Visitor Services Project Evaluation of Customer Service at Boston Harbor Islands National Recreation Area

SURVEY LOG
Today’s date:

Island

Weather:

Hello! Boston Harbor Islands National Park Area is conducting a
survey to gather your visit experience on [Name of the island].
Your participation is voluntary. The questionnaire will take about
15 minutes to complete, would you like to participate?
IF YES: Thank you—here’s a questionnaire for you to fill out. Please hand
this back to me when you are done on your way back to the mainland. I also
have 3 quick questions I’d like to ask

Inter- Start & Interval
viewer stop - every
nth
initials times,
breaks

Time

First time visitor?

Zip code or name of
country

IF NO: Could I ask you a few quick questions that will help us to
understand more about the people visiting the island today?
1) Is it your first time visiting the island?
2) What is your zip code (or name of the country)?
3) What is your age?
Observe and note the person’s gender

Age

Gender

COMMENTS:
explain reason for refusal, "other"
group, etc.

Yes

No

M

F

Yes

No

M

F

Yes

No

M

F

Yes

No

M

F

Yes

No

M

F

Yes

No

M

F

Yes

No

M

F

Yes

No

M

F

Yes

No

M

F

Yes

No

M

F

Yes

No

M

F

TOTALS
OMB Control Number 1040-0001
Current Expiration Date: XX-XX-XXXX

______ _____
Office Use Only