INFORMED CONSENT
ALASKA SUBSISTENCE STUDY
North Aleutian Basin communities, Alaska
CONSENT TO PARTICIPATE IN RESEARCH
You are asked to participate in a research study conducted by Dr. Katherine Reedy-Maschner and Dr. Herbert Maschner, Department of Anthropology, Idaho State University, 921 S. 8th Ave, Stop 8005, Pocatello, Idaho 83209; 208-282-6137 or 208-282-2745. This study is being conducted for the U.S. Department of the Interior, Minerals Management Service’s (MMS) information request on subsistence harvests and uses in four communities nearest to the proposed oil and gas development in the North Aleutian Basin (NAB): Port Heiden, Nelson Lagoon, False Pass, and Akutan. You have been asked to participate in this research because you live in one of these communities, and you are a subsistence and/or commercial harvester or user of local wild resources. Your participation in this research project is voluntary. You should read the information below, and ask questions about anything you do not understand, before deciding whether or not to participate.
1. PURPOSE OF THE STUDY
The purpose of this study is to document and describe subsistence harvests and sharing patterns as they relate to other aspects of your community. This study is occurring in anticipation of NAB oil and gas development. The MMS is required by the Outer Continental Shelf (OCS) Lands Act of 1953 (and amendments of 1978) and the National Environmental Policy Act of 1969 to assess the effects of OCS oil and gas activities near human and physical environments. This study will acquire and analyze relevant socioeconomic and sociocultural information from your community to be used in Environmental Assessments and Environmental Impact Statements.
2. PROCEDURES
If you volunteer to participate in this study, we ask that you answer questions about your history, education, family, employment and other income sources, subsistence harvests and location, expenses, crew membership, commercial harvests, sharing, and resource changes. Questions should take approximately 1.5 hours to complete, and will only occur once. The discussion will take place in a location that is most convenient to you.
3. POTENTIAL RISKS AND DISCOMFORTS
You may feel uncomfortable in providing personal information about income or family circumstances. You may be concerned about providing harvest levels and locations of wild resources. You may also be uncomfortable giving opinions about oil and gas development. In order to protect your identity, we have assigned codes to everyone in your community, and instead of using your names, we will use these codes. We will NOT identify you or your household. We will NOT provide your information to enforcement. We will NOT provide your opinions about development to MMS.
4. ANTICIPATED BENEFITS TO SUBJECTS
The 1953 OCS Lands Act requires us to monitor and assess impacts of resource development on the human environment. This study is the first step in the NAB for obtaining baseline data to accomplish this legal requirement. While your own and your community’s activities and interests will be included summarily in the Environmental Impact Statements and Environmental Assessments, you should not expect to benefit directly from participation in this research. You have the right to refuse participation in this research study.
ADMINISTRATOR: REMOVE THIS PAGE FROM THE STUDY FOR PARTICIPANT ANONYMITY
5. ANTICIPATED BENEFITS TO SOCIETY
Summary data resulting from this research will assist MMS in minimizing the impacts of oil and gas development on local subsistence and commercial harvesting activities. This study will also result in a broad picture of harvesting and sharing in an understudied part of the north.
6. ALTERNATIVES TO PARTICIPATION
The only alternative to participation is to choose NOT to participate. If you choose not to participate, this will not affect your relationship with the researchers, MMS, or Idaho State University.
7. PAYMENT FOR PARTICIPATION
You will be given an honorarium for your participation at a rate prearranged with the local tribal council.
8. FINANCIAL OBLIGATIONS
There are no financial obligations on your part.
9. PRIVACY AND ANONYMITY
The only people who will know that you are a research subject are members of the research team. Because the study and interview data may be accessed under the Freedom of Information Act (5 USC 552), every participant in the study will be assigned a code at the start of the study to be used throughout the study. No information about you, or provided by you during the research, will be disclosed to others without your written permission, except (a) if necessary to protect our rights or welfare (for example, if you are injured), or (b) if required by law. When the results of the research are published or discussed in conferences, no information will be included that would reveal your identity. Your tribal council will be given a draft report to review before the final submission to MMS. You have the right to request review of the draft report.
All data will be stored in a locked cabinet in Dr. Reedy-Maschner’s office at Idaho State University. At the end of the study, copies will be provided to MMS. No personal identifying information will be given to MMS and all codes will be maintained. Only Dr. Reedy-Maschner and Dr. Maschner will have access to the codebooks.
Dr. Reedy-Maschner retains the right to store databases, field notes, and other raw data from this project. The data from this project may be used in future reports, presentations or publications. Coding procedures will be maintained and no personal information will be disclosed in any future uses of the data.
10. PARTICIPATION AND WITHDRAWAL
Your participation in this research is VOLUNTARY. If you choose not to participate, that will not affect your relationship with Idaho State University or MMS.
11. WITHDRAWAL OF PARTICIPATION BY THE INVESTIGATOR
The investigator may withdraw you from participating in the research if circumstances arise which warrant doing so. The decision may be made either to protect your health and welfare, or because it is part of the research plan. If you must drop out because the investigator asks you to (rather than because you have decided on your own to withdraw), you will still be paid for the time you have given the study.
ADMINISTRATOR: REMOVE THIS PAGE FROM THE STUDY FOR PARTICIPANT ANONYMITY
12. IDENTIFICATION OF INVESTIGATORS
This study will not place you in physical risk. The identity of every research participant will be kept anonymous. If you have any questions about the research, please feel free to contact Dr. Katherine Reedy-Maschner or Dr. Herbert Maschner, Department of Anthropology, Idaho State University, Pocatello, Idaho 83209; 208-282-6137 or 208-282-2745. You may also contact the Contracting Officer’s Representative Chris Campbell, MMS Alaska Region at 907-334-5264.
13. RIGHTS OF RESEARCH SUBJECTS
You may withdraw your consent at any time and discontinue participation without penalty. You are not waiving any legal claims, rights or remedies because of your participation in this research study. If you have any questions regarding your rights as a research subject, you may contact the Human Subjects Committee office at 208-282-2179 or by writing to the Human Subjects Committee at Idaho State University, Mail Stop 8130, Pocatello, ID 83209.
SIGNATURE OF RESEARCH SUBJECT OR LEGAL REPRESENTATIVE
I have read (or someone has read to me) the information provided above. I have been given an opportunity to ask questions, and all of my questions have been answered to my satisfaction. I have been given a copy of the informed consent form.
BY SIGNING THIS FORM, I WILLINGLY AGREE TO PARTICIPATE IN THE RESEARCH IT DESCRIBES.
RESPONDENT
___________________________________________________________________________
(signature) (date)
___________________________________________________
(printed name)
INVESTIGATOR
___________________________________________________________________________
(signature) (date)
___________________________________________________
(printed name)
PAPERWORK REDUCTION ACT OF 1995 (PRA) STATEMENT: The PRA (44 U.S.C. 3501 et. seq.) requires us to inform you that we collect this information to obtain knowledge of subsistence issues in coastal Alaska communities and how they relate to future oil and gas drilling. Responses are voluntary. Proprietary data are covered under FOIA. 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. Public reporting burden for this study, is estimated to average 1.5 hours per response. This includes the time for reviewing instructions, signing, the form, and answering the questions. Direct comments regarding the burden estimate or any other aspect of this form to the Information Collection Clearance Officer, Mail Stop 5438, Minerals Management Service, 1849 C Street, N.W., Washington, DC 20240.
ADMINISTRATOR: REMOVE THIS PAGE FROM THE STUDY FOR PARTICIPANT ANONYMITY
SOCIAL NETWORK ANALYSES
The diagram below is an example of a social network from the community of King Cove, Alaska, in 2004. The chart is organized around five sisters (SA-E), with SA as the primary matriarch. Br1-4 indicates four of their brothers, S indicates “Son of,” and D indicates “Daughter of”. Vessel symbols within a circle indicate that the person has a commercial salmon permit and boat. Fish indicate in whose hands the bulk of salmon first land when brought to shore. Arrows indicate movement of fish, with the thickness indicating relative quantity. Shaded circles indicate where the fish stops, meaning these are children, elders or others who through life’s circumstances do not contribute back into the network with fish products procured on their own. This chart shows that sharing networks are large multi-household, multi-vessel systems in which fish flow in every direction. Disruptions in one section through, for example, a death in the family, loss of permit, loss of boat, illness, etc, can often be compensated for by others in the network. This is an example of the kinds of data we will produce showing relationship strengths, interaction, kinship, and assets. We can examine, model, and quantify social networks surrounding subsistence related resources via production, processing, distribution, and consumption. This will allow us to also model changes following potential threats to the network. In order to draw this type of network, we need to ask you questions about harvest quantity and sharing.
