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1. Are you a resident of Augusta County?

2. In which Magisterial District do you live?

3. Do you rent or own your home?

4. Is your home in a woodland area? (Surrounded by trees or forest)

5. How concerned are you that a wildfire could damage your property or home?

6. Have you received information about how to make your family, home, and property safe from wildfires in the last year?

7. Have you previously implemented prevention and mitigation measures to protect your home and property from wildfires?

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?

9. How much money would you be willing to spend to better protect your home and property from wildfires?

10. Would you be willing to attend a brief, free training provided by Augusta County to educate you on wildfire prevention and mitigation techniques?

11. Additional Comments:

12. Contact Information: