Fairfax County, VA Survey

Question title

1. Please provide the permit number or street address of the property relevant to this survey.

Fairfax County, VA Survey

Question title

2. Please identify your relationship to the property.

Poll question: 2. Please identify your relationship to the property.. Select one option.

Use Tab to navigate between options, Space or Enter to select

Property owner

Property tenant

Property manager/owner agent

Property maintenance/building engineer

Business owner

Contractor

Other

Select a response

Fairfax County, VA Survey

Question title

3. Did you contact the cross connections program by telephone?

Poll question: 3. Did you contact the cross connections program by telephone?. Select one option.

Use Tab to navigate between options, Space or Enter to select

Yes

No

Don't recall

Select a response