Would you like to receive dive-related e-mail information?* Yes No
What is the name of the dive shop you use, if any? Dive Shop: Location: Are you a scuba diver? Yes No Want to be Initial certifying agency Not certified AACSD ACUC Handicapped Scuba Assn. NASDS NAUI PADI SSI Other If other, which one? Highest certification level Basic Advanced Rescue Diver Specialty Diver Master Diver Instructor Diver , , , , , Current certifying agency Not certified AACSD ACUC Handicapped Scuba Assn. NASDS NAUI PADI SSI Other If other, which one? If not a scuba diver, do you now snorkel? Yes No Free dive? Yes No Other diving interests: Your age? 10-14 15-21 22-35 36-50 51-65 65+ Gender*? male female transgender Highest Education? 0-8 grade 9-12 grade 1-2+ yr college bachelor master post-grad doctorate 3+yr professional degree How many days a year do you scuba dive? 0-7 8-15 16-30 30-50 51-80 81+ What conditions would allow you to dive more often? List in priority ("1"= most important, "10" = least) then prioritize for 1-day trip, and 7-day vacation trip (Ex: Dive access is my #2 priority; for a 1-day trip" I would at least accept "a shore dive; for a 7-day vacation "I would comfortably want" shore and boat). 1-day trip 7-day trip Money Availability for Travel First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth Available Time First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth Better Location First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth Better Access First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth Water Temperature First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth Visibility First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth Lack of conditions First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth Coordination with Family First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth Opportunity to Socialize First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth Upgrade or Personalize Gear First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth Other First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth Other First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth What motivates you to dive? Priority 1-10: 1-day trip excitement First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth sensation First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth beauty First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth physical workout First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth photography First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth spearfishing First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth shellfishing First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth searching wrecks First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth fish watching First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth other First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth How many days a year do you snorkel only? 0-7 8-15 16-30 30-50 51-80 81+ If you solely free dive on any one trip, how many days /year? 0-7 8-15 16-30 30-50 51-80 81+ Do you belong to a dive club? Yes, fill below No Name: Street Address: City: State: ZIP: E-mail Address: Does your club membership contribute significantly to your travel ? Yes No Does your club membership contribute to your dive education? Yes No Are you employed in a water-related profession or industry? Yes, fill below No Which? Would you be willing to write an article to promote your profession? Yes No Please list other members of your household who scuba (SC), snorkel only (SN), or free dive (F) only, or who "wanna-be:" Active Wanna-be Age Gender SC SN F SC SN F Spouse /Sig.Other male female transgender Diver 1 male female transgender Diver 2 male female transgender Diver 3 male female transgender Expressed as a percentage (100%=Total), what kind of diving do you do in each category? 1. Ocean % Freshwater lakes/ponds % Rivers/ Streams % Cave % Quarry % Other: % =100%
2. Boat % Beach % Drift % Hike-in % Other: % =100%
3. Photography % Nature Watch % Hunt Food % Scientific % Treasure Hunt % Explore % Other: % =100% Where you dive vs. where you live: What state or municipality do you normally dive in? What state or municipality do you live in (="home")? What span of months do you dive locally (near home)? one two three four five six seven eight nine ten eleven twelve How many miles from home must you travel to do any diving? 0-25 26-50 56-75 76-100 100+ How many miles from home must you travel to do the best diving within your one-day diving strike distance, regardless of season? 0-25 26-50 56-75 76-100 100+ Is your primary transportation to these sites by boat, bus, car, train, plane Do you own a Regulator BC Wetsuit Drysuit Tanks When you travel to your best diving site where do you go? With whom do you travel? Self spouse spouse + children friends How many days? Is the primary travel focus: diving business touring visiting family or friends other Are your travel arrangements for a week or more generally Package trip? Travel agent? Dive Club? Dive Store? Or through your own contacts? What features would you like to see on this website?
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