Request edit access
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:
Sign in to Google
to save your progress.
* Indicates required question
May we feature your email address in the To: field when trying to connect you with other advocates in your state or locality?
Facebook username or URL (optional)
Twitter handle (optional)
School District (required, but write N/A if not applicable)
School(s) you are zoned for, or preschools you have children enrolled in (required, but write N/A if not applicable)
Open to helping with...
Signing and disseminating petitions, if applicable
Speaking in person at public meetings
Drafting, copy editing, proof reading
Research/Refining our Body of Knowledge
Expanding our membership
Fund drive, if applicable
Got applicable subject matter expertise? (examples: HVAC, filtration, facilities engineering, education, aerosols, medical, health sciences, case study data, etc.)
Children's health concerns motivating you to advocate for Indoor Air Quality
General risk of Long Covd
Immunocompromised (not chemotherapy)
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)
Are you working in any parent-led groups already? List them here!
Any other thoughts? Share them here.
Where did you hear about this survey/form?
Send me a copy of my responses.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service