Home Safety Survey
Email address *
Does your home have a working smoke alarm?
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Does your home have at least one working CO (carbon monoxide) detector?
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Do you have an escape plan for your home in the event of a fire?
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Are all occupants able to escape without assistance?
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Do you have a meeting place outside of your home in the event of a fire?
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Does your home have fire sprinklers?
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Do you use candles, incense, or other open flame or smoldering objects in your home?
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Are all matches, lighters, or other objects that can start a fire kept out of reach of children?
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Do you have a working fire extinguisher in the kitchen, laundry, and workshop/garage?
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Do you use extension cords as permanent wiring for any objects in your home?
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Do you use a portable space heater to heat your home?
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If you have a chimney, does it have a spark arestor?
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Is your home within 2 miles from a Wildfire area?
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Do you have things that could burn within 50' of your home like trees, bushes, woodpiles, furniture, etc.?
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A copy of your responses will be emailed to the address you provided.
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