TMI HEALTH SURVEY: Survivors & Victims
Thank you for answering these quick 10 questions. I am very concerned about us and need your help. I want to find answers for us. I am collecting this information for our Epidemiologists and Forensic Teams.

Our diagnoses that are presenting are due to the latent nature of being exposed to ionizing radiation after the 1979 meltdown at Three Mile Island.

Please only submit 1 survey per person.

If your diagnosis is not listed here, please add and include the year of your diagnosis.

Please share this survey with others from the 4 counties, surrounding TMI: Dauphin, Cumberland, Lancaster, York, and with others from Pennsylvania, who have moved away.

Radiation does not stay in a five-mile circle - or go away after five days.
The PA Department of Health does NOT track those who moved away.

For a condensed version of my decade-long research and links to my sources, please request OVERVIEW by email: scriptwriterJML@gmail.com 

Thank you very much for your help,
Jill Murphy Long
Born and raised in PA
1981 Central Senior High School
From York, PA
2013 TMI brain tumor survivor
970 846 1428 (PST)
scriptwriterJML@gmail.com

P.S. This information will NOT be used for a movie. When we arrive at that juncture, I will request your permission with details on how to be involved if you want to be. There is strength in numbers and numbers speak the loudest. Thank you for allowing me to help you and all of us.
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What is your full name? *
Are you completing this survey for yourself? *
Required
If completing for someone else, what is the individual's full name?
YEAR of BIRTH
What was your (or their) street address in 1979? *
City:
State:
Zip Code:
Length of time at this address: days, months, or years? Can include a range. For example: (1974 - 1981)
What was your (or their) diagnosis? If more than one, check all that are applicable. *
Required
What was the YEAR of your diagnosis? If you were diagnosed with more than 1 diagnosis, please put the years as a span, starting with the first diagnosis to the latest. For example: (2005 - 2012)   *
If your diseases are not listed above, please include below with the YEAR(s) diagnosed.
YEAR of Death. (If applicable.)
I want to be part of the epidemiology studies. Please email me the details how to participate for FREE. *
Please provide your email. I will either contact you about medical studies and/or simply update you as to our progress. I will only send 1 email monthly. I will not share or sell your email. Thank you!                     *
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