By filling out the survey your response will be used by TURN to protect your rights, secure public safety and hold PG&E accountable. This survey will take approximately five minutes to complete.  No identifying information will be shared from this survey without your explicit permission.

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* 1. Please provide your zip code

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* 2. Were you shut off?

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* 3. Did you receive advance notice of this power shutoff?  If so, how?  (Check all that apply)

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* 4. Who issued the power shutoff notice you received?  (Check all that apply)

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* 5. Was the shutoff notification offered to you in a language other than English?

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* 6. Did you receive information updates throughout the power shutdown?  (Check all that apply)

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* 7. How were you affected by this power shutoff?  (Check all that apply)

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* 8. Are you a medical baseline customer?

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* 9. Did your cell phone, home phone or internet stop working?

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* 10. What is the monetary cost of the loss to you as a result of the shutoff?

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* 11. Were there other impacts on your life not covered by this survey?  Briefly offer additional thoughts, ideas or comments. (Please limit to 200 words)

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* 12. Would you be interested in coming to a meeting with the California Public Utilities Commission or a local town hall to comment on your experience?

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* 13. Would you be willing to share your story publicly or speak to the media?

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