OMB Control No. 0690-0030
Expiration Date: 4/30/3014
NOAA COASTAL RESTORATION
VISITOR SURVEY
Date (m/d/y)
______________________ Time____________ AM / PM Location
__________________________ Interviewer__________________________
ONE ADULT → Excuse me, I’m conducting a survey for the National Oceanic and Atmospheric Administration. Do you mind if I ask you a few quick questions about your visit to the park?
GROUP OF ADULTS →
Excuse me, I’m
conducting a survey for the National Oceanic and Atmospheric
Administration. I’m hoping to speak with the adult in your
group who had the most recent birthday. [After
targeted individual has been identified…]
Do you mind
if I ask you a few
quick questions about your visit to the
park?
❶ What time did you arrive in this area of Lincoln Park today? __________ AM / PM
❷ How did you get to the park? VEHICLE WALK/RUN BIKE BUS SUBWAY OTHER
❸ What was your primary activity at the park today? (read list, select one)
WALKING RUNNING BIKING ROLLERBLADING FISHING KAYAKING CANOING
BIRDWATCHING MOTORBOATING SIGHT-SEEING PICNICING OTHER
❹ A number of changes were recently made to this area of Lincoln Park. Did any of the following changes improve the quality of your visit today? (read list)
YES NO New walking paths
YES NO Elevated viewing platform or observation deck
YES NO Educational signs
YES NO Restored wetlands, including new stream channels and native plants
YES NO New bridge over tidal inlet
YES NO New launch area for canoes and kayaks
❺ Including today’s visit, how many times have you visited this area of Lincoln Park over the last four weeks? ___________________
❻ Do you have any suggestions for additional changes that would make your visits to this area of Lincoln Park more enjoyable? _________________________________________________________
❼ Finally, could you please tell me your five-digit zip code? ___________________
❽ Circle Gender: MALE FEMALE
❾ Circle Race (One or More): AMERICAN INDIAN or ALASKA NATIVE ASIAN BLACK or AFRICAN AMERICAN HISPANIC or LATINO NATIVE HAWAIIAN or OTHER PACIFIC ISLANDER WHITE
❿ No. of Adults __________
Paperwork Reduction Act Statement
Public reporting burden for this collection of information is estimated to average five minutes per interview, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other suggestions for reducing this burden to Anthony Dvarskas, NOAA NOS, 732-872-3090.
The identity of individuals will be protected, and individual responses will not be disclosed to the public. Notwithstanding any
other provisions of the law, no person is required to respond to, nor shall any person be subjected to a penalty for failure to
comply with, a collection of information subject to the requirements of the Paperwork Reduction Act, unless that collection of
information displays a currently valid OMB Control Number.
| File Type | application/msword |
| Author | sarah.brabson |
| Last Modified By | gbanks |
| File Modified | 2012-04-13 |
| File Created | 2012-04-13 |