Public Input Survey Form

III. Do you think that biodiversity conservation should be a priority for the state of Pennsylvania?

Yes << Note: If left unchecked your answer will be recorded as No.

IV. If you were constructing a plan to conserve natural resources in Pennsylvania, what are the TOP FIVE issues you would include? Feel free to add other issues not listed below.

Wetland Preservation
Habitat Preservation
Water Supply & Plan
Basic Research
Public Education
Land Use Practices
How to Keep Things Natural
Statewide Map of Resources
Land/Open Space Preservation
Recycling
Species Preservation
Local Planning Guidelines
Pollution
Identify Priorities
Sources of Funding
Other:
Other:
Other:
Other:
Other:

V. Please list any specific GEOGRAPHIC AREAS or HABITATS in Pennsylvania that you consider MOST important to conserve.

If you would like a free copy of Biodiversity in Pennsylvania: Snapshot 2002, please complete the information below and we will send you a copy.

First Name: Last Name:

Organizational Affiliation (if applies):

Street Address:

City: State: Zip Code:

E-mail address:

Telephone:

Check below if you would like information on how to become a member of the Pennsylvania Biodiversity Partnership.

Yes, send me information by e-mail.
Yes, send me information by mail.
No, please don't send me information at this time.