OMB
		Approval
		#:
		0648-0000
		Expiration
		Date: 
		        
		 Airport
		  Survey
	
Screening Criteria: 1) NOT a resident of Puerto Rico
On-site Survey Number:
	
(See
	Tally
	Sheet)	2)
	Visiting
	PR
	and did
	reef
	recreation/tourist
	activity	
		
	
	
Airport:
	 __________________________________	
Month Day Time
	
	
Number of People in Party: ______ (# of people)
	
	
	
	
(a) How many people in your party are ages 16 or older? ______ (# of People)
	
	
(b) How many people in your party are under 16?) _____ (# of People)
	
	
Where is your primary residence?
	
	
	
	
City
	or
	Nearest
	City	County	State	Zip
	Code
	Country:
U.S.A	Australia/Oceania	Other
	Europe
Canada	Japan	Middle
	East
Mexico Other Far East Africa
Central
	Am./South
	Am.	United
	Kingdom	Other
	
	
	
	
On
		this trip to the Puerto Rico, when did you first arrive?	
			
Month Day Time
	
	
Including this trip, how many times have you visited Puerto Rico for all recreation/tourist reef activities in
the last 12 months, that is since (date last year)?
	
	
	
Times
	
	
Including this trip, how many days have you spent in Puerto Rico where you did some recreation/
tourist reef activities in the last 12 months?
	
	
	
Days
	
	
If
	overnight visitor,
	hand respondent
	maps
	of
	Puerto Rico.
	If not
	overnight visitor,
	skip
	to
	next
	section.
	
	
	
Looking at the map, could you tell me how many nights you spent on this trip to Puerto Rico in
	
	
Region 1 Region 2 Region 3 Region 4 Region 5
# nights # nights # nights # nights # nights
	
	
	
Interviewer:
	Make
	sure
	if
	answer to
	Q.4.
	is
	greater than
	one,
	that
	answer
	to
	Q.6.
	is
	not equal to
	Q.5.
I
would now
like
to
ask
you
about some
of the
recreation/tourist
activities in
which
you,
or someone
in your
group,
participated in during
this
trip
to
Puerto Rico.
(Hand respondent White Card)Please
refer
to
the
white
card.
In which of these activities did you or someone in your group participate?
As I read you each activity in which you said you or someone in your group participated, could you tell
me in which areas of Puerto Rico you participated in the activity?
For <activity> Region 1, Region 2, Region 3, Region 4, Region 5 (specify Vieques or Culebra)?
Now as I read each activity, could you tell me how many others in your group participated in the activity
in each area of Puerto Rico?
For
<activity>,
how
many
others
participated
in
Region
1,
Region 2,
Region 3,
Region
4,
Region 5 (specify Vieques or
Culebra)?
				  | 
			Region 1  | 
			Region 2  | 
			Region 3  | 
			Region 4  | 
			Region 5  | 
		||
Activity  | 
			# Resp. Others  | 
			# Resp. Others  | 
			# Resp. Others  | 
			# Resp. Others  | 
			# Resp. Others  | 
		||
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Hand respondent Green Card
10. Please refer to Section 2 on your green card and tell me which reason best describes the primary purpose of your trip to the Puerto Rico.
A  | 
		Recreation or vacation  | 
		C  | 
		Business trip  | 
		E Other (specify)  | 
	
B  | 
		Visit family or friends  | 
		D  | 
		Business/pleasure  | 
		
			  | 
	
Finally, for statistical purposes, we need to know a few things about yourself.
11. In what year were you born? (Code last two digits)
	      Sex	male	female
13.	Are
you Spanish, Hispanic, or Latino?	Yes	No
13b. Please refer to Section 3 on your green card and tell me the letters corresponding to all the descriptors that describe your race.
White
Black or African American
American Indian or Alaska Native D Asian
E Native Hawaiian or Pacific Islander
14. Please refer to Section 4 on your green card and tell me which of the income categories best describes your annual household income last year before taxes. Please give the letter on the card that is the closest.
a	b	c	d	e	f	g	h	i	j	k	l	m	n	o	refused
don’t
know
15. Do you own a second home or time share in the Puerto Rico?
Yes	No
16. On this trip, are you paying your own expenses, sharing expenses, or is someone else paying your
	
expenses?
	
own
	expenses
	shared
	expenses
someone
	else paying
	expenses
> Beside your own expenses, how many other people are you paying for on this trip?
> With how many people are you
sharing expenses?
We would like to collect some additional information on your visit to Puerto Rico during your trip. Would you join an Internet Panel to answer some more questions about your trip ? The information gained from these questionnaires is very important to both managers of the coral reefs and business and governments providing services on your trip enjoyment. As an incentive for completing panel questions, a sweepstakes has been organized by the local business community. Hand brochure describing sweepstakes By completing the Internet Panel, we enter you in the sweepstakes each time you complete a module. No __ Yes __ Please provide your e-mail address and telephone number so the company doing the Internet Panel (Gfk Custom Research, LLC.) can contact you.
E-mail: ______________________________________ Phone: ________________________________
Reminder: After the survey is completed and the sweepstakes prizes awarded, all name and address information will be destroyed. No one will be allowed to use this information for contacting you about any promotions. This concludes our interview. Thank you for your time. In Appreciation for your participation, we would like to offer you this gift.
If no to the Internet Panel, Would you complete some mailback questionnaires on your trip expenditures and your satisfaction ratings about your trip? If you return the completed questionnaires, you will be entered into the sweepstakes each time your complete a module.
19. Will you complete these questionnaires?
Yes
(Go to Satisfaction and Expenditure suggestions and  questions 20 and
21)
No	>	This
concludes
our
interview.
Thank
you
for
your
time.
In
appreciation
for
your
participation
we would like to
offer
you
this
gift.
Satisfaction
We suggest completing the satisfaction questionnaire on your way home while your thoughts about your trip to the Puerto Rico are fresh.
Expenditure
The expenditure survey should be completed after your trip is over and you have returned home.
Interviewer:
Code on-site
survey
number and
location
on
mailback
Show
example
of
mailback
questionnaire,
where
to
start,
the
types
of
questions
that
are
asked,
and
how
to
seal
it
to
mail
it
back
Please give us your name and address. In the event that we do not receive the take home questionnaire we will send you another.
Satisfaction
name
and address
Name: Address: City: State: Zip:
If someone other than yourself paid for all your expenses on this trip to Puerto Rico, we would like
that person to answer the questionnaire. Will you please give us the name and address of that person?
Expenditure
name
and address
Name:
 	
Address:
 	
City:
                                                       
State:                     
Zip:
This
concludes
our
interview.
Thank
you
for
your
time.
In
appreciation for
your
participation, we would like
to
offer
you
this
gift.
	 
		Page
		
	
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| Author | Bob Leeworthy | 
| File Modified | 0000-00-00 | 
| File Created | 2021-01-23 |