Hampstead Heath Snake, Reptile and Amphibian Survey

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* 1. What is the name of the person who observed the creature?

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* 2. How can we contact you?

Email address

Telephone number

Address

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* 3. If possible, please identify the species you saw using this guide if necessary. If you're unsure of the species, please describe any details you remember in Question 9.

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* 4. Where did you see the species? (Please be as specific as possible, e.g. 'at the top of East Meadow in the bramble fringe')

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* 5. If known, please provide an 8 figure grid reference for the location (e.g. TQ286173)

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* 6. Please record the date and approximate time the species was seen

Date / Time

Date

Time

AM/PM

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* 7. How many of the species did you see?

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* 8. What were the weather conditions like at the time you saw the species?

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* 9. Please give any other details which might be of value. (e.g. size of reptile, basking or swimming, and a description if unsure of species)