BLM Daily Coordinator Report

Summary of daily survey data for distributions at a specific location at this BLM unit.

Site Name(Required)

Name of the BLM Unit

Location(Required)

Place where surveys were distributed

Date(Required)

Enter the distribution date

Start Time(Required)

Enter the time of day that survey distribution began

End Time(Required)

Enter the time of day that survey distribution ended

Refusals(Required)

Enter the number of refusals

Questionnaires(Required)

Enter the number of questionnaires distributed

Postcards(Required)

Enter the number of postcards distributed

Comments

Provide any comments about distribution on this date