Air Quality Survey Please share your insight to help inform the planning of a countywide Air Quality Summit. Questions? Contact info@sustainablesolano.org Question Title * 1. Name Question Title * 2. Email Question Title * 3. Telephone number Question Title * 4. Preferred method of contact Phone calls Email Text message (SMS) Question Title * 5. Which city do you live in? (if you live in unincorporated Solano, which city is the closest to you)? Benicia Dixon Fairfield Rio Vista Suisun City Vacaville Vallejo Question Title * 6. What ZIP code do you live in? Question Title * 7. Which language is primarily used in your household? English Spanish Tagalog Korean American Sign Language Other (please specify) Question Title * 8. How familiar are you with air quality issues in your city on a scale of 1-5? 1 - Not at all 3 - Somewhat 5 - Very familiar Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 9. Do you think there is a problem with air quality in your city on a scale of 1 - 5? 1 - No issue with air quality locally 3 - There are some issues with air quality locally 5 - There are major issues with air quality locally Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 10. How often does poor air quality impact your daily life? Not at all, never A few times a year A few times a month A few days each week Every day or nearly every day Question Title * 11. Do you or anyone in your household have a condition that is worsened by poor air quality (e.g. asthma, cardiovascular disease, etc.)? No Yes (if yes, how many people in your household have a condition worsened by poor air quality?) Question Title * 12. What sources of air pollution in your city concern you? (Choose all that apply) Traffic Agriculture Refineries/Industrial Pollution Airports and/or airplanes Wildfires Other (please specify) Question Title * 13. What are you most interested in learning about at a countywide Air Quality Summit (or future event)? Impact on health Sources of air pollution in your community Connection between air quality and climate change Laws and policies that impact air quality (clean air act, zoning laws, etc) Actions you can take to improve air quality How to monitor air quality How to connect with local organizations that address air quality Upcoming development/projects that may affect air quality Other (please specify) The questions below are optional, but we hope you will take the time to answer them to help better inform planning for the Air Quality Summit and our air quality work in the county. Question Title * 14. Is there anything else you’d like to see at a countywide Air Quality Summit? Question Title * 15. We would like to learn more about community needs and resources that could be leveraged to address air quality concerns. Are you a member of, aware of, or involved with any community groups, local initiatives or community-led projects that you would recommend we connect with? Please list them if so. Question Title * 16. Which actions are the highest priority? Reducing health impacts on vulnerable populations Reducing air pollution at the source Increase monitoring of air pollution Increasing the local tree canopy Increasing the use of active transportation Other (please specify) Question Title * 17. How do you want to be involved in improving your city’s air quality? (select all that apply) Attending or helping to organize community meetings around air quality Joining an air quality monitoring network Sharing educational materials Attending community events such as green space installations Other (please specify) Done