Healthy Homes Kit Survey

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Your home is a place where you spend a lot of time, especially now while you are staying home and safe because of the COVID-19 outbreak. While you and your family are home, you are constantly using energy, water and, of course, breathing in your home’s air. Did you know that there are things you and your family can do to save energy, save water and make the air in your home healthier that also help the environment? Answer the questions in this Healthy Home Audit to discover some opportunities for making your home healthier.

Email *

What is your name? *

What is your phone number? *

What is your street address? *

City *

Zip Code *

How did you hear about this program? *

Detroit Public Schools promotion

Youth Energy Squad's social media channels

EcoWork's social media channels

Word of mouth

Eco-D Neighborhood (Yorkshire Woods, Southwest, Hope Village or West Village)

Who is filling out this survey? *

I am a DPSCD student and am on my school's Green Team

I am a DPSCD student but am not on my school's Green Team

I am a DPSCD parent

We are filling this out as a DPSCD family and a family member is on their school's Green Team

We are filling this out as a DPSCD family but do not have a family member who is on their school's Green Team

Other:

If you are a member of an active Green Team, please list your teacher and school below.

Do you reside in a Single Family Home or an Apartment Building? *

Single Family Home

Multi-Family Home (duplex, townhouse, etc.)

Apartment Building

Other:

When your kit is delivered, is there anything we should know about where to drop off your kit? (Exs. Do you require accommodations due to a disability? Are there barriers to leaving the kit on a front porch or near a door? Should we use a side door?) *

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