Household Hazardous Waste Survey

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Household Hazardous Waste (HHW) "By Appointment" Online Survey

Please take a moment to complete this short survey. Thank you for your participation.

 Select the date of the HHW event:

How did you hear about the pilot program?

Check all that apply:

How did you hear about the pilot program? Check all that apply:
 Please rate the following:
Please rate the following:
Exceeds Expectations Satisfactory Needs Improvement Unsatisfactory
Setting appointment
Rate event
Please add any comments:
Would you like us to contact you?
Would you like us to contact you?
If you answered "yes" to be contacted, please enter your name, email and/or phone number:
If you answered "yes" to be contacted, please enter your name, email and/or phone number:
  1. To receive a copy of your submission, please fill out your email address below and submit.