Sample SurveyThe following survey was used by the Brevard County NRMO to initially collect demographic and awareness information from anglers. The survey can be used as an example from which to develop a survey for the target audience in your area. BREVARD COUNTY ANGLERS WE NEED YOUR HELP ! ! ! The Brevard County Natural Resources Management Office is conducting a survey to learn about the practices and opinions of Brevard County anglers regarding monofilament line disposal. As an angler in Brevard County your opinions and suggestions As an angler in Brevard County your opinions and suggestions are very important to us. * Do you have a few minutes to answer 12 simple questions regarding this important issue? 1) Roughly how often do you fish in Brevard County? (Check only one)
Less than 5 days a month ____________ 5-10 days a month ____________ 10-20 days a month ____________ More than 20 days a month ____________ 2) Please select the activity you enjoy most when you fish in Brevard County. (Select one)
a) Surf casting in the Atlantic Ocean ______ b) Fishing off of a pier or dock into the Atlantic Ocean ______ c) Fishing off of a pier or dock into the Indian River Lagoon ______ d) Fishing off of a causeway or bridge into the Indian River Lagoon ______ e) Fishing in a fresh water lake, river, stream or creek ______ f) Fishing off a boat in the Indian River Lagoon ______ g) Offshore fishing from a boat ______ h) Wading in the Indian River Lagoon ______ i) Other ___________________________________________________________ 3) To your knowledge is it possible to recycle monofilament fishing line?
Yes ____________ No ____________ Not Sure ____________ 4) Which of the following best describes the way that discarded monofilament line impacts wildlife including birds, fish, reptiles and mammals. (Check only one)
a) Monofilament line has a positive impact on wildlife _________ b) Monofilament line has no impact on wildlife _________ c) Monofilament line has a negative impact on wildlife _________ 5) Please list four types of animal that might be harmed by discarded monofilament. a)___________________________ b)____________________________
c)___________________________ d)____________________________ 6) How much of a hazard does monofilament present to the following? (Circle a number ranking for each option. A score of 1 means no hazard and a score of 5 means an extreme hazard.)
No Hazard Some Hazard Extreme Hazard
a) Marine mammals (i.e. dolphins) 1 2 3 4 5 b) Sea turtles 1 2 3 4 5 c) Sport fish (i.e. redfish, and snook) 1 2 3 4 5 d) Humans 1 2 3 4 5 e) Boats/engines 1 2 3 4 5 7) Do you currently recycle monofilament line you use and/or find? Yes ____________ No ____________ 8) If you do recycle monofilament, please use the list below to select the locations where you drop off used line. (Check all that apply)
a) Department Stores (e.g. Wal-Mart, Kmart) _________ b) Bait and Tackle Shops _________ c) Marinas _________ d) I do not currently recycle monofilament _________ e) Other: ___________________________________________ 9) Which of the following would make convenient monofilament recycling locations? (Check all that apply)
a) Fishing Piers _______ c) Bridges _______ e) Beach Accesses _______ b) Boat Ramps _______ d) Tackle Shops _______ f) Other ________________ 10) Have you heard of Brevard County's Monofilament Recovery & Recycling Program?
Yes ____________ No ____________ Not Sure ____________ 11) In your opinion what impact will recovering and recycling monofilament have on the overall health of wildlife in Brevard County? (Check only one)
a) It will have a positive impact on overall health ___________ b) It will have no impact on overall health ___________ c) It will have a negative impact on overall health ___________ 12) Would you support a program that recovers and recycles discarded monofilament fishing line throughout the county?
Yes ____________ No ____________ Not Sure ____________ THANK YOU FOR YOUR ASSISTANCE WITH THIS SURVEY! IF YOU INTERESTED IN VOLUNTEERING WITH MRRP PLEASE COMPLETE THE NEXT PAGE Any information you give us on the form below is confidential and will only be used to send you information regarding volunteer opportunities or suggestions. Name: _______________________________________________________________________
Address: _____________________________________________________________________
City: ________________________ State: _________ Zip: __________________
Phone number and/or E-mail: ___________________________________________________ (Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.) We sincerely appreciate your time and your information, and thank you for participating in the Brevard County Monofilament Recovery & Recycling Project (MRRP). Suggestions:
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