This form is intended to be printed double sided and used by the
surveyor on a clipboard. During a Park User intercept sampling
period, several sheets will be used to record all intercepts
attempted.
Date:________________ Park Location:__________________________________________ Sheet _____ of _____
[Offer Disclosure and Privacy Act card to individual] “Hello, I am with the US Army Corps of Engineers and we are contacting [park/campground] users about their visit to Raystown Lake. Participation in this survey is completely voluntary, however your responses are important to the completeness and accuracy of this study. No personal information is requested and the responses you provide are combined with all other responses to help the lake managers understand boating use at this lake. The card I provided you has details about the applicable authorities and Privacy Act Statement. This survey will only take about 5 minutes. May I ask you a few questions?”
“Do you rent a Marina Slip at Raystown Lake?” Yes(Y) No(N) If yes, end screening Qs.
“Have you completed a survey due to a previous visit?” [may show survey] Yes(Y) No(N) If Yes, end screening Qs
“Did you go out on a watercraft during your visit to Raystown Lake?” Yes(Y) No(N) If No, end screening Qs
“Are you staying overnight at a campground during this visit to Raystown Lake?” Yes(Y) No(N)
“How many individuals are with you today?” Enter value provided by respondent
“What is the zip code of your primary residence?” Enter value provided by respondent
“Do you have access to the internet?” Yes(Y) No(N) If Yes, proceed with main intro and Web invite (A). If No, proceed with main intro and paper survey invite (B)
“We would like your feedback in a follow-up survey to better understand your boating experiences and preferences regarding Raystown Lake! This survey will provide insight for the Raystown Lake Master Plan Revision which will guide management of the project into the future. The survey is brief and will take approximately 10 minutes to complete.”
A. “Would you be willing to complete a web based survey about your experiences at Raystown Lake?” If yes, enter W below record postcard ID and hand postcard to the respondent. If no, ask “Would you be willing to complete this paper survey instead?” If yes, enter P below, record survey ID and hand survey and envelope to respondent. If no again, mark R below.
B. “Would you be willing to complete this survey about your experiences at Raystown Lake?” If yes, enter P below, record survey ID below and hand survey and envelope to respondent. If no, mark R below.
Time of day |
Refused
Blank or R if refused |
Slip
Yes(Y) No(N) |
Survey already
Yes(Y) No(N) |
Water-craft
Yes(Y) No(N) |
Camping
Yes(Y) No(N) |
Individuals
Enter value |
Zip
Enter value |
Internet
Yes(Y) No(N) |
Survey type or refused W=Web P=Paper R=Refused |
Survey ID |
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[Offer Disclosure and Privacy Act card to individual] “Hello, I am with the US Army Corps of Engineers and we are contacting [park/campground] users about their visit to Raystown Lake. Participation in this survey is completely voluntary, however your responses are important to the completeness and accuracy of this study. No personal information is requested and the responses you provide are combined with all other responses to help the lake managers understand boating use at this lake. The card I provided you has details about the applicable authorities and Privacy Act Statement. This survey will only take about 5 minutes. May I ask you a few questions?”
“Do you rent a Marina Slip at Raystown Lake?” Yes(Y) No(N) If yes, end screening Qs.
“Have you completed a survey due to a previous visit?” [may show survey] Yes(Y) No(N) If Yes, end screening Qs
“Did you go out on a watercraft during your visit to Raystown Lake?” Yes(Y) No(N) If No, end screening Qs
“Are you staying overnight at a campground during this visit to Raystown Lake?” Yes(Y) No(N)
“How many individuals are with you today?” Enter value provided by respondent
“What is the zip code of your primary residence?” Enter value provided by respondent
“Do you have access to the internet?” Yes(Y) No(N) If Yes, proceed with main intro and Web invite (A). If No, proceed with main intro and paper survey invite (B)
“We would like your feedback in a follow-up survey to better understand your boating experiences and preferences regarding Raystown Lake! This survey will provide insight for the Raystown Lake Master Plan Revision which will guide management of the project into the future. The survey is brief and will take approximately 10 minutes to complete.”
A. “Would you be willing to complete a web based survey about your experiences at Raystown Lake?” If yes, enter W below record postcard ID and hand postcard to the respondent. If no, ask “Would you be willing to complete this paper survey instead?” If yes, enter P below, record survey ID and hand survey and envelope to respondent. If no again, mark R below.
B. “Would you be willing to complete this survey about your experiences at Raystown Lake?” If yes, enter P below, record survey ID below and hand survey and envelope to respondent. If no, mark R below.
Time of day |
Refused
Blank or R if refused |
Slip
Yes(Y) No(N) |
Survey already
Yes(Y) No(N) |
Water-craft
Yes(Y) No(N) |
Camping
Yes(Y) No(N) |
Individuals
Enter value |
Zip
Enter value |
Internet
Yes(Y) No(N) |
Survey type or refused W=Web P=Paper R=Refused |
Survey ID |
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More rows for data entry on reverse
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |