Participant Survey - Telephone

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY

PARTICIPATION SURVEY
PHONE SURVEY
/

/ALL EXCEPT CALLBACKS FOR USERS SELECTED AT NEEDXFR (NEEDXFR=3)/

INTRO1Hello, my name is [full name]. I’m calling on behalf of the United States Coast
Guard. I’m conducting a poll about recreation in the United States.
[IS RESPONDENT CONTINUING WITH THE INTERVIEW?]

[IF NECESSARY: “This is not a sales call. I have nothing to sell either now or later. This
is an important survey about your opinions.”]
[IF NECESSARY: “Your number was selected randomly by a computer.”]
[IF NECESSARY: “We are looking to speak with people with a wide range of boating
experiences.”]
[IF NECESSARY: “This survey is about safety for everyone who participates in
recreational boating.”]

/
/

01

YES

02

NO

/IF INTRO1=01/
/IF RESPONDENT IS CONTINUING WITH THE INTERVIEW/

CELL1. Is this a cell phone?

/
/

01

YES

02

NO

97

DON’T KNOW

99

REFUSED

/IF CELL1=01/
/IF RESPONDENT IS USING A CELL PHONE/

CELL2. Your safety is important to us. Are you driving a car or other vehicle right now?
01

YES

02

NO

97

DON’T KNOW

99

REFUSED

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
/
/
/
/

/IF CELL2 =01, 97, 99 THEN TERMINATE/
/SET UNSCHEDULED CALLBACK/
/IF CELL2=02/
/IF RESPONDENT IS NOT DRIVING A CAR/

AGEQUAL. Are you at least 16 years of age?

/
/
/
/

01

YES

02

NO

97

DON’T KNOW

99

REFUSED

/IF AGEQUAL=02, 97, 99THEN TERMINATE/
/SET TERMTYPE=AGE/
/IF AGEQUAL=01/
/IF RESPONDENT IS AT LEAST 16 YEARS OF AGE/

INFO. You are eligible to be interviewed. I won't ask for your name, address, or other
personal information that can identify you. You don’t have to answer any question you
don’t want to, and you can end the interview at any time. The interview will take about 5
minutes. The United states Coast Guard is doing this survey to help make Americans
safer.
Any information you give me will be kept private, to the extent permitted by law. If you
have any questions about this survey, I will provide a telephone number for you to call to
get more information.
This interview may be monitored or recorded.
[Is respondent continuing with the interview?]

/
/

01

YES

02

NO

/IF INFO=02 THEN TERMINATE AND/
/SET TERMTYPE=CONSENT/

HOUSEHOLD PARTICIPATION
/
/

/IF INFO=01/
/IF RESPONDENT IS CONTINUING WITH THE SURVEY/

BT1 In this survey, we’re interested in time people spent on recreational boats. That
means boats that aren’t used for purposes that make money. When I ask you about time
spent on boats, please think about recreational boats. This could include boats that are
rented—such as canoes—or boats that are privately owned by you or someone else.
For this question, please think about all time in recreational boats both on the water and
when the boat was docked.
An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY

[IF NECESSARY: “Even if you do not boat, your responses are important. The survey is
very short.”]
Did you or anyone else in your household spend any time on recreational boats during
[year]?
[IF NECESSARY: “We are asking about all people who have lived in your house in the
past year, whether they still reside there or not.”]

/
/

01

YES

02

NO

97

DON’T KNOW

99

REFUSED

/IF INFO=01/
/IF RESPONDENT IS CONTINUING WITH THE SURVEY/

BS1 Do you, or does anyone in your household own any boats? Please include canoes,
kayaks, inflatable boats, and personal watercraft.
01 YES
02 NO
97 DON’T KNOW
99 REFUSED
/
/
/

/
/

/IF INFO=01/
/IF RESPONDENT IS CONTINUING WITH THE SURVEY/

BT2

Did you or anyone else in your household fish from a boat during [year]?

01

YES

02

NO

97

DK

99

REFUSED

/IF INFO=01/
/IF RESPONDENT IS CONTINUING WITH THE SURVEY/

BT3

Did you or anyone else in your household use a kayak or canoe during [year]?

01

YES

02

NO

97

DON’T KNOW

99

REFUSED

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
END HOUSEHOLD PARTICIPATION
HOUSEHOLD PARTICIPANT ENUMERATION
/
/
/

/IF INFO=01/
/IF RESPONDENT IS CONTINUING WITH THE SURVEY/
/RANGE=1-30/

PN
Including yourself, how many total people lived in your household at any time
during [year]?
__

RECORD NUMBER 1-30

97

DON’T KNOW

99

REFUSED

DEMOGRAPHICS
/
/

/IF INFO=01/
/IF RESPONDENT IS CONTINUING WITH THE SURVEY/

P1SEX
[ASK ONLY IF NECESSARY] To make sure the survey represents
everyone, I need to ask. What is your gender?

/
/
/

01

MALE

02

FEMALE

97

DON’T KNOW

99

REFUSED

/IF INFO=01/
/IF RESPONDENT IS CONTINUING WITH THE SURVEY/
/RANGE-18-95/

P1AGEA

/
/

What is your age?

__

ENTER AGE 18-95

95

OVER AGE 95

97

DON’T KNOW

99

REFUSED

/IF P1AGEA=97, 99/
/IF RESPONDENT DOES NOT GIVE THEIR AGE/

P1AGEB

Which of the following categories includes your age?

01

18 to 24

02

25 to 34

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY

03

35 to 44

04

45 to 54

05

55 to 64

06

65 and over

97 DON’T KNOW
99 REFUSED
/
/

IF BT1=1 OR BT2=1 OR BT3=1 THEN ANYBOAT =1
/IF ANYBOAT=1/

P1BTA
In [year], was there any day when you went out on the water in a
recreational boat? We are asking only about your participation in boating.
[IF NECESSARY: “Remember that recreational boating includes boating in kayaks and
canoes and fishing from boats.”]
[IF NECESSARY: “We’re interested in days when you personally were on the boat.”]

