Household Hazardous Waste Program Survey Question Title * 1. Select Your City Campbell Cupertino Gilroy Los Altos Los Altos Hills Los Gatos Milpitas Monte Sereno Morgan Hill Mountain View San Jose San Martin Santa Clara Saratoga Stanford Sunnyvale Question Title * 2. How did you hear about this program? (check all that apply) Garbage Company Flyer Call to City Office City Website Community Center A Friend/Relative Recycle Plus Program Website (www.hhw.org) Utility/Water Bill Promotional Items Phone Book/Yellow Pages Used Service Before Newspaper/Action Line City Newspaper Radio/TV/Advertisement Realtor Local Fair Paint Store Recycling Hotline City Calendar Other (please specify) Question Title * 3. Did you receive adequate information when you scheduled your appointment? Yes No Question Title * 4. How many homes are represented by this drop-off? One Two More than Two Question Title * 5. What languages are spoken at home? English Spanish English/Spanish Other (please specify) Question Title * 6. How long have you been storing this waste at home? Less than 6 months 1 yr to 5 yrs 10 yrs to 20 yrs 6 months to 1 yr 5 yrs to 10 yrs More than 20 yrs Question Title * 7. Would you recommend this service to a friend? Yes No Question Title * 8. How often would you use this service? Just Once Twice a Year Once a Year More than Twice a Year Question Title * 9. Have you used this program before? Yes No 25% of survey complete. Next