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Augusta County Community Wildfire Protection Plan

* 1. Are you a resident of Augusta County?

Yes

No

* 2. In which Magisterial District do you live?

Beverley Manor

Middle River

North River

Pastures

Riverheads

South River

Wayne

Not Applicable

* 3. Do you rent or own your home?

Rent

Own

* 4. Is your home in a woodland area? (Surrounded by trees or forest)

Yes

No

* 5. How concerned are you that a wildfire could damage your property or home?

Extremely Concerned

Very Concerned

Concerned

Somewhat Concerned

Not Concerned

* 6. Have you received information about how to make your family, home, and property safe from wildfires in the last year?

Yes

No

* 7. Have you previously implemented prevention and mitigation measures to protect your home and property from wildfires?

Yes

No

* 8. Would you be willing to make simple and low cost modifications to your house and property if they would reduce your risk of wildfires?

Yes

No

* 9. How much money would you be willing to spend to better protect your home and property from wildfires?

$50 - $99

$100 - $999

$1,000 - $4,999

$5,000 and Above

* 10. Would you be willing to attend a brief, free training provided by Augusta County to educate you on wildfire prevention and mitigation techniques?

Yes

No

* 11. Additional Comments:

* 12. Contact Information:

Name:

Address:

Address 2:

City/Town:

State:

ZIP:

Email Address:

Phone Number: