Neal Smith National Wildlife Refuge - Visitor Center Feedback Form

DOI Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

FWS FT-101 Neal Smith NWR Public Visitor Center Feedback Survey 10182018

Neal Smith National Wildlife Refuge - Visitor Center Feedback Form

OMB: 1090-0011

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

Neal Smith National Wildlife Refuge-Visitor Center Feedback Form

This survey will ask questions about your visit to Neal Smith National Wildlife Refuge.
Please answer all questions with as much detail as possible. Your feedback helps us
improve our facilities. Thank you!

How did you first learn or hear about Neal Smith National Wildlife Refuge?
I've visited before

Website or social media

Friend or family

Signs on Highway

Newspaper or brochure

Other (please explain)

What activities did you participate in while visiting (please check all that apply)?
Wildlife observation

Viewing exhibits

Photography

Class or program

Hiking

Special event

Hunting

Meeting

Auto tour route/driving

Other (please explain)

Please rate the quality of the indoor facilities (exhibits, classrooms, restrooms, etc.)?
Very Poor

Poor

Average/ Fair

Good

Very Good

Paperwork Reduction Act Statement: We estimate it will take you 5 minutes to complete the survey, including time to read
instructions, gather information, complete, and submit the assessment. We will use the information to gauge audience satisfaction
with refuge facilities (indoor and outdoor), and to improve/make changes per audience suggestions. Your response is voluntary. 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. 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, or you may submit
comments via email at [email protected].

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

How could the indoor facilities be changed or improved?

Please rate the quality of the outdoor facilities (signs, trails, kiosks, roads, etc.)?
Very Poor

Poor

Average/ Fair

Good

Very Good

Somewhat likely

Extremely likely

How could the outdoor facilities be changed or improved?

What did you enjoy most about your visit?

What did you enjoy least about your visit?

After visiting, how likely are you to do the following?
Visit Neal Smith National Wildlife Refuge again
Extremely unlikely Somewhat unlikely Neither likely nor
unlikely

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

Recommend Neal Smith National Wildlife Refuge to a friend
Extremely unlikely Somewhat unlikely Neither likely nor
unlikely

List any other comments or questions below

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Somewhat likely

Extremely likely


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File Modified2018-10-18
File Created2018-03-28

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