ADMINISTRATOR: REMOVE THIS PAGE FROM THE STUDY FOR PARTICIPANT ANONYMITY
Subsistence Study
for the
Coastal Areas of Alaska
OMB Control Number 1010-xxxx
Expiration Date: xx/xx/xxxx
Idaho State University Community_________________
Department of Anthropology HH Code_________________
921 S. 8th Ave, Stop 8005 Respondent Code_________________
Pocatello, Idaho 83209 Interviewer_________________
Contract #M08PC20053 Interview Date_________________
Start time_________________
Stop time_________________
Data Entered by_________________
Supervisor___KLR-M_______
Under contract with
U.S. Department of the Interior
Minerals Management Service
Alaska OCS Region
Environmental Studies Section,
3801 Centerpoint Drive, Suite 500
Anchorage, Alaska 99503
GENEALOGY
In order to keep track of people without using names, we use codes. We have assigned codes to every adult in your community and put them on cards. Before we begin, we need to pull out the cards for your immediate relatives and the people who help your household the most. We will assign additional codes to those from outside your community or not yet coded (use code worksheet at the end of the document). For this genealogy page we will use codes to include your and your spouse’s/partner’s immediate relatives (use the red boxes for the Study Respondents and add additional boxes/relationships as necessary).
HOUSEHOLD INFORMATION
Between JANUARY and DECEMBER of last year, please list all the members of your household who were present.
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PERSON CODE |
MALE OR FEMALE |
ALASKA NATIVE |
OTHER ANCESTRY (SCANDANAVIAN, RUSSIAN, JAPANESE, ETC) |
WHEN WAS THIS PERSON BORN? |
HOW IS THIS PERSON RELATED TO HEAD? |
LAST GRADE OF SCHOOL COMPLETED? |
WHERE BORN? |
YEARS IN COMMUNITY? |
ID# |
(FROM CODE BOOK) |
(circle) |
(circle) |
(DESCRIBE) |
(YEAR) |
(RELATION) |
(GRADE) |
(PLACE) |
(YEARS) |
01 HEAD |
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M F |
Y N |
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02 HEAD |
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M F |
Y N |
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03 |
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M F |
Y N |
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04 |
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M F |
Y N |
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05 |
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M F |
Y N |
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06 |
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M F |
Y N |
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07 |
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M F |
Y N |
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08 |
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M F |
Y N |
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09 |
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M F |
Y N |
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10 |
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M F |
Y N |
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SUBSISTENCE HARVESTER INFORMATION
Between JANUARY and DECEMBER of last year please list all household members’ subsistence activities
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WAS THIS PERSON AN ACTIVE SUBSISTENCE HARVESTER? |
IN WHICH MONTHS OF LAST YEAR WAS THIS PERSON ABLE TO HUNT, FISH, OR GATHER? |
IF THIS PERSON WAS NOT ABLE TO HUNT, FISH OR GATHER ANY MONTH BETWEEN JANUARY AND DECEMBER, WHY NOT? |
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ID# |
(circle) |
(circle) |
TOO OLD |
TOO YOUNG |
IN SCHOOL |
WORKING |
BABYSITTING |
HEA(LTH |
ABSENT |
OTHER |
(“X” ALL THAT APPLY, EXPLAIN “OTHER”) |
01 HEAD |
Y N |
J F M A M J J A S O N D |
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02 HEAD |
Y N |
J F M A M J J A S O N D |
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03 |
Y N |
J F M A M J J A S O N D |
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04 |
Y N |
J F M A M J J A S O N D |
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05 |
Y N |
J F M A M J J A S O N D |
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06 |
Y N |
J F M A M J J A S O N D |
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07 |
Y N |
J F M A M J J A S O N D |
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08 |
Y N |
J F M A M J J A S O N D |
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09 |
Y N |
J F M A M J J A S O N D |
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10 |
Y N |
J F M A M J J A S O N D |
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SALMON HARVESTING
Do you fish for SALMON for subsistence?............................................. ...................................... Y N (circle)
Between January and December of last year, did you USE or TRY TO HARVEST SALMON?.. Y N (circle)
If NO, go to the next page.
________________________________________________________________________________________
If YES, continue on this page…
Please estimate how many SALMON you harvested for subsistence this year, including all methods. If fishing with others, report ONLY YOUR SHARE of the catch. Include SALMON you kept, gave away, lost to spoilage, etc.
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HOW MANY UNITS DID YOU HARVEST LAST YEAR? |
UNITS |
WERE THERE LESS, SAME, OR MORE (____) AVAILABLE THAN IN PAST YEARS |
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DID YOU HARVEST (_____) LAST YEAR? |
CAUGHT WITH GILL NET OR SEINE |
CAUGHT WITH ROD AND REEL |
KEPT FROM COMMERCIAL FISHING |
IF KEPT FROM COMMERICAL, TARGETED? |
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(CIRCLE) |
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(CIRCLE) |
(ind, lbs, etc) |
(CIRCLE) |
CHUM SALMON |
Y N |
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Y N |
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L S M ? |
PINK SALMON |
Y N |
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Y N |
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L S M ? |
COHO SALMON |
Y N |
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Y N |
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L S M ? |
SOCKEYE SALMON |
Y N |
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Y N |
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L S M ? |
KING SALMON |
Y N |
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Y N |
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L S M ? |
UNK. SALMON |
Y N |
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Y N |
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L S M ? |
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These columns should include all the salmon harvested by this household. |
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"?" means "I don't know" |
Last year, did you receive salmon from others? Y N (circle). If Yes, complete page 10.
Last year, did you give salmon away to others? Y N (circle). If Yes, complete page 10.
If No, turn to page 11.
SALMON NETWORK
For each network page, list the people who you gave to and/or received from. List the species, amount and the units. Refer to previous page for species list. If you gave more than one type of product to one person, list them separately. If you shared salmon, complete PART I. If you received salmon, complete PART II.
PART I |
PERSON CODE FOR WHO YOU GAVE TO |
HOW MUCH SALMON DID YOU GIVE THIS PERSON |
UNITS/ PRODUCTS
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IS THAT AMOUNT A FEW, SOME, OR LOTS?
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PART II |
PERSON CODE FOR WHO YOU GAVE TO |
HOW MUCH SALMON DID YOU GIVE THIS PERSON |
UNITS/ PRODUCTS
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IS THAT AMOUNT A FEW, SOME, OR LOTS? |
NAME SPECIES |
00000 |
NUMBER |
WHOLE FISH, GALS, LBS, CASES, JARS, ETC |
(CIRCLE ONE) |
NAME SPECIES |
00000 |
NUMBER |
WHOLE FISH, GALS, LBS, CASES, JARS, ETC |
(CIRCLE ONE) |
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1ST SALMON SPECIES
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F S L
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1ST SALMON SPECIES |
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F S L |
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2ND SALMON SPECIES
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F S L
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2ND SALMON SPECIES |
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F S L |
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3RD SALMON SPECIES
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F S L
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3RD SALMON SPECIES |
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F S L |
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4TH SALMON SPECIES
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F S L
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4TH SALMON SPECIES |
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F S L |
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5TH SALMON SPECIES
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F S L
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5TH SALMON SPECIES |
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F S L |
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6TH SALMON SPECIES
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F S L
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6TH SALMON SPECIES |
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F S L |
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7TH SALMON SPECIES
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F S L
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7TH SALMON SPECIES |
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F S L |
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8TH SALMON SPECIES
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F S L
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8TH SALMON SPECIES |
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F S L |
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9TH SALMON SPECIES
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F S L
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9TH SALMON SPECIES |
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F S L |
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10TH SALMON SPECIES
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F S L
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10TH SALMON SPECIES |
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F S L |
Between January and December of last year, did you get enough SALMON for your needs?....... Y N (circle)
If NO, why did you not get enough SALMON for your needs?
