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Help us collect information about the impact of substances in our region!

Please be specific. Keep a count of how many substance-related items you find and where you find them. You can take pictures of what you find and upload them to this survey. 

We recommend wearing gloves and that youth work with an adult. Please do not collect anything that could harm you and please take extra COVID-19 related precautions. If you see needles, don't touch them, notify local police if you find any.

Contact Alison at alison@healthylamoillevalley.org if you have any questions!

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* 1. Your Name (optional)

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* 2. Your Email Address (optional)

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* 3. Your Green-Up Town

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* 4. Please list the streets, parks, and other geographic regions you've worked on during Green-Up Day

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* 5. Number of cigarette butts

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* 6. Number of vape devices and materials

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* 7. Number of small alcohol bottles (nips)

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* 8. Number of alcohol bottles found

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* 9. Number of alcohol cans

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* 10. Number of needles you found and where (DO NOT PICK UP!  Please notify law enforcement for best method of disposal)

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* 11. Was there a specific area that had a lot of substance related items? Please share details. The more specific the better!

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* 12. During other times in the year, are there locations in your area where you notice substance related items being dumped? Please details. The more specific you can be, the better.

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* 13. Please share any other thoughts or questions you have with us.  Thank you!

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* 14. Upload a picture of what you found! Do not send pictures of anyone underage holding the products. If you want to share more pictures, please email them to media@healthylamoillevalley.org.

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