MALARIA SURVEY
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Do you agree to participate in this malaria survey? *
Date of completion *
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SURVEY QUESTIONNAIRE: QUESTIONNAIRE 1
A BIOGRAPHIC INFORMATION
1. Name *
Please provide your first name
2. Surname *
3. Age *
4.  Gender *
5.  Highest level of education attained *
6.  Occupation *
Please choose the most appropriate category
7. Home country *
Please do not use abbreviations.  Type the full name of the country
8.  Country of residence *
Provide the full name of the country where you are currently residing.  Do not use abbreviations
9.  Residential Province
Only complete the province if South Africa is your residential country
10.  Is your family also with you in Kruger National Park?
Clear selection
Total number of family members with you visiting Kruger National Park.
Do not count yourself.  Just count your spouse and children
Please note: Contact details provided here will not be used for any other purposes other than contacting you for this research project
10.  What is your  e - mail address where we can contact you? *
11. If possible, please provide an alternative e-mail address.
12.  Date of arrival at Kruger National Park *
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13.  Date of depature from Kruger National park *
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14.  Number of nights spend in Kruger National park *
15.  In which camp did you overnight? *
If more than one camp, please mention the camp that you have spend most time)
16.  Type of sleeping facility used in Kruger National Park. *
Tick all applicable options
Required
B  VISITORS' NIGHT OUTDOOR ACTIVITIES WHILE IN SOUTHERN KRUGER NATIONAL PARK
17.  Did you go on a NIGHT game drive? *
18.  Did you have outdoor barberques(braai) at night *
19.  DId you walk outside in the camp at night? *
20.  Did you sit outside at night? *
21.  Did you attend movies outside at night? *
22.  Please specify other outside activities at night.
This is the end of questionaire 1 and we thank you for your  valued contribution.. Questionnaire 2 will be e mailed to you in one month's time.
Please press the SUBMIT button to ensure that the completed questionaire reach us.
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