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Date: ————————————— | | | | | |
(1) Which Asian range country do you work in? ———————————————————— |
(a) What region within that country? ——————————————————————————— |
(2a) Do you work for a government agency? | | | | | |
□ No □ Yes If yes, what type? | | | | | |
□ Forestry | | | | | |
□ Wildlife | | | | | |
□ Livestock | | | | | |
□ Other —————— | | | | | |
(2b) Do you work for a nongovernment agency (NGO)? | | | | | |
□ No □ Yes If yes, what type? ————————————————————————— |
(2c) If you responded “no” to both (2a) and (2b) please indicate your employment type ————————— |
(3) How often do you work with elephant health care? | □ Full time | □ Part time | □ Occasionally |
(4) Approximately how many years have you worked with elephant health care? ———————years |
(5) How many elephants do you check and/or treat on average each month? ———————Elephants |
(6) In the area where you are working, how many individual elephants do you see for treatment and/or health check on a regular basis (minimum 2 times per year)? | ————————————————Elephants |
(7) In the area where you are working, how many of the captive elephants (males and females) have successfully reproduced? | □ All | | □ Some | | □ None |
What is the percentage of your work with captive or wild elephants: | 0–19% | 20–39% | 40–59% | 60–79% | 80–100% |
(8a) With captive elephants? | □ | □ | □ | □ | □ |
(8b) With wild elephants? | □ | □ | □ | □ | □ |
In the area where you are working, what is the percentage of the captive elephants owned: | 0–19% | 20–39% | 40–59% | 60–79% | 80–100% |
(9a) By the government? | □ | □ | □ | □ | □ |
(9b) By private owners/institutions? | □ | □ | □ | □ | □ |
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(10) For which type of activities are the elephants utilized? | All of them | Most of them | Some of them | A few of them | None of them |
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Zoo exhibition | □ | □ | □ | □ | □ |
Tourism | □ | □ | □ | □ | □ |
Logging | □ | □ | □ | □ | □ |
Forest and habitat patrols | □ | □ | □ | □ | □ |
Human elephant conflict management | □ | □ | □ | □ | □ |
Education awareness programs | □ | □ | □ | □ | □ |
Not utilized | □ | □ | □ | □ | □ |
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