Resource__________________________________ Reason____________________________________
Resource__________________________________ Reason____________________________________
Do the people you share with or receive from (that is, your salmon network) change with changes in the availability of salmon? Y N (Circle)
If Yes, how does this network change? _________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
FRESHWATER FISH HARVESTING
Do you fish for FRESHWATER FISH for subsistence?................................................................ Y N (circle)
Between January and December of last year, did you USE or TRY TO HARVEST FRESHWATER FISH? .... …………………………………………………………………………………………………..... Y N (circle)
If NO, go to the next page. __________________________________________________________________________________________
If YES, continue on this page…
Please estimate how many FRESHWATER FISH you harvested for subsistence this year, including all methods. If fishing with others, report ONLY YOUR SHARE of the catch. Include FRESHWATER FISH you kept, gave away, lost to spoilage, etc.
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HOW MANY UNITS DID YOU HARVEST LAST YEAR? |
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DID YOU HARVEST (_____) ? |
CAUGHT WITH GILL NET OR SEINE |
CAUGHT WITH ROD AND REEL |
ICE FISHING |
WITH OTHER GEAR |
KEPT FROM COMMERCIAL FISHING |
UNITS |
WERE THERE LESS, SAME, OR MORE (____) AVAILABLE THAN IN PAST YEARS |
(CIRCLE) |
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(ind, lbs, etc) |
(CIRCLE) |
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DOLLY VARDEN |
Y N |
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L S M ? |
STEELHEAD |
Y N |
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L S M ? |
RAINBOW TROUT |
Y N |
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L S M ? |
LAKE TROUT |
Y N |
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L S M ? |
UNKNOWN TROUT |
Y N |
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L S M ? |
OTHER FRESH-WATER FISH (NAME)
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Y N |
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L S M ? |
OTHER FRESH-WATER FISH (NAME)
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Y N |
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L S M ? |
OTHER FRESHWATER FISH (NAME)
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Y N |
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L S M ? |
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"?" means "I don't know" |
Last year, did you receive FRESHWATER FISH from others? Y N (circle) If Yes, complete page 12.
Last year, did you give FRESHWATER FISH away to others? Y N (circle) If Yes, complete page 12.
If No, turn to page 13.
FRESHWATER FISH NETWORKS
IF you gave away FRESHWATER FISH last year, complete PART I. Refer to previous page for species list.
If you received FRESHWATER FISH from others, complete PART II.
PART I
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PERSON CODE FOR WHO YOU GAVE TO |
HOW MUCH FISH DID YOU GIVE THIS PERSON |
UNITS/ PRODUCTS |
WOULD YOU SAY THAT AMOUNT WAS A FEW, SOME, OR LOTS? |
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PART II
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PERSON CODE FOR WHO YOU GAVE TO |
HOW MUCH FISH DID YOU GIVE THIS PERSON |
UNITS/ PRODUCTS |
WOULD YOU SAY THAT AMOUNT WAS A FEW, SOME, OR LOTS? |
NAME SPECIES |
00000 |
NUMBER |
WHOLE FISH, CALS, LBS, CASES, JARS, ETC |
(CIRCLE ONE) |
NAME SPECIES |
00000 |
NUMBER |
WHOLE FISH, CALS, LBS, CASES, JARS, ETC |
(CIRCLE ONE) |
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1ST FRESHWATER SPECIES
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F S L
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1ST FRESHWATER SPECIES |
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F S L
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2ND FRESHWATER SPECIES
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F S L
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2ND FRESHWATER SPECIES |
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F S L
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3RD FRESHWATER SPECIES
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F S L
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3RD FRESHWATER SPECIES |
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F S L
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4TH FRESHWATER SPECIES
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F S L
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4TH FRESHWATER SPECIES |
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F S L
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5TH FRESHWATER SPECIES
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F S L
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5TH FRESHWATER SPECIES |
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F S L
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6TH FRESHWATER SPECIES
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F S L
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6TH FRESHWATER SPECIES |
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F S L
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7TH FRESHWATER SPECIES
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F S L
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7TH FRESHWATER SPECIES |
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F S L
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8TH FRESHWATER SPECIES
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F S L
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8TH FRESHWATER SPECIES |
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F S L
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Between January and December, did you get enough FRESHWATER FISH for your needs?...... Y N (circle)
If NO, why did you not get enough FRESHWATER FISH for your needs?
Resource___________________________________ Reason ______________________________________
Resource___________________________________ Reason ______________________________________
Do the people you share with or receive from (that is, your freshwater fish network) change with changes in the availability of these fish? Y N (Circle)
If Yes, how does this network change? __________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
MARINE FISH HARVESTING
Do you fish for MARINE FISH for subsistence?........................................................................................ Y N (circle)
Between January and December of last year, did you USE or TRY TO HARVEST MARINE FISH?..... Y N (circle)
If NO, go to the next page. _________________________________________________________________________________________________________
If YES, continue on this page…
Please estimate how many MARINE FISH you harvested for subsistence this year, including all methods. If fishing with others, report ONLY YOUR SHARE of the catch. Include MARINE FISH you kept, gave away, lost to spoilage, etc.
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HOW MANY UNITS DID YOU HARVEST LAST YEAR? |
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DID YOU HARVEST (_____)? |
CAUGHT WITH GILL NET OR SEINE |
CAUGHT WITH LONG LINE |
CAUGHT WITH ROD AND REEL |
WITH OTHER GEAR (POTS?) |
KEPT FROM COMMERCIAL FISHING |
UNITS |
WERE THERE LESS, SAME, OR MORE (____) AVAILABLE THAN IN PAST YEARS |
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(CIRCLE) |
(ind, lbs, etc) |
(CIRCLE) |
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HALIBUT |
Y N |
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L S M ? |
OTHER FLATFISH |
Y N |
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L S M ? |
COD |
Y N |
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L S M ? |
POLLOCK |
Y N |
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L S M ? |
ROCKFISH |
Y N |
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L S M ? |
RED |
Y N |
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L S M ? |
BLACK |
Y N |
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L S M ? |
GREENLING |
Y N |
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L S M ? |
LINGCOD |
Y N |
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L S M ? |
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Y N |
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L S M ? |
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Y N |
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L S M ? |
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Y N |
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L S M ? |
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Y N |
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L S M ? |
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"?" means "I don't know" |
Last year, did you receive MARINE FISH from others? Y N (circle) If Yes, complete page 14.
Last year, did you give MARINE FISH away to others? Y N (circle) If Yes, complete page 14.
If No, turn to page 15.
MARINE FISH NETWORKS
IF you gave away MARINE FISH last year, complete PART I. Refer to previous page for species list.
If you received MARINE FISH from others, complete PART II.
PART I |
PERSON CODE FOR WHO YOU GAVE TO |
HOW MUCH FISH DID YOU GIVE THIS PERSON? |
UNITS/ PRODUCTS |
WOULD YOU SAY THAT AMOUNT WAS A FEW, SOME, OR LOTS? |
|
PART II |
PERSON CODE FOR WHO YOU RECEIVED FROM |
HOW MUCH FISH DID YOU RECEIVE FROM THIS PERSON? |
UNITS/ PRODUCTS |
WOULD YOU SAY THAT AMOUNT WAS A FEW, SOME, OR LOTS? |
NAME SPECIES |
00000 |
NUMBER |
IND, GALS, LBS, CASES, JARS, ETC |
(CIRCLE ONE) |
NAME SPECIES |
00000 |
NUMBER |
IND, GALS, LBS, CASES, JARS, ETC |
(CIRCLE ONE) |
|
1ST MARINE SPECIES
|
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|
|
F S L |
1ST MARINE SPECIES
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F S L |
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2ND MARINE SPECIES
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F S L |
2ND MARINE SPECIES |
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F S L |
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3RD MARINE SPECIES
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F S L |
3RD MARINE SPECIES |
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F S L |
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4TH MARINE SPECIES
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F S L |
4TH MARINE SPECIES |
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F S L |
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5TH MARINE SPECIES
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F S L |
5TH MARINE SPECIES |
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F S L |
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6TH MARINE SPECIES
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F S L |
6TH MARINE SPECIES |
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F S L |
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7TH MARINE SPECIES
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F S L |
7TH MARINE SPECIES |
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F S L |
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8TH MARINE SPECIES
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F S L |
8TH MARINE SPECIES |
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F S L |
Between January and December, did you get enough MARINE FISH for your needs?...................... Y N (circle)
If NO, why did you not get enough MARINE FISH for your needs?
