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pdfCOMPREHENSIVE SUBSISTENCE SURVEY
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE, ALASKA
Between January and December 2011
OMB Control Number: 1024 – NEW
Expiration Date: XX/XX/XXXX
HOUSEHOLD ID:
This survey is used to estimate subsistence harvests and to describe community
subsistence economies. We will publish a summary report, and send it to all
households in your community. We will share the community information with the
Alaska Department of Fish and Game, the U.S. Fish and Wildlife Service and the
National Park Service. We work with the Federal Regional Advisory Councils and
with local Fish and Game Advisory Committees to better manage subsistence, and
to implement federal and state subsistence priorities.
372
COMMUNITY ID:
RESPONDENT ID:
INTERVIEWER:
INTERVIEW DATE:
START TIME: STOP
TIME:
We will NOT identify your household. We will NOT use this information for
enforcement. Participation in this survey is voluntary. Even if you agree to be
surveyed, you may stop at any time.
DATA CODED BY:
DATA ENTERED BY:
SUPERVISOR:
PAPERWORK REDUCTION ACT STATEMENT: A federal agency may not conduct or sponsor, and a person is not required to respond to, a collection of information, unless a
currently valid OMB control number is displayed. 16 U.S.C. 1a‐7 authorizes collection of this information. This information will be used by the National Park Service, the Federal
Subsistence Management Program, and the Alaska Department of Fish and Game, Division of Subsistence to understand more about the communities eligible to engage in
subsistence in Wrangell‐St. Elias National Park and Preserve. Response to this request is voluntary. Your name will not appear anywhere on the completed survey and your
responses will remain completely anonymous. The public reporting burden for completing individual interviews is estimated to take 60 minutes. Please direct comments
regarding any aspect of this collection to: Barbara Cellarius, Wrangell‐St. Elias National Park and Preserve, Resources Division, Mile 106.8 Richardson Highway, PO Box 439,
Copper Center, AK 99573, [email protected] (e‐mail).
COOPERATING ORGANIZATIONS
WRANGELL‐ST. ELIAS
NATIONAL PARK AND PRESERVE
P.O. BOX 439
COPPER CENTER, AK 99573
DIVISION OF SUBSISTENCE
ALASKA DEPT OF FISH & GAME
333 RASPBERRY ROAD
ANCHORAGE, AK 99518
907‐822‐5234
907‐267‐2353
Page 1 of 26
HOUSEHOLD MEMBERS
HOUSEHOLD ID
Between JANUARY and DECEMBER, 2011…
…who lived in your household?
IS THIS PERSON
ANSWERING
QUESTIONS ON
MALE OR
FEMALE?
ID#
(circle)
(circle)
ALASKA
NATIVE?
(circle)
HEAD 1
Y N
M F
Y N
THIS
SURVEY?
IN WHAT
YEAR WAS
THIS
PERSON
BORN?
(year)
WHERE WERE
PARENTS LIVING
WHEN THIS PERSON
WAS BORN?
(AK city or state)
HOW IS THIS
PERSON RELATED
TO HOUSEHOLD
HEAD 1?
(relation)
HOW MANY
YEARS HAS
THIS PERSON
LIVED IN
WRST?
(number)
WHAT IS THE
HIGHEST LEVEL
OF EDUCATION
ATTAINED?
(number)
YRS
YRS
YRS
YRS
01
Enter spouse or partner next. If household has a SINGLE HEAD, leave HEAD 2 blank.
HEAD 2
Y N
M F
Y N
02
Enter children (oldest to youngest), grandchildren, grandparents, brothers, sisters, or anyone else living full‐time in this household.
03
Y N
M F
Y N
YRS
YRS
04
Y N
M F
Y N
YRS
YRS
05
Y N
M F
Y N
YRS
YRS
06
Y N
M F
Y N
YRS
YRS
07
Y N
M F
Y N
YRS
YRS
08
Y N
M F
Y N
YRS
YRS
09
Y N
M F
Y N
YRS
YRS
10
Y N
M F
Y N
YRS
YRS
11
Y N
M F
Y N
YRS
YRS
12
Y N
M F
Y N
YRS
YRS
13
Y N
M F
Y N
YRS
YRS
14
Y N
M F
Y N
YRS
YRS
15
Y N
M F
Y N
YRS
YRS
PERMANENT HH MEMBERS: 01
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE: 372
Page 2 of 26
HOUSEHOLD MEMBER PARTICIPATION
HOUSEHOLD ID
Between JANUARY and DECEMBER, 2011…
…did this person...
Large Land Mammals
PERSON
Small Land
Furbearers
Birds & Eggs
Plants/Berries/Wood
Fish
ID# FROM
Page 2
Head
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Head
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
PERMANENT HH MEMBERS: 01
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE: 372
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE: 372
PERMANENT HH MEMBERS: 01
Page 3 of 26
HOUSEHOLD MEMBER PARTICIPATION
HOUSEHOLD ID
Between JANUARY and DECEMBER, 2011…
…did this person...
PERSON
ID# FROM
Page 2
PERMANENT HH MEMBERS: 01
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE: 372
Page 4 of 26
HARVESTS: COMMERCIAL SALMON FISHING
HOUSEHOLD ID
Do members of your household USUALLY participate in COMMERCIAL SALMON FISHING ?.................................. Y
N
Between JANUARY and DECEMBER, 2011…
…Did members of your household participate in commercial salmon fishing?........................................................ Y
N
IF NO, go to the next harvest page.
If YES, continue on this page…
Please estimate the number of salmon ALL MEMBERS OF YOUR HOUSEHOLD REMOVED FROM COMMERCIAL HARVEST FOR PERSONAL USE OR SHARING
in 2011. INCLUDE the fish you gave away, ate fresh, fed to dogs, lost to spoilage, caught as incidental catch while fishing for another species, or got by
helping others. If harvested with others, report ONLY YOUR SHARE of the catch.
IN 2011
DID MEMBERS OF
YOUR HH…
DID YOU REMOVE
IN 2011, HOW MANY
FROM THE CATCH &
FISH FOR
?
CATCH AS
INCIDENTAL
CATCH
?
WERE
REMOVED FOR YOUR
OWN USE?
GIVE AWAY TO CREW
OR OTHERS?
CREW
OTHERS
(circle)
(circle)
(number)
(number)
Y
N
Y
N
IND
IND
IND
Y
N
Y
N
IND
IND
IND
Y
N
Y
N
IND
IND
IND
Y
N
Y
N
IND
IND
IND
Y
N
Y
N
IND
IND
IND
Y
N
Y
N
IND
IND
IND
COMMERCIAL
CHINOOK (KING) SALMON
IN 2011, HOW MANY
ID NUMBER FROM PAGE
2
PERMIT
HOLDER
CREW
(number)
(number)
113000000
SOCKEYE (RED) SALMON
115000000
COHO (SILVER) SALMON
112000000
CHUM (DOG) SALMON
111000000
PINK (HUMPIES) SALMON
114000000
UNKNOWN SALMON
119000000
COMMERCIAL SALMON FISHING: 03
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE: 372
Page 5 of 26
HARVESTS: COMMERCIAL NON‐SALMON FISHING
HOUSEHOLD ID
Do members of your household USUALLY participate in COMMERCIAL NON‐SALMON FISHING ?...................................... Y
N
Between JANUARY and DECEMBER, 2011…
…Did members of your household participate in commercial non‐salmon fishing?............................................................. Y
N
IF NO, go to the next harvest page.
If YES, continue on this page…
Please estimate the number of commercially harvested non‐salmon fish ALL MEMBERS OF YOUR HOUSEHOLD REMOVED FROM COMMERCIAL HARVEST FOR
PERSONAL USE OR SHARING in 2011. INCLUDE the fish you gave away, ate fresh, fed to dogs, lost to spoilage, caught as incidental catch while fishing for another
species, or got by helping others. If harvested with others, report ONLY YOUR SHARE of the catch.
IN 2011
DID MEMBERS
IN 2011, HOW
OF YOUR HH…
DID YOU
CATCH AS
HALIBUT
COMMERCIAL
INCIDENTAL
FISH FOR
?
CATCH
(circle)
(circle)
Y
?
N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
IN 2011, HOW
THE CATCH
ID NUMBER FROM
GIVE AWAY TO
OR
YOUR OWN
121800000
HERRING
120200000
HERRING SPAWN ON KELP
120306000
HERRING SAC ROE
120304000
PACIFIC COD (GRAY)
121004000
PACIFIC TOM COD
121008000
SCULPIN
123000000
STARRY FLOUNDER
121406000
SMELT
120400000
ROCKFISH
122600000
LAMPREY
122000000
LINGCOD
121606000
COMMERCIAL NON-SALMON FISHING
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE: 372
COMMERCIAL NON‐SALMON FISHING:
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE:
Page 6 of
HARVESTS: COMMERCIAL MARINE INVERTEBRATE HARVEST
HOUSEHOLD ID
Do members of your household USUALLY participate in COMMERCIAL MARINE INVERTEBRATE HARVEST ?..................................................... Y
N
Between JANUARY and DECEMBER, 2011…
…Did members of your household participate in commercial marine invertebrate harvest?.............................................................................. Y
N
IF NO, go to the next harvest page.
If YES, continue on this page…
Please estimate the commercially harvested marine invertebrates ALL MEMBERS OF YOUR HOUSEHOLD REMOVED FROM COMMERCIAL HARVEST in 2011. INCLUDE the
marine invertebrates you gave away, ate fresh, fed to dogs, lost to spoilage, caught as incidental catch while fishing for another species, or got by helping others. If
harvested with others, report ONLY YOUR SHARE of the catch.
IN 2011
DID MEMBERS OF
IN 2011, HOW
YOUR HH…
DID YOU
CATCH AS
TANNER CRAB
COMMERCIAL
INCIDENTAL
FISH FOR
?
CATCH
(circle)
(circle)
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
?
IN 2011, HOW
THE CATCH
GIVE AWAY TO
OR
ID NUMBER FROM
PAGE
YOUR OWN
501012000
DUNGENESS CRAB
501004000
SHRIMP
503400000
SQUID
503800000
OCTOPUS
502200000
COMMERCIAL MARINE INVERTEBRATE HARVEST:
LL ST. ELIAS NATIONAL PARK AND PRESERVE:
COMMERCIAL MARINE INVERTEBRATE HARVEST
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE: 372
Page 7 of
HARVESTS: SALMON
(NON‐COMMERCIAL)
HOUSEHOLD ID
Do members of your household USUALLY harvest SALMON ?............................................................................................................Y
N
Between JANUARY and DECEMBER, 2011…
…Did members of your household USE or TRY TO HARVEST salmon?................................................................................................Y
N
IF NO, go to the next harvest page.
If YES, continue on this page…
Please estimate how many salmon ALL MEMBERS OF YOUR HOUSEHOLD HARVESTED in 2011, including with a rod and reel. INCLUDE salmon you gave
away, ate fresh, fed to dogs, lost to spoilage, or got by helping others. If fishing with others, report ONLY YOUR SHARE of the catch. Do not include fish
caught and released.
IN 2011
DID YOUR
GIVE AWAY?
RECEIVE?
TRY TO
HARVEST?
USE?
DID MEMBERS
OF YOUR HH…
WITH
ROD
(circle)
CHINOOK (KING) SALMON
WITH
(number taken by each gear
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
(ind,
113000000
SOCKEYE (RED) SALMON
115000000
COHO (SILVER) SALMON
112000000
CHUM (DOG) SALMON
111000000
PINK (HUMPIES) SALMON
114000000
LANDLOCKED SALMON
Kokanee
116000000
UNKNOWN SALMON
119000000
These columns should include all the
salmon HARVESTED by members of
household in
ASSESSMENTS: SALMON
Between JANUARY and DECEMBER, 2011…
To conclude our salmon section, I am going to ask a few general questions about salmon
Last year…
…did your household use LESS, SAME, or MORE salmon than in recent years?................................................................ X L S M
If LESS or MORE…
X = do not use
1
WHY was your use different?............................................................
2
Last year…
…did your household GET ENOUGH salmon?............................................................................................................................ Y
N
If NO…
What KIND of salmon did you need?..................................................
How would you describe the impact to your household
of not getting enough salmon last year?.....................................
...minor?
(1)
...major?
(2)
severe?
(3)
Did your household do anything DIFFERENTLY because you did NOT get enough salmon?.................................. Y
IF YES…
What did your household do differently?........................
