Outdoor Activity Survey wave A

NATIONAL OC
EA

D ATMOSPHER
AN
IC

TRATION
NIS
MI
AD

C
NI

D

ER

S.

CE

U.
EP

AR

TME

NT OF C

Outdoor Activity Survey

M
OM

Please complete for all members of your household. Include those who fish and those who do not fish.

START HERE

Household Member 1
„ Please use a black or blue pen to complete this form.
„ Mark
to indicate your answer.
„ If you want to change your answer, darken the box
and mark the correct answer

1. During the past 12 months has anyone in this household
had to evacuate or seek shelter due to a severe weather
event such as a tornado, hurricane, or thunderstorm?

Yes
No

Yes
No

7. Insert Name: for each person

7. Insert Name: for each person

8. What is this person’s gender?

8. What is this person’s gender?

8. What is this person’s gender?

8. What is this person’s gender?

Male

5. Which of the following best describes this house,
apartment, or mobile home?

Male

 wned with a mortgage or loan
O
Owned {without a mortgage)
Rented
Occupied without payment or rent

9. How old is this person?
If less than 1 year, mark 0 years.

Male

Female

9. How old is this person?
If less than 1 year, mark 0 years.

Age in years

Male

Female

9. How old is this person?
If less than 1 year, mark 0 years.

Age in years

Age in years

10. For each time period below, on how many days
did this person go recreational saltwater fishing in
North Carolina from:

10. For each time period below, on how many days
did this person go recreational saltwater fishing in
North Carolina from:

10. For each time period below, on how many days
did this person go recreational saltwater fishing in
North Carolina from:

a. The shore – include docks, bridges, causeways,
beaches, banks or any other shore-based
structure or area. Enter “0” if none.

a. The shore – include docks, bridges, causeways,
beaches, banks or any other shore-based
structure or area. Enter “0” if none.

a. The shore – include docks, bridges, causeways,
beaches, banks or any other shore-based
structure or area. Enter “0” if none.

a. The shore – include docks, bridges, causeways,
beaches, banks or any other shore-based
structure or area. Enter “0” if none.

Days in July, and Aug. 2013

Days in July, and Aug. 2013

Days in July, and Aug. 2013

Days in July, and Aug. 2013

Days in May, and June 2013

Days in May, and June 2013

Days in May, and June 2013

Days in May, and June 2013

Days in Jan., Feb., March and April 2013

Days in Jan., Feb., March and April 2013

Days in Jan., Feb., March and April 2013

Days in Jan., Feb., March and April 2013

Days in Sept., Oct., Nov, and Dec., 2012

Days in Sept., Oct., Nov, and Dec., 2012

Days in Sept., Oct., Nov, and Dec., 2012

Days in Sept., Oct., Nov, and Dec., 2012

b. A boat – include a private or rental boat that
returned to shore in North Carolina. Do not
include charter boats - rental or commercial
boats that include a captain or crew who help
locate and catch fish. Enter “0” if none.

b. A
 boat – include a private or rental boat that
returned to shore in North Carolina. Do not
include charter boats - rental or commercial
boats that include a captain or crew who help
locate and catch fish. Enter “0” if none.

b. A
 boat – include a private or rental boat that
returned to shore in North Carolina. Do not
include charter boats - rental or commercial
boats that include a captain or crew who help
locate and catch fish. Enter “0” if none.

b. A
 boat – include a private or rental boat that
returned to shore in North Carolina. Do not
include charter boats - rental or commercial
boats that include a captain or crew who help
locate and catch fish. Enter “0” if none.

Days in July, and Aug. 2013

Days in July, and Aug. 2013

Days in July, and Aug. 2013

Days in July, and Aug. 2013

Days in May, and June 2013

Days in May, and June 2013

Days in May, and June 2013

Days in May, and June 2013

Days in Jan., Feb., March and April 2013

Days in Jan., Feb., March and April 2013

Days in Jan., Feb., March and April 2013

Days in Jan., Feb., March and April 2013

Days in Sept., Oct., Nov, and Dec., 2012

Days in Sept., Oct., Nov, and Dec., 2012

Days in Sept., Oct., Nov, and Dec., 2012

Days in Sept., Oct., Nov, and Dec., 2012

11. Does this person expect to go recreational
saltwater fishing in North Carolina within the next
12 months?

11. Does this person expect to go recreational
saltwater fishing in North Carolina within the next
12 months?

11. Does this person expect to go recreational
saltwater fishing in North Carolina within the next
12 months?

11. Does this person expect to go recreational
saltwater fishing in North Carolina within the next
12 months?

Please continue and complete

the questions in the next section
for EACH HOUSEHOLD MEMBER,
whether or not that household
member saltwater fishes.

Female

10. For each time period below, on how many days
did this person go recreational saltwater fishing in
North Carolina from:

6. How many people, including all adults and children, live
in this household?

Female

9. How old is this person?
If less than 1 year, mark 0 years.

Yes
No

 egular or Landline phone only
R
Cellular phone only
Both Landline and Cellular phone
No working phone service

Household Member 4

7. Insert Name: for each person

4. Which category best describes the telephone service for
you and members of the household?

Household Member 3

7. Insert Name: for each person

3. Is any person in this household likely to go recreational
saltwater fishing in the next year?

Household Member 2

Age in years

2. During the past 12 months, has anyone in this household
visited a public beach, national seashore, costal state
park, or other coastal nature reserve or protected area?

OMB Control No. 0648-xxxx
Expiration Date: xx/xx/xxxx

Yes

No

Go to Household Member 2

Yes

No

Go to Household Member 3

Yes

No

Go to Household Member 4

Yes

No

Go to Household Member 5 on the next page

Please useother side for
additional household members

Please complete for all members of your household. Include those who fish and those who do not fish.

Household Member 5

Household Member 6

7. Insert Name: for each person

7. Insert Name: for each person

8. What is this person’s gender?

8. What is this person’s gender?

Female

9. How old is this person?
If less than 1 year, mark 0 years.

Male

Female

9. How old is this person?
If less than 1 year, mark 0 years.

Age in years

Age in years

10. For each time period below, on how many days
did this person go recreational saltwater fishing in
North Carolina from:

10. For each time period below, on how many days
did this person go recreational saltwater fishing in
North Carolina from:

a. T he shore – include docks, bridges, causeways,
beaches, banks or any other shore-based
structure or area. Enter “0” if none.

a. The shore – include docks, bridges, causeways,
beaches, banks or any other shore-based
structure or area. Enter “0” if none.

Days in July, and Aug. 2013

Days in July, and Aug. 2013

Days in May, and June 2013

Days in May, and June 2013

Days in Jan., Feb., March and April 2013

Days in Jan., Feb., March and April 2013

Days in Sept., Oct., Nov, and Dec., 2012

Days in Sept., Oct., Nov, and Dec., 2012

b. A
 boat – include a private or rental boat that
returned to shore in North Carolina. Do not
include charter boats - rental or commercial
boats that include a captain or crew who help
locate and catch fish. Enter “0” if none.

b. A boat – include a private or rental boat that
returned to shore in North Carolina. Do not
include charter boats - rental or commercial
boats that include a captain or crew who help
locate and catch fish. Enter “0” if none.

Days in May, and June 2013

Days in May, and June 2013

Days in Jan., Feb., March and April 2013

Days in Jan., Feb., March and April 2013

Days in Sept., Oct., Nov, and Dec., 2012

Days in Sept., Oct., Nov, and Dec., 2012

11. Does this person expect to go recreational
saltwater fishing in North Carolina within the next
12 months?

11. Does this person expect to go recreational
saltwater fishing in North Carolina within the next
12 months?

C
NI

D ATMOSPHER
AN
IC

TRATION
NIS
MI
AD

Days in July, and Aug. 2013

Go to Household Member 6

Yes

No
Thank You!

ER

EP

D

No

S.

Yes

CE

U.

Days in July, and Aug. 2013

NATIONAL OC
EA

Male

Outdoor Activity Survey

AR

TME

O
NT OF C

MM

Public reporting burden for this collection of information is estimated to average 10 minutes
per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection
of information. Send comments regarding this burden estimate or any other suggestions for
reducing this burden to Rob Andrews, NOAA Fisheries Service, 1315 East-West Hwy., Silver
Spring, MD 20910.

This is a voluntary survey, and responses are kept confidential as required by section 402(b) of the MagnusonStevens Act and NOAA Administrative Order 216-100, Confidentiality of Fisheries Statistics, and will not be
released for public use except in aggregate statistical form without identification as to its source. Notwithstanding
any other provisions of the law, no person is required to respond to, nor shall any person be subjected to a
penalty for failure to comply with, a collection of information subject to the requirements of the Paperwork
Reduction Act, unless that collection of information displays a currently valid OMB Control Number.