Education Effectiveness Survey

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* 1. Organization Name

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* 2. Name

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* 3. Position/Title

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* 4. Email

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* 5. City

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* 6. County

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* 7. Are you aware of any natural gas pipelines belonging to Atlanta Gas Light running through the communities in which your organization(s) are tasked with emergency response?

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* 8. Do you know how to contact Atlanta Gas Light if there is an incident or if you need more information?

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* 9. Has anyone from your department met with or spoken with a representative of Atlanta Gas Light to discuss pipeline safety?

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* 10. Does your community have an emergency response plan to deal with a natural gas incident, such as a leak?

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* 11. What are the signs of a natural gas leak? (Select all that apply)

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* 12. What are the potential hazards of gas pipeline leaks?

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* 13. If you smell the rotten egg odor associated with natural gas, what should you do?

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* 14. Do you know what you or your citizens should do prior to beginning any digging or other excavation to help reduce the risk of damaging a natural gas line or other underground utility?

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* 15. Do you know what to do in the event you were the first to see damage to a natural gas pipeline?

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* 16. Have any of your local citizens or businesses expressed concern in the last 12 months about any issue regarding natural gas safety?

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* 17. If you have received information about natural gas pipeline safety, how did you receive it?  (Select all that apply)

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* 18. When was the last time you had seen, heard or received any information regarding natural gas pipeline safety?

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* 19. Overall, do you feel that the natural gas industry has an adequate public safety awareness program?

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