Attachment F1. Table of Behavioral Survey Items

Attachment F1 Table Summary of Survey Items.doc

A Site-Specific Modular Evaluation Instrument for Behavior Outcome Measurement

Attachment F1. Table of Behavioral Survey Items

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Attachment F1 – Survey Items

        1. Survey Items by Contaminant Group























Attachment F1. Survey Items by Contaminant Group

Number

Question

Asbestos

Dioxin

Mercury

Metals

PAHs

PCBs

Volatiles

1

Avoid outdoor activity such as working, playing, gardening, and yard work during very windy days

Yes

---

---

Yes

Yes

---

---

2

Avoid outdoor activity such as working, playing, gardening, and yard work when you think there is an air release or burning at the site

---

Yes

Yes

Yes

Yes

Yes

---

3

Bathe or brush family animals such as cats and dogs

Yes

---

---

---

---

---

Yes

4

Change clothes soon after outdoor activity such as working, playing, gardening, and yard work

Yes

---

---

Yes

Yes

---

Yes

5

Clean shoes before entering house

Yes

---

---

Yes

---

---

Yes

6

Close windows and doors when you think there is an air release or burning at the site

---

Yes

Yes

Yes

Yes

Yes

---

7

Cover bare soils with grass or mulch

Yes

---

---

---

---

---

---

8

Damp dust home rather than dry dust

Yes

Yes

---

Yes

---

Yes

---

9

Drink bottled water

---

---

---

Yes

Yes

---

Yes

10

Drink milk from local dairies

---

Yes

---

---

Yes

---

---

11

Drink tap water from area of concern

---

---

---

---

Yes

---

Yes

12

Drink unfiltered water from creeks, streams, or rivers

---

---

---

Yes

Yes

Yes

Yes

13

Drink water from outdoor hose

---

---

---

---

Yes

---

Yes

14

Eat fruits or vegetables grown in areas of concern

---

Yes

---

---

Yes

Yes

Yes

15

Fill pool with unfiltered water

---

---

---

---

---

---

Yes

16

Fish on the site

---

Yes

Yes

---

---

Yes

---

17

Follow beef advisories

---

Yes

---

---

Yes

Yes

---

18

Follow drinking water advisories

---

---

---

Yes

Yes

---

Yes

19

Follow egg advisories

---

Yes

---

---

---

---

---

20

Follow fish consumption advisories

---

Yes

Yes

Yes

Yes

Yes

---

21

Follow posted signs

---

Yes

---

Yes

Yes

Yes

---

22

Follow recommended fish preparation guidelines

---

Yes

Yes

Yes

Yes

Yes

---

23

Follow recommended ventilation practices

---

---

---

---

---

---

Yes

24

Follow shellfish consumption advisories

---

Yes

Yes

Yes

Yes

Yes

---

25

Follow traditional (subsistence) food selection practices

---

Yes

Yes

Yes

Yes

Yes


26

Follow traditional (subsistence) food preparation customs

---

Yes

Yes

Yes

Yes

Yes


27

Follow water use advisories

---

---

---

---

Yes

---

Yes

28

Hunt on the site

Yes

Yes

---

---

Yes

Yes

---

29

Keep children from biking, playing, or doing other activities in areas of concern

---

Yes

---

Yes

Yes

Yes

Yes

30

Keep children from crawling or playing on the floor

Yes

---

Yes

Yes

---

Yes

---

31

Keep children from drinking water from outdoor hose

---

---

---

---

Yes

---

Yes

32

Keep children from playing in muddy soils

Yes

---

---

---

---

---

Yes

33

Keep children from playing in water from an outdoor hose such as with a sprinkler or slip and slide

---

---

---

---

Yes

---

Yes

34

Keep children from playing, biking, or doing other activities in areas with asbestos

Yes

---

---

---

---

---

---

35

Keep children from playing, climbing, running, digging, or doing other activities on the site

Yes

---

---

Yes

Yes

Yes

Yes

36

Keep children from riding ATVs or motorized bikes on the site

Yes

---

---

Yes

Yes

Yes

Yes

37

Keep children from swallowing pool water

---

---

---

Yes

---

---

Yes

38

Keep children from thumb sucking and nail biting

Yes

Yes

---

Yes

Yes

Yes

Yes

39

Keep children from walking or bicycling on the site

---

---

---

Yes

Yes

Yes

Yes

40

Leave windows and doors open

Yes

---

Yes

---

Yes

---

Yes

41

Leave windows and doors open on windy days

Yes

---

Yes

---

---

---

Yes

42

Limit children's fish consumption

---

Yes

---

---

Yes

Yes

---

43

Limit children’s meat consumption from the area of concern

---

Yes

---

---

---

---

---

44

Limit children’s milk consumption from the area of concern

---

Yes

---

---

---

---

---

45

Limit children’s fruit and vegetable consumption from the area of concern

---

Yes

---

---

---

---

---

46

Limit exposure to steam in your home from such things as a dishwasher, boiling water, or hot tub

---

---

---

---

---

---

Yes

47

Limit time in hot tub

---

---

---

---

---

---

Yes

48

Limit time showering and bathing

---

---

---

---

---

---

Yes

49

Limit tuna consumption

---

---

Yes

---

---

---

---

50

Minimize dust by wetting-down soils before gardening, digging, building, and doing other activities that will disturb the soil

Yes

---

---

---

---

---

---

51

Mix commercial baby formula using tap water

---

---

---

---

---

---

Yes

52

Open bathroom window when bathing or showering

---

---

---

---

---

---

Yes

*53

Operate and maintain a vapor intrusion (radon) mitigation systems in your home

---

---

---

---

---

---

---

54

Peel root vegetables before eating

---

---

---

Yes

---

---

---

55

Periodically damp wash children's play areas

Yes

Yes

---

Yes

---

Yes

---

56

Play on the site by climbing, running, digging or other play

Yes

---

---

---

Yes

Yes

Yes

57

Regularly replace and maintain water filters following recommended manufacturers instructions

---

---

---

Yes

Yes

---

Yes

58

Remove shoes before entering home

Yes

---

Yes

Yes

---

Yes

Yes

59

Ride ATVs or motorized bikes on the site

---

---

---

---

Yes

Yes

Yes

60

Run air conditioner instead of opening windows and doors

---

Yes

---

---

Yes

---

---

61

Run bathroom fan when bathing or showering

---

---

---

---

---

---

Yes

62

Run tap water for a few minutes before using the water for drinking, food preparation, showering, etc

---

---

---

---

---

---

Yes

63

Select fish lower in mercury

---

---

Yes

---

---

---

---

64

Shower and bathe in cooler water

---

---

---

---

---

---

Yes

65

Shower in unfiltered or untreated water

---

---

---

---

Yes

---

Yes

*66

Sleep or spend more than 3 hours a day in the basement of your home

---

---

---

---

---

---

---

67

Swim in local creeks, streams, rivers, ponds, or lakes

---

---

---

---

Yes

---

Yes

68

Swim in nearby creeks, streams, or rivers

---

---

---

---

Yes

Yes

Yes

69

Test well water for metals

---

---

---

Yes

---

---

---

70

Use a leaf blower

Yes

---

---

---

---

---

---

71

Use a vacuum with a bag (not a bagless vacuum, shop vac, or steam cleaner)

Yes

Yes

Yes

Yes

Yes

Yes

Yes

72

Use a vacuum with a HEPA filter

Yes

Yes

---

Yes

Yes

Yes

---

73

Use a water filter on your private well

---

---

---

Yes

Yes

---

Yes

74

Use containers or raised beds for gardening

---

Yes

---

Yes

---

---

Yes

75

Use outdoor hose for watering plant, car washing, and other outdoor uses

---

---

---

---

---

---

Yes

76

Use water filter(s)

---

---

---

---

Yes

---

Yes

77

Use well water in your home for bathing, brushing teeth, and other activities

---

---

---

Yes

Yes

---

Yes

78

Vacuum home once a week or more often

---

Yes

Yes

Yes

---

Yes

Yes

79

Vacuum home once a week or more often with a HEPA vacuum

Yes

---

---

---

---

---

---

80

Walk, jog, or bicycle on the site

Yes

---

---

Yes

---

---

Yes

81

Wash children’s face, hands, and other exposed skin soon after outdoor play

Yes

Yes

---

Yes

Yes

Yes

Yes

82

Wash children's face and hands after playing with or petting family animals such as cats and dogs

Yes

---

---

---

Yes

---

Yes

83

Wash children's face and hands before they eat or drink

Yes

Yes

---

Yes

Yes

Yes

Yes

84

Wash children's toys

Yes

Yes

---

Yes

Yes

Yes

Yes

85

Wash dirty clothes soon after wearing outdoors

Yes

Yes

Yes

Yes

Yes

Yes

Yes

86

Wash fruits and vegetables before eating

---

Yes

Yes

Yes

Yes

Yes

Yes

87

Wash hands, face, and other exposed skin soon after outdoor activity such as playing, gardening, yard work, and other outdoor work

Yes

Yes

Yes

Yes

Yes

Yes

---

88

Wash hair after outdoor activity such as playing, gardening, yard work, and other outdoor work

Yes

---

---

---

---

---

---

89

Wash children’s hair after outdoor play

Yes

---

---

---

---

---

---

90

Wash work clothes at home

Yes

---

---

Yes

---

---

Yes

91

Wash work clothing separate from household clothing

Yes

---

---

Yes

---

---

Yes

92

Wear gloves when working in soil doing gardening, digging, building, and other activities

---

---

Yes

Yes

Yes

Yes

---

93

Wear long sleeves and pants during outdoor activity such as playing, gardening, yard work, and other outdoor work

---

Yes

Yes

Yes

Yes

---

Yes

94

Wear work clothes home

Yes

---

---

Yes

---

---

---

95

Wet mop home once a week or more often

Yes

Yes

---

Yes

Yes

Yes

Yes

96

Work in soil at home through gardening, digging, building, repairing and other outside activities

Yes

---

---

Yes

Yes

Yes

Yes


Total Number

37

35

21

47

52

38

57


*Note: Questions 53 and 66 are specific to radon which is an extremely toxic, colorless gas. The earth and rock beneath a home is a source of radon. A number of subject matter experts suggested we include these items for potential future use.

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