Augusta County Community Wildfire Protection Plan Question Title * 1. Are you a resident of Augusta County? Yes No Question Title * 2. In which Magisterial District do you live? Beverley Manor Middle River North River Pastures Riverheads South River Wayne Not Applicable Question Title * 3. Do you rent or own your home? Rent Own Question Title * 4. Is your home in a woodland area? (Surrounded by trees or forest) Yes No Question Title * 5. How concerned are you that a wildfire could damage your property or home? Extremely Concerned Very Concerned Concerned Somewhat Concerned Not Concerned Question Title * 6. Have you received information about how to make your family, home, and property safe from wildfires in the last year? Yes No Question Title * 7. Have you previously implemented prevention and mitigation measures to protect your home and property from wildfires? Yes No Question Title * 8. Would you be willing to make simple and low cost modifications to your house and property if they would reduce your risk of wildfires? Yes No Question Title * 9. How much money would you be willing to spend to better protect your home and property from wildfires? $50 - $99 $100 - $999 $1,000 - $4,999 $5,000 and Above Question Title * 10. Would you be willing to attend a brief, free training provided by Augusta County to educate you on wildfire prevention and mitigation techniques? Yes No Question Title * 11. Additional Comments: Question Title * 12. Contact Information: Name: Address: Address 2: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Email Address: Phone Number: Done