| Gender: male | female | Age: __________ |
| Grade || Study year: | 6 | 7 | 8 | 9 || 1 | 2 | 3 | |
| I live in/at: [ ] the city | [ ] the suburbs | [ ] the countryside | |
| I visit nature: [ ] (Almost) everyday | [ ] Once a week | [ ] Once a month | [ ] Occasionally | |
| I visit ZOO: [ ] less than once per year | [ ] 1–3 times per year | |
| Place of residence: _______________________ | |
| I have a hunter in my family yes | no | |
| In my family, we breed livestock. yes | no | |
| I have already encountered a bear in nature. yes | no | |
| I have/had a dog as a pet. yes | no | |