| 1. What is the overall length of your boat? | less than 16 ft 16 - 25 ft 26 - 39 ft 40 - 65 ft more than 65 ft |
| 2. What type of engine is the primary means of propulsion for your boat? | carbureted two-stroke outboard direct fuel injected two-stroke outboard four stroke outboard inboard inboard/outboard |
| 3. Where do you store or berth your boat during the boating season? | at home on a trailer berth at home (private dock) marina during the summer marina all year |
| 4. Where do you most often fuel your boat? | at gas station prior to launching marina with an on-water fuel dock bring your own gas can |
| 5. If you use a marina with a fuel dock, does the gas attendant use an oil absorbent pad with the fuel nozzle to prevent fuel spills from entering the water? | yes, all the time no, never only sometimes N/A |
| 6. Petroleum spills are required to be reported to the State of Oregon (DEQ) and the U.S. Coast Guard. What do you think is the amount of oil that is required to be reported? | 1-2 drops 1/2 cup 1 cup any amount that causes a sheen on the water only motor oil should be reported, gas and diesel are exempt from reporting don't know |
| 7. While you are boating, what percent of the time do you use the following facilities? | % toilet on boat % port-a-potty on boat % floating restroom % on-shore restroom at marina / near boat ramp |
| 8. If you use floating restrooms, what percent of the time were they in good working order and clean? | 100% 75% 50% 25% 0% I don't use floating restrooms |
| 9. If you have an installed toilet on your boat, what type of marine sanitation device is connected to it ? (a port-a-potty is not an installed toilet) | Type I: Macerates waste so there are no visible solids; discharges may not be clear (e.g. "Electro -san"). Type II: Macerates waste finer than Type I; discharges may not be clear. Type III: Holding tank only; does not treat waste, instead holds waste until pumped into a facility on shore. no toilet don't know
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| 10. If you use boat sewage pumpout stations, what percent of the time were they in good working order? | 100% 75% 50% 25% 0% I don't use pumpouts |
| 11. On a scale of 1-10, how much of a threat do you think aquatic invasive species (e.g. milfoil, an aquatic weed, or zebra mussels) are to Oregon's environment? | A very big threat: 10 9 8 7 A small problem: 6 5 4 Not a problem/ no issue: 3 2 1 |
| 12. Do you inspect and remove attached plants or animals from your boat upon taking it out of the water? | yes, every time at the boat ramp yes, after I get back home no, it's not an issue N/A |
| 13. Marine law enforcement officers primarily focus on boating safety activities. Should they also enforce/ investigate environmental regulations? If so, rank the following activities from 1-3, with 1 being the highest environmental priority | oil spills inspect boats for proper sewage disposal inspect boats for invasive species no environmental enforcement, only boating safety |
14. Do you know what this sign means?
| no yes - please describe
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| 15. How did you hear about the Clean Boater Program? (Include bag code if you already received a bag) | |