Air Quality Survey Please share your insight on air quality where you live and the action you would like to see taken to improve air quality.Questions? Contact info@sustainablesolano.org Question Title * 1. Name Question Title * 2. Email Question Title * 3. Telephone number Question Title * 4. Preferred method of contact Phone calls Email Text message (SMS) Question Title * 5. Which city do you live in? (if you live in unincorporated Solano, which city is the closest to you)? Benicia Dixon Fairfield Rio Vista Suisun City Vacaville Vallejo Question Title * 6. What zip code do you live in? Question Title * 7. Which language is primarily used in your household? English Spanish Tagalog Korean American Sign Language Other (please specify) Question Title * 8. How many people live in your household (adults and children)? Question Title * 9. Do you think there is a problem with air quality in your city on a scale of 1 - 5? 1 - No issue with air quality locally 3 - There are some issues with air quality locally 5 - There are major issues with air quality locally Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 10. How often does air quality impact your daily life? Not at all, never A few times a year A few times a month A few days each week Every day or nearly every day Question Title * 11. Do you or anyone in your household have a condition that is worsened by poor air quality (e.g. asthma, cardiovascular disease, etc.)? No Yes (if yes, how many people in your household have a condition worsened by poor air quality?) Question Title * 12. What sources of air pollution in your city concern you? (Choose all that apply) Traffic Agriculture Refineries/Industrial Pollution Airports and/or airplanes Wildfires Other (please specify) Question Title * 13. What are you most interested in learning more about regarding air quality? (Choose up to three major priorities) Impact on health Sources of air pollution Connection between air quality and climate change Laws and policies that impact air quality (clean air act, zoning laws, etc) How to improve air quality How to monitor air quality What local organizations address air quality Other (please specify) Question Title * 14. Which actions are the highest priority for you? (Choose your three top priorities) Reducing health impacts on vulnerable populations Reducing air pollution at the source Increase monitoring of air pollution Increasing the local tree canopy Increasing the use of active transportation Climate change and its impacts Changing local laws/regulations Question Title * 15. Optional: How do you want to be involved in improving your city’s air quality? (select all that apply) Attending or helping to organize community meetings around air quality Monitoring air quality Sharing educational materials Attending community events such as green space installations Other (please specify) Question Title * 16. What haven't we addressed in the above questions that you would like to see reflected in an air quality action plan or would like for your city and county leaders to know about air quality? Done