Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. Calculate your risk of PFAS exposure Complete this survey to get a personal assessment of your PFAS Score based on potential exposure in the workplace and at home. Next Question Title * Do you currently work in one of these occupations? Agriculture Automotive industry Aviation including ground staff Carpet cleaning or installation Chemical industry Construction Education EMS or paramedic Firefighter Healthcare Law enforcement Military Office worker Other manufacturing Sports equipment maintenance (e.g. ski waxer) Textile Industry Other unlisted occupation Next Question Title * Did you previously work in any of these occupations? Select all that apply. Agriculture Automotive industry Aviation including ground staff Carpet cleaning or installation Chemical industry Construction Education EMS or paramedic Firefighter Healthcare Law enforcement Military Office worker Other manufacturing Sports equipment maintenance (e.g. ski waxer) Textile Industry Other occupation Next Question Title * Does your domestic water supply exceed EPA standards for PFAS? Yes No Unknown Next Question Title * Do you live within 10 miles of an airport Yes No Next Question Title * Do you live within 10 miles of a military base or site? Yes No Next Question Title * Do you live within 10 miles of a superfund site? Yes No Next Question Title * Does your household use non stick cookware at home? Yes No Next Question Title * How often do you get takeout drinks or beverages each week? Never Less than once per week A few times per week About once per day More than once per day Next Question Title * How often do you eat takeout food each week? Never Less than once per week A few times per week About once per day More than once per day Next Question Title * Do you wear clothes with "durable water repellent" (DWR) coatings? Yes No Unknown Next Question Title * Is any of your furniture treated to be "stain resistant"? Yes No Unknown Next SUBMIT
