THE GLOW WORM SURVEY FORM
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Your name

Your address


County

Name of site

Ordnance Survey Grid Reference (two letters and six numbers)

For new sites, please draw a sketch map overleaf showing the location of the 
site in relation to roads, railways and other nearby landmarks, and show the 
area which you have searched (either the boundary of the area or the path 
which you walked). Please also mark the approximate position of the glow worms 
and give an idea of the scale.


				
Details of visits
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							Number of
Visit   Date    Time       Conditions*        Females      Males       Larvae
					     (glowing)  (on females)         
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1
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2
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3
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4
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5
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6
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7
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8
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9
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(continue on a separate sheet if necessary)


Type of site (please tick):      

 Nature Reserve       Garden      Roadside      Railway        Waterside
 Sea cliff            Quarry      Grassland     Other


Position of glow worms (tick more than one if necessary): 

Short grass             Long grass              Under trees
In hedge              On path           On gravel or stones     Other


Is there any permanent open water within 100 metres of the glow worms?

No      Stream or ditch            Pond         Lake            River
Canal           Sea


Are you aware of any chemicals used on the land?

Definitely not          Yes  weedkillers         Yes insecticides  
Yes  slug pellets                                Dont know


Is the area grazed? 

No
Sheep      Cattle           Horses	Rabbits		Deer


Is there a slope or open aspect to the site? 

No   Yes    N   NE   E  SE   S   SW   W   NW


Artificial lighting ?   

None       Distant lights    over 200 metres          50-200 metres  
Bright lights nearby         House lights only    Lights from passing traffic


Any other comments about the site  (eg early records of glow worms not 
previously reported, changes in use of the site either in the past or planned)


Please return this form by mid September if possible to your area
coordinator or to
Robin Scagell, 1 Milverton Drive, Ickenham, Uxbridge, UB10 8PP.
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*Choose from: Dry, Raining, Wet ground (ie droplets on vegetation), 
Windy. Also give night time temperature if you can.
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