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Citizen Interview Questionnaire
                                     for the Cabot Koppers Site
Name:_____________________________________________________________________________

Address: __________________________________________________________________________

Home Phone: (        ) ______________________ Cell Phone: (          ) _______________________

E-Mail Address: ____________________________________________ Date: __________________


Are you aware of the site?


        How did you learn about the site?



Have you had concerns about the site in the past?


        Do you have any current concerns about the site?




Have you had any contact with local, state, or federal agencies about the site?


        Were you satisfied with the information provided?



Have you had any problems on your property that you think are attributable to site activities?



Have you been involved in any activities regarding the site?



        If not, would you like to be involved in activities regarding the site?



How would you like to be informed concerning site activities (mail, e-mail, telephone, newspapers, television, and
radio)?


May we have your permission to include your name and address on the site mailing list?


If EPA were to have a public meeting or availability session, what day and time would be most convenient for
you?


Can you identify possible places for future public meetings?
Are there any additional questions that you have concerning the Site, suggestions, or comments that
we should include in the Community Involvement Plan/Communication Strategy?

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Questionnaire for july 8th intvws focus group

  • 1. Citizen Interview Questionnaire for the Cabot Koppers Site Name:_____________________________________________________________________________ Address: __________________________________________________________________________ Home Phone: ( ) ______________________ Cell Phone: ( ) _______________________ E-Mail Address: ____________________________________________ Date: __________________ Are you aware of the site? How did you learn about the site? Have you had concerns about the site in the past? Do you have any current concerns about the site? Have you had any contact with local, state, or federal agencies about the site? Were you satisfied with the information provided? Have you had any problems on your property that you think are attributable to site activities? Have you been involved in any activities regarding the site? If not, would you like to be involved in activities regarding the site? How would you like to be informed concerning site activities (mail, e-mail, telephone, newspapers, television, and radio)? May we have your permission to include your name and address on the site mailing list? If EPA were to have a public meeting or availability session, what day and time would be most convenient for you? Can you identify possible places for future public meetings?
  • 2. Are there any additional questions that you have concerning the Site, suggestions, or comments that we should include in the Community Involvement Plan/Communication Strategy?