Screen Reader Mode Icon

QUICK 90 SECOND SURVEY

Once the survey is complete, qualified respondents will be selected to receive a limited number of emergency preparedness kits for viewing valuable free safety information. By submitting the survey, your name will be entered and you may be selected. Remember there's no purchase necessary, so lets get started!

Question Title

* 1. Check any of the dangers you are concerned about?

Question Title

* 2. How long do you have to escape a home fire?

Question Title

* 3. Do you have children, pets or both?

Question Title

* 4. Married, living together or single?

Question Title

* 5. Your occupation 

Question Title

* 6. Spouse occupation 

Question Title

* 7. Age range 

Question Title

* 8. Do you own or rent?

Question Title

* 9. Years at this residence?

Question Title

* 10. Contact information(If selected you may be contacted at # listed)

Question Title

* 11. Who sent you this or whose social media post did you click on?

0 of 11 answered
 

T