21st Century Resilient Business Connecticut Survey

Question Title

* 1. How helpful was this training?

Very helpful

Helpful

Somewhat helpful

Not very helpful

Question Title

* 2. Will you use the CT Toxic Users map or FEMA flood map to locate your business/facility to determine flooding risks?

Yes

Don't Know

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* 3. Do you know if your facility/business is located in a flood zone?

Yes

Don't Know

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* 4. Do you know which hazardous materials you use, sell or have onsite?

Yes, please list examples below

Don't Know

Examples:

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* 5. Can you eliminate any hazardous products and replace with safer ones?

Yes, please give examples below

Don't Know

Examples of products and safer alternatives:

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* 6. Do you know the local emergency managers in your area?

Yes

Don't Know

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* 7. Do you have an up-to-date emergency plan?

Yes

Don't Know

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* 8. Are your employees trained in implementing your emergency plan?

Yes

Don't Know / Not Applicable

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* 9. Are your employees trained in spill response?

Yes

Don't Know / Not Applicable

Question Title

* 10. Please provide information on your business/facility (Check all that apply):

Required to file an EPCRA Tier II report annually

RCRA Small Quantity Generator (SQG)

RCRA Large Quantity Generator (LQG)

RCRA Transfer, Storage and Disposal Facility (TSDF)

Toxic Release Inventory (TRI) reporter

Retail shop

Service provider

Don't know

Other / None

Question Title

* 11. Has the facility already taken any proactive measures to prevent the property from being impacted by extreme weather, flooding and/or sea level rise? (Check all that apply)

Do a daily walk-through that includes inspecting storage equipment

Label all containers

Store materials inside when feasible or in a safely elevated area

Make sure containers are waterproof and are secured

Use secondary containment

Use temporary barriers if a storm is predicted

Reduce or eliminate hazardous chemicals

Update emergency plan, hold annual drills

Connect with local emergency officials, invite for site visit

Other / Don’t know

Question Title

* 12. As a result of this training, what new actions will now be implemented? (Check all that apply):

Do a daily walk-through that includes inspecting storage equipment

Label all containers

Store materials inside when feasible or in a safely elevated area

Make sure containers are waterproof and are secured

Use secondary containment

Use temporary barriers if a storm is predicted

Reduce or eliminate hazardous chemicals

Update emergency plan, hold annual drills

Connect with local emergency officials, invite for site visit

Other / Don’t know

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* 13. What town is your business/facility located in?

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* 14. Please provide your contact info in the space below:
·         Business/Facility Name:
· Contact person:
·         Email address:
·         Phone:

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* 15. If you have specific comments or feedback on this training, please let us know your thoughts:

Question Title

* 16. Would you like to be contacted by CT DEEP’s Pollution Prevention office with information about chemical management and climate resilience?

Yes

Provide contact info so you can be contacted:

Thank you for responding! You will be provided with a link to download a Certificate of Completion
If you have any questions, please mail connie.mendolia@ct.gov.

Question Title

* 1. How helpful was this training?

Question Title

* 2. Will you use the CT Toxic Users map or FEMA flood map to locate your business/facility to determine flooding risks?

Question Title

* 3. Do you know if your facility/business is located in a flood zone?

Question Title

* 4. Do you know which hazardous materials you use, sell or have onsite?

Question Title

* 5. Can you eliminate any hazardous products and replace with safer ones?

Question Title

* 6. Do you know the local emergency managers in your area?

Question Title

* 7. Do you have an up-to-date emergency plan?

Question Title

* 8. Are your employees trained in implementing your emergency plan?

Question Title

* 9. Are your employees trained in spill response?

Question Title

* 10. Please provide information on your business/facility (Check all that apply):

Question Title

* 11. Has the facility already taken any proactive measures to prevent the property from being impacted by extreme weather, flooding and/or sea level rise? (Check all that apply)

Question Title

* 12. As a result of this training, what new actions will now be implemented? (Check all that apply):

Question Title

* 13. What town is your business/facility located in?

Question Title

* 14. Please provide your contact info in the space below:· Business/Facility Name:· Contact person:· Email address: · Phone:

Question Title

* 15. If you have specific comments or feedback on this training, please let us know your thoughts:

Question Title

* 16. Would you like to be contacted by CT DEEP’s Pollution Prevention office with information about chemical management and climate resilience?

* 14. Please provide your contact info in the space below:
· Business/Facility Name:
· Contact person:
· Email address:
· Phone: