Community Wildlife Survey (2010) - Dept of Environment, Climate Change & Water

Background details

Provided you agree to be contacted, your name, phone and/or email address may be used where we would like further information about your reports. The location information you supply will help to better position the map during the survey.

All the details requested below are helpful but not mandatory.

Have you completed this survey before?
select one	Yes, I have answered this 2009/2010 survey before but I now would like to add more information. (You need not repeat previous information) No, the survey was referred to me by a friend/relative/neighbour who had been asked to participate. I would like to participate. No, I am completely new. I came here by following links on the internet. No, I just followed the link in the email.

Identification
Given name (first name)
Family name (surname)
Gender	Female Male

Contact details We would also like your contact details for possible follow-up contact by one of the research team
phone number
email address It will assist us to have your contact email address. We will only use your email address for follow up to this survey and to announce future surveys. Privacy provisions apply to the collection of email addresses and other identifying information.

Location details So we can centre and zoom the map to your neighbourhood please enter your location details. You can enter sightings anywhere in NSW. If we cannot find a town match we will try a postcode match. If that fails the map will initially display all of NSW.
Town/Suburb
State
Postcode	Tick here to use an approximate location based just on postcode.
How long have you lived at this address	(in years)

Final check
This questionnaire follows up on the 2006 wildlife survey. Are you willing to be kept on our list of contacts?	Yes No

Thank you for supplying these details. On the next page we ask about your sightings and knowledge of some animal species of concern.

Special Note: Your browser either does not support scripting or has scripting turned off. As scripting is essential for the map we will later show, you will not be able to complete that part of the survey. Please adjust your browser now before continuing. During business hours you may contact us on (02) 9585 6838 if you require help. Alternatively you can continue and skip the map part later.

Click here for next demonstration screen

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Community Wildlife Survey(2010)

Background details

Community Wildlife Survey
(2010)