Comment Form and Survey Instructions:
Answer the questions on each page, then click the " Next >> " button at the bottom of the page to go to continue. All questions (except the first) are optional. You may go back at any time by clicking on the " << Prev " ("previous") button.
On the last page, click the "Done >>" button to submit the your information and return to the Tri-County Health Department Household Chemical Roundup website. You may quit the survey at any time by closing your web browser window.