FocusJr

Name

Telephone number

Address

City

State

Zip code

Email address

What is your job title or position?

What is your exact age?

What state and city do you currently live in?

Do you have camping reservations in the month of October?

Yes
No

What are the dates in October that you plan to go camping? (Please be specific, for example Oct 5th - Oct 12th). THIS IS VERY IMPORTANT!!!!

What is the name of the park that you have camping reservations in?

Grand Canyon National Park
Pinon Flats Great Sand Dunes National Park
Fruita, Capitol Reef National Park, Utah
Yosemite National Park, California
Slough Creek, Yellowstone National Park, Wyoming
Other

If you are camping in a park that is not listed above, please tell us the name of the park, the state it is in and the city of the park grounds?

Who are you camping with?

Myself only
My wife, significant other or friend
My wife and children
Group of friends
Other

How many people in total will you be camping with besides yourself??

0
1
2
3
4
5+

On a scale on 1 - 5 where 1 = I do not like camping very much 3 = I feel neither positive or negative about camping and 5 = I love to go camping. Please tell us how you feel about camping in general?

1
2
3
4
5

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