Resource___________________________________ Reason_____________________________________________
Resource___________________________________ Reason_____________________________________________
Do the people you share with or receive from (that is, your marine fish network) change with changes in the availability of these fish? Y N (Circle)
If Yes, how does this network change? __________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
SHELLFISH AND INTERTIDAL HARVESTING
Do you fish for SHELLFISH for subsistence?............................................................................................ Y N (circle)
Between January and December, did you USE or TRY TO HARVEST SHELLFISH?.... ........................ Y N (circle)
If NO, go to the next page. _________________________________________________________________________________________________
If YES, continue on this page…
Please estimate how many SHELLFISH you harvested for subsistence this year, including all methods. If harvesting with others, report ONLY YOUR SHARE of the catch. Include SHELLFISH you kept, gave away, lost to spoilage, etc.
|
HOW MANY UNITS DID YOU HARVEST LAST YEAR? |
|
||||||
|
DID YOU HARVEST (_____)? |
WITH A POT |
WITH A SHOVEL |
WITH OTHER GEAR |
KEPT FROM COMMERCIAL FISHING |
HARVESTED WHILE COMMERCIAL FISHING |
UNITS |
WERE THERE LESS, SAME, OR MORE (____) AVAILABLE THAN IN PAST YEARS |
(CIRCLE) |
(CIRCLE) |
(ind, lbs, etc) |
(CIRCLE) |
|||||
KING CRAB |
Y N |
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|
Y N |
|
L S M ? |
DUNGENESS CRAB |
Y N |
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|
Y N |
|
L S M ? |
COCKLES |
Y N |
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|
Y N |
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L S M ? |
SURF CLAMS |
Y N |
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Y N |
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L S M ? |
RAZOR CLAMS |
Y N |
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Y N |
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L S M ? |
CHITONS/BIDARKIS |
Y N |
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|
Y N |
|
L S M ? |
HORSE CLAMS |
Y N |
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|
Y N |
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L S M ? |
SEA URCHINS |
Y N |
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|
Y N |
|
L S M ? |
OTHER SHELLFISH |
Y N |
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|
Y N |
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L S M ? |
|
Y N |
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Y N |
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L S M ? |
OCTOPUS / CUTTLEFISH |
Y N |
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Y N |
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L S M ? |
|
Y N |
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Y N |
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L S M ? |
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Y N |
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Y N |
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L S M ? |
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Y N |
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Y N |
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L S M ? |
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"?" means "I don't know" |
Last year, did you receive SHELLFISH from others? Y N (circle) If Yes, complete page 16.
Last year, did you give SHELLFISH away to others? Y N (circle) If Yes, complete page 16.
If No, turn to page 17.
SHELLFISH HARVESTING NETWORKS
If you gave away SHELLFISH last year, complete PART I. Refer to previous page for species list. If you received SHELLFISH from others, complete PART II.
PART I |
PERSON CODE FOR WHO YOU GAVE TO |
HOW MUCH FISH DID YOU GIVE THIS PERSON? |
UNITS/ PRODUCTS
|
WOULD YOU SAY THAT AMOUNT WAS A FEW, SOME, OR LOTS? |
|
PART II |
PERSON CODE FOR WHO YOU RECEIVED FROM |
HOW MUCH FISH DID YOU RECEIVE FROM THIS PERSON? |
UNITS/ PRODUCTS |
WOULD YOU SAY THAT AMOUNT WAS A FEW, SOME, OR LOTS? |
NAME SPECIES |
00000 |
NUMBER |
IND, GALS, LBS, CASES, JARS, ETC |
(CIRCLE ONE) |
NAME SPECIES |
00000 |
NUMBER |
IND, GALS, LBS, CASES, JARS, ETC |
(CIRCLE ONE) |
|
1ST SHELLFISH
|
|
|
|
F S L |
1ST SHELLFISH
|
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F S L |
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2ND SHELLFISH
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F S L |
2ND SHELLFISH
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F S L |
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3RD SHELLFISH
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F S L |
3RD SHELLFISH
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F S L |
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4TH SHELLFISH
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F S L |
4TH SHELLFISH
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F S L |
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5TH SHELLFISH
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F S L |
5TH SHELLFISH
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F S L |
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6TH SHELLFISH
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F S L |
6TH SHELLFISH
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F S L |
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7TH SHELLFISH
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F S L |
7TH SHELLFISH
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F S L |
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8TH SHELLFISH
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F S L |
8TH SHELLFISH
|
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|
F S L |
B etween January and December, did you get enough SHELLFISH for your needs?.......................... Y N (circle)
If NO, why did you not get enough SHELLFISH for your needs?
Resource___________________________________ Reason_____________________________________________
Resource___________________________________ Reason_____________________________________________
Do the people you share with or receive from (that is, your shellfish network) change with changes in the availability of these shellfish? Y N (Circle)
If Yes, how does this network change?__________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
SEA MAMMAL HARVESTING
Do you hunt SEA MAMMALS for subsistence?..................................................................................... Y N (circle)
Between January and December, did you USE or TRY TO HARVEST SEA MAMMALS?.................. Y N (circle)
If NO, go to the next page. _________________________________________________________________________________________________
If YES, continue on this page…
Please estimate how many SEA MAMMALS you harvested for subsistence this year, including all methods. If hunting with others, report ONLY YOUR SHARE of the harvest. Include SEA MAMMALS you kept, gave away, lost to spoilage, etc.
|
|
HOW MANY UNITS DID YOU HARVEST LAST YEAR? |
|
|
|
|
||||
|
DID YOU HARVEST (_____)? |
JAN- APRIL |
MAY - JUNE |
JULY - SEPT |
OCT- DEC |
SEASON NOT KNOWN |
SCAVANGED WHILE DOING OTHER ACTIVITIES |
SCAVANGED WHILE COMMERCIAL FISHING |
UNITS |
WERE THERE LESS, SAME, OR MORE (____) AVAILABLE THAN IN PAST YEARS |
|
(CIRCLE) |
(ind, lbs, etc) |
(CIRCLE) |
|||||||
STELLER SEA LION |
Y N |
|
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|
L S M ? |
NORTHERN FUR SEAL |
Y N |
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L S M ? |
HARBOR SEAL |
Y N |
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L S M ? |
RINGED SEAL |
Y N |
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L S M ? |
BEARDED SEAL |
Y N |
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L S M ? |
SEA OTTER |
Y N |
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L S M ? |
WALRUS |
Y N |
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L S M ? |
WHALE SP. 1 (___________) |
Y N |
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L S M ? |
WHALE SP. 2 (___________) |
Y N |
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L S M ? |
PORPOISE |
Y N |
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L S M ? |
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Y N |
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L S M ? |
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Y N |
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L S M ? |
Last year, did you receive SEA MAMMALS from others? Y N (circle) If Yes, complete page 18.
Last year, did you give SEA MAMMALS away to others? Y N (circle) If Yes, complete page 18.
If No, turn to page 19.
SEA MAMMAL NETWORKS
If you gave away SEA MAMMALS last year, complete PART I. Refer to previous page for species list.
If you received SEA MAMMALS from others, complete PART II.
PART I |
PERSON CODE FOR WHO YOU GAVE TO |
HOW MUCH FISH DID YOU GIVE THIS PERSON? |
UNITS/ PRODUCTS |
WOULD YOU SAY THAT AMOUNT WAS A FEW, SOME, OR LOTS? |
|
PART II |
PERSON CODE FOR WHO YOU RECEIVED FROM |
HOW MUCH FISH DID YOU RECEIVE FROM THIS PERSON? |
UNITS/ PRODUCTS |
WOULD YOU SAY THAT AMOUNT WAS A FEW, SOME, OR LOTS? |
NAME SPECIES |
00000 |
NUMBER |
IND, GALS, LBS, CASES, JARS, ETC |
(CIRCLE ONE) |
NAME SPECIES |
00000 |
NUMBER |
IND, GALS, LBS, CASES, JARS, ETC |
(CIRCLE ONE) |
|
1ST SEA MAMMAL
|
|
|
|
F S L
|
1ST SEA MAMMAL
|
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F S L
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2ND SEA MAMMAL
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F S L
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2ND SEA MAMMAL
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F S L
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3RD SEA MAMMAL
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F S L
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3RD SEA MAMMAL
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F S L
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4TH SEA MAMMAL
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F S L
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4TH SEA MAMMAL
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F S L
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5TH SEA MAMMAL
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F S L
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5TH SEA MAMMAL
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F S L
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6TH SEA MAMMAL
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F S L
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6TH SEA MAMMAL
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F S L
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7TH SEA MAMMAL
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F S L
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7TH SEA MAMMAL
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F S L
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8TH SEA MAMMAL
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F S L
|
8TH SEA MAMMAL
|
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|
F S L
|
Between January and December, did you get enough SEA MAMMALS for your needs?................... Y N (circle)
If NO, why did you not get enough SEA MAMMALS for your needs?
