Wisconsin Partners for Fish and Wildlife
Midwest Region

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Phone: 608-221-1206 Ext. 14Address:
4511 Helgesen Drive
Madison, WI 53718-6747

Appendix A:

 Landowner Survey

 ___ I am not interested, please do not contact me.

___ Please contact me about scheduling a site visit. My phone number is _____________

___ You have my permission to stop by and look at the project.

_______________________________ (signature)

___ I no longer own the property where the project is. The new owner is:

______________________________ (name)

______________________________ (phone)

___ Other, please explain ______________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________


If you are interested in commenting on your wetland or grassland project, we’d love to hear from you.
Please take a minute to answer the following questions or drop down to the "additional comments" section.

Did the project meet your expectations? ____________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

Do you plan to maintain the project after the expiration of the cost-share agreement?

_______________________________________________________________________________

_______________________________________________________________________________

Do you have additional land that you would like to see restored to wetlands or grasslands?

_______________________________________________________________________________ _______________________________________________________________________________

_______________________________________________________________________________

Additional comments: ___________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

Please return this survey in the envelope provided. Thank you very much for responding, your comments
will help us to improve our program for the betterment of our state’s wildlife and natural resources.

Last updated: July 18, 2008