SALMON :04
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE:
Page 8 of 26
N
1
2
372
HARVESTS: OTHER FISH
(NON‐COMMERCIAL)
HOUSEHOLD ID
Do members of your household USUALLY harvest OTHER FISH ?................................................................................................Y
N
Between JANUARY and DECEMBER, 2011…
…Did members of your household USE or TRY TO HARVEST other fish?.....................................................................................Y
N
IF NO, go to the next harvest page.
If YES, continue on this page…
Please estimate how many other fish ALL MEMBERS OF YOUR HOUSEHOLD HARVESTED in 2011, including with a rod and reel. INCLUDE other fish you
gave away, ate fresh, fed to dogs, lost to spoilage, or got by helping others. If fishing with others, report ONLY YOUR SHARE of the catch. Do not
include fish caught and released
IN 2011
DID YOUR
DID MEMBERS OF
GIVE AWAY?
RECEIVE?
TRY TO
HARVEST?
USE?
YOUR HH…
ROD
(number taken by each gear
(circle)
RAINBOW TROUT
GILL
OR
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
(ind,
126204000
LAKE TROUT
125010000
CUTTHROAT TROUT
126202000
TROUT
Unknown
126200000
DOLLY VARDEN
125006000
GRAYLING
125200000
PIKE
125400000
BURBOT
Ling Cod
124800000
ROUND WHITEFISH
126412000
HUMPBACK WHITEFISH
126408000
BROAD WHITEFISH
126404000
LEAST CISCO
126406060
UNKNOWN WHITEFISH
126400000
SUCKER
126000000
Continue on next page
OTHER FISH: 06
These columns should include all the
other fish HARVESTED by members of
household in
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE: 372
Page 9 of 26
HARVESTS: OTHER FISH
(NON‐COMMERCIAL)
HOUSEHOLD ID
…continued
Please estimate how many other fish ALL MEMBERS OF YOUR HOUSEHOLD HARVESTED in 2011 , including with a rod and reel. INCLUDE other fish you
gave away, ate fresh, fed to dogs, lost to spoilage, or got by helping others. If fishing with others, report ONLY YOUR SHARE of the catch. Do not include
fish caught and released.
DID YOUR
GIVE AWAY?
RECEIVE?
TRY TO
HARVEST?
USE?
IN 2011
DID MEMBERS OF
YOUR HH…
GILL
OR
(circle)
HALIBUT
…CATCH
…CATCH
WITH
ROD AND
REEL?
WITH
OTHER
GEAR?
(number taken by each gear type)
UNITS
(ind, lbs)
Y N
Y N
Y N
Y N
LBS
Y N
Y N
Y N
Y N
GAL
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
GAL
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
121800000
HERRING
120200000
PACIFIC COD (GRAY)
121004000
PACIFIC TOM COD
121008000
STARRY FLOUNDER
121406000
SMELT
120400000
ROCKFISH
122600000
LAMPREY
122000000
LINGCOD
121606000
These columns should include all the
other fish HARVESTED by members of
household in
OTHER FISH
Between JANUARY and DECEMBER, 2011…
To conclude our other fish section, I am going to ask a few general questions about other fish.
Last year…
…did your household use LESS, SAME, or MORE other fish than in recent years?............................................................. X L S M
If LESS or MORE…
X = do not use
WHY was your use different?............................................................
Last year…
…did your household GET ENOUGH other fish?......................................................................................................................... Y
If NO…
What KIND of other fish did you need?...............................................
How would you describe the impact to your household
of not getting enough other fish last year?..................................
...minor?
(1)
...major?
(2)
severe?
(3)
Did your household do anything DIFFERENTLY because you did NOT get enough other fish?............................... Y
IF YES…
What did your household do
OTHER FISH: 06
N
N
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE:
Page 10 of 26
HARVESTS: MARINE INVERTEBRATES/SHELLFISH
HOUSEHOLD ID
Do members of your household USUALLY harvest MARINE INVERTEBRATES/SHELLFISH ?..............................................................Y
N
Between JANUARY and DECEMBER, 2011…
…Did members of your household USE or TRY TO HARVEST marine invertebrates/shellfish ?..........................................................Y
N
IF NO, go to the next harvest page.
If YES, continue on this page…
Please estimate how many marine invertebrates/shellfish ALL MEMBERS OF YOUR HOUSEHOLD HARVESTED in 2011. INCLUDE marine
invertebrates/shellfish you gave away, ate fresh, fed to dogs, lost to spoilage, or got by helping others. If fishing with others, report ONLY YOUR SHARE of
the catch.
GIVE AWAY?
RECEIVE?
TRY TO
HARVEST?
USE?
IN 2011
DID MEMBERS OF
YOUR HH…
DID YOUR HOUSEHOLD HARVEST?
(circle)
DUNGENESS CRAB
(number taken)
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
(ind, lbs,gal)
501004000
KING CRAB
501008000
TANNER CRAB
501012000
RAZOR CLAMS
500612000
FRESHWATER CLAMS
500604000
These columns should include all the
marine invertebrates/shellfish HARVESTED
members of this household in
MARINE INVERTEBRATES/SHELLFISH
Between JANUARY and DECEMBER, 2011…
To conclude our marine invertebrates/shellfish section, I am going to ask a few general questions about marine invertebrates/shellfish.
Last year…
…did your household use LESS, SAME, or MORE marine invertebrates/shellfish than in recent years?............................ X L S M
If LESS or MORE…
X = do not use
WHY was your use different?............................................................
Last year…
…did your household GET ENOUGH marine invertebrates/shellfish?........................................................................................ Y
If NO…
What KIND of marine invertebrates/shellfish did you need?..............
How would you describe the impact to your household
of not getting enough marine invertebrates/shellfish last year?.
...minor?
(1)
...major?
(2)
severe?
(3)
Did your household do anything DIFFERENTLY because you did NOT get enough marine invertebrates/shellfish Y
IF YES…
What did your household do
MARINE INVERTEBRATES/SHELLFISH: 08
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE
PRESERVE
Page 11 of 26
N
N
HARVESTS: LARGE LAND MAMMALS
HOUSEHOLD ID
Do members of your household USUALLY hunt for LARGE LAND MAMMALS?......................................................................................................Y.
N
Between JANUARY and DECEMBER, 2011…
…Did members of your household USE or TRY TO HARVEST large land mammals?...............................................................................................Y
N
IF NO, go to the next harvest page.
