* 1. Where do you live?

* 2. On a scale of 1 to 5, please rate which communication tools work best to give you information about your community questions and concerns with 5 as the best tool and 1 as the least preferred tool.

  1 (least preferred tool) 2 3 4 5 (best tool)
Mailed Fact Sheets
Small group meetings
Text Messages
Web site
Community meetings
Internet Videos
Information through your Schools
Information through your Church
Information posted in public areas
Workshops / Open Houses
Information through Radio stations
Information through Newspapers

* 3. On a scale of 1 to 5 (with 1 being least and 5 being most) please rate your level of concern with the following:

  1 (least preferred tool) 2 3 4 5 (most preferred tool)
Pesticide use
Hydraulic fracking for oil
Groundwater quality
Truck traffic
Public health issues

* 4. Would you like an interview, to give us more detailed responses to these questions? If yes, please give us your name, telephone number and / or email address.

* 5. Is there a person or organization that you would suggest we interview? If so, please give us their name, phone number or email address.

* 6. Do you have any other comments or suggestions?

* 7. Have you used the Department of Toxic Substances Control (DTSC) web site for any information? (www.envirostor.dtsc.ca.gov/public/hwmp_profile_report.asp?global_id=CAD980675276 )