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2018 LCMP Interest and Screening Survey
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1.
First name:
(Required.)
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2.
Last name:
(Required.)
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3.
Email:
(Required.)
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4.
Are you participating in the Sustainable Pittsburgh Challenge?
(Required.)
Yes
No
Maybe
If yes, please indicate your organization/business/local government entity/school.
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5.
Where will you be monitoring?
(Required.)
Home
Workplace
Both
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6.
Monitoring Address(es):
(Required.)
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7.
Neighborhood(s):
(Required.)
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8.
Do you have a preferred cohort? We typically have a cohort scheduled for each month of the year (January 2018-January 2019). Dates for each cohort will be posted on our website three months prior to the state date. Please indicate your preferred month(s) below.
Please realize participation in the Low-Cost Monitoring Project is a time commitment. We ask participants to record daily and submit data each week. Being unavailable for longer than one week is not acceptable.
(Required.)
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9.
Two of the air quality monitors we provide require a protected, outdoor location with access to a power source (covered porch, picnic table with a weather-proof covering, etc.). The monitors can be placed near each other under one protected location. Will you be able to make this accommodation?
(Required.)
Yes
No
Please specify where you plan to place the monitors, and whether you have an outdoor outlet, or need to run an extension cord from inside
10.
How did you hear about the ROCIS Low Cost Monitoring Project?
11.
What do you hope to gain from the ROCIS Low Cost Monitoring Project?
12.
Any comments or questions?