/

01

YES

02

NO

97

DON’T KNOW

99

REFUSED

/IF ANYBOAT=1 AND IF ANY (USEPWR USESAIL USEOTH)=1

P1DOCKA In [year], was there any day when you spent more than an hour on a
recreational boat while it was not on the open water?
[IF NECESSARY: “Working on the boat, socializing, or doing any other activity while
the boat was docked.”]
[IF NECESSARY: “We’re interested in days when you personally were on the boat.”]
01

YES

02

NO

97

DON’T KNOW

99

REFUSED

MODULE: LIFETIME PARTICIPATION
/
/

/IF P1BTA NE 01 AND P1DOCKA NE 01/
/IF RESPONDENT HAS NOT GONE OUT ON A BOAT IN OPEN WATER AND NOT ON
SPENT TIME WHILE DOCKED/

P1LT Have you ever participated in recreational boating?
01

YES

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
02

NO

97

DON’T KNOW

99

REFUSED

END MODULE: LIFETIME PARTICIPATION
/
/

/IF PN>1/
/IF MORE THAN ONE PERSON LIVED IN THE HOUSEHOLD DURING THE REFERENCE
PERIOD/

Please tell us about the other [If PN=2 THEN “person” ELSE IF PN>2 “people”] who
lived in your household during [year] and whether they have boated.
/
/

/IF PN>2/
/IF MORE THAN TWO PEOPLE LIVED IN THE HOUSEHOLD DURING THE REFERENCE
PERIOD/

To make it easy, I’ll ask about the people in your household from youngest to oldest.
DEMOGRAPHICS

/
/
/
/
/
/

/
/
/
/
/

/BEGIN DEMOGRAPHICS LOOP
/START COUNTER AT 2/
/WHILE COUNTER<=PN/
/VARIABLE NAMES ARE P2X-PNX AS IN P2SEX-P4SEX/

/LOOP THROUGH GENDER/AGE FOR EVERYONE./
IF PN=2 THEN ‘IDENTIFIER’ IS ‘THE OTHER PERSON IN YOUR HOUSEHOLD’
ELSE IF COUNTER=2‘IDENTIFIER’ IS ‘THE YOUNGEST PERSON IN YOUR
HOUSEHOLD’
ELSE IF COUNTER>2 AND COUNTER1 AND BTN<97
IF THERE IS MORE THAN ONE BOAT

I’ll ask the next few questions about each of your boats. We’ll start with the longest and
go to the shortest.
/

FOR EACH BOAT 1-BTN

CATX

What type of boat is [identifier]? Is it…

01

A powerboat,

02

A sailboat,

03

A personal watercraft such as a jetski,

04

Canoe,

05

Kayak, or

06

Something else?

97

DON’T KNOW

99

REFUSED

[IF NECESSARY: “A power boat refers to a boat of any size powered by a motor”]
/
/

/IF CATX =01/
/IF RESPONDENT HAS A POWERBOAT/

TPpX
01

Is it…
a cabin motorboat

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY

02

a jet boat

03

an open motorboat

04

a pontoon boat

05

a houseboat

06

an airboat

97

DON’T KNOW

99

REFUSED

/
/

/IF CATX=02/
/IF RESPONDENT HAS A SAILBOAT/

TPSX

Is it…

01

An auxiliary motor sailboat, or

[IF NECESSARY: “A sailboat with a motor”]
02
/
/

a sail only sailboat
/IF CATX=06/
/IF RESPONDENT HAS A DIFFERENT KIND OF BOAT/

TPOX

Is it…

01

a rowboat, or

02

an inflatable

03

NEITHER

97

DON’T KNOW

99

REFUSED

BOAT USAGE
/
/

FOR EACH BOAT 1 TO BTN/
/RANGE 1-179/

USE_X From October through December last year, was the boat used at all?
IF NECESSARY: days that anyone in your household used the boat.
01 YES
02 NO
97 DK
99 REF

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
/
/

IF USE_X>0
IF IT WAS USED IN Q4 2010

USEFREQ1_X How many days in October?
ENTER RESPONSE
997 DON’T KNOW
999 REFUSED
/
/

IF USE_X>0
IF IT WAS USED IN Q4 2010

USEFREQ1_X How many days in November?
ENTER RESPONSE
997 DON’T KNOW
999 REFUSED
/
/

IF USE_X>0
IF IT WAS USED IN Q4 2010

USEFREQ1_X How many days in December?
ENTER RESPONSE
997 DON’T KNOW
999 REFUSED
/
/
/

/IF USE_X=1/
/IF THE BOAT WAS USED IN Q4 2010/
RANGE=1-24/

EXPTIME_X On an average day the boat was used in October, November or
December last year, how many hours did you go out on the boat?
IF NECESSARY: Anyone in your household.
ENTER RESPONSE
997 DON’T KNOW
999 REFUSED
/
/
/

/IF USE_X=1/
/IF THE BOAT WAS USED IN Q4 2010/
RANGE=1-20/

EXPPPL_X On an average day the boat was used in October, November or
December last year, how many people were aboard the boat?
IF NECESSARY: When anyone in your household was on the boat
ENTER RESPONSE

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
997 DON’T KNOW
999 REFUSED

END EXPOSURE MODULE

SURVEY OF AN INDIVIDUAL PARTICIPANT
/
/
/
/
/
/
/
/

AMONG HOUSEHOLD MEMBERS WHERE
PNDOCKA=1 OR PNBTA=1
AND
PNAGEA>=16 OR PAGEB IN (4,5,6,7,8,9)
AND
PNSEX NE 97, 99
RANDOMLY SELECT ONE AND MAKE IDENTIFIER= “THE PNSEX AGED
[PNAGEA OR PNAGEB] YEARS”
IF THERE ARE NO ELIGIBLE RESPONDENTS, SKIP TO END AND
SELECTED=0

ISYOU
I need to talk to the [identifier] to complete the rest of the survey. Is that you?
[IF NECESSARY: “we randomly select one boating household member to complete the
survey to make sure everyone is surveyed equally.”]
01

YES

02

NO

97

DON’T KNOW

99

REFUSED
/
/

/IF ISYOU IN (01,97,99) THEN GO TO USERINTRO2/
/IF ISYOU=02 REQUEST TRANSFER BELOW/

NEEDXFR
Can you transfer me to [if SELECTEDSEX=1 then “him”, else “her”]?
01 SUCCESSFUL TRANSFER
02 REFUSE TO TRANSFER
03 CALLBACK TO COMPLETE
/

/IF INTRO2=CALLBACK AND SELECTED=0/

XFRNUM. Is there a better number I can call [if SELECTEDSEX=1 then “him”, else
“her”] at?
01 YES—RECORD NUMBER

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
02

NO

97

DON’T KNOW

99

REFUSED
/
/

/IF INTRO2=CALLBACK AND SELECTED=0/
/SET NAME IN SAMPLE FOR CALLBACKS/

XFRNAME. Can you give me a name to ask for when I call back to speak to [if
SELECTEDSEX=1 then “him”, else “her”]?
[IF NECESSARY: “I just need a first name or some initials. Anything that will allow me
to ask for the right person when I call back.”][IF NECESSARY: “The survey is
completely confidential and anonymous. We won’t use any information like your name
for any purpose other than contacting you to complete the survey. “]
01 RECORD NAME—SCHEDULE CALLBACK
99 REFUSED
/
/
/

/IF NEEDXFR=03 THEN SCHEDULE CALLBACK. CALLBACK START ON
INTRO1B/
/IF NEEDXFR IN (01,03)/
/IF SUCCESSFUL TRANSFER OR CALLBACK/

INTRO1b
[If XFRNAME ne “”: “Hello, may I please speak with [XFRNAME]?”]. My name is [full
name]. I’m calling on behalf of the United States Coast Guard. I’m conducting a poll
about recreation in the United States.
[IS RESPONDENT CONTINUING WITH THE INTERVIEW?]
01. YES
02. NO

