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pdfOMB Control No. 1018-XXXX
Expires XX/XX/2013
Survey Questions for Nonrespondents
1. What activities did you participate in during your most recent visit to this Refuge? (please mark all that apply)
 Hunting
 Boating (including canoes / kayaks)
If you marked hunting, please mark what type below.
___ Big game ___ Small game ___ Waterfowl
 Fishing
 Environmental education (for
example, classrooms or labs, tours)
 Photography
 Interpretation (for example, exhibits,
kiosks, videos)
 Hiking
 Wildlife observation
Please mark if you were bird-watching.
___ Bird watching
 Bicycling
 Auto Tour Route/Driving
 Special event (please
specify) _______________
______________________
 Other (please specify)
______________________
 Other (please specify)
______________________
2. From the list of activities above, what was the primary purpose of your most recent visit to this Refuge?
(please write only one activity on the line). __________________________________________
3. If you or a member of your group paid a fee or used a pass to enter this Refuge, in your opinion, how appropriate
was the fee?
 Far too low
 Too low
 About right
 Too high
 Far too high
 Did not pay a fee
4. Before you were contacted to participate in this survey, were you aware that National Wildlife Refuges… (please
mark one answer for each item below)
…were managed by the U. S. Fish and Wildlife Service?
…have the primary mission of protecting and improving fish, wildlife and their habitat?
 Yes
 Yes
 No
 No
5. Please indicate whether you disagree or agree with the following statement. (please mark only one)
This Refuge does a good job of conserving fish, wildlife, plants and their habitats.
 Strongly disagree
 Disagree
 Neither agree or
disagree
 Agree
 Strongly agree
6. In what year where you born? _______ (YYYY)
PAPERWORK REDUCTION ACT STATEMENT: The Paperwork Reduction Act requires us tell you why we are collecting this information, how we will
use it, and whether or not you have to respond. The information that we collect in this survey will help us understand visitor satisfaction with and use of
national wildlife refuges and to make sound management and policy decisions. Your response is voluntary. An agency may not conduct or sponsor and you
are not required to respond to a collection of information unless it displays a valid OMB Control Number. We estimate it will take an average of 5 minutes
to complete this survey. You may send comments concerning the burden estimate or any aspect of the survey to the Information Collection Clearance
Officer, Fish and Wildlife Service, 4401 North Fairfax Drive, MS 222–ARLSQ, Arlington, VA 22203.
| File Type | application/pdf | 
| File Title | Microsoft Word - Nonresponse Bias Check Survey.doc | 
| Author | HGrey | 
| File Modified | 2010-02-02 | 
| File Created | 2010-02-02 |