LCMP Interest and Screening Survey Question Title * 1. First name: OK Question Title * 2. Last name: OK Question Title * 3. Email: OK Question Title * 4. Physical Address: OK Question Title * 5. Neighborhood: OK Question Title * 6. Two of the air quality monitors we provide require a protected, outdoor location with access to a power source (covered porch, picnic table with a weather-proof covering, etc.). Will you be able to make this accommodation? Yes No Please specify where you plan to place the monitors, and whether you have an outdoor outlet, or need to run an extension cord from inside OK Question Title * 7. Cohorts start with a Kick-off meeting and close with a Wrap-up meeting. Attendance is mandatory for both sessions. Both meetings take two hours and take place at the CCI Center (64 South 14th Street) in Pittsburgh's Southside. We will also host a Check-in meeting during Week 2 and an Online Meeting during Week 3. We encourage participation in both meetings. Do you have a general time preference for meeting time? Mornings 9am-11am Lunch 11am-1pm Afternoon 1pm-3pm Evenings 6pm-8pm OK Question Title * 8. Do you have a preferred cohort? Please realize participation in the Low-Cost Monitoring Project is a time commitment. We ask participants to record daily and submit data each week. Being unavailable for longer than a week during the cohort is unacceptable. OK Question Title * 9. What do you hope to gain from the ROCIS Low Cost Monitoring Project? OK Question Title * 10. Any comments or questions? OK DONE