[IF NECESSARY: “We recently called and spoke with someone else in your home about
this survey. You were randomly selected to participate.”]
[IF NECESSARY: “This is not a sales call. I have nothing to sell either now or later. This
is an important survey about your opinions.”]
[IF NECESSARY: ‘Your number was selected randomly by a computer.”]
/
/

/IF INTRO1B=01/
/IF RESPONDENT IS CONTINUING WITH INTERVIEW/

CELL1b. Is this a cell phone?
01

YES

02

NO

97

DON’T KNOW

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
99

REFUSED
/
/

/IF CELL1B=01/
/IF IT IS A CELL PHONE/

CELL2b. Your safety is important to us. Are you driving a car or other vehicle right
now?
01

YES

02

NO

97

DON’T KNOW

99

REFUSED
/
/
/
/

/IF CELL2B IN (01,97,99) THEN TERMINATE/
/SET UNSCHEDULED CALLBACK/
/IF INTRO1B=01/
/IF RESPONDENT IS CONTINUING WITH INTERVIEW/

AGEQUALb. Are you at least 16 years of age?
01

YES

02

NO

97

DON’T KNOW

99

REFUSED
/
/
/
/

/IF AGEQUALB IN (02, 97, 99) THEN TERMINATE/
/SET TERMTYPE=AGEUSER/
/IF INTRO1B=01 /
/IF RESPONDENT IS CONTINUING WITH INTERVIEW/

INFOb.. You are eligible to be interviewed. I won't ask for your name, address, or other
personal information that can identify you. You don’t have to answer any question you
don’t want to, and you can end the interview at any time. The interview will take about 5
minutes. The United States Coast Guard is doing this survey to help make Americans
safer.
Any information you give me will be kept private, to the extent permitted by law. If you
have any questions about this survey, I will provide a telephone number for you to call to
get more information.
This interview may be monitored or recorded.
[Is respondent continuing with the interview?]
01

YES

02

NO

01.

YES

02. NO

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
/
/

/IF ISYOU IN (01, 97, 99) OR INFOB=01 THEN SELECTED=1/
/IF ISYOU IN (01,97,99)/

USERINTRO In this survey, we’re interested in time people spent on recreational
boats. That means boats that aren’t used for purposes that make money. When I ask you
about time spent on boats, please think about recreational boats. This could include boats
that are rented—such as canoes—or boats that are privately owned by you or someone
else.

/
/
/

/IF ISYOU IN (01,97,99) THEN BT=P1BOATA/
/IF INFOB=01/
/IF RESPONDENT IS CONTINUING WITH INTERVIEW/

BT
For this question, please think about all time in recreational boats both on the water and
when the boat was docked.
In [year], was there any day when went you out on the water in a recreational boat?
01

YES

02

NO

97

DON’T KNOW

99

REFUSED
/
/
/

/IF ISYOU IN (01,97,99) THEN DK=P1DOCKA/
/IF INFOB=01/
/IF RESPONDENT IS CONTINUING WITH INTERVIEW/

DocK
In [year], was there any day when [identifier] spent more than an hour on a
recreational boat while it was docked?
IF NECESSARY: when you were not preparing to launch the boat

/

01

YES

02

NO

97

DON’T KNOW

99

REFUSED
/
/

/IF BT NE 01 AND DOCK NE 01 THEN THANK AND TERMINATE/
/SET TERMTYPE=NOUSERBT/
IF BT=1 THEN SAY/

The next questions are about all of your experiences on recreational boats in [reference
period].
An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
/
/
/
/

/BTTYPES=COUNTIF (USEAB-USESL=1)/
/IF USERTRIP=1/
/MULTIPUNCH/
/BOATCATS COUNTOF (USEPWR-USEOTH)/

During [reference period], in what types of boats did you go out on the water? Did you go
out on …
USEPWR

A power boat,

USESAIL

A sailboat,

USEPWC

A personal watercraft such as a jetski,

USECN

A canoe,

USEKY

A kayak, or

USEOTH

Something else?

USEDK

DON’T KNOW

USERF

REFUSED

[IF NECESSARY: “A power boat refers to a boat of any size powered by a motor”]
/
/

/IF USEPWR=01/
/MULTIPUNCH/

In which of the following types of power boats did you go out on the water in [reference
period]? Did you go out on…
USECM

Any cabin motorboats

USEJB

Any jet boats

USEOM

Any open motorboats

USEPTN

A pontoon boats

USEHB

Any houseboats

[IF NECESSARY: “We mean time on a houseboat when it was actually in transit on the
water.”]
USEAB

Any airboats

USEDKN

DON’T KNOW

USERFD

REFUSED

[IF NECESSARY: “an open motor boat refers to a power boat without a cabin, including
boats canopied or fitted with temporary partial shelters.”]

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
/
/

/IF USESAIL=01/
/MULTIPUNCH/

In which of the following types of sail boats did you go out on the water in [reference
period]. Did you go out on…
USEAX

Any auxiliary motor sail boat

[IF NECESSARY: “A sailboat with a motor”]
USESL

/
/

Any sail only boat

USEDDK

DON’T KNOW

USDDRF

REFUSED

/IF USEOTH=01/
/MULTIPUNCH/

In which of the following types of other boats did you go out on the water in [reference
period]. Did you go out on…
USEROW

Any rowboats

USEIN

Any inflatable boats

USEDKK

DON’T KNOW

USEREFU

REFUSED

ACTIVITIES
/
/

/IF BT=1/
/MULTIPUNCH/

What did you do on boats on the water during [reference period]?
[IF NECESSARY: “What types of activities did you engage in?”]
UACTCRS CRUISING
UACTRLX RELAXING ALONE OR WITH FRIENDS
UACTSOC SOCIALIZING
UACTFSH FISHING OR CRABBING
UACTHNT HUNTING
UACTPDL WATER PADDLING
UACTRC RACING
UACTROW ROWING
UACTSCUB SCUBA DIVING OR SNORKELING
UACTOBS SIGHTSEEING OR NATURE OBSERVATION
UACTSNBTH SUNBATHING

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
UACTSWM SWIMMING OR DIVING
UACTTOW WATERSKIING, WAKEBOARDING, OR TUBING
UACTWHTWTR WHITEWATER BOATING
UACTSAIL SAILING
UACTOTH OTHER
UACTDK DON’T KNOW
UACTRF REFUSED

BOATING SAFETY AWARENESS AND BEHAVIORS
ALCOHOL
/

/IF BT=1

The next questions ask about activities you engaged in on that day. All your responses are
anonymous and confidential
ALCCONSUME During [year], did anyone on a boat you were on drink any alcoholic
beverages while the boat was on the water?
01

