For Camping and Day-use Recreation
(Personal Interview or Mail Survey)
OMB 0710-0001
Expires: 30 September 2012
The public report burden this information collection is estimated to average 5 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.
Thank You !
Your thoughtful feedback today will help
make future visits here more enjoyable and worthwhile for everyone.
Are you interested in learning more about recreation opportunities on Corps of Engineers lakes?
Visit our website at www.CorpsLakes.us
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Visitor Comment CardFor
Camping and Day-use Recreation
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OMB Approval 0710-0001, Exp. 30 Nov 2009 |
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Scheduled Survey: |
Other Protocols: |
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Day-Use |
Solicited |
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Camping |
Self-Service |
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All Visitors |
Other |
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Please help us serve you better on future visits to: |
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Today's Date: ____/____/_______ |
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(MM DD YYYY) |
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Recreation Area:_______________________________________ |
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Project: _______________________________________________
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Previous visits to this recreation area:
1. Is this your first visit to this recreation area? (Choose one) Yes No Not Sure
2. If not, how many other times have you visited this area in the last 12 months? (Enter number)
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Use of park facilities at this area: Did you do any of the following at this recreation area during your current visit? (Check all that apply)
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Visitor fees:
During your current visit:
1 Did you use an annual pass or a senior or disability discount pass to offset the fees charged at this area? (Choose one) Yes No Not Sure
2. Did you pay a fee to enter or use this area? (Choose one) Yes No Not Sure
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About yourself:
(Choose one for each item) 2. You live in: U. S. Canada Mexico Other
3. Age: Under 25 25-44 45-61 62+
4. Gender: Female Male
5. Ethnic affiliation: Hispanic or Latino Not Hispanic or Latino
6. Racial affiliation:
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Please indicate your level of satisfaction with each of the following items: (Check one box for each item)
Item |
Very Good |
Good |
Not Good Not Poor |
Poor |
Very Poor |
Does Not Apply |
Facilities: |
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Suitability of park facilities for my recreational equipment and activities |
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Restroom cleanliness and availability of conveniences |
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Appearance of park grounds |
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Adequacy of signs providing directions and information |
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Parking space availability during this visit |
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Condition of roads and parking areas in the park |
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Employees: |
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Availability of park rangers and staff |
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Helpfulness of park rangers and staff |
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Environmental Setting: |
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Attractiveness of surrounding scenery and landscape |
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Quality of land and water resources for my activities |
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Overall: |
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Waiting times needed to access park facilities and services |
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Feeling of safety and security in the park |
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Value received for any visitor fees paid |
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Overall satisfaction with my visit to this area |
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What
did you like most
about this area? (Describe)
What
improvements would
you like to see in this area? (Describe)
File Type | application/msword |
File Title | OMB Approval 0710-001, Exp xxxxxxx |
Author | Christine Wibowo |
Last Modified By | Stuart A. Davis |
File Modified | 2009-05-21 |
File Created | 2009-05-19 |