If YES, continue on this page…
Please estimate how many large land mammals ALL MEMBERS OF YOUR HOUSEHOLD HARVESTED DURING EACH MONTH in 2011. INCLUDE large
land mammals you gave away, ate fresh, fed to dogs, lost to spoilage, or got by helping others. If hunting with others, report ONLY YOUR SHARE of
the catch.
IN 2011
IN 2011, HOW MANY
(circle)
(enter number by sex and month of take)
UNKNOWN
DECEMBER
NOVEMBER
OCTOBER
SEPTEMBER
AUGUST
JULY
JUNE
MAY
APRIL
MARCH
FEBRUARY
JANUARY
SEX
GIVE AWAY?
RECEIVE?
TRY TO
HARVEST?
USE?
YOUR HH…
MOOSE
DID
MEMBERS OF YOUR HOUSEHOLD HARVEST
DURING EACH MONTH?
DID MEMBERS OF
UNITS
(ind)
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
IND
211800000
211800001
211800002
211800009
CARIBOU
IND
211000000
211000001
211000002
211000009
BLACK BEAR
210600000
BROWN BEAR
210800000
DALL SHEEP
212200000
GOAT
211600000
DEER
211200000
BISON
210400000
LARGE LAND MAMMALS
Between JANUARY and DECEMBER, 2011…
To conclude our large land mammals section, I am going to ask a few general questions about large land mammals.
Last year…
…did your household use LESS, SAME, or MORE large land mammals than in recent years?...................................... X L S M
If LESS or MORE…
X = do not use
WHY was your use different?............................................................
Last year…
…did your household GET ENOUGH large land mammals?.................................................................................................. Y N
If NO…
What KIND of large land mammals did you need?.................................
How would you describe the impact to your household of not
getting enough large land mammals last year?....................
...minor?
(1)
...major?
(2)
severe?
(3)
Did your household do anything DIFFERENTLY because you did NOT get enough large land mammals?....... Y
IF YES…
What did your household do differently?.........................
LARGE LAND MAMMALS
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE 372
Page 12 of 26
HARVESTS: MARINE MAMMALS
HOUSEHOLD ID
Do members of your household USUALLY hunt for MARINE MAMMALS for subsistence?................................................................. Y
N
Between JANUARY and DECEMBER, 2011…
…Did members of your household USE or TRY TO HARVEST marine mammals?................................................................................. Y
N
IF NO, go to the next harvest page.
If YES, continue on this page…
Please estimate how many marine mammals ALL MEMBERS OF YOUR HOUSEHOLD HARVEST DURING EACH MONTH for subsistence use this year.
INCLUDE marine mammals you gave away, ate fresh, fed to dogs, lost to spoilage, or got by helping others. If hunting with others, report ONLY YOUR
SHARE of the catch.
HARBOR SEAL
DECEMBER
UNKNOWN
NOVEMBER
OCTOBER
SEPTEMBER
AUGUST
JULY
JUNE
MAY
APRIL
MARCH
FEBRUARY
JANUARY
SEX
(circle)
IN 2011, HOW MANY
DID
MEMBERS OF YOUR HOUSEHOLD HARVEST
DURING EACH MONTH?
GIVE AWAY?
RECEIVE?
TRY TO
HARVEST?
USE?
IN 2011
DID MEMBERS OF
YOUR HH…
(enter number by sex and month of take)
UNITS
(circle)
(ind)
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
IND
L S M ?
Y N
Y N
Y N
Y N
IND
L S M ?
Y N
Y N
Y N
Y N
IND
L S M ?
Y N
Y N
Y N
Y N
IND
L S M ?
Y N
Y N
Y N
Y N
IND
L S M ?
L S M ?
IND
300806000
300806001
300806002
300806009
STELLER SEA LION
WERE LESS, SAME,
OR MORE
AVAILABLE IN 2011,
THAN IN RECENT
YEARS?
L S M ?
IND
301200000
301200001
301200002
301200009
SEA OTTER
301000000
FUR SEAL
300804000
300804001
300804002
300804009
WHALE (SPECIFY)
301600000
WALRUS
301400000
" ? " means
“I don't know"
MARINE MAMMALS
Between JANUARY and DECEMBER, 2011…
To conclude our section, I am going to ask a few general questions about .
Last year…
…did your household use LESS, SAME, or MORE than in recent years?...........................................................................
If LESS or MORE… WHY was your use
different?...............................................
X L S M
X = do not use
Last year…
…did your household GET ENOUGH ?..................................................................................................................................
If NO…
What KIND of did you need?...............................................
How would you describe the impact to your household of not
getting enough marine mammals last year?........ ...minor?
(1)
Did your household do anything DIFFERENTLY because you did NOT get enough ?................
IF YES…
What did your household do differently?...
MARINE MAMMALS: 12
...major?
(2)
Y
N
severe?
(3)
Y
N
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE: 372
Page 13 of 26
HARVESTS: SMALL LAND MAMMALS OR FURBEARERS
HOUSEHOLD ID
Do members of your household USUALLY hunt or trap for SMALL LAND MAMMALS OR FURBEARERS for subsistence?..............................Y
N
Between JANUARY and DECEMBER, 2011…
…Did members of your household USE or TRY TO HARVEST small land mammals or furbearers?................................................................Y.
N
IF NO, go to the next harvest page.
If YES, continue on this page…
Please estimate how many small land mammals or furbearers ALL MEMBERS OF YOUR HOUSEHOLD HARVESTED EACH MONTH in 2011. INCLUDE
small land mammals or furbearers you gave away, ate fresh, fed to dogs, lost to spoilage, or got by helping others. If hunting or trapping with
others, report ONLY YOUR SHARE of the catch.
(circle)
BEAVER
(enter number by month of take)
UNKNOWN
DECEMBER
NOVEMBER
OCTOBER
SEPTEMBER
AUGUST
JULY
JUNE
MAY
APRIL
MARCH
FEBRUARY
JANUARY
SEX
IN 2011, HOW MANY
DID
MEMBERS OF YOUR HOUSEHOLD HARVEST
EACH MONTH?
GIVE AWAY?
RECEIVE?
TRY TO
HARVEST?
USE?
