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2004 needs assessment for school employees and indoor environmental quality

This short survey is designed to obtain opinions from people actively involved in school buildings only! It will be used by American Lung Association of Maine scientific staff for planning purposes. All responses are anonymous!!



	What is your position at your school?


	How long have you worked in this school building?


	How long have you been employed in a position such as this in total, not just at this school?


	Please estimate the amount of time in a day you spend in your principal location(s) of work at school?


	If you are a teacher, what grade(s) do you teach?


	If you are a teacher, about how many students are in your class(s)?


	About your school: What is the grade range of your school?


	About your school: Approximately how many students attend your school?


	About your school: Does your school have a safety committee?
	Yes
	No
	Don't know

	About your school: Does your school use the Environmental Protection Agency's "Tools for Schools Action Kit"?
	Yes
	No
	Don't know

	About your school: Is your school urban or rural? (Town of 10,000 or less would be rural)
	Urban (more then 10,000)
	Rural (less then10,000)
	Didn't answer

	Demographics (optional, but helpful for us) Are you female or male?
	Female
	Male
	Didn't answer

	Demographics (optional, but helpful for us): What state or province do yo live in?


	Demographics (optional, but helpful for us) What county do you live in?


	Demographics (optional, but helpful for us) What county do you wok in?


	Demographics (optional, but helpful for us) Age
	35 or under
	36 or older
	didn't answer

	Demographics (optional, but helpful for us) Do you live alone or with others?
	I live alone
	I live with others
	Didn't answer

	Demographics (optional, but helpful for us) Do children live you with?
	Yes
	No
	Didn't answer

	Please rate your current level of understanding about indoor environmental quality?
	1 very little understanding
	2 understand
	3 Well informed
	Didn't answer

	I'm concerned about temperature
	I don't know; I need more information about this
	I have no concerns about this at my school
	I am somewhat concerned about this at my school
	I am very concerned about this at my school
	Didn't Answer

	I'm concerned about Humidity
	I don't know; I need more information about this
	I have no concerns about this at my school
	I am somewhat concerned about this at my school
	I am very concerned about this at my school
	Didn't Answer

	I'm concerned about ventilation
	I am very concerned about this at my school
	Didn't Answer

	I'm concerned about lighting
	I don't know; I need more information about this
	I have no concerns about this at my school
	I am somewhat concerned about this at my school
	I am very concerned about this at my school
	Didn't Answer

	I'm concerned about cleaning
	I don't know; I need more information about this
	I have no concerns about this at my school
	I am somewhat concerned about this at my school
	I am very concerned about this at my school
	Didn't Answer

	I'm concerned about management of waste and/or recycle materials
	I don't know; I need more information about this
	I have no concerns about this at my school
	I am somewhat concerned about this at my school
	I am very concerned about this at my school
	Didn't Answer

	I'm concerned about school supplies and/or personal products used in school
	I don't know; I need more information about this
	I have no concerns about this at my school
	I am somewhat concerned about this at my school
	I am very concerned about this at my school
	Didn't Answer

	I'm concerned about pest management
	I don't know; I need more information about this
	I have no concerns about this at my school
	I am somewhat concerned about this at my school
	I am very concerned about this at my school
	Didn't Answer

	I'm concerned about traffic
	I don't know; I need more information about this
	I have no concerns about this at my school
	I am somewhat concerned about this at my school
	I am very concerned about this at my school
	Didn't Answer

	I'm concerned about vehicles idling
	I don't know; I need more information about this
	I have no concerns about this at my school
	I am somewhat concerned about this at my school
	I am very concerned about this at my school
	Didn't Answer

	'm concerned about Construction (new or renovations)
	I don't know; I need more information about this
	I have no concerns about this at my school
	I am somewhat concerned about this at my school
	I am very concerned abou
	Didn't Answer

	I'm concerned about chemical use, purchasing or storage?
	I don't know; I need more information about this
	I have no concerns about this at my school
	I am somewhat concerned about this at my school
	I am very concerned about this at my school
	Didn't Answer

	I'm concerned about water damage?
	I don't know; I need more information about this
	I have no concerns about this at my school
	I am somewhat concerned about this at my school
	I am very concerned about this at my school
	Didn't Answer

	I am concerned about energy use?
	I don't know; I need more information about this
	I have no concerns about this at my school
	I am somewhat concerned about this at my school
	I am very concerned about this at my school
	Didn't Answer

	I'm concerned about electrical equipment or system?
	I don't know; I need more information about this
	I have no concerns about this at my school
	I am somewhat concerned about this at my school
	I am very concerned about this at my school
	Didn't Answer

	Other areas that I'm concerned about? please describe