Resource__________________________________ Reason_____________________________________________
Resource__________________________________ Reason_____________________________________________
Do the people you share with or receive from (that is, your sea mammal network) change with changes in the availability of these species? Y N (Circle)
If Yes, how does this network change?__________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
LAND MAMMAL HARVESTING
Do you hunt LAND MAMMALS for subsistence?..................................................................................... Y N (circle)
Between January and December, did you USE or TRY TO HARVEST LAND MAMMALS?................. Y N (circle)
If NO, go to the next page. __________________________________________________________________________________________________
If YES, continue on this page…
Please estimate how many LAND MAMMALS you harvested for subsistence this year, including all methods. If hunting with others, report ONLY YOUR SHARE of the harvest. Include LAND MAMMALS you kept, gave away, lost to spoilage, etc.
|
|
HOW MANY UNITS DID YOU HARVEST LAST YEAR? |
|
||||
|
DID YOU HARVEST (_____)? |
2008 HARVEST |
TYPICAL ANNUAL 2000-2007 HARVEST |
TYPICAL ANNUAL 1990-1999 HARVEST |
TYPICAL ANNUAL 1980-1989 HARVEST |
UNITS |
WERE THERE LESS, SAME, OR MORE (____) AVAILABLE IN 2008 THAN IN PAST YEARS |
|
(CIRCLE) |
|
|
|
|
(individuals, lbs) |
(CIRCLE) |
CARIBOU |
Y N |
|
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|
L S M ? |
MOOSE |
Y N |
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|
L S M ? |
BEAVER |
Y N |
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|
L S M ? |
RIVER OTTER |
Y N |
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L S M ? |
GROUND SQUIRREL |
Y N |
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L S M ? |
PORCUPINE |
Y N |
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L S M ? |
WOLVERINE |
Y N |
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L S M ? |
WOLF |
Y N |
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L S M ? |
RED FOX |
Y N |
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L S M ? |
BROWN BEAR |
Y N |
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L S M ? |
ARCTIC HARE |
Y N |
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L S M ? |
WILD CATTLE |
Y N |
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L S M ? |
BISON |
Y N |
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L S M ? |
|
Y N |
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L S M ? |
|
Y N |
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L S M ? |
Last year, did you receive LAND MAMMALS from others? Y N (circle) If Yes, complete page 20.
Last year, did you give LAND MAMMALS away to others? Y N (circle) If Yes, complete page 20.
If No, turn to page 21.
LAND MAMMAL NETWORKS
If you gave away LAND MAMMALS last year, complete PART I. Refer to previous page for species list.
If you received LAND MAMMALS from others, complete PART II.
PART I |
PERSON CODE FOR WHO YOU GAVE TO |
HOW MANY (____) DID YOU GIVE THIS PERSON? |
UNITS/ PRODUCTS |
WOULD YOU SAY THAT AMOUNT WAS A FEW, SOME, OR LOTS? |
|
PART II |
PERSON CODE FOR WHO YOU RECEIVED FROM |
HOW MANY (____) DID YOU RECEIVE FROM THIS PERSON? |
UNITS/ PRODUCTS |
WOULD YOU SAY THAT AMOUNT WAS A FEW, SOME, OR LOTS? |
NAME SPECIES |
00000 |
NUMBER |
IND, GALS, LBS, CASES, JARS, ETC |
(CIRCLE ONE) |
NAME SPECIES |
00000 |
NUMBER |
IND, GALS, LBS, CASES, JARS, ETC |
(CIRCLE ONE) |
|
1ST LAND MAMMAL
|
|
|
|
F S L |
1ST LAND MAMMAL
|
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|
F S L |
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2ND LAND MAMMAL
|
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F S L |
2ND LAND MAMMAL
|
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F S L |
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3RD LAND MAMMAL
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F S L |
3RD LAND MAMMAL
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F S L |
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4TH LAND MAMMAL
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F S L |
4TH LAND MAMMAL
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F S L |
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5TH LAND MAMMAL
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F S L |
5TH LAND MAMMAL
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F S L |
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6TH LAND MAMMAL
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F S L |
6TH LAND MAMMAL
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F S L |
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7TH LAND MAMMAL
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F S L |
7TH LAND MAMMAL
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F S L |
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8TH LAND MAMMAL
|
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F S L |
8TH LAND MAMMAL
|
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|
F S L |
Between January and December, did you get enough LAND MAMMALS for your needs?.............. Y N (circle)
If NO, why did you not get enough LAND MAMMALS for your needs?
Resource______________________________________ Reason___________________________________________
Resource______________________________________ Reason___________________________________________
Do the people you share with or receive from (that is, your land mammal network) change with changes in the availability of these species? Y N (Circle)
If Yes, how does this network change?__________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
BIRD/EGG HARVESTING
Do you harvest BIRDS and EGGS for subsistence? .......................................................................... Y N (circle)
Between January and December, did you USE or TRY TO HARVEST BIRDS and EGGS?.................. Y N (circle)
If NO, go to the next page. ________________________________________________________________________________________________
If YES, continue on this page…
Please estimate how many BIRDS and EGGS you harvested for subsistence this year, including all methods. If harvesting with others, report ONLY YOUR SHARE of the harvest. Include BIRDS and EGGS you kept, gave away, lost to spoilage, etc.
|
HOW MANY UNITS DID YOU HARVEST LAST YEAR? |
|
|||||
DID YOU HARVEST (_____)? |
WINTER DEC - FEB |
SPRING MAR - MAY |
SUMMER JUN-AUG |
FALL SEP - NOV |
SEASON NOT KNOWN |
WERE THERE LESS, SAME, OR MORE (____) AVAILABLE THAN IN PAST YEARS |
|
(CIRCLE) |
|
|
|
|
|
(CIRCLE) |
|
|
|
|
|
|
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|
|
AUKLET |
Y N |
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L S M ? |
PUFFIN |
Y N |
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L S M ? |
CORMORANT |
Y N |
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L S M ? |
MURRE |
Y N |
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L S M ? |
GULL |
Y N |
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L S M ? |
LOON |
Y N |
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L S M ? |
KITTIWAKE |
Y N |
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L S M ? |
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DUCKS |
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EIDER (KING) |
Y N |
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L S M ? |
EIDER (STELLER) |
Y N |
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L S M ? |
SCOTER |
Y N |
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L S M ? |
GOLDENEYE |
Y N |
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L S M ? |
SCAUP |
Y N |
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L S M ? |
MALLARD |
Y N |
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L S M ? |
PINTAIL |
Y N |
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L S M ? |
WIGEON |
Y N |
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L S M ? |
TEAL |
Y N |
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L S M ? |
GADWALL |
Y N |
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L S M ? |
UNKNOWN DUCK |
Y N |
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L S M ? |
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GEESE |
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BRANT |
Y N |
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L S M ? |
EMPEROR GEESE |
Y N |
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L S M ? |
CANADA GEESE |
Y N |
|
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|
L S M ? |
CONTINUE ON THE NEXT PAGE
BIRD/ HARVESTING CONTINUED
|
|
HOW MANY UNITS DID YOU HARVEST LAST YEAR? |
|
||||
DID YOU HARVEST (_____)? |
WINTER DEC - FEB |
SPRING MAR - MAY |
SUMMER JUN-AUG |
FALL SEP - NOV |
SEASON NOT KNOWN |
WERE THERE LESS, SAME, OR MORE (____) AVAILABLE THAN IN PAST YEARS |
|
|
(CIRCLE) |
|
|
|
|
|
(CIRCLE) |
WHITEFRONTED GEESE |
Y N |
|
|
|
|
|
L S M ? |
UNKNOWN GEESE |
Y N |
|
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L S M ? |
|
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SANDHILL CRANE |
Y N |
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L S M ? |
SNIPE |
Y N |
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L S M ? |
PTARMIGAN |
Y N |
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L S M ? |
TUNDRA SWAN |
Y N |
|
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L S M ? |
TERN |
Y N |
|
|
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L S M ? |
KITTIWAKE |
Y N |
|
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L S M ? |
|
Y N |
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|
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|
L S M ? |
UNKNOWN BIRDS |
Y N |
|
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L S M ? |
OTHER |
Y N |
|
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L S M ? |
|
Y N |
|
|
|
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L S M ? |
|
Y N |
|
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L S M ? |
|
Y N |
|
|
|
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|
L S M ? |
|
Y N |
|
|
|
|
|
L S M ? |
Last year, did you receive BIRDS and EGGS from others? Y N (circle) If Yes, complete pages 23 and 24.
Last year, did you give BIRDS and EGGS away to others? Y N (circle) If Yes, complete pages 23 and 24.
If No, turn to page 25.
BIRD/EGG NETWORKS
IF you gave away BIRDS last year, complete PART I. Refer to previous two pages for species list. If you received BIRDS from others, complete PART II.
PART I |
PERSON CODE FOR WHO YOU GAVE TO |
HOW MANY BIRDS DID YOU GIVE THIS PERSON? |
UNITS/ PRODUCTS |
WOULD YOU SAY THAT AMOUNT WAS A FEW, SOME, OR LOTS? |
|
PART II |
PERSON CODE FOR WHO YOU RECEIVED FROM |
HOW MANY BIRDS DID YOU RECEIVE FROM THIS PERSON? |
UNITS/ PRODUCTS |
WOULD YOU SAY THAT AMOUNT WAS A FEW, SOME, OR LOTS? |
NAME SPECIES |
00000 |
NUMBER |
IND, GALS, LBS |
(CIRCLE ONE) |
NAME SPECIES |
00000 |
NUMBER |
IND, GALS, LBS |
(CIRCLE ONE) |
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1ST BIRD SPECIES
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1ST BIRD SPECIES
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CONTINUE ON THE NEXT PAGE...
BIRD/EGG NETWORKS CONTINUED
PART I |
PERSON CODE FOR WHO YOU GAVE TO |
HOW MANY EGGS DID YOU GIVE THIS PERSON? |
UNITS/ PRODUCTS |
WOULD YOU SAY THAT AMOUNT WAS A FEW, SOME, OR LOTS? |
|
PART II |
PERSON CODE FOR WHO YOU RECEIVED FROM |
HOW MANY EGGS DID YOU RECEIVE FROM THIS PERSON? |
UNITS/ PRODUCTS |
WOULD YOU SAY THAT AMOUNT WAS A FEW, SOME, OR LOTS? |
NAME SPECIES |
00000 |
NUMBER |
IND, GALS, LBS |
(CIRCLE ONE) |
NAME SPECIES |
00000 |
NUMBER |
IND, GALS, LBS |
(CIRCLE ONE) |
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1ST EGG SPECIES
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F S L |
1ST EGG SPECIES
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F S L |
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2ND EGG SPECIES
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2ND EGG SPECIES
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3RD EGG SPECIES
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3RD EGG SPECIES
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4TH EGG SPECIES
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4TH EGG SPECIES
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5TH EGG SPECIES
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5TH EGG SPECIES
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6TH EGG SPECIES
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6TH EGG SPECIES
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7TH EGG SPECIES
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10TH EGG SPECIES |
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10TH EGG SPECIES
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Between January and December, did you get enough BIRDS and EGGS for your needs?.................... Y N (circle)
If NO, why did you not get enough BIRDS and EGGS for your needs?
Resource____________________________________ Reason_____________________________________________
Resource____________________________________ Reason_____________________________________________
Do the people you share with or receive from (that is, your bird and network) change with changes in the availability of these species? Y N (Circle)
If Yes, how does this network change?__________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
PLANT HARVESTING
Do you harvest PLANTS for subsistence?.................................................................................................... Y N (circle)
Between January and December, did you USE or TRY TO HARVEST PLANTS? ................................. Y N (circle)
If NO, go to the next page. ________________________________________________________________________________________________
If YES, continue on this page…
Please estimate amounts of PLANTS you harvested for subsistence this year, including all methods. If gathering with others, report ONLY YOUR SHARE of the harvest. Include PLANTS you kept, gave away, lost to spoilage, etc.
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DID YOU HARVEST (_____)? |
HOW MUCH PLANT FOODS DID YOU HARVEST? |
WERE THERE LESS, SAME, OR MORE (____) AVAILABLE THAN IN PAST YEARS |
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(CIRCLE) |
GALS, NOS, OR LBS |
(CIRCLE) |
BLUEBERRIES |
Y N |
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L S M ? |
SALMON BERRIES |
Y N |
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L S M ? |
MOSS BERRIES / BLACK BERRIES |
Y N |
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L S M ? |
CRANBERRIES |
Y N |
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L S M ? |
STRAWBERRIES |
Y N |
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L S M ? |
PUSHKI / COW PARSNIP |
Y N |
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L S M ? |
PETRUSHKI / WILD PARSLEY |
Y N |
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L S M ? |
MUSHROOMS |
Y N |
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L S M ? |
WILD RHUBARB |
Y N |
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L S M ? |
FIREWEED |
Y N |
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L S M ? |
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Y N |
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L S M ? |
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Y N |
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L S M ? |
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Y N |
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L S M ? |
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Y N |
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L S M ? |
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Y N |
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L S M ? |
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Y N |
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L S M ? |
Last year, did you receive PLANTS from others? Y N (circle) If Yes, complete page 26.
Last year, did you give PLANTS away to others? Y N (circle) If Yes, complete page 26.
If No, turn to page 27.
PLANT NETWORKS
IF you gave away PLANTS and/or BERRIES last year, complete PART I. Refer to previous page for species list.
If you received PLANTS and/or BERRIES from others, complete PART II.
PART I |
PERSON CODE FOR WHO YOU GAVE TO |
HOW MUCH PLANTS OR BERRIES DID YOU GIVE THIS PERSON? |
UNITS/ PRODUCTS |
WOULD YOU SAY THAT AMOUNT WAS A FEW, SOME, OR LOTS? |
|
PART II |
PERSON CODE FOR WHO YOU RECEIVED FROM |
HOW MUCH PLANTS OR BERRIES DID YOU RECEIVE FROM THIS PERSON? |
UNITS/ PRODUCTS |
WOULD YOU SAY THAT AMOUNT WAS A FEW, SOME, OR LOTS? |
NAME SPECIES |
00000 |
NUMBER |
IND, GALS, LBS |
(CIRCLE ONE) |
NAME SPECIES |
00000 |
NUMBER |
IND, GALS, LBS |
(CIRCLE ONE) |
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1ST SPECIES
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F S L |
1ST SPECIES
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F S L |
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2ND SPECIES
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F S L |
2ND SPECIES
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3RD SPECIES
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3RD SPECIES
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4TH SPECIES
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4TH SPECIES
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5TH SPECIES
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5TH SPECIES
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6TH SPECIES
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6TH SPECIES
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7TH SPECIES
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7TH SPECIES
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8TH SPECIES
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8TH SPECIES
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9TH SPECIES
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9TH SPECIES
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10TH SPECIES
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10TH SPECIES
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Between January and December, did you get enough PLANTS for your needs?................................... Y N (circle)
If NO, why did you not get enough PLANTS for your needs?
Resource____________________________________ Reason_____________________________________________
Resource____________________________________ Reason_____________________________________________
Do the people you share with or receive from (that is, your plant network) change with changes in the availability of these species? Y N (Circle)
If Yes, how does this network change?__________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
HARVEST LOCATIONS
Please indicate the main harvest locations and the species on the maps
MAP OF Akutan Island, Akun Island, and the bays surrounding them (also has several other smaller island showing with now names) – GRAPHICS TOO BIG TO INCLUDE.
HARVEST LOCATIONS
MAP OF LOCATIONS INCLUDED HERE – GRAPHICS TOO BIG TO INCLUDE.
CREWS
Between JANUARY and DECEMBER, who did you hunt, fish, gather, etc with?
SPECIES & METHOD |
CREW CAPTAIN |
IN WHICH MONTHS WAS THIS CREW HUNTING, FISHING, GATHERING, ETC? |
WHO WERE THE USUAL CREW MEMBERS FOR THE HUNTING, FISHING, GATHERING ACTIVITIES? |
|||||
(e.g. Salmon seine crew) |
(PERSON CODE) |
(circle) |
#1 (PERSON CODE) |
#2 (PERSON CODE) |
#3 (PERSON CODE) |
#4 (PERSON CODE) |
#5 (PERSON CODE) |
#6 (PERSON CODE) |
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J F M A M J J A S O N D |
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J F M A M J J A S O N D |
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J F M A M J J A S O N D |
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J F M A M J J A S O N D |
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J F M A M J J A S O N D |
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J F M A M J J A S O N D |
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J F M A M J J A S O N D |
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J F M A M J J A S O N D |
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J F M A M J J A S O N D |
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J F M A M J J A S O N D |
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J F M A M J J A S O N D |
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J F M A M J J A S O N D |
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J F M A M J J A S O N D |
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Do these crews change from year to year? Y N (Circle)
If yes, what are the reasons?__________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
How do these crews change?__________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
EMPLOYMENT
We ask about jobs and income because we are trying to understand all parts of the local economy. Wage jobs often support subsistence activities.
Between JANUARY and DECEMBER
Did members of your household earn money from a job or self-employment……………… Y N (circle)
If NO, go to the next page. _________________________________________________________________________________________________
If YES, continue on this page…
Please list each job held by you and other household members between JANUARY and DECEMBER. List each job on a separate line. One person may have several lines.
|
WORK SCHEDULE… |
|
||||||||
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WHO HAD THIS JOB? |
WHAT KIND OF WORK DID HE/SHE DO IN THIS JOB? |
FOR WHOM DID HE/SHE WORK IN THIS JOB? |
IN WHICH MONTHS WAS THIS PERSON ABLE TO HUNT, FISH, OR GATHER? |
FULL TIME |
PART TIME |
SHIFT - FULL TIME |
ON CALL, VARIES |
SHIFT - PART TIME |
HOW MUCH DID HE/SHE EARN IN THIS JOB? |
|
(CODE) |
(JOB TITLE) |
(EMPLOYER) |
(CIRCLE MONTHS WORKED) |
(CIRCLE ONE) |
(GROSS INCOME) |
||||
1ST JOB |
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J F M A M J J A S O N D |
FT |
PT |
SF |
OC |
SP |
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2ND JOB |
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J F M A M J J A S O N D |
FT |
PT |
SF |
OC |
SP |
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3RD JOB |
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J F M A M J J A S O N D |
FT |
PT |
SF |
OC |
SP |
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4TH JOB |
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J F M A M J J A S O N D |
FT |
PT |
SF |
OC |
SP |
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5TH JOB |
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J F M A M J J A S O N D |
FT |
PT |
SF |
OC |
SP |
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6TH JOB |
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J F M A M J J A S O N D |
FT |
PT |
SF |
OC |
SP |
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7TH JOB |
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J F M A M J J A S O N D |
FT |
PT |
SF |
OC |
SP |
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8TH JOB |
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J F M A M J J A S O N D |
FT |
PT |
SF |
OC |
SP |
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9TH JOB |
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J F M A M J J A S O N D |
FT |
PT |
SF |
OC |
SP |
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10TH JOB |
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J F M A M J J A S O N D |
FT |
PT |
SF |
OC |
SP |
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List Self-Employment as a separate job and explain the nature of the work in Job Title (sewer, carver, e.g.).
Work schedule is “On Call.”
Work Schedule:
Fulltime = 35+ hours/week
Part-time = <35 hours/week
Shift fulltime = 2 weeks on/2 weeks off, e.g.
On call = irregular hours
Shift part time = part-time regular schedule
OTHER INCOME SOURCES
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DID ANYONE IN YOUR HH RECEIVE INCOME FROM ______ ? |
IF YES, WHO RECEIVED INCOME FROM _____? |
HOW MUCH DID ALL MEMBERS OF YOUR HH RECEIVE FROM _______________ ? |
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HEAD 01 |
HEAD 02 |
PERSON 03 |
PERSON 04 |
PERSON 05 |
PERSON 06 |
PERSON 07 |
PERSON 08 |
PERSON 09 |
PERSON 10 |
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(CIRCLE ONE) |
(IF PERSON RECEIVED THIS KIND OF INCOME, CIRCLE THEIR NUMBER) |
(ADMINIS- TRATOR WILL CALCULATE) |
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DIVIDENDS |
ALASKA PERMANENT FUND DIVIDEND |
Y N |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
$/yr |
|||
NATIVE CORPORATION DIVIDEND |
Y N |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
$/yr |
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JOB BENEFITS |
UNEMPLOYMENT |
Y N |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
$/yr |
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WORKERS' COMPENSATION |
Y N |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
$/yr |
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ASSISTANCE |
FOOD STAMPS |
Y N |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
$/yr |
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ADULT PUBLIC ASSISTANT |
Y N |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
$/yr |
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ELDERS |
PENSION AND RETIREMENT |
Y N |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
$/yr |
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SOCIAL SECURITY |
Y N |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
$/yr |
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CHILD BENEFITS |
SUPPLEMENTAL SECURITY |
Y N |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
$/yr |
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FOSTER CARE* |
Y N |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
$/yr |
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CHILD SUPPORT* |
Y N |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
$/yr |
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ENERGY |
ENERGY ASSISTANCE |
Y N |
NOT AN INDIVIDUAL BENEFIT |
$/yr |
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WEATHERIZATION |
Y N |
NOT AN INDIVIDUAL BENEFIT |
$/yr |
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OTHER (describe) |
Y N |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
$/yr |
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*Payments should be assigned to the primary caregiver, NOT the child.
EXPENSES AND EXPENSE NETWORKS
About how much did you spend on GROCERIES last year? (If given a monthly expense, multiply by 12). $______________per year
Between JANUARY and DECEMBER, did you pay for others’ groceries? Y N (Circle)
If YES, list the most important person first and include people living in the household if relevant.
|
PERSON CODE 01 |
PERSON CODE 02 |
PERSON CODE 03 |
PERSON CODE 04 |
PERSON CODE 05 |
PERSON CODE 06 |
PERSON CODE 07 |
PERSON CODE 08 |
GROCERIES |
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Do the people you help with groceries change from year to year? Y N (Circle)
If yes, what are the reasons?_________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
How do they change?______________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
HOUSEHOLD EXPENSES
For the following household expenses, please tell me how much your household spent on each last year. (If given a monthly expense, multiply by 12)
HOUSING EXPENSES |
||
RENT OR MORTGAGE |
$ |
PER YR |
HEATING FUEL |
$ |
PER YR |
PROPANE |
$ |
PER YR |
ELECTRICITY |
$ |
PER YR |
WATER-SEWER-GARBAGE |
$ |
PER YR |
TELEPHONE |
$ |
PER YR |
CABLE OR SATELLITE TV |
$ |
PER YR |
Between JANUARY and DECEMBER, did you pay others’ household expenses listed above? Y N (Circle)
If YES, list the most important person first and include people living in the household if relevant.
|
PERSON CODE 01 |
PERSON CODE 02 |
PERSON CODE 03 |
PERSON CODE 04 |
PERSON CODE 05 |
PERSON CODE 06 |
PERSON CODE 07 |
PERSON CODE 08 |
HOUSEHOLD EXPENSES |
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Do the people you help with household expenses change from year to year? Y N (Circle)
If yes, what are the reasons?_________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
How do they change?_______________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
SUBSISTENCE EXPENSES
For the following subsistence expenses, please tell me how much you spent on each last year.
SUBSISTENCE SUPPLIES |
||
GASOLINE |
$ |
PER YR |
AMMUNITION |
$ |
PER YR |
OTHER SUPPLIES |
$ |
PER YR |
Between JANUARY and DECEMBER, did you pay others’ SUBSISTENCE EXPENSES listed above?
Y N (Circle)
If YES, list the most important person first and include people living in the household if relevant.
|
PERSON CODE 01 |
PERSON CODE 02 |
PERSON CODE 03 |
PERSON CODE 04 |
PERSON CODE 05 |
PERSON CODE 06 |
PERSON CODE 07 |
PERSON CODE 08 |
SUBSISTENCE SUPPLIES |
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Do the people you help with subsistence expenses change from year to year? Y N (Circle)
If yes, what are the reasons? _________________________________________________________________ __________________________________________________________________________________________
__________________________________________________________________________________________
How do they change? _______________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
Between JANUARY and DECEMBER, what supplies, groceries, and other goods did you bring in from outside your community?
ITEM |
AMOUNT (UNITS) |
FROM WHERE |
VALUE ($) |
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EXPENSES AND EXPENSE NETWORKS CONTINUED
Between JANUARY and DECEMBER, what supplies, groceries, and other goods did you receive from people outside your community?
