Assignment Summary Form

Status: Original and derived artifacts are available for this document.

Download: pdf

ASSIGNMENT SUMMARY FORM

ASSIGNMENT NO.
1st INTERVIEWER

FOR EMERGENCY
USE ONLY

INTERVIEWER NAME:

ANGLER TRIPS
COUNTED (NOT
INTERVIEWED)

2nd INTERVIEWER
DATE:
MM/DD

STOP TIME

START TIME

SITE

COMMENTS:

SITE GROUP (SH=1; PR=3; CH=5; HB=6)
[NC ONLY: BB=1, MM=4]

STATE

COUNTY
CONTROL NUMBER

ASSIGNMENT INTERVAL: 1=0200-0800, 2=08001400, 3=1400-2000, 4=2000-0200, 5=1100-1700

SITE

ENCOUNTERED ANOTHER INTERVIEWER:
1=YES, 2=NO IF YES, SITE:

TOTALS

TALLY BOX
Not Rec

Not Salt Not Fin

Initial Refusal

Language Barrier

COUNTED

1ST
2ND

IF SITE GROUP = 6, Complete Items in this Box:
COMPLETED INTERVIEWS:

Vessel Name & Registration:

SH _________

:

HEADBOAT DOCK TO DOCK
HRS
(round to nearest 15 minutes)

CH __________

PR _________

REASON FOR LEAVING SITE CODES:
06 - Could not find site

12 - Site closed, after hours (time in comments)

08 - Asked to leave

13 - Site closed, other (specify in comments)

11 - End of sampling time

14 - Site unsafe during sample period

Anglers intercepted and included below should NOT be included in ANGLER TRIPS COUNTED above.

CLUSTER
ID

INTERVIEW STATUS
TOURNAMENT WEIGH STATION:
1=YES, 2=NO
COMPLETE

Initial
Refusal

Language
Barrier

INELIGIBLE
Refused Key
Question

Not Done

1st SITE
2nd SITE

TOTALS

REASON FOR
LEAVING SITE
(use codes listed above)

TOTALS

Not Rec

Not Salt

Not Fin

Not U.S.