IN 2011
DID MEMBERS OF
YOUR HH…
UNITS
(ind)
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
220200000
PORCUPINE
222600000
SNOWSHOE HARE
221004000
RED FOX
220804000
CROSS FOX
220804020
WOLF
223200000
WOLVERINE
223400000
LAND OTTER
221200000
MUSKRAT
222400000
WEASEL
223000000
LYNX
221600000
Continue on next page
SMALL LAND MAMMALS: 14
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE: 372
Page 14 of 26
HARVESTS: SMALL LAND MAMMALS OR FURBEARERS
HOUSEHOLD ID
....continued
Please estimate how many small land mammals or furbearers ALL MEMBERS OF YOUR HOUSEHOLD HARVESTED DURING EACH MONTH in 2011. INCLUDE small
land mammals or furbearers you gave away, ate fresh, fed to dogs, lost to spoilage, or got by helping others. If hunting or trapping with others, report ONLY
YOUR SHARE of the catch.
UNKNOWN
DECEMBER
NOVEMBER
OCTOBER
SEPTEMBER
AUGUST
JULY
JUNE
MAY
APRIL
MARCH
JANUARY
(circle)
MARTEN
FEBRUARY
SEX
IN 2011, HOW MANY
DID
MEMBERS OF YOUR HOUSEHOLD HARVEST
DURING EACH MONTH?
GIVE AWAY?
RECEIVE?
TRY TO
HARVEST?
USE?
IN 2011
DID MEMBERS OF
YOUR HH…
(enter number by month of take)
UNITS
(ind)
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
Y N
Y N
Y N
Y N
IND
222000000
COYOTE
220400000
MINK
222200000
MARMOT
221800000
GROUND SQUIRREL
222800000
TREE SQUIRREL
222804000
SMALL LAND MAMMALS OR FURBEARERS
Between JANUARY and DECEMBER, 2011…
To conclude our small land mammals or furbearers section, I am going to ask a few general questions about small land mammals or furbearers.
Last year…
…did your household use LESS, SAME, or MORE small land mammals or furbearers than in recent years?.............................. X L S M
If LESS or MORE…
X = do not use
1
WHY was your use different?............................................................
2
Last year…
…did your household GET ENOUGH small land mammals or furbearers?........................................................................................ Y N
If NO…
What KIND of small land mammals or furbearers did you need?......................
How would you describe the impact to your household
of not getting enough small land mammals or furbearers last year?.......... ...minor?
(1)
...major?
(2)
severe?
(3)
Did your household do anything DIFFERENTLY because you did NOT get enough small land mammals or furbearers?......... Y
IF YES…
What did your household do differently?.........................
SMALL LAND MAMMALS: 14
N
1
2
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE: 372
Page 15 of 26
HARVESTS: MIGRATORY WATERFOWL
HOUSEHOLD ID
Do members of your household USUALLY hunt for MIGRATORY WATERFOWL?...................................................................................................Y
N
Between JANUARY and DECEMBER, 2011…
…Did members of your household USE or TRY TO HARVEST migratory waterfowl?..............................................................................................Y
N
IF NO, go to the next harvest page.
If YES, continue on this page…
Please estimate how many migratory waterfowl ALL MEMBERS OF YOUR HOUSEHOLD HARVESTED DURING EACH SEASON in 2011. INCLUDE migratory
waterfowl you gave away, ate fresh, lost to spoilage, or got by helping others. If hunting with others, report ONLY YOUR SHARE of the catch.
UNKNOWN
DECEMBER
NOVEMBER
OCTOBER
SEPTEMBER
AUGUST
JULY
JUNE
MAY
APRIL
MARCH
FEBRUARY
JANUARY
IN 2011, HOW MANY
DID
MEMBERS OF YOUR HOUSEHOLD HARVEST
DURING EACH SEASON?
GIVE AWAY?
RECEIVE?
TRY TO
HARVEST?
USE?
IN 2011
DID MEMBERS OF
YOUR HH…
(circle)
CANADA GEESE (CACKLERS)
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
410404040
CANADA GEESE (BIG LESSER)
410404080
CANADA GEESE (UNKNOWN)
410404000
WHITE‐FRONTED GEESE
Specklebelly
410410000
SPECTACLED EIDER
410206060
BRANT (SEA GEESE)
410402000
EMPEROR GEESE
410406000
SNOW GEESE
410408000
GEESE (UNKNOWN)
410400000
TUNDRA SWAN (WHISTLING)
410604000
SANDHILL CRANE
410802000
MALLARD
410214000
NORTHERN PINTAIL
410220000
Continue on next page.
MIGRATORY WATERFOWL: 15
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE: 372
Page 16 of 26
HOUSEHOLD ID
HARVESTS: MIGRATORY WATERFOWL
...continued
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
UNKNOWN
DECEMBER
NOVEMBER
OCTOBER
SEPTEMBER
AUGUST
JULY
JUNE
MAY
MARCH
FEBRUARY
JANUARY
GIVE AWAY?
RECEIVE?
TRY TO HARVEST?
USE?
(circle)
GOLDENEYE
APRIL
IN 2011, HOW MANY
MEMBERS OF YOUR HOUSEHOLD
IN 2011
DID MEMBERS OF
YOUR HH…
410210000
GREEN WINGED TEAL
410232060
CANVASBACK
410204000
BLACK SCOTER (BLACK DUCK)
410228020
DUCKS (UNKNOWN)
410200000
MIGRATORY WATERFOWL
Between JANUARY and DECEMBER, 2011…
To conclude our migratory waterfowl section, I am going to ask a few general questions about migratory waterfowl.
Last year…
…did your household use LESS, SAME, or MORE migratory waterfowl than in recent years?........................................ X L S M
X = do not use
1
2
If LESS or MORE…
WHY was your use different?............................................................
Last year…
…did your household GET ENOUGH migratory waterfowl?................................................................................................... Y
If NO…
What KIND of migratory waterfowl did you need?...........................
How would you describe the impact to your household
of not getting enough migratory waterfowl last year?..............
...minor?
(1)
...major?
(2)
N
severe?
(3)
Did your household do anything DIFFERENTLY because you did NOT get enough migratory waterfowl?.......... Y
N
IF YES…
What did your household do differently?.......................
MIGRATORY WATERFOWL: 15
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE: 372
Page 17 of 26
HARVESTS: OTHER BIRDS
HOUSEHOLD ID
Do members of your household USUALLY hunt for OTHER BIRDS?..........................................................................................................................Y
N
Between JANUARY and DECEMBER, 2011…
…Did members of your household USE or TRY TO HARVEST other birds?................................................................................................................Y
N
IF NO, go to the next harvest page.
