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pdf2016 APAIS - North Carolina Intercept Form
OMB NO. 0648-0659
EXPIRES 02-29-2016
*1003*
1. FORM
2. ASSIGNMENT NO.
1
3 7
7. STATE CODE
8. COUNTY CODE
3. INTERVIEWER ID
2 0 1 6
4. DATE: MM/DD
9. SITE CODE
10. INTERVIEW STATUS (Key Item = *)
5. INTERCEPT NO.
6. INTERVIEWER TIME
Time this interview
was completed
(use 2400 clock)
1
Questionnaire Complete
2
Refused Non-Key Item
5
Refused Key Item
READ PRIVACY ACT: This study is being conducted in accordance with the privacy act of 1974. You are not required to answer any question that you
consider to be an invasion of your privacy.
17. What species were you primarily fishing for today?
*11. Would you say you were fishing from ...
0
SH
Pier
1
Dock
No Particular Species / Anything
1st Target
2
Jetty, Breakwater
3
Bridge, Causeway
4
Other Man-made
Structure (Specify)
5
Beach or Bank (For Beach
Bank only - additional
hours required in Q16)
6
Headboat
7
Charterboat
8
Private Boat
9
Rental Boat
18. Not counting today, within the past 12 months, that is since (insert
month) of last year, how many days have you gone saltwater sport
finfishing in this state or from a boat launched in this state?
11. Did you see any sea turtles while fishing today?
1
Yes, alive
2
Yes, dead
3
No
*12. Was most of your (specify mode) fishing effort today in the ...
Other (enter DMF
1
Atlantic Ocean
waterbody code and
code Q13 as “8”).
BOX A. SHORE mode only - If response to Q12 is “Ocean/gulf” code
Q13 as “1,” 3 miles or less. (If response to Q12 is “2” through “G,” code
Q13 as “8 Does Not Apply”)
*13. Was that ...
1
Three Miles or Less
From Shore
2
More Than Three Miles
8
88
No
No. of days
SH
998
Don’t Know
999
Refused
19. Not counting today, within the past 2 months, how many days?
No. of days
998
Don’t Know
999
Refused
*20. What is your state and county of residence? If county unknown,
ask: What city or town do you live in?
Waterbody Does Not Apply
13a. Were you fishing near an Artificial Reef?
01
2nd Target
State Code; Name:
County Code; Name:
If yes, enter
reef code
98=unknown
13b. What was the length of the boat used (in feet)?
21. What is the ZIP code of your residence?
Boat
length
14. What type of gear was primarily used? (Select one only)
99997
Foreign Country
99998
Don’t Know
99999
Refused
22. Do you live in a private residence, or in some type of housing
such as a dorm, barracks, nursing home or rooming house?
01
Hook and Line
07
Trap
02
Dip Net, A-frame
08
Spear
1
Private Housing
8
Don’t Know
03
Cast Net
09
Hand
2
Institutional Housing
9
Refused
04
Gill Net
10
Other (Specify)
05
Seine
98
Unknown
06
Trawl
99
Refused
15a. To the nearest half-hour, how many hours have you spent
(specify mode) fishing today? That is, how many hours have you
actually spent with your gear in the water?
Codes:
No. of Hours
If, “Don’t Know” = 99.8
.
If, Refused = 99.9
15b. [If on boat] To the nearest half-hour, how many hours have you
spent on the boat, away from the dock, today?
.
No. of Hours
Codes:
If, “Don’t Know” = 99.8
If, Refused = 99.9
Not Applicable – SH mode
16. [Ask, only if “Beach” or “Bank”] How many additional hours do
you expect to fish from shore today? That is, how many more
hours will you actually have your gear in the water?
.
No. of Hours
Not fishing from Beach or Bank
23. At which of the following types of addresses does your
household currently receive mail? (Mark all that apply)
YES
NO
Street address with a house or building number
Address with a rural route number
U.S. Post Office Box (P.O. Box)
Commercial mail box business
(e.g., Mailboxes, Etc., UPS Store)
Other (Specify)
Don’t Know
Refused
23a. Sex
Male
Female
23b. How old were you on your last birthday?
Codes:
If, “Don’t Know” = 99.8
If, Refused = 99.9
Age
Refused
24. In the event that my supervisor wishes to verify that I have been conducting interviews
here today, may I please have your name and phone number?
Angler Name
D or N
PHONE #
(If name and/or phone number not given, Q10 = Status 2)
Name and/or phone number not given
Angler aged 16 years or younger (Check both
boxes)
BOX B. [If headboat ride-along:] Is this one of the anglers you monitored for discard (Type 9) catch?
Yes
No
Not a HB ride
*25. UNAVAILABLE CATCH Did you catch any fish that are not here for me to look at? For example, any that you may have thrown back or
used for bait? NOT GROUP CATCH - Only catch from Angler being interviewed.
Disposition Codes for Q25
1 - Thrown back alive
3 - Eaten/plan to eat
5 - Sold/plan to sell
2 - Thrown back - not legal
4 - Used/plan to use for bait
6 - Thrown back dead/plan to throw away
7 - Some other purpose
TYPE 2 RECORDS: (CATCH UNAVAILABLE IN WHOLE FORM; FILLETS ARE UNAVAILABLE CATCH.)
Species Name
Species Code
# of Fish
Disp.
1.
2.
3.
4.
5.
*26. Did you catch any fish while you were fishing that I might be
able to look at?
1
Yes
2
No - Code Q27, Q28, Q29 as ” Not Applicable”
3
Yes, BUT fish on another angler’s form – Fill in interview #
where fish are listed
*29. How many anglers including yourself have their catch here?
Please do not include anyone who did not catch fish. Only count
those who have their catch here.
No. of
Contributors
*30. How many people fished on your boat today?
No. of
People
*27. Did you catch these yourself or did someone else catch some of them?
All Caught by Angler - Code Q28, Q29 as “Not Applicable”
2
Other Contributors
8
1
*28. Can you separate out your individual catch?
Yes – Code 29 as “Not Applicable”
2
No
8
*BOX E: IS THIS VESSEL ON LIST?
Yes
2
Not Applicable
YES / NO
888
Shore Mode
*BOX D. If response to Q30 is 1, code as “Not Applicable.” Otherwise, is this the first angler from this boat that I have interviewed?
Not Applicable
1
Not Applicable
BOX C. If Q11 is SH mode, code Q30 as “888, ” and Code Box D as “8.”
Code Q27, Q28, Q29 as “Not Applicable”
1
88
8
Not Applicable
No – Record interview # of 1st angler in the fishing party.
*NAME OF VESSEL:
Check box if vessel has no name AND record Registration Number to determine “on list” status. If “on list” cannot be confirmed,
Q10 = Status 5. (Note: BOX E must be completed for ALL charter and head boat interviews, regardless of mode of assignment).
*31. AVAILABLE CATCH – ASK: May I look at your fish? What do you plan to do with the MAJORITY of the (species)?
Disposition Codes for Q31
3 - Eaten/plan to eat
6 - Plan to throw away
4 - Used/plan to use for bait
7 - Some other purpose
NOTES/COMMENTS:
TYPE 3 RECORDS: (INDIVIDUAL CATCH AVAILABLE IN WHOLE FORM)
Species Name
Species Code
# of
Fish
Length
(mm)
Weight (kg)
1.
.
2.
.
3.
.
4.
.
5.
.
6.
.
7.
.
8.
.
9.
.
10.
.
11.
.
12.
.
13.
.
14.
.
15.
.
Disp.
5 - Sold/plan to sell
*1005*
File Type | application/pdf |
File Modified | 2015-11-10 |
File Created | 2015-11-10 |