What cleanup event are you reporting for?

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* 1. What cleanup event are you reporting for?

Did you provide any advance notice of your plans to clean your area to your Caltrans representative?

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* 2. Did you provide any advance notice of your plans to clean your area to your Caltrans representative?

Contact Information

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* 3. Contact Information

How many in your group participated in this event?

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* 4. How many in your group participated in this event?

What is the average age in your group?

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* 5. What is the average age in your group?

If you know this info great!

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* 6. If you know this info great!

This information is critical to us!

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* 7. This information is critical to us!

Have you ever kept recyclables found? (We encourage recycling!)

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* 8. Have you ever kept recyclables found? (We encourage recycling!)

Did you keep any recyclables for this event?

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* 9. Did you keep any recyclables for this event?

How likely is it that you would recommend Adopt-A-Highway to a friend or colleague?

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* 10. How likely is it that you would recommend Adopt-A-Highway to a friend or colleague?

Not at all likely
Extremely likely
Please tell us your comments

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* 11. Please tell us your comments

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