If YES, continue on this page…
Please estimate how many other birds ALL MEMBERS OF YOUR HOUSEHOLD HARVESTED D U R I N G E A C H S E A S O N in 2011. INCLUDE other birds you
gave away, ate fresh, lost to spoilage, or got by helping others. If hunting with others, report ONLY YOUR SHARE of the catch.
IN 2011
IN 2011, HOW MANY
DID MEMBERS OF
MEMBERS OF YOUR HOUSEHOLD
GIVE AWAY?
RECEIVE?
TRY TO
HARVEST?
USE?
YOUR HH…
(circle)
PTARMIGAN
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
421804000
SPRUCE GROUSE
421802020
OTHER BIRDS
Between JANUARY and DECEMBER, 2011…
To conclude our other birds section, I am going to ask a few general questions about other birds.
Last year…
…did your household use LESS, SAME, or MORE other birds than in recent years?........................................................ X L S M
If LESS or MORE…
X = do not use
WHY was your use different?............................................................
Last year…
…did your household GET ENOUGH other birds?.................................................................................................................... Y
If NO…
What KIND of other birds did you need?...........................................
How would you describe the impact to your household
of not getting enough other birds last year?..............................
...minor?
(1)
...major?
(2)
severe?
(3)
Did your household do anything DIFFERENTLY because you did NOT get enough other birds?......................... Y
IF YES…
What did your household do differently?.......................
OTHER BIRDS: 15
N
N
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE: 372
Page 18 of
HARVESTS: BIRD EGGS
HOUSEHOLD ID
Do members of your household USUALLY look for BIRD EGGS?...........................................................................................................................Y N
Between JANUARY and DECEMBER, 2011…
…Did members of your household USE or TRY TO GATHER bird eggs?.................................................................................................................Y N
IF NO, go to the next harvest page.
If YES, continue on this page…
Please estimate how many bird eggs ALL MEMBERS OF YOUR HOUSEHOLD GATHERED DURING EACH SEASON in 2011. INCLUDE bird eggs you gave
away, ate fresh, lost to spoilage, or got by helping others. If looking with others, report ONLY YOUR SHARE of the eggs.
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
UNKNOWN
DECEMBER
NOVEMBER
OCTOBER
SEPTEMBER
AUGUST
JULY
JUNE
MAY
APRIL
MARCH
JANUARY
GIVE AWAY?
RECEIVE?
TRY TO
HARVEST?
USE?
(circle)
GULL EGGS
FEBRUARY
IN 2011, HOW MANY
DID MEMBERS
OF YOUR HOUSEHOLD GATHER DURING EACH SEASON?
IN 2011
DID MEMBERS OF
YOUR HH…
431212000
GEESE EGGS
430400000
DUCK EGGS
430200000
EGGS (UNKNOWN)
430000000
EGGS
Between JANUARY and DECEMBER, 2011…
To conclude our eggs section, I am going to ask a few general questions about resource name.
Last year…
…did your household use LESS, SAME, or MORE eggs than in recent years?................................................................. X L S M
If LESS or MORE…
X = do not use
1
2
WHY was your use different?............................................................
Last year…
…did your household GET ENOUGH eggs?............................................................................................................................ Y
If NO…
What KIND of eggs did you need?..................................................
How would you describe the impact to your household
of not getting enough eggs last year?........................................
...minor?
(1)
...major?
(2)
severe?
(3)
Did your household do anything DIFFERENTLY because you did NOT get enough eggs?................................... Y
IF YES…
What did your household do differently?.......................
BIRD EGGS: 15
N
N
1
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE: 372
Page 19 of 26
HARVESTS: PLANTS AND BERRIES INCLUDING WOOD
HOUSEHOLD ID
Do members of your household USUALLY harvest PLANTS AND BERRIES INCLUDING WOOD?.................................................................................
Y
N
Y
N
Between JANUARY and DECEMBER, 2011…
…Did members of your household USE or TRY TO HARVEST plants and berries including wood?..............................................................................
IF NO, go to the next harvest page.
If YES, continue on this page…
Please estimate how many plants and berries including wood ALL MEMBERS OF YOUR HOUSEHOLD HARVESTED in 2011. INCLUDE plants and berries including wood
you gave away, ate fresh, lost to spoilage, or got by helping others. If harvesting with others, report ONLY YOUR SHARE of the harvest.
IN 2011
DID MEMBERS OF
IN 2011, HOW MANY
GIVE AWAY?
RECEIVE?
TRY TO
HARVEST?
USE?
YOUR HH…
(circl )
BLUEBERRY
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
DID MEMBERS OF
YOUR HOUSEHOLD
HARVEST?
UNITS/NOTES
(number)
(each, gallons, buckets, etc.)
601002000
LOW BUSH CRANBERRY
601004000
HIGH BUSH CRANBERRY
601006000
RASPBERRY
601020000
OTHER BERRIES
(L st)
601000000
HUDSON BAY TEA
Labrador Tea
602018000
MUSHROOMS
602040000
OTHER PLANTS
(L st)
602000002
WOOD
rewood
604000000
WOOD
(Specify Use)
604000002
PLANTS AND BERRIES
Between JANUARY and DECEMBER, 2011…
To conclude our plants and berries section, I am going to ask a few general questions about plants and berries.
Last year…
X L S M
…did your household use LESS, SAME, or MORE plants and berries than in recent years?....................................................
If LESS or MORE…
X = do not use
WHY was your use different?............................................................
Last year…
…did your household GET ENOUGH plants and berries?................................................................................................................ Y
If NO…
What KIND of plants and berries did you need?.................................................
How would you describe the impact to your household
of not getting enough plants and berries last year?..................................... ...minor?
(1)
...major?
(2)
severe?
(3)
Did your household do anything DIFFERENTLY because you did NOT get enough plants and berries?..................... Y
IF YES…
What did your household do differently?.........................
PLANTS AND BERRIES: 17
N
N
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE: 372
Page 20 of
ASSESSMENTS
HOUSEHOLD ID
WILD RESOURCES
Between JANUARY and DECEMBER, 2011…
To conclude our wild resources section, based on everything we’ve talked about, wild resources will
include any of the resources we’ve talked about so far. Now, I am going to ask a few questions about
wild resources in general. Last year…
X L S M
…did your household use LESS, SAME, or MORE wild resources than in recent years?.......................................................
If LESS or MORE…
X = do not use
WHY was your use different?..........................................................