YES

02

NO

97

DON’T KNOW

99

REFUSED
/

IF ALCCONSUME=1

ALCOPERATOR During [year], did the operator of a boat you were on ever drink any
alcoholic beverages?
[IF NECESSARY: “the operator is the person with primary responsibility for moving the
boat”]
[IF NECESSARY: “while the boat was on open water”]
01

YES

02

NO

97

DON’T KNOW

99

REFUSED
/

/IF ALCOPERATOR=1

ALCIMPAIR Can you think of any times during [reference period] when you thought the
boat operator was impaired due to alcohol consumption?
01

YES

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
02

NO

97

DON’T KNOW

99

REFUSED

END BOATING SAFETY AWARENESS AND BEHAVIORS
MODULE: RENTED BOATS
TRIP REPORT—FOR ADMINISTRATION 2011 FORWARD
/

/IF BT=1

RENTALINTRO
The following questions regard time you might have spent on boats
you rented. This includes boats rented for fishing trips and canoe or kayak trips, but it
does not include commercial trips such as whale watching expeditions.
During [year] was there any day when you spent time on the water in a rented boat?
01

YES

02

NO

97

DON’T KNOW

99

REFUSED
/

IF RENTALINTRO=1

The next questions are about time you spent on boats you rented in [year]
/
/
/
/

/BTTYPES=COUNTIF (RENTAB-RENTSL=1)/
/IF RENTRTRIP=1/
/MULTIPUNCH/
/BOATCATS COUNTOF (RENTPWR-RENTOTH)/

During [reference period], what types of boats did you rent? Did you rent …
RENTPWR

A power boat,

RENTSAIL

A sailboat,

RENTPWC

A personal watercraft such as a jetski,

RENTCN

A canoe,

RENTKY

A kayak, or

RENTOTH

Something else?

RENTDK

DON’T KNOW

RENTRF

REFRENTD

[IF NECESSARY: “A power boat refers to a boat of any size powered by a motor”]
An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
/
/

/IF RENTPWR=01/
/MULTIPUNCH/

Which of the following types of power boats did you rent ? Did you rent…
RENTCM

Any cabin motorboats

RENTJB

Any jet boats

RENTOM

Any open motorboats

RENTPTN

A pontoon boats

RENTHB

Any houseboats

RENTAB

Any airboats

RENTDKN

DON’T KNOW

RENTRFD

RENTREF

[IF NECESSARY: “an open motor boat refers to a power boat without a cabin, including
boats canopied or fitted with temporary partial shelters.”]
/
/

/IF RENTSAIL=01/
/MULTIPUNCH/

Which of the following types of sail boats did you rent?. Did you rent…
RENTAX

Any auxiliary motor sail boat

[IF NECESSARY: “A sailboat with a motor”]
RENTSL

/
/

Any sail only boat

RENTDDK

DON’T KNOW

USDDRF

REFRENTD

/IF RENTOTH=01/
/MULTIPUNCH/

Which of the following types of other boats did you rent?. Did you rent…
RENTROW
RENTIN
RENTDKK

Any rowboats
Any inflatable boats
DON’T KNOW

RENTREFU REFRENTD

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
TRIP EXPOSURE
STATES WHERE BOATED
/
/
/
/
/
/
/
/

/SELECT RBTYPE RANDOMLY FROM THE SET OF BOAT TYPES ENDORSED
AT
RENTPWR
A POWER BOAT,
RENTSAIL A SAILBOAT,
RENTPWC
A PERSONAL WATERCRAFT SUCH AS A JETSKI,
RENTCN A CANOE,
RENTKY A KAYAK, OR
RENTOTH SOMETHING ELSE?
/IF RENTALINTRO=1

RENTTRIP. The next questions are about the last day you went out on a rented
[RBTYPE]. Can you remember the last day you spent on the water in a [RBTYPE]?
01 YES
02 NO
97

DK

99

REF
/
/

/IF RENTTRIP=1
/IF THERE IS AN ELIGIBLE TRIP FOR THIS REPORT

WLOC
On [identifier], which of the United States was the boat in when it went out on the
water?
/

/STATE FIPS CODES FOR PROGRAMMING ARE BELOW/

01 ALABAMA
02 ALASKA
04 ARIZONA
05 ARKANSAS
06 CALIFORNIA
08 COLORADO
09 CONNECTICUT
10 DELAWARE
11 DISTRICT OF COLUMBIA
12 FLORIDA
13 GEORGIA
15 HAWAII

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
16 IDAHO
17 ILLINOIS
18 INDIANA
19 IOWA
20 KANSAS
21 KENTUCKY
22 LOUISIANA
23 MAINE
24 MARYLAND
25 MASSACHUSETTS
26 MICHIGAN
27 MINNESOTA
28 MISSISSIPPI
29 MISSOURI
30 MONTANA
31 NEBRASKA
32 NEVADA
33 NEW HAMPSHIRE
34 NEW JERSEY
35 NEW MEXICO
36 NEW YORK
37 NORTH CAROLINA
38 NORTH DAKOTA
39 OHIO
40 OKLAHOMA
41 OREGON
42 PENNSYLVANIA
44 RHODE ISLAND
45 SOUTH CAROLINA
46 SOUTH DAKOTA
47 TENNESSEE
48 TEXAS
49 UTAH
50 VERMONT
51 VIRGINIA

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
53 WASHINGTON
54 WEST VIRGINIA
55 WISCONSIN
56 WYOMING
96 OTHER (SPECIFY)
97 DON’T KNOW
99 REFUSED
/

IF WLOC=96

WLOCo Other location
RECORD LOCATION
DK
REF
/
/

/IF WLOC NOT IN (96, 97, 99)/
/IF RESPONDENT NAMED A LOCATION IN THE LIST/

WOTHST1
On that day, did the boat go into states other than [WLOC]?
01 YES
02 NO
97 DON’T KNOW
99 REFUSED
/
/
/

/IF WOTHST1=01/
/IF THE BOAT WENT TO MORE THAN ONE LOCATION/
/MULTIPUNCH/

WOTHST2
Which ones?
/

/STATE FIPS CODES FOR PROGRAMMING ARE BELOW/

01 ALABAMA
02 ALASKA
04 ARIZONA
05 ARKANSAS
06 CALIFORNIA
08 COLORADO

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
09 CONNECTICUT
10 DELAWARE
11 DISTRICT OF COLUMBIA
12 FLORIDA
13 GEORGIA
15 HAWAII
16 IDAHO
17 ILLINOIS
18 INDIANA
19 IOWA
20 KANSAS
21 KENTUCKY
22 LOUISIANA
23 MAINE
24 MARYLAND
25 MASSACHUSETTS
26 MICHIGAN
27 MINNESOTA
28 MISSISSIPPI
29 MISSOURI
30 MONTANA
31 NEBRASKA
32 NEVADA
33 NEW HAMPSHIRE
34 NEW JERSEY
35 NEW MEXICO
36 NEW YORK
37 NORTH CAROLINA
38 NORTH DAKOTA
39 OHIO
40 OKLAHOMA
41 OREGON
42 PENNSYLVANIA
44 RHODE ISLAND
45 SOUTH CAROLINA

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
46 SOUTH DAKOTA
47 TENNESSEE
48 TEXAS
49 UTAH
50 VERMONT
51 VIRGINIA
53 WASHINGTON
54 WEST VIRGINIA
55 WISCONSIN
56 WYOMING
96 OTHER (SPECIFY)
97 DON’T KNOW
99 REFUSED
/

IF WOTHST2=96

OTHST2o Other location
RECORD LOCATION
DK
REF

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
PEOPLE ON THE BOAT
/
/

/IF RENTTRIP=1
/IF THERE IS AN ELIGIBLE TRIP FOR THIS REPORT

WPPL
Including you, how many people went on the boat that day?
[IF NECESSARY: “How many people did you have with you most of the time?”]
RECORD NUMBER /RANGE=1-997/
97 DON’T’ KNOW
99 REFUSED
/
/

/IF WPPL>1
IF THERE WAS MORE THAN ONE PERSONON THE BOAT; THE RESPONDENT
IS NECESSARILY OVER 16

WKIDS How many children under the age of 16 were on the boat?
ENTER RESPONSE /RANGE=0-10/
97 DK
99 REF

BOAT HOURS
/
/

/IF RENTTRIP=1
/IF THERE IS AN ELIGIBLE TRIP FOR THIS REPORT

OVERNT
On that day, did the boat stay out on the water overnight?
01 YES
02 NO
97 DON’T KNOW
99 REFUSED
/
/

/IF OVERNT=01/
/IF THE BOAT STAYED ON THE WATER OVERNIGHT, COLLECT THE SETOUT
AND RETURN TIMES, WE’LL CALCULATE HOURS FROM THESE/

LNCHTIME
About what time of day did [identifier] set out?
RECORD TIME
97 DON’T KNOW

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
99 REFUSED
/
/
/

/IF OVERNT=01/
/IF THE BOAT STAYED ON THE WATER OVERNIGHT/
/RANGE=1-90/

DOCKDAY
How many days later did the boat dock again?
RECORD NUMBER
97 DON’T’ KNOW
99 REFUSED
/
/

/IF OVERNT=01/
/IF THE BOAT STAYED ON THE WATER OVERNIGHT/

DOCKTIME
About what time did the boat dock again the day it returned?
RECORD TIME
97 DON’T KNOW
99 REFUSED
/
/

/IF OVERNT=01/
/IF THE BOAT STAYED ON THE WATER OVERNIGHT/

PREWHRS I'm going to ask you some questions about the whole trip starting on
[identifier] to when the boat docked again on [//DOCKDAY]. Please answer for that
whole time
/
/
/

/IF OVRNT=02/
/IF IT WAS JUST A DAY TRIP/
/RANGE=1-24/

WHRS
On that day, how many hours did the boat spend on the water before it was moored,
docked, or taken out of the water again?
RECORD NUMBER 1-24
97 DON’T KNOW
99 REFUSED

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
/

/PUT A FLAG FOR PARTIAL COMPLETE HERE. TRIPS FOR WHICH HOURS DATA
ARE AVAILABLE WILL COUNT TOWARD THE FINAL DATA./

TYPES OF WATER
/
/
/

/IF RENTTRIP=1
/IF THERE IS AN ELIGIBLE TRIP FOR THIS REPORT
/MULTIPUNCH

WRTYPE
On that day, did the boat go on any:
01

Brackish water?

[IF NECESSARY: “Brackish water is water where freshwater and saltwater are
mixed.”]
02

freshwater?

03

Saltwater?

97 DON’T KNOW
99 REFUSED
/
/
/
/

/IF RENTTRIP=1
/IF THERE IS AN ELIGIBLE TRIP FOR THIS REPORT
MULTIPUNCH
INTERVIEWER CODED

WRBODY
What kinds of bodies of water did it go out on?
01 LAKE
02 BAY
03 RIVER
04 CANAL
05 INTERCOASTAL WATERWAY
06 OCEAN
07 OTHER (SPECIFY)
97 DON’T KNOW
99 REFUSED
/

IF WRBODY=07

WRBODYOTH
ENTER OTHER SPECIFY

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
END TRIP EXPOSURE
BOATING SAFETY AWARENESS AND BEHAVIORS
BOAT OPERATION
/

/LOAD VARIABLES PRIMOP, OWNSAFE, AND OWNEXP FROM THE BOAT SURVEY/
/
/IF RENTTRIP=1
/
/IF THERE IS AN ELIGIBLE TRIP FOR THIS REPORT

WHOOP Did you personally operate the boat on that day?
01 YES
02 NO
97 DON’T KNOW
99 REFUSED
/
/

/IF WHOOP=1/
/IF RESPONDENT PERSONALLY OPERATED THE BOAT/

OPSAFE
Have you ever taken a boat safety course?
01 YES
02 NO
97 DON’T KNOW
99 REFUSED

/

/
/IF WHOOP=1/
/IF RESPONDENT PERSONALLY OPERATED THE BOAT/

OPEXP
How experienced in the operation of the boat are you? Would you say…
01

Very experienced

02

Somewhat experienced

03

Somewhat inexperienced

04

Very inexperienced

97 DON’T KNOW
99 REFUSED

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
/
/
/

/IF (ONBOAT1=1 OR TRIPREM=1) AND WPPL>1/
/ASK IF THE RESPONDENT WAS PRESENT ON THE BOAT AND
MORE PEOPLE THAN THE RESPONDENT WERE PRESENT ON THE BOAT /

OPN
How many people other than yourself operated the boat?
RECORD NUMBER (1-5)
97 DON’T KNOW
99 REFUSED
/
/

/FOR EACH PERSON IN OPN/
/VARIABLE NAMES ARE OP1-OPN AS IN OP1-OP4/

OPAGE1-OPAGEN
How old was the first person other than you who operated the boat?
01

5 or younger,

02

6 to 10

03

11 to 15

04

16 to 17

05

18 to 24

06

25 to 34

07

35 to 44

08

45 to 54

09

55 to 64

10

Over 65

97 DON’T KNOW
99 REFUSED
/

/FOR EACH PERSON IN OPN/

OPEXP1-OPEXPN
How experienced in the operation of the [selected] boat was the [identifier] operator?
Would you say…
01

Very experienced

02

Somewhat experienced

03

Somewhat inexperienced

04

Very inexperienced

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
97 DON’T KNOW
99 REFUSED

ALCOHOL
/
/

/IF (ONBOAT1=1 OR TRIPREM=1)
/ASK IF THE RESPONDENT WAS PRESENT ON THE BOAT

The next questions ask about activities you engaged in on that day. All your responses are
anonymous and confidential
/
/

