DRAFT
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0236. The time required to complete this information collection is estimated to average 13 minutes per response, including the time for reviewing instructions.
If you have questions or concerns about your rights as a research participant, you can contact the University of Alaska-Fairbanks Office of Research Integrity at 474-7800 (Fairbanks area) or 1-866-876-7800 (toll-free outside the Fairbanks area) or uaf-irb@alaska.edu.
(RES3)Do you live in the United States?
___ Yes What is your home state? _____________
[IF ALASKA]: What is your home zip code? _____________________
___ No What country do you live in? ______________________
If your permanent residence is outside of Alaska, please answer Q.s 2 -4.
Alaska Residents, please skip to Q. 5.
(RES10) Are you a seasonal resident of Alaska?
__ Yes
__ No
(TRANUSE2) Which form(s) of transportation did you use to arrive in Alaska? (Check all that apply).
___ Airplane (commercial or private)
___ Cruise Ship
___ Vehicle (car, RV, truck, motorcycle)
___ Alaska State ferry
___ Bus
___ Other (please specify:____________________)
(VHIS1) Have you visited Alaska before?
___ Yes Approximately how many times have you visited in the last ten years (not including this visit)? (Check one response)
__ 1 time
__ 2-3 times
__ 4-6 times
__ 7-10 times
__ More than 10 times
___ No
ALASKA RESIDENTS ONLY: please answer Questions 5-6. All OTHERS GO TO Q. 7
(VHIS20) In general, in the last year, how often have you used the Federal public lands in Alaska managed by each of the following agencies, either traveling through them to get to your destination, or participating in activities, such as hunting or fishing? Include commuting through Federal public lands and working on Federal public lands. First we’ll ask about your use during winter months, and then we’ll ask about your use during summer months. (Check one response for each item.)
|
Don’t Know |
More than once per week |
About once per week |
About once per month |
Less than Monthly |
Never |
WINTER MONTHS (approximately October – April) |
||||||
Bureau of Land Management |
|
|
|
|
|
|
U.S. Fish and Wildlife Service |
|
|
|
|
|
|
National Park Service |
|
|
|
|
|
|
U.S. Forest Service |
|
|
|
|
|
|
SUMMER MONTHS (approximately May-September) |
||||||
Bureau of Land Management |
|
|
|
|
|
|
U.S. Fish and Wildlife Service |
|
|
|
|
|
|
National Park Service |
|
|
|
|
|
|
U.S. Forest Service |
|
|
|
|
|
|
(VHIS1) Have you visited [this area/site] before today (not including this visit)?
___ Yes Approximately how many times have you visited in the last year? (Check one response.)
__ 1 time
__ 2-3 times
__ 4-6 times
__ 7-10 times
__ More than 10 times
___ No
ASK ALL:
TRANUSE2, TRANUSE20) Which form(s) of transportation did you use to arrive at [INSERT NAME OF PUBLIC LANDS/AREA]? Please check all that apply. Which form(s) of transportation have you used or do you plan to use within [INSERT NAME OF PUBLIC LANDS/AREA] to get from one destination to another? Check all that apply.
Type of Transportation |
Used to arrive at site |
Used/plan to use WITHIN site |
Private vehicle (car, truck, motorcycle, RV) |
|
|
All Terrain Vehicle or Off Road Vehicle |
|
|
Public Bus (not including shuttles or trolleys) |
|
|
Commercial shuttle/tour bus |
|
|
Denali Visitor Transportation System |
|
|
Alaska/White Pass Railroad |
|
|
[NON-INTERRIOR] Alaska Marine Ferry |
|
|
[NON-INTERIOR] Cruise ship |
|
|
Motorboat |
|
|
Kayak, canoe, or raft |
|
|
Commercial airplane (includes air taxi) |
|
|
Private airplanes |
|
|
Bicycle |
|
|
Foot/Hiking |
|
|
Other (please specify) |
|
|
No additional travel within site/area |
|
|
(EVAL3) How would you rate your travel experience arriving at [INSERT NAME OF AREA/PUBLIC LANDS]? Check one response in column A. How would you rate your travel experience within [THE SURROUNDING AREA OF (INSERT NAME) OR INSERT NAME OF PUBLIC LANDS]? Check one response in Column B.
|
A |
B |
|
Arriving at Site |
Within site |
Excellent |
|
|
Good |
|
|
Fair |
|
|
Poor |
|
|
Very Poor |
|
|
(EVAL4) Please use the space below to share any additional feedback on your travel experiences on Alaska Federal public lands. In particular, we are interested in learning about any transportation-related issues or problems you faced. Please be as specific as possible.
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
(EVAL6) Do you have any suggestions for how travel/transportation to or through Federal public lands can be improved?
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
(AGE6) What is your age? (Check one response.)
____ 5 years and under
____ 6-12 years
____ 13-18 years
____ 19-29 years
____ 30-44 years
____ 45-64 years
____ 65 or older
(GEN2) Are you: Check one response.
___ Male
___ Female
(ETHNIC1) Are you Hispanic or Latino? Check one response.
___ Yes
___ No
(RACE2) What is your race? Check all that apply.
___ American Indian or Alaska Native
___ Asian
___ Black or African American
___ White
___ Native Hawaiian or other Pacific Islander
___ Other
(EDU) Please indicate the highest level of education you have completed. Check one response.
___ Less than high school
___ High school graduate/GED
___ Vocational or Technical School certificate
___ Some college
___ Associates degree
___ Bachelor’s degree
___ Graduate degree or professional degree (MA, MS, PhD, MD, JD, MBA, etc.)
(INC1) Which category best represents your annual household income (before taxes) last year? Check one response.
___ Less than $24,999
___ $25,000-$34,999
___ $35,000-$49,999
___ $50,000-$74,999
___ $75,000-$99,999
___ $100,000-$149,999
___ $150,000-$199,999
___ $200,000 or more
___ Do not wish to answer
1 For each question, the identifier from the OMB-approved Compendium of Questions is shown in parentheses, for review purposes only. These identifiers will not be included in the final survey administered to respondents.
OMB control number 0596-0236
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |