Trip Expenditure Intercept form

OMB Control No. 0648-0693. Expiration Date: XX/XX/XXXX.

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.

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.13 as “98”

2

Longer

8

Don’t Know - code q.11-q.13 as “98”

9

Refused - code q.11-q.13 as “98”

How many nights will you be away from your residence on
this trip?
Number of Nights

12.

98

Don’t Know/ Not applicable

99

Refused

As of this morning, how many nights have you already been
away from your residence on this trip?
Number of Nights

13.

98

Don’t Know/ Not applicable

99

Refused

For how many days of this trip will you go saltwater fishing?
Number of Days

14.

16. 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. If
angler refuses to provide any expenditures or does not know any expenditures, record 998 in the “Other “ row).

Your Personal Expenses

Type of expense
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

Parking or site access fees

$

.00

Boat fuel and oil

$

.00

Boat rental

$

.00

Party, charter or guide fees

$

.00

Fish filleting fee or tips paid to
charter crew

$

.00

98

Don’t Know/ Not applicable

Processing, freezing, or shipping
paid to processing company

$

.00

99

Refused

Tournament fees

$

.00

Gifts or souvenirs

$

.00

Other ______________

$

.00

What was the primary purpose of this entire trip away from
home?
1

Fishing

2

Vacation or other personal trip

3

Business

8

Don’t Know/ Not applicable

9

Refused

17.

What percentage of the expenses you just described were spent in
(state of intercept)?
Percentage (0-100%)
998

15a.

Including yourself, how many people traveled together on this
entire trip?

Number of People
15b.

Of the people who traveled with you today, how many people
were fishing, including yourself?
Number of People

Don’t Know/ Not applicable

999

Refused