/IF (ONBOAT1=1 OR TRIPREM=1)
/ASK IF THE RESPONDENT WAS PRESENT ON THE BOAT

ALC
On that day, did anyone on the boat drink alcohol before or during the trip on the water
01 YES
02 NO
97 DON’T KNOW
99 REFUSED
/
/

/IF (ONBOAT1=1 OR TRIPREM=1)
/ASK IF THE RESPONDENT WAS PRESENT ON THE BOAT

ALCop
On that day, did anyone drink alcohol before or during operating the boat?
01 YES
02 NO
97 DON’T KNOW
99 REFUSED

LIFE JACKETS
/
/

/IF (ONBOAT1=1 OR TRIPREM=1)
/ASK IF THE RESPONDENT WAS PRESENT ON THE BOAT

LFJBT
Were there life jackets on the boat that day?
01 YES
02 NO
97 DON’T KNOW

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
99 REFUSED
/
/
/

/IF LFJBT=01/
/IF THERE WERE LIFE JACKETS ON THE BOAT THAT DAY/
/RANGE=1-50/

LFJN
How many?
__ RECORD RESPONSE
97 DON’T KNOW
99 REFUSED
/
/

/IF (ONBOAT1=1 OR TRIPREM=1)
/ASK IF THE RESPONDENT WAS PRESENT ON THE BOAT

LFPBT
Were there life preservers or throwable devices on the boat that day?
01 YES
02 NO
97 DON’T KNOW
99 REFUSED
/
/
/

/IF LFPBT=01/
/IF THERE WERE LIFE PRESERVERS OR THROWABLE DEVICES/
/RANGE=1-50/

LFPN
How many?
__ RECORD RESPONSE
97 DON’T KNOW
99 REFUSED
/
/

/IF (ONBOAT1=1 OR TRIPREM=1)
/ASK IF THE RESPONDENT WAS PRESENT ON THE BOAT

LFJSLF
Did you wear a lifejacket all the time on that day?
01 YES
02 NO
97 DON’T KNOW
99 REFUSED

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
/

IF WKIDS>1 THEN ASK

How many children were on the boat who were:
WKID5

less than 6 years old

WKID10

6 to 10 years old

WKID15

11 to 15 years old

RECORD NUMBER FOR EACH
/
/

/IF WKID5>0 THEN ASK LJKID5/
/IF ONE OR MORE CHILDREN ON BOAT UNDER SIX YEARS OLD/

LJKID5
How many of the children who were less than 6 years old wore a lifejacket all the time?
/
/

/IF WKID10>0 THEN ASK LJKID10/
/IF ONE OR MORE CHILDREN ON BOAT AGED 6 TO 10

LJKID10
How many of the children who were 6 to 10 years old wore a lifejacket all the time?
/
/

/IF WKID15>0 THEN ASK LJKID15/
/IF ONE ORE MORE CHILDREN ON BOAT AGED 11 TO 15/

LJKID15
How many of the children who were 11 to 15 years old wore a lifejacket all the time?
/
/
/

/

/IF (ONBOAT1=1 OR TRIPREM=1) AND WPPL>WKIDS+1
/ASK IF THE RESPONDENT WAS PRESENT ON THE BOAT
AND THE TOTAL NUMBER OF PEOPLE IS GREATER THAN THE
RESPONDENT + THE CHILDREN
/RANGE=0-997/

LFJAD
Not including you, how many of the people aged 16 and over wore lifejackets all the time
they were on the boat?
__ RECORD NUMBER
97 DON’T KNOW
99 REFUSED

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
MODULE: REASONS FOR LIFEJACKET USE
/
/

/IF LFJSLF=2 AND RANDUNIFORM<.1 /
ASK OF 10% OF RESPONDENTS WHO DIDN’T WEAR A LIFEJACKET
ALL THE TIME

LFJWHYA
Why did you not wear a lifejacket all the time?
RECORD RESPONSE
97 DON’T KNOW
99 REFUSED
/
/

/IF LFJC5=2 LFJC10=2 OR LFJC15=2 AND RANDUNIFORM<.1 /
ASK OF 10% OF RESPONDENTS WHO REPORT THAT ANY CHILD
DIDN’T WEAR A LIFE JACKET ALL THE TIME.

LFJWHYC
You indicated that someone under 15 didn’t wear a lifejacket all the time. Can you tell
me why that was?
RECORD RESPONSE
97 DON’T KNOW
99 REFUSED

END MODULE: REASONS FOR LIFEJACKET USE
OTHER SAFETY EQUIPMENT
/
/

/IF CATX NOT IN (4,5)
/ASK IF BOAT TYPE IS NOT CANOE OR KAYAK/

Which of the following were on the boat on [identifier]? Was there…
SFFA

First aid kit

SFHOOK

Equipment for reaching someone in the water such

SFEXT

Fire extinguisher

SFVDIST

Visual distress signals such as flares

SFSDIST

Sound signal such as a horn

SFEPIRB

Emergency Position Indicating Radio Beacon-EPIRB

01 YES
02 NO
97 DON’T KNOW

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
99 REFUSED

USAGE OF SAFETY EQUIPMENT
/
/
/

SFUSE

/IF ANY OF SFFA-SFEPIRB =1
/IF THERE WAS ANY SAFETY EQUIPMENT ON THE BOAT
/SINGLE PUNCH

You indicated that you had a
/

SHOW ITEMS ENDORSED ABOVE

First aid kit
Equipment for reaching someone in the water
Fire extinguisher,
Visual distress signal
Sound signal
EPIRB.
Did you use any of those on the day for safety purposes we’ve been talking about?
01 YES
02 NO
97 DON’T KNOW
99 REFUSED
/
/
/

/IF SFUSE=01/
/IF YES, THEN ASK/
MULTIPUNCH

Which ones?
[DO NOT READ]
SFFAUSED

FIRST AID KIT

SFHOOKUSED

EQUIPMENT FOR REACHING SOMEONE IN THE WATER

SFEXTUSED

FIRE EXTINGUISHER

SFVDISTUSED

VISUAL DISTRESS SIGNALS

SFSDISTUSED

SOUND SIGNALS

SFEPIRBUSED

EMERGENCY POSITION INDICATING RADIO BEACON-EPIRB

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
END SAFETY AWARENESS AND BEHAVIORS
NEGATIVE EVENT INCIDENCE AND RISK
NEGATIVE EVENTS
/
/
/
/

/LOAD HASMOT FROM BOAT SURVEY
ASK IF HASMOT=1 OR CATX=2
/ASK IF BOAT HAS A MOTOR OR BOAT TYPE=SAILBOAT/
/MULTIPLE

On that day…
ACCCOLV

Did the boat collide with another vessel?

ACCAGD

Did the boat run aground?

ACCCOLF

Did the boat collide with a fixed or submerged object?

ACCFLD

Did the boat capsize, flood, or swamp?

ACCOVBRD Did anyone fall overboard?
ACCSKI
ACCDK

DK

ACCREF

REF

/

Was there a water-skiier accident?

