Protected Area Feedback Form

Community Survey Form

Protected Areas Project
Name

PrefixFirst NameLast Name
Email
example@example.com
WhatsApp Phone Number

Area CodePhone Number
How did you find out about Grants for Conservation?

Other
Caribbean Country

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry of Residence
Q1. In your country, which protected area(s) are you familiar with? (Please provide name)
Q2. Which is the closest protected area to your place of residence? (Please provide name)

0/10
Q3. Is there an organization(s) responsible for the protected area?
Q4. If Yes, provide name of organization(s) responsible.

0/15
Q5. Select one or more categories your work or field of study relates to?

Other
Q6. Would you like to be more involved in the conservation of your country's protected areas?
Q7. Do you feel the presence of the protected area benefits you and your family?
Q8. Do you feel the presence of the protected area benefits your community?
Q9. Do you feel the presence of the protected area benefits your country?
Q10. Do you think that more outreach is needed to help the public understand the benefit of the protected area(s)?
Q11. What are the four (4) best ways to provide public awareness in your country?

Other
Q12. To your knowledge, which of the following does your protected area need more of?

Other
Q13. Provide brief reasons for your selections in Q12.
Please verify that you are human
Should be Empty:

Community Survey Form