4	5	n/a
m. Visitor center	1	2	3	4	5	n/a
n. Onsite host for site information and clean-up	1	2	3	4	5	n/a
o. Law enforcement	1	2	3	4	5	n/a
p. Sites close to road	1	2	3	4	5	n/a
q. Other, please describe______________	1	2	3	4	5	n/a

6. What size picnic tables do you prefer? ____ 8 foot long _____ 10 foot long

7. Are the tables at this site currently too close together, too far apart, or just right?

_____ Too close together _____ Too far apart _____ Just right

8. Do you prefer natural construction materials (such as wood) or concrete materials?

_____ Natural construction materials _____ Concrete materials

9. Your gender _____ Female _____ Male

10. Your age _____ years

11. What was your last year of school completed? (Please circle the number of the last year of school completed)

Elementary School	Middle School	High School	College	Graduate School
1 2 3 4 5	6 7 8	9 10 11 12	13 14 15 16	17 18 19 20

12. Are you of Hispanic or Latino origin? ___ Hispanic or Latino ___ Not Hispanic or Latino

13. What racial category or categories best describes you? (Please select one or more)

___	American Indian or Alaska Native	___	Native Hawaiian or Other Pacific Islander
___	Asian	___	White
___	Black or African American

14. What language do you speak most of the time?

___ English ___ Spanish ___ Other ___________

What language do you read most of the time?

___ English ___ Spanish ___ Other ___________

15. Place of birth _____ United States _____ Other country __________________________

16. What is your annual household income (before taxes)?

_____ $25,000 or less

_____ $25,001 - $50,000

_____ $50,001 - $75,000

_____ $75,001 - $100,000

_____ $100,001 or more

Thank You So Much!

Enjoy your stay on your National Forest.

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 0596-0129. The time required to complete this information is estimated at 8 minutes per response, including the time for reviewing instructions, searching data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

The U.S. Department if Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, and marital or family status. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA TARGET Center at 202-720-2600 (voice and TDD).

To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call (800) 975-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.