CALO - Initial Onsite Contact

Survey Log

Day: M T W Th F Sa Su Date: _____ / _____ , 2013 Surveyor: _________________________________________

Hello, my name is _________. I am conducting a survey for the National Park Service to better understand your opinions about Cape Lookout National Seashore programs and services. Your participation is voluntary and all responses will be kept anonymous. Would you be willing to take a survey and mail it back to us using the self-addressed envelope? It will take about 20 minutes to complete after your visit. Have you already received a survey from Cape Lookout in the mail?

IF YES: Thank you and enjoy the rest of your visit.

IF NO: ask to speak to the person that has the next birthday (at least 18 years old). Are you willing to participate?

IF NO: Thank you. Would you mind if I ask you a few quick questions?

IF YES: Thank you—Would you mind if I ask you a few quick questions?

1. Is this your first time visiting Cape Lookout National Seashore?

2. What is your zip code?

3. How many people are in your group?

IF NO: Ask reason for refusal.

Inter- viewer initials	Time	Already rec'd Q. (Y or N)	Refused √	Gender of participant		First time visiting CALO? (Y/N)	Zip Code	Group size	Respondent #	Reason for refusal
				Male	Female

Please provide your contact information. This information will only be used to follow-up with all non-respondents.
Name	Mailing address	OR	Email address

OMB Control Number 1024-0XXX

Current Expiration Date: