Healthier Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Revision)

2434ss60 Healthier Survey

Healthier Survey

OMB: 2010-0042

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Healthier School Environments Workshop

Customer Satisfaction Survey

(OMB Control Number: 2010-0042, EPA Number: 2434.60)



The session met my expectations. Yes _____No _____

Comments:

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


What I learned from the session:





Because of this session I commit to:

  • Share information presented with others.

  • Download the School Indoor Air Quality (IAQ) Assessment Mobile App.

  • Complete the IAQ in Schools Master Class Webinar Series.

  • Conduct regular building walkthrough inspections.

  • Establish a maintenance plan.

  • Maintain HVAC system.

  • Develop low-emitting products purchasing and use policies.

  • Implement Integrated Pest Management policy.

  • Test for radon.

  • Establish an anti-idling policy.

  • Use the Energy Savings Plus Health Guidance.

  • Implement an IAQ Management Plan.

  • Other:__________________________________________________________________


The session can be improved by: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________




Please complete this survey before you leave. Thank You!



Healthy Homes Workshop

Customer Satisfaction Survey



The session met my expectations. Yes _____No _____

Comments:

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


What I learned from the session:





Because of this session I commit to:

  • Share information presented with others.

  • Use the Protocols Guidance.

  • Make my home and car smoke free.

  • Prevent water from entering my house.

  • Control the source of dust and contaminants.

  • Use the exhaust fan or open a window when cooking or showering.

  • Ventilate areas where there are strong odors or vapors.

  • Use Integrated Pest Management approach.

  • Use wet-cleaning approach to clean surfaces, floors and windows.

  • Change filters and maintain my Heating Ventilation and Air Conditioning system.

  • Test for radon.

  • Register as an Indoor airPLUS partner.

  • Other: _________________________________________________________________


The session can be improved by: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________



Please complete this survey before you leave. Thank You!




ENERGY STAR Workshop

Customer Satisfaction Survey



The session met my expectations. Yes _____No _____

Comments:

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________



One thing I learned from the session is: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________



Because of this session I commit to:

  • Use ENERGY STAR Portfolio Manager to benchmark (If so, how many buildings _________)

  • Register as an ENERGY STAR Partner

  • Apply for ENERGY STAR Certification

  • Adopt ENERGY STAR V2.5 and V3 Residential Guidelines

  • Pursue an energy efficiency project



The session can be improved by:

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________






Please complete this survey before you leave.

Thank you!





Make Your House A Healthy Home

Customer Satisfaction Survey



The session met my expectations. Yes _____No _____


Comments:






______________________________________________________________________________



What I learned from the session:





______________________________________________________________________________


Because of this Session I commit to:

  • Share information with others.

  • Check the weather forecast.

  • Identify asthma triggers in my home and take action to eliminate or reduce them.

  • Make my home and car Smoke Free.

  • None, I am not making any commitments.


This session can be improved by:








Please complete this evaluation before you leave. Thank you!



Indoor Air Quality and Asthma Workshop

Customer Satisfaction Survey


The session met my expectations. Yes _____No _____

Comments:

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


Have you learned something new today? Yes _____No _____

Comments:





I will take the following actions to improve indoor air quality:

  • Reduce use of air fresheners indoors and other products with strong vapors.

  • Use the exhaust fan or open a window when cooking or showering.

  • Ventilate areas where there are strong odors or vapors.

  • Ensure that there is no smoking in my home and car smoke free.

  • Test my home for radon, mitigate if needed.

  • Properly maintain my HVAC system.

  • Assess my home for asthma triggers.

  • Reduce asthma triggers indoors:

Mold

Pet dander

Dust mites

Secondhand smoke

Pest cockroaches, rodents

  • Other: _________________________________________________________________


The session can be improved by: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________






Please complete this survey before you leave. Thank You!


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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorMarrero, Jeanette
File Modified0000-00-00
File Created2021-01-23

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