Flame Retardant Survey

Question Title

* 1. Contact Information

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Question Title

* 2. What type of business do you operate?

School

University/College

Yoga Studio

Self Defense Studio

Children's Play Center

Trampoline Center

Indoor Rock Climbing Facility

Fitness Center

Other (please specify)

Question Title

* 3. How concerned are you about providing a healthy environment for your customers, clients, workers?

Extremely Concerned

Concerned

Not Concerned

Question Title

* 4. How concerned are you about flame-retardants negative health effects?

Extremely Concerned

Concerned

Not Concerned

Unsure/need more information

Question Title

* 5. What other issues are you concerned about regarding the operation of your facility?

Ensuring Participants Physical Safety

Remaining Profitable

Providing Quality Training

Teaching Healthy Habits

Fire Suppression

Other Issues, Please Explain

Question Title

* 6. Does your facility have a foam pit?

Yes

Question Title

* 7. How often do you replace your foam pits and other foam containing equipment?

Once a year

Once every 2 to 5 years

Once every 6 to 10 years

More than 10 years

Never

Question Title

* 8. Do you know the flame retardant content of your foam pits and furniture?

Yes

Question Title

* 9. What best practices (cleaning practices, hand washing stations, foam purchases, etc.) do you follow to minimize exposure to flame-retardants? Please Explain.

Question Title

* 10. Would you consider changing practices (cleaning practices, hand washing stations, foam purchases, etc.) if Ecology provided guidance on what practices would help?

Yes

Question Title

* 11. If you have recreational foam products with flame-retardants, what are the hurdles you face to replacing these products?

Cost

Access to information to help understand why foam replacement matters

Worried about the potential liability created by testing existing products

Knowing what to look for when purchasing new foam

Practicable solutions

I didn't know this could be a potential issue

Question Title

* 12. What training resources would make it easier to reduce flame retardant exposure at your facility?

Training materials for customers, staff, and public

Training for best practices for cleaning, purchasing, and hygiene

Question Title

* 13. What funding resources would make it easier to reduce flame retardant exposure at your facility?

Funding for foam replacement

Funding for foam testing

Funding for decontamination and deep cleaning service

Question Title

* 14. What research resources would make it easier to reduce flame retardant exposure at your facility?

Research on flame-retardant's health effects

Research on flame-retardant's best practices

Research on flame-retardant's fire prevention

Question Title

* 15. In an effort to reach similar companies in your field, are there any associations or trade groups that represent your business? Please provide their contact information below.

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Flame Retardant Survey

Question Title

* 1. Contact Information

Question Title

* 2. What﻿ type of business do you operate?

Question Title

* 3. How concerned are you about providing a healthy environment for your customers, clients, workers?

Question Title

* 4. How concerned are you about flame-retardants negative health effects?

Question Title

* 5. What other issues are you concerned about regarding the operation of your facility?

Question Title

* 6. Does your facility have a foam pit?

Question Title

* 7. How often do you replace your foam pits and other foam containing equipment?

Question Title

* 8. Do you know the flame retardant content of your foam pits and furniture?

Question Title

* 9. What best practices (cleaning practices, hand washing stations, foam purchases, etc.) do you follow to minimize exposure to flame-retardants? Please Explain.

Question Title

* 10. Would you consider changing practices (cleaning practices, hand washing stations, foam purchases, etc.) if Ecology provided guidance on what practices would help?

Question Title

* 11. If you have recreational foam products with flame-retardants, what are the hurdles you face to replacing these products?

Question Title

* 12. What training resources would make it easier to reduce flame retardant exposure at your facility?

Question Title

* 13. What funding resources would make it easier to reduce flame retardant exposure at your facility?

Question Title

* 14. What research resources would make it easier to reduce flame retardant exposure at your facility?

Question Title

* 15. In an effort to reach similar companies in your field, are there any associations or trade groups that represent your business? Please provide their contact information below.

* 2. What type of business do you operate?