Question Title

Image
Join us in raising awareness of substance misuse in our communities! Help us collect information about the impact of substances in our region, wherever you participate in Green-Up Day this year!  Together we create a Healthy Lamoille Valley!

1. Keep a count of how many cigarette butts, alcohol containers and needles (contact local police if you find any needles) that you collect (bring something with you to keep track).
2. Snap a picture of your collection.
3. Fill out this survey or email collection information to Alison at alison@healthylamoillevalley.org.

SAFETY FIRST! We recommend wearing gloves and that youth work with an adult. Please do not collect anything that could harm you.

Question Title

* Name (Optional)

Question Title

* Email Address (Optional)

Question Title

* What did you find?  How many did you count?

Question Title

* Comments: Did you see anything else substance-related? Was there a specific area that had a high concentration of substance related items? Please share any other thoughts or questions Thank you!

Question Title

* Snap a picture of your finds and upload it here, or email to alison@healthylamoillevalley.org!

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File

T