ITEM |
AMOUNT (UNITS) |
FROM WHERE |
WHO SENT IT (PERSON CODE) |
VALUE ($) |
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Do the people who provide these goods change from year to year? Y N (Circle)
If yes, what are the reasons? ________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
How do they change? _________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
SUBSISTENCE EQUIPMENT AND NETWORKS
Between JANUARY and DECEMBER, did you use subsistence equipment?............................Y N (circle)
If NO, go to the next page.
___________________________________________________________________________________________________________________________________
If YES, continue on this page…
From the following list of equipment, please tell me if you used or owned this equipment, and whether you purchased or repaired this equipment last year.
|
LAST YEAR, DID YOU USE? |
HOW MANY WORKING _______ DID YOU OWN? |
PURCHASES |
MAINTENANCE |
||
HOW MANY DID YOU BUY? |
HOW MUCH WERE YOUR TOTAL PURCHASES |
DID YOU REPAIR? |
HOW MUCH DID PARTS & REPAIRS COST |
|||
(CIRCLE) |
(NUMBER) |
(NUMBER) |
(DOLLARS) |
(CIRCLE ONE) |
(DOLLARS) |
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SKIFF(S) |
Y N |
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$ |
Y N |
$ |
OUTBOARD MOTOR |
Y N |
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$ |
Y N |
$ |
COMMERCIAL > 30' BOAT(S) |
Y N |
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$ |
Y N |
$ |
VESSEL INSURANCE |
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$ |
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SETNET SITE LEASE |
Y N |
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$ |
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SNOW MOBILE(S) |
Y N |
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$ |
Y N |
$ |
ATVS, 4-WHEELERS |
Y N |
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$ |
Y N |
$ |
CAR(S) OR TRUCKS(S) |
Y N |
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$ |
Y N |
$ |
OTHER (________________) |
Y N |
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$ |
Y N |
$ |
Who owned the equipment you used for subsistence between JANUARY and DECEMBER?
(Please list the most important people first, including yourself and those living in your household.)
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PERSON CODE 01 |
PERSON CODE 02 |
PERSON CODE 03 |
PERSON CODE 04 |
PERSON CODE 05 |
PERSON CODE 06 |
PERSON CODE 07 |
PERSON CODE 08 |
SKIFF(S) |
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COMMERCIAL > 30' BOAT(S) |
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SNOW MOBILE(S) |
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ATVS, 4-WHEELERS |
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CAR(S) OR TRUCKS(S) |
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OTHER (________________) |
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Do the people who loan you their equipment change from year to year? Y N (Circle)
If yes, what are the reasons? __________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
How do they change? _______________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
HOUSEHOLD SUPPORT NETWORKS
Between JANUARY and DECEMBER, from whom did you get information? Please list the most important people first, including those living in your household and yourself.
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PERSON CODE 01 |
PERSON CODE 02 |
PERSON CODE 03 |
PERSON CODE 04 |
PERSON CODE 05 |
PERSON CODE 06 |
PERSON CODE 07 |
PERSON CODE 08 |
FISHING INFORMATION |
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HUNTING INFORMATION |
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FINANCIAL INFORMATION (jobs, grants, etc) |
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SHIPPING AND ORDERING INFORMATION |
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TRAVEL INFORMATION |
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From this list of things people might do for your household, who did these things for you between JANUARY and DECEMBER? Please list the most important people first, including those living in your household and yourself.
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PERSON CODE 01 |
PERSON CODE 02 |
PERSON CODE 03 |
PERSON CODE 04 |
PERSON CODE 05 |
PERSON CODE 06 |
PERSON CODE 07 |
PERSON CODE 08 |
BUILT, ASSISTED IN PURCHASING, OR REPAIRED SUBSISTENCE EQUIPMENT |
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BUILT, ASSISTED IN PURCHASING, OR REPAIRED COMMERICAL EQUIPMENT SOMETIMES USED FOR SUBSISTENCE |
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COOKED & CLEANED FOR YOUR HOUSEHOLD |
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WATCHED CHILDREN FOR YOUR HOUSEHOLD |
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Do the people who help you in the ways listed above change from year to year? Y N (Circle)
If yes, what are the reasons? __________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
How do they change? _______________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
Between JANUARY and DECEMBER who in your community had a positive influence on community life (meaning they changed things for your community for the better)? Please list the most important people first, including those living in your household and yourself.
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PERSON CODE 01 |
PERSON CODE 02 |
PERSON CODE 03 |
PERSON CODE 04 |
PERSON CODE 05 |
PERSON CODE 06 |
PERSON CODE 07 |
PERSON CODE 08 |
POSITIVE INFLUENCE ON COMMUNITY LIFE |
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REASONS:
OIL AND GAS DEVELOPMENT
Do you support the offshore oil/gas development project near your community? Y N (Circle)
Why or why not? ___________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Please indicate any advantages and disadvantages you anticipate with your areas’ oil/gas development and give your reason. List others as necessary.
POTENTIAL IMPACTS |
INCREASE |
DECREASE |
NO CHANGE |
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IS THIS A POSITIVE? |
IS THIS A NEGATIVE? |
REASON |
Jobs for local people |
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Village economy |
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Energy costs |
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Village population (local) |
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Village population (non-local) |
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Business opportunities |
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Quality of life |
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Subsistence access |
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Social problems |
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OIL AND GAS DEVELOPMENT
This map models the leading scenario for oil and gas development in the area closest to where you reside. This is believed to be a gas rich deposit. The oil must be extracted first using the gas to pressurize it. A pipeline is expected to cross the peninsula to a terminal in Balboa Bay. Tanker traffic is expected to be confined to the Pacific side. Given this scenario, please answer the following questions.
Located here is a map showing/listing town/fishing port: former village; national wildlife refuse; offshore drilling and production platforms; liquid natural gas (LNG terminal) goes here. Graphics are too large to include in document.
Do you subsistence harvest in the areas along the proposed pipeline corridor or in Balboa Bay?
Y N (Circle)
Of the top ten species your household consumes, are any of them harvested in these areas?
Y N (Circle)
If yes, which species? _______________________________________________________________________
If there was a pipeline or terminal in these areas, would this affect your harvest of these key species?
Y N (Circle)
How?_____________________________________________________________________________________
Do you get these resources from another source? Y N (Circle) If yes, where or from whom?
__________________________________________________________________________________________
Do you expect to be employed in this development project? Y N (Circle)
From the information you have provided about the people you share with and/or rely upon, do you expect any of them to be employed in this development project? Y N (Circle)
You have provided information about your sharing and harvesting activities with subsistence foods, cash expenses, groceries and other goods, equipment, labor and information that involve a certain set of people. This is your social network or networks. How stable is this network, that is, how likely is this group to change in the near future? Why or why not? __________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
WILDLIFE HEALTH
We are interested in knowing any changes in WILDLIFE HEALTH, good and bad. Please name a resource and describe the change.
FISH, GAME OR PLANT |
WHAT WAS WRONG WITH THEM? Or WHAT IMPROVED FOR THEM? |
HOW MANY WERE OR HOW MUCH WAS AFFECTED? |
LOCATION WHERE YOU OBSERVED THIS CHANGE |
HAVE YOU SEEN THIS PROBLEM IN PAST YEARS? |
(RESOURCE) |
(DESCRIBE THE SYMPTOM) |
(NUMBER, GALS, ESTIMATE ETC) |
(PLACE) |
(CIRCLE ONE) |
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Y N |
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Y N |
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Y N |
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Y N |
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Y N |
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Y N |
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Y N |
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Y N |
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Y N |
ADDITIONS AND NOTES
Do you have any additional questions, comments, or concerns? ________________________________________________________________________________________________
__________________________________________________________________________________________________________
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Interview Notes
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RECORD STOP TIME ON FIRST PAGE.
CODE WORKSHEET
If people not yet coded are named on the genealogy or network pages, keep track of their codes on this page. Use the same code each time he or she is mentioned in the study.
CODE USED IN THIS STUDY |
PERSON’S NAME (For coding purposes only, NOT to be entered into the database) |
COMMUNITY (Where the person currently lives) |
NEW CODE (Entered after all studies are completed) |
RELATIONSHIP TO STUDY RESPONDENT |
M/F |
AGE |
COMMENTS |
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File Type | application/msword |
File Title | INFORMED CONSENT |
Author | blundonc |
Last Modified By | blundonc |
File Modified | 2009-09-02 |
File Created | 2009-09-02 |