1. Do you live in:
one-level, free-standing home
multi-level, free standing home
an apartment/condominium community

2. Do children:
live in your home with you?
frequently visit your home?
rarely/never visit your home?

3. Do you have older adults living at home (over the age of 60)?
yes
no

4. Does your home have an attached garage?
yes
no

5. Does your home utilize fuel-burning appliances, such as furnace or space heater?
yes
no

6. Does your home or apartment community have a pool or outside sauna, whirlpool or hot tub?
yes
no