Survey Form IRB Study information Forensic Pathology Roadkill Survey Animal InformationStep 1. Enter information about the animal you saw.Animal Family*Choose the animal group. Bird Mammal Amphibian Reptile Animal (Common name)*Type the common name of the animal you saw. If you aren't sure, write "I don't know." Identification Confidence*How confident are you in identifying the type of animal? 100% Certain Somewhat Certain Best Guess I don't know what the animal is Location InformationStep 2. Note the date and time to indicate when you observed the animal. Please provide as much information about the location the animal was found. Location*Location (such as address, cross streets, or road with mile marker) If using GPS location, please type 'GPS' GPS Coordinates - Latitude (Optional) GPS Coordinates - Longitude (Optional) Date of Observation* MM slash DD slash YYYY Approximate Time of Observation : Hours Minutes AM PM AM/PM Estimated Time Since Impact Exact time known (I observed it) Fresh Less than 1 week More than 1 week Only bones/fur are left I don't know Location of Animal Shoulder of road Middle of road Median/island Speed Limit of RoadI Don't Know5 mph10 mph15 mph20 mph25 mph30 mph35 mph40 mph45 mph50 mph55 mph60 mph65 mph70 mphType of Road Sand Gravel/Dirt Paved - Single Lane Paved - Multiple Lanes State Road Interstate Additional Road FeaturesChoose all that apply. Beam Guardrail Cable Guardrail Concrete Median Barrier Cable Median Barrier Guardrail Median Barrier Vegetated Median Roadside Fence Sidewalk Culvert Bridge Overpass Underpass No Artificial Structures Additional Location Description or Other Information (Optional)Photo Upload (Optional)Step 3. Upload a photo of your observation. Photos (Optional)Upload any photos of the animal/location Drop files here or Select files Max. file size: 125 MB. Contact Information (Optional)Step 4. Please provide your contact information (optional)Observer Name (Optional) First Last Observer Email (Optional) Enter Email Confirm Email
