You can type in this form and print it, or you can print it and fill it in by hand.

Friends of the Assabet River National Wildlife Refuge
Refuge Use Survey


Have you visited the Assabet River National Wildlife Refuge? (yes or no)

How often have you visited the Refuge since it opened in 2005? (check one)

once
more than 5 times
more than 10 times

What did you do at the refuge? (check all that apply)

walking biking
boating hunting
bird watching fishing
attended a refuge program attended a meeting (non-refuge group)
toured the Visitor Center here with young children
winter sport (skiing, snowshoeing) other

How far away do you live from the refuge? (check one)

within 3 miles
within 10 miles
more than 10 miles
If more than 10 miles, would you like to provide:Your town:Your state:

What age are you? (check one)

18—35
36—50
51—70
over 71
prefer not to answer

If you have children, please indicate their ages (check all that apply)

0—5
6—12
13—18
prefer not to answer

Are there any suggestions that you have for programs or activities to run at the refuge? (please be as specific as possible)




Do you have a preference for days or times to attend programs?

weekends only
week nights only
specific time of day

Please bring this filled-in form to our Saturday Summit on February 11, 2012 at 1:00 PM, or save it and email it us at info@farnwr.org. Or, send it by snail mail to:

Friends of the Assabet River NWR
P.O. Box 57
Stow, MA 01775

Thank you for taking the time to help us better serve our communities.