Fire Safety Survey

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* 1. Which of the following are you most concerned about?

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* 2. How long do you have to escape a home fire?

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* 3. Do you have children or pets in you home?

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* 4. Are you Single, married , or living common-law?

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* 5. What is your occupation?

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* 6. What is your spouse's occupation

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* 7. What is your age?

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* 8. Do you own the house where you live

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* 9. Contact information( If selected you will be contacted at the phone number listed.)

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* 10. Where did you learn about us ( if from a friend please indicate who)

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* 11. Are you Currently interested in learning about part time opportunities. 

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* 12. Do you agree to a no obligation home fire safety evaluation in your home to get your gift?

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