OMB Control Number 1024-XXXX Expiration Date XX/XX/XXXX
	
	
SHRUB Pre-Visit Student Survey
	
Teacher’s name: School Name:
Date:
	
	
Dear Student,
	
Thank you for taking the time to answer these questions about your upcoming field trip to the Santa Monica Mountains National Recreation Area and participation in the Students Helping Restore Unique Biomes (SHRUB) program. This is not a test and it should take you about 20 minutes to complete this survey.
	
	
	
	
	
1. How many times have you visited the Santa Monica Mountains?
	
 0 times
	
 1 time
	
 2 or more times
	
	
2.
	My
	family
	and
	I visit
	parks
	at
	least
	once
	a
	year.
	
	
	Yes	
	No
	
3. The SHRUB field trips will be my first visit to a national park.
	
	
 Yes
	
 No
	
4. Have you and your family visited other natural areas in California or in other States?
	
 Yes  No
	
	
Please tell us how much you tend to agree or disagree with the following statements
	
	
	
	
Strongly
Agree
	
Agree
Neither Agree or Disagree
	
Disagree Strongly
Disagree
	
	
	
1.
	 
	I’m
	excited
	to
	learn
	more
	about
	natural
	areas.					
	
	
2. I have learned about Santa Monica
Mountains National Park in school.
	
    
	
	
	
3.
	 
	I have
	learned
	about
	restoring
	a biome.					
	
	
4. I have learned about collecting seeds, transplanting, and caring for native plants.
	
    
	
	
5. I want to visit Santa Monica Mountains National     
Park with my family and friends
	
	
	
	
	
	
Strongly
Agree Agree
Neither Agree or Disagree
	
	
	
Disagree
	
Strongly
Disagree
	
	
6. I would like to visit all the parks in the Santa
Monica Mountains.
	
	
    
	
	
	
7.
	 
	I know
	about
	native
	plants
	and
	invasive
species.     
	
	
	
	
Please tell us how much you tend to agree or disagree with the following statements
	
	
	
	
	
	
	
	
	
1.
	  I understand
	how
	plant
	restoration
	helps
	the
	
Strongly
Agree
	
Agree
Neither Agree or Disagree
	
Disagree Strongly
Disagree
	
ecosystem.					
	
	
2. I want to learn more about natural science
(wildlife, plants, ecology).
	
    
	
	
	
3.
	 
	I like
	hiking
	and/or
	other
	outdoor
	activities.					
	
	
4. I understand why we should protect natural areas.
	
    
	
	
				 5.  | 
			
				 I want to help protect natural areas.  | 
			
				   | 
			
				   | 
			
				   | 
			
				   | 
			
				   | 
		
				 6.  | 
			
				 I want to explore natural areas.  | 
			
				   | 
			
				   | 
			
				   | 
			
				   | 
			
				   | 
		
				 7.  | 
			
				 I want to volunteer at a place like Santa Monica Mountains National Park.  | 
			
				   | 
			
				   | 
			
				   | 
			
				   | 
			
				   | 
		
	
8. I would be interested in working for the
National Park Service.
	
    
	
	
	
9.
	 
	I have
	always
	been
	very
	interested
	in nature
	
and
	ecology.					
	
	
10. I often visit natural areas (e.g., parks, beaches, etc.) for recreation and fun.
	
    
	
	
	
11.
	
	I often
	go
	hiking.					
	
	
12. I like planting at my home and/or in my community.
	
    
Now
tell
us a little
about
yourself
1. Are you a boy or girl?
 Boy
 Girl
2. How old are you?
 younger than 10
 10 years old
 11 years old
 12 years old
 13 years old
 or older than 13
3. What grade are you in?
 3rd
 4th
 5th
 6th
4. Are you Hispanic or Latino?
 Yes  No
Please select your race (check as many as apply):
 American Indian or Alaska Native
 Asian
 Native Hawaiian or Pacific Islander
 Black or African American
 White
5. Is English your first language? (If Yes, skip to number 7)
 Yes  No
6. My first language is:
7. I would describe my ability in reading and writing in the English language as:
 Excellent
 Good
 Fair
 Poor
Please tell us how much you tend to agree or disagree with the following statements
	
	
	
	
	
	
1.
	  It
	was easy
	for
	me
	to read the
	questions
	on this
	
Strongly
Agree
	
Agree
Neither Agree or Disagree
	
Disagree Strongly
Disagree
	
survey					
	
	
2. It was easy for me to understand the questions on this survey
	
    
	
	
3. It was easy for me to answer the questions on
this survey     
	
	
	
	
	
	
	
	
	
	
	
Thank you for telling us what you think.
	
	
	
You
	are
	DONE!
	
	
PAPERWORK REDUCTION ACT STATEMENT: This information will be used by park managers to better understand the SHRUB Program at Santa Monica Mountains National Recreation Area. Response to this request is voluntary and anonymous. Your name will never be associated with your answers, and all contact information will be destroyed when the data collection is concluded. No action may be taken against you for refusing to supply the information requested. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.
	
Burden estimate statement: The public reporting for this form is estimated to average 20 minutes per response. Please direct comments regarding the burden estimate or any other aspect of this form to the NPS Information Collection Review Coordinator, National Park Service, 1201 Oakridge Dr., Fort Collins, CO 80525.
	 
		 
		SHRUB
		Pre-visit
		Student
		Survey
	
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| Author | Alex Lin | 
| File Modified | 0000-00-00 | 
| File Created | 2021-01-30 |