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Survey

Survey

Name (optional):  

 Organization/Affiliation:

 NOTE:Two copies of this form are provided, if you require additional forms to provide comments that are different between the species please visit: http://www-comm.pac.dfo-mpo.gc.ca/pages/consultations/consultation2004/main_e.htmto download a copy or fill in online, or pick up these forms at any of the consultation sessions.  You may chose to fill one

 1)    Are you familiar with the Species at Risk Act?    Yes          No

Check all that apply.

 

Not familiar
I have read all or part of the Act        
I have received written information (e.g. pamphlets)
I have participated in information and/or consultation sessions
I have received information from the media           
Other

 2)    Have you read the COSEWIC status report for any of the 5 aquatic species being considered for legal listing?

Yes             If yes, please specify __________________       No

 3)    Which sector(s) do you represent?  Check all that apply.

 

Academic
Agriculture 
Commercial Fishing/Processing/Sales
Environmental Organization
Farming
Forestry
Government
Guiding/Fish Charter
Oil and Gas
Private Sector – Other
Professional Services
Retired
Recreational Fishing
Stewardship Group
Student
Whale Watching
Other  
     Not in the labour force

 4)    Where do you reside?

Queen Charlotte Islands
North Coast BC
Central Coast BC
North Vancouver Island (i.e. Port Hardy, Alert Bay, etc.)
Mid Vancouver Island (Campbell River, Comox-Courtney, Parksville, etc.)
South Vancouver Island (Nanaimo, Ladysmith, Duncan, Cowichan, etc.)
Victoria and Area
Upper West Coast Vancouver Island (Quatsino, Kyuquot, Tahsis, etc.)
Lower West Coast Vancouver Island (Ahousat, Tofino, Bamfield, Port Alberni)
Sunshine Coast
Lower mainland
Interior BC
Other In BC
Other Outside BC

 I am commenting on the following species: 

                                             

Grey Whale
Steller Sea Lion
Harbour Porpoise
Rocky Mountain Ridged Mussel
White Sturgeon
All of the above

5)    Do you support the listing of this species?    Yes        No         Undecided

6)    Please select one of the following for each statement below:

 Strong DisagreeSomewhat DisagreeIndifferentSomewhat AgreeStrongly Agree
      
I believe the species is valuable because it plays an important role in maintaining healthy ecosystems.     
I believe the species is valuable to future generations.     
I value this species even though I may never see one personally.     
I believe this species needs special protection or care from human interactions and/or activities.     
I believe protection of this species will have a positive effect on my business/career.     
I believe a legal listing of this species may restrict my recreational, employment or personal activities.     
I am prepared to suffer a loss in revenue to protect a species at risk.     
I believe it is important for the Government of Canada to allocate federal funding to support recovery of this species.     

 Please specify additional reasons to support the legal listing of this species. In particular, please provide information that would be useful for deciding whether to list the species.

If this species were legally listed, Fisheries & Oceans Canada realizes that there could be potential changes in income or revenue to you or your employer.  To help us better understand the impacts please check each of the following that apply to you:

 7.  A. If there is a potential change in your income, is it a gain or a loss?

    

 Gain                Loss                No Change               Don’t know

 B.    What is the potential change in your income?

Less than $5,000
$5,000 - 10,000
$10,000 - 20,000
$20,000 - 30,000
Greater than $30,000 – please estimate the amount $______

  C.    What percentage of your income depends on this species?

0-20%
20-40%
40-60%
60-80%
80-100%

 8.    A.  If there is a potential change in revenue to your industry, business or employer is it a gain or a loss?

    

 Gain                Loss                No Change               Don’t know          

     B.  What is the potential change in revenue?

 

Less than $25,000
$25,000 – 50,000
$50,000-100,000
$100,000-150,000
Greater than $150,000 – please estimate the amount $_____

 C.    What percentage of your industry, business or employer’s revenue depends on this species?

 

0-20%
20-40%
40-60%
60-80%
80-100%

 If you do not support the listing of this species, please tell us why.  In particular, please provide information that would be useful in deciding whether to list the species.

 9.    Please add any other comments or concerns (include additional sheets, if necessary).

 

****Workbooks must be submitted by Friday, December 10 2004.  Please note: the consultation period for white sturgeon may be extended.****