Wildlife Reserve Visitor Impact Survey
We appreciate your participation in this survey to help us understand the impact of visitors on our reserve.
Visitor Full Name
First Name
Last Name
Email Address
example@example.com
Date of Visit
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Duration of Visit (hours)
Activities Participated In
Please rate the overall cleanliness of the reserve during your visit.
1
2
3
4
5
Have you observed any negative impacts on wildlife or environment?
Option 1
Option 2
Option 3
If yes, please describe the impacts observed.
Suggestions for improving visitor impact management.
Submit
Should be Empty: