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Indoor Air Care Advocates Questionnaire - Connecting Advocates for Improved US School Indoor Air Quality
We are a parent- and community-led group advocating for indoor air quality in schools. We're currently connecting with advocates, public health stakeholders, and potential petitioners in multiple school districts and in multiple life situations (kids in school, kids at home, no kids). This form is meant to help us connect with other advocates, understand your needs as a public health stakeholder, and learn how you'd like to be involved. Add yourself here and let's get started together!
To contact us, visit:
https://www.facebook.com/indooraircareadvocates/
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Email
*
Your email
Name
*
Your answer
Profession (optional)
Your answer
May we feature your email address in the To: field when trying to connect you with other advocates in your state or locality?
Yes
No
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Phone (optional)
Your answer
Facebook username or URL (optional)
Your answer
Twitter handle (optional)
Your answer
City
*
Your answer
State
*
Your answer
School District (required, but write N/A if not applicable)
*
Your answer
School(s) you are zoned for, or preschools you have children enrolled in (required, but write N/A if not applicable)
*
Your answer
Open to helping with...
Signing and disseminating petitions, if applicable
Calling representatives
Writing representatives
Speaking in person at public meetings
Door knocking
Drafting, copy editing, proof reading
Research/Refining our Body of Knowledge
Expanding our membership
Fund drive, if applicable
Other:
Got applicable subject matter expertise? (examples: HVAC, filtration, facilities engineering, education, aerosols, medical, health sciences, case study data, etc.)
Your answer
Children's health concerns motivating you to advocate for Indoor Air Quality
General risk of Long Covd
Respiratory
Heart/vascular
Chemotherapy
Immunocompromised (not chemotherapy)
Diabetes
Asthma
Allergies
Other:
Family health concerns motivating you to advocate for Indoor Air Quality
General risk of long covid
Unvaccinated children under 5 with co-morbidities
Unvaccinated children under 5, no co-morbidities
Diabetic family member
Family member undergoing chemotherapy
Immunocompromised family member (not chemotherapy)
Other:
Are you working in any parent-led groups already? List them here!
Your answer
Any other thoughts? Share them here.
Your answer
Where did you hear about this survey/form?
(if this was pre-filled, please leave it as-is to ensure that we deliver the materials you were expecting)
Your answer
Send me a copy of my responses.
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