* 1. What cleanup event are you reporting for?

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

* 3. Contact Information

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

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

* 6. If you know this info great!

* 7. This information is critical to us!

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

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

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

Not at all likely
Extremely likely

* 11. Please tell us your comments