Corps of Engineers Civil Works Questionnaires Generic Clearance

LAKE VISITOR SURVEY

(Personal Interview)

OMB 0710-0001

Expires: 30 September 2012

The public report burden for this information collection is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this data collection, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management Division, and the Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, D.C. 20503, Attn.: Desk Officer for U.S. Army Corps of Engineers. Respondents should be aware that notwithstanding any other provision of law, 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. Please DO NOT RETURN your completed form to either of these offices.

LAKE VISITOR SURVEY	Q. NO. OMB NO. Expires
Date Time Interviewer Location	Gender of Respondent (CIRCLE): Male Female
Hello, my name is __________________. We are conducting a survey to help the Corps of Engineers learn more about your visits here and how your visits might be improved. Could I take a few minutes of your time to ask you about your experiences at (name) Lake today?
IF REFUSE TO PARTICIPATE, NOTE REASON:

1. How many years have you been coming to (name) Lake? ________ Years

2. About how many weekend days and weekdays did you visit _______________Lake in (year)?

WEEKEND DAYS IN (year) __________

WEEKDAYS IN (year) ____________

3. What time did you arrive at the lake today? AM/PM

4. What time will you leave the lake today? AM/PM

5. Did you do any boating on (name) Lake today? _____ YES _____ NO

(IF NO, GO TO QUESTION 12 ON PAGE 2)

6. What type(s) of boat did you use on the lake today (CHECK ALL THAT APPLY)

( ) Runabout/Speedboat ( ) House boat

( ) Ski boat ( ) Cabin cruiser

( ) Fishing boat/bass boat ( ) Row boat/canoe

( ) Pontoon boat ( ) Sailboat/Sailboard

( ) Personal watercraft ( ) Other __________

7. DO you own DID you rent, or DID YOU BORROW the boat used today?

_____ OWN _____ RENTED _____BORROWED

(IF More than One Boat Used, Answer for the Boat Used Most Often)

8. How many years have you been boating? _____ YEARS

9. Which of these activities did you participate in while boating today?

(HAND BOATER ACTIVITY LIST AND CHECK THOSE THAT APPLY)

_____ Fishing _____ Swimming from boat

_____ Water Skiing _____ Relaxing/Sunning from boat

_____ Rafting w/other boats _____ Other activities (Please Describe:)

___________________________

10a. Did you experience or see any unsafe conditions while boating on _______________ Lake today? _____ YES _____ NO

10b. (IF YES) Please describe those conditions.

_____________________________________________________________________

11a. Did you avoid any parts of (name) Lake while boating today?

_____ YES _____ NO

11b (IF YES) What parts did you avoid and why?

_____________________________________________________________________

FROM QUESTION 5

12. Was there anything that detracted from your visit today? (PROBE: AIs there anything else that might have bothered you?”

13. What specific kinds of THING(s) detracted from your visit and made your trip less enjoyable? Was it . . . (CHECK ALL THOSE THAT APPLY)

_____ Noise?

_____ A disruption of boating?

_____ That you had to avoid (NAME AREA)?

_____ Was it that you were afraid of a collision?

_____ Seeing Others?

Other Complaints:

14. Where were you when the thing(s) that detracted from your enjoyment occurred? (CHECK ALL LOCATIONS THAT APPLY)

_____ On lake _____ Boat launch

_____ Picnic area _____ Campground

_____ Beach _____ Other location:

15. [REFER RESPONDENT TO SCALE ON CARD]

How often today did you hear (SOURCE OF NOISE)? (CIRCLE NUMBER)

NEVER ONCE OCCASIONALLY OFTEN VERY OFTEN

(0) (1) (2) (3) (5)

16. Did hearing (SOURCE OF NOISE)... (CIRCLE NUMBER)

1. DETRACT from your enjoyment?

2. ADD to your enjoyment?

or 3. NEITHER ADD NOR DETRACT from your enjoyment?

17. [REFER RESPONDENT TO SCALE ON CARD]

How often today did you SEE (NAME THING IMPACTING ENJOYMENT)?

(CIRCLE ONE NUMBER)

NEVER ONCE OCCASIONALLY OFTEN VERY OFTEN

(0) (1) (2) (3) (5)

18. Did seeing (THING IMPACTING ENJOYMENT)... (CIRCLE ONE NUMBER)

1. DETRACT from your enjoyment?

2. ADD to your enjoyment?

or 3. NEITHER ADD NOR DETRACT from your enjoyment?

19. Where is your permanent home?

/ /

CITY STATE ZIP

20. [Ask if STATE is state where Project is located.]

Is the place of your permanent home on Lake (PROJECT LAKE)?

_____ YES _____ NO

21. Are there any additional comments you would like to make concerning (PROJECT) Lake?

THANK YOU FOR YOUR COOPERATION!

5