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Safety Survey*

Quick 90 Second Survey

Once the survey is complete, qualified respondents will be selected to receive a limited number of Emergency Preparedness Kits for viewing valuable fire safety information. By submitting the survey, your name will be entered and you may be selected.  Remember there's no purchase necessary, so let's get started.
1.Check any of the dangers you are concerned about.
2.How long do you have to escape a home fire?
3.Do you have children, pets or both?
4.Married, living together, or single:
5.Your occupation?
6.Spouse occupation?
7.Age range?
8.Do you own or rent?
9.Are you interested in part time work with flexible hours?
10.Contact Information (if selected you may be contacted at # listed)
11.Who sent you this or whose social media post did you click on?
Current Progress,
0 of 11 answered