5G Survey Project Starfish 2018 A voluntary report on 2018 EMF levels, specifically 5G, and health status at your current location as a reference point. Fill in something that won't violate your privacy. Thank you! OK * 1. Please provide some location, like an address, or a Zip Code as close to you as you are comfortable (needed for a future location comparison). OK * 2. Do you now have a new 5G network/pole/antenna and/or a "smart" meter program in your neighborhood? Both "smart" meter and 5G poles "Smart" Meter only No 5G but radiation producing meters Digital radiation emitting electric meters like iTron, but no "smart" meters Analog looking radiation producing electric meters OK * 3. Estimate how many cell phone, radio/TV towers or network antennas (like 2G, 3G, 4G, 5G, etc.) are there less than 4 miles from your home. (Check antennasearch.com) 0 50 100 Clear i We adjusted the number you entered based on the slider’s scale. OK * 4. If you have an RF meter, what is the radiation level/measurement outside on your porch? OK * 5. Do you keep any wireless devices on at night (cordless phone, cell phone, Wi-Fi modem/router, wireless security system, printers or other wireless system)? Yes No Sometimes OK * 6. Do you turn off the electricity at the breaker panel to your bedroom at night? Yes No Sometimes OK * 7. How do you feel? Are you now electrically sensitive around wireless radiation, dirty electricity, magnetic fields, body voltage/current, EMFs? 0 - (feel good) 50 - (don't feel great) 100 - (Extremely bad) Clear i We adjusted the number you entered based on the slider’s scale. OK * 8. Do you or anyone living with you now have a serious chronic illness like ElectroSensitivity, Autism, Lyme, Cancer, MS, Mold, MCS, etc? Yes No Don't know OK * 9. Are you or are you living with someone that is spending more than 4 hours a day (on an average weekday) in a high Wi-Fi or high EMF environment? Yes No Sometimes OK * 10. Is your current plan to stay in your existing residence/location and stay in the same relationship with partner/spouse? Can't or won't move and will stay married no matter what happens with 5G, smart meters, cell towers, etc. Will definitely move if the radiation levels increase much more and will stay married or in same relationship condition. Plan on getting divorced, going bankrupt due to health or other costs, living out of car, and/or contemplating suicide due to future wireless radiation or EMF related conditions. OK DONE