UK Glow Worm Survey: Please go to www.glowworms.org.uk for more information

Glow worm survey form

Please fill in the details and click submit below. TIP – don't press Return before you have finished filling in all the details or you will send it too soon!

Alternatively, please copy and paste the information below into a normal plain text email, but not in Word format, or print out the form before you fill it in and send it by post to 34 Fennels Way, Flackwell Heath, High Wycombe, Bucks HP10 9BY.

Name:

Postal address and phone number (not essential but it helps):

E-mail address (please double-check you have got it right!):

Name of site (your choice of name):

Please state if the glow worm site is publicly accessible or on private land

County:

Ordnance Survey Grid Reference of the actual location of the glow worms (two letters and either six or ten numbers, eg TQ055867 or TQ 05528 86719). Click here for help in giving map references). If you really can't give a grid reference, a postcode would do, but please try and give me a clue!

For new sites, please give details of the location of the site in relation to roads, railways and other nearby landmarks.

Details of visits:
Visit Date Time      Conditions* How many females?
(glowing continuously)
Please give a number		 How many males?**
(on females)
Please give a number		 How many larvae?
(occasional glow)
Please give a number
1
2
3
4
5
6
7
8

*Conditions: Choose from Dry, Raining, Wet ground (ie droplets on vegetation), Windy. Also give night time temperature if you can.
** Males are usually only obvious when seen with females

Type of site (please click):

Nature Reserve
Garden 
Roadside 
Railway 
Waterside 
Sea cliff 
Quarry 
Grassland 
Woodland 
Other

Position of glow worms (click on 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 
Don't know

Is the area grazed?

No 
Sheep 
Cattle 
Horses 
Rabbits 
Deer
No idea, or something else

Artificial lighting:

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

Anything else you want to say? (e.g. early records of glow worms not previously reported, changes in use of the site either in the past or planned).


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