Thank you for taking part in collecting valuable data on the northern Bellarine Peninsula!

If you think you have seen evidence of a nest box being used, all you need to do is:
1. Take a photo of the nest box with the reference number visible.
2. Fill out the below questions.
3. Upload your photo and any other two supporting images.

Thank you for participating!

This project has been developed by Bellarine Bayside, along with Bellarine Landcare Group, Friends of Pt Richards and St Leonards Men's Shed with support from the Victorian Government through the Community Volunteer Action Grant Program.

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* 1. Date of observation

Date
Time

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* 2. Location of nest box

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* 3. Nest box reference number e.g. number on the nest box

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* 4. What condition is the nest box in?

Poor condition required replacement Looks a bit worn but is liveable Perfect condition no maintenance required
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 5. What did you see? e.g. bird (species if you can) flying in or out of a box

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* 6. Any other comments or observations? e.g. was the bird carrying nest material in its beak? Did you hear chicks chirping? Did you see scratchings on the nest box?

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* 7. Image of nest box

DOC, DOCX, PNG, JPG, JPEG file types only.
Choose File

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* 8. Additional image that might be interesting or useful

DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 9. Additional image that might be interesting or useful

DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 10. How would you rate this monitoring process? e.g. scanning link, filling out the survey and uploading images

Not user friendly at all Good but needs work Very user friendly
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 11. Do you have any additional comments about the program? E.g.: How we can improve or what you like about it. If so, please detail below.

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* 12. Name and contact number or email address (Optional) - We might want some more info relating to your entry

Thank you very much for taking the time to contribute to this program!

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