2020 Daycare + Preschool -- Wildfire Smoke Clean Air Survey
This survey is for all daycare centers and preschools within Missoula County who are NOT currently set up with clean indoor air (that you know of), especially for wildfire smoke season. Please fill out this survey in order to receive recommendations and (potentially) free HEPA Portable Air Cleaners (PACs).

Some daycares received donated PACs in 2018 or 2019 and are all set (so this survey is not for you!).

If you did not or if you are a larger school that returned the loaned PACs to the Health Dept., we hope to hear from you in the next couple weeks.

Information you provide in this survey will not be shared or used for any other purposes except to help your center provide healthy, clean air to children during periods of wildfire smoke.

Thank you, Climate Smart Missoula and Missoula City-County Health Department
Email *
Your Name *
Name of your Daycare or Preschool *
What ages does your Center serve? *
How many kids are in your Center most days? *
How many rooms in which kids spend significant time are in your facility? *
What is the approximate square footage of each room in your facility (rooms counted in previous question, and feel free to guesstimate) ? *
Do you have central air conditioning? *
HEPA Portable Air Cleaners (PACs) typically cost $150-$250 each. What portion of this can you cover? *
Would your facility prefer to borrow PACs (from the Health Dept) or to receive a filter to keep (from Climate Smart Missoula)? *
Your phone number *
Your address *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy