Allegany, NY Resident Health, Safety & Environmental Survey
Dear Allegany, NY Resident, We are sending you this health, safety and environmental questionnaire to gather information about issues in your community. Please take a few minutes to answer these questions. Your answers may help us as we work to bring these issues to local and state level officials and legislators to be addressed. Please feel free to respond to the questionnaire anonymously.
Do you have any environmental concerns about the area where you live?
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Generally, how would you rate the air quality in your area?
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Where do you get your water supply?
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If your water comes from a private well or spring, do you have a filtration system?
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How would you describe your tap water?
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If you have noticed changes in your water quality, has it change within the last
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Does your tap water bubble?
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Are your sinks and toilets:
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Has your water been sampled by the Department of Environmental Conservation or Health Department?
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Has a certified lab recently analyzed your water for methane / ethane?
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To what extent is the oil & gas drilling in the area affecting you:
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Do you know about any abandoned wells or wells with aged and deteriorated plugs around your home?
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In which of the following ways is your health affected? (Choose all that apply)
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Are you worried about the health of yourself and your children?
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If you answered yes to the previous question, use the space below to describe your concerns.
Do you want to move due to air quality concerns?
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Do you want to move due to water quality concerns?
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Are you worried about issues associated with oil production?
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To what extent is the oil & gas drilling in the area affecting you:
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Are you worried about issues associated with gas migration?
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How many natural gas flares can you see from your home?
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Are you concerned about your real estate values?
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If you would you like us to let you know when we plan to meet with local and state-level officials about these issues please provide your name and contact information here:
If you would like to participate in periodic conference calls, held to discuss the issues, share ideas and information please provide us with a way to contact you here:
Please use the space below to tell us about additional concerns.
Please tell us about additional concerns that this questionnaire hasn't covered in the space below.
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