Priority Mail Nonresponse Survey.pdf

Author: Abt Associates Inc.

Created: 10/11/2011

Purpose: This file includes the priority mail nonresponse survey. The Northeast version

is included as an example. Other regions and the national version only differ in the

subtitle and states listed on the cover.
OMB Control No. 2040-0283

Approval expires 07/31/2013

Fish and Aquatic Habitat

 A Short Survey of Northeast Households

(CT, DC, DE, MA, MD, ME, NH, NJ, NY, PA, RI, VT)

The public reporting and recordkeeping burden for this collection of information is estimated to average 5

minutes per response. Send comments on the Agency's need for this information, the accuracy of the

provided burden estimates, and any suggested methods for minimizing respondent burden, including through

the use of automated collection techniques to the Director, Collection Strategies Division, U.S. Environmental

Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control

number in any correspondence. Do not send the completed survey to this address.

9999999

6939249934
This is part of an important survey of U.S. residents for the Environmental

Protection Agency, or EPA. It is a short questionnaire which should take

no more than five minutes. This study will help us to better understand

the value of environmental protection and public programs. Any answers

you provide are kept confidential to the extent provided by law.

1. What is your age?

2. What is your gender? Male Female

3. What is the highest level of education that you have completed?

Less than high school

High school or equivalent

High school + technical school

One or more years of college

Bachelor’s Degree

Graduate Degree

4. How many people live in your household?

years

5. How many of these people are 16 years of age or older?

6. How many of these people are 6 years of age or younger?

7. What is your zip code?

8. Are you currently employed? Yes No

9. Are you currently employed in the commercial fish industry? Yes No

10. Compared to other issues that the government might address - such as public

 safety, education and health - how important is protecting aquatic ecosystem to

 you, on a scale of 1 to 5 where 1 is "not important" and 5 is "very important"?

1 2 3 4 5

11. People have ideas about the extent to which the government should be involved

 in protecting the environment. On a scale of 1 to 5 where 1 is "not at all

 involved" and 5 is "highly involved", how involved do you think the government

 should be in environmental protection?

1 2 3 4 5

9999999 1

7048249936
12. How many days did you participate in the following during the last year? For

 trips longer than one day, please count each day separately.

Boating / Canoeing / Kayaking

Swimming / Going to the Beach

Recreational Fishing (Fresh Water)

Recreational Fishing (Salt Water)

Shellfishing / Crabbing

Scuba Diving / Snorkeling

0 1-5 6-10 11-15 16+

0 1-5 6-10 11-15 16+

0 1-5 6-10 11-15 16+

0 1-5 6-10 11-15 16+

0 1-5 6-10 11-15 16+

0 1-5 6-10 11-15 16+

13. Do you consume commercially caught fish or seafood? Yes No

14. Do you consume recreationally caught fish or seafood? Yes No

15. Are you of Hispanic or Latino origin? Yes No

16. Which of the following racial categories describes you? You may select

 more than one.

American Indian or Alaskan Native

Black or African American

Native Hawaiian or Other Pacific Islander

Asian

White

17. Which would best describe your living situation?

Thank you for participating in this very important survey!

18. What category comes closest to your total household income?

2

Rent your home or apartment

Own your own home

Live with family or friends and pay part of the rent or mortgage

Live with family or friends and do not pay rent

Other (please specify)

Less than $10,000

$10,000 to $19,999

$20,000 to $39,999

$40,000 to $59,999

$60,000 to $79,999

$80,000 to $99,999

$100,000 to $249,999

$250,000 or more

9999999

7324249933