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Please complete this form as many times as required to complete a questionnaire for every species or lower-level taxon that you consider to be threatened, or data deficient and potentially threatened.

You must fill in fields marked with an asterisk *

Name: *
 
Address:
Email: *
Phone number(s):
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Taxon:
Scientific name:
Common name:
General status:
Does the taxon have a formally published name that is generally accepted by those working on the group?
Is the taxon: (please tick correct choices)






For non-endemic taxa, please consider only the New Zealand populations when answering the questions below (please also answer the questions for endemic taxa):
Is the taxon sufficiently well-known to meaningfully answer the questions below?
Population:
Is the total population size:






Total area occupied:
For seabirds record only the land area used for breeding, not the at-sea range.






Sub-populations:
Does the data for your assessment of the questions below allow:



Is the known number of sub-populations of the taxon:




Is the number of mature individuals in the largest known sub-population:





Decline:
Regardless of whether or not the trend is the result of management, is the total population now:


If in decline, do existing threats mean the decline in the total population in the next 10 years/3 generations is predicted to be:




Is this decline predicted to continue beyond the next 10 years?


Qualifiers:
Which qualifiers apply?














In the period since 2004, has the species changed:
in total population by:
in area occupied by:
in number of existing populations by:
What is the likely cause of the change(s) (above)?

 
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To find out how you can get involved in conservation activities near you, contact your local DOC office