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pdfHOUSEHOLD MEMBER 4
HOUSEHOLD MEMBER 5
11 . What is this person’s gender?
11 . What is this person’s gender?
Male
Male
Female
Female
12 . How old is this person?
If less than 1 year, mark 0 years
12 . How old is this person?
If less than 1 year, mark 0 years
Age in years
13 . Is this person of Hispanic, Latino, or Spanish origin?
Age in years
13 . Is this person of Hispanic, Latino, or Spanish origin?
Yes, of Hispanic origin
Yes, of Hispanic origin
No, not of Hispanic origin
No, not of Hispanic origin
14 . What is this person’s race? Mark one or more boxes.
OMB # 0648-0652
Exp. Date 10/31/2016
Weather and Outdoor
Activity Survey
14 . What is this person’s race? Mark one or more boxes.
White
White
Black, African-American
Black, African-American
Asian
Asian
American Indian or Alaska Native
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
Native Hawaiian or other Pacific Islander
Please think only about recreational saltwater fishing in
.
Please think only about recreational saltwater fishing in
.
15 . How many days did you go recreational saltwater
fishing from the SHORE in ?
The shore includes docks, bridges, causeways, beaches,
banks, or any other shore-based place or area. Do not
include freshwater fishing.
15 . How many days did you go recreational saltwater
fishing from the SHORE in ?
The shore includes docks, bridges, causeways, beaches,
banks, or any other shore-based place or area. Do not
include freshwater fishing.
Did not recreational saltwater fish from shore in last
12 months
Go to question 16
Number of days shore fishing in
May and Jun. of 2015
Did not recreational saltwater fish from shore in last
12 months
Go to question 16
Number of days shore fishing in
May and Jun. of 2015
Total number of days shore fishing in last 12
months, including May and Jun.
Total number of days shore fishing in last 12
months, including May and Jun.
16 . How many days did you go recreational saltwater
fishing from a private or rental BOAT that returned
to shore in ?
Do not include freshwater trips or trips where a paid
captain or crew helped locate and catch fish.
16 . How many days did you go recreational saltwater
fishing from a private or rental BOAT that returned
to shore in ?
Do not include freshwater trips or trips where a paid
captain or crew helped locate and catch fish.
Did not recreational saltwater fish from private boat in
last 12 months.
Number of days boat fishing in
May and Jun. of 2015
Did not recreational saltwater fish from private boat in
last 12 months.
Number of days boat fishing in
May and Jun. of 2015
Total number of days boat fishing in last 12
months, including May and Jun.
Total number of days boat fishing in last 12
months, including May and Jun.
If you have more people in your household,
continue to Household Member 5. If you have
answered for all people in your household, please
return your survey.
Please return your survey to Gallup in the
enclosed postage-paid envelope.
Wave 3
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.
No personally identifiable information will be collected through this survey. Responses will only be associated with a unique, randomly
assigned identification code. Any public release of survey data will be without identification as to its source or in aggregate statistical
form. All survey data will be stored on secured, password protected servers, and all transfer of survey data will utilize secure file transfer
protocols.
This survey should be filled out by an adult member of the household. Complete and
return this form even if no one in your household participates in any of these activities.
START HERE
EXAMPLE
Please carefully follow the steps below when completing this survey.
•
Use only a blue or black ink pen that does not blot the paper
•
Make solid marks inside the response boxes
•
Do not make other marks on the survey
1 . How do members of this household obtain
information about the weather, including
current weather conditions, forecasts, and
warnings? Mark all that apply.
RIGHT
WAY
WRONG
WAY
7 . Which category best describes the
telephone service for you and members of
the household?
Regular or landline phone only
Cellular phone only
Radio
Both landline and cellular phone
Newspaper
No working phone service
Other
Owned with a mortgage or loan
Owned (without a mortgage)
Rented
Occupied without payment or rent
Yes
9 . How long have you lived at this address?
1 year or less
3 . In your area, how often do the advanced
warnings you get for severe weather
events allow you enough time to prepare
properly?
All the time
Some of the time
Less than 5 years, more than 1 year
5 years or more
10 . How many people, including all adults and
children, live in this household?
Number of people
Rarely
Never
4 . During the past 12 months, has anyone in
this household visited a public beach,
national seashore, coastal state park, or
other coastal nature reserve or protected
area?
Yes
No
5 . During the past 12 months, has anyone in
this household been freshwater fishing in
?
Please answer the next section for
each member of your household,
starting with yourself. Please answer
for all people in your home, including
people who fish and people who do
not fish.
If you have more than 5 people living
at this address, answer for the oldest
members of the household.
Please use the calendars to help
answer questions 15 and 16.
Yes
No
6 . During the past 12 months, has anyone in
this household been saltwater fishing in
?
Yes
No
HOUSEHOLD MEMBER 3
11 . What is your gender?
11 . What is this person’s gender?
11 . What is this person’s gender?
Male
Male
Male
Female
Female
Female
12 . How old are you?
If less than 1 year, mark 0 years
MAY 2015
S
M
T
W
T
3
10
17
24
31
4
11
18
25
5
12
19
26
6
13
20
27
7
14
21
28
13 . Are you of Hispanic, Latino, or Spanish origin?
12 . How old is this person?
If less than 1 year, mark 0 years
Age in years
13 . Is this person of Hispanic, Latino, or Spanish origin?
12 . How old is this person?
If less than 1 year, mark 0 years
Age in years
13 . Is this person of Hispanic, Latino, or Spanish origin?
Yes, of Hispanic origin
Yes, of Hispanic origin
Yes, of Hispanic origin
No, not of Hispanic origin
No, not of Hispanic origin
No, not of Hispanic origin
14 . What is your race? Mark one or more boxes.
8 . Which of the following best describes this
house, apartment, or mobile home?
2 . 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?
No
HOUSEHOLD MEMBER 2
Age in years
Television
Internet
HOUSEHOLD MEMBER 1 (YOU)
14 . What is this person’s race? Mark one or more boxes.
14 . What is this person’s race? Mark one or more boxes.
White
White
White
Black, African-American
Black, African-American
Black, African-American
Asian
Asian
Asian
American Indian or Alaska Native
American Indian or Alaska Native
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
Native Hawaiian or other Pacific Islander
Native Hawaiian or other Pacific Islander
Please think only about recreational saltwater
fishing in .
Please think only about recreational saltwater
fishing in .
Please think only about recreational saltwater
fishing in .
15 . How many days did you go recreational
saltwater fishing from the SHORE in
?
The shore includes docks, bridges, causeways,
beaches, banks, or any other shore-based place or
area. Do not include freshwater fishing.
15 . How many days did you go recreational
saltwater fishing from the SHORE in
?
The shore includes docks, bridges, causeways,
beaches, banks, or any other shore-based place or
area. Do not include freshwater fishing.
15 . How many days did you go recreational
saltwater fishing from the SHORE in
?
The shore includes docks, bridges, causeways,
beaches, banks, or any other shore-based place or
area. Do not include freshwater fishing.
Did not recreational saltwater fish from shore in
last 12 months
Go to question 16
Number of days shore fishing in
May and Jun. of 2015
Did not recreational saltwater fish from shore in
last 12 months
Go to question 16
Number of days shore fishing in
May and Jun. of 2015
Did not recreational saltwater fish from shore in
last 12 months
Go to question 16
Number of days shore fishing in
May and Jun. of 2015
Total number of days shore fishing in last
12 months, including May and Jun.
Total number of days shore fishing in last
12 months, including May and Jun.
Total number of days shore fishing in last
12 months, including May and Jun.
16 . How many days did you go recreational
saltwater fishing from a private or rental
BOAT that returned to shore in
?
Do not include freshwater trips or trips where a paid
captain or crew helped locate and catch fish.
16 . How many days did you go recreational
saltwater fishing from a private or rental
BOAT that returned to shore in
?
Do not include freshwater trips or trips where a paid
captain or crew helped locate and catch fish.
16 . How many days did you go recreational
saltwater fishing from a private or rental
BOAT that returned to shore in
?
Do not include freshwater trips or trips where a paid
captain or crew helped locate and catch fish.
Did not recreational saltwater fish from private
boat in last 12 months.
Number of days boat fishing in
May and Jun. of 2015
Did not recreational saltwater fish from private
boat in last 12 months.
Number of days boat fishing in
May and Jun. of 2015
Did not recreational saltwater fish from private
boat in last 12 months.
Number of days boat fishing in
May and Jun. of 2015
Total number of days boat fishing in last
12 months, including May and Jun.
Total number of days boat fishing in last
12 months, including May and Jun.
Total number of days boat fishing in last
12 months, including May and Jun.
JUNE 2015
F
1
8
15
22
29
S
2
9
16
23
30
S
7
14
21
28
M
1
8
15
22
29
T
2
9
16
23
30
W
3
10
17
24
T
4
11
18
25
F
5
12
19
26
S
6
13
20
27
If you have more people in your household,
continue to Household Member 2. If you have
answered for all people in your household,
please return your survey.
If you have more people in your household,
continue to Household Member 3. If you have
answered for all people in your household,
please return your survey.
If you have more people in your household,
continue to Household Member 4. If you have
answered for all people in your household,
please return your survey.
File Type | application/pdf |
File Modified | 2016-09-15 |
File Created | 2015-05-28 |