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Community Health Survey:
2024 BioLab Chemical Fire Emergency

The purpose of this survey is to gather community health concerns in relation to the BioLab fire in 2024. Your responses are confidential and will only be used for assessing public health concerns.

Disclaimer: This survey was made possible by a cooperative agreement [program # CDC-RFA-TS-23-0001] from the Agency for Toxic Substances and Disease Registry (ATSDR). Its contents are solely the responsibility of the Georgia Department of Public Health, Chemical Hazards Program, and do not necessarily represent the official views of the ATSDR, or the U.S. Department of Health and Human Services. To learn more about the Chemical Hazards Program, please visit: https://dph.georgia.gov/chemical-hazards.
Section 1: Demographics
1.Are you completing this survey:(Required.)
2.Street Name(Required.)
3.County(Required.)
4.Zip Code(Required.)
5.Age(Required.)
Section 2: Location & Exposure
Zip Code Map
6.Do you live, work, or attend school in the shaded region on the map? (Check all that apply)(Required.)
7.Approximately how much time do you spend in the shaded region?(Required.)
Live
Work
School
8.Were you living, working, or attending school in the shaded region between September 29, 2024 and October 17, 2024?(Required.)
Section 3: Health
9.Do you have any pre-existing health conditions? (Check all that apply)(Required.)
10.Do you smoke or have you ever smoked?(Required.)
11.Since the BioLab fire, have you experienced any new or worsening symptoms that may be related to exposure to chemical gases?(Required.)
12.How long did you experience these symptoms?
13.Are you still experiencing these symptoms?
14.Did you seek medical care related to these symptoms?
Section 4: Shelter & Evacuation
15.During the BioLab fire, were you required to shelter in place?(Required.)
16.Were you asked to evacuate your residence?(Required.)
Section 5: Communication & Follow-up
17.Do you know how to contact the Georgia Department of Public Health if you have questions?(Required.)
18.In your opinion, what are the best ways to receive health and safety information? (Check all that apply)(Required.)
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