Survey - Wildlife Release Site - Wisconsin Humane Society

Wildlife Release Site

Thank you for your interest in participating in
our Wildlife Release Site Program!

Wisconsin Humane Society Release Site Questionnaire

Please enter the information below so that we can contact you regarding your property.

Name:

Title	First Required	Middle Required	Last Required	Suffix

Email: Required

Street 1: Required

Street 2:

City/State/ZIP:

City Required	State Required	ZIP Required

Country:

Phone Number: Required

Yes, I would like to receive e-mail from The Wisconsin Humane Society

Email Format:

Yes, I would like to receive postal mail from The Wisconsin Humane Society

Remember me.

*2.

Question - Required - Directions to Proposed Release Site:

(Maximum response 255 chars, approx. 5 rows of text)

*3.

Question - Required - Total Acres:

*4.

Question - Required - Is hunting and trapping allowed on the property?

*5.

Question - Required - Is hunting or trapping allowed on adjacent or nearby properties?

Question - Not Required - Are there water sources on the proposed property? (State type and size, e.g. "1/2 acre pond")

Question - Not Required - If you do have a water source on the proposed property, does it freeze over in winter?

Question - Not Required - How much of the proposed property is Deciduous (oak, maple, etc.) forest?

Question - Not Required - How much of the proposed property is Coniferous (pine, spruce, etc.) forest?

10.

Question - Not Required - How much of the proposed property is meadows and fields?

11.

Question - Not Required - How much of the proposed property is agricultural or orchard (please describe)

12.

Question - Not Required - How much of the proposed property is marsh or swamp?

13.

Question - Not Required - How much of the proposed property is something other than what is listed above?

(Maximum response 255 chars, approx. 5 rows of text)

14.

Question - Not Required - What is the land use of any adjacent and nearby properties

(Maximum response 255 chars, approx. 5 rows of text)

15.

Question - Not Required - How close is your property to human habitations (e.g. "1/2 mile from residential neighborhood.")

(Maximum response 255 chars, approx. 5 rows of text)

16.

Question - Not Required - How close is the proposed property to heavily travelled roads?

(Maximum response 255 chars, approx. 5 rows of text)

17.

Question - Not Required - Check off any of the following potential wildlife food sources present on your property.
Please make up to 5 selections from the choices below.

	Nut Trees
	Fruit Trees
	Berry Bushes
	Small Mammals
	Aquatic Life (crayfish, frods, fish)

18.

Question - Not Required - Do you apply pesticides or herbicides on this property? If yes, please describe.

(Maximum response 255 chars, approx. 5 rows of text)

*19.

Question - Required - What types of animals are you interested in releasing onto your property?
Please make between 1 and 5 selections from the choices below.

	Cottontails
	Squirrels
	Raccoons
	Opossums
	Mallards

20.

Question - Not Required - Is there already an abundance on the proposed property of any of the types of animals you would like released there? If yes, please specify.

(Maximum response 255 chars, approx. 5 rows of text)

21.

Question - Not Required - Are you aware of any wildlife disease outbreaks that have occurred on your property or in your area? (e.g. distemper, rabies, avian botulism, etc.) or have you seen mammals acting strangely (lethargic, having seizures, staggering) or have you found animals that have died for unexplained reasons?

22.

Question - Not Required - Are there "corridors" that animals can use to move from your property to other areas if they desire? Corridors include adjacent areas of good habitat, undeveloped rivers or streams, electric or railroad right-of-ways. If so, please describe.

(Maximum response 255 chars, approx. 5 rows of text)

23.

Question - Not Required - Are you aware of any predatory species (owls, hawks, foxes, coyotes) that hunt on your property? If yes, please specify.

(Maximum response 255 chars, approx. 5 rows of text)

Thank you for your support! Your kindness will help save lives and keep our wildlife population healthy.