Fire Prevention and Safety Survey
1
. Do you have a working smoke alarm in your home?
Do you have a working smoke alarm in your home?
Yes
No
2
. Do you have a working smoke alarm on every floor of your home?
Do you have a working smoke alarm on every floor of your home?
Yes
No
3
. Are your smoke alarms less than 10 years old?
Are your smoke alarms less than 10 years old?
Yes
No
Not Sure
4
. Do you change your smoke alarm batteries (if present) when you change your clock (Spring & Fall)?
Do you change your smoke alarm batteries (if present) when you change your clock (Spring & Fall)?
Yes
No
5
. Does your family have an Emergency Evacuation Plan?
Does your family have an Emergency Evacuation Plan?
Yes
No
6
. Would you be interested in receiving a free home safety inspection and smoke alarm installation?
Would you be interested in receiving a free home safety inspection and smoke alarm installation?
Yes
No
7
. Have you received CPR or AED training in the last two years?
Have you received CPR or AED training in the last two years?
Yes
No
8
. Would you be interested in receiving free CPR and AED training?
Would you be interested in receiving free CPR and AED training?
Yes
No
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