Pre- and Post-Assessment of Youth's Experiences in SoCal Urban Wildlife Refuge Project Programs

OMB Control No 1090-0011
Expires 10/31/2021

Welcome!

Thank you for participating in our program.
Will you please answer a few questions to help us improve our programs for future participants?
For those who are participating in school programs: We ask for your school name only to match
answers from your school site with those you may provide at another time during the program.
This survey is being completed to improve our programs, not evaluate you—our program
participant. Your participation is voluntary and, beyond your school site, anonymous. You may
skip any question you do not wish to answer.

* 1. I am here to take the:
Pre-Program Survey (I have not completed this survey before today)
Post-Program Survey (I have completed the program)

2. Please enter your school name (if applicable):

Paperwork Reduction Act Statement: We are collecting this information subject to the Paperwork Reduction Act (44 U.S.C.
3501) to provide Service leadership with information needed to monitor and adjust its funded programs to best engage different
communities based on their experiences and interests, and to engage youth and adults in outdoor activities that directly or
indirectly help the Service accomplish its conservation mission. Your response is voluntary and results will not be shared
publicly. We may not conduct or sponsor and you are not required to respond to a collection of information unless it displays a
currently valid OMB Control Number. OMB has reviewed and approved this survey and assigned OMB Control Number
1090-0011, which expires 08/31/2018.
Estimated Burden Statement: We estimate the survey will take you 10 minutes to complete, including time to read instructions,
gather information, and complete and submit the survey. You may submit comments on any aspect of this information collection
to the Information Collection Clearance Officer, U.S. Fish and Wildlife Service, 5275 Leesburg Pike, MS: BPHC, Falls Church,
VA 22041-3803.

3. If you have completed your program, please skip this question and move to Question 4.
Please indicate how often you talk about nature with your family and friends.
Never
How often do you share
or talk about what you
know about nature with
your family?
How often do you share
or talk about what you
know about nature with
your friends?

Less Than Once a
Month

A Few Times a
Month

About Once a Week

More Than Once a
Week

4. If you have not completed your program, please skip this question and move to question #5.
In the future, how often do you think you will talk about nature with your family and friends.
Never
How often will you share
or talk about what you
know about nature with
your family?
How often will you share
or talk about what you
know about nature with
your friends?

Less Than Once a
Month

A Few Times a
Month

About Once a Week

More Than Once a
Week

5. Please indicate how much you know about each of the following topics.
Nothing

Very Little

Some

Quite a Bit

I'm an Expert

How much do you know
about the animals that
live near you?
How much do you know
about how to help the
animals that live near
you?

6. Which organization is responsible for conserving wildlife and plants in your community? (Select all that
apply)
City Council
Fish & Wildlife Service
Chamber of Commerce
Animal Control Service
Park & Recreation Department

7. Which of the following is the description of a national refuge?
Any place with native wildlife that includes plants and animals
A zoo or aquarium where animals live
Area designated for the protection of wild habitats and animals
Any place for nature, where people are not allowed to go

8. Please indicate how much you agree with each of the following statements.
Not at All

Very Little

Some

Very much

Completely

Definitely not

Probably not

Possibly would

Probably would

Definitely would

How much do you enjoy
exploring nature?
How important is it to
conserve natural
resources?
How important is it to
protect animals?
How important is it to
protect habitats?
How important to you is
nature in your
community?
How much do you care
about nature in your
community?
How important is the
refuge in your
community?

9. How likely are you to:

volunteer to clean-up a
habitat in your
community?
volunteer to plant a tree
in your community?
participate in a
conservation project in
your community?

10. Finally, how interested are you in a career that involves some aspect of science?
Not at All

Very Little

Some

Quite a Bit

Tremendously

Now, please click "Done" below to submit your responses.
Thank you!