OFPS Fire and Safety Survey Fire And Safety Survey Question Title * 1. Which of the following are you most concerned about? Fire Carbon Monoxide Home Invasion Flood Home Renovations OK Question Title * 2. How long do you have to escape a home fire? 0-3 minutes 4-6 minutes 7-9 minutes 10-13 minutes OK Question Title * 3. Do you have children or pets in you home? Children Pets Both Neither OK Question Title * 4. Are you Single, married , or living common-law? Single Married Common-law Live with parents OK Question Title * 5. What is your age? 18-24 25-34 35-44 45-54 55-64 65-75 75 + OK Question Title * 6. Contact information( If selected you will be contacted at the phone number listed.) Name Address City/Town State/Province ZIP/Postal Code Country Email Address Phone Number OK Question Title * 7. Do you agree to a no obligation home fire and safety evaluation in your home to get your gift? Yes No OK DONE