Socio-economic add-on survey

20XX 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. XXXX-XXXX. Expiration Date:

Time this interview
was completed

5. INTERVIEW TIME
(use 2400 clock)

2. INTERVIEWER ID
6. STATE CODE
3. YR/MO/DAY

2

0

X

8. SITE CODE

7. COUNTY CODE

X
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.

15.

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.

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
19.

Don’t Know/ Not applicable

Including yourself, how many people were in your fishing
party today?

May I have the zipcode and State of your permanent residence?
State Code

Foreign country

99998

Don’t’ know

99999

Refused

Refused

Percentage (0-100%)
998

99997

999

What percentage of the expenses you just described were spent in
?

Number of People

16.

Your Personal Expenses

Type of expense

Number of Nights

12.

17. 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).

Don’t Know/ Not applicable

999

Refused