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pdfPublic Lands Visitor Use Survey
Individual Interview Form
OMB approval: OMB 0596-0110
Exp. date:XX/XX/20XXRev.8
ADMINISTRATIONINFORMATION (complete prior to starting
interview)
Date
State
Unit
Site Number
Month
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Interviewer say: The Bureau of Land Management is conducting interviews of visitors to this area. The information collected
will help us better serve our visitors by knowing what activities they do, how long they stay, and how satisfied they are with
the facilities and services provided. Your participation
is voluntary and al/ information is confidential.
1: SCREENING
SECTION
1
QUESTIONS
I'·''''''
2
__
o
agreed to be interviewed)
No (did not agree to be interviewed)
-
What is the primary purpose of your visit to
(say site name)?
o
a
(choose only one)
Working or commuting to work
to use the
bathroom
Only passing through, going
somewhere else
Some other reason
o Only stopping
o
o
o Recreation
4
Don't
know
~
~
I need to select just one of you to complete this interview.
Which of you had the most recent birthday and is 16 years
of age or older? (Direct ALL questions to only this person.)
D
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plan to leave today then GO TO 05)
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o Other
Lands
ONLY •••• __ ••••••
(GPL)
What is the primary purpose of your visit to this
public land area?
o Working or commuting to work
o Only stopping to use the
bathroom
(GO TO 03b)
Recreation (GO TO 04)
(do not read list or prompt visitor)
View scenery
Some other reason
o
o
Time
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"Thank-you. That's all the
information I need today. "
(End Interview)
Today we are interested in interviewing people who have
recreated in undeveloped public lands. This includes things
like hiking trails (not in designated Wilderness), exploring
roads, camping in undeveloped areas and fishing in lakes
and streams. Have you recreated in undeveloped public
land areas sometime during your visit? (choose only one) ~
o Yes, recreated in the GPL (GO TO 05)
o No, did not recreate in the GPL - "Thank-you.
000000
That's all the
information I need today. "
End Interview
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Are you leaving undeveloped public land areas
for the last time on this visit?
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When did you first arrive at
for this visit? (record date/time)
Year
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Note: There is no
o Not leaving today (End Interview)
o Don't know (f:, d Interview)
o Leaving now (GO TO 06)
o Leaving later today (GO TO 06)
In TOTAL, during this visit, how much time will
you have-spent in undeveloped portions ef-this
public land area? (record hours/minutes if 24 hours or
Time
(military)
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20XX
20XX
(choose only one)
(say site name)
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0
0
less; record to nearest day if over 24 hours)
If 24 hours or less:
Hours
CDmm
this side of the form.
PRINTING OFFICE: 2007-330-010/05006
If over 24 hours:
OR
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GO TO NEXT PAGE 07
271123-1
§O•••••ooooooooooooooooo
PLEASE DO NOT WRITE IN THIS AREA
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GO TO NEXT PAGE Q7
G:ll u.s. GOVERNMENT
Minutes
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06 for
America
o Asia
o Europe
What is the major reason you chose this route?
o Not leaving this site today (End Interview)
o Don't know (End Interview)
o Leaving now (GO TO 05)
o Leaving later today (Record time they
Day
Canada
o Mexico
o S.&C.
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Public
o
When do you plan to leave (say site name) for
the last time on this visit? (choose only one)
Month
o
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o Only passing through, going
somewhere else
o Some other reason
"Thank-you.
That's aI/ the
information I
need today.'
(End Interview)
(GO TO 04)
Date
If visitor is
from another
country select:
®®®®®
o Yes (person
o
OR
What is your
home ZIP code? ~~~~~~
Would you be willing to take a few
minutes to participate in this interview?
• •
•
000124
---
----------
------------ .
--------
--------
-
-
Hand visitor flash card for 011 & 12. Read them the activities for
011 as they follow along. Choose all that apply. For 012, have
them pick only one primary activity from 011.
SECTION 2: NV PUBLIC LANDS VISIT
7
--
Did you spend last night on public lands of the
_______
unit?
o No
o Yes - How
many nights in a row do you
plan to spend on these lands? (write in #
of nights & this answer must match total
I
time spent on these public lands (09-08)) 1111.