IF ANY OF (ACCCOLV,
ACCAGD,
ACCOVBRD , ACCSKI )
=1

ACCCOLF,

ACCFLD ,

On this trip, how many times …
/
/

/IF ACCCOLV=01/
/IF THE BOAT COLLIDED WITH ANOTHER VESSEL/

ACCCOLVn Did the boat collide with another vessel?
RECORD RESPONSE/RANGE=1-10/
97 DON’T KNOW
99 REFUSED
/
/

ACCAGDn

/IF ACCAGD=01/
/IF THE BOAT RAN AGROUND/

Did the boat run aground?

RECORD RESPONSE/RANGE=1-10/
97 DON’T KNOW
99 REFUSED

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
/
/

/IF ACCCOLF=01/
/IF THE BOAT COLLIDED WITH AN OBJECT/

ACCCOLF n Did the boat collide with a fixed or submerged object?
RECORD RESPONSE/RANGE=1-10/
97 DON’T KNOW
99 REFUSED
/
/

ACCFLD n

/IF ACCFLD=01/
/IF THE BOAT CAPSIZED, FLOODED, OR WAS SWAMPED/

Did the boat capsize, flood, or swamp?

RECORD RESPONSE/RANGE=1-10/
97 DON’T KNOW
99 REFUSED
/
/

/IF ACCOVBRD=01/
/IF SOMEONE FELL OVERBOARD/.

ACCOVBRDn

Did anyone fall overboard?

RECORD RESPONSE/RANGE=1-10/
97 DON’T KNOW
99 REFUSED
/
/

ACCSKIn

/IF ACCSKI=01/
/IF THERE WAS A WATER-SKIIER ACCIDENT/

Was there a water-skiier accident?

RECORD RESPONSE/RANGE=1-10/
97 DON’T KNOW
99 REFUSED
/

IF ANY OF (ACCCOLV,
ACCAGD,
ACCOVBRD , ACCSKI )
=1

ACCCOLF,

ACCFLD ,

On this trip, how many times did you report to the authorities that…
/
/

/IF ACCCOLV=01/
/IF THE BOAT COLLIDED WITH ANOTHER VESSEL/

ACCCOLVn the boat collided with another vessel?
RECORD RESPONSE/RANGE=1-10/
97 DON’T KNOW
99 REFUSED

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
/
/

ACCAGDn

/IF ACCAGD=01/
/IF THE BOAT RAN AGROUND/

the boat ran aground?

RECORD RESPONSE/RANGE=1-10/
97 DON’T KNOW
99 REFUSED
/
/

/IF ACCCOLF=01/
/IF THE BOAT COLLIDED WITH AN OBJECT/

ACCCOLF n the boat collided with a fixed or submerged object?
RECORD RESPONSE/RANGE=1-10/
97 DON’T KNOW
99 REFUSED
/
/

ACCFLD n

/IF ACCFLD=01/
/IF THE BOAT CAPSIZED, FLOODED, OR WAS SWAMPED/

the boat capsized, flooded, or swamped?

RECORD RESPONSE/RANGE=1-10/
97 DON’T KNOW
99 REFUSED
/
/

/IF ACCOVBRD=01/
/IF SOMEONE FELL OVERBOARD/.

ACCOVBRDn

someone fell overboard?

RECORD RESPONSE/RANGE=1-10/
97 DON’T KNOW
99 REFUSED
/
/

ACCSKIn

/IF ACCSKI=01/
/IF THERE WAS A WATER-SKIIER ACCIDENT/

there was a water-skiier accident?

RECORD RESPONSE/RANGE=1-10/
97 DON’T KNOW
99 REFUSED

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
DAMAGE TO PEOPLE AND VESSELS
/

IF ANY OF (ACCCOLV,
ACCAGD,
ACCOVBRD , ACCSKI )
=1

ACCCOLF,

ACCFLD ,

ACCCOLF,

ACCFLD ,

Did any of these incidents involve:
/

IF ANY OF (ACCCOLV,
ACCAGD,
ACCOVBRD , ACCSKI )
=1

ACCDAMAGE Damage to vessels or other property of $2,000 or more, or complete loss
of any vessel?
01 YES
02 NO
97 DON’T KNOW
99 REFUSED
/

IF ANY OF (ACCCOLV,
ACCAGD,
ACCOVBRD , ACCSKI )
=1

ACCCOLF,

ACCFLD ,

ACCINJURY An injury requiring medical treatment or first aid
01 YES
02 NO
97 DON’T KNOW
99 REFUSED

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
ECONOMIC IMPACT OF RECREATIONAL BOATING

Next, I’d like to talk about all the time you spent away from home that included the day
on the water we’ve been talking about. These questions are about the time from when you
left your house until you returned home again, which could be just the day or, or it could
be several days.
/
/

/IF RENTTRIP=1
/IF THERE IS AN ELIGIBLE TRIP FOR THIS REPORT

TRPDIST How far did you travel by land on this trip to reach the place where the boat
was kept or was launched?
RECORD MILES /RANGE 0-9999/
97 DON’T KNOW
99 REFUSED

MODULE: BOAT EXPENDITURE COROLLARY QUESTIONS
/
/

/IF RENTTRIP=1
/IF THERE IS AN ELIGIBLE TRIP FOR THIS REPORT

STYAWY. Did you stay away from home with your boat for one or more days on this
trip?
01 YES
02 NO
97 DON’T KNOW
99 REFUSED
/
/
/

/IF STYAWY=01/
/IF RESPONDENT STAYED WITH BOAT FOR ONE OR MORE DAYS/
/RANGE=0-996/

STYN. How many nights were you away from home on this trip?
RECORD NUMBER 0-996
97 DON’T KNOW
99 REFUSED
/
/
/

/IF STYAWY=01/
/IF RESPONDENT STAYED WITH BOAT FOR ONE OR MORE DAYS/
/MULTIPLE

What type of lodging did you use on this trip? Did you stay
STYFF

With friends or family

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY

STYBB

At a bed and breakfast

STYHTL

At a hotel or motel

STYCMP

At a campground

STYOBT

On board the boat

STYDK

DK

STYREF

REF
/
/

/IF STYOBT=01/
/IF RESPONDENT STAYED ON THE BOAT/

STYOBTN How many nights did you stay onboard the boat?
RECORD NUMBER /RANGE=1-50/
97 DON’T KNOW
99 REFUSED
/
/

/IF STYAWY=01/
/IF RESPONDENT STAYED WITH BOAT FOR ONE OR MORE DAYS/

TRPDYS How many total days did you take the boat out on the water on this trip?
RECORD NUMBER /RANGE=1-50/
97 DON’T KNOW
99 REFUSED
/
/

/IF RENTTRIP=1 AND CATX=2
MULTIPLE

At which types of launch sites or ramps was the boat launched on this trip? Was it
launched at
LCHAG

A launch site operated by a state boating or fishing agency.

