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* 1. Do you know what a watershed is?

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* 2. Do you live in a watershed?

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* 3. Which watershed do you live in?
(answer "not sure" if you don't know)

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* 4. Where do you believe storm water (rain water) runoff goes after it flows into a storm drain?

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* 5. Do you believe storm water runoff contains pollutants in quantities that could adversely affect water quality?

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* 6. Is it illegal to dump, throw or discharge anything into a creek or storm drain other than storm water runoff?

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* 7. Do you know what a rain garden is?

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* 8. Do you know what a rain barrel is?

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* 9. How do you feel about the following statement: "When applying pesticides and fertilizers, excess amounts can be a source of water pollution as storm water carries the polluted runoff into nearby water bodies." (check only one answer)

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* 10. Does your property border on (or contain) a stream, river, creek, wetland or natural drainage feature?

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* 11. Do you own a pet (e.g., dog, cat, horse, etc.)?

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* 12. Does your pet relieve itself outdoors?

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* 13. When your pet relieves itself outside, how frequently do you clean up its waste? (check only one)

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* 14. Which of the following factors would encourage you to clean up after your pet? (check all that apply)

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* 15. Where do you dispose of soiled pet litter/bedding and or pet waste? (check all that apply)

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* 16. How do you feel about the following statement: "Pet waste can be a source of nutrients and bacteria for nearby streams and water bodies." (Check only one answer)

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* 17. Where do you typically wash your vehicle?

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* 18. How do you dispose of rinse water from washing your car?

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* 19. How do you feel about the following statement: "Proper disposal of vehicle fluids and rinse water from car washing activities is necessary to protect the quality of nearby streams and water bodies." (check only one answer)

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* 20. If you have a septic system, how many years has it been since your septic system tank was cleaned?

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* 21. How do you feel about the following statement: "Inspection and routine clean out of septic tanks is necessary to protect the quality of nearby streams and waterbodies." (check only one answer)

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* 22. Please rate how effective the following methods would be in attracting attention and providing you with information about protecting water quality. (please answer all)

  Ineffective Neutral Effective N/A
Literature mailed to your home
Inserts in the local newspaper
Community newsletter articles
Website
Emailed news article/conservation tip
Phone consultation with local experts
A demonstration project in the neighborhood
A week night training workshop
A weekend training workshop

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* 23. Do you have any further outreach suggestions for methods that would be effective in attracting your attention and providing you with information about protecting water quality? If so, please type suggestions in the box below.

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* 24. Please indicate your gender?

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* 25. Please indicate your age.

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* 26. Please indicate the highest level of education you have completed.

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* 27. Please indicate which category best describes your racial or ethnic background. (check all that apply)

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* 28. Please indicate your marital status.

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* 29. Please indicate your total annual household income.

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* 30. What is your city, village, or township of primary residence?

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