8
---
-------
Date
Month
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Day
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Time
(military)
Year
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as
interview time
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a:
o Same
----
o 20XX
o 20XX'
co
m
Date
Month
When do
you plan to
finish your
visit to this
public land
area?
Time
(military)
Year
CDCD CDCD
0
00
®
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as site
arrival time
(not applicable
to GPL)
-------
Day
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o Same
--- 9
--
--
When did
you first
arrive on
public lands
on this
recreation
visit?
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o
20XX
20XX
20XX
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Now, I would like to ask you a few questions about
where you will go during this visit to public lands.
When you answer please include your use of this
and other areas of this unit. Include areas you
already used as well as places you plan to use
before you leave this area for the last time on this
visit.
10
-
On this visit to public lands, did you go or do
you plan to go to any areas for recreation other
than this one?
0
-
-= 10
-a
--
No (GO TO 011)
Yes (GO TO 010a)
0 Don't know (GO TO 010a)
0
(Interviewer fill in Wilderness
or WSA
name) are
-
Designated areas. Did you
enter or do you plan to enter a WSA or
Wilderness at any time during this
visit?
-
0 No
_
I
..' Congressionally
-
1
---- b
- O·
=C
-
- 04
---I .
_
--
~-
0 Yes
Now think about roads, trails, rivers, lakes,
and other undeveloped parts of this public
land area. Did you enter or do you plan to
enter these types of areas during this
recreation visit?
o
No
1
In which of the
following activities
have you participated orwill you
participate during
this public land
visit?
Which one of
those is your
primary activity
for this recreation
visit to public
lands?
Question 11 answers
Question 12 answer
~ (can choose more than one)
•
(choose only one) ~
®
®
Fishing-all
types
Hunting-all
types
VIEWING & LEARNING NATURE & CULTURE
® Viewing/photographing
wildlife, birds, fish, etc.
® Viewing/photographing natural features, scenery, flowers, etc.
® Visiting historic and prehistoric sites/areas
® Nature study
® Visiting a nature center, nature trail or visitor center
NON MOTORIZED ACTIVITIES
® Hiking, walking, or trail running
® Horseback riding
® Bicycling, including mountain bicycling
® Rock climbing, canyoneering, and other technical activities
® Nonmotorized water travel (canoe, kayak, raft, sail, etc.)
® Swimming
® Other nonmotorized activities (games and sports)
•
©
@
©
©
@
@
©
©
@
@
@
@
@
@
MOTORIZED ACTIVITIES
Driving a passenger vehicle for pleasure (scenic driving)
Riding a dirt bike or ATV
Driving a 4 WD vehicle (four-wheeling)
® Racing or Enduro events
® Motorized water travel (boats, personal watercraft, etc.)
® Other motorized activities (games, aircraft, etc.)
®
®
®
CAMPING
OR OTHER OVERNIGHT
® Camping in developed Sites (family or group sites)
® Camping in undeveloped sites (motorized)
@
@
®
@
Camping in primitive sites (non motorized)
® Resort, cabins, or other accommodation
®
®
®
®
OTHER ACTIVITIES
Gathering mushrooms, berries, firewood, or other natural
products
Relaxing, hanging out
Picnicking and family day gatherings in developed sites
(family or group)
OTHER (fill in activity)
13
14
Including this
visit, about how
many times
have you come
to this public
land area for
recreation in
the past 12
months?
(record # of
times)
How many of
those visits were
to participate in
the main activity
you identified a
moment ago?
(record # of times
for main activity)
15
©
on public lands
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mm
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About how many hours did you
spend doing your main activity
during this visit? (record # of hours)
0 Yes
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000
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Lodging facilities include campgrounds,
eabins,.hotels-and-Iodges;-How
many-- --different lodging facilities have you used or
do you plan to use during this public land
visit? (fill in # of different ones)
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(Hand visitor flash card for 016. Have them read you the number
of their answer, record only one choice)
Developed day use sites include picnic areas,
visitor centers, interpretive sites, developed
swimming areas, and developed ski areas on
this public land unit. How many different
developed day use sites have you used or do
you plan to use during this public land visit?
(fill in # of different ones)
®CD| File Type | application/pdf |
| Author | USDA Forest Service |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |