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pdf2011 SOCIO-ECONOMIC ADD-ON SURVEY (SEAS)
Please indicate if this is your first or second
assignment today by writing “1” or “2.”
1. ASSIGNMENT NO.
OMB Control No. 0648-0052. Expiration Date: 12/30/2014.
Time this interview
was completed
5. INTERVIEW TIME
(use 2400 clock)
2. INTERVIEWER ID
6. STATE CODE
3. YR/MO/DAY
2
0
1
8. SITE CODE
7. COUNTY CODE
1
9. SEAS INTERVIEW STATUS
4. INTERCEPT NO.
1
Fully Complete
3
Initial Ref. of SEAS
2
Partially Complete
4
Less than 16 Years
In order to qualify for this survey, respondent must be at least 16 years of age. If you are unable to determine respondent’s age, please ask: Are you at least 16
years of age? If respondent is not at least 16 years of age, terminate interview.
10.
11.
Is this fishing trip part of a longer trip in which you will spend at
least one night away from your permanent or seasonal
residence, or is this a one-day fishing trip?
1
One day- code q.11-q.14 as “998”
2
Longer
998
Don’t Know - code q.11-q.14 as “998”
999
Refused - code q.11-q.14 as “998”
How many nights will you be away from your residence on
this trip?
998
Don’t Know/ Not applicable
999
Refused
As of this morning, how many nights have you already been
away from your residence on this trip?
Number of Nights
13.
17.
18.
Auto, truck, or RV fuel
$
.00
Auto, truck, or RV rental
$
.00
Airfare or other public
transportation
$
.00
Lodging
$
.00
Food and drink from grocery or
convenience stores
$
.00
Food and drink from restaurants
or bars
$
.00
Bait
$
.00
Ice
$
.00
998
Don’t Know/ Not applicable
Parking or site access fees
$
.00
999
Refused
Boat fuel and oil
$
.00
Boat rental
$
.00
Party, charter or guide fees
$
.00
Fish filleting fee or tips paid to
charter crew
$
.00
Processing, freezing, or shipping
paid to processing company
$
.00
Tournament fees
$
.00
Gifts or souvenirs
$
.00
Other ______________
$
.00
For how many days of this trip will you go saltwater fishing?
Number of Days
14.
Your Personal Expenses
Type of expense
Number of Nights
12.
15. Now I would like to ask you about the amount of money that you
personally have spent and will spend for your entire trip away from
home, not just the time spent fishing. For each category, please
estimate your personal expenses. (Show expenses card and record dollar
amounts in each category. Leave blank any categories with no expenses).
998
Don’t Know/ Not applicable
999
Refused
What was the primary purpose of this entire trip away from
home?
1
Fishing
2
Vacation or other personal trip
3
Business
998
Don’t Know/ Not applicable
999
Refused
998
16.
Don’t Know/ Not applicable
999
Refused
What percentage of the expenses you just described were spent in
?
Percentage (0-100%)
998
Don’t Know/ Not applicable
999
Refused
I appreciate your time for this interview. Would you be willing to participate in a mail or internet follow-up survey to collect more
detailed data on your fishing expenses?
1
Yes
2
No
May I please have your name, mailing address, and email address? (Please
record mailing address and email address for ALL
respondents who are willing to participate in the follow-up survey).
Contact information:
Name
________________________________________________________________________________________________________________
Street
________________________________________________________________________________________________________________
Street
________________________________________________________________________________________________________________
City
_______________________________________________________
State
___________
Email Address:
Zip __________________
File Type | application/pdf |
File Title | 2011 Expenditure Intercept form_final_Atlantic_Jan 21 |
Author | SLovell |
File Modified | 2012-06-12 |
File Created | 2011-01-21 |