Atlantic Intercept Form

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APAIS - Atlantic Intercept Form
OMB NO. 0648-0659 EXPIRES
07-31-2026

FOR EMERGENCY
USE ONLY

1. FORM

7. STATE CODE

2. ASSIGNMENT NO.
8. COUNTY CODE
3. INTERVIEWER ID
9. SITE CODE
4. DATE: MM/DD

10. INTERVIEW STATUS (Key Item = *)

5. INTERCEPT NO.
6. INTERVIEW TIME
(use 2400 clock)

1

Questionnaire Complete

2

Refused Non-Key Item

5

Refused Key Item

READ PRIVACY ACT: This study is being conducted in accordance with the privacy act of 1974. You are not required to answer any question that you
consider to be an invasion of your privacy.

SHORE

*11. Would you say you were fishing from ...
0

Pier

1

Dock

2

Jetty, Breakwater

3

Bridge, Causeway

4

Other Man-made
Structure (Specify)

5

Beach or Bank

BOAT

17. What species were you primarily fishing for today?
6

Headboat

7

Charterboat

8

Private Boat

9

Rental Boat

No Particular Species/Anything
1st Target

*12. Was most of your (specify mode) fishing effort today in the ...
(Select only one)
2nd Target

1

Ocean/gulf

2

Sound (Other than listed)

V

Cape Cod Bay

3

River (Other than listed)

A

Narragansett Estuary

4

Bay (Other than listed)

B

Buzzard’s Bay Estuary

5

Other (Specify)

C

Long Island Estuary

D

Hudson/Raritan Estuary

E

Delaware Estuary

F

Chesapeake Estuary

G

Albemarle/Pamlico
Estuary

*13. Was that ...
1

Three Miles or Less From Shore

2

More Than Three Miles

8

Waterbody Does Not Apply

18. Not counting today, within the past 12 months, that is since (insert
month) of last year, how many days have you gone saltwater sport
finfishing in this state or from a boat launched in this state?
No. of days

No. of days

999

Refused

98

Don’t Know

99

Refused

*20. What is your state and county of residence? If county unknown,
ask: What city or town do you live in?
State Code; Name:
If foreign country code = 97
County Code; Name:
If foreign country code = 997
21. What is the ZIP code of your residence?

If yes, enter Reef Code
If “Don’t Know” = 998
If “Refused” = 999

No

Don’t Know

19. Not counting today, within the past 2 months, how many days?

13a. Were you fishing an artificial reef today?
Yes

998

99997

Foreign Country

99998

Don’t Know

99999

Refused

23a. Sex (observed, do not ask)

Name:
14. What type of gear was primarily used? (Select one only)

Male

01

Hook and Line

07

Trap

Female

02

Dip Net, A-frame

08

Spear

03

Cast Net

09

Hand

04

Gill Net

10

Other (Specify)

05

Seine

98

Unknown

06

Trawl

99

Refused

15a. To the nearest half-hour, how many hours have you spent
(specify mode) fishing today? That is, how many hours have you
actually spent with your gear in the water?

.

No. of Hours

If “Don’t Know” = 99.8
If “Refused” = 99.9

15b. [If on boat] To the nearest half-hour, how many hours have you
spent on the boat, away from the dock, today?

.

No. of Hours

Not Applicable – SH mode

If “Don’t Know” = 99.8
If “Refused” = 99.9

23b. How old were you on your last birthday?
Age
Refused
23c. Does your home have a landline telephone?
That is, a telephone other than a cellular phone?

Yes
No
Don’t Know
Refuse

24. In the event that my supervisor wishes to verify that I have been conducting interviews
here today, may I please have your name and phone number?

(If name and/or phone number not
given, Q10 = Status 2)
Name and/or phone number
not given
Angler aged 16 years or
younger (Check both boxes)

Angler
Name
Day

Phone

or

Night

BOX B. [If headboat ride-along:] Is this one of the anglers you monitored for discard (Type 9) catch?

Yes

No

Not a HB ride

*25. UNAVAILABLE CATCH Did you catch any fish that are not here for me to look at? For example, any that you may have thrown back or
used for bait? NOT GROUP CATCH - Only catch from Angler being interviewed.
A - Eaten/plan to eat/depredation damage

Disposition Codes for Q25
1 - Thrown back alive

4 - Used/plan to use for bait

6 - Thrown back dead/plan to throw away

B - Thrown back dead/plan to throw away depredation damage

3 - Eaten/plan to eat

5 - Sold/plan to sell

7 - Some other purpose

C - Thrown back alive and undamaged/observed scavenged

TYPE 2 RECORDS: (CATCH UNAVAILABLE IN WHOLE FORM; FILLETS ARE UNAVAILABLE CATCH.)

Species Name

Species Code

# of Fish

Disp.

1.
2.
3.
4.
5.
*26. Did you catch any fish while you were fishing that I might be
able to look at?
1

Yes

2

No - Code Q27, Q28, Q29 as “Not Applicable”

3

Yes, BUT fish on another angler’s form – Record interview
# where fish are listed

*29. How many anglers including yourself have their catch here?
Please do not include anyone who did not catch fish. Only count
those who have their catch here.
No. of
Contributors

BOX C. If Q11 is SH mode, code Q30 as “888, ” and Code Box D as “8.”
*30. How many people fished on your boat today?

Code Q27, Q28, Q29 as “Not Applicable”

No. of
People

*27. Did you catch these yourself or did someone else catch some of them?
1

All Caught by Angler - Code Q28, Q29 as “Not Applicable”

2

Other Contributors

8

Yes – Code 29 as “Not Applicable”

2

No

8

1

Yes

Yes

2

Not Applicable

*BOX E: Is this charter/headboat on the Good List?

Shore Mode

888

*BOX D. If response to Q30 is 001, code as “Not Applicable.” Otherwise, is this the first angler from this boat that I have interviewed?

Not Applicable

*28. Can you separate out your individual catch?
1

Not Applicable

88

No

8

Not Applicable

No – Record interview # of 1st angler in the fishing party.

Vessel name
or registration:

Check box if vessel has no name AND no registration number. If checked, Q10 (Status) = 5.
*31. AVAILABLE CATCH – ASK: May I look at your fish? What do you plan to do with the MAJORITY of the (species)?
5 - Sold/plan to sell

A - Eaten/plan to eat/depredation damage

3 - Eaten/plan to eat

6 - Plan to throw away

4 - Used/plan to use for bait

7 - Some other purpose

B - Thrown back dead/plan to throw away
depredation damage

NOTES/COMMENTS:

TYPE 3 RECORDS: (INDIVIDUAL CATCH AVAILABLE IN WHOLE FORM)

Species Name

Species Code

# of Fish

Length (mm)

Weight (kg)

1.

.

2.

.

3.

.

4.

.

5.

.

6.

.

7.

.

8.

.

9.

.

10.

.

11.

.

12.

.

13.

.

14.

.

15.

.

Disp.

Disposition Codes for Q31