Franklin Stormwater Survey
Are you a Franklin resident? *
What is your age group?
Stormwater pollution affects me and my family. *
Stormwater pollution affects others in my community. *
I can take action to prevent stormwater pollution. *
It is urgent to address stormwater pollution now. *
The actions of a single person like me won't make any difference. *
If the community works together, we can prevent stormwater pollution. *
There is nothing we can do to prevent stormwater pollution. *
In your opinion, how serious are these threats to our waterways? Rank from 1 to 6, 1 being the most serious. *
Industrial facilities dumping waste
Overuse of water by homes, farms and businesses
Loss of wetlands and natural areas
Residents disposing of oil or household chemicals down the drain
Global warming/climate change
Polluted runoff from yards, streets, parking lots and farms
Do you recall receiving the mailer pictured below? *
Captionless Image
In your opinion, how much of an impact does runoff from rainwater or melting snow have on our waterways? *
When runoff from rainwater or melting snow drains to the street, what do you think happens to it? *
Where and how do you dispose of pet waste? *
Pet waste carries high levels of bacteria and is a major contributor to local stormwater pollution. *
If you notice someone dumping something into a storm drain or obvious pollutants entering a storm drain, what should you do? *
Where do you primarily wash your vehicles? *
If you wash your vehicles at home, what is the best location to do so? *
The following items are accepted at the Franklin Recycling Center (check all that apply) *
Did you know that Franklin hosts an Earth Day clean up every spring? *
If yes, how did you hear about Franklin's Earth Day event?
Have you ever participated in Franklin's Earth Day clean up? *
Did you know that the Franklin DPW offers rain barrels to residents at a discounted price every spring and fall? *
If yes, how did you hear about the residential rain barrel program?
Have you ever purchased a rain barrel through the Franklin DPW?
Thank you for participating in this survey! If you are interested in a chance to win a FREE rain barrel, please complete the information below. You MUST be a Franklin resident to enter and be able to pick up the rain barrel from the Department of Public Works, 257 Fisher Street, Franklin MA. ------------------------------------------------------------------------------------------------------------------------------------------------ First Name
Your answer
Address (just street)
Your answer
Phone number
Your answer
Email address
Your answer
Never submit passwords through Google Forms.
This form was created inside of Town of Franklin. Report Abuse