Last year…
…did your household GET ENOUGH wild resources?................................................................................................................... Y
If NO…
What KIND of wild resources did you need?...................................
How would you describe the impact to your household
of not getting enough wild resources last year?....................
...minor?
(1)
...major?
(2)
N
severe?
(3)
Did your household do anything DIFFERENTLY because you did NOT get enough wild resources?.........................
IF YES…
Y
N
What did your household do differently?....................
HEALTH IMPACT ASSESSMENTS
Now I am going to ask you some questions about the foods your family normally eats. The purpose of these questions is to identify the
most commonly eaten subsistence foods and the foods you most commonly eat if you are not eating subsistence foods. We do not care if
you harvest the foods, receive them from others or purchase them at the store, just what you most commonly eat.
In a normal week, how many times a day on average are subsistence foods such as salmon, non‐salmon fish, moose, caribou, birds, etc.
served in your household?
None ‐ don't use
less than 1 time per day
1 time per day
2 times per day
3 times per day
more than 3 times a day
Please list the top five subsistence foods you eat in your household on a regular basis. Think about those foods that may not be
important now but are important at other times of the year as well.
If you cannot get subsistence foods, what do you eat instead?
ASSESSMENTS
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE: 372
Page 21 of
FOOD SECURITY
HOUSEHOLD ID
The questions on this page have been asked all over the United States to find out if Americans have enough to eat. We would like to know if
people in your village have enough to eat. I am going to read you five statements about different food situations. Please tell me whether EACH
statement was true for your household (HH) in the last 12 months.
Think about all your household's food, both subsistence and store‐bought…
STATEMENT 1. We WORRIED that our household would not have ENOUGH FOOD.
In the last 12 months, was this OFTEN true, SOMETIMES true, or NEVER true for your household?......................... [ 1 ] Often True
HH2
[ 2 ] Sometimes True
[ 3 ] Never True
STATEMENT 2. The food we had JUST DID NOT LAST, and we could not get more.
In the last 12 months, was this OFTEN true, SOMETIMES true, or NEVER true for your household?......................... [ 1 ] Often True
HH3
[ 2 ] Sometimes True
[ 3 ] Never True
STATEMENT 3. We could not get the foods we wanted to eat because of a LACK OF RESOURCES.
By "lack of resources," we mean your household did NOT have what you needed to hunt, fish, gather, or buy food.
In the last 12 months, was this OFTEN true, SOMETIMES true, or NEVER true for your household?......................... [ 1 ] Often True
HH4
[ 2 ] Sometimes True
[ 3 ] Never True
Now, think just about your household's SUBSISTENCE food…
STATEMENT 4. The SUBSISTENCE food we had just did not last, and we could not get more.
In the last 12 months, was this ever true for your household?...................................................................................
If YES, in which months did this happen?....................................................................................................................
N
J
Y
?
F MAM J J A S O N D
Now, think just about your household's STORE‐BOUGHT food…
STATEMENT 5. The STORE‐BOUGHT food we had just did not last, and we could not get more.
In the last 12 months, was this ever true for your household?...................................................................................
If YES, in which months did this happen?....................................................................................................................
N
J
Y
?
F MAM J J A S O N D
If Statement 1, Statement 2, AND Statement 3 were NEVER TRUE, go to the next page.
If Statement 1, Statement 2, OR Statement 3 was SOMETIMES TRUE or OFTEN TRUE, continue on this page…
In the last 12 months, did you or other adults in your household ever CUT THE SIZE OF YOUR MEALS OR SKIP
MEALS because the HH could not get the food that was needed?.............................................................................
If YES, how often did this happen?...................................................................................................................
AD1
N
Y
?
[ 1 ] Almost every month
[ 2 ] Some months…
[ 3 ] Only 1 or 2 months
In the last 12 months, did you or other adults in your household ever EAT LESS THAN YOU FELT YOU SHOULD
because the HH could not get the food that was needed?.........................................................................................
N
Y
?
AD2
In the last 12 months, were adults in the HH ever HUNGRY BUT DID NOT EAT because there was not
enough food?...............................................................................................................................................................
N
Y
?
In the last 12 months, did adults in the HH LOSE WEIGHT because there was not enough food?..............................
N
Y
?
In the last 12 months, did you or other adults in your household ever NOT EAT FOR A WHOLE DAY
because there was not enough food?..........................................................................................................................
N
Y
?
AD3
AD4
If YES, how often did this happen?...................................................................................................................
FOOD SECURITY: 201
AD5
[ 1 ] Almost every month
[ 2 ] Some months…
[ 3 ] Only 1 or 2 months
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE: 372
Page 22 of 26
ADDITIONAL ASSESSMENTS
HOUSEHOLD ID
Resource Health
During 2011, were there any resources that your household avoided harvesting due to poor resource health? If YES, which resources did you
avoid and why?
Transportation and Motorized Equipment
During 2011, did members of your household use the following when harvesting or attempting to harvest wild foods
circle
Boat
Y
Snowmachine
Y
4‐wheeler/ORV
Y
Airplane
Y
Dogsled
Y
N
N
N
N
N
Does your household own, borrow, lease, or charter this equipment?
Boat
Snowmachine
4‐wheeler/ORV
Airplane
Dogsled
Own
Borrow
Lease
Charter
Circle only responses that the respondent answered yes to above.
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Y N
Comments:
During 2011, did members of your household use the following portable motors or motorized equipment when harvesting or attempting to
harvest wild foods?
circle
Y N
Chainsaw
Y N
Ice auger
Y N
Winch
Y N
Generator
Y N
Other
Heating
What proportion of your household's heating comes from firewood?
circle
In the past 5 years has your harvest area for firewood changed?
0%
1‐25%
26‐50%
51‐75%
76‐99%
100%
circle
Y N
If yes, please explain why?
How much do you spend annually to heat your home?
$
Handicrafts
During 2011, did members of your household participate in the making of handicrafts using the following materials?
Birchbark
Horns
Antlers
Other natural material (specify)
ADDITIONAL ASSESSMENTS
circle
Y
Y
Y
Y
N
N
N
N
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE: 372
Page 23 of
JOBS
FOR EACH PERSON IN THE HOUSEHOLD, 16 YEARS OLD AND OLDER
HOUSEHOLD ID
Between JANUARY and DECEMBER, 2011…
…Did any members of your household earn money from a JOB or from SELF EMPLOYMENT?...........................................................................................................
