U.S. DEPAFOWm OF THE THTERIOR 



FISH Al© WIIDLIFE SiSRVICE 



CONSEBVATIOH EDUCATKaJ 

 QUESTIONHAIRE 



Same of Station: 



No. Station Personnel 



(Ansver all questions for both yourself and your station personnel) . 



1. Were you requested during the past year to supply infonnation 

 about the Fish and Wildlife program or your activities in it or to supply 

 education-extension services by the following: 



Hevspaper 



Radio 



T7 



Schools 



Youth groups 



Game clubs 



Other orgaMzatlons 

 (other agencies) • 



Regularly Occasionally Rarely Wever 



2. List \ib&t services vere supplied by you or your staff to Press, 

 Radio and Television: 



Informatio n/ / Service-prepared press releas e/ / Station-prepared releas e/ / 



Photograph s/ / Movie s/ / Any other pervice s 



How many station personnel took prjt in such activities ? 



3. List assistance rendered to schools: 



Service publication s/ /Picture s/ / Personal appearance s/ / Display s/ / 

 List kinds of teaching aids for conservation you supplied 



Any other 



How many of your people took part? 



h. list ways organized youth groups were assisted_ 



How many of yovir people took partY_ 



(IT) 



