Study Questionnaire for Licensed Anglers - Screenshot

Biomonitoring of Great Lakes Populations Program III

Attachment 7c. Study Questionnaire for Licensed Anglers (screenshots)
(NOTE: Pictures and maps are still in development)

Form approved
OMB No. 0923-17IY
Exp date: XX/XX/2017

1

Biomonitoring of Great Lakes Populations Program III

2

Biomonitoring of Great Lakes Populations Program III

3

Biomonitoring of Great Lakes Populations Program III

4

Biomonitoring of Great Lakes Populations Program III

5

Biomonitoring of Great Lakes Populations Program III

6

Biomonitoring of Great Lakes Populations Program III

7

Biomonitoring of Great Lakes Populations Program III

8

Biomonitoring of Great Lakes Populations Program III

9

Biomonitoring of Great Lakes Populations Program III

10

Biomonitoring of Great Lakes Populations Program III

11

Biomonitoring of Great Lakes Populations Program III

12

Biomonitoring of Great Lakes Populations Program III

13

Biomonitoring of Great Lakes Populations Program III

14

Biomonitoring of Great Lakes Populations Program III

15

Biomonitoring of Great Lakes Populations Program III

16

Biomonitoring of Great Lakes Populations Program III

17

Biomonitoring of Great Lakes Populations Program III

18

Biomonitoring of Great Lakes Populations Program III

19

Biomonitoring of Great Lakes Populations Program III

(Note: These only show up if the corresponding species was marked ‘YES’ in the previous table. The
responses typed into the ‘OTHER’ fish text boxes will automatically display as entered by the participant
for when asked about number of OTHER fish types [Herring, Sunfish, and Minnows were used in the
example])

20

Biomonitoring of Great Lakes Populations Program III

21

Biomonitoring of Great Lakes Populations Program III

22

Biomonitoring of Great Lakes Populations Program III

23

Biomonitoring of Great Lakes Populations Program III

(Note: Questions will only be displayed for the specific species indicated in the previous table.)

24

Biomonitoring of Great Lakes Populations Program III

25

Biomonitoring of Great Lakes Populations Program III

26

Biomonitoring of Great Lakes Populations Program III

27

Biomonitoring of Great Lakes Populations Program III

28

Biomonitoring of Great Lakes Populations Program III

29

Biomonitoring of Great Lakes Populations Program III

30

Biomonitoring of Great Lakes Populations Program III

31

Biomonitoring of Great Lakes Populations Program III

32

Biomonitoring of Great Lakes Populations Program III

33

Biomonitoring of Great Lakes Populations Program III

34

Biomonitoring of Great Lakes Populations Program III

35

Biomonitoring of Great Lakes Populations Program III

36

Biomonitoring of Great Lakes Populations Program III

37

Biomonitoring of Great Lakes Populations Program III

38

Biomonitoring of Great Lakes Populations Program III

39

Biomonitoring of Great Lakes Populations Program III

40

Biomonitoring of Great Lakes Populations Program III

41

Biomonitoring of Great Lakes Populations Program III

42

Biomonitoring of Great Lakes Populations Program III

43

Biomonitoring of Great Lakes Populations Program III

44

Biomonitoring of Great Lakes Populations Program III

45

Biomonitoring of Great Lakes Populations Program III

46

Biomonitoring of Great Lakes Populations Program III

47

Biomonitoring of Great Lakes Populations Program III

48

Biomonitoring of Great Lakes Populations Program III

(Note: Questions will only appear for the animals selected in the previous question)

49

Biomonitoring of Great Lakes Populations Program III

50

Biomonitoring of Great Lakes Populations Program III

51

Biomonitoring of Great Lakes Populations Program III

52

Biomonitoring of Great Lakes Populations Program III

53

Biomonitoring of Great Lakes Populations Program III

54

Biomonitoring of Great Lakes Populations Program III

55

Biomonitoring of Great Lakes Populations Program III

56

Biomonitoring of Great Lakes Populations Program III

57

Biomonitoring of Great Lakes Populations Program III

58

Biomonitoring of Great Lakes Populations Program III

59

Biomonitoring of Great Lakes Populations Program III

(Note: Year of diagnosis questions only display for the health conditions indicated.)

60

Biomonitoring of Great Lakes Populations Program III

61

Biomonitoring of Great Lakes Populations Program III

62

Biomonitoring of Great Lakes Populations Program III

(Note: Second and third cancer types only appear if text is entered into the preceeding boxes. For
example, participant will only be asked to specify a third type if text is entered for the ‘second type’)

63

Biomonitoring of Great Lakes Populations Program III

64

Biomonitoring of Great Lakes Populations Program III

(NOTE: Reproductive history questions show for females only; male participants are sent to the end of
survey screen. For breastfed children, each subsequent child [e.g., Child B, Child C…etc] will only
appear if a year of birth is entered for the previous child.)

65

Biomonitoring of Great Lakes Populations Program III

66

Biomonitoring of Great Lakes Populations Program III

67

Biomonitoring of Great Lakes Populations Program III

68

Biomonitoring of Great Lakes Populations Program III

XXXXXXX

69