﻿U.S. 
  Forest 
  Service 
  

  

  Intermountain 
  Forest 
  & 
  Range 
  Experiment 
  Station 
  

   INT 
  No. 
  

  

  Bureau 
  of 
  Budget 
  No. 
  40-6527 
  

   Approval 
  Expires 
  Sept. 
  30, 
  1965 
  

  

  WESTERN 
  STATES 
  SKI 
  POTENTIAL 
  STUDY 
  

  

  SKIER 
  QUESTIONNAIRE 
  

  

  Please 
  print 
  your 
  name 
  and 
  address 
  in 
  this 
  space. 
  

  

  

  

  Name: 
  

  

  

  

  (Last) 
  (First) 
  

  

  Address: 
  

  

  

  (Initial) 
  

  

  (Street 
  number) 
  (City) 
  

  

  (County) 
  

  

  (State) 
  

  

  1. 
  In 
  what 
  year 
  did 
  you 
  first 
  ski 
  on 
  slopes 
  or 
  hills? 
  19 
  

  

  2. 
  How 
  many 
  years 
  have 
  you 
  gone 
  skiing 
  at 
  least 
  once 
  since 
  you 
  started 
  to 
  ski? 
  

  

  (Years) 
  

  

  3. 
  Do, 
  or 
  did 
  either 
  of 
  your 
  parents 
  ski? 
  Circle 
  one: 
  ONE 
  BOTH 
  NEITHER 
  

  

  4. 
  Indicate 
  your 
  age 
  by 
  checking 
  appropriate 
  space 
  below. 
  

   Under 
  13 
  years 
  Q 
  13-18 
  years 
  P], 
  19-22 
  years 
  

   23-30 
  years 
  ' 
  Q 
  31-40 
  years 
  Q 
  41-50 
  years 
  

   Over 
  51 
  years 
  

  

  IF 
  YOU 
  ARE 
  UNDER 
  19 
  YEARS 
  OF 
  AGE, 
  SKIP 
  TO 
  QUESTION 
  9 
  BELOW. 
  

  

  □ 
  

   □ 
  

   □ 
  

  

  5. 
  a. 
  What 
  is 
  your 
  approximate 
  annual 
  income 
  before 
  taxes 
  and 
  payroll 
  deductions? 
  

  

  NOTE: 
  Married 
  persons 
  should 
  indicate 
  the 
  joint 
  income 
  of 
  both 
  husband 
  and 
  wife. 
  

   Students 
  living 
  at 
  home, 
  or 
  away 
  from 
  home, 
  and 
  largely 
  or 
  completely 
  

   dependent 
  on 
  family 
  support, 
  should 
  indicate 
  the 
  combined 
  income 
  level 
  of 
  

   themselves 
  and 
  their 
  parents. 
  

  

  Check 
  ( 
  ) 
  the 
  appropriate 
  income 
  category 
  below. 
  

  

  ( 
  ) 
  Less 
  than 
  $4,000 
  per 
  year 
  ( 
  ) 
  $4 
  , 
  000 
  to 
  $6 
  , 
  499 
  per 
  year 
  

  

  ( 
  ) 
  $6,500 
  to 
  $9,999 
  per 
  year 
  ( 
  ) 
  $10, 
  000 
  to 
  $14 
  , 
  999 
  per 
  year 
  

  

  ( 
  ) 
  $15,000 
  to 
  $24,999 
  per 
  year 
  ( 
  ) 
  $25,000 
  per 
  year 
  and 
  over 
  

  

  b. 
  Number 
  of 
  persons 
  largely 
  or 
  completely 
  dependent 
  on 
  family 
  support. 
  

  

  (Number) 
  

  

  Are 
  you 
  (circle 
  one) 
  married? 
  single? 
  divorced? 
  widowed? 
  

   If 
  married, 
  does 
  your 
  husband 
  or 
  wife 
  ski? 
  Circle 
  one: 
  YES 
  NO 
  

   If 
  married, 
  how 
  many 
  of 
  your 
  dependent 
  sons 
  and 
  daughters 
  ski? 
  

  

  (Number 
  who 
  ski) 
  

  

  49 
  

  

  