Y
N
For each member of this household born before 1996, please list EACH JOB held between JANUARY and DECEMBER, 2011.
For household members who did not have a job, write: "RETIRED," "UNEMPLOYED," "STUDENT," "HOMEMAKER," etc.
There should be at least ONE ROW for each member of this household born BEFORE 1996.
WORK SCHEDULE…
We ask about jobs and income because we are trying to understand all
parts of the community economy. Many people use wages from jobs to
support subsistence activities. If one person has more than one job, list
each job on a separate line. (One person may have several lines.)
IN THIS
THIS
job
employer,
SHE WORK IN
circle each month
1ST
2ND
3RD
4TH
5TH
6TH
7TH
8TH
9TH
10TH
11TH
12TH
If a person is SELF-EMPLOYED (selling carvings,
crafts, bread, etc), list that as a separate job. Enter
"sewer," "carver," "baker," etc. as JOB TITLE. Work
schedule usually will be "ON CALL." For gross
income from self-employment ("profit"), enter
revenue MINUS expenses.
MUCH
HE/SHE EARN
THIS
circle
gross
J F MA M J J A S O N
FT PT SF OC
$
/
J F MA M J J A S O N
FT PT SF OC
$
/
J F MA M J J A S O N
FT PT SF OC
$
/
J F MA M J J A S O N
FT PT SF OC
$
/
J F MA M J J A S O N
FT PT SF OC
$
/
J F MA M J J A S O N
FT PT SF OC
$
/
J F MA M J J A S O N
FT PT SF OC
$
/
J F MA M J J A S O N
FT PT SF OC
$
/
J F MA M J J A S O N
FT PT SF OC
$
/
J F MA M J J A S O N
FT PT SF OC
$
/
J F MA M J J A S O N
FT PT SF OC
$
/
J F MA M J J A S O N
FT PT SF OC
$
/
If a person is UNEMPLOYED, specify retired, unemployed,
disabled, student, or homemaker as the JOB TITLE.
TRAPPING for barter or sale IS a job.
COMMERCIAL FISHING is recorded as "ON-CALL, VARIES" for
work schedule.
EMPLOYMENT: 23
IN 2011,
SHIFT ‐ PART
WORK
ON‐CALL,
HE/SHE
IN 2011,
MONTHS DID HE
SHIFT ‐ FULL
DID
APPLICABLE.
PART
FOR
WORK
FISHING & TRAPPING IF
FULL
WHAT KIND
REMEMBER COMMERCIAL
WORK SCHEDULE
1 - Fulltime (35+
hours/week)
2 - Parttime (<35
hours/week)
3 - Shift (2 wks on/2
off, etc.)
4 - Irregular, on call
GROSS
INCOME
Is NOT the
same as
TAXABLE
INCOME
on a W -2 form.
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE: 372
Page 24 of
OTHER INCOME
THIS PAGE IS ONLY FOR INCOME THAT IS NOT EARNED FROM WORKING
HOUSEHOLD ID
Between JANUARY and DECEMBER, 2011…
…Did any members of your household receive a dividend from the Permanent Fund or a Native Corporation?..................................................
Y
N
IF NO, go to the next section on this page.
If YES, continue below…
DID ANYONE
ALASKA PFD IN
IN YOUR HH
RECEIVE
1 PFD =
MEMBERS OF
INCOME
YOUR
FROM
IN 2011?
IN
(circle one)
DIVIDENDS
ALASKA PERMANENT
Y
FUND DIVIDEND
N
100 shrs=
3 PFDs =
150 shrs=
4 PFDs =
200 shrs=
6 PFDs =
$
7 PFDs =
8 PFDs =
Y
DIVIDENDS
1 share=
2 PFDs =
5 PFDs =
32
NATIVE CORPORATION
AHTNA INC. DIVIDENDS IN
AMOUNT
N
9 PFDs =
$
10 PFDs =
13
11 PFDs =
Between JANUARY and DECEMBER, 2011…
…Did any members of your household receive OTHER income such as SENIOR BENEFITS or UNEMPLOYMENT?.................................................
Y
N
IF NO, go to the next page.
If YES, continue below…
RECEIVED
TOTAL
IN 2011?
IN
(circle one)
JOB BENEFITS
UNEMPLOYMENT
scratch paper for
Y
N
$
$
$
per week
per month
for
for
weeks
months
Y
N
$
$
$
per week
per month
for
for
weeks
months
Y
N
$
$
$
per week
per month
for
for
weeks
months
Y
N
$
$
$
per week
per month
for
for
weeks
months
Y
N
$
12
WORKERS'
COMPENSATION
ASSISTANCE
8
FOOD STAMPS
(QUEST CARD)
11
ADULT
PUBLIC ASSISTANCE
3
ELDER BENEFITS
ALASKA SENIOR
BENEFITS (LONGEVITY)
6
PENSION &
RETIREMENT
CHILD BENEFITS
SUPPLEMENTAL
SECURITY
$
$
per week
per month
for
for
weeks
months
Y
N
$
$
$
per week
per month
for
for
weeks
months
Y
N
$
$
$
per week
per month
for
for
weeks
months
Y
N
$
$
$
per week
per month
for
for
weeks
months
Y
N
$
$
$
per week
per month
for
for
weeks
months
Y
N
$
Y
N
$
41
CHILD
SUPPORT
15
ENERGY
ASSISTANCE
$250 per month for 12 months = $3,000 per
$
10
FOSTER
CARE
$175 per month for 12 months = $2,100 per
Income
N
5
SOCIAL
SECURITY
$125 per month for 12 months = $1,500 per
on
Y
7
OTHER
Depends
9
OTHER (describe)
OTHER INCOME: 24
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE: 372
Page 25 of
COMMENTS
HOUSEHOLD ID-
DO YOU HAVE ANY QUESTIONS, COMMENTS, OR CONCERNS?
INTERVIEW SUMMARY:
BE SURE TO FILL IN THE STOP TIME ON THE FIRST PAGE!!!!
COMMENTS: 30
WRANGELL ST. ELIAS NATIONAL PARK AND PRESERVE: 372
Page 26 of
| File Type | application/pdf |
| File Title | WRST OMB Mock 11 8 11.xlsx |
| Author | dlholen |
| File Modified | 2011-12-13 |
| File Created | 2011-12-13 |