Lake/Territory* What lake did you observe loons on?
Territory If on a lake with multiple loon pairs, which pair did you observe?
Observer* Who performed this survey?
Single Adult Loon Additional Information Please provide any written observations about the adult loon(s) you observed (what was it doing? Did it interact with any other loons on the lake?)
Paired Adult Additional Information Please provide any additional observations about the paired adult loons you saw. What were they doing? Please note if you observed any of the following: pre-nesting behavior (swimming/fishing together, checking for nest sites, nest building), mating, nesting, tending to chicks.
Immature Loon Additional Information Please provide any additional observations about immature loons observed. What were they doing? Did they interact with any other loons on the lake?
Hatch Date Certainty Please provide an estimate of how accurate the hatch date provided above is (+/- how many days?)
Nest Failure Date When did the nest failure occur? If exact date is unknown, please provide your best guess here and fill out the next box.
Suspected Nest Failure Cause Please provide any observations about factors that may have caused the nest failure.
Band Observations Please report any partial or complete band observations. If possible, please provide which leg (left or right) colors are observed on. Please also note if you confirm any of the loons are unbanded.
Remarks Please provide any additional comments from your survey (Comments on loon foraging, brooding, and territorial behavior, human-loon encounters, lake water-level, predator presence,
etc.)