LCHGVT

A launch site operated by a county or local government

LCHFED

A launch site operated by a federal agency

[IF NECESSARY: “such as theNational Park Service, NOAA, U.S. Forest
Service, Army Corps of Engineers, Fish and Wildlife Service, Bureau of
Reclamation”]
LCHMR

A launch site at a marina or dry stack

LCHPRV

A privately owned/operated launch site

LCHDK

DK

LCHREF

REF

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
/
/
/

TRPMOT

/LOAD HASMOT FROM BOAT SURVEY. /
/ IF RENTTRIP=1 AND HASMOT=1/
IF THERE IS A VALID TRIP AND THERE IS A MOTOR

Were the boat’s motors or engines operated during this trip?

01 YES
02 NO
97 DON’T KNOW
99 REFUSED
/
/
/

/IF TRPMOT=01/
/IF MOTORS OR ENGINES WERE OPERATED DURING THIS TRIP/
/RANGE=1-997/

TRPMOTHR Approximately how many hours did you operate the motors or engines on
this trip?
RECORD NUMBER
97 DON’T KNOW
99 REFUSED

END MODULE: BOAT EXPENDITURE COROLLARY QUESTIONS
TRIP EXPENDITURES
/

/IF RENTTRIP=1

The next questions concern money you spent on this trip on things other than the boat
itself.
/

/IF TRPDIST>20/

Think about money you spent within 20 miles of your home while preparing for the trip.
We'll ask you about money you spent traveling to and near the launch site in a moment.
/

/IF RENTTRIP=1

How much did you spend for this trip [if TRPDIST>20 then "before you left"] on …
/
/

/IF HASMOT=01/
/IF BOAT HAS A MOTOR/

EXPNRFUEL Boat fuel and oil:
RECORD NUMBER/RANGE=0-997/
97 DON’T KNOW
99 REFUSED

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
/
/

/IF CATX NOT IN (4,5) AND TPOX NE 2
/IF BOAT TYPE NOT IN CANOE, KAYAK, INFLATABLE/

EXPNRDOCK Temporary dockage or marina fee:
RECORD NUMBER/RANGE=0-997/
97 DON’T KNOW
99 REFUSED
/
/

/IF CATX NOT IN (4,5) AND TPOX NE 2
/IF BOAT TYPE NOT IN CANOE, KAYAK, INFLATABLE/

EXPNRLNCH Pump-out and launch fees:
RECORD NUMBER/RANGE=0-997/
97 DON’T KNOW
99 REFUSED
/
/

/IF TRIPDIST<=20/
/IF THE QUESTION INCLUDES TIME AFTER THEY LEFT HOME

EXPNRMEAL Restaurant meals and drinks:
RECORD NUMBER/RANGE=0-997/
97 DON’T KNOW
99 REFUSED
/

/IF RENTTRIP=1

EXPNRGROC Groceries, take-out food and drinks:
RECORD NUMBER/RANGE=0-997/
97 DON’T KNOW
99 REFUSED
/

/IF RENTTRIP=1

EXPNRGAS Auto gas and oil:
RECORD NUMBER/RANGE=0-997/
97 DON’T KNOW
99 REFUSED
/
/

/IF TRIPDIST<=20/
/IF THE QUESTION INCLUDES TIME AFTER THEY LEFT HOME

EXPNRSHOP Shopping and souvenirs:
RECORD NUMBER/RANGE=0-997/

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
97 DON’T KNOW
99 REFUSED
/
/

/IF TRIPDIST<=20/
/IF THE QUESTION INCLUDES TIME AFTER THEY LEFT HOME

EXPNRREC Recreation and entertainment:
RECORD NUMBER/RANGE=0-997/
97 DON’T KNOW
99 REFUSED
/
/
/

/IF STYAWY=1 AND TRPDIST<=20/
/IF THE QUESTION INCLUDES TIME AFTER THEY LEFT HOME
AND THEY STAYED AWAY FROM HOME

EXPNRLODG Lodging expenses (e.g., hotel, camping, and B&B):
RECORD NUMBER/RANGE=0-9997/
97 DON’T KNOW
99 REFUSED
/
/

/IF TRPDIST>20/
/IF THEY WENT FURTHER THAN 20 MILES TO START THE TRIP

The next questions concern money you spent after you left home for the trip.
After you left home, how much did you spend on…
/
/

/IF HASMOT=01/
/IF BOAT HAS A MOTOR/

EXPFRFUEL Boat fuel and oil:
RECORD NUMBER/RANGE=0-997/
97 DON’T KNOW
99 REFUSED
/
/

/IF CATX NOT IN (4,5) AND TPOX NE 2
/IF BOAT TYPE NOT IN CANOE, KAYAK, INFLATABLE/

EXPFRDOCK Temporary dockage or marina fee:
RECORD NUMBER/RANGE=0-997/
97 DON’T KNOW
99 REFUSED

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
/
/

/IF CATX NOT IN (4,5) AND TPOX NE 2
/IF BOAT TYPE NOT IN CANOE, KAYAK, INFLATABLE/

EXPFRLNCH Pump-out and launch fees:
RECORD NUMBER/RANGE=0-997/
97 DON’T KNOW
99 REFUSED
/

/IF TRPDIST>20/

EXPFRMEAL Restaurant meals and drinks:
RECORD NUMBER/RANGE=0-997/
97 DON’T KNOW
99 REFUSED
/

/IF TRPDIST>20/

EXPFRGROC Groceries, take-out food and drinks:
RECORD NUMBER/RANGE=0-997/
97 DON’T KNOW
99 REFUSED
/

/IF TRPDIST>20/

EXPFRGAS Auto gas and oil:
RECORD NUMBER/RANGE=0-997/
97 DON’T KNOW
99 REFUSED
/

/IF TRPDIST>20/

EXPFRSHOP Shopping and souvenirs:
RECORD NUMBER/RANGE=0-997/
97 DON’T KNOW
99 REFUSED
/

/IF TRPDIST>20/

EXPFRREC Recreation and entertainment:
RECORD NUMBER/RANGE=0-997/
97 DON’T KNOW
99 REFUSED

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001. 

OMB NO. 1625-0089
EXPIRES: MM/DD/YYYY
/
/

/IF STYAWY=1 AND /IF TRPDIST>20/
AND THEY STAYED AWAY FROM HOME

EXPFRLODG Lodging expenses (e.g., hotel, camping, and B&B):
RECORD NUMBER/RANGE=0-9997/
97 DON’T KNOW
99 REFUSED

END ECONOMIC IMPACT OF RECREATIONAL BOATING
MODULE: CLOSING

An agency may not conduct or sponsor, and a person is not required to respond to a collection 
of information unless it displays a valid OMB control number. The Coast Guard estimates that 
the average burden for this report is 6.0 minutes. You may submit any comments concerning 
the accuracy of this burden estimate or any suggestions for reducing the burden to: 
Commandant (CG‐5422), U.S. Coast Guard, Washington, DC 20593‐ 0001.